Unveiling Dietary Complexity: A Scoping Review and Reporting Guidance for Network Analysis in Dietary Pattern...

Background/Objectives: Dietary patterns play a crucial role in health, yet most research examines foods individually, overlooking how they interact. This approach provides an incomplete picture of how diet influences health outcomes. Network analysis (e.g., Gaussian graphical models, mutual information networks, mixed graphical models) offers a more comprehensive way to study food co-consumption by capturing complex relationships between dietary components. However, while researchers have applied various network algorithms to explore food co-consumption, inconsistencies in methodology, incorrect application of algorithms, and varying results have made interpretation challenging. The objectives of this scoping review were to systematically map and synthesise studies that have applied network analysis to dietary data, and to establish guiding principles for future research in this area. Methods: Using PRISMA-ScR criteria, our scoping review identified 171 articles published from inception up to 7 March 2025, of which 18 studies met the inclusion criteria. Results: Gaussian graphical models were the most frequent approach, used in 61% of studies, and were often paired with regularisation techniques (e.g., graphical LASSO) to improve clarity (93%). The analysis revealed significant methodological challenges across the literature: 72% of studies employed centrality metrics without acknowledging their limitations, there was an overreliance on cross-sectional data limiting the ability to determine cause and effect, and difficulties in handling non-normal data. While most studies using GGM addressed the issue of non-normal data, either by using the nonparametric extension, Semiparametric Gaussian copula graphical model (SGCGM), or log-transforming the data, 36% did nothing to manage their non-normal data. Conclusions: To improve the reliability of network analysis in dietary research, this review proposes five guiding principles: model justification, design-question alignment, transparent estimation, cautious metric interpretation, and robust handling of non-normal data. To facilitate their adoption, a CONSORT-style checklist is introduced-the Minimal Reporting Standard for Dietary Networks (MRS-DN)-to help guide future studies. This review was preregistered on Open Science Framework.