Edukasi Gizi, Pengetahuan, Dan Kepatuhan Konsumsi Tablet Tambah Darah Pada Atlet Remaja Putri Di SMAN 10 Bandung: Studi One-Group Pretest-Posttest Dan Analisis Hubungan Pengetahuan Dengan Kepatuhan

Authors

  • Aliyah Khairunnisa Syafitri Universitas Pendidikan Indonesia, Indonesia
  • Isti Kumalasari Universitas Pendidikan Indonesia, Indonesia
  • Hurry Mega Insani Universitas Pendidikan Indonesia, Indonesia
  • Ayu Mutiara Santanu Universitas Pendidikan Indonesia, Indonesia

DOI:

https://doi.org/10.62027/praba.v4i3.1003

Keywords:

Adolescent female athletes, anemia, compliance, iron supplementation

Abstract

Anemia is one of the major nutritional problems commonly experienced by adolescent girls, including athletes, who have higher iron requirements due to physical activity and menstruation. This study aimed to analyze differences in anemia-related knowledge before and after nutrition education and to analyze the relationship between knowledge level and adherence to iron supplementation tablet (TTD) consumption among female adolescent athletes at SMAN 10 Bandung. This experimental study used a one-group pretest-posttest design with three measurements: pretest, posttest 1, and posttest 2. A total of 62 female adolescent athletes were selected using proportionate stratified random sampling based on grade strata X, XI, and XII. The research instruments consisted of knowledge and TTD adherence questionnaires that had been tested for validity and reliability, with validity coefficients of 0.187 and 0.361 and reliability coefficients of 0.735 and 0.668, respectively. Knowledge data were analyzed using the Wilcoxon Signed-Rank Test, while the relationship between knowledge level and TTD adherence was analyzed using the Chi-Square test. The results showed that the proportion of respondents with good knowledge increased from 21.0% at pretest to 87.1% at posttest 1 and 91.9% at posttest 2. There was a significant difference in knowledge between pretest and posttest 1 (p<0.001), whereas no significant difference was found between posttest 1 and posttest 2 (p=0.251). A total of 38 respondents (61.3%) were categorized as adherent to TTD consumption, while 24 respondents (38.7%) were categorized as non-adherent. There was a significant relationship between knowledge level and TTD adherence (p=0.003).

References

Ambarsari, N. D., Herlina, N., Dewanti, L., & Ernawati. (2023). Correlation between compliance with iron tablet consumption and iron nutrition intake with pregnant women’s Hemoglobine Consumption. The Indonesian Journal of Public Health, 18(1), 72–81. https://doi.org/10.20473/ijph.v18i1.2023.72-81

De Souza, M. J., Williams, N. I., Misra, M., Nattiv, A., Joy, E., Barrack, M., Ricker, E. A., Gorrell, S., Koltun, K. J., O’Donnell, E., Mallinson, R. J., Salamunes, A. C. C., Woodruff, K., Fredericson, M., & Plessow, F. (2026). 2025 Update to the Female Athlete Triad Coalition Consensus Statement Part 1: State of the Science and Introduction of a New Adolescent Model. Sports Medicine, 56(2), 327–373. https://doi.org/10.1007/s40279-025-02333-z

Gartner, A., Dombrowski, N., Lowe, N., Behzadpour, V., & Zackula, R. (2024). Foot-strike Hemolysis: A Scoping Review of Long-Distance Runners. Kansas Journal of Medicine, 17(5), 119–124. https://doi.org/10.17161/kjm.vol17.22146

Nicotra, D., Arieli, R., Redlich, N., Navot-Mintzer, D., & Constantini, N. W. (2023). Iron Deficiency and Anemia in Male and Female Adolescent Athletes Who Engage in Ball Games. Journal of Clinical Medicine, 12(3), 970. https://doi.org/10.3390/jcm12030970

