|
02 Features
Cereal Foods World, Vol. 64, No. 5
DOI: https://doi.org/10.1094/CFW-64-5-0051
Print To PDF
DisplayTitle Wheat and Gluten: Impacts of a Food Trend that Ripples Around the World1
Authors Bruna Mattioni,2 Michael Tilley,3,4 Katharina A. Scherf,5 and Patricia M. Scheuer6
Affiliations
This article is in the public domain and not copyrightable. It may be freely reprinted with customary crediting of the source. AACC International, Inc., 2019.
Abstract
CFWAbstract Celiac disease affects approximately 1% of the global population, and there are considerable differences among countries due to a combination of cultural and genetic factors. The only treatment for celiac disease is adherence to a gluten-free diet and avoidance of foods made from or containing ingredients derived from wheat, rye, and barley. According to the Codex Alimentarius, foods that contain <20 mg of gluten/kg should be labeled as gluten-free; those containing >20 and up to 100 mg of gluten/kg should be labeled as reduced gluten content; and those containing >100 mg of gluten/kg should be labeled as containing gluten. Most countries have accepted the limits specified in the Codex Alimentarius; however, labeling requirements for food products vary considerably. For countries in the European Union, it is mandatory to label all food products regarding the presence of gluten, whereas labeling is voluntary in the United States. Regulations in South and Central America range from strict labeling laws to no rules. Legislation and current issues in the European Union, United States, and Central and South America are reviewed in this article.
Trying to reach content?
View Full Article
if you don't have access, become a member
References References
- Abadie, V., Sollid, L. M., Barreiro, L. B., and Jabri, B. Integration of genetic and immunological insights into a model of celiac disease pathogenesis. Annu. Rev. Immunol. 29:493, 2011.
- Asociacion Celiaca Argentina. Leyes nacional. Published online at www.celiaco.org.ar/index.php/legislacion. Asociacion Celiaca Argentina, Buenos Aires, Argentina, 2019.
- Bach, J.-F. The hygiene hypothesis in autoimmunity: The role of pathogens and commensals. Nat. Rev. Immunol. 18:105, 2018.
- Catassi, C., Alaedini, A., Bojarski, C., Bonaz, B., Bouma, G., et al. The overlapping area of non-celiac gluten sensitivity (NCGS) and wheat-sensitive irritable bowel syndrome (IBS): An update. Nutrients 9:1268, 2017.
- Catassi, C., Fabiani, E., Iacono, G., D’Agate, C., Francavilla, R., et al. A prospective, double-blind, placebo-controlled trial to establish a safe gluten threshold for patients with celiac disease. Am. J. Clin. Nutr. 85:160, 2007.
- Centro de Difusión de la Celiaquía. Comunion de los celiacos. Published online at www.cedice.com.ar/legislacion/iglesia/pact89-78.pdf. Centro de Difusión de la Celiaquía, Buenos Aires, Argentina, 1995.
- Codex Alimentarius Commission. Standard for foods for special dietary use for persons intolerant to gluten. Codex Standard 118-1979. In: Codex Alimentarius International Food Standards. FAO/WHO, Rome, Italy, 2015.
- Congreso de la Nacion Paraguaya. Lei No. 3.109, de 15 de dezembro de 2006. Adota o símbolo internacional de produtos alimentícios “sem glúten” direcionado para doentes celíacos e arbitra medidas de uso e controle do mesmo. Published online at www.cedice.com.ar/jweb/index.php/legislacion/38-internacional/paraguay. Government of Paraguay, Asunción, 2006.
- Congreso de la Nacion Paraguaya. Ley No. 6072. Establece Medidas de Control de Productos sin Gluten. Published online at www.bacn.gov.py/leyes-paraguayas/8495/ley-n-6072-establece-medidas-de-control-de-productos-sin-gluten. Government of Paraguay, Asunción, 2018.
