The Effect of Celery Leaf Decoction (Apium Graveolens) on Lowering Blood Pressure in Elderly Hypertensive Patients
DOI:
https://doi.org/10.69855/perawat.v2i3.197Keywords:
Hypertension, Celery Leaf, Herbal TherapyAbstract
Hypertension is a major risk factor for cardiovascular disease, with increasing prevalence globally and nationally. Alternative treatments such as celery leaves (Apium graveolens), which contain active compounds with antihypertensive effects through vasodilation and diuretic mechanisms, are being explored. Purpose: This study aimed to determine the effect of celery leaf decoction on systolic and diastolic blood pressure reduction in elderly individuals with hypertension. Methods: A quasi-experimental pretest-posttest design was used on 30 elderly patients with mild to moderate hypertension in RW III Anduring, Padang (2025). Participants consumed 250 mg of celery leaf decoction twice daily for 14 days. Data were analyzed using a paired t-test with a significance level of p < 0.05. Results: The average systolic blood pressure decreased from 147.6 mmHg to 133.4 mmHg (p = 0.000). The diastolic pressure dropped from 92.3 mmHg to 85.1 mmHg (p = 0.001), indicating a statistically significant effect. Conclusion: Celery leaf decoction effectively lowers blood pressure in elderly hypertensive patients and may serve as a complementary therapy to reduce reliance on antihypertensive drugs. Implications: Health workers, especially at Puskesmas, are encouraged to educate communities on the potential of herbal remedies like celery leaf as part of integrative hypertension management.
References
Adedapo, A. A., Sofidiya, M. O., & Afolayan, A. J. (2012). Anti-inflammatory and analgesic activities of the aqueous extract of Apium graveolens L. Journal of Medicinal Plants Research, 6(1), 76–81. https://doi.org/10.5897/JMPR11.306
Alobaidi, S., & Saleh, E. (2024). Antihypertensive property of celery: A narrative review on current knowledge. International Journal of Food Science, 2024, Article 9792556. https://doi.org/10.1155/2024/9792556
Anwar, F., & Bhanger, M. I. (2003). Analytical characterization of celery (Apium graveolens) seed oil cultivated in Pakistan. Journal of Agricultural and Food Chemistry, 51(2), 510–515. https://doi.org/10.1021/jf025797t
Carey, R. M., Muntner, P., Bosworth, H. B., & Whelton, P. K. (2018). Prevention and Control of Hypertension: JACC Health Promotion Series. Journal of the American College of Cardiology, 72(11), 1278–1293. https://doi.org/10.1016/j.jacc.2018.07.008
Carretero, O. A., & Oparil, S. (2000). Essential hypertension. Part I: definition and etiology. Circulation, 101(3), 329–335. https://doi.org/10.1161/01.CIR.101.3.329
Febriza, A., Fitriani, T., & Hapsari, B. K. (2024). Effectiveness of consuming celery leaf decoction (Apium graveolens) in reducing cholesterol levels, blood pressure, and mean arterial blood pressure (MAP). AIP Conference Proceedings, 3155, Article 030006. https://doi.org/10.1063/5.0218057
Garcia, M. et al. (2022). Lifestyle factors and their influence on hypertension management: a comprehensive review. American Journal of Lifestyle Medicine, 16(4), 412-425. https://doi.org/10.1177/15598276221077234
Ghodsian, L., Rezaieyazdi, Z., Rafieian-Kopaei, M., & Bahmani, M. (2022). The effect of celery seed extract on blood pressure in patients with mild to moderate hypertension: A randomized, triple-blind, placebo-controlled, crossover clinical trial. Phytotherapy Research, 36(7), 3136–3144. https://doi.org/10.1002/ptr.7485
Houston, M. (2005). The role of nutrition and nutraceutical supplements in the treatment of hypertension. Journal of Clinical Hypertension, 7(7), 61–72. https://doi.org/10.1111/j.1524-6175.2005.04341.x
Kementerian Kesehatan RI. (2019). Guidelines for the Prevention and Control of Hypertension. Jakarta: Directorate of Prevention and Control of Non-Communicable Diseases.
Kumar, P., et al. (2022). "Community-based interventions to improve hypertension control: A review." Global Health Action, 15(1), 2109072. https://doi.org/10.1080/16549716.2022.2109072
Li, W., Zhang, Y., & Chen, H. (2023). Accessibility and adherence to herbal therapies in elderly hypertensive patients: A cross-sectional study. Phytomedicine, 109, 154581. https://doi.org/10.1016/j.phymed.2023.154581
Nugroho, H., & Pratiwi, R. M. (2020). The effect of boiled celery leaves on blood pressure in elderly people with hypertension. Comprehensive Nursing Journal, 6(1), 11–18. https://doi.org/10.33755/cnj.v6i1.123
Patel, R. et al. (2022). Safety and efficacy of herbal treatments for hypertension: a systematic review. Journal of Herbal Medicine, 34, 100576. https://doi.org/10.1016/j.hermed.2022.100576
Peters, S. A. E., et al. (2021). "Sex differences in the burden and treatment of hypertension." Nature Reviews Cardiology, 18(9), 576–589. https://doi.org/10.1038/s41569-021-00558
Puspitasari, N. D., & Harini, M. I. (2018). The effectiveness of boiled celery leaves in lowering blood pressure in elderly people with hypertension. Journal of Nursing, 9(2), 135–142.
Sharma, R., et al. (2023). "Herbal interventions for hypertension: a systematic review." Phytotherapy Research, 37(2), 897–912. https://doi.org/10.1002/ptr.7561
Smith, A. L., & Johnson, D. M. (2021). Vascular aging and hypertension in the elderly. Cardiology Clinics, 39(3), 375-386. https://doi.org/10.1016/j.ccl.2021.03.002
Suyatna, F. D. (2011). Pharmacology and Therapy. Jakarta: Departemen Farmakologi FKUI.
Trisnawati, W., & Haryani, Y. (2017). The effect of celery leaf decoction on blood pressure in elderly with hypertension at the Sukoharjo Community Health Center. Scientific Journal of Health, 9(1), 45–51.
Tsi, D., Tan, P. V., Nyasse, B., Dimo, T., & Ayafor, J. F. (1995). Evaluation of the anti-inflammatory and analgesic properties of Dichrocephala integrifolia. Journal of Ethnopharmacology, 49(3), 187–193. https://doi.org/10.1016/0378-8741(95)01294-I
Umberson, D., & Montez, J. K. (2019). "Social relationships and health: A flashpoint for health policy." Journal of Health and Social Behavior, 59(3), 205–219. https://doi.org/10.1177/0022146519859125
Wali, S., Alkharboush, G., & Bahammam, A. S. (2023). Effect of beta-blockers on sleep: A review of the literature. Nature and Science of Sleep, 15, 45–54. https://doi.org/10.2147/NSS.S395402World Health Organization. (2021). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension
World Health Organization. (2022). World health statistics 2022: monitoring health for the SDGs, sustainable development goals. World Health Organization. Retrieved from https://www.who.int/publications/i/item/9789240051157
Yuliana, S., & Saputri, W. D. (2022). The effect of celery leaf infusion on lowering blood pressure in elderly people with hypertension. Journal of Health Research, 12(3), 222–229. https://doi.org/10.25077/jpk.v12n3.2022.222-229
Zhao, D., Liu, J., Wang, M., Zhang, X., & Zhou, M. (2019). Epidemiology of cardiovascular disease in China: current features and implications. Nature Reviews Cardiology, 16(4), 203–212. https://doi.org/10.1038/s41569-018-0119-4
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