Transcript Food Allergies - UMass Nutrition

Food Allergies
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Food Allergies
A food intolerance, such as gluten or
lactose intolerance, is a metabolic
response when one cannot digest a
food component that involves the
immune system.
• True
• False
Food Allergies
A food intolerance, such as gluten or
lactose intolerance, is a metabolic
response when one cannot digest a
food component that involves the
immune system.
• True Incorrect. A food intolerance is
when one cannot digest a food
component, but it does NOT involve the
immune system.
Next Question
Food Allergies
A food intolerance, such as gluten or
lactose intolerance, is a metabolic
response when one cannot digest a
food component that involves the
immune system.
• False Correct! A food intolerance is when
one cannot digest a food component, but
it does NOT involve the immune system.
Next Question
Food Allergies
Food intolerances are life threatening.
• True
• False
Food Allergies
Food intolerances are life threatening.
True Incorrect. Food intolerances are not
life threatening but can be very
uncomfortable.
Next Question
Food Allergies
Food intolerances are life threatening.
• False Correct! Food intolerances are
not life threatening but can be very
uncomfortable.
Next Question
Food Allergies
Food allergies are when one’s immune
system cannot tolerate an allergen
(an offending food component,
usually a protein) when consumed.
• True
• False
Food Allergies
Food allergies are when one’s immune
system cannot tolerate an allergen
(an offending food component,
usually a protein) when consumed.
• True Correct! One’s immune system is
affected when an allergy is present.
Next Question
Food Allergies
Food allergies are when one’s immune
system cannot tolerate an allergen
(an offending food component,
usually a protein) when consumed.
• False Incorrect. This statement is true.
One’s immune system is affected when
an allergy is present.
Next Question
Food Allergies
Examples of tree nuts are: walnuts,
almonds, cashews, pistachios and
peanuts.
• True
• False
Food Allergies
Examples of tree nuts are: walnuts,
almonds, cashews, pistachios and
peanuts.
• True Incorrect! Peanuts are a legume,
not a tree nut, as it is grown in the
ground and dug up. Tree nuts (walnuts,
almonds, cashews, pistachios and other
nuts) are grown on trees.
Next Question
Food Allergies
Examples of tree nuts are: walnuts,
almonds, cashews, pistachios and
peanuts.
• False Correct! Peanuts are a legume,
not a tree nut, as it is grown in the
ground and dug up. Tree nuts (walnuts,
almonds, cashews, pistachios and other
nuts) are grown on trees.
Next Question
Food Allergies
Which of the following are not
common allergens?
 Fish and shellfish
 Strawberries and tomatoes
 Peanuts, tree nuts and shellfish
Food Allergies
Which of the following are not common
allergens?
• Fish and shellfish Incorrect. Strawberries
and tomatoes are not common allergens.
Ninety percent of individuals with allergies
must avoid one or more of the following
allergens: Milk, egg, fish, shellfish, peanuts,
tree nuts, soy and/or wheat.
Next Question
Food Allergies
Which of the following are not common
allergens?
• Strawberries and tomatoes Correct!
Strawberries and tomatoes are not common
allergens. Ninety percent of individuals with
allergies must avoid one or more of the
following allergens: Milk, egg, fish, shellfish,
peanuts, tree nuts, soy and/or wheat.
Next Question
Food Allergies
Which of the following are not common
allergens?
 Peanuts, tree nuts and shellfish Incorrect.
Strawberries and tomatoes are not common
allergens. Ninety percent of individuals with
allergies must avoid one or more of the
following allergens: Milk, egg, fish, shellfish,
peanuts, tree nuts, soy and/or wheat.
Next Question
Food Allergies
If someone is allergic to peanuts, just
one peanut will not cause a severe
reaction.
• True
• False
Food Allergies
If someone is allergic to peanuts, just
one peanut will not cause a severe
reaction.
• True Incorrect. For individuals with food
allergies, a little amount, even 1/100th
of a peanut, can cause an allergic
reaction. Even foods manufactured on
the same equipment that process
peanuts may give a peanut allergic
individual a reaction.
Next Question
Food Allergies
If someone is allergic to peanuts, just one
peanut will not cause a severe reaction.
