Allergy diet - amine low
This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.
Aim
To provide a diet with a reduced amine content.
Characteristics
Avoids cheese; chocolate; aged, pickled, smoked, canned or dried meat and fish products; wines; yeast extracts; and some fruits and vegetables as listed (e.g. citrus, tomato, avocado, banana).
Indications
Diagnosed amine intolerance.
Nutritional adequacy
Nutritionally adequate with careful selection. Should be supervised by a dietitian.
Precautions
All meat and fish dishes must be freshly cooked, as ageing increases the amine levels in protein foods.
Paediatrics
Suitable for use in paediatrics when combined with an age-appropriate diet.
Specific menu planning guidelines
| Allowed | Not allowed | |
|---|---|---|
| Hot main dishes | Plain steamed, grilled or roasted chicken, turkey, fresh white fish, lamb, beef Boiled and scrambled eggs; omelette | Aged beef, bacon, ham, pork, silverside sausages, frozen fish Salmon, tuna, sardines Dishes containing cheese, soy sauce, stocks or flavour boosters |
| Sauces, gravies | All others | Gravies, mint sauce, tomato sauce |
| Starchy vegetables / pasta / rice | All plain potato, pasta and rice | Savoury rice |
| Vegetables | Pumpkin, peas, carrots, beans, zucchini, corn, cabbage, sweet potato | Cauliflower, eggplant, broccoli, mushrooms, spinach, tomato, gherkin, olives |
| Soups | None | |
| Sandwiches | Sandwiches made with plain beef or lamb, chicken, turkey, egg, cottage cheese | Sandwiches made with ham, silverside, cheese, salmon, tuna, sardines, peanut butter, mayonnaise, avocado |
| Salads, dressings | None | Avocado |
| Breads, cereals | All breads and rice cakes Plain breakfast cereals (e.g. rolled oats, semolina, Corn Flakes®, Weet-Bix™, Rice Bubbles®) | Cereals with added fruit (e.g. muesli, Sultana Bran®) Cereals with added nuts (e.g. Sustain®) |
| Spreads | Margarine, butter, honey Strawberry and apricot jam | Vegemite™, marmalade, peanut butter Other jams |
| Hot breakfast choices | All plain egg dishes | Spaghetti, baked beans, bacon, tomato, cheese, mushrooms |
| Fruit | Fresh apple Canned apple and pear | Bananas, pawpaw, grapefruit, kiwifruit, mandarins, oranges, passionfruit, pineapple, raspberries, grapes, plums, prunes, sultanas, lemons, figs, dates, avocado |
| Yoghurt | Plain and vanilla yoghurt and Frûche® | Flavoured and fruit yoghurt |
| Desserts | Custard, ice-cream, apple sponge/danish, cream, creamy rice | Desserts containing high-amine fruits (see above) Jelly |
| Milk and cheese | All other milks Fresh cheeses (e.g. ricotta, cottage cheese) | Chocolate-flavoured milk, milkshakes Aged cheese (e.g. cheddar) |
| Beverages | Tea, coffee, lemonade | Cordial, soft drinks, cocoa, chocolate, Bonox®, Milo® Orange juice, tomato juice, pineapple juices, apple juice |
| Biscuits | Plain biscuits | |
| Miscellaneous | Vanilla-flavoured nutritional supplements Salt and pepper | Nuts Fruit cake |
References
- Australasian Society of Clinical Immunology and Allergy. Food intolerance.
- Royal Prince Alfred Hospital Allergy Unit. RPAH Elimination diet handbook. Sydney: RPAH; 2010.
- Swain AR, Soutter VL, Loblay RH. Friendly food: the complete guide to avoiding allergies, additives and problem chemicals. Sydney: Murdoch Books; 2004.