Correlation of Wellness Program Against Degenerative Indicators Through Experimental Pre-Posttest

Authors

  • Suandy Suandy Department of Biochemistry Faculty of Medicine, Dentistry, and Health Sciences Universitas Prima Indonesia Medan
  • Susianto Susianto Department Public Health Postgraduate Sekolah Tinggi Ilmu Kesehatan Kuningan Kuningan
  • Erwin Handoko Department of Quality Assurance and Educational Development Universitas Murni Teguh Deli Serdang https://orcid.org/0000-0003-1414-0752
  • Kevin Luwis Medical Study Program Faculty of Medicine, Dentistry, and Health Sciences Universitas Prima Indonesia Medan
  • Vindelin Sanoesi Medical Study Program Faculty of Medicine, Dentistry, and Health Sciences Universitas Prima Indonesia Medan

DOI:

https://doi.org/10.21776/ub.jkb.2024.033.02.4

Keywords:

Holistic lifestyle modification, quasi-experimental, Wellness

Abstract

The incidence of degenerative diseases, such as hyperuricemia, hypercholesterolemia, obesity, hypertension, and diabetes mellitus, is increasing, primarily due to unhealthy lifestyles. Holistic treatment, involving pharmacology and lifestyle modification, is recommended. The Wellness program, covering diet, exercise, and relaxation techniques like meditation and yoga offers a holistic approach to reduce the incidence of degenerative diseases. Adopting a Wellness program could have positive outcomes, including cost-effectiveness, nutritional balance, and improvements in both physical (through yoga) and mental (through meditation) well-being, but the potential downsides include lack of control groups, inadequate consideration of age and gender, insufficient sample sizes, limited observation days, and an excessive number of measured parameters. This study aims to see the effectiveness and influence of the Wellness program on reducing uric acid levels, cholesterol, blood sugar levels, systolic and diastolic blodd pressure. The intervention is designed for women aged 30-60 who experience rage. However, individuals who are consuming medications or supplements, pregnant, breastfeeding, or not following a prescribed diet are excluded. This study used the quasi-experimental pre-posttest design to see the Wellness program’s effectiveness on uric acid, blood pressure, blood sugar levels, and total cholesterol. Sample size calculation was performed using G*Power version 3.1.9.7, and data analysis utilized the T-paired sampled test. The findings from a 3-day study involving 47 participants revealed significant differences post-implementation of the Wellness program, indicating a reduction in uric acid levels and an increase in blood sugar levels with a p-value<0.05.

Downloads

Download data is not yet available.

References

Hidayah N, Palupi LM, Widiani E, Rahmawati I, and Malang PK. Upaya Pencegahan dan Penanganan Penyakit Degenaratif pada Lanjut Usia. Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan). 2022; 6(1): 33–38.

Novita E, Indawan B, Mariana M, and Abriyanti RN. Asosiasi Risiko Penyakit Degeneratif dengan Kebugaran Calon Jemaah Haji Kota Palembang Risk Association of Degenerative Diseases with the Fitness of Hajj Pilgrims in Palembang. Jurnal Biotek Medisiana Indonesia. 2021; 10(2): 97–108.

Amila A, Sembiring E, and Aryani N. Deteksi Dini dan Pencegahan Penyakit Degeneratif pada Masyarakat Wilayah Mutiara Home Care. Jurnal Kreativitas Pengabdian Kepada Masyarakat. 2021; 4(1): 102–112.

Murwani S, Ali M, and Muliartha K. Diet Aterogenik pada Tikus Putih (Rattus Novergicus Strain Wistar) sebagai Model Hewan Aterosklerosis. Jurnal Kedokteran Brawijaya. 2006; 22(1): 6–9.

Kusumayanti GAD, Wiardani NK, and Antarini AAN. Pola Konsumsi Purin dan Kegemukan sebagai Faktor Risiko Hiperurisemia pada Masyarakat Kota Denpasar. Jurnal Skala Husada. 2015; 12(1): 27–31.

Ariani AD. Hipertensi Grade II dengan Prediabetes pada Pasien Laki-Laki Lanjut Usia. Jurnal Medula. 2013; 1(1): 19–28.

Visuthranukul C, Sampatanukul P, Aroonparkmongkol S, Sirimongkol P, and Chomtho S. Glycemic Index and Glycemic Load of Common Fruit Juices in Thailand. Journal of Health, Population, and Nutrition. 2022; 41(1): 1–8.

Hersoug AG, Wærsted M, and Lau B. Nondirective Meditation Used in Stress Management. Nordic Psychology. 2018; 70(3): 290–303.

Fithriyani, Putri ME, and Nasrullah D. Effect of Hydrotherapy Warm Red Ginger to Reduce Blood Pressure on Elderly at Panti Werdha Budi Luhur, Jambi. Indian Journal of Public Health Research & Development. 2020; 11(3): 1968–1972.

