Main Article Content
Abstract
Purpose: This study aimed to evaluate the effects of sweet starfruit juice and honey on blood pressure in menopausal women, hypothesizing a significant reduction in both systolic and diastolic readings.
Research Design and Methodology: A pre-experimental design with pre-test and post-test assessments was used, involving 40 menopausal women from Kediri City, Indonesia. Participants consumed the juice and honey combination daily for one week. Blood pressure measurements were taken before and after the intervention. The Shapiro-Wilk test assessed data normality, and the Wilcoxon non-parametric test evaluated the significance of changes.
Findings and Discussion: The study found significant reductions in blood pressure, with mean systolic decreasing from 146.25 mmHg to 133.75 mmHg and mean diastolic from 95.00 mmHg to 86.25 mmHg. The results support the hypothesis that this natural intervention effectively manages hypertension, attributed to the bioactive compounds in the juice and honey that promote cardiovascular health.
Implications: The findings suggest incorporating sweet starfruit juice and honey into dietary recommendations as a complementary treatment for hypertension in menopausal women. Further research is needed to explore long-term effects, broader applicability, and comparative efficacy with other treatments.
Keywords
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
References
- Bruno, R. M., & Stea, F. (2018). Vascular aging and hypertension: The role of oxidative stress and inflammation. Journal of Hypertension, 36(6), 1122-1129.
- Gupta, R., & Gaur, K. (2019). Hypertension in menopause: Challenges and management. Journal of Clinical Hypertension, 21(6), 976-984.
- He, F. J., & MacGregor, G. A. (2020). Salt reduction to prevent hypertension: A systematic review and meta-analysis. Journal of Hypertension, 38(6), 1101-1109.
- Intanwidya, A. (2015). Potential of Starfruit (Averrhoa carambola) Juice in Lowering Blood Pressure: A Systematic Review. Asian Journal of Clinical Nutrition, 7(4), 154-160.
- Kar, A., & Choudhary, B. K. (2021). A review on the role of dietary calcium and magnesium in the management of hypertension. Journal of Human Hypertension, 35(3), 207-214.
- Khan, N., & Mukhtar, H. (2019). Herbal treatments for hypertension: The scientific evidence. Journal of Hypertension, 37(5), 869-879.
- Kim, J. H., & Kang, D. (2019). Effect of potassium intake on blood pressure in adults: A meta-analysis. Nutrition Reviews, 77(10), 704-714.
- Malik, V. S., & Hu, F. B. (2020). Sugar-sweetened beverages and risk of hypertension and obesity: A systematic review and meta-analysis. Circulation, 142(5), 273-284.
- Mancia, G., & Grassi, G. (2018). The role of sympathetic nervous system in hypertension and metabolic syndrome. Journal of Hypertension, 36(6), 1110-1115.
- Martins, D., & Norris, K. (2020). Hypertension among postmenopausal women: A systematic review. Journal of Hypertension, 38(1), 53-59.
- Mohan, V., & Deepa, M. (2018). The epidemiology of hypertension in India: The need for comprehensive management programs. Hypertension Research, 41(3), 215-227.
- Ostfeld, R. J., & Miller, D. S. (2019). Plant-based diets and hypertension: Pathways to health. Journal of Geriatric Cardiology, 16(4), 210-215.
- Patel, S., & Mandal, A. K. (2021). Honey as a therapeutic agent for managing cardiovascular diseases: Mechanisms and molecular targets. Frontiers in Pharmacology, 12, 656812.
- Peterson, J., & Simmonds, M. S. (2018). The role of honey in preventing and managing hypertension: A review. Journal of Medicinal Food, 21(4), 375-386.
- Rhee, M. Y., & Na, S. H. (2021). The impact of postmenopausal hormonal changes on hypertension and cardiovascular health: A focused review. Menopause Review, 20(1), 16-22.
- Siddiqui, M. W., & Fidalgo, I. P. (2020). Exploring the synergistic effects of fruit juices and honey in managing cardiovascular diseases. Nutrition & Food Science, 50(5), 865-878.
