The article studies the dynamics of food consumption in the Russian Federation for 1998–2022. The methodological basis of the presented work is a comprehensive approach, which takes into account the long-term dynamics of food consumption in the Russian Federation, the main macroeconomic indicators and their interrelations in connection with the issues of the development of the food market in our country. For the period 1998–2022, the per capita consumption of food products has increased: fruit and berries by 89.6%, meat and meat products by 62.6%, vegetable oil by 42.2%, vegetables and melons by 35.2%, eggs and egg products by 24.0%, sugar by 12.7%, milk and milk products by 8.2%; the consumption of potatoes has decreased by 20.7%, bread products by 2.2%. The consumption of staple foodstuffs was assessed in relation to the dietary intake levels: above the norm: sugar, vegetable oil, meat and meat products, bread products, eggs and egg products; below the norm: potatoes, milk and dairy products, vegetables and melons, fruit and berries. The hypothesis was confirmed that as the income of the population increases, the consumption of expensive foods in the diet increases, the quality of food improves and the consumption of low quality and/or Giffen goods in the diet of the population may decrease. The influence of seven main indicators of macroeconomic transformation on the consumption of nine staple foodstuffs is shown. The concept of changing the policy of state regulation of the agrarian sector from supply support to demand/consumption support, developing institutions and institutional mechanisms of domestic food aid in Russia is proposed.