Hygiena 2026, 71(3):103-107 | DOI: 10.21101/hygiena.a1920

Kombucha: history, composition, and health effects

Martina Nanjašová1, Eva Králíková2, 3
1 Univerzita Karlova, 1. lékařská fakulta, Praha, Česká republika
2 Univerzita Karlova, 1. lékařská fakulta, Ústav hygieny a epidemiologie a Všeobecná fakultní nemocnice v Praze, Praha, Česká republika
3 Univerzita Karlova, 1. lékařská fakulta, III. interní klinika, Centrum pro závislé na tabáku a Všeobecná fakultní nemocnice v Praze, Praha, Česká republika

In recent years, interest in fermented products has been growing in the context of healthy eating, and kombucha is one of the most frequently discussed products. It is a fermented beverage made from sweetened tea using a symbiotic culture of bacteria and yeast known as SCOBY (Symbiotic Culture of Bacteria and Yeast). Thanks to its high carbon dioxide content, it is lightly carbonated and has a mildly sour taste. The composition and taste may vary slightly depending on the preparation methods, both for homemade or commercially sold kombucha. We present an overview of the history, preparation, composition, and health effects of kombucha including possible risks.

Keywords: fermented beverages, kombucha - health effects

Received: April 2026; Accepted: September 2026; Published: September 2026  Show citation

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Nanjašová M, Králíková E. Kombucha: history, composition, and health effects. Hygiena. 2026;71(3):103-107. doi: 10.21101/hygiena.a1920.
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References

