Children's Health and Wellness

Tree Nut Allergy Diet for Children

General guidelines for tree nut allergy

The key to an allergy-free diet is to avoid giving your child the foods or products containing the food to which he or she is allergic. The items that your child is allergic to are called allergens.

A tree nut allergy is an abnormal response of the body to the proteins found in tree nuts. To avoid foods that contain tree nuts, it is important to read food labels.

How to read a label for a tree nut-free diet

Be sure to avoid foods that contain any of the following ingredients:

  • Almonds

  • Artificial nuts

  • Beechnut

  • Brazil nuts

  • Butternut

  • Cashews

  • Chestnuts

  • Chinquapin nut

  • Coconut

  • Filberts

  • Hazelnuts

  • Gianduja (A creamy mixture of chocolate and chopped toasted nuts found in premium or imported chocolate.)

  • Ginkgo nut

  • Hickory nuts

  • Litchi/lichee/lychee nut

  • Macadamia nuts

  • Mandelonas (peanuts soaked in almond oil)

  • Marzipan/almond paste

  • Nangai nut

  • Natural nut extract

  • Nougat

  • Nut butters (for example, cashew butter or almond butter)

  • Nutella (a hazelnut spread)

  • Nut oil, nut pieces, nut meal

  • Nut paste (for example, almond paste)

  • Pecans

  • Pesto

  • Pili nut

  • Pine nuts (pignolia)

  • Pistachios

  • Praline

  • Shea nut

  • Walnuts

Note: Talk to your health care provider about the need to avoid peanuts.

To avoid tree nuts

  • Nu-Nuts® artificial nuts are peanuts that have been deflavored and reflavored with a nut such as pecan or walnut.

  • Filberts are hazelnuts.

  • Avoid natural extracts, such as pure almond extract and natural wintergreen extract (for the child who is filbert or hazelnut allergic).

  • Use imitation or artificially flavored extracts.

  • Ethnic foods, commercially prepared baked goods, and candy can be cross-contaminated with nuts since nuts are frequently used in these types of foods.

  • Tree nuts are being added to an increasing variety of foods, such as barbecue sauces, cereals, crackers, and ice creams.

Online Source: Asthma and Allergy Foundation of America. Tree Nut Allergyhttp://www.aafa.org/display.cfm?id=9&sub=20&cont=521
Online Source: US Food and Drug Administration. Guidance for Industry: A Food Labeling Guidehttp://www.fda.gov/food/guidanceregulation/guidancedocumentsregulatoryinformation/labelingnutrition/ucm064880.htm
Online Source: Food Allergy Research and Education. Tree Nut Allergieshttp://www.foodallergy.org/allergens/tree-nut-allergy
Online Source: Food Allergy Research and Education. Tips for Avoiding Your Allergenhttp://www.foodallergy.org/document.doc?id=133
Online Source: USDA Food Allergies and Intolerances Resource List for Consumershttp://www.nal.usda.gov/fnic/pubs/bibs/allergy.pdf
Online Source: Food Allergy Research and Education. Peanut Allergyhttps://www.foodallergy.org/allergens/peanut-allergy
Online Editor: Metzger, Geri K.
Online Medical Reviewer: MMI board-certified, academically affiliated clinician
Online Medical Reviewer: Pierce-Smith, Daphne, RN, MSN, CCRC
Date Last Reviewed: 9/10/2014
© 2000-2014 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.