Fermented food, such as tempeh in Indonesia and Natto in Japan, have been shown to alter gut microbiota in animal experimentation. Owing to their biological activities, these fermented food can alter the composition of gut microbiota in animal and possibly in human as well. Alternation has been linked to development of chronic diseases. It would be important to understand if indeed such an effect on the species of microbiota will have a direct effect on the development if chronic diseases.
there is a lot of clinical trials run on this topic: some of them have been published and you can find it through a bibliographic research (Pubmed for example). The key for each trial begins with the type of population, the first criteria of the clinical trial and also the STRAIN of bacteria used for the fermentation ; one strain means one specific effect ...Furthermore, I suggest also to have a look on the "prebiotic" effect . Happy reading
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