ABSTRACT

Many fermented foods are produced throughout the world. Fermentation is a process that transforms the starting material into a product that may have enhanced nutritional and/or organoleptic characteristics. With the advent of probiotics, many researchers have analyzed the microflora in traditional fermented foods in attempts to find foods that contain bacteria that may be beneficial to health, metabolism, and disease resistance. In a few cases, an opposite approach has been taken. Based on studies testing individual bacteria in animals and humans, new products have been developed that include these bacteria, thereby creating new probiotic foods. (See Chapter 6 on

Lactobacillus casei

strain Shirota [LcS] for such an example.) Early studies on

Enterococcus faecium

and its effects against diarrhea and more importantly on cholesterol metabolism showed that

E. faecium

might be an ideal candidate to include in a fermented milk probiotic product. Gaio

(which contains both

E. faecium

and

Streptococcus thermophilus

) was developed and is now distributed in at least two European countries. This chapter reviews studies where

E. faecium

and Gaio were tested for their effects on serum cholesterol, diarrhea, and mutagens.