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All Journal Jurnal Gizi dan Pangan Amerta Nutrition Jurdimas (Jurnal Pengabdian Kepada Masyarakat) Royal Journal SAGO Gizi dan Kesehatan Nutriology: Jurnal Pangan, Gizi, Kesehatan Journal of Global Nutrition Media Penelitian dan Pengembangan Kesehatan
Utami, Fista
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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The Association Between Protein, Iron, Folate, and Vitamin C Intakes with Hemoglobin Level among Chronic Kidney Disease Patients Undergoing Hemodialysis at Haji Regional Public Hospotal, East Java Province Sari, Ita Nofita; Gusrianto, Wildan Alfira; Pratama, Satwika Arya; Utami, Fista
Journal of Global Nutrition Vol 6 No 1 (2026)
Publisher : Ikatan Sarjana Gizi Indonesia (ISAGI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53823/jgn.v6i1.191

Abstract

Anemia is a common complication in patients with chronic kidney disease (CKD) undergoing hemodialysis. Anemia in CKD is multifactorial, including impaired erythropoiesis, iron deficiency, and chronic eammation. Adequate nutrient intake plays an essential role in hemoglobin synthesis, anemia management, and improving patient’s quality of life. This study aimed to determine the association between protein, iron, folate, and vitamin C intakes with hemoglobin levels in CKD patients undergoing hemodialysis at Haji Regional Public Hospital, East Java Province. This study used quantitative with cross-sectional design. Purposive sampling was applied, involving 54 respondents who met the inclusion criteria. Data on protein, iron, folate, and vitamin C intakes were collected through direct interviews using semi-quantitative food frequency questionnaire on previous month, while hemoglobin data were obtained from the most recent labolatory recods. Bivariate analysis used the Pearson Corelation test for protein intake and Hb level, while the Spearman test for iron, folate, and vitamin C intakes and Hb level. The results showed that protein intake was significantly associated with hemoglobin level (p=<0.001), with a moderate positive correlation (r=0.45). In contrast, iron, folate, and vitamin C intake were not significantly associated with hemoglobin level (p>0.05). Adequate protein intake, [articularly high biological value anemial protein, is required to compenste for protein losses following dialysis. Personalized protein management based on urea burden, metabolic acidosis, phosphorus status, and comorbidities may support improvements in hemoglobin level without exacerbating renal metabolic burden.
Co-Authors Amalia, Diva Andini, Novias Kemala Asanti, Ernis Aulia, Salma Shafrina Bertalina Dewi, Novianti Tysmala Dilaga, Marissa Syafitri Dini, Cleonara Yanuar Endang Sri Wahyuni Gusrianto, Wildan Alfira Hasby, Amelia Ramdani Juherman , Yulia Novika Kusma Ristanti, Idcha Lastyana, Wiwin Nurjanah, Hanna Prabandari , Yunilla Putri Sejati, Nawasari Indah Rajab, Alfian Abdul Ramadanti, Rivana Oktavia Ristanti, Idcha Kusma Rohani Rohani Rusydiana, Hamidah Aula Sari, Ita Nofita Satwika Arya Pratama Sholakhuddin, Ahmad Siswahyudianto