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Language models in nutrition and dietetics: a scoping review

O'Hara C, Kent G, Leydon CL, Walsh NM, Gibney ER, Skoutas D, Flynn AC, Timon CM

The American journal of clinical nutrition, 2026

38 participants

Abstract

BACKGROUND: Language models are a form of generative artificial intelligence that excel at natural language understanding and generation, with possible applications for providing evidence-based nutrition information in an interactive and personalized manner. However, they also pose risks to public health related to inaccuracy, bias, and data protection. It is unclear what quantity or type of research has been conducted on these models applied within nutrition and dietetics.

OBJECTIVES: To identify the ways in which language models are being applied to nutrition and dietetics and the associated opportunities and challenges.

METHODS: The review was conducted in accordance with a predefined protocol and included original studies from peer-reviewed journals. The databases Medline, EMBASE, PsycINFO, CINAHL, PubMed, Global Health, Web of Science, Scopus, DBLP, and IEEE Xplore were searched, and forward and backward citation chasing was conducted for included articles.

RESULTS: There were 2118 articles identified, and after screening 40 remained for data charting. All studies were published between 2022 and 2024. A total of 23 different language models were used with 9 studies creating domain-specific models using retrieval augmented generation or fine-tuning. A total of 17 nutrition-related diseases were considered. The tasks assigned to the language models included extraction or summarization of data from the scientific literature or electronic health records (n = 5), estimation…

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