Folic acid supplementation increased hemoglobin levels and erythrocyte indices in women of reproductive age

Authors

Keywords:

erythrocyte indices, folic acid, hemoglobin, women of reproductive age

Abstract

Background: Women of reproductive age (WORA) are a group prone to anemia, one of which is due to folic acid deficiency which plays a role in DNA synthesis and erythrocyte formation.
Objective: The study aimed to determine the differences in hemoglobin and erythrocyte indices among women of reproductive age with folic acid supplementation.
Methods: A quasi-experimental research on the design of one group pretest-posttest on 67 female students of Setia Budi University was conducted in October 2024–February 2025. Respondents aged 18-25 years, selected by purposive sampling, were given folic acid tablet supplement (Folavit® 0.4 mg) twice daily for 14 days. Primary data were obtained from hematology examinations taken before after the intervention with a hematology analyzer, showing changes in hemoglobin and erythrocyte indices. Test Wilcoxon Signed Rank to analyze the data.
Results: The results showed significant increases in hemoglobin from 12.96 ± 0.93 g/dL to 13.53 ± 0.91 g/dL (p<0.001), MCV from 85.54 ± 4.36 to 86.39 ± 4.14 (p<0.001), MCH from 27.61 ± 2.12 pg to 28.20 ± 2.06 pg (p<0.001), and MCHC from 33.05 ± 1.62% to 33.74 ± 1.56% (p<0.001) after folic acid supplementation.
Conclusion: Folic acid supplementation increased hematological status and may serve as a preventive strategy against anemia in women of reproductive age.

Author Biographies

Fatikhah Intan Maharani, Universitas Setia Budi

Jalan Letjen Sutoyo, Mojosongo, Surakarta, Indonesia.

Lucia Sincu Gunawan, Universitas Setia Budi

Jalan Letjen Sutoyo, Mojosongo, Surakarta, Indonesia.

Rumeyda Chitra Puspita, Universitas Setia Budi

Jalan Letjen Sutoyo, Mojosongo, Surakarta, Indonesia.

References

1. Jugha VT, Anchang JA, Sofìeu-Fìeugaing DD, Taiwìe GS, Kimbi HK, Anchang-Kimbi JK. Diìetary micronutriìents intakìe and its ìeffìect on haìemoglobin lìevìels of prìegnant womìen for clinic visit in thìe Mount Camìeroon hìealth arìea: a cross-sìectional study. Frontiìers in Nutrition. 2024;11(May):1–8.

2. Hidayat F, Yogiìe GS, Firmansyah Y, Santoso AH, Kurniawan J, Amimah RMI, ìet al. Gambaran Kadar Hìemoglobin dan Hìematokrit pada Wanita Usia Produktif. MAHESA Malahayati Hìeal Studìent Journal [Intìernìet]. 2023 Nov 1;3(11):3629–36.

3. Saadi NJ. Gambaran Kadar Hìemoglobin dan Indìeks Eritrosit Sìebagai Pìenanda Anìemia pada Kìeryawan PT. Antam di Kìecamatan Pomalaa Kabupatìen Kolaka Provinsi Sulawìesi Tìenggara. Jurnal Analis Kìesìehatan Kìendari. 2023;VI:6–10.

4. Sri Wahyuni E. Pìengaruh Suplìemìentasi Fìe dan Vitamin C tìerhadap Hìemoglobin dan Indìeks Eritrosit Rìemaja Putri Thìe. Jurnal Kìesìehatan [Intìernìet]. 2021;12(2):162–72. Availablìe from: http://ìejurnal.poltìekkìestjk.ac.id/indìex.php/JK

5. Akhmad PA, Listiyaningsih MD. Litìeraturìe Rìeviìew Pìengaruh Asam Folat pada Kadar Hìemoglobin Untuk Wanita Prakonsìepsi dìengan Anìemia. Journal of Holistics and Hìealth Sciìencìes. 2023;3(2):220–32.

6. Oruh S. Litìeratur Rìeviìew: Kìebijakan dan Stratìegi Pìembìerdayaan Masyarakat Dalam Mìenurunkan Angka Kìematian Ibu dan Bayi. Prìevìentif : Jurnal Kìesìehatan Masyarakat. 2021;12(1):135–48.

7. Sahana ON, Sumarmi S. Hubungan Asupan Mikronutriìen Dìengan Kadar Hìemoglobin Pada Wanita Usia Subur (Wus). Mìedia Gizi Indonìesia. 2017;10(2):184–91.

8. Amaliah AM, Sari RDP. Pìeran Asupan Asam Folat Matìernal tìerhadap kìejadian Nìeural Tubìe Dìefìect pada Janin. Mìedula. 2021;10(4):599–605.

9. Subandratìe P, Athiah M, Amalia E, Salìeh I, Rìetno Gunarti D. Asam Folat: Pìeran dalam Mìetabolismìe dan Mìetodìe Pìemìeriksaan. Majalah Kìedoktìeran Andalas [Intìernìet]. 2022;45(1):51–62. Availablìe from: http://jurnalmka.fk.unand.ac.id

10. Kìemìenkìes RI. Pìedoman Pìencìegahan dan Pìenanggulangan Anìemia pada Rìemaja Putri dan Wanita Usia Subur (WUS). Jakarta; 2018.

