Expert consensus document: The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of prebiotics

Glenn R. Gibson, Robert W. Hutkins, Mary Ellen Sanders, Susan L. Prescott, Raylene A. Reimer, Seppo Salminen, Karen P. Scott, Catherine Stanton, Kelly S. Swanson, Patrice D. Cani, Kristin Verbeke, Gregor Reid · Nature Reviews Gastroenterology & Hepatology · 2017 · biology · 10.1038/nrgastro.2017.75 · record gibson2017-expert-consensus-document-the-inte
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Other fields define these differently the same word, defined another way in another discipline
consensus 6 fields · prebiotic 2 fields · antibiotics 2 fields

Tags on this paper

Every tag the record carries, each linking to every other paper in the corpus that carries it. A tag appears here whether or not its words occur in the article — the spans below are only the ones a sentence in this paper licenses. Of the 10 concept tags on this paper, all 10 are grounded in a quoted sentence. All carry the tagger's gloss of what the term means in this paper, which is not something the article can license.
prebiotic probiotics dietary fibres selective utilization antibiotics butyrate consensus Industry Advisory Committee full microbial diversity bifido bacteria a definition with a history attached a boundary drawn from outside the category is a property of the event, not the substance the evidence standard raised at the same time as the definition the conflict declared where it would operate expert-consensus
Method, as described: an expert panel convened by ISAPP: discussion outline and target questions, presentations, discussion per issue until consensus, sections written by individual panellists, compiled, edited and agreed by all members and the board

Legend

relation to other workclaim_relationshow this paper stands to another: agrees, contradicts, extends, qualifies
claim typeclaim_typethe shape of the claim: existence, mechanism, method, critique, prediction, null
concept edgeconcept_edgesan asserted relation between two concepts, with the sentence asserting it
conceptconceptsan idea the paper works with, quoted where the paper uses it
content tagcontent_tagsa finding, definition, quantity, statistic or variable named in the paper
contributioncontributionwhat the paper claims to add
controlcontrolsan experiment run to eliminate a rival explanation
limitationlimitationswhat the paper says its evidence cannot support
mechanismmechanismshow the reported effect is said to come about
methodmethodhow the paper produced its evidence
object of studyobject_of_studywhat the paper is about — the thing it investigates
phenomenonphenomenonthe effect or regularity under study
research questionresearch_questionthe question the paper sets itself
sensesensesa distinct use of a term, quoted where the paper fixes it
transfertransfersa method or concept carried in from another field

The paper

The full text is not reproduced here. This article is not cleared for redistribution, so the page carries the tag layer only. Its evidence sentences are withheld; the grounding status remains with each tag, and the article itself is at https://doi.org/10.1038/nrgastro.2017.75. The reading view exists for the papers whose licence permits it.

Every tag on this page

claim_relations 4 · claim_type 1 · concept_edges 3 · concepts 10 · content_tags 10 · contribution 1 · controls 5 · limitations 5 · mechanisms 10 · method 1 · object_of_study 1 · phenomenon 1 · research_question 1 · senses 11 · transfers 1

Relations on this page carry a quotation for the claim. Where a relation was separately evidenced — and so tested against the vocabulary for its type — the row says so; 3 of 3 relations here carry that mark. The rest are the tagger’s reading of the sentence quoted beside them.

