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Review
. 2021 Jul 31;13(8):2667.
doi: 10.3390/nu13082667.

Toward an Evidence-Based Definition and Classification of Carbohydrate Food Quality: An Expert Panel Report

Kevin B Comerford  1 , Yanni Papanikolaou  2 , Julie Miller Jones  3 , Judith Rodriguez  4 , Joanne Slavin  5 , Siddhartha Angadi  6 , Adam Drewnowski  7
Affiliations
Review

Toward an Evidence-Based Definition and Classification of Carbohydrate Food Quality: An Expert Panel Report

Kevin B Comerford et al. Nutrients. .

Abstract

Carbohydrate-containing crops provide the bulk of dietary energy worldwide. In addition to their various carbohydrate forms (sugars, starches, fibers) and ratios, these foods may also contain varying amounts and combinations of proteins, fats, vitamins, minerals, phytochemicals, prebiotics, and anti-nutritional factors that may impact diet quality and health. Currently, there is no standardized or unified way to assess the quality of carbohydrate foods for the overall purpose of improving diet quality and health outcomes, creating an urgent need for the development of metrics and tools to better define and classify high-quality carbohydrate foods. The present report is based on a series of expert panel meetings and a scoping review of the literature focused on carbohydrate quality indicators and metrics produced over the last 10 years. The report outlines various approaches to assessing food quality, and proposes next steps and principles for developing improved metrics for assessing carbohydrate food quality. The expert panel concluded that a composite metric based on nutrient profiling methods featuring inputs such as carbohydrate-fiber-sugar ratios, micronutrients, and/or food group classification could provide useful and informative measures for guiding researchers, policymakers, industry, and consumers towards a better understanding of carbohydrate food quality and overall healthier diets. The identification of higher quality carbohydrate foods could improve evidence-based public health policies and programming-such as the 2025-2030 Dietary Guidelines for Americans.

Keywords: carbohydrate foods; carbohydrate quality; diet quality; fiber; food groups; glycemic index; glycemic load; nutrient density; nutrient profiling; whole grain.

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Conflict of interest statement

All authors are invited members of the Quality Carbohydrate Coalition’s Scientific Advisory Council (QCC-SAC). A.D. is the developer of the Nutrient Rich Food (NRF) index, a nutrient profiling model, and has received grants, contracts, and honoraria from entities, both public and private, with an interest in nutrient density of foods, complex meals, and the total diet. Y.P. is the president of Nutritional Strategies, collaborates on NHANES analyses and provides food, nutrition, and regulatory affairs consulting services for food/beverage companies and food-related associations. S.A. and J.M.J. advise the Grain Foods Foundation. J.S. has current grants from Taiyo and Barilla in the area of dietary fiber, and also serves on the Scientific Advisory Boards for Tate and Lyle and Atkins Nutritionals. J.R. has no conflicts of interest. K.B.C. is employed by FoodMinds, which provides science communications consulting services to various food and nutrition entities, including Potatoes USA and the Alliance for Potato Research and Education (APRE).

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