THE EFFECT OF DATE FRUITS (PHOENIX DACTYLIFERA L) INTERVENTION TO INCREASE HEMOGLOBIN LEVELS IN FEMALE ADOLESCENTS

Fathimah Fathimah; Vina Intan Aprilia; Kartika Pibriyanti; Lulu' Luthfiya; Hafidhotun Nabawiyah

doi:10.22435/mgmi.v13i2.5138

Fathimah Fathimah University of Darussalam Gontor
Vina Intan Aprilia University of Darussalam Gontor
Kartika Pibriyanti University of Darussalam Gontor
Lulu' Luthfiya University of Darussalam Gontor
Hafidhotun Nabawiyah University of Darussalam Gontor

DOI: https://doi.org/10.22435/mgmi.v13i2.5138

Keywords: date fruits, female adolescents, hemoglobin levels

Abstract

Background. Anemia is one of the common health problems globally, where a condition of red blood cells is inadequate to meet the physiological needs caused by iron deficiency. The short term impact of anemia on adolescents can cause growth disorders, while the long term impact on pregnant women can cause pregnancy and childbirth complications. Date fruit is one of the fruits that containing iron (Fe), vitamin C, vitamin B complex, and folic acid that can help form red blood cells. Consuming the date fruits may improve formation of red blood cells and prevent anemia. Objective. To determine the effect of the intervention of date fruits in increasing hemoglobin levels among female adolescents at Islamic boarding school. Method. This research was performed using a pre-experimental study with one group pretest and posttest design. The sampling method in this research used purposive sampling with samples of 30 female adolescent students aged 15–18 years old at Modern Islamic Boarding School (Pondok Modern Gontor Putri 2), Ngawi, East Java, Indonesia. The inclusion criteria was adolescent suffering from anemia (age 15 until 18 years, Hb <12 g/dL, not menstruation during intervention). The intervention was carried out for seven days by giving seven date fruits (50 g) per day. Hemoglobin levels had recorded before and after intervention. The data were analyzed using paired t-test. Results. The median hemoglobin (Hb) level before giving date fruits was 10.8 g/dL and the median Hb level after giving date fruits was 11.9 g/dL. There were differences in Hb levels before and after giving date fruit in the treatment group (p=0.001). Conclusion. The intervention of consuming seven date fruits (50 g) for seven days effectively increased hemoglobin level.

References

World Health Organization. Guideline: Intermittent Iron and Folic Acid Supplementation in Menstruating Women. Geneva: World Health Organization; 2011.

World Health Organization. Hemoglobin Concentrations for the Diagnosis of Anemia and Assessment of Severity. Geneva: World Health Organization; 2011.

Kementerian Kesehatan RI. Pedoman Pencegahan dan Penanggulangan Anemia pada Remaja Putri dan Wanita Usia Subur. Jakarta: Kementerian Kesehatan RI; 2018.

More S, Shivkumar VB, Gangane N, Shende S. Effects of Iron Deficiency on Cognitive Function in School Going Adolescent Females in Rural Area of Central India. Anemia. 2013;2013:1–6.

Listiana A. Analisis Faktor-Faktor yang Berhubungan dengan Kejadian Anemia Gizi Besi pada Remaja Putri di SMKN 1 Terbanggi Besar Lampung Tengah. J Kesehat. 2016;7(3):455–69.

Al-Alawi RA, Al-Mashiqri JH, Al-Nadabi JSM, Al-Shihi BI, Baqi Y. Date Palm Tree (Phoenix dactylifera L.): Natural Products and Therapeutic Options. Front Plant Sci. 2017;8:1–12.

Osman NN, Al-Shubailly F. Anti-Inflammatory, Immune-Modulatory and Antioxidant Effects of Date Fruit (Phoenix dactylifera) Extract in Rats Treated with AlCl3. Int J Pharm Res Allied Sci. 2017;6(2):255–62.

Sodiqah Y, Abdi DA, Gunawan S, Hafsah AN. The Effect of Date (Phoenix dactylifera) Juice to Increase Haemoglobin Level of White Rat (Rattus novergicus). UMI Med J. 2016;1(1):36–50.

Irandegani F, Arbabisarjou A, Ghaljaei F, Navidian A, Karajibani M. The Effect of A Date Consumption-Based Nutritional Program on Iron Deficiency Anemia in Primary School Girls Aged 8 to 10 Years Old in Zahedan (Iran). Pediatric Health Med Ther. 2019;10:183–88.

