Protein "requirements" beyond the RDA: implications for optimizing health
Open accessAbstract
Substantial evidence supports the increased consumption of high-quality protein to achieve optimal health outcomes. A growing body of research indicates that protein intakes well above the current Recommended Dietary Allowance help to promote healthy aging, appetite regulation, weight management, and goals aligned with athletic performance. Higher protein intakes may help prevent age-related sarcopenia, the loss of muscle mass, and strength that predisposes older adults to frailty, disability, and loss of autonomy. Higher protein diets also improve satiety and lead to greater reductions in body weight and fat mass compared with standard protein diets, and may therefore serve as a successful strategy to help prevent and/or treat obesity. Athletes can also benefit from higher protein intakes to maximize athletic performance given the critical role protein plays in stimulating muscle protein remodelling after exercise. Protein quality, per meal dose, and timing of ingestion are also important considerations. Despite persistent beliefs to the contrary, we can find no evidence-based link between higher protein diets and renal disease or adverse bone health. This brief synopsis highlights recent learnings based on presentations at the 2015 Canadian Nutrition Society conference, Advances in Protein Nutrition across the Lifespan. Current evidence indicates intakes in the range of at least 1.2 to 1.6 g/(kg·day) of high-quality protein is a more ideal target for achieving optimal health outcomes in adults.
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Current evidence indicates optimal protein intakes in the range of 1.2-2.0 g/kg/day should be considered for people involved in a general fitness program or interested in optimizing health.
“Phillips and colleagues [76], Witard et al. [82], Jager et al. [11] and Tipton et al. [79] report that current evidence indicates optimal protein intakes in the range of 1.2–2.0 g/kg/day should be considered.”
From ISSN exercise & sports nutrition review update: research & recommendations (2018) · cites this paper as [76]
The Conclusion (page not specified) recommends 1.2–1.6 g/kg/day of high-quality protein as a more ideal target for optimal health outcomes in adults. The paper supports the lower part of the cited range, but not its 2.0 g/kg/day upper limit. (LLM, conf=0.90)
Experimental — accuracy not yet measuredResearch spanning the past 30 years indicates that athletes engaged in intense training may benefit from ingesting about two times the RDA of protein in their diet (1.4-1.8 g/kg/d) to maintain protein balance.
“However, research spanning the past 30 years has indicated that athletes engaged in intense training may benefit from ingesting about two times the RDA of protein in their diet (1.4–1.8 g/kg/d) to maintain protein balance [11, 70, 71, 73, 75–80].”
From ISSN exercise & sports nutrition review update: research & recommendations (2018) · cites this paper as [76]
The summary on Draft p. 20 says athletes appear to benefit from intakes as high as twice the RDA, and Table 2 gives an example of 1.6–1.8 g/kg/day. But the ‘Optimizing adaptations to exercise’ section distinguishes that goal from merely maintaining nitrogen balance. The cited passages do not establish the claim’s 30-year span or its lower figure of 1.4 g/kg/day. (LLM, conf=0.88)
Experimental — accuracy not yet measuredOver time, negative nitrogen balance may lead to muscle wasting, injuries, illness, and training intolerance.
“Over time, this may lead to muscle wasting, injuries, illness, and training intolerance [76, 77, 81].”
From ISSN exercise & sports nutrition review update: research & recommendations (2018) · cites this paper as [76]
In “Optimal protein intakes for athletes” (page unavailable), the paper says athletes can be in negative protein balance overnight, but it does not say that this leads to the listed outcomes over time. Its discussion of protein nutrition in older adults links low protein intake to muscle loss, offering limited support for the muscle-wasting part. The copy does not link negative nitrogen balance to injuries, illness, or training intolerance. (LLM, conf=0.82)
Experimental — accuracy not yet measuredNarrative reviews and meta-analyses yield conflicting results as to the effectiveness of protein supplementation to enhance RET-mediated gains in muscle mass and strength.
“Despite a large volume of work in this area, narrative reviews1–5 and even meta-analyses6–12 yield conflicting results as to the actual effectiveness of protein supplementation to enhance RET-mediated gains in muscle mass and strength.”
From A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adults (2018) · cites this paper as [5]
The “Optimizing adaptations to exercise” section reviews protein intake and muscle responses to resistance exercise, so this paper fits the citing sentence’s group of narrative reviews. But the passages found do not say that reviews or meta-analyses conflict about whether supplementation improves training-related muscle mass and strength gains. The conflicting meta-analysis findings described in “Protein quantity and weight loss” concern weight-loss diets, not resistance training; page numbers were unavailable in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measuredPeri-menopausal and post-menopausal athletes experience a decline of estradiol and ensuing insulin and anabolic resistance coupled with the demands of physical activity.
