THE PREVALENCE OF ANEMIA IN THE YOUTH INTEGRATED HEALTH SERVICE POST AT PANDAK HAMLET, YOGYAKARTA, INDONESIA
Keywords:
anemia, female adolescent, female health, obesity
Abstract
Adolescents are assets of every country, especially young women. Essentially the future of a nation is in the women hands. Women play a crucial role in giving birth and educating the next generation. Adolescence is a phase of life before women enter adulthood and are ready to birth in the future. Anemia has short- and long-term effects for young women. The early detection of anemia in teenagers is needed, so the adverse effects of anemia can prevent. The anemia prevalence of Indonesian adolescents increased 14% for five years. The population-based anemia data was limited. Teenagers are unique individuals; they want special handling as well. The youth forums to accommodate their various problems or aspirations are necessary. The Indonesian government established youth integrated health service post (YIHSP) to facilitate youth in the health sector. We aimed to determine the population-based prevalence of anemia. It was a cross-sectional study conducted in October 2021 at Yogyakarta, Indonesia, population was 83 female teenagers. Participants' height and weight were measured using a stadiometer and digital weighing scale, the capillary blood from the third finger was used to measure hemoglobin. There were 72% participants enrolled in this screening, 22% were anemic, 39% had normal nutritional status.
References
Agrawal, S., Kumar, S., Ingole, V., Acharya, S., Wanjari, A., Bawankule, S., Raisinghani, N. Does anemia affects cognitive functions in neurologically intact adult patients: two years cross-sectional study at rural tertiary care hospital. J Fam Med. 2019;8:3005-3008.
Al Sabbah, H. Prevalence of overweight/obesity, anemia, and their associations among female university students in Dubai, United Arab Emirates: a cross-sectional study. J Nutr Sci. 2020;9:e26.1-6.
Alshwaiyat, N. M., Ahmad, A., Hassan, W. M. R., Al-Jamal, A. A. N. Association between obesity and iron deficiency (Review). Exp Ther Med. 2021;22:1268-1274.
Andriastuti, M., Ilmana, G., Nawangwulang, S. A., Kosasih, K. A. Prevalence of anemia and iron profile among children and adolescent with low socio-economic status. Int J Pediatr Adolesc Med. 2020;7:88-92.
Bahrami, A., Khorasanchi, Z., Tayefi, M., Avan, A., Seifi, N., Sany, S. B. T. Anemia is associated with cognitive impairment in adolescent girls: a cross-sectional survey. Appl Neuropsychol Child. 2020;9(2):165-171.
Cepeda-Lopez, A. C., Allende-Labastida, J., Melse-Boonstra, A., Osendarp, S. J. M., Herter-Aeberli, I., Moretti, D., Rodriguez-Lastra, R., Gonzalez-Salazar, F., Villalpando, S., & Zimmermann, M. B. The effects of fat loss after bariatric surgery on inflammation, serum hepcidin, and iron absorption: A prospective 6-mo iron stable isotope study. Am J Cl Nutr. 2016;104(4):1030–1038.
Chang, J. S., Li, Y. L., Lu, C. H., Owaga, E., Chen, W. Y., & Chiou, H. Y. Interleukin-10 as a potential regulator of hepcidin homeostasis in overweight and obese children: A cross-sectional study in Taiwan. Nutrition. 2014;30(10):1165–1170.
Chauhan, A., Bhardwaj, A., Mittal, A., & Singh, S. A cross-sectional study of anemia among urban and rural adolescent girls in district Ambala, Haryana. Int J Med Sci Public Health. 2019;8(7):494-497.
Chaston, T., Chung, B., Mascarenhas, M., Marks, J., Patel, B., Srai, S. K., & Sharp, P. Evidence for differential effects of hepcidin in macrophages and intestinal epithelial cells. Gut. 2008;57(3):374–382.
Cheng, H. L., Bryant, C. E., Rooney, K. B., Steinbeck, K. S., Griffin, H. J., Petocz, P., & O’Connor, H. T. Iron, Hepcidin and Inflammatory Status of Young Healthy Overweight and Obese Women in Australia. PLoS ONE. 2013;8(7):e68675.
