Menstrual Cycle and Length of Menstruation in Early Adolescent Girls on the Incidence of Anemia

https://doi.org/10.33860/jbc.v7i1.3511

Authors

  • Nur Indah Noviyanti Rahman Universitas Borneo Tarakan, North Kalimantan, Indonesia
  • Reza Bintangdari Johan Universitas Borneo Tarakan, North Kalimantan, Indonesia
  • Hukmiyah Aspar Institut Ilmu Kesehatan Pelamonia Makassar, South Sulawesi, Indonesia
  • Ernawati Institut Ilmu Kesehatan Pelamonia Makassar, South Sulawesi, Indonesia
  • Ruqaiyah Institut Ilmu Kesehatan Pelamonia Makassar, South Sulawesi, Indonesia

Keywords:

Anemia; menstrual cycle; Adolescent girls

Abstract

Introduction: Anemia is a prevalent health issue among adolescent girls, particularly in developing countries. This study aimed to investigate the relationship between menstrual cycle and length of menstruation on the incidence of anemia in early adolescent girls. Methods: A cross-sectional analytical survey was conducted involving 38 girls aged 12-15 years, selected using purposive sampling. Questionnaires were used to collect data on menstrual cycle and length of menstruation, while hemoglobin levels were measured to determine anemia status. Results: The results showed that 73.7% of respondents had normal menstrual cycles (21-35 days), 76.3% had normal menstrual periods (2-7 days), and 68.4% were not anemic. A significant relationship was found between menstrual cycle and anemia incidence, with 6 girls experiencing anemia despite normal cycles and 6 girls with abnormal cycles being anemic. However, no significant association was observed between length of menstruation and anemia. Conclusion: Early adolescence is a critical transition period during which health behaviors begin to develop. Adolescent girls are vulnerable to anemia due to increased iron requirements during menstruation. Efforts to prevent anemia in this population include iron and folic acid supplementation programs, minimizing risk factors, and addressing the etiology of anemia. Multisectoral support, including collaboration between health services, schools, and parents, is crucial in preventing anemia among adolescent girls. Further research with a larger, more representative sample is needed to better understand the factors contributing to anemia in this population.

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References

Blum, R. W., Mmari, K., & Moreau, C. (2017). It Begins at 10: How Gender Expectations Shape Early Adolescence Around the World. The Journal of Adolescent Health, 61(4 Suppl), S3–S4. https://doi.org/10.1016/j.jadohealth.2017.07.009

Caissy, G. A. (1994). Early Adolescence: Understanding the 10 to 15 Year Old. Insight Books, 233 Spring Street, New York, NY 10013-1578 ($26.

Deivita, Y., Syafruddin, S., Andi Nilawati, U., Aminuddin, A., Burhanuddin, B., & Zahir, Z. (2021). Overview of Anemia; risk factors and solution offering. Gaceta Sanitaria, 35, S235–S241. https://doi.org/10.1016/j.gaceta.2021.07.034

Fentie, K., Wakayo, T., & Gizaw, G. (2020). Prevalence of Anemia and Associated Factors among Secondary School Adolescent Girls in Jimma Town, Oromia Regional State, Southwest Ethiopia. Anemia, 2020, 5043646. https://doi.org/10.1155/2020/5043646

Fernández-Gaxiola, A. C., & De-Regil, L. M. (2019). Intermittent iron supplementation for reducing anaemia and its associated impairments in adolescent and adult menstruating women. The Cochrane Database of Systematic Reviews, 1(1), CD009218. https://doi.org/10.1002/14651858.CD009218.pub3

Gebreyesus, S. H., Endris, B. S., Beyene, G. T., Farah, A. M., Elias, F., & Bekele, H. N. (2019). Anaemia among adolescent girls in three districts in Ethiopia. BMC Public Health, 19, 92. https://doi.org/10.1186/s12889-019-6422-0

Grieger, J. A., & Norman, R. J. (2020). Menstrual Cycle Length and Patterns in a Global Cohort of Women Using a Mobile Phone App: Retrospective Cohort Study. Journal of Medical Internet Research, 22(6), e17109. https://doi.org/10.2196/17109

Kementerian Kesehatan Republik Indonesia. (2022). Profil Kesehatan Indonesia Tahun 2021. Kementerian Kesehatan Republik Indonesia.

Kementrian Kesehatan Republik Indonesia. (2018). Laporan Nasional Riskesdas 2018 (pp. 1–674). Kementerian Kesehatan Republik Indonesia.

Lacroix, A. E., Gondal, H., Shumway, K. R., & Langaker, M. D. (2023). Physiology, Menarche. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK470216/

Mayo Clinic. (2023). Menstrual cycle: What’s normal, what’s not. Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/menstrual-cycle/art-20047186

Nasruddin, H., Syamsu, R. F., & Permatasari, D. (2021). Angka Kejadian Anemia Pada Remaja di Indonesia. Cerdika: Jurnal Ilmiah Indonesia, 1(4), 357–364. https://doi.org/10.59141/cerdika.v1i4.66

Omidvar, S., Amiri, F. N., Bakhtiari, A., & Begum, K. (2018). A study on menstruation of Indian adolescent girls in an urban area of South India. Journal of Family Medicine and Primary Care, 7(4), 698–702. https://doi.org/10.4103/jfmpc.jfmpc_258_17

Oyelowo, T. (2007). Chapter 3—Menstrual Cycle. In T. Oyelowo (Ed.), Mosby’s Guide to Women’s Health (pp. 11–15). Mosby. https://doi.org/10.1016/B978-032304601-5.50004-6

Piccin, A., Fleming, P., Eakins, E., McGovern, E., Smith, O. P., & McMahon, C. (2008). Sickle cell disease and dental treatment. Journal of the Irish Dental Association, 54(2), 75–79.

