Diet Quality as an Indicator of Iron Deficiency Anemia: A Study of Adolescent Girls of Senior High School in Jambi City


Authors

  • Merita Department of Nutrition Science, The College of Health Science Baiturrahim, Jambi, Indonesia
  • Arnati Wulansari Department of Nutrition Science, The College of Health Science Baiturrahim, Jambi, Indonesia
  • Mila Triana Sari Department of Nursing, The College of Health Science Baiturrahim, Jambi, Indonesia
  • Kasyani Department of Nutrition Science, The College of Health Science Baiturrahim, Jambi, Indonesia
  • Salvita Fitrianti Department of Nursing, The College of Health Science Baiturrahim, Jambi, Indonesia

DOI:

https://doi.org/10.3923/pjn.2019.579.586

Keywords:

Adolescent, anemia, dietary diversity, diet quality, girls, iron deficiency, micronutrient

Abstract

Background and Objectives: Anemia is a global health problem and 23.9% of women in Indonesia suffer from this condition. Indonesian diets are lacking in iron; thus, iron deficiency anemia is a nutritional problem. Therefore, this study aimed to assess diet quality as an indicator of iron deficiency anemia among adolescent girls. Materials and Methods: The study was conducted using a cross-sectional design and was carried out in Senior High School in Jambi City (State High School Number Five) in 2017. The subjects were 85 adolescent girls. The diet quality data comprised three indexes: dietary diversity, micronutrient requirements (75%) based on the Recommended Dietary Allowances (RDAs) of 11 vitamins and minerals and the WHO recommendation for the prevention of non-communicable diseases. Data were analyzed using univariate, bivariate (correlation test) and multivariate (logistic regression) analyses. Results: More than half of the subjects were non-anemic (56.5%) but 37 (43.5%) of the subjects were anemic. Most subjects (68.2%) had low diet quality. The Spearman correlation analysis showed a correlation between diet quality and hemoglobin levels in subjects (p = 0.003). The linear regression test showed that diet diversity had a major influence on hemoglobin levels in subjects (p = 0.013; CI = 0.714). Conclusion: The analysis showed a correlation between diet quality and hemoglobin levels in adolescent girls. Thus, diet quality can be an indicator of iron deficiency anemia among adolescent girls.

References

Brown, J.E., 2011. Nutrition through the Life Cycle. 4th Edn., Cengage Learning, USA., ISBN-13: 9780538733410, Pages: 624.

WHO., 2007. Preventing and controlling micronutrient deficiencies in populations affected by an emergency. Joint Statement by the WHO/FAO/UNICEF, World Health Organization, Geneva, Switzerland.

Kementerian Kesehatan Republik Indonesia, 2013. Riset kesehatan dasar Indonesia tahun 2013. Kementerian Kesehatan Republik Indonesia, Jakarta, Indonesia.

Mathers, C., G. Steven and M. Mascarenhas, 2009. Global Health Risks: Mortality and Burden of Disease Attributable to Selected Major Risks. World Health Organization, Geneva, Switzerland, ISBN-13: 9789241563871, Pages: 62.

Biesalski, H.K. and J.G. Erhardt, 2007. Diagnosis of Nutritional Anemia-Laboratory Assessment of Iron Status. In: Nutritional Anemia, Kraemer, K. and M.B. Zimmermann (Eds.). Chapter 4, Sight and Life Press, Basel, Switzerland, ISBN-13: 9783906412337, pp: 37-44.

Kim, S., P.S. Haines, A.M. Siega-Riz and B.M. Popkin, 2003. The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J. Nutr., 133: 3476-3484.

Ponce, X., E. Ramirez and H. Delisle, 2006. A more diversified diet among Mexican men may also be more atherogenic. J. Nutr., 136: 2921-2927.

Schroder, H., J. Vila, J. Marrugat and M.I. Covas, 2008. Low energy density diets are associated with favorable nutrient intake profile and adequacy in free-living elderly men and women. J. Nutr., 138: 1476-1481.

Patterson, E., J. Warnberg, E. Poortvliet, J.M. Kearney and M. Sjostrom, 2010. Dietary energy density as a marker of dietary quality in Swedish children and adolescents: The European youth heart study. Eur. J. Clin. Nutr., 64: 356-363.

Mouselhy, A., I. Wahdan, A. Hasab and E. Amin, 2015. Anemia among secondary school students in El-Kharga Oasis, New valley, Egypt. J. High Inst. Public Health, 45: 25-31.

Rosidi, A. and E. Sulistyowati, 2012. Peran pendidikan dan pekerjaan ibu dalam konsumsi sayur anak prasekolah. J. Gizi Univ. Muhammadiyah Semarang, 1: 1-8.

Pertiwi, A.S., 2013. Hubungan antara pola makan dengan kejadian anemia pada ibu hamil di wilayah kerja puskesmas kerjo kabupaten karanganyar. Bachelor Thesis, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta, Indonesia.

