Articles

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

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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

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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.

Characteristic of Anxiety Levels and Risk Factors Among Fishermen with Hypertension in Coastal Lampung

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Anxiety disorders are mental health problems that frequently affect vulnerable groups. In Indonesia, the prevalence of anxiety disorders is 6.9% among individuals aged 55–64 years, 9.7% among those aged 65–74 years, and 13.4% among those over 75 years (Ministry of Health, 2020). This study aims to provide an overview of anxiety levels among hypertensive fishermen. A quantitative observational study was conducted using a cross-sectional design. The study was carried out from February to May 2025 in the coastal area of Lampung, specifically in the working area of the Sukaraja Health Center, Bandar Lampung City. The study population consisted of 100 hypertensive fishermen. Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (ZSAS), and blood pressure was also measured. The results showed that 60 fishermen (60%) did not experience anxiety (32%) had mild anxiety,  (6%) had moderate anxiety, and  (2%) experienced severe anxiety. Risk factors associated with mild anxiety included adult age (37.6%), low education (35.9%), low income (27.8%), family support (32.1%), working morning shifts (34,6%), poor sleep quality (35.8%), exposure to bad weather (41.2%), social conflict (41.8%), and uncontrolled hypertension treatment (30.1%).

The Impacts of Vegetables and Fruits Smoothies on Reducing Risk of Hypertension

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Since 2019, the majority of people in Thailand have been at risk of hypertension. This appears to be due to the low daily consumption of vegetables and fruits in Thai people. However, the impact of food processing, such as blending (smoothies), on vegetables and fruits is somewhat obscure. Thus, we do this survey research to investigate whether consuming vegetables and fruit as a fresh and blended form has any impact on reducing the risk of hypertension in Thailand. We conducted a survey research and collected data from 567 participants using an online survey questionnaire through Google Forms. Unfortunately, some participants have to be excluded due to answering errors, so only 418 participants were included in the final analysis. Statistics Products and Service Solutions (SPSS) was used for data analysis, so we can divide the questionnaire into 3 parts that are related to the topic, including general information by using multiple choices, daily vegetable and fruit consumption, and lifestyle behaviors that reduce the risks of hypertension. Descriptive statistics were used to illustrate the mean and standard deviation of daily vegetable and fruit consumption and lifestyle behaviors that reduce the risks of hypertension. From our results, the independent samples t-test revealed a significant difference in the lifestyle that reduces the risk of hypertension between participants who use and do not use pain relievers. One-way ANOVA (F-test) also showed a significant difference in the lifestyle that reduces the risk of hypertension between different age groups. Pearson’s correlation was used to investigate the correlation between hypertension risk and consumption of vegetables and fruits. We discovered that the consumption of vegetables and fruit does have a significant positive correlation to hypertension risk for both eaten fresh and as smoothies. However, the Pearson correlation obtained for smoothie consumption (r = 0.331) is less than that of fresh vegetable and fruit consumption (r = 0.42). Subsequently, we can conclude that fresh vegetable and fruit consumption can reduce the risk of hypertension more than vegetable and fruit smoothie consumption. Nevertheless, it is related to the specific participants who usually consume vegetable and fruit smoothies. Moreover, we believe that the reader will obtain numerous benefits from this research, including ways to reduce the risk of hypertension and alternative ways to consume vegetables and fruits.

Alternatives Methods for Treatment of Allergic Rhinitis, Alzheimer’s disease and Hypertension

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In Thailand, there are a variety types of Thai herbs. After gathering the information of the extraction methods and properties of herbs, it can be seen that some herbs can be used in treating and inhibiting diseases that have high incidence rate in Thailand such as allergies, Alzheimer’s diseases and hypertension. The extraction of herbs including ginger, fingerroot, red galingale, spinach, garlic and hibiscus have abilities to treat and inhibit diseases that include high incidence rate in Thailand. The article provides information about chronic diseases and medications for treatment, including data on prices, types and their mechanisms of action. Additionally, it outlines details on herbal extracts, highlighting the effects of extraction on patient’s’ symptoms. Finally, the article offers recommendations for patients to select the best treatment method by presenting the advantages and disadvantages of both medications and herbal extracts. Overall, the article emphasizes the importance of choosing the best treatment option for the    well-being of the patients’ body system.

