Value RRR = 0.688, has the potential to increase HDL levels by as much as 68.8% compared to the control group. Value ARR = 0.61, mean difference in levels of HDL in the intervention group than the control group by 61%. Value NNT = 1.6 rounded to two respondents, it only takes 2 respondents to prevent one respondent from hypertension.

Value RRR = 0.50, has the potential to lower LDL levels by 50% compared to the control group. Value ARR = 0.11, significant difference in levels of LDL in the intervention group than the control group by 11%. Value NNT = 9, it only takes 9 respondents in order to prevent one respondent from hypertension.

Value RRR = 0.688, has the potential to raise triglyceride levels as much as 68.8% compared to the control group. Value ARR = 0.61, mean difference in levels of HDL in the intervention group than the control group by 61%. Value NNT = 1.6 rounded to two respondents, it only takes 2 respondents to prevent one respondent from hypertension.

The results of research related to age showed the intervention and control groups showed a variant of data homogeneous p = 0.526 This shows that age does not affect the results.

Age affects the occurrence of hypertension. Hypertension incidence with advancing age, caused by changes in the structure of the large blood vessels, so that blood vessels become narrower and the walls of the large blood vessels, so that blood vessels become stiff, as a result, is increasing systolic blood pressure. The results of this study do not contradict previous studies which stated that the respondents aged ≥ 40 years have the opportunity to have hypertension as much as 2.97 times compared to respondents aged 15-39 years.

The data collected shows the characteristics of respondents education in the intervention group and the control shows the data variance homogeneous p = 0.077 This shows that education does not affect the results.

Education is an indicator of the level of human ability to understand access to information obtained from the outside and in this regard to hypertension, level of education only makes it easy to receive and understand information on health and able to manage the resources to prevent hypertension.

According to the research the characteristics of respondents work in the intervention and control groups showed a variant of data homogeneous p = 1.000. This shows that education does not affect the results.

Similar studies showed that respondents who do not work have a higher proportion of hypertension in women who do not work than work that is as much as 25.1%.

Based on the research family history characteristics of respondents in the intervention group and the control shows the data variance homogeneous p = 0.154. This suggests that family history does not affect the results.

A study showed that a family history of hypertension on proved to be a risk factor for hypertension. The possibility of hypertension in those who have a family history of hypertension is equal to 3.216 times than those who do not have a family history of hypertension.

Other studies suggest that the frequency distribution is based on a family history of hypertension by 67% of patients with hypertension have a family history of hypertension

The results of research related to the intake of sodium and potassium in the intervention group and the control group showed homogeneous the data on sodium intake (p = 0.595), and potassium (p = 0.078). This shows that nutrition does not affect the results.

Test paired blood lipid intervention group 209.94 cholesterol before treatment, after treatment 196.17 (p = 0.008). 72.76 HDL levels before treatment, after treatment 55.61 (p = 0.001). 84.50 LDL levels before treatment, after treatment 72.00 (p = 0.001), indicating the levels of cholesterol, HDL and LDL was no significant difference before and after treatment, the hypothesis is accepted. Trigeliserid 134.59 levels before treatment, after treatment 90.56 (p = 0133), meaning there is no significant difference before and after treatment, the hypothesis is rejected.

Test paired control group blood lipid cholesterol levels before treatment 205.78, 199.06 after treatment (p = 0.038). Trigeliserid 101.17 levels before treatment, after treatment 80.11 (p = 0.038), indicating the trigeliserid cholesterol levels and no significant difference before and after treatment, the hypothesis is accepted. 74.17 HDL levels before treatment, after treatment 76.78 (p = 0.401). 87.28 LDL levels before treatment, after treatment 83.72 (p = 0.228), meaning there is no significant difference before and after treatment, the hypothesis is rejected.

Unpaired test the intervention and control, cholesterol levels no significant difference (p-value 0.924), HDL was no significant difference (p-value 0.001), LDL levels significantly different (p = 0.026), triglyceride levels are not significantly different (p-value 0.432).

Abnormal blood lipids are cholesterol rise, trigeliserida, LDL, HDL or decreased. Cholesterol levels, LDL and high trigeliserida and prolonged can cause thickening of the blood vessels with the risk of narrowing of blood vessels so that blood pressure increases, but not always of high blood pressure followed by trigeliserida high levels.

