The Effect of Moringa Leaf Cilok Supply on Hemoglobin Levels of Female Adolescents with Anemia

Dian Soekmawaty Riezqy Ariendha, Sri Handayani, Yopi Suryatim Pratiwi

Abstract


Blood that contains less iron can cause anemia. This nutritional case is the most common in almost all countries, including Indonesia. Female adolescents are more at risk of anemia due to stress, eating late, and losing large amounts of iron during menstruation. One part of the moringa plant (Moringa oleifera), namely the leaves, is believed to increase hemoglobin levels. The method of attracting adolescents to moringa leaf is by processing the moringa leaf becomes a snack called moringa leaf cilok. This research aims to determine the hemoglobin level of adolescent girls who experience anemia before and after being given moringa leaves cilok. This is experimental research with one group pre-post test design from October to November 2021 in Mataram. The subjects in this research are female adolescents with anemia who met the sample criteria. The sample used is n1=n2=32 respondents. The treatment group received moringa leaf cilok and was controlled tablets by giving iron tablets. The data collected was processed by a nonparametric test. The results show an effect of giving moringa leaf cilok on the hemoglobin levels of adolescent girls (p>0.05). The content of iron and vitamin C in moringa leaves cilok has increased hemoglobin levels. This research concludes that moringa leaf cilok can increase hemoglobin levels in female adolescents. Therefore, consuming moringa leaves cilok regularly can be used to treat anemia.


Keywords


Cilok; hemoglobin level; moringa leaf

Full Text:

PDF

References


World Health Organization. WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations. Geneva: World Health Organization; 2020.

World Health Organization. WHO global anaemia estimates, 2021 edition [Internet]. Geneva: World Health Organization; 2021 [cited 2022 January 20]. Available from: https://www.who.int/data/gho/data/themes/topics/anaemia_in_women_and_children.

Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia. Laporan Nasional Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2019.

Froessler B, Gajic T, Dekker G, Hodyl NA. Treatment of iron deficiency and iron deficiency anemia with intravenous ferric carboxymaltose in pregnancy. Arch Gynecol Obstet. 2018;298(1):75–82.

Stevens GA, Finucane MM, De-Regil LM, Paciorek CJ, Flaxman SR, Branca F, et al. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995–2011: a systematic analysis of population-representative data. Lancet Glob Health. 2013;1(1):e16–25.

Teji K, Dessie Y, Assebe T, Abdo M. Anaemia and nutritional status of adolescent girls in Babile District, Eastern Ethiopia. Pan Afr Med J. 2016:24:62.

Kementerian Kesehatan Republik Indonesia. Profil kesehatan Indonesia tahun 2017. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018.

Badan Kependudukan dan Keluarga Berencana Nasional, Badan Pusat Statistik, Kementerian Kesehatan Republik Indonesia. Survei demografi dan kesehatan Indonesia 2017: kesehatan reproduksi remaja. Jakarta: Badan Pusat Statistik; 2018.

Islam Z, Islam SMR, Hossen F, Mahtab-Ul-Islam K, Hasan MR, Karim R. Moringa oleifera is a prominent source of nutrients with potential health benefits. Int J Food Sci. 2021;2021:6627265.

Sultana S. Nutritional and functional properties of Moringa oleifera. Metabol Open. 2020;8:100061.

Madukwe EU, Ugwuoke AL, Ezeugwu JO. Effectiveness of dry Moringa oleifera leaf powder treatment of anaemia. Int J Med Med Sci. 2013;5(5):226–8.

Sindhu S, Mangala S, Sherry B. Efficacy of Moringa oleifera in treating iron deficiency anemia in women of reproductive age group. Int J Phytother Res. 2013;3(4):15–20.

Arini. Pengaruh pemberian tepung daun kelor (Moringa oleifera leaves) terhadap peningkatan kadar hemoglobin pada remaja putri di Kecamatan Tamalatea Kabupaten Jeneponto [thesis]. Makassar: Universitas Hasanuddin; 2018. Available from: http://digilib.unhas.ac.id/uploaded_files/temporary/DigitalCollection/Y2UyOTg3NWRkYjJjMDFkZTU1ZWQzYTEzODk2NzIzMmI0ODJkNGE2OQ==.pdf.

