food

Fermented foods: an avenue to supporting gut microbiome diversity

Fermented foods are defined as “food made through desired microbial growth and enzymatic conversions of food components” (Marco et al., 2021). There are several reasons that food fermentation is performed; as a method of food preservation, to reduce risk of food contamination with pathogenic microorganisms, or to enhance the taste and textures of some foods (Dimidi et al., 2019). As a result, there are many potential indications and benefits to performing food fermentation.

The surge in interest in fermented foods is due to the growing interest in the role of the gut microbiome in health and the health promoting potential of foods that have undergone the fermentation process. These potential benefits are attributed to the presence of probiotic bacteria, such as lactic acid bacteria, and in turn, how these microbes can impact the overall composition of the gut microbiome (Sanlier et al., 2019). Beneficial bacteria such as Lactobacillus, Bifidobacterium and Saccharomyces species are most commonly present in fermented food products (Sharma et al., 2020), and their abundance is associated with an increase in microbial diversity – a state that correlates with positive health outcomes (Valdes et al., 2018).

Many types of foods can be fermented, from dairy products to vegetables, as well as beverages, such as green and black tea. Here are some examples of fermented food and their benefits –

Types of fermented foods

Kefir

Kefir is a cultured dairy product, typically made through the fermentation of milk by kefir grains. It contains an abundance of microbes, with large concentrations of Lactobacillus Kefiri, which studies show can induce positive changes to gut microbiome composition, promoting a balanced microbial community (Carasi et al., 2015; Veiga et al., 2014).

Kombucha

Kombucha is a drink made by fermenting sweetened black or green tea with a symbiotic culture of bacteria and yeast. Rich in beneficial bacteria such as Lactobacillus and Saccharomyces, regular consumption of Kombucha could assist in the removal of pathogenic microbes (Chong et al., 2023). Kombucha is also rich in polyphenols, which could help to reduce oxidative stress and inflammation of the gut lining (Chong et al.,2023)

Kimchi

Kimchi is a traditional Korean dish, made from fermented vegetables such as cabbage and radishes, with added spices (Jang et al., 2015). Kimchi contains beneficial lactic acid-producing bacteria and is often rich in various vitamins, such as vitamins A and C, all of which have been shown to support a strong immune system (Mathur et al., 2020).

Sauerkraut

Sauerkraut is a fermented cabbage dish containing beneficial bacteria such as Lactobacillus and Leuconostoc (Satora et al., 2021; Jonanningsmeier et al., 2007). Similar to the other fermented foods, Sauerkraut can help to enhance gut microbial diversity, playing a vital role in the promotion of overall gastrointestinal health (Shah et al., 2023). Certain Lactobacillus species isolated from sauerkraut have demonstrated a probiotic effect and antimicrobial activity against pathogens (Ge et al., 2009).

Conclusion

Fermented foods, such as kefir, kombucha, kimchi and sauerkraut, are great additions to the diet and can offer a wealth of benefits to support gut health and a balanced gut microbiome. Whilst there is currently no dietary guidance for the inclusion of fermented foods, consuming them on a weekly basis could be a step to incorporate beneficial probiotics into the diet.

References

Carasi, P., Racedo, S.M., Jacquot, C., Romanin, D.E., Serradell, M.A. and Urdaci, M.C., 2015. Impact of kefir derived Lactobacillus kefiri on the mucosal immune response and gut microbiota. Journal of immunology research, 2015(1), p.361604. Available at: https://onlinelibrary.wiley.com/doi/abs/10.1155/2015/361604

Cardona, F., Andrés-Lacueva, C., Tulipani, S., Tinahones, F.J. and Queipo-Ortuño, M.I., 2013. Benefits of polyphenols on gut microbiota and implications in human health. The Journal of nutritional biochemistry, 24(8), pp.1415-1422. Available at:https://www.sciencedirect.com/science/article/pii/S0955286313000946

Chen, M., Sun, Q., Giovannucci, E., Mozaffarian, D., Manson, J.E., Willett, W.C. and Hu, F.B., 2014. Dairy consumption and risk of type 2 diabetes: 3 cohorts of US adults and an updated meta-analysis. BMC medicine, 12, pp.1-14. Available at:https://link.springer.com/article/10.1186/s12916-014-0215-1

Chong, A.Q., Lau, S.W., Chin, N.L., Talib, R.A. and Basha, R.K., 2023. Fermented beverage benefits: A comprehensive review and comparison of kombucha and kefir microbiome. Microorganisms, 11(5), p.1344. Available at: https://www.mdpi.com/2076-2607/11/5/1344

Ge, J., Ping, W., Song, G., Du, C., Ling, H., Sun, X. and Gao, Y., 2009. Paracin 1.7, a bacteriocin produced by Lactobacillus paracasei HD1. 7 isolated from Chinese cabbage sauerkraut, a traditional Chinese fermented vegetable food. Wei sheng wu xue bao= Acta microbiologica Sinica, 49(5), pp.609-616. Available at:https://europepmc.org/article/med/19637568

Han, K., Bose, S., Wang, J.H., Kim, B.S., Kim, M.J., Kim, E.J. and Kim, H., 2015. Contrasting effects of fresh and fermented kimchi consumption on gut microbiota composition and gene expression related to metabolic syndrome in obese Korean women. Molecular Nutrition & Food Research, 59(5), pp.1004-1008. Available at:https://onlinelibrary.wiley.com/doi/abs/10.1002/mnfr.201400780

