Probiotics are defined as “a live microbial supplement that beneficially affects the host animal by improving its intestinal microbial balance” (Fuller, 1989). Shaper et al. (1963) and later Mann (1974) observed that men from the tribes of Samburu and Masai warriors in Africa showed a reduction in serum cholesterol levels after consumption of large amounts of milk fermented with a wild Lactobacillus strain. There has been considerable interest in the beneficial effects of fermented milk products containing Lactobacilli and/or Bifidobacteria on human lipid metabolism. Various studies have indicated that probiotics may alleviate lactose intolerance, have a positive influence on the intestinal flora of the host, stimulate/modulate mucosal immunity, reduce inflammatory or allergic reactions, reduce blood cholesterol, possess anticolon cancer effects, diarrhea, constipation, candidasis and urinary tract infections and competitively exclude pathogens (Bhatia and Pawan, 2010).
The public interest in cholesterol has increased owing to awareness and publicity of the relationship of serum cholesterol to the risk of developing coronary heart disease and also of inducing colon cancer, in addition to high dietary fat and low fiber (Reddy et al., 1977; Law et al., 1994; and Baroutkoub et al., 2010). Even a small reduction of 1% in serum cholesterol was found to reduce the risk of coronary heart disease by 2 to 3% (Manson et al., 1992). Several methods have been developed to reduce cholesterol in foods by using various physical, chemical and biological procedures (Micich, 1990; Lee et al., 1999; and Sedaghat et al., 2010). The capability of the probiotics incorporated into foods to inhibit the growth or even kill certain pathogens confirms the health benefits one derives from the consumption of these products. However, with the emergence of a more health-conscious society, the role of biological procedures (probiotic food products) has gained considerable attention from both producers and consumers, raising an alternative source of medicine.
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