Kefir
Kefir is a fermented dairy (or water) drink studied for gut and metabolic outcomes. Effects vary by strain and product.
Overview
What is kefir?
Kefir is a drink produced by fermentation of bacteria and yeast from kefir grains.
Dosage
A typical dose of kefir is 100-500 ml per day.
Effect graph
Effect heatmap
SupplementDEX Database
18 conditions for , and rated at least stars. All purchase bands. No minimum star filter.
Database Snapshot
Most kefir research is concentrated in a handful of conditions.
- Athletic performance accounts for 3 of 26 studies (12%).
- High cholesterol accounts for 3 of 26 studies (12%).
- Type 2 diabetes accounts for 3 of 26 studies (12%).
- Sparse coverage remains for Glycemic control, Metabolic syndrome, Antibiotic-associated diarrhea.
Safety
Kefir is likely safe.
However kefir contains lactose, and may cause gastrointestinal side effects in those with lactose intolerance.
Frequently Asked Questions
References
Sources21 references
SupplementDEX uses only high-quality sources to determine supplement effectiveness.
SupplementDEX Database · Glycemic control
2 references1.SupplementDEX Database: Glycemic control — Effects of Kefir Consumption on Cardiometabolic Risk Factors: A Systematic Review and Meta-analysis of Randomized Controlled Trials2023
A meta-analysis of 6 kefir RCTs (314 subjects) found kefir reduced fasting insulin (−3.69 µIU/mL) and HOMA-IR (−2.56) but did not significantly change lipids, HbA1c, or body weight.
2.SupplementDEX Database: Glycemic control — Effect of kefir beverage consumption on glycemic control: A systematic review and meta-analysis of randomized controlled clinical trials2021
A meta-analysis of kefir trials found kefir consumption significantly reduced fasting glucose and HbA1c in patients with type 2 diabetes versus control.
3.SupplementDEX Database: Helicobacter pylori (H. pylori) — Kefir improves the efficacy and tolerability of triple therapy in eradicating Helicobacter pylori2010
In 46 H. pylori patients on triple therapy, adding kefir 250 mL twice daily improved eradication rates and reduced diarrhea and taste disturbance versus triple therapy alone.
4.SupplementDEX Database: Antibiotic-associated diarrhea — A randomized clinical trial measuring the influence of kefir on antibiotic-associated diarrhea: the measuring the influence of Kefir (MILK) Study2009
In 125 children aged 1–5 on antibiotics, kefir did not reduce antibiotic-associated diarrhea incidence (18% kefir vs 22% placebo; RR 0.82) over 14 days of follow-up.
SupplementDEX Database · Athletic performance
3 references5.SupplementDEX Database: Athletic performance — Milk or Kefir, in Comparison to Water, Do Not Enhance Running Time-Trial Performance in Endurance Master Athletes2024
In 11 endurance master athletes, 14 days of kefir before a 5 km time trial did not improve running performance versus milk or water, though kefir reduced GI symptom scores after exhaustive exercise.
6.SupplementDEX Database: Athletic performance — The Effect of Kefir Supplementation on Improving Human Endurance Exercise Performance and Antifatigue2021
In 16 adults, SYNKEFIR 20 g/day for 28 days increased time to exhaustion by 1.29-fold versus placebo and lowered post-exercise lactate without changing gut microbiota.
7.SupplementDEX Database: Athletic performance — The effects of postexercise consumption of a kefir beverage on performance and recovery during intensive endurance training2015
In 67 adults in a 15-week endurance training study, post-exercise kefir did not improve fitness or body composition but attenuated the rise in C-reactive protein versus control beverage.
SupplementDEX Database · Constipation
1 reference8.SupplementDEX Database: Constipation — Effects of a kefir supplement on symptoms, colonic transit, and bowel satisfaction score in patients with chronic constipation: a pilot study2014
In 20 adults with chronic constipation, kefir 500 mL/day for 4 weeks increased stool frequency, improved consistency, accelerated colonic transit in slow-transit patients, and improved bowel satisfaction.
SupplementDEX Database · Metabolic syndrome
2 references10.SupplementDEX Database: Metabolic syndrome — Effects of Regular Kefir Consumption on Gut Microbiota in Patients with Metabolic Syndrome: A Parallel-Group, Randomized, Controlled Study2019
In 12 metabolic syndrome patients, kefir 180 mL/day for 12 weeks modulated gut microbiota composition versus baseline, though overall diversity changes were limited.
