Unhealthy dietary behavior continues to be a persistent public health issue in the United States, exacerbated by recommendation systems that prioritize user preference without considering nutritional health. The Multi-Objective Personalized Interpretable Health-aware Food Recommendation System (MOPI-HFRS), from which this work extends, addresses this by jointly optimizing preference, health, and diversity through Pareto-based optimization. However, this approach relies on static, per-step tradeoff solutions that fail to capture the sequential nature of dietary decision-making. We introduce MORL-A2C, a sequential decision-making extension to MOPI-HFRS targeting the health-preference axis. Leveraging frozen GNN embeddings, MORL-A2C formulates recommendation as a K-step reranking problem using an Advantage Actor-Critic algorithm with a scalarized relevance/health reward. The policy is warm-started via behavior cloning against a dot-product ranker derived from frozen embeddings. We also identify and correct a non-trivial bug in the MOPI-HFRS evaluation pipeline that understated baseline performance; all results are reported against the corrected baseline. On the macro-nutrient benchmark, MORL-A2C achieves a modest reduction in ranking quality (Recall@20: 25.64% to 23.61%, NDCG@20: 23.52% to 20.64%) in exchange for a substantial improvement in health alignment (H-Score@20: 46.05% to 69.57%), with consistent trends on the full-nutrient benchmark. These findings validate that policy-driven sequential optimization can effectively navigate the health-preference trade-off in multi-objective food recommendation.
Asiful Arefeen, Carol Johnston, Hassan Ghasemzadehcs.IR cs.AI cs.HC
Postprandial hyperglycemia is a key risk factor for metabolic disorders; however, existing dietary guidance is often static, impractical, and insufficiently personalized, providing recommendations that are difficult to follow or not impactful. While recent advances leverage continuous glucose monitoring (CGM) and machine learning to predict glycemic responses, these approaches are largely predictive and lack actionable guidance. Moreover, recommendation systems are often misaligned with user goals and require extensive input. We present MetaPlate, a counterfactual explanation (CF) guided, context-aware decision-support framework that generates personalized meal recommendations to mitigate postprandial glucose excursions in healthy adults. MetaPlate integrates multimodal data, including CGM readings, wearable-derived physiological signals, and user-provided meal inputs from $25$ individuals to model pre-meal context. A machine learning model predicts glucose response, while a CF optimization module adjusts meal composition modifying macronutrient amounts to maintain glucose levels within a target range ($\leq 140$ mg/dL). An LLM-based retrieval-augmented generation (RAG) layer enhances interpretability by producing human-readable recommendations using constrained search of the USDA food database. We evaluate MetaPlate via a structured expert-in-the-loop assessment with registered dietitians (RDs), comparing performance before and after prompt refinement. Results show improvements in meal realism, portion suitability, and recommendation likelihood, with expert feedback indicating a shift from clinically implausible outputs to actionable, contextually appropriate recommendations. Our findings emphasize the importance of domain knowledge and structured constraints in LLM-driven systems and highlight the potential of MetaPlate as a real-time personalized dietary decision-support tool.