Do parents need application-based learning media to learn baby massage? A qualitative study.

BACKGROUND: Growth and development delays can occur in childhood under five years. Early stimulation is very important to help babies grow according to their age which can be done with baby massage. Increasing the skills of parents in learning baby massage is a main focus because parents are the closest people to babies. This initial research was conducted to determine the learning media needed by parents in learning baby massage. MATERIALS AND METHODS: A qualitative research with a phenomenological approach was used to explore the views of parents, providers/health workers, Information Technology (IT) experts, and media design experts. Focus group discussion (FGD) was used to obtain information from a number of samples taken by purposive sampling. Data were analyzed using thematic analysis. RESULTS: A total of 11 people consisting of four parents with babies aged 0-12 months, two IT experts, one media design expert, and four midwives involved in FGD. There was an agreement that an android application-based baby massage media was needed to include a baby massage video feature that was made every step of baby massage, starting with baby massage of the feet, hands, stomach, chest, face, and back. The baby massage application will be equipped with a baby massage feature that conveys the benefits of baby massage, massage instructions, diaries, and contact midwives. CONCLUSION: Parents who have babies, midwives who are competent in the implementation of baby massage, IT experts, and media design experts agree to develop learning media for the baby massage based on android applications by developing six features and systems.

Determinants of stunting in children under five years old in South Sulawesi and West Sulawesi Province: 2013 and 2018 Indonesian Basic Health Survey.

BACKGROUND: The prevalence of stunting in South Sulawesi and West Sulawesi Province is relatively high. Studies reveal various household, parental, and child factors are associated with stunting. This paper aimed to determine the determinants of stunting among children under five in South and West Sulawesi Province using the 2013 and 2018 Indonesia Basic Health Survey. METHODS: This study was a secondary data analysis using the 2013 and 2018 Indonesian Basic Health Surveys. The unit of analysis was children under five years, and the study obtained 3641 and 4423 children in South Sulawesi Province from the 2013 and 2018 Indonesia Basic Health Survey, respectively, and 804 and 1059 children from the 2013 and 2018 Indonesia Basic Health Survey in West Sulawesi Province, respectively. The multivariable poisson regression model was conducted to determine the determinants of stunting. RESULTS: The results showed that the mean age of children in South Sulawesi and West Sulawesi Province was 31.1 months and 30.8 months, respectively, on 2013 survey compare to 29.6 months and 29.1 months on the 2018 survey. The determinants of stunting in children under five in South Sulawesi Province in 2013 survey were household with two children under five (APR:1.24; 95% CI: 1.1-1.3; p-value = 0.006), maternal BMI (APR: 1.1; 95% CI: 1.03-1.1; p-value = <0.001), maternal weight (APR: 0.9; 95% CI: 0.94-0.97; p-value = <0.001), children aged 12-23 months (APR: 2.2; 95% CI: 1.7-2.7; p-value = <0.001), children aged 24-59 months (APR: 2.2; 95% CI: 1.8-2.7; p-value = <0.001), birthweight (APR: 1.9; 95% CI: 1.5-2.5; p-value = <0.001). In the 2018 survey, the determinants were maternal weight (APR: 0.9; 95% CI: 0.98-0.99; p-value = 0.005), mothers with no education or with education in primary school (APR: 1.5; 95% CI: 1.3-1.9; p-value = <0.001), mothers with education in middle school (APR: 1.3; 95% CI: 1.1-1.6; p-value = 0.014), mothers with a height less than 151 cm (APR: 1.3; 95% CI: 1.5-3.1; p-value = <0.001), mothers with a height of 151-160 cm (APR: 1.3; 95% CI: 1.1-1.6; p-value = 0.014), children aged 12-23 months (APR: 2.2; 95% CI: 1.7-2.8; p-value = <0.001), children aged 24-59 months (APR: 2.5; 95% CI: 2.0-3.2; p-value = <0.001)., birthweight (APR: 1.5; 95% CI: 1.2-1.9; p-value = <0.001). The determinants of stunting in children under five in West Sulawesi Province in 2013 survey were children under five years living in poor households (APR: 1.9; 95% CI: 1.1-3.3; p-value = 0.021), children under five who lived in a household with three or more children under five (APR:1.8; 95% CI: 1.2-2.7; p-value = 0.002), children aged 12-23 months (APR: 1.8; 95% CI: 1.2-2.6; p-value = 0.006), children aged 24-59 months (APR: 1.9; 95% CI: 1.3-2.7; p-value = 0.001). On the 2018 survey, the determinants were maternal BMI (APR: 1.02; 95% CI: 1.01-1.03; p-value = 0.004), maternal weight (APR: 0.9; 95% CI: 0.95-0.98; p-value = <0.001), mothers with no education or with education in primary school (APR: 1.9; 95% CI: 1.3-2.7; p-value = 0.001), mothers with education in middle school (APR: 1.9; 95% CI: 1.3-2.7; p-value = 0.001), mothers with education in high school (APR: 1.8; 95% CI: 1.2-2.6; p-value = 0.004), children aged 12-23 months (APR: 2.1; 95% CI: 1.4-3.0; p-value = <0.001), children aged 24-59 months (APR: 2.6; 95% CI: 1.9-3.6; p-value = <0.001), male (APR: 1.2; 95% CI: 1.01-1.4; p-value = 0.035), and acute respiratory infection (ARI) (APR: 1.6; 95% CI: 1.04-2.5; p-value = 0.030). CONCLUSIONS: The determinants of stunting in children under five in South Sulawesi Province are number of children under five in the household, maternal education, maternal weight, maternal height, maternal BMI, child's age, and birthweight. Meanwhile, the determinants of stunting in children under five in West Sulawesi were wealth, maternal education, maternal weight, maternal BMI,, child's age, child's sex, and history of acute respiratory infection. Hence, intervention on household and child levels as well as maternal sociodemographic factors need to be addressed.

