Title: Food Allergies
1Food Allergies
Helping you to Create a Healthy
Lifestyle! Click here to play an interactive
game. Have an allergy? Click here
2Food 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
3Food 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
4Food 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
5Food Allergies
- Food intolerances are life threatening.
- True
- False
6Food Allergies
- Food intolerances are life threatening.
- True Incorrect. Food intolerances are not life
threatening but can be very uncomfortable. - Next Question
7Food Allergies
- Food intolerances are life threatening.
- False Correct! Food intolerances are not life
threatening but can be very uncomfortable. - Next Question
8Food Allergies
- Food allergies are when ones immune system
cannot tolerate an allergen (an offending food
component, usually a protein) when consumed. - True
- False
9Food Allergies
- Food allergies are when ones immune system
cannot tolerate an allergen (an offending food
component, usually a protein) when consumed. - True Correct! Ones immune system is affected
when an allergy is present. - Next Question
10Food Allergies
- Food allergies are when ones immune system
cannot tolerate an allergen (an offending food
component, usually a protein) when consumed. - False Incorrect. This statement is true. Ones
immune system is affected when an allergy is
present. - Next Question
11Food Allergies
- Examples of tree nuts are walnuts, almonds,
cashews, pistachios and peanuts. - True
- False
12Food 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
13Food 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
14Food Allergies
- Which of the following are not common allergens?
- Fish and shellfish
- Strawberries and tomatoes
- Peanuts, tree nuts and shellfish
15Food 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
16Food 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
17Food 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
18Food Allergies
- If someone is allergic to peanuts, just one
peanut will not cause a severe reaction. - True
- False
19Food 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
20Food 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
21Food 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
22Food 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
23Food 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
24Food Allergies
- If four people are allergic to shellfish, they
will have the same symptoms. - True
- False
25Food 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
26Food 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
27Food 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
28Food 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
29Food 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
30Food 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
31Food Allergies
- Anaphylaxis is the sudden onset of severe
respiratory symptoms such as the throat closing
up immediately. - True
- False
32Food Allergies
- Anaphylaxis is the sudden onset of severe
respiratory symptoms such as the throat closing
up immediately. - True Correct!
- Next Question
33Food 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
34Food Allergies
- Individuals with severe food allergies carry an
Epi-pen, an auto injector which contains - Caffeine
- Epinephrine
- Gingko
35Food 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
36Food 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
37Food 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
38Food Allergies
- Food allergies can be fatal.
- True
- False
39Food 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. - Next Slide
40Food 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
41Food 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 - Next Slide
42Food 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 - Dont pressure your friend to trying new foods
especially if youre not sure it is safe for
him/her - Dont exclude a friend from activities because of
the food allergy - Next Slide
43Food 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
- Next slide
44Food Allergies Hidden Ingredients
- Click the allergen to see hidden ingredients
-
Milk Soy Fish/Shellfish Corn Latex
Peanuts Tree nuts Wheat Egg
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.
45Peanut 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
46Peanut 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
47Peanut 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
- Peanut butter
- Peanut butter chips
- Peanut extract
- Peanut flavoring
- Peanut flour
- Peanut oil
- Ground nut oil
- Peanut syrup
- Satay sauce
Next Slide
May contain peanuts
48Peanut 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
49Tree 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 re-flavored 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. - Next Slide
50Tree Nut Hidden Ingredients
- Almonds
- Brazil nuts
- Cashews
- Chestnuts
- Filberts/hazelnuts
- Gianduja
- Hickory nuts
- Macadamia nuts
- Marzipan/almond paste
- Nougat
- Nu-Nuts artificial nuts
- 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
Gianduja is a creamy mixture of chocolate and
chopped nuts found in premium or imported
chocolate
51Wheat 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. - Next Slide
52Wheat Allergy Hidden Ingredients
- 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
Next Slide
53Wheat Allergy Hidden Ingredients
- 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. - Next Slide
- 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
54Substitutions for Wheat Products
- Soy bean flour
- Arrowroot
- Cornmeal
- Corn flour
- Rice flour
- Tapioca flour
- Cornstarch
- Potato Starch 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
55Egg 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. - Next Slide
56Egg Allergy Hidden Ingredients
- Livetin
- Lysozyme
- Marzipan
- Mayonnaise
- Meringue
- Mouse
- Ovalbumin
- Ovamucoid/ovamucin
- Ovovitellin/vitellin
- Powdered or liquid eggs
- Pudding
- Quiche
- Simplesse
- Souffle
- 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)
Next Slide
57Egg 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
58Milk 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
non-dairy 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.
Next Slide
59Milk Allergy Hidden Ingredients
- 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
- 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)
Next Slide
60Milk Substitutions
- 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
61Soy 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
62Soy Allergy Hidden Ingredients
- 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
- 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
63Soy Allergy Hidden Ingredients
- The following are label ingredients that may
contain the presence of soy protein - Hydrolyzed plant protein
- Hydrolyzed vegetable protein
- Natural flavoring
- Many gluten free products contain soy.
- Check the label.
- To Hidden Ingredients of Allergens
- End of Food Allergy Game
- Vegetable broth
- Vegetable gum
- Vegetable starch
64Fish/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
65Fish/Shellfish Allergy Hidden Ingredients
- Mussels
- Worcestershire sauce (may contain anchovies)
- Octopus
- Oysters
- Prawns
- Scallops
- Scampi
- Shrimp
- Snail
- Squid (calamari)
- Sushi
- 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.
Next Slide
66Fish/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
67Corn 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
68Corn Allergy Hidden Ingredients
- 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
time-released medications)
- Baking powder
- Cereals
- Confectioners (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)
Substitutions for Corn
Featherweight Baking Powder or Arrowroot
Do not confuse with baking soda. Baking powder
contains a mixture of leavening agents and a
moisture-absorber such as cornstarch.
To Hidden Ingredients of Allergens End of Food
Allergy Game
69Latex 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
70Latex Allergies
Proteins found in these items have a similar
chemical composition to latex and a reaction may
occur from consuming these foods
- 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
71Food 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. - Home Game Page