FAQs

General

What is the Everyone EATS project?

Everyone Eats is a global citizen science study that collects stool samples to better understand what people are eating around the world. Instead of relying on food diaries or surveys, we use a DNA-based method called FoodSeq to reconstruct diet directly from the gut.

What is FoodSeq?

FoodSeq is a scientific technique that uses DNA metabarcoding to detect dietary DNA in stool samples. It can identify traces of plant and animal DNA, providing a detailed snapshot of what someone has eaten and how their diet interacts with the gut microbiome.

Why study diet this way?

What we eat affects everything from our metabolism and mood to our risk for chronic diseases. But, traditional methods of studying diet often rely on self-reported food intake, which can be incomplete or inaccurate. By analyzing the DNA in stool, we get a more objective, high-resolution picture of actual food consumption—and how it varies across cultures, regions, and health conditions.

Can our technique detect processed vs. whole foods?

While FoodSeq does not directly show food-processing levels, the plants we detect can be used to get an idea of someone’s dietary patterns. For instance, leafy green vegetables like spinach and lettuce do not commonly occur in processed foods, so these would hint at a whole-food diet. On the other hand, plants like corn, soybeans, and wheat are often refined into ingredients like high-fructose corn syrup and flour, which are common in ultra-processed foods, hinting at a more processed diet.

The co-occurrence of certain foods is also a helpful indicator in distinguishing whole foods from ultra-processed foods. For example, soybeans are in whole foods like edamame and tofu, as well as processed foods. If a sample contains high levels of soy plus corn, wheat, and even chocolate, we might suspect that the source is a processed, not whole, food.

How good is our technique at distinguishing similar foods from each other?

Certain foods are grouped together in our analyses because the sequencing technique examines only a small region of DNA—specifically, the trnL gene in plant chloroplasts and the 12SV5 gene in animal mitochondria. These regions provide useful genetic markers, but they don’t capture the full DNA sequence of the whole organism.

For example, dairy and beef both come from cows, so they share the same small piece of DNA that we analyze, making it impossible to distinguish between them. Similarly, some plants—like carrots and parsley—have very similar DNA in the region we sequence, meaning we can detect their presence but can’t always tell them apart. That’s why we list them together in your report.

It can also be helpful to remember that we’re looking at DNA, not composition of food (like macros including carbs, fat, protein).

What is dietary diversity?

Dietary diversity refers to the variety of different foods or food groups consumed over a given period. It is a key indicator of a well-balanced diet, as eating a wide range of foods helps ensure adequate intake of essential nutrients. Greater dietary diversity is associated with better overall health, improved nutrient status, and a lower risk of chronic diseases. It is often measured by counting the number of different food groups consumed daily or weekly, such as fruits, vegetables, grains, legumes, dairy, and protein sources.

Sampling

How do I provide a stool sample?

We will provide a sample collection kit with clear instructions on how to sample your stool, store it safely, and then ship it. Also, check out the 1-minute video below for step-by-step directions.

What happens if I lose my sample kit?

Send us an email at everyone_eats@duke.edu or call us at 919-684-8712, and we can arrange to send you a replacement.

How quickly must I ship the sample?

Within 48 hours.

Diet Data Return Report

Why should I be interested in the information in my report?

It contains objective information on the foods you’ve eaten. This contrasts with the current methods of collecting dietary information from participants which rely on subjective information from a survey or questionnaire. We’re also able to capture foods often missed by these surveys, like traditional and culturally relevant ingredients. 

Does the report show all the foods that I ate in one day?

This really depends on the person, as digestion is very individualized. In some cases, the foods we find can be reflective of just one day if someone has a fast digestive system. But it’s entirely possible that what we find could range from 1 – 5 days before sample collection.   

What if I see foods that I know I DIDN’T eat?

There are a few reasons for this:

  • Our method is still under development, so while it’s mostly very accurate, it’s not perfect.

  • Sometimes DNA from dust or another sample may get into your sample and be detected.

  • Alternatively, foods can sometimes have surprising ingredients. For example, corn, soy, and palm oil are added to processed foods in form of syrups, extracts, or oils. 

Why can’t I see foods that I know I DID eat?

Sometimes the DNA in food will not survive long enough to be detected in stool. Generally, we find that the more someone has eaten a food, and the less processed it is, the more likely we are to see it. Additionally, we’re still ironing out a few kinks to improve accuracy in our detection and reporting of fungi (for example, mushrooms) and invertebrates (for example, shrimp, clam, snails, edible bugs), so you may not see these in your report. 

Can you tell me the quantities of food I ate?

No, but we’re working on this.

Should I eat differently while participating?

There’s no need to eat any differently. In fact, the closer you keep to your regular diet, the more reflective your report will be of your usual food preferences. This is especially useful to researchers like us who are trying to establish any relationships between what people are eating and how this affects health.

Can you tell me if I have any food allergies?

No, we are not able to provide any information on food allergies with this technique. 

Can you provide health advice based on my report?

No, we do not provide health advice as we are not qualified to do so. This is the role of a registered dietician and other medical professionals. Our hope is that these Dietary Data Return Reports will be useful to these kinds of medical professionals in providing accurate, objective information on people’s dietary diversity, so they know how best to help them improve their help. 

Feedback

Where and how do I provide feedback?

A link is provided on your Dietary Data Return Report that will take you to a survey in which you can provide feedback. In addition, if you’d like to schedule a phone or video interview, you can reach out to the study team directly at everyone_eats@duke.edu.