Nutrient and Food Intake of Indonesian Children Under 5 Years of Age: A Systematic Review.

The Indonesian Government's targets to reduce the prevalence of child malnutrition are unlikely to be met based on current progress. Adequate dietary intake is key to meeting these targets. This systematic review aimed to provide a comprehensive overview of the nutrient and food intake of Indonesian children under five years of age. Peer-reviewed and gray literature published between 2007 and 2019 were collected. Of 1500 records, 38 articles met the study inclusion criteria and a narrative analysis was conducted. Children under five years were reported to have ranging energy and macronutrient intakes, some with adequate protein intake. Micronutrient deficiencies, particularly iron, zinc, calcium, and vitamin C, were reported. Animal-source foods, fruits, and vegetables were consumed by children, but frequency and/or volume of consumption was low, and it is among the probable causes of micronutrient deficiency among children under five years. The absence of reporting micronutrient intake in the national survey limited evidence to inform nutrition-related policies. The implementation of a national micronutrient survey will be beneficial in informing policy and practice aimed at reducing the prevalence of child malnutrition in line with national targets, through improvement in dietary intake.

Biscuits containing Moringa oleifera leaves flour improve conditions of anemia in pregnant women.

OBJECTIVE: This study analyzes whether anemia in pregnant women improves with indicators of increased hemoglobin, intake of iron and zinc when intervened with biscuits contain Moringa oleifera leaf flour. METHOD: It was Quasy experiment carried out at Antang, Mamajang and Batua Public Health Center in Makassar, South Sulawesi, Indonesia. The subject were the pregnant women of Trimester I and III trimesters which are divided into 2 groups with the intervention Group (n=35) obtained M. oleifera leaf flour biscuits with combination iron tablet and the control group (n=35) only accept FE tablets. Intervention group was given biscuits containing 40% moringa leaf flour (2.8g per biscuits) with a dose of 2 pieces a day containing Moringa leaf flour and a combination of iron tablets with a dose of 2 times 250mg, while the control group only consumed iron tablets at a dose of 2 times 250mg. After 60 days, a posttest was carried out to examine hemoglobin, iron and zinc. RESULT: The results showed that there was a significance increasing of hemoglobin after intervention (1.04g/dl, p=0.001), increasing of iron intake significantly (2.51mg, p=0.001) and zinc intake (0.14mg, p=0.144) also increas but not statistically significant. The increase in these three indicators was higher than the control group. CONCLUSION: Biscuits containing M. oleifera leaf flour are able to provide improvement in the condition of pregnant mothers who have anemia, especially in hemoglobin levels, iron and zinc intake.

