Sauerkraut, meaning "sour cabbage," is a popular fermented food made by salting shredded cabbage and allowing it to ferment. The fermentation process is driven by lactic acid bacteria (LAB) naturally present on the cabbage, which produce lactic acid. This process gives sauerkraut its distinctively tangy flavor and is the source of many of its health-promoting properties. Beyond just flavor and preservation, the lactic acid and the bacteria that produce it offer significant benefits for digestion, immune function, and overall gut health.
The Science of Lactic Acid Fermentation
Lactic acid fermentation is a metabolic process performed by various microorganisms, including the lactic acid bacteria (LAB) found on raw cabbage leaves. The process is relatively simple: shredded cabbage is packed with salt into an anaerobic (oxygen-free) container. The salt serves several purposes: it draws water out of the cabbage to create a brine and inhibits the growth of undesirable bacteria, leaving the salt-tolerant LAB to thrive.
As the LAB consume the carbohydrates in the cabbage, they produce lactic acid, along with other compounds like carbon dioxide. This production of acid lowers the pH of the food, creating an environment that is inhospitable to most pathogens and effectively preserving the vegetables. Common LAB species involved include Lactobacillus plantarum, Leuconostoc mesenteroides, and Pediococcus cerevisiae, though the exact microbial composition can vary. This natural preservation method not only extends the shelf life of the food but also enhances its nutritional value and digestibility.
The Health Benefits of Lactic Acid Bacteria in Sauerkraut
The live bacteria in raw, unpasteurized sauerkraut, and the metabolic byproducts they produce, contribute to several key health benefits.
Supporting a Healthy Gut Microbiome
Many strains of LAB, including those found in sauerkraut, are considered probiotics. Probiotics are live microorganisms that, when consumed in adequate amounts, provide a health benefit to the host. A healthy gut microbiome is a balanced community of beneficial bacteria, and consuming probiotics from sauerkraut can help maintain and diversify this environment. A robust and balanced microbiome is crucial for many bodily functions, including digestion and immunity.
Aiding Digestion and Nutrient Absorption
Sauerkraut's fiber content can aid digestion and promote bowel regularity, especially for those experiencing constipation. Beyond fiber, the fermentation process creates digestive enzymes that help break down food into smaller, more easily absorbed molecules. Research also suggests that lactic acid can improve the body's ability to absorb essential nutrients, such as iron. By consuming sauerkraut with iron-rich foods, you may enhance your body's absorption of this vital mineral.
Boosting the Immune System
Most of the body's immune system is located in the gut, making gut health a critical component of immune function. The probiotics in sauerkraut help maintain a strong gut lining, which acts as a barrier against foreign microbes. Additionally, some studies suggest that LAB can stimulate the production of natural antibodies and modulate immune responses, potentially reducing the risk of infections like the common cold. Sauerkraut is also a good source of vitamin C, which further supports immune health.
Providing Antioxidant and Anti-inflammatory Effects
The fermentation process can increase the total antioxidant content of sauerkraut compared to raw cabbage. Antioxidants help neutralize harmful molecules called free radicals that can cause cell damage and inflammation. By combating oxidative stress, the antioxidant and anti-inflammatory properties of sauerkraut may help protect against a variety of chronic conditions.
Potential Benefits Beyond Digestion
Beyond the gut, the compounds in sauerkraut have been linked to other potential health benefits, including supporting mental health through the gut-brain axis, promoting heart health by balancing cholesterol and blood pressure, and even displaying anti-cancer properties due to compounds like glucosinolates. These areas warrant further human research but highlight the broad potential of this fermented food.
Nutritional Comparison: Sauerkraut vs. Raw Cabbage
To illustrate how fermentation enhances the nutritional profile, here is a comparison between typical servings of raw cabbage and canned (processed) sauerkraut. It is important to note that the live probiotics are found in raw, unpasteurized sauerkraut, not the heat-processed canned versions.
| Nutrient (per 100g) | Raw Cabbage | Canned Sauerkraut | Notes | 
|---|---|---|---|
| Calories | 25 | 19 | Similar caloric value. | 
| Protein | 1.3 g | 0.9 g | Similar protein content. | 
| Carbohydrates | 5.8 g | 4.3 g | The fermentation process consumes some carbs. | 
| Fiber | 2.5 g | 2.9 g | Sauerkraut retains significant fiber content. | 
| Vitamin C | 36.6 mg | 14.7 mg | While processing can reduce some vitamins, fermentation can increase others in raw versions. | 
| Vitamin K | 76 mcg | 13 mcg | Retention varies, but raw versions can offer high Vitamin K2 from fermentation. | 
| Sodium | 18 mg | 661 mg | Sauerkraut is high in sodium due to the fermentation process. | 
| Probiotics | None | Absent in processed versions; abundant in raw, refrigerated versions. | 
What to Look for When Buying Sauerkraut
To reap the probiotic benefits, the type of sauerkraut you purchase is critical. Shelf-stable, canned, or jarred sauerkraut found on unrefrigerated shelves has been pasteurized (heat-treated) to extend its shelf life. This process kills the live lactic acid bacteria. For the full probiotic and enzyme benefits, you must choose a raw, unpasteurized, and refrigerated variety. These are typically found in the refrigerated section of health food stores or grocery stores. A label indicating "live active cultures" is a good sign.
The Role of Fermentation in Gut Resiliency
University of California, Davis, researchers have conducted studies suggesting that fermented cabbage (sauerkraut) helps maintain the integrity of intestinal cells and produces metabolites beneficial for gut health. The study found that even commercially available refrigerated sauerkraut could offer protective benefits to intestinal cells in a lab setting, suggesting that it's the fermented product itself, not just the raw cabbage, that provides these advantages.
Conclusion: A Beneficial Addition to a Healthy Diet
So, is lactic acid in sauerkraut good for you? Based on its probiotic content, enhanced nutritional profile, and positive effects on gut health, the answer is a definitive yes. The lactic acid produced during fermentation is a natural preservative that also creates a cascade of beneficial effects, from aiding digestion and nutrient absorption to supporting the immune system and providing antioxidant protection. By choosing raw, refrigerated sauerkraut, you can ensure you receive the full spectrum of these benefits. A small, consistent serving is an excellent way to incorporate this fermented superfood into your regular diet. Read more about gut health research from UC Davis.