Food allergies and intolerances: How prepared are restaurants in downtown Lisbon?
By: Bruno Sousa and Catarina Conde
References
- Afonso, C. N. P. (2020). Avaliação e gestão de risco na produção de refeições aptas para intolerâncias. Caso de estudo: unidades para produção de refeições sem glúten [Assessment and risk management in the production of meals suitable for intolerances. Case Study: Gluten-Free Meal Production Units ] (Doctoral dissertation). Repositório Comum. https://comum.rcaap.pt/handle/10400.26/35660
- Ajala, A. R., Cruz, A. G., Faria, J. A., Walter, E. H., Granato, D., & Sant, A. S. (2010). Food allergens: Knowledge and practices of food handlers in restaurants. Food Control, 21 (10), 1318–1321.
- Akabanda, F., Hlortsi, E. H., & Owusu-Kwarteng, J. (2017). Food safety knowledge, attitudes and practices of institutional food-handlers in Ghana. BMC Public Health, 17(1), 40. https://doi.org/10.1186/s12889-016-3986-9
- Boaventura, L. T. A., Frades, L. P., Weber, M.L., Pinto, B.O.S. (2017). Conhecimento de manipuladores de alimentos sobre higiene pessoal e boas práticas na produção de alimentos [Knowledge of food handlers about personal hygiene and good practices in food production], Revista Univap, 23(43), 53–62.
- Brito, F. C. R., da Rocha Moreira, M., Lustosa, I. B. S., de Sousa, V. S. S., & de Almeida Cabral, L. (2018). Avaliação do conhecimento de colaboradores sobre alérgenos presentes em refeições comerciais [Evaluation of employees’ knowledge about allergens present in commercial meals]. Motricidade, 14(1), 170–174.
- Carter, C. A., Pistiner, M., Wang, J., & Sharma, H. P. (2020). Food allergy in restaurants Work Group Report. The Journal of Allergy and Clinical Immunology: In Practice, 8(1), 70–74. https://doi.org/10.1016/j.jaip.2019.09.013
- Cianferoni, A. (2020). Non-IgE mediated food allergy. Current Pediatric Reviews, 16(2), 95–105. https://doi.org/10.2174/1573396315666191031103714
- Cosme-Blanco, W., Arroyo-Flores, E., & Ale, H. (2020). Food allergies. Pediatrics in Review, 41 (8), 403–415. https://doi.org/10.1542/pir.2019-0037
- Costa, J., Oliveira, M. B. P. P., & Mafra, I. (2012). Alergénios alimentares: o que são, o que provocam e como detetá-los? [Food allergens: what are they, what do they cause and how to detect them?] Boletim da Sociedade Portuguesa de Química, 2(127), 33–38.
- Decree-Law No. 168/97 of 4 July of the Ministry of the Economy. Diário da República: Série I-A, No. 152 (1997).
- DunnGalvin, A., Dubois, A. E. J., Flokstra-de Blok, B. M. J., & Hourihane, J. O. (2015). The effects of food allergy on quality of life. In M. Ebisawa, B.K. Ballmer-Weber, S. Vieths, & R.A. Wood (Eds.), Food allergy: molecular basis and clinical practice (pp. 235–252). S. Karger AG. https://doi.org/10.1159/000375106
- Estevão, M. L., & Aguiar, L. P. (2016). Rotulagem dos alimentos como ferramenta na promoção à saúde [Food labeling as a tool in health promotion]. Revista Expressão Católica Saúde, 1(1).
- European Parliament and the Council of the European Union. (2011). Regulation (EU) no. 1169/2011 of the European Parliament and Council - 25 October 2011. Jornal Oficial Da União Europeia, 2011, 18-63.
- Figueroa-Gómez, X. A., Oliveras-López, M. J., Poyanco-Bugueño, M. F., Ocaña-Peinado, F. M., López-García de la Serrana, H., & Araya Quezada, M. (2024). Knowledge, attitude, and practices of restaurant and foodservice personnel in food allergy: A systematic review and meta-analysis. Heliyon, 10 (13), e33431. https://doi.org/10.1016/j.heliyon.2024.e33431
- Flanagan, S. (Ed.). (2025). Handbook of food allergen detection and control (2nd ed.). Elsevier.
- França, H. D. S., Barbosa, I. M., Lima, A. S. D., & Rodrigues, J. L. (2022). Importância dos treinamentos para manipuladores de alimentos em serviços de alimentação [Importance of training for food handlers in food services]. Repositório Universitário da Ânima (RUNA). https://repositorio.animaeducacao.com.br/handle/ANIMA/30617
- Gargano, D., Appanna, R., Santonicola, A., De Bartolomeis, F., Stellato, C., Cianferoni, A., Casolaro, V., & Iovino, P. (2021). Food allergy and intolerance: a narrative review on nutritional concerns. Nutrients, 13(5), 1638. https://doi.org/10.3390/nu13051638
- Konstantinou, G. N., Pampoukidou, O., Sergelidis, D., & Fotoulaki, M. (2025). Managing food allergies in dining establishments: Challenges and innovative solutions. Nutrients, 17(10), 1737. https://doi.org/10.3390/nu17101737
- Lee, Y. M., & Wei, C. (2024). Consumer visual attention to food allergen information on restaurant menus: an eye-tracking study. British Food Journal, 126(6), 2454–2476. https://doi.org/10.1108/BFJ-02-2023-0156
- Lomer, M. C. (2015). Review article: the aetiology, diagnosis, mechanisms and clinical evidence for food intolerance. Alimentary Pharmacology & Therapeutics, 41(3), 262–275. https://doi.org/10.1111/apt.13041
- Manuyakorn, W., & Tanpowpong, P. (2019). Cow milk protein allergy and other common food allergies and intolerances. Paediatrics and International Child Health, 39(1), 32–40. https://doi.org/10.1080/20469047.2018.1490099
- Martins, R. B., Hogg, T., & Otero, J. G. (2012). Food handlers’ knowledge on food hygiene: The case of a catering company in Portugal. Food Control, 23(1), 184–190. https://doi.org/10.1016/j.foodcont.2011.07.008
- McAdams, B., Deng, A., & MacLaurin, T. (2018). Food allergy knowledge, attitudes, and resources of restaurant employees. British Food Journal, 120(11), 2681–2694. https://doi.org/10.1108/BFJ-01-2018-0028
- Morales, T. S. P., & Vieira, V. B. R. (2020). Conhecimento dos manipuladores de alimentos sobre boas práticas de manipulação [Knowledge of food handlers about good handling practices]. Revista Cientifica Unilago, 1(1).
