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What are the big eight foods?

2 min read

Approximately 90% of all severe food-related allergic reactions in the United States were traditionally attributed to a specific group of allergens known as the big eight foods. While this term has been updated, understanding the original eight is still crucial for identifying common triggers and ensuring food safety. This guide will detail these major allergens and their importance for consumers navigating dietary restrictions.

Quick Summary

The big eight foods are milk, eggs, fish, crustacean shellfish, tree nuts, peanuts, wheat, and soybeans, historically identified as the most common allergens. Recognizing these is essential for anyone managing a food allergy, as they are responsible for the vast majority of allergic reactions.

Key Points

  • Initial Regulation: The term "the big eight foods" arose from the 2004 FALCPA, which required labeling of the most common allergens.

  • Original List: The original eight allergens were milk, eggs, fish, crustacean shellfish, tree nuts, peanuts, wheat, and soybeans.

  • Expansion to Nine: As of 2023, due to the FASTER Act, sesame was added as the ninth major allergen in the U.S..

  • Labeling Importance: Meticulously checking food labels for explicit allergen declarations is crucial for individuals with food allergies.

  • Hidden Ingredients: Many of these allergens can be hidden in processed foods, sauces, baked goods, and other items not immediately obvious.

  • Severity Varies: While milk and egg allergies are often outgrown, allergies to peanuts, tree nuts, fish, and shellfish are typically lifelong.

In This Article

The Historical Context of the “Big Eight”

The concept of the big eight foods originated from the Food Allergen Labeling and Consumer Protection Act (FALCPA) of 2004 in the United States. This law mandated that food manufacturers declare these common allergens on packaged food labels. This system became a standard for identifying major food allergens.

The Original Major Food Allergens

The initial eight foods targeted by FALCPA include:

  • Milk: A common allergy in children, often outgrown. Found in many foods.
  • Eggs: The second most common childhood allergy, frequently outgrown. Present in numerous items.
  • Fish: Often develops later in life and is typically lifelong. Various finned fish can trigger reactions.
  • Crustacean Shellfish: Common and usually a lifelong condition. Distinct from mollusk allergies.
  • Tree Nuts: Includes nuts like walnuts and almonds. Allergy to one increases risk of allergy to others.
  • Peanuts: Legumes, not tree nuts, growing underground. Allergies are often severe and lifelong.
  • Wheat: A hypersensitivity to wheat proteins. Often outgrown by children.
  • Soybeans: Most common in infants and children and frequently outgrown. Found in many forms.

The Evolution to the "Big Nine"

In the United States, the list of major food allergens expanded with the FASTER Act of 2021, officially adding sesame as the ninth major allergen. This change, effective January 1, 2023, requires sesame to be declared on packaged food labels regulated by the FDA. Modern labeling now reflects nine major allergens, although the term the big eight foods is still commonly used.

Comparing the “Big Eight” and “Big Nine” Allergens

Feature The "Big Eight" (Pre-2023) The "Big Nine" (2023 Onwards)
Included Allergens Milk, Egg, Fish, Crustacean Shellfish, Tree Nuts, Peanuts, Wheat, Soybeans Milk, Egg, Fish, Crustacean Shellfish, Tree Nuts, Peanuts, Wheat, Soybeans, Sesame
Legal Basis Food Allergen Labeling and Consumer Protection Act (FALCPA) of 2004 FASTER Act of 2021, updating FALCPA
Scope Accounted for roughly 90% of all food allergy reactions in the U.S. at the time Represents the most up-to-date list of major allergens requiring mandatory declaration on labels
Labeling Impact Required clear labeling for the original eight allergens Requires clear labeling for all nine major allergens, including sesame

The Importance of Accurate Food Labeling

Reading food labels is essential for managing food allergies. Mandatory labeling helps, but unrefined oils may still pose risks. Voluntary advisory labels like “may contain” are not regulated and shouldn't be fully relied upon. Check ingredient lists carefully and be aware of potential undeclared sesame in older products. Caution is always necessary.

Conclusion: Navigating Allergen Safety

Identifying and avoiding the big eight foods (and now sesame) is key to managing food allergies. Though the term is historical, this group represents the most common allergens. Staying informed about labeling laws, checking ingredients, and being aware of hidden sources and cross-contamination are vital for safety. For more information, consult resources like the FDA {Link: FDA website https://www.fda.gov/food/buy-store-serve-safe-food/food-allergies-what-you-need-know}.

Frequently Asked Questions

A food allergy is an immune system response to a food protein that can be severe. A food intolerance is a chemical reaction, not immune-related, causing milder symptoms.

Yes. The U.S. list expanded to nine major allergens with the addition of sesame in 2023 due to the FASTER Act.

Peanuts are legumes growing underground, while tree nuts grow on trees. They are botanically distinct.

Highly refined oils are often safe as protein is removed. However, unrefined oils can be dangerous, and sensitive individuals should consult a doctor.

'May contain' warnings are voluntary and not regulated. Individuals with severe allergies should avoid these products.

No. While some allergies like milk and egg may be outgrown, allergies to peanuts, tree nuts, fish, and shellfish are generally lifelong.

Common hidden sources include processed foods, sauces, baked goods, and derivatives in various dishes.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.