Effect of Ginger Extract in Lowering Blood Pressure in The Elderly with Hypertension

Ulkomah Ulkomah, Desridius Chalid, Farida Murtiani, Aninda Dinar Widiantari

Abstract


Background: Hypertension is a cardiovascular disease that is common to find in elderly. Its prevalence reached to 22% throughout the world in 2020. Pharmacological treatment to hypertension involves lifetime commitment to drug adherence. Ginger extract as complementary therapy has been widely common in Indonesia to reduce common flu symptoms and indigestion. It acts as a therapeutic effect that boosts immune system, improving the cardiovascular system by reducing the level of low-density lipoproteins and cholesterol. Prior studies showed its effect in lowering blood pressure in hypertension patients, while several other said the effect was stronger in less than 50 years old people. The aim of the study was to analyze red ginger extract as main therapy in hypertension in elderly. Methods: This study was a quasi-experimental with one group pretest-posttest without control group. Participants were 45-65 years old hypertension patients in Semper Barat II Primary Health Care. Intervention was 4 grams of minced ginger then added by 2 spoons of honey in 100 ml of water. The drink was consumed in 5 days. Results: Average age of participants were 62,9 (60-65) years old. Before intervention, mean blood pressure was 156,8 (140-180) / 98,03 (85-115) mmHg and lowered to 148,6 (125-170) / 92,57 (80-110) mmHg after 5 days of intervention (p=0,0001). Conclusion: We recommend ginger extract as an alternative to reduce blood pressure in elderly with hypertension. We hoped the results will become a new approach to treat hypertension.


Keywords


Hypertension; elderly; ginger extract

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References


Adam, A. G. A., Jeini, E. N., & Windy, M. V. W. (2018). Kejadian Hipertensi dan Riwayat Keluarga Menderita Hipertensi di Puskesmas Paceda Kota Bitung. Jurnal KESMAS, 7(5), 1–5.

Ainurrafiq, A., Risnah, R., & Ulfa Azhar, M. (2019). Non Pharmacological Therapy in Blood Pressure Control in Hypertensive Patients: Systematic Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 2(3), 192–199.

https://doi.org/10.56338/mppki.v2i3.806

Anh, N. H., Kim, S. J., Long, N. P., Min, J. E., Yoon, Y. C., Lee, E. G., Kim, M., Kim, T. J., Yang, Y. Y., Son, E. Y., Yoon, S. J., Diem, N. C., Kim, H. M., & Kwon, S. W. (2020). Ginger on Human Health: A Comprehensive Systematic Review of 109 Randomized Controlled Trials. Nutrients, 12(1). https://doi.org/10.3390/nu12010157

Black, J. M., & Hawks, J. H. (2014). Keperawatan Medikal Bedah: Manajemen Klinis. Elsevier.

Cheng, H.-M., Lin, H.-J., Wang, T.-D., & Chen, C.-H. (2020). Asian management of Hypertension: Current Status, Home Blood Pressure, and Specific Concerns in Taiwan. Journal of Clinical Hypertension (Greenwich, Conn.), 22(3), 511–514. https://doi.org/10.1111/jch.13747

Dinkes Provinsi Jakarta. (2021). Profil Kesehatan Provinsi DKI Jakarta Tahun 2020.

Farida, E. A., Budi, I. S., & Jamaludin, J. (2020). The Effect of Starfruit Juice to Reduce the Blood Pressure in Elderly Patients. South East Asia Nursing Research, 2(3), 111–116. https://doi.org/10.2991/ahsr.k.200204.055

Guerrero, L., Castillo, J., Quiñones, M., Garcia-Vallvé, S., Arola, L., Pujadas, G., & Muguerza, B. (2012). Inhibition of Angiotensin-Converting Enzyme Activity by Flavonoids: Structure-Activity Relationship Studies. PloS One, 7(11), e49493. https://doi.org/10.1371/journal.pone.0049493

Guyton, A. C., & Hall, J. E. (2016). Textbook of Medical Physiology. Elsevier.

