Analysis of Ferritin Levels as a Risk Factor for Anemia in Adolescent Girls on the West Lombok Coast
DOI:
10.29303/jbt.v25i1.9269Published:
2025-03-30Downloads
Abstract
Iron deficiency anemia (ADB) is a nutritional disorder that often occurs, especially in adolescent girls, due to increased nutrient requirements during growth and menstruation. Assessing ferritin levels is an important step in determining the status of iron stores in the body and identifying individuals at risk of iron deficiency anemia, especially in resource-constrained environments such as coastal areas. This study aims to determine the prevalence of anemia and iron deficiency in adolescent girls in the coastal areas of Lombok, Indonesia and analyze the relationship between ferritin levels as a risk factor for the incidence of iron deficiency anemia. The design of this study was a cross-sectional study conducted on 101 young women aged 15 - 19 years in the coastal areas of West Lombok. Ferritin levels were measured to determine iron deficiency status (< 15 ng/ml) and hemoglobin levels were used to determine anemia in adolescent girls (HB < 12 g/dl). The Chi-Squre and relative risk tests were used for statistical analysis of the relationship and risk between iron deficiency and the incidence of anemia. The results of the study found that the prevalence of iron deficiency was 40 (39.6%) and anemia was 21 (20.79%). Of the respondents who experienced anemia, 13 (61.9%) were iron deficiency anemia. There was a significant association between anemia and iron deficiency (p = 0.004) and an odd ratio value of 4.154 was obtained, indicating that adolescent girls with iron deficiency (low ferritin levels) had a 4.154 times greater risk of developing anemia compared to adolescent girls with normal ferritin levels.
Keywords:
ferritin, hemoglobin, iron deficiency anemia, adolescent girls, coastal areasReferences
Aabdien, M., Al Kaabi, N., Al-Kohji, S.M.S. and Selim, N. (2022), “Epidemiology of iron deficiency among adolescents aged 10-19 years old in Qatar: a cross-sectional study”, BMJ Open, NLM (Medline), Vol. 12 No. 12, p. e061666, doi: 10.1136/bmjopen-2022-061666.
Camaschella, C. (2019), “Iron deficiency”, Blood, American Society of Hematology, Vol. 133 No. 1, pp. 30–39, doi: 10.1182/BLOOD-2018-05-815944.
Corbett Jane Vincent and Banks Angela D. (2013), Laboratory Tests and Diagnostic Procedures with Nursing Diagnose, Vol. 8th Edition, Jaypee Brothers Medical Pub.
Manikam, N.R.M. (2021), “Iron deficiency in Indonesia : known facts”, World Nutrition Journal, Indonesian Nutrition Association, Vol. 5 No. S1, pp. 1–9, doi: 10.25220/WNJ.V05.S1.0001.
Masfiah, S., Firda Ayu Maqfiroch, A., Lesmana Rubai, W., Pramatama Mars WIjayanti, S., Anandari, D., Kurniawan, A. and Aji, B. (2021), “Prevalence and Determinants of Anemia among Adolescent Girls: A School-Based Survey in Central Java, Indonesia”, Global Journal of Health Science, Vol. 13 No. 3, doi: 10.5539/gjhs.v13n3p37.
Novelia, S. and Purnama Sari, I. (2022), “Analysis of Factors Associated with Anemia Among Adolescent Girls”, Vol. 2 No. 3, doi: 10.53713/nhs.v2i3.142.
Pardosi, M. (2019), “The Effectiveness of Booklet of Anemia on the Behaviors of Adolescent Girls”, Global Journal of Health Science, Vol. 11 No. 10, doi: 10.5539/gjhs.v11n10p111.
Pasricha, S.R., Tye-Din, J., Muckenthaler, M.U. and Swinkels, D.W. (2021), “Iron deficiency”, Lancet (London, England), Lancet, Vol. 397 No. 10270, pp. 233–248, doi: 10.1016/S0140-6736(20)32594-0.
Sumarlan, E.S., Windiastuti, E. and Gunardi, H. (2018a), “Iron Status, Prevalence and Risk Factors of Iron Deficiency Anemia Among 12- to 15-Year-Old Adolescent Girls from Different Socioeconomic Status in Indonesia”, Makara Journal of Health Research, Universitas Indonesia, Directorate of Research and Public Service, Vol. 22 No. 1, p. 8, doi: 10.7454/msk.v22i1.8078.
Sumarlan, E.S., Windiastuti, E. and Gunardi, H. (2018b), “Iron Status, Prevalence and Risk Factors of Iron Deficiency Anemia Among 12- to 15-Year-Old Adolescent Girls from Different Socioeconomic Status in Indonesia”, Makara Journal of Health Research, Universitas Indonesia, Directorate of Research and Public Service, Vol. 22 No. 1, doi: 10.7454/MSK. V22I1.8078.
Sumarlan, E.S., Windiastuti, E. and Gunardi, H. (2018c), “Iron Status, Prevalence and Risk Factors of Iron Defificiency Anemia Among 12- to 15-Year-Old Adolescent Girls from Different Socioeconomic Status in Indonesia”, Makara Journal of Health Research, Vol. 22 No. 1, p. 46, doi: 10.7454/msk.v22i1.8078.
WHO. (2014), “Health for the world’s adolescents: a second chance in the second decade: summary”, Https://Www.Who.Int/Publications/i/Item/WHO-FWC-MCA-14.05.
WHO. (2017), Nutritional Anaemias : Tools for Effective Prevention and Control, World Health Organization.
WHO. (2020), WHO Guideline on Use of Ferritin Concentrations to Assess Iron Status in Individuals and Populations.
WHO. (2024), “Adolescent and young adult health”, Https://Www.Who.Int/News-Room/Fact-Sheets/Detail/Adolescents-Health-Risks-and-Solutions.
Yudina, M.K. and Fayasari, A. (2020), "Evaluating the Blood Supplement Tablet Administration Program for Adolescent Girls in East Jakarta", Journal of Health Sciences (JIKA), LPPM Akper Yapenas 21 Maros, Vol. 2 No. 3, pp. 147–158, doi: 10.36590/jika.v2i3.56.
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