The MEDFICTS ( M eats, E ggs, D airy, F ried foods, I n baked goods, Convenience food, T able fats, S nacks) is a short dietary questionnaire to assess adherence to a Step I or Step II diet for reducing serum cholesterol.
Food Groupings:
(1) Group 1: foods high in fat, saturated fat and/or cholesterol
(2) Group 2: foods lower in fat, saturated fat, and/or cholesterol than Group 1
Food Category |
Group |
Includes |
Meats |
1 |
regular cuts of beef, processed meats, pork, lamb or poultry with skin, including ground preparations, hot dogs, and fast foods |
|
2 |
lean cuts of beef, pork or lamb; low-fat processed meats, poultry, fish |
Eggs |
1 |
whole eggs, yolks |
|
2 |
egg whites, egg substitutes |
Dairy |
Milk 1 |
whole milk, 2% milk, 2% buttermilk, yogurt made from whole milk |
|
Milk 2 |
skim milk, 1% milk, skim-milk buttermilk, nonfat or low-fat yogurt |
|
Cheese 1 |
cream cheese, cheddar, Monterey Jack, Colby, Swiss, American processed, blue cheese |
|
Cheese 2 |
low-fat and fat-free cheese, skim milk mozzarella, string cheese, low-fat or fat-free cottage cheese, skim milk ricotta |
|
Frozen Desserts 1 |
ice cream, milk shakes |
|
Frozen Deserts 2 |
ice milk, frozen yogurt |
Fried foods |
1 |
French fries, deep-fried vegetables, fried chicken, fried fish, fried meat |
|
2 |
non-deep fried vegetables; meat, poultry or fish prepared by baking, broiling, grilling, poaching, roasting or stewing |
In baked goods |
1 |
doughnuts, biscuits, butter rolls, muffins, croissants, sweat rolls, Danish, cakes, pies, coffee cakes, cookies |
|
2 |
fruit bars, low-fat cookies, low-fat cake, low-fat pastries, angel food cake, homemade baked goods with vegetable oils |
Conven-ience foods |
1 |
canned, packaged or frozen dinners, macaroni and cheese, pot pies, cream soups |
|
2 |
diet or reduced calorie or reduced fat dinners |
Table fats |
1 |
butter or stick margarine, regular salad dressing, mayonnaise, sour cream |
|
2 |
diet and tub margarine, low-fat or fat-free salad dressings, low-fat or fat-free mayonnaise |
Snacks |
1 |
chips (potato, corn, taco), cheese puffs, snack mix, nuts, regular crackers, regular popcorn, milk chocolate candy, caramels, coconut |
|
2 |
air-popped or low-fat popcorn, low-fat crackers, hard candy, licorice, fruit rolls, bread sticks, pretzels, fat-free chips, fruit |
Note: Deep fried chicken, fish or meat dishes should be included both under meat and fried categories.
Food Category |
Group |
Serving Size Comments |
Meats |
|
average amount per day 6 ounces (equal in size to 2 decks of playing cards); base estimate on food you consume the most of |
Eggs |
|
small serving <= 1, average serving = 2, large serving >= 3; for egg substitutes, 0.5 cups is equivalent to 2 eggs |
Dairy |
Milk |
average serving 1 cup |
|
Cheese |
average serving = 1 ounce solid cheese, 0.5 cup of Ricotta or cottage cheese |
|
Frozen Desserts |
average serving 0.5 cups |
Fried foods |
|
French fries or fried vegetables: 0.5 cup fried meat: 3 ounces |
In baked goods |
|
average serving = 1 serving |
Conven-ience foods |
|
serving pizza = 1 slice, macaroni and cheese = 1 cup, pot pie = 1, cream soup = 1 cup |
Table fats |
|
butter or stick margarine = 1 pat, salad dressing or mayonnaise or sour cream = 1 to 2 tablespoons |
Snacks |
|
average serving as described on snack product |
Each category (meats, eggs, dairy, fried foods, baked goods, convenience foods, table fats, and snacks) and group (Group 1 or 2) and scored based on weekly consumption and serving size:
Frequent use of foods high in fat or saturated fat, such as coffee creamers or whipped toppings are noted.
score for each category =
= (points for weekly consumption pattern) * (points for serving size)
total score =
= SUM(scores for each MEDFITS category)
Interpretation:
• total score for compliance with Step I diet: 40-70
• total score for compliance with Step II diet: < 40
Specialty: Nutrition
ICD-10: ,