Transcript The New York State Dietetic Association Presents
The New York State Dietetic Association Presents
The Danger Zone (Trans Fats/Celiac Disease/Food Allergies) With Marlisa Brown MS, RD, CDE, CDN Registered Dietitian, Certified Diabetes Educator and Chef www.TWellness.net
What’s Similar About Trans Fat, Celiac and Food Allergies?
All are hidden in food Each may present a risk More and more customers are asking about these items Operators that aren’t able to answer questions and offer alternate choices may lose business
Trans Fats
First introduced by Crisco through a process called partial hydrogenation First used to change a liquid shortening into a semi solid Can extend shelf life Provides a crispy texture Has been used in the development of many food products It is impossible to identify trans fat content by looking at a menu description or plated entree
Dangers of Trans Fats
Raises total cholesterol Raises LDL (bad) cholesterol Decreases HDL (good) cholesterol Increases risk of heart disease (heart disease is the leading cause of death in new York city with 23,000 deaths in 2004 1/3 of these under 75 years old)
Trans Fat Rulings
January 2006 FDA made trans fats listing on food labels mandatory July 2007 NYC Department of Health will require that all NYC restaurants only use oils and spreads that are trans fat free (except donuts until July 2008) July 2008 all NYC restaurant food served must be trans fat free Foods labeled trans fat free must have less than 0.5 gm trans fat per serving
What It Means Going Trans Free
Manufacturers will need to reformulate oils and ready to cook foods containing trans fats.
All natural vegetable oils are trans fat free but many don’t have the stability to hold as long as trans fat containing oils. Many oils are being formulated with lower linolenic content and higher oleic content that may be used as a successful substitute.
Arguments on the Mandate
Ethnic restaurants may have trouble converting or understanding the changes needed There may not be enough time to provide suitable products for all uses Will legislation change fast enough if the science changes?
Shouldn’t restaurants have the right to just post information and give customers the chance to choose?
Important Information on Trans Fat Ruling
For NYC Dial 311 and ask for the trans fat help line (for NYC calling outside of the city dial 718-254-8061) Department of Health http://www.nyc.gov/html/doh/downloads/pdf/cardio/cardio -transfat-bro.pdf
Look for detailed information at www.notransfatnyc.org
General trans fat info www.bantransfat.com
Look for help if you need it. There will be substantial fines for lack of compliance issued by the DOH
Celiac Disease and Gluten Free
An intolerance to the gluten in food and other products Gluten is a protein found, in wheat, rye, barley and possibly oats Gluten is added to foods in many ways with sauces, gravies, breading, bouillon and thickening agents It is estimated that 1 in 100 people in the US have celiac disease (currently only 1 in 1000 are being diagnosed)
Important to Know About Celiac
Unlike cardiac disease, diabetes and hypertension with celiac disease you can’t just cheat sometimes, it is a diet for life It can take up to 3 years for adults on a gluten free diet to become free of symptoms and as little as a teaspoon of a gluten containing food can set back a persons recovery
Untreated Celiac Disease Is Linked to Many Health Problems
Type One Diabetes, Lymphomas, Dermatitis, Osteoporosis, Anemia, Reflux, Irritable Bowel Disease, Thyroid Disorders, Infertility, Depression, Mouth Ulcers, Rheumatoid Arthritis, Suppressed Auto immune Disorders, Tooth Enamel decay and Autoimmune Liver Disease are just some of the possible disorders Prevalence of Celiac is rising due to better screening. Currently in Ireland it’s 1 in 50, in Italy 1 in 100 The NIH and WHO are providing education to help increase the understanding and the diagnoses of celiac disease
Why Should Restaurants Know About Celiac?
A mistake in the kitchen or by your staff can make a customer sick It is difficult to impossible to order gluten free food without knowledgeable help from the restaurant Many restaurants and National chains offer gluten free options including: Outback, Legal Seafood, PF Chang’s, Texas Roadhouse, Bonefish Grill, Charlie Brown’s, Don Pablo’s, Houston’s, Mama’s in Oakdale and many more
Why Should Restaurants Know About Celiac?