Ekasanti, I., Adi, A. C., Yono, M., Nirmala, F., & Isfandiari, M. A. Determinants of Anemia among Early Adolescent Girls in Kendari City. Amerta Nutr. 2020;271–279.
Ganz, T., Nemeth, A. Hepcidin and iron homeostasis. Biochim Biophysica Acta. 2012. 1823(9):1434-1443.
Hoang, N. T. D., Orellana, L., Tuyen, D. L., Gibson, R. L., Worsley, A., Sinclair, A. J., Hoang, N. T. T., Szymlek-Gay, A. Anaemia and its relation to demographic, socio-economic and anthropometric factors in rural primary school children in Hai Phong City, Vietnam. Nutrients. 2019;11.
Indonesian Ministry of Health. Basic Health Research 2018 [Internet]. [cited 2022/01/28). Available from: http://www.depkes.go.id/resources/download/info-terkini/hasil-riskesdas-2018.pdf. (In Indonesian). 2018.
Indonesian Ministry of Health. Basic Health Research 2013 [Internet]. [cited 2022/01/28). Available from: http://www.kemkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf. (In Indonesian). 2013.
Indonesian Ministry of Health (2018)b. Technical instructions for organizing youth integrated health service post [Internet]. [cited 2022/01/28). Indonesian Ministry of Health. Available from https://dinkes.klaten.go.id/promkes/wp-content/uploads/sites/37/2020/02/Petunjuk-Teknis-Penyelenggaraan-Posyandu-Remaja-1.pdf. (In Indonesian)
Indonesian Ministry of Health (2018)c. The guidebook for the cadre of youth integrated health service post [Internet]. [cited 2022/01/28). Indonesian Ministry of Health. Available from https://429779921-Buku-Panduan-Kader-Posyandu-Remaja-pdf.pdf. (In Indonesian)
Larson, N. I. Nutritional problems in childhood and adolescence: a narrative review of identified disparities. Nutr Res Rev. 2021;34(1):17-47.
Lestari, S., Fujiati, I. I., Martina, S. J., Sari, D. K., Panjaitan, S. A. A., Nasution, N. H. A study of anemia prevalence and dietary habits among adolescent girls in rural and urban areas in North Sumatera, Indonesia. In Onrizal., Ambarita, H., Kawai, H., Valasek, P., Majlan, E. H. (Ed.) International Conference of Science, Technology, Engineering, environmental, and Ramification Researchers (pp. 652–656). Scitepress Digital Library. 2020.
Li, S., Cheng, X., Yu, D., Zhao, L., & Ren, H. Anemia of school-age children in primary schools in southern China should be paid more attention despite the significant improvement at the national level: Based on Chinese nutrition and health surveillance data (2016–2017). Nutrients. 2021;13(11).
Kamruzzaman, M. Is BMI associated with anemia and hemoglobin level of women and children in Bangladesh: a study with multiple statistical approaches. PLoS One. 2021;16(10):e0259116.
Masan, L., Rudi, A., Haryanti, Y., Akbar, H., Yakubu Abbani, A. The determinants of anemia severity and BMI level among anemic women reproductive age in Indonesia. JHECDs. 2021;7(1):26-39.
Mehdad, S., Benaich, S., El Hamdouchi, A., Bouhaddou, N., Azlaf, M., El Menchawy, E., Belghiti, H., Benirane, H., Lahmam, H., Barkat, A., El Kari, K., El Mzibri, M., Aguenaou, H. Association between overweight and anemia in Moroccan adolescents: a cross-sectional study. Pan Afr Med J. 2022. 41(156).
Oy, S., Witjaksono, F., Mustafa, A., Setyobudi, S. I., & Fahmida, U. Problem Nutrients in Adolescent Girls With Anemia Versus Nonanemic Adolescent Girls and the Optimized Food-Based Recommendations to Meet Adequacy of These Nutrients in Adolescent School Girls in East Java, Indonesia. Food Nutr Bull. 2019;40(3):295–307.
Palacios, A. M., Freeland-Graves, J. H., Dulience, S. J., Delnatus, J. R., Iannotti, L. L. Differences in factors associated with anemia in Haitian children from urban and rural areas. PLoS One. 2020;16(4): e0247975.
