| Literature DB >> 28054938 |
María Ángeles Bustamante1, María Pilar Fernández-Gil2, Itziar Churruca3, Jonatan Miranda4, Arrate Lasa5, Virginia Navarro6, Edurne Simón7.
Abstract
The treatment of Celiac disease consists in a strict lifelong gluten-free (GF) diet. As the ingestion of small amounts can have damaging complications, there has been an ongoing discussion regarding the safe threshold for dietary residual gluten. The aim was to analyze the evolution of gluten content in cereal-based GF foodstuffs (n = 3141) from 1998 to 2016 measured by the enzyme-linked immunosorbent assay (ELISA) technique. Eight categories were defined: flours, breakfast cereals/bars, bakery, pasta, breads, dough, snacks, and yeasts, and these were divided into GF labeled-foods (GF-L) or reportedly GF foodstuffs, but not certified (GF-NC). Gluten-detection was decreased over time in line with the evolving European regulations about food information and gluten content claims. This decline started sooner in GF-L products than in GF-NC. As a whole, gluten was detected in 371 samples, with breakfast cereals/bars being the most contaminated group. Snacks and yeasts changed from being high gluten-detected samples to being totally GF over the years. The downside is that, of contaminated samples, those in the low levels of gluten detection range have decreased while flour samples containing over 100 mg/kg gluten have risen in the 2013-2016 period. Obtained data confirm that GF cereal-based foods are becoming safer but gluten control must be maintained.Entities:
Keywords: ELISA; European regulation; cereal based foodstuff; gluten content evolution; gluten-free
Mesh:
Substances:
Year: 2017 PMID: 28054938 PMCID: PMC5295065 DOI: 10.3390/nu9010021
Source DB: PubMed Journal: Nutrients ISSN: 2072-6643 Impact factor: 5.717
Food categories of samples used for gluten quantification.
| Category | Selected Examples |
|---|---|
| Flours | starches, baking mixes, all-purpose flours, grains and seeds |
| Breakfast cereals/bars | corn and other GF cereal pancakes, granola bars, soy/quinoa/almond/rice beverages, corn flakes, rice crisps, rice and quinoa waffle, muesli |
| Pasta products | macaroni, rices/multigrain/corn pasta, rice, lasagna sheets, semolina, noodles, tagliatelle, pasta with egg, with vegetables, fettuccini, cooked and dry pasta, organic pasta |
| Breads | baguettes, loaf, sliced or toasted bread, breadcrumbs, breadsticks, white/multi-grains/artisan/rustic bread, pita bread, crackers, wraps, bread rolls, ciabatta, bagels, hamburger buns |
| Dough/pastry/pizza | all types of pizza, pastry, croquettes, baked dough, wafers, pizza bases, all kind of sandwiches, cooked lasagna |
| Bakery | all types of cakes, chocolate/fruit/filled cookies, biscuits, muffins, cupcakes, scones, pies, donuts, sweet rolls, croissants, shortbread, sponge cake |
| Cereal-based snacks | salted/sweet popcorn, tortilla chips, pretzel cereal treats, cheddar/chili corn sticks, rice/corn triangles, fried corn nuts, baked corn snack with flavours (butter, ham, cheese, ketchup), flavour fried potato crisps, flavour rice and corn snack, crunchy/crispy/flavour crackers and bugles |
| Yeasts | bakery yeast and chemical leavening agents |
Summary of results obtained in gluten detection analysis from 1998 to 2016.
| Food Group | Analyzed Sample Number | Gluten-Detected Samples | Gluten (mg/kg) | ||||
|---|---|---|---|---|---|---|---|
| 5–10 | 11–20 | 21–100 | 101–200 | >200 | |||
| Flours | 564 | 75 | 10 | 17 | 21 | 11 | 16 |
| Breakfast cereals/bars | 339 | 73 | 22 | 22 | 15 | 6 | 8 |
| Bakery | 905 | 87 | 21 | 28 | 24 | 6 | 8 |
| Pastry/dough | 292 | 23 | 7 | 6 | 6 | 0 | 4 |
| Bread | 498 | 31 | 5 | 8 | 3 | 4 | 11 |
| Pasta | 313 | 45 | 8 | 13 | 14 | 4 | 6 |
| Cereal based-Snacks | 194 | 29 | 5 | 8 | 6 | 2 | 10 |
| Yeasts | 36 | 8 | 2 | 1 | 0 | 1 | 4 |
| Total | 3141 | 371 | 80 | 103 | 87 | 34 | 67 |
Notes: Data related to gluten quantification are expressed as number of samples.
Figure 1Evolution of gluten-containing samples (>20 mg/kg), sorted by five periods (1998–2002, 2003–2005, 2006–2008, 2009–2012, and 2013–2016). Data are expressed as the percentage of total samples analyzed in each period. Bars not sharing a common letter (a, b, c, d) are significantly different (p < 0.05).
