Protein Intake Influences the Incidence of Anemia in Female Students at Sidoarjo Islamic Middle School
https://doi.org/10.33860/jik.v19i1.3909
Keywords:
Anemia, Menstrual patterns, Nutritional adequacy rates, Nutritional statusAbstract
Anemia is a health problem that can occur in all age groups from toddlers to old age. Young women are susceptible to suffering from anemia because they experience a menstrual cycle every month. This study aims to determine the influence of age, menstrual pattern, nutritional adequacy rate (energy adequacy rate and protein adequacy rate), and nutritional status on the incidence of anemia in female students at Sidoarjo Islamic Middle School. The design of this research is observational analytic with a cross sectional approach. The population was female students at Sidoarjo Islamic Middle School with a sample size of 53 people. The independent variables in this study were age, menstrual pattern, nutritional adequacy rate (energy adequacy rate and protein adequacy rate), and nutritional status; and dependent variable is anemia. Data collection was carried out by checking Hb and Hct levels, measuring body weight and height, and filling out questionnaires. The collected data was analyzed using path analysis using smart Partial Least Square (PLS). There is a significant effect of protein adequacy on hemoglobin (Hb) levels. Female students with adequate protein intake tend to have better Hb levels, which play a role in preventing anemia. Therefore, meeting optimal protein needs is very important to support blood health and prevent health problems in female students.
References
1. WHO. Anaemia in women and children [Internet]. 2023. Available from: https://www.who.int/data/gho/data/themes/topics/anaemia_in_women_and_children
2. Mutonhodza B, Dembedza MP, Lark MR, Joy EJM, Manzeke-Kangara MG, Njovo H, et al. Anemia in children aged 6–59 months was significantly associated with maternal anemia status in rural Zimbabwe. Food Sci Nutr. 2023;11(3):1232–46.
3. Turner J, Parsi M, Badireddy M. Anemia. 2023;1–17. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499994/
4. WHO. Anaemia [Internet]. 2023. p. 1–9. Available from: https://www.who.int/health-topics/anaemia#tab=tab_1
5. Direktur Jenderal Masyarakat Kementerian Kesehatan RI. Panduan Kegiatan Hari Gizi Nasional: Remaja Sehat, Bebas Anemia [Internet]. 2021. Available from: https://promkes.kemkes.go.id/pub/files/files79349Panduan Kegiatan HGN-ACC.pdf
6. Supriyatno H. Memprihatinkan, 23 Persen Remaja Putri di Jatim Alami Anemia. Bhirawa online [Internet]. 2023;1–7. Available from: https://www.harianbhirawa.co.id/memprihatinkan-23-persen-remaja-putri-di-jatim-alami-anemia/
7. Pratimi RP. Sebanyak 32 , 9 Persen Remaja Sidoarjo Alami Anemia. Radar Sidoarjo [Internet]. 2021;1–4. Available from: https://radarsidoarjo.jawapos.com/sport-health/17/03/2021/sebanyak-329-persen-remaja-sidoarjo-alami-anemia/
8. Pearson HA, Kalinyak KA. Chronic Anemia. Pediatrics [Internet]. 2005;1065–71. Available from: https://www.ncbi.nlm.nih.gov/books/NBK534803/
9. Kementerian Kesehatan Republik Indonesia. Pedoman Pencegahan dan Penanggulangan Anemia pada Remaja Putri dan Wanita Usia Subur (WUS) [Internet]. 2018. Available from: https://perpustakaan.rsmoewardi.com/index.php?p=show_detail&id=166
10. Sistiarani C, Wati E, Rahardjo S. Diet behavior and consumption of iron inhibitors: incidence anemia in teenage girls. J Public Health Africa [Internet]. 2023;1–6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10755512/pdf/jpha-14-11-2593.pdf
11. Kaimudin, N.Lestari, H.Afa J. Skrining Dan Determinan Kejadian Anemia Pada Remaja Putri Sma Negeri 3 Kendari Tahun 2017. J Ilm Mhs Kesehat Masy Unsyiah [Internet]. 2017;2(6):185793. Available from: http://ojs.uho.ac.id/index.php/JIMKESMAS/article/view/2884
12. Isati, Hastono SP. Determinan Kejadian Anemia Remaja Putri di SMP Negeri 22 Kota Jambi Determinants of Anemia in Adolecent Girls in SMP Negeri 22 Jambi City. J Kesmas jambi [Internet]. 2016;1(1):1–10. Available from: https://www.neliti.com/id/publications/353592/determinan-kejadian-anemia-remaja-putri-di-smp-negeri-22-kota-jambi
13. Satriani. Analisis Determinan Anemia pada Remaja Putri (15-18 Tahun) di Kecamatan Tamalate Kabupaten Jeneponto. Tesis. 2018;1–179.
