Allergy diet - elimination simple
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 that excludes food chemicals that lead to mild food sensitivity reactions.
Characteristics
Avoids or reduces salicylates, amines and the following additives:
- Antioxidants: Gallates (310-312), TBHQ (319), BHA (320), BHT (321)
- Colours: Yellows (102, 104, 110), reds (122-129), blues (132, 133), greens (142, 143), black (151), brown (155), Annatto (160b)
- Flavour enhancers: Monosodium glutamate (MSG, 621) and related flavour compounds (620, 622, 623, 624, 625, 627, 631, 635, 640, 641), Hydrolysed Vegetable Protein (HVP), Textured vegetable Protein (TVP)
- Preservatives: Sorbates (200-203), Benzoates (210-218 and PABA: Para-aminobenzoic acid), Sulphites (220-228), Nitrates and Nitrites (249-252), Propionates (280-283).
Indications
- patients admitted with allergic / food sensitivity reactions
- as a diagnostic test of food sensitivity.
Nutritional adequacy
This diet is not nutritionally adequate – supplemental vitamins and minerals are normally required.
Precautions
Requires supervision by a dietitian. Any allergens specific to individuals should be avoided.
Paediatrics
Suitable for use in paediatrics when combined with an age-appropriate diet
Specific menu planning guidelines
| Allowed | Not allowed | |
|---|---|---|
| Hot main dishes | Plain cooked chicken, lamb, beef, veal, pork and turkey Eggs and some egg dishes including quiche Fresh or frozen fish (including fish fingers) Canned salmon or sardines Canned or dried legumes without sauce Tofu | Bacon, ham, salami, sausages Canned tuna Bean mixes with sauce, canned baked beans with sauce Crumbed meat, fish or poultry |
| Sauces, gravies | None | - |
| Starchy vegetables / pasta / rice | Potato, sweet potato, pumpkin Plain rice Plain pasta and noodles Polenta, quinoa | All others |
| Vegetables | Most fresh, frozen or canned vegetables including broccoli, cauliflower, corn, cucumber, zucchini, beetroot, carrot, lettuce, peas, tomato (fresh) | Others including avocado, capsicum, eggplant, onion, mushrooms, spinach, chilli, olives, fava beans, dried tomato and tomato paste, sauerkraut |
| Soups | None | - |
| Sandwiches | Sandwiches using allowed ingredients | All others |
| Salads, dressings | Salad using allowed ingredients | All others |
| Breads, cereals | All other cereals and muesli Breads without vinegar, corn, honey, seeds and preservatives | Cereals and muesli containing cocoa, coconut, dried fruit, honey, artificial colours and flavours |
| Spreads | Butter Margarine without antioxidants and sorbates (e.g. Nuttelex™) | Jam, honey, marmalade, peanut butter, yeast spreads, hummus, tahini |
| Hot breakfast choices | Whole eggs and egg dishes using allowed ingredients Pancakes, croissants, semolina | Canned spaghetti, sausages, bacon, mushrooms, baked beans, egg dishes with preservatives |
| Fruit | Fresh or canned: pears (peeled), apricots, apples (peeled), banana, mango, nectarine (peeled), peach (peeled), rockmelon, watermelon | All other fruits including berries, cherries, citrus fruits, dates, dried fruit, grapes, kiwi fruit, passionfruit, pineapple, plum |
| Yoghurt | Plain vanilla and natural yoghurt | Fruit yoghurt |
| Desserts | Plain desserts containing allowed ingredients Vanilla ice cream and plain dairy or soy custard without preservatives | Desserts containing chocolate, coconut, dried fruit, jam, preservatives and antioxidants |
| Milk and cheese | Plain milk (cow, goat) Dairy alternatives (rice drink, soy beverage) Fresh cheese without preservatives (e.g. ricotta, cottage, cream cheese) Cheddar cheese, fetta Soy cheese (hard) | Flavoured milk Aged and flavoured cheese, parmesan |
| Beverages | Water, plain milk, dairy alternatives (rice drink, soy beverage), Decaffeinated coffee and tea Instant coffee Lemonade (without preservatives). Pear juice | Other forms of tea and coffee Cordial, soft drinks Other fruit and vegetable juices Flavoured milk |
| Biscuits | Plain rice cakes, biscuits and crackers with allowed ingredients | Biscuits and crackers containing chocolate, coconut, dried fruit, jam, preservatives and antioxidants |
| Miscellaneous | Cream, salt, sugar Nuts (one 30g serve per day, raw or lightly roasted) including almonds, cashews, peanuts, pecans, walnuts Coconut milk/cream Oil - if antioxidants are not listed Gelatine - if heated / cooked Cornflour, garlic Sesame seeds | Pepper Herbs and spices (including cinnamon) Almond meal and hazelnut meal Coconut (dessicated and shredded) Oil - if antioxidants are listed Gelatine - uncooked Chocolate Artificial sweeteners Mustard (all types) |
References
- Royal Prince Alfred Hospital Allergy Unit. RPAH Food Intolerance Handbook, Volume I: Diagnostic elimination diet. Sydney: RPAH 2016.
- Royal Prince Alfred Hospital Allergy Unit. RPAH Food Intolerance Handbook, Volume II: Challenges, liberalizing and maintenance. Sydney: RPAH 2016
- Swain AR, Soutter VL, Loblay RH. Friendly food: the complete guide to avoiding allergies, additives and problem chemicals. Sydney: Murdoch Books; 2004.
Change log
July 2019
| Section updated | Change |
|---|---|
| Specific menu planning guidelines - Miscellaneous | In Allowed, deleted Oils without antioxidants or sorbates (e.g. canola, olive, peanut, rice bran, safflower, sunflower) |
| In Allowed, added Oil - if antioxidants are not listed | |
| In Allowed, added Gelatine - if heated/cooked | |
| In Not Allowed, added Oil - if antioxidants are listed, Gelatine - uncooked |