<![CDATA[Academic achievement among edolecents may be associated with breakfast habits and hemoglobin (Hb) levels. This study aimed to analyze the associations of breakfast habits and Hb levels with academic achievement among female students. An analytical observational study with a cross-sectional design was conducted among 71 of 247 eleventh-grade female students at SMAN 3 Cikarang Utara, Bekasi Regency, Indonesia. Participants were selected using quota sampling. Data were collected through interviews on breakfast habits, Hb measurements using the Easy Touch GCHb device, body mass index-for-age (BMI-for-age) assessment, and academic ranking. Data were analyzed using univariate analysis and the Chi-square test. Most participants were 17 years old (62.0%), had good nutritional status (66.2%), had parents whose highest educational attainment was senior high school (73.2%), consumed breakfast more than four times per week (62.0%), and had normal Hb levels (87.3%). Breakfast habits were significantly associated with academic achievement (p = 0.011), whereas Hb levels were not significantly associated with academic achievement (p = 0.140). These findings suggest an association between breakfast habits and academic achievement, while no statistically significant association was found between Hb levels and academic achievement. Schools are encouraged to strengthen nutrition education on balanced breakfasts and collaborate with community health centers to support anemia prevention.]]>
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