• False Correct! For individuals with food
allergies, a little amount, even 1/100th of a
peanut, can cause an allergic reaction. Even
foods manufactured on the same equipment
that process peanuts may give a peanut
allergic individual a reaction.
Next Question
Food Allergies
Symptoms that occur in an allergy
reaction can be one or more of the
following: Hives, rash, tingling of the
mouth or throat, abdominal cramps,
vomiting, diarrhea, swelling of the face
or tongue, or difficulty breathing.
• True
• False
Food Allergies
Food allergy symptoms can include one or more of
the following: Hives, rash, tingling of the mouth or
throat, abdominal cramps, vomiting, diarrhea,
swelling of the face or tongue, or difficulty
breathing.
• True Correct! These are all symptoms of a food allergy
reaction.
Next Question
Food Allergies
Food allergy symptoms can include one or more
of the following: Hives, rash, tingling of the
mouth or throat, abdominal cramps, vomiting,
diarrhea, swelling of the face or tongue, or
difficulty breathing.
• False Incorrect. This statement is true.
Next Question
Food Allergies
If four people are allergic to shellfish,
they will have the same symptoms.
• True
• False
Food Allergies
If four people are allergic to shellfish, they will
have the same symptoms.
• True Incorrect. People with the same food
allergy may have different reactions. One may
get an upset stomach, another may get hives,
one may get a swollen lip and one may have the
throat close up, have difficulty breathing and/or
lose consciousness.
Next Question
Food Allergies
If four people are allergic to shellfish, they will
have the same symptoms.
• False Correct! People with the same food
allergy may have different reactions. One may
get an upset stomach, another may get hives
and one may have the throat close up, have
difficulty breathing and/or may even lose
consciousness.
Next Question
Food Allergies
An individual can get a reaction in this
time frame after consuming an
allergen.
• Seconds to two hours
• Two to four hours
• Six to eight hours later
Food Allergies
An individual can get a reaction in this
time frame after consuming an
allergen.
• Seconds to two hours Correct! One
out of three anaphylaxis victims
experience recurrence of symptoms up
to 8 hours later.
Next Question
Food Allergies
An individual can get a reaction in this
time frame after consuming an allergen.
 Two to four hours Incorrect. An individual
can get a reaction in seconds or up to two
hours later. One out of three anaphylaxis
victims experience recurrence of
symptoms up to 8 hours later.
Next Question
Food Allergies
An individual can get a reaction in this
time frame after consuming an allergen.
• Six to eight hours later Incorrect. An
individual can get a reaction in seconds or
up to two hours later. One out of three
anaphylaxis victims experience recurrence
of symptoms up to 8 hours later.
Next Question
Food Allergies
Anaphylaxis is the sudden onset of
severe respiratory symptoms such
as the throat closing up immediately.
• True
• False
Food Allergies
Anaphylaxis is the sudden onset of
severe respiratory symptoms such
as the throat closing up immediately.
• True Correct!
Next Question
Food Allergies
Anaphylaxis is the sudden onset of
severe respiratory symptoms such
as the throat closing up immediately.
• False Incorrect. This is a true
statement.
Next Question
Food Allergies
Individuals with severe food allergies carry
an Epi-pen®, an auto injector which
contains:
• Caffeine
• Epinephrine
• Gingko
Food Allergies
Individuals with severe food allergies carry
an Epi-pen , an auto injector which
contains:
• Caffeine Incorrect. Epi-pens contain
epinephrine. When one has a severe allergic
reaction, the epinephrine helps to relax the
lung muscles to improve breathing, stimulates
the heart beat and works to reverse hives and
swelling. Epi-pens are prescribed and it is
the responsibility of the student to carry it with
them at all times on campus.
Next Question
®
®
®
Food Allergies
Individuals with severe food allergies carry an
Epi-pen , an auto injector which contains:
• Epinephrine Correct! When one has a severe
allergic reaction, the epinephrine helps to relax
the lung muscles to improve breathing,
stimulates the heart beat and works to reverse
hives and swelling. Epi-pens are prescribed
and it is the responsibility of the student to carry
it with them at all times on campus.
Next Question
®
®
Food Allergies
Individuals with severe food allergies carry an
Epi-pen , an auto injector which contains this.
• Gingko Incorrect. Epi-pens contain epinephrine.
