Pemberdayaan Remaja dalam Pencegahan Anemia Melalui Edukasi, Penilaian Status Gizi dan Pelatihan Pembuatan HemoDates
DOI:
https://doi.org/10.54082/jamsi.2991Kata Kunci:
Anemia, Pendidikan Gizi, HemoDates, Pangan Fungsional, RemajaAbstrak
Anemia pada remaja masih menjadi masalah kesehatan masyarakat yang dapat berdampak pada penurunan konsentrasi, produktivitas belajar, dan kualitas hidup. Rendahnya asupan zat besi, kebiasaan makan yang kurang sehat, serta rendahnya kepatuhan konsumsi Tablet Tambah Darah (TTD) menjadi faktor yang berkontribusi terhadap tingginya risiko anemia pada remaja, khususnya remaja putri. Kegiatan pengabdian kepada masyarakat ini bertujuan membentuk agen perubahan gizi remaja melalui pendidikan anemia dan pemanfaatan bahan pangan susu dan kurma menjadi HemoDates sebagai alternatif pangan fungsional pencegah anemia. Kegiatan dilaksanakan pada 13 Mei 2026 di SMK Negeri 1 Tuban dengan melibatkan 34 siswa kelas X yang terdiri dari 38,23% laki-laki dan 61,76% perempuan. Metode yang digunakan meliputi penilaian status gizi menggunakan Indeks Massa Tubuh (IMT) dan Lingkar Lengan Atas (LiLA), pendidikan gizi mengenai anemia, serta demonstrasi pembuatan HemoDates. Evaluasi dilakukan melalui pre-test dan post-test menggunakan kuesioner pengetahuan anemia. Hasil menunjukkan bahwa sebagian besar responden memiliki status gizi normal berdasarkan IMT (74,47%) dan LiLA normal pada remaja putri (73,91%), meskipun masih ditemukan responden berisiko KEK. Responden diajak secara langsung untuk terlibat dalam pembuatan HemoDates dan diberikan produk tersebut setelah demonstrasi. Respon responden selama pembuatan HemoDates menunjukkan penerimaan yang baik. Responden menilai langkah-langkah pembuatan cukup praktis dan menggunkan bahan yang mudah, mengindikasikan Hemodates dapat diterima dan memiliki aksepbilitas untuk diproduksi kembali secara mandiri. Tingkat pemahaman responden meningkat dari 32,35% pada pre-test menjadi 88,23% pada post-test. Perubahan hasil test tersebut menujukkan peningkatan pengetahuan remaja mengenai anemia dan pemanfaatan HemoDates serta berpotensi mendukung upaya pencegahan anemia di lingkungan sekolah.
Referensi
Ahankari, A. S., Tata, L. J., & Fogarty, A. W. (2019). Weight, height, and midupper arm circumference are associated with haemoglobin levels in adolescent girls living in rural India: A cross‐sectional study. Maternal & Child Nutrition, 16(2), e12908. https://doi.org/10.1111/mcn.12908
Aksu, T., & Ünal, Ş. (2023). Iron Deficiency Anemia in Infancy, Childhood, and Adolescence. Turkish Archives of Pediatrics, 58(4), 358–362. https://doi.org/10.5152/TurkArchPediatr.2023.23049
Aljaloud, S., Colleran, H. L., & Ibrahim, S. A. (2020). Nutritional Value of Date Fruits and Potential Use in Nutritional Bars for Athletes. Food and Nutrition Sciences, 11(6), 463–480. https://doi.org/10.4236/fns.2020.116034
Alshwaiyat, N. M., Ahmad, A., Wan Hassan, W. M. R., & Al-Jamal, H. A. N. (2021). Association between obesity and iron deficiency (Review). Experimental and Therapeutic Medicine, 22(5), 1268. https://doi.org/10.3892/etm.2021.10703
Anaemia. (n.d.). Retrieved June 4, 2026, from https://www.who.int/health-topics/anaemia
Barakat, H., & Alfheeaid, H. A. (2023). Date Palm Fruit (Phoenix dactylifera) and Its Promising Potential in Developing Functional Energy Bars: Review of Chemical, Nutritional, Functional, and Sensory Attributes. Nutrients, 15(9), 2134. https://doi.org/10.3390/nu15092134
Bodega, P., de Cos-Gandoy, A., Fernández-Alvira, J. M., Fernández-Jiménez, R., Moreno, L. A., & Santos-Beneit, G. (2023). Body image and dietary habits in adolescents: A systematic review. Nutrition Reviews, 82(1), 104–127. https://doi.org/10.1093/nutrit/nuad044
Camaschella, C. (2019). Iron deficiency | Blood | American Society of Hematology. https://ashpublications.org/blood/article/133/1/30/6613/Iron-deficiency
