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Food Allergy

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Resources Manufactured food database, Allergy NZ, ... Finger foods. Progressing to normal foods. Reducing formula and increasing solids. Macronutrients ... – PowerPoint PPT presentation

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Provided by: ambers4
Learn more at: http://www.nzifst.org.nz
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Title: Food Allergy


1
Food Allergy The Dietitians Perspective
  • 2007
  • Amber Parry Strong

2
The Food Reaction Spectrum
INTOLERANCE
ALLERGY
3
The Allergen Free Diet
  • Parents usually need help in cutting out the
    offending allergen/s
  • Particularly multiple allergies
  • Hidden sources of allergen e.g. cosmetics, egg
    cartons in kindy etc
  • Label reading may contain
  • Resources Manufactured food database, Allergy
    NZ, handouts

4
Balancing The Diet
  • Parents often scared to introduce new foods
  • With several allergies the more difficult it is
    to come up with weaning foods esp wheat free
  • Ensure normal growth and a range of foods as much
    as possible
  • Suggesting alternatives to milk/soy and wheat

5
Developmental Milestones
  • Children with allergies are just like any other
    child need to progress through the same
    milestones
  • Texture from purees to lumps
  • Finger foods
  • Progressing to normal foods
  • Reducing formula and increasing solids

6
Macronutrients
  • Fat is often lost from the diet as convenience
    and junk foods are limited. A dairy free diet
    loses the fat in cheese and yoghurt. Margarines
    usually contain soy and milk hence limit spreads.
  • Avocado, oils and fried foods become important
    sources of fat in the diet, along with milk or
    infant formula replacements.

7
Macronutrients
  • Protein may also be low as dairy is a significant
    source of protein in a childs diet cheese, milk
    and yoghurt
  • Ensure varied sources of protein meat, chicken,
    legumes and milk replacements

8
Micronutrient Deficiencies
  • Iron deficiency is particularly common lost
    through eczema and restricted diet
  • Micronutrients likely to be low are zinc, B
    vitamins, vitamin C (if no fruit), calcium and
    phosphorus when neither milk or soy are taken
  • Calcium supplements often not recommended for
    children under 3 but need to be encouraged when
    neither milk/soy is used even neocate not
    adequate for over 1 yr old

9
Treatment Options
  • Encourage children to eat a balanced diet
    replacing allergens with suitable sources of
    protein, iron and calcium
  • Ensuring a good calorie supply and enough fat for
    growth
  • Ensuring a wide range of foods are eaten within
    the restrictions

10
Future Allergy Advice
  • Pre-pregnancy counselling for mothers wanting to
    minimise allergy in the next child
  • Children should be re-assessed if allergy status
    changes

11
Questions?
  • Sweet Millet Snacks
  • 200g millet flakes, 300ml milk replacement, 300ml
    water, dash of oil
  • Cook this until the millet is cooked, then form
    the millet mixture into flattened balls. Fry
    these in shallow oil until golden. Drizzle with
    honey or golden syrup to serve.
  • Thank you
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