When one has a severe allergic reaction, the
epinephrine helps to relax the lung muscles to
improve breathing, stimulates the heart beat and
works to reverse hives and swelling. Epi-pens
are prescribed and it is the responsibility of the
student to carry it with them at all times on
campus.
Next Question
®
®
®
Food Allergies
Food allergies can be fatal.
• True
• False
Food Allergies
Food allergies can be fatal.
• True Correct! In Fall 2006, a 16 year old in
Agawam, MA died because he ate something
that looked like a peanut free treat, but never
asked to look at the ingredients. In 2005, a 15
year old girl who was allergic to peanuts died
after kissing her boyfriend who had recently
eaten peanut butter. There are 30,000
emergency room visits from food allergy
reactions and 150-200 deaths annually.
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Food Allergies
Food allergies can be fatal.
• False Incorrect. In Fall 2006, a 16 year old in
Agawam, MA died because he ate something
that looked like a peanut free treat, but never
asked to look at the ingredients. In 2005, a 15
year old girl who was allergic to peanuts died
after kissing her boyfriend who had recently
eaten peanut butter. There are 30,000
emergency room visits for food allergy
reactions and 150-200 deaths annually.
Next Slide
Food Allergies
If you have a friend that has food
allergies, please remember the
following:
– Learn what food(s) they must avoid
– Ask what symptoms they get if they
consume the allergen
– Ask what you can do to help if they have a
reaction
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Food Allergies
If you have a friend that has food allergies,
please remember the following:
– Read labels
– Wash your hands after eating, especially if
it is an allergen your friend must avoid if
you are hanging out with them
– Don’t pressure your friend to trying new
foods especially if you’re not sure it is safe
for him/her
– Don’t exclude a friend from activities
because of the food allergy
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Food Allergies
You can help all students with food allergies
in the dining commons by:
– Only using one serving utensil for each
menu item. If there is no serving utensil,
then ask a staff member for one. For
example, don’t use the same knife for jelly
if it was in the peanut butter.
– Being careful when taking items from the
buffet/salad bar so food from one container
does not drop into another container.
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Food Allergy Web Sites
Food Allergies News for Teens Entering College
http://www.faanteen.org/
Food Allergy and Anaphylaxis Alliance
http://www.foodallergyalliance.org
Food Allergy and Anaphylaxis Network
http://www.foodallergy.org
Food Allergy Alert! Receive recalls via e-mail
USDA Food and Drug Administration FDA Consumer
http://vm.cfsan.fda.gov/~dms/wh-alrg1.html
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Food Allergies – Hidden Ingredients
Click the allergen to see hidden ingredients:
Peanuts
Tree nuts
Wheat
Egg
Milk
Soy
Fish/Shellfish
Corn
Latex
A special thank you to Julia Salomon, MS, RD who gave
permission for UMass Dining Services to reprint hidden
ingredients and other material from her booklet.
Peanut Allergies
• A peanut is neither a nut nor a pea. Peanuts grow from the
ground and are actually considered legumes (beans).
• Peanuts are not the same as tree nuts (walnuts, almonds,
cashews, pistachios, etc.)
• Be careful to distinguish between a peanut allergy and a tree nut
allergy.
• Peanut allergies are one of the most potentially dangerous food
allergies.
• Peanut proteins are often found in unexpected food sources,
including Asian foods, candy, chili, soups, baked goods,
marzipan, and other sweets.
• Some individuals may also develop a reaction simply by inhaling
the aroma of peanuts.
Next Slide
Peanut Allergies
• Remember to prevent cross-contamination by thoroughly
cleaning counters, utensils, equipment and pans that have been
used in preparing and cooking peanuts or foods containing
peanuts.
• Soy nut butter may be substituted for peanut butter, but some
individuals may have to avoid both since they are legumes.
• Most chocolate bars and chocolates contain peanuts or traces
of peanuts or tree nuts. Safe source of chocolate:
www.vermontnutfree.com
• Watch out for the following when reading ingredient lists and
labels on food packages.
• If you or someone you know has a peanut allergy, please keep
in mind that the ingredients on the next slide is not a complete
list.