Sugiyono. Metode Penelitian Kombinasi (Mixed Methods). Bandung: Alfabeta; 2014.

Istiany A, Rusilanti. Gizi Terapan. Bandung: Remaja Rosdakarya; 2013.

Setijowati N, Ruhana A, Palestri AY. Pengaruh Karakteristik Ibu dan Konsumsi Pangan terhadap Status Anemia pada Ibu Hamil di Puskesmas Dinoyo Kota Malang. Jurnal Program Ilmu Gizi FKUB. 2012;2(1):20–2.

Adriani M, Wirjatmadi B. Pengantar Gizi Masyarakat. Jakarta: Kencana; 2012.

Gibson RS. Principles of Nutritional Assessment, Second Edition. New York: Oxford University Press; 2005.

Almatsier S, Soetardjo S, Soekatri M. Gizi Seimbang dalam Daur Kehidupan. Jakarta: Gramedia Pustaka Utama; 2011.

Ali S, Alam G, Samrichard. Ajwa Date Fruit (Phoenix dactylifera L.) in Increasing Hemoglobin (Hb) Level to Teenage Girl. Enferm Clin. 2020;30(Suppl 2):77–9.

Ekasari D, Winarti E, Sutrisni. Pengaruh Konsumsi Kurma (Phoenix dactylifera) terhadap Kadar Hemoglobin pada Siswi Kelas XI di SMA 1 Grogol Kabupaten Kediri. VisiKes J Kesehat Masy. 2017;16(2):120–27.

Nadiah MZN, Nazefah AH, Asralwirda AA, Shahrumi ART, Nain NAK, Fadzilah ZN. Beneficial Effects of Date Palm (Phoenix dactylifera) in Iron Deficiency Anaemia: A Systematic Review. Current Topics in Nutraceutical Research. 2018;16(4):245–52.

Rahmawati DA, As’ad S, Sinrang AW, Husnah R. Dates and Hemoglobin Levels: Literature Review. European Journal of Molecular & Clinical Medicine. 2020;7(3):2364–70.

Ahmed J, Al-Jasass FM, Siddiq M. Date Fruit Composition and Nutrition. In: Siddiq M, Aleid SM, Kader AA, editors. Dates: Postharvest Science, Processing Technology and Health Benefits. West Sussex: John Wiley & Sons, Ltd; 2013. p. 261–284.

Mariyam P, Mary V. Nutritional Analysis (Macronutrients, Potassium and Iron Content) of Four Palm Date Varieties (Phoenix dactylifera L.) and Study of Consumption Pattern among Muslim and Maharashtrian Community (2014). J Food Processing & Beverages. 2015;3(1):1–9.

Safitri, Julaecha. Konsumsi Buah Kurma Meningkatkan Kadar Hemoglobin pada Remaja Putri. J Endur Kaji Ilm Probl Kesehat. 2021;6(1):127–34.

Ridwan M, Lestariningsih S, Lestari GI. Konsumsi Buah Kurma Meningkatkan Kadar Hemoglobin pada Remaja Putri. J Kesehat Metro Sai Wawai. 2018;11(2):57–64.

Fitriana, Pramardika DD. Evaluasi Program Tablet Tambah Darah pada Remaja Putri. Media Publikasi Promosi Kesehatan Indonesia. 2019;2(3):200–7.

Satria E. Hubungan Tingkat Pengetahuan Remaja Putri tentang Tablet Tambah Darah dan Anemia dengan Kepatuhan Mengkonsumsi Tablet Tambah Darah di Pesantren Darul ‘Ulum Aia Pacah Padang. Jurnal Amanah Kesehatan. 2021;3(1):63–72.

Yudina MK, Fayasari A. Evaluasi Program Pemberian Tablet Tambah Darah pada Remaja Putri di Jakarta Timur. Jurnal Ilmiah Kesehatan. 2020;2(3):147–58.

Pibriyanti K, Nufus NT, Luthfiya L. The Relationship of The Menstrual Cycle, Menstrual Length, Frequency of Menstruation, and Physical Activities with The Incident of Anemia in Adolescent Girls at Islamic Boarding School. Journal of Nutrition College. 2021;10(2):112–9.

Parvin S, Easmin D, Sheikh A, Biswas M, Sharma SCD, Jahan MGS, et al. Nutritional Analysis of Date Fruits (Phoenix dactylifera L.) in Perspective of Bangladesh. American Journal of Life Sciences. 2015;3(4):274–78.

Briawan D. Anemia Masalah Gizi pada Remaja Wanita. Jakarta: EGC; 2013.