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Parsing which foods are healthy and which are less so isn't always straightforward – a new rating system aims to demystify the process

Dariush Mozaffarian, Dean of Friedman School of Nutrition Science and Policy, Tufts University, Renata Micha, Associate Professor in Human Nutrition, Tufts University, Jeffrey B. Blumberg, Professor Emeritus in Nutrition Science and Policy, Tufts University, and Paul F. Jacques, Professor of Nutrition Science and Policy, Tufts University, The Conversation on

Published in Health & Fitness

We also assessed how Food Compass relates to major health outcomes in people. In a national sample of 48,000 Americans, we calculated each person’s individual Food Compass score, ranging from 1 to 100, based on the different foods and beverages they reported eating.

We found that people whose diets scored higher according to Food Compass had better overall health than those with lower scores. This includes less obesity, better blood sugar control, lower blood pressure and better blood cholesterol levels. They also had a lower risk of metabolic syndrome or cancer and a lower risk of death from all causes. For every 10-point higher Food Compass score, a person had about a 7% lower risk of dying. These are important findings, showing that, on average, eating foods with higher Food Compass scores is linked to numerous improved health outcomes.

While we believe Food Compass represents a significant advance over existing systems, more work is needed before it can be rolled out to consumers.

As one step, we’re investigating how the scoring algorithm can be further improved. For example, we’re considering the most appropriate scoring for food items like certain cereals that are high in whole grains and fiber but are also processed and have added sugar. And we’re looking at the scoring of different egg, cheese, poultry and meat products, which have a wide range of scores but sometimes score a bit lower than may make intuitive sense.

Over the coming year we will be refining and improving the system based on our research, the latest evidence and feedback from the scientific community.

In addition, more research is needed on how a consumer might understand and use Food Compass in practice. For example, it could be added as a front-of-pack label – but would that be helpful without more education and context?

 

Also, while the scoring system ranges from 1 to 100, could it be more accessible if scores were grouped into broader categories? For instance, might a green/yellow/red traffic light system be easier to understand?

And we’re hoping that future Food Compass versions might contain additional criteria to filter foods for people who follow special diets, such as low-carb, paleo, vegetarian, diabetic-friendly, low-sodium and others.

Food Compass should not be used to replace food-based dietary guidelines and preferences. Raspberries and asparagus score really well – but a diet of only these foods would not be very healthy. People should seek a balanced diet across different food groups.

To help, Food Compass may be most useful to compare similar products within a food group. For example, someone who prefers eggs for breakfast can look for higher-scoring egg dishes. Those preferring cereal can look for higher-scoring cereals. And even better, Food Compass can help people add other highest-scoring foods to their plate – like veggies and healthy oils to eggs, and fruit and nuts to cereal – to increase the overall health benefits of that meal.

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