SAN FRANCISCO, November 04, 2025–(BUSINESS WIRE)–A first-of-its-kind analysis covering more than 200 billion grocery purchases and 70,000 U.S. households shows that the typical American grocery basket scores just 48.94 out of 100 on the FoodHealth Score, a new nutrition index developed by the FoodHealth Co.— 55% below an ideal score of 88, which indicates a basket aligned with positive long-term health outcomes.
These and other findings, developed in partnership with NielsenIQ, are unveiled in the inaugural Health of America’s Grocery Carts report, painting the clearest picture yet of American nutrition and how our food choices vary by demographics and life stage.
“Everyone knows what a credit score is–it predicts your financial health. The FoodHealth Score works the same way, but for your body. It shows how the food you buy today is likely to shape your health in the long run,” said Sam Citro Alexander, founder and CEO of FoodHealth Co. “Our mission is to make the health of our food choices measurable, transparent, and easy to improve.”
“This collaboration brings the power of our data to one of the most important questions of our time: what are we really eating?” said Beth Morris, vice president of product insights at NielsenIQ. “By pairing NielsenIQ’s unparalleled view of consumer purchases with FoodHealth Co.’s scoring system, we can finally quantify how everyday choices add up—and help the industry move toward a healthier food ecosystem.”
This analysis was powered by the same FoodHealth Score technology available to the food industry. The FoodHealth Co. and NielsenIQ have partnered to turn the underlying data behind this report into an actual market offering—now available directly through the NielsenIQ platform.
What the Report Covers
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What Americans are buying — broken down by state, food category, and demographics, including comparisons between SNAP participants and non-participants.
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How healthy those purchases are — using one clear, consistent metric that allows households, retailers, and policymakers to measure progress over time.
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Cost and correlation— whether healthier foods really cost more, across categories and geographies and how knowledge, education and availability drive purchasing decisions.
Key Metrics in the Report
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