Page 201 - MHF-FeedingMinds-final.indd
P. 201
192 7.1 Food Hypersensitivity – Food Allergies and Intolerances
●● on supplements that may be required to ensure Chinese and Japanese foods. Sesame can also be
nutritional adequacy present in bread, biscuits, salad dressings and
sauces.
●● where to buy certain foods
Cutting out milk
●● which organizations can give extra advice and
support Because this involves the elimination of a whole
food group, a child needs to have a substitute
●● on menu planning and recipe modification food to provide the same nutrients that milk,
cheese and yogurt provide.
●● a nursery or school about the special diet the
child needs. Most infants and children who are allergic to
cow’s milk will also be allergic to goat, buffalo,
Avoiding certain foods becomes more camel and sheep milk so these cannot be used
complicated when processed foods are used. The instead. Hydrolysed infant formulas are
ingredients in commercial foods may also contain prescribable for infants. Soya formula milk is not
traces of foods that need to be avoided and this considered appropriate for infants less than 6
may not always be obvious. Some manufacturers months of age (see Chapter 4.1, page 94). Soya or
and supermarkets provide lists of foods free from oat milk which is fortified with extra calcium and
certain foods but the ingredients list should vitamins is often the substitute milk for children
always be checked as recipes of processed foods over 12 months.
are often modified.
Rice milk is not recommended for children
Useful advice for parents and children is under 5 years as it may contain small amounts of
summarized in Table 7.1.1. arsenic.
Cutting out eggs Cutting out wheat
Many foods (e.g. cakes, some biscuits, some ice Cutting out wheat is very difficult as many foods
cream, mayonnaise, quiche, pancakes and some are based on wheat flour. This includes bread,
pasta) contain eggs as an ingredient. Often eggs are pasta, couscous and almost all biscuits and cakes.
used to glaze baked goods. Wheat flour is often used as an ingredient for
thickening sauces and wheat rusks are added to
Some children may be able to eat very small sausages and other processed meats.
quantities of egg in cooked foods such as cakes as
cooking denatures some of the protein, making it There are a variety of pastas, breads and
less likely to cause a reaction (Lemon-Mule et al. crispbreads based on flours made from other
2008). cereals or foods, such as maize, polenta, rye, oats,
chick peas, gram, lentil, bean, potato, rice, millet,
Cutting out peanuts and tree nuts arrowroot and buckwheat. Labels need to be
checked carefully to make sure they are 100 per
Peanuts are from a different biological family to cent wheat free as some may contain a small
tree nuts and children may not be allergic to both percentage of wheat flour, making them unsuitable.
peanuts and tree nuts. However, whatever the nut For example, rye bread may be made from 90 per
allergy it is prudent to avoid both types of nuts as cent rye flour and 10 per cent wheat flour and oat
they are often processed in the same factories, flapjacks often contain some wheat flour.
which can lead to cross-contamination of tree nuts
with traces of peanuts or vice versa. Cutting out soya
Cutting out sesame Soya flour is used along with wheat flour in many
foods – most breads have some soya flour in them.
Many foods contain sesame or tahini: particularly
hummus, halvah and many Turkish, Greek,
