The Effect of Pineapple Juice on Menstrual Pain Intensity among Adolescents

Astri Ulina Saragih

doi:10.35451/092rqd20

Authors

Astri Ulina Saragih Institut Kesehatan Medistra Lubuk Pakam

DOI:

https://doi.org/10.35451/092rqd20

Keywords:

Pineapple Juice, Menstrual Pain, Adolescents

Abstract

Dysmenorrhea is a common problem among adolescent girls and can interfere with daily activities. One non-pharmacological therapy is pineapple juice, which contains bromelain enzyme as a natural anti-inflammatory agent. This study aimed to determine the effect of pineapple juice on menstrual pain intensity among adolescents at SMA Nusantara Lubuk Pakam. This study used a quasi-experimental design with a pretest-posttest without control group approach. The sample consisted of 30 adolescent girls experiencing menstrual pain selected using purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after intervention. The intervention was the administration of 250 ml pineapple juice for 3 days during menstruation. The results showed that the mean pain intensity before intervention was 6.2 (SD=1.1) and decreased to 3.1 (SD=1.0) after intervention. The Wilcoxon test showed a p-value of 0.000 (p<0.05), indicating a significant effect of pineapple juice on reducing menstrual pain intensity. In conclusion, pineapple juice is effective as a non-pharmacological therapy to reduce menstrual pain in adolescents.

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References

[1] Dawood MY. Primary dysmenorrhea: advances in pathogenesis and management. Am J Obstet Gynecol. 2021;224(2 Suppl):S10–S18. doi:10.1016/j.ajog.2020.08.108

[2] Basyariah dan Nurmala, The Effect of A Warm Compress to Decrease the Degree of Menstral Pain in Teenage Girl at Sekip Village, Lubuk Pakam Districts, Deli Serdang Regency 2022.https://ejournal.medistra.ac.id/index.php/JKK/article/view/1646/864

[3] Harel Z. Dysmenorrhea in adolescents and young adults: etiology and management. J Pediatr Adolesc Gynecol. 2021;34(5):531–537. doi:10.1016/j.jpag.2021.05.004

[4] World Health Organization. Adolescent health: global status report. Geneva: WHO; 2022. Available from: https://www.who.int/publications

[5] Unsal A, Ayranci U, Tozun M, Arslan G, Calik E. Prevalence of dysmenorrhea and its effect on quality of life among adolescents. Int J Adolesc Med Health. 2021;33(2):1–7. doi:10.1515/ijamh-2019-0078

[6] Iksen I, Kemila MA, Hutabarat NI, Latif AR, Irma R, Luhurningtyas FP, et al. Interaksi obat: obat-obat dan obat-makanan pegangan pada praktik klinis. Medan: Yayasan Kita Menulis; 2023.

[7] Armour M, Parry K, Steel K, Smith CA. Self-care strategies and integrative approaches for dysmenorrhea management. BMC Complement Med Ther. 2021;21(1):1–10. doi:10.1186/s12906-021-03227-5

[8] Pavan R, Jain S, Kumar A. Properties and therapeutic application of bromelain: a review. Biotechnol Res Int. 2021;2021:1–10. doi:10.1155/2021/9762036

[9] Widjaja MC. Kandungan gizi buah p dan manfaatnya bagi kesehatan. Jurnal Gizi Indonesia. 2022;10(2):85–92. Available from: https://ejournal.undip.ac.id

[10] Fitzhugh DJ, Shan S, Dewhirst MW. Bromelain treatment decreases inflammation in clinical conditions. Clin Immunol. 2021;230:108815. doi:10.1016/j.clim.2021.108815

[11] Widjaya R. Terapi herbal sebagai alternatif penanganan dismenore pada remaja. Jurnal Kebidanan Indonesia. 2023;14(1):45–52. Available from: https://jurnal.unimus.ac.id

[12] Saka C, Isbandiati E, Budipramana E, Dewi S. The effect of pineapple juice on primary dysmenorrhea among adolescents. J Widya Medika Junior. 2025;3(1):1–7. Available from: https://journal.widyamedika.ac.id

[13] Saka C, Isbandiati E, Budipramana E, Dewi S. The effect of giving pineapple juice on primary dysmenorrhea. J Widya Medika Junior. 2025;7(2):1–7.

https://doi.org/10.33508/jwmj.v7i2.7512

[14] Apriana dkk, Application Of Sanyinjiao And Hegu Point Acupressure For Young Women With Primary Dysmenorrhea https://ejournal.medistra.ac.id/index.php/JKK/article/view/1846/866.

[15] Safitri, Hayati F. Pembuatan JUNAS (jus ) pereda dismenorea. J Abdimas Kesehatan. 2024;6(2):1–6. https://doi.org/10.36565/jak.v6i2.609

[16] Kumar V, Mangla B, Javed S, Ahsan W, Kumar P, Garg V, et al. Bromelain: a review of its mechanisms, pharmacological effects and potential applications. Food Funct. 2023;14(18):8101–8128.

https://doi.org/10.1039/d3fo01060

[17] Delgarm P, Mokhtare M, Daryani NE, Abolghasemi J, Rahideh ST, et al. Effects of bromelain supplementation on disease activity and quality of life: a randomized controlled study. Sci Rep. 2025;15:42799.https://doi.org/10.1038/s41598-025-26975-1

[18] Chiarelli PG, Martinez B, Nakamura T, Solval KM. Enhancing bromelain recovery from pineapple by-products. Foods. 2024;13(4):589.https://doi.org/10.3390/foods13040589

[19] Yulastri W, Irdawati I, Yusrizal Y, Fatiha FD, Nissha DK, Anggraeni NP. Innovation in bromelain enzyme production from pineapple. J Penelit Pendidik IPA. 2024;10(8):6239–6244.

https://doi.org/10.29303/jppipa.v10i8.6976

[20] Ulusoy Tangul S, Onat T, Kirmizi DA, Doganyigit Z, Kaymak E, Oflamaz A, et al. Effect of bromelain on ischemia-reperfusion injury in ovarian tissue. Front Pharmacol. 2025;15:1451592.

https://doi.org/10.3389/fphar.2024.1451592

[21] Nurlaela S, Susilawati, Susianti I. The effect of pineapple juice on perineal wound healing in postpartum mothers. Science Midwifery. 2024;12(2):1–7.

https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1569

[22] Kansakar P, Ramos J, Varilla C, Hikisz P. Bromelain from pineapple: applications and future prospects. Biotechnol Rep. 2025;102275.

https://doi.org/10.1016/j.biteb.2025.102275