- Corporación de Apoyo al Celíaco. Normativa Chilena para alimentos exentos de gluten. Published online at www.coacel.cl/normativa-chilena-para-alimentos-exentos-de-gluten. COACEL, Santiago, Chile, 2019.
- El Organo Ejecutivo en el Ramo de Economia. Acuerdo No. 480, 10 de julio de 2000. Published online at http://extwprlegs1.fao.org/docs/pdf/els27204.pdf. Government of El Salvador, San Salvador, 2000.
- European Commission. Regulation (EU) No 1169/2011 of the European Parliament and of the Council of 25 October 2011 on the provision of food information to consumers. Off. J. Eur. Union 304:18, 2011.
- Federal Government of Brazil. Lei No. 8.543, de 23 de dezembro de 1992. Determina a impressão de advertência em rótulos e embalagens de alimentos industrializados que contenham glúten, a fim de evitar a doença celíaca ou síndrome celíaca. Diário Oficial da União – Seção 1 – 24/12/1992, Página 18011 (publicação original)—Página 3242 in: Coleção de Leis do Brasil – 1992, vol. 12 (publicação original). Federal Government of Brazil, Brasilia, 1992.
- Federal Government of Brazil. Lei No. 10.674, de 16 de maio de 2003. Obriga a que os produtos alimentícios comercializados informem sobre a presença de glúten, como medida preventiva e de controle da doenca celıaca. Diario Oficial da Uniao, Brasılia. Federal Government of Brazil, Brasilia, 2003.
- Federal Government of Brazil. RDC No. 137, de 29 de maio de 2003. O registro/renovação de registro de medicamentos pertencentes às classes/princípios ativos relacionadas em ANEXO, só serão autorizados se as bulas e embalagens contiverem a advertência pertinente, conforme relação anexa. Diario Oficial da Uniao, Brasılia. Federal Government of Brazil, Brasilia, 2003.
- Federal Government of Brazil. Resolução Federal No. 460 de 08 de novembro de 2012. Ministério da Saúde: Que cria o Comitê Técnico Intersetorial de Atenção Integral às Pessoas Celíacas, que tem como objetivo elaborar, planejar, monitorar e avaliar a “Política Intersetorial de Atenção Integral para Pessoas Celíacas.” Published online at http://bvsms.saude.gov.br/bvs/saudelegis/cns/2012/res0460_08_11_2012.html. Federal Government of Brazil, Brasilia, 2012.
- Fundacao Celiaca da Venezuela. Leyes y Normas Sobre Límites y Etiquetado de Productos Aptos para Celíacos. Available online at www.celiacosvenezuela.org.ve/inicio/fcv/leyes-y-etiquetado. Fundacao Celiaca da Venezuela, Caracas, Venezuela, 2017.
- Government of Colombia. Lei No. 100, de 23 de dezembro de 1993. Published online at https://docs.supersalud.gov.co/PortalWeb/Juridica/Leyes/L0100_93.pdf. Government of Colombia, Bogotá, 1993.
- Government of Uruguay. Lei No. 16.096, de 26 de outubro de 1989. Enfermidade Celíaca. Published online at https://legislativo.parlamento.gub.uy/temporales/leytemp6644379.htm. Government of Uruguay, Montevideo, 1989.
- Guillot, C. C. Enfermedad celíaca en Cuba y sus cuarenta anos de experiências y realidades para su dianóstico. Rev. Cubana Pediatr. 88:4, 2016.
- Instituto Nacional de Metrologia, Qualidade e Tecnologia. History of the Codex Alimentarius Committee of Brazil – CCAB. Published online at www.inmetro.gov.br/qualidade/comites/codex_ccab.asp. Federal Government of Brazil, Brasilia, 2012.
- Instituto Nacional de Vigilancia de Medicamentos y Alimentos. ACTA No. 05/2012 de 26 de julho de 2012. Comisión Revisora – Sala Especializada de Alimentos y Bebidas Alcohólicas – SEABA. Available online at www.invima.gov.co/images/pdf/salas-especializadas/bebidas-alimentos/2012/ACTA%2005%2012.pdf. Invima, Bogotá, Columbia, 2012.