Moringa oleifera leaf flour biscuits increase the index of erythrocytes in pregnant women with anemia.

BACKGROUND: Moringa Oleifera leaves contain nutrients such as proteins, iron, and vitamin C that potentially prevent anemia more common in pregnant women. In the manufacture of cookies that are substituted Moringa Oleifera leaf flour substitution, 40% obtained Fe levels 22.68ppm so that it can be developed to prevent anemia. The purpose of this research is to know the effect of giving biscuits (cookies) Moringa Oleifera leaf flour to index erythrocytes (MCH, MCHC, MCV) of pregnant women with anemia. METHOD: It was a quasi-experiment research with design nonequivalent Control Group design. The research was conducted at Antang, Mamajang, and Batua Public Health Center in Makassar, examination of hematology analyzer in the Clinic Pathology Laboratory of Universitas Hasanuddin Hospital. Sampling techniques using purposive sampling. Samples were pregnant women with trimester I and III anemia amounted to 25 samples on the biscuit moringa group and 25 samples in the control group. Data were analyzed using test Paired T-Test, T-Test Independent, Wilcoxon, and Mann - U Withney. RESULT: Characteristics of age, gestational age, income, physical activity, education, and parity of both groups has been comparable before the treatment with the value p>0.05, with most of the samples aged 20-35 years having a pregnancy age of 4-8 weeks, income IDR 1 million - IDR. 2 million, activity score Baecke 6.00-7.25, Senior High School education, parity >1. A significant average increase in the value of MCH from 27.55 to 28.00 and MCV from 78.57 to 78.93 in the group provided biscuits (cookies) of Moringa Oleifera leaf flour with p-value <0.05, in the control group, occurred an average but insignificant increase with p-value >0.05. The MCHC Group control and biscuit moringa group had an average increase, but both were not statistically significant, p>0.05. There is a significant difference in increased MCH and MCV erythrocyte indices between the biscuit moringa and control groups with a p-value <0.05. As for the MCHC value, the two groups do not differ meaningfully with p-value=0.611, p>0.005. CONCLUSION: There is the effect of giving biscuits (cookies) Moringa Oleifera leaf Flour Against the index of erythrocytes MCH and MCV in pregnant women with anemia. However, it has no effect on the MCHC value of pregnant women with anemia. It is recommended for pregnant women to utilize local plants, the Moringa Oleifera leaves to fulfill the intake of nutrients that can help pregnant women from anemia.

Moringa oleifera capsule and diet in young women with dropout school.

BACKGROUND: Teenagers are the second phase in life after the children's phase. The adolescent phase is called the transitional or transitional phase because in this phase it has not gained status as an adult but is no longer a childhood. The adolescent phase is called the critical period, a phase where there are many problems in growth and development, both physically, mentally, and in activities so that the need for food containing nutrients is large enough. Therefore, intervention efforts to improve adolescent nutrition are very necessary. The purpose of this study was to determine the effect of Moringa Oleifera leaf capsules on eating patterns in school drop-out adolescent girls aged 12-18 years in Polobangkeng sub-district, Takalar Regency, South Sulawesi Province. METHODS: The study was a quasi experiment, the design used was Randomized Controlled Double-Blind Pre-Posttest. This research was conducted in Polobangkeng Utara Subdistrict, Takalar Regency, South Sulawesi on March 15, 2020 to May 23, 2020. The population in this study was all young women breaking up schools aged 12-18 years in Polobangkeng Utara District, Takalar Regency, South Sulawesi Province as many as 75 people. The sampling technique uses simple random sampling. Data were analyzed using the McNemar and Man Whitney tests. RESULTS: Moringa leaf extract capsules of respondents who had a good diet before the intervention were 40% and less than 60% but after the intervention had a good diet as much as 100%. The Mc Nemar test p value was 0.004 which the p value α value (0.05) which shows that there is no difference in eating patterns before and after TTD capsule intervention. CONCLUSION: There is an effect of giving Moringa leaf extract capsules to the diet seen from the average median value in the Moringa leaf extract capsule group is greater than 23 of the TTD capsule group which is 8 in teenage girls dropping out of school age 12-18 years in the North Polongbangkeng region Regency. Takalar, South Sulawesi.

