{
  "abstract": "Objective: This study aimed to determine the effectiveness of comic-based nutrition education in increasing haemoglobin (Hb) levels in adolescent girls with anaemia by improving their energy, protein, vitamin C, calcium, iron, zinc, and folic acid intake.\n\nMethods: A pre-test–post-test quasi-experimental design was used. Over four months, nutrition education was delivered through the comic Balanced Nutrition, Lost Anaemia as an intervention for nutritional problems. Nutritional issues were assessed via 24-hour dietary recalls and six-day food records, analyzed using Nutrisurvey 2008 and Linear Programming. Effectiveness was measured by comparing energy, folic acid, and zinc intake using paired t-tests, and protein, iron, vitamin C intake, and Hb levels using the Wilcoxon test, before and after the intervention. The study was conducted at an Islamic boarding school (pesantren) in Malang, Indonesia. A total of 84 adolescent girls with anaemia (Hb <12 g/dL) were included. Hb levels were validated via venous blood examination using cyanometry.\n\nResults: After nutrition education, participants had significantly higher energy, protein, and vitamin C intake (P <0.001) and increased Hb levels (P <0.001). Among the participants, 69 (82.15%) achieved normal Hb levels.\n\nConclusion: Nutrition education using comics with colorful images facilitates understanding and application of nutritional guidance, effectively increasing nutrient intake and reducing the prevalence of anaemia among adolescent girls.",
  "abstract_shown": true,
  "affiliations": [
    "Health Polytechnic of Malang, Malang City, Indonesia",
    "Occupational Medicine Study Program, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia",
    "Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Annasari Mustafa"
    },
    {
      "affs": [
        0
      ],
      "name": "Sugeng Iwan"
    },
    {
      "affs": [
        0
      ],
      "name": "Carissa Cerdesari"
    },
    {
      "affs": [
        0
      ],
      "name": "Rani Nurmayanti"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Muchtaruddin Mansyur"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/fpznfx3cbdhek.bib",
  "cited_by": 0,
  "doi": "10.47895/amp.v60i18.3850",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13736584/",
  "id": "fpznfx3cbdhek",
  "issns": [
    "0001-6071",
    "2094-9278"
  ],
  "landing_url": "https://doi.org/10.47895/amp.v60i18.3850",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Article"
    ],
    [
      "openalex",
      "2735|Public Health and Nutrition"
    ]
  ],
  "openalex": "W7220839788",
  "pdf_url": "https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/download/3850/7272",
  "pmcid": "PMC13736584",
  "pmid": "42991645",
  "published": "2026-09-30",
  "publisher": "University of the Philippines Manila",
  "ris": "https://research.draconitic.com/paper/fpznfx3cbdhek.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:22:00Z",
      "native_id": "PMC13736584",
      "source": "pmc",
      "url": "https://doi.org/10.47895/amp.v60i18.3850"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2735|Public Health and Nutrition",
      "subfield": "reproductive-child"
    }
  ],
  "title": "The Effectiveness of Nutritional Educational Comics in Increasing Haemoglobin Level among Anemic Adolescent Girls",
  "title_text": "The Effectiveness of Nutritional Educational Comics in Increasing Haemoglobin Level among Anemic Adolescent Girls",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:22:00Z",
  "url": "https://research.draconitic.com/paper/fpznfx3cbdhek",
  "venue": "Acta Medica Philippina",
  "versions": []
}