facettagfieldconf.whose words
object_of_studythe word 'prebiotic' - what it has meant since 1995, what it should mean now, and which substances fall inside and outside the category
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object_of_studythe paper's words
research_questionwhether the 1995 definition still fits the evidence, and specifically whether selectivity, the colon and the food category should remain part of what the term requires
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research_questionthe paper's words
contributiona consensus definition - a substrate that is selectively utilized by host microorganisms conferring a health benefit - which restores the selectivity requirement a 2010 definition had removed, drops the restriction to the gut and to food, and names what is excluded
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contributionthe paper's words
claim_typemethod
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claim_typethe paper's words
phenomenona scientific category being fixed by deliberation rather than discovered - twelve named experts, one day, a printed history of the previous definitions and a figure with a NOT PREBIOTIC column
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phenomenonthe paper's words
methodexpert-consensus
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methodthe paper's words
mechanismsthe panel prints the 1995 wording, the three criteria it implied, the 2010 revision that removed selective fermentation and confined prebiotics to the gut, and then its own. A reader can see which requirement was dropped and put back, which is the record most redefinitions do not leave
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
mechanisms[0]0.95the tagger's words
mechanismsantibiotics, minerals, vitamins and bacteriophages are named as NOT prebiotics even though they alter the microbiota. Defining by exclusion tests the criterion where it is hardest - on things that produce the same observable effect by a different mechanism
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mechanisms[1]0.95the tagger's words
mechanismsbutyrate generated by pathogens with a bad outcome for the host is not a prebiotic effect. So membership depends jointly on the substrate, on which organisms used it and on what happened to the host - and none of that is measurable from the substance alone
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
mechanisms[2]0.95the tagger's words
mechanismsthe panel requires assessment of the full microbial diversity in vivo and calls inference from pure or co-culture inadequate. Widening a category while raising its evidence bar is what stops a broader definition from admitting more claims
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
mechanisms[3]0.95the tagger's words
mechanismsISAPP raises funds through an Industry Advisory Committee, and the statement records that no input into this consensus process came from its members. The disclosure is placed in the methods, next to the procedure it could have influenced
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mechanisms[4]0.95the tagger's words
mechanismsA DEFINITION FAILED BY ITS EXTENSION AND THE PAPER SAYS SO: the 2008 FAO/UN wording dropped selective fermentation, and `IN DOING SO THE DEFINITION WAS CRITICIZED FOR NOT EXCLUDING ANTIBIOTICS`. An intergovernmental panel widened a category until it admitted the one class of substance the category exists to be distinguished from - and the corpus already carries `antibiotics` on this record as the named excluded case.
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
mechanisms[5]0.95the tagger's words
mechanismsTHE REPAIR WAS A NEW NAME, NOT AN AMENDMENT: two years after the 2008 wording failed, `Gibson et al.20 ... defined the narrower category of ‘dietary prebiotics’ as “a selectively fermented ingredient”`. Rather than revise the term that had gone wrong, the field minted a second term carrying the criterion the first had lost - and then in 2015 the unqualified term moved AGAIN, the other way.
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
mechanisms[6]0.9the tagger's words
mechanismsAND THE PANEL RECORDS WHY IT PICKED ONE WORD: `Quotation withheld`. A consensus body justifying a single lexical choice in print, in a box headed as justification for the new definition.
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
mechanisms[7]0.95the tagger's words
mechanismsTHE STATED TRIGGER FOR A CONSENSUS IS THE PLURALITY OF DEFINITIONS ITSELF: `Given the proposed definitions already described, as well as others, the need for A CONSENSUS DEFINITION WAS EVIDENT`. The paper treats the count of competing definitions as sufficient grounds to convene a panel - and says `as well as others`, so the five it prints are not the whole set.
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
mechanisms[8]0.95the tagger's words
mechanismsTHE STATED TRIGGER FOR A CONSENSUS IS THE PLURALITY OF DEFINITIONS ITSELF: `Given the proposed definitions already described, as well as others, the need for A CONSENSUS DEFINITION WAS EVIDENT`. The paper treats the count of competing definitions as sufficient grounds to convene a panel - and says `as well as others`, so the five it prints are not the whole set.
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
mechanisms[9]0.95the tagger's words
limitationscurrently established prebiotics are carbohydrate-based, and non-carbohydrate candidates only might fit the updated definition pending convincing evidence
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
limitations[0]0.95the tagger's words
limitationsthe health benefit must be documented for a substance to be considered a prebiotic, so the category cannot be assigned from chemistry alone
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
limitations[1]0.95the tagger's words
limitationsinference about prebiotic effects from pure or co-culture experiments is inadequate; conclusions require the full microbiota in vivo
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
limitations[2]0.95the tagger's words
limitationsa 2010 definition had removed the selective-fermentation requirement and confined prebiotics to the gut, so the term has carried incompatible meanings in the literature the panel is summarising