- Korponay-Szabó, I. R., Troncone, R., and Discepolo, V. Adaptive diagnosis of coeliac disease. Best Pract. Res. Clin. Gastroenterol. 29:381, 2015.
- Ludvigsson, J. F., Leffler, D. A., Bai, J. A., Biagi, F., Fasano, A., et al. The Oslo definitions for coeliac disease and related terms. Gut 62:43, 2013.
- Ministério da Saúde. Argentina Resolução Federal No. 102 de 02 de fevereiro de 2011. Ministério da Saúde: Investigação através do marcador sérico IgA para a detecção de doença celíaca foi aprovada e incorporada ao programa médico compulsório. Published online at www.msal.gob.ar/celiacos/pdf/resolucion_102-2011.pdf. Ministério da Saúde, Buenos Aires, Argentina, 2011.
- Ministerio de Salud. DTO No. 977/96, de 13 de maio de 1997. Reglamento Sanitario de Los Alimentos. Published online at https://dipol.minsal.cl/wp-content/uploads/2019/04/DECRETO_977_96_2019.pdf. Ministerio de Salud, Santiago, Chile, 1997.
- Ministerio de Salud. DTO No. 134/14, de 14 de janeiro de 2015. Modifica Decreto No. 977, de 1996. Reglamento Sanitario de Los Alimentos. Published online at www.leychile.cl/Navegar?idNorma=1073472&idVersion=2015-07-13. Ministerio de Salud, Santiago, Chile, 2015.
- Ministerio de Salud y Desarrollo Social. Salud Publica. Lei No. 26.588, de 29 de dezembro de 2009. Declara ser de interesse nacional os cuidados médicos, a pesquisa clínica e epidemiológica, o treinamento profissional em detecção precoce, o diagnóstico e o tratamento da doença celíaca. Published online at www.msal.gob.ar/celiacos/pdf/ley-26588.pdf. Government of Argentina, Buenos Aires, 2009.
- Ministerio de Salud y Desarrollo Social. Resolución Conjunta No. 131 y 414, de 8 de julho de 2011. Modifica a lei 26.588 e o artigo 1383 do Código Alimentario Argentino. Published online at www.msal.gob.ar/celiacos/pdf/resolucion-conjunta_131y414-2011.pdf. Government of Argentina, Buenos Aires, 2011.
- Ministério de Salud y Proteccíon Social. Resolução Federal No. 5.109 de 29 de dezembro de 2005. Published online at www.invima.gov.co%2Fresoluciones-en-alimentos%2Fresolucion-005109-2005-pdf%2Fdownload.html&usg=AOvVaw2A2JJEYMgKDvJ5Q-GVtPRV. Government of Colombia, Bogotá, 2005.
- Nwaru, B. I., Hickstein, L., Panesar, S. S., Roberts, G., Muraro, A., Sheikh, A., and the EAACI Food Allergy and Anaphylaxis Guidelines Group. Prevalence of common food allergies in Europe: A systematic review and meta-analysis. Allergy 69:992, 2014.
- Plugis, N. M., and Khosla, C. Therapeutic approaches for celiac disease. Best Pract. Res. Clin. Gastroenterol. 29:503, 2015.
- Rishi, A. R., Rubio-Tapia, A., and Murray, J. A. Refractory celiac disease. Exp. Rev. Gastroenterol. Hepatol. 10:537, 2016.
- Scherf, K. A. Immunoreactive cereal proteins in wheat allergy, non-celiac gluten/wheat sensitivity (NCGS) and celiac disease. Curr. Opin. Food Sci. 25:35, 2019.
- Scherf, K. A., Brockow, K., Biedermann, T., Koehler, P., and Wieser, H. Wheat-dependent exercise-induced anaphylaxis. Clin. Exp. Allergy 46:10, 2016.
