Levels of Nutritional Adequacy and Bioavailability of Iron with The Incident of Anemia in Pregnant Women in Gorontalo City

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Levels of Nutritional Adequacy and Bioavailability of Iron with The Incident of Anemia in Pregnant Women in Gorontalo City

1Andri Friwan Ismula, 2Sunarto Kadir, 3Netty Ino Ischak
1,2,3Department of Public Health, Postgraduate, Gorontalo State University,Gorontalo City


ABSTRACT: 

The level of adequate nutrition and iron availability in pregnant women can cause anemia, and inadequate food intake during pregnancy can affect Hb levels. The research formulation is about the incidence of anemia in pregnant women and whether there is a relationship between the level of adequate nutrition of energy, protein, vitamin A, vitamin C, iron, and bioavailability and the incidence of anemia in pregnant women. This research aims to analyze the level of adequacy and bioavailability of iron with the incidence of anemia in pregnant women. This type of observational research uses a cross-sectional design. This research was carried out at 10 Community Health Centers in Gorontalo City. The sample in this study consisted of 165 pregnant women using cluster random sampling techniques with bivariate analysis using the Chi-square test and multivariate analysis using the multinominal logistic regression test. The results of data analysis on the prevalence of anemia in pregnant women were 52.7%. The relationship between the level of nutritional adequacy and the incidence of anemia in pregnant women is energy ( P value = 0.029 ≤ α = 0.05), protein (P value = 0.045 ≤ α = 0.05), vitamin A ( P value = 0.108 ≥ α = 0 .05), vitamin C ( P value = 0.003 ≤ α = 0.05), Iron ( P value = 0.004 ≤ α = 0.05), bioavailability ( P value = 0.016 ≤ α = 0.05). There is a relationship between adequate levels of the nutrients energy, protein, vitamin C, iron, and iron bioavailability with the incidence of anemia in pregnant women, and there is no relationship between adequate levels of the nutrient vitamin A and the incidence of anemia in pregnant women. Pregnant women increase their need for good nutrition during pregnancy to prevent anemia.

 

KEYWORDS:

Anemia Incidence, Adequacy Level, Nutrients, Bioavailability, Iron.

 

REFERENCES :

1) Afni, N., Pratiwi, D., Kodriati, N., Djannah, SN, Sunarti, & Suryani, D. 2020. Factors Associated with the Incidence of Anemia in Pregnant Women at Makrayu Palembang Community Health Center. Midwifery Journal: UM Midwifery Journal. Mataram , 5 (2), 118. https://doi.org/10.31764/mj.v5i2.1127
2) Agustina, W. 2019. Comparison of Hemoglobin Levels in Pregnant Women Who Consumed Iron Tablets With and Without Vitamin C in the Langsa Lama Health Center Work Area in 2019. National Journal of Health Sciences (JNIK), 2 (2), 76.
3) Alamsyah, PR, & Andrias, DR 2020. The relationship between nutritional adequacy and consumption of iron-inhibiting foods with the incidence of anemia in the elderly. Indonesian Nutrition Media , 11 (1), 48. https://doi.org/10.20473/mgi.v11i1.48-54
4) Alfahmi, F. 2023. The relationship between diet and protein intake of pregnant women with the incidence of LBW at the Kadugede Community Health Center. Journal of Health Sciences , 2 (2), 35–44.
5) Andriani, L., Arima, T., Murbawani, EA, & Wijayanti, HS 2019. Relationship between Heme Iron Intake, Non-Heme Iron and Menstrual Phase with Serum Ferritin in Adolescent Girls. Journal of Nutrition College , 8 (2), 100.

