EFEK SUPLEMENTASI Fe, ASAM FOLAT DAN VITAMIN B 12 TERHADAP PENINGKATAN KADAR HEMOGLOBIN (Hb) PADA PEKERJA WANITA (DI KABUPATEN SUKOHARJO)

Muwakhidah, Muwakhidah (2009) EFEK SUPLEMENTASI Fe, ASAM FOLAT DAN VITAMIN B 12 TERHADAP PENINGKATAN KADAR HEMOGLOBIN (Hb) PADA PEKERJA WANITA (DI KABUPATEN SUKOHARJO). Masters thesis, program Pascasarjana Universitas Diponegoro.

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Abstract

Background : A high prevalence of anemia on female workers in Indonesia about 30-46,6 %. Causes of anemia are nutrition and non nutrition. Cause of anemia is not only iron deficiency but because micronutrient deficiency include folic acid, B12, B2,B6, Zinc, etc. To solve that problem, supplementation may be an efective way for decreased nutritional anemia on short time. Objectives : this research was aimed to understand the effect of twice weekly iron, folic acid and B12 supplementation as well as hemoglobin level among teenagers womens twice weekly during 12 weeks Methods : The design of this study was randomized Control Group pretest posttest with double blind. The number of responden was 95 female workers..They were divided into three groups. The first group was received iron and b12 supplementation . The second group was received iron, folic acid and b12 supplementation and the third group was received iron and folic acid supplementation. A week before supplementation was provided vitamin A and Albendanzole. Results : This research showed that means hemoglobin level was increased 2,19 mg/dl and body mass indeks increased 0,13. Nutrition intake was less than recommended daily allowence. Characteristic and nutrition intake were not significantly different between group. After supplementation there was decrease of percentage anemia status. There was a significance increase of hemoglobin level after supplementation in three groups (p=0,000). The increase of hemoglobin level was not significantly different between group (p=0,856). Conclusion : After supplementation there was a significance increase of hemoglobin level in three groups, but not significantly different between group. Suplementation to be continue and nutrition education to female workers to increase knowledge and daily intake. Latar belakang : Prevalensi anemia pada pekerja wanita masih cukup tinggi di Indonesia berkisar 30-46,6 %. Anemia disebabkan oleh faktor gizi dan non gizi. Menurut beberapa penelitian di dunia dan Indonesia anemia saat ini tidak hanya disebabkan oleh defisiensi zat besi saja namun disebabkan pula karena defisiensi zat gizi mikro lain seperti asam folat, vitamin B12, Zn, B2, B6 dll. Penanganan anemia defisiensi gizi adalah pemberian suplementasi tablet besi yang merupakan salah satu cara yang paling efektif untuk meningkatkan kadar hemoglobin (Hb) dalam jangka waktu pendek. Tujuan : Penelitian ini bertujuan mengetahui pengaruh suplementasi Fe, asam folat, dan vitamin B12 terhadap peningkatan kadar Hb pada pekerja wanita di Kabupaten Sukoharjo. Metode : Desain penelitian ini adalah Randomized Control Group pretest posttest dengan double blind . Pada penelitian ini diukur kadar Hb awal dan kadar Hb akhir. Jumlah responden pada akhir penelitian adalah 95 orang. Penelitian ini dibagi menjadi 3 kelompok perlakuan yaitu kelompok A diberi suplemen Fe dan vitamin B12, Kelompok B diberi suplemen Fe, asam folat dan vitamin B12 dan kelompok C diberi suplemen Fe dan asam folat 2 kali seminggu selama 12 minggu. Seminggu sebelum suplementasi diberi vitamin A dan obat cacing Albendanzole. Hasil : Selama suplementasi rerata peningkatan kadar Hb responden sebesar 2,19 g/dl dan perubahan IMT sebesar 0,12. Hasil penelitian menunjukkan bahwa karakteristik responden dan asupan gizi pada masing-masing perlakuan tidak berbeda bermakna dan sebagian besar responden asupan gizinya kurang dari kecukupan yang dianjurkan. Setelah dilakukan intervensi prevalensi anemia menurun sebesar 78,9 %. Hasil statistik menunjukkan bahwa ada peningkatan yang bermakna pada rerata kadar Hb sebelum dan sesudah perlakuan pada ketiga kelompok (p=0,000), namun peningkatan kadar Hb tersebut tidak berbeda diantara ketiga kelompok perlakuan (p=0,856). Simpulan : Setelah pemberian suplementasi ada peningkatan rerata kadar hb namun peningkatan tersebut tidak bermakna diantara kelompok perlakuan. Pemberian suplemen masih perlu dilanjutkan, serta perlunya penyuluhan pada pekerja agar dapat meningkatkan pengetahuan tentang gizi dan kesehatan serta asupan makan.

Item Type:Thesis (Masters)
Subjects:H Social Sciences > HV Social pathology. Social and public welfare
Divisions:Postgraduate Program > Master Program in Epidemiology
ID Code:18331
Deposited By:Mr UPT Perpus 2
Deposited On:30 Jul 2010 13:15
Last Modified:30 Jul 2010 13:15

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