The Effect of The Mixed Juice of Carrot and Guava with Iron Supplement for Adolescent with Anemia

Abstract

Anemia is a condition in which the value of Hemogloblin (Hb) in blood is lower than normal. Anemia for adolescents is when hemoglobin levels are less than 12 g/ dl. This research was experimental research. The sample in this research were female students who suffered from anemia from 2 junior high schools in South Jakarta. The intervention group was given mixed juice of carrot and guava juice with iron supplement while the control group was only given iron supplement. There were 20 respondents in the intervention group and 20 respondents in the control group. The intervention was given 2 times for 4 weeks. Before being given to respondents, the mixed juice was tested at the Pharmacy laboratory of University of Indonesia. The results showed that the Sig. (p-value) of 0.036 <0.05, meaning that there was a statistically significant difference between the increase of Hb levels resulted from the administration of iron tablets and the mixed fruit juice compared to the administration of iron supplement only. Iron supplement is to overcome iron deficiency and it can reduce the prevalence of anemia. The mixed juice of carrot and guava is the most effective supplement to increase hemoglobin levels compared to iron supplement only. Keyword: anemia, adolescent, iron supplement, mixed juice of carrot and guava 1. INTRODUCTION Anemia is a health problem that is mostly occurred in developing countries. Although the main cause is iron deficiency, anemia is also a problem of micronutrient malnutrition that is quite large in the world with a prevalence of 40%. Anemia generally occurs in developing countries and in low socioeconomic groups. 1 Adolescence is a period of transition from childhood to adulthood. It is characterized by rapid physical, biological, and hormonal changes resulting in psycho-social, behavioral, and sexual maturity in an individual. It is the second growth spurt of life, and both boys and girls undergo different experiences in this phase. 2 Anemia in adolescents is a condition in which the Hb value in the blood is lower than normal. The limitation of anemia for adolescents is if hemoglobin levels are less than 12 gr / dl. 3.. Anemia is a condition in which the number and size of red blood cells, or hemoglobin concentration, fall below the set limit value, damaging the blood capacity to carry oxygen around the body. 4 Data in Indonesia showed 3.5 million children in Indonesia suffered from anemia. Based on the Survey Kesehatan Rumah Tangga (SKRT) in 2005 the prevalence of anemia in school children reached 26.5%. 5 Anemia prevalence is estimated at 9 percent in developed countries, while in developing countries the prevalence is 43 percent. Children and women of childbearing age (WUS) are the most at risk groups, with estimation of the prevalence of anemia in children under five by 47 percent, in pregnant women by 42 percent, and in non-pregnant women aged 15-49 years by 30 percent. 6. Anemia is one of the public health problems in Indonesia that can be experienced by all age groups ranging from toddlers to old...