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A Food, a Bite, a Sip: How Much Allergen Is in That?

Detailed information about the amount of allergenic protein ingested by the patient prior to an allergic reaction yields valuable information for the diagnosis, guidance and management of food allergy. However, the exact amount of ingredients is often not declared on the label. In this study the fea...

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Autores principales: Kok, Melanie, Compagner, Astrid, Panneman, Ina, Sprikkelman, Aline, Vlieg-Boerstra, Berber
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7916672/
https://www.ncbi.nlm.nih.gov/pubmed/33578927
http://dx.doi.org/10.3390/nu13020587
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author Kok, Melanie
Compagner, Astrid
Panneman, Ina
Sprikkelman, Aline
Vlieg-Boerstra, Berber
author_facet Kok, Melanie
Compagner, Astrid
Panneman, Ina
Sprikkelman, Aline
Vlieg-Boerstra, Berber
author_sort Kok, Melanie
collection PubMed
description Detailed information about the amount of allergenic protein ingested by the patient prior to an allergic reaction yields valuable information for the diagnosis, guidance and management of food allergy. However, the exact amount of ingredients is often not declared on the label. In this study the feasibility was studied for estimating the amount of allergenic protein from milk, eggs, peanuts and hazelnuts in frequently consumed composite and non-composite foods and per bite or sip size in different age groups in the Netherlands. Foods containing milk, egg, peanut or hazelnut most frequently consumed were selected for the age groups 2–3, 4–6 and 19–30 years. If the label did not yield clear information, the amount of allergenic protein was estimated based on food labels. Bite or sip sizes were determined in these age groups in 30 different foods. The amount of allergenic protein could be estimated in 47/70 (67%) of composite foods, which was complex. Estimated protein content of milk, egg, peanut and hazelnut was 2–3 g for most foods but varied greatly from 3 to 8610 mg and may be below threshold levels of the patient. In contrast, a single bite or sip can contain a sufficient amount of allergenic protein to elicit an allergic reaction. Bite and sip sizes increased with age. In every day practice it is hard to obtain detailed and reliable information about the amount of allergenic protein incorporated in composite foods. We encourage companies to disclose the amount of common allergenic foods on their labels.
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spelling pubmed-79166722021-03-01 A Food, a Bite, a Sip: How Much Allergen Is in That? Kok, Melanie Compagner, Astrid Panneman, Ina Sprikkelman, Aline Vlieg-Boerstra, Berber Nutrients Article Detailed information about the amount of allergenic protein ingested by the patient prior to an allergic reaction yields valuable information for the diagnosis, guidance and management of food allergy. However, the exact amount of ingredients is often not declared on the label. In this study the feasibility was studied for estimating the amount of allergenic protein from milk, eggs, peanuts and hazelnuts in frequently consumed composite and non-composite foods and per bite or sip size in different age groups in the Netherlands. Foods containing milk, egg, peanut or hazelnut most frequently consumed were selected for the age groups 2–3, 4–6 and 19–30 years. If the label did not yield clear information, the amount of allergenic protein was estimated based on food labels. Bite or sip sizes were determined in these age groups in 30 different foods. The amount of allergenic protein could be estimated in 47/70 (67%) of composite foods, which was complex. Estimated protein content of milk, egg, peanut and hazelnut was 2–3 g for most foods but varied greatly from 3 to 8610 mg and may be below threshold levels of the patient. In contrast, a single bite or sip can contain a sufficient amount of allergenic protein to elicit an allergic reaction. Bite and sip sizes increased with age. In every day practice it is hard to obtain detailed and reliable information about the amount of allergenic protein incorporated in composite foods. We encourage companies to disclose the amount of common allergenic foods on their labels. MDPI 2021-02-10 /pmc/articles/PMC7916672/ /pubmed/33578927 http://dx.doi.org/10.3390/nu13020587 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kok, Melanie
Compagner, Astrid
Panneman, Ina
Sprikkelman, Aline
Vlieg-Boerstra, Berber
A Food, a Bite, a Sip: How Much Allergen Is in That?
title A Food, a Bite, a Sip: How Much Allergen Is in That?
title_full A Food, a Bite, a Sip: How Much Allergen Is in That?
title_fullStr A Food, a Bite, a Sip: How Much Allergen Is in That?
title_full_unstemmed A Food, a Bite, a Sip: How Much Allergen Is in That?
title_short A Food, a Bite, a Sip: How Much Allergen Is in That?
title_sort food, a bite, a sip: how much allergen is in that?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7916672/
https://www.ncbi.nlm.nih.gov/pubmed/33578927
http://dx.doi.org/10.3390/nu13020587
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