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Additives and preservatives are substances added to food. They can be broadly separated according to their functions, but a single additive may perform a variety of defined functions.
For example:
In the majority of cases the answer is a definite yes! As our cities grow larger and lifestyles more hectic, it becomes difficult for many people to obtain fresh food. Without preservatives or additives, a great amount of food on shop shelves would "go off" before being bought. For example, bread would last only about two days before becoming stale.
The vast majority of additives and preservatives appear to be safe. They have been tested by many laboratories throughout the world before being used in foods. However, individuals may be "sensitive" to various additives and preservatives. Government agencies control which substances, and in which amounts, may be used in the production of food. In South Africa the Department of Health controls the use of additives and preservatives.
In the majority of cases, individuals with some form of allergy, e.g. asthma, hayfever, urticaria, etc., will be affected by these substances. A few additives and preservatives can affect non-allergic people. Some of these substances cause more reactions than others. For example, reactions to sulphur dioxide and sodium benzoate occur more commonly in asthmatics than reactions to the colorant tartrazine.
Reactions are not "true" allergies as one sees with an egg allergy, but usually a type of chemical reaction. Reactions depend on the type of preservative or additive ingested. These may include vomiting, rashes, hives, a tight chest, headaches, worsening of eczema, and many other symptoms. Combinations of symptoms may give your doctor a strong clue as to the substance causing the reaction
Absolutely! Similar reactions may occur with an allergy to a food such as egg, nuts, etc. Some foods have natural chemicals that may affect you too. For example, fish that's not fresh may have a high level or histamine, cheese may have tyramine, and you may react to the histamine in wine and not the sulphur dioxide!
We cannot hope to cover all the additives and preservatives that may result in reactions, but these are some of the more important ones.
Foods that may contain sulphur dioxide include.
(shortened list):
Foods that may contain sodium benzoate include:
Foods that may contain colorants include:
(shortened list):
Foods that may contain MSG include:
(shortened list):
Foods that may contain salicylic acid include:
(shortened list):
This may not always be obvious. In some instances, the reaction will immediately follow the ingestion of an additive or preservative, as with sulphur dioxide and sodium benzoate. In other cases, the reaction may be delayed for 6 to 24 hours.
You may have to keep a diary and record all the food you eat, the time it was eaten, and when the reaction occurred. You will then need to see if there is a pattern to the reaction. Unfortunately, there is no blood or skin test available to check whether you are affected. Your doctor may suggest a "challenge" with the substance to see if you are indeed affected.
Read labels on foods very carefully and avoid all food that contains the preservative or additive that you are affected by. The Food Intolerance Databank* has lists of foods that are "free from" a variety of preservatives and additives. You may have to follow a preservative and additive free diet for at least two weeks to check whether you are indeed affected or not. Your local dietician will assist you in drawing up a suitable diet.
5 Key points to Remember:1. Preservatives and additives cause chemical and not allergy reactions.2. Only some asthmatics will react to these substances. 3. There are no reliable tests to confirm sensitivity to these chemicals. 4. Keep a diary of what you eat and when reactions occur to look for a pattern. 5. Read all food and ingredient labels carefully |