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
limitations[3]0.95the tagger's words
limitationsthe definition is produced by consensus among a panel rather than by a test, so its authority rests on the procedure and the panel composition
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
limitations[4]0.95the tagger's words
transfersthe consensus-panel procedure itself, carried from clinical guideline development into terminology - a category settled by documented deliberation rather than by experiment
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
transfers[0]0.95the tagger's words
controlsthe statement records that ISAPP raises funds through an Industry Advisory Committee and that no input into this consensus panel came from its members
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
eliminates: industry influence on a definition that governs product marketing and regulatory oversight - the one place a funded body's category would be worth buying · outcome: held
controls[0]0.95the tagger's words
controlsthe previous definitions reproduced verbatim alongside the new one, with the requirement each version added or removed named
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
eliminates: a silent redefinition - a reader can see that selectivity was removed in 2010 and restored here, rather than having to reconstruct it · outcome: held
controls[1]0.95the tagger's words
controlssubstances that alter the microbiota by other mechanisms - antibiotics, minerals, vitamins, bacteriophages - tested against the criterion and named as excluded
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
eliminates: a criterion that admits anything with an effect on the microbiota, which is what a definition without selective utilization would do · outcome: held
controls[2]0.95the tagger's words
controlsthe requirement that prebiotic activity be assessed across the full microbial diversity in vivo rather than by abundance of bifidobacteria or lactobacilli
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
eliminates: a positive result manufactured by measuring only the two genera the substrate was already known to feed · outcome: held
controls[3]0.95the tagger's words
controlsthe panel procedure - discussion per issue until consensus, sections written by individual panellists, compiled, then edited and agreed by all members and the board
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
eliminates: a consensus document that records the view of a single panellist - every section was written individually, then compiled, edited and agreed by all members · outcome (stated by the tagger, no quotation): held
controls[4]0.95the tagger's words
conceptsprebiotic
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: prebiotic
concepts[0]0.95the paper's words
conceptsprobiotics
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: probiotics
concepts[1]0.95the paper's words
conceptsdietary fibres
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
concepts[2]0.95the paper's words
conceptsselective utilization
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
concepts[3]0.95the paper's words
conceptsantibiotics
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: antibiotics
concepts[4]0.95the paper's words
conceptsbutyrate
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: butyrate
concepts[5]0.95the paper's words
conceptsconsensus
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: consensus
concepts[6]0.95the paper's words
conceptsIndustry Advisory Committee
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
concepts[7]0.95the paper's words
conceptsfull microbial diversity
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
concepts[8]0.95the paper's words
conceptsbifido bacteria
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
concepts[9]0.95the paper's words
sensesprebiotic - AS DEFINED IN 1995: a non-digestible FOOD ingredient that selectively stimulates one or a limited number of bacteria ALREADY RESIDENT IN THE COLON
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[0]0.95the tagger's words
sensesprebiotic - AS DEFINED IN 2015 by Bindels et al.: limited to the gut microbiota, excluding extraintestinal sites such as vagina and skin, and with the requirement for selective fermentation REMOVED - the definition this panel was convened to replace
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[1]0.95the tagger's words
sensesprebiotic - AS DEFINED IN 2017: a substrate that is selectively utilized by host microorganisms conferring a health benefit - selectivity restored, no food requirement, no site requirement
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[2]0.95the tagger's words
sensesprebiotic - BY WHAT IT EXCLUDES: not antibiotics, minerals, vitamins or bacteriophages, which alter the microbiota without being growth substrates
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[3]0.95the tagger's words
sensesa prebiotic effect - AS A PROPERTY OF THE SUBSTANCE: what the category name suggests, and what the panel rejects
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[4]0.95the tagger's words
sensesa prebiotic effect - AS A PROPERTY OF THE WHOLE EVENT: if pathogens generate the butyrate and the host is harmed, the same molecule is not a prebiotic effect
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[5]0.95the tagger's words
sensesevidence of prebiotic activity - AS PRACTISED: increased abundance of bifidobacteria or lactobacilli
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[6]0.95the tagger's words
sensesevidence of prebiotic activity - AS REQUIRED HERE: an assessment of the full microbial diversity in vivo, with pure and co-culture inference called inadequate
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[7]0.95the tagger's words
sensesprebiotic - AS DEFINED IN 2004: `selectively fermented ingredients that allow specific changes ... in the gastrointestinal microflora that confers benefits upon host well-being and health`, carrying THREE explicit criteria - resist host digestion, be fermented by intestinal microorganisms, and selectively stimulate health-associated intestinal bacteria.
