Abstract
Hypertension, which is an increase in blood pressure, has a prevalence based on Riskesdas in 2018 at the age ≥18 years, which is around 34.1%. Various treatment methods have been developed because if hypertension is not treated it can cause symptoms and serious complications. Other than using chemical drugs such as beta-blockers or ACE inhibitors, people are starting to consider therapy with natural ingredients such as Moringa leaves (Moringa oleifera). It contains compounds that have an antihypertensive effect such as flavonoids and potassium. This study aims to determine the compound, effectiveness, and mechanism of Moringa leaf as an antihypertensive by using a systematic review method. This method is carried out by searching literature using certain keywords based on PRISMA-P, and then data from ten literatures is extracted to be discussed and concluded based on the objectives. The result, obtained various compounds in Moringa leaf extract have certain mechanisms in lowering blood pressure such as flavonoid compounds, such as kaempferol and quercetin, as well as other compounds such as several organic acids, potassium, and alkaloids. Moringa leaf extract also effectively lowers blood pressure in animals and humans with different doses. This study concludes that the administration of Moringa leaf extract can effectively reduce blood pressure due to the antihypertensive mechanism caused by the phytochemical content.
References
Schlein L. WHO: 1 Miliar Orang di Dunia Alami Hipertensi [Internet]. Voa. 2013 [cited 2021 Aug 20]. p. 1–2. Available from:https://www.voaindonesia.com/a/who-1-miliar-orang-di-dunia-alami-hipertensi/1636680.html
Kementrian Kesehatan RI. Hipertensi Membunuh Diam-diam, Ketahui Tekanan Darah Anda [Internet]. 2018 [cited 2021 Nov 26]. Available from: https://www.kemkes.go.id/article/view/18051600004/hipertensi-membunuh-diam-diam-ketahui-tekanan-darah-anda.html
Garwahusada E, Wirjatmadi RB. Hubungan Jenis Kelamin, Perilaku merokok, Aktivitas Fisik dengan Hipertensi pada Pegawai Kantor [Correlation of Sex, Smoking Habit, Physical Activity and Hypertension among Office Employee]. Media Gizi Indones [Internet]. 2020 Jan 2 [cited 2021 Nov 26];15(1):60–5.
Nuraini B. Risk Factors of Hypertension. J Major [Internet]. 2015 Jan 26 [cited 2021 Nov 26];4(5):10–9.
Kandarini Y. Tatalaksana Farmakologi Terapi Hipertensi. PKB Trigonum Sudema - Ilmu Penyakit Dalam [Internet]. 2017 [cited 2021 Nov 26];25:44–61.
Damanti EN. Kepercayaan Masyarakat Memilih Obat Herbal Sebagai Alternatif Dalam Pengobatan. J Chem Inf Model [Internet]. 2021 [cited 2021 Nov 23];1(1):1–7.
Marwati, Amidi. Pengaruh Budaya, Persepsi, dan Kepercayaan terhadap Keputusan Pembelian Obat Herbal. J Ilmu Manaj [Internet]. 2019 May 8 [cited 2021 Nov 23];7(2):168–80.
Zebua D, Harahap A, Ningsih F, Putra HIJ Zalukhu A, Fakultas Keperawatan dan Kebidanan M, Prima Indonesia U, et al. Rebusan Daun Kelor Berpengaruh terhadap Tekanan Darah Penderita Hipertensi. J Penelit Perawat Prof [Internet]. 2021 Jun 12 [cited 2021 Nov 15];3(2):399–406.
Susanti T, Putra D, Kurniawan B, Nuraida N, Wulandari W. Tumbuhan Obat Desa Pahlawan. CV. Pena Persada; 2021.
Adefegha SA, Oboh G, Iyoha AE, Oyagbemi AA. Comparative Effects of Horseradish (Moringa oleifera) Leaves and Seeds on Blood Pressure and Crucial Enzymes Relevant to Hypertension in Rat. PharmaNutrition [Internet]. 2019;9(February):100–52.
Triandini E, Jayanatha S, Indrawan A, Werla Putra G, Iswara B. Metode Systematic Literature Review untuk Identifikasi Platform dan Metode Pengembangan Sistem Informasi di Indonesia. Indones J Inf Syst. 2019;1(2):63.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ [Internet]. 2021 Mar 29 [cited 2021 Dec 3];372.
Joanna Briggs Institute. Critical Appraisal Tools [Internet]. Joanna Briggs Institute. Joanna Briggs Institute; 2020 [cited 2021 Nov 10]. p. 2–6.
Hooijmans CR, Rovers MM, Bm De Vries R, Leenaars M, Ritskes-Hoitinga M, Langendam MW. SYRCLE’s risk of bias tool for animal studies. 2014 [cited 2022 Jan 18];
Attakpa ES, Bertin GA, Chabi NW, Atègbo JM, Seri B, Khan NA. Moringa oleifera-rich diet and T cell calcium signaling in spontaneously hypertensive rats. Physiol Res. 2017;66(5):753–67.
Acuram LK, Hernandez CLC. Anti-hypertensive effect of Moringa oleifera Lam. Cogent Biol [Internet]. 2019;5(1):1–10.
Aekthammarat D, Pannangpetch P, Tangsucdayst P. Moringa oleifera leaf extract lowers high blood pressure by alleviating vascular dysfunction and decreasing oxidative stress in L-NAME hypertensive rats. Phytomedicine [Internet]. 2019;54:9–16.
Gbankoto A, Sindete M, Adjagba M, Sangare M, Attakpa E, Awede B. Antihypertensive effects of Moringa oleifera leaf extract Lam. (Moringaceae) in NG-nitro-L-arginine-methyl ester-induced hypertensive rats. Natl J Physiol Pharm Pharmacol [Internet]. 2019;9(0):1–10.
Aekthammarat D, Tangsucdayst P, Pannangpetch P, Sriwantana T, Sibmooh N. Moringa oleifera leaf extract enhances endothelial nitric oxide production leading to relaxation of resistance artery and lowering of arterial blood pressure. Biomed Pharmacother [Internet]. 2020 Oct 1 [cited 2021 Dec 23];130:1–7.
Kumolosasi E, Wei CC, Abdullah AZ, Manap NSA, Lee W, Yusuf MH, et al. Antihypertensive activities of standardized moringa oleifera lam (merunggai) extracts in spontaneously hypertensive rats. Sains Malaysiana [Internet]. 2021;50(3):769–78.
Yanti E, Nofia VR. Pengaruh Pemberian Rebusan Daun Kelor (Moringa Olifiera) terhadap Tekanan Darah pada Penderita Hipertensi. JIK (Jurnal Ilmu Kesehatan) [Internet]. 2019 Apr 25 [cited 2021 Nov 19];3(1):24–9.
Riniasih W, Hapsari WD. Pengaruh Pemberian Daun Kelor Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi Lansia Selama Masa Pandemi Covid-19. J Smart Keperawatan [Internet]. 2021 Dec 21 [cited 2022 Jan 9];8(2):101.
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