Next Slide
Peanut Allergies: Hidden Ingredients
• Arachis oil
• Ground nuts, ground
peanuts
• Imitation walnuts or almonds
• Mixed nuts*
• Mixed nut butters
• Nut butters*
• Nut extracts*
• Nut flavorings*
• Peanuts
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Peanut butter
Peanut butter chips
Peanut extract
Peanut flavoring*
Peanut flour
Peanut oil
Ground nut oil
Peanut syrup
Satay sauce*
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* May contain peanuts
Peanut Oil
Most commercial oils such as peanut oil are highly
refined (hot solvent extraction process), which
removes the protein from the product. Since it is the
protein in allergenic foods that triggers a food allergy
reaction, there is some evidence that suggests that
highly refined oils are non-allergenic. However, cold
pressed oils and some gourmet oils may contain
allergenic proteins.
To Hidden Ingredients of Allergens
End of Food Allergy Game
Tree Nut Allergy
• Tree nuts are classified as nuts that grow on trees! These include
such nuts as walnuts, almonds, cashews, pistachios, etc.
• Tree nuts are used in many foods, including barbecue sauces,
cereals, crackers, salad dressing and ice cream.
• Artificial nuts can be peanuts that have been de-flavored and reflavored with a nut, like pecan or walnut.
• Avoid natural extracts, such as pure almond extract, because they
may also trigger allergic reactions. Instead, try imitation or artificial
flavored extracts.
• Most chocolates contain traces of tree nuts or peanuts. Safe
source of chocolate: www.vermontnutfree.com
• If you or someone you know has a tree nut allergy, following is a
list of hidden ingredients. Keep in mind that this is not a complete
list.
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Tree Nut: Hidden Ingredients
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Almonds
Brazil nuts
Cashews
Chestnuts
Filberts/hazelnuts
Gianduja*
Hickory nuts
Macadamia nuts
Marzipan/almond paste
Nougat
Nu-Nuts ® artificial nuts
* Gianduja is a creamy mixture of
chocolate and chopped nuts found
in premium or imported chocolate
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Nut butters (cashew butter)
Nut milks (almond milk)
Nut oil
Nut paste (almond paste)
Pecans (Mashuga nuts)
Pine nuts
Pistachios
Pralines
Pure almond or other nut extract
Walnuts
To Hidden Ingredients of Allergens
End of Food Allergy Game
Wheat Allergy
• Wheat is a common ingredient in many prepared
foods and may be difficult to avoid.
• Individuals with gluten sensitivity (Celiac disease)
need to avoid gluten, the protein in wheat, as
well as other grains.
• Look at ingredient lists for foods containing wheat
or gluten. If you have a wheat allergy, please
keep in mind that the following is not a complete
list.
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Wheat Allergy – Hidden Ingredients
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Bleached all-purpose flour
Bran
Bread, bread crumbs
Bulgur wheat, Durum wheat
Cake and pastry flour
Cereal extracts, cereal
binder, cereal filler, cereal
protein
Cracker meal
Cream of Wheat ®
Malt-O-Meal ®
Couscous
Durum
Enriched flour, bread flour
(white or wheat)
Farina
Flour, granary flour
• Gliadin
• Gluten
• Grain-based coffee
substitutes
• Graham cracker, graham
flour
• Hydrolyzed protein
• Hydrolyzed vegetable
protein
• Instant soup stock
• Modified food starch
• MSG (Monosodium
glutamate)
• Pasta, noodles
• Puddings, wheat thickeners
• Soy sauce
• Spelt, Triticale
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Wheat Allergy – Hidden Ingredients
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Vegetable starch
Vitamin E pills (some)
Wheat flour and wheat bran
Wheat germ, wheat starch
Wheat gluten, gluten flour
Wheat semolina, semolina
flour
• White (grain) vinegar
•Oats, barley, rye, triticale, and
spelt may also cause problems for
people with gluten sensitivity.
•Buckwheat is an herb and does
not contain gluten. www.gluten.net
PLEASE NOTE:
•Stabilizers, spices and
emulsifiers can also indicate
the presence of wheat
•Some alcoholic beverages
(beer, whisky and gin) may
cause allergic reactions in
individuals with wheat allergies.
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Substitutions for Wheat Products
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Rice flour
Tapioca flour
Cornstarch
Potato Starch Flour
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Soy bean flour
Arrowroot
Cornmeal
Corn flour
Gluten Free Mix
6 cups of rice flour, 2 cups of potato starch flour, 1 cup of
tapioca flour. Combine, store in a cool, dry place for use as
needed. Makes 9 cups.
