{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T11:31:07Z","timestamp":1773315067791,"version":"3.50.1"},"reference-count":30,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2018,9,10]],"date-time":"2018-09-10T00:00:00Z","timestamp":1536537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005668","name":"Funda\u00e7\u00e3o de Apoio \u00e0 Pesquisa do Distrito Federal","doi-asserted-by":"publisher","award":["0193.000982\/2015"],"award-info":[{"award-number":["0193.000982\/2015"]}],"id":[{"id":"10.13039\/501100005668","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Gluten cross-contamination in gluten-free food may jeopardize treatment of celiac patients. Considering the deficit of appropriate instruments to enable the implementation of safe production practices for gluten-free food, this study aimed to evaluate the application of a check-list elaborated for gluten cross-contamination prevention in food services. The instrument was applied in 60 Brazilian food services. Interobserver reproducibility and internal consistency of the check-list were tested. A score classification was created for establishments according to the food contamination risk assessment. Subsequent to the application and statistical analysis, the original instrument was reduced to a 30-item check-list. In the reproducibility analysis, none of the 30 items showed significant divergence among the evaluators (p &gt; 0.05 in the Cochran Q test). The 30-item version of the check-list presented Kuder\u2013Richardson Formula 20 (KR-20) = 0.771, indicating good internal consistency. The proposed classification score is obtained by adding 1 point for each item with an \u201cadequate\u201d response; therefore, the final score may vary between 0 and 30 points. Establishments with up to 15 points exhibit risk of gluten contamination, while establishments with a score above 16 points exhibit low risk of contamination. The check-list displayed good reproducibility and internal consistency, suggesting that it could be a useful gluten contamination control instrument in food services.<\/jats:p>","DOI":"10.3390\/nu10091274","type":"journal-article","created":{"date-parts":[[2018,9,10]],"date-time":"2018-09-10T10:28:57Z","timestamp":1536575337000},"page":"1274","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Gluten-Free Diet: From Development to Assessment of a Check-List Designed for the Prevention of Gluten Cross-Contamination in Food Services"],"prefix":"10.3390","volume":"10","author":[{"given":"Priscila","family":"Farage","sequence":"first","affiliation":[{"name":"Department of Nutrition, School of Health Sciences, University of Brasilia (UnB), Campus Darcy Ribeiro, Asa Norte, Brasilia DF 70910-900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0370-3089","authenticated-orcid":false,"given":"Renata","family":"Puppin Zandonadi","sequence":"additional","affiliation":[{"name":"Department of Nutrition, School of Health Sciences, University of Brasilia (UnB), Campus Darcy Ribeiro, Asa Norte, Brasilia DF 70910-900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ver\u00f4nica","family":"Cortez Ginani","sequence":"additional","affiliation":[{"name":"Department of Nutrition, School of Health Sciences, University of Brasilia (UnB), Campus Darcy Ribeiro, Asa Norte, Brasilia DF 70910-900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lenora","family":"Gandolfi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Brasilia (UnB), Campus Darcy Ribeiro, Asa Norte, Brasilia DF 70910-900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9071-8512","authenticated-orcid":false,"given":"Eduardo","family":"Yoshio Nakano","sequence":"additional","affiliation":[{"name":"Department of Statistics, Central Institute of Sciences, University of Brasilia (UnB), Campus Darcy Ribeiro, Asa Norte, Brasilia DF 70910-900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Pratesi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Brasilia (UnB), Campus Darcy Ribeiro, Asa Norte, Brasilia DF 70910-900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2018,9,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Sapone, A., Bai, J.C., Ciacci, C., Dolinsek, J., Green, P.H.R., Hadjivassiliou, M., Kaukinen, K., Rostami, K., Sanders, D.S., and Schumann, M. (2012). Spectrum of gluten-related disorders: Consensus on new nomenclature and classification. BMC Med., 10.","DOI":"10.1186\/1741-7015-10-13"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1159\/000369536","article-title":"Novel treatments for celiac disease: Glutenases and beyond","volume":"33","author":"Kaukinen","year":"2015","journal-title":"Dig. Dis."