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Journal : Amerta Nutrition

Program Pemberian Tablet Fe di Sekolah dan Penurunan Kejadian Anemia pada Remaja Putri di Kota Padang: Program for Providing Iron Tablets in Schools and Reducing the Incidence of Anemia among Adolescent Girls in Padang City Asriyanti, Rita; Azrimaidaliza, Azrimaidaliza; Elda, Frima; Dwinatrana, Khiky
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.162-169

Abstract

Background: Anemia among reproductive-age women can lead to significant nutritional issues for future generations. In Indonesia, the anemia prevalence rate among women is alarmingly high at 30.44%. A key strategy to reduce anemia is the distribution of iron tablets (Fe) in schools. Objectives: This study aimed to analyze the effectiveness of the iron tablet program in schools and its relationship to the incidence of anemia among adolescent girls in Padang City. Methods: A mixed-methods approach was utilized, combining quantitative and qualitative techniques. A cross-sectional design assessed the relationship between iron tablet distribution and anemia prevalence. Qualitative data were gathered through in-depth interviews to explore the program's implementation. The study involved two schools in Padang City, randomly selecting a sample of 274 adolescent girls. Data were collected using standardized instruments, analyzed with statistical software, and examined using multiple logistic regression tests. Results: The iron tablets program hasn’t been optimally implemented. The study found 28.1% of adolescent girls were anemic. An iron tablet consumption history (p-value=0.035), the quantity consumed (p-value=0.034), father's education level (p-value=0.039), and nutritional knowledge (p-value=0.032) related with anemic. Girls who did not consume iron tablets were 3.03 times more likely to be anemic. Many expressed concerns about the potential negative effects of iron tablets. Conclusions: This study reveals a troubling prevalence of anemia among adolescent girls, with nearly one-third affected. Inadequate iron tablet consumption, along with parental education and nutritional knowledge, significantly contributes to this issue. Concerns about side effects emphasize the urgent need for targeted educational interventions.
Analisis Komparasi Pengaruh Anemia dan Kekurangan Energi Kronis Selama Kehamilan terhadap Berat Badan Lahir Rendah: Meta-Analisis: Comparative Impact of Maternal Anemia and Chronic Energy Deficiency on Low Birth Weight: Meta-Analysis Utami, Citra Tristi; Azrimaidaliza, Azrimaidaliza; Purnakarya, Idral; Dwinatrana, Khiky; Habibi, Nur Ahmad
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.431-440

Abstract

Background: Low birth weight (LBW) remains a major public health problem, particularly in low- and middle-income countries. It contributes substantially to neonatal morbidity and mortality. Some of the risk factors for LBW are maternal anemia and chronic energy deficiency (CED). These conditions are common during pregnancy and preventable. Objectives: This study aimed to analyze the comparation between maternal anemia and chronic energy deficiency during pregnancy and the risk of low birth weight. Methods: A systematic search of PubMed and Scopus was conducted for studies published between January 2020 and July 2025. Of 1,121 records identified, 22 observational studies (case–control and cohort) met the inclusion criteria. Studies evaluating the association of maternal anemia or CED with LBW were included. Data were extracted independently by two reviewers. Meanwhile, data analysis involved multiple methods. For example, pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using meta-analytic models. Heterogeneity was assessed using the I² statistic, and publication bias was evaluated using funnel plots. This study’s protocol was registered in PROSPERO (CRD420251138329). Discussions: From 22 studies, 19 studies assessed maternal anemia (n = 16,219), and 11 studies assessed CED (n = 4,440). Maternal CED was associated with a nearly threefold increased risk of LBW (OR = 2.98; 95% CI: 2.07–4.29; I² = 82%), while maternal anemia increased the risk by 2.4 times (OR = 2.44; 95% CI: 1.73–3.43; I² = 86%). Funnel plots showed no substantial publication bias. Conclusions: Both maternal anemia and chronic energy deficiency are significantly associated with an increased risk of low birth weight, with CED demonstrating a stronger association. Strengthening antenatal nutritional interventions is essential to prevent LBW incidences.