The Effect of Red Ginger (Zingiber officinale var. rubrum rhizoma) on Neutrophil Levels After Eccentric Exercise in Support of SDG 3
DOI:
https://doi.org/10.63230/jocsis.3.1.259Keywords:
Red Ginger , Neutrophils, Inflamation, Eccentric exercise, Exercise-induced , muscle damageAbstract
Objective: Exercise-induced muscle damage (EIMD) following eccentric exercise triggers an acute inflammatory response characterized by increased neutrophil infiltration. Although non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to manage inflammation, their prolonged use may cause adverse effects. This study aimed to analyze the effect of red ginger (Zingiber officinale var. rubrum) extract on plasma neutrophil levels after eccentric exercise in untrained individuals as a natural anti-inflammatory strategy supporting SDG 3 (Good Health and Well-being). Method: The experimental study employed a randomized pretest–posttest control-group design involving 30 untrained medical students from Universitas Negeri Surabaya. Participants were randomly assigned to either a control group (placebo) or an experimental group receiving red ginger extract (n = 15 each). Blood samples were collected before exercise and after intervention to determine plasma neutrophil levels. Data were analyzed using normality tests followed by paired-sample t-tests with SPSS version 26. Results: The normality test confirmed that all variables were normally distributed (p > 0.05). The control group showed no significant change in plasma neutrophil levels after eccentric exercise (p = 0.820). In contrast, the experimental group demonstrated a significant reduction in neutrophil levels following red ginger supplementation (p < 0.001), indicating a decreased inflammatory response after exercise-induced muscle damage. Novelty: The study demonstrates the anti-inflammatory potential of red ginger extract using plasma neutrophil count as an early biomarker of EIMD after eccentric exercise. The findings provide evidence for a safe, affordable, and locally available natural alternative to conventional anti-inflammatory medication, contributing to healthier exercise recovery and supporting Sustainable Development Goal 3.
References
Aksono, E. B., Wungu, T. D. K., Wijaya, C. H., Sarassina, R. R. F., Hidayatik, N., Pertiwi, H., & Puspitasari, N. (2022). Differences in the effect of red and big white ginger extract as anti-inflammatory agents in vitro. Ecology, Environment and Conservation, 28(2 Suppl.), 79–84. https://doi.org/10.53550/EEC.2022.v28i02s.013
Alshibani, N., Al-Kattan, R., Alssum, L., Basudan, A., Shaheen, M., Alqutub, M. N., & Al Dahash, F. (2022). Postoperative analgesic and anti-inflammatory effectiveness of ginger (Zingiber officinale) and NSAIDs as adjuncts to nonsurgical periodontal therapy for the management of periodontitis. Oral Health and Preventive Dentistry, 20(1), 227–232. https://doi.org/10.3290/j.ohpd.b3125633
Ankita, S., Aryal, B., & Deo, S. (2020). Efficacy of mefenamic acid and ginger on pain relief in primary dysmenorrhea among basic sciences students of Nepalgunj Medical College. Europasian Journal of Medical Sciences, 2(1), 4–10. https://doi.org/10.46405/ejms.v2i1.27
Aziza, N. (2023). Deskriptif kuantitatif. In S. Haryanti (Ed.), Research methodology (Vol. 1, pp. 165–166). CV. Media Sains Indonesia.
Barari, A. R. (2016). The effect of ginger supplementation and endurance training on serum levels of IL-1α and TNF-α. Medical Laboratory Journal, 10(4), 58–63. https://doi.org/10.18869/acadpub.mlj.10.4.63
Bessa, A. L., Oliveira, V. N., Agostini, G. G., Oliveira, R. J. S., Oliveira, A. C. S., White, G. E., Wells, G. D., Teixeira, D. N. S., & Espindola, F. S. (2016). Exercise intensity and recovery. Journal of Strength and Conditioning Research, 30(2), 311–319. https://doi.org/10.1519/JSC.0b013e31828f1ee9
Bindu, S., Mazumder, S., & Bandyopadhyay, U. (2020). Non-steroidal anti-inflammatory drugs (NSAIDs) and organ damage: A current perspective. Biochemical Pharmacology, 180, 114147. https://doi.org/10.1016/j.bcp.2020.114147
Brown, W. M. C., Davison, G. W., McClean, C. M., & Murphy, M. H. (2015). A systematic review of the acute effects of exercise on immune and inflammatory indices in untrained adults. Sports Medicine – Open, 1(1), 35. https://doi.org/10.1186/s40798-015-0032-x
Cerqueira, É., Marinho, D. A., Neiva, H. P., & Lourenço, O. (2020). Inflammatory effects of high and moderate intensity exercise—A systematic review. Frontiers in Physiology, 10, 1550. https://doi.org/10.3389/fphys.2019.01550
Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications.