“due to the decline of estradiol and the ensuing insulin and anabolic resistance coupled with the demands of physical activity [242–244]”
From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [243]
The “Protein requirements for older adults” section describes age-related anabolic resistance and identifies insulin resistance as a possible contributing factor. The “Optimizing adaptations to exercise” section discusses athletes’ training demands. Neither passage establishes that declining estradiol causes insulin or anabolic resistance in peri- or post-menopausal athletes; page numbers are unavailable in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Many have contended that higher protein intakes are warranted during weight management, with preservation of fat-free mass and skeletal muscle being a commonly cited reason for this recommendation.
“While the recommended dietary allowance (RDA) for protein is 0.8 g·kg−1·day−1, expressed relative to BM, many have contended that higher protein intakes are warranted during weight management, with preservation of FFM and skeletal muscle being a commonly cited reason for this recommendation.24–27”
From Preservation of lean soft tissue during weight loss induced by GLP-1 and GLP-1/GIP receptor agonists: A case series (2025) · cites this paper as [24]
Increased dietary protein intake has demonstrated potential to help maintain skeletal muscle mass during weight loss.
“One strategy in particular that has demonstrated potential is increased dietary protein intake.”
From Fundamental Body Composition Principles Provide Context for Fat-Free and Skeletal Muscle Loss With GLP-1 RA Treatments (2024) · cites this paper as [56]
Only four studies in older individuals had participants that consumed close to optimal total protein intake (~1.2 to 1.6 g/kg/day) in non-exercising adults.
“only four studies27 29 33 45 in older individuals had participants that consumed what we consider to be close to optimal total protein intake (~1.2 g/kg/day to 1.6 g/kg/day) in non-exercising adults5.”
Protein intake of 1.2-1.6 g/kg/day is associated with a lower risk of sarcopenia.
“moreover, several previous studies have shown that protein intake of 1.2–1.6 g/kg/day is associated with a lower risk of sarcopenia [106, 108].”
From GLP-1 Receptor Agonists for Obesity Management in Older Adults: A Scoping Review on the Risk of Sarcopenia and Sarcopenic Obesity (2026) · cites this paper as [106]
Adequate protein intake, both in quantity and quality, represents a critical component of preventive dietary strategies targeting sarcopenia.
“Adequate protein intake, both in quantity and quality, represents a critical component of preventive dietary strategies targeting sarcopenia [105, 106].”
From GLP-1 Receptor Agonists for Obesity Management in Older Adults: A Scoping Review on the Risk of Sarcopenia and Sarcopenic Obesity (2026) · cites this paper as [106]
The loss of lean body mass during weight loss may be an issue in people already affected by sarcopenic obesity or older patients at risk of age-related sarcopenia, potentially leading to frailty, disability, and loss of autonomy.
“The loss of LBM (including muscle mass) during weight loss may be an issue in people already affected by sarcopenic obesity or older patients who are at risk of agerelated sarcopenia, potentially leading to frailty, disability, and loss of autonomy [119]”
From Symptomatic Adverse Events and Quality of Life Related to Incretin-Based Medicines for Obesity: A Systematic Review Involving >400,000 Subjects (2025) · cites this paper as [119]
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- Authors
- Phillips, S. M., Chevalier, S., & Leidy, H. J.
- Affiliations
- McMaster University (CA)
- McGill University Health Centre (CA)
- University of Missouri (US)
- Venue
- Applied Physiology, Nutrition, and Metabolism
- Publisher
- Canadian Science Publishing
- Published
- 2016-05
- Volume
- 41
- Issue
- 5
- Pages
- 565-572
- ISSN
- 1715-5312 (ISSN-L)
- 1715-5320
- OpenAlex
- W2292846232
- Cited by
- 396
- References
- 74
- Citations by year
- 2026: 49 · 2025: 41 · 2024: 30 · 2023: 35 · 2022: 42 · 2021: 41 · 2020: 52 · 2019: 34 · 2018: 39 · 2017: 22 · 2016: 10
- FWCI
- 3.79
- Type
- journal article
- Language
- en
- Update notices
- correction (2022-03-29)
- Open access
- green
- hdl.handle.net
- Locations
- Applied Physiology, Nutrition, and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (acceptedVersion, other-oa)
- TSpace (University of Toronto) (acceptedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Keywords
- protein intake, high-quality protein, RDA, sarcopenia, healthy aging, frailty, obesity, satiety, weight management, athletic performance, muscle protein synthesis, protein timing, protein dose, kidney disease risk, bone health, older adults
- MeSH terms
- Body Weight Maintenance, Aging, Body Weight, Canada, Dietary Proteins, Health Promotion, Humans, Nutritive Value, Societies, Scientific, Meta-Analysis as Topic, Exercise, Muscle Weakness, Athletic Performance, Sarcopenia, Athletes, Meals, Sports Nutritional Physiological Phenomena, Recommended Dietary Allowances
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