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Verma, A.K., Gatti, S., Galeazzi, T., Monachesi, C., Padella, L., Del Baldo, G., Annibali, R., Lionetti, E., and Catassi, C. (2017). Gluten contamination in naturally or labeled gluten-free products marketed in Italy. Nutrients, 9.","DOI":"10.3390\/nu9020115"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e227","DOI":"10.1016\/j.eclnm.2011.08.001","article-title":"Awareness of gluten-related disorders: A survey of the general public, chefs and patients","volume":"6","author":"Simpson","year":"2011","journal-title":"Spen Eur. J. Clin. Nutr. Metab."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1590\/S1415-52732010000300014","article-title":"Doen\u00e7a cel\u00edaca, h\u00e1bitos e pr\u00e1ticas alimentares e qualidade de vida","volume":"23","author":"Botelho","year":"2010","journal-title":"Rev. Nutr."},{"key":"ref_6","unstructured":"Bicudo, M.O.P. (2010). Avalia\u00e7\u00e3o da presen\u00e7a de gl\u00faten em produtos panificados para cel\u00edacos: Estudo de caso, Universidade Federal do Paran\u00e1."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Hollon, J.R., Cureton, P.A., Martin, M.L., Puppa, E.L.L., and Fasano, A. (2013). Trace gluten contamination may play a role in mucosal and clinical recovery in a subgroup of diet-adherent non-responsive celiac disease patients. BMC Gastroenterol., 13.","DOI":"10.1186\/1471-230X-13-40"},{"key":"ref_8","unstructured":"Codex Alimentarius Comission (2008). Draft Revised Standard for Foods for Special Dietary Use for Persons Intolerant to Gluten, Joint FAO\/WHO Food Standards Program, WHO."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"337","DOI":"10.5740\/jaoacint.SGE_Diaz-Amigo","article-title":"Gluten and gluten-free: Issues and considerations of labeling regulations, detection methods, and assay validation","volume":"95","author":"Popping","year":"2012","journal-title":"J. AOAC Int."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1080\/09603123.2013.782605","article-title":"Evaluation of the quality of foods for special diets produced in a school catering facility within a HACCP-based approach: A case study","volume":"24","author":"Petruzzelli","year":"2014","journal-title":"Int. J. Environ. Health Res."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Farage, P., Zandonadi, R.P., Ginani, V.C., Gandolfi, L., Pratesi, R., and de Medeiros N\u00f3brega, Y.K. (2017). Content validation and semantic evaluation of a check-list elaborated for the prevention of gluten cross-contamination in food services. Nutrients, 9.","DOI":"10.3390\/nu9010036"},{"key":"ref_12","unstructured":"Canadian Celiac Association (2011). Gluten-Free Certification Program. 1\u201388. Available online: https:\/\/www.celiac.ca\/living-gluten-free\/gluten-free-certification-program\/."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1590\/S0103-21002012000100002","article-title":"De Valida\u00e7\u00e3o do conte\u00fado de instrumento para caracterizar pessoas maiores de 50 anos portadoras do V\u00edrus da Imunodefici\u00eancia Humana\/S\u00edndrome da Imunodefici\u00eancia Adquirida","volume":"25","author":"Lima","year":"2012","journal-title":"Acta Paul. Enferm."},{"key":"ref_14","first-page":"1","article-title":"Sobre Confiabillidade e Validade","volume":"8","author":"Martins","year":"2006","journal-title":"Rev. Bras. Gest\u00e3o Neg\u00f3cios"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1590\/S0034-71672012000500006","article-title":"Constru\u00e7\u00e3o e valida\u00e7\u00e3o de instrumento para avalia\u00e7\u00e3o do Acolhimento com Classifica\u00e7\u00e3o de Risco","volume":"65","author":"Matsuda","year":"2012","journal-title":"Rev. Bras. Enferm."},{"key":"ref_16","first-page":"1","article-title":"De Validade, Reprodutibilidade e Confiabilidade do \u00cdndice de Capacidade para o Trabalho: Uma Revis\u00e3o Sistem\u00e1tica","volume":"7","author":"Cordeiro","year":"2017","journal-title":"Rev. Epidemiol. Control. Infec\u00e7\u00e3o"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1207\/S15327752JPA8001_18","article-title":"Starting at the Beginning: An Introduction to Coefficient Alpha and Internal Consistency Starting at the Beginning: An Introduction to Coefficient Alpha and Internal Consistency","volume":"80","author":"Streiner","year":"2003","journal-title":"J. Pers. Assess."