{"id":38411,"date":"2024-12-29T13:45:00","date_gmt":"2024-12-29T13:45:00","guid":{"rendered":"https:\/\/www.lifeandnews.com\/articles\/?p=38411"},"modified":"2025-01-05T16:59:04","modified_gmt":"2025-01-05T16:59:04","slug":"what-if-you-could-rank-food-by-healthiness-as-you-shopped-nutrient-profiling-systems-use-algorithms-to-simplify-picking-healthy-groceries","status":"publish","type":"post","link":"https:\/\/www.lifeandnews.com\/articles\/what-if-you-could-rank-food-by-healthiness-as-you-shopped-nutrient-profiling-systems-use-algorithms-to-simplify-picking-healthy-groceries\/","title":{"rendered":"What if you could rank food by \u2018healthiness\u2019 as you shopped? Nutrient profiling systems use algorithms to simplify picking healthy&nbsp;groceries"},"content":{"rendered":"\n<p><a href=\"https:\/\/theconversation.com\/profiles\/christopher-damman-1414134\">Christopher Damman<\/a>, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-washington-699\">University of Washington<\/a><\/em><\/p>\n\n\n\n<p>Imagine a world where food on grocery store shelves is ranked by its healthiness, with simple, research-backed scores. In some countries, that world already exists.<\/p>\n\n\n\n<p>Nutrient profiling systems, or NPSs, support clear front-of-package labels that assess food quality based on nutrient content. <a href=\"https:\/\/www.santepubliquefrance.fr\/en\/nutri-score\">Nutri-Score<\/a> in France is a rainbow-colored system grading foods from A to E. <a href=\"http:\/\/www.healthstarrating.gov.au\/internet\/healthstarrating\/publishing.nsf\/content\/home\">Health Star Rating<\/a> in Australia is a five-star system rating foods in half-star increments. And the <a href=\"https:\/\/www.food.gov.uk\/safety-hygiene\/check-the-label#traffic-light-labels\">Traffic Light System<\/a> in the U.K. labels nutrient levels as green, yellow or red.<\/p>\n\n\n\n<p>In contrast, the U.S. lacks a front-of-package ranking system for food. <a href=\"https:\/\/doi.org\/10.1038\/s43016-021-00381-y\">Food Compass<\/a> was recently developed out of Tufts University to help address this gap and <a href=\"https:\/\/theconversation.com\/parsing-which-foods-are-healthy-and-which-are-less-so-isnt-always-straightforward-a-new-rating-system-aims-to-demystify-the-process-192831\">shortcomings in other systems<\/a>. But it uses nutritional information not currently available for most foods and consumers.<\/p>\n\n\n\n<p>As a <a href=\"https:\/\/gastro.uw.edu\/people\/faculty\/damman-c\">gastroenterologist and physician-scientist<\/a>, I focus on making the latest microbiome and nutrition data more accessible to the public. Drawing on this research, I developed <a href=\"https:\/\/gutbites.org\/carb-fiber-ratio-calculator\/#NCSPaper\">Nutrient Consume Score, or NCS<\/a>, which rates foods from 1 to 100 using nutritional information available for all foods and incorporates factors important for a healthy microbiome.<\/p>\n\n\n\n<p>But how do nutrient profiling systems work? And how do they compare to other nutrition guides for consumers?<\/p>\n\n\n\n<h2>Nutrient cyphers<\/h2>\n\n\n\n<p>Each nutrient profiling system uses <a href=\"https:\/\/doi.org\/10.1007\/s00394-007-2002-7\">different scoring algorithms<\/a>, but most assign positive points to nutrients and foods that are typically underconsumed, such as fiber, fruits and vegetables. Conversely, negative points are given to overconsumed nutrients like sugar, saturated fat and sodium, which are often added to processed foods. These points are combined into a single score: higher scores indicate healthier foods, while lower scores indicate less healthy options.<\/p>\n\n\n\n<p>For example, kale \u2013 rich in fiber, potassium and unsaturated fats, while low in sugar, sodium and saturated fats \u2013 would earn a high score. In contrast, Twinkies, which are high in sugar, sodium and saturated fats, but low in fiber, potassium and unsaturated fats, would receive a low score. A food like black olives, high in fiber but also high in sodium, would fall somewhere in between.