Hasani, H., Arab, A., Hadi, A., Pourmasoumi, M., Ghavami, A., & Miraghajani, M. (2019). Does Ginger Supplementation Lower Blood Pressure? a Systematic Review and Meta-Analysis of Clinical Trials. Phytotherapy Research: PTR, 33(6), 1639–1647. https://doi.org/10.1002/ptr.6362

Kemenkes RI. (2019). Riset Kesehatan Dasar (Riskesdas) Tahun 2018.

Lampitasari, P. W. (2017). The Correlation Between Demography Factors and Knowledge Level and Diet Compliance of Adult Hypertension Patients In Karang Tengah Nogotirto Sleman Yogyakarta. Naskah Publikasi: Universitas Aisyiyah Yogyakarta.

Muliani, N., Ridwan, Abdullah, A. Z., Noor, N. N., Syafar, M., & Thamrin, Y. (2021). The Effect Of Giving Ginger Extract And Cucumber Juice On Blood Pressure Changes In Hypertensive Patients In The Work Area Of Puskesmas Kassi – Kassi Makassar City. Nveo – Natural Volatiles & Essential Oils, 8(4): 14163-14172

Ojulari, L. S., Olatubosun, O. T., Okesina, K. B., & Owoyele, B. V. (2014). The Effect of Zingiber Officinale (Ginger ) Extract on Blood Pressure and Heart Rate in Healthy Humans. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 13(10), 76–78.

Potter, P. A., & Perry, A. G. (2015). Fundamentals of Nursing, Edisi 7. EGC.

Salem, H., Hasan, D. M., Eameash, A., El-Mageed, H. A., Hasan, S., & Ali, R. (2018). Worldwide Prevalence of Hypertension: A Pooled Meta-Analysis of 1670 Studies in 71 Countries with 29.5 Million Participants. Journal of the American College of Cardiology, 71(11), A1819–A1819. https://doi.org/10.1016/S0735-1097(18)32360-X

Santos Braga, S. (2019). Ginger: Panacea or Consumer’s Hype? Applied Sciences, 9(8). https://doi.org/10.3390/app9081570

Shaban, M. I., EL-Gahsh, N. F. A., & El-sol, A. E. H. (2017). Ginger: It’s Effect on Blood Pressure among Hypertensive Patients. Journal of Nursing and Health Science, 6(5), 79–86.

https://doi.org/10.9790/1959-0605037986

Siagian, H. J., Alifariki, L. O., & Tukatman, T. (2021). Characteristics of Smoking and Blood Pressure in Men 30-65 Years Old: a Cross-Sectional Study. Jurnal Kesehatan Komunitas, 7(1), 106–109. https://doi.org/10.25311/keskom.vol7.iss1.871

Smeltzer, S. C., & Bare, B. G. (2018). Smeltzer and Bare's Textbook of Medical-Surgical Nursing. EGC.

Supriani, A., Andinata, N. A., & Yanti, W. M. (2019). The Effect of Boiled Ginger Drink Jahecang on Blood Pressure Reduction in Hypertension Patients in the Hamlet of Baban Arosbaya Village Arosbaya District. International Conference of Kerta Cendekia Nursing Academy, 1(1), 158–162.

Tamrin, Retno, D., & Muawanah, S. (2019). Pengaruh Ekstrak Jahe Terhadap Penurunan Tekanan Darah Pada Lansia Dengan Hipertensi Di RW 03 Kelurahan Tambangan. Jurnal Elektronik Universitas Widya Husada Semarang, 6(2). https://doi.org/10.1007/978-0-387-70638-2_1802

Wijayanti, A. M.., Apriza, A., & Isnaeni, L. M. A. (2022). Pengaruh Pemberian Air Rebusan Jahe (Zingiber Officanale Roscoe) terhadap Penurunan Tekanan Darah pada Penderita Hipertensi di Desa Kuok UPT Blud Puskesmas Kuok Tahun 2021. SEHAT: Jurnal Kesehatan Terpadu, 1(1), 27–34.




DOI: http://dx.doi.org/10.30742/jikw.v13i1.2986

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