JUS BIT MERAH (Beta vulgaris L.) BERMANFAAT MENINGKATKAN KADAR HEMOGLOBIN IBU HAMIL DENGAN ANEMIA
Background: Pregnant women are at risk of anemia caused by various things. In general, the cause of anemia in pregnant women is iron deficiency which triggers folate deficiency. According to WHO, the incidence of anemia around 42% occurs in pregnant women with middle to lower economic conditions. The impact of anemia on the mother can experience postpartum hemorrhage caused by uterine atony and premature birth. While the effects of anemia on infants can result in babies born with low birth weight, fetal death in the uterus, asphyxia and intra-uterine growth restriction (IUGR). Beetroot (Beta vulgaris L) contains vitamins A, B, and C, and contains iron, calcium and phosphorus which can stimulate the circulatory system.
Purpose: to determine the provision of red beet juice to the increase in Hb levels in pregnant women with anemia in the working area of Langsa City Health Center.
Methods: This type of research is quasi experimental, pretest and posttest one model design. This study consisted of 2 groups, namely the group giving Fe tablets as a control group, the group giving beetroot juice as the intervention group. Duration of treatment for 14 days. Each group was observed and checked for hemoglobin levels before and after the intervention. The analysis used to determine the effect of red beet juice and Fe tablets on the increase in hemoglobin levels of anemic pregnant women using the paired T-test (Sig 0.000).
Results: Beetroot treatment group, mean hemoglobin at pretest was 10.033 gr / dl and posttest was 11.507 with a difference of 1.474, meaning that there was an increase in hemoglobin levels after being given red beet juice treatment of 1.474 gr / dl. The test used is the paired t-test with the Sig. 0.000 (<0.05), meaning that there is an effect of giving red beet juice with hemoglobin of pregnant women with anemia. In the control group, the mean hemoglobin at pretest was 10.027 g / dl and 10.747 g / dl in the posttest with a difference of 0.72, meaning an increase in hemoglobin levels was 0.72. The paired t-test results showed the Sig. 0.000 (<0.05), which means that there is an effect of giving Fe tablets with hemoglobin in pregnant women with anemia.
Conclusion: There is an effect of Red Beet Juice and Fe Tablets to increase Hb levels in pregnant women with anemia
Suggestion For pregnant women, they can choose beetroot as an alternative to handling cases of anemia during pregnancy. Meanwhile, for health workers to carry out socialization about red beets is very beneficial for public health
Keywords: Beetroot Juice, Fe Tablets, Hb Levels, Pregnancy Anemia.
ABSTRAK
Latar Belakang : Ibu hamil beresiko terjadi anemia yang disebabkan oleh berbagai hal. Secara umum penyebab ibu hamil anemia karena defisiensi besi yang memicu terjadi defisiensi folat. Menurut WHO angka kejadian anemia sekitar 42 % terjadi pada ibu hamil dengan kondisi ekonomi kalangan menengah kebawah. Dampak anemia pada ibu dapat mengalami perdarahan postpartum yang disebabkan karena atonia uteri dan kelahiran prematur. Sedangkan efek anemia pada bayi dapat mengakibatkan bayi lahir dengan BBLR, Kematian janin dalam Rahim, asfiksia dan intra uterin growth restriction (IUGR). Bit merah (Beta vulgaris L) mengandung vitamin A, B, dan C, serta mengandung zat besi, kalsium dan fosfor yang dapat merangsang sistem peredaran darah.
Tujuan : untuk mengetahui pemberian jus Bit merah terhadapa peningkatan kadar Hb pada ibu hamil dengan anemia di wilayah kerja Puskesmas Kota Langsa.
Metode : Jenis penelitian quasi experimental, pretest and posttest one model design. Penelitian ini terdiri dari 2 kelompok yaitu kelompok pemberian tablet Fe sebagai kelompok kontrol, kelompok pemberian Jus Bit merah sebagai kelompok intervensi. Lamanya Perlakuan yang dilakukan selama 14 hari. Setiap kelompok diobservasi dan dilakukan pemeriksaan kadar hemoglobin sebelum dan setelah diberikan intervensi. Analisis yang digunakan untuk mengetahui pengaruh pemberian Jus Bit merah dan tablet Fe terhadap peningkatan kadar hemoglobin ibu hamil anemia dengan menggunakan uji paired T-test (nilai Sig 0.000).
