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Kolesterol merupakan zat berlemak yang di produksi oleh hati. Kolesterol dapat ditemukan diseluruh tubuh dan berperan penting terhadap fungsi tubuh sehari-hari. Menurut data di Wilayah Kerja Puskesmas Raimah Ahmad Kota Bukittingi tahun 2017, kasus kolesterol sebanyak 12 orang kunjungan lansia. Sedangkan pada tahun 2018 dari bulan Januari sebanyak 88 orang penderita kolesterol. Penelitian dilakukan pada bulan Juli menggunakan Quasy Experimental dengan desainPretestest-Posttest Control Group Design, teknik pengambilan data menggunakan purposive sampling sebanyak 10 responden penderita kolesterol di wilayah kerja puskesmas rasimah ahmad kota bukittinggi tahun 2018 dan alat pengambilan data kolesterol menggunakan Nesco Multi Check dengan intervensi hidroterapi dalam waktu 15 menit selama 2 kali uji analisis menggunakan T-test. Hasil penelitian menunjukkan sebelum dilakukan hidroterapi rata-rata proses penurunan kadar kolesterol terhadap lansia 228,9dengan standar deviasi 21,72. Hasil analisa didapatkan pengaruh hidroterapi dengan ekstrak kulit jeruk terhadap kadar kolesteroll pada lansia adalah 35,9 dan

Cholesterol is a fatty substance produced by the liver. Cholesterol can be found throughout the body and plays an important role in everyday body functions. According to data in the Bukittingi City Rasimah Ahmad Health Center Work Area in 2017, there were 12 cases of cholesterol visited by the elderly. Whereas in 2018 from January there were 88 people with cholesterol. The study was conducted in July, this research using Quasy Experimental with Pretests-Posttest Control Group Design, data retrieval techniques using purposive sampling as many as 10 respondents with cholesterol patients in the work area of Rasimah Ahmad health center Bukittinggi city in 2018 and cholesterol data collection tools using Nesco Multi Check with hydrotherapy intervention within 15 minutes for 2 analysis tests using a T-test. The results showed that before the hydrotherapy was done the average process of reducing cholesterol levels to the elderly 228,9 with a standard deviation of 21,72. The results of the analysis showed that the effect of hydrotherapy with orange peel extract on cholesterol levels in the elderly was 35,9 and value was 0.000 (P < 0.000). The results of the study revealed that with the intervention of warm water 35-40C for 10-15 minutes, the analysis results were 23.7 and p value (P < 0.000). It can be concluded that there is an effect of hydrotherapy on mandarin orange peel extract on cholesterol levels in the elderly.