Introduction and
Food and Activity Diary
Official partner of
leeds lets change
Weigh Ahead Programme
Topics covered
Date
Weight (kg)
2
BMI
Introduction (no activity)
Portion sizes
Making changes
Physical activity talk
Eatwell plate
Maintaining changes
Food labels
The way forward
3
Food diary
Notes on how to complete the diary:
Start a new page each day. Remember to fill in the day
and date.
It is important to note the time you eat each day.
Were you hungry? Say how empty or full you felt
(1 = full / 10 = very hungry)
What did you eat or drink? Include everything even the
odd biscuit, sweets and drinks.
How much? Give estimated portion sizes – there is no
need to weigh anything. Remember to note how it was
cooked. What did you add? Was it grilled, fried, boiled?
Record any activity in your day, what you did and
for how long. Don’t forget daily activities such as
housework, washing the car, gardening. It all counts!
Instructions:
Many people find it helpful to keep a record of what they
eat and drink.
Include a description of how strenuous you found the
activity e.g. “brisk walking”, “heavy gardening”, “light
housework”
Doing this will help you be aware of what, when and
why you eat, and from this, you can make some healthy
changes to your lifestyle.
This is your own personal record and you do not need to
share it.
Be honest, keep it with you and try and keep it up to date.
4
5
Hunger
score (1-10)
Time
Duration
Type of activity
Intensity of activity
What I ate and drank (as much information as possible, including
cooking methods and portion sizes)
Physical Activity Diary Day .......................
Time
Food Diary Day .......................
Hunger
score (1-10)
Time
Duration
Type of activity
Intensity of activity
What I ate and drank (as much information as possible, including
cooking methods and portion sizes)
Physical Activity Diary Day .......................
Time
Food Diary Day .......................
Hunger
score (1-10)
Time
Duration
Type of activity
Intensity of activity
What I ate and drank (as much information as possible, including
cooking methods and portion sizes)
Physical Activity Diary Day .......................
Time
Food Diary Day .......................
Hunger
score (1-10)
Time
Duration
Type of activity
Intensity of activity
What I ate and drank (as much information as possible, including
cooking methods and portion sizes)
Physical Activity Diary Day .......................
Time
Food Diary Day .......................
Hunger
score (1-10)
Time
Duration
Type of activity
Intensity of activity
What I ate and drank (as much information as possible, including
cooking methods and portion sizes)
Physical Activity Diary Day .......................
Time
Food Diary Day .......................
Hunger
score (1-10)
Time
Duration
Type of activity
Intensity of activity
What I ate and drank (as much information as possible, including
cooking methods and portion sizes)
Physical Activity Diary Day .......................
Time
Food Diary Day .......................
Hunger
score (1-10)
Time
Duration
Type of activity
Intensity of activity
What I ate and drank (as much information as possible, including
cooking methods and portion sizes)
Physical Activity Diary Day .......................
Time
Food Diary Day .......................
Help us get it right
If you have a complaint, concern, comment or
compliment please let us know by speaking to a member
of our staff. We learn from your feedback and use the
information to improve and develop our services.
If you would like to talk to someone outside the service
contact the Patient Advice and Liaison Service (PALS) on
0113 220 8585, Monday to Friday 9.30am to 4.30pm or
email [email protected]
Contact us
Please telephone or write to us at:
Weigh Ahead
Weight Management Service
Chapeltown Health Centre
Spencer Place
Leeds
LS7 4BB
Tel: 0113 843 2395
We can provide this information in large print,
Braille, audio or other languages on request.
www.leedscommunityhealthcare.nhs.uk
© Leeds Community Healthcare NHS Trust, October 2013 ref: 0916