Literature DB >> 19596145

Audit of manufactured products: use of allergen advisory labels and identification of labeling ambiguities.

Mariah M Pieretti1, Danna Chung, Robert Pacenza, Todd Slotkin, Scott H Sicherer.   

Abstract

BACKGROUND: The Food Allergy Labeling and Consumer Protection Act became effective January 1, 2006, and mandates disclosure of the 8 major allergens in plain English and as a source of ingredients in the ingredient statement. It does not regulate advisory labels.
OBJECTIVE: We sought to determine the frequency and language used in voluntary advisory labels among commercially available products and to identify labeling ambiguities affecting consumers with allergy.
METHODS: Trained surveyors performed a supermarket survey of 20,241 unique manufactured food products (from an original assessment of 49,604 products) for use of advisory labels. A second detailed survey of 744 unique products evaluated additional labeling practices.
RESULTS: Overall, 17% of 20,241 products surveyed contain advisory labels. Chocolate candy, cookies, and baking mixes were the 3 categories of 24 with the greatest frequency (> or = 40%). Categorically, advisory warnings included "may contain" (38%), "shared equipment" (33%), and "within plant" (29%). The subsurvey disclosed 25 different types of advisory terminology. Nonspecific terms, such as "natural flavors" and "spices," were found on 65% of products and were not linked to a specific ingredient for 83% of them. Additional ambiguities included unclear sources of soy (lecithin vs protein), nondisclosure of sources of gelatin and lecithin, and simultaneous disclosure of "contains" and "may contain" for the same allergen, among others.
CONCLUSION: Numerous products have advisory labeling and ambiguities that present challenges to consumers with food allergy. Additional allergen labeling regulation could improve safety and quality of life for individuals with food allergy.

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Year:  2009        PMID: 19596145     DOI: 10.1016/j.jaci.2009.05.032

Source DB:  PubMed          Journal:  J Allergy Clin Immunol        ISSN: 0091-6749            Impact factor:   10.793


  15 in total

1.  Using 'may contain' labelling to inform food choice: a qualitative study of nut allergic consumers.

Authors:  Julie Barnett; Kate Muncer; Jo Leftwich; Richard Shepherd; Monique M Raats; M Hazel Gowland; Kate Grimshaw; Jane S Lucas
Journal:  BMC Public Health       Date:  2011-09-26       Impact factor: 3.295

2.  Cross-contamination of foods and implications for food allergic patients.

Authors:  Steve L Taylor; Joseph L Baumert
Journal:  Curr Allergy Asthma Rep       Date:  2010-07       Impact factor: 4.806

3.  A randomized controlled study of peanut oral immunotherapy: clinical desensitization and modulation of the allergic response.

Authors:  Pooja Varshney; Stacie M Jones; Amy M Scurlock; Tamara T Perry; Alex Kemper; Pamela Steele; Anne Hiegel; Janet Kamilaris; Suzanne Carlisle; Xiaohong Yue; Mike Kulis; Laurent Pons; Brian Vickery; A Wesley Burks
Journal:  J Allergy Clin Immunol       Date:  2011-03       Impact factor: 10.793

4.  Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel.

Authors:  Joshua A Boyce; Amal Assa'ad; A Wesley Burks; Stacie M Jones; Hugh A Sampson; Robert A Wood; Marshall Plaut; Susan F Cooper; Matthew J Fenton; S Hasan Arshad; Sami L Bahna; Lisa A Beck; Carol Byrd-Bredbenner; Carlos A Camargo; Lawrence Eichenfield; Glenn T Furuta; Jon M Hanifin; Carol Jones; Monica Kraft; Bruce D Levy; Phil Lieberman; Stefano Luccioli; Kathleen M McCall; Lynda C Schneider; Ronald A Simon; F Estelle R Simons; Stephen J Teach; Barbara P Yawn; Julie M Schwaninger
Journal:  J Allergy Clin Immunol       Date:  2010-12       Impact factor: 10.793

Review 5.  Hidden allergens in foods and implications for labelling and clinical care of food allergic patients.

Authors:  Giovanni A Zurzolo; Michael L Mathai; Jennifer J Koplin; Katrina J Allen
Journal:  Curr Allergy Asthma Rep       Date:  2012-08       Impact factor: 4.806

Review 6.  A developmental, community, and psychosocial approach to food allergies in children.

Authors:  Christy R Houle; Harvey L Leo; Noreen M Clark
Journal:  Curr Allergy Asthma Rep       Date:  2010-09       Impact factor: 4.806

7.  Precautionary Allergen Labelling in Serbia: Market Audit and Consumers' Perception.

Authors:  Dragana Davidović; Maja Bulatović; Katarina Paunović; Nadja Vasiljević; Danica Zarić; Dušan Popović; Sanja Milenković
Journal:  Iran J Public Health       Date:  2022-03       Impact factor: 1.479

8.  World allergy organization guidelines for the assessment and management of anaphylaxis.

Authors:  F Estelle R Simons; Ledit R F Ardusso; M Beatrice Bilò; Yehia M El-Gamal; Dennis K Ledford; Johannes Ring; Mario Sanchez-Borges; Gian Enrico Senna; Aziz Sheikh; Bernard Y Thong
Journal:  World Allergy Organ J       Date:  2011-02-23       Impact factor: 4.084

9.  Oral immunotherapy for food allergy: towards a new horizon.

Authors:  Evelyne Khoriaty; Dale T Umetsu
Journal:  Allergy Asthma Immunol Res       Date:  2012-11-28       Impact factor: 5.764

10.  Beyond labelling: what strategies do nut allergic individuals employ to make food choices? A qualitative study.

Authors:  Julie Barnett; Konstantina Vasileiou; M Hazel Gowland; Monique M Raats; Jane S Lucas
Journal:  PLoS One       Date:  2013-01-29       Impact factor: 3.240

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