- Nunes, M., Barros, R., Moreira, P., Moreira, A., & Morais-Almeida, M. (2012). Alergia alimentar [Food allergy]. Governo de Portugal Ministério da Educação e Ciência. https://repositorio-aberto.up.pt/bitstream/10216/65706/2/725.pdf
- Pádua, I., Barros, R., Moreira, P., Moreira, A. (2016). Alergia Alimentar na Restauração. Programa Nacional para a Promoção da Alimentação Saudável da Direção-Geral da Saúde. https://www.asae.gov.pt/ficheiros-externos-2016/manual-de-alergia-alimentar-para-a-restauracao-pdf.aspx.
- Pelini, K., & Vieira, V. B. R. (2020). Conhecimento de manipuladores de alimentos de um restaurante do interior paulista sobre boas práticas de manipulação [Knowledge of food handlers from a restaurant in the interior of São Paulo about good handling practices]. Revista Científica Unilago, 1(1).
- Radke, T. J., Brown, L. G., Hoover, E. R., Faw, B. V., Reimann, D., Wong, M. R., Nicholas, D., Barkley, J., & Ripley, D. (2016). Food allergy knowledge and attitudes of restaurant managers and staff: an EHS-Net study. Journal of Food Protection, 79(9), 1588–1598. https://doi.org/10.4315/0362-028X.JFP-16-085
- Regulatory Decree No. 38/97 of 25 September of the Ministry of the Economy. Diário da República: Série I-B, No. 222 (1997).
- Santos, M. J., Nogueira, J. R., Patarata, L., & Mayan, O. (2008). Knowledge levels of food handlers in Portuguese school canteens and their self-reported behaviour towards food safety. International Journal of Environmental Health Research, 18(6), 387–401. https://doi.org/10.1080/09603120802100212
- Schaefer, J. J. (2025). Serving people with food allergies: Kitchen management and menu creation (2nd ed.). CRC Press.
- Seixas, A. P. M. (2018). Gestão de alergénicos alimentares em unidades de alimentação coletiva: avaliação dos conhecimento dos colaboradores, verificação da conformidade da rotulagem e validação dos planos de higienização [Management of food allergens in collective food units: evaluation of employees’ knowledge, verification of labeling compliance and validation of hygiene plans ] (Doctoral dissertation, Instituto Politecnico do Porto (Portugal)). P. Porto. http://hdl.handle.net/10400.22/13160
- Shrestha, B., & Dunn, L. (2020). The Declaration of Helsinki on Medical Research involving Human Subjects: a review of seventh revision. Journal of Nepal Health Research Council, 17(4), 548–552. https://pubmed.ncbi.nlm.nih.gov/32001865/
- Singh, N. (2026). Food allergy management in hospitality. Educohack Press.
- Skypala, I., & Vlieg-Boerstra, B. (2014). Food intolerance and allergy: increased incidence or contemporary inadequate diets? Current Opinion in Clinical Nutrition and Metabolic Care, 17(5), 442–447. https://doi.org/10.1097/MC0.0000000000000086
- Valenta, R., Hochwallner, H., Linhart, B., & Pahr, S. (2015). Food allergies: the basics. Gastroenterology, 148(6), 1120–31.e4. https://doi.org/10.1053/j.gastro.2015.02.006
- Vicentini, M. S., Estigarribia, M. N., Cardoso, G. B., Freiria, C. N., Vargas, F. M., Mucinhato, R. D., et al. (2026). Allergen safety among Brazilian restaurant food business operators: Guilt, rather than regret or shame, links cognitive responsibility to intentions. Food Research International, 241, 119706. https://doi.org/10.1016/j.foodres.2026.119706
- Warren, C. M., Jiang, J., & Gupta, R. S. (2020). Epidemiology and burden of food allergy. Current Allergy and Asthma Reports, 20(2), 6. https://doi.org/10.1007/s11882-020-0898-7
- Wen, H. (2025). Challenges and strategies related to serving customers with food allergies in private clubs in the US. British Food Journal, 127(1), 324–337. https://doi.org/10.1108/BFJ-03-2024-0254
- Yu, W., Freeland, D. M. H., & Nadeau, K. C. (2016). Food allergy: immune mechanisms, diagnosis and immunotherapy. Nature Reviews Immunology, 16(12), 751–765. https://doi.org/10.1038/nri.2016.111
Language: English
Page range: 326 - 334
Submitted on: May 5, 2026
Accepted on: Jul 24, 2026
Published on: Aug 31, 2026
Published by: Polytechnic Institute of Leiria
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year
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© 2026 Bruno Sousa, Catarina Conde, published by Polytechnic Institute of Leiria
This work is licensed under the Creative Commons Attribution 4.0 License.