9.Kefir improves blood parameters and reduces cardiovascular risks in patients with metabolic syndrome. See external sourceExternal source
SupplementDEX Database · Obesity
1 reference11.SupplementDEX Database: Obesity — Kefir drink leads to a similar weight loss, compared with milk, in a dairy-rich non-energy-restricted diet in overweight or obese premenopausal women: a randomized controlled trial2015
In 75 overweight adults on a dairy-rich diet for 8 weeks, kefir and milk led to similar weight loss with no significant difference between beverages.
SupplementDEX Database · Oral mucositis
1 reference12.SupplementDEX Database: Oral mucositis — Effect of oral administration of kefir on serum proinflammatory cytokines on 5-FU induced oral mucositis in patients with colorectal cancer2008
In 40 cancer patients on 5-FU chemotherapy, kefir reduced serum proinflammatory cytokines and improved antimicrobial activity versus control during treatment.
SupplementDEX Database · Osteoporosis
1 reference13.SupplementDEX Database: Osteoporosis — Short-Term Effects of Kefir-Fermented Milk Consumption on Bone Mineral Density and Bone Metabolism in a Randomized Clinical Trial of Osteoporotic Patients2015
In 40 postmenopausal women, kefir 1,600 mg/day for 6 months improved bone mineral density at lumbar spine and femoral neck versus control.
SupplementDEX Database · Type 2 diabetes
2 references15.SupplementDEX Database: Type 2 diabetes — Effect of probiotic fermented milk (kefir) on glycemic control and lipid profile in type 2 diabetic patients: a randomized double-blind placebo-controlled clinical trial2015
In 30 type 2 diabetes patients, probiotic kefir 600 mL/day for 8 weeks lowered fasting glucose, insulin, HOMA-IR, and LDL cholesterol versus fermented milk control.
14.Effect of Probiotic Fermented Milk (Kefir) on Some Blood Biochemical Parameters Among Newly Diagnosed Type 2 Diabetic Adult Males in Gaza Governorate. See external sourceExternal source
SupplementDEX Database · Cerebral palsy
1 reference16.SupplementDEX Database: Cerebral palsy — Effects of a Modern Kefir on Conditions Associated with Moderate Severe Spastic Quadriparesis Cerebral Palsy2022
In 12 children with spastic quadriplegic cerebral palsy, modern kefir for 7 weeks increased weight and height, reduced constipation, and raised lymphocyte counts versus yogurt control.
SupplementDEX Database · Crohn's disease
1 reference17.SupplementDEX Database: Crohn's disease — Effect of administering kefir on the changes in fecal microbiota and symptoms of inflammatory bowel disease: A randomized controlled trial2019
In 45 IBD patients, kefir 400 mL/day for 4 weeks increased fecal Lactobacillus, reduced bloating in Crohn's disease, and improved feeling-good scores without major adverse effects.
SupplementDEX Database · High cholesterol
2 references19.SupplementDEX Database: High cholesterol — Kefir consumption does not alter plasma lipid levels or cholesterol fractional synthesis rates relative to milk in hyperlipidemic men: a randomized controlled trial [ISRCTN10820810]2002
In 11 healthy adults, 4 weeks of kefir did not change fasting plasma lipids or LDL particle size distribution versus milk control despite prior evidence for fermented dairy effects on cholesterol.
18.Kefir improves blood parameters and reduces cardiovascular risks in patients with metabolic syndrome. See external sourceExternal source
SupplementDEX Database · Menopause
1 reference20.SupplementDEX Database: Menopause — Effects of Kefir on Quality of Life and Sleep Disturbances in Postmenopausal Women2019
In postmenopausal women, kefir supplementation improved quality of life and sleep disturbance scores versus control in a clinical study of menopausal symptoms.
21.SupplementDEX Database: Nonalcoholic fatty liver disease — The effects of kefir drink on liver aminotransferases and metabolic indicators in patients with nonalcoholic fatty liver disease: a randomized controlled trial2025
In 80 NAFLD patients, kefir improved liver aminotransferases and metabolic indicators versus control in a randomized trial of probiotic fermented milk.