Supp. File(s): Covering Letter
The exploration of adolescent girl’s body composition and its relationship on hemoglobin levels in Semarang, Indonesia
The prevalence of obesity and anemia in adolescents is increasing due to an unbalanced diet and lack of physical activity. Exploration of these issues is essential for balanced nutrition education, increased physical activity, and access to nutritious foods. The study aimed to explore the relationship between body composition and hemoglobin levels among adolescent girls in Semarang City, Indonesia. The study design was cross-sectional with 110 subjects aged 14-17 years from State senior high school 2, 9, and 15 Semarang. Data were collected in September-October 2022. Waist circumferences (WC), height (H), and body fat percentage (%BF) were measured using a waist ruler, microtoise, and Bioelectrical Impedance Analyzer (BIA), respectively. Waist-to-height ratio (WHtR) is defined as waist measurement divided by height measurement in centimeters. Hemoglobin (Hb) levels were determined using point-of-care testing (POCT) methods. Data were analyzed using Rank-Spearman test and Mann-Whitney test. The results showed that among all subjects, 8,2% were anemic, 21,8% were centrally obese, and 40,9% were both obese and overweight. There is no relationship between WC (p=0,54), %BF (p=0,88), and WHtR (p=0,27) with Hb levels. Also, no difference in body composition between anemic and non-anemic adolescent girls (p>0,05). In conclusion, there are no associations between body composition and Hb levels in adolescent girls.
Supplement Files
Keywords : Anaemia, body composition, hemoglobin, adolescent girls
- Alshwaiyat, N., Ahmad, A., Wan Hassan, W. M. R., & Al jamal, H. (2021). Association between obesity and iron deficiency (Review). Experimental and Therapeutic Medicine, 22(5), 1–7. https://doi.org/10.3892/etm.2021.10703
- Belali, T. M. (2022). Iron deficiency anaemia: prevalence and associated factors among residents of northern Asir Region, Saudi Arabia. Scientific Reports, 12(1), 1–5. https://doi.org/10.1038/s41598-022-23969-1
- Bixby, H., Bentham, J., Zhou, B., Di Cesare, M., Paciorek, C. J., Bennett, J. E., Taddei, C., Stevens, G. A., Rodriguez-Martinez, A., Carrillo-Larco, R. M., Khang, Y. H., Sorić, M., Gregg, E. W., Miranda, J. J., Bhutta, Z. A., Savin, S., Sophiea, M. K., Iurilli, M. L. C., Solomon, B. D., … Ezzati, M. (2019). Rising rural body-mass index is the main driver of the global obesity epidemic in adults. Nature, 569(7755), 260–264. https://doi.org/10.1038/s41586-019-1171-x
- Dieny, F. F., Jauharany, F. F., Fitranti, D. Y., Tsani, A. F. A., Rahadiyanti, A., Kurniawati, D. M., & Wijayanti, H. S. (2020). Kualitas diet, kurang energi kronis (KEK), dan anemia pada pengantin wanita di Kabupaten Semarang. Jurnal Gizi Indonesia, 8(1), 1. https://doi.org/10.14710/jgi.8.1.1-10
- Gandhi, A. B. (2022). Diet and Weight Management in Adolescent Girls. Journal of Obstetrics and Gynecology of India, 72(2), 175–177. https://doi.org/10.1007/s13224-022-01647-6
- Iriyani, K. (2022). Triple Burden of Malnutrition in Adolescents. Novateur Publication, India, May.
- Karastergiou, K., Smith, S. R., Greenberg, A. S., & Fried, S. K. (2012). Sex differences in human adipose tissues - the biology of pear shape. Biology of Sex Differences, 3(1), 13. https://doi.org/10.1186/2042-6410-3-13
- Kementerian Kesehatan Republik Indonesia. (2019). Laporan Nasional Riskesdas 2018.