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img src=\"https:\/\/images.theconversation.com\/files\/639591\/original\/file-20241218-15-i53xi9.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" alt=\"Person looking at nutrition label of nut butter product in grocery store\"\/><figcaption>Clear nutritional information can help inform healthy food choices. <a href=\"https:\/\/www.gettyimages.com\/detail\/photo\/young-man-reads-nutrition-labels-in-product-in-royalty-free-image\/1965122446\">chabybucko\/E+ via Getty Images<\/a><\/figcaption><\/figure>\n\n\n\n<p>Nutrient profiling systems work similarly to the <a href=\"https:\/\/theconversation.com\/nutrition-facts-labels-have-a-complicated-legacy-a-historian-explains-the-science-and-politics-of-translating-food-into-information-231894\">Nutrition Facts<\/a> labels on the back or sides of food packages in helping consumers make informed choices. These labels provide information about a food\u2019s nutrient content, including calories, <a href=\"https:\/\/theconversation.com\/what-are-macros-an-exercise-and-nutrition-scientist-explains-244265\">macronutrients<\/a>, and key vitamins and minerals. The values are determined through laboratory analysis and nutrient databases based on standardized serving sizes regulated by the Food and Drug Administration.<\/p>\n\n\n\n<p>But NPSs differ in that they combine nutrition information into a single actionable score. This means you don\u2019t have to spend time deciphering Nutrition Facts labels, which are often in small print and can be confusing to interpret.<\/p>\n\n\n\n<h2>Ultraprocessed profiling<\/h2>\n\n\n\n<p>Nutrient profiling system algorithms are all quite similar in their high ranking of unprocessed foods \u2013 beans, nuts, seeds, fruits, vegetables and whole grains \u2013 and low ranking of processed foods like hot dogs, soft drinks, cakes and cookies. They help people <a href=\"https:\/\/gutbites.org\/carb-fiber-ratio-calculator\/#NCSPaper\">rebalance their diets<\/a> that have been skewed by food processing, or the degree to which the ingredients have been altered.<\/p>\n\n\n\n<p>They complement the <a href=\"https:\/\/www.eatrightpro.org\/news-center\/practice-trends\/examining-the-nova-food-classification-system-and-healthfulness-of-ultra-processed-foods\">NOVA classification system<\/a> developed by researchers at the University of S\u00e3o Paulo, which categorizes foods based on their level of processing. This system introduced the term \u201c<a href=\"https:\/\/doi.org\/10.1017\/S1368980018003762\">ultra-processed foods<\/a>,\u201d which are foods that have undergone significant industrial processing and contain ingredients not typically found in home cooking.<\/p>\n\n\n\n<p>While NOVA has linked ultra-processed foods to <a href=\"https:\/\/doi.org\/10.1136\/bmj-2023-077310\">poor health outcomes<\/a> like obesity, worse mental health, cancer and early death, it treats all such foods equally, overlooking differences like amount of sugar, sodium and other additives.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img src=\"https:\/\/images.theconversation.com\/files\/639592\/original\/file-20241218-17-nq1exd.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" alt=\"Sign hanging off shelf of grocery store with letters A to E assigned green to red, the sign reading '5 couleurs pour vous r\u00e9perer sur les emballages'\"\/><figcaption>France\u2019s Nutri-Score rates the nutritional value of foods from A to E. <a href=\"https:\/\/www.gettyimages.com\/detail\/news-photo\/picture-shows-a-nutri-score-panel-a-5-colour-and-letter-news-photo\/1164368015\">Laurie Dieffembacq\/Belga\/AFP via Getty Images<\/a><\/figcaption><\/figure>\n\n\n\n<p>Nutrient profile systems help provide nuance by identifying healthier options within the ultra-processed category. For example, plant-based milks, such as almond or soy milk, may be classified as ultra-processed under the NOVA system, but they can have relatively higher NPS scores if they contain minimal added sugars and salt.