RELATIONSHIP BETWEEN MICRONUTRIENT INTAKE AND HEMOGLOBIN LEVELS IN PREGNANT WOMEN IN DEPOK CITY WEST JAVA
DOI:
https://doi.org/10.36720/nhjk.v14i1.770Keywords:
Anemia, Folic Acid, Iron, Micronutrient Intake, Vitamin CAbstract
Background: Anemia remains a public health issue among pregnant women in Indonesia, including in the city of Depok. One of the causes is insufficient intake of micronutrients such as iron, folic acid, vitamin B12, and vitamin C, which play a crucial role in hemoglobin production.
Objectives: This study aims to investigate the relationship between micronutrient intake and hemoglobin levels among pregnant women
Methods: This study employed a cross-sectional design in Depok city, West Java, in April to May 2025. A sample of 107 pregnant women was selected using accidental sampling. Data were collected through interviews using a 24-hour Dietary Recall questionnaire and hemoglobin level test results from medical records. The Spearman Rank test was used for data analysis
Results: The results showed that the majority of respondents had an adequate intake of micronutrients (81.3%) and hemoglobin levels in the non-anemic category (70.1%). A significant association was found between iron, folic acid, vitamin B12, and vitamin C intake and hemoglobin levels (p = 0.0001). A history of anemia was also strongly associated with hemoglobin levels (p = 0.0001; r = 0.706).
Conclusion: Adequate intake of iron, folic acid, vitamin B12, and vitamin C plays a role in maintaining hemoglobin levels in pregnant women. Nutrition education and monitoring of micronutrient intake need to be improved in nursing practice to prevent anemia and pregnancy complications.
Downloads
References
Akhmad, P. A., & Listiyaningsih, M. D. (2021). Literature Review Pengaruh Asam Folat pada Kadar Hemoglobin Untuk Wanita Prakonsepsi dengan Anemia. Ida Sofiyanti Journal of Holistics and Health Sciences, 1(2), 220–232.
Alamsyah, W. (2020). Faktor-Faktor Yang Berhubungan Dengan Kejadian Penyakit Anemia Pada Ibu Hamil Usia Kehamilan 1-3 Bulan Diwilayah Kerja Puskesmas Bontomarannu Kabupaten Gowa. Jurnal Inovasi Penelitian, 1(2), 41–48.
Ali, I. A., Awad, M. H., Abdallah, M. S., & Musa, O. A. (2020). Hematological Changes and Anemia in Pregnancy. Ace Journal of Gynecology and Obstetric, 1(1), 1.
Banuah, N. Y. A., Aduah, V. A., Ziblim, S. D., Ayanore, M. A., Amalba, A., & Mogre, V. (2021). Nutrition Knowledge is Associated With the Consumption of Iron Rich Foods: A Survey Among Pregnant Women From a Rural District in Northern Ghana. Nutrition and Metabolic Insights, 14, 1–7. https://doi.org/10.1177/11786388211039427
Devi, N. K. Y., Yanti, N. L. G. P., & Prihatiningsih, D. (2023). Perbedaan Kadar Hemoglobin Sebelum dan Sesudah Pemberian Tablet Fe pada Ibu Hamil Trimester III. Jurnal Riset Kesehatan Nasional, 7(2), 140–149. https://doi.org/10.37294
Dinas Kesehatan Jawa Barat. (2023). Profil Kesehatan Provinsi Jawa Barat Tahun 2023. Bandung: Dinas Kesehatan Provinsi Jawa Barat.
Efendi, F., Israfil, I., Ramadhan, K., McKenna, L., Alem, A. Z., & Malini, H. (2023). Factors associated with receiving iron supplements during pregnancy among women in Indonesia. Electronic Journal of General Medicine, 20(5), 1–7. https://doi.org/10.29333/ejgm/13266
Gernand, A. D., Schulze, K. J., Stewart, C. P., West, K. P., & Christian, P. (2016). Micronutrient deficiencies in pregnancy worldwide: Health effects and prevention. Nature Reviews Endocrinology, 12(5), 274–289. https://doi.org/10.1038/nrendo.2016.37
Honaryati, Usman, N., & Ahmad, M. (2021). Literatur Review: Pengaruh Pemberian Supplement Folamil dan Tablet Zat Besi pada Ibu Hamil dengan Anemia terhadap Peningkatan Kadar Hemoglobin. Faletehan Health Journal, 8(3), 173–181.
Hulinggi, P., Kadir, S., & Maksum, T. S. (2023). The Relationship Of Nutritional Knowledge And Micronutrient Intake With The Event Of Anemia In Pregnant Women Covid-19 Pandemic (Case Study In The Work Area Of Tapa Health Center, Bone Bolango Regency). Journal Health & Science : Gorontalo Journal Health and Science Community, 7, 62–69.
Kemenkes RI. (2023). Survei Kesehatan Indonesia (SKI) Tahun 2023 Dalam Angka. Jakarta: Badan Kebijakan Pembangunan
Kharate, M. A., & Choudhari, S. G. (2024). Effects of Maternal Anemia Affecting Fetal Outcomes: A Narrative Review. Cureus, 16, 1–6. https://doi.org/10.7759/cureus.64800
Liu, D., Li, S., Zhang, B., Kang, Y., Cheng, Y., Zeng, L., Chen, F., Mi, B., Qu, P., Zhao, D., Zhu, Z., Yan, H., Wang, D., & Dang, S. (2022). Maternal Hemoglobin Concentrations and Birth Weight, Low Birth Weight (LBW), and Small for Gestational Age (SGA): Findings from a Prospective Study in Northwest China. Nutrients, 14(4). https://doi.org/10.3390/nu14040858
Masthura, S., Desreza, N., & Nurhalita, S. (2021). Faktor-Faktor Yang Mempengaruhi Kadar Hemoglobin (Hb) Pada Ibu Hamil Trimester III Di Kabupaten Aceh Barat Daya. Idea Nursing Journal, XII(3), 36–46.
