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Tytuł pozycji:

Food Safety and Cross-Contamination of Gluten-Free Products: A Narrative Review.

Tytuł:
Food Safety and Cross-Contamination of Gluten-Free Products: A Narrative Review.
Autorzy:
Wieser H; Independent Researcher, 85354 Freising, Germany.
Segura V; Department of Microbiology and Parasitology, Faculty of Pharmacy, University of Seville, 41012 Seville, Spain.
Ruiz-Carnicer Á; Department of Microbiology and Parasitology, Faculty of Pharmacy, University of Seville, 41012 Seville, Spain.
Sousa C; Department of Microbiology and Parasitology, Faculty of Pharmacy, University of Seville, 41012 Seville, Spain.
Comino I; Department of Microbiology and Parasitology, Faculty of Pharmacy, University of Seville, 41012 Seville, Spain.
Źródło:
Nutrients [Nutrients] 2021 Jun 29; Vol. 13 (7). Date of Electronic Publication: 2021 Jun 29.
Typ publikacji:
Journal Article; Review
Język:
English
Imprint Name(s):
Original Publication: Basel, Switzerland : MDPI Publishing
MeSH Terms:
Diet, Gluten-Free*
Celiac Disease/*diet therapy
Dietary Exposure/*analysis
Food Contamination/*analysis
Glutens/*analysis
Dietary Exposure/prevention & control ; Food Contamination/prevention & control ; Food Safety/methods ; Glutens/adverse effects ; Humans
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Contributed Indexing:
Keywords: celiac disease; dietary adherence; gluten cross-contaminations; gluten-free diet; hidden gluten; oat; vital gluten
Substance Nomenclature:
8002-80-0 (Glutens)
Entry Date(s):
Date Created: 20210702 Date Completed: 20210727 Latest Revision: 20210727
Update Code:
20240105
PubMed Central ID:
PMC8308338
DOI:
10.3390/nu13072244
PMID:
34210037
Czasopismo naukowe
A gluten-free diet (GFD) is currently the only effective treatment for celiac disease (CD); an individual's daily intake of gluten should not exceed 10 mg. However, it is difficult to maintain a strict oral diet for life and at least one-third of patients with CD are exposed to gluten, despite their best efforts at dietary modifications. It has been demonstrated that both natural and certified gluten-free foods can be heavily contaminated with gluten well above the commonly accepted threshold of 20 mg/kg. Moreover, meals from food services such as restaurants, workplaces, and schools remain a significant risk for inadvertent gluten exposure. Other possible sources of gluten are non-certified oat products, numerous composite foods, medications, and cosmetics that unexpectedly contain "hidden" vital gluten, a proteinaceous by-product of wheat starch production. A number of immunochemical assays are commercially available worldwide to detect gluten. Each method has specific features, such as format, sample extraction buffers, extraction time and temperature, characteristics of the antibodies, recognition epitope, and the reference material used for calibration. Due to these differences and a lack of official reference material, the results of gluten quantitation may deviate systematically. In conclusion, incorrect gluten quantitation, improper product labeling, and poor consumer awareness, which results in the inadvertent intake of relatively high amounts of gluten, can be factors that compromise the health of patients with CD.

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