To Hidden Ingredients of Allergens
End of Food Allergy Game
Egg Allergy
• Eggs are found in many foods, such as grain products,
baked products, custards, ice creams, and frozen yogurts.
• Eggs may also be used in the processing of foods, such
as root beer, some wines, and some coffees.
• Egg whites are often used to give baked products, such as
pretzels, breads, rolls, bagels, pies, and cakes, a shiny
outer finish. These egg whites may not be included in the
list of ingredients.
• The following terms indicate the presence of eggs. If you
have an egg allergy, please keep in mind that this is not a
complete list.
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Egg Allergy – Hidden Ingredients
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Albumin
Apovitellin
Batter
Cholesterol-free eggs
Custard
Dried egg
Egg, egg glazes
Eggnog
Egg noodles
Egg white solids
Egg yolks
Globulin
Lecithin (could be derived
from soy)
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Livetin
Lysozyme
Marzipan
Mayonnaise
Meringue
Mouse
Ovalbumin
Ovamucoid/ovamucin
Ovovitellin/vitellin
Powdered or liquid eggs
Pudding
Quiche
Simplesse
Souffle
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Egg Substitutions
For each egg, try one of the following:
• 1 packet of plain gelatin mixed with 2 tbsp warm
water. Mix into other ingredients immediately before
it thickens.
• 1 tsp. baking powder, 2 tbsp. Vinegar
• 1 tsp. yeast dissolved in ¼ cup warm water
• 1 tbsp. apricot puree
• 1 ½ tbsp. water, 1½ tbsp. cooking oil, &
1 tsp. baking powder
• Egg Replacer, such as Ener-G®
1/2 tbsp. powder and 2 tbsp. water
To Hidden Ingredients of Allergens
End of Food Allergy Game
Milk Allergy
• Following a milk-free diet can be tricky! Milk and milk
products can show up on a label under many different
names.
• Non-dairy may not mean milk free! The term ‘nondairy’ means that no fresh milk products have been
added.
• The following list may help you identify milk products
in a food label, but bear in mind that this is not a
complete list.
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Milk Allergy: Hidden Ingredients
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Bechamel sauce
Butter, butter solids
Butter fat
Butter flavor
Buttermilk
Casein
Caseinates
Cheese (any kind)
Cottage cheese
Cream
Curds
Custard
Dried milk solids
Evaporated milk
Ghee
Half-and-half
High protein flour
Ice cream, ice milk
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Lactate solids
Lactoglobulin, lactalbumin
Lactose
Malted milk
Margarine
Milk (any kind, except soy)
Milk protein
Milk solids
Non-fat dry milk
Nougat
Pudding
Rennet
Sodium casein
Sour or whipping cream
Whey
Yogurt (any kind, except soy)
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Milk Substitutions
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Baked goods containing soy, rice or almond milks
Cornstarch puddings made with fruit juice
Frozen tofu desserts
Milk-free margarine (parve), salad dressings (almond
milk)
Milk-free sherbets, ices and sorbets (Alpine Ice)
Milk-free or soy milk shakes
Nut, soy or rice milks
Soy cheese and soy yogurt
Some non-dairy creamers
To Hidden Ingredients of Allergens
End of Food Allergy Game
Soy Allergy
• Soy is also referred to as soya, soy bean or Glycine
max.
• In the U.S., approximately 79% of all edible oils
consumed is soybean oil. It is most commonly used in
food manufacturing and food service operations.
• UMass Dining Services uses soy based pan spray in
the majority of the recipes served in the dining
commons, so be aware of this and contact the dietitian.
• If you have a soy allergy, avoid the following
ingredients, and keep in mind that this is not a complete
list.