http://ejournal3.undip.ac.id/index.php/jnc/

6) Anissa, DD, & Dewi, RK 2021. The Role of Protein: Breast Milk in Increasing Children’s Intelligence to Welcome the Golden Indonesian Generation 2045 and its Relevance to the Al-Qur’an. Indonesian Science Tadris Journal , 1 (3), 427–435. https://doi.org/10.21154/jtii.v1i3.393
7) Annisa, N., & Arnisam. 2021. Literature Study: Differences in Intake of Food Sources of Iron (FE) in Adolescent Girls in Urban and Rural Areas. Aceh Public Health Magazine (Meaning) , 4 (2), 81–90.
8) Astriningrum, EP, Hardinsyah, H., & Nurdin, NM 2019. Intake of Folic Acid, Vitamin B12, and Vitamin C in Halil Mothers in Indonesia. Journal of Nutrition and Food , 12 (1), 31–40. https://doi.org/10.25182/jgp.2017.12.1.31-40
9) Ayu, P., Surya, IG, Sanjaya, INH, Pinatih, I., Suryadhi, T., Megadhana, W., & Suwardeva, T. 2020. Low vitamin C levels as a risk factor for premature rupture of membranes (KPD) in term pregnancy. Medicina , 51 (3), 580–583.

https://doi.org/10.15562/medicina.v51i3.889
10) Ayuningtyas, IN, Tsani, AFA, Candra, A., & Dieny, FF 2022. Analysis of intake of heme and non-heme iron, vitamin B 12 and folate as well as intake of iron enhancers and inhibitors based on status. Journal Of College Nutrition , 11 (2), 171–181.
11) Azizah, A., & Adriani, M. 2018. Levels of Protein Energy Adequacy in First Trimester Pregnant Women and the Occurrence of Chronic Energy Deficiency. Indonesian Nutrition Media , 12 (1), 21. https://doi.org/10.20473/mgi.v12i1.21-26
12) Badriyah, N., Hasmiwati, & Desmiwarti. 2021. Relation Between Nutritional Status and Vitamin C Conditions with Hemoglobin Levels in Anemic Pregnant Women in the Working Area of Pauh Public Health. Midwifery Science , 9 (1), 317–322. https://midwifery.iocspublisher.org/index.php/midwifery/article/view/104
13) Bakhtiar, R., Muladi, Y., Tamaya, A., Utari, A., Yuliana, R., & Ariyanti, W. 2021. Relationship between Knowledge and Compliance of Anemic Pregnant Women in Consuming Blood Supplement Tablets in the Lempake City Health Center Work Area Samarinda. Mulawarman Medical Journal , 8 (3), 78.

https://doi.org/10.30872/j.ked.mulawarman.v8i3.6514
14) Briawan, D., Adrianto, Y., Ernawati, D., Syamsir, E., & Aries, M. 2018. Food Consumption, Iron Bioavailability and Anemia Status of Female Students in. Proceedings of the 2018 IPB Research Results Seminar , 1 (1), 219–230.
15) Davidson, E.M., Scoullar, M.J.L., Peach, E., Morgan, C.J., Melepia, P., Opi, D.H., Supsup, H., Hezeri, P., Philip, W., Kabiu, D., Tokmun, K. , Suruka, R., Fidelis, R., Elijah, A., Siba, P.M., Pomat, W., Kombut, B., Robinson, LJ, Crabb, BS, … Fowkes, FJI 2023. Quantifying differences in iron deficiency- attributable anemia during pregnancy and postpartum. Cell Reports Medicine , 4 (7), 101097.

https://doi.org/10.1016/j.xcrm.2023.101097
16) Devriany, A., Wardani, Z., & Marwan. 2018. Intake of Iron (Fe) and Vitamin C with Iron Nutrition Anemia Status in Pregnant Women in Tuatunu District, Pangkalpinang. Manarang Health Journal , 4 (1), 58–63.

