COMPLIANCE WITH IRON TABLET CONSUMPTION AND MACRONUTRIENT INTAKE IN RELATION TO ANEMIA IN FEMALE STUDENTS AT SMAN 2 KOTA JAMBI
DOI:
https://doi.org/10.63953/jisn.v3i2.44Keywords:
Anemia, Iron Tablet, Macronutrient, Adolescent Girls, Fat IntakeAbstract
Background: Adolescent girls are vulnerable to anemia due to increased iron needs during menstruation and often inadequate dietary intake. This study aimed to analyze the relationship between compliance with Iron Tablet (TTD) consumption and macronutrient intake with the incidence of anemia in female students. Methods: This cross-sectional study was conducted at SMAN 2 Kota Jambi with 24 randomly selected female students. Data were collected through a compliance questionnaire, 3x24-hour food recall, and hemoglobin level measurement. Chi-square test was used for analysis. Results: A total of 62.5% respondents were non-compliant with TTD consumption. Macronutrient intake was generally poor: 95.8% lacked energy intake, 79.2% lacked carbohydrates, 66.7% lacked protein, and 87.5% lacked fat. Anemia prevalence was 45.8%. No significant relationship was found between TTD compliance and anemia (p=0.916). However, fat intake was significantly associated with anemia incidence (p<0.05). Conclusion: Anemia in adolescent girls is not significantly associated with iron tablet compliance but is related to fat intake. Interventions should target improving diet quality and fat adequacy alongside supplementation.
References
Sylvia A. Price, Wilson LM. Patofisiologi : Konsep Klinis Proses- proses penyakit. 6th ed. Jakarta: EGC; 2015.
WHO. Guideline on haemoglobin cutoffs to define anaemia in individuals and populations. Geneva (Switzerland): WHO Press; 2024.
Lubis IA putri. The Relationship Between Knowledge Of Balanced Nutrition And Nutritional Status Among Students. Int J Heal Med. 2024;1(3):53–9.
Sungkar A, Bardosono S, Irwinda R, Manikam NRM, Sekartini R, Medise BE, et al. A Life Course Approach to the Prevention of Iron Deficiency Anemia in Indonesia. Nutrients. 2022;14(2):1–8.
Kementerian Kesehatan RI. Laporan Nasional Riskesdas 2018. Jakarta; 2018.
Yanti Nida, Risnawati, Atik Ba’diah. Efektivitas Pemberian Tablet Tambah Darah Terhadap Peningkatan Kadar Hemoglobin (Hb) Remaja Putri Di Pekanbaru. Al-Insyirah Midwifery J Ilmu Kebidanan (Journal Midwifery Sci. 2025;14(1):143–55.
Soliman A, Ghanem A, Hammad E-S. Effect of Dietary Pattern on the Presence of Iron Deficiency Anemia among Adolescent Girls. Bull Natl Nutr Inst Arab Repub Egypt. 2022;59(1):154–80.
Suryani L. Hubungan Status Gizi Dengan Kejadian Anemia Pada Remaja Di Sma Pgri Pekanbaru. JOMES( J midwidery Sci. 2018;2(2).
Hardiansyah A, Aulia EP, Sugiyanti D. Hubungan Asupan Zat Besi, Vitamin C, dan Persen Lemak Tubuh dengan Kejadian Anemia pada Remaja Putri di Pondok Pesantren Askhabul Kahfi Kota Semarang. Amerta Nutr. 2024;8(3SP):170–9.
Sonnweber T, Ress C, Nairz M, Theurl I, Schroll A, Murphy AT, et al. High-fat diet causes iron deficiency via hepcidin-independent reduction of duodenal iron absorption. J Nutr Biochem [Internet]. 2012;23(12):1600–8. Available from: http://dx.doi.org/10.1016/j.jnutbio.2011.10.013
Ivaturi A, Giles L, Do LG, Rawal T, Arora M, Moynihan P. Energy and nutrient intake by 11–13-year-old young adolescents attending private schools in Delhi, India. Br J Nutr. 2024;132(3):392–400.
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