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
September 2025
Food Insecurity-Related Stigma Among Adults in the United States: A Scoping Review
This review aimed to characterize individual- and structural-level stigma associated with government (ie, SNAP, WIC) and emergency food program (ie, food banks, pantries, cupboards, soup kitchens) utilization in the US. 5 databases (PubMed, PsychINFO, Web of Science, CINAHL, Sociological Abstracts) were searched in June 2024. The review included peer-reviewed articles (January 2004 – June 2024), MoreAugust 2025
Resources to Improve Implementation of the Healthy Eating Research (HER) Nutrition Guidelines for the Charitable Food System
This guide contains training materials, resources, tips, and examples of practices to help food banks improve the implementation of Healthy Eating Research (HER) Nutrition Guidelines for the Charitable Food System. To create this guide, the research team interviewed people working in food banks across the country to learn how they approach ranking foods using the MoreAugust 2025