- Singh, R. B., & Fedacko, J. (2018). Nutritional approaches to control hypertension in the elderly. Nutritional Neuroscience, 21(4), 291-299.
- Tiwari, U., & Cummins, E. (2020). Functional and bioactive properties of honey: A review. Food & Function, 11(8), 7448-7460.
- Virdis, A., Taddei, S., & Ghiadoni, L. (2020). Hypertension and menopause: Pathophysiology and treatment. American Journal of Hypertension, 33(7), 559-570.
- Zeng, C., & Li, X. (2020). Flavonoids in hypertension management: Mechanisms and clinical evidence. Nutrition & Metabolism, 17(1), 28-36.
References
Bruno, R. M., & Stea, F. (2018). Vascular aging and hypertension: The role of oxidative stress and inflammation. Journal of Hypertension, 36(6), 1122-1129.
Gupta, R., & Gaur, K. (2019). Hypertension in menopause: Challenges and management. Journal of Clinical Hypertension, 21(6), 976-984.
He, F. J., & MacGregor, G. A. (2020). Salt reduction to prevent hypertension: A systematic review and meta-analysis. Journal of Hypertension, 38(6), 1101-1109.
Intanwidya, A. (2015). Potential of Starfruit (Averrhoa carambola) Juice in Lowering Blood Pressure: A Systematic Review. Asian Journal of Clinical Nutrition, 7(4), 154-160.
Kar, A., & Choudhary, B. K. (2021). A review on the role of dietary calcium and magnesium in the management of hypertension. Journal of Human Hypertension, 35(3), 207-214.
Khan, N., & Mukhtar, H. (2019). Herbal treatments for hypertension: The scientific evidence. Journal of Hypertension, 37(5), 869-879.
Kim, J. H., & Kang, D. (2019). Effect of potassium intake on blood pressure in adults: A meta-analysis. Nutrition Reviews, 77(10), 704-714.
Malik, V. S., & Hu, F. B. (2020). Sugar-sweetened beverages and risk of hypertension and obesity: A systematic review and meta-analysis. Circulation, 142(5), 273-284.
Mancia, G., & Grassi, G. (2018). The role of sympathetic nervous system in hypertension and metabolic syndrome. Journal of Hypertension, 36(6), 1110-1115.
Martins, D., & Norris, K. (2020). Hypertension among postmenopausal women: A systematic review. Journal of Hypertension, 38(1), 53-59.
Mohan, V., & Deepa, M. (2018). The epidemiology of hypertension in India: The need for comprehensive management programs. Hypertension Research, 41(3), 215-227.
Ostfeld, R. J., & Miller, D. S. (2019). Plant-based diets and hypertension: Pathways to health. Journal of Geriatric Cardiology, 16(4), 210-215.
Patel, S., & Mandal, A. K. (2021). Honey as a therapeutic agent for managing cardiovascular diseases: Mechanisms and molecular targets. Frontiers in Pharmacology, 12, 656812.
Peterson, J., & Simmonds, M. S. (2018). The role of honey in preventing and managing hypertension: A review. Journal of Medicinal Food, 21(4), 375-386.
Rhee, M. Y., & Na, S. H. (2021). The impact of postmenopausal hormonal changes on hypertension and cardiovascular health: A focused review. Menopause Review, 20(1), 16-22.
Siddiqui, M. W., & Fidalgo, I. P. (2020). Exploring the synergistic effects of fruit juices and honey in managing cardiovascular diseases. Nutrition & Food Science, 50(5), 865-878.
Singh, R. B., & Fedacko, J. (2018). Nutritional approaches to control hypertension in the elderly. Nutritional Neuroscience, 21(4), 291-299.
Tiwari, U., & Cummins, E. (2020). Functional and bioactive properties of honey: A review. Food & Function, 11(8), 7448-7460.
Virdis, A., Taddei, S., & Ghiadoni, L. (2020). Hypertension and menopause: Pathophysiology and treatment. American Journal of Hypertension, 33(7), 559-570.
Zeng, C., & Li, X. (2020). Flavonoids in hypertension management: Mechanisms and clinical evidence. Nutrition & Metabolism, 17(1), 28-36.
