Skip to content

What are the pros and cons of eating sauerkraut?

4 min read

Sauerkraut, a dish of fermented cabbage, can contain hundreds of beneficial bacterial strains that support gut health. However, while celebrated for its probiotic content, it also comes with potential drawbacks, making it important to weigh the pros and cons of eating sauerkraut for your individual diet and health needs.

Quick Summary

Sauerkraut is rich in probiotics, fiber, and vitamins, supporting digestion, immunity, and nutrient absorption. Conversely, its high sodium content, potential for digestive discomfort, and high histamine levels may be problematic for some.

Key Points

  • Gut Health: Raw sauerkraut is rich in probiotics and fiber, which improve digestion and balance the gut microbiome.

  • Immune System Boost: The fermented cabbage provides immune-boosting nutrients like Vitamin C and beneficial bacteria that support a healthy immune response.

  • High Sodium Warning: A significant drawback is sauerkraut's high sodium content, which can pose a risk for individuals with hypertension or on low-sodium diets.

  • Potential Digestive Issues: Some people may experience gas, bloating, or other digestive discomfort, particularly when first introducing sauerkraut to their diet.

  • Raw vs. Pasteurized: For maximum probiotic benefits, it is crucial to choose raw, refrigerated sauerkraut, as pasteurization kills the live bacterial cultures.

  • Watch for Histamine: Sauerkraut is high in histamine, which can be problematic for those with histamine intolerance, potentially causing allergy-like symptoms.

In This Article

The Powerful Health Benefits of Sauerkraut

Sauerkraut's long history as a fermented food offers a wealth of nutritional advantages, primarily due to the lactic acid fermentation process. This process transforms simple cabbage into a nutrient-dense superfood, with benefits that span across several body systems.

Improved Digestive Health

As a renowned source of probiotics, raw, unpasteurized sauerkraut introduces beneficial live bacteria into your gut microbiome. These friendly microbes help crowd out harmful bacteria, improving overall digestive balance and aiding in the absorption of vitamins and minerals.

  • Relieves Constipation: The fermentation process and high fiber content increase stool bulk and soften it, promoting regular bowel movements.
  • Eases IBS Symptoms: Some studies suggest that regular intake can significantly improve symptoms associated with Irritable Bowel Syndrome (IBS), such as bloating and abdominal pain.

Strengthened Immune System

A healthy gut is a cornerstone of a robust immune system. The probiotics and vitamins in sauerkraut work synergistically to support the body's natural defenses.

  • Rich in Vitamin C: Fermentation can enhance vitamin C levels, a powerful antioxidant that protects against free radical damage and strengthens the immune response.
  • Fights Infections: Regular consumption may reduce the risk of common infections, potentially aiding in faster recovery when you do get sick.

Other Notable Pros

Sauerkraut's benefits extend beyond digestion and immunity, providing a range of additional health perks.

  • Bone Health: The high vitamin K2 content in fermented cabbage plays a crucial role in activating proteins that bind to calcium, helping to build and maintain strong bones.
  • Heart Health: The fiber and probiotics may help reduce cholesterol levels and slightly lower blood pressure, contributing to better cardiovascular health.
  • Weight Management: Its low calorie count and high fiber content can increase feelings of fullness, potentially aiding in weight loss by reducing overall calorie intake.

Potential Drawbacks and Considerations

While generally safe for most, sauerkraut is not without its potential downsides. Awareness of these issues is crucial for safe consumption.

High Sodium Content

Sauerkraut's fermentation process requires a significant amount of salt, resulting in a high sodium concentration. This can be a major concern for individuals on low-sodium diets.

  • Increased Blood Pressure: For those with hypertension, the high salt intake can contribute to elevated blood pressure.
  • Cardiovascular and Renal Risk: Excessive sodium consumption is linked to an increased risk of heart disease and kidney issues.

Digestive Issues and Histamine Intolerance

Introducing large amounts of probiotics and fiber can sometimes cause temporary gastrointestinal distress, especially for those new to fermented foods or with pre-existing sensitivities.