Douglas, J., Pearson, S., Ross, A., & McGuigan, M. (2017). Eccentric exercise: Physiological characteristics and acute responses. Sports Medicine, 47(4), 663–675. https://doi.org/10.1007/s40279-016-0624-8
Heckel, Z., Atlasz, T., Tékus, É., Kőszegi, T., Laczkó, J., & Váczi, M. (2019). Monitoring exercise-induced muscle damage indicators and myoelectric activity during two weeks of knee extensor exercise training in young and old men. PLOS ONE, 14(11), e0224866. https://doi.org/10.1371/journal.pone.0224866
Hoseinzadeh, K., Daryanoosh, F., Baghdasar, P. J., & Alizadeh, H. (2015). Acute effects of ginger extract on biochemical and functional symptoms of delayed onset muscle soreness. Medical Journal of the Islamic Republic of Iran, 29, 261.
Hyldahl, R. D., & Hubal, M. J. (2014). Lengthening our perspective: Morphological, cellular, and molecular responses to eccentric exercise. Muscle & Nerve, 49(2), 155–170. https://doi.org/10.1002/mus.24077
Lucas, G. N. C., Leitão, A. C. C., Alencar, R. L., Xavier, R. M. F., Daher, E. D. F., & Silva Junior, G. B. da. (2019). Pathophysiological aspects of nephropathy caused by non-steroidal anti-inflammatory drugs. Brazilian Journal of Nephrology, 41(1), 124–130. https://doi.org/10.1590/2175-8239-jbn-2018-0107
Lundberg, T. R., & Howatson, G. (2018). Analgesic and anti-inflammatory drugs in sports: Implications for exercise performance and training adaptations. Scandinavian Journal of Medicine & Science in Sports, 28(11), 2252–2262. https://doi.org/10.1111/sms.13275
Mashhadi, N. S., Ghiasvand, R., Askari, G., Hariri, M., Darvishi, L., & Mofid, M. R. (2013). Anti-oxidative and anti-inflammatory effects of ginger in health and physical activity: Review of current evidence. International Journal of Preventive Medicine, 4(Suppl. 1), S36–S42.
Matsumura, M. D., Zavorsky, G. S., & Smoliga, J. M. (2015). The effects of pre-exercise ginger supplementation on muscle damage and delayed onset muscle soreness. Phytotherapy Research, 29(6), 887–893. https://doi.org/10.1002/ptr.5328
Mizumura, K., & Taguchi, T. (2024). Neurochemical mechanism of muscular pain: Insight from the study on delayed onset muscle soreness. The Journal of Physiological Sciences, 74(1), 4. https://doi.org/10.1186/s12576-023-00896-y
Peake, J. M., Neubauer, O., Della Gatta, P. A., & Nosaka, K. (2017). Muscle damage and inflammation during recovery from exercise. Journal of Applied Physiology, 122(3), 559–570. https://doi.org/10.1152/japplphysiol.00971.2016
Qian, Z., Ping, L., & Xuelin, Z. (2023). Reexamining the mechanism of eccentric exercise-induced skeletal muscle damage from the role of the third filament, titin (Review). Biomedical Reports, 20(1), 14. https://doi.org/10.3892/br.2023.1703
Rondanelli, M., Perdoni, F., Peroni, G., & Miccono, A. (2020). The role of ginger in inflammatory and pain conditions. Journal of Medicinal Food, 23(4), 384–400.
Stožer, A., Vodopivc, P., & Križančić Bombek, L. (2020). Pathophysiology of exercise-induced muscle damage and its structural, functional, metabolic, and clinical consequences. Physiological Research, 69, 565–598. https://doi.org/10.33549/physiolres.934371
Sugiyono. (2007). Statistics for research (E. Mulyatiningsih, Ed.; 12th ed.). CV. Alfabeta.
Wilson, P. B. (2015). Ginger (Zingiber officinale) as an analgesic and ergogenic aid in sport. Journal of Strength and Conditioning Research, 29(10), 2980–2995. https://doi.org/10.1519/JSC.0000000000001098
World Health Organization. (2022). Physical activity. https://www.who.int/news-room/fact-sheets/detail/physical-activity
Zehsaz, F., Farhangi, N., & Mirheidari, L. (2014). The effect of Zingiber officinale R. rhizomes (ginger) on plasma pro-inflammatory cytokine levels in well-trained male endurance runners. Central European Journal of Immunology, 39(2), 174–180. https://doi.org/10.5114/ceji.2014.43719
Zhang, S., Kou, X., Zhao, H., Mak, K. K., Balijepalli, M. K., & Pichika, M. R. (2022). Zingiber officinale var. rubrum: Red ginger’s medicinal uses. Molecules, 27(3), 775. https://doi.org/10.3390/molecules27030775
Downloads
Published
Issue
Section
License
Copyright (c) 2027 Journal of Current Studies in SDGs

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