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Nutrition

A simple guide to macros

Macros is one of those words that gets thrown around constantly without anyone stopping to explain it, which is a shame, because the idea underneath it is genuinely simple and genuinely useful. This is a plain guide to what macros are and what the evidence actually says, so you finish holding a framework rather than a number you feel obliged to hit.

Macronutrients, or macros for short, are the three parts of food that give you energy: protein, carbohydrate and fat. Almost everything you eat is some mix of the three, and each one carries a different amount of energy per gram. Protein and carbohydrate each provide roughly four kilocalories per gram, while fat provides about nine, which are the standard Atwater values that sit behind the numbers on every food label.

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References

  1. Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. National Academies Press; 2002/2005.Source of the Acceptable Macronutrient Distribution Ranges (carbohydrate 45 to 65%, fat 20 to 35%, protein 10 to 35% of energy), given as ballpark ranges rather than requirements. No requirement was set for fat. The ranges are under review in the National Academies letter report Rethinking the AMDR for the 21st Century.
  2. Gardner CD et al. Effect of Low-Fat vs Low-Carbohydrate Diet on 12-Month Weight Loss: The DIETFITS Randomized Clinical Trial. JAMA. 2018;319(7):667-679.doi:10.1001/jama.2018.0245609 adults over 12 months. A loss of about 5.3 kg (low-fat) versus 6.0 kg (low-carb), a 0.7 kg difference whose confidence interval crossed zero. Neither genotype nor insulin secretion predicted success, and the variation within each group far exceeded the difference between groups.