The exploration of adolescent girl’s body composition and its relationship on hemoglobin levels in Semarang, Indonesia

Rr. Annisa Ayuningtyas -  Nutrition Department, Faculty of Nursing and Health Science, Universitas Muhammadiyah Semarang, Indonesia
Firdananda Fikri Jauharany* -  Nutrition Department, Faculty of Nursing and Health Science, Universitas Muhammadiyah Semarang, Indonesia
Aldi Fauzi Triana -  Nutrition Department, Faculty of Nursing and Health Science, Universitas Muhammadiyah Semarang, Indonesia

Supp. File(s): Covering Letter Copyright Agreement and Ethic Ethical Approval Research Materials
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.

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Keywords : Anaemia, body composition, hemoglobin, adolescent girls

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. Iriyani, K. (2022). Triple Burden of Malnutrition in Adolescents. Novateur Publication, India, May.
  7. 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
  8. Kementerian Kesehatan Republik Indonesia. (2019). Laporan Nasional Riskesdas 2018.
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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
  21. 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
  22. 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
  23. 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
  24. 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
  25. 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
  26. 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
  27. 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

Open Access Copyright (c) 2024 Rr. Annisa Ayuningtyas, Firdananda Fikri Jauharany, Aldi Fauzi Triana
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AcTion: Aceh Nutrition Journal
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