Putra, K. A. D., Yuliyatni, P. C. D., & Sutiari, N. K. The relationship between body image and tea drinking habits with anemia among adolescent girls in Badung District, Bali, Indonesia. PHPMA. 2020;8(1):24.
Reichert, C. O., da Cunha, J., Levy, D., Maselli, L. M. F., Bydlowski, S. P., & Spada, C. Hepcidin: Homeostasis and Diseases Related to Iron Metabolism. Acta Haematol. 2017;137(4):220–236.
Samson, K. L. I., Fischer, J. A., Roche, M. L. Iron status, anemia, and iron interventions and their associations with cognitive and academic performance in adolescents: a systematic review. Nutrients. 2021;14(224).
Stoffel, N. U., Zeder, C., Brittenham, G. M., Moretti, D., & Zimmermann, M. B. Iron absorption from supplements is greater with the alternate day than with consecutive day dosing in iron-deficient anemic women. Haematologica. 2020;105(5):1232–1239.
Teng, I. C., Tseng, S. H., Aulia, B., Shih, C. K., Bai, C. H., & Chang, J. S. Can diet-induced weight-loss improve iron homeostasis in patients with obesity: A systematic review and meta-analysis. Obes Rev. 2020;21(12).
Tesfaye, T. S., Tessema, F., Jarso, H. Prevalence of anemia and associated factors among “apparently healthy” urban and rural residents in Ethiopia: a comparative cross-sectional study. J Blood Med. 2020;11:89-96.
Van Zutphen, K. G., Kraemer, K., Melse-Boonstra, A. Knowledge gaps in understanding the etiology of anemia in Indonesian adolescents. Food and Nutrition Bullet, 2021;42(1S):S39-S58.
Widjaja, I. R., Widjaja, F. F., Santoso, L. A., Wonggokusuma, E., Oktaviati. Anemia among children and adolescents in a rural area. Paediatr Indones. 2014; 54(2):88-93.
World Health Organization. WHO methods and data sources for mean haemoglobin and anaemia estimates in women of reproductive age and pre-school age children 2000-2019. [Internet]. [cited 2022/01/28). Department of Nutrition and Food Safety World Health Organization. Available from https://cdn.who.int/media/docs/default-source/anaemia-in-women-and-children/hb-methods-for-gather.pdf?sfvrsn=da0fbb5f_11. 2021.
World Health Organization. Global nutrition monitoring framework, operational guidance for tracking progress in meeting, targets for 2025. [Internet]. [cited 2022/01/28). World Health Organization. Available from https://www.who.int/publications/i/item/9789241513609. 2017.
World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. [Internet]. [cited 2022/01/28). World Health Organization. 2011
Zhao, L., Zhang, X., Shen, Y., Fang, X., Wang, Y., & Wang, F. Obesity and iron deficiency: a quantitative meta-analysis. Obes Rev. 2015. 16(12): (1081–1093).
Zimmermann, M. B., & Hurrell, R. F. Nutritional iron deficiency. Lancet. 2007;370(9586):(511–520).
Al Sabbah, H. Prevalence of overweight/obesity, anemia, and their associations among female university students in Dubai, United Arab Emirates: a cross-sectional study. J Nutr Sci. 2020;9:e26.1-6.
Alshwaiyat, N. M., Ahmad, A., Hassan, W. M. R., Al-Jamal, A. A. N. Association between obesity and iron deficiency (Review). Exp Ther Med. 2021;22:1268-1274.
Andriastuti, M., Ilmana, G., Nawangwulang, S. A., Kosasih, K. A. Prevalence of anemia and iron profile among children and adolescent with low socio-economic status. Int J Pediatr Adolesc Med. 2020;7:88-92.
Bahrami, A., Khorasanchi, Z., Tayefi, M., Avan, A., Seifi, N., Sany, S. B. T. Anemia is associated with cognitive impairment in adolescent girls: a cross-sectional survey. Appl Neuropsychol Child. 2020;9(2):165-171.
Cepeda-Lopez, A. C., Allende-Labastida, J., Melse-Boonstra, A., Osendarp, S. J. M., Herter-Aeberli, I., Moretti, D., Rodriguez-Lastra, R., Gonzalez-Salazar, F., Villalpando, S., & Zimmermann, M. B. The effects of fat loss after bariatric surgery on inflammation, serum hepcidin, and iron absorption: A prospective 6-mo iron stable isotope study. Am J Cl Nutr. 2016;104(4):1030–1038.
