Moringa oleifera L. Sebagai Suplemen Untuk Anemia Defisiensi Besi: Systematic Review

Yudi Kandinata, Nikmatul Ikhrom Eka Jayani, Krisyanti Budipramana, Fauna Herawati

Abstract

Daun dari tanaman Moringa oleifera L. (kelor) memiliki efektivitas yang baik terhadap peningkatan kadar hemoglobin yang berkaitan dengan anemia defisiensi besi (kadar serum Fe yang rendah, peningkatan Total Iron-Binding Capacity (TIBC) dan feritin yang rendah). Penelitian ini merupakan systematic review yang bertujuan untuk menganalisis secara sistematis terkait penggunaan daun kelor untuk anemia defisiensi besi. Pencarian artikel yang digunakan untuk menyusun kajian menggunakan database Pubmed, Science Direct, dan Google Scholar, artikel yang digunakan dengan beberapa desain studi diantaranya Quasi Experimental dan Randomized Controlled Trial (RCT). Kualitas artikel dinilai dengan Joanna Briggs Institute (JBI) checklist. Hasil penelitian menunjukkan bahwa terdapat 3 artikel Quasi Experimental dan 4 artikel RCT yang memenuhi kriteria inklusi. Pemberian daun kelor dalam bentuk serbuk atau ekstrak daun pada subjek anak berusia di bawah 2 tahun (332 subjek), wanita usia produktif (129 subjek), dan wanita hamil/ menyusui (70 subjek) menunjukkan peningkatan kadar hemoglobin dengan rentang 0,3-2,6 g/dl selama pemberian 2 minggu-6 bulan. Kesimpulan dari systematic review menunjukkan bahwa daun kelor dapat meningkatkan kadar Hb pasien anemia pada subjek bayi < 2 tahun, remaja wanita/ wanita usia produktif dan pada wanita hamil/ wanita yang sedang menyusui. Daun kelor berpotensi besar untuk dikembangkan sebagai suplemen pada anemia defisiensi besi.

Keywords

Iron deficiency anemia; Effectivity; Moringa oleifera L.; Children; Woman reproductive age; Pregnant dan lactating woman

Full Text:

PDF

References

Abu-Ouf, N. M., dan Jan, M. M. (2015). The Impact of Maternal Iron Deficiency and Iron Deficiency Anemia on Child’s Health. Saudi Medical Journal, 36(2), 146. https://doi.org/10.15537/smj.2015.2.10289

Aggarwal, A., Aggarwal, A., Goyal, S., dan Aggarwal, S. (2020). Iron-Deficiency Anemia among Adolescents: A Global Public Health Concern. International Journal of Advanced Community Medicine, 3(2), 35-40. https://doi.org/10.33545/comed.2020.v3.i2a.148

Alemayehu, M. (2017). Factors Associated with Anemia among Lactating Mothers in Subsistence Farming Households from Selected Districts of Jimma Zone, South Western Ethiopia: A Community Based Cross-Sectional Study. Journal of Nutrition & Food Sciences, 07(03). https://doi.org/10.4172/2155-9600.1000595

Boateng, L., Quarpong, W., Ohemeng, A., Asante, M., dan Steiner‐Asiedu, M. (2019). Effect of Complementary Foods Fortified with Moringa oleifera Leaf Powder on Hemoglobin Concentration and Growth of Infants in the Eastern Region of Ghana. Food science & nutrition, 7(1), 302-311. https://doi.org/10.1002/fsn3.890

Cappellini, M. D., Musallam, K. M., dan Taher, A. T. (2020). Iron Deficiency Anaemia Revisited. Journal of Internal Medicine, 287(2), 153-170. https://doi.org/10.1111/joim.13004

Cotoraci, C., Ciceu, A., Sasu, A., dan Hermenean, A. (2021). Natural Antioxidants in Anemia Treatment. International Journal of Molecular Sciences, 22(4), 1883. https://doi.org/10.3390/ijms22041883

Di Renzo, G. C., Spano, F., Giardina, I., Brillo, E., Clerici, G., dan Roura, L. C. (2015). Iron Deficiency Anemia in Pregnancy. Women’s Health, 11(6), 891-900. https://doi.org/10.2217/whe.15.35

Estiyani, A., Suwondo, A., Rahayu, S., Hadisaputro, S., Widyawati, M. N., dan Susiloretni, K. A. (2017). The Effect of Moringa oleifera Leaves on Change in Blood Profile in Postpartum Mothers. Belitung Nursing Journal, 3(3), 191-197. https://doi.org/10.33546/bnj.104

Fitriany, J., dan Saputri, A. I. (2018). Anemia Defisiensi Besi. Jurnal Kesehatan Masyarakat, 4(2).

