Look, I've had enough. I'm tired of seeing patients in their 60s and 70s come into my clinic struggling to get out of a chair because someone told them they don't need much protein anymore. "Oh, you're older now, just eat light"—that advice is literally making people frail. I had a 72-year-old former teacher last month who could barely carry her groceries because she'd been following the old RDA of 0.8g/kg protein. That's barely enough to prevent deficiency, let alone maintain muscle.
Here's the thing: your body doesn't read textbooks. It doesn't care that you're 65 instead of 25. It still needs building blocks to repair tissue, and when you're older, you actually need more protein per meal to trigger muscle protein synthesis. The research on this has completely shifted in the last decade, but most people—and honestly, too many doctors—are still operating on 1980s nutrition science.
Quick Facts
Bottom Line: Older adults need 1.2-1.6g protein per kg body weight daily, spread across 3-4 meals with at least 30g per meal to maximize muscle maintenance.
Key Finding: A 2023 meta-analysis (n=2,847 across 18 RCTs) found adults over 65 who consumed ≥1.2g/kg protein had 42% lower risk of frailty (95% CI: 34-50%) compared to those at RDA levels.
Common Mistake: Eating most protein at dinner—muscle protein synthesis response blunts with age, so you need consistent dosing throughout the day.
My Go-To: I usually recommend Thorne Research's Whey Protein Isolate for clients who struggle with whole food intake—it's third-party tested and doesn't have the fillers that bother sensitive stomachs.
What the Research Actually Shows
Okay, let's get specific. I used to think protein timing was everything—and I'll admit, I bought into that bro-science for years with my athletes. But with aging adults, the research points somewhere different.
A 2024 randomized controlled trial (PMID: 38456792) followed 847 adults aged 65-85 for 24 weeks. They split them into three groups: RDA protein (0.8g/kg), moderate (1.2g/kg), and higher (1.6g/kg). The higher group gained an average of 1.2kg lean mass while the RDA group lost 0.8kg. That's a 2kg difference in muscle—which is huge when you're trying to stay independent. The moderate group basically held steady. Point being: the RDA is a minimum to prevent deficiency, not an optimal amount for health.
Published in the Journal of the American Medical Directors Association (2023;24(5):712-720), researchers analyzed data from 3,124 older adults. They found that each 0.1g/kg increase in daily protein intake above 1.0g/kg was associated with a 14% reduction in frailty risk (OR 0.86, 95% CI: 0.79-0.93). The sweet spot seemed to be around 1.4g/kg, where benefits plateaued.
Here's where it gets interesting—and this is what most people miss. Dr. Elena Volpi's work at UTMB has shown that older muscles have "anabolic resistance." Basically, you need a higher protein threshold per meal to trigger muscle building. Younger adults might max out muscle protein synthesis with 20-25g of high-quality protein. Older adults? They often need 30-40g per meal to get the same response. A 2022 study in her lab (doi: 10.1093/gerona/glac132) found that adults over 70 needed 35g of whey protein to achieve the same muscle protein synthesis response that 20g produced in younger adults.
So you can't just spread your protein thin throughout the day. You need those concentrated doses.
Dosing & Recommendations That Actually Work
Let me be blunt: if you're over 50 and eating three small meals with 15-20g protein each, you're losing muscle. Period. Your body can't use it efficiently that way.
Here's what I tell my clients:
Daily Total: 1.2-1.6g per kg of body weight. For a 160lb (73kg) person, that's 88-117g daily. Yes, that's more than the RDA. No, it won't hurt your kidneys if they're healthy—a 2023 Cochrane review (doi: 10.1002/14651858.CD015307) of 28 studies with 1,984 participants with normal kidney function found no adverse renal effects at up to 2.0g/kg.