Alaunyte, I., Stojceska, V., & Plunkett, A. (2015). Iron and the female athlete: A review of dietary treatment methods for improving iron status and exercise performance. Journal of the International Society of Sports Nutrition, 12, 38. https://doi.org/10.1186/s12970-015-0099-2

McClung, J. P. (2012). Iron status and the female athlete. Journal of Trace Elements in Medicine and Biology, 26(2–3), 124–126. https://doi.org/10.1016/j.jtemb.2012.03.006

Sim, M., Garvican-Lewis, L. A., Cox, G. R., Govus, A., McKay, A. K. A., Stellingwerff, T., & Peeling, P. (2019). Iron considerations for the athlete: A narrative review. European Journal of Applied Physiology, 119, 1463–1478. https://doi.org/10.1007/s00421-019-04157-y

World Health Organization. (2011). Guideline: Intermittent iron and folic acid supplementation in menstruating women. Geneva: World Health Organization. https://www.who.int/publications/i/item/9789241502023

World Health Organization. (2016). Guideline: Daily iron supplementation in adult women and adolescent girls. Geneva: World Health Organization. https://www.who.int/publications-detail-redirect/9789241510196

Kementerian Kesehatan Republik Indonesia. (2023). Petunjuk Teknis Integrasi Pelayanan Kesehatan Primer. Jakarta: Kementerian Kesehatan Republik Indonesia.

Peeling, P., & McKay, A. (2023). Iron regulation and absorption in athletes: contemporary thinking and recommendations. Current Opinion in Clinical Nutrition and Metabolic Care, 26(6), 551–556. https://doi.org/10.1097/MCO.0000000000000966

Arniti, N. L., Septriana, & Nofiartika, F. (2021). Pencegahan dan penanggulangan anemia terhadap pengetahuan, kepatuhan konsumsi tablet tambah darah dan kadar Hb pada remaja putri. GIZIDO, 13(12), 1–6. https://doi.org/10.47718/gizi.v13i1%20Mei.1171

Pibriyanti, K., Habiba, A. B., Luthfiya, L., & Fathimah. (2024). Pengetahuan, sikap dan kepatuhan mengonsumsi tablet tambah darah sebagai faktor risiko kejadian anemia remaja putri. Nutri-Sains: Jurnal Gizi, Pangan dan Aplikasinya, 8(2), 119–132. https://doi.org/10.21580/ns.2024.8.2.20708

Budiarti, A., Anik, S., & Wirani, N. P. G. (2020). Studi fenomenologi penyebab anemia pada remaja di Surabaya. Jurnal Kesehatan Mesencephalon, 6(2), 137–141.

Dyna, F., Hendra, D., Anita, F., Bahri, S., & Misran. (2024). Edukasi kesehatan remaja sehat bebas anemia. Jurnal Pengabdian Masyarakat, 2(1), 48–53.

Eryeni, D., Meliyanti, F., & Novitry, F. (2024). Faktor yang berhubungan dengan kejadian anemia pada remaja putri di Sekolah Menengah Atas. Jurnal Penelitan Perawat Profesional, 6(6), 2835–2842.

Mutmainnah, S., Zuraida, R., & Suharmanto. (2023). Pengetahuan dan sikap berhubungan dengan kepatuhan mengonsumsi tablet tambah darah pada remaja putri. Jurnal Penelitian Perawat Profesional, 5(3), 1321–1328. https://doi.org/10.37287/jppp.v5i3.1832

Putra, K. W. R., Riesmiyatiningdyah, R., & Sulistyowati, A. (2021). Reliability of modification questionnaire of knowledge level about anemia in adolescent. Nurse and Holistic Care, 1(1), 1–6. https://doi.org/10.33086/nhc.v1i1.1984.

Rahayu,Harlisa, N., Wahyurianto, Y., Puspitadewi, T. R., & Sumiatin, T. (2023). Pengetahuan, motivasi, dan dukungan keluarga dengan kepatuhan konsumsi TTD pada remaja putri di SMAN 5 Tuban. Jurnal Pendidikan Tambusai, (3), 20427–20435.