Cholesterol is a natural substance with physical properties such as fat, which will run normally when the amount of cholesterol in the blood ends meet and not exceed the normal limits are needed. Moringa leaf cookies provide an alternative to lower cholesterol levels in the body proved to be effective. In addition to lack the high fiber in Moringa leaves also are antioxidants such as plavonoid. Flavonoids are active active substances that have an influence on lipid profile with how to enable multi-enzyme system such as citocrome p-450 and b5 which has the function of binding cholesterol and bile that is excreted.

Consuming high Moringa leaf cookies will flavonoid, which flavonoids can lower cholesterol by inhibiting the absorption of cholesterol in the intestine and increases the formation reaction of bile acids from cholesterol to be excreted through the feces.

Trigeliserid is a kind of fat stored in the body as it is established in the heart. This type of fat obtained from the intake of foods containing high fat and simple carbohydrates the excess so that the rest are not needed by the body is stored under the skin tissue in the fat cells. Unlike the commonly found dipembuluh cholesterol blood and liver as well as serve as a builder of hormones and cells, trigeliserida stored in the fatty tissue of skin serves as a backup energy in the body. However, the higher the number trigeliserid then the thicker the fat tissue resulting in obesity and a variety of risks that follow.

This study is in line with research conducted by M.affan (2018) which states Moringa leaf extract of 0.30 mg / day can lower high blood pressure, LDL cholesterol and raise HDL after being given treatment for 14 days.

This study is not in line with research conducted Seriki, et al (2015)research has been done to humans by using flour (powder) Moringa leaves with a dose of 0.3 g / kg and 0.7 g / kg for 14 days have not shown significant results on the reduction of blood pressure, and lipid profiles.[13]

Results of research conducted by Onyekwere, et al (2014) states that the alkaloids and saponins in the leaves of Moringa has the function to treat hypertension, as saponin prevent excessive intestinal absorption of cholesterol, thereby reducing the risk of cardiovascular disease such as hypertension.

Components that influence the decrease in total cholesterol levels are flavonoids and vitamin C. Flavonoids lowering plasma cholesterol levels by inhibiting the absorption of cholesterol in the intestine and increases the formation reaction of bile acids from cholesterol to be excreted through the feces.

This is consistent with previous studies that there is no significant correlation between the levels of cholesterol in the blood pressure.

Not in line with other studies that show a significant association between cholesterol levels with hypertension (total cholesterol p <0.05; OR = 2.40,).⁹⁶ In addition, research by Heni Maryati (2017) showed that no significant relationship between cholesterol levels and hypertension with a correlation coefficient of 0.668 indicates a high correlation between the levels of cholesterol in the blood pressure in patients with hypertension in the hamlet Sidomulyo Rejoagung village.

In this study, the statistical result triglycerides showed no significant difference with p = 0.432. This means that the hypothesis is rejected.

This is not in line with previous studies that show there is a significant difference between the levels of triglycerides normotensive people with hypertension. The test results of chi-square statistics also show a significant association between triglyceride levels and the incidence of hypertension and triglycerides, a risk factor for hypertension of 2.49 times.

The results are consistent with Fitriyanti study (2017) showed no association between triglyceride levels with the level of hypertension (p value: 0.701).

In this study, the statistical result of HDL and LDL cholesterol levels showed a significant difference to the value (p = 0.001 HDL, and LDL p = 0.026). This means that the hypothesis is accepted.

This is in line with research Nadya (2013) that there is a relationship LDL levels were statistically significant against the control of blood pressure and LDL cholesterol are risk factors of blood pressure control. Results of other studies showed higher levels of total cholesterol (p = 0.000), LDL (p = 0.000), HDL (p = 0.000) effect on the degree of hypertension.

Another study therapy line that is red guava fruit juice at a dose of 650 mg / kg per 200 ml of red guava juice can lower LDL cholesterol significantly with the average before and after treatment equal to 21.96%.

Vitamin C plays an important role in preventing asterosklerosis that have a relationship with the metabolism of cholesterol. Vitamin C increases the rate of cholesterol is removed in the form of bile acids and increase HDL levels thus decreasing the risk of developing atherosclerotic disease.

We hope this research into a reference in the development of midwifery to improve the quality of obstetric care provision of obstetric services in particular on women of childbearing age with hypertension.

The results of this study prove flour Moringa leaves 0.5 grams (cookies) 2x a day for 14 days have a potential effect on changes in blood lipid levels.