Prasanth, R. (2017). Prevalence of Anemia in both Developing and Developed Countries around the World. World Journal of Anemia, 1(2), 40–43. https://doi.org/10.5005/jp-journals-10065-0009

Reed, B. G., & Carr, B. R. (2018). The Normal Menstrual Cycle and the Control of Ovulation. In K. R. Feingold, B. Anawalt, M. R. Blackman, A. Boyce, G. Chrousos, E. Corpas, W. W. de Herder, K. Dhatariya, K. Dungan, J. Hofland, S. Kalra, G. Kaltsas, N. Kapoor, C. Koch, P. Kopp, M. Korbonits, C. S. Kovacs, W. Kuohung, B. Laferrère, … D. P. Wilson (Eds.), Endotext. MDText.com, Inc. http://www.ncbi.nlm.nih.gov/books/NBK279054/

Regasa, R. T., & Haidar, J. A. (2019). Anemia and its determinant of in-school adolescent girls from rural Ethiopia: A school based cross-sectional study. BMC Women’s Health, 19, 98. https://doi.org/10.1186/s12905-019-0791-5

Sari, P., Herawati, D. M. D., Dhamayanti, M., & Hilmanto, D. (2022). Anemia among Adolescent Girls in West Java, Indonesia: Related Factors and Consequences on the Quality of Life. Nutrients, 14(18), 3777. https://doi.org/10.3390/nu14183777

Sari, P., Judistiani, R. T. D., Herawati, D. M. D., Dhamayanti, M., & Hilmanto, D. (2022). Iron Deficiency Anemia and Associated Factors Among Adolescent Girls and Women in a Rural Area of Jatinangor, Indonesia. International Journal of Women’s Health, 14, 1137–1147. https://doi.org/10.2147/IJWH.S376023

Setia, M. S. (2016). Methodology Series Module 3: Cross-sectional Studies. Indian Journal of Dermatology, 61(3), 261–264. https://doi.org/10.4103/0019-5154.182410

Sherina Ramadhan, Rize Budi Amalia, Lestari Sudaryanti, & Endyka Erye Frety. (2023). Relationship between age, menstrual cycle, and length of menstruation with anemia in adolescent girls in the Gresik district. World Journal of Advanced Research and Reviews, 19(3), 250–255. https://doi.org/10.30574/wjarr.2023.19.3.1711

Taqwin, T., Amsal, A., Batjo, S. H., Radhiah, S., Ramadhan, K., Kusumawati, D. E., … Raju, K. (2023). Uncovering Determinant of Anemia Among Adolescent Girls. Poltekita: Jurnal Ilmu Kesehatan, 17(3), 1125–1135. https://doi.org/10.33860/jik.v17i3.3484

The American College of Obstetricians and Gynecologiests (ACOG). (2020). Menstruation in Girls and Adolescents: Using the Menstrual Cycle as a Vital Sign. The American College of Obstetricians and Gynecologiests (ACOG), 651. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2015/12/menstruation-in-girls-and-adolescents-using-the-menstrual-cycle-as-a-vital-sign

Usman, H., Silfia, N. N., Dewie, A., & Mariani, E. (2021). Pengaruh Pemberian Sari Kacang Hijau dan Tablet Tambah Darah terhadap Peningkatan Kadar Hemoglobin pada Remaja Putri: The Effect of Giving Green Bean Extract and Blood-Adding Tablets on Increasing Hemoglobin Levels in Adolescent Girls. Jurnal Bidan Cerdas, 3(4), Article 4. https://doi.org/10.33860/jbc.v3i4.509

Vaira, R., Karinda, M., & Muflihah. (2022). Factors Related Of Anemia In Adolescence Girl. Science Midwifery, 10(4), Article 4. https://doi.org/10.35335/midwifery.v10i4.696

van Zutphen, K. G., Kraemer, K., & Melse-Boonstra, A. (2021). Knowledge Gaps in Understanding the Etiology of Anemia in Indonesian Adolescents. Food and Nutrition Bulletin, 42(1 Suppl), S39–S58. https://doi.org/10.1177/0379572120979241

Wiafe, M. A., Ayenu, J., & Eli-Cophie, D. (2023). A Review of the Risk Factors for Iron Deficiency Anaemia among Adolescents in Developing Countries. Anemia, 2023. https://doi.org/10.1155/2023/6406286

World Health Organization (WHO). (2008). Anaemia. https://www.who.int/data/nutrition/nlis/info/anaemia

World Health Organization (WHO). (2023). Anaemia. https://www.who.int/news-room/fact-sheets/detail/anaemia

Zulfajriani, Z., Nurfatimah, N., Entoh, C., Longgupa, L. W., Sitorus, S. B. M., Siregar, N. Y., & Ramadhan, K. (2023). Enhancing Adolescent Girls’ Knowledge about Anemia through Instagram: A Pre-Experimental Study. Jurnal Bidan Cerdas, 5(2), 74–83. https://doi.org/10.33860/jbc.v5i2.2422

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Published

2025-03-27

How to Cite

Rahman, N. I. N., Johan, R. B., Aspar, H., Ernawati, E., & Ruqaiyah, R. (2025). Menstrual Cycle and Length of Menstruation in Early Adolescent Girls on the Incidence of Anemia. Jurnal Bidan Cerdas, 7(1), 1–7. https://doi.org/10.33860/jbc.v7i1.3511

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