Chen, L., Yang, Z., & Liu, H. (2023). Hemoglobin-Based Oxygen Carriers: Where Are We Now in 2023? Medicina, 59(2), 396. https://doi.org/10.3390/medicina59020396
Cherayil, B. J. (2010). Iron and immunity: Immunological consequences of iron deficiency and overload. Archivum Immunologiae et Therapiae Experimentalis, 58(6), 407–415. https://doi.org/10.1007/s00005-010-0095-9
Dabravolskaj, J., Montemurro, G., Ekwaru, J. P., Wu, X. Y., Storey, K., Campbell, S., Veugelers, P. J., & Ohinmaa, A. (2020). Effectiveness of school-based health promotion interventions prioritized by stakeholders from health and education sectors: A systematic review and meta-analysis. Preventive Medicine Reports, 19, 101138. https://doi.org/10.1016/j.pmedr.2020.101138
De Amicis, R., Mambrini, S. P., Pellizzari, M., Foppiani, A., Bertoli, S., Battezzati, A., & Leone, A. (2022). Ultra-processed foods and obesity and adiposity parameters among children and adolescents: A systematic review. European Journal of Nutrition, 61(5), 2297–2311. https://doi.org/10.1007/s00394-022-02873-4
Deng, J., Ramelli, L., Li, P. Y., Eshaghpour, A., Li, A., Schuenemann, G., & Crowther, M. A. (2024). Efficacy of vitamin C with Fe supplementation in patients with iron deficiency anemia: A systematic review and meta-analysis. Blood Vessels, Thrombosis & Hemostasis, 1(4), 100023. https://doi.org/10.1016/j.bvth.2024.100023
Domellöf, M., & Sjöberg, A. (2024). Iron – a background article for the Nordic Nutrition Recommendations 2023. Food & Nutrition Research, 68, 10.29219/fnr.v68.10451. https://doi.org/10.29219/fnr.v68.10451
Fauziah, L. F., Arifin, A. D. R., Duwairoh, A. M., & Falentina, I. A. (2024). Hubungan Asupan Zat Besi dengan Lingkar Lengan Atas pada Remaja Putri. Jurnal Mitra Kesehatan, 6(2), 105–115.
Fischer, J. A. J., Cherian, A. M., Bone, J. N., & Karakochuk, C. D. (2023). The effects of oral ferrous bisglycinate supplementation on hemoglobin and ferritin concentrations in adults and children: A systematic review and meta-analysis of randomized controlled trials. Nutrition Reviews, 81(8), 904–920. https://doi.org/10.1093/nutrit/nuac106
Gebreyesus, S. H., Endris, B. S., Beyene, G. T., Farah, A. M., Elias, F., & Bekele, H. N. (2019). Anaemia among adolescent girls in three districts in Ethiopia. BMC Public Health, 19, 92. https://doi.org/10.1186/s12889-019-6422-0
Iolascon, A., Andolfo, I., Russo, R., Sanchez, M., Busti, F., Swinkels, D., Aguilar Martinez, P., Bou-Fakhredin, R., Muckenthaler, M. U., Unal, S., Porto, G., Ganz, T., Kattamis, A., De Franceschi, L., Cappellini, M. D., Munro, M. G., Taher, A., & from EHA-SWG Red Cell and Iron. (2024). Recommendations for diagnosis, treatment, and prevention of iron deficiency and iron deficiency anemia. HemaSphere, 8(7), e108. https://doi.org/10.1002/hem3.108
Kim, J., Jang, J., Kim, B., & Lee, K. H. (2022). Effect of the PRECEDE-PROCEED model on health programs: A systematic review and meta-analysis. Systematic Reviews, 11, 213. https://doi.org/10.1186/s13643-022-02092-2
Li, Y., Jiang, H., & Huang, G. (2017a). Protein Hydrolysates as Promoters of Non-Haem Iron Absorption. Nutrients, 9(6), 609. https://doi.org/10.3390/nu9060609
Li, Y., Jiang, H., & Huang, G. (2017b). Protein Hydrolysates as Promoters of Non-Haem Iron Absorption. Nutrients, 9(6), 609. https://doi.org/10.3390/nu9060609
Mairbäurl, H., & Weber, R. E. (2012). Oxygen Transport by Hemoglobin. Comprehensive Physiology, 2(2), 1463–1489. https://doi.org/10.1002/j.2040-4603.2012.tb00415.x
Mohammadi, S., Asbaghi, O., Dolatshahi, S., Omran, H. S., Amirani, N., Koozehkanani, F. J., Garmjani, H. B., Goudarzi, K., & Ashtary-Larky, D. (2023). Effects of supplementation with milk protein on glycemic parameters: A GRADE-assessed systematic review and dose–response meta-analysis. Nutrition Journal, 22(1), 49. https://doi.org/10.1186/s12937-023-00878-1
Mosiño, A., Villagómez-Estrada, K. P., & Prieto-Patrón, A. (2020). Association between School Performance and Anemia in Adolescents in Mexico. International Journal of Environmental Research and Public Health, 17(5), 1466. https://doi.org/10.3390/ijerph17051466
