Protein Consumption Among Youth and Adults: United States, August 2021–August 2023
NCHS Data Brief No. 573, October 2026
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Catharine A. Couch, Ph.D., R.D., Nicholas Ansai, M.P.H., Adi Noiman, Ph.D., and Cynthia L. Ogden Ph.D.
Data from the National Health and Nutrition Examination Survey
- During August 2021–August 2023, youth consumed 13.9% of total calories from protein on a given day, and consumption was higher among adolescents ages 12–19 (14.3%) than children ages 6–11 (13.3%).
- Overall, adults consumed 15.5% of total calories from protein, and consumption was lower among adults age 60 and older (15.1%) than adults ages 20−39 (15.6%) and 40−59 (15.7%).
- Sandwiches, which include burgers, and poultry were the top two contributors of protein intake among youth and adults, with some differences by age group.
- The percentage of calories consumed from protein decreased from 14.8% in 2013−2014 to 13.9% in August 2021−August 2023 among youth and from 16.1% to 15.5% among adults.
Introduction
Adequate protein intake is essential for overall health (1,2). The 2025–2030 Dietary Guidelines for Americans emphasize prioritizing high-quality, nutrient-dense protein foods, including eggs, poultry, seafood, and meat (1). This report presents estimates on the mean percentage of total calories from protein and the mean percentage of total protein consumed from the top five food sources on a given day among youth and adults in the United States during August 2021–August 2023. Trends in the percentage of calories from protein consumed from 2013–2014 through August 2021–August 2023 are also presented.
Calories from protein among youth
- During August 2021–August 2023, youth ages 2–19 consumed 13.9% of calories from protein on a given day (Figure 1, Table 1).
- Adolescents ages 12–19 consumed more calories from protein (14.3%) than children ages 6–11 (13.3%).
- Males ages 12–19 consumed more calories from protein (15.0%) than males ages 2–5 (13.8%) and 6–11 (13.4%).
- Among females, no significant differences by age were seen in calories consumed from protein.
- Males consumed more calories from protein (14.2%) than females (13.5%). Among adolescents ages 12–19, males consumed more calories from protein than females (13.6%).
Calories from protein among adults
- During August 2021–August 2023, adults age 20 and older consumed 15.5% of calories from protein on a given day (Figure 2, Table 2).
- Adults age 60 and older consumed fewer calories from protein (15.1%) than adults ages 20–39 (15.6%) and 40–59 (15.7%).
- Among all adults, males consumed more calories from protein (15.7%) than females (15.3%), but no significant differences were observed within each age group by sex.
- No significant differences were seen within each sex by age.
Sources of protein intake among youth
- During August 2021–August 2023, the top five protein sources among youth ages 2–19 were sandwiches (15.1%), poultry (11.3%), milk (7.1%), mixed grain dishes (6.2%), and pizza (6.0%) (Figure 3, Table 3).
- Among children ages 2–5, the top protein sources were milk (12.6%), poultry (11.3%), sandwiches (9.8%), mixed grain dishes (6.5%), and cured meats (5.3%).
- Among children ages 6–11, the top sources were sandwiches (14.5%), poultry (10.8%), milk (7.0%), pizza (6.6%), and mixed grain dishes (6.3%).
- Among adolescents ages 12–19, the top sources were sandwiches (17.2%), poultry (11.5%), mixed Mexican dishes (6.1%), mixed grain dishes (6.1%), and pizza (6.0%).
Sources of protein intake among adults
- During August 2021–August 2023, the top five protein sources among adults age 20 and older were sandwiches (15.6%), poultry (9.4%), mixed meat dishes (6.4%), meat (6.0%), and mixed grain dishes (4.8%) (Figure 4, Table 4).
- Among adults ages 20–39, the top protein sources were sandwiches (16.2%), poultry (11.1%), mixed grain dishes (6.4%), mixed meat dishes (5.1%), and mixed Mexican dishes (4.6%).
- Among adults ages 40–59, the top protein sources were sandwiches (16.0%), poultry (8.7%), mixed meat dishes (7.1%), meat (7.0%), and plant-based protein foods (4.3%).
- Among adults age 60 and older, the top protein sources were sandwiches (14.4%), poultry (8.3%), mixed meat dishes (7.0%), meat (6.6%), and eggs (4.7%).
Trends in calories from protein
- Among youth, the percentage of calories consumed from protein decreased from 14.8% in 2013−2014 to 13.9% in August 2021−August 2023 (Figure 5, Table 5).
- Among adults, the percentage of calories consumed from protein decreased from 16.1% to 15.5% during the same period.
Summary
During August 2021–August 2023, youth consumed 13.9% of calories from protein and adults consumed 15.5% of calories from protein. Among youth, adolescents ages 12–19 consumed the highest percentage of calories from protein (14.3%). Among adults, consumption was lowest among those age 60 and older (15.1%). Overall, sandwiches and poultry were the top two contributors to total protein intake for both youth and adults. However, some differences were seen by age group among children. For children ages 2–5, milk was the top contributor of protein intake, while sandwiches were the top contributor for children ages 6–11 and adolescents ages 12–19. Among adults, the top five contributors of protein intake differed by age group. For example, the fifth highest contributor of protein intake was mixed Mexican dishes for ages 20–39, plant-based protein foods for ages 40–59, and eggs for age 60 and older.
From 2013–2014 through August 2021–August 2023, the percentage of calories consumed from protein decreased for both youth and adults. Continued monitoring of protein intake and sources of protein will provide important information on dietary intake among youth and adults in the United States.