14. Dineti A, Maryani D, Purnama Y, Asmariyah A, Dewiani K. Hubungan Pola Menstruasi dengan Kejadian Anemia pada Remaja Putri di Wilayah Pesisir Kota Bengkulu. J Surya Med [Internet]. 2022;8(3):86–91. Available from: https://journal.umpr.ac.id/index.php/jsm/article/download/4503/2908/17193
15. Villasari A. Fisiologi Menstruasi [Internet]. Pertama. Tim STRADA, editor. Northern Clinics of Istanbul. Kediri: STRADA PRESS; 2021. Available from: https://stradapress.org/index.php/ebook/catalog/download/22/19/74-1?inline=1
16. Attia GM, Alharbi OA, Aljohani RM. The Impact of Irregular Menstruation on Health: A Review of the Literature. Cureus [Internet]. 2023;15(11). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10733621/pdf/cureus-0015-00000049146.pdf
17. Sriprasert I, Pakrashi T, Kimble T, Archer DF. Heavy menstrual bleeding diagnosis and medical management. Contracept Reprod Med [Internet]. 2017;2(1):1–8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5683444/pdf/40834_2017_Article_47.pdf
18. Rokhmah F, Muniroh L, Nindya TS. Hubungan Tingkat Kecukupan Energi Dan Zat Gizi Makro Dengan Status Gizi Siswi Sma Di Pondok Pesantren Al-Izzah Kota Batu. Media Gizi Indones [Internet]. 2017;11(1):94. Available from: https://e-journal.unair.ac.id/MGI/article/download/4410/3008/12442
19. Februhartanty J, Ermayani E, Rachman PH, Dianawati H, Harsian H. Gizi dan Kesehatan Remaja [Internet]. Kedua. SEAMEO RECFON Kemendikbud RI; 2019. Available from: https://repositori.kemdikbud.go.id/20939/1/Gizi dan Kesehatan Remaja_2019_rev4.pdf
20. Garza-Juárez A, Pérez-Carrillo E, Arredondo-Espinoza EU, Islas JF, Benítez-Chao DF, Escamilla-García E. Nutraceuticals and Their Contribution to Preventing Noncommunicable Diseases. Foods [Internet]. 2023;12(17):1–16. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10486909/pdf/foods-12-03262.pdf
21. Muhayati A, Ratnawati D. Hubungan Antara Status Gizi dan Pola Makan dengan Kejadian Anemia Pada Remaja Putri. J Ilm Ilmu Keperawatan Indones [Internet]. 2019;9(01):563–70. Available from: https://journals.stikim.ac.id/index.php/jiiki/article/view/183
22. Sari P, Judistiani RTD, Hilmanto D, Herawati DMD, Dhamayanti M. Iron Deficiency Anemia and Associated Factors Among Adolescent Girls and Women in a Rural Area of Jatinangor, Indonesia. Int J Womens Health [Internet]. 2022;14(August):1137–47. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9419807/pdf/ijwh-14-1137.pdf
23. Mosiño A, Villagómez-Estrada KP, Prieto-Patrón A. Association between school performance and anemia in adolescents in mexico. Int J Environ Res Public Health [Internet]. 2020;17(5). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084426/pdf/ijerph-17-01466.pdf
24. Engidaw MT, Wassie MM, Teferra AS. Anemia and associated factors among adolescent girls living in Aw-Barre refugee camp, Somali regional state, Southeast Ethiopia. PLoS One [Internet]. 2018;13(10):1–12. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181359/pdf/pone.0205381.pdf
