Choosing a calorie app

Mediterranean Diet App: What to Track and What to Skip

Track the PREDIMED scorecard: olive oil at 4 tablespoons a day or more, vegetables, fruit, legumes, fish and nuts. A day that meets it comes to about 2,000 kcal, a quarter of it oil.

Key takeaways

  • The 14-item PREDIMED scorecard gives a point per food habit, and its olive oil target is 4 tablespoons a day or more.
  • Four tablespoons of olive oil is 54 g, or about 477 kcal, so the oil is the entry most worth weighing.
  • A day built from the scorecard targets came to 2,018 kcal, and two portions of oil made up 24% of it.
  • In the 2018 PREDIMED report, hazard ratios for major cardiovascular events were 0.69 with olive oil and 0.72 with nuts, against a reduced-fat control diet.
  • A weekly plan needs three servings each of legumes and fish, and two sofrito dishes, to reach the weekly targets.

A Mediterranean diet app should track food groups before calories: olive oil, vegetables, fruit, legumes, fish and nuts. The scorecard I’d use is the 14-item questionnaire from the PREDIMED trial, whose olive oil target is 4 tablespoons a day (PREDIMED tool). Oil is the one entry I’d weigh, since a spoon of it holds a lot of energy.

What should a Mediterranean diet app track?

The items on that 14-item scorecard. The PREDIMED tool gives one point per item, and the targets are plain food counts. I left out the wine item, because nobody should start drinking to raise a score. My version tops out at 13.

Item Target for a point In grams or units
Olive oil as the main cooking fat Yes
Olive oil per day 4 tbsp or more 54 g
Vegetables per day 2 servings or more, one raw 200 g a serving
Fruit per day 3 or more, juice counts 3 pieces
Red meat and meat products per day Under 1 serving 100–150 g a serving
Butter, margarine or cream per day Under 1 serving 12 g a serving
Sweet or carbonated drinks per day Under 1 1 drink
Legumes per week 3 servings or more 150 g a serving
Fish or shellfish per week 3 servings or more 100–150 g of fish
Commercial sweets or pastries per week Under 3 times 1 portion
Nuts per week 3 servings or more 30 g a serving
Chicken, turkey or rabbit over veal, pork, burgers or sausages Yes
Sofrito dishes per week 2 or more tomato, onion or garlic cooked in olive oil

PREDIMED used it on 7,447 adults aged 55 to 80 who had type 2 diabetes or at least three cardiovascular risk factors. It screens food habits and says nothing about a diet plan or about weight. Count your points for one ordinary week first. Change nothing yet.

What counts as a good score?

The trial sorted people into three bands: 5 points or fewer, 6 to 9, and 10 or more. The average participant scored 8.6 out of 14, wine point included (PREDIMED tool). My 13-point version has no wine item. I read an 8 or a 9 on a first honest week as ordinary and a 10 as a good one.

Take the women who scored 10 or more and set them against the women who scored 7 or less. The odds ratio for a waist-to-height ratio above 0.6 was 0.68 for women. For men it was 0.66. That is a snapshot of one moment and does not show that the diet changed anyone’s waist. The same paper found that high nut intake and low intake of sweet or fizzy drinks had the strongest links to abdominal fat. If I could watch only two items, I’d watch those, and nuts are the one that costs energy.

How many calories is a day that hits those targets?

About 2,000 kcal. A quarter of it is oil. Four tablespoons of olive oil weigh 54 g and carry 477 kcal. I built one day from USDA records to see the targets on a real plate. It has 400 g of vegetables, three pieces of fruit, 54 g of oil, 30 g of nuts and 100 g of fish. Energy is the specific Atwater figure where the record gives one.

