Organizations: Department of Biological and Agricultural Engineering, Texas A&M AgriLife Research, Dallas, TX, USA · Department of Agricultural Economics, Texas A&M University, College Station, TX, USA
Abstract
Diet quality is a leading determinant of chronic disease risk. Advances in artificial intelligence (AI) have enabled food recommendation systems to adapt suggestions to user preferences and health goals. However, most current systems rely on loosely curated food databases and provide limited connection to a validated index. In this study, we propose a Healthy Eating Index (HEI) informed retrieval-augmented generation (RAG) framework that combines standardized nutrition databases with large language models (LLMs) for personalized food recommendations. Our proposed method anchors retrieval in the National Health and Nutrition Examination Survey (NHANES) and the Food Patterns Equivalents Database (FPED). A food-level embedding space is constructed from FPED-derived textual descriptions. For each entity, the system computes baseline HEI scores, retrieves candidate foods for intake recommendations, and estimates the HEI impact of simple substitutions or additions. A constrained RAG pipeline instantiated with a pretrained OpenAI LLM generates personalized recommendations and sources based on nutrient profiles and HEI contributions. The simulation results showed a mean HEI improvement of 6.45, with the proportion of users HEI over 50 increasing from 45.12 to 61.26. Quantile analysis revealed consistent improved shifts across the HEI distribution. Our findings suggest that the proposed LLM-RAG-based AI systems can support more precise, explainable, and personalized nutrition guidance to improve diet quality.
The rapid integration of Large Vision-Language Models (VLMs) into critical infrastructure promises to revolutionize personalized healthcare and dietary management. However, in the domain of food systems, autonomous agents face a unique and persistent challenge: the "Systemic Information Asymmetry" between visual appearance and intrinsic nutritional composition. Existing benchmarks primarily focus on coarse-grained classification tasks, such as food category recognition, which fail to evaluate the intricate reasoning chain required for real-world dietary management -- specifically, the ability to traverse from identifying hidden ingredients to estimating physical mass, and finally synthesizing safety-critical medical advice. In this paper, we introduce OmniFood-Bench, a comprehensive benchmark constructed from the MM-Food-100K dataset. Unlike previous works, OmniFood-Bench evaluates VLMs across three progressive capabilities: Basic Perception (Ingredients & Cooking Methods), Quantitative Reasoning (Portion Size & Nutritional Profiling), and Safety-Critical Advisory (Disease-Specific Recommendations). We evaluate six state-of-the-art VLMs, including gpt-5.1, gemini-3-flash, and qwen3-vl-8B. Our extensive experiments reveal a startling "Semantic-Physical Gap": while models achieve near-human accuracy in naming dishes, they exhibit catastrophic failure in mass estimation and frequently hallucinate benign advice for high-risk diabetic profiles. This work establishes a rigorous standard for trustworthiness in autonomous agents deployed for public health. The code and datasets are available in: https://anonymous.4open.science/r/OmniFood-Bench-7D0B
Computational nutrition needs precise ingredient data, but current databases are incomplete, inconsistent, and built for human reference rather than automated reasoning. LLMs could help fill these gaps, but single-pass outputs are unreliable and can introduce silent errors into downstream computation. We present a quality-controlled LLM pipeline for ingredient data acquisition that combines robust statistical estimation, domain-specific invariant checks, and a web-fetch fallback. An illustrative Heap's Law fit to 233 recipes suggests that unique-ingredient growth is sub-linear and front-loaded: the projected ratio of unique ingredients to recipes falls from 1.74 at 100 recipes to 0.19 at 5,000. For each ingredient attribute, repeated LLM queries are treated as samples from a model-induced answer distribution, and we apply robust point estimators and normalised confidence scores across numerical, Boolean, multiple-choice, open categorical, and optional integer types. An invariant guard layer enforces nutritional and logical self-consistency within each ingredient record. Minor numeric inconsistencies are reconciled via a linear program that minimises worst-case percentage deviation while preserving semantic zeros, and major violations are escalated to web-evidence-grounded repair, then human review only if that fails. On a curated 30-ingredient reference set, the pipeline achieves 98.4% exact match on nutrient flags and cuts median absolute percentage error on nutrient ratios from 31.9% for the median-aggregated baseline to 10.1%, a reduction of 21.8 percentage points, at an API cost of about $1 per ingredient. This frames LLM-assisted database construction as a controlled data-engineering workflow that makes uncertainty operational rather than discarding it.
Food-as-Medicine requires models to reason beyond what a dish is or what nutrition it contains: they must decide whether a concrete food choice is appropriate for a specific health condition. Existing food AI benchmarks primarily evaluate dish recognition, recipe understanding, nutrient estimation, or general nutrition question answering, leaving this health-aware decision layer largely untested. We introduce FAM-Bench, a multi-modal Food-as-Medicine benchmark with 2500 nutrition-expert-verified instances across 13 diet-related health conditions. The benchmark contains two complementary tasks: dish-level suitability assessment, where models judge whether a dish is suitable for a condition from its image and ingredient list, and comparative dish analysis, where models rank four candidate dishes by condition-specific suitability. Both tasks require integrating ingredient evidence, visual preparation cues, and clinical nutrition constraints, providing a standardized testbed for grounded health-aware reasoning in language and vision-language models.