The Effect of Jelly Candy Snake Fruit and Banana With Ferrous Fumarat Fortified using Nano Technology in Adolescent Female at Junior High School

Abstract

Aim: Adolescent Female are a population at risk for anemia. Nutritional factors such as calories, protein, iron, dietary fiber, and folic acid induce this disease. Furthermore, fishy odor and nausea are two factors that contribute to adolescent females’ lack of iron consumption. Jelly candy formulations of snake and banana fruit with ferrous fumarate fortification using nanotechnology also decrease these diseases as an alternative to food consumption. Young adolescents ought to embrace this jelly formulation, considering its reasonable pricing. Therefore, this study aims to determine the effect of jelly candy formulations of snake and banana fruit with ferrous fumarate fortification using nanotechnology on the increase in hemoglobin levels. Materials And Methods: A quasi-experimental approach was adopted with a Pretest-Posttest Control Group design. The study included a cohort of 150 adolescent girls hailing from Tamansari District, Tasikmalaya City, within the age range of 12 to 18 years. Additionally, the subjects were divided into three distinct groups, namely the treatments (involving jelly, snack fruit, banana, and ferrous fumarate supplementation, abbreviated as JEPISA), control group 1 (comprising jelly and ferrous fumarate supplementation, denoted as JFumarate), and control group 2 (receiving iron and folic acid supplementation as part of the Programme), each consisting of 50 participants. The sample selection process employed the purposive sampling technique and the collected data were subjected to analysis using T-Test, Chi-square and Multiple Logistic Regression methods. Results: The results of the T-Test analysis showed that the mean rise in hemoglobin after lean period of 13 week after giving treatments increased hemoglobin levels by 0.65 ± 0.39 g/dl (95% CI 0.53-0.75 g/dl), significantly (p-value=0,000). Their mean post intervention haemoglobin of three group was 12.10 ± 0.80 g/dl, 12.42 ± 0.70 g/dl and 11.73 ± 0.90 g/dl respectively. The results of statistical test were obtained, the treatment and control group 1 (p=0,044) and the treatment and control group 2 (p=0,33). The result of the multivariate analysis showed that complaince (p=0,000), nutritional status (p=0,000) and menstrual duration (p=0,000) variable were confounding variables for the incidence of anemia (Exp(B)=17,769). Conclusion: There were differences in Hb levels before and after administering the treatment. However, there was statistically significant difference between treatment with controls 1 and 2. Weekly supplementation of treatment’s in Iron Deficiency Anemia patients is as good as weekly supplementation of control 1 and but higher than control 2. Adolescent female who did not adhere to consuming iron had a chance of experiencing anemia 17,769 times compared to obedient adolescents after controlling for the variable nutritional status and length of menstruation. Key words: Jelly Candy, Fortified, Anemia, Hemoglobin, Adolescent female.