http://jurnal.poltekkesmamuju.ac.id/index.php/m
17) Dewi, GK, Istianah, I., & Septiani, S. 2022. Analysis of the risk of anemia in pregnant women. Journal of Health Sciences (IF) , 4 (1), 67–80. https://doi.org/10.36590/jika.v4i1.223
18) Dewi P, H., & Mardinah. 2021. Risk Factors That Influence the Incidence of Anemia in Pregnant Women in the Nusawungu Ii Cilacap Community Health Center Working Area. Journal Of College Nutrition , 10 , 285–296. http://ejournal3.undip.ac.id/index.php/jnc/
19) Ernawati, F., Rosmalina, Y., & Permanasari, Y. 2019. The influence of protein intake of pregnant women and length of birth on the incidence of stunting in children aged 12 months in Bogor district. Nutrition And Food Research , 36 (1), 1–11.
20) Faghir-Ganji, M., Amanollahi, A., Nikbina, M., Ansari-Moghaddam, A., & Abdolmohammadi, N. 2023. Prevalence and risk factors of anemia in first, second and third trimesters of pregnancy in Iran: A systematic review and meta-analysis. Heliyon , 9 (3), e14197. https://doi.org/10.1016/j.heliyon.2023.e14197
21) Fakhriyah, Lasari, HHD, Putri, AO, Setiawan, MI, Noor, MS, Lestari, D., Muhammad, Z., & Abdurrahman, H. 2022. Analysis of risk factors for chronic energy deficiency (KEK) among young women in the region Wetlands. Proceedings of the National Seminar: Wetland Environments , 7 (April), 136–140.
22) Fariski, C., Dieny, FF, & Wijayanti, HS 2019. Diet Quality, Nutritional Status and Anemia Status of Preconception Women Between Villages and Cities. Indonesian Nutrition , 43 (1), 11–24.
23) Fathonah, S. 2016. Nutrition & Health for Pregnant Women . Erlangga.
24) Fayasari, A., Istianah, I., & Fauziana, S. 2022. Differences in Iron Intake of Anemic and Non-Anemic Pregnant Women in East Jakarta. Indonesian Journal of Human Nutrition , 8 (1), 74–84. https://doi.org/https://doi.org/10.21776./ub.ijhn.2022.009.01.8
25) Fitri, YP, Briawan, D., Tanziha, I., & Madaijah, S. 2016. Adequacy and Bioavailability Levels of Iron Intake in Pregnant Women in Tangerang City. MKMI JOURNAL , 12 (3), 185–191.
26) Flora, R., Zulkarnain, M., Hasyim, H., & Ermi, N. 2022. Comparison of Iron and Vitamin C Levels in Anemic and Non-Anemic Pregnant Women in Seluma Regency. Journal of Community Service , Vol.5 , pp.887-894.
27) Giriwijoyo, S., Ray, HRD, & Sidik, DZ 2020. Sports Health and Performance . Bumi Medika.
28) Handayani, W., & Hariwibowo, AS 2019. Nursing Care for Clients with Hematological System Disorders (5th ed.). Salemba Medika.

https://www.google.co.id/books/edition/Buku_Ajar_Asuhan_Kewarni_Dgn_Ganggua/PwLdwyMH9K4C?hl=en&gbpv=1&dq=anemia+merupakan&pg=PT47&printsec=frontcover
29) Hanley, G., Toe, L.C., Tesfamariam, K., de Kok, B., Argaw, A., Compaoré, A., Ouédraogo, M., Dailey-Chwalibóg, T., Kolsteren, P., Lachat, C ., & Huybregts, L. 2022. Fortified Balanced Energy-Protein Supplementation, Maternal Anemia, and Gestational Weight Gain: A Randomized Controlled Efficacy Trial among Pregnant Women in Rural Burkina Faso. Journal of Nutrition , 152 (10), 2277–2286.

https://doi.org/10.1093/jn/nxac171
30) Herawati, AN, Palupi, NS, Andarwulan, N., & Efriwati, E. 2019. Contribution of Iron and Vitamin C Intake to Iron Nutrition Anemia Status in Indonesian Toddlers. Nutrition and Food Research (The Journal of Nutrition and Food Research) , 41 (2), 65–76. https://doi.org/10.22435/pgm.v41i2.1886
31) Irwan. 2022. Scientific Writing Methods for Health Students . Zahir Publishing.
32) Kadir, S. 2019. Factors causing iron deficiency anemia in pregnant women in the working area of Bongo Nol Health Center, Boalemo Regency. Jambura Journal of Health Sciences and Research , 1 (2), 54–63. https://doi.org/10.35971/jjhsr.v1i2.2396
33) Kartini. 2017. Risk of Infectious Diseases in the Event of Chronic Energy Deficiency (CED) in Pregnant Women at the Mekar Health Center, Kendari City. Health Information : A Research Journal , 9 (1), 10–14. https://doi.org/10.36990/hijp.v9i1.79
34) Republic of Indonesia Ministry of Health. 2018. Basic Health Research .
35) Khobibah, K., Nurhidayati, T., Ruspita, M., & Astyandini, B. 2021. Adolescent Anemia and Reproductive Health. Journal of Midwifery Community Service , 3 (2), 11.

