The Complete Guide to Macronutrients

Every morsel of food you eat — whether a bite of steak or a spoonful of sugar — provides energy from one of three macronutrients: protein, fat, or carbohydrate (plus a fourth, alcohol, in drinks). These “macros” are the fundamental building blocks of your diet. Think of them as dials you can tune to influence your body weight, composition, energy levels, and long-term health. Unlike vitamins or minerals (micronutrients), macros supply calories in significant amounts. Mastering macros means understanding how adjusting the ratio of protein, fat, and carbs can help you lose fat, gain muscle, fuel intense workouts, or simply feel your best each day. This guide will walk you through everything you need to know about macronutrients – what they are, how much you need for different goals, when to eat them, and how to troubleshoot common issues – all grounded in current science and practical advice. By the end, you’ll be equipped to “set the knobs” of your macros to optimize your nutrition plan for your life and goals.

Energy Fundamentals

To manage body weight, it helps to understand the energy each macronutrient provides. Calories are the common currency of diet and weight change – consume more calories than you burn, and you’ll gain weight; consume fewer, and you’ll lose weight. Each macronutrient has a known energy density (often called Atwater factors). Carbohydrates and protein each provide about 4 kcal per gram, fat provides about 9 kcal per gram, and pure alcohol provides about 7 kcal per gram [^5] [^6]. These values are averages that account for typical digestion and absorption losses. In reality, the usable energy can be a bit lower – for example, fiber (a form of carbohydrate that isn’t fully digested) yields around 2 kcal/g instead of 4, since some of it passes through or is fermented by gut bacteria [^7]. Likewise, protein’s effective calories might be slightly reduced because some amino acids are lost as urea. But in general, the 4-4-9-7 rule holds true and is used on nutrition labels to estimate calories. Remember: all three macros can be burned for energy, but your body handles and stores them differently. Calories set the baseline for weight change, while macro ratios fine-tune what weight is gained or lost (muscle vs. fat) and how you feel. This section is your reference point on energy before we dive into each macro in detail.

Carbohydrates — Types, Digestion, and When They Help or Hurt

Carbohydrates are our fastest energy source, encompassing everything from simple sugars to complex starches and fibers. Chemically, they’re molecules of carbon, hydrogen, and oxygen (hence “carb-ohydrate”). Monosaccharides (single sugars like glucose and fructose) and disaccharides (pairs like sucrose or lactose) are “simple carbs,” small molecules that are digested quickly. Polysaccharides like starch (found in grains, potatoes, legumes) are “complex carbs,” made of long chains of glucose that take longer to break down. Then there’s dietary fiber, a special category of carbs that humans can’t fully digest. Fiber passes into the colon, where it feeds gut bacteria or adds bulk to stool.

Why does carb type matter? Molecular size and structure influence digestion speed and blood sugar response. Simple sugars are absorbed rapidly, which can spike blood glucose and insulin. In contrast, large starch molecules (especially in whole foods with intact fiber) digest more slowly, slowing gastric emptying from the stomach and blunting glucose excursions (those sharp blood sugar spikes) [^8] [^9]. For example, a bowl of steel-cut oatmeal (rich in fiber) will raise blood glucose much more gradually than a soda or a piece of candy. Steadier blood sugar means steadier energy and less strain on insulin regulation.

Fiber is particularly valuable. Soluble fiber (found in foods like oats, beans, apples) forms gels and lowers LDL (“bad”) cholesterol by binding bile acids so they get excreted, forcing the body to use up cholesterol to make new bile [^10]. Soluble fiber also slows digestion and helps regulate blood sugar. Insoluble fiber (like wheat bran or cellulose in veggies) adds bulk and speeds up transit, helping prevent constipation [^11]. Diets high in fiber (from vegetables, fruits, whole grains, legumes) are consistently linked to better health outcomes. In fact, population studies show that people who eat plenty of high-fiber foods have lower risks of heart disease, diabetes, and other chronic diseases [^12]. High-fiber foods tend to be nutrient-dense and filling, which aids weight management as well.

Carbs often get a bad rap, but quality and context matter. Emphasizing whole, minimally processed carb sources (like fruits, root vegetables, oats, brown rice, quinoa, beans) provides vitamins, minerals, and phytochemicals along with the carbs. For instance, choosing whole grains instead of refined grains has been shown to lower LDL cholesterol and triglycerides and improve insulin sensitivity [^13]. Public health guidelines reflect this: the current Acceptable Macronutrient Distribution Range (AMDR) for carbohydrates is 45–65% of total calories for adults [^14], and authorities recommend getting at least 14 grams of fiber per 1,000 calories consumed (about 25–38 g/day for most people) as an adequate intake.

That said, not all carbs need to be low on the glycemic index. There are times when high-GI carbohydrates can be advantageous, notably right after intense exercise. After a hard workout or endurance event, your muscles are glycogen-depleted and insulin sensitivity is elevated. In that state, fast-digesting carbs (glucose, maltodextrin, or other high-GI sources) act like a fuel injection to rapidly refill muscle glycogen [^15] [^16]. This is especially helpful if you have another training session soon or need to recover quickly for competition. For example, an athlete might consume a sports drink or quick carbs immediately post-workout to speed recovery. Outside of that “post-workout window” or similar scenarios, most people benefit from prioritizing lower-GI, fiber-rich carbs to keep energy levels stable and support overall health.

Bottom line: Carbs are not inherently “good” or “bad.” What matters is type, quantity, and timing. Fill the bulk of your carb intake with vegetables, fruits, and whole grains to get fiber and nutrients that help your heart and gut. Use refined or fast-acting carbs strategically (around workouts or competitions) if you need quick energy or recovery. And be mindful of portion sizes and total carb intake in the context of your calorie needs. Within a balanced diet, carbs supply readily accessible energy and feed your microbiome (through fiber and resistant starch), supporting everything from vigorous exercise to healthy cholesterol levels.

(Current carb guidelines: 45–65% of calories, emphasizing whole grains and at least ~25–30 g fiber daily. In practice, that could look like several servings of vegetables and fruits, a couple of portions of whole grains or legumes, and limited added sugars.)

Protein — Quality, Requirements, and Metabolic Roles

Protein is the macronutrient of structure and repair. It provides the amino acids needed to build and maintain muscle, organs, enzymes, and hormones. When you eat protein, your digestive system breaks it into amino acid building blocks, which the body uses to synthesize its own proteins. There are 20 amino acids, and 9 are “essential” amino acids (EAAs) that we must get from food because the body can’t make them. A key aspect of protein nutrition is getting enough EAAs and total protein to meet your body’s needs, especially for muscle maintenance.