Angraini R, Irwan AM, and Arafat R. Efek Pemberian Hydrotherapy untuk Menurunkan Tekanan Darah pada Pasien Hipertensi: Sebuah Tinjauan Literatur. Jurnal Sains dan Kesehatan. 2021; 3(6): 900–908.

Vama L and Cherekar MN. Production, Extraciton and Uses of Eco Enzyme Using Citrus Fruit Waste: Wealth from Waste. Asian Journal of Microbiology, Biotechnology and Enviromental Sciences. 2020; 22(2): 346–351.

Nyanchoka MA, van Stuijvenberg ME, Tambe AB, Zuma MK, and Mbhenyane XG. Fruit and Vegetable Consumption Patterns and Risk of Chronic Diseases of Lifestyle among University Students in Kenya. International Journal of Environmental Research and Public Health. 2022; 19(12): 1-20.

Tian Y, Su L, Wang J, Duan X, and Jiang X. Fruit and Vegetable Consumption and Risk of the Metabolic Syndrome: A Meta-Analysis. Public Health Nutrition. 2018; 21(4): 756–65.

Kakarmath SS, Zack RM, Leyna GH, et al. Dietary Determinants of Serum Total Cholesterol among Middle-Aged and Older Adults: A Population-Based Cross-Sectional Study in Dar Es Salaam, Tanzania. Nutrition and Metabolism. 2017; 7(5): 1-12.

K. McMullen M. Fructose Increases Uric Acid Contributing to Metabolic Syndrome - Herbal, Nutritional and Dietary Strategies to Reduce Uric Acid. OBM Integrative and Complementary Medicine. 2018; 3(3): 1–40.

Prihantini NN. Correlation between Dieting Patterns with Total Cholesterol Levels in Blood in the HKBP Church Congregation on September 2018. International Journal of Research -GRANTHAALAYAH. 2021; 9(4): 240–255.

Anmol RJ, Marium S, Hiew FT, et al. Phytochemical and Therapeutic Potential of Citrus Grandis (L.) Osbeck: A Review. Journal of Evidence-Based Integrative Medicine. 2021; 26: 1-20

Oyedepot A and Babarinde SO. Effects of Shaddock (Citrus Maxima) Fruit Juice on Glucose Tolerance and Lipid Profile in Type-II Diabetic Rats. Chemical Science Transactions. 2013; 2(1): 19–24.

Mehmood A, Zhao L, Ishaq M, et al. Uricostatic and Uricosuric Effect of Grapefruit Juice in Potassium Oxonate‐induced Hyperuricemic Mice. Journal of Food Biochemistry. 2020; 44(7): 1-13

Chakraborty AJ, Mitra S, Tallei TE, et al. Bromelain a Potential Bioactive Compound: A Comprehensive Overview from a Pharmacological Perspective. Life. 2021; 11(4): 1–26.

El-Shazly SA, Ahmed MM, AL-Harbi MS, Alkafafy ME, El-Sawy HB, and Amer SAM. Physiological and Molecular Study on the Anti-Obesity Effects of Pineapple (Ananas Comosus) Juice in Male Wistar Rat. Food Science and Biotechnology. 2018; 27(5): 1429–1438.

Pratiwi AR, and Chaniago LS. Pengaruh Pemberian Jus Nanas terhadap Penurunan Kadar Asam Urat di Desa Pasar Merah Timur Kota Medan. Jurnal Ilmiah KOHESI. 2022; 7(4): 264-270.

Wahdi A, Astuti P, Puspitosari DR, Maisaroh S, and Pratiwi TF. The Effectiveness Of Giving Papaya Fruit (Carica Papaya) Toward Blood Pressure On Elderly Hypertension Patients. IOP Conference Series: Earth and Environmental Science. 2020; 519(1): 1–9.

Yogiraj V, Goyal PK, Chauhan CS, Goyal A, and Vyas B. Carica Papaya Linn: An Overview. International Journal of Herbal Medicine. 2014; 2(5): 1–8.

Paranoan JR, Farah HI, and Ramadhan AM. Pengaruh Pemberian Jus Buah Pepaya (Carica Papaya L.) terhadap Penurunan Kadar Malondialdehid Dan Asam Urat. Proceeding of Mulawarman Pharmaceuticals Conferences. 2020; 12: 7–13.

Khalesi S, Irwin C, and Schubert M. Flaxseed Consumption May Reduce Blood Pressure: A Systematic Review and Meta-Analysis of Controlled Trials. The Journal of Nutrition. 2015; 145(4): 758–65.