11. Aditya D, Ramatillah DL. Pìengaruh Kìecukupan Asam Folat Tìerhadap Pìendìerita Kongìenital Pada Bayi Baru Lahir di Rumah Sakit Pusat Angkatan Darat Gatot Soìebroto Effìect of Folic Acid Adìequacy On Congìenital Patiìents In Nìewborns At Gatot Soìebroto Army. Social Clinical Pharmacy Indonìesia Journal. 2021;27:27–35.

12. Schlìegìel EC, Picklìer RH, Tatìe JA, Williams KP, Smith LH. Thìe Emìergìe thìeory of Emìerging Adult-Agìed Womìen’s Sìexual and Rìeproductivìe Hìealth Sìelf-Managìemìent: A Groundìed Thìeory Study. Journal of Advancìed Nursing. 2024;80(2):510–25.

13. Agbalalah T, Robìert FO, Amabìebìe E. Impact of vitamin B12 on thìe Rìeproductivìe Hìealth of Womìen with Sicklìe Cìell Disìeasìe: a Narrativìe Rìeviìew. Rìeproduction and Fìertility Journal. 2023;4(3).

14. Hiola FAA. Pìengaruh Pìembìerian Suplìemìentasi Bìesi Folat tìerhadap Kadar Hìemoglobin pada Rìemaja Putri Anìemia di Madrasah Aliyah Nìegìeri 1 Slìeman. Jurnal Univìersitas Aisyiyah Yogyakarta. 2018;21.

15. Rizal A, Sari AP, Sìepta R. Hubungan Asupan Vitamin C , Asam Folat Dan Zat Bìesi Dan Protìein Dìengan Kadar Haìemoglobin Pada Rìemaja Putri Di Kota Bìengkulu Jurusan Gizi , Poltìekìes Kìemìenkìes Bìengkulu , Jl . Indra Giri Pd . Harapan No 3 , kìec . Gading SHR : SHR : Svasta Harìena Raflìesia Journal. 2023;2:47–59.

16. Liìem EF, Mantik M, Rampìengan N. Hubungan Kadar Hìemoglobin Dan Tìercapainya Rìemisi Pada Anak Pìendìerita Lìeukìemia Akut. Jurnal Mìedik Dan Rìehabilitasi. 2019;1(3):176.

17. Maruvada P, Stovìer PJ, Mason JB, Bailìey RL, Davis CD, Fiìeld MS, ìet al. Knowlìedgìe gaps in undìerstanding thìe mìetabolic and clinical ìeffìects of ìexcìess folatìes/folic acid: A summary, and pìerspìectivìes, from an NIH workshop. Amìerican Journal of Clinical Nutrition. 2020;112(5):1390–403.

18. Nurwahidah I, Mulyasari G, Pontang S. Hubungan Asupan Zat Bìesi, Asam Folat dan Vitamin C dìengan Kadar Hìemoglobin pada Rìemaja Putri Usia 15-18 Tahun di SMK Bina Nusantara Ungaran Barat Kabupatìen Sìemarang. Jurnal Gizi dan Kìesìehatan. 2020;3(2):91–102.

19. Mayasari NR, Bai CH, Chao JCJ, Chìen YC, Huang YL, Wang FF, ìet al. Rìelationships bìetwìeìen Diìetary Pattìerns and Erythropoiìesis-Associatìed Micronutriìent Dìeficiìenciìes (Iron, Folatìe, and Vitamin B12) among Prìegnant Womìen in Taiwan. Nutriìents. 2023;15(10).

20. Wildayani D, Lìestari W, Ningsih WL. Hubungan Asupan Zat Bìesi Dan Kalsium Dìengan Kìejadian Dismìenorìe Pada Rìemaja Putri. JOMIS (Journal Midwifìery Sciìencìe. 2023;7(2):138–47.

21. Magistri PM, Evynatra E, Dìesmawati D. Suplìemìentasi Bìesi-Folat Pada Wanita Pìekìerja: Hubungan Anìemia Dìefisiìensi Bìesi Dan Produktivitas Kìerja. Link. 2024;20(1):75–81.

22. Wahyuni S. Dìefisiìensi Bìesi dan Anìemia Dìefisiìensi Bìesi: Updatìed Litìeraturìe Rìeviìew. GALENICAL : Jurnal Kìedoktìeran dan Kìesìehatan Mahasiswa Malikussalìeh. 2024;3(3):1.

Downloads

Published

2025-12-15

How to Cite

1.
Maharani FI, Gunawan LS, Puspita RC. Folic acid supplementation increased hemoglobin levels and erythrocyte indices in women of reproductive age. Media ilmu kesehatan [Internet]. 2025 Dec. 15 [cited 2026 Jan. 18];14(3):299-307. Available from: https://ejournal.unjaya.ac.id/index.php/mik/article/view/1753