Meal Food and grams kcal
Breakfast Greek yogurt, plain, nonfat, 156 g 95
Breakfast English walnuts, 30 g 196
Breakfast Apple, raw, 182 g 95
Lunch Chickpeas, boiled, 164 g 269
Lunch Tomatoes, raw, 200 g 36
Lunch Olive oil, 27 g (2 tbsp) 239
Lunch Whole-wheat bread, 64 g (2 slices) 161
Lunch Orange, navel, 140 g 69
Dinner Salmon, farmed, cooked, 100 g 206
Dinner Broccoli, raw, 200 g 64
Dinner Brown rice, cooked, 202 g 248
Dinner Olive oil, 27 g (2 tbsp) 239
Snack Banana, peeled, 115 g 101
Total 2,018

The two portions of oil add up to about 477 kcal, 24% of the day. They’re also the easiest thing in the table to pour without noticing, which is why the spoon matters. I measure oil with a spoon for the first week, and after that I know what a glug looks like. Nuts come second: 30 g of walnuts is 196 kcal.

If you are eating to lose weight, watch this pair first, because a Mediterranean day can overshoot on oil and nuts without anyone noticing. The scorecard asks for little red meat, butter and sweets. It sets no calorie limit, and the PREDIMED diets had no energy restriction.

What can I cut from that day without losing a point?

Less than you’d hope. Every figure below comes from the same USDA records as the day above: walnuts, brown rice, whole-wheat bread and olive oil.

Change Saves per day Scorecard cost
Walnuts, 30 g on 3 days a week instead of every day 112 kcal on average None, 3 servings a week still earn the point
Brown rice, 101 g instead of 202 g 124 kcal None
Bread, 1 slice instead of 2 about 80 kcal None
Olive oil, 3 tbsp instead of 4 119 kcal Loses the 4 tbsp point

The first three come to 316 kcal and take the day from 2,018 to 1,702. A fourth step costs a point. One tablespoon less oil leaves 1,583 kcal. Both totals clear the bottom of the usual targets in the 2013 AHA/ACC/TOS guideline. The bottom of each guideline range is 1,200 kcal a day for women and 1,500 for men. If a weight goal needs more than the first three changes, I give up the oil point and keep the vegetables and legumes.

What can I skip tracking?

Most of the rest. The scorecard counts foods, so you don’t need macro percentages, a protein target or a fat split to follow the pattern. Count servings of vegetables and fruit rather than grams, unless you like grams. On days you eat out, skip the points and write the day down as it was.

Calories are the exception. Track them only if you have a weight goal.

This is how I count a typical week without turning it into homework. On Sunday evening I tick the weekly items: three servings of legumes, three of fish, three of nuts, two sofrito dishes, fewer than three sweets or pastries. Then I check the daily items on three random days. If those hold, I assume the others did. Five minutes, tops.

I also skip the “perfect week.” Eleven out of thirteen is a good week by my standard. One dinner with a burger doesn’t undo it.

Is there a free Mediterranean diet meal plan app?

Ranking apps would add nothing here. A plan from a list is no better than one you build from the scorecard, and building it takes ten minutes. This weekly skeleton gets the weekly items over the line, with no recipes attached.

Day Dinner anchor Weekly item it covers
Monday Lentil or chickpea stew Legumes
Tuesday Baked fish with vegetables Fish
Wednesday Pasta with sofrito Sofrito
Thursday Bean salad with tuna or sardines Legumes, fish
Friday Roast chicken with vegetables White meat
Saturday Fish or shellfish Fish
Sunday Chickpea and vegetable rice with sofrito Legumes, sofrito

Add a handful of nuts three times across the week and leave gaps for dinners out. A meal plan app that writes your shopping list is a convenience, but the score runs fine in a notebook. If you want one anyway, see how meal plans compare with a plain food log, and what the paid tier of a meal-plan app with scores adds.

What do the weekly servings weigh in a log?

The weekly items are the ones people log loosely, so here they are in grams with USDA energy for some common choices. I weigh legumes cooked. For fish I use 100 g, the low end of the scorecard’s range.

