Wrist photoplethysmography encodes dietary information

Whether wearable photoplethysmography (PPG) contains dietary information remains unknown. We trained a language model on 1.1M meals to predict meal descriptions from PPG, aligning PPG to text. PPG nontrivially predicts meal content; predictability decreases for PPGs farther from meals. This transfers to dietary tasks: PPG increases AUC by 11% for intake and satiety across held-out and independent cohorts, with gains robust to text degradation. Wearable PPG may enable passive dietary monitoring.