Not all proteins are created equal. Protein quality refers to how well a food’s amino acid pattern matches human requirements and how digestible it is. Two scoring systems you might encounter are PDCAAS (Protein Digestibility-Corrected Amino Acid Score) and DIAAS (Digestible Indispensable Amino Acid Score). Both compare the amount of each essential amino acid in a protein to a reference requirement, and then adjust for digestibility. PDCAAS has been widely used – it uses fecal digestibility and caps the score at 100% (1.0), meaning any surplus amino acids beyond requirements don’t raise the score. DIAAS is a newer system favored by the Food and Agriculture Organization; it uses ileal digestibility (which is more precise) and isn’t truncated at 100%, so high-quality proteins can score above 1.0 if they exceed requirements [^17] [^18]. For example, egg or whey protein have PDCAAS of 1.0 (maxed out) and also very high DIAAS (>1.1), reflecting their excellent amino acid profiles. Many plant proteins (like wheat gluten) are incomplete in one or more EAAs, giving them lower scores (often 0.4–0.8), but combinations of plant foods (e.g. rice and beans) can complement each other to provide all EAAs. In practical terms, if you eat a variety of protein sources (especially if you include some high-quality sources like dairy, eggs, lean meat, or soy), you’ll likely meet your amino needs. Those on strictly plant-based diets just need to be a bit more mindful to include EAA-rich foods (like soy, quinoa, buckwheat, legumes, etc.) or consider mixing proteins.

How much protein do you need? That depends on factors like activity level, age, and goals. The baseline Recommended Dietary Allowance (RDA) for protein is 0.8 grams per kilogram of body weight (0.36 g per pound) for sedentary adults – roughly 46 g/day for an average woman or 56 g/day for an average man [^19] [^20]. This RDA is actually the minimum to avoid deficiency, not necessarily optimal for active people or older adults. For those who exercise regularly, especially with resistance/strength training, research indicates higher intakes improve muscle maintenance and growth. Strength athletes or individuals aiming to maximize muscle tend to do best around 1.6–2.2 g/kg (about 0.7–1.0 g/lb) of body weight per day of protein. Endurance athletes also benefit from extra protein for recovery and to support high training volumes – often around 1.2–1.6 g/kg is suggested for them [^21]. Older adults (50+ years) have a higher protein requirement to counter “anabolic resistance” (the muscles’ blunted response to protein with aging); experts now recommend about 1.2–1.6 g/kg per day for older adults to help preserve muscle and strength [^22] [^23]. In practical terms, that might mean an older adult aiming for ~90–120 g of protein daily instead of the ~60 g that the 0.8 g/kg RDA would give. Importantly, protein needs are roughly similar for men and women on a per weight basis – body size and activity are the main factors, not sex.

Another consideration is protein timing and distribution. Muscles can only use so much protein at once for building new tissue. Research on muscle protein synthesis shows that 20–40 grams of high-quality protein in one meal (or about 0.25–0.4 g/kg body weight) is enough to maximally stimulate muscle-building in most people [^24] [^25]. Consuming more than that in one sitting won’t hurt, but the excess amino acids will likely be oxidized for energy or excreted rather than used for extra muscle gains. Therefore, it’s efficient to distribute protein evenly across your meals – for instance, if you aim for ~120 g/day, you might have ~30 g in each of 4 meals rather than 60 g in two meals [^26]. Regular protein feedings (each with a dose of leucine-rich EAAs) every 3–5 hours are ideal for continuous muscle repair and growth. Also, a growing body of evidence supports having a protein serving before bed, particularly a slow-digesting protein like casein (from dairy). About 30–40 g of casein before sleep can boost overnight muscle protein synthesis and improve recovery without interfering with fat breakdown [^27].

Aside from muscle building, protein has other metabolic roles. It provides precursors for making glucose (via gluconeogenesis) when carbs are low, helping maintain blood sugar. Protein also has a notable thermic effect – about 20–30% of protein’s calories are burned off as heat during digestion and processing, compared to only ~5–10% for carbs and ~0–3% for fat [^28]. This means high-protein diets give a slight edge in boosting metabolism (often cited as one reason they can aid fat loss and satiety). Protein is also the most satiating macronutrient, which helps with appetite control: a higher-protein meal tends to keep you fuller longer than a high-carb or high-fat meal of the same calories.

Summary: Ensure you get enough protein, especially if you’re active or over 50. Spread it out across the day for maximal benefit. Focus on high-quality sources – for omnivores this could be lean meats, poultry, fish, eggs, dairy, and for vegetarians/vegans: beans, lentils, tofu, tempeh, edamame, nuts, and seeds (possibly supplemented with protein powders if needed). Hitting around 1.6 g/kg (0.7 g/lb) is a good target for many fitness enthusiasts to support muscle, with slightly lower or higher in certain cases (e.g. 1.2 g/kg for a casual exerciser vs. 2+ g/kg for someone in a cutting diet trying to retain muscle). As a bonus, higher protein diets can boost your metabolism a bit and keep hunger at bay[^1]. All this makes protein a cornerstone macro for body composition and recovery.

Dietary Fat — Categories, Essentiality, and Health Trade-offs

Dietary fat often conjures thoughts of greasy foods, but it plays critical roles in the body. Fats (lipids) are a concentrated energy source (9 kcal/g) and are essential for building cell membranes, manufacturing certain hormones, and absorbing fat-soluble vitamins (A, D, E, K). However, the type of fat you eat can have very different effects on health. Let’s break down the categories of fats:

Your body needs fat – not just for energy, but to provide essential fatty acids and support functions like hormone production (certain fats are the backbone of steroid hormones). Extremely low-fat diets can lead to issues with nutrient absorption and hormone imbalances. The AMDR for fat is 20–35% of total calories for adults [^33], but there’s flexibility: some healthy diets (like Mediterranean diets) naturally run a bit higher in fat (~35–40% of calories, mostly unsaturated), whereas others might be lower (~20% in some high-carb cultures). The key is the type of fat and ensuring a minimum amount for health. A common recommendation is to get at least ~0.5–0.6 grams of fat per kilogram of body weight daily to meet essential fat needs and support hormones (for a 70 kg person, that’s ~35–42 g fat/day). Within that, include sources of omega-3 fats. Health authorities often suggest a minimum of about 250–500 mg per day of combined EPA and DHA (the long-chain omega-3s) for general health (equivalent to a couple servings of oily fish per week)[^4].

From a weight management perspective, fat is very calorie-dense, so portions can add up quickly. But fat also provides satiety and flavor, which can help with diet adherence. Low-fat diets and low-carb diets can both be effective for fat loss – the success mostly comes down to calorie control and personal preference. You do want to avoid coupling high fat with high refined carbs in excessive amounts (a combo common in ultra-processed foods), as this can lead to caloric surplus and poor metabolic outcomes.

