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Attitudes and preferences of consumers toward food allergy labeling practices by diagnosis of food allergies

  • Ju, Se-young (Department of Food Science and Nutrition, Dankook University) ;
  • Park, Jong-Hwan (Department of Food Science and Nutrition, Yonsei University) ;
  • Kwak, Tong-Kyoung (Department of Food Science and Nutrition, Yonsei University) ;
  • Kim, Kyu-earn (Department of pediatrics, Yonsei University College of Medicine)
  • Received : 2015.03.02
  • Accepted : 2015.05.24
  • Published : 2015.10.01

Abstract

BACKGROUND/OBJECTIVES: The objective of this study was to investigate food allergens and prevalence rates of food allergies, followed by comparison of consumer attitudes and preferences regarding food allergy labeling by diagnosis of food allergies. SUBJECTS/METHODS: A total of 543 individuals living in Seoul and Gyeonggi area participated in the survey from October 15 to 22 in 2013. RESULTS: The results show that the prevalence of doctor-diagnosed food allergies was 17.5%, whereas 6.4% of respondents self-reported food allergies. The most common allergens of doctor-diagnosed and self-reported food allergy respondents were peaches (30.3%) and eggs (33.3%), respectively, followed by peanuts, cow's milk, and crab. Regarding consumer attitudes toward food labeling, checking food allergens as an item was only significantly different between allergic and non-allergic respondents among all five items (P < 0.001). All respondents reported that all six items (bold font, font color, box frame, warning statement, front label, and addition of potential allergens) were necessary for an improved food allergen labeling system. PLSR analysis determined that the doctor-diagnosed group and checking of food allergens were positively correlated, whereas the non-allergy group was more concerned with checking product brands. CONCLUSIONS: An effective food labeling system is very important for health protection of allergic consumers. Additionally, government agencies must develop policies regarding prevalence of food allergies in Korea. Based on this information, the food industry and government agencies should provide clear and accurate food labeling practices for consumers.

