A man trying to understand benefits of probiotics and prebiotics to help maintain gut issues and healthy digestion
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Misbah Wasi

Functional Nutrition Specialist, Scientific & Regulatory Advisor for Health Supplements

Misbah Wasi is a seasoned professional in the field of Nutrition Science and Food Regulation for over 15 years. Currently, she is lendin her expertise in the area of Health Supplements and Nutraceuticals and is an active member of the Standards Review Group (SRG) - Nutraceuticals FSSAI Ms. Wasi is a post-graduate in Food and Nutrition. Certified Lead Food Safety Management Systems Auditor (FSMS, FSSC 22000) and a certified FoSTaC traine for Health Supplements and Nutraceuticals. She is also a Subject Matter Expert for ‘Food Regulations in India’ for IFLR (International Food Laws and Regulations) course at Michigan State University.

Understanding probiotics and prebiotics with their benefits

In the intricate ecosystem of the gut microbiome, probiotics and prebiotics play complementary roles in promoting digestive health and overall well-being. While probiotics are beneficial bacteria that colonize the gut, prebiotics serve as their nourishment, fuelling their growth and activity. Together, they form a symbiotic relationship that fosters a balanced and resilient gut environment. In this comprehensive guide, we'll explore the synergistic effects of probiotics and prebiotics on gut health and discuss how incorporating them into your diet can optimize your digestive wellness.

Probiotics 

What are Probiotics?

Probiotics are live microorganisms, primarily bacteria and some yeasts, that confer health benefits when consumed in adequate amounts. They are often referred to as "good" or "friendly" bacteria because of their positive effects on gut health. [1]

 

Sources of Probiotics:  
Probiotics, naturally occurring in fermented foods like yogurt, kefir, sauerkraut, kimchi, tempeh, and miso, contribute to gut health. Among dairy-based products dominating the market are fermented milks, cheese, ice cream, buttermilk, milk powder, with yogurt claiming the largest share of sales. They are also available in supplement form, with various strains and formulations targeting specific health concerns. [1, 4]

 

How Probiotics Work: Probiotics work by colonizing the gut and restoring the balance of beneficial bacteria in the microbiome. They compete with harmful bacteria for space and nutrients, produce beneficial compounds like short-chain fatty acids, and modulate the immune system, thereby promoting digestive health and overall well-being. [3]

 

Benefits of Probiotics:

 

• Improved Digestive Health: Probiotics for gut health can alleviate symptoms of digestive disorders like irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and diarrhoea by restoring microbial balance and reducing inflammation. They can also reduce bloating and gas, and support regular bowel movements. They help maintain a healthy balance of gut flora, which is essential for digestion, nutrient absorption, and immune function. They can also strengthen the intestinal barrier, preventing harmful bacteria from entering the bloodstream and causing inflammation. Incorporating probiotic-rich foods like yogurt, kefir, sauerkraut, and kimchi into your diet or taking probiotic supplements can help optimize gut health and overall well-being. [3]

• Enhanced Immune Function: Probiotics play a vital role in supporting immune function by promoting the production of antibodies, enhancing the gut barrier function, and modulating immune responses. [3]

• Mood and Mental Health: Emerging research suggests a link between gut health and mental well-being, with probiotics showing promise in reducing symptoms of anxiety, depression, and stress. [2]

• Skin Health: Probiotics may benefit skin health by reducing inflammation, supporting the skin's natural barrier function, and alleviating conditions like acne, eczema, and rosacea.

• Support During Antibiotic Treatment: Probiotics can help replenish beneficial gut bacteria depleted by antibiotics, reducing the risk of antibiotic-associated diarrhea and other digestive disturbances. [1] 

 

Prebiotics 

What are Prebiotics?

Prebiotics are non-digestible fibres that serve as food for probiotics, stimulating their growth and activity in the gut. Unlike probiotics, which are live microorganisms, prebiotics are inert substances that pass through the digestive tract intact until they reach the colon, where they are fermented by beneficial bacteria. [1]

 

Sources of Prebiotics: Prebiotics are abundant in certain plant-based foods, including chicory root, Jerusalem artichokes, garlic, onions, leeks, asparagus, bananas, oats, and flaxseeds. These foods contain soluble fibres like inulin, fructooligosaccharides (FOS), and resistant starch, which serve as prebiotic substrates for gut bacteria. [5]

 

How Prebiotics Work: Prebiotics selectively stimulate the growth and activity of beneficial bacteria, such as Bifidobacteria and Lactobacilli, in the colon. By providing these bacteria with a source of nourishment, prebiotics promote their proliferation and metabolic activity, leading to a more diverse and resilient gut microbiome. [2]

 

Benefits of Prebiotics:

 

• Improved Digestive Health: Prebiotics promote bowel regularity, alleviate constipation, and support overall digestive health by enhancing the growth of beneficial bacteria and increasing the production of short-chain fatty acids.