Hasil : kelompok perlakuan Bit merah, rerata hemoglobin pada saat pretest sebesar 10,033 gr/dl dan posttest sebesar 11,507 dengan selisih 1,474, artinya terjadi kenaikan kadar hemoglobin setelah diberikan perlakuan jus Bit merah sebesar 1,474 gr/dl. Uji yang digunakan adalah paired t-test dengan nilai Sig. 0,000 (< 0,05), artinya terdapat pengaruh pemberian jus bit merah dengan hemoglobin ibu hamil dengan anemia. pada kelompok kontrol dengan pemberian tablet Fe rerata hemoglobin saat pretest sebesar 10,027 gr/dl dan posttest 10,747 gr/dl dengan selisih 0,72, berarti terjadi kenaikan kadar hemoglobin sebesar 0,72. Hasil uji paired t-test didapatkan hasil nilai Sig. 0,000 (< 0,05), artinya terdapat pengaruh pemberian tablet Fe dengan hemoglobin ibu hamil dengan anemia.
Kesimpulan : ada pengaruh pemberian Jus Bit Merah dan Tablet Fe terhadap peningkatan kadar Hb pada ibu hamil dengan Anemia
Saran . Bagi ibu hamil agar dapat memilih Bit merah sebagai salah satu altrenatif terhadap penanganan kasus anemia selama kehamilan. Sedangkan bagi petugas kesehatan agar melaksanakan sosialisasi tentang buah Bit merah sangat bermanfaat terhadap kesehatan masyarakat
Kata Kunci : Jus Bit merah, Tablet Fe, Kadar kadar Hb, Anemia Kehamilan
- Babarykin, D., Smirnova, G., Pundinsh, I., Vasiljeva, S., Krumina, G., & Agejchenko, V. (2019). Red Beet (<i>Beta vulgaris</i>) Impact on Human Health. Journal of Biosciences and Medicines, 07(03), 61–79. https://doi.org/10.4236/jbm.2019.73007
- Balitbangkes. (2018). Hasil Utama Riskesdas Tentang Prevalensi Diabetes Mellitus di Indonesia 2018. https://doi.org/1 Desember 2013
- Carlo, G., Renzo, D., & Giardina, I. (2015). 10.2217@Whe.15.35. Womens Health.
- Clifford, T., Howatson, G., West, D. J., & Stevenson, E. J. (2015). The potential benefits of red beetroot supplementation in health and disease. Nutrients, 7(4), 2801–2822. https://doi.org/10.3390/nu7042801
- Colman, K., & Pavord, S. (2017). Iron deficiency anaemia in pregnancy Information for patients. Retrieved from https://www.ouh.nhs.uk/patient-guide/leaflets/files/14412Panaemia.pdf
- Dinas Kesehatan Kota Langsa. (2019). Laporan Kasus tahun 2018.
- Hanum Zulfa., Dewita Dewita, Handono Kusworini, Nurdiana, S. E. (2018). Pengaruh Ekstrak Bit Merah ( Beta vulgaris L . ) Terhadap VEGF , dan Ketebalan Endometrium Pada Tikus ( Rattus norvegicus ) Dipapar Asap Rokok Public Health Faculty Universitas Muslim Indonesia Address : Email : Phone : Article history : Received 19 June. 1(3), 133–140.
- Lotfi, M., Azizi, M., Tahmasbi, W., & Bashiri, P. (2018). The Effects of Consuming 6 Weeks of Beetroot Juice (Beta vulgaris L.) on Hematological Parameters in Female Soccer Players. Journal of Kermanshah University of Medical Sciences, In Press(In Press). https://doi.org/10.5812/jkums.82300
- Manjulavathi, G. (2016). A Study to Assess the Effectiveness of Beetroot Juice on Hb Level Among Middleage Women in Sree Balaji Teacher Training Institute , Chromepet . chennai .( Tn ). Indian Journal Of Research, 5(12), 53–55.
- Masrizal. (2007). Studi Literatur Anemia Defisiensi Besi. Jurnal Kesehatan Masyarakat, 2 : (1), II(1), 140–145.