  • Gas and Bloating: The breakdown of certain compounds by gut bacteria can lead to uncomfortable gas and bloating.
  • Histamine Sensitivity: Sauerkraut is naturally high in histamine, a compound that can trigger allergic-like symptoms, digestive upset, or headaches in individuals with histamine intolerance.

Drug Interactions and Safety

Certain compounds in sauerkraut, including tyramine, can interact with medications or pose risks for specific health conditions.

  • MAOI Interaction: The tyramine in fermented foods can interact dangerously with monoamine oxidase inhibitors (MAOIs), a class of antidepressants.
  • Immunocompromised Individuals: People with compromised immune systems or those who are pregnant may be advised to avoid unpasteurized foods to mitigate any risk of bacterial contamination.

Comparison: Raw vs. Pasteurized Sauerkraut

Choosing the right type of sauerkraut is essential for reaping the probiotic benefits, as pasteurization destroys the beneficial live bacteria.

Feature Raw, Unpasteurized Sauerkraut Pasteurized Sauerkraut (Canned/Jarred)
Probiotic Content Contains live, active bacterial cultures. Heat process kills live bacteria.
Gut Health Benefits Maximized potential for improving gut microbiome. Offers fiber and nutrients, but no live probiotics.
Flavor Sharper, more complex tangy flavor. Milder, often more uniform flavor.
Texture Crunchy, more firm texture. Softer, less crunchy texture.
Storage Must be refrigerated to preserve live cultures. Can be stored at room temperature due to heat processing.

Conclusion: Finding the Right Balance

Sauerkraut is a fascinating and potent fermented food with significant health potential, particularly for gut and immune health. The high content of probiotics, fiber, vitamins, and antioxidants makes it a worthwhile addition to many diets. However, its high sodium level, and potential for causing gas, bloating, or histamine reactions must be considered, especially for those with specific health conditions or sensitivities. As with any food, moderation and personal tolerance are key. To maximize the probiotic benefits, opt for raw, unpasteurized versions found in the refrigerated section of stores. A small, consistent daily serving can often provide the benefits without the drawbacks.

For more in-depth nutritional information on fermented foods and gut health, visit the National Institutes of Health (NIH) website.

The Power of the Gut Microbiome

How Probiotics Help Digestion

Probiotics aid digestion by introducing beneficial bacteria to your gut, which can help break down food and absorb nutrients more efficiently.

Balancing Gut Bacteria

By populating the digestive tract with a diverse range of healthy bacteria, probiotics from sauerkraut can help maintain a balanced gut flora.

Sauerkraut and Immune Support

Beyond vitamin C, a healthy gut microbiome fostered by probiotics plays a critical role in regulating the body's immune system.

Managing Sodium Intake

Individuals on low-sodium diets can moderate their sauerkraut intake or rinse the product before eating to reduce salt content.

The Importance of Raw Sauerkraut

Only raw, unpasteurized sauerkraut contains the living probiotics responsible for many of its most celebrated health benefits.

Frequently Asked Questions

The main advantage of eating sauerkraut is its high content of probiotics, which are beneficial live bacteria that support and improve digestive health by promoting a balanced gut microbiome.

Store-bought sauerkraut can be healthy, but it's important to choose raw, unpasteurized varieties found in the refrigerated section, as the heat treatment used for canned or jarred versions can kill the live probiotics.

Yes, eating sauerkraut, especially in large quantities or when first introducing it to your diet, can cause temporary side effects like bloating and gas due to its high fiber and probiotic content.

You can reduce the sodium content by rinsing the sauerkraut briefly under cool water before eating it, though this may also wash away some of the beneficial probiotics and flavor.

For optimal gut health, consume a small, consistent amount of raw, unpasteurized sauerkraut daily, perhaps a tablespoon or two, to allow your digestive system to adjust and maintain a healthy gut flora.

Individuals on low-sodium diets, those taking MAOIs for depression, or people with histamine intolerance should be cautious. Pregnant or immunocompromised individuals should avoid unpasteurized versions.

Sauerkraut's high fiber and low-calorie profile can increase feelings of fullness, helping to reduce overall calorie intake. The probiotics may also play a role in how the body processes and stores fat.

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.