Heart health guidance: The consensus of organizations like the AHA is to limit saturated fats (e.g. choose leaner cuts of meat, low-fat dairy, and use plant oils instead of butter/lard when possible) and eliminate industrial trans fats entirely [^34] [^35]. Replacing those fats with unsaturated fats – for example, using olive or canola oil, eating nuts and fatty fish instead of pastries and processed snacks – can improve cholesterol levels and reduce cardiovascular risk [^36]. Numerous studies and trials have shown that swapping SFA for PUFA in particular lowers the incidence of heart attacks. It’s not that you can’t ever have a marbled steak or full-fat cheese; just keep high-sat-fat foods moderate and balance them with plenty of unsaturated fats.

In summary, fat is an essential, plentiful fuel. It’s the body’s preferred way to store excess energy (body fat) because of its high caloric density. During lower-intensity activity or between meals, your body burns fat for fuel. Ensure your diet includes healthy fats daily: things like extra-virgin olive oil on salads, avocado with a meal, a handful of nuts, chia or flax in your oatmeal, and some fatty fish like salmon or sardines each week. These will provide essential fatty acids (like omega-3s) and have been linked to benefits from reduced inflammation to improved cholesterol. At the same time, be mindful of added fats and oils if you’re watching calories, and try to minimize deep-fried foods and commercial baked goods that may harbor trans fats. By choosing fats wisely, you’ll support your heart, brain, and hormones while keeping your diet flavorful and satisfying.

Alcohol and Ketones — Non-Essential Energy Sources

Before moving on to applying macros, let’s touch on two oddball fuel sources: alcohol and exogenous ketones. Neither is a “macronutrient” you need for survival, but they can contribute calories to your diet and affect your metabolism.

Alcohol: Chemically known as ethanol, alcohol provides about 7 kcal per gram, making it almost as energy-dense as fat [^37] [^38]. However, it isn’t a nutrient in the sense of providing building blocks or essential components – it’s often called “empty calories.” When you drink alcohol, your body treats it as a high-priority toxin to metabolize. Alcohol is absorbed quickly (mainly from the small intestine) and sent to the liver, where it’s broken down by enzymes (ADH and ALDH). The liver can metabolize roughly one standard drink per hour. Importantly, the body cannot store alcohol, so it rapidly oxidizes it for energy, temporarily pausing other metabolic processes like fat burning until the alcohol is cleared [^39]. This is why drinking can blunt lipolysis (fat release) and fat oxidation – your body preferentially burns the alcohol for fuel, and any surplus fuel (from food you ate with the drinks) is more likely to divert to fat storage in the meantime.

In practical terms, moderate drinking (e.g. a glass of wine or beer) adds some calories and may slightly reduce fat burning while alcohol is in your system, but the main concern is when alcohol intake is high. Aside from calories, high alcohol intake can strain the liver, contribute to fat accumulation in the liver (leading to fatty liver disease), and interfere with muscle recovery and protein synthesis. Alcohol also stimulates appetite for many people (ever heard of drunchies?), which can lead to overeating. On the flip side, in small amounts it can cause a transient drop in inhibitions (sometimes leading to those extra snacks) or a relaxing effect that some enjoy, but there is no requirement for alcohol – you don’t need it to live, and there’s no athletic performance benefit (quite the opposite, it impairs recovery and hydration). If you include alcohol, do so judiciously: understand it’s providing extra calories (7 kcal/g, or about 100–150 kcal in a typical beer or glass of wine) with no real nutritional value, and it can temporarily put the brakes on fat burning while your body deals with the booze.

Ketones: In the context of diet, ketones usually refer to ketone bodies like beta-hydroxybutyrate (BHB) and acetoacetate. These are molecules the liver produces from fat when carbohydrate availability is very low (such as during prolonged fasting or a strict ketogenic diet). Ketones can be used by many tissues (including the brain and muscles) as an alternative fuel. Recently, exogenous ketone supplements have become popular in some circles. These can be ketone salts or ketone esters that you ingest to raise your blood ketone levels without necessarily being in ketosis from carb restriction. Exogenous ketones contain roughly 4–5 kcal per gram (similar to a carb or protein) because they are an energy source [^40]. For example, a dose of 10 grams of ketone might provide ~40 kcal. The idea has been that supplying ketones might improve endurance performance or cognitive function by providing an immediate fuel source, or help people on low-carb diets get into ketosis faster.

So far, the evidence for broad benefits of ketone supplements is limited. Some small studies and anecdotal reports suggest possible niche uses: for example, in ultra-endurance events or military settings, ketone esters might enhance performance or recovery in conjunction with carbs, or attenuate overtraining stress. There’s also research into therapeutic uses of ketones for conditions like neurodegenerative diseases. However, for the average person or athlete, ketone supplements are not a magic fuel. They are expensive, can taste unpleasant, and often cause gastrointestinal discomfort (especially ketone salts). Importantly, current studies do not show a clear performance enhancement from acute ketone supplementation for most exercise scenarios [^41]. In fact, some trials find no difference or even detriments (like nausea or lower exercise efficiency). In other words, chugging ketones before your workout isn’t likely to make you run faster or lift more – and it won’t directly burn fat mass off your body (calories still matter; if anything, it’s just another source of calories).

Ketones also are not necessary if you are following a ketogenic diet for weight loss or therapeutic reasons – your body will make all the ketones you need endogenously once you’ve adapted to very low carbs. The supplements might transiently raise blood BHB, but if your goal is weight/fat loss, you still have to be in calorie deficit; pouring extra ketones into your system is counterproductive unless used for a specific performance or medical reason.

In summary: Alcohol and exogenous ketones can be thought of as “optional” fuels. Alcohol is enjoyable for some and part of social life, but brings extra calories and can interfere with metabolic goals (like fat loss and muscle gain) if overconsumed. If you do drink, moderation is key (and obviously, consider personal health and safety). Ketone supplements are an emerging area – interesting in theory, but currently not a nutritional requirement nor a proven fitness aid for most people. Focus on mastering the three primary macros first before worrying about exotic extras like ketones. If you are curious about exogenous ketones for a specific reason (say, you’re an endurance athlete experimenting or managing a medical condition), be aware of their calorie content (~4 kcal/g) and lack of proven necessity in general nutrition. Most people will thrive just fine by letting their liver make ketones naturally when needed (during low-carb intake or long exercise) rather than drinking them from a bottle.

Calculating Individual Macro Targets

Now that we’ve covered each macronutrient, how do you figure out the right amounts of protein, carbs, and fat for you? This section provides a step-by-step method to determine your daily macro targets, customized to your goals (fat loss, muscle gain, maintenance, sport performance, etc.). It’s essentially about taking your total daily calorie needs and slicing the “macro pie” in an optimal way.

