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. 2009 Aug 15;14(6):307–318. doi: 10.1007/s12199-009-0101-1

Table 3.

An example of a food record sheet Inline graphic


Meals

Time (hours)

Place

Food name

Amounts

Ingredients

Cooking method

Weight (g)

Product name

Manufacturer
Breakfast 0710 Home Cooked rice with black rice ½ bowl Rice Boiling 105.93
Black rice 1.07
Curry 150 ml Pork(lean) Boiling 24
Potato 42
Onion 24
Carrot 14
Curry sauce 48
Drinking yogurt 1 bottle 139 Apple
yogurt
Pasteur
Instant coffee 1 cup Coffee 91 Mocha Dongsuh
Lunch 1230 Work Cooked rice with millet 1 bowl Rice Boiling 191.1
Millet 3.9
Potato soup with sea tangle 250 ml Potato Boiling 75
Sea tangle 7
Green onion 1
Stock 157
Broiled mackerel 1 piece Mackerel Panbroiling 51
Buckwheat curd 2 pieces Buckwheat curd
Green onion
Seasoning 41
1
Seasoning of bean sprout 1 dish Bean sprout Seasoning 54
Kimchi 1 dish Kimchi 57
Drip coffee 1 cup Coffee 212
Snack 1600 Work Steamed sweet potato 1 each Sweet potato Steaming 36
Snack 1700 Work Instant coffee 1 cup Coffee 106 Mocha Dongsuh
Dinner 2000 Home Cooked rice with black rice and buckwheat ½ bowl Rice Boiling 135.6
Black rice 5.76
Buckwheat 2.88
Sea weed soup with clam 200 ml Sea weed Boiling 42
Clam 3
Stock 101
Roasted anchovy 3 chopsticks Anchovy Roasting 18
Kimchi (Green onion) 2 chopsticks Seasoning 28
Kimchi 1 dish Seasoning 42

Definition of categories: ①, Present as breakfast, lunch, dinner, and snack; ②, meal time; ③, place eaten (e.g., at home, at work, at MacDonald’s, other fast food restaurant, etc.); ④, name of food eaten (e.g., cooked rice with black beans, Miso soup with mushrooms); ⑤, amount eaten (e.g., 2/3 rice bowl, 1 soup bowl, 1 each of beef burger, 1 bottle of yogurt); ⑥, food ingredients [e.g., miso, mushroom, onion, beef (record which part, if possible), seasoning, etc]; ⑦, cooking method, such as steaming, frying, boiling, etc; ⑧, weight measured by scale balance; ⑨, commercial brand name or product name and ⑩, company name are required, if subject to consumed processed food (e.g. Drinking yogurt, Meiji)