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Iron, Enhancer, and Inhibitor Intake in Relation to Ferritin and Hemoglobin Levels Among Adolescent Girls in Pekalongan, Central Java Damayanti, Yuliana Kusuma; Margawati, Ani; Noer, Etika Ratna
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.1008

Abstract

Anemia among Indonesian adolescent girls remains a major issue, with 15.5% nationally and 49.47% in Pekalongan affected. Ferritin, a sensitive marker of iron stores, reflects early iron deficiency influenced by diet, enhanced by vitamin C, and inhibited by calcium and phytic acid. This study aimed to investigate the relationship between iron, enhancer, and inhibitor intake and ferritin and hemoglobin levels in adolescent girls. An observational study with a cross-sectional design was conducted among 80 female students in Pekalongan, Central Java. Intake of iron, protein, vitamin A, vitamin C, fiber, calcium, and phytic acid was assessed using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Hemoglobin levels were measured using a Hematology Analyzer, and ferritin was analyzed using the ELISA method. Data were analyzed using Pearson or Spearman correlation and multiple linear regression tests. The results show that ferritin levels were significantly correlated with iron (r = 0.293; p = 0.008) and vitamin C intake (r = 0.298; p = 0.007), and negatively correlated with calcium and phytic acid (r = –0.673; p < 0.001). Hemoglobin levels were correlated with protein (r=0.232; p=0.035), calcium (r=–0.240; p=0.032), and phytic acid (r=–0.241; p=0.032). Multivariate analysis revealed that ferritin levels were influenced simultaneously by iron, vitamin C, and calcium intake (CI: 95%, p < 0.001), while hemoglobin levels were influenced simultaneously by protein, fiber, and phytic acid intake (CI: 95%, p = 0.019). Iron, vitamin C, calcium, protein, fiber, and phytic acid intake influence ferritin and hemoglobin levels. Ferritin should be used as an early marker of iron deficiency, and interventions promoting higher iron and vitamin C intake while limiting inhibitors are recommended for adolescent girls.
Macronutrient and micronutrient intake in stunted children: The role of household food insecurity Purwanti, Rachma; Arfinanda, Najwa Diva Khoirunnisa'; Laura, Cicilia; Susilo, Mursid Tri; Syauqy, Ahmad; Noer, Etika Ratna; Wijayanti, Lilis
Diversity: Disease Preventive of Research Integrity Volume 6, Issue 2, February 2026
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/diversity.v6i2.62697

Abstract

Insufficient nutrient intake remains a persistent determinant of child stunting, yet evidence mapping macro–micronutrient intake against household food insecurity in Indonesian urban settings is limited. This study addresses this gap by correlating nutrient intake with HFIAS scores among stunted children in Semarang. This cross-sectional study included 82 stunted children in Semarang, Indonesia. Household food insecurity was assessed using the Household Food Insecurity Access Scale (HFIAS), while macronutrient and micronutrient intakes were estimated using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Data normality informed the use of Pearson or Spearman correlation tests for bivariate analysis. Overall, 61% of households were classified as food-insecure, and most children exhibited inadequate carbohydrate intake and deficiencies in vitamin A and vitamin C. HFIAS scores were significantly correlated with carbohydrate intake (p=0.006; r=0.300) and iron intake (p=0.033; r=0.235), indicating higher food security was associated with higher intake, while no significant correlations were observed for energy, protein, fat, calcium, zinc, vitamin C, vitamin A, or vitamin B12. These findings support integrated family-based interventions combining supplementary feeding (PMT) with strategies to strengthen household food access and affordability. Programmatically, embedding Islamic values, such as amanah (shared responsibility for child wellbeing), halal–tayyib dietary guidance, and community solidarity through zakat/infaq based support that may enhance sustainable family nutrition and food security in urban contexts.
Association of nutrient intake and body mass index among women diagnosed with Polycystic Ovary Syndrome (PCOS) Fitria, Yumaizar; Noer, Etika Ratna
AcTion: Aceh Nutrition Journal Vol 10, No 3 (2025): September
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.v10i3.2678