Use of technology for monitoring the development of nutritional status 1000 hpk in stunting prevention in Indonesia.

OBJECTIVE: This study is reviewed about the use of technology to monitor the nutritional status of the first thousand days of life (1000 HPK), a program in Indonesia to prevent stunting. METHOD: In this study, which is looking for journals used in the literature review, journals used in literature review obtained through the database of international journal providers such as Google scholar, PubMed, and Proquest. Researchers wrote the appropriate keywords, namely nutritional status of 1000 HPK, stunting, and application. The year limit used is ten years from 2010 to 2020. RESULTS: Nutritional status in the first thousand days of life (1000 HPK), which is 270 days during pregnancy and 730 days in the baby's first life, is critical because the consequences are permanent and irreparable. Pregnant women and toddlers who are less attentive about their food intake will impact nutritional problems or nutritional status that will then affect their development in the future. The level of optimal nutritional status will be achieved if nutritional needs are met, but on the contrary unbalanced nutrition can cause several diseases, including stunting. Monitoring the development of toddlers is very important to know the existence of growth disorders early on, by taking weight measurement as the best way to assess the nutritional status of pregnant women and toddlers every month so that the child's growth will be monitored. One tool for measuring nutritional status is to use applications, and technological advances have now undergone rapid development. Application is a multifunctional product with all its sophistication which can help humans in various ways. CONCLUSION: From some journals can be concluded that the use of applications in monitoring the nutritional status of 1000 HPK facilitates parents, midwives, and other health workers in working to monitor the nutritional development of pregnant women and the growth of infants and toddlers for stunting prevention.

Malnutrition in children associated with low insulin-like growth factor binding protein-3 (IGFBP-3) levels.

OBJECTIVE: This study aimed to compare serum levels of Insulin-like Growth Factor Binding Protein-3 in children with malnutrition and good nutritional status. METHOD: This cross-sectional study included 41 participants consisting of 31 malnourished, 10 well-nourished children aged between 36 and 60 months. Demographic data of participants were obtained utilizing a questionnaire. Nutritional status was determined by calculating the Z-score of body weight for age, height for age, and body weight for height indices using the WHO classification. IGFBP-3 levels were determined by the Enzyme-Linked Immunosorbent Assay (ELISA) method. RESULT: Median serum IGFBP-3 levels in malnourished children were found to be lower i.e. 0.35mcg/mL (minimum-maximum: 0.04-1.52mcg/mL) compared to well-nourished children 1.52ng/mL (minimum-maximum 0.47-3.17mcg/mL). CONCLUSION: Serum IGFBP-3 levels can be used as indicators to assess nutritional status.

Leptin levels in children with malnutrition.

OBJECTIVE: This study aimed at comparing serum levels of leptin in children with malnutrition and good nutritional status. METHOD: This cross-sectional study included 41 participants consisting of 31 malnutrition, 10 well-nourished children aged between 36 and 60 months. Demographic data of participants were obtained utilizing a questionnaire. Nutritional status was determined by calculating the Z-score of body weight for age, height for age, and body weight for height indices using the WHO classification. Leptin levels were determined by ELISA (Enzyme-Linked Immunosorbent Assay) method. RESULTS: Median serum leptin level for malnutrition children were found to be lower, i.e., 9.23 (6.02-197.2) ng/mL compared to well-nourished children 30.95 (6.02-89.36) ng/mL. CONCLUSION: Serum leptin levels can be used as indicators to assess nutritional status.

Malnutrition in children associated with low growth hormone (Gh) Levels.

OBJECTIVE: This study aimed to compare serum levels of Growth Hormone in children with malnutrition and good nutritional status. METHOD: This cross-sectional study included 41 participants consisting of 31 malnourished, 10 well-nourished children aged between 36 and 60 months. Demographic data of participants were obtained utilizing a questionnaire. Nutritional status was determined by calculating the Z-score of body weight for age, height for age, and body weight for height indices using the WHO classification. GH levels were determined by the Enzyme-Linked Immunosorbent Assay (ELISA) method. RESULT: Median serum GH levels in malnourished children were found to be lower i.e. 1.25ng/mL (minimum-maximum: 0.10-6.19ng/mL) compared to well-nourished children 11.01ng/mL (1.72-15.64ng/mL). CONCLUSION: Serum GH levels can be used as indicators to assess nutritional status.