Step 1: Estimate Your Total Daily Energy Expenditure (TDEE). This is how many calories you burn in a day, accounting for your basal metabolic rate (BMR) plus activity (exercise, work, etc.). There are calculators and formulas (like Mifflin-St Jeor or Harris-Benedict) to estimate BMR from your height, weight, age, and sex. Then you multiply by an activity factor. For a rough guide:

These are ballpark figures – individual metabolism varies. You can also track your food intake and weight change over a couple of weeks to empirically find your maintenance calories (if you’re eating X calories and maintaining weight, that’s your TDEE). Let’s say you calculate that you burn around 2500 kcal/day on average.

Step 2: Set Your Calorie Goal Based on Your Objective.

Step 3: Assign Your Macronutrient Targets. There are many ways to divvy up calories among macros, but evidence and experience point to some optimal ranges:

It’s worth noting special contexts: If you’re following a ketogenic diet, you would deliberately set carbs very low (typically <50 g or <5–10% of calories) and make up the difference with a much higher fat intake. For example, a keto macro split might be 20% protein, 5% carb, 75% fat. This is a therapeutic or preference-based strategy some use for fat loss or medical reasons, but it’s not necessary for most. Conversely, a high-carb approach for endurance sports might have carbs at 60–70% of calories on heavy training days (meeting guidelines of 7–10 g/kg for carbohydrate [^43]), with fat correspondingly lower (maybe ~20% of calories). These are contextual tweaks; the moderate middle works for a majority of people, and then you can adjust if you have specific needs or philosophy (like keto, or plant-based high-carb, etc.).

Step 4: Adjust and Personalize. The numbers you calculate are a starting template. Once you follow them for a few weeks, assess your progress:

A quick example for clarity: Imagine a 150 lb (68 kg) person who wants to lose fat while preserving muscle. They estimate maintenance ~2300 kcal and aim for ~1800 kcal/day to lose ~1 lb/week. They lift weights 3x/week and do light cardio. They set protein at 1 g/lb = 150 g (600 kcal). Fat at 0.5 g/lb = ~75 g (675 kcal) – that’s on the higher side percentage-wise (37% fat), but let’s say they enjoy fats. That leaves only 525 kcal for carbs = ~131 g carbs (about 29% carb). This is a lower-carb, higher-fat cut, which might work fine if they feel okay with fewer carbs – many people would still have enough carbs for veggies and some starches, though they might experience reduced energy in high-intensity training. Alternatively, the person could drop fat to 50 g (450 kcal) which is ~25% of 1800, and raise carbs to ~187 g (41%). It really comes down to preference and performance. Both approaches provide adequate protein; one emphasizes fats more, the other carbs. Either can yield fat loss as long as the calorie target is hit. The higher-carb one might support training performance a bit better; the higher-fat one might provide more satiety for some individuals. This is the art of macro distribution.

To conclude this section: calculate your daily calorie needs, decide on a deficit, surplus, or maintenance based on your goal, then apportion those calories to protein, fat, and carbs. Prioritize hitting your protein target and a reasonable fat intake, and don’t fear adjusting the carb vs. fat balance to suit your lifestyle. Your macro targets aren’t set in stone – think of them as a starting point. Track your food intake (at least initially) using a food scale and a tracking app to see how actual eating measures up to your targets. Then monitor results and fine-tune as needed (which we’ll cover in the Feedback and Adjustments section). With a bit of math and experimentation, you can arrive at macro numbers that align with your body’s needs and your personal goals.

Timing and Distribution

Beyond how much of each macro you eat in a day, advanced nutrition planning looks at when you eat them and how you distribute them across meals. Nutrient timing can marginally enhance performance, recovery, and muscle growth, though it’s a secondary factor compared to total intake. Here’s what to consider on timing:

To summarize timing: Hit your macro totals first, then worry about timing as fine-tuning. If you’re an average person just aiming to be healthy and fit, you don’t need an overly micromanaged eating schedule – just avoid doing silly things like ultra-long workouts on an empty tank or eating huge junky meals at midnight on a regular basis. If you’re an athlete or very advanced trainee, optimizing timing can give you a slight edge: protein evenly spread out (with something pre-sleep), carbs around workouts (and especially quickly after if you have back-to-back training), and perhaps align most of your eating with daytime. Proper timing can help you feel and perform better (e.g., preventing afternoon energy crashes by eating balanced meals, or improving sleep by not eating a heavy meal right before bed if it gives you heartburn). But remember, meal timing won’t compensate for a poor overall diet. It’s the polishing step once you have the big rocks in place.

Tracking, Feedback Loops, and Adjustments

Your macro plan is set – great! Now, how do you implement it and ensure it’s actually working? This is where tracking and feedback come in. Think of your body as a biological science experiment: you set an initial plan (hypothesis), collect data, and then adjust based on the results.

Tracking Your Intake: To stick to macro targets, it’s extremely helpful (at least initially) to track what you eat. This can be an eye-opening experience as you learn the macro composition of foods and portion sizes.

Monitoring Progress: The scale and the mirror (and how your clothes fit) are basic feedback tools for body composition changes, but there are other indicators too:

Making Adjustments: No macro plan works forever unchanged. Your body adapts – for instance, as you lose weight, your metabolism may slow slightly (you’re a smaller body and maybe moving a bit less, a phenomenon called adaptive thermogenesis), so the deficit may shrink. Or as you gain muscle, your needs might rise. Use a 2-week rule as a guideline: if after ~2 weeks you’re not seeing movement toward your goal, consider an adjustment. Here are typical scenarios and fixes:

Think of macro tracking as training wheels for nutrition. At first, you do it carefully and learn the ropes. Over time, you internalize roughly how many grams and calories are in common foods and you can eyeball portions better. You may not need to meticulously track forever. The goal is to gain the knowledge and habits so that eventually you can maintain a balanced diet somewhat intuitively. That said, whenever goals change or you hit new challenges, going back to diligent tracking for a while is like checking your compass – it ensures you’re still on course.

Finally, avoid the perfection trap: no one hits their macros exactly every day. There will be days you’re over on one and under on another. It’s fine – what matters is the trend and average. Think in terms of weekly consistency. If you aim for 150 g protein and one day hit only 120 g, maybe the next day you have 180 g; over the week you’re averaging close to target. The body doesn’t reset every 24 hours. Use tools like weekly calorie averaging if that helps (for instance, some people eat a bit more on training days and a bit less on rest days – that’s perfectly okay as long as the weekly total is aligned with your goal).

In summary, track your macros and key outcomes (weight, performance, etc.), listen to what the data and your body are telling you, and adjust the plan proactively. This responsive approach is what makes macros a powerful approach – it’s not a static “meal plan,” it’s a dynamic system you tweak as you progress. Over time you’ll develop a keen sense of your own nutrition needs and how to manipulate them, which is a lifelong skill for staying in control of your health and fitness.

