{"title":"Is the Eatwell Guide still appropriate for the UK?","authors":"Mike Rayner","doi":"10.1017/S0029665125101730","DOIUrl":"10.1017/S0029665125101730","url":null,"abstract":"<p><p>A national food guide for the UK, providing food based dietary guidelines was first issued in 1995. It was last revised and published as the Eatwell Guide in 2016. The Guide is a pie chart indicating the proportions of foods from different food groups that should make up the ideal diet from a health perspective. The number of segments for the pie chart, the names of the food groups that comprise those segments and the list of individual foods that fit into the wider food groups was in essence decided in around 1995 and have remained essentially unchanged since then. The 2016 edition of the guide - the Eatwell Guide - was the first to employ optimisation modelling to calculate the angles of the segments of the pie chart. This was a significant improvement to the scientific basis to the guide. But still the Eatwell Guide leaves much to be desired and it is time for its revision. This review paper outlines the aims of the guide, provides a brief history of the Eatwell Guide, outlines its strengths and weaknesses and suggests some ways by which the Eatwell Guide might be improved.</p>","PeriodicalId":20751,"journal":{"name":"Proceedings of the Nutrition Society","volume":" ","pages":"1-7"},"PeriodicalIF":4.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carmen Vargas, Kathryn Backholer, Rebecca Bennett, Rahul Maganti, Meron Lewis, Josephine Marshall, Gary Sacks, Laura Alston, Adyya Gupta, Cindy Needham, Oliver Huse, Shu Wen Ng, Christina Zorbas
{"title":"Working towards affordable healthy diets: a review on innovations in food price monitoring, policy and research in Australia and beyond.","authors":"Carmen Vargas, Kathryn Backholer, Rebecca Bennett, Rahul Maganti, Meron Lewis, Josephine Marshall, Gary Sacks, Laura Alston, Adyya Gupta, Cindy Needham, Oliver Huse, Shu Wen Ng, Christina Zorbas","doi":"10.1017/S0029665125101225","DOIUrl":"https://doi.org/10.1017/S0029665125101225","url":null,"abstract":"<p><p>Healthy diets are unaffordable for billions of people worldwide, with food prices rising in high-, middle- and low-income nations in recent times. Despite widespread attention to this issue, recent actions taken to inform policy prioritisation and government responses to high food inflation have not been comprehensively synthesised. Our review summarises (i) innovative efforts to monitor national food and healthy diet price, ii) new policy responses adopted by governments to address food inflation and (iii) future research directions to inform new evidence. Evidence synthesis. Global. None. We describe how timely food and beverage pricing data can provide transparency in the food industry and identify key areas for intervention. However, government policies that improve food affordability are often short-lived and lack sustained commitment. Achieving meaningful impact will require long-term, cross-sectoral actions that are led by governments to support food security, healthy diets and resilient sustainable food systems. This will necessitate a better understanding of how the political economy enables (or hinders) policy implementation, including through coherent problem framing, mitigating conflicts of interest in policymaking, working together as coalitions and developing and utilising evidence on the food security and related impacts of food pricing and affordability policies. Diverse actors must be better equipped with robust data platforms and actionable policy solutions that improve the affordability of healthy and sustainable diets, including by lowering food prices and addressing the broader socio-political determinants of food insecurity.</p>","PeriodicalId":20751,"journal":{"name":"Proceedings of the Nutrition Society","volume":" ","pages":"1-12"},"PeriodicalIF":4.5,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The affordability of diets that align with the UK's dietary advice and the Eatwell Guide.","authors":"Asha Kaur","doi":"10.1017/S0029665125101742","DOIUrl":"10.1017/S0029665125101742","url":null,"abstract":"<p><p>Unhealthy diets are a leading cause of preventable ill health. Healthy diets tend to be more expensive than less healthy diets and as such are more likely to be consumed by individuals with a higher income. This review paper discusses the development of the Eatwell Guide, evaluates the affordability of a diet consistent with the Eatwell Guide ('the Eatwell Guide diet') and explores how food pricing can be leveraged to encourage and support healthier dietary choices. The Eatwell Guide is the UK's food-based dietary guidelines. It provides healthy eating advice that is intended to facilitate policy cohesion but is also used as a public-facing health promotion tool. The cost of food has increased and recent estimates suggest that the Eatwell Guide diet is now more expensive than the current average diet. There is strong evidence that subsidies would be effective at increasing the uptake of healthy diets. Monitoring the cost of a healthy diet is important for policy development; however, we should exercise caution when considering how to incorporate costs into food-based dietary guidelines and be mindful of the limitations of the data that could support this.