Next Slide
Soy Allergy: Hidden Ingredients
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Edamame soy bean
Hydrolyzed soy protein
Lecithin
Miso
Modified food starch
Natto
Shoyu sauce
Soy albumin
Soy beans (curds, granules)
Soy concentrate
Soy cheese
Soy flour
Soy grits
Soy meat, soy meal
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Soy milk, soy ice cream
Soy nuts
Soy oil
Soy protein concentrate
Soy protein isolate
Soy sauce
Soy sprouts
Soy yogurt
Tamari
Tempeh
Textured soy protein (TSP)
Textured vegetable protein
(TVP)
• Tofu
Next Slide
Soy Allergy: Hidden Ingredients
The following are label ingredients that may contain the
presence of soy protein:
• Hydrolyzed plant protein
• Hydrolyzed vegetable protein
• Natural flavoring
•Vegetable broth
•Vegetable gum
•Vegetable starch
Many gluten free products contain soy.
Check the label.
To Hidden Ingredients of Allergens
End of Food Allergy Game
Fish/Shellfish Allergy
• Many people are allergic to fish and shellfish.
For some, even smelling the scents from
cooking fish can trigger allergic reactions.
• If you or someone you know has an allergy to
fish or shellfish, please use the following list
as a guide, but bear in mind that it is not a
complete list.
Next Slide
Fish/Shellfish Allergy: Hidden Ingredients
• Albone
• Clams (cherrystone,
littleneck, pismo, quahog)
• Cockle (periwinkle, sea
urchin)
• Crab
• Crawfish (crayfish,
ecrevisse)
• Fish oil capsules
• Fish broth or stock
• Lobster (langouste,
langoustine, coral, tomalley)
• Mollusks
Parvalbumin is the protein in
fish that is known to provoke
allergic reactions.
• Mussels
• Worcestershire sauce (may
contain anchovies)
• Octopus
• Oysters
• Prawns
• Scallops
• Scampi
• Shrimp
• Snail
• Squid (calamari)
• Sushi
Next Slide
Fish/Shellfish Allergy: Hidden Ingredients
The following ingredients may indicate the presence of
shellfish protein:
• Bouillabaisse
• Fish stock
• Seafood flavoring (crab or clam extract)
• Surimi
To Hidden Ingredients of Allergens
End of Food Allergy Game
Corn Allergy
• Corn allergies are difficult to detect.
• Symptoms may vary from person to person.
• To find out whether corn is the culprit in your diet, see your
physician for a supervised elimination diet. Corn oil
contains very little protein, which is the substance that
provokes a response.
• However, some sufferers report problems with corn oil
consumption as well.
• The following are some foods that may contain corn, but
keep in mind that it is not a complete list.
Next Slide
Corn Allergy: Hidden Ingredients
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Baking powder*
Cereals
Confectioner’s (powdered)
sugar
Corn – ANYTHING!
Dextrin or maltodextrin
Dextrose, glucose, or fructose
Golden syrup (treacle)
Glucona delta lactone
High-fructose corn syrup
Hominy, grits
Invert sugar, invert syrup
Malt, malt syrup, malt extract
Modified food starch (may be
corn)
*Do not confuse with baking soda. Baking
powder contains a mixture of leavening agents
and a moisture-absorber such as cornstarch.
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Mono- and diglycerides
Monosodium glutamate (MSG)
Polenta
Sorbitol
Starch, food starch
Sucrose (may derive from corn)
Vanilla extract
Vegetable oil (may be corn)
Xanthan gum
Zein (protein from corn,
sometimes used in timereleased medications)
Substitutions for Corn
Featherweight Baking Powder or
Arrowroot
To Hidden Ingredients of Allergens
End of Food Allergy Game
Latex Allergies
Latex gloves prohibited in most food service
establishments. UMass Dining Services uses vinyl
gloves only.
Be aware:
•Balloons for events may cause a reaction
•Processing plants outside of UMass Dining
Services may continue to use latex gloves so
UMass cannot guarantee a latex-free facility.
Next Slide
Latex Allergies
Proteins found in these items have a similar chemical
composition to latex and a reaction may occur from
consuming these foods:
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Banana
Avocado
Chestnut
Hazel Nut
Kiwi
Melons
Passion Fruit
Fig
•
•
•
•
•
•
•
•
Tomato
Carrot
Celery
Papaya
Potato
Pineapple
Mango
Peach
To Hidden Ingredients of Allergens
End of Food Allergy Game
Food Allergies
Thanks for playing! If you have any
questions about food allergies, please
contact the Dietitian at 413.545.5379.
• Double click on: Food Allergy and
Healthy Eating brochure for more
information.
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