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All Journal AcTion: Aceh Nutrition Journal
Sandra Fikawati
Master in Nutrition Faculty Of Public Health University Of Indonesia
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Prevalence and associated factors of anemia among female high school students in Depok City Thesia Ekawati; Sandra Fikawati; Dian Fitri Nurisfanti; Hilmi Friska
AcTion: Aceh Nutrition Journal Vol 11, No 2 (2026): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v11i2.3301

Abstract

Anemia among adolescent girls remains a public health issue that can affect their nutritional status, learning abilities, and reproductive health. However, studies that simultaneously analyze nutritional intake, behavioral, and physiological factors associated with anemia among high school girls in Depok City are limited. This study aimed to identify the factors associated with anemia among female high school students in Depok City, Indonesia. Methods: This cross-sectional study included 165 students from 15 public high schools selected by quota sampling between February and April 2024. Data were collected through hemoglobin measurements using the HemoCue Hb 201+, anthropometry, two 24-hour dietary recalls, and structured questionnaires. Data were analyzed using chi-square tests and multiple logistic regressions. Results: The prevalence of anemia was 53.3%. Low protein intake had the strongest independent association with anemia (odds ratio [OR] = 6.18; 95% confidence interval [CI]: 2.74–13.94; P < 0.001). Other associated factors included undernutrition (OR = 5.27; p = 0.015), low energy intake (OR = 4.84; p = 0.001), insufficient iron intake (OR = 4.76; p = 0.002), nonadherence to weekly iron supplementation (OR = 4.50; p = 0.009), irregular menstrual cycles (OR = 3.95; p = 0.004), and low zinc intake (OR = 2.51; p = 0.034). In conclusion, anemia was prevalent and was associated with nutritional, behavioral, and menstrual factors. Integrated interventions should improve dietary quality, supplementation adherence, menstrual health education, and counseling for undernourished female students.
Inadequate protein and milk consumption related to stunting in children aged 24–59 months in Tanjung Priok, Jakarta Sheila Octavia; Sandra Fikawati; Aurelia Yoshadara
AcTion: Aceh Nutrition Journal Vol 11, No 2 (2026): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v11i2.3303

Abstract

Evidence on the combined association of nutrient intake and specific protein-source foods with stunting in densely populated Indonesian urban communities is limited, hindering the implementation of locally targeted nutritional interventions. This study aimed to examine the association between nutrient intake and protein-source food consumption and stunting among children aged 24–59 months in Tanjung Priok, North Jakarta. Methods: This cross-sectional study included 184 children selected by cluster random sampling from three subdistricts between January and July 2023. Stunting was defined as a height-for-age below −2 standard deviations of the World Health Organization growth standard. Dietary intake was assessed using a 24-hour recall and protein-source food frequency questionnaire. Chi-square tests and logistic regression were used to analyzed. Of the 184 children, 43 (23.4%) were stunted. Rare milk and dairy consumption (<4 times/week) was associated with higher odds of stunting (adjusted odds ratio [aOR], 2.911; 95% confidence interval [CI], 1.260–6.723; p=0.012). Inadequate protein intake was also associated with higher odds (aOR, 2.268; 95% CI, 1.024–5.023; p=0.044). Other adjusted dietary associations were not found to be statistically significant. In conclusion, rare milk and dairy consumption and inadequate protein intake were associated with stunted growth. Improving access to affordable and diverse protein-rich foods, including appropriate dairy products, may support child nutrition in similar urban communities.
Co-Authors Aurelia Yoshadara Dian Fitri Nurisfanti Hilmi Friska Sheila Octavia Thesia Ekawati