Effectiveness of Vitamin C and A with Fe Tablet on Hemoglobin of Midwifery Student
Keywords:
Hemoglobin Level, Iron Tablets, Vitamin C, Vitamin A, Midwifery Program, Anemia Prevention, Public HealthAbstract
Objective: This study is to investigate the impact of administering Iron Tablets in conjunction with Vitamin C and Vitamin A on the level of hemoglobin (Hb) among female students enrolled in the Midwifery DIII Program at Poltekes Semarang, Central Java.
Methods: The study utilized a quasi-experimental design using a pre-post only methodology. The study population consisted of 235 female students, with 43 chosen through purposive sampling. The intervention spanned a duration of two months, during which one group was administered Iron Tablets and Vitamin C on a daily basis, while the other group received Iron Tablets and Vitamin A. Hemoglobin levels were assessed using a Digital Hemoglobin Meter at five specific time points: baseline, and after 2, 4, 6, and 8 weeks of the intervention. The data were examined using either t-tests or Wilcoxon tests, depending on the distribution of the data.
Results: Both groups had substantial increases on Hb levels after the intervention. The group that received Iron Tablets with Vitamin A showed a more substantial rise in Hb levels compared to the Vitamin C group, suggesting potential variations in the impact of these supplements on the breakdown of iron and the production of red blood cells.
Novelty: This study provides fresh perspectives on the efficacy of Vitamin C as well as Vitamin A supplementation in enhancing Hb levels among female teenage students, specifically in the setting of midwifery training in Indonesia. The results validate the current body of research on the essential functions of these vitamins in the process of blood cell formation and the regulation of iron levels in the body.
Social Benefit: The findings have important consequences for public health strategies that aim to increase knowledge about the significance of proper nutrition in preventing anemia among adolescent females. By comprehending the functions of Vitamin C and A in the creation of red blood cells and the absorption of iron, health interventions can be more efficiently tailored to improve hematological health and general well-being in young women.
References
Alwarawrah, Yazan, Kaitlin Kiernan, and Nancie J. MacIver. 2018. “Changes in Nutritional Status Impact Immune Cell Metabolism and Function.” Frontiers in Immunology 9(MAY):1–14. doi: 10.3389/fimmu.2018.01055. DOI: https://doi.org/10.3389/fimmu.2018.01055
Bailey, Regan L., Tieraona Low Dog, Abbie E. Smith-Ryan, Sai Krupa Das, Fiona C. Baker, Zeynep Madak-Erdogan, Billy R. Hammond, Howard D. Sesso, Alex Eapen, Susan H. Mitmesser, Andrea Wong, and Haiuyen Nguyen. 2022. “Sex Differences Across the Life Course: A Focus On Unique Nutritional and Health Considerations among Women.” The Journal of Nutrition 152(7):1597–1610. doi: https://doi.org/10.1093/jn/nxac059. DOI: https://doi.org/10.1093/jn/nxac059
Barua, Sowrav, Stefano Ciannella, Lukman Tijani, and Jenifer Gomez-Pastora. 2023. “Iron in Blood Cells: Function, Relation to Disease, and Potential for Magnetic Separation.” Biotechnology and Bioengineering 120(7):1707–24. doi: https://doi.org/10.1002/bit.28388. DOI: https://doi.org/10.1002/bit.28388
Bukhari, Agussalim, Firdaus Hamid, Rahmawati Minhajat, Nathania Sheryl Sutisna, and Caroline Prisilia Marsella. 2020. “Non-Nutritional and Disease-Related Anemia in Indonesia: A Systematic Review.” Asia Pacific Journal of Clinical Nutrition 29:S41–54.
