Which dietary strategy is recommended for CF patients?

• A. High-fat, high-carbohydrate diet
• B. Regular diet without pancreatic enzymes
• C. High-protein, high-calorie diet
• D. Low-calorie diet

Answer: (C)

In cystic fibrosis, the pancreas often fails to deliver enough enzymes to the gut, leading to malabsorption and higher energy needs. The most effective dietary strategy is a high-calorie, high-protein plan to support growth, repair, and overall energy for a child who may be expending more calories due to chronic lung disease and infection. This approach works best when paired with pancreatic enzyme replacement therapy taken with meals and snacks, which improves digestion and nutrient absorption, especially of fats and proteins. Fat-soluble vitamins should be monitored and supplemented as needed to prevent deficiencies.

A regular diet without enzymes would not correct malabsorption, and a low-calorie plan would fail to meet the increased nutritional demands. A diet focusing mainly on fats or carbohydrates without adequate protein and calories won’t optimally support growth or recovery from illness.