Effect of Secang Drink (Caesalpinia Sappan L.) on Plasma Nitric Oxide Level and Blood Pressure in Prehypertension Peoples

Abstract

The is experimental with pre-post test control group design. This study aimed to know the effect of second drink on the plasma NO (Nitric Oxide) level and blood pressure in an officer with prehypertension. The subjects were 36 officers at Balaikota Yogyakarta Indonesia aged 25-45 years that divided into two groups: the intervention group who was given second drink (3.8-gram second in 200 mL of water) for four weeks and a control group who not given second drink. Plasma NO level was measured using the Griess method and blood pressure were measured using a mercury sphygmomanometer. There were no significant differences between intervention and control group (p>0.05) of plasma NO level increase (2.69 (-10.69-25.29) µmol/L versus 2.32(-7.65-18.48) µmol/L), systolic blood pressure decrease (4.20±7.27 mmHg versus 3.95±7.08 mmHg) and diastolic blood pressure decrease (4.99±9.12 mmHg versus 4.46±8.62 mmHg). In summary, secang drink could increase plasma NO level and decrease blood pressure but not significant compared to the control group. Further research is needed to prove this result.



Keywords: prehypertension, secang drink, Caesalpinia sappan L., nitric oxide, blood pressure

References
[1] Widyakarya Nasional Pangan dan Gizi: Angka Kecukupan Gizi Indonesia tahun 2013. Jakarta. Departemen Kesehatan Republik Indonesia. 2013.


[2] Sundari F, Amalia L, Ekawidyani KR: Minuman Cincau Hijau (Premna oblongifolia Merr.) dapat Menurunkan Tekanan Darah pada Wanita Dewasa Penderita Hipertensi Ringan dan Sedang. Jurnal Gizi Pangan. November 2014, 9(3): 203 – 210.


[3] Izzo JL: Prehypertension: Demographics, Pathophysiology, And Treatment. Current Hypertension Report. 2007;9:264-8.


[4] Nirmal, Nilesh P, Rajput, Mithun S, Prasad, Rangabhatla GSV, Ahmad, Mehraj: Brazilin from Caesalpinia Sappan Hearthwood and Its Pharmacological Activities: A Review. Asian Pacific Journal of Tropical Medicine. 2015; 8(6): 421 – 430.


[5] Hu CM, Kang JJ, Lee CC, Li CH, Liao JW, Cheng YW: Induction of Vasorelaxation Through Activation of Nitric Oxide Synthase in Endothelial Cells by Brazilin. European Journal of Pharmacology 468 (2003) 37-45.


[6] Xie YW, Ming DS, Xu HX, Dong H, But PPHB: Vasorelaxing Effects of Caesalpinia sappan Involvement of Endogenous Nitric Oxide. Journal Life Sciences 67. 2000; 1913 – 1918.


[7] Badami S, Moorkoth S, Rai SR, Kannan E, Bhojraj S. Antioxidant Activity Of Caesalpinia sappan Heartwood. Biol Pharm Bull 26. 2003; 1534–1537;.


[8] Farhana H, Maulana IT, Kodir RA: Perbandingan Pengaruh Suhu dan Waktu Perebusan terhadap Kandungan Brazilin pada Kayu Secang (Caesalpinia Sappan L.). Prosiding penelitian SPeSIA Unisba. 2015.


[9] Shin W, Cuong T, Lee JH, Min B, Jeon BH, Lim HK, and Ryoo S: Arginase Inhibition by Ethylacetate Extract of Caesalpinia sappan Lignum Contributes to Activation of Endothelial Nitric Oxide Synthase. Korean J Physiol Pharmacol. 2011; Vol 15: 121-128,.


[10] Cahjono H, Budhiarta AAG: Hubungan Resistensi Insulin dengan kadar Nitric Oxide pada Obesitas Abdominal. Fakultas Kedotekteran Universitas Udayana Denpasar. 2007.


[11] Ghasemi A, Asl SZ, Mehrabi Y, Saadat N, Azizi F: Serum Nitric Oxide Metabolite Levels in General Healthy Population: Relation to Sex and Age. Life Sciences 83. 2008; 326-331.


[12] Sudarma V, Sukmaniah S, Siregar P: Effect of Dark Chocolate on Nitric Oxide Serum Levels and Blood Pressure in Prehypertension Subjects. Acta Med Indones-Indonesia J Intern Med. 2011; Vol 43 No 4.


[13] Sutadarma IWG, Sayogo S, Effendi I: Pengaruh Jus Bayam terhadap Kadar NOX Serum dan Tekanan Darah pada Laki-laki Dewasa Muda. Majalah Kedokteran Indonesia. 2010; Vol. 60; 4, April.


[14] Isral GN, Afriwadi, Sulastri D: Hubungan Aktivitas Fisik dengan Kadar Nitric Oxide (NO) Plasma pada Masyarakat di Kota Padang. Jurnal Kesehatan Andalas. 2014; 3(2).


[15] Yan Y, Chen Y, Lin YH, Guo J, Niu Z, Li L, Wang S, Fang L, Du G: Brazilin Isolated From The Heartwood Of Caesalpinia Sappan L Induces Endothelium-Dependent And -Independent Relaxation Of Rat Aortic Rings. Acta Pharmacologica Sinica.2015; 36: 1318-1326.


[16] Clark JL, Zahradka P, Taylor CG: Nutrition Efficacy Of Flavonoids In The Management Of High Blood Pressure. Reviews Advance Access published October 21, 2015.


[17] Galleano, M., Pechanova, O. & Fraga, Cesar G. Hypertension, Nitric Oxide, Oxidants, and Dietary Plant Polyphenols. Current Pharmaceutical Biotechnology Bentham Science Publishers Ltd; 2010.


[18] Hodgson JM, Puddey IB, Burke V, Watts GF, Beilin LJ: Regular Ingestion Of Black Tea Improves Endothelial Function In Humans. Clinical Science. 2002; 102:195–201.


[19] Routray W, Orsat V: Microwave-assisted extraction of flavonoids: A Review. Food and Bioprocess Technology. 2012; 5, 409-424.


[20] Kaplan, NM, Flynn JT: Kaplan’s Clinical Hypertension: Ninth Edition. Philadelphia: Lippincott Williams & Wilkins. 2006.


[21] Huang, Paul L. eNOS, Metabolic Syndrome and Cardiovascular Disease. Trends in Endocrinology and Metabolism. 2009; Vol. 20 No.6