</p>","PeriodicalId":20751,"journal":{"name":"Proceedings of the Nutrition Society","volume":" ","pages":"1-5"},"PeriodicalIF":4.5,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dietary management of chronic constipation: a review of evidence-based strategies and clinical guidelines.","authors":"Eirini Dimidi","doi":"10.1017/S0029665125100694","DOIUrl":"https://doi.org/10.1017/S0029665125100694","url":null,"abstract":"<p><p>This review comprehensively examines the current evidence on the dietary management of chronic constipation, and the dietary recommendations presented in clinical guidelines for chronic constipation. Several randomised controlled trials (RCT) have investigated the effect of dietary supplements, foods and drinks in chronic constipation. Systematic reviews and meta-analyses of these RCTs have demonstrated that psyllium supplements, specific probiotic supplements, magnesium oxide supplements, kiwifruits, prunes, rye bread and high mineral water content may be effective in the management of constipation. However, despite the plethora of evidence, current clinical guidelines only offer a limited number of dietary recommendations. The most commonly recommended dietary strategy in clinical guidelines is dietary fibre, followed by senna supplements and psyllium supplements. The least commonly recommended dietary strategies are magnesium oxide, Chinese herbal supplements, prunes and high mineral-content water. Several evidence-based dietary strategies are omitted by current clinical guidelines (e.g. kiwifruits), while some strategies that are recommended are not always supported by evidence (e.g. insoluble fibre supplement). Dietary recommendations in clinical guidelines can also be ambiguous, lacking outcome-specific recommendations and information for appropriate implementation. Future RCTs are needed to assess currently under-investigated dietary approaches that are nevertheless commonly recommended, and future clinical guidelines should include dietary recommendations supported by available evidence.</p>","PeriodicalId":20751,"journal":{"name":"Proceedings of the Nutrition Society","volume":" ","pages":"1-13"},"PeriodicalIF":4.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aakash Prasad, Connie Glover, Marshal S Shuler, Viswas Dayal, Fiona E Lithander
{"title":"The effect of diet on Parkinson's disease progression, symptoms and severity: a review of randomised controlled trials.","authors":"Aakash Prasad, Connie Glover, Marshal S Shuler, Viswas Dayal, Fiona E Lithander","doi":"10.1017/S0029665125101213","DOIUrl":"https://doi.org/10.1017/S0029665125101213","url":null,"abstract":"<p><p>Parkinson's disease (PD) is the fastest-growing neurological condition in the world, affecting 11·8 million people worldwide in 2021. Due to the globally expanding and ageing population, as well as growing industrialisation, this number is likely to increase. Given the absence of disease-modifying pharmacological therapies, this review aimed to examine the effect of dietary interventions on PD progression, motor symptoms, non-motor symptoms, specifically those affecting the gastrointestinal (GI) tract, and severity. To do so, this review synthesised the current evidence from randomised controlled trials (RCTs) on dietary patterns, individual foods and beverages, and nutritional supplements including nutrients, bioactive compounds, and biotics.Results from the included RCTs failed to demonstrate conclusive evidence for the use of a dietary intervention as a therapy for improving PD progression, symptoms and severity. However, this is likely a reflection of the current scarcity of RCTs in the literature, rather than an outright demonstration of the ineffectiveness of such dietary approaches. In contrast, several trials have demonstrated a beneficial effect of biotic supplementation in managing GI symptoms, particularly constipation syndrome, which may be a promising avenue for improving GI-related issues that affect up to 80 % of PD patients. In conclusion, further RCTs are required to decipher the role that diet may play in mitigating PD progression and severity and improving overall patient care by reducing both motor and non-motor symptoms.</p>","PeriodicalId":20751,"journal":{"name":"Proceedings of the Nutrition Society","volume":" ","pages":"1-15"},"PeriodicalIF":4.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dianne Mayberry, Sonja Dominik, David Lemon, David G Masters
