Effects of Poly-herbal Tablet as Herbal Medicine on Lipid Level
Woro Rukmi Pratiwi(1*), Eti Nurwening Sholikhah(2), Dwi Aris Agung Nugrahaningsih(3), Mia Munawaroh Yuniyanti(4), Mustofa Mustofa(5), Ngatidjan Ngatidjan(6)
(1) Departement Pharmacology and Therapy, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(2) Departement Pharmacology and Therapy, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(3) Departement Pharmacology and Therapy, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(4) Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta
(5) Departement Pharmacology and Therapy, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(6) Departement Pharmacology and Therapy, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(*) Corresponding Author
Abstract
Dyslipidemia is one of the high-risk factors that cause cardiovascular disease and the prevalence is increasing all the time. Garlic (Alii sativi) has been suggested to reduce serum lipid level. Poly-herbal is herbal medicine that has been widely used in Indonesia, and it contains Alii sativi, Belericae fructus, Curcumae aeroginosae, and Amomi fructus extract. This study aimed to evaluate the effects of poly-herbal tablet on lipid levels in dylipidemia subjects. The study was conducted for 6 weeks on 58 dyslipidemic subjects. The subject was divided into 2 groups. Group 1 was given Poly-herbal with the dose 2x1200 mg, and group 2 was not given anti-dyslipidemic drugs (control group). Serum lipid level (total cholesterol, LDL, HDL, and triglycerides) were checked before the treatment (H0) and after the treatment (M6). There was a significant difference on the reduction of serum lipids level between the group that given Poly-herbal vs control group, respectively total cholesterol (-12.04±3.2 vs 8.38±4.3; p=.000), LDL (-4.42±2.8 vs 6.93±4.7; p=.049) and HDL (-2.62+1.0 vs 3.31+1.4; p=.005). Triglyceride level on Poly-herbal group is not significantly decreased. In Poly-herbal group there was also a decrease in HDL levels which was not statistically significant (-2.62±1, p=.015). This is probably due to the HDL baseline in the control group included in the normal HDL category (57.38 ± 14.9) so that the HDL levels after being given treatment did not increase. This study suggests that using Poly-herbal in dyslipidemia subjects can reduce the level of total cholesterol and LDL.
Keywords
Full Text:
PDFReferences
Adam JMF, Dislipidemia. In: Setiati S, Alwi I, Sudoyo AW, Simadibrata M, Setiyohadi B, Syam AF. (eds.) Ilmu Penyakit Dalam. 6th ed, Jakarta: Interna Publishing; 2014. p. 2549-2558.
Aziz N, Mehmood MH, Gilani AH. Studies on two polyherbal formulations (ZPTO and ZTO) for comparison of their antidyslipidemic, antihypertensive and endothelial modulating activities. BMC Complement Altern Med 2013;13(371):1-9.
Ebrahimi T, Behdad B, Abbasi MA, Rabati RG, Fayyaz AF, Behnod V, et al., High doses of garlic extract significantly attenuated the ratio of serum LDL to HDL level in rat-fed with hypercholesterolemia diet. Diagn Pathol. 2015;10(74).
Ha AW, Ying T, Kim WK. The effects of black garlic (Allium sativum) extracts on lipid metabolism in rats fed a high fat diet. Nutr Res Pract. 2015;9(1):30-36.
Hajar R. Risk factors for coronary artery disease: historical perspectives. Heart Views 2017;18(3):109-114.
Hosseini A, Hosseinzadeh H. A review on the effects of Allium sativum (garlic) in metabolic syndrome. J Endocrinol Invest 2015;38(11):1147-1157.
Hussien ZM, Ahmed LT, Hussain QG. Effect of atorvastatin and Garlic on Lipid Profile in Hyperlipidemic Patients. Diyala Journal of Medicine 2013;5(1):63-68.
Jung ES, Park SH, Choi EK, Ryu BH, Park BH, Kim DS et al., Reduction of blood lipid parameters by a 12-wk supplementation of aged black garlic: A randomized controlled trial. Nutrition 2014;30:1034-1039.
Khoo YSK, Aziz Z. Garlic supplementation and serum cholesterol: a meta analysis. J Clin Pharm Ther 2009;34:133-145.
Lu S, Zhang T, Gu W, Yang X, Lu J, Zhao R et al., Volatile oil of Amomum villosum inhibits nonalcoholic fatty liver disease via the gut-liver axis. BioMed Res Int 2018; 1-16.
Lu Y, He Z, Shen X, Xu X, Fan J, Wu S et al., Cholesterol-lowering effect of allicin on hypercholesterolemic ICR mice. Oxid Med Cell Longev 2012;1-6.
Perez-Torres I, Torres-Narvaez JC, Pedraza-Chaverri J, Rubio-Ruiz ME, Diaz-Diaz E, Del Valle-Mondragon L et.al. Molecules. 2016;21(11).
Ried K, Toben C, Fakler P. Effect of garlic on serum lipids:an updated meta-analysis. Nutr Rev 2013;71(5):282-299.
Ragavan G, Muralidaran Y, Sridharan B, Nachiappa GR, Viswanathan P. Evaluation of oil in nano-emulsified form: Optimization and its efficacy in high-fat diet induced dyslipidemia in wistar rats. Food Chem Toxicol 2017;105:201-213.
Sahebkar A, Serban C, Ursoniu S, Banach M. Effect of garlic on plasma lipoprotein(a) concentrations: A systematic review and meta-analysis of randomized controlled clinical trials. Nutrition 2016;32:33-40.
Saravanan S, Srikumar R, Manikandan S, Parthasarathy NJ, Devi RS. Hypolipidemic effect of Tripala in experimentally induced hypercholesteremic rats. Yakugaku Zasshi 2007;127(2):385-388.
Shaila HP, Udupa SL, Udupa AL. Hypolipidemic activity of three indigenous drug in experimental induced atherosclerosis. Int J Cardiol 1998;67:119-124.
Sobenin IA, Andrianova IV, Demidova ON, Gorchakova T, Orekhov AN. Lipid lowering effects of time-released garlic powder tablets in double-blinded placebo-controlled randomized study. J Atheroscler Thromb 2008;15(6):334-338.
Sun YE, Wang W, Qin J. Anti-hyperlipidemia of garlic by reducing the level of total cholesterol and low-density lipoprotein: a meta analysis. Medicine 2018;97(18):1-8.
Turner B, Molgaard C, Marckmann P. Effect of garlic (allium sativum) powder tablets on serum lipids, blood plessure and arterial stiffness in normo-lipidaemic volunteers: a randomized, double-blind, placebo-controlled trial. Br J Nutr 2004;92:701-706.
Varshney R, Budoff MJ. Garlic and heart disease. J Nutr 2016;146(2):1-6.
World Health Organization. Cardiovascular Disease. Available from: https:// www.who.int/cardiovascular_diseases/en/ [Accessed 1st November 2018].
Zeng T, Zhang CL, Zhao XL, Xie KQ. The roles of Garlic on the lipid parameters: a systematic review of the literature. Crit Rev Food Sci Nutr 2013;53:215-230.
DOI: https://doi.org/10.22146/mot.43108
Article Metrics
Abstract views : 3665 | views : 3136Refbacks
- There are currently no refbacks.
Copyright (c) 2019 Majalah Obat Tradisional
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Faculty of Pharmacy
Universitas Gadjah Mada