What is Protein Quality and Why Does It Matter?
Protein is a crucial macronutrient, serving as the building block for muscles, hormones, enzymes, and other vital tissues in the body. While many foods contain protein, not all proteins are created equal. The term “protein quality” refers to how well the protein in a food can meet the body's amino acid and nitrogen needs for growth, maintenance, and repair. A high-quality protein source is one that provides all the necessary components in a form that the body can easily digest and utilize. This is especially important for vulnerable populations, such as infants, growing children, and individuals with increased protein needs, where the dietary supply of specific amino acids can be a limiting factor for overall health.
The Importance of Essential Amino Acids
Amino acids are the individual units that link together to form proteins. While the human body can produce 11 of the 20 amino acids it needs, nine are considered “essential” (or indispensable) because they must be obtained directly from the diet. The presence and proportion of these nine essential amino acids are a fundamental measure of protein quality.
The nine essential amino acids are:
- Histidine
- Isoleucine
- Leucine
- Lysine
- Methionine
- Phenylalanine
- Threonine
- Tryptophan
- Valine
A "complete" protein source contains all nine essential amino acids in amounts and proportions adequate for human needs. Animal-based proteins such as meat, dairy, and eggs are typically complete proteins. Many plant-based proteins, on the other hand, are considered "incomplete" because they are low in or missing one or more essential amino acids. However, combining different incomplete plant proteins throughout the day can ensure all essential amino acids are consumed.
Digestibility and Bioavailability
Beyond amino acid composition, another crucial factor for determining high-quality protein is digestibility. Digestibility measures how efficiently the protein is broken down and absorbed by the body. A protein with an excellent amino acid profile is of little use if the body cannot effectively access those amino acids during digestion. Several factors can influence protein digestibility, including the food's structure, the presence of antinutritional factors (like trypsin inhibitors in legumes), and processing methods. Animal proteins are generally more digestible than plant proteins, which often have fibrous cell walls.
Modern Protein Scoring Methods
Historically, protein quality has been assessed using various methods. Modern science now favors scoring systems that combine amino acid profile and digestibility.
Protein Digestibility Corrected Amino Acid Score (PDCAAS):
- Recommended in 1989 and adopted by the US FDA in 1993, PDCAAS compares a protein's amino acid profile to a reference and corrects for fecal digestibility.
- Scores are capped at 1.0, meaning proteins exceeding requirements score the same as those that just meet them.
Digestible Indispensable Amino Acid Score (DIAAS):
- Introduced in 2013, DIAAS is considered a more accurate replacement for PDCAAS.
- It measures amino acid digestibility at the end of the small intestine (ileum) for a more precise bioavailability measure.
- Scores are not capped at 1.0, allowing for a more accurate ranking of high-quality proteins.
Comparison of Protein Quality Scores: DIAAS vs. PDCAAS
Here is a comparison of scores for various protein sources, illustrating the differences between DIAAS and PDCAAS:
| Food Source | PDCAAS | DIAAS (Adults) | Key Difference | 
|---|---|---|---|
| Whey Protein Isolate | 1.00 | 1.09 | DIAAS shows higher quality than capped PDCAAS. | 
| Milk Protein Concentrate | 1.00 | 1.18 | DIAAS provides more accurate, uncapped score. | 
| Soy Protein Isolate | 1.00 | 0.87 | DIAAS reveals soy's lower quality compared to dairy. | 
| Beef | 0.92 | 1.116 | DIAAS score is notably higher due to ileal digestibility measurement. | 
| Pea Protein Concentrate | 0.89 | 0.69 | DIAAS indicates lower quality than PDCAAS suggests. | 
| Wheat | 0.42 | 0.66 | DIAAS shows higher quality than PDCAAS for this source. | 
| Rice | 0.50 | 0.60 | Digestibility improvements are more accurately reflected in DIAAS. | 
DIAAS offers a more detailed picture of protein quality by using ileal digestibility and uncapped scores, aiding informed nutritional choices.
Combining Proteins: The Complementary Protein Myth
Older concepts suggested strict pairing of plant proteins at each meal. Modern science indicates that a diverse diet with various plant sources throughout the day is sufficient for most adults to meet essential amino acid needs. The body's amino acid pool allows for combining amino acids from different foods over time.
Conclusion
What determines if a food is a high quality protein source is its essential amino acid profile and digestibility. DIAAS provides a more accurate assessment than PDCAAS. Animal sources are often high quality, while plant proteins can provide a complete profile when combined across the day. Understanding these principles helps in making informed dietary choices.
For more information on the evolving standards of nutritional science, an authoritative resource is the {Link: National Institutes of Health https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8945624/}.