The Building Blocks of Protein Quality
Protein isn't a single entity but a complex chain of building blocks called amino acids. Of the 20 common amino acids, nine are considered 'essential' (indispensable) because the human body cannot produce them in sufficient quantities and must obtain them from food. A protein source is considered 'complete' if it provides all nine essential amino acids in adequate amounts relative to human requirements. Conversely, an 'incomplete' protein is low in or lacks one or more essential amino acids, which is then referred to as the 'limiting amino acid'.
The second crucial factor is digestibility, which is the proportion of a protein's amino acids that are effectively absorbed and utilized by the body. A protein with a perfect amino acid profile is useless if it cannot be broken down and absorbed by the digestive system. For instance, animal proteins are typically highly digestible (over 90%), while plant proteins can have lower digestibility (75-80%) due to the presence of fiber and anti-nutritional factors like phytates.
Scoring Methods: From Old to New
Nutritional scientists have developed several methods to quantify protein quality over the decades, with modern methods offering significant improvements in accuracy over older, animal-based models. Below are some of the most prominent scoring systems:
- Protein Efficiency Ratio (PER): An older method, PER is based on the weight gain of growing rats over a specific period relative to their protein intake. While simple to perform, it has been criticized for not accurately reflecting human protein needs and for being unable to distinguish between lean mass and fat gain. It is still used by regulators in some countries for specific products like infant formulas.
- Biological Value (BV): This method measures the proportion of absorbed protein that is retained and incorporated into the body's proteins. It provides insight into the amino acid composition's suitability for the body's needs but does not account for differences in protein digestibility, which is a major drawback.
- Protein Digestibility-Corrected Amino Acid Score (PDCAAS): Introduced in 1991, PDCAAS evaluates protein quality based on both the amino acid profile and a correction for fecal digestibility. A key limitation of the PDCAAS is that its score is capped at 1.0, meaning several high-quality proteins receive the same perfect score even if their nutritional value is different. Furthermore, using fecal digestibility can overestimate the true amount of amino acids absorbed by the small intestine.
- Digestible Indispensable Amino Acid Score (DIAAS): Recommended by the FAO in 2013 to replace PDCAAS, DIAAS is the current gold standard for protein quality. It represents a more accurate assessment because it measures the digestibility of individual essential amino acids at the end of the small intestine (ileum) rather than relying on overall fecal digestibility. DIAAS scores are not capped, allowing for more precise comparisons among high-quality protein sources.
Comparing Modern Protein Quality Metrics: DIAAS vs. PDCAAS
| Feature | DIAAS (Digestible Indispensable Amino Acid Score) | PDCAAS (Protein Digestibility-Corrected Amino Acid Score) | 
|---|---|---|
| Digestibility Measurement | Measures ileal (small intestine) digestibility of individual amino acids, providing a more accurate value for what the body truly absorbs. | Based on fecal digestibility of total protein, which can overestimate true amino acid absorption. | 
| Scoring | Not capped at 1.0; can score above 100%, allowing differentiation between very high-quality proteins. | Capped at 1.0, which makes it impossible to distinguish between proteins of superior quality. | 
| Reference Pattern | Uses updated amino acid reference patterns for different age groups (e.g., infants, children, adolescents, adults). | Uses a single reference pattern based on the needs of preschool children (ages 2-5). | 
| Primary Use | Considered the superior method for quantifying protein quality for regulatory and scientific purposes. | The former industry standard, still used for some labeling and regulatory purposes. | 
Practical Application: Ensuring High-Quality Protein in Your Diet
For most individuals consuming a varied diet, ensuring high protein quality is relatively straightforward. Animal-based proteins like meat, poultry, fish, eggs, and dairy are considered complete proteins with high DIAAS scores. However, those following plant-based diets can also achieve optimal protein quality through mindful food combining. For example, combining legumes (which are often limited in methionine) with grains (often limited in lysine) over the course of a day can provide a complete amino acid profile. This is a principle of 'complementary proteins'.
Here are some practical tips for maximizing protein quality:
- Eat a variety of protein sources: This is the most reliable strategy. Combining different types of protein throughout the day helps cover all essential amino acid needs. Think of pairing chickpeas and rice, or a tofu scramble with whole-wheat toast.
- Include complete plant proteins: Incorporate plant-based complete proteins like soy (tofu, tempeh), quinoa, and hemp seeds into your meals.
- Understand processing: The way food is processed can affect its protein quality. Soaking, sprouting, or fermenting legumes and grains can improve their digestibility and reduce anti-nutritional compounds that inhibit protein absorption.
- Prioritize whole foods: Processed foods can sometimes have reduced protein quality due to processing methods. Opting for whole food sources whenever possible is a good strategy.
The Importance of Bioavailability and the Food Matrix
While DIAAS is a highly accurate tool, real-world nutrition is also influenced by the 'food matrix'—the physical structure of the food. For example, protein in a whole food is digested and absorbed differently than in an isolated protein powder, even if their scores are theoretically similar. The presence of fibers, fats, and anti-nutritional factors all play a role in the speed and extent of amino acid release and absorption. This is why a holistic approach to diet is so important, looking beyond a single metric and focusing on overall nutritional balance from diverse sources. The DIAAS metric helps quantify the bioavailability of protein from single ingredients, but a varied diet naturally ensures a robust and diverse supply of all required amino acids.
An authoritative source on nutrition explains this concept well: The Nutrition Source, Harvard T.H. Chan School of Public Health.
Conclusion
Determining protein quality is a nuanced process that goes beyond simply counting grams. It requires evaluating the protein's amino acid profile, specifically the presence and balance of all nine essential amino acids, and its digestibility. Modern methods like DIAAS provide the most accurate assessment by considering these factors, particularly by measuring ileal digestibility, which reflects true absorption. For most people, a balanced and varied diet, incorporating both animal and/or plant-based sources, will ensure a consistent supply of high-quality protein. For those on a plant-based diet, combining different protein sources throughout the day effectively guarantees a complete amino acid intake, proving that a diverse approach to nutrition is often the best approach for optimal health.