Rodriguez-Leyva D, Weighell W, Edel AL, et al. Potent Antihypertensive Action of Dietary Flaxseed in Hypertensive Patients. Hypertension. 2013; 62(6): 1081–1089.

Draganescu D, Andritoiu C, Hritcu D, Dodi G, and Popa MI. Flaxseed Lignans and Polyphenols Enhanced Activity in Streptozotocin-Induced Diabetic Rats. Biology. 2021; 10(1): 1-13.

Wilda I. Efektifitas Buah Semangka Merah (Citrullus Vulgaris) terhadap Penurunan Tekanan Darah pada Lansia. Jurnal Endurance. 2021; 6(3): 460–467.

Widelia P, Baruara G, and Purwanti E. Gambaran Kadar Asam Urat Pada Ibu Rumah Tangga Usia 40 Tahun Keatas Setelah Pemberian Jus Semangka Tahun 2021. Jurnal Fatmawati Laboratory & Medical Science. 2022; 2(1): 12-20.

Soleti R, Coué M, Trenteseaux C, et al. Carrot Supplementation Improves Blood Pressure and Reduces Aortic Root Lesions in an Atherosclerosis-Prone Genetic Mouse Model. Nutrients. 2021; 13(4): 1–14.

Hunowu SIA. Pengaruh Pemberian Jus Wortel (Daucus Carota L) terhadap Penurunan Tingkat Nyeri Haid (Dysmenorrhea) Primer pada Remaja Puteri di SMA Negeri 2 Bitung Kota Bitung. [Thesis]. Politeknik Kesehatan Kemenkes Manado, Manado. 2019.

Saputra O and Fitria T. Khasiat Daun Seledri (Apium Graveolens) terhadap Tekanan Darah Tinggi pada Pasien Hiperkolestrolemia. Majority. 2016; 5(2): 120-125.

Khairullah AR, Solikhah TI, Ansori ANM, et al. Review on the Pharmacological and Health Aspects of Apium Graveolens or Celery: An Update. Systematic Reviews in Pharmacy. 2021; 12(2): 606-612.

Dolati K, Rakhshandeh H, Golestani M, Forouzanfar F, Sadeghnia R, and Sadeghnia HR. Inhibitory Effects of Apium Graveolens on Xanthine Oxidase Activity and Serum Uric Acid Levels in Hyperuricemic Mice. Preventive Nutrition and Food Science. 2018; 23(2): 127-133.

Liliana C and Oana-Viorela N. Red Beetroot: Composition and Health Effects - A Review. Journal of Nutritional Medicine and Diet Care. 2020; 6(1): 1-9.

Zamani H, de Joode MEJR, Hossein IJ, et al. The Benefits and Risks of Beetroot Juice Consumption: A Systematic Review. Critical Reviews in Food Science and Nutrition. 2021; 61(5): 788–804.

Siervo M, Lara J, Ogbonmwan I, and Mathers JC. Inorganic Nitrate and Beetroot Juice Supplementation Reduces Blood Pressure in Adults: A Systematic Review and Meta-Analysis. The Journal of Nutrition. 2013; 143(6): 818–826.

Wulandari A, Dirgahayu P, and Wiboworini B. Beetroot Powder (Beta Vulgaris L.) Decrease Oxidative Stress by Reducing of Malondialdehyde (MDA) Levels in Hyperuricemia. Journal of International Conference Proceedings. 2021; 4(1): 290–299.

Staruschenko A. Beneficial Effects of High Potassium: Contribution of Renal Basolateral K+ Channels. Hypertension. 2018; 71(6): 1015–1022.

Mooventhan A and Nivethitha L. Scientific Evidence-Based Effects of Hydrotherapy on Various Systems of the Body. North American Journal of Medical Sciences. 2014; 6(5): 199–209.

Sinaga DA. Pengaruh Spa Kaki terhadap Penurunan Kadar Asam Urat pada Lansia di Puskesmas Pembantu Pondok Batu Sarudik Tapanuli Tengah. [Thesis]. Universitas Sumatera Utara, Medan. 2020.

Theresia M, Praveena R, and Murali R. Yoga: Effective Therapy to Reduce Blood Pressure among Hypertensive Clients. International Journal of Development Research. 2016; 6(5): 7761-7765.

Xue T, Li H, Wang MT, et al. Mindfulness Meditation Improves Metabolic Profiles in Healthy and Depressive Participants. CNS Neuroscience & Therapeutics. 2018; 24(6): 572-574.

E Souza LAC and Lima AA. Anthropometric, Biochemical and Clinical Parameters in Climacteric Yoga Practitioners. Climacteric. 2022; 25(3): 293–299.

Downloads

Published

2024-08-30

Issue

Section

Original Article

Similar Articles

1-10 of 60

You may also start an advanced similarity search for this article.