Meija, L., & Rezeberga, D. (2017). Proper Maternal Nutrition during Pregnancy Planning and Pregnancy: a Healthy Start in Life. Latvia: WHO Regional Office for Europe.
Meliyani, A., Sitorus, R. J., Flora, R., Hasyim, H., Zulkarnanin, M., Tanjung, R., Sulung, N., Ikhsan, & Ermi, N. (2022). The Assosiation Between Fe Intake And Iron Deficiency Anaemia In Pregnant Women In Seluma District. Journal of Nursing and Public Health, 10(2).
Minasi, A., Susaldi, S., Nurhalimah, I., Imas, N., Gresica, S., & Candra, Y. (2021). Faktor yang Mempengaruhi Kejadian Anemia pada Ibu Hamil. Open Access Jakarta Journal of Health Sciences, 1(2), 57–63. https://doi.org/10.53801/oajjhs.v1i3.21
Noviyanti, N. I., Gusriani, Padillah, R., Jalilah, N. H., Mahayati, N. M. D., Centis, M. C. L., Fitria, R., Ariani, D., Ariyanti, R., Sri, E., Wulaningtyas, E. S., Apidianti, S. P., & Yulianti, I. (2022). Panduan Lengkap Untuk Ibu Hamil. Padang: Get Press Indonesia.
O’Brien, K. O. (2022). Maternal, Fetal and Placental Regulation of Placental Iron Trafficking. Placenta, 125, 47–53. https://doi.org/10.1016/j.placenta.2021.12.018
Pratiwi, S. D., & Triani, Y. (2024). Pemberian Buah Kurma Meningkatkan Kadar Hemoglobin pada Ibu Hamil. Jurnal Kebidanan Malakbi, 5(1), 48–56. https://doi.org/10.33490/b.v5i1.1103
Safitri, F., Husna, A., & Sakdiah, R. (2021). Analisis Faktor Yang Berhubungan dengan Kejadian Anemia pada Ibu Hamil di Wilayah Kerja Puskesmas Padang Tiji Kabupaten Pidie. Journal of Healthcare Technology and Medicine, 7(1), 144–162.
Sembiring, E. M., Nadiyah, Novianti, A., Purwara, L., & Wahyuni, Y. (2020). Asupan Folat, Vitamin B12, Vitamin E Berhubungan Dengan Kadar Hemoglobin (Hb) Ibu Hamil Di Puskesmas Kebon Jeruk (Folate, Vitamin B12, Vitamin E Intake Correlation with hemoglobin (Hb) levels among pregnant women). Darussalam Nutrition Journal, 4(2), 112–121.
Shukla, V., Parvez, S., Fatima, G., Singh, S., Magomedova, A., Batiha, G. E. S., Alexiou, A., Papadakis, M., Welson, N. N., & Hadi, N. (2024). Micronutrient interactions: Magnesium and its synergies in maternal–fetal health. Food Science and Nutrition, 12, 6913–6928. https://doi.org/10.1002/fsn3.4316
Sumiari, L. G., Surinati, I. D. A. K., Hartati, N. N., & Ruspawan, D. M. (2022). Kepatuhan Konsumsi Fe Dan Vitamin C Terhadap Kadar Hemoglobin Pada Ibu Hamil. Jurnal Keperawatan, 14(3), 801–810. http://journal.stikeskendal.ac.id/index.php/Keperawatan
Syahradesi, Y., Lestari, F., & Yusnaini. (2023). Perbandingan Keberagaman Makanan Berdasarkan Minimum Dietary Diversity For Women (MDDW) bagi Kesehatan Reproduksi Wanita. Journal of Telenursing (JOTING), 5(2), 1719–1725. https://doi.org/10.31539/joting.v5i2.6992
Syarfaini, Alam, S., Aeni, S., Habibi, & Noviani, N. A. (2019). Faktor Risiko Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Sudiang Raya Kota Makassar. Al-Sihah : Public Health Science Journal, 11(2), 143–155.
Tarigan, N., Sitompul, L., & Zahra, S. (2021). Asupan Energi, Protein, Zat Besi, Asam Folat Dan Status Anemia Ibu Hamil Di Wilayah Kerja Puskesmas Petumbukan. Wahana Inovasi, 10(1), 117–127.
WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization.
Wibowo, N., Irwinda, R., & Hiksas, R. (2021). Anemia Defisiensi Besi Pada Kehamilan. Jakarta: UI Publishing.
Wirawan, F., & Nurrika, D. (2022). Maternal pre-pregnancy anemia and childhood anemia in Indonesia: a risk assessment using a population-based prospective longitudinal study. Epidemiology and Health, 44. https://doi.org/10.4178/epih.e2022100
Downloads
Published
How to Cite
Issue
Section
Citation Check
License
Authors who publish with Nurse and Health: Jurnal Keperawatan agree to the following terms:
- Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0), which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.






