“Analysis showed that participants with the best cardiovascular fitness had a higher firmicutes to bacteroides ratio. While most gut bacteria can be beneficial (even bacteroides in some cases), firmicutes bacteria are associated with metabolic byproducts that help prevent bacteria in the gut from leaking into the body. “These metabolic byproducts help strengthen the intestinal lining and help prevent leaky gut syndrome,” said Durk. He says this research reinforces the idea of “exercise as medicine.”