Evidence map›Paper›PMID 41515156›Full record

ReviewNutrients2025

The Responsible Health AI Readiness and Maturity Index (RHAMI): Applications for a Global Narrative Review of Leading AI Use Cases in Public Health Nutrition.

Dominique J Monlezun, Gary Marshall, Lillian Omutoko, Patience Oduor, Donald Kokonya, John Rayel, Claudia Sotomayor, Oleg Sinyavskiy, Timothy Aksamit, Keir MacKay and 10 more

Abstract readReview
In one paragraph

Review in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

20 authors.

Dominique J MonlezunFaculty of Bioethics, Universidad Anáhuac México, Mexico City 52786, Mexico.ORCID 0000-0001-7671-1886
Gary MarshallDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Lillian OmutokoDepartment of Educational Management, University of Nairobi, Nairobi 00200, Kenya.ORCID 0009-0007-6139-5412
Patience OduorAfrica Bioethics Network, Kigali 00502, Rwanda.ORCID 0000-0001-9877-4466
Donald KokonyaSchool of Medicine, Masinde Muliro University of Science and Technology, Kakamega 190-50100, Kenya.ORCID 0009-0001-0170-2771
John RayelCollege of Science, Bicol University, Legazpi City 4500, Philippines.
Claudia SotomayorPellegrino Center for Clinical Bioethics, Georgetown University, Washington, DC 20007, USA.
Oleg SinyavskiyDepartment of Public Health, Asfendiyarov Kazakh National Medical University, Almaty 050012, Kazakhstan.
Timothy AksamitDivision of Pulmonary Medicine and Critical Care Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Keir MacKayDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0009-0000-7034-4923
David GrindemDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0009-0000-0721-3285
Dhairya JarsaniaDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0009-0009-4771-2906
Tarek SouaidDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Alberto GarciaSchool of Bioethics, Ateneo Pontificio Regina Apostolorum, 00163 Rome, Italy.ORCID 0000-0001-9090-0966
Colleen GallagherHonors College, University of Houston, Houston 77204, USA.ORCID 0000-0003-1100-726X
Cezar IliescuDepartment of Cardiology, UT MD Anderson Cancer Center, Houston, TX 77030, USA.ORCID 0000-0002-8817-4579
Sagar B DuganiDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-7858-1317
Maria Ines GiraultFaculty of Bioethics, Universidad Anáhuac México, Mexico City 52786, Mexico.
María Elizabeth De Los Ríos UriarteFaculty of Bioethics, Universidad Anáhuac México, Mexico City 52786, Mexico.
Nandan AnavekarDepartment of Cardiology, Mayo Clinic, Rochester, MN 55905, USA.

Funding

Rural Patient Risks and Exposures for Diabetes ConTrol (Rural PREDICT)K23MD016230 · NIMHD · MAYO CLINIC ROCHESTER · PI DUGANI, CHANDRASAGAR · 2021 to 2025
$763k
NIMHD NIH HHS K23 MD016230
6 · The paper itself

Abstract

Poor diet is the leading preventable risk factor for death worldwide, associated with over 10 million premature deaths and USD 8 trillion related costs every year. Artificial intelligence or AI is rapidly emerging as the most historically disruptive, innovatively dynamic, rapidly scaled, cost-efficient, and economically productive technology (which is increasingly providing transformative countermeasures to these negative health trends, especially in low- and middle-income countries (LMICs) and underserved communities which bear the greatest burden from them). Yet widespread confusion persists among healthcare systems and policymakers on how to best identify, integrate, and evolve the safe, trusted, effective, affordable, and equitable AI solutions that are right for their communities, especially in public health nutrition. We therefore provide here the first known global, comprehensive, and actionable narrative review of the state of the art of AI-accelerated nutrition assessment and healthy eating for healthcare systems, generated by the first automated end-to-end empirical index for responsible health AI readiness and maturity: the Responsible Health AI readiness and Maturity Index (RHAMI). The index is built and the analysis and review conducted by a multi-national team spanning the Global North and South, consisting of front-line clinicians, ethicists, engineers, executives, administrators, public health practitioners, and policymakers. RHAMI analysis identified the top-performing healthcare systems and their nutrition AI, along with leading use cases including multimodal edge AI nutrition assessments as ambient intelligence, the strategic scaling of practical embedded precision nutrition platforms, and sovereign swarm agentic AI social networks for sustainable healthy diets. This index-based review is meant to facilitate standardized, continuous, automated, and real-time multi-disciplinary and multi-dimensional strategic planning, implementation, and optimization of AI capabilities and functionalities worldwide, aligned with healthcare systems' strategic objectives, practical constraints, and local cultural values. The ultimate strategic objectives of the RHAMI's application for AI-accelerated public health nutrition are to improve population health, financial efficiency, and societal equity through the global cooperation of the public and private sectors stretching across the Global North and South.

Indexed as

Artificial IntelligenceDiet, HealthyNutrition AssessmentPublic HealthDeveloping CountriesHumansNutritional Statusartificial intelligenceedge AIethicshuman rightslow- and middle-income countriesprecision nutritionpublic health nutritionresponsible AIswarm AI

Identifiers

PMID41515156
PMCPMC12787627

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.