Oktaviana, 2013. Hubungan kejadian gizi kurang, anemia gizi besi dan gaky dengan prestasi belajar. Unnes J. Public Health, 2: 1-6.

Sekhar, D.L., L.E. Murray-Kolb, A.R. Kunselman, C.S. Weisman and I.M. Paul, 2016. Differences in risk factors for anemia between adolescent and adult women. J. Women's Health, 25: 505-513.

Devaki, P.B., R.K. Chandra and P. Geisser, 2009. Effects of oral iron(III) hydroxide polymaltose complex supplementation on hemoglobin increase, cognitive function, affective behavior and scholastic performance of adolescents with varying iron status: A single centre prospective placebo controlled study. Arzneimittelforschung, 59: 303-310.

Falkingham, M., A. Abdelhamid, P. Curtis, S. Fairweather-Tait, L. Dye and L. Hooper, 2010. The effects of oral iron supplementation on cognition in older children and adults: A systematic review and meta-analysis. Nutr. J., Vol. 9.

Institute of Medicine, Food and Nutrition Board, 2000. Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium and Carotenoids. National Academies Press, Washington, DC., USA., ISBN-13: 9780309069359, Pages: 529.

WHO., 2002. The world health report 2002: Reducing risks, promoting healthy life. World Health Report, World Health Organization, Geneva, Switzerland. http://www.who.int/whr/2002/en/.

Indira, I.A., 2015. [Behavior of vegetable and fruit consumption in preschool children at Embatau village, Tikala subdistrict, North Toraja Regency]. Indonesian J. Public Health, 11: 253-262, (In Indonesian).

Kementerian Kesehatan Republik Indonesia, 2013. Peraturan Menteri Kesehatan Republik Indonesia nomor 75 tahun 2013. Kementerian Kesehatan Republik Indonesia, Jakarta, Indonesia. http://gizi.depkes.go.id/download/Kebijakan%20Gizi/PMK%2075-2013.pdf.

Nugroho, F.A., D. Handayani and Y. Apriani, 2015. [Vegetable protein intakes and anaemia incidences in vegan reproductive aged women]. J. Nutr. Food, 10: 165-170, (In Indonesian).

Tenri, Y., 2012. Hubungan pengetahuan, asupan gizi dan faktor lain yang berhubungan dengan kejadian anemia pada remaja putri di SMA Kabupaten Kepulauan Selayar tahun 2012. Bachelor Thesis, Universitas Indonesia, Depok, Java, Indonesia.

Almatsier, S., 2001. Prinsip Dasar Ilmu Gizi. Gramedia Pustaka, Jakarta, Indonesia, ISBN-13: 9789796556861, Pages: 333.

Astuti, Y., 2010. [The relation between intake protein, ferrous and vitamin C with Hb in children (7-15) year old at Sidoharjo village, Samigaluh, Kulonprogo]. Mutiara Medika, 10: 172-179, (In Indonesian).

Adriani, M. and B. Wirjatmadi, 2012. Peran Gizi Dalam Siklus Kehidupan. Kencana Prenada Media Group, Jakarta, Indonesia, ISBN-13: 9786029413236, Pages: 502.

Sartika, R.A.D., 2008. Pengaruh asam lemak jenuh, tidak jenuh dan asam lemak trans terhadap kesehatan. Kesmas: Natl. Public Health J., 2: 154-160.

Botnariu, G., A. Popa and V. Toma, 2017. Determinants of hemoglobine value in pregnant women: Results from a cross-sectional study. Rev. Chim., 68: 417-419.

Mayes, P.A., 2003. Biosintesis Asam Lemak. In: Biokimia Harper, Murray, R.K., D.K. Granner, P.A. Mayes and V.W. Rodwell (Eds.). 25th Edn., Penerbit EGC Kedokteran, Jakarta, Indonesia, pp: 27-28.

Lichtenstein, A.H., L.J. Appel, M. Brands, M. Carnethon and S. Daniels et al., 2006. Diet and lifestyle recommendations revision 2006: A scientific statement from the American Heart Association Nutrition Committee. Circulation, 114: 82-96.

Syatriani, S. and A. Aryani, 2010. Konsumsi makanan dan kejadian anemia pada siswi salah satu SMP di Kota Makassar. Kesmas: Natl. Public Health J., 4: 251-254.

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Published

15.05.2019

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Section

Research Article

How to Cite

Merita, Wulansari, A., Sari, M. T., Kasyani, & Fitrianti, S. (2019). Diet Quality as an Indicator of Iron Deficiency Anemia: A Study of Adolescent Girls of Senior High School in Jambi City. Pakistan Journal of Nutrition, 18(6), 579–586. https://doi.org/10.3923/pjn.2019.579.586

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