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Does Quality of Protein Really Matter? A Deep Dive into Nutrition

5 min read

According to a 2024 review, an analysis of dietary protein intake in the United States shows that utilizable protein may fall below requirements for up to 48% of older adults when protein quality is considered. This statistic highlights why the question, 'Does quality of protein really matter?', is increasingly relevant for optimal health, not just for elite athletes.

Quick Summary

Protein quality is determined by its essential amino acid profile, digestibility, and bioavailability. While general, varied diets provide adequate protein for most, certain groups like athletes and older adults can significantly benefit from focusing on higher-quality protein sources to support muscle and overall metabolic health.

Key Points

  • Amino Acid Profile: High-quality proteins contain all nine essential amino acids (EAAs), which are crucial for the body's functions.

  • Digestibility: Protein quality is judged by its bioavailability, or how efficiently the body digests and absorbs its amino acids, with animal proteins generally being more digestible than whole-food plant proteins.

  • Modern Metrics: The DIAAS score, endorsed by the FAO, is more accurate than the older PDCAAS as it uses ileal digestion and is not capped, allowing for better differentiation among high-quality proteins.

  • Individual Needs: Athletes and older adults may need to prioritize higher protein quality for goals like maximizing muscle protein synthesis or counteracting age-related muscle loss.

  • Dietary Variety: For the general population, eating a diverse range of protein sources throughout the day, including complementary plant proteins, is sufficient to meet EAA needs.

  • Whole-Food Context: The overall 'protein package' matters—including fats, fiber, and micronutrients—not just the amino acid profile in isolation.

In This Article

The Building Blocks: What Defines Protein Quality?

To understand why protein quality matters, one must first appreciate that not all protein is created equal. Proteins are complex molecules made up of smaller units called amino acids. The human body requires 20 different amino acids to function, nine of which it cannot produce on its own. These are the essential amino acids (EAAs) that must be obtained through food.

The Importance of a Complete Amino Acid Profile

Dietary proteins are categorized based on their EAA content:

  • Complete proteins contain all nine EAAs in sufficient quantities to support the body's needs. Most animal-based proteins, such as meat, fish, poultry, eggs, and dairy, are considered complete. Some plant-based sources like soy, quinoa, and amaranth also fall into this category.
  • Incomplete proteins are low in or missing one or more of the EAAs. This includes most plant foods, such as legumes, nuts, seeds, and grains.

For those on a plant-based diet, combining different incomplete protein sources throughout the day, such as rice and beans, can provide a complete amino acid profile. This process is known as protein complementation.

The Role of Digestibility and Bioavailability

Beyond its amino acid profile, a protein's quality is also determined by how well the body can digest and absorb it. This is known as bioavailability. Plant proteins, for example, often have lower digestibility than animal proteins due to the food matrix they are contained within, including fiber and other anti-nutritional factors. Processing methods can also affect a protein's bioavailability, for better or worse. For instance, a protein isolate is often more digestible than the protein in its whole-food form.

How is Protein Quality Officially Measured?

For decades, protein quality was measured using the Protein Digestibility-Corrected Amino Acid Score (PDCAAS). However, this method had several notable limitations, prompting the Food and Agriculture Organization (FAO) to recommend a more accurate system in 2013, the Digestible Indispensable Amino Acid Score (DIAAS).

DIAAS vs. PDCAAS: A Comparison

Feature PDCAAS DIAAS
Measurement Site Fecal samples, affected by microbial metabolism. Ileal samples (end of small intestine), reflecting true amino acid absorption.
Scoring Range Capped at 1.0, failing to differentiate between high-quality proteins. Not capped, allowing for a more accurate ranking of all proteins.
Digestibility Corrects for overall protein digestibility. Corrects for the digestibility of individual amino acids.
Reference Pattern Based on amino acid requirements of young children. Uses age-specific amino acid requirements.

The DIAAS provides a more precise and meaningful assessment of protein quality. For example, while both whey and soy protein isolates score 1.0 on the PDCAAS scale, their DIAAS scores differ significantly (whey ~1.09, soy ~0.90), more accurately reflecting their respective amino acid availability.

Who Should Prioritize Protein Quality?

While most healthy individuals can meet their protein needs with a varied diet, certain groups benefit more from a deliberate focus on protein quality.

Athletes and Muscle Growth

Protein is crucial for muscle repair and synthesis, especially after exercise. For athletes and those focused on building muscle mass, the quality of protein is highly relevant. Protein sources rich in leucine, a key essential amino acid, are particularly effective at stimulating muscle protein synthesis (MPS). Fast-digesting proteins like whey cause a rapid spike in blood amino acids, which can be beneficial post-workout, while slower-digesting proteins like casein provide a sustained release. High-quality protein can also help optimize recovery and improve training adaptations.

