The Protein Combing Myth

   An understanding that proteins play a part in our
health has been available for over 100 years.  
Unfortunately, much of the original work was based
on growth rates for rats.  As you might suspect, a rat
that grows twenty times as fast as a human has
significantly different nutritional needs.

   In the 1950s science took a major step forward
when the spiral structure of proteins was discovered
and ultimately led to an understanding of the DNA
double helix.  From this research, more theories
were advanced about the need for protein.  As often
happens with nutrition science, reductionist analysis
managed to obscure the fact that human biology is
incredibly complex and adaptable.  As a result,
many false assumptions about protein became part
of the nutrition folklore.  As a spoiler alert, for most
people, getting enough protein is not an important
concern.  However, for most, getting an excessive
amount of protein and too little fiber is a problem.

   Not unlike nutrition research today, early findings
were quickly published as fact, despite the lack of
long term studies.  The 1950’s best seller, “Let’s Eat
Right to Keep Fit” by
Adelle Davis described the
importance of combining "incomplete" proteins to
make "complete" proteins.  As perhaps the best-
known nutritionist of the era, tens of millions followed
her advice.  In her popular books and lectures, she
advised that incomplete proteins not complemented
within one hour would not be used by the body.  
Understandably, with this potential nutritional
deficiency ever present, getting the right proteins
with every meal was essential.  Although she was
wrong about protein, one of her more famous
quotes still rings true.  She advised, “Eat breakfast
like a king, lunch like a prince and dinner like a
pauper.”  Assuming the king she had in mind, ate a
plant-based whole food breakfast that spanned the
colors of the rainbow, her advice is close to the
intermittent fasting advice of Dr. Valter Longo in his
book, “
The Longevity Diet.

   Once a fad gains momentum, the ideas soon
spread as fact via a wide range of books,
magazines, talk shows, etc.  Not unlike fads today,
the “fuzzy science” about protein crept into popular
publications, diet books, school books, and
Government nutrition guidelines.

   The myth of complementary proteins reached
Rock Star status with the publication of “Diet for a
Small Planet” by Frances Moore Lappé in 1971.  
The book became a bestseller that went through
three editions that were read by millions in six
languages.

   Today, we have a better understanding of the
need for protein.  The good news is that protein
combining is usually an unnecessary and
complicating factor in nutrition.  Aside from a “junk
food” diet based on fats and sugars, there is little
danger of protein deficiency from plant-based whole
foods.  Anyone getting enough calories from
nutritious plant-based whole foods should get
enough protein without concern for combining
different types of protein.

   If you have been confused about the need to eat
“high quality” protein, you can thank the
Government, meat industry associations, and dairy
industry associations for helping keep you
confused.   Amazingly, in the face of overwhelming
evidence, it took until 1988 for The American
Dietetic Association to reverse its position on the
need for complementary protein.

   Dr. T. Colin Campbell explained what 50 years of
reductionist science could not unravel. “...plant
foods have plenty of protein and you do not have to
be a nutritional scientist or dietitian to figure out
what to eat and you don’t need to mix and match
foods to achieve protein completeness. Almost any
reasonable combination of natural foods will supply
you with adequate protein, including all eight
essential amino acids as well as many unessential
amino acids.  We now know that through
enormously complex metabolic systems, the human
body can derive all the essential amino acids from
the natural variety of plant proteins that we
encounter every day. It doesn’t require eating
higher quantities of plant protein or meticulously
planning every meal.”

   In 2009, the American Dietetic Association finally
advised, “Plant protein can meet protein
requirements when a variety of plant foods is
consumed and energy needs are met."  To
paraphrase, if you aren’t wasting away from
starvation you are getting all the protein you need.  
Research indicates that an assortment of plant
foods eaten over the course of a day can provide all
essential amino acids and ensure adequate
nitrogen retention and use in healthy adults, thus,
complementary proteins do not need to be
consumed at the same meal.”

   If concerned about heart disease, a similar
statement from the American Heart Association now
advises, “You don’t need to eat foods from animals
to have enough protein in your diet.  Plant proteins
alone can provide enough of the essential and non-
essential amino acids, as long as sources of dietary
protein are varied and caloric intake is high enough
to meet energy needs. Whole grains, legumes,
vegetables, seeds, and nuts all contain both
essential and non-essential amino acids. You don’t
need to consciously combine these foods
(‘complementary proteins’) within a given meal.”

   
Dr. Joel Fuhrman summarized the good news
about protein even more succinctly with the advice,
“...plant foods have plenty of protein and you do not
have to be a nutritional scientist or dietitian to figure
out what to eat and you don’t need to mix and match
foods to achieve protein completeness. Any
combination of natural foods will supply you with
adequate protein, including all eight essential amino
acids…”

   If you have been confused about your protein
need, you aren’t alone.  Most, get their nutrition
information from magazine articles, TV programs or
news that has been funded in total or in part by
money from an agribusiness industry that spans
meat production, dairy, and production of all the
crops need to raise animal products.  The need to
keep protein myths alive is essential to the
prosperity of these industries.  The saying, “buyer
beware” rings true, only in this case the buyer best
beware of not only their pocketbook but also their
health.

   If concerned about backsliding into old protein
myths, keep in mind that large herbivores like cows,
elephants, gorillas, and horses get all of their
protein needs from plants (mostly grass.)  In
contrast, people can’t digest grass but can digest
hundreds of other plants.  In essence, if the large
herbivores can get all of the protein they need from
grass, it should be even easier for humans that
have access to hundreds of plants.

   Still, old myths die slowly.  You can still find
textbooks that teach the need to combine proteins.  
Of course, almost all books published before 1994
have it wrong.  For anyone that still feels uneasy
about not having something on their plate that looks
like it came from something that was once walking
around, then consider letting legumes into your life.  
Should someone challenges plant-based whole
foods as a source of superior protein, just tell them
they don’t know beans about nutrition.
       
        
 Nancy Neighbors, MD
 Huntsville, Alabama