ABSTRAKHiperkolesterolemia adalah peningkatan kadar kolesterol dalam darah diatas nilai
normal. Angka kejadian hiperkolesterolemia akan terus bertambah seiring dengan
meningkatnya pola hidup tidak sehat seperti kebiasaan merokok, obesitas, kurang
berolahraga, dan asupan makanan tinggi lemak. Tanaman mengkudu (Morinda
citrifolia L.) adalah salah satu tanaman yang buahnya dapat menurunkan kadar
kolesterol total dan kolesterol LDL melalui penghambatan aktivitas HMG Co-A
reductase yang sudah diteliti pada tikus.
Penelitian bertujuan untuk membuktikan efek menurunkan kadar kolesterol total dan
kolesterol LDL pada pasien hiperkolesterolemia. Metode penelitian menggunakan
desain double blind randomized controlled trial pada 60 pasien. Pasien dibagi dua
kelompok sama banyak menjadi kelompok perlakuan (kapsul ekstrak buah M. citrifolia)
dan kelompok kontrol (plasebo) serta mendapat 3x2 kapsul sehari selama 21 hari. Hasil
penelitian menunjukkan kapsul ekstrak buah M. citrifolia pada kelompok perlakuan
secara bermakna menurunkan kadar kolesterol total dan kolesterol LDL (p<0,05) dalam
waktu dua minggu dibandingkan kelompok kontrol. Faktor umur, indeks massa tubuh,
olahraga, pola makan, dan kebiasaan merokok pada pasien kelompok perlakuan secara
bermakna (p<0,05) bermanfaat dalam penurunan kadar kolesterol total. Kapsul ekstrak
buah M. citrifolia memiliki efek menurunkan kadar kolesterol total dan kolesterol LDL
pada pasien hiperkolesterolemia.
ABSTRACTHypercholestrolemia is characterized by elevated blood cholesterol level above normal
values. The incidence of hypercholesterolemia will continue to grow unanymous as the
unhealthy lifestyle such as smoking, obesity, lack of exercise, and high fat diet increased.
Morinda citrifolia L. is one of many kind of plant which its fruit could decrease total
cholesterol and LDL-cholesterol by detaining cholesterol biosynthesis through the
activity of HMG Co-A reductase which has been studied in mouse.
This study has a purpose to prove the reducing effect in total cholesterol and
LDL-cholesterol in hypercholesterolemia patients. This study design used double blind
randomized controlled trial of 60 patients. Patients were divided into same number,
including the intervention group (M. Citrifolia fruit extract capsule) and the control
group (placebo) that received 2 capsules 3 times daily for 21 days. The result showed the
M. citrifolia fruit extract capsule in the intervention group significantly could decrease
total cholesterol and LDL-cholesterol (p<0,05) in two weeks compared to the control
group. The age, body mass index, exercise, diet, and smoking habits of patients in
intervention group has significant effect in decreasing total cholesterol. M. citrifolia fruit
extract capsules has the reducing effect in total cholesterol and LDL-cholesterol in
hypercholesterolemia patients.