Ganapathi, K. C., dan Kumar, K. S. (2017). A Cross-Sectional Study of Anemia among Women of Reproductive Age Group (15-49 Years) in a Rural Population of Tamil Nadu. International Journal of Medical Science and Public Health, 6(3), 524-530. https://doi.org/10.5455/ijmsph.2017.0954915092016

Goddard, W. P., Murray, I., Long, R. G., Scott, B., Barton, R., Salman, M., Frewin, R., Provan, D., dan Henson, A. (2001). Iron Deficiency Anaemia. BMJ, 314(7096), 1759. https://doi.org/10.1136/bmj.314.7096.1759

Hadju, V., Marks, G. C., Nontji, W., Abdul Hafid, R., dan Arundhana, A. I. (2020). Moringa oleifera Leaf Powder Supplementation Improved the Maternal Health and Birth Weight: A Randomised Controlled Trial in Pregnant Women. Australian Journal of Herbal and Naturopathic Medicine, 32(3), 94-101.

Indriani, L., Zaddana, C., Nurdin, N. M., dan Sitinjak, J. S. M. (2019). Pengaruh Pemberian Edukasi Gizi dan Kapsul Serbuk Daun Kelor (Moringa oleifera L.) terhadap Kenaikan Kadar Hemoglobin Remaja Putri di Universitas Pakuan. Media Pharmaceutica Indonesiana, 2(4), 200-207. https://doi.org/10.24123/mpi.v2i4.2109

Joo, E. Y., Kim, K. Y., Kim, D. H., Lee, J. E., dan Kim, S. K. (2016). Iron Deficiency Anemia in Infants and Toddlers. Blood Research, 51(4), 268. https://doi.org/10.5045/br.2016.51.4.268

Jullien, S. (2021). Screening of Iron Deficiency Anaemia in Early Childhood. BMC Pediatrics, 21, 1-6. https://doi.org/10.1186/s12887-021-02725-w

Moyo, B., Masika, P. J., Hugo, A., dan Muchenje, V. (2011). Nutritional Characterization of Moringa (Moringa oleifera Lam.) Leaves. African Journal of Biotechnology, 10(60), 12925-12933. https://doi.org/10.5897/ajb10.1599

Mustapa, Y., Hadju, V., Indriasari, R., Hidayanti, H., Sirajuddin, S., dan Russeng, S. S. (2020). The Effect of Moringa oleifera to Hemoglobin Levels of Preconception Women in the Health Center Tibawa District Tibawa, Gorontalo. Open Access Macedonian Journal of Medical Sciences, 8(T2), 104-108. https://doi.org/10.3889/oamjms.2020.5201

Patel, A. H., dan Patel, P. K. (2019). Study of Anemia in Hospitalised Infants with Special Reference to its Risk Factors. Pediatric Review: International Journal of Pediatric Research, 6(10), 527–533. https://doi.org/10.17511/ijpr.2019.i10.06

Purnamasari, R. (2016). Anemia Kekurangan Zat Besi. Ikatan Dokter Anak Indonesia.

Saha, U., Dharwadkar, P. S., Sur, S., Vishaharini, V., dan Malleshappa, M. (2018). Plant Extracts as an Astounding Remedy to Anemia-A review. Annals of Plant Sciences, 7(4), 2166-71. https://doi.org/10.21746/aps.2018.7.4.16

Shija, A. E., Rumisha, S. F., Oriyo, N. M., Kilima, S. P., dan Massaga, J. J. (2019). Effect of Moringa Oleifera Leaf Powder Supplementation on Reducing Anemia in Children below Two Years in Kisarawe District, Tanzania. Food Science & Nutrition, 7(8), 2584-2594.

Suzana, D., Suyatna, F. D., Andrajati, R., Sari, S. P., dan Mun’im, A. (2017). Effect of Moringa oleifera Leaves Extract against Hematology and Blood Biochemical Value of Patients with Iron Deficiency Anemia. Journal of Young Pharmacists, 9(1), S79. https://doi.org/10.5530/jyp.2017.1s.20

The Joanna Briggs Institute. (2017a). Checklist for Quasi-Experimental Studies. In Joanna Briggs Institute Critical Appraisal Tools Checklist for Quasi-Experimental Studies (non-randomized experimental studies). Available from: http://joannabriggs.org/assets/docs/critical-appraisal-tools/JBI_Quasi-Experimental_Appraisal_Tool2017.pdf

The Joanna Briggs Institute. (2017b). Checklist for Randomized Controlled Trials. In Joanna Briggs Institute Critical Appraisal Tools Checklist for Randomized Controlled Trials. Available from: http://joannabriggs.org/research/critical-appraisal-tools.htmlwww.joannabriggs.org%0Ahttp://joannabriggs.org/research/critical-appraisal-tools.htmlwww.joannabriggs.org%0Ahttp://joannabriggs.org/research/critical-appraisal-tools.html

Refbacks

  • There are currently no refbacks.