Jang, D.J., Chung, K.R., Yang, H.J., Kim, K.S. and Kwon, D.Y., 2015. Discussion on the origin of kimchi, representative of Korean unique fermented vegetables. Journal of Ethnic Foods, 2(3), pp.126-136. Available at: https://www.sciencedirect.com/science/article/pii/S2352618115000451

Johanningsmeier, S., McFeeters, R.F., Fleming, H.P. and Thompson, R.L., 2007. Effects of Leuconostoc mesenteroides starter culture on fermentation of cabbage with reduced salt concentrations. Journal of food science, 72(5), pp.M166-M172. Available at: https://ift.onlinelibrary.wiley.com/doi/abs/10.1111/j.1750-3841.2007.00372.x

Leeuwendaal, N.K., Stanton, C., O’toole, P.W. and Beresford, T.P., 2022. Fermented foods, health and the gut microbiome. Nutrients, 14(7), p.1527. Available at:https://www.mdpi.com/2072-6643/14/7/1527

Liang, L., Saunders, C. and Sanossian, N., 2023. Food, gut barrier dysfunction, and related diseases: A new target for future individualized disease prevention and management. Food Science & Nutrition, 11(4), pp.1671-1704. Available at: https://onlinelibrary.wiley.com/doi/abs/10.1002/fsn3.3229

Marco, M.L., Sanders, M.E., Gänzle, M., Arrieta, M.C., Cotter, P.D., De Vuyst, L., Hill, C., Holzapfel, W., Lebeer, S., Merenstein, D. and Reid, G., 2021. The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on fermented foods. Nature Reviews Gastroenterology & Hepatology, 18(3), pp.196-208. Available at: https://www.nature.com/articles/s41575-020-00390-5

Mathur, H., Beresford, T.P. and Cotter, P.D. (2020). Health Benefits of Lactic Acid Bacteria (LAB) Fermentates. Nutrients, [online] 12(6), p.1679. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7352953/.

Şanlier, N., Gökcen, B.B. and Sezgin, A.C., 2019. Health benefits of fermented foods. Critical reviews in food science and nutrition, 59(3), pp.506-527. Available at: https://www.tandfonline.com/doi/abs/10.1080/10408398.2017.1383355

Satora, P., Skotniczny, M., Strnad, S. and Piechowicz, W., 2021. Chemical composition and sensory quality of sauerkraut produced from different cabbage varieties. Lwt, 136, p.110325. Available at: https://www.sciencedirect.com/science/article/pii/S0023643820313141

Shah, A.M., Tarfeen, N., Mohamed, H. and Song, Y., 2023. Fermented foods: Their health-promoting components and potential effects on gut microbiota. Fermentation, 9(2), p.118. Available at: https://www.mdpi.com/2311-5637/9/2/118

Sharma, R., Garg, P., Kumar, P., Bhatia, S.K. and Kulshrestha, S., 2020. Microbial fermentation and its role in quality improvement of fermented foods. Fermentation, 6(4), p.106. Available at: https://www.mdpi.com/2311-5637/6/4/106

Tapsell, L.C., 2015. Fermented dairy food and CVD risk. British Journal of Nutrition, 113(S2), pp.S131-S135. Available at:https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/fermented-dairy-food-and-cvd-risk/BD08FA31A2991E3A2898E5A0B39A7F33

Tillisch, K., Labus, J., Kilpatrick, L., Jiang, Z., Stains, J., Ebrat, B., Guyonnet, D., Legrain–Raspaud, S., Trotin, B., Naliboff, B. and Mayer, E.A., 2013. Consumption of fermented milk product with probiotic modulates brain activity. Gastroenterology, 144(7), pp.1394-1401. Available at: https://www.sciencedirect.com/science/article/pii/S0016508513002928

Veiga, P., Pons, N., Agrawal, A., Oozeer, R., Guyonnet, D., Brazeilles, R., Faurie, J.M., van Hylckama Vlieg, J.E., Houghton, L.A., Whorwell, P.J. and Ehrlich, S.D., 2014. Changes of the human gut microbiome induced by a fermented milk product. Scientific reports, 4(1), p.6328. Available at:https://www.nature.com/articles/srep06328

Vinderola, G., Cotter, P.D., Freitas, M., Gueimonde, M., Holscher, H.D., Ruas-Madiedo, P., Salminen, S., Swanson, K.S., Sanders, M.E. and Cifelli, C.J., 2023. Fermented foods: a perspective on their role in delivering biotics. Frontiers in Microbiology, 14, p.1196239. Available at: https://www.frontiersin.org/articles/10.3389/fmicb.2023.1196239/full

Valdes, A.M., Walter, J., Segal, E. and Spector, T.D. (2018). Role of the Gut Microbiota in Nutrition and Health. BMJ, [online] 361(361), p.k2179. Available at: https://www.bmj.com/content/361/bmj.k2179.

Wu, T., Chu, X., Cheng, Y., Tang, S., Zogona, D., Pan, S. and Xu, X., 2021. Modulation of gut microbiota by lactobacillus casei fermented raspberry juice in vitro and in vivo. Foods, 10(12), p.3055. Available at:https://www.mdpi.com/2304-8158/10/12/3055