Why keep a food diary?

What is a food diary?

From mental health journaling to dream journaling, writing things down can help to identify patterns and specific triggers that affect your mood.

A food diary works in much the same way. It helps paint a picture of your eating habits and maps this against any physical and/or mental symptoms you're trying to address. A food diary can help uncover if what and how you eat and drink, negatively affects your health.

It's easy to forget the details of everything you eat and drink, but the answers you need often lie in the particulars - like how much you ate, when you ate it, and how you felt in the following hours - and writing it down reduces the problem of memory failure². There are other details you may record, depending on the problem you're hoping to address.

Ro Huntriss, dietitian and founder of Dietitian Ro & Fertility Dietitian UK, says: "Typically, a food diary includes the type and quantity of the food you consume, the time of consumption, and any additional details like cooking methods, specific ingredients, and the type and volume of your drinks throughout the day."

Who should use a food diary?

There are a few common reasons for using a food diary, but anyone who feels they might benefit can start one - it's always useful to know what's going into your body and how this can change how you feel from one day to the next.

"For example," says Huntriss, "You may use a food and mood diary to understand whether there is a relationship between your feelings and the food and drink you consume."

The diet specialist goes on to describe the main groups of people that use food journaling:

Those looking for symptom triggers

Some people develop food intolerances or sensitivities that trigger symptoms. According to Huntriss, doctors and dietitians may advise you to keep a food diary that also tracks your symptoms to help discover if there is a relationship between the two.

Symptoms that can be food-related include:

• Unusual bowel habits - constipation, diarrhoea, or both.

• Bloating.

• Gas.

• Abdominal pain.

• Headaches.

Unwanted digestive symptoms could be a sign of food intolerances or irritable bowel syndrome (IBS). It's fairly common to develop intolerances to foods that you were previously fine with. As a result, elimination diets - like the low FODMAP diet - are common too.

Food allergies like coeliac disease and other gut conditions like Crohn's disease and inflammatory bowel disease (IBD) are less common and usually come with other, more severe symptoms. Your doctor may also recommend blood tests and other diagnostic tools to identify or rule these out.

Those looking to lose weight

A food diary can help you to identify areas for change to support healthy weight loss.

"It will highlight positive dietary choices and areas to improve in your diet," says Huntriss. "People aren't always fully aware of what they consume until they start to record it in such a way."

And it's not just about limiting foods high in fat, sugar, and salt - although this is most important. Other eating habits can also contribute to weight gain, including:

• Eating too fast.

• Not chewing your food enough - which can make you feel less full.

• Exceeding the recommended plate portion size.

• Eating when not hungry - which can be triggered by emotions.

• Eating while standing - which may lead to fast or mindless eating.

• Skipping meals - which can cause you to overeat at other times.

• Always having dessert.

Those looking to improve the quality of their diet

Store-bought and processed food products mean we often don't know what goes into our bodies. Healthy eating habits can help reduce the long list of ingredients we ingest, but packaged goods are here to stay - and a food journal can help you better understand the nutritional value of your favourite foods.

Huntriss says: "If you feel your diet is poor and you want to improve it for your general health, a food diary can be a good place to start. It may help to identify if any particular food groups or nutrients are lacking giving an indication as to what changes should be made."

How to keep a food diary in 5 steps

1. Find your journal

This could be a notebook, a smartphone app, or an online platform. Apps and online templates save you the task of creating relevant headings and columns, but the old-fashioned method of putting pen to paper can give you the flexibility and space to include as many details as you want, depending on the day.

2. Choose your tracking data

A food diary works best laid out as a table. The most basic headings to include in any food diary are:

• Time of day.

• What you ate/drank.

• A comments section.

The best diaries also have additional headings tailored to the data you need to collect. For example:

• Symptom flare ups - for example, when your bowel habits change, bloating, abdominal pain.

• Reasons for deciding to eat - for example, hunger, stress, or tiredness.

• When you eat food containing common food intolerances - for example, gluten, dairy, caffeine, and fructose.

• Nutritional and ingredient details of what you consume.

Templates like the NHS food diary can make things easy with predetermined boxes to fill, but be mindful that these can also limit the information you write down. It's important to find one that allows for the details you need.

For example, people with IBS might use the mySymptoms food and symptom diary app which also tracks symptoms and mood changes, while the BiteSnap app is a photo food diary that fills in the nutritional information of the foods you snap.

3. Update at least twice a day

If possible, update whenever you eat or drink something new, or once after morning and lunch and again before bed. The bigger gaps you leave between journaling, the harder it becomes to remember all the important details including mapping any symptom and mood changes that happened throughout your day.

4. Have an end date

A food diary is a temporary tool to help you reflect on your eating habits. If you don't set an end date, not only are you more likely to inaccurately record data over time², you also risk developing an unhealthy relationship with your food that's overly obsessive.

You also won't have the space to properly reflect on your habits and formulate an action plan - which is often best to do with a specialist, like a dietitian.

• For weight loss - one week is usually long enough to uncover unhealthy eating habits and if they fluctuate between weekdays and weekends.

• For symptom and mood tracking - experts normally recommend two to three weeks.

5. Look for patterns

At the end of each week and after you're end date, set aside time to reflect on what you've eaten and drunk, and search for any patterns that link certain foods or behaviours with symptoms, mood changes, or poor nutrition - depending on your end goal.

Patient picks for Healthy eating

Is the food traffic light labelling system useful?

These days supermarkets are bursting with an overwhelming variety of packaged food and drinks to suit all dietary wants and needs. But it's not just choice that has increased - there's now more nutritional information on food packaging than ever. The question is, is this info actually helping us make healthier choices?

by Rose Constantine Smith

After a food diary

For general weight loss or nutrition goals, a food diary can empower you to take action and replace any unhealthy habits you identify with healthier ones - either yourself or with support from a health professional.

If you feel you've identified a link between troubling symptoms and your eating habits, the next step is sharing your findings with a professional. Try not to self-diagnose - it could be a sensitivity to certain foods, but it could also be something else, like an allergy or autoimmune disease that requires treatment. Doctors may decide to run other tests to rule these out.

Whatever the diagnosis, part or all of the problem may be improved with dietary changes. "If you require an in-depth look into your diet, a registered dietitian is a great choice. As an expert in medical nutrition, they will have a greater understanding of which foods may be triggering your symptoms," says Huntriss.

Further reading

1. Centers for Disease Control and Prevention: Improving your eating habits.

2. Ortega et al: Dietary assessment methods: dietary records.