Citation: Hadjimbei, E.; Botsaris, G.;
Chrysostomou, S. Beneficial Effects of
Yoghurts and Probiotic Fermented
Milks and Their Functional Food
Potential. Foods 2022, 11, 2691.
https://doi.org/10.3390/
foods11172691
Academic Editors: Juristo Fonollá
and Sandra González-Palacios
Received: 16 June 2022
Accepted: 1 September 2022
Published: 3 September 2022
Publisher’s Note: MDPI stays neutral
with regard to jurisdictional claims in
published maps and institutional affil-
iations.
Copyright: © 2022 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).
foods
Review
Beneficial Effects of Yoghurts and Probiotic Fermented Milks
and Their Functional Food Potential
Elena Hadjimbei
1
, George Botsaris
2,
* and Stavrie Chrysostomou
1
1
Department of Life Sciences, School of Sciences, European University Cyprus, Nicosia 2404, Cyprus
2
Department of Agricultural Sciences, Biotechnology and Food Science, Cyprus University of Technology,
Limassol 3036, Cyprus
* Correspondence: george.botsaris@cut.ac.cy
Abstract: Probiotic fermented milks and yoghurts are acidified and fermented by viable bacteria,
usually L. bulgaricus and S. thermophilus, resulting in a thicker product with a longer shelf life. They
are a nutrition-dense food, providing a good source of calcium, phosphorus, potassium, vitamin
A, vitamin B2, and vitamin B12. Additionally, they deliver high biological value proteins and
essential fatty acids. There is accumulating evidence suggesting that yoghurt and fermented milk
consumption is related to a number of health advantages, including the prevention of osteoporosis,
diabetes, and cardiovascular diseases, as well as the promotion of gut health and immune system
modulation. This review aims at presenting and critically reviewing the beneficial effects from the
consumption of probiotic fermented milks in human health, whilst revealing potential applications
in the food industry.
Keywords: yoghurt; fermented milk; probiotics; health benefits; functional food
1. Introduction
Yoghurt is among the most popular fermented foods in the world, and enjoys wide
consumer acceptability, due to its taste and health benefits. It can be used as accompanier
of the main meal or as a snack during the day. The word yoghurt probably originates from
the Turkish term “yogurmak”, which means to thicken, coagulate, or curdle [1].
It is believed that yoghurt was accidentally discovered around 5000–10,000 BC with
the domestication of milk-producing animals, when at that time, shepherds in the Middle
East carried milk in sacks, constructed of intestinal gut, which caused the milk to curdle
and sour when it came into contact with intestinal secretions, thus naturally preserving it
and enabling a longer storage period for a vital commodity such as milk [2,3].
Noticeably, in the Bible, Abraham owed his longevity and fecundity to yoghurt
consumption and known scientists in early ages, such as Hippocrates, recognized fermented
milk as medicinal and they recommended it for stomach and bowel disorders [4].
The Mediterranean diet pyramid suggests the daily consumption of moderate amounts
of dairy products, principally yoghurt and cheese [5], while dietary recommendations for
dairy products throughout the world are 2–3 servings daily [6,7]. Bacillus bulgaricus (now
L. bulgaricus), lactic acid bacteria that is still used in yoghurt cultures today, was discovered
by Stamen Grigorov, a Bulgarian medical student, in 1905. Based on Grigorov’s findings,
IIya Metchnikoff of the Pasteur Institute in Paris, a Russian Nobel laureate, proposed in 1909
that lactobacilli in yoghurt were linked to longevity in the Bulgarian peasant population.
The principle of his theory was that the lactic acid bacteria displaced toxin-producing
bacteria that are ordinarily presented in the intestine, resulting in prolonged life [2,8,9].
Despite the long-known benefits from the consumption of yoghurts and other fer-
mented milks, noticeably, the first industrialized production of yoghurt was reported in
1919, in Barcelona, Spain at a company named Danone [2]. Currently three types of yoghurts
Foods 2022, 11, 2691. https://doi.org/10.3390/foods11172691 https://www.mdpi.com/journal/foods