HEALTH PROMOTION IN NATIVE NORTHEASTERN THAI ELDERLY FEMALES USING GINGER INGESTION AS AN INTERVENTION.pdf

Authors

  • Prapapimon Pariwat Faculty of Applied Science and Engineering, Khon Kaen University
  • Rungchai Chaunchaiyakul College of Sports Science and Technology, Mahidol University
  • Kunanya Masodsai Faculty of Sports Science, Chulalongkorn University

Keywords:

ginger, lipid profile, physical performance, ageing, health promotion

Abstract

           Objective: To evaluate the efficacy of health promotion in native elderly females in Northeastern Thailand by using ginger intake as an intervention. Changes in health-related behavior, basic physical fitness, levels of blood glucose, and lipid profiles are used as indicators. Materials and Methods: A class of health-related education, including health knowledge, services, communication, media,
information, and self-care decisions, was conducted for the native northeastern elderly females of Thailand. Thirty-three elder females, from a Local Health Promotion Hospital (LHPH), voluntarily participated. They were initially tested for basic physical fitness parameters and blood samples. Subjects were then randomly classified as control (C, n = 17) and experimental (E, n =16) groups for a 30-day intervention duration. Initially, both groups were assigned to join a home-based physical activity and health education class. Only the experimental group received ginger powder, 75mg/kg BW/day after breakfast. All subjects were carefully instructed to keep their normal dietary patterns and home-based physical activity during the period of this study. Basic physical fitness parameters, blood samples and health-related behavior questionnaire were collected on the first day after the 30-day intervention. Results: Following the 30-day intervention, only E group showed improvement in health-related knowledge (p<0.05) and self-care decisions (p<0.05) whereas other health-related behaviors remain unchanged. Moreover, the significant reduction in plasma triglycerides (TG; 197.00±80.38 and 146.06±74.67 of Day0 and Day 30, respectively) but not on other lipid and glucose levels, and physical fitness parameters. Conclusion: Health-related instruction could promote better self-care knowledge and behaviors while ginger might possibly be used as one of the strategic health promotion tool by its blood triglycerides lowering effect.
(Journal of Sports Science and Technology 2020; 20(2):8-17) 
(Received: 16 April 2020, Revised: 21June 2020, Accepted: 24 June 2020)
Keywords: Ginger, lipid profile, physical performance, ageing, health promotion.
*Corresponding author
Kunanya Masodsai, Ph.D.
Faculty of Sports Science, Chulalongkorn University Rama 1 Rd., Wangmai, Pathumwan, Bangkok 10330
Tel: +6622181025 Fax: +6622181035 Email: [email protected]

