Allergy diet - stone fruit free

Aim

To provide a diet that excludes all common stone fruits found in the Australian food chain, to avoid reactions in individuals with an allergy to one or more stone fruits.

Characteristics

This diet avoids all sources of the following fruit: apricot, cherry, dates, mango*, nectarine, peach and plum.

This diet does not exclude all botanically categorised drupe (e.g. acai, cashews, coconut, coffee, or olives). It also does not exclude other types of fruit such as berries, citrus, tropical fruit or pommes. These food may be covered under various other diets.

*Mango has been treated as both a tropical and stone fruit to ensure we capture all patients at risk.

Indications

All patients who have an allergic reaction to any of the listed fruit should be ordered this diet unless a medical officer or dietitian has advised otherwise.

Nutritional adequacy

This diet can be nutritionally adequate.

Precautions

If the patient has an allergy to citrus fruit (e.g. grapefruit, lemon, lime, mandarin, oranges, tangelo) the Allergy – citrus free diet must be ordered.

If the patient has an allergy to tropical fruit (e.g. bananas, pineapple etc.) the Allergy – tropical fruit free diet must be ordered.

It is not possible to provide a full list of all permitted commercial products; the following are general guidelines only. Care should be taken to read all product ingredient lists to determine if the product contains any of the listed stone fruits. Clarification is required for foods that contain compound ingredients to determine their components.

Some fruit flavourings are not made from actual fruit but may need to be avoided to support patient confidence in the food provided.

Paediatrics

Suitable for use in paediatrics when combined with an age-appropriate diet.

Specific menu planning guidelines

	Allowed	Not allowed
Hot main dishes	All others	Those containing any of the excluded stone fruit or derivatives, e.g. apricot chicken, mango curry
Sauces, gravies	All others	Those containing any of the excluded stone fruit or derivatives, e.g. apricot sauce, chutney
Starchy vegetables / pasta / rice	All others	Those containing any of the excluded stone fruit or derivatives, e.g. flavoured couscous
Vegetables	All	Nil
Soups	All	Nil
Sandwiches	All others	Bread and fillings containing any of the excluded stone fruit or derivatives, e.g. apricot jam, plum jam or chutney
Salads, dressings	All others	Salads and commercial dressings containing any of the excluded stone fruit or derivatives, e.g. mango dressing
Breads, cereals	All others	Breads and breakfast cereals containing any of the excluded stone fruit or derivatives, e.g. dried fruit in cereal, fruit loaf
Spreads	All others	Jams and fruit spreads containing any of the excluded stone fruit or derivatives
Hot breakfast choices	All	Nil
Fruit	All others	Apricots, cherries, dates, mangos, nectarines, peaches and plums or their derivatives
Yoghurt	All others	Yoghurt containing any of the excluded  stone fruit or derivatives, including pieces, chunks, paste, flavouring and colouring
Desserts	All others	Cakes and desserts containing any of the excluded stone fruit or derivatives, e.g. peach crumble, sticky date pudding
Milk and cheese	All others	Milk and cheese containing any of the excluded stone fruit or derivatives, e.g. fruit cheeses Flavoured milk containing any of the excluded stone fruit or derivatives
Beverages	All others	Beverages containing any of the excluded stone fruit or derivatives, e.g. apricot nectar, mixed juice or cordials
Biscuits	All others	Baked products containing any of the excluded stone fruit or derivatives
Miscellaneous	All others	Other miscellaneous items containing any of the excluded stone fruit or derivatives, e.g. listed peach and apricot flavours for oral nutrition supplements

References

1. Food Allergy Research and Resource Program. Allergenic Foods and their Allergens. Lincoln: FARRP; 2020 [cited 8 September 2020].
2. Anaphylaxis Campaign. Fruit Allergens. Hampshire: Anaphylaxis Campaign; 2019 [cited 8 September 2020].

Change log

April 2022

Section updated	Change
Characteristics	Added dates
Specific menu planning guidelines - Fruit	In Not Allowed, added dates
Specific menu planning guidelines - Desserts	In Not Allowed, added sticky date pudding