25. Ayu S, Apoina K, Achadi NS. Hubungan Asupan Zat Gizi (Protein, Zat Besi, Vitamin C) dan Pola (Siklus, Lama) Menstruasi Dengan Kadar Hemoglobin (Studi pada Remaja Putri di SMK Negeri 10 Semarang). J Kesehat Masy [Internet]. 2019;7(4):504–16. Available from: https://ejournal3.undip.ac.id/index.php/jkm/article/download/24867/22378
26. Jamilahi, Suwondo A, Wahyuni S, Suhartono. Efektifitas Kombinasi Pijat Oksitosin Tehnik Effleurage dan Aromaterapi Rose terhadap Kadar Hormon Prolaktin Ibu Post Partum Normal di Wilayah Puskesmas Dawe Kudus Tahun 2013. J Ilm Bidan [Internet]. 2015;1(1):1–14. Available from: https://e-journal.ibi.or.id/index.php/jib/article/view/57
27. Lapelusa A, Kaushik R. Physiology , Proteins. 2024;1–21. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555990/
28. Kumar S, Arnipalli S, Mehta P, Carrau S, Ziouzenkova O. Iron Deficiency Anemia: Efficacy and limitations of nutritional and comprehensive mitigation strategies. Nutrients [revista en Internet] 2020 [acceso 5 de mayo de 2023]; 14(14): 2976. Nutrients [Internet]. 2022;14(2976). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9315959/
29. Wahyuni S. Dasar-Dasar Bikomia [Internet]. Pertama. Denpasar: Udayana University Press; 2014. Available from: http://erepo.unud.ac.id/id/eprint/6832/1/b6f847caa43af9739ab38fc59ddf7167.pdf
30. Coates TD. Physiology and pathophysiology of iron in hemoglobin-associated diseases. Free Radic Biol Med [Internet]. 2014;72:23–40. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4940047/pdf/nihms795798.pdf
31. Yiannikourides A, Latunde-Dada G. A Short Review of Iron Metabolism and Pathophysiology of Iron Disorders. Medicines [Internet]. 2019;6(3):85. Available from: https://www.mdpi.com/2305-6320/6/3/85
32. Lane DJR, Bae DH, Merlot AM, Sahni S, Richardson DR. Duodenal cytochrome b (DCYTB) in Iron metabolism: An update on function and regulation. Nutrients [Internet]. 2015;7(4):2274–96. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4425144/
33. Lee J, Hyun DH. The Interplay between Intracellular Iron Homeostasis and Neuroinflammation in Neurodegenerative Diseases. Antioxidants [Internet]. 2023;12(4). Available from: https://www.mdpi.com/2076-3921/12/4/918
34. Giri NC. Role of Transferrin in Iron Metabolism. In: Hassan MZ and T, editor. 2021. p. 1–50. Available from: https://www.intechopen.com/chapters/79004#
35. Nataro C. Chem 212/213: inorganic chemistry [Internet]. Lafayette College: LibreTexts; 2024. 1–375 p. Available from: https://chem.libretexts.org/Courses/Lafayette_College/CHEM_212_213%3A_Inorganic_Chemistry_(Nataro)/06%3A_Bioinorganic_Chemistry/6.08%3A_Overview_of_Hemoglobin_and_Myoglobin/6.8.02%3A_Oxygen__Transport__by__the_Proteins__Myoglobin_and__Hemoglobin
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