Parkinson's Diet

General rules

Parkinson's disease - This is a chronic neurodegenerative disease that is associated with the degeneration (destruction) of certain neurons (dopamine) and dysfunction of the central nervous system. The cause of the disease is not known. The studies have proved the role of many factors, including hereditary. It is believed that neuronal degeneration is due to oxidative stress of neurons and apoptosis (death). In the cells there is an accumulation of calcium and iron, with a simultaneous lack of zinc.

Clinical symptoms appear with the death of 50-80% of neurons. Parkinson's disease is characterized by a symptom complex that includes tremor (trembling hands, head), muscle stiffness, stiffness of movements, decreased facial expressions, autonomic and mental disorders. Parkinson's disease cannot be cured. However, thanks to drugs and nutrition, you can slow down the progression of the disease, reduce its manifestations and improve the quality of life of the patient.

The role of nutrition should not be ignored. Given the fact that atherosclerosis is a risk factor for the onset and progression of the disease, it is clear that the diet for Parkinson's disease must meet the requirements hypocholesterol diet. It provides for the consumption of a large number of fruits, vegetables, herbs, legumes, various seeds and nuts, whole grain bread, low-fat dairy products and low-fat varieties of meat (no more than once a week). The basis of the diet is fish and seafood, as well as olive, linseed, sesame oil.

Positive role confirmed ketogenic diets are varieties of low-carb diet programs. The ketosis mechanism starts when carbohydrates are consumed at a level of 100 g per day or less, which is 3, 5, 4 times less than the daily requirement of a healthy person. Due to carbohydrate deficiency in metabolism fats are actively included. With their active splitting, fatty acids and ketone bodies are formed and energy is released. Ketogenic diets are widely used in epilepsy, Drave syndromes, Duse and other diseases of the nervous system and is considered as an alternative non-drug treatment option.

Ketone bodies affect brain structures: increased production antioxidantsproduction of free radicals is reduced, neurodegenerative changes are inhibited. This is the basis for the use of this diet with parkinson's disease. If a hypocholesterol diet can be used by all without restrictions, then a ketogenic diet can only be used on the recommendation of a physician. First of all, because it has many contraindications (diabetes, heart disease, elevated levels cholesterolkidney pathology). Then, it is very important to be able to correctly calculate the amount of nutrients in the diet. Also a minus is that it is difficult to tolerate by patients and is often accompanied by a decrease in disability.

Given some pathogenetic aspects of this neurological disease, nutrition in Parkinson's disease should include:

