For Consumers
The CFFI aims to empower individuals to make informed dietary choices by providing clear, accessible information on the benefits, safety, and everyday use of fermented foods.
It also encourages home fermentation as a delicious, healthy, and sustainable part of daily life.
Explainer
What are Fermented Foods?
Fermented foods are those made through desired microbial growth and enzymatic conversions of food components.
Thousands of fermented foods and beverages are consumed worldwide, with deep roots in cultural traditions where fermentation has long been used to preserve food and reduce the risk of spoilage or foodborne illness.
Fermented foods may be a source of live, active microorganisms
Fermentation improves taste, texture, and digestibility of food
Contain increased concentrations of vitamins and bioactive compounds in foods
Removes/reduces toxic substances or anti-nutrients in raw foods
Fermented foods may benefit human health
Inhibits pathogens and food spoilage microbes
Why Do Fermented Foods Matter?
A Conversation with Chef Connor & Dr. Burton
How It Works
The Fermentation Process
Step 1
Microorganisms (microbes) like bacteria, yeast and fungi are either naturally present or intentionally added to fresh food products.
This kickstarts the fermentation process.


Step 2
During fermentation, microbes convert sugars and other compounds present in fresh foods into acids, gases, or alcohol, resulting in fermented food products.
Step 3
Some fermented foods undergo further processing (e.g. pasteurization, filtration) that remove or kill live microbes, whereas others contain live microbes.


Step 4
The fermentation process helps synthesize vitamins, reduce anti-nutrients, improve nutrient availablity and digestibility.
The final product contains beneficial fermentation byproducts that may support gut health and the immune system.
Source: CFFI’s White Paper
Fermented Foods and Their Impact on Your Health
Curious about the health benefits of fermented foods?
Check out our infographics to learn more! Available in English and French
Potential Health Benefits

Cardiovascular Health
Fermented dairy and soy-based products can lower “bad” cholesterol and increase “good” cholesterol, decrease blood pressure, and support overall heart health.

Cardiovascular Health
Cardiovascular disease consists of several conditions that may arise related to the heart and blood vessels. Diet is recognized lifestyle factor that can shape CVD. Fermented dairy and soy-based products lower “bad” cholesterol (LDL) and increase “good” cholesterol (HDL), decrease blood pressure, and support overall heart health.
Health Benefits
Blood Pressure

Heart Rate

Homocysteine
Total Cholesterol

Triglycerides
LDL (bad cholesterol)

HLD (good cholesterol)

Apolipoprotein B

Metabolic Disease
Certain fermented foods can improve the body’s ability to use insulin, reduce long-term blood sugar levels, and help stabilize blood sugar throughout the day.

Metabolic Disease
Metabolic disease includes conditions such as type 2 diabetes, insulin resistance, and metabolic syndrome, which affect how the body processes blood sugar and energy. Diet is a key lifestyle factor in preventing and managing these conditions. Certain fermented foods can improve the body’s ability to use insulin, reduce long-term blood sugar levels, and help stabilize blood sugar throughout the day, reducing “sugar crashes” and cravings.
Health Benefits
Insulin Resistance

Glucose Levels
Glycated Hemoglobin

HOMA-IR

Gastrointestinal Health
Fermented foods can support gut health by improving digestion, enhancing nutrient absorption, and easing common digestive issues like bloating.

Gastrointestinal Health
Gastrointestinal health involves the proper functioning of the digestive system, including how we break down food and absorb nutrients. Fermented foods can support gut health by improving digestion, enhancing nutrient absorption, and easing common digestive issues like bloating. They may also help manage conditions such as irritable bowel syndrome (IBS)and lactose intolerance by promoting a healthier gut environment.
Health Benefits
TMAO

IBD Symptoms
Lactose Digestion
Iron Absorption


Cancer
Regular consumption of fermented dairy products has been linked to a lower risk of several cancers.

Cancer
Cancer refers to a group of diseases involving abnormal cell growth that can affect nearly any part of the body. Diet plays a role in cancer prevention, and certain fermented foods may offer protective benefits. Regular consumption of fermented dairy products—especially yogurt—has been linked to a lower risk of several cancers, including bladder, breast, colorectal, and esophageal cancer.
Health Benefits
C-reactive Protein
IL-6, TNF-a, IL-1β

Mental Health
Emerging research suggests that fermented foods may support mental health through the gut-brain connection.

Mental Health
Mental health includes emotional, psychological, and social well-being, and is closely linked to brain function and overall quality of life. Emerging research suggests that fermented foods may support mental health through the gut-brain connection. By influencing gut microbes and reducing inflammation, fermented foods may help lower symptoms of depression and anxiety, improve cognition and support overall mental health.

Bone Health
Fermented dairy products may support strong bones by improving calcium absorption and overall bone metabolism.

Bone Health
Bone health becomes increasingly important with age, as bones naturally lose density overtime, raising the risk of fractures. Fermented dairy products may support strong bones by improving calcium absorption and overall bone metabolism. Regular intake has been linked to a lower risk of hip fractures in older adults, making them a valuable part of a bone-supportive diet.

Immune Dysfunction
Fermented foods can help support a balanced immune response by improving gut microbial diversity and reducing inflammation.

Immune Dysfunction
Immune dysfunction occurs when the immune system overreacts, under reacts, or responds inappropriately, contributing to conditions such as allergies, autoimmune disorders, and inflammatory skin conditions. Fermented foods can help support a balanced immune response by improving gut microbial diversity and reducing inflammation. Regular consumption of these foods has been linked to a lower risk of allergies and skin issues like dermatitis.
Health Benefits
C-reactive Protein
IL-6, TNF-a, IL-1β

Overall Wellbeing
People who include fermented foods in their diets often report feeling healthier and more balanced in their day-to-day lives.

