1. Create a Healthy Lifestyle! Have an allergy? Click here
Food Allergies
Helping you to:
Create a Healthy Lifestyle!
Click here to play an
interactive game.
Have an allergy? Click here

2. 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

3. 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

4. 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

5. Food Allergies
Food intolerances are life threatening.
True
False

6. Food Allergies Food intolerances are life threatening.
True Incorrect. Food intolerances are not life threatening but can be very uncomfortable.
Next Question

7. Food Allergies Food intolerances are life threatening.
False Correct! Food intolerances are not life threatening but can be very uncomfortable.
Next Question

8. 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

9. 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

10. 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

11. Food Allergies
Examples of tree nuts are: walnuts, almonds, cashews, pistachios and peanuts.
True
False

12. 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

13. 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

14. Food Allergies Which of the following are not common allergens?
Fish and shellfish
Strawberries and tomatoes
Peanuts, tree nuts and shellfish

15. 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

16. 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

17. 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

18. Food Allergies
If someone is allergic to peanuts, just one peanut will not cause a severe reaction.
True
False

19. 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

20. 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

21. 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

22. 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

23. 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

24. Food Allergies
If four people are allergic to shellfish, they will have the same symptoms.
True
False

25. 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

26. 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

27. 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

28. 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

29. 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

30. 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

31. Food Allergies
Anaphylaxis is the sudden onset of severe respiratory symptoms such as the throat closing up immediately.
True
False

32. Food Allergies
Anaphylaxis is the sudden onset of severe respiratory symptoms such as the throat closing up immediately.
True Correct!
Next Question

33. 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

34. Food Allergies
Individuals with severe food allergies carry an Epi-pen®, an auto injector which contains:
Caffeine
Epinephrine
Gingko

35. 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

36. 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

37. 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

38. Food Allergies
Food allergies can be fatal.
True
False

39. 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 deaths annually.
Next Slide

40. 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 deaths annually.
Next Slide

41. 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
Next Slide

42. 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
Next Slide

43. 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.
Next Slide

44. Food Allergy Web Sites Food Allergies News for Teens Entering College
Food Allergy and Anaphylaxis Alliance
Food Allergy and Anaphylaxis Network
Food Allergy Alert! Receive recalls via
USDA Food and Drug Administration FDA Consumer
Next slide

45. Food 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.

46. 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

47. 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:
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

48. 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
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

49. 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

50. 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 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:
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

51. Tree 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

52. 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.
Next Slide

53. Wheat 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

54. Wheat 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.

55. Substitutions 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

56. 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.
Next Slide

57. Egg 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

58. 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, & tsp. baking powder
Egg Replacer, such as Ener-G® /2 tbsp. powder and 2 tbsp. water
To Hidden Ingredients of Allergens
End of Food Allergy Game

59. 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 ‘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

60. Milk 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

61. Milk 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

62. 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

63. Soy 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

64. 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
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

65. 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

66. Fish/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

67. 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

68. 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

69. Corn 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
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)
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

70. 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.
If sweating occurs, change gloves often when change task or work with new products. If start to sweat in vinyl gloves, gloves have been on too long. From Chef from Unity College, ME with latex allergy 11/05.
If using latex balloons for events, discontinue using them or let individual know that they will be used for event. From Dietitian at University of Maine 11/05
Manufacturers may use latex gloves when processing products and may refuse to change to non-latex gloves. From Director of Penn. College of Technology 11/05
Next Slide

71. Latex 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
If sweating occurs, change gloves often when change task or work with new products. If start to sweat in vinyl gloves, gloves have been on too long. From Chef from Unity College, ME with latex allergy 11/05.
If using latex balloons for events, discontinue using them or let individual know that they will be used for event. From Dietitian at University of Maine 11/05
Manufacturers may use latex gloves when processing products and may refuse to change to non-latex gloves. From Director of Penn. College of Technology 11/05
To Hidden Ingredients of Allergens
End of Food Allergy Game

72. Food Allergies
Thanks for playing! If you have any questions about food allergies, please contact the Dietitian at
Double click on: Food Allergy and Healthy Eating brochure for more information.
Home Game Page