},{"key":"ref_18","first-page":"154","article-title":"Reprodutibilidade de instrumentos utilizados em um levantamento epidemiol\u00f3gico conduzido para investigar uso e avalia\u00e7\u00e3o dos servi\u00e7os odontol\u00f3gicos, comportamentos e condi\u00e7\u00f5es subjetivas de sa\u00fade","volume":"1","author":"Ferreira","year":"2012","journal-title":"Rev. Unimontes Cient\u00edfica"},{"key":"ref_19","first-page":"339","article-title":"Escore de avalia\u00e7\u00e3o de risco pr\u00e9-transplante: Metodologia e a import\u00e2ncia das caracter\u00edsticas socioecon\u00f4micas","volume":"36","author":"Gusukuma","year":"2014","journal-title":"J. Bras. Nefrol."},{"key":"ref_20","unstructured":"Brand\u00e3o, M.B. (2011). Avalia\u00e7\u00e3o do desempenho do escore Pediatric \u00cdndex of Mortality II na predi\u00e7\u00e3o de mortalidade em unidade de terapia intensiva pedi\u00e1trica, Universidade Estadual de Campinas."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Pratesi, C., H\u00e4user, W., Uenishi, R., Selleski, N., Nakano, E., Gandolfi, L., Pratesi, R., and Zandonadi, R. (2018). Quality of Life of Celiac Patients in Brazil: Questionnaire Translation, Cultural Adaptation and Validation. Nutrients, 10.","DOI":"10.3390\/nu10091167"},{"key":"ref_22","unstructured":"Silva, R.P. (2010). Da Detec\u00e7\u00e3o e Quantifica\u00e7\u00e3o de Gl\u00faten em Alimentos Industrializados por T\u00e9cnica de ELISA, Universidade de S\u00e3o Paulo."},{"key":"ref_23","unstructured":"Laureano, \u00c1.M. (2010). An\u00e1lise da presen\u00e7a de gl\u00faten em alimentos rotulados como livros de gl\u00faten atrav\u00e9s de ensaio imunoenzim\u00e1tico e de fitas imunocromatogr\u00e1ficas, Universidade Federal do Rio Grande do Sul."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1094\/CCHEM-08-15-0158-R","article-title":"Compliance with gluten-free labelling regulation in the brazilian food industry","volume":"93","author":"Mattioni","year":"2016","journal-title":"Cereal Chem."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1830","DOI":"10.4315\/0362-028X.JFP-14-149","article-title":"Gluten Contamination in Foods Labeled as \u201cGluten Free\u201d in the United States","volume":"77","author":"Lee","year":"2014","journal-title":"J. Food Prot."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1080\/15428052.2013.798606","article-title":"Evaluation of the Presence of Gluten in Beans Served at Self-Service Restaurants: A Problem for Celiac Disease Carriers","volume":"12","author":"Oliveira","year":"2014","journal-title":"J. Culin. Sci. Technol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1569","DOI":"10.1111\/j.1365-2621.2011.02656.x","article-title":"Awareness of coeliac disease and the gluten status of \u201cgluten-free\u201d food obtained on request in catering outlets in Ireland","volume":"46","author":"McIntosh","year":"2011","journal-title":"Int. J. Food Sci. Technol."},{"key":"ref_28","unstructured":"Gunther, H. (2003). Como elaborar um question\u00e1rio, Planejamento de Pesquisa nas Ci\u00eancias Sociais, Universidade de Brasilia."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1590\/S1415-52732005000300013","article-title":"Adequa\u00e7\u00e3o das boas pr\u00e1ticas de fabrica\u00e7\u00e3o em servi\u00e7os de alimenta\u00e7\u00e3o","volume":"18","author":"Akutsu","year":"2005","journal-title":"Rev. Nutr."},{"key":"ref_30","first-page":"465","article-title":"Conhecimento Dos Chefes De Cozinha Acerca Da Doen\u00e7a Cel\u00edaca","volume":"22","author":"Laporte","year":"2011","journal-title":"Aliment. Nutr."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/10\/9\/1274\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T15:19:38Z","timestamp":1760195978000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/10\/9\/1274"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,10]]},"references-count":30,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2018,9]]}},"alternative-id":["nu10091274"],"URL":"https:\/\/doi.org\/10.3390\/nu10091274","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9,10]]}}}