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Table 1 Summary of randomized controlled trials investigating the health benefits of kimchi

From: Effects of kimchi on human health: a scoping review of randomized controlled trials

Author/year

Study population,

Study duration

Intervention

Control

Outcomes

Conclusion (quotes)

Choi et al. 2001 [27]

Healthy subjects, n = 12

6 weeks

Kimchi supplement (6 pills of 500 mg, 3 g/day, equivalent of 30 g of kimchi, n = 6)

Placebo (rice powder pill, n = 6)

1. Serum lipid profiles

“Kimchi supplementation seems to have beneficial effects on controlling plasma TG.”

Choi et al. 2013 [21]

Healthy subjects, n = 100

7 days

High kimchi consumption (210 g/day, n = 50)

Low kimchi consumption (15 g/day, n = 50)

1. Serum lipid profiles

2. Fasting glucose levels

“Greater consumption of kimchi improved FBG and serum total cholesterol in young healthy adults.”

Lee et al. 2014 [28]

Healthy subjects, n = 43

4 weeks

Kimchi diet (100 g/day, n = 19)

Non-kimchi diet (100 g radish/day, n = 20)

1. Anthropometrics

2. Clinical parameters

“The short-term consumption of kimchi has no immunomodulatory effects.”

Kim & Park 2018 [29]

Healthy subjects, n = 28

4 weeks

Standard kimchi (210 g/day, n = 14)

Functional kimchi (210 g/day, n = 14)

1. Anthropometrics

2. Serum lipid profiles

3. Fecal pH and enzyme activity

4. Fecal microbiota

“FK more effectively improved markers of obesity and metabolic disease as well as enhanced human colon health than SK.”

Han et al. 2019 [30]

Healthy subjects in 20’s and 30’s, n = 78

12 weeks

Lactobacillus plantarum (CJLP55) from kimchi (1010 CFU, 2 g/day, n = 39)

Placebo (n = 39)

1. Skin pH

2. Epidermal levels (epidermal lactate, FFA, FAA)

“Kimchi supplement promotes acidic skin pH with a selective increase in epidermal lactate.”

Song & Baek 2001 [33]

Healthy subjects, n = 12

6 weeks

Kimchi supplement (3 g/day, n = 6)

Placebo (rice powder pill, n = 6)

1. Serum lipid profiles

“Kimchi supplement had serum lipids lowering effect.”

 

Healthy subjects, n = 19

6 weeks

1. Water-soluble kimchi supplement (n = 6)

2. Insoluble kimchi supplement (n = 7)

Placebo (n = 6)

1. Serum lipid profiles

“Water-soluble kimchi supplement was more effective than insoluble kimchi supplement in lowering serum lipids.”

 

Obese adolescent subjects, n = 28

Healthy adolescent subjects, n = 10

6 weeks

1. Kimchi supplement and exercise (n = 8),

2. Exercise (60 min each time, HRmax 60% ~ 85%, 4 times a week n = 8),

3. Kimchi supplement (twice a day, 3 pills each time, 500 mg/pill, n = 12)

No intervention (n = 10)

1. Body composition

2. Serum lipid profiles

“Kimchi supplement reduced weight, body fat, body fat percentage, abdominal fat percentage, and degree of obesity, but had no effect on HDL-C. In addition, kimchi supplementation with exercise showed greater effect in changes of body composition and serum lipids.”

Han et al. 2015 [31]

Obese female subjects, n = 24

8 weeks

Fermented kimchi (180 g/day, n = 11)

Fresh kimchi (180 g/day, n = 12)

1. Clinical parameters

2. Composition of gut microbiota

3. Gene expression related to metabolic syndrome

“Consumption of fermented kimchi can either directly influence expression of human genes related to metabolic and immunity pathways or indirectly influence human metabolism by altering gut microbial composition.”

Lim et al. 2020 [32]

Obese subjects, n = 114

12 weeks

Lactobacillus sakei (CJLS03) derived from kimchi (5 × 109 CFU, n = 47)

Placebo (n = 48)

1. Body compositions

2. Biochemical parameters

“L. sakei (CJLS03) might help people with obesity reduce body fat mass without serious side effects.”

Yoon et al. 2020 [34]

Rectal cancer subjects, n = 40

3 weeks

Lactobacillus plantarum (CJLP243) derived from kimchi (1 × 1010 CFU, n = 20)

Placebo (n = 20)

1. Bowel function index (BFI) total score

2. Low anterior resection syndrome (LARS) scores

3. Quality of life

4. Adverse events

“… no significant effects supporting the use of a probiotic for improved bowel function.”

Oh et al. 2021 [35]

Prediabetic subjects, n = 40

8 weeks

L. plantarum

HAC01 (4 × 109 CFU, n = 20)

Placebo (n = 17)

1. Parameters of glucose metabolism

2. Serum lipid profiles, adiponectin, and leptin

3. Fecal microbiota and SCFAs

4. Adverse events

“…show a beneficial effect of single-strain probiotic supplementation administered over eight weeks on HbA1c levels in prediabetic subjects.”

Kim et al. 2022 [36]

IBS subjects,

n = 90

12 weeks

(a) Dead nano-sized Lactobacillus plantarum nF1 plus standard kimchi (210 g/day, n = 28)

(b) Functional kimchi (Viscum album (mistletoe) extract added with Lab. plantarum, (210 g/day, n = 29)

3 kinds of kimchi (210 g/day, n = 30)

1. Dietary intake

2. Anthropometric measurements and serum analysis

3. IBS symptoms

4. Fecal enzyme activity

5. Fecal microbiota

6. Inflammatory factors

“Kimchi intake helps alleviate IBS by increasing dietary fiber intake and reducing serum inflammatory cytokine levels and harmful fecal enzyme activities.”

  1. 2h-PPG, 2-h postprandial glucose; BMI, body mass index; CFU, colony-forming units; DBP, diastolic blood pressure; DI, disposition index; FAA, free amino acids; FBG, fasting blood glucose; FFA, free fatty acids; FINS, fasting insulin; FK, functional kimchi; HDL-C, high-density lipoprotein cholesterol; IBS, irritable bowel syndrome; IR, insulin resistance; LDL-C, low-density lipoprotein cholesterol; QUICKI, quantitative insulin sensitivity check index; RCT, randomized controlled trial; SCFA, fecal short-chain fatty acids; SBP, systolic blood pressure; SK, standard kimchi; TC, total cholesterol; TG, triglycerides; WC, waist circumference; WHR, waist-to-hip ratio; OH, hydroxyl radical