Text-based nutrient estimation by large language models: a comparative evaluation against the Chinese Food...

Large language models (LLMs) increasingly provide nutrient information, but their accuracy for Chinese foods and their consistency across repeated queries are not well established.

To compare nutrient estimates from nine general-purpose LLMs with the Chinese Food Composition Table (CFCT) and assess within-model reproducibility.

For 299 commonly consumed Chinese foods, each model estimated energy and 14 nutrients per 100 g in three independent runs (8,073 food-level outputs). Model means were compared with CFCT values using absolute-agreement intraclass correlation coefficients (ICCs), bias, mean absolute error (MAE), root mean squared error, percentage error, and Bland-Altman limits of agreement. Repeated-run ICCs and coefficients of variation assessed reproducibility.

Agreement was excellent for energy, fat, carbohydrate, sodium, and vitamin C across all nine models, and good to excellent for protein. Performance was less consistent for vitamin A, zinc, iron, and potassium. Repeated-run stability was high for energy and macronutrients but lowest for vitamin A. GLM had the most favorable combined accuracy-stability profile, followed by Minimax and Qwen. Even when aggregate agreement was high, individual food estimates sometimes showed substantial error.

General-purpose LLMs can approximate energy and macronutrient values for Chinese foods under controlled text-based conditions, but micronutrient estimates remain less dependable. Values intended for clinical or other high-stakes applications should be verified using validated food-composition resources and, where appropriate, qualified nutrition professionals.