Protein is a cornerstone of human nutrition, playing a vital role in building and repairing tissues, synthesizing hormones, and supporting immune function. The 'quality' of protein is determined by its amino acid profile and its digestibility. Essential amino acids (EAAs) are crucial because the body cannot produce them and they must come from food. High-quality protein sources contain all nine EAAs in sufficient amounts, and these amino acids are readily absorbed by the body.
The Evolution of Protein Quality Assessment
Early methods for evaluating protein quality, such as Biological Value (BV) and Protein Efficiency Ratio (PER), had limitations. BV didn't consider digestibility, while PER, based on rat growth, wasn't a reliable indicator for human metabolism. These methods paved the way for more advanced systems.
The Rise and Limitations of PDCAAS
Introduced in 1991, the Protein Digestibility Corrected Amino Acid Score (PDCAAS) assesses protein quality using the amino acid score (AAS) and fecal digestibility. The AAS compares a protein's EAA profile to a reference pattern for young children, and this is adjusted by overall fecal digestibility, often measured in rats. However, PDCAAS caps scores at 1.0, which means proteins of different quality levels can receive the same score. Additionally, using fecal digestibility can overestimate actual amino acid absorption due to bacterial activity in the large intestine.
Introducing the Gold Standard: DIAAS
Proposed in 2013, the Digestible Indispensable Amino Acid Score (DIAAS) is now considered a more accurate method for determining protein quality. DIAAS improves upon PDCAAS by measuring digestibility in the ileum, the part of the small intestine where amino acids are absorbed, providing a more accurate measure of what's available to the body. Unlike PDCAAS, DIAAS does not cap scores, allowing for a better comparison of high-quality proteins. It also assesses the digestibility of each EAA individually.
Comparison of PDCAAS and DIAAS
| Feature | PDCAAS | DIAAS | 
|---|---|---|
| Digestibility Measurement | Measures overall fecal digestibility | Measures individual amino acid ileal digestibility | 
| Score Truncation | Scores are capped at 1.0, limiting differentiation | Scores are not capped, allowing for more accurate comparisons | 
| Age Reference | Uses a single reference pattern for 2-5-year-olds | Provides age-specific reference patterns for different needs | 
| Methodology | Less accurate due to fecal sampling and general protein digestibility | More precise, reflecting true amino acid absorption | 
| Applicability | Still used for some regulatory labeling | Recommended as the gold standard by FAO | 
Practical Factors Influencing Protein Quality
Food processing methods, like heating, can impact protein structure and bioavailability. Antinutritional factors (ANFs) found in some plant foods can also interfere with protein digestion, although cooking can often reduce their effects. The overall composition of a meal, or the food matrix, can also influence how protein is absorbed.
The Role of Complete vs. Incomplete Proteins
Complete proteins contain all nine essential amino acids in sufficient quantities. Examples include most animal products and some plant-based options like soy, quinoa, and buckwheat. Incomplete proteins lack one or more EAAs; most plant sources fall into this category.
Combining incomplete proteins in every meal isn't necessary. The body utilizes an amino acid pool, so consuming a variety of protein sources throughout the day ensures you meet your EAA needs.
Putting Protein Quality to Use in Your Diet
For individuals with higher protein requirements, such as athletes or older adults, or those following vegetarian or vegan diets, considering protein quality is especially important. Using DIAAS scores can help guide the selection of high-quality protein sources to support muscle health. A diverse intake of protein sources is a practical way to ensure adequate EAA availability.
Conclusion
Determining protein quality has evolved significantly. The Digestible Indispensable Amino Acid Score (DIAAS) is currently considered the most reliable scientific method because it accurately measures amino acid digestibility in the small intestine and provides uncapped scores. While DIAAS may not be widely used on food labels yet, understanding its principles can inform dietary choices. Consuming a variety of protein sources, including both complete and complementary incomplete proteins, is a practical approach to ensure optimal protein intake and support overall health.