Adherence to Hypertension Management Practices Based on International Society of Hypertension (ISH) Guidelines among Hypertensive Patients

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Hypertension is a significant global health concern with profound cardiovascular implications. The researchers used a quantitative research design employing a descriptive research survey approach and the instrument used to seek information was a researcher-made questionnaire for assessing demographic characteristics, adherence to hypertension management such as medication adherence, lifestyle changes, and blood pressure control. These tools were used in data analysis frequency count and percentage distribution, mean and standard deviation, and lastly analysis of variance (ANOVA). This abstract presents a study conducted in Brgy. Washington, Surigao City, focusing on adherence to hypertension management guidelines by the International Society of Hypertension (ISH). Respondents generally showed high adherence to hypertension management, primarily taking medicine, with moderate adherence to monitoring blood pressure, physical activity, and diet, influenced by demographic factors. The study found no significant difference in medication adherence or adherence to a balanced diet among hypertensive individuals in Brgy. Washington, but did show differences based on age, occupation, income, and years of hypertension, emphasizing the need for community-based initiatives.

Analysis of Risk Factors for Death in COVID-19 Patients at Bahteramas Regional General Hospital, Southeast Sulawesi Province

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Background: Coronavirus disease 2019, or COVID-19, is an infectious disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). COVID-19 has been classified as a pandemic since 2020.

Purpose:  The purpose of this study was to determine the risk factors for death due to COVID-19 at the Bahteramas Public Hospital, Southeast Sulawesi Province.

Method: This research is a retrospective analytic study with a cross sectional approach. The number of samples is 85 samples. The sampling technique was purposive sampling. The data were processed using the Chi-Square test and Odds Ratio.

Results: This study shows that 47 people died at the Bahteramas Hospital in Southeast Sulawesi Province from March to November 2020, the variable age (p value = 0.001 and OR value 5.216), gender (p value = 0.078 and OR value = 2.180), hypertension variable (p value = 0.071 and OR value = 2.510), and diabetes mellitus variable (p value = 0.013 and OR value = 3.300).

Conclusion: Age, sex, hypertension, and diabetes mellitus are risk factors for death due to COVID-19 at Bahteramas Public Hospital, Southeast Sulawesi Province.

 

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

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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.

Individual Determinant Factors of Patients with Hypertension and the Utilization of Chronic Disease Management Program (Prolanis) Services in First-Level Healthcare Facilities in Pesawaran District, Lampung, Indonesia

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Hypertension is estimated to affect 1.28 billion adults aged 30-79 years worldwide. One of the efforts to treat hypertension at first-level healthcare facilities (FKTP) by BPJS Health is the chronic disease management program (Prolanis). Many factors influence the utilization of first-level health services. This study aimed to analyze the relationship between individual determinant factors and the use of Prolanis services at FKTP Pesawaran Regency, Lampung, Indonesia. This cross-sectional study was conducted on 330 patients with hypertension in four FKTPs, with the most participants holding Prolanis activities in the Pesawaran district, Lampung province, Indonesia, from February to April 2023. The chi-square test and logistic regression were used for data analysis. The results showed that there was a relationship between attitude (p-value<0.001), knowledge (p-value<0.001), access (p-value=0.010), level of hypertension (p-value<0.001), and utilization of Prolanis services at FKTP Pesawaran Regency. This study concludes that the individual determinants of hypertension sufferers have a significant relationship with the utilization of Prolanis in the FKTP of Pesawaran Regency, Lampung, Indonesia. It is recommended that patients with hypertension can make better use of Prolanis to maintain their health and prevent further complications.

Study to assess the Prevalence of Hypertension in Baznagar, Lucknow

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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.