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February 9, 2015Segurança Alimentar e NutricionalOpen Access

Assessment of the gluten content in gluten-free labeled foods: comparison of two gluten detection methods

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Key result

The immunochromatographic test demonstrated 90% sensitivity, 98% specificity, and excellent agreement (Kappa 0.89) with the R5-ELISA method for detecting gluten at safe levels in foods labeled gluten-free.

Why the study?

Does the immunochromatographic test reliably detect gluten in gluten-free labeled foods compared to the R5-ELISA method?

Population

70 different commercially available foods in Brazil labeled "gluten-free" or containing naturally…

Comparison

Immunochromatographic test for gluten detection vs R5-ELISA kit for gluten detection

Design

Other

Authors

ÁLÁlvaro Macedo LaureanoTSThemis Reverbel da Silveira

Discussion

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Overview

The immunochromatographic method is a sensitive, inexpensive, and rapid alternative to R5-ELISA for detecting gluten, revealing that over 25% of "gluten-free" labeled foods in Brazil contain detectable gluten.

Study Design

Type

Cross-Sectional (n=70)

Structured PICO

Does the immunochromatographic test reliably detect gluten in gluten-free labeled foods compared to the R5-ELISA method?

P
Population
70 commercially available food products in Brazil labeled as gluten-free, tested to compare two gluten detection methods.
I
Intervention
Immunochromatographic test (Rida® Quick Gliadin) for gluten detection
C
Comparator
R5-ELISA kit (Transia® Plate Prolamins) for gluten detection
O
Outcome
Sensitivity and specificity of the immunochromatographic test compared to R5-ELISA for detecting glutensurrogate

Main Result

Effect estimate: Kappa 0.89

Absolute Event Rate: 27.1% vs 28.6%

p-value: p=1.00

The immunochromatographic method is a sensitive, inexpensive, and rapid alternative to R5-ELISA for detecting gluten, revealing that over 25% of "gluten-free" labeled foods in Brazil contain detectable gluten.

Limitations

  • Limited number of samples analyzed.
  • Use of ethanol extraction instead of the Mendez cocktail may have led to underestimating the gluten content in processed foods.
  • Limited number of samples analyzed
  • Ethanol extraction is not as efficient as the Mendez cocktail and may have led to underestimating the gluten content in processed foods

Cite This Study

Laureano et al. (2015) conducted a cross-sectional in Celiac disease (Gluten-free food analysis) (n=70). Immunochromatographic test vs. R5-ELISA test was evaluated on Agreement between immunochromatographic test and R5-ELISA at a 5 mg/kg gluten detection cutoff (Kappa 0.89, p=1.00). The immunochromatographic test demonstrated 90% sensitivity, 98% specificity, and excellent agreement (Kappa 0.89) with the R5-ELISA method for detecting gluten at safe levels in foods labeled gluten-free.

synapsesocial.com/papers/6a88288c010a27dee476fdeehttps://doi.org/10.20396/san.v17i2.8634794
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Also Consider

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  4. 4Immunochemical Detection Methods for Gluten in Food Products: Where Do We Go from Here?2015 · 34 citations
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