Dietary Patterns That Shift Macro Ratios

Up to this point, we’ve discussed macros largely in isolation. In real life, though, people’s diets tend to fall into patterns or styles – Mediterranean, ketogenic, vegan, etc. Each of these dietary patterns has its own typical macro distribution. It’s useful to understand how different diets manipulate macros and what their pros/cons are, so you can choose an approach that suits you while still hitting your macro and micronutrient needs.

Each dietary pattern has its adherence factors (cultural/social preferences, ethical beliefs, food availability) and you should choose one that aligns with your lifestyle. A diet you enjoy and stick to will beat a “perfect” diet you quit. You can also hybridize patterns. For instance, you might follow a Mediterranean diet but also time your carbs around workouts like an athlete would. Or you might be vegetarian but also watch your carbs closely if you have blood sugar issues, leaning more on plant proteins and healthy fats (this could resemble an eco-Atkins, high-protein veg diet).

One commonality: regardless of macro ratio, successful diets ensure enough micronutrients (vitamins, minerals) and fiber. If someone goes low-carb and cuts out fruit and grains, they need to get fiber from nuts, seeds, veggies, etc. If someone goes low-fat vegan, they need a source of B12 and EPA/DHA. Micronutrient sufficiency is as important as hitting macros for long-term health, so any macro-centric plan should be constructed from mostly whole, nutrient-dense foods. Think 80–90% of your calories from whole or minimally processed foods that supply quality protein, unrefined carbs, and healthy fats; then 10–20% can be more discretionary or treats.

In choosing a pattern, consider personal preference, ethical values, medical conditions, and practical convenience. If your lifestyle revolves around family pasta dinners and you love bread, a keto diet is going to be torture – you’d be better off with a balanced or higher-carb plan (just control portions). If you hate eating breakfast and feel great skipping it, maybe IF suits you. If you have diabetes or prediabetes, a moderate or lower-carb approach might help control blood sugar (paired with exercise and meds as needed). There is no one-size-fits-all. The beauty of understanding macros is you can work any of these patterns to your advantage by adjusting the macro amounts within that framework to meet your needs.

Remember, diets are not religions – you can switch or blend as your needs change. One could eat higher-carb in marathon training season and then lower-carb over a sedentary winter, for example. Or do a strict cut with a bodybuilding macro split, then transition to a more relaxed Mediterranean maintenance. All patterns can succeed if they create the appropriate energy balance and protein intake for your goal, and provide the nutrients your body requires. So pick the pattern that feels sustainable and enjoyable (or the least miserable) for you, because long-term consistency is the key to sustained results.

Special Populations

Nutrition isn’t one-size-fits-all. Certain populations have unique macro needs or considerations. Let’s look at a few: athletes, pregnant women, older adults, and children/teens.

Athletes: Competitive athletes periodize everything – training, rest, and yes, nutrition. The concept of carbohydrate periodization is especially important for endurance and high-intensity athletes. On days with heavy training volumes or multiple sessions, athletes will consume higher carb intake (perhaps 6–10+ g/kg for endurance athletes on long run or ride days) to ensure glycogen stores are topped off [^50]. This might mean during intense training blocks, 60% or more of their calories are carbs. On lighter or rest days, they might scale carbs down to perhaps 3–5 g/kg (fewer total calories too), effectively running a mild deficit or maintenance on those days to avoid gaining unwanted weight. This carb cycling approach fuels performance when needed and avoids excess when not. Protein for athletes remains relatively steady daily (e.g. 1.6–2 g/kg for muscle recovery), and fat can be used as the variable to help adjust calories along with carbs. Many athletes also pay attention to intra-workout nutrition: for endurance efforts over 60–90 minutes, about 30–60 g of carbs per hour (via sports drinks, gels, chews) can significantly improve endurance by supplying glucose to muscles when glycogen is running low. Strength/power athletes focus more on timing protein and some carbs around sessions for recovery. Another aspect is making weight in sports – athletes in weight classes (like boxing, wrestling, rowing, etc.) may manipulate carbs and water (because carbs store water) in the short term to cut weight, but that’s a specialized practice beyond general macro management. The main point is, athletes will shift their macro amounts throughout the season (off-season vs competition prep, training days vs rest) rather than stick to one static plan year-round. As an athlete, you should view carbs as fuel that you dial up or down according to training demands, protein as a constant goal to meet daily for repair, and fat as a secondary fuel that can fill in calories but not get too low due to hormonal health (remember to keep ≥0.5 g/kg fat even when carb-loading heavily).

Pregnancy (and Lactation): A mom-to-be is growing a whole new human, which changes macronutrient needs! First, calories gradually increase – roughly +300 kcal in 2nd trimester, +500 kcal in 3rd (though it varies, and appetite often guides this). Protein needs go up to support the baby’s development: the RDA for protein in pregnancy is 1.1 g/kg of pre-pregnancy weight [^51] (about 71 g/day for an average woman, which is ~25 g higher than for non-pregnant). Some newer research suggests even slightly more could be beneficial, especially in later trimesters when baby is growing fastest. It’s crucial that pregnant women get all essential amino acids, so a variety of protein sources (and supplementing if vegetarian/vegan with things like soy, legumes, and possibly protein powder) is important. Carbohydrates should not be severely restricted in pregnancy – moderate carbs (especially from high-fiber, whole-food sources) help support the increased energy needs and prevent ketosis (which some say might be harmful for the fetus, though mild ketosis can occur overnight or in morning sickness). Fat is vital for fetal brain and cell development, particularly omega-3 fatty acids like DHA. DHA (an omega-3) is literally used to build the baby’s brain and retina. Pregnant women are advised to get at least 200–300 mg DHA per day [^52]. This can come from low-mercury oily fish (salmon, sardines) or algae-based supplements if avoiding fish. Many prenatal vitamins include DHA for this reason. Overall macro distribution in pregnancy might end up around 50–60% carbs, 20% protein, 25–30% fat – but these numbers are less critical than simply meeting increased needs. Key tip: don’t “eat for two” in the sense of doubling portions, but do make sure to eat nutrient-dense foods to satisfy those extra requirements. And protein is your friend – it helps build baby’s tissues and can reduce complications (some evidence links higher protein and sufficient omega-3 with lower risk of preterm birth).

