Andi Rahmaniar MB
Sekolah Tinggi Ilmu Kesehatan Salewangang Maros

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Effects of Iron Supplementation and Nutrition Education on Adolescent Girls' Knowledge, Adherence, and Hemoglobin Levels Fatmawati; St. Masithah; Siti Uswatun Hasanah; Andi Rahmaniar MB
Journal of Nutrition Explorations Vol. 4 No. 3 (2026): August
Publisher : Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/jone.v4i3.752

Abstract

Anemia remains a major public health problem among adolescent girls in Indonesia. The effectiveness of iron supplementation programs is often constrained by inadequate knowledge and poor adherence to iron tablet consumption. This study analyzed the effects of iron supplementation integrated with nutrition education on knowledge, adherence, and hemoglobin (Hb) levels among adolescent girls. A quasi-experimental pretest-posttest control group design was conducted among 56 adolescent girls from four senior high schools in Maros Regency, Indonesia, using multistage cluster random sampling, with two schools allocated to an intervention group (n = 27, iron supplementation plus nutrition education) and two schools to a control group (n = 29, iron supplementation only). Baseline knowledge scores did not differ significantly between groups (p = 0.115); adherence was not assessed at baseline, as it was a prospective outcome measured throughout the intervention using the DOS method. Data were analyzed using the Wilcoxon, Mann-Whitney, paired t-test, and ANCOVA, with baseline hemoglobin, dietary intake, nutritional status, and menstrual cycle as covariates. Knowledge increased significantly in the intervention group (p < 0.001), with significant between-group differences in knowledge (p < 0.001) and adherence (92.6% vs. 44.8%; p = 0.002). Mean Hb rose significantly in the intervention group, from 13.12 ± 1.78 to 14.15 ± 1.35 g/dL (p = 0.011). Adjusted Hb remained significantly higher in the intervention than control (13.86 vs. 12.90 g/dL; F = 6.065; p = 0.017). Integrating nutrition education into iron supplementation programs improved knowledge, adherence, and Hb levels, supporting incorporation into school-based anemia prevention efforts.
The Relationship between Physical Activity and Nutritional Status with the Level of Physical Fitness of Students at SMAN 8 Maros Yahya Yahya; Andi Rahmaniar MB; Musdalifah Syamsul; Syafruddin Syafruddin
PROMOTOR Vol. 9 No. 4 (2026): AGUSTUS
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i4.2486

Abstract

Background: Physical fitness plays an important role in supporting students' learning achievement and is influenced by physical activity and nutritional status. Less physical activity can reduce immunity, while poor nutrition and more nutrition can affect fitness levels. Objective: This study aims to determine the relationship between physical activity and nutritional status with physical fitness level in SMA Negeri 8 Maros students. Methods: This quantitative study with a cross-sectional design involved 80 students selected by purposive sampling. Physical activity was measured using the GPAQ (Global Physical Activity Questionnaire) questionnaire, nutritional status was assessed based on the Body Mass Index (BMI/U), and physical fitness using a beep test. Data analysis using the Spearman Rank correlation test. Results: There was a significant relationship between physical activity and physical fitness (p = 0.013; r = 0.277) with a weak positive direction. In addition, nutritional status was also significantly related to physical fitness (p = 0.000; r = -0.405) with moderate negative direction. Conclusion: Physical activity and nutritional status are related to the level of physical fitness of SMA Negeri 8 Maros students.
Effectiveness of Nutrition Education Based on Smart Booklet Handling Diabetes Mellitus on Blood Glucose Levels and Macronutrient Intake in Prolanis Members in the Working Area of the Turikale Health Center UPT, Maros Regency Nurul Ilmi Arianti; Siti Uswatun Hasanah; St Masithah; Andi Rahmaniar MB
PROMOTOR Vol. 9 No. 4 (2026): AGUSTUS
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i4.2554

Abstract

Background: Type II diabetes mellitus (DM) is a chronic metabolic disease characterized by hyperglycemia due to impaired insulin secretion or resistance. Nutrition education plays an important role in regulating diet and controlling blood glucose levels. Objective: This study aims to determine the effect of nutrition education on Blood Glucose Levels (GDS) and macronutrient intake in patients with type II diabetes mellitus. Methods: The study used a quasi experiment design with a non-equivalent control group pretest-posttest design. A total of 30 respondents were divided into two groups: 4-week nutrition education and no education controls. Data was collected through periodic blood glucose checks, and 24-hour food recalls.Results: Nutrition education had no significant effect on blood glucose levels during (p=0.701). However, there was a significant effect on changes in carbohydrate intake (p=0.002), while energy intake (p=0.133), protein (p=0.735), and fat (p=0.066) showed no significant change. Conclusion: Nutrition education does not have a significant effect on reducing blood glucose levels at any time, but it has a significant effect on increasing carbohydrate intake, although it is not optimal for energy, protein, and fat.