The Effectively of Papaya Consumption (Carica papaya Linn.), Vitamin C, and Fe Tablets in Improving Hemoglobin Levels for Adolescent Girls with Anemia in Polytechnic of Health-Ministry of Health, Aceh

  • Cut Nurhasanah Department of Midwifery, Polytechnic of Health-Ministry of Health, Aceh, Indonesia
  • Yushida Yushida Department of Midwifery, Ministry of Health Polytechnic of Meulaboh, Aceh, Indonesia
  • Nisrina Hanum Department of Midwifery, Ministry of Health Polytechnic of Meulaboh, Aceh, Indonesia
Keywords: Papaya consumption, Feature tablets, Improving hemoglobin, Adolescent girls

Abstract

BACKGROUND: Anemia is a nutritional problem that affects the amount of hemoglobin in red blood cells experienced by many young women in the Polytechnic of Health-Ministry of Health. Aceh. One of the alternatives for preventing and controlling anemia is to consume papaya fruit and tablet extraction.

AIM: Analyzing the benefits of taking Papaya (Carica papaya Linn.) Vitamin C and Fe tablet to increase hemoglobin levels in anemia adolescent girls.

METHODS: About 45 participants were involved. They were divided into three groups for 15 correspondents in each group. The participants with anemia were all girls who were students of Aceh Health Polytechnic. A quasi-experimental design was used with a non-randomized pretest-posttest control group design. The first group was given papaya and Fe treatment; then the second group was given Vitamin C and Fe treatment, and the third group was given Fe treatment. To analyze the data, univariate analysis and bivariable analysis were used to test paired t-test and one-way ANOVA.

RESULTS: The results show that there was an increase in hemoglobin levels in all groups (Papaya and Fe groups, Vitamin C and Fe, Fe). The statistical results of the one-way ANOVA test showed that there were significant differences in changes in hemoglobin levels (p > 0.05). The administration of papaya + Fe increases hemoglobin levels more than Vitamin C + Fe. The difference in average hemoglobin levels in each group due to the consumption of papaya containing Vitamin C together with Fe tablets was effective for increasing hemoglobin levels. This is in line with the prevention of anemia. Naturally, one of these can be done by eating fruits that contain lots of Vitamin C.

CONCLUSION: Giving papaya + Fe has been proven to be more effective in increasing hemoglobin levels in adolescent girls suffering from anemia.

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References

Getaneh Z, Enawgaw B, Engidaye G, Seyoum M, Berhane M, Abebe Z, et al. Prevalence of anemia and associated factors among school children in Gondar town public primary schools, northwest Ethiopia: A school-based cross-sectional study. PLoS One. 2017;12(12):e0190151. https://doi.org/10.1371/journal. pone.0190151 PMid:29284032.

World Health Organization. The Global Prevalence of Anaemina in 2011. Geneva: World Health Organization; 2015.

Kementrian Kesehatan. Pedoman Gizi Seimbang. Jakarta: Direktorat Jenderal Bina Gizi dan KIA; 2013.

Sultan AH. Anemia among female college students attending the University of Sharjah, UAE: Prevalence and classification. J Egypt Public Health Assoc. 2007;82(3-4):261-71. PMid:18410711.

Jawarkar AK, Lokare PO, Kizhatil A, Jawarkar JA. Prevalence of anemia and effectiveness of iron supplementation in anemic adolescent school girls at Amravati City (Maharashtra). J Health Res Rev. 2015;2:7-10.

Stoltzfus RJ, Dreyfuss ML. Guidelines for The Use of Iron Supplements to Prevent and Treat Iron Deficiency Anemia. Washington, US: ILSI; 2004.

Brown JE. Nutrition through the Life Cycle. 4th ed. Wadsworth: Cengage Learning; 2011.