Older Adults (60s and up): As we age, we face challenges like sarcopenia (muscle loss), bone density loss, and often reduced appetite. Protein becomes even more crucial in older adults because of anabolic resistance – muscles don’t respond as robustly to low doses of protein or exercise as they did in youth. To counteract this, older adults should aim for the higher end of protein intake, around 1.2–1.6 g/kg/day [^53] [^54]. They also might benefit from consuming a slightly larger bolus of protein per meal (30–40 g with rich leucine content) to stimulate MPS. Think: instead of tea and toast for breakfast, a 65-year-old would do better with Greek yogurt + nuts + fruit, or eggs + cheese + whole grain toast, to get that protein in early. Leucine is an amino acid that’s a powerful trigger for muscle building; high-leucine foods (whey, dairy, meat, fish, eggs, soy) are great to include. Resistance training is the other piece – without it, extra protein won’t magically preserve muscle. So in terms of macros: an older adult might have similar energy needs or lower (due to less activity), so if total calories are modest, protein needs to be prioritized within that smaller budget. That often means consciously replacing some carbs or fats with more protein-dense foods. For example, instead of a big bowl of pasta (mostly carb) with a little meat sauce, an older adult might have a smaller portion of pasta and extra meatballs (to raise protein). Carbs are still important for energy, brain function, and fiber – focusing on high-fiber carbs can aid digestion (constipation can be an issue in older populations). Fats should include sources of omega-3 to help with heart and joint health (fish, walnuts, flax). Also, older adults sometimes need to watch overall calories to avoid weight gain if activity is low, but simultaneously they need to avoid malnutrition. That’s why nutrient density is key: every meal should ideally pack protein, vitamins, and minerals. In practice, many dietitians suggest older folks adopt a slightly lower-carb, higher-protein diet by cutting out some sugars/starches that are just empty calories and doubling down on protein and veg. Hydration and fiber can also help mitigate age-related issues. In short: more protein, spread evenly, plus resistance exercise is the recipe to age with strength. Fat and carb distribution can be similar to general recommendations (e.g. 30% fat, 45–55% carb), but those numbers can shift based on what foods grandma/grandpa like – the priority is hitting protein and not overeating junk carbs/fats that crowd out the good stuff.

Pediatrics (Kids and Teens): Children have high nutrient needs for growth relative to their size. Interestingly, young kids naturally often eat a higher-fat diet (human breast milk is about 50–60% fat!). For toddlers and young children, dietary fat should not be overly restricted – the recommendation is about 30–40% of calories from fat for ages 1–3, and about 25–35% for ages 4–18 [^55]. This helps ensure enough calories and essential fats for brain development. Whole milk is advised up to age 2 for this reason (unless there’s a risk of obesity). Protein needs per kilogram are actually highest in infancy and slowly decline (in g/kg) as we age. For example, a 1-year-old might need ~1.5 g/kg, a 4-year-old ~1.1 g/kg, a 14-year-old ~0.95 g/kg (similar to adult by late teens) [^56]. In absolute terms, the RDA is 13 g protein/day for toddlers, 19 g for young kids, 34 g for preteens, and about 46–52 g for teenage girls/boys respectively (higher if very active) [^57]. Most kids in developed countries get enough protein unless they’re on a highly restrictive diet. The bigger concern is often too much refined sugar and not enough fruits and veggies – so the macro balance might skew too high in quick carbs (juice, candy, white bread) and too low in quality protein or healthy fats.

For kids, it’s generally not recommended to put them on extreme macro-restrictive diets (unless medically needed). Avoid strict keto or very low-fat diets for young children without doctor supervision – kids require a variety of foods for growth. If a child is obese, portion control and promoting physical activity is important, but still in a balanced way (e.g. emphasize lean proteins, fruits, veg, whole grains, and limit junk food; not necessarily put them on Atkins induction or something). If a teen is an athlete, their needs may resemble adult athlete guidelines (extra carbs for sports, protein for muscle, etc., just scaled to their body size). During puberty, protein and calorie needs shoot up – watch that growing teens (especially athletes) get enough, as sometimes appetite can’t keep up or they might have busy schedules that lead to skipped meals.

One more thing: children should not intentionally restrict protein – in fact, cases of malnutrition (like kwashiorkor) come from protein deficiency and have devastating effects on growth. Most families won’t encounter that, but in the push for certain diets (like strict vegan for kids), parents must be diligent to ensure plant proteins are sufficient in quantity and quality. It can be done, but requires knowledge (e.g. ample lentils, tofu, nut butters, etc., and likely B12 supplements).

Also, teenagers experimenting with diets (like a teen girl going on a very low-carb or low-fat crash diet) can risk deficiencies and hormonal disruption. If you’re a teen or advising one, encourage a balanced macro intake. Growth and development are still underway until early 20s, so food is fuel for a developing body and brain.

Pregnancy and childhood are two times where you’re “building” new tissues, so the common thread is: plenty of protein and healthy fats, enough calories (but not excessive empty calories), and focus on nutrient-rich foods. Pregnant women and kids both need more iron and calcium relative to size too, which macros alone won’t cover – but a good macro-balanced diet sets the stage for hitting those micros (with perhaps a prenatal vitamin or kids’ multivitamin as insurance).

In summary for special groups:

Adapting macros for these populations is about supporting growth, performance, or maintenance in the face of differing physiological conditions. Always consider consulting with a dietitian for detailed plans if you have a special scenario – for example, a dietitian can help plan a gestational diabetes diet (balancing carbs to control blood sugar but still nourish the baby), or a safe weight loss plan for an overweight child that doesn’t compromise nutrition. But the principles above provide a solid starting point.

Common Problems and Fixes

Even with a solid macro plan, people often encounter bumps in the road. Here are some common nutrition-related problems, likely causes rooted in macro imbalance, and quick fixes to get back on track:

1. “I’m eating my target calories/macros, but my fat loss has plateaued.”

2. “I feel tired, cold, and my workouts are suffering while dieting.”

3. “I’m having digestive issues (bloating, constipation, or the opposite).”

4. “My cholesterol or blood sugar numbers are poor, despite following my diet.”

5. “I’m not gaining muscle even though I lift regularly.”

These problem-solution examples reinforce that often when something’s off in your results or well-being, a tweak in macro composition or food choices can solve it. Plateau? – tighten up tracking and drop empty liquid calories. Low energy? – refeed, raise carbs or total intake moderately. Gut issues? – adjust fiber gradually or cut fake sweeteners. Labs concerning? – improve fat quality and carb quality. Not gaining muscle? – up the protein and calories.

One more universal fix to mention: increase whole foods, decrease ultra-processed foods. Many macro issues resolve when you swap out processed items (with hidden sugars/fats) for whole foods. For example, trading a fast-food meal (with trans fat, high sat fat, refined carb) for a home-cooked lean protein + veg + whole grain meal will naturally reduce the “bad” stuff and increase fiber and micronutrients, tending to correct hidden macro imbalances.

