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Saturday, December 2, 2023

How Much Protein You Need As You Age - The New York Times

Your protein requirements will fluctuate throughout your life. Here’s a stage-by-stage guide to help you hit your goals.

Most people in the United States get plenty of protein each day. But that’s not a reason to stop paying attention to it, experts say.

Protein is essential for every function in your body, whether it’s building muscle, bone and collagen, digesting food or fighting infections, said Glenda Courtney-Martin, a nutrition scientist at the University of Toronto.

And how much you need fluctuates throughout your life, depending on how old you are, your body size and other circumstances. Sometimes, you may fall short without realizing it, said Stuart Phillips, a muscle physiologist and nutrition researcher at McMaster University in Ontario, Canada.

Federal guidelines published in 2005 recommend a daily intake for protein based on your age and weight, though more recent research has suggested that these amounts should be a little higher for optimal health, Dr. Phillips said.

Here’s how your protein needs change as you move through life.

We have to eat protein every day, in part because old proteins get damaged or worn out, and new ones must replace them, Dr. Phillips said — similar to swapping out old bricks in a crumbling wall.

Babies, older children and teenagers are constantly growing, so they need more protein than adults do in proportion to their body weight, Dr. Courtney-Martin said.

According to the federal guidelines, for example, infants between 7 and 12 months of age need 0.54 grams of protein per pound of body weight each day, whereas adults require 0.36 grams per pound.

As children age, their protein needs slow along with their growth, Dr. Phillips said. For instance, 4- to 8-year-olds need 0.43 grams of protein per pound per day, and 14- to 18-year-olds need 0.39 grams per pound.

Most kids get enough protein with a typical balanced diet, said Christopher Gardner, a nutrition scientist at Stanford University.

A 25-pound toddler, for example, needs about 12 grams of protein per day — or the amount in a cup of milk and a slice of whole wheat bread combined. A 50-pound 8-year-old needs about 22 grams of protein, found in one cup of Greek yogurt, and a 120-pound teenager needs 46 grams, or the amount in one thick pork chop.

Between 25 and 50 percent of 14- to 18-year-old girls, however, don’t meet federal recommendations for protein, according to survey data published in 2023. Studies have found that adolescent girls eat less meat than boys do and are more likely to follow restrictive diets, which could explain the protein shortfall in this group.

By around age 17 or 18, your body usually stops growing and your protein requirements settle to more of a maintenance level — just enough to replace your worn out “bricks,” Dr. Phillips said.

The federal guideline for people ages 19 and older is 0.36 grams of protein per pound. For a 185-pound adult, this translates to 67 grams of protein per day — an amount you can get from eating one small salmon filet, a cup of lentils and a half cup of almonds combined.

Among adults aged 19 to 50 in the United States, less than 10 percent of men don’t get the recommended amount of protein each day, and between 10 and 25 percent of women fall short.

Certain people, Dr. Phillips said, such as those who do regular strength or endurance training, or those who are pregnant or breastfeeding, may require up to twice as much protein as recommended by federal guidelines.

Protein recommendations for older adults are currently the same as those for younger adults, but some evidence suggests that those 65 and older may benefit from consuming more — at least 0.45 to 0.54 grams per pound, said Denise K. Houston, a professor of gerontology and geriatric medicine at Wake Forest University School of Medicine.

For a 185-pound adult, this higher recommendation translates to 84 to 101 grams of protein per day. You can get about that much if you eat one cup of cottage cheese, a cup of tuna salad on whole wheat bread, and a six-ounce chicken breast in one day. As with younger adults, regularly lifting weights, running or doing other vigorous activities will further increase the protein needs for older adults. You’ll also require more if you’re recovering from an infection, hospitalization, surgery or a period of bed rest, Dr. Phillips said.

Once you reach your 50s and beyond, you start to lose muscle mass, Dr. Phillips said, which can increase your risk of falling, bone fractures, hospitalization and earlier death.

A lack of physical activity is the biggest cause of muscle loss, but studies have also shown that aging muscles are less efficient at using protein to make new muscle fibers, Dr. Phillips said. And among those aged 71 and older, about 50 percent of women and 30 percent of men aren’t meeting even the lower federal recommendations for protein.

Such a shortfall can occur because older adults usually consume less than they did when they were younger, and may have difficulty chewing or a decreased ability to cook, or afford, protein-rich foods, Dr. Houston said.

Foods like yogurt and eggs are good options, Dr. Houston said, because they’re rich in protein and simple to prepare and eat.

And because people often skimp on protein at breakfast, it’s worth paying extra attention to this meal, especially for older adults, said Samaneh Farsijani, an epidemiologist at the University of Pittsburgh School of Public Health.

Instead of having a piece of toast and orange juice (which supplies five grams of protein), you can consider a cup of Greek yogurt with berries (22 grams); a peanut butter sandwich on whole wheat bread with a glass of milk (23 grams); or a breakfast burrito with eggs, beans and cheese (39 grams).

One caution, Dr. Houston said: Those with chronic kidney disease or otherwise impaired kidney function are often advised to watch how much protein they eat because consuming protein makes your kidneys work harder. Such people should work with their health providers to plan a balanced diet, she said.

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