Time-period comparison of gluten-detected samples.
| Food Group | Gluten Content (mg/kg) | Time Period | |||
|---|---|---|---|---|---|
| 2003–2005 | 2006–2008 | 2009–2012 | 2013–2016 | ||
| Flour | 5–20 | 67 (6/9) a | 37 (11/30) a,b | 27 (3/11) a,b | 0 (0/10) b |
| 21–100 | 22 (2/9) | 40 (12/30) | 18 (2/11) | 20 (2/10) | |
| >100 | 11 (1/9) b | 23 (7/30) b | 55 (6/11) a,b | 80 (8/10) a | |
| Breakfast cereals/bars | 5–20 | 72 (21/29) | 40 (6/15) | 33 (1/3) | 33 (1/3) |
| 21–100 | 24 (7/29) | 27 (4/15) | 33 (1/3) | 33 (1/3) | |
| >100 | 4 (1/29) | 33 (5/15) | 33 (1/3) | 33 (1/3) | |
| Bakery | 5–20 | 57 (17/30) | 38 (3/8) | 67 (6/9) | 67 (2/3) |
| 21–100 | 37 (11/30) | 50 (4/8) | 11 (1/9) | 33 (1/3) | |
| >100 | 7 (2/30) | 12 (1/8) | 22 (2/9) | 0 (0/3) | |
| Pastry/dough | 5–20 | 50 (3/6) | 0 (0/3) | 83 (5/6) | 0 (0/1) |
| 21–100 | 33 (2/6) | 33 (1/3) | 17 (1/6) | 0 (0/1) | |
| >100 | 17 (1/6) | 67 (2/3) | 0 (0/6) | 100 (1/1) | |
| Breads | 5–20 | 100 (4/4) | 60 (3/5) | 0 (0/1) | 27 (3/11) |
| 21–100 | 0 (0/4) | 20 (1/5) | 0 (0/1) | 9 (1/11) | |
| >100 | 0 (0/4) | 20 (1/5) | 100 (1/1) | 64 (7/11) | |
| Pasta | 5–20 | 24 (4/17) b | 78 (7/9) a | 33 (1/3) a,b | 0 (0/3) a,b |
| 21–100 | 59 (10/17) | 11 (1/9) | 0 (0/3) | 67 (2/3) | |
| >100 | 18 (3/17) | 11 (1/9) | 67 (2/3) | 33 (1/3) | |
| Snacks | 5–20 | 40 (2/5) | 40 (8/20) | 67 (2/3) | - |
| 21–100 | 20 (1/5) | 20 (4/20) | 33 (1/3) | - | |
| >100 | 40 (2/5) | 40 (8/20) | 0 (0/3) | - | |
| Yeasts | 5–20 | 0 (0/4) | 67 (2/3) | - | - |
| >100 | 100 (4/4) | 33 (1/3) | - | - | |
| Total | 5–20 | 55 (57/104) a | 43 (40/93) a,b | 50 (18/36) a,b | 19 (6/31) b |
| 21–100 | 32 (33/104) | 29 (27/93) | 17 (6/36) | 23 (7/31) | |
| >100 | 13 (14/104) c | 28 (26/93) b,c | 33 (12/36) a,b | 58 (18/31) a | |
Notes: Data are expressed as percentage of gluten-content interval (5–20, 21–100, and >100 mg/kg) from total gluten-detected samples, analyzed by each period and categorized by food group. The numerical fraction of samples detected for each range, in each food group and in each time period are expressed in brackets. Percentages not sharing a common letter (a, b, c) are significantly different (p < 0.05).
Comparison by food groups of samples under or over 100 mg of gluten per kg of product before and after 2008 year.
| Time Period | Gluten Content (mg/kg) | Food Group | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Flour | Breakfast Cereals/Bars | Bakery | Pastry/Dough | Breads | Pasta | Snacks | Yeasts | ||
| 2003–2008 | ≤100 | 97 a,b (232/240) | 97 a,b (171/177) | 99 a (407/410) | 97 a,b (96/99) | 99 a (167/168) | 97 a,b (145/149) | 88 b,c (74/84) | 79 c (19/24) |
| >100 | 3 a,b (8/240) | 3 a,b (6/177) | 1 a (3/410) | 3 a,b (3/99) | 1 a (1/168) | 3 a,b (4/149) | 12 b,c (10/84) | 21 c (5/24) | |
| 2009–2016 | ≤100 | 95 b (262/276) | 98 a,b (89/91) | 99 a (372/374) | 99 a,b (172/173) | 97 a,b (282/290) | 97 a,b (110/113) | 100 a,b (106/106) | 100 a,b (11/11) |
| >100 | 5 b (14/276) | 2 a (2/91) | 1 a (2/374) | 1 a,b (1/173) | 3 a,b (8/290) | 3 a,b (3/113) | 0 a,b (0/106) | 0 a,b (0/11) | |
Notes: Data are expressed as percentage of gluten content interval (≤100 and >100 mg/kg) from total analyzed samples, categorized by each food group. The numerical fraction of samples detected for each range, in each food group and in each time period are expressed in brackets. Percentages not sharing a common letter (a, b, c) are significantly different (p < 0.05).
Figure 2Evolution of gluten-containing samples (>20 mg/kg) sorted by three time periods related to gluten regulation (2004–2008, 2009–2014, and 2015–2016). From the total number of 2614 samples, 1652 were gluten-free-labeled products (GF-L) and 962 reportedly gluten free, but not certified, products (GF-NC). Data are expressed as percentages of the total sample analyzed in each period. Significantly different time period are expressed as * (p < 0.05).