Chang, J. S., Li, Y. L., Lu, C. H., Owaga, E., Chen, W. Y., & Chiou, H. Y. Interleukin-10 as a potential regulator of hepcidin homeostasis in overweight and obese children: A cross-sectional study in Taiwan. Nutrition. 2014;30(10):1165–1170.
Chauhan, A., Bhardwaj, A., Mittal, A., & Singh, S. A cross-sectional study of anemia among urban and rural adolescent girls in district Ambala, Haryana. Int J Med Sci Public Health. 2019;8(7):494-497.
Chaston, T., Chung, B., Mascarenhas, M., Marks, J., Patel, B., Srai, S. K., & Sharp, P. Evidence for differential effects of hepcidin in macrophages and intestinal epithelial cells. Gut. 2008;57(3):374–382.
Cheng, H. L., Bryant, C. E., Rooney, K. B., Steinbeck, K. S., Griffin, H. J., Petocz, P., & O’Connor, H. T. Iron, Hepcidin and Inflammatory Status of Young Healthy Overweight and Obese Women in Australia. PLoS ONE. 2013;8(7):e68675.
Ekasanti, I., Adi, A. C., Yono, M., Nirmala, F., & Isfandiari, M. A. Determinants of Anemia among Early Adolescent Girls in Kendari City. Amerta Nutr. 2020;271–279.
Ganz, T., Nemeth, A. Hepcidin and iron homeostasis. Biochim Biophysica Acta. 2012. 1823(9):1434-1443.
Hoang, N. T. D., Orellana, L., Tuyen, D. L., Gibson, R. L., Worsley, A., Sinclair, A. J., Hoang, N. T. T., Szymlek-Gay, A. Anaemia and its relation to demographic, socio-economic and anthropometric factors in rural primary school children in Hai Phong City, Vietnam. Nutrients. 2019;11.
Indonesian Ministry of Health. Basic Health Research 2018 [Internet]. [cited 2022/01/28). Available from: http://www.depkes.go.id/resources/download/info-terkini/hasil-riskesdas-2018.pdf. (In Indonesian). 2018.
Indonesian Ministry of Health. Basic Health Research 2013 [Internet]. [cited 2022/01/28). Available from: http://www.kemkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf. (In Indonesian). 2013.
Indonesian Ministry of Health (2018)b. Technical instructions for organizing youth integrated health service post [Internet]. [cited 2022/01/28). Indonesian Ministry of Health. Available from https://dinkes.klaten.go.id/promkes/wp-content/uploads/sites/37/2020/02/Petunjuk-Teknis-Penyelenggaraan-Posyandu-Remaja-1.pdf. (In Indonesian)
Indonesian Ministry of Health (2018)c. The guidebook for the cadre of youth integrated health service post [Internet]. [cited 2022/01/28). Indonesian Ministry of Health. Available from https://429779921-Buku-Panduan-Kader-Posyandu-Remaja-pdf.pdf. (In Indonesian)
Larson, N. I. Nutritional problems in childhood and adolescence: a narrative review of identified disparities. Nutr Res Rev. 2021;34(1):17-47.
Lestari, S., Fujiati, I. I., Martina, S. J., Sari, D. K., Panjaitan, S. A. A., Nasution, N. H. A study of anemia prevalence and dietary habits among adolescent girls in rural and urban areas in North Sumatera, Indonesia. In Onrizal., Ambarita, H., Kawai, H., Valasek, P., Majlan, E. H. (Ed.) International Conference of Science, Technology, Engineering, environmental, and Ramification Researchers (pp. 652–656). Scitepress Digital Library. 2020.
Li, S., Cheng, X., Yu, D., Zhao, L., & Ren, H. Anemia of school-age children in primary schools in southern China should be paid more attention despite the significant improvement at the national level: Based on Chinese nutrition and health surveillance data (2016–2017). Nutrients. 2021;13(11).
Kamruzzaman, M. Is BMI associated with anemia and hemoglobin level of women and children in Bangladesh: a study with multiple statistical approaches. PLoS One. 2021;16(10):e0259116.