Dadi AK, Lidya K, Setianingrum ELS, Sasputra IN. Uji efek ekstrak etanol daun kelor (Moringa oleifera) terhadap kadar hemoglobin pada tikus putih galur Wistar yang diinduksi aluminium klorida. CMJ. 2020;20(2):191–8.

Anwar Y, Hadju V, Samrichar R, Unde AA, Usman AN, Mastuti NLPH. Pemberian ekstrak daun kelor terhadap peningkatan kadar hemoglobin pada remaja putri putus sekolah usia 12–18 tahun. J Kesehat Manarang. 2020;6(2):131–7.

Gopalakrishnan L, Doriya K, Kumar DS. Moringa oleifera: a review on nutritive importance and its medicinal application. Food Sci Hum Wellness. 2016;5(2):49–56.

Bonita IA, Fitranti DY. Konsumsi fast food dan aktivitas fisik sebagai faktor risiko kejadian overweight pada remaja stunting SMP. J Nutr Coll. 2017;6(1):52–60.

Aminah S, Ramdhan T, Yanis M. Kandungan nutrisi dan sifat fungsional tanaman kelor (Moringa oleifera). Bul Pertanian Perkotaan. 2015;5(2):35–44.

Yuliani M, Asri, Oktafiani H, Hayati N. Hemoglobin levels of female students based on Fe consumption and breakfast habits. JGRPH. 2020;5(2):195–203.

Proverawati A. Anemia dan anemia kehamilan. Yogyakarta: Nuha Medika; 2011.

Kementerian Kesehatan Republik Indonesia. Pedoman pencegahan dan penanggulangan anemia pada remaja putri dan wanita usia subur (WUS). Jakarta: Kementerian Kesehatan Republik Indonesia; 2018.

Abbaspour N, Hurrell R, Kelishadi R. Review on iron and its importance for human health. J Res Med Sci. 2014;19(2):164–74.

Mustapa Y, Hadju V, Indriasari R, Hidayanti H, Sirajuddin S, Russeng SS. The effect of Moringa oleifera to hemoglobin levels of preconception women in the health center Tibawa district Tibawa, Gorontalo. OAMJMS. 2020;8(T2):104–8.

Kusumawardani PA, Cholifah. The relations between anemia and female adolescent’s dysmenorrhea. In: Hidayat MS, Jiar YK, De Guzman TG, Haque SMR, Chandra N, Handayani L, et al., editors. Proceeding 4th Universitas Ahmad Dahlan International Conference on Public Health; 2018 February 21–22; Yogyakarta, Indonesia. Yogyakarta: UAD Press; 2018. p. 190–5.

Ponomban SS, Walalangi R, Harikedua VT. Efektivitas suplementasi bubuk daun kelor (Moringa oleifera) terhadap peningkatan kadar haemoglobin pada ibu hamil yang menderita anemia. J Gizido. 2013;(51):36–44.

Rockwood JL, Anderson BG, Casamatta D. Potential uses of Moringa oleifera and an examination of antibiotic efficacy conferred by M. oleifera seed and leaf extracts using crude extraction techniques available to underserved indigenous populations. Int J Phytother Res. 2013;3(2):61–71.

Matic I, Guidi A, Kenzo M, Mattei M, Galgani A. Investigation of medicinal plants traditionally used as dietary supplements: a review on Moringa oleifera. J Public Health Afr. 2018;9(3):841.

Seriki SA, Adebayo FO, Uche-Orji O, Oshagbemi A. Effects of Moringa oleifera leaf extract on red and white blood cells counts. Int J Curr Med Pharm Res. 2015;1(9):150–61.




DOI: https://doi.org/10.29313/gmhc.v10i1.8951

pISSN 2301-9123 | eISSN 2460-5441


Visitor since 19 October 2016: 

View My Stats


Free counters!


Global Medical and Health Communication is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.