• Enhanced Nutrient Absorption: By promoting the growth of beneficial bacteria, prebiotics can enhance nutrient absorption in the gut, particularly minerals like calcium, magnesium, and iron, as well as certain vitamins and phytonutrients.

• Blood Sugar Regulation: Prebiotics may help regulate blood sugar levels by improving insulin sensitivity, reducing postprandial glucose spikes, and promoting the production of incretin hormones that regulate appetite and glucose metabolism.

• Weight Management: Some studies suggest that prebiotics may aid in weight management by promoting satiety, reducing calorie intake, and modulating gut hormones involved in appetite regulation. [2] 

 

Synergistic Effects of Probiotics and Prebiotics [2]

When probiotics and prebiotics are consumed together, they exhibit synergistic effects that amplify their benefits. This symbiotic relationship fosters a harmonious gut environment by promoting the growth and activity of beneficial bacteria, enhancing nutrient absorption, supporting immune function, and reducing inflammation.

 

  1. Enhanced Colonization: Prebiotics act as fuel for probiotics, promoting their colonization and proliferation in the gut. By providing a substrate for beneficial bacteria to thrive, prebiotics increase the efficacy of probiotics, allowing them to exert their health-promoting effects more effectively

 

  1. Increased Production of Beneficial Metabolites: The fermentation of prebiotics by probiotics results in the production of beneficial metabolites like short-chain fatty acids (SCFAs), which have anti-inflammatory, immunomodulatory, and metabolic effects. By promoting the production of SCFAs, probiotics, and prebiotics work together to support gut health and overall well-being.

 

  1. Enhanced Immune Function: Probiotics and prebiotics interact synergistically to modulate immune responses and enhance immune function. By promoting the growth of beneficial bacteria and regulating immune signalling pathways, they strengthen the gut barrier, prevent the colonization of pathogenic bacteria, and promote the production of antibodies, cytokines, and other immune mediators.

 

  1. Improved Nutrient Absorption: The presence of probiotics and prebiotics in the gut enhances nutrient absorption by promoting the integrity of the gut barrier and optimizing gut motility. By supporting digestive health and nutrient absorption, they ensure that essential nutrients are effectively utilized by the body, promoting overall health and well-being.

 

  1. Supports Weight Management: Research suggests that probiotics and prebiotics could be beneficial for weight management and improving metabolic health. They may help with body weight, BMI, waist circumference, fat levels, cholesterol, and inflammation. This could offer new strategies for treating and preventing obesity and related conditions.

 

In conclusion, probiotics and prebiotics are essential components of a healthy diet that work synergistically to promote gut health and overall well-being. Probiotics colonize the gut and exert beneficial effects on digestion, immune function, mood, and skin health, while prebiotics provide the fuel necessary for their growth and activity. By incorporating probiotic-rich foods like yogurt and fermented vegetables and prebiotic-rich foods like garlic and oats into your diet, you can nurture a thriving gut microbiome and optimize your digestive wellness. With their symbiotic relationship and synergistic effects, probiotics and prebiotics form a dynamic duo that supports gut health and promotes vitality from within.

 

References:

 

  1. Kechagia, M., Basoulis, D., Konstantopoulou, S., Dimitriadi, D., Gyftopoulou, K., Skarmoutsou, N., & Fakiri, E. M. (2013). Health benefits of probiotics: a review. ISRN nutrition, 2013, 481651. https://doi.org/10.5402/2013/481651

  2. Cerdó, T., García-Santos, J. A., G Bermúdez, M., & Campoy, C. (2019). The Role of Probiotics and Prebiotics in the Prevention and Treatment of Obesity. Nutrients, 11(3), 635. https://doi.org/10.3390/nu11030635

  3. Amara, A. A., & Shibl, A. (2015). Role of Probiotics in health improvement, infection control and disease treatment and management. Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society, 23(2), 107–114. https://doi.org/10.1016/j.jsps.2013.07.001

  4. Kaur S, Kaur R, Rani N, Sharma S, Joshi M. Sources and selection criteria of probiotics. Advances in Probiotics for Sustainable Food and Medicine. 2021:27-43.

  5. Lockyer S, Stanner S. Prebiotics–an added benefit of some fibre types. Nutrition Bulletin. 2019 Mar;44(1):74-91.
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