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Prof. Dr. Mustafa Özdoğan · Medical Oncologist

What Is Fermentation, and Which Foods Are Fermented? Benefits and Harms

What Is Fermentation, and Which Foods Are Fermented? Benefits and Harms
In this article

What Is Fermenting?

What is fermenting?It is an ancient method of naturally preserving foods and drinks and increasing their nutritional value. Fermentationis the process of bacteria, fungi and other microorganisms breaking down organic compounds and transforming them into new ones.

Definition of Fermentation

Fermentation or fermentingis the chemical decomposition of a substance by microorganisms. The process generally manifests as heat production and bubbling. Anaerobic fermentation produces energy in the absence of oxygen.

What does fermented mean? The answer is quite broad:

  • It extends foods' shelf life.
  • It increases nutritional value.
  • It supports the digestive system.

Importance of Fermentation

Fermentation not only preserves foods but also has positive health effects. Here is why fermentation matters:

  • Healthy Gut Flora: Fermented foods help beneficial intestinal bacteria multiply.
  • Strengthens the Immune System: Strong gut flora supports better immune function.
  • Easier Digestion: Fermentation breaks foods down in advance, making digestion easier.
  • Increases Nutritional Value: B vitamin and antioxidant production increases during fermentation.
  • Natural Preservation: Fermentation extends shelf life and prevents spoilage.

Conclusion

Fermentingis a healthy preservation method important in both traditional and modern kitchens. Fermented foods support digestive health, strengthen immunity and increase nutritional value, making them an essential part of healthy eating.

Remember: Natural fermentation makes foods both tasty and healthier.

Which Foods Are Fermented?

  • Yogurt: A probiotic-rich dairy product.
  • Kefir: Contains beneficial bacteria supporting digestion.
  • Pickles: Fermented vegetables supporting gut health.
  • Kimchi: Korean pickles rich in vitamins and probiotics.
  • Kombucha: Fermented tea with high antioxidant content.

Yogurt

Yogurt is mostly made from milk fermented by lactic acid bacteria. It is rich in important nutrients including calcium, potassium, phosphorus, riboflavin and vitamin B12. One study linked higher yogurt intake to improved bone mineral density and physical function in older adults. A recent review associated yogurt consumption with lower body weight, less body fat and a smaller waist. Different yogurts may have different probiotic (beneficial bacteria) contents.

- What Are Probiotics? Is Yogurt Beneficial for Colon Cancer Prevention and Gut Microbiota?

Kefir

Kefir is made by adding grains consisting of a combination of yeast and bacteria to milk. It is generally a thick, tangy drink with a yogurt-like taste. Studies show some benefits for digestive and bone health.

A small study showed improved lactose digestion in 15 people with lactose intolerance. Kefir may also help improve bone health.

- What Is Kefir? Its 6 Benefits (in Detail)

Kombucha Tea

Kombucha, also called kombu, is a symbiotic culture of fungi and bacteria growing within a semipermeable membrane. Tea is prepared by fermenting sweetened black tea with kombucha culture for 7-10 days. The resulting drink is slightly carbonated and acidic. It is rich in caffeine, sugar and B vitamins, which underlie claimed health benefits. Laboratory and animal studies have demonstrated antibiotic and antioxidant effects, but very little benefit has been seen in humans.

Kombucha tea, marketed with claims of treating cancer, has not so far been shown to treat cancer in humans.

- What Is Kombucha? Incredibly Beneficial or a New Deception? (in Detail)

Tempeh (Tempe)

Tempeh is a fermented soybean product widely used in Indonesia and elsewhere in Southeast Asia. It is popular among people following vegan diets.

Sauerkraut

A popular condiment made from shredded cabbage fermented by lactic acid bacteria. It is low in calories and contains plenty of fiber, vitamin C and vitamin K as nutrients. Claims that sauerkraut treats cancer, like those for many herbal products, remain limited to laboratory studies and have not been confirmed in larger studies.

Sauerkraut can be used in almost any meal. Add it to a casserole, a hearty soup or a filling sandwich. For more probiotic benefit, choose unpasteurized sauerkraut, because pasteurization kills most beneficial bacteria.

Pickled Cucumbers

Pickles (such as cucumbers) are placed in brine, vinegar or another solution and fermented for a time. Many commercial pickles today are pasteurized and lack beneficial bacterial cultures.

What Are the Benefits of Fermented Foods?

Fermented foodscontain natural probiotics that ease digestion and support immunity. Fermentation is a process during which live bacteria break down nutrients in food, both easing digestion and increasing nutrient absorption.