- Secretaria de Gobierno de Salud. Programa Nacional de Detección y Control de Enfermedad Celíaca – Legislacion Vigente. Published online at www.msal.gob.ar/celiacos/w-legislacion.html. Government of Argentina, Buenos Aires, 2019.
- Secretaría de Salud Estados Unidos Mexicanos. Norma Oficial Mexicana NOM-247-SSA1-2008, Productos y servicios. Cereales y sus productos. Cereales, harinas de cereales, sémolas o semolinas. Alimentos a base de: Cereales, semillas comestibles, de harinas, sémolas o semolinas o sus mezclas. Productos de panificación. Disposiciones y especificaciones sanitarias y nutrimentales. Métodos de prueba. Published online at http://depa.fquim.unam.mx/amyd/archivero/NOMcereales_12434.pdf. Government of Mexico, Mexico City, 2008.
- Singh, P., Arora, A., Strand, T. A., Leffler, D. A., Catassi, C., Green, P. H., Kelly, C. P., Ahuja, V., and Makharia, G. K. Global prevalence of celiac disease: Systematic review and meta-analysis. Clin. Gastroenterol. Hepatol. 16:823, 2018.
- Sistema Costa Riquenho de Informação Jurídica. Oficializa la Norma Nacional de Atención a Personas con Enfermedad Celiaca No. 38514-S. Published online at www.pgrweb.go.cr/scij/Busqueda/Normativa/Normas/nrm_texto_completo.aspx?param1=NRTC&nValor1=1&nValor2=77640&nValor3=97433&strTipM=TC. Government of Costa Rica, San José, 2014.
- Tatham, A. S., and Shewry, P. R. Allergens in wheat and related cereals. Clin. Exp. Allergy 38:1712, 2008.
- Transparencia Venezuela. Ley de protección a celiacos obliga etiquetar productos. Published online at https://transparencia.org.ve/ley-de-proteccion-a-celiacos-obliga-etiquetar-productos. Transparencia Venezuela, Caracas, 2016.
- Turnbull, J. L., Adams, H. N., and Gorard, D. A. Review article: The diagnosis and management of food allergy and food intolerances. Aliment. Pharmacol. Ther. 41:3, 2015.
- U.S. Food and Drug Administration, Center for Food Safety and Applied Nutrition. Food Allergen Labeling and Consumer Protection Act of 2004 (Public Law 108-282, Title II). Available online at www.fda.gov/food/food-allergensgluten-free-guidance-documents-regulatory-information/food-allergen-labeling-and-consumer-protection-act-2004-falcpa. FDA, Silver Springs, MD, 2018.
- U.S. Food and Drug Administration, Department of Health and Human Services. 21 CFR, Part 101. Food labeling; Gluten-free labeling of foods; Final rule. Document 78 FR 47154. Fed. Reg. 78:47154, 2013.
- Zevallos, V. F., Raker, V., Tenzer, S., Jimenez-Calvente, C., Ashfaq-Khan, M., Rüssel, N., Pickert, G., Schild, H., Steinbrink, K., and Schuppan, D. Nutritional wheat amylase-trypsin inhibitors promote intestinal inflammation via activation of myeloid cells. Gastroenterology 152:1100, 2017.
- Zhang, J., Barbosa Portela, S., Horrell, J. B., Leung, A., Weitmann, D. R., et al. An integrated, accurate, rapid, and economical handheld consumer gluten detector. Food Chem. 275:446, 2019.
- Zion Market Research. Gluten-free product market by product (bakery products, pasta & pizza, snacks & RTE meals, baby food, condiments & dressings, and other) and by distribution channel (business to business [hospitality services, hotels & restaurants, and online channel] and business to consumer [supermarket/hypermarket, conventional stores, specialty services, and online channel]): Global industry perspective, comprehensive analysis, and forecast, 2017–2024. Available online at www.zionmarketresearch.com/report/gluten-free-product-market. Zion Market Research, New York, NY, 2018.
|