Chemical composition of Moringa oleifera and Honey from three different Areas in South Sulawesi, Indonesia.

OBJECTIVE: The study aimed to assess the composition of MO and honey from different areas in South Sulawesi. METHODS: This was a laboratory examination study. Several macro and micronutrients were measured including water, crude protein, crude lipid, Ca, Mg, Na, P, and K. Also, polyphenol and flavonoid were measured. RESULT: The results showed that variation of water, protein, and lipid in MO were 9.2-9.4%, 24.2-29.8%, and 8.43-9.6% respectively. Meanwhile, the variation of Ca, Mg, Na, P, K in MO were 1.63-2.2%, 0.36-0.53%, 0.18-0.43%, 012-0.22% and 0.67-0.76%, respectively. The variation of polyphenol and flavonoid of MO were 0.24-0.34% and 192-209ppm, respectively. On the other hand, the variation of water, protein, and lipid in different types of honey were 21.1-25.4%, 1.1-1.6%, and 0.01-0.09% respectively. Meanwhile, the variation of Ca, Mg, Na, P, K in honey were 632-1040%, 216-378%, 361-555%, 20-57% and 1570-2848%, respectively. Polyphenol and flavonoids from three different kinds of honey were also varied at 0.06-011% and 14.4-35.8ppm, respectively. CONCLUSION: We conclude that chemical compositions in MO from three areas were almost similar but they were varied enough in honey which was higher in Trigona sp.

The effect of convergent action on reducing stunting prevalence in under-five children in Banggai District, Central Sulawesi, Indonesia.

OBJECTIVE: This study aimed to assess the amount of changes in prevalence of stunting after one-year convergence intervention. METHODS: This was an evaluation study of national program that implemented in Banggai District beginning 2018. There were ten villages (n=532) that included in the program based on severity of stunting prevalence. Data were analyzed using chi-square and independent t-test using SPSS. RESULT: After a year program, stunting reduced to 38.91% or 2.18% from the baseline (41.09%). The highest reduction was in at 0-5 mo (8.59%) and 6-11 mo (8.46%). There was no difference using height for age z-score in all ages (-1.64±1.19 to -1.59±1.38, p=0.506). However, the reduction was significant at 0-11 months (-1.20±1.23 to 0.78±1.58, p=0.020) but no in other age categories (p>0.05). CONCLUSION: The convergence action for one year intervention reduced significantly stunting in 0-11 months of children but not in other age categories of under five children.

Dietary diversity, dietary patterns and dietary intake are associated with stunted children in Jeneponto District, Indonesia.

OBJECTIVE: The most influence of occurrence children stunted are those related to food, both in terms of quantity and quality. The aim of this study is seeing of the relationship between dietary diversity, dietary pattern and dietary intake for children stunted. METHODS: This study is a follow up of the previous study of nutrition interventions in children, where the total sample size children was 340 measured the dietary intake with 24-hour recall. The dietary diversity and dietary patterns was measured by the FFQ (Food Frequency Questioner) form for children. RESULTS: The results showed that a lack of energy intake associated with children stunted was 132 (44.9%) (p=0.050), and lacked fat intake was 125 (45.6%) (p<0.050). For the dietary diversity there is a relationship with stunted at a mean value of 7.51±0.87 (p<0.050). As for the dietary pattern, there is a relationship between insufficient of consumption nuts and stunted (p=0.019) and foods containing sugar (p=0.050) also, namely 135 (45.3%) and 103 (43.8%). CONCLUSION: Stunting in children is related to the quality and quantity of food.

Role of Maternal in Preventing Stunting: a Systematic Review.

