Nutrition’s Shaky Foundations

A dramatic, gothic-style medieval castle perched on a crumbling stone foundation by a river. The castle is tall and spired, resembling classic European Gothic architecture with dark, moody tones and intricate stonework. At the base, a cartoonish but expressive hippo is aggressively attacking the crumbling foundation, causing cracks to spread through the structure. The sky is overcast and stormy, creating a tense, surreal atmosphere. There are no references to nutrition or science—just a symbolic image of instability and unexpected threat. The style is darkly elegant and semi-realistic with a touch of fantasy.

For decades, nutrition science has relied on a foundation that has at best been crumbling ever since: self-reported dietary intake combined with food composition tables. This approach works well for dietary patterns and food intake – but has severe flaws when trying to estimate intake of individual compounds such as vitamins, minerals or other compounds. And yet, it remains central to nutrition research and guidance. But we are building castles on sand.

There are two major problems—one is self-reporting, and I wrote about this before: it’s prone to recall bias, social desirability, and other problems. But there’s another, even more insidious problem—one that gets far less attention: we don’t actually know what’s in the food.

Even if we solved self-reporting with clever tools, gadgets, or digital tracking, we’d still be in trouble—because food isn’t chemically consistent.

Read the full post on Substack →


Originally published on Substack.

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