Evidence map›Paper›PMID 41081011›Full record

ArticleCurrent developments in nutrition2025

Performance Evaluation of 3 Large Language Models for Nutritional Content Estimation from Food Images.

Jonatan Fridolfsson, Emma Sjöberg, Meri Thiwång, Stefan Pettersson

Abstract read
In one paragraph

Article in Current developments in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jonatan FridolfssonCenter for Lifestyle Intervention, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Emma SjöbergCenter for Health and Performance, Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
Meri ThiwångCenter for Health and Performance, Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
Stefan PetterssonCenter for Health and Performance, Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Traditional dietary assessment methods face limitations including recall bias, participant burden, and portion size estimation errors. Recent advances in artificial intelligence, particularly multimodal large language models (LLMs), offer potential solutions for automated nutritional analysis from food images. Objectives: This study aims to evaluate and compare the performance of 3 leading LLMs (ChatGPT-4o, Claude 3.5 Sonnet, and Gemini 1.5 Pro) in estimating food weight, energy content, and macronutrient composition from standardized food photographs. Methods: We analyzed 52 standardized food photographs including individual food components ( Results: ChatGPT and Claude demonstrated similar accuracy with MAPE values of 36.3% and 37.3% for weight estimation, and 35.8% for energy estimation. Gemini showed substantially higher errors across all nutrients (MAPE 64.2%-109.9%). Correlations between model estimates and reference values ranged from 0.65 to 0.81 for ChatGPT and Claude, compared with 0.58-0.73 for Gemini. All models exhibited systematic underestimation that increased with portion size, with bias slopes ranging from -0.23 to -0.50. Conclusions: ChatGPT and Claude achieved accuracy levels comparable with traditional self-reported dietary assessment methods but without associated user burden, suggesting potential utility as dietary monitoring tools. However, systematic underestimation of large portions and high variability in macronutrient estimation indicate these general-purpose LLMs are not yet suitable for precise dietary assessment in clinical or athletic populations where accurate quantification is critical.

Indexed as

artificial intelligenceChatGPTClaudedietary assessmentGeminilarge language modelvalidation study

Identifiers

PMID41081011
PMCPMC12513282

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.