  1. Abaci N, Senol Deniz FS, Orhan IE. Kombucha - An ancient fermented beverage with desired bioactivities: a narrowed review. Food Chem X. 2022 Apr;14:100302. Go to original source...
  2. Júnior JCDS, Meireles Mafaldo Í, de Lima Brito I, Tribuzy de Magalhães Cordeiro AM. Kombucha: formulation, chemical composition, and therapeutic potentialities. Curr Res Food Sci. 2022 Feb;5:360-5. Go to original source...
  3. Onsun B, Toprak K, Sanlier N. Kombucha tea: a functional beverage and all its aspects. Curr Nutr Rep. 2025 May;14(1):69. Go to original source...
  4. Macedo Dantas Coelho R, Leite de Almeida A, Queiroz Gurgel do Amaral R, Nascimento da Mota R, Machado De Sousa PH. Kombucha: review. Int J Gastron Food Sci. 2022;22:100272. Go to original source...
  5. Villarreal-Soto SA, Beaufort S, Bouajila J, Souchard JP, Taillandier P. Understanding Kombucha tea fermentation: a review. J Food Sci. 2018 Mar;83(3):580-8. Go to original source...
  6. Andrade DKA, Wang B, Lima EMF, Shebeko SK, Ermakov AM, Khramova VN, et al. Kombucha: an old tradition into a new concept of a beneficial, health-promoting beverage. Foods. 2025 Apr;14(9):1547. Go to original source...
  7. Massoud R, Jafari R, Khosravi-Darani K. Kombucha as a health-beneficial drink for human health. Plant Foods Hum Nutr. 2024 Jun;79(2):251-9. Go to original source...
  8. Sreeramulu G, Zhu Y, Knol W. Kombucha fermentation and its antimicrobial activity. J Agric Food Chem. 2000 Jun;48(6):2589-94. Go to original source...
  9. Ferreira de Miranda J, Fernandes Ruiz L, Borges Silva C, Matsue Uekane T, Alencar Silva K, Gonçalves Martins Gonzalez A, et al. Kombucha: a review of substrates, regulations, composition, and biological properties. J Food Sci. 2022 Feb;87(2):503-27. Go to original source...
  10. Bortolomedi BM, Souza Paglarini C, Angonesi Brod FC. Bioactive compounds in kombucha: a review of substrate effect and fermentation conditions. Food Chem. 2022 Aug;385:132719. Go to original source...
  11. Kitwetcharoen H, Phung LT, Klanrit P, Thanonkeo S, Tippayawat P, Yamada M, et al. Kombucha healthy drink - recent advances in production, chemical composition and health benefits. Fermentation. 2023;9(1):48. Go to original source...
  12. Macedo Fraiz G, Baia Bonifácio D, Santos de Paulo R, Martins Teixeira C, Stampini Duarte Martino H, Ribeiro de Barros FA, et al. Benefits of kombucha consumption: a systematic review of clinical trials focused on microbiota and metabolic health. Fermentation. 2025;11(6):353. Go to original source...
  13. Pereira AG. Kombucha as a bioactive functional beverage: current evidence, production challenges, and future perspectives. Int J Mol Sci. 2026 Mar;27(6):2739. Go to original source...
  14. Bishop P, Pitts ER, Budner D, Thompson-Witrick KA. Chemical composition of kombucha. Beverages. 2022;8(3):45. Go to original source...
  15. Chen L, Wang H, Ye Y, Wang Y, Xu P. Structural insight into polyphenol oxidation during black tea fermentation. Food Chem X. 2023 Feb;17:100615. Go to original source...
  16. Martínez Leal J, Valenzuela Suárez L, Jayabalan R, Huerta Oros J, Escalante-Aburto A. A review on health benefits of kombucha nutritional compounds and metabolites. CyTA - JFood. 2018;16(1):390-9. Go to original source...
  17. Vyhláška Ministerstva zemědělství, kterou se provádí § 18 písm. a), d), h), i), j) a k) zákona č. 110 ze dne 12. prosince 1997, o potravinách a tabákových výrobcích a o změně a doplnění některých souvisejících zákonů, pro nealkoholické nápoje a koncentráty k přípravě nealkoholických nápojů, ovocná vína, ostatní vína a medovinu, pivo, konzumní líh, lihoviny a ostatní alkoholické nápoje, kvasný ocet a droždí. Sbírka zákonů ČR. 1997;částka 111:6834-54.
  18. Nová M. Test nápoje kombucha. Pozor na alkohol! Živá kultura vám může přidělat starosti. Mladá Fronta DNES. 23.9.2025;10-11.
  19. Agents Classified by the IARC Monographs, Volumes 1-141 [online]. Lyon: IARC; 2026 [cit. 2026-03-31]. Dostupné z: https://monographs.iarc.who.int/agents-classified-by-the-iarc/.
  20. Gapstur SM, Bouvard V, Nethan ST, Freudenheim JL, Abnet CC, English DR, et al. The IARC perspective on alcohol reduction or cessation and cancer risk. N Engl J Med. 2023 Dec;389(26):2486-94. Go to original source...
  21. Ďuriník M. Ráno nebo večer, kdy je nejlepší kombuchu pít? [online]. Brno: LOKLOK; 24.2.2024 [cit. 2026-03-16]. Dostupné z: https://loklok.cz/blogs/clanky/kdy-je-nejlepsi-kombuchu-pit.
  22. Anantachoke N, Duangrat R, Sutthiphatkul T, Ochaikul D, Mangmool S. Kombucha beverages produced from fruits, vegetables, and plants: a review on their pharmacological activities and health benefits. Foods. 2023 Apr;12(9):1818. Go to original source...
  23. de Campos Costa MA, de Souza Vilela DL, Macedo Fraiz G, Lima Lopes I, Mendes Coelho AI, et al. Effect of kombucha intake on the gut microbiota and obesity-related comorbidities: a systematic review. Crit Rev Food Sci Nutr. 2023;63(19):3851-66. Go to original source...
  24. Ojo AO, de Smidt O. Microbial composition, bioactive compounds, potential benefits and risks associated with kombucha: a concise review. Fermentation. 2023;9(5):472. Go to original source...
  25. Ecklu-Mensah G, Miller R, Maseng MG, Hawes V, Hinz D, Kim C, et al. Modulating the human gut microbiome and health markers through kombucha consumption: a controlled clinical study. Sci Rep. 2024 Dec;14(1):31647. Go to original source...