Weekly item Serving Choice kcal
Legumes 150 g Lentils, boiled 174
Legumes 150 g Chickpeas, boiled 246
Fish 100 g Cod, Atlantic, cooked 105
Fish 100 g Tuna, white, canned in water, drained 128
Fish 100 g Salmon, farmed, cooked 206
Fish 100 g Sardines, canned in oil, drained 208
Nuts 30 g Walnuts 196
Nuts 30 g Almonds 174

Three fish dinners a week run from 315 kcal with cod to 624 with sardines. A log line that just says “fish” hides about 300 kcal of weekly spread. Nuts add up faster than they look: three servings of walnuts are 588 kcal a week and three of almonds are 522. Pick the food you will actually eat and log its own record.

Does the evidence say this works?

In one large trial, 7,447 adults at high cardiovascular risk got one of three diets. Two were Mediterranean, with extra-virgin olive oil or mixed nuts. The control was advice to cut fat. The first report was withdrawn and republished in 2018 after protocol deviations. Median follow-up was 4.8 years. The revised hazard ratios for major cardiovascular events were 0.69 with olive oil and 0.72 with nuts (Estruch et al., 2018). Events happened in 3.8% of the olive oil group, 3.4% of the nuts group and 4.4% of the control group.

So the pattern may lower cardiovascular risk. That finding is about older adults at high risk, whose olive oil or nuts were free and who attended quarterly coaching sessions. If you have heart disease, diabetes or a nut allergy, your doctor or dietitian sets what you eat, not an app or this guide.

Does it help with weight?

Not by itself, as far as the PREDIMED data go. Energy restriction was not advised, and participants in all three groups lost a little weight. Compared with the control diet, five-year bodyweight differed by -0.410 kg with the olive oil diet and -0.016 kg with the nuts diet. Neither difference was significant (Estruch et al., 2019). Waist circumference differed by -0.466 cm with olive oil and -0.923 cm with nuts, and only the nuts figure reached significance.

I read that next to the 2,018 kcal day. The pattern is something to eat on, and a weight goal needs its own numbers, which is what the cuts above are for.

How do I log a Mediterranean day in an app?

Log oil as its own line, with grams. Do the same for nuts, because that is where the energy hides. A salad with dressing or a sofrito stew built from its ingredients takes a minute once you have done it. If two apps show different numbers for the same oil, the post on the most accurate calorie tracker explains why, and how to choose a calorie counter app gives the tests to run on yours.

How do I log a sofrito?

Build it once from raw ingredients and save it as a recipe. Mine is 200 g of tomatoes, 110 g of onion, 9 g of garlic, which is three cloves, and 27 g of olive oil. The pan holds 332 kcal: 36 from the tomatoes, 44 from the onion, 13 from the garlic and 239 from the oil. The oil is 72% of it. Split four ways, a serving is 83 kcal, and 60 of those come from the oil.

Oil left behind in the pan makes the log run a little high. I would rather over-log it than guess. Weighing the bottle before and after cooking gives the real amount in about ten seconds.

How do I test an app’s food list in ten minutes?

Log five foods from the day above by grams and compare each with the USDA figure. The test shows which record the app picked.

Log this USDA record says
Olive oil, 27 g 239 kcal
Walnuts, 30 g 196 kcal
Chickpeas, boiled, 164 g 269 kcal
Tomatoes, raw, 200 g 36 kcal
Salmon, cooked, 100 g 206 kcal

An app that lands within about 5% on each is reading something close to the USDA record. A bigger gap means it matched a different food, so open the entry and see which one. I stop trusting an entry I have caught once.

Three more checks the numbers don’t show:

  • Grams is the default unit for oil, not “serving”.
  • You can save a recipe such as the sofrito.
  • An entry shows where its number came from.

The weekly ticks are yours to keep on paper, since a calorie log gives a daily total.

Calsa lets you type or say a day with grams. You can build a recipe such as sofrito from raw ingredients, and oil or dressing in a photo gets its own line, with each number showing its source and the math behind it. There are no weekly meal plans or shopping lists, so the table above stays on paper.

Questions and answers

How much olive oil is 4 tablespoons?

The USDA gives 1 tablespoon of olive oil as 13.5 g, so 4 tablespoons is 54 g. At 884 kcal per 100 g that is about 477 kcal. Measure it with a spoon for a week to see how much you really pour.

Do I need to count calories on a Mediterranean diet?