  • Antioxidant vitamin Cwhich slows down the progression of the disease. Patients have an increased need for ascorbic acid, therefore, in addition to consuming products containing it (rose hips, red lettuce, sea buckthorn, Brussels sprouts, dill, wild garlic, cauliflower, red mountain ash, oranges, papaya, kohlrabi, strawberries), it is recommended that dose of 3000-6000 mg per day.
  • B vitamins very important in this disease. Dopamine production in the body depends on the intake Vitamin B1 into the body. Pyridoxine contains potatoes, oatmeal and buckwheat, nuts, carrots, and spinach. The tablet drug should not be taken when taken Levodopa.
  • Vitamin B2 (riboflavin) is important for the prevention of the progression of neuronal damage and depressions. Its suppliers are kidneys, liver, yeast, eggs, dairy products, cabbage, rosehips.
  • Vitamin B6 we get from yeast, cereals, meat, fish, bananas, potatoes, berries. Sources AT 12 - offal, fish, soy, seaweed, oysters. Folic acid (B9) is found in dark green vegetables (leafy salads, spinach, asparagus), avocado, wheat, beans, liver, and egg yolks the least.
  • Vitamin B3 (nicotinic acid) supports the immune system, prevents the appearance of depression and irritability. Contained in beer and bread yeast, cereals, bran, animal liver, peanuts.
  • Berries, fruits and vegetables, as sources of vitamins and minerals. Cherry, cherry and barberry are useful in this disease. Whenever possible, use all raw fruits and vegetables.
  • Neuroprotective and antioxidant effects tocopherol (vitamin E) and lipoic acid (vitamin N). High content of lipoic acid in beef, liver, cream, sour cream and beans. Sources of vitamin e are nuts (almonds - in the first place, hazelnuts, cashews, pistachios, walnuts), vegetable oils, wheat seedlings, dried apricots, prunes, sea buckthorn, rosehips, salmon, squid, pike perch, eel, oat and barley groats. The intake of vitamin E in high doses favorably affects the course of the disease. The intake of this vitamin 200 IU per day is indicated.
  • Vitamin Dwhose role is also proven. We get this vitamin from fermented milk products, cottage cheese, vegetable and butter, cheese, raw yolks, seafood, fish liver (halibut and cod), fish oil, herring, tuna, mackerel, oatmeal, and potatoes. The drug can be taken at a dose of 400-800 IU per day.
  • Calcium for prevention osteoporosis. It is found in dairy products, sesame seeds. Magnesium provides neuromuscular transmission of impulse (wheat bran, pumpkin seeds, sesame seeds, almonds, pine nuts and walnuts, peanuts, spinach, beans, dates, sunflower seeds), potassium (honey, perga, apple cider vinegar, potatoes, soy, beans, peas, watermelon , melon, bananas, dried apricots, almonds, pine nuts) and sulfur as an antioxidant (the highest content in rabbit and chicken meat, pike, sea bass, sardine, pink salmon, flounder, peas, eggs, average content in lamb, beef, soy , peanuts, pork and duck liver).
  • Coenzyme Q10, contributing to the production of cellular energy, slowing down the death of neurons and the progression of the disease. Synergistic with Coenzyme Q10 coenzyme A (vitamin b5), leveling the metabolism in cells, reducing fatigue and eliminating depression. Suppliers of these vitamins are beef, lamb, chicken, liver, heart, sardines, mackerel, eggs, legumes, fresh vegetables and fruits, brown rice.

Proven that consumption caffeine positively affects the neurological status of patients. Daily use of coffee (not more than one cup per day) strengthens the blood-brain barrier, which reduces the toxic effects of various substances. There is another explanation for the reduced risk of Parkinsonism: caffeine blocks A2A adenosine receptorsthat regulate the release glutamatedamaging motor neurons. Given the frequent vegetative disorders (constipation, stomach dysfunction, urination disorders) adjustments are made to the diet.

They recommend drinking one cup of coffee per day.

In treatment constipation An important role is played by food with a high content of dietary fiber (vegetables and fruits in any acceptable form, wheat bran, flax seed). When using bran and flax seed, one must not forget about the parallel fulfillment of the drinking load (1.5 liters of fluid per day). Flax seeds can be consumed in ground form for 1-2 tsp. 2-3 times a day, pre-fill them with 100 ml of water. Products with a laxative effect and enhancing intestinal motility should be introduced into the diet: beets, prunes, peaches, apricots, apples, strawberries, plums. Equally important in the treatment of constipation is an increase in physical activity.

In case of a violation of the function of the stomach associated with a deterioration in the evacuation of its contents, patients develop nausea, vomiting, pain in the stomach and a feeling of fullness. In this case, a fractional intake of light food in small portions is recommended: soups, vegetable purees, boiled scroll meat, boiled fish.

Dysphagia (difficulty swallowing) is also a fairly common occurrence in parkinsonism. To correct this condition, additional culinary processing of food is used (for example, grinding or pureeing). Rough and fried foods that are difficult to swallow are eliminated, and cooked creamy foods are introduced. If vegetables and fruits are difficult to swallow raw, you need to switch to stewed and finely chopped or mashed. Fruits need to be peeled. Any food should be taken in small pieces, chew it thoroughly and not take the next portion until the previous one is swallowed. You need to eat more often and in small portions.

