Prebiotics were
first described in 1995 by Marcel Roberfroid. Conventionally, prebiotics are considered to be
non-absorbable, non-digestible but comestible food ingredients that possess the
dual qualities of stimulating the growth of beneficial bacteria (commensals)
and also enhancing the activity of the aforementioned bacteria; thereby
improving the intestinal functions of the host which ultimately leads to an
overall improvement of the host’s health. Likewise, probiotics are ingestible food substances which contain beneficial
micro-organisms. Ingestion of probiotics
delivers the micro-organisms to the intestinal micro-environment where these
organisms grow and exert their beneficial effects on the host. Due to their
functional characteristics, both prebiotics
and probiotics have been
classified as the conceptual intermediate between drugs and food, and as such
they have been subjected to varying degrees of intermediate level regulatory
scrutiny by various healthcare regulatory agencies.
Currently,
only two food ingredients are considered to meet the full definition of prebiotics: inulin and
trans-galactooligosaccharide. Other prebiotics include lactulose, Mannan
Oligosaccharides and fructooligosaccharide. Researchers have classified prebiotics into full-spectrum, long
chain and short-chain variants depending on the number of links per saccharide
and the duration of fermentation. Fructooligosaccharides are short chain
prebiotics which are rapidly fermented in the ascending colon (and to some
extent, the right segment of the transverse colon) thereby nourishing the
bacteria residing there. This region of the colon is also nourished by probiotics. Rarely do prebiotics nourish the bacteria
residing in the transverse colon or the descending colon. Long-chain prebiotics such as inulin are fermented
at a slow rate, and as such they tend to nourish the bacteria residing in both
the left segment of the transverse colon and the descending colon.
Full-spectrum prebiotics such as
Oligofructose-Enriched Inulin do nourish the whole spectrum of bacteria
residing in the colon.
Acacia
gums have the highest content of naturally-occurring prebiotics. Other sources
of prebiotics are raw foods such as raw Chicory Root, Jerusalem Artichoke,
Dandelion Greens, garlic, leek, onion, asparagus, wheat bran and raw banana.
The most common source of probiotics
is yoghurt. When prebiotics and probiotics are combined, the resulting
combination is described as a symbiotic.
Sources
of prebiotics
Prebiotics exert their beneficial effects
in various ways as explained hereafter. First of all, prebiotics are hydrolyzed by mammalian
enzymes into components which can be metabolized by the intestinal microflora.
The two most important intestinal bacteria that are nourished by the prebiotics are lactic acid bacteria
(lactobacillus) and bifidobacteria. The activities of these two bacteria
sub-populations do enhance the rate of intestinal absorption of several
minerals (such as calcium, zinc, and magnesium), and they also boost the
intrinsic strength and spectrum of the body’s immune system. These bacteria
sub-populations do occupy niches that would have otherwise been occupied by
pathogenic micro-organisms; therefore they prevent the colon from being colonized
by pathogenic micro-organisms. Secondly, bifidobacteria are responsible for
increasing the fecal bulk thus enhancing the intestinal motility rate thereby
averting constipation. Moreover, the rate of fecal nitrogen excretion is
increased as more protein biomass is excreted. Thirdly, prebiotics have been shown to lower the
overall blood lipid levels, by modulating cholesterol synthesis, through their
direct enhancement of the enterohepatic circulation. Moreover, an enhanced
enterohepatic circulation promotes increased fecal excretion of fatty acids
that would have otherwise been used to nourish pathogenic micro-organisms.
This, in turn, prevents colonic disorders such as ulcerative colitis and
Crohn’s disease, and this ultimately ensures that the integrity of the
intestinal regularity is maintained. Studies have also shown that prebiotics do prevent colon cancers.
Probiotics
mostly contain lactobacilli, and hence their effects are confined only to the
beneficial actions of lactobacilli: enhancement of the intestinal motility rate
and prevention of constipation. Moreover, these two actions are less potent and
less efficacious when compared to similar actions produced by prebiotics. Therefore, the functional
relevance of prebiotics is far more
superior to that of probiotics in
terms of improving intestinal and immune functions.
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