Faktor Kepatuhan Konsumsi Tablet Tambah Darah sebagai Prediktor Kejadian Kekurangan Energi Kronik (KEK) pada Remaja Puteri di SMA Negeri 1 Tinambung, Kabupaten Polewali Mandar

Evi Wulandari (Sekolah Tinggi Ilmu Kesehatan Bina Bangsa Majene)
Amriani Amriani (Sekolah Tinggi Ilmu Kesehatan Makassar)
Ulfa Ulfa (Sekolah Tinggi Ilmu Kesehatan Bina Bangsa Majene)
Zulfiah Zulfiah (Sekolah Tinggi Ilmu Kesehatan Bina Bangsa Majene)

Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Vol. 4 No. 4 (2026): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan

Chronic Energy Deficiency (CED) remains a prevalent nutritional problem among Indonesian female adolescents and is often associated with low adherence to Iron-Folic Acid Supplement (IFAS) consumption. However, previous studies have mainly examined IFAS adherence in relation to anemia rather than CED. This study aimed to determine whether Iron-Folic Acid (TTD) supplementation adherence, age, and menstrual cycle patterns predict the occurrence of CED among female students at SMA Negeri 1 Tinambung, Polewali Mandar Regency. An analytical observational study with a cross-sectional design was conducted involving 36 respondents. Data were analyzed using univariate analysis, Chi-Square and Fisher’s Exact tests, and Odds Ratio (OR) calculations. The results showed that 66.7% of participants were non-adherent to IFAS intake, while 30.6% experienced CED. The proportion of CED was higher among non-adherent participants (41.7%) compared with adherent participants (8.3%), with an OR of 7.857 (95% CI: 0.869–71.059) and Fisher’s Exact p-value of 0.059. Although not statistically significant due to the limited sample size, the findings indicate a clinically meaningful pattern. Strengthening school-based IFAS monitoring is recommended as a preventive strategy for CED beyond anemia control.