Daily Calorie Log Worksheet
Copy and paste the following information into a word processing document. Complete each of the five daily calorie logs. Answer the reflection questions completely with supporting details.
Part One: Daily Calorie Log
Calorie Log: Day One
Calories Consumed
Calories Expended
Meal Type (Breakfast, Lunch, Dinner, or Snack)
Food/Beverage
Portion Size
Caloric Value
Physical Activity
Minutes
Caloric Value Breakfast Orange 1
Breakfast Orange 1
Lunch Grilled Cheese from Panera 1
Lunch
Water
0
Lunch Mac & Cheese from Panera 1
Snack Grapes handful
Dinner Grilled Chicken 1
Dinner Green beans
Dinner Water 0
Total Physical Activity Calories Expended
Females: Calories Expended for Body Function
(4.33 x weight in lbs.) + (4.7 x height in inches) - (4.68 x age) + 655
Males: Calories Expended for Body Function
(6.27 x weight in lbs.) + (12.68 x height in inches) - (6.76 x age) + 66 Total Calories Consumed Total Combined Calories Expended Difference between Intake and Output
________intake - ______output = _______ Calorie Log: Day Two
Calories Consumed
Calories Expended
Meal Type (Breakfast, Lunch, Dinner, or Snack)
Food/Beverage
Portion Size
Caloric Value
Physical Activity
Minutes
Caloric Value Breakfast Water 0
Breakfast Cinn. Oatmeal
Breakfast Orange 1
Lunch Craft Mac & cheese
Lunch Gatorade 12 fl oz 80
Snack Orange
Dinner Pasta Salad
Dinner Water 0
Snack Honey Bun 1
Total Physical Activity Calories Expended
Females: Calories Expended for Body Function
(4.33 x weight in lbs.) + (4.7 x height in inches) - (4.68 x age) + 655
Males: Calories Expended for Body Function
(6.27 x weight in lbs.) + (12.68 x height in inches) - (6.76 x age) + 66 Total Calories Consumed Total Combined Calories Expended Difference between Intake and Output
________intake - ______output = _______
Calorie Log: Day Three
Calories Consumed
Calories Expended
Meal Type (Breakfast, Lunch, Dinner, or Snack)
Food/Beverage
Portion Size
Caloric Value
Physical Activity
Minutes
Caloric Value Breakfast Gatorade 12 fl oz 80
Breakfast Grapes handful
Breakfast Waffles 2
Snack
Orange
1
Lunch
Light String Cheese 1
Lunch Kraft Mac and Cheese 1
Lunch Water 0
Dinner
Water
0
Dinner
Lasagna
1
Total Physical Activity Calories Expended
Females: Calories Expended for Body Function
(4.33 x weight in lbs.) + (4.7 x height in inches) - (4.68 x age) + 655
Males: Calories Expended for Body Function
(6.27 x weight in lbs.) + (12.68 x height in inches) - (6.76 x age) + 66 Total Calories Consumed Total Combined Calories Expended Difference between Intake and Output
________intake - ______output = _______
Calorie Log: Day Four
Calories Consumed
Calories Expended
Meal Type (Breakfast, Lunch, Dinner, or Snack)
Food/Beverage
Portion Size
Caloric Value
Physical Activity
Minutes
Caloric Value Breakfast Water 0