Masan, L., Rudi, A., Haryanti, Y., Akbar, H., Yakubu Abbani, A. The determinants of anemia severity and BMI level among anemic women reproductive age in Indonesia. JHECDs. 2021;7(1):26-39.
Mehdad, S., Benaich, S., El Hamdouchi, A., Bouhaddou, N., Azlaf, M., El Menchawy, E., Belghiti, H., Benirane, H., Lahmam, H., Barkat, A., El Kari, K., El Mzibri, M., Aguenaou, H. Association between overweight and anemia in Moroccan adolescents: a cross-sectional study. Pan Afr Med J. 2022. 41(156).
Oy, S., Witjaksono, F., Mustafa, A., Setyobudi, S. I., & Fahmida, U. Problem Nutrients in Adolescent Girls With Anemia Versus Nonanemic Adolescent Girls and the Optimized Food-Based Recommendations to Meet Adequacy of These Nutrients in Adolescent School Girls in East Java, Indonesia. Food Nutr Bull. 2019;40(3):295–307.
Palacios, A. M., Freeland-Graves, J. H., Dulience, S. J., Delnatus, J. R., Iannotti, L. L. Differences in factors associated with anemia in Haitian children from urban and rural areas. PLoS One. 2020;16(4): e0247975.
Putra, K. A. D., Yuliyatni, P. C. D., & Sutiari, N. K. The relationship between body image and tea drinking habits with anemia among adolescent girls in Badung District, Bali, Indonesia. PHPMA. 2020;8(1):24.
Reichert, C. O., da Cunha, J., Levy, D., Maselli, L. M. F., Bydlowski, S. P., & Spada, C. Hepcidin: Homeostasis and Diseases Related to Iron Metabolism. Acta Haematol. 2017;137(4):220–236.
Samson, K. L. I., Fischer, J. A., Roche, M. L. Iron status, anemia, and iron interventions and their associations with cognitive and academic performance in adolescents: a systematic review. Nutrients. 2021;14(224).
Stoffel, N. U., Zeder, C., Brittenham, G. M., Moretti, D., & Zimmermann, M. B. Iron absorption from supplements is greater with the alternate day than with consecutive day dosing in iron-deficient anemic women. Haematologica. 2020;105(5):1232–1239.
Teng, I. C., Tseng, S. H., Aulia, B., Shih, C. K., Bai, C. H., & Chang, J. S. Can diet-induced weight-loss improve iron homeostasis in patients with obesity: A systematic review and meta-analysis. Obes Rev. 2020;21(12).
Tesfaye, T. S., Tessema, F., Jarso, H. Prevalence of anemia and associated factors among “apparently healthy” urban and rural residents in Ethiopia: a comparative cross-sectional study. J Blood Med. 2020;11:89-96.
Van Zutphen, K. G., Kraemer, K., Melse-Boonstra, A. Knowledge gaps in understanding the etiology of anemia in Indonesian adolescents. Food and Nutrition Bullet, 2021;42(1S):S39-S58.
Widjaja, I. R., Widjaja, F. F., Santoso, L. A., Wonggokusuma, E., Oktaviati. Anemia among children and adolescents in a rural area. Paediatr Indones. 2014; 54(2):88-93.
World Health Organization. WHO methods and data sources for mean haemoglobin and anaemia estimates in women of reproductive age and pre-school age children 2000-2019. [Internet]. [cited 2022/01/28). Department of Nutrition and Food Safety World Health Organization. Available from https://cdn.who.int/media/docs/default-source/anaemia-in-women-and-children/hb-methods-for-gather.pdf?sfvrsn=da0fbb5f_11. 2021.
World Health Organization. Global nutrition monitoring framework, operational guidance for tracking progress in meeting, targets for 2025. [Internet]. [cited 2022/01/28). World Health Organization. Available from https://www.who.int/publications/i/item/9789241513609. 2017.
World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. [Internet]. [cited 2022/01/28). World Health Organization. 2011
Zhao, L., Zhang, X., Shen, Y., Fang, X., Wang, Y., & Wang, F. Obesity and iron deficiency: a quantitative meta-analysis. Obes Rev. 2015. 16(12): (1081–1093).
Zimmermann, M. B., & Hurrell, R. F. Nutritional iron deficiency. Lancet. 2007;370(9586):(511–520).
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