SUPLEMENTASI BESI MINGGUAN MENINGKATKAN HEMOGLOBIN SAMA EFEKTIF DENGAN KOMBINASI MINGGUAN DAN HARIAN PADA REMAJA PUTRI

ABSTRACT The objective of this quasi experimental study was to analyze effectiveness of three iron supplementation on hemoglobin concentration of adolescent girls. Three intervention groups have received iron supplements (60 mg of iron elemental and 0.25 mg folic acid) for 14 weeks in March-June 2015 in Tasikmalaya District. The groups received supplementation weekly (M), weekly and daily for ten days during menstruation period (M+Mens), and weekly and nutrition education (M+PG) supplementation respectively. The result showed that the mean change of hemoglobin was not significantly different among the three groups (M+PG 0.63±1.16 g/dl, M+Mens 0.48±1.04 g/dl, and M 0.44±1.13 g/dl) (p>0.05). Iron supplementation could reduce the prevalence of anaemia by 15.8% (M), 18.0% (M+Mens), and 4.9% (M+PG). Weekly iron supplementation was as effective as weekly and daily during menstruation period on hemoglobin change among adolescent girls. Iron supplementation in adolescent is better done intermittently (weekly) with benefit addition the high compliance in supplement consumption. Keywords: adolescent, anaemia, hemoglobin, iron supplementation ABSTRAK Penelitian kuasi eksperimental ini bertujuan untuk mengkaji perbedaan efektivitas tiga cara pemberian suplementasi besi terhadap perubahan kadar hemoglobin pada remaja putri. Tiga kelompok intervensi menerima suplemen besi (60 mg besi elemental dan 0,25 mg asam folat) selama 14 minggu di Kabupaten Tasikmalaya pada bulan Maret-Juni 2015. Kelompok tersebut masing-masing menerima suplemen besi secara mingguan (M), mingguan dan setiap hari selama 10 hari menstruasi (M+Mens), serta mingguan disertai pendidikan gizi (M+PG). Hasil penelitian menunjukkan bahwa peningkatan kadar hemoglobin tidak berbeda nyata (p>0,05) pada semua kelompok perlakuan (M+PG 0,63±1,16 g/dl, M+Mens 0,48±1,04 g/dl, dan M 0,44±1,13 g/dl). Suplementasi besi dapat menurunkan prevalensi anemia masing-masing sebesar 15,8% (M), 18,0% (M+Mens) dan 4,9% (M+PG). Suplementasi besi secara mingguan memiliki efektivitas yang sama dengan mingguan dan selama menstruasi dalam meningkatkan kadar hemoglobin pada remaja putri. Suplementasi besi pada remaja sebaiknya diberikan secara intermittent (mingguan) dengan manfaat tambahan yaitu tingginya kepatuhan konsumsi suplemen. Kata kunci: anemia, hemoglobin, remaja, suplementasi besi