Regular family meals, defined as five or more meals together per week, declined over time. Sixty percent of youth had regular family meals during early adolescence compared to 30% during middle adolescence. Having regular family meals at both Time 1 and Time 2 was associated with greater frequency of consuming breakfast and dinner meals and increased intakes of vegetables, calcium-rich food, dietary fiber, and several nutrients including calcium, magnesium, potassium, iron, and zinc five years later.