The performance of parents of children receiving cow&amp;amp;rsquo;s milk free diets at identification of commercial food products with and without cow&amp;amp;rsquo;s milk

Weber, Thabata Koester; Speridião, Patrícia da Graça Leite; Sdepanian, Vera Lúcia; Neto, Ulysses Fagundes; Morais, Mauro Batista de

doi:10.2223/jped.1697

Cited by 10 publications

(11 citation statements)

References 13 publications

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“…During the adoption of the exclusion of CMP diet for children with CMPA, relatives and/or guardians should be guided on reading the labels of industrialized products. Our results were similar to those found in a previous studies [9,15,27] which showed that the majority of respondents had difficulty recognizing the terms/ingredients that indicated the presence of cow's milk allergens. In this context, since July 2015, food and beverage labels have been required by the promulgation of the Resolution of the Collegiate Board of Directors -RDC No.26 of the Agência Nacional de Vigilância Sanitária (ANVISA, National Sanitary Surveillance Agency) [28], to contain a description of 18 allergy-causing food ingredients/products, including milk.…”

Section: Discussionsupporting

confidence: 91%

“…During the period of exclusion of CMP, a nutritional status assessment should be performed by the health professional to establish the adequacy of food consumption for the child's nutritional needs [1,4,5,8] and family members must be oriented to perform a thorough reading of the labels of industrialized foods offered to their children [1,5,7,9]. Despite the existence of several guidelines [1,[4][5][6][7][10][11][12][13] for the diagnosis and treatment of CMPA, some surveys [6,7,[14][15][16][17][18][19][20][21][22] have shown that the practices and knowledge of health professionals are not fully in line with these recommendations.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge and practice of pediatricians and nutritionists regarding treatment of cow’s milk protein allergy in infants

et al. 2018

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Objective This study evaluated the knowledge and practices of pediatricians and nutritionists about cow’s milk protein allergy in infants, with an emphasis on issues related to the exclusion diet and nutritional status. Methods A cross-sectional, descriptive study was performed with a convenience sample of 204 pediatricians and 202 nutritionists randomly invited in scientific events in the city of São Paulo, from November 2014 to March 2016. Results Between 1.5% and 21.0% of respondents indicated inadequate products for the treatment of cow’s milk protein allergy, including goat’s milk, beverages or juices based on soy extract, lactose-free milk formula and partially hydrolyzed formula. The daily calcium recommendation for children between zero and 36 months of age was correctly indicated by 27.0% of pediatricians and 46.0% of nutritionists (p=0.001). Additionally, 96.1% of pediatricians and 82.7% of dietitians (p<0.001) provided guidance on about labels of industrialized products. Conclusion Pediatricians and nutritionists present gaps in knowledge about cow’s milk protein allergy treatment in infants and educational strategies that increase the knowledge of the professionals are important for the management of cow’s milk protein allergy.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Knowledge and practice of pediatricians and nutritionists regarding treatment of cow’s milk protein allergy in infants

et al. 2018

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“…However, little data exist detailing food allergy knowledge, attitudes, and beliefs among parents of children with food allergy. The few studies to date suggest that the majority of parents are neither fully prepared to manage exclusion diets (11) nor equipped to appropriately administer epinephrine when needed (12). As the number of children diagnosed with food allergy continues to rise, the number of parents faced with the challenge of managing the disease grows as well.…”

mentioning

confidence: 99%

Food allergy knowledge, attitudes, and beliefs of parents with food-allergic children in the United States

Gupta

Springston

Smith

et al. 2010

Pediatric Allergy and Immunology

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Parents of food-allergic children are responsible for risk assessment and management of their child's condition. Such practices are likely informed by parental knowledge, attitudes, and beliefs of food allergy. Our objective was to characterize food allergy knowledge and perceptions among parents with food-allergic children. Parents were recruited nationally between January 2008 and 2009 to complete the validated, web-based Chicago Food Allergy Research Survey for Parents of Children with Food Allergy. Findings were analyzed to provide composite/itemized knowledge scores, describe attitudes and beliefs, and examine the effects of participant characteristics on response. A sample of 2945 parents was obtained. Participants had an average knowledge score of 75% correct (range 19-100%). Strengths were observed in each content domain; e.g., 95% of participants accurately identified the signs of a milk-induced reaction. Weaknesses were limited to items assessing food allergy triggers/environmental risks and perceptions of susceptibility/prevalence; e.g., 52% of parents incorrectly believed young children are at higher risk for fatal anaphylaxis than adolescents. Parental attitudes/beliefs were diverse, although 85% agreed children should carry an EpiPen at school and 91% felt schools should have staff trained in food allergy. One in four parents reported food allergy caused a strain on their marriage/relationship, and 40% reported experiencing hostility from other parents when trying to accommodate their child's food allergy. In conclusion, parents in our study exhibited solid baseline knowledge although several important misconceptions were identified. While a broad spectrum of parental perceptions was observed, a large proportion of parents reported that their child's food allergy had an adverse impact on personal relationships and also agreed on certain policies to address food allergy in schools.

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“…Weber et al 21 avaliaram o desempenho de pais de crianças em dieta de exclusão do leite de vaca na identificação de alimentos industrializados com e sem leite de vaca. Os autores observaram que os termos iniciados com a palavra "leite" foram os mais reconhecidos.…”

Section: Discussionunclassified

Inadequação Da Rotulagem De Alimentos Alergênicos: Risco Para Indivíduos Com Hipersensibilidade Alimentar

Miranda¹,

Gama

2018

DEMETRA

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Objetivo: Analisar a adequação da rotulagem de alimentos alergênicos de acordo com a Resolução n.º 26, de 02 de julho de 2015. Metodologia: Verificou-se a concordância das declarações de alérgenos em 221 rótulos de alimentos industrializados comercializados em três redes distintas de supermercados. Os produtos foram subdivididos em dez grupos de alimentos (pães e cereais; peixes e crustáceos; ovos e derivados; sementes oleaginosas; leites e derivados; soja e derivados; massas; doces, bolos e biscoitos; cárneos e embutidos e bebidas alcoólicas) e foram categorizados como “inadequados” quando descumpriram qualquer critério estabelecido na resolução. Para detalhar as inadequações, foram adotadas as seguintes classificações: localização incorreta da declaração no rótulo, declaração incompleta e/ou formatação inadequada e declaração inexistente. Resultados: Do total de rótulos avaliados, 31,7% (n=70) foram identificados como inadequados. Destas inadequações, observou-se que 48,6% foram classificados como “Declaração inexistente”. Observou-se, ainda, que foram encontradas inadequações nos dez grupos de alimentos avaliados. Conclusão: As normas regulamentadoras nacionais de rotulagem dispõem inovações na perspectiva de defesa do consumidor alérgico; no entanto, ainda se observam diversas irregularidades no seu cumprimento. Investigações desta natureza são relevantes para a saúde pública e devem ser realizadas para exigir a fiscalização e implementação das legislações vigentes.DOI: 10.12957/demetra.2018.32906

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The performance of parents of children receiving cow&rsquo;s milk free diets at identification of commercial food products with and without cow&rsquo;s milk

Cited by 10 publications

References 13 publications

Knowledge and practice of pediatricians and nutritionists regarding treatment of cow’s milk protein allergy in infants

Knowledge and practice of pediatricians and nutritionists regarding treatment of cow’s milk protein allergy in infants

Food allergy knowledge, attitudes, and beliefs of parents with food-allergic children in the United States

Inadequação Da Rotulagem De Alimentos Alergênicos: Risco Para Indivíduos Com Hipersensibilidade Alimentar

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