https://doi.org/10.26714/jpmk.v3i2.7855
36) Khoiriah, A., & Latifah, L. 2020. Giving Iron (Fe) Tablets to Pregnant Women at Posyandu Mawar Berduri Rt 05 Tuan Potato Village, Jakabaring District, Pelembang City. Journal of Midwifery Community Service , 2 (1), 1.

https://doi.org/10.26714/jpmk.v2i1.5360
37) Kumar, A., Kousar, MY, & Khan, AM 2022. Effectiveness of Vitamin C for Iron Supplementation in Patients with Iron Deficiency Anemia. Pakistan Journal of Medical and Health Sciences , 16 (6), 1053–1055. https://doi.org/10.53350/pjmhs221661053
38) Kusuma Dewi, A., Dary, & Tampubolon, R. 2021. Nutritional Status and Eating Behavior of Mothers During the First Trimester of Pregnancy. Journal of Community Health Epidemiology , 6 (1), 135–144.
39) Laba, N. 2019. Overview of Ferritin Consumption Patterns and Status Overview of Ferritin Consumption Patterns and Status for Pregnant Women in Gowa Regency. In Nursing . Hasanuddin University.
40) Latifah, RN 2021. Food Chemistry . Pascal Books.
41) Lestaluhu, SA 2021. 328-Article Text-1106-1-10-20220605. Midwifery Journal(JBd) , 1 (2),104–113.

https://www.jurnalpoltekkesmaluku.com/index.php/JBD/article/view/328
42) Lestari, IP, Lipoeto, NI, & Almurdi, A. 2020. The relationship between iron consumption and the incidence of anemia in students at SMP Negeri 27 Padang. Andalas Health Journal , 6 (3), 507. https://doi.org/10.25077/jka.v6i3.730
43) Lisfi, I., Serudji, J., & Kadri, H. 2020. Relationship between Fe and Vitamin A Intake with the Incidence of Anemia in Third Trimester Pregnant Women at the Cold Water Health Center in Padang City. Andalas Health Journal , 6 (1), 191. Https://Doi.Org/10.25077/Jka.V6i1.669
44) Lomboan, FY, Malonda, NSH, & Sekeon, SS 2020. Description of Micro Mineral Adequacy in Semester VI Students at the Faculty of Public Health, Sam Ratulangi University During the Covid-19 Pandemic. Nutrition is the Main Component in Preparing Quality Human Resources in Indonesia. Nutritional status . Journal of Public Health , 9 (6), 59–67.
45) Madjri, A., Fajar, I., & H, RF 2020. Case Study: The Effect of Vitamin A and C Supplements on the Behavior of Children with Autism Spectrum Disorder. Case Study: The Effect of Vitamin A and C Supplementation on Autism Spectrum Disorder. Brawijaya Medical Journal , 26 (4), 240–245.
46) Makmun, A., & Rusli, FIP 2020. The Effect of Vitamin C on the Body’s Immune System to Prevent and Therapy Covid-19. Molucca Medica , 12 , 60–64. https://Doi.Org/10.30598/Molmed.2020.V13.I2.60
47) Magdalena, I. 2021. Basics of Nutrition Science in Nursing, Concepts and Applications in Nursing Care. In New Press Library .

Http://Eprints.Poltekkesjogja.Ac.Id/7975/1/Buku Basics of Nutrition Science in Nursing.Pdf
48) Meliyani, A., Sitorus, RJ, Flora, R., Hasyim, H., Zulkarnain, M., Tanjung, R., Sulung, N., Ikhsan, I., & Ermi, N. 2022. Relationship between Fe Intake and Incidence of Iron Deficiency Anemia in Pregnant Women in Seluma Regency. Journal Of Nursing And Public Health , 10 (2), 225–232. https://Doi.Org/10.37676/Jnph.V10i2.3201
49) Nadia, Ludiana, & Dewi, TK 2022. Application of Health Education to Pregnant Women’s Knowledge About Anemia in Pregnancy in the Working Area of Yosomulyo Metro Health Center in 2021 Application of Health Education to Pregnant Women’s Knowledge About Anemia in Pregnancy In the Working Area Of. Journal of Young Scholars , 2 (3), 359–366.
50) Nadiyah, N., Sitoayu, L., & Dewanti, LP 2022. Rural Adolescent Girls in Indonesia are at Twice the Risk of Anemia. Indonesian Nutrition , 45 (1), 35–46. https://Doi.Org/10.36457/Gizindo.V45i1.614
51) Norfitri, R., & Rusdiana, R. 2023. Risk factors for anemia in pregnant women. Journal of Health Sciences for Healthy Humans , 11 (1), 25–30.

