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
WHO. Anaemia in women and children [Internet]. 2023. Available from: https://www.who.int/data/gho/data/themes/topics/anaemia_in_women_and_children
Turner J, Parsi M, Badireddy M. Anemia. 2023;1–17. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499994/
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
Bansal PG, Toteja GS, Bhatia N, Gupta S, Kaur M, Adhikari T, et al. Comparison of haemoglobin estimates using direct & indirect cyanmethaemoglobin methods. Indian J Med Res [Internet]. 2016;144(OCTOBER):566–71. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5345303/pdf/IJMR-144-566.pdf
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.
WHO. Anaemia [Internet]. 2023. p. 1–9. Available from: https://www.who.int/health-topics/anaemia#tab=tab_1
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
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/
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/
Pearson HA, Kalinyak KA. Chronic Anemia. Pediatrics [Internet]. 2005;1065–71. Available from: https://www.ncbi.nlm.nih.gov/books/NBK534803/
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
Finaka AW, Nurhanisah Y, Putra ID. Cegah Stunting dengan Bebas Anemia. Indonesiabaik.id [Internet]. 2021;2–6. Available from: https://indonesiabaik.id/infografis/cegah-stunting-dengan-bebas-anemia#:~:text=Makan Makanan BERGIZI SEIMBANG%2C %22Terutama,Melakukan Aktifitas Fisik
Gedefaw L, Tesfaye M, Yemane T, Adisu W, Asres Y. Anemia and iron deficiency among school adolescents: burden, severity, and determinant factors in southwest Ethiopia. Adolesc Health Med Ther [Internet]. 2015;189. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687608/pdf/ahmt-6-189.pdf
KEMENKO PMK. Anemia pada Remaja Putri Berisiko Tingkatkan Stunting. Kementerian Koordinator Bidang Pembangunan Manusia dan Kebudayaan [Internet]. 2021;1–7. Available from: https://www.kemenkopmk.go.id/anemia-pada-remaja-putri-berisiko-tingkatkan-stunting
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
Rokom. Saat Remaja Menderita Anemia , Ibu Hamil Berisiko Lahirkan Anak Stunting. Sehat Negeriku [Internet]. 2021;1–15. Available from: https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20210122/5236847/saat-remaja-menderita-anemia-ibu-hamil-berisiko-lahirkan-anak-stunting/
Adilah LH, Syafiq A, Sukoso S. Correlation of Anemia in Pregnant Women with Stunting Incidence: A Review. Indones J Multidiscip Sci. 2023;2(9):3155–69.
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
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
Satriani. Analisis Determinan Anemia pada Remaja Putri (15-18 Tahun) di Kecamatan Tamalate Kabupaten Jeneponto. Tesis. 2018;1–179.
Arifianti DI, Sudiarti T. Determinan Anemia Remaja Putri Di Pondok Pesantren Di Indonesia: Literature Review. J Ris Kesehat Poltekkes Depkes Bandung [Internet]. 2023;15(1):1–12. Available from: https://www.researchgate.net/publication/367006028_DETERMINAN_ANEMIA_REMAJA_PUTRI_DI_PONDOK_PESANTREN_DI_INDONESIA_LITERATURE_REVIEW
Mustafa A, Sutjiati E, Agustin SI. Healthy Food Education Affects Underweight Adolescent ’ s Knowledge and Intakes of Energy , Macro and Micro Nutrients 1 Dietitian Professional Education Study Program , Politeknik Kesehatan Kementerian Kesehatan Malang , Malang , East Java Province , Indo. 2023;17(3):564–71. Available from: https://jurnal.poltekkespalu.ac.id/index.php/JIK/article/view/2980/875
Agustina EE, Laksono B, Indriyanti DR. Determinan Risiko Kejadian Anemia pada Remaja Putri Berdasarkan Jenjang Pendidikan di Kabupaten Kebumen. Public Heal Perspect J [Internet]. 2017;2(1):26–33. Available from: https://journal.unnes.ac.id/nju/index.php/phpj/article/view/10995/6674
Setia MS. Methodology series module 3: Cross-sectional studies. Indian J Dermatol [Internet]. 2016;61(3):261–4. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4885177/
Fauzy A. Metode Sampling [Internet]. Vol. 9, Penerbit Universitas Terbuka. 2019. 148–162 p. Available from: http://jurnal.globalhealthsciencegroup.com/index.php/JPPP/article/download/83/65%0Ahttp://www.embase.com/search/results?subaction=viewrecord&from=export&id=L603546864%5Cnhttp://dx.doi.org/10.1155/2015/420723%0Ahttp://link.springer.com/10.1007/978-3-319-76
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
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
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
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
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
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
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
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
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
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
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
Dan E, Rose A, Suwondo A, Wahyuni S. Normal Di Wilayah Puskesmas Dawe Kudus Tahun 2013. 2014;5(1):97–110.
Lapelusa A, Kaushik R. Physiology , Proteins. 2024;1–21. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555990/
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/
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
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
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
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/
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
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#
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

Published
How to Cite
Issue
Section
License
Authors who publish with Poltekita : Jurnal Ilmu Kesehatan 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-ShareAlike 2.0 Generic License.
Poltekita : Jurnal Ilmu Kesehatan 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.