- Mereddy, R., Fanning, K., Chan, A., Sultanbawa, Y., & Nirmal, N. (2016). Betalain rich functional extract with reduced salts and nitrate content from red beetroot (Beta vulgaris L.) using membrane separation technology. Food Chemistry, 215, 311–317. https://doi.org/10.1016/j.foodchem.2016.07.132
- Neelwarne, B. (2012). Preface. In Red Beet Biotechnology: Food and Pharmaceutical Applications. https://doi.org/10.1007/978-1-4614-3458-0
- Ninfali, P., & Angelino, D. (2013). Nutritional and functional potential of Beta vulgaris cicla and rubra. Fitoterapia, 89(1), 188–199. https://doi.org/10.1016/j.fitote.2013.06.004
- Nora, M. A. (2018). Effect of red beetroot (Beta vulgaris L.) intake on the level of some hematological tests in a group of female volunteers. ISABB Journal of Food and Agricultural Sciences, 8(2), 10–17. https://doi.org/10.5897/isabb-jfas2017.0070
- Nurhayati, N., Halimatusakdiah, P. K. A., & Asniah, A. (2015). PENGARUH ASUPAN TABLET ZAT BESI (Fe) TERHADAP KADAR HAEMOGLOBIN (Hb) PADA IBU HAMIL DI PUSKESMAS KOPELMA DARUSSALAM TAHUN 2014. Idea Nursing Journal, 6(1), 76–82.
- Obai, G., Odongo, P., & Wanyama, R. (2016). Prevalence of anaemia and associated risk factors among pregnant women attending antenatal care in Gulu and Hoima Regional Hospitals in Uganda: A cross sectional study. BMC Pregnancy and Childbirth, 16(1), 1–7. https://doi.org/10.1186/s12884-016-0865-4
- Priya, N. G. (2013). Beet root juice on haemoglobin among adolescent girls. IOSR Journal of Nursing and Health Science, 2(1), 09–13. https://doi.org/10.9790/1959-0210913
- Putri, M. C., Tjiptaningrum, A., Kedokteran, F., Lampung, U., Klinik, B. P., Kedokteran, F., & Lampung, U. (2016). Efek Antianemia Buah Bit ( Beta vulgaris L . ) Antianemic Effect Of Beetroot ( Beta vulgaris L . ). Jurnal Majority, 5(4), 96–100.
- Ratih, R. H. (2017). Pengaruh Pemberian Tablet Zat Besi (Fe) Terhadap Peningkatan Kadara Hemoglobin Pada Ibu Hamil Yang Anemia. Jomis (Journal Of Midwifery Science), 1(1), 30–34.
- Rimawati, E., Kusumawati, E., Gamelia, E., Achadi Nugraheni, S., Kesehatan, F., Dian Nuswantoro, U., … Diponegoro, U. (2018). Intervensi Suplemen Makanan Untuk Meningkatkan Kadar Hemoglobin Pada Ibu Hamil Food Supplement Interventions for Increasing Hemoglobin Level on Pregnant Women. Jurnal Ilmu Kesehatan Masyarakat, 9(3), 161–170. https://doi.org/10.26553/jikm.2018.9.3.161-170
- Ristica, O. D. (2013). Faktor Risiko Kejadian Anemia pada Ibu Hamil Risk Factors Related to Anemia in Pregnant Women. Jurnal Kesehatan Komunitas, 2(2), 78–82.
- Sharma, J. B., & Shankar, M. (2010). Anemia in Pregnancy . PREVALENCE OF ANEMIA IN. Indian Journal of Medical Research, 23(4), 253–260.
- Stephen, G., Mgongo, M., Hussein Hashim, T., Katanga, J., Stray-Pedersen, B., & Msuya, S. E. (2018). Anaemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania. Anemia, 2018. https://doi.org/10.1155/2018/1846280
- Suryandari, A. E. (2015). Jurnal Kebidanan DIBERI Fe DENGAN Fe DAN BUAH BIT DI WILAYAH KERJA Amaranthaceae dan memiliki nama latin zat besi sekitar hampir 7 % serta asam folat. Jurnal K, VII(01), 36–47.
- Susiloningtyas, I. (2012). PEMBERIAN ZAT BESI (Fe) DALAM KEHAMILAN Oleh : Is Susiloningtyas. Suhardjo, 2003, 50, 128.
- WHO. (2016). Iron and folate supplementation,Intergrated Management of Pregnancy and Childbirth (IMPAC).
- WHO Global Database on Anaemia. (2008). Worldwide prevalence of anaemia. World Health Organization. https://doi.org/10.1017/S1368980008002401