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Kimchi is good for our gut health, but researchers say that it could also be good for our mental health, along with other fermented foods and drinks like sauerkraut, kombucha and miso. Photo: Shutterstock

Explainer | Why fermented foods are good for your brain, not just your gut, and which are best – experts explain

  • It’s well known that natto, kefir and other fermented foods and drinks are good for our digestive system, but research suggests they can also boost brain health
  • A dietitian and a researcher explain the ‘mutual relationship’ between gut and mental health, and reveal which fermented foods are best, and which to beware of
Wellness

Blueberries, walnuts, fatty fish and green leafy vegetables are popular “brain foods” that have been linked to better memory and reduced risk of cognitive impairment. Fermented foods can also be added to the “brain health” booster list.

Fermented foods are a source of tryptophan, an essential amino acid that plays a role in the production of serotonin – a chemical that carries messages between nerve cells in the brain and plays an important role in body functions such as mood, sleep, digestion and sexual desire.

A new study, in its initial stages, suggests that some fermented foods may have a bigger impact than others when it comes to brain health, which isn’t surprising seeing as what’s good for our gut is also believed to be good for our brain.
According to one of the study’s researchers – Ramya Balasubramanian of APC Microbiome Ireland, at University College Cork – about 200 fermented foods have the potential to improve gut and brain health.
As well as being good for gut health, fermented foods are also a source of tryptophan, an essential amino acid that plays a role in the production of serotonin. Photo: Shutterstock

Fermented sugar-based products and fermented vegetable-based products, in particular, “are like winning the lottery when it comes to gut and brain health”, Balasubramanian says.

Fermented foods and beverages offer a bounty of benefits for our digestive system because they often contain probiotics, either naturally occurring or added during the fermentation process, says Cyrus Luk, a dietitian and executive committee member of the Hong Kong Dietitians’ Association. Lactobacilli, for example, is a common probiotic strain found in yogurt.
Cyrus Luk, a dietitian and executive committee member of the Hong Kong Dietitians’ Association.

But not all fermented foods contain probiotics, especially those commercially produced and pasteurised, because pasteurisation kills the probiotic bacteria along with any associated health benefits.

Probiotics help restore the balance of friendly bacteria in our gut and may alleviate some digestive problems, improve chronic inflammation and strengthen the body’s immune system.

Fermented vegetables, grains and legumes already contain a certain amount of fibre, Luk says. This fibre can serve as prebiotics – “food” for gut-friendly bacteria that produce short-chain fatty acids.

Probiotics and prebiotic fibre from fermented foods may reduce inflammation, anxiety, and improve cognitive function
Dr Cyrus Luk

Short-chain fatty acids provide nutrients to intestinal wall cells, helping to maintain gut health. Research also suggests that short-chain fatty acids can help reduce the risk of inflammatory bowel disease and diabetes, and help with weight control.

But how do gut-friendly fermented foods help with brain health?

“Mental disorders like depression and anxiety show a connection with gut problems, indicating a mutual relationship between gut function and mental health,” Luk says.

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“Fermented foods contain functional ingredients like probiotics, prebiotics and bioactive components that can modify the gut microbiome and influence the biological mechanisms linked to depression and anxiety by mitigating inflammation and oxidative stress.”
Luk says that the gut-brain axis is the two-way communication system between the central nervous system and the enteric nervous system, which covers the entire gastrointestinal tract. Studies have shown that the gut microbiome also plays a role in this communication system, known as the microbiome-gut-brain axis.
The microorganisms in our gut can interact with intestinal cells and the enteric nervous system, as well as the central nervous system, through various pathways, including neural, endocrine, immune and metabolic.
According to experts, the health of the microorganisms in our gut can influence our mental health. Photo: Shutterstock
The health, diversity and abundance of these microorganisms can affect inflammation levels in the body, which in turn can influence mental health disorders and cognitive decline.
“Studies suggest that probiotics and prebiotic fibre from fermented foods may reduce inflammation, anxiety and signs of distress, and improve cognitive function in various neurological diseases,” Luk says.

“Although preclinical studies show benefits of fermented foods for gut function and animal models of depression and anxiety, there is a lack of evidence in humans. Nonetheless, eating a diet rich in different types and sources of fibre, including fermented foods, can help support physical and mental health.”

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Fermented foods may be grain- or fruit-based – think vinegar and fermented rice; soy-based – natto (fermented soybeans), miso and tempeh; vegetable-based – kimchi, sauerkraut and pickled cucumber; dairy-based – yogurt and kefir; and tea-based – kombucha.

“Fermentation of foods occurs in anaerobic conditions,” Luk says, referring to an environment without oxygen.

“During this process, bacteria or yeast break down the carbohydrates in the food, providing energy for their own growth and reproduction. These carbohydrates are also transformed into various organic chemicals, including alcohol and organic acids such as lactic acid and acetic acid.

“This is why fermented foods have a sour taste and an alcoholic aroma, and their flavour becomes more complex over time. Fermentation changes not just the taste of foods but also their aroma, texture and appearance.”

Taking muesli with yogurt – a fermented food – may be a good way to promote mental health. Photo: Shutterstock

Luk says that some fermented foods are healthier than others, particularly those containing minimal food additives such as salt and sugar.

“Consuming too much salt may lead to high blood pressure, but some studies suggest that the excessive consumption of salted fermented foods, including kimchi, may increase the risk of gastric cancer in certain populations.

“Excess salt may promote gastric Helicobacter pylori [a type of bacteria that infects your stomach] colonisation in the stomach, which is a known risk factor for gastric cancer.

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“Additionally, excessive salt intake can cause damage to the protective layer of mucus that lines the stomach, leading to inflammation and irritation of the stomach lining. Salt can also promote the growth of temporary epithelial cells, which can increase the likelihood of mutations occurring in the cells and leading to cancer.”

When buying fermented foods, look at the nutrition label and choose versions with the lowest sodium and sugar content.

Tempeh, made from soybeans, is one of the healthiest fermented foods around, because it contains probiotics and protein. Luk says that consuming soy protein regularly may help lower “bad” LDL (low-density lipoprotein) cholesterol and total cholesterol levels.

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As fermented foods are rich in probiotics, and some, high in dietary fibre, remember that they can cause temporary gas and bloating.

And while fermented foods are generally safe to eat due to the presence of lactic acid, which kills harmful bacteria during fermentation, Luk says that incorrect temperatures, fermentation times or unsterile equipment can cause the food to spoil, making it unsafe to eat.

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