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Johns Hopkins Health Alert

The Promise of Probiotic Yogurt

Evidence suggests that yogurt may help maintain a healthy gastrointestinal tract, and some companies are introducing products with extra bacteria. But are new products like Activia, which is marketed to regulate the digestive system, all they claim to be?

All yogurts contain the starter cultures Lactobacillus bulgaricus and Streptococcus thermophilus -- without them, you'd just have milk. But several manufacturers of yogurt -- and other products -- are beginning to add extra probiotic strains in the hopes of providing extra health benefits.

Dannon Activia was the first yogurt to market itself as "probiotic," meaning that it has added live bacterial cultures. It contains Bifidobacterium animalis DN-173 010, which Dannon trademarked and markets as Bifidus regularis in the United States. This strain has been shown to survive the trip through the digestive tract and reach the colon intact.

Dannon claims that Activia is "scientifically proven to help with slow intestinal transit when eaten daily for two weeks as part of a balanced diet and healthy lifestyle." In other words, it speeds the path of food through your body and may help with constipation.

Prior to Activia's launch in 2006, studies were conducted on B. animalis DN-173 010, all with a certain amount of involvement by Dannon and often at its research facility in France. In a double-blind, crossover study published in Alimentary Pharmacology & Therapeutics, researchers gave three 4-oz servings a day of either normal yogurt or yogurt with B. animalis DN-173 010 to 36 healthy women. During two 10-day treatment periods, transit time (the time it takes for food to travel from the mouth to elimination) was significantly shorter in the B. animalis group. The improvement was more significant in women who normally had a transit time of 40 hours or more.

In another randomized, controlled study, 267 people with constipation-predominant IBS who ate Activia (two 4-oz servings a day) reported less discomfort and bloating and more frequent bowel movements after three and six weeks than those who ate a yogurt that had been heat-treated to kill all helpful bacteria.

Activia is not the only yogurt to contain added live Bifidobacterium, also known as Bifidus. Stonyfield Farm yogurt, Horizon Organic yogurt, and Yo-Plus from Yoplait, among others, contain this probiotic as well. Although these brands have not been studied in randomized, controlled trials like Activia has, the Bifidobacterium in these products may have similar effects.

Bottom line on probiotic yogurt: More research is needed before we can definitively recommend Activia or another probiotic yogurt for promoting regularity. But while the data continue to come in, for most people, it can't hurt to give a probiotic yogurt a try.

Posted in Digestive Health on August 3, 2009

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Health Alerts registered users may post comments and share experiences here at their own discretion. We regret that questions on individual health concerns to the Johns Hopkins editors cannot be answered in this space.

The views expressed here do not constitute medical advice, and do not represent the position of Johns Hopkins Medicine or MediZine LLC, which has no responsibility for any comments posted on this site.


I take a lot of meds for Fibromyalgia, Lupus, and Trigeminal Neuralgia. Seems like every one of the meds wants to stop up your system. I bought Activia when it first came out, and now I drink one little bottle every morning. It's a rare day that the Activia doesn't win out over the meds. I have tried the container of yogurt when the bottles weren't available (Dannon now calls the bottles "smoothies"); the bottle form is just more appealing to me. No cramps, no additional pills, just a yummy drink that's a great way to start my day and know my system will work as it should!

Posted by: mamabear90 | August 7, 2009

With all the sugar or artificial sweeteners in these products (I have not seen Activia or others with just plain yogurt), wouldn't it be better to take acidophilus in pill or pearl forms?

Posted by: jmcco53 | August 8, 2009

With all the sugar or artificial sweeteners in these products (I have not seen Activia or others with just plain yogurt), wouldn't it be better to take acidophilus in pill or pearl forms?

Posted by: jmcco53 | August 8, 2009

Why is it that doctors don't routinely prescribe probiotics along with the use of broad spectrum antibiotics? Serious intestinal problems from the antibiotics such as c diff might be avoided without introducing the risk of any side effects.

Posted by: Burt Abrams | August 8, 2009



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