OBJECTIVE: Currently, stunting is seen as a serious public health problem. Although its prevalence has decreased, the stunting rate is a large number of cases in the world. METHODS: A literature search was conducted on electronic databases such as ProQuest, PubMed, ScienceDirect, and Google Scholar to identify relevant published articles from January 1, 2010, to July 1, 2020. Additional articles were identified from the reference lists and grey literature. RESULT: Three main phases require the optimal mother roles to prevent stunting in children during the golden phase. These phases include the preconception phase, the prenatal phase, and the infant-toddlerhood phase. Various mother roles include fulfilling maternal, fetal, infant, and child nutrition, carrying out early breastfeeding initiation, exclusive breastfeeding, and appropriate complementary feeding, optimizing the environment for child development, optimizing family support, and avoiding various psychosocial factors that can be detrimental during growth, and child development. CONCLUSION: The mother roles in the golden phase are crucial to preventing stunting in children. Although the conception period does not have a fetus, early strengthening of maternal nutrition must be done so that the mother's body is ready to undergo the prenatal phase for fetal development, which then continues in the infant phase - toddlerhood to adolescence.

Effect of Moringa oleifera supplementation during pregnancy on the prevention of stunted growth in children between the ages of 36 to 42 months.

BACKGROUND: The government has made provisions to improve the nutrition of stunted children under the age of five nationally by providing iron folic acid (IFA) tablet since conception. However, these drugs were not able to reduce the incidence of stunted growth. The aim of this study is to assess the effect of moringa intervention during pregnancy on the incidence of stunted growth in children between the ages of 36 to 42 months. DESIGN AND METHODS: This study is a follow-up to an experimental RCT-DB study during pregnancy. The interventions given were PG (Moringa Flour), EG (Moringa Extract) and IG (IFA) which was used as control. RESULTS: The highest number of children that had stunted growth after taking the PG by IG and EG extracts were 66 (41.5%), 53 (33.3%) and 40 (25.2%), respectively. The stunted risk factor analysis did not show a significant relationship to the stunted incidence. Furthermore, the consumption and dietary patterns of children were based on only fat consumption which was associated with stunted incidence (p<0.05). The results of multivariate analysis showed that the EG extract was effective in reducing the incidence of stunted growth (p<0.005) and as a protective factor of 0.431 times the incidence of stunted growth (LL-UL=0.246-0.754). CONCLUSIONS: The administration of Moringa oleifera extract during pregnancy prevents the incidence of stunted growth in children.

Measuring self-regulation after nutrition education modules with Self Determination Theory (SDT) intervention among teachers with or at Risk Metabolic Syndrome.

OBJECTIVE: This study aims to measure changes in autonomy in groups that have been given nutrition education by applying the SDT concept. METHODS: The non-randomized pre-post intervention study design involved 63 teachers in the intervention group and 60 teachers in the control group. Nutrition education by applying the SDT concept and measurement is carried out using the Treatment Self-Regulation Questionnaire (TRSQ). RESULTS: The results showed that there was a significant change in support autonomy in the intervention group (p=0.034) and not in the control group. Controlled variables and amotivation did not show significant differences in the two groups, but changes for the better occurred in the intervention group. CONCLUSION: The application of the SDT concept can increase support for autonomy. This is expected to support sustainable behavior change.

Measuring self-regulation after nutrition education modules with Self Determination Theory (SDT) intervention among teachers with or at Risk Metabolic Syndrome

Objective: This study aims to measure changes in autonomy in groups that have been given nutrition education by applying the SDT concept. Methods: The non-randomized pre-post intervention study design involved 63 teachers in the intervention group and 60 teachers in the control group. Nutrition education by applying the SDT concept and measurement is carried out using the Treatment Self-Regulation Questionnaire (TRSQ). Results: The results showed that there was a significant change in support autonomy in the intervention group (p = 0.034) and not in the control group. Controlled variables and amotivation did not show significant differences in the two groups, but changes for the better occurred in the intervention group. Conclusion: The application of the SDT concept can increase support for autonomy. This is expected to support sustainable behavior change. (AU)

Biscuits containing Moringa oleifera leaves flour improve conditions of anemia in pregnant women