Keywords

References

  1. Gupta RS, Springston EE, Warrier MR, Smith B, Kumar R, Pongracic J, Holl JL. The prevalence, severity, and distribution of childhood food allergy in the United States. Pediatrics 2011;128:e9-17. https://doi.org/10.1542/peds.2011-0204
  2. Sicherer SH. Epidemiology of food allergy. J Allergy Clin Immunol 2011;127:594-602. https://doi.org/10.1016/j.jaci.2010.11.044
  3. Rona RJ, Keil T, Summers C, Gislason D, Zuidmeer L, Sodergren E, Sigurdardottir ST, Lindner T, Goldhahn K, Dahlstrom J, McBride D, Madsen C. The prevalence of food allergy: a meta-analysis. J Allergy Clin Immunol 2007;120:638-46. https://doi.org/10.1016/j.jaci.2007.05.026
  4. Soller L, Ben-Shoshan M, Harrington DW, Fragapane J, Joseph L, St Pierre Y, Godefroy SB, La Vieille S, Elliott SJ, Clarke AE. Overall prevalence of self-reported food allergy in Canada. J Allergy Clin Immunol 2012;130:986-8. https://doi.org/10.1016/j.jaci.2012.06.029
  5. Lee AH, Kim KE, Lee KE, Kim SH, Wang TW, Kim KW, Kwak TK. Prevalence of food allergy and perceptions on food allergen labeling in school foodservice among Korean students. Allergy Asthma Respir Dis 2013;1:227-34. https://doi.org/10.4168/aard.2013.1.3.227
  6. Taylor SL, Hefle SL. Food allergies and other food sensitivities. Food Technol 2001;55:68-83.
  7. Sampson HA, Munoz-Furlong A, Campbell RL, Adkinson NF Jr, Bock SA, Branum A, Brown SG, Camargo CA Jr, Cydulka R, Galli SJ, Gidudu J, Gruchalla RS, Harlor AD Jr, Hepner DL, Lewis LM, Lieberman PL, Metcalfe DD, O'Connor R, Muraro A, Rudman A, Schmitt C, Scherrer D, Simons FE, Thomas S, Wood JP, Decker WW. Second symposium on the definition and management of anaphylaxis: summary report--second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. Ann Emerg Med 2006;47:373-80. https://doi.org/10.1016/j.annemergmed.2006.01.018
  8. Lee SY. IgE mediated food allergy in Korean children: focused on plant food allergy. Asia Pac Allergy 2013;3:15-22. https://doi.org/10.5415/apallergy.2013.3.1.15
  9. Gendel SM. Comparison of international food allergen labeling regulations. Regul Toxicol Pharmacol 2012;63:279-85. https://doi.org/10.1016/j.yrtph.2012.04.007
  10. Zurzolo GA, Mathai ML, Koplin JJ, Allen KJ. Precautionary allergen labelling following new labelling practice in Australia. J Paediatr Child Health 2013;49:E306-10. https://doi.org/10.1111/jpc.12138
  11. Van Hengel AJ. Declaration of allergens on the label of food products purchased on the European market. Trends Food Sci Technol 2007;18:96-100. https://doi.org/10.1016/j.tifs.2006.07.012
  12. Lee SY, Kim KW, Ahn K, Kim HH, Pyun BY, Park YM, Kim KE. Consumer's use and satisfaction of allergic food labels. Pediatr Allergy Respir Dis 2011;21:294-301. https://doi.org/10.7581/pard.2011.21.4.294
  13. Cornelisse-Vermaat JR, Voordouw J, Yiakoumaki V, Theodoridis G, Frewer LJ. Food-allergic consumers' labelling preferences: a crosscultural comparison. Eur J Public Health 2008;18:115-20.
  14. Son KY, Park KS, Hwang HH, Yun BS, Lee SJ, Kim MA, Park JY, Kim KE, Jang KC. Prevalence of allergic diseases among primary school children in Ilsan, Gyeonggi and changes of symptoms after environmental control in 2005. Pediatr Allergy Respir Dis 2007;17:384-93.
  15. Ajala AR, Cruz AG, Faria JA, Walter EH, Granato D, Sant' Ana AS. Food allergens: knowledge and practices of food handlers in restaurants. Food Control 2010;21:1318-21. https://doi.org/10.1016/j.foodcont.2010.04.002
  16. Jee HM, Kim KW, Kim CS, Sohn MH, Shin DC, Kim KE. Prevalence of asthma, rhinitis and eczema in Korean children using the International Study of Asthma and Allergies in Childhood (ISAAC) Questionnaires. Pediatr Allergy Respir Dis 2009;19:165-72.
  17. Chung SJ, Heymann H, Grun IU. Application of GPA and PLSR in correlating sensory and chemical data sets. Food Qual Prefer 2003;14:485-95. https://doi.org/10.1016/S0950-3293(03)00010-7
  18. Chung L, Chung SJ. Understanding the factors affecting the acceptance for fermented soybean products. Food Sci Biotechnol 2008;17:144-50.
  19. Gwak MJ, Chung SJ, Kim Y. Sensory drivers of liking for adlay (Coix lacryma-jobi) tea. Korean J Food Cult 2012;27:512-20. https://doi.org/10.7318/KJFC/2012.27.5.512
  20. Azizan KA, Baharum SN, Ressom HW, Noor NM. GC-MS analysis and PLS-DA validation of the trimethyl silyl-derivatization techniques. Am J Appl Sci 2012;9:1124-36. https://doi.org/10.3844/ajassp.2012.1124.1136
  21. Kwak HS, Oh YJ, Kang HB, Kim TH. Descriptive profile and liking/disliking factors for aseptic-packaged rice porridge. J Korean Soc Food Sci Nutr 2013;42:1878-85. https://doi.org/10.3746/jkfn.2013.42.11.1878
  22. Shah SS, Parker CL, Davis CM. Improvement of teacher food allergy knowledge in socioeconomically diverse schools after educational intervention. Clin Pediatr (Phila) 2013;52:812-20. https://doi.org/10.1177/0009922813497425
  23. Seo WH, Jang EY, Han YS, Ahn KM, Jung JT. Management of food allergies in young children at a child care center and hospital in Korean. Pediatr Allergy Respir Dis 2011;21:32-8. https://doi.org/10.7581/pard.2011.21.1.32
  24. Jung YH, Ko H, Kim HY, Seo JH, Kwon JW, Kim BJ, Kim HB, Lee SY, Jang GC, Song DJ, Kim WK, Shim JY, Hong SJ. Prevalence and risk factors of food allergy in preschool children in Seoul. Korean J Asthma Allergy Clin Immunol 2011;31:177-83.
  25. Bock SA, Lee WY, Remigio LK, May CD. Studies of hypersensitivity reactions to foods in infants and children. J Allergy Clin Immunol 1978;62:327-34. https://doi.org/10.1016/0091-6749(78)90132-X
  26. Sloan AE, Powers ME. A perspective on popular perceptions of adverse reactions to foods. J Allergy Clin Immunol 1986;78:127-33. https://doi.org/10.1016/0091-6749(86)90002-3
  27. Burks AW, Jones SM, Boyce JA, Sicherer SH, Wood RA, Assa'ad A, Sampson HA. NIAID-sponsored 2010 guidelines for managing food allergy: applications in the pediatric population. Pediatrics 2011;128:955-65. https://doi.org/10.1542/peds.2011-0539
  28. Zuidmeer L, Goldhahn K, Rona RJ, Gislason D, Madsen C, Summers C, Sodergren E, Dahlstrom J, Lindner T, Sigurdardottir ST, McBride D, Keil T. The prevalence of plant food allergies: a systematic review. J Allergy Clin Immunol 2008;121:1210-1218.e4. https://doi.org/10.1016/j.jaci.2008.02.019
  29. Skypala I. Adverse food reactions--an emerging issue for adults. J Am Diet Assoc 2011;111:1877-91. https://doi.org/10.1016/j.jada.2011.09.001
  30. Rance F, Grandmottet X, Grandjean H. Prevalence and main characteristics of schoolchildren diagnosed with food allergies in France. Clin Exp Allergy 2005;35:167-72. https://doi.org/10.1111/j.1365-2222.2005.02162.x
  31. Wieslander G, Norback D. Buckwheat allergy. Allergy 2001;56:703-4. https://doi.org/10.1034/j.1398-9995.2001.056008703.x

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