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Adaptation of Moringa Leaf Extract on Hemoglobin and Arm Circumference in Adolescent Girls Semarang

Media Kesehatan Masyarakat Indonesia · Vol. 21 No. 3 (2025) · pp. 192–199

DOI
10.30597/mkmi.v21i3.43890
ISSN
2356-4067, 0216-2482
Published
2025-09-30
Publisher
Faculty of Public Health, Hasanuddin University, Makassar
Language
en
License
creativecommons.org/licenses/by-nc-sa/4.0/

Abstract

Adolescent malnutrition, particularly anemia, remains a major public health challenge in developing countries, including Indonesia, as it increases the risk of growth retardation, developmental disorders, poor pregnancy outcomes, and infectious diseases. Nutritional interventions during adolescence are crutial for improving health and breaking the intergenerational cycle of malnutrition. This study aimed to analyze the effect of Moringa oleifera capsules on hemoglobin (Hb) levels and Mid-Upper Arm Circumference (MUAC) among adolescent girls in Semarang. A quasi-experimental study with a pretest–posttest control group design was conducted in two junior high schools in Semarang (SMPN 39 and SMPN 8), involving 102 female students aged 13–15 years, who were selected using purposive sampling. Participants were assigned to an intervention group (n = 51) receiving 300 mg of Moringa oleifera capsules twice weekly for 6 months under teacher supervision, and a control group (n = 51) receiving no supplementation. Data were collected at baseline and after the intervention, including Hb measurement (Hemocue analyzer) and MUAC. Data were analyzed using paired t-tests and independent t-tests. Results showed a significant improvement in Hb levels in the intervention group (mean pretest 11.58±0.87 g/dL; posttest 13.65±0.89 g/dL; p<0.001), whereas no significant change was found in the control group (p = 0.132). MUAC also increased significantly in the intervention group (pretest 25.50±4.06 cm; posttest 26.21±4.94 cm; p = 0.002), with a greater improvement compared to the control group (p = 0.002). In conclusion, supplementation with Moringa oleifera effectively improved Hb levels and MUAC among adolescent girls. This intervention has potential as a practical and affordable strategy for preventing anemia and improving nutritional status in adolescents.