Reduce consumption:

  • Squirrel. Low protein intake optimizes drug treatment levodopa. Certain amino acids can compete with this drug at the blood-brain barrier and in the intestine, reducing its effectiveness. In this regard, the drug should be taken 40-60 minutes before a meal. Plant foods contain a little protein, but more carbohydrates, and animal foods contain a lot of fats, protein and cholesterol.
  • Milk and dairy products. If they are limited, elderly patients need to take calcium supplements (1200 mg per day) and vitamin D (400-800 IU).
  • Zhirov. Excess fat intake has been proven to be a risk factor for the development of the disease. In this regard, it is recommended that saturated animal fats be replaced with polyunsaturated and vegetable fats. Some authors note a deterioration in the condition of patients with increased consumption arachidonic acid (lard, butter, red meat, fish, game meat, eggs). Since arachidonic acid is polyunsaturated, it is mistakenly considered a "healthy fat." But as you can see, it enters the body as part of animal fats, with excessive consumption it does harm rather than benefit. She is also the forerunner. prostaglandins - mediators of inflammation and allergic reactions. Fatty foods also slow the absorption of the drug. levodopa and its entry into the blood.
  • Simple carbohydrates and salt.
  • Products containing iron. Based on the provisions on the role of iron in damage to neurons, some authors propose limiting the intake of this trace element in the diet.
  • Separate nutritional supplements (monosodium glutamate, aspartate, cysteine, hydrolyzed vegetable protein) can worsen the manifestations of the disease, and therefore, it is recommended to avoid products with their content (these are industrial products).
  • Exclude alcohol. Many drugs do not combine with it. In addition, tremor may increase after drinking alcohol.

Allowed Products

  • The weekly diet should be dominated by fish and seafood dishes. It can be tuna, mackerel, cod, sardines, saury, flounder. Seaweed is useful, which can be finely chopped and added to salads or stewed vegetables.
  • If possible, fresh vegetables. If their use is difficult, they switch to stewed or boiled and chopped. Restrictions on coarse vegetables - radish, radish, turnip. With good tolerance, legumes must be a mandatory component of nutrition. They can be included in the diet daily. Green peas and green beans do not cause bloating. Beans and spinach are proven to contain natural dopamine. Beans can be eaten cereal and chilli.
  • Fruits and berries, as they contain fiber and pectins (especially citrus fruits, apples, viburnum, grapes, cranberries, dried cornel berries). Pectins improve intestinal motility, reduce content cholesterolcleanse the body of harmful substances (radioactive substances, pesticides, toxic metals).
  • Bran, sesame seeds, fenugreek and flax are additional sources of fiber and healthy oils. They should be added additionally if available. constipation.
  • Vegetable soups (cabbage soup, beetroot soup, borscht) on a vegetable broth. Vegetables mash well with difficulty swallowing. Cereal soups are also well boiled or wiped. You can cook mashed soups into which mashed meat or fish is introduced.
  • Choose lean meats and poultry (prefer turkey or chicken). It is enough to eat meat dishes once a week. Cook meat dishes in a boiled form, and then grind. Steam cutlets, pastes and airy meat soufflé can be cooked.
  • Rye and bran bread. Perhaps it will be easier to use it in the form of soaked crackers.
  • Milk, cottage cheese, sour-milk drinks of low fat content and limited. Every day, you can include up to 2 whole eggs, from which to cook omelettes (steam and baked).
  • Any cereals, but it is better to exclude pearl barley, as the coarsest groats. Porridge is boiled in water and with the addition of milk. Dry and crumbly cereals are difficult to swallow, so you need to cook "porridge-spread" - boil well and add water to a semi-viscous consistency.
  • To refill ready meals, use unrefined vegetable oils (olive, sesame, corn, linseed).
  • All nuts and seeds contain healthy monounsaturated fats. Every day you need to eat 30-50 g, but in their natural form it is difficult to eat, so you can grind them in a blender, add honey and get a tasty and healthy dessert. It is good to add chopped prunes and dried apricots here (especially with a tendency to constipation).
  • Rosehip broth, herbal teas, juices, mineral water without gas (up to 2 liters per day). Antistress and neurotrophic effects are exerted by decoctions of feline catnip, scutellaria, passionflower, valerian root.