Casey GJ, Jolley D, Phuc TQ, TT TT, Thh DH, Montresor A, Biggs BA. Long-term weekly iron-folic acid and de-worming is associated with stabilised haemoglobin and increasing iron stores in non-pregnant women in Vietnam. PLoS One. 201030;5(12):e15691. https://doi.org/10.1371/journal.pone.0015691 PMid:21209902.

Rati SA, Jawadagi S. Prevalence of anemia among adolescent girls studying in selected schools. Int J Sci Res. 2014;3(8):1237-42.

Eliagita. Effect of consuming papaya (Carica papaya Linn.) on the level of hemoglobin and hematocrit in pregnant women with anemia. Belitung Nurs J. 2017;3(2):120-5.

Kotecha PV. Nutritional anemia in young children with focus on Asia and India. Indian J Community Med. 2011;36(1):8-16. https://doi:10.4103/0970-0218.80786 PMid:21687374.

Abalkhail B, Shawky S. Prevalence of daily breakfast intake, iron deficiency anaemia and awareness of being anaemic among Saudi school students. Int J Food Sci Nutr. 2002;53(6):519-28. https://doi.org/10.1080/09637480220164370 PMid:12590747

Vir SC, Singh N, Nigam AK, Jain R. Weekly iron and folic acid supplementation with counseling reduces anemia in adolescent girls: A large-scale effectiveness study in Uttar Pradesh, India. Food Nutr Bull. 2008;29(3):186-94. https://doi. org/10.1177/156482650802900304 PMid:18947031

Detzel P, Wieser S. Food fortification for addressing iron deficiency in Filipino children: Benefits and cost-effectiveness. Ann Nutr Metab. 2015;66(Suppl 2):35-42. https:// doi:10.1159/000375144

Mahfuz M, Alam MA, Islam MM, Mondal D, Hossain MI, Ahmed AMS, et al. Effect of micronutrient powder supplementation for two and four months on hemoglobin level of children 6-23 months old in a slum in Dhaka: A community based observational study. BMC Nutr. 2016;2:21.

Inayati DA, Scherbaum V, Purwestri RC, Wirawan NN, Suryantan J, Hartono S, et al. Combined intensive nutrition education and micronutrient powder supplementation improved nutritional status of mildly wasted children on Nias Island, Indonesia. Asia Pac J Clin Nutr. 2012:21(3):361-73. PMid:22705425

Ncogo P, Romay-Barja M, Benito A, Aparicio P, Nseng G, Berzosa P. Prevalence of anemia and associated factors in children living in urban and rural settings from Bata District, Equatorial Guinea. PLoS One. 2017;12(5):e0176613. https:// doi.org/10.1371/journal.pone.0176613 PMid:28467452

Regasa RT, Haidar JA, Anemia and its determinant of in-school adolescent girls from rural Ethiopia: A school based cross-sectional study. BMC Womens Health. 2019; 19(1):98. https:// doi.org/10.1186/s12905-019-0791-5 PMid:31315626.

Kalaivani K, Ramachandran P. Time trends in prevalence of anaemia in pregnancy. Indian J Med Res. 2018;147(3):268-77. https://dx.doi.org/10.4103%2Fijmr.IJMR_1730_16 PMid:29923516.

Al Hassan NN. The prevalence of iron deficiency anemia in a Saudi University female students. J Microsc Ultrastruct. 2015;3(1):25-8. https://doi.org/10.1016/j.jmau.2014.11.003 PMid:30023178.

Published
2020-04-26
How to Cite
1.
Nurhasanah C, Yushida Y, Hanum N. The Effectively of Papaya Consumption (Carica papaya Linn.), Vitamin C, and Fe Tablets in Improving Hemoglobin Levels for Adolescent Girls with Anemia in Polytechnic of Health-Ministry of Health, Aceh. Open Access Maced J Med Sci [Internet]. 2020Apr.26 [cited 2020Oct.31];8(B):258-61. Available from: https://www.id-press.eu/mjms/article/view/4076