{"title":"Locally relevant indicators of environmental impact are required to support sustainable diets.","authors":"Dianne Mayberry, Sonja Dominik, David Lemon, David G Masters","doi":"10.1017/S0029665125101729","DOIUrl":"10.1017/S0029665125101729","url":null,"abstract":"<p><p>Indicators of environmental impact can be used to inform the production, promotion and consumption of sustainable diets. Most environmental impacts associated with food production occur on farm; thus, sustainable diets are reliant on sustainable agricultural practices. In this paper, we review the current use of environmental indicators and metrics from global to local scales and highlight the need for locally relevant definitions to inform sustainable diets. Using Australia as a case study, we show that the diversity of food production systems is accompanied by a diversity of environmental issues, including climate change, land scarcity, nutrient pollution, water scarcity and biodiversity loss, each uniquely affecting different systems. However, while global datasets and indicators provide a consistent basis for estimating impacts and enabling country and food product comparisons, they often fail to capture the nuances of food production at national and sub-national scales. For example, land use may be a poor indicator of biodiversity loss when grazing a natural, low-input rangeland. Similarly, water use is only relevant where there is competition for the resource and eutrophication only where there is an adjacent water system to pollute. Thus, reporting frameworks used to inform sustainable diets need to be based on indicators that consider the context of local systems to demonstrate the clear linkage and how specific farming systems can drive sustainable diets. The development of provenance and traceability systems means the tools are already available to track impacts at a regional, or even individual farm, level.</p>","PeriodicalId":20751,"journal":{"name":"Proceedings of the Nutrition Society","volume":" ","pages":"1-9"},"PeriodicalIF":4.5,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The broader symbiotic relationships between animals and humans in low-, middle- and high-income countries.","authors":"Robyn G Alders","doi":"10.1017/S0029665125101201","DOIUrl":"https://doi.org/10.1017/S0029665125101201","url":null,"abstract":"<p><strong>Background: </strong>Human-animal relationships have evolved over millennia, shaping societies, economies, and ecosystems. Domestic animals play critical roles in food and nutrition security, livelihoods, and cultural practices, with livestock systems varying by region and purpose. Since the 1950s, rising demand for animal products, urbanization, and technological advances have transformed some livestock production systems. Globally, animals support household well-being by contributing to social, spiritual, and physical health, particularly in resource-limited settings. Livestock offer vital services, such as manure production, draft power, and employment, while also supporting agroecosystems through regenerative practices that promote biodiversity and soil health.</p><p><strong>Benefits and accessibility: </strong>Animal-source foods (ASF)-including meat, milk, eggs, and offal-are rich in essential nutrients such as vitamin B<sub>12</sub>, iron, omega-3 fatty acids, and high-quality protein. They are especially important for vulnerable groups such as children and the elderly. ASF also provide year-round nutritional support in rainfed systems and offer economic security through barter or sale during crises. However, policies must consider local contexts to promote sustainable consumption and production, ensuring equitable access to ASF.</p><p><strong>Utilisation: </strong>Nose-to-tail eating is a traditional, sustainable approach that maximizes resource use, reduces waste, and enhances nutrition by utilizing all edible parts of animals. Organ meats and bone products are nutrient-dense and cost-effective, benefiting low-income communities and honouring ethical consumption values.</p><p><strong>Conclusions: </strong>This review explores the diverse roles animals play in human societies, with a focus on the contribution of ASF to sustainable human nutrition through the integrated perspectives of One Health and One Welfare. It also provides policy recommendations to foster ethical and responsible human-animal relationships.</p>","PeriodicalId":20751,"journal":{"name":"Proceedings of the Nutrition Society","volume":" ","pages":"1-4"},"PeriodicalIF":4.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perspectives, challenges and future of artificial intelligence in personalised nutrition research.","authors":"Aida Brankovic, Gilly A Hendrie","doi":"10.1017/S0029665125100657","DOIUrl":"https://doi.org/10.1017/S0029665125100657","url":null,"abstract":"<p><p>Personalised nutrition (PN) has emerged as an approach to optimise individual health outcomes through more targeted and tailored dietary recommendations based on unique genetic, phenotypic, medical, lifestyle and contextual factors. The application of artificial intelligence (AI) presents an opportunity to achieve personalised nutrition advice at a scale that has population impact. This review introduces a nutrition audience to different AI applications and offers insights into the concepts of AI that might be relevant to the field of nutrition research. The current and future uses of AI in PN are discussed, as well as the potential benefits and challenges to their application. AI-driven solutions have the potential to improve health and reduce the risk of disease because they can consider more information about an individual in making recommendations. However, challenges such as data interoperability, ethical considerations, and model interpretability remain an issue limiting widespread use at this point. This review will provide a foundational understanding of the application of AI within PN and help to identify opportunities to leverage the potential of AI in transforming dietary guidance and enhancing health outcomes through innovative solutions.