Pasricha, S.-R., Tye-Din, J., Muckenthaler, M. U., & Swinkels, D. W. (2021). Iron deficiency. The Lancet, 397(10270), 233–248. https://doi.org/10.1016/S0140-6736(20)32594-0
Patel, M. N., Patel, N., & Maheshvari, J. (2025). Efficacy of Plant-Based Iron and Vitamin C in Adults With Iron Deficiency Anemia: A Randomized, Double-Blind Clinical Study. Cureus, 17(10), e95268. https://doi.org/10.7759/cureus.95268
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
Putri, F., Suyanto, S., Restila, R., Laksono, A. D., & Sundjaya, T. (2025). Exploring the role of nutritional status and anthropometric factors in anemia among adolescent girls in Pekanbaru, Indonesia. SAGE Open Medicine, 13, 20503121251355406. https://doi.org/10.1177/20503121251355406
Rhodes, C. E., Denault, D., & Varacallo, M. A. (2026). Physiology, Oxygen Transport. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK538336/
Samson, K. L. I., Fischer, J. A. J., & Roche, M. L. (2022). Iron Status, Anemia, and Iron Interventions and Their Associations with Cognitive and Academic Performance in Adolescents: A Systematic Review. Nutrients, 14(1), 224. https://doi.org/10.3390/nu14010224
Shati, A. A., Zaki, M. S. A., Alqahtani, Y. A., Al-Qahtani, S. M., Haidara, M. A., Dawood, A. F., AlMohanna, A. M., El-Bidawy, M. H., Alaa Eldeen, M., & Eid, R. A. (2022). Antioxidant Activity of Vitamin C against LPS-Induced Septic Cardiomyopathy by Down-Regulation of Oxidative Stress and Inflammation. Current Issues in Molecular Biology, 44(5), 2387–2400. https://doi.org/10.3390/cimb44050163
Silitonga, H. T. H., Salim, L. A., Nurmala, I., & Wartiningsih, M. (2023). Compliance of Iron Supplementation and Determinants among Adolescent Girls: A Systematic Review. Iranian Journal of Public Health, 52(1), 37–48. https://doi.org/10.18502/ijph.v52i1.11664
Soliman, A., Alaaraj, N., Hamed, N., Alyafei, F., Ahmed, S., Shaat, M., Itani, M., Elalaily, R., & Soliman, N. (2022). Nutritional interventions during adolescence and their possible effects. Acta Bio Medica : Atenei Parmensis, 93(1), e2022087. https://doi.org/10.23750/abm.v93i1.12789
Stevens, G. A., Beal, T., Mbuya, M. N. N., Luo, H., Neufeld, L. M., Addo, O. Y., Adu-Afarwuah, S., Alayón, S., Bhutta, Z., Brown, K. H., Jefferds, M. E., Engle-Stone, R., Fawzi, W., Hess, S. Y., Johnston, R., Katz, J., Krasevec, J., McDonald, C. M., Mei, Z., … Young, M. F. (2022). Micronutrient deficiencies among preschool-aged children and women of reproductive age worldwide: A pooled analysis of individual-level data from population-representative surveys. The Lancet Global Health, 10(11), e1590–e1599. https://doi.org/10.1016/S2214-109X(22)00367-9
Survei Kesehatan Indonesia (SKI) 2023. (2024, May 28). https://www.kemkes.go.id/id/survei-kesehatan-indonesia-ski-2023?utm_source=chatgpt.com
van Zutphen, K. G., Kraemer, K., & Melse-Boonstra, A. (2021). Knowledge Gaps in Understanding the Etiology of Anemia in Indonesian Adolescents. Food and Nutrition Bulletin, 42(1 Suppl), S39–S58. https://doi.org/10.1177/0379572120979241
WHO. (2016). WHO. In Guideline: Daily Iron Supplementation in Adult Women and Adolescent Girls. World Health Organization. https://www.ncbi.nlm.nih.gov/books/NBK361884/
Wiafe, M. A., Ayenu, J., & Eli-Cophie, D. (2023). A Review of the Risk Factors for Iron Deficiency Anaemia among Adolescents in Developing Countries. Anemia, 2023, 6406286. https://doi.org/10.1155/2023/6406286
World Health Organization (Ed.). (2024). Guideline on haemoglobin cutoffs to define anaemia in individuals and populations. World Health Organization.
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Hak Cipta (c) 2026 Lilia Faridatul Fauziah, Nikita Welandha Prasiwi, Aditya Wahyu Pratama, Afidatun Fitriya Fadhila, Alensia Fatima Azzahra, Arba’atin Aliya Ramadhani, Fransisca Ayu Permata, Jerico Gracio Leader Taimenas
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