In 2020, charitable food organizations began adopting Healthy Eating Research (HER) nutrition guidelines, which rank individual foods in tiers (e.g., green, yellow, or red) based on each food’s nutrient profile. This study aimed to validate this HER tier-ranked system against the Healthy Eating Index-2015 (HEI) and develop a formula to summarize the percentages of tier-ranked foods in an overall nutritional quality index that correlated with HEI. Using secondary data of foods selected by clients in 16 Minnesota food pantries (n = 503 “client carts”), we generated an HEI score and percentages of green, yellow, and red foods for each cart. As validation, we tested the association between HEI scores and the percentages of tier-ranked foods and compared the means of the tier-ranked variables using quintiles of the HEI scores. HEI scores were positively associated with percentages of green foods and negatively associated with percentages of red foods. Next, we used statistical learning to generate weights to maximize the correlation of the tier-ranked variables and the HEI scores and used these weights to create an index. The index demonstrated a moderate-to-strong correlation with HEI and can be used as a single measure to summarize the overall nutritional quality for sets of tier-ranked foods.
Published: September 2022
Journal: Nutrients
Authors: Gombi-Vaca MF, Xu R, Schwartz M, Battista Hesse M, Martin K, Caspi CE
Focus Area: Food Access
Keywords: Food insecurity, Nutrition standards
Resource Type: Journal Article
State: Minnesota
Related Research
November 2025
The implications of banning synthetic food dyes on the food purchase quality of families with children
This study examines how removing synthetic dyes from the food supply impacts the nutritional quality of grocery purchases among families with children, focusing on the 7 dyes targeted by FDA for phase-out by the end of 2026 (some of which are required (i.e., red dye #3), while the removal of others are voluntary). Aim 1 MoreNovember 2025
Measuring the impact of charitable food program cuts on the nutritional quality of foods
This study examines how sudden cuts to USDA programs supporting the charitable food system (i.e., The Emergency Food Assistance Program (TEFAP) and the Local Food Purchase Assistance Cooperative Agreement (LFPA)) affect the supply of healthy food available for distribution by food banks. Existing data from 15 food banks will be analyzed, and additional data will MoreSeptember 2025