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Mekanisme Sinergis Ekstrak Etanol Serai dan Slow Interval Training terhadap Leptin, MDA, dan Histologi Adiposit pada Obesitas: Narrative Review Raudhatul Jannah; Yetty Machrina; Dwi Rita Anggraini
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56975

Abstract

Abstrak Latar Belakang: Obesitas merupakan faktor risiko utama sindrom metabolik yang berhubungan erat dengan stres oksidatif, resistensi leptin, dan remodeling jaringan adiposa. Kombinasi terapi herbal—khususnya ekstrak etanol serai (Cymbopogon citratus)—dan latihan fisik terstruktur berpotensi mengatasi disregulasi metabolik tersebut secara sinergis. Namun, bukti ilmiah mengenai mekanisme biologis kombinasi keduanya masih sangat terbatas. Tujuan: Review ini bertujuan menganalisis secara kritis jalur mekanistik efek kombinasi ekstrak etanol C. citratus dan slow interval training terhadap kadar serum leptin, kadar MDA, dan gambaran histologi sel adiposit pada model obesitas. Metode: Narrative review sistematis terhadap 28 artikel dari database Scopus, PubMed, ScienceDirect, dan Google Scholar (2020–2025), menggunakan kata kunci terstruktur dan kriteria inklusi–eksklusi ketat. Hasil dan Pembahasan: C. citratus mengandung senyawa bioaktif (citral, geraniol, limonene) yang terbukti menghambat peroksidasi lipid, menurunkan ekspresi TNF-α dan IL-6, serta memodulasi jalur PPARγ-adipogenesis. Slow interval training pada intensitas 50–70% HRmax mengaktifkan jalur AMPK-PGC1α, meningkatkan lipolisis, dan memperbaiki sensitivitas reseptor leptin (LepRb) melalui regulasi SOCS3. Secara sinergis, kombinasi keduanya diduga bekerja melalui reduksi stres oksidatif → normalisasi sinyal JAK2/STAT3 → pemulihan sensitivitas leptin → remodeling histomorfometri adiposit. Kesimpulan: Kombinasi C. citratus dan slow interval training memiliki potensi sinergis yang secara mekanistik dapat menurunkan MDA, memulihkan sensitivitas leptin, dan memperbaiki morfologi adiposit pada kondisi obesitas Kata Kunci: Cymbopogon citratus; leptin; malondialdehyde; slow interval training; adiposit; obesitas; stres oksidatif
Education and socialization of fast food negative impacts in preventing dysmenorrhea on adult women at Prof. Dr. Chairuddin P. Lubis Hospital, Medan, North Sumatra community Venessa Wongso; Maya Savira; Eka Roina Megawati; Dedi Ardinata; Milahayati Daulay; Nuraiza Meutia; Yetty Machrina; Selly Azmeila
Journal of Saintech Transfer Vol. 8 No. 2 (2025): Journal of Saintech Transfer
Publisher : Talenta Publisher Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jst.v8i2.20121

Abstract

Dysmenorrhea is a burden on women's health in the world due to its high prevalence. Dysmenorrhea is often associated with several risk factors, one of which is eating habits. The consumption of fast food, which has become a habit of people in the era of globalization, is reported to affect the incidence and intensity of dysmenorrhea. This Community Service aims to socialize the composition and nutritional value of healthy food, the composition and nutritional value of fast food, dysmenorrhea and how it affects daily life as well as the effect of excessive consumption of fast food on dysmenorrhea in the community which was carried out at Prof. Dr. Chairuddin P. Lubis Hospital, Medan, North Sumatra. This community service activity consists of two stages, namely providing education in the form of posters containing material and questions and answers or discussions on related health topics, then handing over the material to the community to be able to practice the knowledge gained so that people's knowledge increases and can be applied to daily life, with the hope that in the future dysmenorrhea disorders caused by excessive fast food intake which causes limitations In carrying out daily activities can be avoided and no longer become one of the largest contributors to health problems in the world and no longer a burden to women's health in the world.