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Gut Bacteria May Send Messages to Muscles, and Yogurt Could Join the Conversation
In A Nutshell
- Gut bacteria and muscles may swap chemical signals, and fermented foods like yogurt, kefir, and tempeh could feed that exchange.
- Three small human trials showed modest results, including better balance in one and less soreness in another.
- Probiotic pills have stronger evidence for muscle strength than fermented foods so far.
- Larger trials are needed to show whether fermentation itself, rather than the protein, makes a difference.
A spoonful of yogurt, a sip of kefir, a bite of tempeh. These foods are usually marketed for gut health, but a new scientific review asks whether the bacteria inside them might also help keep muscles strong with age.
Published in Communications Biology, the review lays out the case for the gut-muscle axis, a two-way communication network between the microbes in the digestive tract and the muscles used to walk, lift, and move. The signals are chemical. Gut bacteria release byproducts that travel through the bloodstream and may influence muscle tissue, according to the paper, while exercise sends signals back that can alter the gut. Fermentation can add live microbes to food, but it also breaks proteins into smaller pieces and creates new compounds.
Three researchers from Teagasc Food Research Centre and APC Microbiome Ireland examined lab, animal, and human research. Their conclusion mixes excitement with caution. The biological wiring looks plausible, but solid proof that fermented foods build or strengthen human muscle is missing.
A Gut Bacterium Tied to Muscle Strength Fades With Age
Beyond movement, muscle helps control blood sugar. Losing it with age, a condition called sarcopenia, is linked to frailty and loss of independence. Protein and exercise have long been the main defenses, though older muscles often respond less to protein than younger ones. Gut bacteria may be a third factor.
One gut bacterium was linked to muscle strength in people and found at lower levels in older adults, according to a study the review cites. When researchers gave it to mice, the animals showed better front-leg grip strength and changes in their muscle fibers.
Fermented Foods Deliver Muscle-Linked Compounds Directly
Fermentation also produces short-chain fatty acids, signaling molecules the review describes as arguably the best-understood link between gut microbes and muscle. These compounds help regulate inflammation, blood sugar, and energy use. In lab experiments, one of them switched on signals tied to muscle growth and helped protect against muscle loss under diabetic conditions.
Fermented foods deliver these compounds directly, according to the authors, and some contain live microbes that interact with bacteria already living in the gut. Most unfermented protein foods lack these extras.
Fermented Foods Showed Mixed Results in Human Muscle Trials
Evidence thins out when research moves from mice to people. The review covers three small trials of fermented protein products in healthy adults, and the results were modest. Almost all human evidence so far involves dairy, with little on plant-based ferments like tempeh.
One trial enrolled 48 middle-aged Korean men who drank either fermented or regular whey protein twice daily for eight weeks while following an exercise program. The fermented group improved more in balance, but grip strength and back strength did not differ meaningfully between groups.
A second trial gave 53 healthy adults, average age about 55, a protein drink made with byproducts from a kefir bacterium for 12 weeks. In the drink group, grip strength rose from where it started, but the difference from the placebo group was too small to rule out chance. Because the drink contained byproducts rather than actual kefir, the authors urge caution about applying the result to everyday kefir.
A third trial gave 18 healthy young men, average age about 21, either fermented milk or regular milk around an intense workout. Fermented milk drinkers had less muscle soreness afterward. It covered only a single workout, so long-term muscle effects went untested.
Other studies found that fermented dairy such as yogurt and kefir may improve blood sugar control and inflammation in people with type 2 diabetes or metabolic syndrome, a cluster of heart and blood sugar problems. But not every trial beat its comparison group. One kefir trial saw gains no larger than regular milk produced. Chronic inflammation and poor blood sugar control can get in the way of building muscle, but none of these trials checked whether the improvements reached the muscles.
Probiotic Pills Have Stronger Muscle Evidence Than Fermented Foods
Fermented foods and probiotic supplements are not interchangeable. Probiotic pills deliver measured doses of one or a few bacterial strains, which makes controlled trials easier. Several reviews of those trials report improved muscle strength, and some found modest gains in muscle mass, particularly in older adults.
Fermented foods are messier. The microbes and byproducts in a tub of yogurt or a block of tempeh vary with the starter culture, fermentation time, and storage, which makes precise studies harder. It is also unclear whether live microbes from food settle in the gut for long, since evidence of lasting colonization remains limited. The authors see fermented foods as a complement to probiotics rather than a replacement, and they flag older adults as a priority group for future testing, along with athletes and people recovering from injury.
A spoonful of yogurt still has a muscle story worth following. Until larger trials measure muscle directly and separate fermentation’s effect from that of the protein itself, though, fermented foods remain a promising idea, not a proven way to build strength.
Disclaimer: This article summarizes published research for general information and is not medical advice. Readers should consult a qualified health professional before changing their diet, supplements, or exercise routine.
Paper Notes
Limitations
This paper is a review, so it summarizes existing research rather than reporting a new experiment, and it does not describe a formal method for selecting the studies it covers. Much of the mechanism evidence comes from lab and animal work. Only three small human trials measured muscle outcomes directly, all in healthy adults, and one enrolled only middle-aged Korean men, which limits how far its results apply to older adults, women, and other groups. Several interventions combined fermented products with exercise programs or used byproduct formulas rather than whole foods, making it hard to isolate the effect of the foods themselves. Trials also varied widely in food type, protein dose (roughly 6 grams to more than 70 grams per day), and length (a single post-workout feeding to 24 weeks), and most relied on indirect measures such as grip strength and blood markers. No human study has paired fermented protein foods with muscle tissue samples, tracer methods that track protein building, and detailed gut microbiome analysis. Human evidence is concentrated in dairy products and remains very limited for plant-based fermented foods.
Funding and Disclosures
First author Dominic N. Farsi is the recipient of a European Union HORIZON Marie Skłodowska-Curie Actions Postdoctoral Fellowship, which this work forms part of. Farsi and Orla O’Sullivan report no competing interests. The laboratory directed by Paul D. Cotter has received research funding from FrieslandCampina, PrecisionBiotics Group, PepsiCo, and Danone. Cotter has also received support from PepsiCo, Abbott, Arla, Danone, Yakult, AG1, the National Dairy Council (USA), and H&H to attend and speak at scientific conferences and other events. He is also a co-founder and Head of Microbiology of SeqBiome.
Publication Details
Dominic N. Farsi, Paul D. Cotter, and Orla O’Sullivan wrote the review “Fermented protein foods as modulators of the gut-muscle axis: mechanisms, evidence, and future directions.” It appeared as a review article in Communications Biology, a Nature Portfolio journal (2026, volume 9, article 1252), after being received May 25, 2026, accepted September 2, 2026, and published online September 25, 2026. Communications Biology named Yvan Torrente and an anonymous reviewer in its peer review information. The DOI is https://doi.org/10.1038/s42003-026-10941-2. The authors are affiliated with Food Biosciences at Teagasc Food Research Centre in Fermoy, Ireland; VistaMilk; King’s College London; Queen’s University Belfast; and APC Microbiome Ireland and the School of Cell Biology and Biochemistry at University College Cork. The article is open access under a Creative Commons Attribution 4.0 International License.







