Reducing the incidence of allergy and intolerance to cereals

This paper reviews studies on allergy, intolerance and sensitivity to cereals, especially to wheat, barley, rye, maize, rice and oats with regard to reducing their incidences. Prevalence of allergy to cereals is generally low; prevalence of other cereal-related diseases are highest for wheat and lowest for oats. Compared to the other cereals, wheat (and its components wheat starch and vital gluten) are most abundantly applied in a broad range of food products world-wide, which justifies the major focus of this review on wheat. Current knowledge on diagnosis of the cereal-related diseases and on detection and characterization of the relevant proteins is discussed in the context of the development of prevention strategies. Aiming at their design and implementation, such strategies require building of knowledge frameworks at the primary, secondary and tertiary prevention levels. In this regard, selection and breeding of low-allergenic/low-intoleragenic crop varieties, application of processing and technological approaches, and the introduction of alternative safe cereal crops is discussed. Sustainable reduction of immune-related diseases in general (including cereal allergies and intolerances) is discussed with regard to eating habits and lifestyle factors, human genetic and physiological characteristics, and the role of the intestinal micro-flora.