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Dietary Protein, Vitamin C, and Iron Intake As Predictors of Hemoglobin Levels in Children With Special Needs” Astuti, Yoni; Sunarti, Sunarti; Puspita, Gina; Permana, Iman
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.622

Abstract

Hemoglobin (Hb) is a key indicator of oxygen transport and overall child health, particularly during periods of rapid growth and cognitive development. Anemia remains a significant global public health problem, often driven by nutritional deficiencies, especially iron. Vitamin C enhances iron absorption, while protein supports hemoglobin synthesis, indicating a synergistic role of these nutrients. Children with special needs are at higher risk of nutritional inadequacies due to feeding challenges and restricted diets. However, evidence on how dietary intake influences hemoglobin levels in this population is still limited. Aims:This study aimed to analyze the role of dietary protein, vitamin C, and iron intake as predictors of hemoglobin levels in children with special needs. Methods:A cross-sectional observational study was conducted among 34 students at SLB Kutoarjo between January and May 2024. Dietary intake data were collected using a 3-day food record completed by caregivers and analyzed with NutriSurvey software. Hemoglobin data were obtained from school health records. Statistical analysis included correlation and multiple regression tests to assess the relationship between nutrient intake and hemoglobin levels. Results:The findings revealed that the average intake of protein, iron, vitamin C, and total energy was below recommended levels. Despite this, the mean hemoglobin level (13.38 ± 1.33 g/dL) was within the normal range. Regression analysis showed that the combined intake of protein, iron, vitamin C, and folate explained 25% of the variation in hemoglobin levels (R² = 0.25), but the adjusted R² was low (0.036), indicating weak explanatory power. No individual nutrient showed a statistically significant association with hemoglobin levels (p > 0.05). Conclusions:Dietary protein, vitamin C, and iron intake were not significant predictors of hemoglobin levels in children with special needs. These findings highlight that hemoglobin status is influenced by complex interactions beyond dietary intake alone. Further research with larger samples and additional biomarkers is needed to better understand anemia risk in this population.
The Profile of Mortality Among Healthcare Workers in Indonesia due to Covid-19 Yuniasih, Dewi Yuniasih; Ghifari, Ahmad; Hasanah, Murtafiqoh; Permana, Iman
Smart Medical Journal Vol 5, No 3 (2022): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v5i3.62195

Abstract

Background: The increasing number of people infected with Covid-19 worldwide has brought many countries to the next wave of this pandemic. Indonesia was estimated to face the third wave in early 2022 unless active precautions were put into action. Healthcare workers (HCWs) are the essential frontline in the effort to minimize the spreading of the disease. Nevertheless, HCWs are amongst the casualties of the disease, especially in Indonesia, which is regarded as among the countries with the highest HCW mortality. This study aims to describe the mortality rates of HCWs in Indonesia.Methods: The retrospective data were obtained from the official website of LaporCovid, an independent Indonesian initiative to provide information regarding Covid-19, to obtain secondary data following the research objectives.Results: Our study found that 1,551 health workers in Indonesia died from Covid-19 until 25 July 2021, and almost one-third of them were doctors. Furthermore, East Java is the most prevalent province and only one province (out of 33) has not reported causality.Conclusions: The second wave of the pandemic has overwhelmed health workers and has become infected and eventually many health workers have died more than in the previous months.