Food Allergies

The following ingredients indicate the presence of soy protein:

- Edamame - Miso - Natto - Shoyu sauce - Soy (fiber, flour, grits, nuts, sprouts) - Soy (milk, yogurt, ice cream, cheese) - Soy protein (concentrate, hydrolyzed, isolate) - Soy sauce - Tamari - Tempeh - Textured vegetable protein - Tofu

Disorders Associated w/ Food Allergy:

-Atopic dermatitis (Eczema) -Occupational Asthma -Chronic urticaria (hives) -(Food-dependent) Exercise-induced anaphylaxis -Allergic eosinophilic esophagitis/gastroenteritis

This small amount of food is potentially enough to cause an allergic reaction in an individual who is severely allergic to the food. Cross-contact can take place when:

-Different foods are processed on the same equipment by a manufacturer; -Cooking oil is reused for different foods (e.g., in a fryer); -Utensils, pots, pans, or other cooking equipment is used for multiple foods; or -Splatter or steam from a food that is cooking touches another food that is nearby.

Controversial Disorders Associated w/ Food Allergy

-Migraine headaches -Chronic fatigue -Attention deficit disorder -Autism -Irritable bowel disease -Crohn's disease

What are the two kinds of shellfish?

1) crustaceans (shrimp, crab, and lobster) 2) mollusks (clams, mussels, oysters, and scallops).

Which eight foods account for 90 percent of all food-allergic reactions in the U.S.?

1) milk 2) eggs 3) peanuts 4) tree nuts (e.g., walnuts, almonds, cashews, pistachios, pecans) 5) wheat 6) soy 7) fish 8) shellfish

Who is affected by food allergies?

15 million Americans suffer from food allergies - more than 3 million children. 3.6 million Americans are allergic to peanuts and/or tree nuts, and about 7.2 million are allergic to seafood.

A person with a peanut allergy may also be allergic to what?

A person with a peanut allergy may also be allergic to tree nuts (almonds, walnuts, hazelnuts, cashews, etc.). Some 30-40% of people who have peanut allergy also are allergic to tree nuts. Not surprisingly, allergists usually tell their peanut-allergic patients to avoid tree nuts.

About ~___ million Americans have food allergies; ___ million are children

About ~15 million Americans have food allergies; 3 million are children

Affects 1 in every ___ kids (<18 yrs.); Roughly 2 kids per classroom.

Affects 1 in every 13 kids (<18 yrs.); Roughly 2 kids per classroom.

Types of epinephrine

Available by prescription in a self-injectable device (EpiPen® or Twinject®). NEW- Auvi-Q Auvi-Q: voice instructed, auto-injectable and retractable

Where do you find eggs?

Baked goods, breads, pancakes, waffles, crackers, pretzels, prepared sauces, pasta, mayonnaise, hollandaise sauce, marshmallows, noodles, etc. MMR and Flu vaccines!!

Which part of the egg causes the reaction?

Both the yolk and the white contain proteins that can cause a reaction

The following ingredients may indicate the presence of a shellfish protein:

Bouillabaisse Fish stock Flavoring Seafood flavoring Surimi

Soy protein may be found in:

Breads Cookies Crackers Canned broth and soups Canned tuna and meat Breakfast cereals High-protein energy bars and snacks Low-fat peanut butters Processed meats

CDC (2013)- Food allergies among children _____________ 50% from 1997-2011.

CDC (2013)- Food allergies among children increased 50% from 1997-2011.

Which cuisines are high risk for people with tree nut allergies?

Ethnic restaurants (e.g., Chinese, African, Indian, Thai, and Vietnamese), ice cream parlors, and bakeries are considered high-risk for people with tree nut allergy due to the common use of nuts and the possibility of cross contamination, even if you order a tree-nut-free item

Which cuisines are risky for fish allergy?

Ethnic restaurants (e.g., Chinese, African, Indonesian, Thai, and Vietnamese) are considered high-risk because of the common use of fish and fish ingredients and the possibility of cross-contamination, even if you do not order fish.

Are fish and shellfish related?

Fish and shellfish are not related, so being allergic to one does not mean that you will not be able to tolerate the other.

How common is a shellfish allergy?

It is the most common significant food allergy reported by adults and is considered life-long.

Examples of what gluten free labeling can say

Label can say "gluten free", "no gluten", "free of gluten" and/or "without gluten" "Made with no gluten-containing ingredients"- may be seen- they do not have to comply with the FDA rule.

How is a food allergy reaction treated?

