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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.
Co-Authors ,Adriyan Pramono Adhimah, Ayu Fauziyyah Adriyan Pramono Ahmad Syauqy Akifah, Adzro'ul 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 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 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 Leo Nacion Santillana 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 Nani Maharani Nawai, Fatmayanti Niken Puruhita Ninik Rustanti Novitasari, Anggi Nurahmatika, Prisma Nurdin, Nurhanifah Muthmainnah Nurjanah, Ayu 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, Trioni Winda Amalia Pertiwi Wita Rizki Amelia Yenni, Fitri Yuswo Supatmo Zainab Sholihah Zainudin Amali Zelyn Damayanti Zetta, Adelia Paradya