</p>","PeriodicalId":20751,"journal":{"name":"Proceedings of the Nutrition Society","volume":" ","pages":"1-9"},"PeriodicalIF":4.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Are all ultra-processed foods bad? A critical review of the NOVA classification system.","authors":"Jimmy Chun Yu Louie","doi":"10.1017/S0029665125100645","DOIUrl":"https://doi.org/10.1017/S0029665125100645","url":null,"abstract":"<p><p>The NOVA food classification system and its categorisation of ultra-processed foods (UPFs) have significantly influenced dietary guidelines worldwide, yet the assumption that all UPFs are uniformly harmful warrants critical examination. Here, a review of evidence revealed substantial heterogeneity in health outcomes across UPF subtypes, with products like sugar-sweetened beverages consistently associated with adverse outcomes while fortified cereals and certain dairy products demonstrate neutral or protective effects. The binary nature of NOVA's classification fails to account for nutritional composition, fortification benefits, and cultural food traditions, creating inconsistencies in categorisation across different contexts. Methodological limitations in UPF research include inadequate dietary assessment tools, selective reporting of negative findings, and experimental design flaws that conflate processing with other dietary factors. Implementation challenges extend to socioeconomic accessibility, as UPFs often provide cost-effective nutrients for disadvantaged populations and environmental sustainability, where wholesale reduction could increase resource demands. Future directions should develop more nuanced classification systems that integrate processing methods with nutritional quality to better inform public health strategies rather than categorically rejecting all UPFs.</p>","PeriodicalId":20751,"journal":{"name":"Proceedings of the Nutrition Society","volume":" ","pages":"1-9"},"PeriodicalIF":4.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maijaliisa Erkkola, Ole Berg, Åsa Brugård Konde, Steina Gunnarsdottir, Anne Dahl Lassen, Niina E Kaartinen, Tagli Pitsi, Merja Saarinen, Heli Tapanainen, Johanna Torfadottir, Ellen Trolle, Jelena Meinilä
{"title":"From evidence to action: implementing the Nordic Nutrition Recommendations in national policy.","authors":"Maijaliisa Erkkola, Ole Berg, Åsa Brugård Konde, Steina Gunnarsdottir, Anne Dahl Lassen, Niina E Kaartinen, Tagli Pitsi, Merja Saarinen, Heli Tapanainen, Johanna Torfadottir, Ellen Trolle, Jelena Meinilä","doi":"10.1017/S0029665125100682","DOIUrl":"https://doi.org/10.1017/S0029665125100682","url":null,"abstract":"<p><p>The Nordic Nutrition Recommendations 2023 (NNR2023) serve as the scientific foundation for national dietary guidelines and nutrient recommendations across the Nordic and Baltic countries. We reviewed how NNR2023 was adapted into national food-based dietary guidelines (FBDG) in the Nordic countries and Estonia, focusing specifically on sustainability considerations and policy implications. National FBDG integrated both health and environmental aspects in all countries, except Norway, which addressed environmental aspects only in a separate report. Health impacts served as the primary principle in all countries. Additionally, national policy perspectives, such as domestic food security, were addressed in some countries, while the integration of social and economic sustainability remained very limited. In adopting NNR2023, all countries modelled how implementation would affect nutrient adequacy or health within their food environments, making minor adjustments based on these findings. Guidelines for animal source food groups showed the most variation between countries; Estonia and Denmark established the strictest recommended limits for red meat and total meat, respectively, while Norway was most liberal regarding milk products. Stakeholders participated in the consultation process. The agricultural sector and meat industry primarily maintained pro-meat discourse, which was particularly intense in Norway and Sweden. Transition towards healthy and sustainable diets demands multiple policy instruments - FBDG being just one - alongside a supportive environment and participation from all food system actors.</p>","PeriodicalId":20751,"journal":{"name":"Proceedings of the Nutrition Society","volume":" ","pages":"1-12"},"PeriodicalIF":4.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}