Menstrual Cycle and Length of Menstruation in Early Adolescent Girls on the Incidence of Anemia
https://doi.org/10.33860/jbc.v7i1.3511
Keywords:
Anemia; menstrual cycle; Adolescent girlsAbstract
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.
Downloads
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

Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nur Indah Noviyanti Rahman, Reza Bintangdari Johan, Hukmiyah Aspar, Ernawati, Ruqaiyah

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Jurnal Bidan Cerdas agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
This work is licensed under a Creative Commons Attribution-Share Alike 4.0 International License
You are free to:
- Share, copy and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.