Differences in Hematological Parameters and Nutritional Intake Based on Environmental Condition in the Islam Boarding Schools

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Mohammad Zen Rahfiludin
Tri Joko
Alfi Fairuz Asna
Septo Pawelas Arso
Lilik Hidayanti

Abstract

Anemia and iron deficiency anemia (IDA) are indirectly caused by environmental factors. However, there are currently no studies on the differences in hematological parameters of anemia and nutritional intake in adequate and inadequate environmental conditions. This study aims to determine the differences in hematological parameters and nutritional intake of female students based on the environmental conditions of the Islamic boarding schools. It was a descriptive study with a cross-sectional design.  A total of 167 girls from seven Islamic boarding schools in Tasikmalaya, West Java were recruited. Anemia was assessed by determining hemoglobin (Hb) levels, hematocrit (Ht) levels, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH,) and mean corpuscular hemoglobin (MCHC). Environmental conditions of the boarding schools observed were the kitchen, bedrooms, toilet/bathrooms, and the outside environment (trash bins and handwashing stations). The study found that there is no difference in the hematological values (Hb, Ht, MCV, MCH, MCHC, and RDWCV) of students with adequate and inadequate environmental conditions. Students who lived in inadequate environment had higher intake of iron (p<0.005), protein (p<0.005), and vitamin C (p<0.005) than those who lived in adequate environment. However, the nutritional intake of adolescent girls in Islamic boarding schools was considerably lower than Indonesian Recommended Dietary Allowance (RDA). Thus, no significant difference in hematological levels, which are indicators of anemia and IDA, could be found. Hence, to protect against anemia and IDA, adolescent girls should increase the quality and quantity of their nutritional intake, particularly iron, protein, and vitamin C.

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How to Cite
1.
Rahfiludin MZ, Joko T, Asna AF, Arso SP, Hidayanti L. Differences in Hematological Parameters and Nutritional Intake Based on Environmental Condition in the Islam Boarding Schools. JIKM [Internet]. 2021 Nov. 30 [cited 2022 May 27];12(3):263-76. Available from: https://ejournal.fkm.unsri.ac.id/index.php/jikm/article/view/839
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Author Biographies

Tri Joko, Faculty of Public Health, Diponegoro University

Department of Environmental Health, Faculty of Public Health, Diponegoro University, Semarang 50275, Indonesia

Alfi Fairuz Asna, Faculty of Public Health, Diponegoro University

Department of Public Health Nutrition, Faculty of Public Health, Diponegoro University, Semarang 50275, Indonesia

Septo Pawelas Arso, Faculty of Public Health, Diponegoro University

Department of Health Policy Administration, Faculty of Public Health, Diponegoro University, Semarang 50275, Indonesia

Lilik Hidayanti, Faculty of Health Science, Siliwangi University

Department of Nutrition, Faculty of Health Science, Siliwangi University, Tasikmalaya 46115, Indonesia