Efikasi Suplemen Besi-Multivitamin Untuk Perbaikan Status Besi Remaja Wanita

Abstract

EFFICACY OF IRON-MULTIVITAMIN SUPPLEMENT FOR IMPROVING THE IRON STATUS OF ADOLESCENT FEMALESThe study was aimed to analyze the efficacy of supplementation iron-multivitamin for improving the iron status of adolescent females through the double-blind trial. Subjects were 224 of the first grade university students (IPB) who were randomly allocated to three study groups through a double blind trial. The first group received only placebo (control group); the second group received 60 mg iron, 250 ug folate (B-F group); the third group received 60 mg iron, 800 ug folate, 4200 ug retinyl acetate, 500 mg vitamin C, and 16.8 ug vitamin B12 (B-MV group). All supplements were distributed and consumed weekly during 25 weeks. The mean changes in Hb, STfR and SF among the groups were tested with Ancova and adjusted with BMI; capsule compliance; food/snack compliance; adequacy of energy, protein, vitamin A, vitamin C, iron; and baseline value of Hb, STfR, SF. The results showed the demographics and nutritional characteristics of samples were not significantly different. At the baseline, the mean of haemoglobin (Hb=126.2±13.1 g/l) and serum ferritin (SF=18.3±15.9 ug/l) were not significantly different among the three groups (p<0.05). However, the serum transferrin receptor (STfR) was lower in the control (5.8 ± 3.2 mg/l) than B-F (7.9 ±4.4 mg/l) and B-MV (11.8±5.5 mg/l). After 25 week of supplementation, the mean change of hemoglobin was not different among the three groups (10.1 g/l; p>0.05). The B-MV group significantly lower decreased in STfR (-4.2 mg/l) and higher increased in SF (+13.4 ug/l) compared to B-F and control group (p<0.05). Meanwhile, only the STfR in B-F group (-1.3 ug/l) was significantly lower than control group (p<0.05). This implied the important of the multi-vitamin to complement the iron supplementation.

School Readiness in Weekly Iron Folic Acid Supplementation Program in Urban Area, West Java, Indonesia

“…The school based weekly iron and folic acid supplementation program was aimed to improve adherence as well as reducing the possible side effects without lowering the efficacy. 5,6,7 However, the program has not meet its target with only 1.4% female adolescent consumed 52 tablets in a year. 8 Previous research explored the issue of adherence to IFAS from individual perspective which focuses on knowledge, perceived benefit, perceived susceptibility, perceived seriousness, perceived threat, and perceived barriers.…”

Pengaruh Pemberian Edukasi Gizi dan Kapsul Serbuk Daun Kelor (Moringa oleifera L.) terhadap Kenaikan Kadar Hemoglobin Remaja Putri di Universitas Pakuan

“…Mahasiswi merupakan periode remaja akhir dengan aktivitas yang padat, sehingga pada u mumnya mereka memiliki pola makan yang ti dak teratur. Menurut Briawan [3], hampir 50% mahasiswa biasa makan dua kali sehari, dengan kombinasi makan pagi-malam atau siang-malam dengan frekuensi konsumsi lauk nabati lebih banyak dibandingkan dengan lauk pangan hewani. Pola makan yang tidak teratur serta asupan gizi yang tidak sesuai dapat menyebabkan penurunan hemoglobin.…”

Pengaruh Edukasi Gizi Dan Pemberian Tablet Tambah Darah (Ttd) Terhadap Kenaikan Kadar Hemoglobin Remaja Putri

“…Sampai saat ini kejadian anemia pada remaja masih cukup tinggi. Hal tersebut ditunjukkan oleh data Depkes RI (2013) yang menyatakan bahwa prevalensi anemia pada kelompok usia 15-24 tahun adalah 18.4% yang meningkat dari sebelumnya yaitu hanya 6.9% (Depkes RI 2008), sedangkan penelitian Briawan, et al, (2008) menunjukkan bahwa prevalensi anemia di Bogor adalah 25.1%.…”