Abstract

Polycystic Ovary Syndrome (PCOS) is a prevalent hormonal disorder affecting women of reproductive age, frequently linked to overweight and obesity. This condition can elevate the risk of metabolic complications and infertility; therefore, early intervention through nutritional strategies is crucial.This study aimed to examine the association between dietary intake and body mass index (BMI) in women diagnosed with PCOS. A cross-sectional design was used, involving 30 participants in Semarang, conducted from September to November 2024.  The data on nutrient intake, including energy, carbohydrates, protein and fat, were collected using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Body weight was measured using a digital scale and height was measured with a portable stadiometer (Seca). Data were analyzed using Pearson correlation tests. The results of the study showed a significant correlation between protein, energy, and fat intake and BMI (p<0.01), while the correlation between carbohydrate intake and BMI was not significant (p=0.060). Protein intake had the strongest correlation with BMI (r=0.640) followed by energy (r=0.531), fat (r=0.470) and carbohydrates (r=0.347). The results highlight the significance of macronutrient intake management, especially protein, in weight control for women with PCOS
Socioeconomic, demographic, and lifestyle factors associated with adolescent obesity in Indonesia: Analysis of Indonesia Health Survey 2023 data Widyastuti, Paula Agung; Noer, Etika Ratna; Nuryanto, Nuryanto; Margawati, Ani; Pramono, Adriyan
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): March
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.v11i1.2553

Abstract

Adolescent obesity is an increasing public health problem in Indonesia, influenced by economic disparities, demographic factors, and lifestyle changes. This study aimed to analyze the socioeconomic, demographic, and lifestyle factors associated with adolescent obesity using data from the 2023 Indonesia Health Survey (IHS). This cross-sectional study involved 46,432 adolescents aged 10–19 years, classified as obese based on BMI-for-age z-scores using total sampling. The variables examined included age, sex, education, wealth index, place of residence, consumption of sweet, salty, and fatty foods, soft drinks, energy drinks, instant noodles, physical activity, and smoking. Data were analyzed univariately and bivariately using chi-square tests and multivariately using logistic regression. The results showed that wealth index and instant noodle consumption were significantly associated with obesity (p < 0.05). Consumption of fatty, fried, and cholesterol-rich foods (p = 0.032; OR = 0.956) and energy drinks (p = 0.034; OR = 1.104) were identified as significant risk factors. In conclusion, high-fat dietary patterns and energy drink consumption increase the risk of obesity. The widespread availability of unhealthy foods in both urban and rural areas poses challenges to obesity prevention. Therefore, interventions that promote healthy eating behaviors among adolescents, such as school-based nutrition education, social media campaigns, and community-based initiatives are essential.
Effect of fish protein hydrolysate-enriched mocaf biscuits on fecal short-chain fatty acid levels in obese adults Nurmalasari, Putri Indah; Noer, Etika Ratna; Al-Baarri, Ahmad Ni'matullah
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): March
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.v11i1.2951

