Effect of ginger kombucha consumption on blood pressure in patients with essential hypertension

Herianto Bangun* -  Undergraduate Nursing Study Program, STIKes Arta Kabanjahe, Karo Regency, North Sumatra, Indonesia
Hartaulina Saragih -  Undergraduate Nursing Study Program, STIKes Arta Kabanjahe, Karo Regency, North Sumatra, Indonesia

Essential hypertension remains a major global public health problem that requires effective non-pharmacological management strategies. Fermented functional beverages rich in antioxidants, such as ginger kombucha, have been proposed as potential complementary interventions for blood-pressure control. This study aimed to evaluate the effects of ginger kombucha consumption on blood pressure in patients with essential hypertension. A quasi-experimental pretest–posttest control group design was conducted involving 62 patients with hypertension at Medan Adventist Hospital, Indonesia, in April 2025. Participants were allocated to an intervention group (n = 31), which consumed 200 mL ginger kombucha twice daily for 14 days, and a control group (n = 31), which received no intervention. Blood pressure was measured using a standardized digital sphygmomanometer. Data were analyzed using paired and independent t-tests. The intervention group demonstrated a significant reduction in both systolic and diastolic blood pressure, with mean decreases of 16.2 mmHg and 10.1 mmHg, respectively (p < 0.001), whereas the changes in the control group were not statistically significant. Between-group comparisons showed significantly greater reductions in blood pressure in the intervention group (p < 0.05), indicating a clinically meaningful effect over a short period. In conclusion, ginger kombucha consumption significantly reduced blood pressure in patients with essential hypertension and may serve as a complementary non-pharmacological strategy for hypertension management. Ethical approval was obtained prior to data collection, and all the participants provided written informed consent.

Keywords : Blood pressure, fermented beverages, hypertension, kombucha, ginger (Zingiber officinale)