In a sense, troubleshooting your diet is like troubleshooting a car. Identify the symptom, find the likely macro (or micro) culprit, then make a targeted change and observe. Don’t be afraid to experiment – nutrition is complex and individual. Keep notes on what changes produce positive effects. Over time, you’ll become adept at reading your body’s signals and adjusting your macro mix or food choices before things become problems. And of course, if an issue is serious or persistent (like severe fatigue or GI pain), consult a healthcare professional – sometimes it’s beyond macro tweaks (like a possible thyroid issue, anemia, or GI disorder).

For the common scenarios above, these fixes should get you back on the path to progress and feeling good.

Reference Tables and Further Reading

To wrap up, here’s a handy reference chart summarizing macronutrient basics, plus suggestions for quality sources:

MacroGross Energy (kcal/g)Key Functions in BodyMinimum Adequate IntakePractical High-Quality Sources
Carbohydrate4 kcal/gPrimary fuel for high-intensity activity and brain; storage as glycogen; fiber (a type of carb) aids digestion, cholesterol reduction, and feeds gut microbiota.No specific minimum for total carbs (brain needs ~130 g glucose/day, which can be from carbs or via gluconeogenesis). Fiber: Aim for ≥14 g per 1,000 kcal (e.g. ~25–38 g/day) [^62].Oats, quinoa, brown rice, whole wheat, beans and lentils, fruits (berries, apples, bananas), starchy vegetables (potatoes, sweet potatoes), non-starchy veg (broccoli, leafy greens). Emphasize whole grains and legumes for fiber; limit added sugars.
Protein4 kcal/gBuilding blocks for muscles, organs, enzymes, and hormones; supports tissue repair and immune function; provides amino acids (9 essential) and has a high thermic effect (20–30%).RDA: 0.8 g/kg body weight (adults) [^63]. Optimal: 1.2–2.2 g/kg for most active individuals (higher end for strength training, elderly, or during calorie deficits) [^64] [^65]. Roughly 15–35% of calories depending on goals.Lean meats (chicken breast, turkey), fish (salmon, tuna), eggs, low-fat dairy (Greek yogurt, cottage cheese, milk), legumes (lentils, chickpeas, black beans), tofu/tempeh, edamame, protein powders (whey, casein, pea, soy) for convenience. Choose a variety to get all essential amino acids; combine plant proteins (e.g. rice + beans).
Fat9 kcal/gCell membrane structure; required for absorption of vitamins A, D, E, K; precursor for hormones (e.g. sex hormones are derived from cholesterol); longest-lasting fuel source (especially at rest and low-intensity exercise); insulation and organ protection.Essentials: ~3% of calories from linoleic acid (omega-6) and 0.5–1% from alpha-linolenic (omega-3). In practice, ≥0.5–0.6 g/kg body weight to ensure hormonal health and essential fatty acid needs are met. Omega-3 DHA+EPA: ~250–500 mg/day recommended [^66]. Total fat can range 20–35% of calories (flexible based on preference as long as essentials are covered) [^67].Extra-virgin olive oil, avocados, nuts (almonds, walnuts, etc.) and nut butters, seeds (chia, flax, pumpkin), fatty fish (salmon, mackerel, sardines for omega-3), eggs. Use plant oils for unsaturated fats. Limit sources of saturated fat (butter, high-fat cuts of meat, cheese) and avoid trans fats (fried foods, hydrogenated oils).
Alcohol (not a macro nutrient, but energy-providing)7 kcal/gNo nutritional function; considered a toxin that the liver must detoxify; can be used for energy (ethanol is converted to acetate and metabolized) but disrupts metabolic processes (temporarily halts fat burning, etc.) and can strain liver if in excess.No required intake (humans do not need alcohol). Moderation for those who drink: up to 1 drink/day for women, 2 for men, as per many guidelines – but less is better. Avoid in pregnancy and certain medical conditions.If consumed: Red wine, beer, spirits, etc., but keep in mind these are “empty calories.” For instance, a 5 oz glass of wine ~120 kcal, 12 oz beer ~150 kcal, 1.5 oz liquor ~100 kcal (plus mixer calories). Hydrate and limit intake. Note: Alcohol can impair recovery and muscle protein synthesis, and excess intake is linked to myriad health issues.

(Above values adapted from Dietary Reference Intakes and relevant research [^68] [^69] [^70]. Always tailor to individual needs.)

For further reading and verification of the information in this guide, here are some authoritative resources and references:

By consulting these and other resources, you can dive deeper into any section of interest. But armed with the knowledge from this guide, you should have a strong grasp on macros: how to configure them, adjust them, and use them as tools to achieve your health and fitness goals. Happy tracking, and may your nutrition be forever in gains!

References:

  1. Food and Agriculture Organization (FAO). Chapter 3: Calculation of the Energy Content of Foods – Atwater general factors for protein (4 kcal/g), fat (9 kcal/g), carbs (4 kcal/g), alcohol (7 kcal/g). (2003) [^79]
  2. Manore MM. Exercise and the Institute of Medicine recommendations for nutrition. Curr Sports Med Rep. 2005;4(4):193-8. – Acceptable Macronutrient Distribution Ranges: 45–65% carbs, 10–35% protein, 20–35% fat [^80]. Also notes athletes may need 1.2–1.8 g/kg protein [^81].
  3. Harvard T.H. Chan School of Public Health – The Nutrition Source: Carbohydrates and Fiber articles. – Explains how fiber slows digestion and blunts blood sugar spikes [^82] and helps lower LDL cholesterol [^83]. Emphasizes choosing whole grains and fruits for carbs.
  4. Dumitrescu DE et al. High-fiber foods have consistently been beneficial to health. J Transl Med. 2022. – Reviews that diets rich in fruits, vegetables, whole grains (high fiber) reduce risk of disease [^84].
  5. Schoenfeld BJ, Aragon AA. How much protein can the body use in a single meal for muscle-building? J Int Soc Sports Nutr. 2018;15:10. – Concludes ~0.4 g/kg per meal, spread over 4 meals (total ~1.6 g/kg/day), is ideal for maximizing muscle protein synthesis [^85].
  6. Jäger R, et al. International Society of Sports Nutrition Position Stand: protein and exercise. JISSN. 2017. – Recommends 1.4–2.0 g/kg for active individuals, and ~0.25 g/kg per meal (20–40 g) with meals evenly distributed 3–4 h apart [^86] [^87]. Also supports pre-sleep casein 30–40 g [^88].
  7. American Heart Association. Saturated Fats – Dietary recommendation to limit saturated fat to 5–6% of calories (about 13 g/day on 2000 kcal) [^89] and replace with unsaturated fats to improve cholesterol [^90]. Last reviewed 2024.
  8. World Health Organization (WHO). Fact Sheet: Trans fat. (2023) – States trans fat intake increases CHD death risk by ~28%, recommends <1% of calories from trans fat (ideally zero) [^91]. Advocates replacing industrial trans fat with PUFA/MUFA oils [^92].
  9. Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Protein, and Amino Acids. (2005) – Protein RDA 0.8 g/kg (adults) [^93]; pregnancy protein RDA 1.1 g/kg [^94]; fiber AI ~14 g/1000 kcal [^95]; omega-3 (DHA/EPA) recommendations (~250 mg DHA for pregnancy) [^96].
  10. Stanford Center on Longevity – Protein Needs for Adults 50+ (2024) – Suggests older adults need 1.2–1.6 g/kg protein and ~30–35 g per meal due to anabolic resistance [^97] [^98]. Recommends strength training plus protein for preserving muscle.
  11. U.S. Department of Agriculture – Dietary Guidelines 2020-2025. – Recommends 30–40% fat for toddlers 1–3, 25–35% for children 4–18 [^99]; also gives protein RDAs for children (e.g. 13 g/day for age 1–3, 19 g for 4–8, 34 g for 9–13) [^100]. Emphasizes balanced diet and not restricting fat for young kids.

