Habitual yogurt consumption modifies the composition and function of the gut microbiota in a way that may lead to health benefits.
Diet can influence the diversity of the gut microbiota, which is important for health.
The gut microbiota plays an important role in digestion. It may also be essential for the normal development and functioning of the immune and nervous systems.
Maintaining the healthy diversity of the gut microbiota is important in preventing disease.
Researchers have proposed that there is a gut microbiota « signature » that could promote intestinal inflammation and subsequent systemic low-grade inflammation, a condition that predisposes to Type 2 diabetes (T2D) and obesity.
« As a fermented food containing millions of live bacteria, yogurt may have a beneficial effect on gut health, increasing gut microbiota richness and robustness, protecting the intestinal barrier, and preventing a range of gastrointestinal disorders. » – Dr Joël Doré
The composition of the gut microbiota is influenced by our diet, among other factors. Moreover, in fermented foods such as yogurt, the products of fermentation and particularly the bacteria involved in the fermentation process, can provide additional properties to the food beyond basic nutrition.
Hence, fermented foods such as yogurt are arousing research interest as potentially having benefits beyond an extended shelf life and improved texture and flavour.
Yogurt can deliver millions of live bacteria to the gut and may beneficially alter the gut microbiota
Yogurt with live cultures contains millions of bacteria and eating yogurt daily could potentially increase the number of bacteria in the diet by up to 10,000-fold.
While probiotic bacteria are unlikely to have longlasting effects on the gut microbiota, consuming yogurt with live cultures on a regular basis will at least temporarily bolster the live bacteria in the gut, most commonly the yogurt starters Streptococcus thermophilus and Bifidobacterium animalis subsp. lactis.
In addition, prebiotics may be added to yogurt (often in the form of fruit) and these may stimulate the proliferation of beneficial bacteria in the gut.
Daily yogurt consumption appears to boost the numbers of Lactobacilli in the gut and is associated with a slight increase in microbial diversity over a 42-day period.
As well as beneficially altering the composition of the gut microbiota, probiotic bacteria – live microorganisms intended to have health benefits when consumed – in yogurt may alter the function of the existing resident bacteria by affecting the production of SCFAs; these have beneficial effects on energy metabolism.
Yogurt may help to protect the intestinal barrier
Animal studies have suggested that a peptide derived from the milk protein found in yogurt, β-casein, increases the production of mucin, an essential component of the mucus layer that lines and protects the intestine.
« Modulation of the gut microbiota through yogurt consumption may prove to help in treating and preventing irritable bowel syndrome, infectious diarrhoea, and allergy gastroenteritis. Studies are needed to explore these potential benefits. »- Professor Olivier Goulet
Yogurt may protect against gastrointestinal disease
Research suggests that yogurt might play a role in the prevention and treatment of gastrointestinal disorders.
For children with mild to moderate persistent diarrhoea, a yogurt-based diet may be recommended as it has been shown to reduce stool
output and the duration of diarrhoea.
Modulation of the gut microbiota by yogurt, particularly yogurt containing Lactobacillus and Bifidobacterium, might be of value in the prevention or treatment of gastrointestinal diseases such as irritable bowel syndrome, infectious diarrhoea and allergy gastroenteritis.
Yogurt is frequently used in many countries for the nutritional management of acute gastroenteritis, although data on this approach are limited and large randomised controlled trials are needed to provide evidence to support it.
« Yogurt is an important part of nutrition and dietary guidelines as it offers both a great nutrient density and also live bacteria to contribute to gut health. »- Professor Seppo Salminen
References:
World Health Organization; Food and Agriculture Organization of the United Nations. Codex Alimentarius: Milk and Milk Products, Second Edition. 2011.
- Le Roy CI, Kurilshikov A, Leeming ER, et al. Yoghurt consumption is associated with changes in the composition of the human gut microbiome and metabolome. BMC Microbiology. 2022;22:39.
- Fernandez MA, Marette A. Potential health benefits of combining yogurt and fruits based on their probiotic and prebiotic properties. Adv Nutr. 2017;8:155S–64S.
- Savaiano DA, Hutkins RW. Yogurt, cultured fermented milk, and health: a systematic review. Nutr Rev. 2021;79:599–614
- Lisko DJ, Johnston GP, Johnston CG. Effects of dietary yogurt on the healthy human gastrointestinal (GI) microbiome. Microorganisms. 2017;5:6.
- de Mattos AP, Ribeiro TC, Mendes PS, et al. Comparison of yogurt, soybean, casein, and amino acid-based diets in children with persistent diarrhea. Nutr Res. 2009;29:462–9.
- Goulet O. Potential role of the intestinal microbiota in programming health and disease. Nutr Rev. 2015;73(Suppl 1):32–40.
- Barengolts E. Gut microbiota, prebiotics, probiotics, and synbiotics in management of obesity and prediabetes: review of randomized controlled trials. Endocr Pract. 2016;22:1224–34.
- Marco ML, Heeney D, Binda S, et al. Health benefits of fermented foods: microbiota and beyond. Curr Opin Biotechnol. 2017;44:94–102.
- Wen L, Duffy A. Factors influencing the gut microbiota, inflammation, and type 2 diabetes. J Nutr. 2017;147:1468S–75S.
- Hill D, Sugrue I, Arendt E, et al. Recent advances in microbial fermentation for dairy and health. F1000Res. 2017;6:751.
- Redondo-Useros N, Gheorghe A, Diaz-Prieto LE, et al. Associations of probiotic fermented milk (PFM) and yogurt consumption with Bifidobacterium and Lactobacillus components of the gut microbiota in healthy adults. Nutrients. 2019;11:651
- Gonzalez S, Fernandez-Navarro T, Arboleya S, et al. Fermented dairy foods: impact on intestinal microbiota and healthlinked biomarkers. Front Microbiol. 2019;10:1046.
- Pasolli E, De Filippis F, Mauriello IE, et al. Large-scale genome-wide analysis links lactic acid bacteria from food with the gut microbiome. Nature Comm. 2020;11:2610.
- Ghiamati Yazdi F, Barner Dalgaard L, Li Q, et al. Long-term daily high-protein, drained yogurt consumption alters abundance of selected functional groups of the human gut microbiota and fecal short-chain fatty acid profiles in a cohort of overweight and obese women. J Functional Foods. 2022;93:105089.
- Chen Y, Feng R, Yang X, et al. Yogurt improves insulin resistance and liver fat in obese women with nonalcoholic fatty liver disease and metabolic syndrome: a randomized controlled trial. Am J Clin Nutr. 2019;109:1611–9.
- den Besten G, van Eunen K, Groen AK, et al. The role of short-chain fatty acids in the interplay between diet, gut microbiota, and host energy metabolism. J Lipid Res. 2013;54:2325–40.
- Plaisancié P, Claustre J, Estienne M, et al. A novel bioactive peptide from yoghurts modulates expression of the gelforming MUC2 mucin as well as population of goblet cells and Paneth cells along the small intestine. J Nutr Biochem. 2013;24:213–21.
- Plaisancié P, Boutrou R, Estienne M, et al. β-Casein(94–123)-derived peptides differently modulate production of mucins in intestinal goblet cells. J Dairy Res. 2015;82:36–46.
- Donovan SM, Rao G. Health benefits of yogurt among infants and toddlers aged 4 to 24 months: a systematic review. Nutr Rev. 2019;77:478–86.
- Patro-Gołąb B, Shamir R, Szajewska H. Yogurt for treating acute gastroenteritis in children: systematic review and metaanalysis. Clin Nutr. 2015;34:818–24.