Guava Juice Reduces Cholesterol Level for Elderly with Hypertension

Citation for this: Afitasari, D R, Yusuf Ah., Efendi F. 2010.  Guava Juice Reduces Cholesterol Level for Elderly with Hypertension. Jurnal Ners Vol. 5 No. 1 April 2010: 10–14

Introduction: Hypertensive disease is closely related to high cholesterol level, which may act as one of causes of death in elderly. The objective of this study was to analyze the effect of guava juice on the reduction of cholesterol level of hypertensive elderly at Community Health Center, Pacar Keling, Surabaya. Method: Quasy–experimental was used in this study. Sample comprised of 14 respondents who met the inclusion criteria. The independent variable was guava juice and the dependent variable was cholesterol level. Data were collected using questionnaire and observation. Data were analyzed by Paired t–Test and Independent t–Test with signifi cance level of ? < 0.05. Result: The result showed that guava juice gave a signifi cant effect to cholesterol level of elderly with hypertension (p = 0.000). Discussion: It can be concluded that guava juice can reduce cholesterol level in elderly with hypertension. The reduction of cholesterol level may result from vitamin C, pectin, and potassium contained in guava juice, which have effect on cholesterol regulation in the body. Guava juice can be provided as daily diet for elderly. Further studies are suggested to investigate other variables, such as diet consumed, age, activity, and obesity.
Keywords: guava juice, cholesterol, elderly, hypertensive elderly

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Suami SIAGA: male engagement in maternal health in Indonesia

 2017 Oct 1;32(8):1203-1211. doi: 10.1093/heapol/czx073.

Suami SIAGA: male engagement in maternal health in Indonesia.

Author information

Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Center for Planning and Management of Human Resources for Health, BPPSDMK, Ministry of Health, Indonesia.
Department of Nursing, Institute of Gerontology, Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Mental Health and Community Health Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
Department of Public Health, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Institute of Statistics (STIS), BPS-Statistics of Indonesia, Jakarta, Indonesia.


Suami SIAGA, which translates literally as the ‘alert husband’, is a national campaign that was created in early 2000 to promote male participation in maternal and child health program in Indonesia. The purpose of this study was to identify the proportion of men who took part in Suami SIAGA and the factors associated with their participation using the 2012 Indonesia Demographic and Health Survey (IDHS). This study also examined the relationship between Suami SIAGA and the following results related to the national campaign: the presence of husbands at antenatal care (ANC) units and the place of delivery at health facilities. Data on the characteristics of husbands and wives, as well as other related factors, the perceived elements of Suami SIAGA, and the national campaign outcomes were obtained from a total of 1256 eligible male subjects, drawn from the matched couples’ data set. The data was analysed using bivariate and multiple logistic regression to test the associations. This study found that 86% of the respondents were categorised as SIAGA husbands. After controlling all the variables, age and education of wife factors were significantly associated with Suami SIAGA, especially in the group of women aged 41-49 years old (OR = 2.4, 95% CI: 1.1-5.5) and women with a secondary level of education (OR = 1.8, 95% CI: 1.2-2.7) and higher (OR = 2.8, 95% CI: 1.4-5.6). SIAGA husbands were more likely to attend their wives’ ANC (OR = 2.3; 95% CI: 1.4-3.7). This study provides evidence on the benefit of husband involvement in maternal health, especially to improve ANC attendance. Empowering women themselves should also be addressed in leveraging the impact of Suami SIAGA.


Indonesia; Suami SIAGA; male engagement; maternal health

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A deskilling and challenging journey: the lived experience of Indonesian nurse returnees