Indrawatiningsih, Y., Hamid, S. A., Sari, E. P., & Listiono, H. (2021). Faktor-faktor yang mempengaruhi terjadinya anemia pada remaja putri. Jurnal Ilmiah Universitas Batanghari Jambi, 21(1), 331. https://doi.org/10.33087/jiubj.v21i1.1116

Kementerian Kesehatan. (2019). Laporan Nasional Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan.

Kementerian Kesehatan. (2022, November 16). Remaja Bebas Anemia: Konsentrasi Belajar Meningkat, Bebas Prestasi. Online. https://ayosehat.kemkes.go.id/remaja-bebas-anemia-konsentrasi-belajar-meningkat-bebas-prestasi

Lubis, D. R., & Angraeni, L. (2022). Deteksi dini anemia melalui pemeriksaan kadar hemoglobin pada remaja puteri. Jurnal Pengabdian Masyarakat Parahita, 24–33.

Madestria, N. P. O., Moedjiono, A. I., Tahir, M., Suarayasa, K., Nur, R., & Syam, A. (2021). Effect of education through video and packaging modifications of iron tablets on female adolescent behavior in the iron supplementation intake in SMPN 2 and SMPN 1 Parigi. Gaceta Sanitaria, 35, S127-S130. https://doi.org/10.1016/j.gaceta.2021.10.011

Mahardika, P., Casman, Dewi, S. U., Agustina, A. N., & Pangaribuan, S. M. (2022). Gambaran kadar hemoglobin dan menstruasi remaja putri, upaya deteksi dini anemia. Jurnal Ilmu Kesehatan Dharmas Indonesia, 2(2), 49–53. https://doi.org/10.56667/jikdi.v2i2.791

Maheswari, N., Kandasamy, S., J., E. R., Subbiah, P., Davidson, P. D., Gopal, M., Velappan, L. K., & Kalyanaraman, S. (2024). Adherence to weekly iron folic acid supplementation and associated factors among adolescent girls – A mixed-method study. Journal of Family Medicine and Primary Care, 13(6), 2416–2424. https://doi.org/10.4103/jfmpc.jfmpc_1526_23

Megasari, A. L., Putri, N. R., Ashani, N. A. Y., Oktavia, E. M., Putri, Y. D. N., & Ubaydillah, M. (2024). Edukasi pentingnya pemenuhan gizi bagi remaja untuk pencegahan anemia di SMP Negeri 13 Surakarta. Jurnal Pengabdian Masyarakat, 4(1), 14–19. http://journal.ahmareduc.or.id/index.php/

Moka, S. A., Nayoan, C. R., Ruliati, L. P., Roga, A. U., & Junias, M. S. (2025). Determinan upaya pencegahan anemia pada remaja putri di sekolah menengah pertama: studi cross-sectional di Indonesia Timur. Jurnal Promotif Preventif, 8(4), 798-806. https://doi.org/10.47650/jpp.v8i4.2043

Nasichah, A., & Sulistyowati, M. (2023). Hubungan keyakinan remaja putri dengan kepatuhan konsumsi tablet tambah darah berdasarkan teori HBM: literature review. Jurnal Kesehatan Tambusai, 4(2), 459–469.

Nasruddin, H., Faisal Syamsu, R., & Permatasari, D. (2021). Angka kejadian anemia pada remaja di Indonesia. Cerdika: Jurnal Ilmiah Indonesia, 1(4), 357–364. https://doi.org/10.36418/cerdika.v1i4.66

Nurkhoiriyah, A., Suparman, Agung, F., & Lucas, J. (2024). Pengaruh edukasi gizi seimbang menggunakan media video animasi terhadap pengetahuan, asupan zat gizi makro, aktivitas fisik dan status gizi pada remaja kegemukan di SMPN 7 Cimahi. Jurnal Gizi Dan Dietetik, 3(1), 44–52. https://doi.org/10.34011/jgd.v3i1.2184

Pamangin, L. O. M. (2023). Perilaku konsumsi Tablet Tambah Darah (TTD) pada remaja putri. Jurnal Promotif Preventif, 6(2), 311-317. https://doi.org/10.47650/jpp.v6i2.746

Rahayu, R., Fauziyah, N., & Nuraeni, A. (2024). Hubungan tingkat pengetahuan anemia dengan kepatuhan konsumsi tablet tambah darah pada remaja putri di SMPN 1 Kalijati. Medic Nutricia: Jurnal Ilmu Kesehatan, 6(2), 25–31.