- Kerkadi, A., Ali, R. M., Shehada, A. A. H., AbouHassanein, E. A., Moawad, J., Bawadi, H., & Shi, Z. (2021). Association between central obesity indices and iron status indicators among Qatari adults. PLoS ONE, 16(4 April), 1–16. https://doi.org/10.1371/journal.pone.0250759
- Khanna, D., Peltzer, C., Kahar, P., & Parmar, M. S. (2022). Body Mass Index (BMI): A Screening Tool Analysis. Cureus, 14(1994), 1–6. https://doi.org/10.7759/cureus.22119
- Jaacks, L. M., Vandevijvere, S., Pan, A., McGowan, C. J., Wallace, C., Imamura, F., Mozaffarian, D., Swinburn, B., & Ezzati, M. (2019). The obesity transition: stages of the global epidemic. The Lancet Diabetes & Endocrinology, 7(3), 231–240. https://doi.org/10.1016/S2213-8587(19)30026-9
- Mangla, A. G., Dhamija, N., Gupta, U., & Dhall, M. (2020). Anthropometric Markers as a Paradigm for Obesity Risk Assessment. Journal of Biosciences and Medicines, 08(02), 1–16. https://doi.org/10.4236/jbm.2020.82001
- Mulianingsih, M., Nurmayani, W., Oktaviani, E., Ilham, Hayan, & Pertiwi, A. N. P. (2021). Factors Affecting Anemia Status in Adolescent Girls. Journal of Health Education, 6(1), 27–33. https://doi.org/10.15294/jhe.v6i1.43758
- Mulyasari, I., & Pontang, G. S. (2018). Waist Circumference and Waist-to-Height Ratio as Indicators for Excess Adiposity in Adolescents. Jurnal Gizi Dan Pangan, 13(3), 131–136. https://doi.org/10.25182/jgp.2018.13.3.131-136
- Padilla, C. J., Ferreyro, F. A., & Arnold, W. D. (2021). Anthropometry as a readily accessible health Assessment of Older adults. Experimental Gerontology, 153(November 2020), 111464. https://doi.org/10.1016/j.exger.2021.111464
- Puspitasari, H. Z. G., Armini, N. K. A., Pradanie, R., & Triharini, M. (2022). Anemia prevention behavior in female adolescents and related factors based on Theory of Planned Behavior: A cross-sectional study. Jurnal Ners, 17(1), 25–30. https://doi.org/10.20473/jn.v17i1.27744
- Riskika, F., Briawan, D., & Tanziha, I. (2023). Factors related to the level of iron adequacy of adolescent girls in Indonesia. AcTion: Aceh Nutrition Journal, 8(4), 624. https://doi.org/10.30867/action.v8i4.1156
- Ross, R., Neeland, I. J., Yamashita, S., Shai, I., Seidell, J., Magni, P., Santos, R. D., Arsenault, B., Cuevas, A., Hu, F. B., Griffin, B. A., Zambon, A., Barter, P., Fruchart, J. C., Eckel, R. H., Matsuzawa, Y., & Després, J. P. (2020). Waist circumference as a vital sign in clinical practice: a Consensus Statement from the IAS and ICCR Working Group on Visceral Obesity. Nature Reviews Endocrinology, 16(3), 177–189. https://doi.org/10.1038/s41574-019-0310-7
- Sari, P., Judistiani, R. T. D., Herawati, D. M. D., Dhamayanti, M., & Hilmanto, D. (2022). Iron Deficiency Anemia and Associated Factors Among Adolescent Girls and Women in a Rural Area of Jatinangor, Indonesia. International Journal of Women’s Health, 14, 1137–1147. https://doi.org/10.2147/IJWH.S376023
- Sistiarani, C., Wati, E., & Rahardjo, S. (2023). Diet behavior and consumption of iron inhibitors: incidence anemia in teenage girls. Journal of Public Health in Africa, 1–6. https://doi.org/10.4081/jphia.2023.2593
- Sparrow, R., Agustina, R., Bras, H., Sheila, G., Rieger, M., Yumna, A., Feskens, E., & Melse-Boonstra, A. (2021). Adolescent Nutrition—Developing a Research Agenda for the Second Window of Opportunity in Indonesia. Food and Nutrition Bulletin, 42(1_suppl), S9–S20. https://doi.org/10.1177/0379572120983668
- Stoffel, N. U., El-Mallah, C., Herter-Aeberli, I., Bissani, N., Wehbe, N., Obeid, O., & Zimmermann, M. B. (2020). The effect of central obesity on inflammation, hepcidin, and iron metabolism in young women. International Journal of Obesity, 44(6), 1291–1300. https://doi.org/10.1038/s41366-020-0522-x
- Sweatt, K., Garvey, W. T., & Martins, C. (2024). Strengths and Limitations of BMI in the Diagnosis of Obesity: What is the Path Forward? Current Obesity Reports. https://doi.org/10.1007/s13679-024-00580-1
- Telisa, I., & Eliza, E. (2020). Asupan zat gizi makro, asupan zat besi, kadar haemoglobin dan risiko kurang energi kronis pada remaja putri. AcTion: Aceh Nutrition Journal, 5(1), 80. https://doi.org/10.30867/action.v5i1.241
- Vaira, R., Merlin Karinda, & Muflihah. (2022). Factors Related Of Anemia In Adolescence Girl. Science Midwifery, 10(4), 2490–2495. https://doi.org/10.35335/midwifery.v10i4.696
- Wu, Y., Li, D., & Vermund, S. H. (2024). Advantages and Limitations of the Body Mass Index (BMI) to Assess Adult Obesity. International Journal of Environmental Research and Public Health, 21(6). https://doi.org/10.3390/ijerph21060757
- Yang, J., Li, Q., Feng, Y., & Zeng, Y. (2023). Iron Deficiency and Iron Deficiency Anemia: Potential Risk Factors in Bone Loss. International Journal of Molecular Sciences, 24(8). https://doi.org/10.3390/ijms24086891
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