Definition
Food categories: The 49 food categories in the U.S. Department of Agriculture’s “What We Eat in America” were used to categorize foods and identify top contributors of total protein intake (3). Sandwiches include burgers; frankfurter, chicken filet, egg and breakfast, cheese, peanut butter and jelly, seafood, deli and cured meat, meat and BBQ, and vegetable sandwiches; and vegetable burgers. Poultry includes chicken (whole pieces, patties, nuggets, and tenders), turkey, duck, and other poultry. Cured meats include cold cuts and other cured meats, bacon, frankfurters, and sausages. Mixed meat dishes include poultry, seafood, and other mixed meat dishes. Plant-based protein foods include beans, peas, legumes, nuts, seeds, and soy- and meat-alternative products. Milk includes whole, reduced fat, low fat, and nonfat milk. Eggs include omelets and other eggs. Mixed grain dishes include rice mixed dishes, pasta mixed dishes, macaroni and cheese, turnovers, and other grain-based items. Mixed Mexican dishes include burritos, tacos, nachos, and other Mexican mixed dishes.
Data source and methods
Data from the August 2021–August 2023 National Health and Nutrition Examination Survey (NHANES) cycle were used to estimate the mean percentage of calories from protein and the mean percentage of protein from food categories consumed on a given day. NHANES is a cross-sectional, nationally representative sample of the U.S. civilian noninstitutionalized population. The sample is selected using a complex, multistage probability design. NHANES consists of home interviews followed by health examinations in a mobile examination center (MEC) and two 24-hour dietary recall interviews (4).
NHANES was conducted continuously from 1999 through March 2020, when data collection was paused due to the COVID pandemic. In August 2021, NHANES resumed data collection with modified operations and procedures (5), including a change in the mode of dietary data collection for the August 2021–August 2023 cycle (6). In previous cycles, the first 24-hour dietary recall interview was conducted in person during the MEC visit. In August 2021–August 2023, both 24-hour dietary recall interviews were conducted by telephone on separate days following the MEC visit (6).
For the current analysis, all participants age 2 and older with reliable Day 1 dietary recall data were included. Pregnant and lactating women and children receiving breast milk were excluded. The mean proportion of calories from protein was calculated for youth and adults overall and by age group. The population proportion method was used to calculate the percentage of protein from each food group (7). Day 1 dietary interview sample weights were used to account for probability of selection, noncoverage, nonresponse, and day of the week. Statistical significance was set at p < 0.05. Statistical analyses were conducted using R version 4.4.1 and the R survey package.
About the authors
Catharine A. Couch, Nicholas Ansai, Adi Noiman, and Cynthia L. Ogden are with the National Center for Health Statistics, Division of Health and Nutrition Examination Surveys.
References
- U.S. Department of Health and Human Services, U.S. Department of Agriculture. Dietary guidelines for Americans, 2025−2030. 2026. Available from: https://cdn.realfood.gov/DGA.pdf.
- Trumbo P, Schlicker S, Yates AA, Poos M; Food and Nutrition Board of the Institute of Medicine, The National Academies. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J Am Diet Assoc. 2002 Nov;102(11):1621−30. DOI: https://doi.org/10.1016/s0002-8223(02)90346-9. PMID: 12449285.
- USDA Agricultural Research Service. Dietary methods research, WWEIA 2024. Available from: https://www.ars.usda.gov/northeast-area/beltsville-md-bhnrc/beltsville-human-nutrition-research-center/food-surveys-research-group/docs/dmr-food-categories/.
- Terry AL, Chiappa MM, McAllister J, Woodwell DA, Graber JE. Plan and operations of the National Health and Nutrition Examination Survey, August 2021–August 2023. Vital Health Stat 1. 2024 May;(66) 1−21. DOI: https://dx.doi.org/10.15620/cdc/151927.
- National Center for Health Statistics. Brief overview of sample design, nonresponse bias assessment, and analytic guidelines for NHANES August 2021−August 2023. 2024 Sep. Available from: https://wwwn.cdc.gov/nchs/nhanes/continuousnhanes/overviewbrief.aspx?Cycle=2021-2023.
- Williams AM, Terry A, Akinbami LJ, Ansai N, Ogden CL. What we eat in America dietary data, NHANES: August 2021–August 2023 24-hour dietary recall interview mode change. 2025 Mar. Available from: https://wwwn.cdc.gov/nchs/data/Nhanes/Public/2021/Whitepapers/Aug2023-What-We-Eat-In-America-Dietary-Data-Whitepaper.pdf.
- Krebs-Smith SM, Kott PS, Guenther PM. Mean proportion and population proportion: Two answers to the same question? J Am Diet Assoc. 1989 May;89(5):671−6. DOI: https://doi.org/10.1016/S0002-8223(21)02224-0.
Suggested citation
Couch CA, Ansai N, Noiman A, Ogden CL. Protein consumption among youth and adults: United States, August 2021–August 2023. NCHS Data Brief. 2026 Oct;(573):1─12. DOI: https://dx.doi.org/10.15620/cdc/252474.
Copyright information
All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.
National Center for Health Statistics
Carolyn M. Greene, M.D., Acting Director
Amy M. Branum, Ph.D., Associate Director for Science
Division of Health and Nutrition Examination Surveys
Alan E. Simon, M.D., Director
Lara J. Akinbami, M.D., Associate Director for Science