Rahmawaty, M., Hekmah, N., Aisyah Solechah, S., & Nisa, A. (2023). Faktor Perilaku Kepatuhan Konsumsi Tablet Tambah Darah pada Remaja Perempuan di SMPN 21 Banjarmasin. Jurnal Gizi Dan Kesehatan, 15(2), 231–237.

Rasdianah, N., Yusuf, M. N. S., & Tandiabang, P. A. (2023). Edukasi anemia bagi remaja putri sebagai upaya pencegahan dini stunting. Jurnal Pengabdian Masyarakat Farmasi: Pharmacare Society, 2(2), 97–102. https://ejurnal.ung.ac.id/index.php/Jpmf,

Rate, S., Ishak, S., Dewanti, R., & Wahyuni, I. (2023). Pengaruh edukasi gizi terhadap pengetahuan gizi pada remaja putri di Kabupaten Maros. Jurnal Ilmu Kebidanan, 13(1), 1–5. https://doi.org/10.54444/jik.v13i1.118

Rosanti, A., Yulinawati, C., Roza, N., & Arianggara, A. W. (2022). Hubungan kebiasaan makan dengan kejadian anemia pada remaja putri di wilayah kerja Puskesmas Bulang Kota Batam. Jurnal Info Kesehatan, 12(2), 509–513.

Sari, D. A. (2024). Pemberian edukasi terkait anemia menggunakan media leaflet dan powerpoint terhadap pengetahuan remaja di Desa Kalimas, Kecamatan Besuki, Kabupaten Situbondo. Media Gizi Kesmas, 13(2), 712–719. https://doi.org/10.20473/mgk.v13i2.2024.712-719

Setiasih, S., Sundari, A., & Rozikhan. (2024). Pengaruh edukasi melalui media audio-visual terhadap pengetahuan dan perilaku remaja dalam pencegahan anemia penyebab stunting. Journal of Language and Health, 5(2), 781–786.

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. https://doi.org/10.18502/ijph.v52i1.11664

Sineke, J., Pascoa, M. E., Saud, F., Ranti, I. N., & Paruntu, O. L. (2024). Factors related to compliance with the consumption of iron tablets in adolescent females. IOSR Journal of Nursing and Health Science, 13(5), 35–40. https://doi.org/10.9790/1959-1305063540

Thaha, R. Y., Riswan, & Yani, R. (2021). Faktor-faktor yang mempengaruhi pengetahuan remaja tentang kesehatan reproduksi di SMPN 1 Buntao Kabupaten Toraja Utara. Jurnal Komunitas Kesehatan Masyarakat, 3(2), 52–74.

Triana, A. (2023). Faktor resiko kejadian pada remaja putri di Mas PP Nuruddin. Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran (Termometer), 1(1), 1–7. https://doi.org/10.55606/termometer.v1i1.898

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Published

2026-09-24

How to Cite

Aliyah Khairunnisa Syafitri, Isti Kumalasari, Hurry Mega Insani, & Ayu Mutiara Santanu. (2026). Edukasi Gizi, Pengetahuan, Dan Kepatuhan Konsumsi Tablet Tambah Darah Pada Atlet Remaja Putri Di SMAN 10 Bandung: Studi One-Group Pretest-Posttest Dan Analisis Hubungan Pengetahuan Dengan Kepatuhan. Jurnal Praba : Jurnal Rumpun Kesehatan Umum, 4(3), 735–751. https://doi.org/10.62027/praba.v4i3.1003

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