Not for the pattern itself, since the scorecard counts foods. Count calories if you have a weight goal, because the diet is not low in energy: a day built from the scorecard targets came to 2,018 kcal.

What is sofrito?

In the PREDIMED questionnaire it is a sauce of tomato, onion, leek or garlic simmered with olive oil, eaten with vegetables, pasta, rice or other dishes. The target for a point is two or more times a week.

Is the Mediterranean diet safe for everyone?

Ask your doctor first if you have a health condition. The main trial studied adults aged 55 to 80 at high cardiovascular risk, who got free olive oil or nuts and quarterly coaching. Anyone with heart disease, diabetes or a nut allergy should have a doctor or dietitian set their plan.

Sources

  1. Martínez-González MA, et al. A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial. PLoS One 2012, PLoS One
  2. Oil, olive, salad or cooking (SR Legacy, FDC ID 171413), USDA FoodData Central
  3. Greek yogurt, plain, nonfat (Foundation, FDC ID 330137), USDA FoodData Central
  4. Nuts, walnuts, english (SR Legacy, FDC ID 170187), USDA FoodData Central
  5. Apples, raw, with skin (SR Legacy, FDC ID 171688), USDA FoodData Central
  6. Chickpeas, mature seeds, cooked, boiled, without salt (SR Legacy, FDC ID 173757), USDA FoodData Central
  7. Tomatoes, red, ripe, raw, year round average (SR Legacy, FDC ID 170457), USDA FoodData Central
  8. Bread, whole-wheat, commercially prepared (SR Legacy, FDC ID 172688), USDA FoodData Central
  9. Oranges, raw, navels (SR Legacy, FDC ID 169917), USDA FoodData Central
  10. Fish, salmon, Atlantic, farmed, cooked, dry heat (SR Legacy, FDC ID 175168), USDA FoodData Central
  11. Broccoli, raw (Foundation, FDC ID 747447), USDA FoodData Central
  12. Rice, brown, long-grain, cooked (SR Legacy, FDC ID 169704), USDA FoodData Central
  13. Bananas, ripe and slightly ripe, raw (Foundation, FDC ID 1105314), USDA FoodData Central
  14. Jensen MD, et al. 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults. Circulation 2014, Circulation
  15. Lentils, mature seeds, cooked, boiled, without salt (SR Legacy, FDC ID 172421), USDA FoodData Central
  16. Fish, cod, Atlantic, cooked, dry heat (SR Legacy, FDC ID 171956), USDA FoodData Central
  17. Fish, tuna, white, canned in water, drained solids (SR Legacy, FDC ID 175158), USDA FoodData Central
  18. Fish, sardine, Atlantic, canned in oil, drained solids with bone (SR Legacy, FDC ID 175139), USDA FoodData Central
  19. Nuts, almonds (SR Legacy, FDC ID 170567), USDA FoodData Central
  20. Estruch R, et al. Primary prevention of cardiovascular disease with a Mediterranean diet supplemented with extra-virgin olive oil or nuts. N Engl J Med 2018, The New England Journal of Medicine
  21. Estruch R, et al. Effect of a high-fat Mediterranean diet on bodyweight and waist circumference: a prespecified secondary outcomes analysis of the PREDIMED randomised controlled trial. Lancet Diabetes Endocrinol 2019, The Lancet Diabetes & Endocrinology
  22. Onions, raw (SR Legacy, FDC ID 170000), USDA FoodData Central
  23. Garlic, raw (SR Legacy, FDC ID 169230), USDA FoodData Central

About the author

Claire Donovan

Editor, Calsa blog

Claire edits the Calsa blog. She writes about calorie counting, protein and the small questions that come up in your first weeks of tracking.

All articles by Claire

Put the numbers to work.

The guides show where each number comes from. In Calsa you log a meal by photo, voice or barcode, check the grams, and every calorie shows its source.

Log my first meal
A snack board of hummus, carrot and cucumber sticks, crackers, cheese, grapes and walnutsCalsa entry details: 71 kcal per 100 g times 250 g, with USDA as the source