Keywords

Collaboration network of the authors

40 authors · 172 co-authorship links · showing the 40 most connected

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  • State University of Semarang
  • Affiliation unknown
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
Show as table
Co-authorOrganisationJoint articles
R. SusantiAffiliation unknown6
Agussalim BukhariAffiliation unknown3
Nurbaya SyamAffiliation unknown3
Nugrahaningsih WHAffiliation unknown3
Lisdiana LisdianaAffiliation unknown3
AminuddinAffiliation unknown2
Citra KesumasariAffiliation unknown2
Nur AshariAffiliation unknown2
Andi Yasmin SyaukiAffiliation unknown2
Mardiana MadjidAffiliation unknown2
Nur Ainun RaniAffiliation unknown2
Andi FaradilahAffiliation unknown2
Andi Arsyi Adlina Putra SadikinAffiliation unknown2
Nurpudji Astuti TaslimAffiliation unknown2
Sri Ratna RahayuAffiliation unknown2
Retno Sri IswariState University of Semarang2
Widya Hary CahyatiAffiliation unknown2
N. K. DewiAffiliation unknown1
A. M. A. AhmedAffiliation unknown1
Ida Leida MariaAffiliation unknown1
Oktia Woro Kasmini HandayaniAffiliation unknown1
Nurpudji Astuti DaudAffiliation unknown1
MarniarAffiliation unknown1
Rizky PrawiradilagaAffiliation unknown1
Rizky Suganda PrawiradilagaAffiliation unknown1
Haerani RasyidAffiliation unknown1
Rima JanuaryAffiliation unknown1
A. Yasmin SyaukiAffiliation unknown1
Burhanuddin BaharAffiliation unknown1
Veni HadjuAffiliation unknown1
Zakaria ZakariaAffiliation unknown1
widowati saputraAffiliation unknown1
RR. Sri Ratna RahayuAffiliation unknown1
Dian Indriani HidayatAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://journal.unhas.ac.id/index.php/mkmi/oai, first harvested 5 Nov 2026, last seen 5 Nov 2026.
Original metadata (oai_dc)
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Adaptation of Moringa Leaf Extract on Hemoglobin and Arm Circumference in Adolescent Girls Semarang</dc:title>
	<dc:creator xml:lang="en">Nugraheni, Sri Achadi</dc:creator>
	<dc:creator xml:lang="en">Yuniastuti, Ari</dc:creator>
	<dc:creator xml:lang="en">As’ad, Suryani</dc:creator>
	<dc:creator xml:lang="en">Fristiwi, Pingkan</dc:creator>
	<dc:creator xml:lang="en">Aulia, Fatimah Asri Fadhilah</dc:creator>
	<dc:creator xml:lang="en">Kamila, Shafa Alya</dc:creator>
	<dc:subject xml:lang="en">Anemia</dc:subject>
	<dc:subject xml:lang="en">Upper Arm Circumference</dc:subject>
	<dc:subject xml:lang="en">Moringa Oleifera</dc:subject>
	<dc:subject xml:lang="en">Adolescent Women</dc:subject>
	<dc:subject xml:lang="en">Malnutrition</dc:subject>
	<dc:description xml:lang="en">Adolescent malnutrition, particularly anemia, remains a major public health challenge in developing countries, including Indonesia, as it increases the risk of growth retardation, developmental disorders, poor pregnancy outcomes, and infectious diseases. Nutritional interventions during adolescence are crutial for improving health and breaking the intergenerational cycle of malnutrition. This study aimed to analyze the effect of Moringa oleifera capsules on hemoglobin (Hb) levels and Mid-Upper Arm Circumference (MUAC) among adolescent girls in Semarang. A quasi-experimental study with a pretest–posttest control group design was conducted in two junior high schools in Semarang (SMPN 39 and SMPN 8), involving 102 female students aged 13–15 years, who were selected using purposive sampling. Participants were assigned to an intervention group (n = 51) receiving 300 mg of Moringa oleifera capsules twice weekly for 6 months under teacher supervision, and a control group (n = 51) receiving no supplementation. Data were collected at baseline and after the intervention, including Hb measurement (Hemocue analyzer) and MUAC. Data were analyzed using paired t-tests and independent t-tests. Results showed a significant improvement in Hb levels in the intervention group (mean pretest 11.58±0.87 g/dL; posttest 13.65±0.89 g/dL; p&amp;lt;0.001), whereas no significant change was found in the control group (p = 0.132). MUAC also increased significantly in the intervention group (pretest 25.50±4.06 cm; posttest 26.21±4.94 cm; p = 0.002), with a greater improvement compared to the control group (p = 0.002). In conclusion, supplementation with Moringa oleifera effectively improved Hb levels and MUAC among adolescent girls. This intervention has potential as a practical and affordable strategy for preventing anemia and improving nutritional status in adolescents.</dc:description>
	<dc:publisher xml:lang="en">Faculty of Public Health, Hasanuddin University, Makassar</dc:publisher>
	<dc:date>2025-09-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unhas.ac.id/index.php/mkmi/article/view/43890</dc:identifier>
	<dc:identifier>10.30597/mkmi.v21i3.43890</dc:identifier>
	<dc:source xml:lang="en">Media Kesehatan Masyarakat Indonesia; Vol. 21 No. 3: SEPTEMBER 2025; 192-199</dc:source>
	<dc:source>2356-4067</dc:source>
	<dc:source>0216-2482</dc:source>
	<dc:source>10.30597/mkmi.v21i3</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://journal.unhas.ac.id/index.php/mkmi/article/view/43890/13584</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2025 by author</dc:rights>
	<dc:rights xml:lang="en">https://creativecommons.org/licenses/by-nc-sa/4.0/</dc:rights>
</oai_dc:dc>