A importância de informações de qualidade e rotulagem nutricional assertiva na promoção de qualidade de vida para indivíduos com restrições alimentares: revisão sistemática

Alana Marcelino Ribeiro Freitas; Manoel Soares Soares Júnior; Márcio Caliari

doi:10.52521/nutrivisa.v12i1.15468

Authors

Alana Marcelino Ribeiro Freitas Universidade Federal de Goiás / Escola de Agronomia / Goiânia, Goiás, Brasil https://orcid.org/0000-0003-4529-7840
Manoel Soares Soares Júnior Universidade Federal de Goiás / Escola de Agronomia / Goiânia, Goiás, Brasil https://orcid.org/0000-0002-0877-8250
Márcio Caliari Universidade Federal de Goiás / Escola de Agronomia / Goiânia, Goiás, Brasil https://orcid.org/0000-0002-0877-8250

DOI:

https://doi.org/10.52521/nutrivisa.v12i1.15468

Keywords:

food hypersensitivity; food intolerance; psychological stress; food labeling.]

Abstract

Food restrictions have a significant impact on physical and mental health, as well as on the quality of life of individuals, potentially causing issues ranging from gastrointestinal discomfort to severe reactions. The lack of accurate diagnosis, adequate information, and clear nutritional labeling contributes to the increase in health problems and emotional impacts associated with these restrictions. The objective was to synthesize scientific evidence on the impact of food restrictions on the quality of life of individuals and their families and to demonstrate how the implementation of accessible information and clear nutritional labeling can minimize the challenges faced by these individuals. This is a systematic literature review conducted with studies from the past five years, using the descriptors: “food intolerance,” “anxiety,” “food hypersensitivity,” and “health promotion.” The strict exclusion of allergenic foods improves the clinical conditions of individuals with allergies and other conditions; however, such food restrictions also generate anxiety, depression, and emotional challenges for both the affected individuals and their families. The lack of clear information about ingredients and negligence regarding cross-contamination can increase the risks of adverse reactions to food. Currently, in Brazil, there are guidelines and regulations that indicate good practices for food production and packaging directed at this group, but those that impose mandatory requirements are still insufficient to meet the demand. A multidisciplinary approach, with psychological support and regulations requiring clear nutritional labeling and training for food handlers, is essential to promote autonomy and safety for affected individuals.

References

ADAMS, T.B.; WHARTON, C.M.; QUILTER, L.; HIRSCH, T. The Association Between Mental Health and Acute Infectious Illness Among a National Sample of 18 - to 24-Year-Old College Students. Journal of American College Health. v.56, 6, 2008. doi: https://doi.org/10.3200/jach.56.6.657-664

ALGERA, J.P.; STRORSRUD, S.; LINDSTROM, A.; SIMRÉM, M.; TORNBLOM, H. Gluten and fructan intake and their associations with gastrointestinal symptoms in irritable bowel syndrome: A food diary study. Clinical Nutrition. v.40, 1, 2021. https://doi.org/10.1016/j.clnu.2021.09.002

ANVISA. Agência Nacional de Vigilância Sanitária. Resolução RDC nº 727, de 1/07/2022. Dispõe sobre a rotulagem dos alimentos embalados. 2022.

AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA. Guia sobre Programa de Controle de Alergênicos. v. 2, 2018.

BRASIL. MINISTÉRIO DA SAÚDE. Lei nº 10.674, de 16/05/2003.Obriga a que os produtos alimentícios comercializados informem sobre a presença de glúten, como medida preventiva e de controle da doença celíaca. 2003.

CHEN, J.; SPLEEN, A.; ADKINS, A. E.; DICK, D.M.; WARREN, C.M.; MOUNTCASTLE, S.B. Self-reported Food Allergy and Intolerance among College Undergraduates: Associations with Anxiety and Depressive Symptoms. Journal of College Student Psychotherapy. v.36, 1, 2022. doi: https://doi.org/10.1080/87568225.2020.1753610

COBURN, S.; GERMONE, M.; MCGARVA, J.; TAFR T. Psychological Considerations for Food Intolerances. Gastroenterologt Clinics of North America. v.51, 1, 2022. doi: https://doi.org/10.1016/j.gtc.2022.07.003

FERRO, M.A.; LIESHOUT, R.J.V.; SCOTT, J.G.; ALATI, R.; MAMUN, A.A.; DINGLE, K. Condition-specific associations of symptoms of depression and anxiety in adolescents and young adults with asthma and food allergy. Journal of Asthma. v.53, 3, 2016. doi: https://doi.org/10.3109/02770903.2015.1104694

FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS. Codex Alimentarius – Food Hygiene Basic Texts. p.1-136,2009.

FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS. FAO CXC 80 – 2020: Codex Alimentarius - Code of pratice on food allergen management for food bussiness operators. p. 1-20, 2020.

GREENHWAT, M. Food allergy quality of life and living with food allergy. Current Opinion in Allergy Clinical Immunology. v. 16, 3, 2016. doi: https://doi.org/10.1097/aci.0000000000000271

GUPTA, R. S.; WARREN, C. M.; SMITH, B. M.; JIALING JIANG, B.A.; BLUMENSTOCK, J. A.; DAVIS, M.M.; SCHLEIMER, R.P.; NADEAU, K.C. Prevalence and Severity of Food Allergies Among US Adults. Open Acess Medical Research and Commentary. v.2, 1, 2019. doi: https://doi.org/10.1001/jamanetworkopen.2018.5630

HEBERT, L.; DAHLQUIST, L.M. Perceived History of Anaphylaxis and Parental Overprotection, Autonomy, Anxiety, and Depression in Food Allergic Young Adults. Journal of Clinical Psychology in Medical Settings. v. 15, 1, 2008. doi: http://dx.doi.org/10.1007/s10880-008-9130-y

HEBERT, L.; SHEMESH, E.; BENDER, B. Clinical management of psychosocial concerns related to food allergy. The Journal of Allergy and Clinical Immunology: In Practice. v.4, 2, 2016. doi: https://doi.org/10.1016/j.jaip.2015.10.016

IZQUIERDO-GARCÍA, E.; ESCOBAR-RODRÍGUEZ, I.; MORENO-VILLARES, J.M.; IGLESIAS-PEINADO, I. Social and health care needs in patients with hereditary fructose intolerance in Spain. Endocrinología, Diabetes y Nutrición. v.67, 4, 2020. https://doi.org/10.1016/j.endinu.2019.06.005

JANSSON-KNODELL, C. L.; WHITE, M.; LOCKETT, C.; XU, H.; SHIN, A. Associations of Food Intolerance with Irritable Bowel Syndrome, Psychological Symptoms, and Quality of Life. Clinical Gastroenterology and Hepatology. v.20, 1, 2021. doi: https://doi.org/10.1016/j.cgh.2021.12.021

LÓPEZ-CALVO, R.; HIDALGO-VIQUEZ, C.; MORA-VILLALOBOS, V.; GONZÁLEZ-VARGAS, M.; ALVARADO, R,; PEÑA-VÁSQUEZ, M.; BARBOZA, M.; REDONDO-SOLANO, M. Analysis of knowledge, attitude, and practices (KAP) regarding food allergies in social network users in Costa Rica. Food Control. v.138, 1, 2022. doi: https://doi.org/10.1016/j.foodcont.2022.109031

LIU, J.; GUO, S.; WANG, Y.; HUANG, N.; LI, W.; MA, D.; YANG, Y.; CHEN, H.; ZHU, R. A survey on prevalence and parents’ perceptions of food allergy in 3- to 16-year-old children in Wuhan, China. World Allergy Organization Journal. v.17, 1, 2024. doi: https://doi.org/10.1016/j.waojou.2024.100883

MCLAUGHLIN, A.M.; MACAULAY, T.; PETERSON, C.C. College students’ knowledge and management of food allergies. JamCollHealth. v.1, 5, 2020. doi: https://doi.org/10.1080/07448481.2019.1705832

MOLZON, E.S.; HULLMANN, S.E.; ANGELICA, R.E.; MULLINS, L.L. Depression, Anxiety, and Health-Related Quality of Life in Adolescents and Young Adults With Allergies and Asthma. Journal of Asthma & Allergy Educators. v.2, 6, 2016. doi: http://dx.doi.org/10.1177/2150129711416501

PAGE, M.; MOHER, D.; BOSSUYT, P.M.; BOUTRON, I.; HOFFMANN, T.C.; MULROW, C.D.; SHAMSEER, L.; TETZLAFF, J. M.; AKL, E.A.; BRENNAN, S.E.; CHOU, R.; GLANVILLE, J.; GRIMSHAW, J.M.; HRÓBJARTSSON, A.; LALU, M.M.; LI, T.; LODER, E.W.; MAYO-WILSON, E.; MCDONALD, S.; MCGUINNESS, L.A.; STEWART, L.A.; THOMAS, J.; TRICCO,A.C.; WELCH, V.A.; WHITING, P.; MCKENZIE, J.E. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. British Medical Journal. v.372, 160, 2021. doi: https://doi.org/10.1136/bmj.n160

