A Salute to PVT TIM HiLL: Indispensable Amino Acids and Global Human Health

Abstract

Students are taught the study mnemonic “PVT TIM HiLL” to memorize the 9 indispensable amino acids (IAA): phenylalanine, valine, threonine, tryptophan, isoleucine, methionine, histidine, leucine, and lysine. The Food and Agriculture Organization (FAO) recommended that IAA be treated as individual nutrients on food labels because “crude protein ” alone does not indicate protein quality. Protein quality—determined by Digestible Indispensable Amino Acid Score (DIAAS)—is calculated for 3 life stages: birth to 6 months, 6 months to 3 years, and 3 years and older. Foods possessing DIAAS greater than 100 are “excellent” protein quality, and those with DIAAS between 75 and 99 are “good,” whereas foods with DIAAS < 75 cannot make a protein claim. Processing, heating, and/or grinding can decrease or improve plant and animal IAA digestibility. For children 6 months to 3 years of age, ground pork, smoked-cooked bacon, cooked pork leg, cured ham, cooked pork loin, salami, beef/pork bologna, beef jerky, and medium and medium rare beef ribeye steaks can be described as “excellent.” A range of research has reported that cooked ground beef can be classified as “good” or “excellent,” whereas the Impossible® (Impossible Foods, Redwood City, CA) and Beyond® (Beyond Meat Inc., El Segundo, CA) meat-alternative burgers and well-done ribeye can be classified as “good ” sources of IAA for young children. For persons aged > 3 years, all meat categories but cooked ground beef can be classified “excellent” sources of IAA. For meat alternatives, Impossible Burger could be classified as “excellent,” but Beyond Burger could only claim to be “good.” Protein quality claims for individual food ingredients can be diminished when the food is consumed with a lower protein quality item such as a wheat flour bun. To provide meals that are adequate in all IAA, the protein quality in each food item must be determined. Mixed meals must be adjusted for protein quality by combining low-quality proteins (present in cereals and grains) with higher-quality proteins (present in foods of animal origin).