Purpose: Anemia in adolescent girls is a health problem associated with nutritional status and menstrual characteristics. Nutritional status reflects the balance between nutrient intake and physiological requirements, while menstruation contributes to iron loss. This study aims to examine the relationship between nutritional status, menstrual cycle, and hemoglobin levels in adolescent girls. Design: An observational study with a cross-sectional approach was conducted among adolescent girls at SMK NU Muara Padang who met the inclusion criteria. Data were analyzed using univariate and bivariate statistical methods. Findings: No statistically significant relationship was identified between nutritional status and hemoglobin levels. Similarly, menstrual cycle characteristics were not significantly associated with hemoglobin levels. Research Implications: The findings suggest that nutritional status and menstrual cycle regularity may not independently explain variations in hemoglobin levels among adolescent girls. Additional factors should be considered to develop a more comprehensive understanding of anemia. Practical Implications: Anemia prevention programs should prioritize balanced nutrition, adequate intake of iron and other hematopoietic nutrients, adherence to iron supplementation, and appropriate menstrual health education. Comprehensive screening and nutritional assessment are also recommended to identify potential contributors to anemia.
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