Overview

Fortifying a traditional Afro-Caribbean diet

Important

This information is produced for adults under the care of Guy’s and St Thomas’ hospitals. We usually give you the information after an assessment or appointment. Your dietitian or other healthcare professional may give you different guidance, depending on your specific medical needs.

It is important to check with a healthcare professional before making any changes to your diet. Please contact your dietitian if you have any questions or concerns.

If you are not a patient at Guy’s and St Thomas’ hospitals, please contact a GP or specialist healthcare professional.

This information can help you, your family or your carer to make your meals more nourishing (fortify them). 

If your meals are more nourishing, this can help you to:

  • regain any weight that you have lost
  • maintain your current weight
  • reduce the rate at which you are losing weight

You may find it difficult to gain weight or be losing weight unintentionally if:

  • you keep struggling to eat full meals
  • your energy needs are high

This information is suitable if you, your family or your carer have told us that you prefer to eat traditional Afro-Caribbean food and meals. It gives a few examples of:

These examples are not a full list. We also include a sample fortified meal plan using Afro-Caribbean foods.

Please speak to a dietitian if you need more personalised advice.

Your main meals

This section gives you guidance about including carbohydrate, protein and high-energy foods in your main meals. 

Carbohydrate

Try to include a source of carbohydrate in the meal, such as grains and grain-based foods, root tubers and starchy vegetables, or breads.

Examples of grains and grain-based foods are:

  • white rice
  • brown rice
  • rice and peas (rice cooked with kidney beans or pigeon peas)
  • cornmeal or maize meal
  • dumplings (such as boiled or fried dumplings often served with stews)

Examples of root tubers and starchy vegetables are:

  • yams
  • sweet potatoes (orange-fleshed or white)
  • taro or dasheen
  • cassava
  • green bananas or plantains (boiled, roasted or fried)
  • breadfruit

Examples of breads are:

  • Agege bread (soft, slightly sweet white bread with a Nigerian or West African influence)
  • roti (thin flatbread, often stuffed with dhal or curried vegetables)
  • coconut bread or sweet bread

You can add butter, cooking oils, nut butters or plant-based options to increase the energy content.

Protein

You also need to try to include a source of protein in the meal, such as beans and legumes, meat and offal, eggs, or fish and seafood. 

Examples of beans and legumes are:

  • beans, such as butter beans, black-eyed beans, kidney beans, rosecoco beans or black beans
  • chickpeas
  • lentils

Examples of meat and offal are:

  • beef
  • lamb
  • goat
  • offal, such as kidney, liver or tripe
  • oxtail
  • chicken

You can have boiled or fried eggs or include eggs in stews.

Examples of fish and seafood are:

  • stockfish (dried cod)
  • smoked, dried or tinned fish
  • fresh river or sea fish (tilapia, mackerel or catfish)
  • shellfish (shrimps, prawns, crabs or lobsters)

It is ideal to have a meal with 2 types of protein, such as beans and meat or egg and chicken.

High-energy foods

It is a good idea to include foods that are nutritious and have a high energy content in your meals, such as:

  • avocado
  • ackee
  • fresh and tinned fruits

Soups, stews and broths

Here are some tips for making nutritious soups, stews and broths:

Do

  • leave some of the skin or fat on any meat in the soup, stew or broth
  • fry vegetables with extra oils
  • include a range of carbohydrates, such as potatoes, yams and dumplings
  • add a tablespoon of olive oil, cream, butter or a plant-based option when the soup, stew or broth is ready to serve (you can also do this with ready meals or takeaway meals)

Snacks

You need to aim to have 2 to 3 snacks a day. They can be small meals, such as a sandwich, or other foods like:

  • cakes, biscuits*, a spiced bun or hard-dough bread
  • meat, fish or vegetable patties
  • fried dumplings
  • fresh, tinned or frozen fruit with cream, condensed milk, custard or a plant-based option
  • mixed nuts
  • milky puddings, such as ice cream, yoghurts or rice pudding

*If you have diabetes, you will need to continue to choose sugar-free options. However, you can have a moderate amount of food that contains sugar as part of a fortified diet. Speak to your GP, nurse or diabetes team for more information.

Drinks

You need to aim to have 8 to 10 drinks a day. These could be:

  • tea, coffee or herbal tea
  • milky drinks, such as hot chocolate, Horlicks®, Ovaltine® or milkshakes
  • supermarket drinks such as ginger beer, Peanut Punch®, SuperMalt® or Nurishment®
  • fresh fruit juice or fruit smoothies
  • drinks fortified with full-fat milk, skimmed milk powder, condensed milk, evaporated milk or plant-based options
  • coconut water
  • fruit smoothies with avocados added to them as a source of healthy fats
  • drinks with brown sugar, white sugar or honey added to them for extra sweetness and energy*

*If you have diabetes, you need to continue to choose sugar-free drinks. However, you can have a moderate amount of foods that contain sugar as part of a fortified diet. Speak to your GP, nurse or diabetes team for more information.

Example fortified meal plan using Afro-Caribbean foods

This is an example of a fortified meal plan that uses Afro-Caribbean foods:

Meal

Suggested foods and drinks

Breakfast Cornmeal or oat porridge made with coconut milk, condensed milk, honey and spices, and a glass of fruit juice
Lunch Soup with beans, vegetables, dumplings and a tablespoon of coconut cream added
Mid-afternoon snack Water crackers with butter and cheese
Dinner

Fried plantain and buttered vegetables, and a piece of chicken thigh

An apple, handful of grapes and 1 scoop of ice cream

Snack before bed Ovaltine® made with full-fat milk and 2 biscuits

 

Resource number: 4733/VER2
Last reviewed: January 2026
Next review: January 2029

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