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[8]0.95the tagger's words
sensesprebiotic - AS DEFINED IN 2008 BY AN FAO/UN TECHNICAL MEETING: `a non-viable food component that confers a health benefit on the host associated with modulation of the microbiota`. SELECTIVE FERMENTATION WAS REMOVED, AND THE DEFINITION WAS THEN CRITICISED FOR NOT EXCLUDING ANTIBIOTICS - a definition whose extension was wrong in a way anyone could check.
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[9]0.95the tagger's words
sensesdietary prebiotics - A NARROWER SIBLING TERM COINED IN 2010 TO REPAIR THE 2008 DEFINITION: `a selectively fermented ingredient that results in specific changes in the composition and/or activity of the gastrointestinal microbiota`. The repair was made by NAMING A NEW TERM rather than by amending the old one, and it RESTORED the criterion 2008 had dropped.
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[10]0.95the tagger's words
claim_relationscritiques → the 2010 definition, which confined prebiotics to the gut and removed the requirement for selective fermentation
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
claim_relations[0]0.95the tagger's words
claim_relationsextends → the 1995 definition, by dropping the food, colon and non-digestibility restrictions while keeping selectivity
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
claim_relations[1]0.95the tagger's words
claim_relationscritiques → the field's practice of evidencing prebiotic activity by increased abundance of bifidobacteria and lactobacilli
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
claim_relations[2]0.95the tagger's words
claim_relationsdistinguishes-from → probiotics and dietary fibres, as neighbouring categories the term must not absorb
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
claim_relations[3]0.95the tagger's words
concept_edgesprebiotic —distinct-from→ probiotics
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
differs in: whether the thing administered is alive or is food for something alive · the relation itself is separately evidenced · strength of the relation: 0.95 · differs in (stated by the tagger, no quotation): whether the thing administered is alive or is food for something alive · the relation stated: probiotics are live microorganisms; prebiotics are non-viable substrates that feed them, including administered probiotic strains
also in: prebiotic · probiotics
concept_edges[0]0.95the tagger's words
concept_edgesprebiotic —distinct-from→ dietary fibres
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
differs in: whether the substrate is used selectively or by the whole community · the relation itself is separately evidenced · strength of the relation: 0.95 · differs in (stated by the tagger, no quotation): whether the substrate is used selectively or by the whole community · the relation stated: most dietary fibres encourage a wide variety of gut microorganisms; a prebiotic must not be broadly metabolized but bias metabolism towards health-promoting members
concept_edges[1]0.95the tagger's words
concept_edgesfull microbial diversity —distinct-from→ bifido bacteria
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
differs in: whether the evidence covers the community or two convenient genera · the relation itself is separately evidenced · strength of the relation: 0.95 · differs in (stated by the tagger, no quotation): whether the evidence covers the community or two convenient genera · the relation stated: a prebiotic claim must rest on an assessment of the whole community, not on increased abundance of two genera Audit 2026-09-28: DOUBTFUL - read against its full span and kept, but prebiotic effects must be judged on full diversity 'not simply' bifidobacteria; distinct-from is loose.
concept_edges[4]0.95the tagger's words
content_tagsthe panel redefined a prebiotic as a substrate that is selectively utilized by host microorganisms conferring a health benefit
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[0]0.95the tagger's words
content_tagsa 2010 definition had removed the requirement for selective fermentation and confined prebiotics to the gut; this panel restores selectivity and removes the site restriction
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[1]0.95the tagger's words
content_tagsantibiotics, minerals, vitamins and bacteriophages are named as not prebiotics even though their intake might alter the microbiota
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[2]0.95the tagger's words
content_tagsbutyrate generated by pathogenic microorganisms with a negative consequence for the host cannot be termed a prebiotic effect
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[3]0.95the tagger's words
content_tagsprebiotic activity must be assessed across the full microbial diversity in vivo, not by increased abundance of bifidobacteria or lactobacilli
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[4]0.95the tagger's words
content_tagsno input into the consensus panel process was provided by members of the ISAPP Industry Advisory Committee
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[5]0.95the tagger's words
content_tagsthe stated goal is to engender appropriate use of the term by stakeholders in research reports, product marketing and regulatory oversight
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[6]0.95the tagger's words
content_tags2017 ISAPP: a substrate that is selectively utilized by host microorganisms conferring a health benefit - expanded to non-carbohydrates, to sites beyond the gut and to categories beyond food, with the selectivity requirement retained
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: prebiotic
content_tags.definitions[0]0.85the tagger's words
content_tags1995: a non-digestible food ingredient that beneficially affects the host by selectively stimulating the growth and/or activity of one or a limited number of bacteria already resident in the colon
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: prebiotic
content_tags.definitions[1]0.95the tagger's words
content_tagsselective utilization
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.variables[0]0.95the tagger's words

Interpretive choices

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