Improvement of Hemoglobin Levels in Pregnant Women with Anemia Through Dragon Fruit Consumption

Triana Indrayani; Eni Kurniati

doi:10.37287/ijghr.v6i1.2900

Triana Indrayani Faculty of Health Science, University Nasional
Eni Kurniati Faculty of Health Science, University Nasional

DOI: https://doi.org/10.37287/ijghr.v6i1.2900

Keywords: anemia, dragon fruit, hemoglobin

Abstract

Anemia frequently manifests in pregnant women as a consequence of alterations in the cardiovascular system, leading to hemodilution and a subsequent decline in blood oxygen levels. The augmented iron demands during pregnancy arise from the needs of the fetus and placenta, coupled with physiological shifts like heightened blood volume and red blood cell count. This elevation in levels may contribute to diminished hemoglobin and hematocrit levels, consequently escalating the prevalence of anemia and iron deficiency during pregnancy. A viable solution for averting anemia in pregnant women involves the consumption of fruits rich in iron and vitamin C, such as dragon fruit, crucial for hemoglobin synthesis. The research method employed in this study followed a quantitative approach, specifically utilizing quasi-experimental research with a pretest-post-test design, including a control group. The study population comprised all pregnant women attending TPMB N Depok, West Java, during October-December 2023. Inclusion criteria involved pregnant women aged 16-34 weeks who visited TPMB N and exhibited signs of anemia. The study sample consisted of pregnant women willing to consume 200 cc of dragon fruit juice daily for a duration of 14 days. Bivariate data analysis was conducted using the Mann-Whitney Test. The intervention implemented involved administering dragon fruit juice, prepared by blending 200g of dragon fruit with 200cc of water and adding 3 tablespoons of sugar. The findings reveal a statistically significant difference in Hb levels among pregnant women before and after the consumption of dragon fruit juice, with a P value of 0.001.

References

Agustina, W. (2019). Perbandingan Kadar Hemoglobin Pada Ibu Hamil Yang Mengkomsumsi Tablet Besi Dengan Dan Tanpa Vitamin C Di Wilayah Kerja Puskesmas Langsa Lama Tahun 2019. Jurnal Nasional Ilmu Kesehatan, 2(2), Article 2.

Angrainy, R. (2017). Hubungan Pengetahuan dengan Sikap Ibu Hamil dalam Pencegahan Anemia Pada Kehamilan Di Puskesmas Rumbai Bukit Tahun 2016. Jurnal Endurance : Kajian Ilmiah Problema Kesehatan, 2(1), 62–67. https://doi.org/10.22216/jen.v2i1.1654

Arivalagan, M., Karunakaran, G., Roy, T. K., Dinsha, M., Sindhu, B. C., Shilpashree, V. M., Satisha, G. C., & Shivashankara, K. S. (2021). Biochemical and nutritional characterization of dragon fruit (Hylocereus species). Food Chemistry, 353, 129426. https://doi.org/10.1016/j.foodchem.2021.129426

Astriana, W. (2017). Kejadian Anemia pada Ibu Hamil Ditinjau dari Paritas dan Usia.

Astuti, R. Y., & Ertiana, D. (2018). Anemia dalam Kehamilan. Pustaka Abadi.

Aulya, Y., Silawati, V., & Margareta, E. (2021). Efektifitas Jus Buah Naga Terhadap Peningkatan Kadar Hemoglobin pada Ibu Hamil Trimester III. Jurnal SMART Kebidanan, 8(1), 54. https://doi.org/10.34310/sjkb.v8i1.430

Azizah, D. I. (2020). Asupan Zat Besi, Asam Folat, dan Vitamin C pada Remaja Putri di Daerah Jatinangor. Jurnal Kesehatan Vokasional, 4(4), 169. https://doi.org/10.22146/jkesvo.46425

Barros, V. V. de, Hase, E. A., Salazar, C. C., Igai, A. M. K., Orsi, F. A., & Margarido, P. F. R. (2023). Abnormal uterine bleeding and chronic iron deficiency: Number 11 – December 2022. Revista Brasileira de Ginecologia e Obstetrícia, 44, 1161–1168. https://doi.org/10.1055/s-0042-1760235

Dai, N. F. (2021). ANEMIA PADA IBU HAMIL. Penerbit NEM.

Indrayani, T., Pratewi, P., Sulminah, S., Rachmah, I. Y., Yustisia, C. R., Sholihah, H., & Istiqomah, E. S. (2023). Edukasi dan Intervensi Pencegahan Anemia dengan Pemberian Jus Jeruk Madu (JerDuMia) pada Ibu Hamil di Posyandu Apel. Jurnal Peduli Masyarakat, 5(2), Article 2. https://doi.org/10.37287/jpm.v5i2.1744

Karakochuk, C. D., Zimmermann, M. B., Moretti, D., & Kraemer, K. (2022). Nutritional Anemia. Springer Nature.