https://Doi.Org/10.54004/Jikis.V11i1.107
52) Nurdini, DA, & Probosari, E. 2017. Nutrient Adequacy Levels and Hemoglobin Levels in Football Athletes. Journal Of Nutrition College , 6 (1), 28.

https://Doi.Org/10.14710/Jnc.V6i1.16889
53) Nurida, A. 2021. Forever Young, the Secret to Health and Long Life (M. Dewi (Ed.)). Cipta Media Nusantara.
54) Padaunga, AH, & Mukarramah, S. 2020. The relationship between iron and vitamin C adequacy rates and the incidence of anemia in pregnant women. The relationship between iron and vitamin C adequacy rates and the incidence of anemia in pregnant women. Relationship between iron and vitamin C adequacy rates with the incidence. Of Anemia. Health Science Media , 8 (2), 147–154.
55) Piskin, E., Cianciosi, D., Gulec, S., Tomas, M., & Capanoglu, E. 2022. Iron Absorption: Factors, Limitations, And Improvement Methods. Acs Omega , 7 (24), 20441–20456. https://Doi.Org/10.1021/Acsomega.2c01833
56) Proverawati, A. 2011. Anemia and Pregnancy Anemia (1st Ed.). Nuha Medika.
57) Purwaningtyas, ML, & Prameswari, GN 2020. Factors in the incidence of anemia in pregnant women. Higeia Journal Of Public Health Research And Development , 1 (3), 43–54.
58) Puspita, A., & Romlah. 2019. Factors Associated with the Incidence of Anemia in Pregnant Women in the Third Trimester. Journal Of Telenursing , 1 (1), 2019. Https://Doi.Org/Https://Doi.Org/10.31539/Joting.V1i2.982
59) Rany, N., Putri, SY, & Nurlisa, N. 2018. The relationship between energy intake, nutritional knowledge and physical activity with the incidence of overweight among police officers at the Tampan Pekanbaru Police in 2017. Journal of Community Health , 4 (2), 57–62 . Https://Doi.Org/10.25311/Keskom.Vol4.Iss2.234
60) Renzo, G.C., Spano, F., Giardina, I., Brillo, E., Clerici, G., & Roura, L.C. 2022. Iron Deficiency Anemia in Pregnancy. Women’s Health , 11 (6), 891–900.

https://Doi.Org/10.2217/Whe.15.35
61) Rieny, EG, Nugraheni, SA, & Kartini, A. 2021. The role of calcium and vitamin C in iron absorption and its relationship to hemoglobin levels in pregnant women: A systematic review. Indonesian Public Health Media , 20 (6), 423–432.

https://Doi.Org/10.14710/Mkmi.20.6.423-432
62) Riska, K. 2017. The Relationship between Energy and Protein Intake and the Nutritional Status of Min Ketitang Nogosari Boyolali Children . Institute of Health Science.
63) Sahana, ON, & Sumarmi, S. 2019. Relationship between micronutrient intake and hemoglobin levels in women of childbearing age (WUS). Indonesian Nutrition Media Journal , 10 (2), 184–191. Http://Dx.Doi.Org/10.20473/Mgi.V10i2.184-191
64) Sari, ID 2020. Factors that influence the incidence of anemia in pregnant women in the third trimester at the Pratama Mitra Keluarga Clinic, Paladesa Melati Ii Perbaungan Hamlet. Flora Midwifery Journal , 13 (1), 8–15.