Abstract

Obesity is linked to dietary patterns that influence gut microbiota balance and short-chain fatty acid (SCFA) production, which regulate energy metabolism and appetite. However, evidence regarding the effects of fish protein hydrolysates (FPH) on SCFA levels in humans remains limited. This study evaluated the effects of FPH-based mocaf biscuits on fecal SCFA levels in obese adult participants. A two-stage design was applied: (1) formulation and evaluation of four biscuit variants (F0–F3) and (2) a randomized controlled post-only trial involving 30 obese participants aged 20–50 years from Semarang, Indonesia. Participants consumed 60 g of biscuits daily for four weeks, along with a 1500 kcal/day diet. Anthropometric, dietary, and fecal SCFA data were collected, and statistical analyses were performed using Shapiro–Wilk, Mann–Whitney, and paired t-tests (α = 0.05). The F2 biscuits had the highest protein content (4.66%) and sensory acceptance (p<0.05). Baseline SCFA levels were comparable between the groups, and post-intervention differences were not significant (p=0.071), although the treatment group showed a slight decrease in visceral fat (p=0.089) and waist circumference (p=0.094). In conclusion, FPH-enriched mocaf biscuits improved protein quality and acceptability but did not significantly alter fecal SCFA levels in obese adults.
Co-Authors ,Adriyan Pramono Adhimah, Ayu Fauziyyah Adriyan Pramono Ahmad Syauqy Akifah, Adzro'ul Al-Baarri, Ahmad Ni'matullah Ali Rosidi Amalia Nita Widyastuti, Amalia Nita Ameliora Dwi Astani Amirullah, M Fadil Andara, Fathiya Anggit Wicaksono Anggriany, Nissa Ani - Margawati Ani Margawati Ani Margawati Anjani, Gemala Apoina Kartini Arfinanda, Najwa Diva Khoirunnisa' Argan Caesar Budiatmaja Arviyani, Tiffany Nisa Arwinda Nugraheni Aryu Candra Astrine Permata Leoni Ayu Rahadiyanti Befi Sundari Binar Panunggal BR Purba, Martalena Candra, Adiska Rani Ditya Damayanti, Yuliana Kusuma Danarsi, Chorina Swasti Denny Nugroho Sugianto Deny Yudi Fitranti Deny Yudy Fitranti Desi Sofiyana destiana - florencia Destikasari, Widya Dewanti Dewanti Dewi Kurnia Sandi Dewi Marfu’ah Kurniawati Dewi, Luthfia Dian Ratna Sawitri Diana Nur Afifah, Diana Nur Djuara P Lubis Elvizahro Leiyla Endang Mahati Endang Mahati Endrinikapoulos, Ariana Enny Probosari Erin Ratna Kustanti Etisa Adi Murbawani Faizah Fulyani Fajrani, Alifia Mukti Fajrani, alifiaA muktiM Farid Agung Rahmadi, Farid Agung Fatih Az Zahra Febriani, Brilliantika Resy Fidiasari, Intan Sepna Fillah Fithra Dieny Fillah Fitra Dieny Fitria, Yumaizar Fitriyanti, Addina Rizky Fitriyono Ayustaningwarno Fronthea Swastawati Fulyani, Faizah Gunawan, Sekar Ayu Putri Gustiana Mega Anggita Hardhono Susanto Hartanti Sandi Wijayanti Hastuti, Vivilia Niken Henny, Via Anugrah Hersanti Sulistyaningrum Hidayati Hidayati Ihat Hatimah Ilmiati, Fatia Ira Roza Milinda Jamhari Jamhari Jauharany, Firdananda Fikri Khasanah, Dwi Puji Khikmaturrohman, Sya’bani Isnaen KIRANA LAKSMI Kusmiyati Tjahjono Kusuma, Donny Wira Yudha Laura, Cicilia Leo Nacion Santillana Lilis Endang Wijayanti, Lilis Endang Lingga Edytias Pratiwi Lora Sri Nofi Maria Martiani Maria Mexitalia Maria Mexitalia Maria Pangkrasia Kirimunun Marsa, Firdaus Shadiqa Martalena Br Purba MARTHA ARDIARIA Martha Irene Kartasurya Miftahul Adnan Mita Arini Mohammad Arif Ali, Mohammad Arif Mohammad Sulchan Mohammad Zen Rahfiludin Muflihatul Muniroh Muniroh, Muflihatul Mursid Tri Susilo Nani Maharani Nawai, Fatmayanti Niken Puruhita Ninik Rustanti Novitasari, Anggi Nurahmatika, Prisma Nurdin, Nurhanifah Muthmainnah Nurjanah, Ayu Nurmalasari, Putri Indah Nurmasari Widyastuti Nuryanto Nuryanto Nyoman Suci Widyastiti Perdanawati, Mia Permatasari, Mayang Januarti Pramita Ariawati Putri Purwita Wijaya Laksmi Rachma Purwanti Rahardiyanti, Ayu Rahma, Devi Elvina Randenia, Nabila Reny Sartika Ria Purnawian Sulistiani Ria Purnawian Sulistiani, Ria Purnawian Robi Andoyo Roni Aruben Rosmalinda, Yusie Said Junaidi Sandi, Dewi Kurnia Siti Baitul Mukarromah Siti Fatimah Muis Siti Fatimah Muis Sophia Rose Sri Achadi Nugraheni Sugiarto Sugiarto Sumardi Widodo Suroto Tiara Rosania Hestuningtyas Tiffany Nisa Arviyani Titis Rakhma Imtihani Tjahjono, Kusmiyati DK Tsani, A. Fahmy Arif Usydatul Falasifah Vanessa Yudha Azizul Ilmi Widayanti, Iftitan Setya Widya Destikasari Widyastuti, Paula Agung Widyastuti, Trioni Winda Amalia Pertiwi Wita Rizki Amelia Yenni, Fitri Yuswo Supatmo Zainab Sholihah Zainudin Amali Zelyn Damayanti Zetta, Adelia Paradya