References

1. Boerma T, Eozenou P, Evans D, Evans T, Kieny MP, Wagstaff A. Monitoring progress towards universal health coverage at country and global levels. PLoS Med. 2014;11(9):e1001731.
2. Sasat S, Bowers BJ. Spotlight Thailand. Gerontologist. 2013;53(5):711-7.
3. Danaei G, Finucane MM, Lu Y, Singh GM, Cowan MJ, Paciorek CJ, et al. National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants. Lancet. 2011;378(9785):31-40.
4. Maticka-Tyndale E, Haswell-Elkins M, Kuyyakanond T, Kiewying M, Elkins D. A research-based HIV intervention in northeast Thailand. Health Transit Rev. 1994;4 Suppl:349-67.
5. Aekplakorn W, Chariyalertsak S, Kessomboon P, Sangthong R, Inthawong R, Putwatana P, et al. Prevalence and management of diabetes and metabolic risk factors in Thai adults: the Thai National Health Examination Survey IV, 2009. Diabetes Care. 2011;34(9):1980-5.
6. Senarak W, Chirawatkul S, Markovic M. Health promotion for middle-aged Isan women, Thailand: a participatory approach. Asian Pac J Cancer Prev. 2006;7(1):55-9.
7. Chirawatkul S, Patanasri K, Koochaiyasit C. Perceptions about menopause and health practises among women in northeast Thailand. Nurs Health Sci. 2002;4(3):113-21.
8. Ali BH, Blunden G, Tanira MO, Nemmar A. Some phytochemical, pharmacological and toxicological properties of ginger (Zingiber officinale Roscoe): a review of recent research. Food Chem Toxicol. 2008;46(2):409-20.
9. Dugasani S, Pichika MR, Nadarajah VD, Balijepalli MK, Tandra S, Korlakunta JN. Comparative antioxidant and anti-inflammatory effects of [6]-gingerol, [8]-gingerol, [10]-gingerol and [6]-shogaol. J Ethnopharmacol. 2010;127(2):515-20.
10. Bartels EM, Folmer VN, Bliddal H, Altman RD, Juhl C, Tarp S, et al. Efficacy and safety of ginger in osteoarthritis patients: a meta-analysis of randomized placebo-controlled trials. Osteoarthritis Cartilage. 2015;23(1):13-21.
11. Kumar SS, K.; Singh, U.; Sexena, R.R. Anti-inflammatory action of ginger: a critical review in anemia of inflammation and its future aspects. International Journal of Herbal Medicine 2013;1(4):16-20.
12. Cohen RJ, Ek K, Pan CX. Complementary and alternative medicine (CAM) use by older adults: a comparison of self-report and physician chart documentation. J Gerontol A Biol Sci Med Sci. 2002;57(4):M223-7.
13. Ernst E, Pittler MH. Efficacy of ginger for nausea and vomiting: a systematic review of randomized clinical trials. Br J Anaesth. 2000;84(3):367-71.
14. Saravanan G, Ponmurugan P, Deepa MA, Senthilkumar B. Anti-obesity action of gingerol: effect on lipid profile, insulin, leptin, amylase and lipase in male obese rats induced by a high-fat diet. J Sci Food Agric. 2014;94(14):2972-7.
15. Narongchai P, Narongchai S. Study of the normal internal organ weights in Thai population. J Med Assoc Thai. 2008;91(5):747-53.
16. Manasatchakun P, Chotiga P, Roxberg A, Asp M. Healthy ageing in Isan-Thai culture--A phenomenographic study based on older persons' lived experiences. Int J Qual Stud Health Well-being. 2016;11:29463.
17. Kotruchin P, Mitsungnern T, Ruangsaisong R, Imoun S, Pongchaiyakul C. Hypertensive Urgency Treatment and Outcomes in a Northeast Thai Population: The Results from the Hypertension Registry Program. High Blood Press Cardiovasc Prev. 2018;25(3):309-15.
18. Woodham N, Taneepanichskul SS, R. , Auamkul N. Medication adherence and associated factors among elderly hypertension patients with uncontrolled blood pressure in rural area, Northeast Thailand. . Journal of Health Research. 2018;32(6):449-58.
19. Abel T, Hofmann K, Ackermann S, Bucher S, Sakarya S. Health literacy among young adults: a short survey tool for public health and health promotion research. Health Promot Int. 2015;30(3):725-35.
20. Ong HL, Abdin E, Chua BY, Zhang Y, Seow E, Vaingankar JA, et al. Hand-grip strength among older adults in Singapore: a comparison with international norms and associative factors. BMC Geriatr. 2017;17(1):176.
21. Wisniowska-Szurlej A, Cwirlej-Sozanska A, Woloszyn N, Sozanski B, Wilmowska-Pietruszynska A. Association between Handgrip Strength, Mobility, Leg Strength, Flexibility, and Postural Balance in Older Adults under Long-Term Care Facilities. Biomed Res Int. 2019;2019:1042834.
22. Thaweewannakij T, Wilaichit S, Chuchot R, Yuenyong Y, Saengsuwan J, Siritaratiwat W, et al. Reference values of physical performance in Thai elderly people who are functioning well and dwelling in the community. Phys Ther. 2013;93(10):1312-20.
23. American Thoracic Society. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166(1):111-7.
24. Khongsri N, Tongsuntud S, Limampai P, Kuptniratsaikul V. The prevalence of sarcopenia and related factors in a community-dwelling elders Thai population. Osteoporos Sarcopenia. 2016;2(2):110-5.
25. Kim HJ, Kim B, Mun EG, Jeong SY, Cha YS. The antioxidant activity of steamed ginger and its protective effects on obesity induced by high-fat diet in C57BL/6J mice. Nutr Res Pract. 2018;12(6):503-11.
26. Arablou T, Aryaeian N, Valizadeh M, Sharifi F, Hosseini A, Djalali M. The effect of ginger consumption on glycemic status, lipid profile and some inflammatory markers in patients with type 2 diabetes mellitus. Int J Food Sci Nutr. 2014;65(4):515-20.
27. Mahluji S, Attari VE, Mobasseri M, Payahoo L, Ostadrahimi A, Golzari SE. Effects of ginger (Zingiber officinale) on plasma glucose level, HbA1c and insulin sensitivity in type 2 diabetic patients. Int J Food Sci Nutr. 2013;64(6):682-6.
28. Bordia A, Verma SK, Srivastava KC. Effect of ginger (Zingiber officinale Rosc.) and fenugreek (Trigonella foenumgraecum L.) on blood lipids, blood sugar and platelet aggregation in patients with coronary artery disease. Prostaglandins Leukot Essent Fatty Acids. 1997;56(5):379-84.
29. Shirdel Z Mirbadalzadeh R, Madani H. Antidiabetic and antilipidemic effect of ginger in alloxan monohydrate diabetic rats in comparison with glibenclamide. . Iran J Diabetes Lipid Disord 2009;9:7-15.
30. Gao H, Guan T, Li C, Zuo G, Yamahara J, Wang J, et al. Treatment with ginger ameliorates fructose-induced Fatty liver and hypertriglyceridemia in rats: modulation of the hepatic carbohydrate response element-binding protein-mediated pathway. Evid Based Complement Alternat Med. 2012;2012:570948.

Downloads

Published

2020-09-12

Issue

Section

Articles