Benefits of Fermentation

  • Supports gut health.
  • Strengthens the immune system.
  • Regulates the digestive system.
  • Extends food shelf life.
  • Provides probiotics.

Digestive Benefits of Fermented Foods

Fermentation improves food digestibility. During this process:

  • Probiotics develop and support gut health.
  • Some difficult-to-digest components break down and are more easily absorbed.
  • Gut flora becomes balanced, reducing digestive problems.

Effects on the Immune System

Fermented foods contain probiotic bacteria that strengthen immunity. These bacteria:

  • Enrich gut microbiota.
  • Protect against infections.
  • May reduce intestinal inflammation.

Ability to Increase Nutritional Content

Fermentation can increase a food's nutritional value. For example:

  • Nutrients not naturally present, such as B vitamins, may be produced.
  • Antioxidant levels may rise.
  • Difficult-to-digest components such as lactose break down and become better tolerated.

Are Fermented Foods Beneficial for Hypertension?

In 2012, Danish researchers examined fermented milk's effects on hypertension. The review does not support a positive effect on blood pressure, and the authors recommend fermented milk to regulate blood pressure. Also, fermented foods such as pickles often use very high amounts of salt in preparation. People with known high blood pressure, in particular, should be careful about salty fermented foods.

Conclusion

Fermented foodssupport digestion, strengthen immunity and protect bodily health as natural probiotic sources. Adding them to your diet may reduce digestive problems and improve overall health.

Remember: For a healthy life, a balanced diet and consumption of probiotic-rich foods are very important.

Are Fermented Foods Safe?

Adverse effects may include gas, bloating or altered bowel habits. Fermented foods can also be very high in sugar, so people with diabetes should be careful. Some may have a bitter taste.

Salted and brined fermented foods have been associated with increased stomach and esophageal cancer risk.

Conclusion

Fermented foods are certainly not a single food type. They differ considerably in primary ingredients, bacteria and fermentation processes. Targeted studies are needed on particular fermented foods for particular medical conditions. The health effects of different fermented food types should also be compared for selected conditions. More research is needed before confident statements and definitive recommendations can be made.

For Those Interested – Pickling Tips

  • Prepare pickle brine with drinking water. You can then enjoy your pickles confidently throughout winter and drink the brine as much as you like.
  • Fine, delicate table salt is unsuitable for pickling. Rock salt (coarse salt) is used. However, try to use as little salt as possible. Commercial pickles contain much more salt than homemade ones.
  • Placing or scattering 8-10 chickpeas at the bottom or between layers in the jar helps pickles mature quickly.
  • Vinegar, garlic, rock salt and chickpeas are enough for pickles to mature, stay fresh and avoid spoilage without additives.
  • Arrange the selected vegetables without gaps.
  • Prefer glass jars for pickling. Sterilize them in boiling water.
  • Refrigerate pickle jars after opening.

Sources

1. Ikeda Y, Iki M, Morita A, Kajita E, Kagamimori S, Kagawa Y, Yoneshima H.
Intake of fermented soybeans, natto, is associated with reduced bone loss in postmenopausal women: Japanese Population-Based Osteoporosis (JPOS) Study.
J. Nutr. May, 2006.

2. Park KY1, Jeong JK, Lee YE, Daily JW 3rd.
Health benefits of kimchi (Korean fermented vegetables) as a probiotic food.
J Med Food. Jan 2014

3. Usinger L, Reimer C, Ibsen H.
Fermented milk for hypertension.
Cochrane Database Syst Rev. Apr 2012

4. Merenstein DJ, Foster J, D’Amico F.
A randomized clinical trial measuring the influence of kefir on antibiotic-associated diarrhea: the measuring the influence of Kefir (MILK) Study.
Arch Pediatr Adolesc Med. Aug 2009.

5. Moayyedi P, Ford AC, Talley NJ, Cremonini F, Foxx-Orenstein AE, Brandt LJ, Quigley EM.
The efficacy of probiotics in the treatment of irritable bowel syndrome: a systematic review.
Gut. Mar 2010.

6. Umesawa M, Iso H, Fujino Y, Kikuchi S, Tamakoshi
Salty Food Preference and Intake and Risk of Gastric Cancer: The JACC Study.
J Epidemiol Feb, 2016

7. Abby Campbell Ph.D
Does Eating Fermented Foods Have Health Benefits? 21 Research Papers Examined.
healthybutsmart.com - Last Updated: 9 May 2018
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