<\/p>\n\n\n\n<h2>Ratios and bioactives in balance<\/h2>\n\n\n\n<p>While nutrient profiling systems can be useful for choosing healthier options, current systems have limitations. They don\u2019t always align perfectly with <a href=\"https:\/\/doi.org\/10.1016\/j.tjnut.2023.01.027\">other research<\/a>, often overlook the <a href=\"https:\/\/doi.org\/10.1016\/j.advnut.2023.03.016\">bioactive chemicals<\/a> that regulate microbiome and body processes, and may <a href=\"https:\/\/theconversation.com\/parsing-which-foods-are-healthy-and-which-are-less-so-isnt-always-straightforward-a-new-rating-system-aims-to-demystify-the-process-192831\">rely on incomplete data<\/a>. Current systems also don\u2019t account for the caloric and health effects of alcohol.<\/p>\n\n\n\n<p>The <a href=\"https:\/\/gutbites.org\/carb-fiber-ratio-calculator\/#NCSPaper\">Nutrient Consume Score<\/a> I designed aims to address these gaps by incorporating these neglected components of food. For example, it uses food categories as proxies for areas with limited data, including <a href=\"https:\/\/doi.org\/10.1016\/j.advnut.2023.03.016\">bioactive compounds<\/a> like polyphenols, omega-3 fats and <a href=\"https:\/\/lpi.oregonstate.edu\/mic\/other-nutrients\/fiber\">fermentable fibers<\/a>. Proxies for bioactive compounds found in unprocessed foods \u2013 such as fruits, vegetables, grains, beans, nuts and seeds \u2013 are integrated into the score\u2019s core algorithm, which uses nutrient ratios to measure the degree of food processing.<\/p>\n\n\n\n<p><a href=\"https:\/\/gutbites.org\/carb-fiber-ratio-calculator\/\">Nutrient ratios<\/a> \u2013 including carbohydrate-to-fiber, saturated fat-to-unsaturated fat and sodium-to-potassium \u2013 reflect the natural balance of nutritional content of the cells in unprocessed foods, which research has shown correlate with <a href=\"https:\/\/doi.org\/10.1038\/s41467-022-34195-8\">cardiometabolic health<\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img src=\"https:\/\/images.theconversation.com\/files\/639595\/original\/file-20241218-17-nefhzp.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=237&amp;fit=clip\" alt=\"Assorted vegetables stacked on top of each other\"\/><figcaption>Whole foods often have their nutrients in balance. <a href=\"https:\/\/www.gettyimages.com\/detail\/photo\/vegetables-arranged-in-a-stack-royalty-free-image\/187591749\">Halfdark\/fStop via Getty Images<\/a><\/figcaption><\/figure>\n\n\n\n<p>For example, the <a href=\"https:\/\/doi.org\/10.1111\/j.1541-4337.2003.tb00019.x\">cell walls<\/a> of plants provide structural strength and are <a href=\"https:\/\/theconversation.com\/fiber-is-your-bodys-natural-guide-to-weight-management-rather-than-cutting-carbs-out-of-your-diet-eat-them-in-their-original-fiber-packaging-instead-205159\">rich in fiber<\/a>, while their energy vesicles store carbohydrates. Fiber <a href=\"https:\/\/www.cdc.gov\/diabetes\/healthy-eating\/fiber-helps-diabetes.html\">reduces sugar absorption<\/a> and is fermented into the <a href=\"https:\/\/gutbites.org\/2022\/05\/02\/are-all-bottoms-butyracious\/\">compound butyrate<\/a>, which maintains blood sugar and <a href=\"https:\/\/doi.org\/10.1136\/gutjnl-2017-315543\">regulates appetite<\/a>.<\/p>\n\n\n\n<p>The fat profiles of unprocessed foods are similar to the fat composition in <a href=\"https:\/\/doi.org\/10.1038\/nrm.2017.138\">cell membranes<\/a>. Saturated fat-to-unsaturated fat ratios capture how <a href=\"https:\/\/gutbites.org\/2022\/05\/27\/chewing-the-fat-on-weight-and-inflammation\/\">different types of fat<\/a>, affect inflammation and weight.<\/p>\n\n\n\n<p>Finally, the potassium-to-sodium ratio reflects the natural function of <a href=\"https:\/\/gutbites.org\/2024\/03\/02\/too-much-or-too-little-salt-balanced-advice-on-sodium-to-potassium-ratios\/\">cell membrane pumps<\/a>, which concentrate potassium inside cells while transporting sodium out. This affects blood pressure as well as microbiome and metabolic health.