Khuzaimah, U., Sulistiarini, R., Rija’i, H. R., & Alfiani, R. (2023). The effect of giving combination boiled chicken egg and red dragon fruit (Hylocereus polyrhizus) to increase hemoglobin levels in women during menstruation. The North African Journal of Food and Nutrition Research, 7(16), Article 16. https://doi.org/10.51745/najfnr.7.16.46-53

Labir, I. K., Widarsa, I. K. T., & Suwiyoga, K. (2013). Anemia ibu hamil trimester I dan II meningkatkan risiko kejadian berat bayi lahir rendah di RSUD Wangaya Denpasar. Public Health and Preventive Medicine Archive, 1(1), Article 1. https://doi.org/10.15562/phpma.v1i1.153

Mutoharoh, S., Ramadhani, W., & Dewi, A. P. S. (2023). Jus Buah Naga Merah untuk Meningkatkan Kadar Hemoglobin pada Ibu Hamil dengan Anemia. Prosiding University Research Colloquium, 1558–1563.

Nurbadriyah, W. D. (2019). Anemia Defisiensi Besi. Deepublish.

Paseru, A. E. P., Tini, T., & Astuti, D. R. (2023). Pengaruh Pemberian Jus Buah Naga Merah Terhadap Kadar Hemoglobin Pada Ibu Hamil Di Wilayah Kerja Uptd Puskesmas Bumi Rahayu Kecamatan Tanjung Selor. Aspiration of Health Journal, 1(3), Article 3. https://doi.org/10.55681/aohj.v1i3.193

Sartika, W., Suryarinilsih, Y., & Herwati. (2022). Daun Kelor: Alternatif dalam Meningkatkan Hemoglobin Remaja Putri. Penerbit NEM.

Sasabone, R., Siauta, J. A., Adinda, P. N. S., Sagala, K., Venancyana, M. C., Purba, R., Bonita, B., & Anggraeni, D. (2023). Community Services at SMP Bina Siswa Kotabaru Sub-district West Bekasi District in 2023. International Journal of Community Services, 1(1), 28–35. https://doi.org/10.61777/injcs.v1i1.5

Singh, S., & Kumar, S. (2023). A Review on Nutritional, Medicinal and Bio-active Compound of Dragon Fruit Hylocereus polyrhizus (F.A.C. Weber) Britton & Rose. International Journal of Biochemistry Research & Review, 32(5), Article 5. https://doi.org/10.9734/ijbcrr/2023/v32i5817

Steels, E., Erhardt, R., Harnett, J. E., Vigar, V., & Steadman, K. J. (2023). Efficacy of a prebiotic formulation for treatment of functional constipation and associated gastrointestinal symptoms in adults: A randomised controlled trial. Advances in Integrative Medicine, 10(2), 43–50. https://doi.org/10.1016/j.aimed.2023.05.001

Suryani, D., Hafiani, R., & Junita, R. (2015). Analisis Pola Makan Dan Anemia Gizi Besi Pada Remaja Putri Kota Bengkulu | Jurnal Kesehatan Masyarakat Andalas. http://jurnal.fkm.unand.ac.id/index.php/jkma/article/view/157

Susanty, A., & Sampepana, E. (2017). Pengaruh Masa Simpan Buah terhadap Kualitas Sari Buah Naga Merah (Hylocereus polyrhizus). Jurnal Riset Teknologi Industri, 11(2), 76–82. https://doi.org/10.26578/jrti.v11i2.3011

Tenrirawe, A. N. M. (2022). Formulasi dan Analisis Kandungan Zat Gizi Bakso Berbasis Hati Ayam dan Daun Kelor (Moringa oleifera) sebagai Pangan Sumber Zat Besi bagi Remaja Putri = Formulation and Analysis of Nutritional Content of Chicken Liver and Moringas Leaves-Based Meatballs as a Food Source of Iron for Adolescents Girls [Other, Universitas Hasanuddin]. http://repository.unhas.ac.id/id/eprint/14116/

Trinumasari, A., Pramono, J. S., & Suryani, H. (2023). Pengaruh Pemberian Kombinasi Jus Buah Pepaya Dan Serbuk Daun Kelor Terhadap Kadar Hemoglobin Ibu Hamil. Bunda Edu-Midwifery Journal (BEMJ), 6(2), Article 2. https://doi.org/10.54100/bemj.v6i2.110

Yani, D., & Sahara, E. (2023). A Asuhan Kebidanan Pada Ibu Hamil Ny. A G1p0a0 Usia Kehamilan 28 Minggu 2 Hari Dengan Indikasi Diabetes Melitus Gestasional Di Klinik Fifi Rahatu Amd.Keb Kota Tanjung Balai Tahun 2023: Asuhan Ibu Hamil Pada Ny. A G1A0P0 dengan Diabetes Melitus Gestasional. Jurnal Teknologi Keilmuan Bengkulu-Multidisiplin, 2(1), Article 1.