Canavan, Chelsey R., and Wafaie W. Fawzi. 2019. “Addressing Knowledge Gaps in Adolescent Nutrition: Toward Advancing Public Health and Sustainable Development.” Current Developments in Nutrition 3(7):nzz062. doi: https://doi.org/10.1093/cdn/nzz062. DOI: https://doi.org/10.1093/cdn/nzz062
Deivita, Yan, Syarif Syafruddin, Usman Andi Nilawati, Aminuddin Aminuddin, Bahar Burhanuddin, and Zainuddin Zahir. 2021. “Overview of Anemia; Risk Factors and Solution Offering.” Gaceta Sanitaria 35:S235–41. doi: https://doi.org/10.1016/j.gaceta.2021.07.034. DOI: https://doi.org/10.1016/j.gaceta.2021.07.034
Diesch-Furlanetto, Tamara, Melissa Gabriel, Olga Zajac-Spychala, Alessandro Cattoni, Bianca A. W. Hoeben, and Adriana Balduzzi. 2021. “Late Effects After Haematopoietic Stem Cell Transplantation in ALL, Long-Term Follow-Up and Transition: A Step Into Adult Life.” Frontiers in Pediatrics 9(November):1–18. doi: 10.3389/fped.2021.773895. DOI: https://doi.org/10.3389/fped.2021.773895
Gwaltney-Brant, Sharon. 2019. “Chapter 23 - Blood and Bone Marrow Toxicity Biomarkers.” Pp. 401–11 in, edited by R. C. B. T.-B. in T. (Second E. Gupta. Academic Press. DOI: https://doi.org/10.1016/B978-0-12-814655-2.00023-2
Jaleel, Abdul, N. Arlappa, K. S. Ramakrishna, P. V Sunu, G. Jayalakshmi, G. Neeraja, D. Narasimhulu, T. S. Kumar, and Senthil B. Kumar. 2023. “Examining the Triple Burden of Malnutrition: Insights from a Community-Based Comprehensive Nutrition Survey among Indigenous Tribal Children (0–19 Years) in the Western Ghats Hills of India.” Nutrients 15(18). DOI: https://doi.org/10.3390/nu15183995
Kontele, Ioanna, and Tonia Vassilakou. 2021. “Nutritional Risks among Adolescent Athletes with Disordered Eating.” Children 8(8). DOI: https://doi.org/10.3390/children8080715
Liang, Mengjia, Sandile Simelane, Guillem Fortuny Fillo, Satvika Chalasani, Katherine Weny, Pablo Salazar Canelos, Lorna Jenkins, Ann-Beth Moller, Venkatraman Chandra-Mouli, Lale Say, Kristien Michielsen, Danielle Marie Claire Engel, and Rachel Snow. 2019. “The State of Adolescent Sexual and Reproductive Health.” Journal of Adolescent Health 65(6, Supplement):S3–15. doi: https://doi.org/10.1016/j.jadohealth.2019.09.015. DOI: https://doi.org/10.1016/j.jadohealth.2019.09.015
Moore Heslin, Aoibhín, and Breige McNulty. 2023. “Adolescent Nutrition and Health: Characteristics, Risk Factors and Opportunities of an Overlooked Life Stage.” Proceedings of the Nutrition Society 82(2):142–56. doi: DOI: 10.1017/S0029665123002689. DOI: https://doi.org/10.1017/S0029665123002689
Radhika, Madhari S., Boddula Swetha, B. Naveen Kumar, N. Bala Krishna, and Avula Laxmaiah. 2018. “Dietary and Nondietary Determinants of Nutritional Status among Adolescent Girls and Adult Women in India.” Annals of the New York Academy of Sciences 1416(1):5–17. doi: 10.1111/nyas.13599. DOI: https://doi.org/10.1111/nyas.13599
Walle, Birhanie Muluken, Adeyemi O. Adekunle, Ayodele O. Arowojolu, Tesfaye Tolessa Dugul, and Akiloge Lake Mebiratie. 2020. “Micronutrients Deficiency and Their Associations with Pregnancy Outcomes: A Review.” Nutrition and Dietary Supplements 12(null):237–54. doi: 10.2147/NDS.S274646. DOI: https://doi.org/10.2147/NDS.S274646
Worthman, Carol M., and Kathy Trang. 2018. “Dynamics of Body Time, Social Time and Life History at Adolescence.” Nature 554(7693):451–57. doi: 10.1038/nature25750. DOI: https://doi.org/10.1038/nature25750
Yiannikourides, Andronicos, and Gladys Latunde-Dada. 2019. “A Short Review of Iron Metabolism and Pathophysiology of Iron Disorders.” Medicines 6(3):85. doi: 10.3390/medicines6030085. DOI: https://doi.org/10.3390/medicines6030085
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