Food label reading habits of mothers of children with IgE-mediated food allergy before and after training

Main Article Content

Mehmet Halil Celiksoy
Kubra Yilmaz
Ozge Turkyilmaz Ucar
Isılay Turan
Ilke Yildirim
Ahmet Sert
Kubra Yirgin

Keywords

food allergy, label, training, education, dietitian

Abstract

Background: One of the most important points in the treatment of food allergies is the avoidance of the culprit allergen. This study aimed to determine whether the training given by a dietitian to mothers of children with IgE-mediated food allergies increased the habit of reading food labels.


Methods: Mothers of children with IgE-mediated food allergies were trained on reading food labels by a dietitian. Then, the mothers’ food label reading habits were measured with a questionnaire form at 3-month intervals before and after the training.


Results: The study included 56 children with IgE-mediated food allergies and their mothers. Thirty-four (60.7%) of the patients were males. The median age was 10 (min–max = 1–52) months. The most common food allergen was eggs, and this allergy was detected in 31 (55.3%) of the patients. The most common systemic involvement was skin, which was seen in all patients (100.0%). Fifty-six mothers of children with IgE-mediated food allergies participated in the study (Median age: 30 years, min–max = 20–45). There were statistically significant differences between the pre- and post-training groups in terms of the answers to the question “What are the things that affect you the most when buying food?” as “Label information on food packaging,” “Do you look at the product label when purchasing food?” as “yes,” “If your answer is “yes,” “Which food group do you look at?” as “milk and dairy products or eggs and products,” and “What do you pay attention to on food labels?” as “allergen information” (P = 0.001,0.001, 0.001,0.001, and 0.001, respectively).


Conclusion: This study concluded that providing training by a dietitian on how to read food labels to mothers of children with IgE-mediated food allergies increases mothers’ awareness of reading the labels.

Abstract 129 | PDF Downloads 96 HTML Downloads 0 XML Downloads 2

References

1. Warren CM, Jiang J, Gupta RS. Epidemiology and burden of food allergy. Curr Allergy Asthma Rep. 2020; 20(2):6. 10.1007/s11882-020-0898-7

2. Sicherer SH, Sampson HA. Food allergy: Epidemiology, pathogenesis, diagnosis, and treatment. J Allergy Clin Immunol. 2014;133(2):291–307. 10.1016/j.jaci.2013.11.020

3. Suaini NHA, Loo EX, Peters RL, Yap GC, Allen KJ, Van Bever H, et al. Children of Asian ethnicity in Australia have higher risk of food allergy and early-onset eczema than those in Singapore. Allergy. 2021;76(10):3171–82. 10.1111/all.14823

4. de Silva R, Karunatilake C, Iddagoda J, Dasanayake D. Food allergy in Sri Lanka-a comparative study. World Allergy Organ J. 2022;15(12):100723. 10.1016/j.waojou.2022.100723

5. Urisu A, Ebisawa M, Mukoyama T, Morikawa A, Kondo N. Japanese guideline for food allergy. Allergology International. 2011;60(2):221–36. 10.2332/allergolint.11-rai-0329

6. Marchisotto MJ, Harada L, Kamdar O, Smith BM, Waserman S, Sicherer S, et al. Food allergen labeling and purchasing habits in the United States and Canada. J Allergy Clin Immunol Pract. 2017;5(2):345–351.e2. 10.1016/j.jaip.2016.09.020

7. Blom WM, Michelsen-Huisman AD, van Os-Medendorp H, van Duijn G, de Zeeuw-Brouwer ML, Versluis A, et al. Accidental food allergy reactions: Products and undeclared ingredients. J Allergy Clin Immunol. 2018;142(3):865–75. 10.1016/j.jaci.2018.04.041

8. Stensgaard A, Bindslev-Jensen C, Nielsen D, Munch M, DunnGalvin A. Quality of life in childhood, adolescence and adult food allergy: Patient and parent perspectives. Clin Exp Allergy. 2017;47(4):530–9. 10.1111/cea.12849

9. Gul F. Determination of food label reading habits and allergen awareness level of adult female consumers. [cited 2025 Jun 23]. Available from: https://acikbilim.yok.gov.tr/handle/20.500.12812/491328

10. Mahan LK, Swift KM. Medical nutrition therapy for adverse reactions to food allergies and intolerance. In: Mahan, LK, Raymond, JL, editors. Krause’s food & the nutrition care process. 14th ed St. Louis, MO: Elsevier. 2017. pp. 479–507.

11. Peters RL, Krawiec M, Koplin JJ, Santos AF. Update on food allergy. Pediatr Allergy Immunol. 2021;32(4):647–57. 10.1111/pai.13443

12. Fleischer DM, Perry TT, Atkins D, Wood RA, Burks AW, Jones SM, et al. Allergic reactions to foods in preschool-aged children in a prospective observational food allergy study. Pediatrics. 2012;130(1):e25–e32. 10.1542/peds.2011-1762

13. Lanser BJ, Wright BL, Orgel KA, Vickery BP, Fleischer DM. Current options for the treatment of food allergy. Pediatr Clin North Am. 2015;62(6):1531–49. 10.1016/j.pcl.2015.07.015

14. Ju SY, Park JH, Kwak TK, Kim KE. Attitudes and preferences of consumers toward food allergy labeling practices by diagnosis of food allergies. Nutr Res Pract. 2015;9(5): 517. 10.4162/nrp.2015.9.5.517

15. Arseven M. Turkey updates regulations for food labelling and nutrition information in line with European Union. Lexology. 2017. [cited 2025 May 09]. Available from: https://www.lexology.com/library/detail.aspx?g=2feeba12-f723-4af5-ba46-f309b1e88ec1

16. Elrahi B, Mehanna Z, Haidar S, Serhan M, Hassan HF. Food allergies and allergens in Lebanon: Characterization and perceptions toward labeling. World Allergy Organ J. 2023;16(2):100743. 10.1016/j.waojou.2023

17. Soogali NB, Soon JM. Food allergies and perceptions towards food allergen labelling in Mauritius. Food Control. 2018;93(10):144–9. 10.1016/j.foodcont.2018.06.012

18. Elsahoryi NA, Alkurd R, Ahmad L, Olaimat AN, Hammad F, Holley R. Food allergy knowledge, attitudes and practices (KAP) among restaurant’s staff in Jordan: A cross-sectional study. Br Food J. 2020;123(9):3056–69. 10.1108/BFJ-06-2020-0522

19. Loerbroks A, Julia Tolksdorf S, Martin W, Smith H. Food allergy knowledge, attitudes and their determinants among restaurant staff: A cross-sectional study. PLoS One. 2019;14(4):e0214625. 10.1371/journal.pone.0214625

20. Meyer R. Nutritional disorders resulting from food allergy in children. Pediatr Allergy Immunol. 2018;29(7):689–704. 10.1111/pai.12960

21. Collinson A, Waddell L, Freeman-Hughes A, Hickson M. Impact of a dietitian in general practice: Paediatric food allergy. J Hum Nutr Diet. 2023;36(3):707–15. 10.1111/jhn.13130

22. Doğan S, Severcan EU, Özer M, Ertuğrul A. Habits and perspectives on reading allergy food labels of parents of children with food allergies. Pediatr Allergy Immunol Pulmonol. 2023;36(3):104–9. 10.1089/ped.2023.0037