Objective: This study analyzes whether anemia in pregnant women improves with indicators of increased hemoglobin, intake of iron and zinc when intervened with biscuits contain Moringa oleifera leaf flour. Method: It was Quasy experiment carried out at Antang, Mamajang and Batua Public Health Center in Makassar, South Sulawesi, Indonesia. The subject were the pregnant women of Trimester I and III trimesters which are divided into 2 groups with the intervention Group (n = 35) obtained M. oleifera leaf flour biscuits with combination iron tablet and the control group (n = 35) only accept FE tablets. Intervention group was given biscuits containing 40% moringa leaf flour (2.8 g per biscuits) with a dose of 2 pieces a day containing Moringa leaf flour and a combination of iron tablets with a dose of 2 times 250 mg, while the control group only consumed iron tablets at a dose of 2 times 250 mg. After 60 days, a posttest was carried out to examine hemoglobin, iron and zinc. Result: The results showed that there was a significance increasing of hemoglobin after intervention (1.04 g/dl, p = 0.001), increasing of iron intake significantly (2.51 mg, p = 0.001) and zinc intake (0.14 mg, p = 0.144) also increas but not statistically significant. The increase in these three indicators was higher than the control group. Conclusion: Biscuits containing M. oleifera leaf flour are able to provide improvement in the condition of pregnant mothers who have anemia, especially in hemoglobin levels, iron and zinc intake. (AU)

Moringa oleifera leaf flour biscuits increase the index of erythrocytes in pregnant women with anemia

Background: Moringa Oleifera leaves contain nutrients such as proteins, iron, and vitamin C that potentially prevent anemia more common in pregnant women. In the manufacture of cookies that are substituted Moringa Oleifera leaf flour substitution, 40% obtained Fe levels 22.68 ppm so that it can be developed to prevent anemia. The purpose of this research is to know the effect of giving biscuits (cookies) Moringa Oleifera leaf flour to index erythrocytes (MCH, MCHC, MCV) of pregnant women with anemia. Method: It was a quasi-experiment research with design nonequivalent Control Group design. The research was conducted at Antang, Mamajang, and Batua Public Health Center in Makassar, examination of hematology analyzer in the Clinic Pathology Laboratory of Universitas Hasanuddin Hospital. Sampling techniques using purposive sampling. Samples were pregnant women with trimester I and III anemia amounted to 25 samples on the biscuit moringa group and 25 samples in the control group. Data were analyzed using test Paired T-Test, T-Test Independent, Wilcoxon, and Mann – U Withney. Result: Characteristics of age, gestational age, income, physical activity, education, and parity of both groups has been comparable before the treatment with the value p > 0.05, with most of the samples aged 20–35 years having a pregnancy age of 4–8 weeks, income IDR 1 million – IDR. 2 million, activity score Baecke 6.00–7.25, Senior High School education, parity >1. A significant average increase in the value of MCH from 27.55 to 28.00 and MCV from 78.57 to 78.93 in the group provided biscuits (cookies) of Moringa Oleifera leaf flour with p-value <0.05, in the control group, occurred an average but insignificant increase with p-value >0.05. The MCHC Group control and biscuit moringa group had an average increase, but both were not statistically significant, p > 0.05. (AU)

Moringa oleifera capsule and diet in young women with dropout school

Background: Teenagers are the second phase in life after the children's phase. The adolescent phase is called the transitional or transitional phase because in this phase it has not gained status as an adult but is no longer a childhood. The adolescent phase is called the critical period, a phase where there are many problems in growth and development, both physically, mentally, and in activities so that the need for food containing nutrients is large enough. Therefore, intervention efforts to improve adolescent nutrition are very necessary. The purpose of this study was to determine the effect of Moringa Oleifera leaf capsules on eating patterns in school drop-out adolescent girls aged 12–18 years in Polobangkeng sub-district, Takalar Regency, South Sulawesi Province. Methods: The study was a quasi experiment, the design used was Randomized Controlled Double-Blind Pre-Posttest. This research was conducted in Polobangkeng Utara Subdistrict, Takalar Regency, South Sulawesi on March 15, 2020 to May 23, 2020. The population in this study was all young women breaking up schools aged 12–18 years in Polobangkeng Utara District, Takalar Regency, South Sulawesi Province as many as 75 people. The sampling technique uses simple random sampling. Data were analyzed using the McNemar and Man Whitney tests. Results: Moringa leaf extract capsules of respondents who had a good diet before the intervention were 40% and less than 60% but after the intervention had a good diet as much as 100%. The Mc Nemar test p value was 0.004 which the p value