Https://Jurnal.Stikesflora-Medan.Ac.Id/Index.Php/Jkbf
65) Sari, SA, Fitri, NL, & Dewi, NR 2021. The relationship between age and the incidence of anemia in pregnant women in metro cities. Journal of Health Discourse , 6 (1), 23. Https://Doi.Org/10.52822/Jwk.V6i1.169
66) Satyagraha, K., Putera, K., Noor, MS, & Heriyani, F. 2020. The relationship between diet and the incidence of anemia in SMP Negeri 18 Banjarmasin 2019 / 2020. Homeostasis , 3 (2), 217–222.
67) Septia Nabilla, F., Muniroh, L., & Rifqi, MA 2022. Relationship between consumption patterns of iron sources, iron inhibitors and enhancers and the incidence of anemia in female students at the Al-Mizan Muhammadiyah Lamongan Islamic Boarding School. Indonesian Nutrition Media (National Nutrition Journal). 2022 , 17 (1), 56–61.

https://Doi.Org/10.204736/Mgi.V17i1.56-61
68) Setiarto, HB, & Karo, M. 2021. Introduction to Clinical Biochemistry (Guepedia (Ed.); 1st Ed.). Guepedia.

Https://Www.Google.Co.Id/Books/Edition/Penantar_Biokimia_Klinis/Fwhneaaaqbaj?Hl=En&Gbpv=1&Dq=Kebutuhan+Vitamin+C&Pg=Pa118&Printsec=Frontcover (Online Book)
69) Setyaningsih, W., Ani, LS, & Utami, NWA 2020. Iron Folate Consumption, Energy and Iron Adequacy Levels Are Associated with the Incidence of Anemia in Pregnant Women in Jember Regency. Public Health And Preventive Medicine Archives , 3 (1), 3–10. https://Doi.Org/10.15562/Phpma.V3i1.79
70) Sholihah, N., Andari, S., & Wirjatmadi, B. 2019. Relationship between protein, vitamin C, iron and folic acid consumption levels and the incidence of anemia in young women at Sman 4 Surabaya. Amerta Nutrition , 3 (3), 135–141. https://Doi.Org/10.2473/Amnt.V3i3.2019.135-141
71) Sudargo, T., Kusmayanti, NA, & Hidayati, NL 2018. Iodine, Iron Deficiency (M. Hakimi (Ed.)). Gaja Mada University Press. Https://Www.Google.Co.Id/Books/Edition/Iodine Deficiency_Zat_Iron_Dan_Kecerdasa/9ebddwaaqbaj?Hl=En&Gbpv=1&Dq=Zat+Iron&Pg=Pa100&Printsec=Frontcover (Online Book)
72) Sumbono, A. 2021. Basic Food Biochemistry Series Minerals (1st Ed.). CV Budi Utama. Https://Www.Google.Co.Id/Books/Edition/Mineral_Seri_Biokimia_Pangan_Basic/Zogzeaaaqbaj?Hl=En&Gbpv=1 (Online Book)
73) Sumiari, LG, Surinati, IDAK, Hartati, INN, & Ruspawan, DM 2024. Journal of Nursing. Journal of Nursing , 16 (1), 383–396.
74) Susiloningtyas, I. 2019. Providing Iron (Fe) in Pregnancy. Research Media , 50 , 128.
75) Sutanegara, K., & Permata, D. 2022. Aplastic Anemia: From Onset to Management. Unram Medical Journal , 11 (3), 1094–1099. https://Doi.Org/10.29303/Jku.V11i3.768
76) Suwiryawan, GA, Yasa, IWPS, & Dewi, DR 2020. Sickle Cell Anemia. Department of Clinical Pathology Faculty of Medicine Udayana University /Sanglah Hospital , 2 (3), 1–12.
77) Swandari, Paramita. 2020. Food sources rich in vitamins C and E for managing Covid-19. Indonesian Journal of Nutrition and Dietetics , 01 (08), 2–5.