  1. Anantachoke, N., Duangrat, R., Sutthiphatkul, T., Ochaikul, D., & Mangmool, S. (2023). Kombucha Beverages Produced from Fruits, Vegetables, and Plants: A Review on Their Pharmacological Activities and Health Benefits. Foods, 12(9), 1818. https://doi.org/10.3390/foods12091818
  2. Annisa, A. savira, Khairani, K., & Nurhasanah, N. (2024). Nursing Care for the Elderly with Hypertension. Indonesian Journal of Health Science, 4(6), 640–646. https://doi.org/10.54957/ijhs.v4i6.1083
  3. Asseggaf, S. N. Y. R. S., Zakiah, M., Ulfah, R., & Putri, T. H. (2024). Blood Pressure Control Education Program, How to Properly Use Antihypertensive Medications and Self-Management for Prolanis Participants with Interactive Lectures at the Kampung Dalam Community Health Center. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 7(8), 3641–3652. https://doi.org/10.33024/jkpm.v7i8.15770
  4. Bellassoued, K., Ghrab, F., Makni-Ayadi, F., Pelt, J. Van, Elfeki, A., & Ammar, E. (2015). Protective Effect of Kombucha on Rats Fed a Hypercholesterolemic Diet is Mediated by Its Antioxidant Activity. Pharmaceutical Biology, 53(11), 1699–1709. https://doi.org/10.3109/13880209.2014.1001408
  5. Bulto, L. N., Roseleur, J., Noonan, S., Pinero de Plaza, M. A., Champion, S., Dafny, H. A., Pearson, V., Nesbitt, K., Gebremichael, L. G., Beleigoli, A., Gulyani, A., Schultz, T., Hines, S., Clark, R. A., & Hendriks, J. M. (2024). Effectiveness of Nurse-Led Interventions Versus Usual Care to Manage Hypertension and Lifestyle Behaviour: a Systematic Review and Meta-Analysis. European Journal of Cardiovascular Nursing, 23(1), 21–32. https://doi.org/10.1093/eurjcn/zvad040
  6. Cardoso, R. B., Caldas, C. P., Brandão, M. A. G., Souza, P. A. de, & Santana, R. F. (2022). Healthy Aging Promotion Model Referenced in Nola Pender’s Theory. Revista Brasileira de Enfermagem, 75(1). https://doi.org/10.1590/0034-7167-2020-0373
  7. Chou, Y.-C., Lin, H.-W., Wang, C.-Y., Hsieh, C.-C., Santoso, S. P., Lin, S.-P., & Cheng, K.-C. (2024). Enhancing Antioxidant Benefits of Kombucha Through Optimized Glucuronic Acid by Selected Symbiotic Fermentation Culture. Antioxidants, 13(11), 1323. https://doi.org/10.3390/antiox13111323
  8. Ekayanti, E., & Nurfitriani, D. (2025). Comparison of Starfruit Extract (Averrhoa Bilimbi L) and Ginger Extract (Singiber Officianale Rosc) on Reducing Blood Pressure in Pregnant Women at the Tanti Kirana Main Clinic in Rangkasbitung. MAHESA : Malahayati Health Student Journal, 5(2), 534–541. https://doi.org/10.33024/mahesa.v5i2.16646
  9. Elkhtab, E., El-Alfy, M., Shenana, M., Mohamed, A., & Yousef, A. E. (2017). New Potentially Antihypertensive Peptides Liberated in Milk During Fermentation with Selected Lactic Acid Bacteria and Kombucha Cultures. Journal of Dairy Science, 100(12), 9508–9520. https://doi.org/10.3168/jds.2017-13150
  10. Febianti, Z., Wahyudi, M. S. S., & Abrori, C. (2022). Factors Associated with Hypertension: A Cross-sectional Study in the Rural Area of Klakah, Lumajang, East Java. Jurnal Kesmas Untika Luwuk : Public Health Journal, 13(1), 12–19. https://doi.org/10.51888/phj.v13i1.102
  11. Fraiz, G. M., Costa, M. A. C., Cardoso, R. R., Hébert, J. R., Zhao, L., Corich, V., Giacomini, A., Milagro, F. I., Barros, F. A. R., & Bressan, J. (2024). Black Tea Kombucha Consumption: Effect on Cardiometabolic Parameters and Diet Quality of Individuals with and without Obesity. Fermentation, 10(8), 384. https://doi.org/10.3390/fermentation10080384
  12. Ghayur, M. N., Gilani, A. H., Afridi, M. B., & Houghton, P. J. (2005). Cardiovascular Effects of Ginger Aqueous Extract and its Phenolic Constituents are Mediated Through Multiple Pathways. Vascular Pharmacology, 43(4), 234–241. https://doi.org/10.1016/j.vph.2005.07.003
  13. Harahap, U., Syahputra, R. A., Ahmed, A., Nasution, A., Wisely, W., Sirait, M. L., Dalimunthe, A., Zainalabidin, S., Taslim, N. A., Nurkolis, F., & Kim, B. (2024). Current insights and future perspectives of flavonoids: A promising antihypertensive approach. Phytotherapy Research, 38(6), 3146–3168. https://doi.org/10.1002/ptr.8199
  14. Hasani, H., Arab, A., Hadi, A., Pourmasoumi, M., Ghavami, A., & Miraghajani, M. (2019). Does Ginger Supplementation Lower Blood Pressure? A Systematic Review and Meta‐Analysis of Clinical Trials. Phytotherapy Research, 33(6), 1639–1647. https://doi.org/10.1002/ptr.6362