PETRILLO, A.; HUGHES, L.D.; MCGUINNESS, S.; ROBERTS, D.; GODFREY, E. A systematic review of psychological, clinical and psychosocial correlates of perceived food intolerance. JpsychosomRes. v.14, 1, 2021. doi: https://doi.org/10.1016/j.jpsychores.2020.110344

REJ, A.; SANDERS, S.S.D.; SHAW, C.C..; BUCKLE, R.; TROTT, N.; AGRAWAL, A.; AZIZ, I.Efficacy and Acceptability of Dietary Therapies in Non-Constipated Irritable Bowel Syndrome: A Randomized Trial of Traditional Dietary Advice, the Low FODMAP Diet, and the Gluten-Free Diet. Clinical Gastroenterology and Hepatology, v.20, 12, 2022. doi: https://doi.org/10.1016/j.cgh.2022.02.045

SOLÉ, D.; SILVA, L.R.; COCCO, R.R.; FERREIRA, C.T.; SARNI, R.O.; OLIVEIRA, L.C. PASTORINO, A.C.; WEFFORT, V.; MORAIS, M.B.; BARRETO, B.P.; OLIVEIRA, J.C.; CASTRO, A.P.M.; FRANCO, J.M.; NETO, H.J.C.; ROSÁRIO, N.A.; ALONSO, M.L.O.; SARINHO, E.C.; YANG, A.; MARANHAO, H.; TOPOROVSKI, M.S.; EPIFANIO, M.; WANDALSEN, N.F.; RUBINI, N.M. Consenso Brasileiro sobre Alergia Alimentar: 2018 - Parte 1 - Etiopatogenia, clínica e diagnóstico. Documento conjunto elaborado pela Sociedade Brasileira de Pediatria e Associação Brasileira de Alergia e Imunologia. Arquivos de Arma, Alergia e Imunologia. v.1, p.7-38, 2018.

SOÓS, G.; BIACS, P.A. The role of product-related information and factors impacting consumer attitudes during health-conscious food purchase in Hungary. SagricEcon. v.120, 1, 2018. doi: http://dx.doi.org/10.7896/j.1716

SOÓS, G.; LUGASI, A. Consumer attitude research regarding food hypersensitivity. International International Journal of Gastronomy and Food Science, v.36, 1, 2024. doi: http://dx.doi.org/10.1016/j.ijgfs.2024.100918

ÚBEDA, F.; SANTANDER, S.; LUESMA, M.J. Clinical Practice Guidelines for the Diagnosis and Management of Hereditary Fructose Intolerance. Diseases. v.12, 44, 2024. doi: https://doi.org/10.3390/diseases12030044

VELÁZQUEZ, A.L.; VIDAL, L.; ANTÚNEZ, L.; ALCAIRE, F.; VARELA, P.; ARES, G. Children’s reaction to sugar reduced dairy desserts in the context of the implementation of nutritional warning labels: An exploratory study. Food Research International. v. 170, 1, 2023. doi: https://doi.org/10.1016/j.foodres.2023.113001

VICENT, R.; BILAVER, L.A.; FIERSTEIN, J.L.; THIVALAPILL, N.; PAPPALARDO, A.A.; COLEMAN, A.; ROBINSON, A.; SHARMA, H.P.; BREWER, A.; ASSA’AD, A.H.; JIANG, J.; HULTQUIST, H.W.; KULKARNI, A.J.; CHOI, J.; MAHDAVINIA, M.; PONGRACIC, J.; TOBIN, M.C.; WARREN, C.; GUPTA,R.S. Associations of Food Allergy-Related Dietary Knowledge, Attitudes, and Behaviors Among Caregivers of Black and White Children With Food Allergy. Journal of the Academy Nutrition and Dietetics. v.122, 4, 2022. doi: https://doi.org/10.1016/j.jand.2021.11.017

WARREN, C.M.; OTTO, A.K.; WALKNER, M.M.; GUPTA, R.S. Quality of Life Among Food Allergic Patients and Their Caregivers. Current Allergy Asthma Reports. v. 16, 38, 2016. doi: https://doi.org/10.1007/s11882-016-0614-9

WINTEROVÁ, R.; BARTOSKOVÁ, M.P.; KEJÍK, Z.; RYSOVÁ, J.; LAKNEROVÁ, I.; URBAN, M.; SMÍDOVÁ, Z. Food allergies and intolerances - A review. Czech Journal of Food Sciences. v. 39, 5, 2021. doi: https://doi.org/10.17221/151/2020-CJFS

ZIGICH, S.; HEUBERGER, R. The relationship of food intolerance and irritable bowel syndrome in adults. Gastroenterology Nursing. v.36, 4, 2013. doi: https://doi.org/10.1097/sga.0b013e31829ed911