People who have celiac disease and their families are very loyal to restaurants that accommodate them Celiac support groups recommend restaurants at their meetings and people travel from all over to eat at these restaurants With the help of a Registered Dietitian and a Celiac Support group it can be easy to coordinate gluten free choices for your menu
Celiac Support Groups
Celiac Disease Foundation www.celiac.org
2354 1-818-990 Gluten Intolerance Group [email protected]
206-246-6652 Celiac Disease Center at Columbia University www.celiacdiseasecenter.org
212-305-5590 Celiac Sprue Association Omaha, NE www.csaceliacs.org
Canadian Celiac Association Mississauga, ON www.celiac.ca
905-507-6208 American Celiac Disease Alliance www.americanceliac.org
The New York State Dietetic Association Presents
The Danger Zone • Food Allergies Presented by Constance Brown-Riggs MSEd, RD, CDE, CDN Author –
Eating Soulfully and Healthfully with Diabetes (iUniverse 2006) www.eatingsoulfully.com
Food Allergens
90% of all allergic reactions to foods include: Milk, Eggs, Wheat, Peanut, Soy, Tree Nuts (Walnuts, Pecans, Chestnuts, Brazilian nuts, Hazelnuts, Pecans, Pine Nuts, Cashews), Fish and Shellfish Many reactions in restaurants occur from cross contamination, through cooking utensils, grills, cooking oil, unclean surfaces and cookware. Also, incomplete information given by staff when questions are asked regarding allergens
Hidden Food Allergens
Some places milk could be hidden: deli slicing machines, processed meats and some tuna, on steaks topped with butter, in sauces, seafood soaked in milk or anything labeled with casein, and in desserts and toppings Tree nuts could be hidden in barbeque sauce, crackers, breads, cereals, coatings and ice cream
Hidden Food Allergens
Fish could be hidden in Worcestershire, anchovies, and condiments. Imitation crabmeat could have wheat added and is a regular fish not a shellfish (take care with frying oil) Wheat is used as a filler in many foods (other titles for wheat include; kamut and spelt) Peanuts in toppings sauces, falling into muffins and baked goods, peanut oil, arachis is a peanut oil Eggs could be in baked goods, sauces & foam toppings
Reactions to Food Allergies
Having a customer reacting to a food allergy is something to be avoided at all costs. If the reaction is severe and the person does not have an epi pen with them they may go into anaphylatic shock which could result in a fatality Symptoms of an allergic reaction may include; skin symptoms or swollen lips, difficulty breathing, reduced blood pressure, headache and gastrointestinal symptoms
Resources for Food Allergies
American Academy of Allergy, Asthma, and Immunology www.aaaai.org
The Asthma and Allergy Foundation of America www.aafa.org
Food Allergy Anaphylaxis Network www.foodallergy.org
1-800-929-4040 Food Allergies Database www.allergyadvisor.com
Find a Registered Dietitian through the American Dietetic Association www.eatright.org
© Marlisa Brown MS RD CDE CDN, 160 Howells Rd. Bay Shore, NY 11706 631-666-4297, Fax 631-666-5284 www.twellness.net
call for information on reproducing
You may feel that some customers requests seem like they are not that important
Not providing for requests appropriately can lead to lost customers and a possible emergency situation
Marlisa Brown MS RD CDE CDN Registered Dietitian, Certified Diabetes Educator and Chef 160 Howells Rd Bay Shore, NY 11706 631-666-4297 www.TWellness.net
Constance Brown Riggs MSEd RD CDE CDN Registered Dietitian, Certified Diabetes Educator, Author 100 Veterans Blvd. Suite 15 Massapequa, NY 11758 516-795-4288 www.cbrnutritionenterprises.com