The Dietary Guidelines for Americans (DGA) [1] provide guidance on making healthful dietary choices. This study identifies changes in the macronutrient and food pattern group intakes of adults 20+ years from What We Eat in America (WWEIA), NHANES, day 1 dietary data [2,3] between the survey periods of 2003-2004 and 2017-2018; and examines the trends during this period.