Effects of Centella asiatica L. Capsul on Muscle Disfunction on Elderly People

https://doi.org/10.22146/mot.37990

I Dewa Putu Pramantara(1*), Nyoman Nyoman Kertia(2), Mae Sri Hartati Wahyuningsih(3), Nur Arfian(4)

(1) 1) Department of Internal Medicine, Faculty of Medicine, Universitas Gadjah Mada 2) Pusat Kedokteran Herbal, Faculty of Medicine, Universitas Gadjah Mada
(2) 1) Department of Internal Medicine, Faculty of Medicine, Universitas Gadjah Mada 2) Pusat Kedokteran Herbal, Faculty of Medicine, Universitas Gadjah Mada
(3) 1) Department of Pharmacology and Therapy, Faculty of Medicine, Universitas Gadjah Mada 2) Pusat Kedokteran Herbal, Faculty of Medicine, Universitas Gadjah Mada
(4) 1) Department of Anatomy, Faculty of Medicine, Universitas Gadjah Mada 2) Pusat Kedokteran Herbal, Faculty of Medicine, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Pegagan (Centella asiatica L) has been traditionally used to treat wounds, disordered nerve system, blood circulation, and prevent muscle disorders. Extract of Pegagan was considered safe and non-toxic as the acuut and chronic toxicity tests on male SD rats were not significant. It meant that further study was potential to be proceeded. Study of C.asiatica on muscle function of the elderly has not been done, therefore this study is aimed to observe  effects of C.asiatica extract on muscle masses, holding hands, walking speed (4.57 meter), walking test (6 minutes), and Time Up and Go test of the elderly. This study is designed for clinical double blind study with 2 groups of people, these are C. asiatica (18 people) treated with capsul (550 mg C. asiatica extract/day for 90 days) and placebo (17 people). This study is performed in the RSUP Dr. Sardjito hospital at the geriatric division. Subjects for this study were healthy elderly people and fit with the criteria of subjects for experiment. Result of the study, muscle masses do not decrease and all the measurements are not different with that of placebo. Except that the walking speed (6 minutes) of the treated subjects is better than that of the placebo. The conclusion of the study, the capsul containing C. asiatica extract (550 mg, once a day for 90 days) increases the strengh of hands holding, and the walking test (6 minutes) almost twice better than that of the placebo although the muscle masses does not increase significantly.


Keywords


Centella asiatica L; lanjut usia; Relawan Sehat; Massa dan Kekuatan Otot.

Full Text:

PDF


References

Badan Pusat Statistik, 2013, Proyeksi Penduduk Indonesia 2010-2035, Jakarta Indonesia.

Brown, M., 2012, The Physiology of Age-Related and Lifestyle-Related Decline dalam A.A. Guccione, R.A. Wong, and D. Avers (Eds) : Geriatric Physical Therapy 3rd Ed. Elsevier USA pp. 27-37.

Cuthbertson, D., Smith, K., Babraj, J., Leese, G. et al., 2005, Anabolic signaling deficits underlie amino acid resistance of wasting aging muscle, The FASEB J 19: 422-424.


Deshpande, P.O., Mohan, V., Thakurdesai P., 2-15, Preclinical Safety Assessment of Standardized Extract of Centella asiatica (L.) Urban Leaves, Toxicol Int. 22(1): 10–20. doi: 10.4103/0971-6580.172251

Gariballa, S., 2011, Aging and the Elderly dalam C. Geissler & H. Powers (Eds): Human Nutrition 12th Ed. Churchill Lvingstone, Edinburg pp. 337-353

Harris, J.A.& Benedict, FG., 1919, A Biometric Study of Human Basal Metabolism, Proc Natl Acad Sci U S A. 1918 Dec;4(12):370-3.

Kirkwood, T.B.L., 2017, Evolution Theory and The Mechanisms of Aging dalam H.M. Fillit, K. Rockwood and J. Young (Eds) : Brocklehurst’s Textbook of Geriatric Medicine and Gerontology 8th Ed. Elsevier, Philadelphiapp. 22-26.

Manini, T.M. & Clark, B.C., 2012, Dynapenia and Aging: An Update J.of Gerontology. A Biol Sci Med Sci 67A(1): 28-40.

Mato L., Wattanathorn J., Muchimapura S., Tongun T., Piyawatkul N., Yimtae K., Thanawirattananit, P., Sripanidkulchai, B., 2009, Centella asiatica Improves Physical Performance and Health-Related Quality of Life in Healthy Ederly Volunteer, Evidence-Based Complementary & Alternative Medicine vol. 2011 pp. 1-7

Nair, K.S., 2005, Aging muscle, Am J Clin Nutri. 81: 953-963

Praptiwi, Wulansari D., Chairul, 2010,Efek toksisitas ekstrak pegagan (Centella asiatica Linn.) pada organ dan jaringan mencit (Mus musculus),Majalah Farmasi Indonesia, 21(1): 40 – 47.

Tieland, M., Van de Rest, O., Dirks, M.L., Van de Zwaluw, N., Mensink, M., Van Loon, L.J. and de Groot, L.C., 2012, Protein Supplementation Improves Physical Performance in Frail Elderly People: a Randomized, Double Blind, Placebo- Controlled trial, J. Am Med Dir Assoc. 13: 720-726.

Volpi, E., Nazemi, R., Fujita, S., 2004, Muscle tissue changes with aging Curr Opin Clin Nutr Metab Care 7: 405-410.

Wolfe, R.R., 2006,The underappreciated role of muscle in health and disease, Am J Clin Nutr. 84: 475-482.

World Health Organization 1989 Health of the Elderly, Geneva.





DOI: https://doi.org/10.22146/mot.37990

Article Metrics

Abstract views : 2320 | views : 15825

Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 Majalah Obat Tradisional

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

©Majalah Obat Tradisional (Traditional Medicine Journal)
 ISSN 2406-9086
Faculty of Pharmacy
Universitas Gadjah Mada