  15. Indriawati, R., & Usman, S. (2018). Community Empowerment as an Effort for Early Detection of Hypertension Risk Factors. Jurnal Surya Masyarakat, 1(1), 59. https://doi.org/10.26714/jsm.1.1.2018.59-63
  16. Khamidah, A.-, & Antarlina, S. S. (2020). Kombucha Drink Opportunities as Functional Food. Agrika, 14(2), 184. https://doi.org/10.31328/ja.v14i2.1753
  17. Kristinawati, B., Latiifah, I. R. N., Anata, D. S., Pratama, R. A., & Rahayu, S. (2023). Improving Family Cadre Knowledge on the Use of Medicinal Plants for Hypertension Sufferers through Health Education. JMM (Jurnal Masyarakat Mandiri), 7(2), 1362. https://doi.org/10.31764/jmm.v7i2.13561
  18. Mahardani, O. T., & Yuanita, L. (2021). Effects of Processing and Storage Methods on Phenolic Compound Content and Antioxidant Activity. Unesa Journal of Chemistry, 10(1), 64–78. https://doi.org/10.26740/ujc.v10n1.p64-78
  19. Mao, Q.-Q., Xu, X.-Y., Cao, S.-Y., Gan, R.-Y., Corke, H., Beta, T., & Li, H.-B. (2019). Bioactive Compounds and Bioactivities of Ginger (Zingiber officinale Roscoe). Foods, 8(6), 185. https://doi.org/10.3390/foods8060185
  20. Maryati, Y., Susilowati, A., Artanti, N., Lotulung, P. D. N., & Aspiyanto, A. (2020). The Effect of Fermentation Time on Antioxidant Activity and Betacyanin Content of Functional Drinks from Dragon Fruit (Hylocereus Polyrhizus) and Beetroot (Beta Vulgaris). Jurnal Bioteknologi & Biosains Indonesia (JBBI), 7(1). https://doi.org/10.29122/jbbi.v7i1.3732
  21. Niu, Y., Chen, X., Xiao, L., Li, W., Feng, L., & Aierken, A. (2025). The Relationship between Dietary Flavonoid Intake and Hypertension: a Cross-Sectional Study from NHANES. Frontiers in Cardiovascular Medicine, 12. https://doi.org/10.3389/fcvm.2025.1518549
  22. Pandit, B. T. S., Ariikah, D. L., Mahendra, E. S., Rakha, A. M., Irien, E. H., Hanang, A. A., Rachmat, A. P., & Yudi, H. O. (2023). Diagnosis and Non-pharmacological Therapy of Hypertension. Cermin Dunia Kedokteran, 50(6), 322–330. https://doi.org/10.55175/cdk.v50i6.624
  23. Pramono, A., Gunawan, W. Ben, Nurkolis, F., Alisaputra, D., Limen, G. A., Alfaqih, M. S., & Ardiaria, M. (2024). Free Radical Scavenging, α-Amylase, α-Glucosidase, and Lipase Inhibitory Activities of Metabolites from Strawberry Kombucha: Molecular Docking and in Vitro Studies. Pharmacia, 71, 1–12. https://doi.org/10.3897/pharmacia.71.e116794
  24. Rezaldi, F., Fadillah, M. F., Mu’jijah, M., Abdilah, N. A., & Meliyawati, M. (2022). The Potential of Butterfly Pea Kombucha as an Appeal to Carita Beach Tourists in Increasing Immunity. SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan, 6(2), 867. https://doi.org/10.31764/jpmb.v6i2.8472
  25. Rosa, A. C., Corsi, D., Cavi, N., Bruni, N., & Dosio, F. (2021). Superoxide Dismutase Administration: A Review of Proposed Human Uses. Molecules, 26(7), 1844. https://doi.org/10.3390/molecules26071844
  26. Santos, M. G. dos, Pleutim, N. I., Queiroz-Cardoso, A. I. de, Ramalho, L. dos S., Souza, V. S. de, & Teston, E. F. (2025). Use of the Health Promotion Model by Nursing in Primary Care: an integrative review. Revista Brasileira de Enfermagem, 78(2). https://doi.org/10.1590/0034-7167-2024-0096
  27. Sari, N. N., & Suharyanto, S. (2020). The Effect of Fermentation Time on Total Flavonoid Content in Jackfruit Seed Tape Extract (Artocarpus heterophylla Lamk.). Jurnal Kesehatan Kusuma Husada, 53–61. https://doi.org/10.34035/jk.v12i1.552
  28. Suratih, K., & Cahyanto, E. B. (2023). Mosque-Based Non-Communicable Disease (NCD) Prevention Program in Gumpang Village, Kartasura. Jurnal KESPERA, 2(2), 56. https://doi.org/10.34310/jkspr.v2i2.786
  29. Wanyo, P., Chamsai, T., Toontom, N., Nghiep, L. K., & Tudpor, K. (2025). Evaluation of In Vitro Digested Mulberry Leaf Tea Kombucha: A Functional Fermented Beverage with Antioxidant, Anti-Inflammatory, Antihyperglycemic, and Antihypertensive Potentials. Fermentation, 11(5), 258. https://doi.org/10.3390/fermentation11050258
  30. Zubaidah, E., Fibrianto, K., & Kartikaputri, S. D. (2021). The Potential of Kombucha Tea Leaves (Camellia sinensis) and Robusta Coffee Leaves (Coffea robusta) as Probiotic Drinks. Jurnal Bioteknologi & Biosains Indonesia (JBBI), 8(2). https://doi.org/10.29122/jbbi.v8i2.4186

Open Access Copyright (c) 2025 Herianto Bangun, Hartaulina Saragih
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
E-mail: jurnal6121@gmail.com

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

View My Stats

Get a feed by atom here, RRS2 here and OAI Links here