Older Adults and Sarcopenia

As people age, they often experience a gradual loss of skeletal muscle mass and strength, a condition known as sarcopenia. Older adults also experience "anabolic resistance," meaning their muscles are less sensitive to the anabolic effects of protein. This combination means that older adults have higher protein requirements than younger, sedentary individuals simply to maintain muscle mass and function. Choosing high-quality, easily digestible proteins becomes even more important in this demographic to ensure adequate EAA intake and combat age-related muscle decline.

Vegetarians and Vegans

Plant-based diets require careful planning to ensure an adequate intake of all EAAs. While it is a myth that complementary proteins must be eaten at the same meal, ensuring a variety of plant protein sources throughout the day is important. Focusing on high-quality sources like soy, quinoa, and lentils, and understanding how to combine different plant foods, ensures a balanced amino acid profile. The DIAAS provides a clearer picture of which plant proteins, or combinations, offer the highest quality.

The Bigger Picture: Balancing Quality and Whole-Food Nutrition

While focusing on protein quality metrics is helpful for specific goals or populations, it's vital to consider the broader context of your diet. The "protein package"—the total nutritional profile of the food source—is a key consideration.

  • Animal vs. Plant Protein: Animal proteins are generally of higher quality based on DIAAS scores, but they often come with saturated fat and cholesterol. Plant proteins, even those with slightly lower scores, offer beneficial fiber, vitamins, and antioxidants.
  • Nutrient Variety: A diet built on a diverse range of whole foods, regardless of whether they are animal- or plant-based, often provides all the necessary amino acids without requiring obsessive tracking. For most healthy individuals, total protein intake over the day from various sources is more important than the quality score of any single item.

Ultimately, a healthy, balanced diet should include a variety of nutrient-dense protein sources. The focus on quality becomes particularly useful for fine-tuning nutritional strategies for athletes, older adults, and those following restricted dietary patterns. For the general population, variety and moderation remain paramount.

Conclusion: So, Does Quality of Protein Really Matter?

Yes, the quality of protein absolutely matters, but its significance varies depending on individual health goals and life stages. For the general, healthy population, consuming a variety of protein sources, both animal and plant-based, will likely meet all EAA requirements. However, for athletes aiming to maximize muscle protein synthesis, or older adults seeking to counteract sarcopenia, prioritizing high-quality, highly bioavailable protein sources with a strong EAA profile is critical for optimal outcomes. In these cases, using metrics like DIAAS and paying attention to digestion kinetics and specific amino acid content, especially leucine, can be highly beneficial. Ultimately, understanding that not all protein is created equal empowers you to make informed dietary choices that best support your body's needs.

Harvard Nutrition Source

Frequently Asked Questions

A protein is considered high quality when it contains a complete profile of all nine essential amino acids and is highly digestible, meaning the amino acids are readily absorbed by the body. Animal proteins typically fit this description well, though some plant sources like soy and quinoa also qualify.

No, not all. While many plant proteins are incomplete (low in one or more essential amino acids), some, such as soy and quinoa, are complete proteins. Additionally, combining different plant protein sources, like rice and beans, over the course of a day provides all the necessary essential amino acids.

No, the older advice to combine complementary proteins in a single meal has been debunked. As long as you consume a varied diet with a balance of different protein sources throughout the day, your body will get all the essential amino acids it needs.

DIAAS (Digestible Indispensable Amino Acid Score) is a newer, more accurate protein quality metric recommended by the FAO. It differs from the older PDCAAS by measuring digestibility at the ileal level (end of the small intestine), and its scoring system is not capped at 1.0, providing a better ranking of high-quality proteins.

Yes, protein quality is especially important for athletes. High-quality proteins rich in essential amino acids, particularly leucine, are more effective at stimulating muscle protein synthesis (MPS) needed for repair and growth after strenuous exercise.

Older adults may need more protein and should focus on higher-quality sources due to 'anabolic resistance,' a reduced sensitivity to the anabolic effects of protein. This helps combat sarcopenia (age-related muscle loss) and maintain muscle mass and function.

Not necessarily. While animal proteins often score higher on quality metrics like DIAAS, plant proteins offer other valuable nutrients like fiber and antioxidants and come without saturated fat and cholesterol. The best choice depends on individual goals, but a balanced intake of both provides comprehensive benefits.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.