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Challenge of Precautionary Allergen Labeling for Ensuring the Safety of Children With Food Allergies.

作者信息

Lee Jeongmin, Kim Sohyeon, Jeong Kyunguk, Koo Jun Hyuk, Lee Sooyoung

机构信息

Department of Pediatrics, Yonsei University Wonju College of Medicine, Wonju, Korea.

Maeil Innovation Center, Maeil Dairies Co., Ltd., Pyeongtaek, Korea.

出版信息

J Korean Med Sci. 2024 Dec 16;39(48):e307. doi: 10.3346/jkms.2024.39.e307.


DOI:10.3346/jkms.2024.39.e307
PMID:39688330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11650331/
Abstract

BACKGROUND: Precautionary allergen labeling (PAL) is mandatory and legally regulated in Korea. This study aims to investigate the frequency of PAL use in food products, evaluate its competence, and seek direction for improvement. METHODS: Cow's milk (CM) and hen's egg white (EW) protein concentrations were measured using an enzyme-linked immunosorbent assay (ELISA). The results validated PAL using the Voluntary Incidental Trace Allergen Labeling 3.0 program. A survey was conducted on guardians to compare preferences and understanding of the current and the arbitrarily revised PAL. RESULTS: PAL was used in 91.8% (280/305) of baby food products. ELISA results using randomly selected baby food products showed that only 16.7% (5/30; No PAL with no contamination, n = 4; PAL with real-contamination risk, n = 1) were validated to PAL. A detectable CM was found in two products (2/26, 7.7%), with one product exceeding the reference dose (10.3 ± 0.17 ppm). EW was not detected at all (0/16). A total of 207 surveys from guardians were collected and categorized into three groups: food allergy (FA, n = 103), diseases other than food allergies (Others, n = 52), and no disease (Control, n = 52). The FA group exhibited the highest frequency of checking food allergen labeling ("always": 78.6%, "often": 9.7%), with a similar PAL adherence ("always": 58.3%, "often": 10.4%). None of the groups were satisfied with the current PAL. The 'allergen-free' statement was mostly preferred across all groups. The FA group notably preferred PAL with concentration statements. CONCLUSION: PAL is excessively prevalent and insufficient in ensuring the safety of children with FAs, necessitating a revision towards a more patient-friendly, evidence-based system for affected individuals and their families.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/887f/11650331/c7bb89b5ed03/jkms-39-e307-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/887f/11650331/c7bb89b5ed03/jkms-39-e307-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/887f/11650331/c7bb89b5ed03/jkms-39-e307-g001.jpg

相似文献

[1]
Challenge of Precautionary Allergen Labeling for Ensuring the Safety of Children With Food Allergies.

J Korean Med Sci. 2024-12-16

[2]
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本文引用的文献

[1]
Food labeling issues for severe food allergic patients.

World Allergy Organ J. 2021-10-5

[2]
Allergen labelling: Current practice and improvement from a communication perspective.

Clin Exp Allergy. 2021-4

[3]
Understanding Precautionary Allergen Labeling (PAL) Preferences Among Food Allergy Stakeholders.

J Allergy Clin Immunol Pract. 2021-1

[4]
Are current analytical methods suitable to verify VITAL® 2.0/3.0 allergen reference doses for EU allergens in foods?

Food Chem Toxicol. 2020-11

[5]
Updated population minimal eliciting dose distributions for use in risk assessment of 14 priority food allergens.

Food Chem Toxicol. 2020-5

[6]
Deriving individual threshold doses from clinical food challenge data for population risk assessment of food allergens.

J Allergy Clin Immunol. 2019-8-22

[7]
Evidence-based approaches to the application of precautionary allergen labelling: Report from two iFAAM workshops.

Clin Exp Allergy. 2019-9

[8]
Innovation in Food Challenge Tests for Food Allergy.

Curr Allergy Asthma Rep. 2018-10-30

[9]
Hidden allergens in food allergy.

Ann Allergy Asthma Immunol. 2018-9

[10]
How Different Parts of the World Provide New Insights Into Food Allergy.

Allergy Asthma Immunol Res. 2018-7

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