Approved Product Table

Proteins, gFats, gCarbohydrates, gCalories, kcal

Vegetables and greens

boiled cauliflower1,80,34,029
salad pepper1,30,05,327
Jerusalem artichoke2,10,112,861




Red currants0,60,27,743
black currant1,00,47,344

Nuts and dried fruits

flax seeds18,342,228,9534
fenugreek seeds23,06,458,3323
sunflower seeds20,752,93,4578

Cereals and cereals

buckwheat groats (kernel)12,63,362,1313
oat groats12,36,159,5342
millet groats11,53,369,3348
barley grits10,41,366,3324

Raw materials and seasonings


Milk products

skim milk2,00,14,831
natural yogurt 2%4,32,06,260

Cheeses and cottage cheese

cottage cheese 0.6% (low fat)18,00,61,888
tofu curd8,14,20,673

Meat products



cooked diet sausage12,113,50,0170


chicken fillet23,11,20,0110

Fish and seafood

sea ​​kale0,85,10,049

Oils and Fats

linseed oil0,099,80,0898
olive oil0,099,80,0898
sunflower oil0,099,90,0899

Soft Drinks

mineral water0,00,00,0-
green tea0,00,00,0-
* data are per 100 g of product

Fully or partially restricted products

From the diet should be excluded:

  • fatty pork, duck and goose meat, sausages, cooking fats, smoked meats, canned fish fish caviar, margarine;
  • products containing monosodium glutamate (it negatively affects the basal structures of the brain);
  • all kinds of broths, fried foods;
  • fatty dairy products.

It is recommended to significantly limit the use of sunflower oil, chocolate, ice cream, cocoa, strong tea and coffee, pastry, pastry, cakes, pastries with cream, sugar, jam and jam.

Prohibited Products Table

Proteins, gFats, gCarbohydrates, gCalories, kcal

Vegetables and greens

white radish1,40,04,121
red radish1,20,13,420
black radish1,90,26,735







Nuts and dried fruits


Cereals and cereals

white rice6,70,778,9344

Flour and Pasta



pastry cream0,226,016,5300

Ice cream

ice cream3,76,922,1189





Raw materials and seasonings


Milk products

milk 3.6%2,83,64,762
milk 4.5%3,14,54,772
sour cream 25% (classic)2,625,02,5248

Cheeses and cottage cheese

cottage cheese 11%16,011,01,0170
cottage cheese 18% (fat)14,018,02,8232

Meat products

pork liver18,83,60,0108
pork kidney13,03,10,080
pork fat1,492,80,0841
beef liver17,43,10,098
beef kidneys12,51,80,066
beef brains9,59,50,0124


smoked sausage16,244,60,0466
smoked sausage9,963,20,3608


smoked chicken27,58,20,0184
smoked duck19,028,40,0337

Fish and seafood

smoked fish26,89,90,0196
salted fish19,22,00,0190
Red caviar32,015,00,0263
black caviar28,09,70,0203
canned fish17,52,00,088
cod (liver in oil)4,265,71,2613

Oils and Fats

animal fat0,099,70,0897
cooking fat0,099,70,0897

Soft Drinks

dry instant coffee15,03,50,094
black tea20,05,16,9152
* data are per 100 g of product

Menu (Power Mode)

5-6 meals a day are organized in small portions. The power menu can be varied, since there are no serious restrictions. Breakfast may consist of: porridge - "smear" with fruits or dried fruits, slices of unsalted cheese (the most suitable for tofu) and tea. You can cook omelet with filler (zucchini or pumpkin, grated carrots, boiled cauliflower), which are added to the omelet mass.

The second breakfast includes cottage cheese soufflé or natural cottage cheese with kefir or yogurt. For lunch, you can cook various soups - fish, cereal, vegetable. Meatballs, pieces of chopped chicken or minced meat are introduced into vegetable soups if swallowing is difficult. Second courses - meat or fish, if the first courses did not have meat. Any well-cooked or mashed porridge and vegetable additives (any boiled or stewed vegetables that the patient tolerates well) are selected for garnish. Unrefined vegetable oil is added to cereals and vegetables.

