The objective of this study was to analyse the effectiveness of moringa biscuits and snakehead fish in improving the nutritional status of pregnant women with chronic energy deficiency (CED). The study was a randomized control trial carried out in two stages. The first stage was carried out in 2020, while the second stage was implemented in 2021 in Sigi Regency, Central Sulawesi Province, Indonesia. Thirty pregnant women with CED were divided into two groups. Five pieces of biscuits (60g) were given every day for three months to women in the intervention group while the control group were given biscuits without moringa and snakehead fish. The analysis consisted of paired t-test statistics. The results showed that giving biscuits significantly improved the nutritional status of pregnant women with CED, with the mean body mass index Centre (BMI) having a value of (P 0.000). In contrast, the upper arm circumference did not differ between the intervention and control groups. (P 0.247). We conclude that the consumption of moringa and snakehead fish biscuits provides a higher average contribution of energy and nutrients in pregnant women with CED.

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Nurdin MS, Hadju V, Ansariadi A, Zulkifli A and

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Arundhana AI. Determinants of anemia among

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pregnant women in jeneponto regency. Asian Pac. J.

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Health Sci. 2018;5(1):135–8. doi:

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21276/apjhs.2018.5.1.28

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Malinga S, Ilukena M, Mpofu D and Chirwa T.. Factors

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associated with pregnancy outcomes of adolescents

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supported by safe motherhood action groups in

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Zambia. Afr J Reprod Health. Published online

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Central Statistics Agency. Population Census Long Form

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Results.; 2020.

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Word Healt Organization. Trends in Maternal Mortality

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to 2020.; 2020.

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Ministry of Health RI. Performance Accountability Report

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of Government Agencies (Lakip) Directorate of

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Nutrition and Maternal and Child Health for the 2022

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Central Sulawesi Provincial Health Service. Health Profile.

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MacDorman MF, Thoma M, Declercq E and Howell EA.

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Causes contributing to the excess maternal mortality

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risk for women 35 and over, United States. PloS one.

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Mukkadas H, Salma WO and Cristian Bhinekada IM.

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Factors Related to Chronic Energy Deficiency in

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Pregnant Mothers in the Konawe District, Indonesia.

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Ministry of Health of the Republic of Indonesia. National

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Report on Basic Health Research.; 2018.

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Lestari WOSW, Syarif S, Hidayanty H, Aminuddin A and

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Ramadany S. Nutrition education with android-based

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application media to increase knowledge, attitudes,

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and behaviors of pregnant women about chronic

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energy deficiency (CED). Int J Health Med Sci.

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;4(1):15–22. doi: 10.31295/ijhms.v4n1.440

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Sigi District Health Department. Health Profile in 2021.;

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Rachmawati NC, Dewi YLR and Widyaningsih V.

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Multilevel Analysis on Factors Associated with Occurrence Chronic Energy Deficiency among

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Pregnant Women. Matern Child Health J.

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26911/thejmch.2019.04.06.08

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Restu. S, Suamiaty, Irmawati and Sundari. Relationship of

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Chronic Energy Deficiency in Pregnant Women with

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Low Birth Weight Newborn in Central Sulawesi

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Province. Int J Sci Basic Appl Res. 2017;36:252-259.

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Maskur SU, Budiman B and Lestari A. The Relationship

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 167994 ORDER BY metadata_description_id DESC  

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between Knowledge and Dietary Habit with

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 167995 ORDER BY metadata_description_id DESC  

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Incidence Chronic Energy Deficiency in the

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Pregnant Women in the Working Area Talise City of

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Palu. J Health Eco Soc Sci. 2021;3(1):19–27. doi:

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56338/ijhess.v3i1.1423

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Ministry of Health of Indonesia. Technical Instructions for

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Additional Food for," Indonesian Ministry of

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Health.; 2019.

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Setyawati E, Nurasmi N and Irnawati I. Nutritional

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Analysis Study of Functional Biscuits Substituting

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Moringa Flour and Snakehead Fish Meal. Jurnal

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Ilmiah Kesehatan Sandi Husada. 2021;10(1):94–104.

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doi.org/10.35816/jiskh.v10i1.516.

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Indonesian National Standards Agency. Echnical Study of

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 168008 ORDER BY metadata_description_id DESC  

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Indonesian National Biscuit Standards SNI 01-2973-

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; 2011.

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Republic of Indonesia Health Law. LAW OF THE

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REPUBLIC OF INDONESIA NUMBER.; 2019.

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Maskur SU, Budiman B and Lestari A. The Relationship

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '168013'  

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 168013 ORDER BY metadata_description_id DESC  

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between Knowledge and Dietary Habit with

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 168014 ORDER BY metadata_description_id DESC  

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Incidence Chronic Energy Deficiency in the

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 168015 ORDER BY metadata_description_id DESC  

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Pregnant Women in the Working Area Talise City of

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '168016'  

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 168016 ORDER BY metadata_description_id DESC  

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Palu. J Health Eco Soc Sci. 2021;3(1):19–27.

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '168017'  

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 168017 ORDER BY metadata_description_id DESC  

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doi.org/10.56338/ijhess.v3i1.1423

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Rizkah Z and Mahmudiono T. The Relationship Between

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Age, Gravida, and Working Status on the Risk of

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 168020 ORDER BY metadata_description_id DESC  

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Chronic Energy Deficiency (KEK) and Anemia in

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Pregnant Women. Amerta Nutrition. 2017;1(2):72.

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doi.org/10.20473/amnt.v1i2.2017.72-79

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Ministry of Health of the Republic Indonesia. Pocket Book

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for Monitoring Nutritional Status’, Pocket Book for

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Monitoring Nutritional Status.; 2018.

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Muhamad Z and Sumarmi S. Factors affecting the

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incidence of chronic energy deficiency among

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pregnant women attending the pulubala community

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health centre. Indian J. Public Health.

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;9(11):1734. doi: 10.5958/0976-

2018.01694.7.