A comprehensive review weighs the promise of bamboo shoots as a nutrient-rich, sustainable food against limited human evidence and unresolved safety concerns, highlighting why preparation methods and better testing matter.
Study: Bamboo consumption and health outcomes: A systematic review and call to action. Image credit: Hanasaki / Shutterstock
In a recent systematic review published in the journal Advances in Bamboo Sciencethe researchers evaluated studies of human consumption and in vitro research using human cell models alongside food processing laboratory studies to assess the health effects of consuming bamboo shoots and derived products.
Based on the available evidence, they concluded that while human data remain limited, properly prepared bamboo products may offer many health benefits, including improved digestive, antioxidant and metabolic effects. However, any reported benefit is supported by a small number of individual studies rather than a broad clinical evidence base.
Bamboo as an emerging functional food
Bamboo is a fast-growing, highly versatile plant that belongs to the grass family, with more than 1,250 species worldwide. Although found on most continents, bamboo is most abundant in Asia, accounting for about 80% of global cover.
Its rapid growth, high biomass yield and adaptability have made it valuable not only for construction and environmental applications but also as a food source. Bamboo leaves and shoots are commonly consumed, particularly in Asian cuisines. They are nutritionally attractive due to their high protein content, moderate levels of fiber, low fat content, and the presence of essential amino acids and minerals such as potassium and selenium.
Previous research suggests that compounds derived from bamboo may have many health benefits. However, bamboo consumption also carries risks, as some species release cyanide from cyanogenic glycosides if not properly processed, posing serious health risks. Appropriate preparation, such as boiling, is therefore essential to reduce potential toxicity.
Scope and Design of the Systematic Review
Despite the growing interest in bamboo as a functional food, it has not previously been systematically evaluated. The researchers searched Medline (via PubMed) and Web of Science, assessing study quality using standardized risk of bias tools. The systematic search identified 1,052 potentially relevant records. After screening title and abstracts, 19 full-text articles were assessed. 16 met the inclusion criteria.
These included four human studies, four in vitro studies using human cell lines and eight laboratory studies examining bamboo components related to nutrition and food processing. All but one took place in Asia. Its overall methodological quality in vivo human studies, assessed using the Newcastle–Ottawa scale, were modest.
Evidence from human consumption studies
The four human studies included a total of 4,934 participants and looked at a variety of health outcomes. A large cross-sectional study in schoolchildren reported a high prevalence of goitre (31%) despite adequate iodine intake, suggesting a possible association with frequent consumption of bamboo shoots rather than established causality.
Supporting evidence from an experimental rat component in the same study showed altered thyroid structure and decreased thyroid hormone levels after bamboo shoot intake, raising concerns about possible bronchogenic effects.
In contrast, other human studies have reported beneficial effects. A randomized trial found that flavonoid-rich antioxidants from bamboo leaves reduced internal exposure to glycidamide and acrylamide by altering toxicokinetics and increasing urinary excretion of relevant biomarkers, with observed gender differences.
A study in people with diabetes showed that cookies enriched with bamboo shoots significantly reduced postprandial blood glucose levels in a dose-dependent manner.
Another small dietary intervention in healthy women showed improvements in lipid profiles, including reductions in total cholesterol and low-density lipoprotein (LDL) cholesterol, along with increased frequency of bowel movements and increased stool volume, indicating improved bowel function.
In vitro Findings using human cell models
Four studies investigated bamboo extracts using human cell models. These consistently showed antioxidant and anti-inflammatory properties, including reduced production of reactive oxygen species, inhibition of inflammatory markers, improved cell viability, and low cellular toxicity.
Bamboo leaf and shoot extracts also reduced oxidative stress and apoptosis under high glucose conditions, supporting a potential but not yet clinically established protective role against metabolic and inflammatory damage.
A study assessing heavy metal content found elevated levels of lead in some bamboo shoots. However, simulated intestinal digestion did not induce toxicity to intestinal cells, suggesting that conventional risk assessments may overestimate health risks when bioavailability is not taken into account.
Laboratory Studies Related to Nutrition and Food Processing
Eight studies investigated bamboo-derived ingredients for nutritional and technological applications. These showed strong antioxidant activity and prebiotic effects in laboratory studies, through stimulation of beneficial gut bacteria and production of short-chain fatty acids, but lacked direct evidence from studies in the gut.
Bamboo extracts reduce harmful compounds such as acrylamide and furan during food processing without compromising sensory quality. Other studies highlighted the high nutritional value of bamboo shoots, including fiber, protein, vitamins and minerals, and showed that processing methods and harvesting stage affect nutrient composition and functional properties.
Overall interpretation and research gaps
Overall, the findings suggest that properly prepared bamboo products may offer multiple health benefits, including improved glycemic control, lipid profile, gut function, antioxidant capacity, and reduced exposure to food processing toxins. Importantly, these results are from discrete, mostly small studies, and should be interpreted individually rather than as a unified body of clinical evidence. These effects are likely linked to bamboo’s rich content of dietary fiber, bioactive compounds and micronutrients.
However, there are still concerns about possible bronchogenic effects, particularly with frequent consumption of poorly processed bamboo shoots. Importantly, proper preparation methods, such as boiling, are believed to significantly reduce cyanogenic compounds, although human evidence remains limited.
Major limitations include the limited number of human studies, substantial heterogeneity in outcomes and study designs, and the lack of high-quality trials, which precluded meta-analysis. Despite these limitations, the evidence supports bamboo’s promise as a sustainable, nutrient-dense food. Further well-designed human intervention studies are needed before firm dietary recommendations can be made.
Journal Reference:
- Pizzol, D., Zampieri, T., MacKinnon, R., Yon, DK, Richardson, F., López Sánchez, GF, Caminada, S., Bertoldo, A., Butler, L., Veronese, N., Soysal, P., Shin, JI, Smith, L. (20). Bamboo consumption and health outcomes: A systematic review and call to action. Advances in Bamboo Science 13: 100210. DOI: 10.1016/j.bamboo.2025.100210,