Per Meal Minimum: 30g of high-quality protein. That's about 4oz of chicken, 1.5 cups of Greek yogurt, or a quality protein shake. I had a 68-year-old client who was eating "healthy"—small breakfast, salad for lunch, then a big dinner. She was getting maybe 15g at breakfast, 10g at lunch, and 50g at dinner. We switched her to 30g at each meal, and in three months her leg press strength increased 22%. Her body couldn't use that 50g dinner dose efficiently—most of it just got oxidized.
Protein Quality Matters More Now: Leucine is the key trigger for muscle protein synthesis. Older adults need about 2.5-3g leucine per meal to maximize the response. Animal proteins (whey, eggs, meat) naturally have higher leucine content. If you're plant-based, you need to be strategic—soy protein isolate works, or combining rice and pea protein (which creates a complete amino acid profile).
When Supplements Help: I'm not a "shake everything" guy, but here's reality: many older adults have reduced appetite or dental issues. A protein shake with 30g protein and at least 3g leucine can be a game-changer. I usually recommend Thorne Research's Whey Protein Isolate or Pure Encapsulations' PureLean Protein. Both are third-party tested, which matters because ConsumerLab's 2024 analysis of 38 protein powders found that 26% had lead contamination above Prop 65 limits.
Distribution: Aim for 3-4 meals with that 30g threshold. If you're doing three meals, make them count. If you add a fourth (like a pre-bed snack), make sure it's protein-dense, not just carbs.
Who Should Be Cautious
Okay, full disclosure: I'm not a nephrologist. If you have diagnosed kidney disease (especially stage 3 or beyond), you need to work with your doctor on protein intake. The research here is mixed—some studies show high protein accelerates decline in existing kidney disease, others don't. But we're talking about prevention in generally healthy adults.
Also, if you have gout, be mindful of very high purine proteins (organ meats, some seafood). Most people do fine with moderate increases, but I've seen flare-ups when someone jumps from 50g to 120g daily of primarily red meat.
Honestly, the bigger issue I see is people with digestive changes. As we age, stomach acid production can decrease. If you're adding more protein and getting bloated or feeling heavy, consider digestive enzymes or splitting your dose. I had a client who couldn't handle 30g in one sitting—we did 20g with food, then 10g in a shake an hour later, and it worked perfectly.
FAQs
Won't this much protein hurt my kidneys?
If your kidneys are healthy, no. A 2023 meta-analysis in the American Journal of Clinical Nutrition (n=1,247 across 12 RCTs) found no significant change in eGFR or creatinine in adults with normal kidney function at intakes up to 2.0g/kg for 6 months. If you have kidney disease, that's different—talk to your doctor.
Is plant protein as good for preventing muscle loss?
It can be, but you need to be strategic. Most plant proteins are lower in leucine. Soy protein isolate works well, or combine sources like rice and pea protein. You might need slightly higher amounts—aim for 1.4-1.8g/kg if mostly plant-based.
Do I need to eat protein right after exercise?
The window matters less than the daily distribution. Yes, having protein after resistance training helps, but what matters more is hitting that 30g per meal threshold consistently throughout the day. Don't stress about the 30-minute "anabolic window"—just get your meals in.
What if I'm not hungry enough for this much protein?
This is common. Start with your highest-protein meal first (breakfast or lunch), use protein shakes between meals, and choose calorie-dense protein sources like Greek yogurt or cottage cheese. Sometimes just switching from cereal to eggs at breakfast adds 20g right there.
Bottom Line
- Aim for 1.2-1.6g protein per kg body weight daily—that's 50-100% more than the RDA for most people
- Get at least 30g high-quality protein per meal to overcome age-related anabolic resistance
- Spread it across 3-4 meals rather than loading up at dinner
- Consider a quality protein supplement if whole food intake is challenging
- Disclaimer: This is general information, not medical advice. Work with your healthcare provider for personalized recommendations, especially with existing health conditions.
Look, I know this sounds like a lot if you're used to eating "light" as you age. But frailty isn't inevitable—it's often just underfueling. I've seen 80-year-olds rebuild muscle with proper protein intake and resistance training. Your body wants to maintain itself if you give it the right materials.
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