The Importance of Protein Quality
Protein is composed of building blocks called amino acids. Of the 20 amino acids the human body uses, nine are considered “essential” because they cannot be synthesized internally and must be obtained from food. Protein quality is determined by two main factors: its amino acid composition, particularly the ratio of essential amino acids, and its digestibility, which refers to how efficiently the body can break down and absorb the protein. A high-quality protein is one that is easily digested and contains a sufficient amount of all nine essential amino acids. Historically, various methods have been developed to grade protein quality, evolving over time to become more accurate and reflective of human nutritional needs.
The Older Standard: PDCAAS
From 1993 until recently, the Protein Digestibility Corrected Amino Acid Score (PDCAAS) was the official standard for protein quality evaluation, recommended by the Food and Agriculture Organization (FAO) and the World Health Organization (WHO). This method calculates a score by comparing a food's essential amino acid profile to a reference pattern and correcting for digestibility based on rat studies. A significant limitation of PDCAAS is that scores are capped at 1.0, preventing differentiation among the highest-quality proteins. The use of fecal digestibility is also considered less accurate than newer methods as it may overestimate absorbed amino acids.
The Modern Gold Standard: DIAAS
Introduced by the FAO in 2013, the Digestible Indispensable Amino Acid Score (DIAAS) is now considered the superior method for measuring protein quality. DIAAS improves upon PDCAAS by measuring amino acid digestibility at the end of the small intestine (ileal digestibility), providing a more accurate measure of absorption. Unlike PDCAAS, DIAAS scores are uncapped, allowing for better ranking of high-quality protein sources; for example, whey protein isolate scores higher with DIAAS than with PDCAAS. DIAAS also uses age-specific reference patterns, offering a more tailored assessment for different populations.
A Legacy of Methods
Prior to PDCAAS, methods such as the Protein Efficiency Ratio (PER) and Biological Value (BV) were used. PER measured weight gain in animals but had limitations. BV assessed nitrogen retention to determine how much absorbed protein was used by the body, but it didn't account for digestibility. These older methods have been replaced by more accurate approaches.
Complete vs. Incomplete Proteins and Complementary Combinations
Understanding protein quality involves the concepts of complete and incomplete proteins.
Examples of protein types:
- Complete Proteins: Contain all nine essential amino acids in sufficient amounts. These are typically found in animal products and some plant-based foods like soy and quinoa.
- Incomplete Proteins: Lack one or more essential amino acids, common in most plant sources.
- Complementary Proteins: Combining incomplete proteins, like rice and beans, creates a complete amino acid profile.
Combining proteins for a complete profile:
- Rice and beans
- Hummus and whole-wheat pita bread
- Peanut butter on whole-wheat bread
- Corn tortillas with refried beans
PDCAAS vs. DIAAS: A Comparison Table
| Feature | PDCAAS | DIAAS |
|---|---|---|
| Digestibility Measurement | Fecal digestibility in rats | Ileal digestibility in pigs or humans |
| Limitation | Score capped at 1.0, limiting differentiation of high-quality proteins | Uncapped score, allowing a more precise ranking of protein quality |
| Accuracy | Less accurate, can overestimate amino acid absorption due to microbial metabolism | More accurate, reflects the true absorption of amino acids by the body |
| Reference Pattern | Single pattern based on a 2-5 year-old child | Age-specific patterns for infants, children, and adults |
| Official Recommendation | Formerly recommended by FAO/WHO (1993-2013) | Recommended by FAO since 2013 |
The Consumer's Guide to Protein Grading
While the technical details of DIAAS and PDCAAS are primarily used in the food industry, consumers can benefit from knowing that protein quality is evaluated. A varied diet typically provides all necessary essential amino acids. However, individuals with higher protein needs, like athletes, might find DIAAS scores useful for comparing high-quality protein sources.
Find more information on healthy protein sources at the Harvard T.H. Chan School of Public Health's Protein page.
Conclusion
The food protein grading scale has progressed significantly, from older animal-based measures to the more precise, human-focused DIAAS. This modern standard addresses the limitations of the previous PDCAAS method, offering a more accurate understanding of how the body utilizes protein from different foods. For general health, a diverse diet with various protein sources is key, while understanding these grading scales can be particularly helpful for those with specific dietary requirements or interests.