Introduction: Anemia is a public health problem with a high prevalence, particularly among adolescent girls. According to the World Health Organization, anemia is a global problem, including in Indonesia, where the prevalence of anemia among adolescent girls is also significant. Adolescent girls are at higher risk of developing anemia due to blood loss during menstruation and an unbalanced diet, particularly low iron intake. This condition could lead to decreased learning concentration, academic achievement, and productivity. Adolescent girls living in Islamic boarding schools had a higher risk due to limited dietary patterns, busy daily activities, and lack of food variety. Therefore, this study was conducted to determine the relationship between dietary patterns and the incidence of anemia among adolescent girls at Pondok Pesantren Hidayatus Sholihin as a basis for prevention efforts and nutritional improvemen Methods: This study used a quantitative design with a cross-sectional approach. Data analysis techniques included a normality test to determine whether the data were normally distributed. Bivariate analysis was conducted using the Pearson correlation test. The population in this study consisted of all adolescent girls living in the boarding school, with a total sample of 40 respondents using a total sampling technique. Dietary pattern data were collected through a questionnaire based on Google Forms, while anemia incidence was measured through hemoglobin (Hb) level examination. Data analysis was then performed accordingly. Results: The statistical test using the Pearson correlation test obtained a significance value of p = 0.0 (p < 0.05) with a correlation value of r = 0.503. This indicated that there was a moderately strong positive relationship between dietary patterns and the incidence of anemia among adolescent girls in the boarding school. Conclusions: Based on the results of research and discussions on the relationship between dietary patterns and the incidence of anemia in adolescent girls living in Islamic boarding schools indicate that the better the quality of their diet, the lower the risk of anemia. Adequate nutritional intake plays a crucial role in hemoglobin formation. Conditions within the Islamic boarding school environment, such as limited food variety and regular but less varied meal schedules, can also impact nutritional adequacy.
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