Articles

The Relationship of a Balanced Diet with Blood Pressure and Blood Sugar in Patients with type 2 Diabetes Mellitus in Urang agung Sidoarjo Village

Type 2 diabetes mellitus (T2DM) causes metabolic disorders related to a pathological condition characterized by an increase in glucose concentration in the bloodstream beyond a set threshold (hyperglycemia). Hyperglycemia often accompanies metabolic syndrome especially involving hypertension which can worsen complications in people with diabetes. One effective way to control blood sugar and blood pressure levels is by implementing a balanced diet. There are 50 people with T2DM in the village of Urang Agung Sidoarjo with an increase of 1-3 people every month. The purpose of this study was to determine the relationship between a balanced diet with blood pressure and blood sugar levels measured by the GOD-POD method. This research is a quantitative study using chi-square analysis. tional. The study sample of 44 people was taken with purposive sampling technique. The results showed that blood sugar levels were significantly associated with blood pressure, especially systole in patients with T2DM. In addition, a balanced diet was also found to be significantly related to blood sugar levels, but not significantly related to blood pressure.

The Effect of Moringa (Moringa oleifera) Leaf Soup on Blood Pressure Changes among Overweight Employees at Nusa Cendana University

Background: Hypertension is a major risk factor for cardiovascular disease and is commonly associated with overweight status. Dietary interventions using functional foods are considered effective non-pharmacological strategies for blood pressure control. Moringa (Moringa oleifera) leaves contain bioactive compounds such as potassium, calcium, magnesium, flavonoids, and antioxidants, which may contribute to blood pressure reduction. However, evidence regarding the effect of Moringa leaf soup on blood pressure among overweight individuals is still limited.

Objective: This study aimed to determine the effect of Moringa leaf soup consumption on changes in blood pressure among overweight employees at Nusa Cendana University.

Methods: This pre-experimental study employed a one-group pretest–posttest design involving 27 overweight employees selected through purposive sampling. Participants consumed 100 grams of Moringa leaf soup daily for seven days. Blood pressure was measured before and after the intervention using a digital sphygmomanometer. Data were analyzed using the Wilcoxon signed-rank test.

Results: A significant reduction in systolic blood pressure was observed after the intervention (p < 0.05). However, no significant change was found in diastolic blood pressure (p > 0.05).

Conclusion: Moringa leaf soup consumption for seven days significantly reduced systolic blood pressure but had no significant effect on diastolic blood pressure. This intervention may serve as a complementary dietary approach for blood pressure management in overweight individuals.

Changes In Cardiorespiratory Rate and Blood Pressure Under Local Anesthesia in Hypertensive and Normotensive Patients Undergoing Oral Surgery and Restorative Treatments: A Scoping Review

Introduction: Dental procedures such as tooth extractions can increase blood pressure and heart rate, representing potential risks, particularly in patients with systemic diseases. These variations may be influenced by surgical technique, local anesthetic type, vasoconstrictor use, and comorbidities. Understanding these hemodynamic responses is essential for safe clinical management.

Objective: To evaluate the impact of oral surgery/tooth extraction under local anesthesia on blood pressure and heart rate in hypertensive and normotensive patients.

Methodology: A Scoping Review was performed following PRISMA-ScR guidelines. Databases consulted: PubMed, ScienceDirect, Wiley Library, Oral Surgery–Oral Medicine–Oral Pathology–Oral Radiology, JOMS, and AJH Oxford. The Boolean strategy used was: (“Hypertensive patients” AND “Normotensive patients” AND “local anesthesia” AND “dental treatment” AND (“blood pressure” OR “arterial pressure”) AND “heart rate”), limited to publications from 1980–2024. Rayyan software assisted screening and study selection. Twenty-two studies were identified, and 173 additional references were reviewed; 13 met the inclusion criteria.

Results: Tooth extraction and oral surgery under local anesthesia produce measurable cardiovascular responses. On average, systolic pressure increases by 5.6 mmHg and diastolic pressure by 4.7 mmHg, with greater rises in hypertensive or diabetic patients (6.2 mmHg vs. 4.8 mmHg). The use of epinephrine in local anesthesia amplifies these changes, reinforcing the need for cautious dosing and monitoring.

Conclusion: Oral surgery and tooth extraction may elevate blood pressure and heart rate, especially in patients with comorbidities.

Continuous monitoring and individualized anesthetic management are essential to reduce cardiovascular risk. Future studies should include larger samples and meta-analyses focusing on hemodynamic changes under local anesthesia in hypertensive patients.

The Effect of Slow Deep Breathing Exercise on the Blood Pressure of Elderly People with Hypertension at the Working Area of the Public Health Centre Air Tawar Padang

Hypertension is often found in elderly, it is a major factor causing stroke and heart disease. The number of people with hypertension continues to increase every year, it is estimated that by 2025 there will be 1.5 million people affected by hypertension in the world. The purpose of study was to determine the effect of slow deep breathing exercise on changes in blood pressure in the elderly in Public Health Center Air Tawar. This researchis a Quation Experiment with one group pre-post design. The research was conducted in Public Health Center Air Tawar, Padang from January to June 2022. The population were 80 erderly with hypertension,with a sample of 20 people obtained from the slovin formula. Data analysis used the Wilcoxon test with Signed Rank Test. The type of data wasseondary obtained from the Air Tawar Public Health Center and Primary from questionnaires. The results showed that the average of systolic blood pressure before intervention was 149/100 mmHg. The average after the intervention decreased to 140/92mmHg. The effect of the slow deep breathing exercise was proven by the significant value of blood pressure before intervention and after intervention was 0.001. The conclusion shown, there was a significant influence of slow deep breathing exercise on changes in blood pressure of the elderly. The changes in blood pressure obtained were still in the category of hypertension, it is hoped that respondents willconsume low-salt diet, drug consumption and utilizing the services of health workers can make slow deep breathing exercise as one of the blood pressure control techniques.

Study to assess the Prevalence of Hypertension in Baznagar, Lucknow

Introduction:- Hypertension is a major public health problem and important area of research due to its high prevalence and being major risk factor for cardiovascular disease and other complications. Hypertension to have many deleterious effects on the body that puts people at a higher risk of developing other illnesses and diseases, such as obesity and diabetes. High blood pressure is the single largest risk factor for disease burden worldwide.
Objectives:- To assess the prevalence of hypertension and its associated factors.
Materials and Methods:- A cross-sectional study was undertaken in a rural area of Baznagar, Lucknow. Data was collected by face to face interview technique after verbal informed consent. Convenient sampling technique was used to select the study participants. A total 100 study subjects aged 20-45 years was used. Socio-demographic sheet and B.P. Record sheet were used to collect data.
Results:- Out of 100 participants 36% were found to be hypertensive and 64% were non hypertensive. Majority (52.8%) males were hypertensive and (47.2%) females were hypertensive. There is significant relationship between hypertension and gender among subject (P=0.005). Majority of subject were found hypertensive in the age group of 20-28 years but there is no significance relationship between hypertension and age (P=0.143)
Conclusion:- Around one –third of the subjects were hypertensive (36%) and half of the study subjects were non-hypertensive (64%) in this area.