An afternoon snack may contain fruit soufflé, cottage cheese or cottage cheese casserole, juice. For dinner - light fish dishes and steam puddings or mashed vegetables (zucchini, green peas, potatoes, cauliflower, carrots).

  • oatmeal with ripe berries;
  • Herb tea.
  • cottage cheese casserole;
  • juice.
  • vegetable soup;
  • steam chicken cutlets;
  • vegetables stewed with vegetable oil;
  • jelly.
High tea
  • stewed apple.
  • boiled fish;
  • prefabricated vegetable puree;
  • Herb tea.
For the night
  • kefir.
  • cottage cheese with yogurt;
  • green tea.
  • baked apple with honey.
  • vegetable soup;
  • boiled chicken breast;
  • salad with seaweed and olive oil.
High tea
  • juice;
  • loaf with bran.
  • boiled fish;
  • boiled brown rice with corn oil.
For the night
  • kefir.
  • omelet with vegetables;
  • whole grain bread;
  • ginger tea.
  • carrot and apple salad.
  • borsch on vegetable broth;
  • peppers stuffed with vegetables;
  • compote.
High tea
  • cottage cheese with honey.
  • fish cakes;
  • boiled potatoes with vegetable oil.
For the night
  • kefir.

Advantages and disadvantages

  • Includes a variety of products, balanced and suitable for constant nutrition.
  • Easy to carry.
  • Normalizes lipid metabolism, has a general healing effect.
  • The amount of simple carbohydrates is reduced, which can be difficult for patients to tolerate.
  • Relatively expensive due to the content of seafood.
  • Requires ongoing compliance.

Feedback and Results

The diet contains foods that are good for the body and is a healthy food, so it should be followed constantly. She does not have any strict restrictions and occasionally patients can afford to eat their favorite dishes, including sweets. The restriction in simple carbohydrates and fats does not adversely affect health. As a result of therapeutic nutrition, patients reduce weight and improve their health.

  • "... My father has had diseases since he was 55 years old. In addition to becoming helpless, it also became nervous and irritable. Everything on his part is expressed by screaming, anger and reproaches. We always try to pay attention to him and do not let us relax and lock ourselves in. We often go outside, and at home we find an interesting occupation for him. He takes pills, the doctor said that the more active he is, the better - inaction will destroy him. I also mentioned that the Parkinson diet is also important.";
  • "... Mom’s tremor begins with pressure surges, so we try to keep it at the same level. She also has high cholesterol, so she began to take food seriously: she switched to fish, seaweed, eats a lot of vegetables, adds bran to all dishes. She excluded animal fats altogether and switched to olive and corn oil. I’m not very sure that these measures will help lower cholesterol, but overall my health has improved. She appeared vigor, activity, interest in life. In those periods when the hands do not tremble, he even knits socks, hats and scarves for his grandchildren. It gets worse if she gets nervous, so we protect her from all the troubles. We live together, so I force her to do physical therapy and flexibility exercises every day, to read speech aloud for the prevention of speech disorders, and to study poetry for memory. And grandchildren constantly support her interest in life";
  • "... Mom 10 years sick with this disease. I will not say that it is critical, but deterioration is noticeable every year. The main problem is periodic depression. Sometimes it drags on for a long time and does not manage to bring it out. She is overcome by complete emptiness and hopelessness. The doctor prescribed Fefarin and he helped. Now fears, anxiety have disappeared and the mood has improved significantly. They didn’t make any special changes in the diet, since it had long switched to vegetable oils, inexpensive fish, stewed vegetables and legumes (it rarely eats because of bloating). Dairy is limited - a glass of kefir for the night, cottage cheese 2-3 times a week. She was never fond of sweets. In general, the usual nutrition of an elderly person".

Diet price

Clinical nutrition in this case is considered as a healthy, rational and balanced diet. The approximate cost of the diet for a week can be 1600-1700 rubles.

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