References

[^1]: Thermic effect of protein: Eating protein increases energy expenditure due to the cost of digestion/assimilation. Protein’s thermic effect is ~20–30% of calories, significantly higher than that of carbs (~5–10%) or fat (~0–3%) healthline.com. This means 100 kcal of protein might net only ~70–80 kcal after digestion, giving high-protein diets a slight metabolic advantage.

[^2]: Saturated fat limits: The AHA recommends getting <6% of calories from saturated fat heart.org; for a 2000 kcal diet, that’s about 13 g of saturated fat per day. Replacing some saturated fats with unsaturated (e.g. using olive oil instead of butter) can help lower LDL cholesterol and cardiovascular risk heart.org.

[^3]: Trans fats and heart disease: Trans fats are strongly correlated with heart disease. Studies found that diets high in industrial trans fat raised the risk of coronary heart disease dramatically. For instance, a high trans fat intake (around 5+ g/day) was associated with ~30–40% greater risk of heart attack who.int. As a result, public health efforts have focused on eliminating partially hydrogenated oils in the food supply. Always check labels – if you see “hydrogenated” or “partially hydrogenated” oils, that product contains trans fat (even if the label says 0 g, due to a labeling loophole). It’s best to avoid such foods entirely.

[^4]: Omega-3 for pregnancy and general health: Adequate omega-3 intake is crucial. Pregnant and lactating women are advised to consume at least ~200 mg of DHA daily to support fetal brain development parents.com. For general adults, 250–500 mg/day of EPA + DHA is often recommended by experts (many countries have dietary targets in this range). Two servings of oily fish per week typically provide sufficient EPA/DHA for most people.

[^5]: fao.org

[^6]: pmc.ncbi.nlm.nih.gov

[^7]: fao.org

[^8]: nutritionsource.hsph.harvard.edu

[^9]: nutritionsource.hsph.harvard.edu

[^10]: nutritionsource.hsph.harvard.edu

[^11]: nutritionsource.hsph.harvard.edu

[^12]: pmc.ncbi.nlm.nih.gov

[^13]: nutritionsource.hsph.harvard.edu

[^14]: pubmed.ncbi.nlm.nih.gov

[^15]: jsperformancelab.com

[^16]: jsperformancelab.com

[^17]: en.wikipedia.org

[^18]: en.wikipedia.org

[^19]: acl.gov

[^20]: acl.gov

[^21]: pubmed.ncbi.nlm.nih.gov

[^22]: longevity.stanford.edu

[^23]: longevity.stanford.edu

[^24]: jissn.biomedcentral.com

[^25]: pmc.ncbi.nlm.nih.gov

[^26]: jissn.biomedcentral.com

[^27]: jissn.biomedcentral.com

[^28]: healthline.com

[^29]: heart.org

[^30]: heart.org

[^31]: heart.org

[^32]: who.int

[^33]: pubmed.ncbi.nlm.nih.gov

[^34]: heart.org

[^35]: who.int

[^36]: heart.org

[^37]: fao.org

[^38]: pmc.ncbi.nlm.nih.gov

[^39]: pmc.ncbi.nlm.nih.gov

[^40]: pmc.ncbi.nlm.nih.gov

[^41]: pmc.ncbi.nlm.nih.gov

[^42]: pubmed.ncbi.nlm.nih.gov

[^43]: jissn.biomedcentral.com

[^44]: jissn.biomedcentral.com

[^45]: jissn.biomedcentral.com

[^46]: jsperformancelab.com

[^47]: pmc.ncbi.nlm.nih.gov

[^48]: ahajournals.org

[^49]: jissn.biomedcentral.com

[^50]: jissn.biomedcentral.com

[^51]: pmc.ncbi.nlm.nih.gov

[^52]: parents.com

[^53]: longevity.stanford.edu

[^54]: longevity.stanford.edu

[^55]: heart.org

[^56]: pmc.ncbi.nlm.nih.gov

[^57]: health.choc.org

[^58]: fao.org

[^59]: nutritionsource.hsph.harvard.edu

[^60]: heart.org

[^61]: nutritionsource.hsph.harvard.edu

[^62]: fao.org

[^63]: acl.gov

[^64]: pubmed.ncbi.nlm.nih.gov

[^65]: longevity.stanford.edu

[^66]: parents.com

[^67]: pubmed.ncbi.nlm.nih.gov

[^68]: pubmed.ncbi.nlm.nih.gov

[^69]: acl.gov

[^70]: pmc.ncbi.nlm.nih.gov

[^71]: pubmed.ncbi.nlm.nih.gov

[^72]: fao.org

[^73]: en.wikipedia.org

[^74]: jissn.biomedcentral.com

[^75]: jissn.biomedcentral.com

[^76]: heart.org

[^77]: heart.org

[^78]: pmc.ncbi.nlm.nih.gov

[^79]: fao.org

[^80]: pubmed.ncbi.nlm.nih.gov

[^81]: pubmed.ncbi.nlm.nih.gov

[^82]: nutritionsource.hsph.harvard.edu

[^83]: nutritionsource.hsph.harvard.edu

[^84]: pmc.ncbi.nlm.nih.gov

[^85]: pmc.ncbi.nlm.nih.gov

[^86]: jissn.biomedcentral.com

[^87]: jissn.biomedcentral.com

[^88]: jissn.biomedcentral.com

[^89]: heart.org

[^90]: heart.org

[^91]: who.int

[^92]: who.int

[^93]: acl.gov

[^94]: pmc.ncbi.nlm.nih.gov

[^95]: fao.org

[^96]: parents.com

[^97]: longevity.stanford.edu

[^98]: longevity.stanford.edu

[^99]: heart.org

[^100]: health.choc.org