Eating for a Sustainable Planet: Personalized Sustainable Diet Recommendation via Constraint-Aware Decision-Making Modeling

Dietary nutrition planning plays an important role in chronic disease management and maintaining a healthy body. In applications, it must simultaneously satisfy personalized constraints and reasonable multidimensional nutritional goals. These two aspects often conflict, and user constraints evolve with feedback, resulting in a substantial gap between generic guidelines and executable plans. To bridge this gap, we first propose the personalized fully quantified multiobjective dietary planning problem (MDP). To tackle MDP, we develop a nutrition agent, ShanLiangRen. The system first transforms dietary specifications, nutrient data, user attributes and natural language requirements into an individualized constrained planning instance. It then employs an exact retrieval-augmented generation method to shrink the feasible candidate set from a large scale ingredient and recipe space. Finally, it adopts a refinement guided by Pareto principles, where an LLM iteratively revises candidate plans under deterministic nutrition computation and feedback from constraint verification. The system outputs fully quantified meal plans with explicit ingredients and portion sizes, together with reports on nutrition compliance that show constraint satisfaction and nutrient interval attainment. We have released the system online as a WeChat Program, ShanLiangRen. A demo video is available at https://www.youtube.com/watch?v=652OtY5VlGA.

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.

Personalized nutrition intervention for patients with multimorbidity is critical for improving health outcomes, yet remains challenging because it requires the simultaneous integration of heterogeneous clinical conditions, medications, and dietary guidelines. Single-agent large language models (LLMs) often suffer from context overload and attention dilution when processing such high-dimensional patient profiles. We introduce NutriOrion, a hierarchical multi-agent framework with a parallel-then-sequential reasoning topology. NutriOrion decomposes nutrition planning into specialized domain agents with isolated contexts to mitigate anchoring bias, followed by a conditional refinement stage. The framework includes a multi-objective prioritization algorithm to resolve conflicting dietary requirements and a safety constraint mechanism that injects pharmacological contraindications as hard negative constraints during synthesis, ensuring clinical validity by construction rather than post-hoc filtering. For clinical interoperability, NutriOrion maps synthesized insights into the ADIME standard and FHIR R4 resources. Evaluated on 330 stroke patients with multimorbidity, NutriOrion outperforms multiple baselines, including GPT-4.1 and alternative multi-agent architectures. It achieves a 12.1 percent drug-food interaction violation rate, demonstrates strong personalization with negative correlations (-0.26 to -0.35) between patient biomarkers and recommended risk nutrients, and yields clinically meaningful dietary improvements, including a 167 percent increase in fiber and a 27 percent increase in potassium, alongside reductions in sodium (9 percent) and sugars (12 percent).