Overall Wellbeing
Overall well-being reflects the combined state of physical, mental, and emotional health. Regular consumption of fermented foods has been associated with improved metabolic health, better weight management, and enhanced nutrient intake. People who include fermented foods in their diets often report feeling healthier and more balanced in their day-to-day lives.
Health Benefits
Body Weight

Waist Circumference

BMI
Visceral Fat
Find the references to the studies here.
While findings to date are promising, additional evidence is necessary to confirm the health benefits attributed to fermented foods.
Note: A lack of existing evidence does not imply a lack of potential health benefit; it simply reflects that the effects have not yet been validated through human clinical trials.
Myth vs. Fact
Myth
“All fermented foods are probiotics.”
Fact
Only some fermented foods contain live, beneficial microbes.
Fact: Only some fermented foods contain live, beneficial microbes.
Not all fermented foods retain live microbes by the time they are consumed. Factors such as pasteurization, extended shelf-life, storage conditions, and packaging can significantly reduce or eliminate microbes. To determine whether a fermented food contains live microbes, check the ingredient list for terms like ‘live and active cultures’, ‘raw’, ‘unpasteurized’ and look whether the product is stored in the refrigerated section, since microbes are usually more stable at those temperatures.
References:
- White Paper Chapter 1
- Marco et al 2021 The ISAPP consensus statement on FFs (https://pubmed.ncbi.nlm.nih.gov/33398112/)
Myth
“All fermented foods taste sour or strong.”
Fact
Many have mild, pleasant flavors like yogurt or sourdough.
Fact: Many have mild, pleasant flavors like yogurt or sourdough.
Fermented foods range widely in flavor, texture, and appearance, with hundreds of varieties found across the globe. Fermentation has been an essential part of nearly all culinary traditions. From kimchi in Korea to sauerkraut in Europe, injera in Ethiopia, and tempeh in Indonesia, these foods reflect deep cultural roots and diverse microbial ecosystems shaped by local ingredients, climates, and customs. And while some fermented foods are known for their bold flavors, many are mild, refreshing, or subtly tangy—making it easy for everyone to find something they enjoy. Exploring fermented foods can be a delicious and approachable way to discover new tastes while supporting your health.
Reference:
- Lee, CH., Ahn, J. & Son, HS. Ethnic fermented foods of the world: an overview. J. Ethn. Food 11, 39 (2024). https://doi.org/10.1186/s42779-024-00254-2
Myth
“Fermented foods are safe for everyone.”
Fact
Some people may need to avoid them, check with a doctor.
Fact: Some people may need to avoid them, check with a doctor
While fermented foods offer potential health benefits, they may pose risks for certain individuals—particularly those with histamine intolerance, compromised immune systems, or specific gastrointestinal conditions such as small intestinal bacterial overgrowth (SIBO) or inflammatory bowel disease. In these cases, the microbial content or bioactive compounds produced during fermentation can trigger adverse reactions or exacerbate symptoms, highlighting the need for personalized dietary guidance.
Reference:
- Bell et al. (2018). Safety of probiotics and fermented foods in clinical practice. The American Journal of Clinical Nutrition.
Myth
“Only raw fermented foods offer health benefits.”
Fact
Even pasteurized ones can provide helpful compounds.
Fact: Even pasteurized ones can provide helpful compounds.
During the fermentation process, beneficial microbes help break down hard-to-digest components, making nutrients easier to absorb. Fermentation can reduce antinutritional factors (like phytic acid), lower FODMAP content (which may ease symptoms for people with digestive issues), and produce helpful compounds like B vitamins, organic acids, and bioactive peptides. Even when pasteurized, fermented foods may still retain many of these beneficial metabolites that support digestion, heart health, and metabolism.
Reference:
- White Paper Chapter 1, Infographic Figure 3
Myth
“All store-bought fermented foods contain the same beneficial microbes.”
Fact
Not all fermented foods are created equal. Check the label!
Fact: Not all fermented foods are created equal. Check the label!
Microbial composition, viability, and health benefits vary across products—reading labels helps identify specific microbe strains that are associated to specific health benefits. The Canadian Fermented Foods Initiative’s analysis of kombucha found that microbial load, community composition, and fermentation byproducts vary significantly between brands, with small-batch, locally made kombuchas (e.g. from farmers’ markets) containing higher levels of live microbes and more closely reflecting traditional kombucha than mass-produced options—highlighting that not all fermented food products are equivalent in potential health benefits.
Reference:
- White Paper Chapter 3 (Kombucha Study)
Find more info here:
- Caffrey et al. 2025. Unpacking Food Fermentation: Clinically Relevant Tools for Fermented Food Identification and Consumption.
- Advances in Nutrition, Vol 16, Issue 5, 100412, ISSN 2161-8313, https://doi.org/10.1016/j.advnut.2025.100412.
Get Involved in Research!
Join a study, your participation can help improve health care for everyone

Resources for Consumers

Fermented Foods Recipes
Learn how to make and cook with fermented foods.

Symptom-Tracking Apps
These apps will help you track your diet, digestive symptoms, and gut health.

World Ferment Day - Join the Movement!
A global celebration that turns theory into practice.

The Fermentation Hub
The Fermentation Hub is a global community where fermenters of all levels – from beginners to professionals – gather to learn, share, and deepen their practice, ferment by ferment and season by season.
News & Stories

- Event
Save the Date – WFD 2027
World Ferment Day comes back to London on January 31st. Find out more.

- Blog Post
Celebrating World Microbiome Day: Exploring the Hidden World of Microbes

- Blog Post
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- Blog Post
Greek yogurt by-product could make for less waste, better taste
Dr. Latifeh Ahmadi from Western University makes sourdough from acid whey
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