https://Doi.Org/10.13140/Rg.2.2.27163.82728
78) Syagata, SA, Khairani, K., & Susanto, PPN 2022. Food Consumption Assessment Module. In Food Consumption Assessment Module (Vol. 2). Www.Unisayogya.Ac.Id
79) Takyi, S.A., Arko-Mensah, J., Basu, N., Bawuah, S., Dwomoh, D., & Fobil, JN 2023. Iron- And Protein Rich Diets May Boost Hemoglobin Levels Among Informal Electronic Waste Recyclers Exposed To Metals At Agbogbloshie, Ghana. Hygiene And Environmental Health Advances , 8 (June), 100073. https://Doi.Org/10.1016/J.Heha.2023.100073
80) Tampubolon, R., Lasamahu, JF, & Panuntun, B. 2021. Identification of Factors in the Occurrence of Anemia in Pregnant Women in Amahai District, Central Maluku Regency. Journal of Science And Health , 3 (4), 489–505. https://Doi.Org/10.25026/Jsk.V3i4.432
81) Tarigan, N., Sitompul, L., & Zahra, S. 2021. Intake of Energy, Protein, Iron, Folic Acid and Anemia Status of Pregnant Women in the Petumbukan Community Health Center Working Area. Medan Health Polytechnic , 10 (1), 117–127.
82) Utama, LJ, & Demu, YDB 2021. Basics of Managing School Children’s Nutrition (RR Rerung (Ed.); 1st Ed.). Indonesian Science Media.

Https://Www.Google.Co.Id/Books/Edition/Dasar_Dasar_Penanganan_Gizi_Anak_Sekolah/Tfoseaaaqbaj?Hl=En&Gbpv=1&Dq=Food+Source+Energy&Pg=Pa146&Printsec=Frontcover (Online Book)
83) Wahyu, S. 2020. Giving iron (Fe) during pregnancy by: Is Susiloningtyas. Sultan Agung Scientific Magazine , 50 (128), 128.

Http://Lppm-Unissula.Com/Jurnal.Unissula.Ac.Id/Index.Php/Majalahilmiahsultanagung/Article/View/74
84) Warda, Y., & Fayasari, A. 2021. Food consumption and iron bioavailability are related to the anemia status of adolescent girls in East Jakarta. Indonesian Nutrition Science , 04 (02), 135–146.
85) Wardawati, Sulaiman, Y., Suharmi, & Sebba, AK 2022. Basics of Nutrition Science (Junaedi (Ed.)). Muhammad Zani Publishing Foundation.
86) Windarti. 2019. Description of the incidence of anemia in pregnant women and related factors in the work area of the Kismantoro Wonogiri Health Center in 2012 . University of Indonesia.
87) Windiyati, E., & Putri, M. 2022. Iron and Folic Acid Supplementation in Mothers. Journal of Community Midwifery Pkm , 6 (1), 266–270.
88) Wirawanni, Y., & IR, F. 2020. Hubungan Konsumsi Karbohidrat, Konsumsi Total Energi, Konsumsi Serat, Beban Glikemik Dan Latihan Jasmani Dengan Kadar Glukosa Darah Pada Pasien Diabetes Mellitus Tipe 2. Diponegoro Journal Of Nutrition And Health , 2 (3) , 1–27.
89) Woźniak, D., Podgórski, T., Krzyżanowska-Jankowska, P., Dobrzyńska, M., Wichłacz- Trojanowska, N., Przysławski, J., & Drzymała-Czyż, S. 2022. The Influence Of Intensive Nutritional Education On The Iron Status In Infants. Nutrients , 14 (12), 1–11. https://Doi.Org/10.3390/Nu14122453
90) Wustqa, DU, Listyani, E., Subekti, R., Kusumawati, R., Susanti, M., & Kismiantini. 2018. Multivariate Data Analysis Using the R Program. Journal of Mipa Community Service and Mipa Education , 2 (2), 83–86. https://Doi.Org/10.21831/Jpmmp.V2i2.21913
91) Zahra, S. 2020. The relationship between energy, protein, and vitamin A intake with the anemia status of pregnant women in Nogorejo village and the working area of the Petumbukan Community Health Center . 1–114.
92) Zahroh, R., & Istiroha. 2019. Nursing Care in Hematology Cases . Jakad Publishing.
93) Zuitna, D. 2021. Factors that influence the incidence of anemia in pregnant women at the Wirobrajan Community Health Center. Jkm (Malayayati Midwifery Journal) , 7 (3), 404–412. Http://Ejurnalmalahayati.Ac.Id/Index.Php/Kebidanan%0ahttps://Doi.Org/10.1016/J.Mfglet.2017.12.003%0ahttp://Dx.Doi.Org/10.1016/J.Cirpj. 2011.06.007%0ahttp://Dx.Doi.Org/10.1016/J.Procir.2016.02.316%0ahttp://Dx.Doi.Or

 

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