<\/p>\n\n\n\n<p>Research currently <a href=\"https:\/\/gutbites.org\/carb-fiber-ratio-calculator\/#NCSPaper\">under peer review<\/a> shows that the Nutrient Consume Score compares favorably with other systems. Derived from nutrition data from nearly 5,000 Americans, NCS sores are linked to blood pressure, waist circumference and weight. NCS has also been incorporated into a smartphone app intended for public use, currently <a href=\"https:\/\/gutbites.org\/nutrient-consume-score-app\/\">in beta testing<\/a>.<\/p>\n\n\n\n<h2>Empowering smart choices<\/h2>\n\n\n\n<p>While nutrient profiling systems are a promising tool for healthier food choices, they come with important caveats. Most studies testing how well they work focus on how two factors relate to each other rather than whether one directly causes the other. Correlation doesn\u2019t prove causation.<\/p>\n\n\n\n<p><a href=\"https:\/\/gutbites.org\/carb-fiber-ratio-calculator\/#NCSPaper\">Further studies<\/a> are needed to assess whether these systems influence buying habits, consumption trends, and health outcomes like weight and blood pressure. Additionally, individual dietary needs can vary, and <a href=\"https:\/\/doi.org\/10.1080\/07315724.2019.1685332\">personalized algorithms<\/a> could help refine these scores for tailored recommendations.<\/p>\n\n\n\n<p>Despite these considerations, nutrient profiling systems are promising tools to combat rising rates of metabolic disease. Their use in Europe demonstrates their potential to <a href=\"https:\/\/doi.org\/10.1186\/s12966-021-01108-9\">shift consumer purchasing habits<\/a> and <a href=\"https:\/\/doi.org\/10.3389\/fnut.2021.774409\">inspire food companies<\/a> to create healthier products.<\/p>\n\n\n\n<p>Americans may one day see similar front-of-package labels in the U.S. Until then, <a href=\"https:\/\/gutbites.org\/nutrient-consume-score-app\/\">smartphone technologies<\/a> can offer a practical way to help consumers make smarter choices today.<\/p>\n\n\n\n<p><a href=\"https:\/\/theconversation.com\/profiles\/christopher-damman-1414134\">Christopher Damman<\/a>, Associate Professor of Gastroenterology, School of Medicine, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-washington-699\">University of Washington<\/a><\/em><\/p>\n\n\n\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/what-if-you-could-rank-food-by-healthiness-as-you-shopped-nutrient-profiling-systems-use-algorithms-to-simplify-picking-healthy-groceries-245844\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Christopher Damman, University of Washington Imagine a world where food on grocery store shelves is ranked by its healthiness, with simple, research-backed scores. In some countries, that world already exists. Nutrient profiling systems, or NPSs, support clear front-of-package labels that assess food quality based on nutrient content. Nutri-Score in France is a rainbow-colored system grading [&hellip;]<\/p>\n","protected":false},"author":56,"featured_media":38412,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,1862,15306,42,827,10,25,828],"tags":[139,885,891,886,860,15877,4416,742,15876],"_links":{"self":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/38411"}],"collection":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/users\/56"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/comments?post=38411"}],"version-history":[{"count":2,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/38411\/revisions"}],"predecessor-version":[{"id":38456,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/38411\/revisions\/38456"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media\/38412"}],"wp:attachment":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media?parent=38411"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/categories?post=38411"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/tags?post=38411"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}