Mild reactions may require only an antihistamine to treat symptoms (Benadryl). Epinephrine, which is available by prescription, is the medication of choice for controlling severe allergic reactions. Epinephrine is administered via an autoinjector, such as the EpiPen®, Twinject®, or Auvi-Q®.

Most people _______ their food allergies, although allergies to peanuts, tree nuts, fish, and shellfish are often __________.

Most people outgrow their food allergies, although allergies to peanuts, tree nuts, fish, and shellfish are often lifelong.

Does non-dairy always mean dairy-free?

NO Non-dairy creamers and non-dairy whipped toppings usually contain dairy in some form!

If you have a soy allergy, should you eat at an Asian cuisine?

No Asian cuisines are considered high-risk for people with soy allergy due to the common use of soy as an ingredient and the possibility of cross-contamination, even if a soy free item is ordered.

Peanut allergy prevalence

Peanut allergies on the rise in children. In the United States, the number of children with peanut allergy doubled between 1997 and 2002.

Are people with peanut allergies allergic to other legumes?

People with peanut allergy are not necessarily allergic to other legumes; be allergy tested!

Why is it especially important to read food labels when you have a soy allergy?

Soy is widely used in many food products, so if you have a soy allergy, it is especially important to read ingredient labels!!

Symptoms of lactose intolerance

Stomach pain, bloating, gas, diarrhea

Where else can tree nut oils be found besides food?

Tree nut oils are sometimes used in lotions and soaps. Shea nut, although not usually found in food products, is often used in lotion.

Are fish allergies typically life-long or outgrown?

Typically a life-long allergy

When do egg allergies typically occur?

Typically occur in early childhood and outgrown by around age 7

Risk is higher if you have a parent who suffers from any type of ________________

allergic disease (asthma, eczema, food allergies or hay fever).

Tree nuts

almond; Brazil nut; cashew; chestnut; filbert/hazelnut; macadamia nut; pecan; pine nut (pignolia nut); pistachio; walnut.

Along with peanuts and tree nuts, shellfish are the most frequent triggers of ___________

anaphylactic reactions.

The term "fish" includes:

anchovies; bass; catfish; cod; flounder; grouper; haddock; hake; herring; mahi mahi; perch; pike; pollock; salmon; scrod; sole; snapper; swordfish; tilapia; trout; and tuna.

Fish allergy: Some sensitive individuals may react through __________

cooking vapors.

Causes of allergies can be ________ and ________

genetic and environmental

Milk Allergy

immune system NOT digestive system reacts to a specific PROTEIN (casein or whey). Have to avoid all dairy

Gluten Intolerance Group- it's GF seal only allows <_____ppm

it's GF seal only allows <10ppm

Lactose Intolerance

lactose is natural sugar in milk; people who do not produce enough of the enzyme lactase to properly digest lactose will show symptoms.

Is nutmeg a nut?

no

More than ½ of all people who are allergic to one type of fish also are allergic to _____________

other fish; allergists often advise patients to avoid all fish.

Even _________ amounts of a food allergen can cause a reaction.

trace

Are kosher products labeled pareve milk-free?

yes

Are most Asian cuisines dairy-free?

yes

Shellfish allergy usually develops in ______________

young adults.

Does GF mean it's healthier?

**Remember GF does NOT mean it's healthier. You need pick the healthier GF grains (quinoa, buckwheat, millet, etc.). Many GF cereals and products have little fiber and are high in sugar! #bealabeldetective

___________ and ____________ tend to be tolerated better due to their lower lactose content

Cheese and butter

What Is Cross-Contact?

Cross-contact occurs when one food comes into contact with another food and their proteins mix. As a result, each food then contains small amounts of the other food, often invisible to us.

What medications can I take to prevent or cure my food allergies?

Currently, there is no medication that cures food allergies. Strict avoidance of the food allergen is the safest way to prevent a reaction.

What is the 1st step in treating anaphylaxis?

Early administration of epinephrine (adrenaline) is 1st step in treating anaphylaxis

Do people outgrow peanut allergies?

Unlike egg and cow's milk allergies, which most children outgrow, peanut allergies tend to be life-long. Approximately 20% of peanut-allergic children do eventually outgrow their allergy

Which sauces/dressings contain fish ingredients?

Worcestershire sauce, Caesar salad, and Caesar dressing usually contain fish ingredients (anchovies).

What is a peanut considered

a legume, not a nut It is related to other beans, such as peas, lentils, and soybeans.

Seafood restaurants are considered high-risk due to the possibility of _________________

cross-contamination.