Food Allergen Labeling and Purchasing Habits in the United States and Canada

Marchisotto, Mary Jane; Harada, Laurie; Kamdar, Opal J.; Smith, Bridget; Waserman, Susan; Sicherer, Scott H.; Allen, Katrina J.; Muraro, Antonella; Taylor, Steve L.; Gupta, Ruchi S.

doi:10.1016/j.jaip.2016.09.020

Cited by 85 publications

(53 citation statements)

References 21 publications

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“…A US survey by Sampson et al demonstrated that 40% of adolescents and young adults with food allergies ignored PAL . Similarly, a large recent survey in the United States and Canada with 6684 participants showed that up to 40% of food‐allergic children and adults consumed products with PAL . Most studies seem to suggest that avoidance of products containing PAL correlates with how clear the PAL is reported on the label …”

Section: Food Allergy Threshold and Clinical Implicationsmentioning

confidence: 99%

“…49 Similarly, a large recent survey in the United States and Canada with 6684 participants showed that up to 40% of food-allergic children and adults consumed products with PAL. 50 Most studies seem to suggest that avoidance of products containing PAL correlates with how clear the PAL is reported on the label. 51 Although food allergy has clearly been shown to affect the quality of life of patients and their relatives, 60 studies addressing the precise impact of precautionary labelling on quality of life are scarce.…”

Section: Is Pal Respected?mentioning

confidence: 99%

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Clinical implications of food allergen thresholds

Graham

Eigenmann

2018

Clin Experimental Allergy

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Food allergy has increased in recent decades and has a major impact on patients' quality of life. There is currently no treatment in routine clinical practice, and patients are often faced with accidental reactions. Precautionary allergen labelling (PAL) has been used by the food industry to attempt to minimize this risk, although not standardized and often ambiguous. Estimating the risk of reacting to traces in foods is complicated by heterogeneous amounts of allergens in foods with precautionary labelling and individual variability in reaction thresholds. In recent years, oral food challenge studies have shown that low individual reaction thresholds do not necessarily correlate with severe reactions, and current understanding of thresholds is evolving with novel low-dose challenge protocols better adapted to estimate them. Future tools to provide a better estimation of minimal eliciting doses, including basophil activation tests, may improve our management of food-allergic patients.

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Section: Food Allergy Threshold and Clinical Implicationsmentioning

confidence: 99%

Section: Is Pal Respected?mentioning

confidence: 99%

Clinical implications of food allergen thresholds

Graham

Eigenmann

2018

Clin Experimental Allergy

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“…Currently, most practitioners treat all patients given a diagnosis of peanut allergy as capable of severe reactions with minute exposure and recommend avoidance of foods with peanut-related precautionary allergen labeling (PAL), 21 although clinical practice in this regard has been changing. 22 Consumer confusion reigns.…”

Section: Optimizing Management Of Food Allergymentioning

confidence: 99%

“…22 Consumer confusion reigns. Marschiotto et al 21 found that almost half of consumers falsely believed that the law requires PAL. A third believed that PAL statements were based on amounts of allergen present, and up to 40% of consumers with food allergy purchased products with PAL.…”

Section: Optimizing Management Of Food Allergymentioning

confidence: 99%

“…A third believed that PAL statements were based on amounts of allergen present, and up to 40% of consumers with food allergy purchased products with PAL. 21 To provide some guidance about exposures likely to trigger symptoms at the population level, Hourihane et al 23 evaluated 378 children with peanut allergy with a single 1.5-mg dose oral food challenge, with the goal of finding the dose the elicits a reaction in 5% of allergic subjects (ED 05 ). At this dose, 65% of children had no reaction at all, 18% reported subjective findings without objective findings, 15% had mild and transient signs that did not meet the authors' definition of a reaction, and only 2.1% had objective signs likely related to the exposure.…”

Section: Optimizing Management Of Food Allergymentioning

confidence: 99%

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Advances in food allergy in 2017

Keet

Allen

2018

Journal of Allergy and Clinical Immunology

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This review highlights research and policy advances in food allergy that were published in 2017 in the Journal and beyond. In 2017, many important studies on the treatment of food allergy were published, bringing us ever closer to a standardized treatment for food allergy. Other important advancements included research into other management strategies, including thresholds for avoidance, management of food allergies in schools, and development of new guidelines for prevention of food allergy. There were several important epidemiologic studies helping us understand the phenotypes of allergic disease, and new hypotheses were proposed for how best to prevent food allergy. Finally, there was a welcome increased attention to non-IgE-mediated food allergies.

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Utilizing side streams of pulse protein processing: A review

Ratnayake

Naguleswaran

2021

Legume Science

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Plant-based protein ingredients are gaining popularity among consumers for various reasons such as the increasing demand for high-protein diets, sustainability of the sources, and negative perceptions associated with animal proteins. Main source for plant proteins is pulses such as peas and beans. Pulse seeds contain up to 25% (w/w) protein, whereas nonprotein components are present in much higher proportions.Starch, fiber, and soluble material are generated as side streams of pulse protein manufacturing processes. These side streams, unless properly utilized, create both economic and environmental challenges. Therefore, the utilization of process side streams is of paramount importance for the overall sustainability of the plant protein manufacturing processes. This review summarizes the key research advances and potential opportunities in valorization of side streams from pulse protein manufacturing processes.

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Food Allergen Labeling and Purchasing Habits in the United States and Canada

Cited by 85 publications

References 21 publications

Clinical implications of food allergen thresholds

Clinical implications of food allergen thresholds

Advances in food allergy in 2017

Utilizing side streams of pulse protein processing: A review

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