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巴西包装食品金字塔群组中食物过敏原标签:描述、歧义与风险分析。

Labeling food allergens in the packaged food pyramid groups in Brazil: analysis of descriptions, ambiguities, and risks.

机构信息

Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.

出版信息

Rev Paul Pediatr. 2022 Jun 10;40:e2021079. doi: 10.1590/1984-0462/2022/40/2021079IN. eCollection 2022.


DOI:10.1590/1984-0462/2022/40/2021079IN
PMID:35703721
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9190470/
Abstract

OBJECTIVE: The aim of this study was to evaluate allergenic labeling components of packaged foods for "What is the quality of food labels?" and "What is the group of Brazilian Food Pyramid that 'May contain' is predominant?." METHODS: The photographs of 916 products were obtained, of which 518 were analyzed. Data from each label were evaluated according to Brazilian Food Pyramid Groups (i.e., Cereals, Fruits, & Vegetables; Soybean & products; Milk & dairy products; Meat & eggs; Fats & oils; and Sugars & sweets). Ten items were analyzed in each label, namely, the presence of a list of ingredients, alert phrase for allergy sufferers, grouping of the alert phrase, phrase location, uppercase phrase, the phrase in bold, the color of alert phrase contrasting to the background, adequate font size, do not claim the absence for any allergen with the ingredients, and others factors that make it difficult to read. For the second question, a structured questionnaire was completed, and products were classified into two categories, namely, "Contain" and "May contain." RESULTS: The quality of the label was appropriate, and 69% of packaged foods had at least one allergen. The information "May contain" were higher in cow's milk (Cereals and Meat & eggs), soy (Soybean & products), and egg protein (Cereals). Soybean & products were the highest insecurity group. CONCLUSIONS: Brazilian health professionals can count on good-quality labeling of packaged products. Consequently, they could promote patients' and parents/caregivers' education to consult the labels and manage the risks in processed foods about precautionary allergen labeling. Soybean & products were the most significant insecurity for food choices between Brazilian Pyramid Groups.

摘要

目的:本研究旨在评估包装食品的过敏原标签成分,以回答“食品标签的质量如何?”以及“巴西食品金字塔中哪一组‘可能含有’占主导地位?”这两个问题。

方法:获取了 916 种产品的照片,其中 518 种进行了分析。根据巴西食品金字塔组(谷物、水果和蔬菜;大豆及其制品;牛奶和乳制品;肉类和蛋类;脂肪和油;糖和甜食),对每个标签的数据进行评估。每个标签分析了 10 个项目,包括成分清单的存在、过敏症患者的警示短语、警示短语的分组、短语位置、大写短语、加粗短语、警示短语与背景的对比颜色、适当的字体大小、不声称成分中不含任何过敏原以及其他使标签难以阅读的因素。对于第二个问题,填写了一份结构化问卷,并将产品分为“含有”和“可能含有”两类。

结果:标签质量合适,69%的包装食品至少含有一种过敏原。含有牛奶(谷物和肉类与蛋类)、大豆(大豆及其制品)和鸡蛋蛋白(谷物)的产品信息“可能含有”的较多。大豆及其制品是最不安全的组。

结论:巴西卫生专业人员可以依靠包装产品的高质量标签。因此,他们可以促进患者和家长/照顾者的教育,让他们咨询标签,并管理加工食品中关于预防性过敏原标签的风险。在巴西金字塔组之间的食物选择中,大豆及其制品是最大的安全隐患。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a1/9190470/1912515676e3/1984-0462-rpp-40-e2021079-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a1/9190470/c7ad7d02949f/1984-0462-rpp-40-e2021079-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a1/9190470/8dc42a9429d0/1984-0462-rpp-40-e2021079-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a1/9190470/ec28096d34dc/1984-0462-rpp-40-e2021079-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a1/9190470/a28acd854459/1984-0462-rpp-40-e2021079-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a1/9190470/1912515676e3/1984-0462-rpp-40-e2021079-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a1/9190470/c7ad7d02949f/1984-0462-rpp-40-e2021079-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a1/9190470/8dc42a9429d0/1984-0462-rpp-40-e2021079-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a1/9190470/ec28096d34dc/1984-0462-rpp-40-e2021079-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a1/9190470/a28acd854459/1984-0462-rpp-40-e2021079-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a1/9190470/1912515676e3/1984-0462-rpp-40-e2021079-gf05.jpg

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Food allergy: A review and update on epidemiology, pathogenesis, diagnosis, prevention, and management.

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[4]
Food Allergy Management.

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[5]
Epidemiology of Food Allergy.

Immunol Allergy Clin North Am. 2018-2

[6]
Food Allergy: What We Know Now.

Am J Med Sci. 2017-4

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Overview of systematic reviews in allergy epidemiology.

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[8]
The rise of food allergy: Environmental factors and emerging treatments.

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[9]
Clinical Management of Psychosocial Concerns Related to Food Allergy.

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[10]
Current Options for the Treatment of Food Allergy.

Pediatr Clin North Am. 2015-12

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