Photo food diary
A few years ago I read an article in the Journal of the American Dietetic Association (a poster from an ADA meeting) about a different way of doing dietary diaries. The researchers had their patients write down what they ate and photograph it with a digital camera. As you can see from the poster (reprinted in full at the bottom of this post), subjects underreported their intake in their written diaries as compared to their photographic diaries, with the biggest omissions in the written record coming from sauces and condiments.
I’ve thought about this since I read it and always thought it a good idea. Now, with almost everyone having either a small digital camera or a cell phone with a built-in camera, it makes much more sense than trying to remember everything eaten and writing it down later. And there is a huge difference between the words “two chicken thighs’ and pictures of two chicken thighs that came from KFC with all the breaded coating from their Original recipe and two chicken thighs from a rotisseried chicken. Yet, all too often, people eat the first, then simply write down ‘two chicken thighs’ and wonder why they aren’t losing weight when they review their diaries later.
A recent study has again confirmed what a lot of previous studies have shown: that people who keep diaries tend to lose substantially more weight than those who don’t. Which means that if you’re on a weight-loss program and want to really make your efforts count, you should probably keep a diet diary. And, given that they are so much more reliable, keep that diary in digital form.
I’ve decided to do that very thing for a week and publish it on this blog. I’m doing this for a couple of reasons. First, I don’t really need to lose any weight so I’m not doing it for that reason, but to answer the question people most often ask us is: What do you eat? This digital record will show everyone what we (or at least what I) eat over a week’s time.
Second, it’s easy to fool oneself. And the camera prevents that. MD and I once went to a luncheon with a lot of low-carb aficionados. At that luncheon, MD and I were the only ones who were at a normal weight – everyone else was overweight, some almost morbidly so. I listened as the waitress took orders around the table and noticed that everyone ordered a low-carb meal. Not only did they order low-carb meals, they took pains to make sure the waitress knew they didn’t want any croutons on their salads, no bread, no breading on anything, no possible hint of any added carbs to the vegetables, no carbs in the sauces, etc. The thought that went through my head at the time was that if these people ate this way all the time they wouldn’t be as overweight as they were. Had all these people been forced to examine digitally their own at-home eating, they may have been in for a big surprise.
What you see at the top of this post is my breakfast this morning, made for me by my lovely and talented wife. What you see directly below this paragraph is a photo of a Cafe Americano that I made for myself (note the wonderful crema). I drink about three or four of these before noon, one in the afternoon and a cup of decaf Americano after dinner most – but not all – nights. (Click here if you want to see me make one of these most delicious drinks.) I’m not going to photograph every cup of Americano, but I will photograph everything else that goes into my mouth. And I’m not going to try to be on my best dietary behavior like the people at the low-carb luncheon – I’m going to post photos of whatever I eat warts and all. And I’ll include any booze that I throw back, but I’m really cutting back this week in preparation for all the holiday cheer that I won’t be able to resist later in the month.
I plan to continue with my regular posting with these photo diaries interspersed. I’m going to categorize this entire week under Photo diet diary, so you can click on that to get the entire week all in one place without having to click through all the other posts.
One last thing. A few years back MD and I were guests on the new Donny and Marie show. The producers asked us to give them a list of an entire day’s worth of low-carb foods for one person. We wrote up a typical breakfast, lunch, dinner and snack menu. When we got there and got on the set all the food for an entire day was spread out on one table. I was stunned to see that much food. As Marie was talking to MD about some woman thing, I did a quick eyeball calculation and found that the food presented was what we had written in the menu. It’s one thing to see one meal’s worth of low-carb fare laid out before you, but an entire day’s is another matter. Let me tell you, it is a lot of food.
MD and I didn’t get a recording of this show, so if anyone out there happens to have it, let me know via the comments. I’ll try to talk you into letting me borrow the tape so I can digitalize it and get it up on YouTube. It’s really an amazing thing to see. And I’ll return your tape unharmed.
Below is the poster that inspired this post.

















I keep a food journal. I didn’t do it for the first 6 months of low carb. I did resist the idea. I started so I could try to see patterns. This was after a small woosh of weight loss after a stall. I hoped I could figure out what caused that woosh so I could make it happen again! Did something I ate or stopped eating effect the weight loss at all? Is there a pattern to the weight loss? I don’t do any numbers – not calories, carb grams or amounts of food. I just can’t see any numbers I could figure out from FitDay or whatever would actually be any where close to reality. Plus I am just not the measuring out my food type! It was the food journal that allowed me to figure out the alcohol connection to my slowed weight loss. Hmmm….I haven’t really lost much in the last few months. What’s changed? Gee, look at all that wine! So now I limit myself to wine one night a week. I’m also experimenting with refeeds or carb ups, and the journal is helpful to see if that is helping the weight loss. Actually I would be happy if the weight loss stayed the same and I got to treat myself once a week. But it only can be seen over a period of time. And having actual records as opposed to what you THINK you remember is very helpful!
Vadim said:
“There seems to be a lot of discussion amongst low carbers about benefit of exercise when it comes to weight loss. I just read on Jimmy Moore blog a lot of people arguing what Dr Sears said about exercise. Basically he believes that exercise is not a major part of weight loss and can really be avoided. It really robbed lots of people the wrong way.”
Dr. Sears did not say that exercise “can really be avoided”. He said that exercise may account for as much as 20 percent of one’s weight control, but that diet is responsible for about 80 percent. Therefore, a poor diet can overwhelm any good exercise regimen.
In fact, if you listened to Jimmy’s interview of Barry Sears you will recall that Jimmy mentioned Fred Hahn’s “Slow Burn” regimen, to which Dr. Sears replied that he personally uses Hahn’s Slow Burn as his exercise routine. So in fact Dr. Sears does recommend exercise, not so much for weight loss, but for other benefits…such as: better overall fitness, improved sexual function, improved sleep quality, etc. And there is one way in which exercise “indirectly” may help one lose weight. That is, by increasing insulin sensitivity (and as any low carber knows, insulin is the powerhouse hormone that controls fat deposition). Insulin sensitivity is most improved with a strength training/weight lifting exercise regimen, as opposed to an aerobic/cardiovascular exercise routine–though that may have it’s benefits as well.
Dr. Eades said this:
“I’m of the opinion that although exercise provides a multitude of health benefits, *exercise*
isn’t one of them.”
Exercise isn’t a health benefit of exercise? I believe Dr. Eades meant to say “weight loss”.
P.S. A common error I frequently come across in the diet/blog world is the use of the word “loose” for “lose”. As in, “losing weight”. We lose weight, not “loose” weight. Sorry for the rant, but it’s a bit of a pet peeve.
Thanks for the great blog Dr. Eades.
Hey Paul–
Thanks for the heads up on the “exercise” for weight loss. I went back and corrected it.
I’m a big fan of exercise, too. And I’m a big fan of Slow Burn exercise specifically. But I suppose I would be, wouldn’t I?
I’m with you on the ‘loose’ wt vs ‘lose’ weight. It’s common mistake but it grates on me nevertheless.
Cheers–
MRE