The Role of Nutritional Interventions in Anemia Prevention among Adolescent Girls: A Scoping Review of Quasi-Experimental Studies
DOI:
https://doi.org/10.37287/ijghr.v8i5.2402Keywords:
adolescent girls, anemia, nutritional interventions, quasi-experimentalAbstract
Anemia among adolescent girls remains a major public health problem that may compromise future maternal and child health. It is influenced by inadequate intake of iron and micronutrients, poor dietary diversity, menstrual blood loss, and low adherence to iron folic acid tablet supplementation. Although various nutritional interventions have been implemented, evidence from quasi-experimental studies needs to be comprehensively mapped because this design is widely used in school and community based settings where randomization is often limited. This article aims to review and map the scientific evidence regarding the role of nutritional interventions in preventing anemia among adolescent girls based on quasi-experimental studies. A scoping review methodology was employed, with literature searches conducted through PubMed, Scopus, and ScienceDirect, and the selection process followed the PRISMA-ScR framework. The inclusion criteria comprised quasi-experimental studies published between 2020 and 2025 involving adolescent girls as research subjects. The data indicate that interventions such as iron supplementation or iron–folic acid tablets, food fortification, and school-based nutrition education can help increase hemoglobin levels and improve anemia status among adolescent girls. However, differences in study design, intervention duration, participant adherence, and outcome indicators show variations in methods and implementation across studies. These variations may affect the magnitude of intervention effects and the consistency of the findings. Therefore, an intervention may show effective results in one study condition but may not produce the same impact in another, particularly when implementation quality, participant adherence, and evaluation methods differ. Overall, Nutritional interventions have considerable potential to prevent anemia among adolescent girls, particularly through iron folic acid supplementation, food fortification, and school-based nutrition education. However, their effectiveness depends on intervention duration, participant adherence, implementation quality, and assessment of intervention outcomes.
References
Abu-Baker, N. N., Eyadat, A. M., & Khamaiseh, A. M. (2021). The impact of nutrition education on knowledge, attitude, and practice regarding iron deficiency anemia among female adolescent students in Jordan. Heliyon, 7(2). https://doi.org/10.1016/j.heliyon.2021.e06348
Djati, I. S., Nugraheni, S. A., & Sriatmi, A. (2025). Factors Influencing Attitude Making in The Prevention of Anemia in Female Adolescent : A scoping review. 6(1), 651–671.
Fatmawati, Koro, S., Nadimin, Gani, K., Hasan, Abadi, E., & Mallongi, A. (2023). Intervention of Giving Moringa Biscuits ( Moringa Oliefera ) Mix Sori Fish Flour to Increased Blood Hemoglobin Levels in Young Girls , Kendari , INDONESIA. 15(2), 414–417.
Fitariani, S., Masruroh, Mawarti, H., & Nasrudin. (2025). Anemia Among Adolescent Girls: A Global Review Of Prevelance, Risk Factors, And Intervensions. 5(2), 121–134.
Ghimire, M., Bhandari, S., & Rajbanshi, M. (2024). PLOS GLOBAL PUBLIC HEALTH Prevalence of anemia and its associated factors among school-going adolescent girls in schools of Dhankuta municipality ,. 1–17. https://doi.org/10.1371/journal.pgph.0003684
Gore, M. N., Gore, M. N., Drozd, M. E., & Patil, R. S. (2024). Anemia Prevalence and Socioeconomic Status among Adolescent Girls in Rural Western India : A Cross-Sectional Study.
Jeihooni, A. K., Hoshyar, S., Harsini, P. A., & Rakhshani, T. (2021). The effect of nutrition education based on PRECEDE model on iron deficiency anemia among female students. BMC Women’s Health, 1–9. https://doi.org/10.1186/s12905-021-01394-2
Jubaedah, E., & Hisyam, M. (2024). Human Nutrition & Metabolism The effect of giving sweet potato leaf-based functional drink to increase HB levels. Human Nutrition & Metabolism, 37(June), 200280. https://doi.org/10.1016/j.hnm.2024.200280
Jumiyati, Hendryani, A., Hidayati, R. N., & W, T. W. (2024). ENHANCING ADOLESCENT GIRLS ANEMIA PREVENTION KNOWLEDGE AND ATTITUDES THROUGH NUTRITIONAL. 19, 20–28.
Kurniawan, A. L., Ranisavljev, M., Partap, U., Shinde, S., Ferrero, E., Ostojic, S., Mkwanazi, N., Alangea, D. O., Neumann, C., Liu, S., & Bärnighausen, T. (2024). Community-Based interventions targeting multiple forms of malnutrition among income and middle- adolescents in low- income countries : protocol for a scoping review. 1–6. https://doi.org/10.1136/bmjopen-2023-078969
Megawati, M., & Sudargo, T. (2023). The Effect of Jelly Candy Snake Fruit and Banana With Ferrous Fumarat Fortified using Nano Technology in Adolescent Female at Junior High School. 15(6), 1150–1155.
Nasrul, Hafid, F., Taqwin, Hikmah, Risma, Nuswantari, A., & Sariman, S. (2025). Iron Supplement Consumption , Dietary Intake , Nutritional Status , and Anemia Among Key Messages : Journal of Health and Nutrition Research, 4(2).
Nugraheni, S. A., Yuniastuti, A., As, S., Fristiwi, P., & Asri, F. (2025). Adaptation of Moringa Leaf Extract on Hemoglobin and Arm Circumference in Adolescent Girls Semarang. 21(3), 192–199.
Patimah, S., & Idrus, H. H. (2023). Current Research in Nutrition and Food Science Effect of School-Integrated Interventions on Improvement of Nutrition-Health Knowledge and Nutritional Status among Adolescent Girls : A Quasi-Experimental Study. 11(2).
Putu, N., Madestria, O., Indarty, A., Tahir, M., Suarayasa, K., Nur, R., & Syam, A. (2021). Effect of education through video and packaging modifications of iron tablets on female adolescent behavior in the iron supplementation intake in SMPN 2 and SMPN 1 Parigi ଝ. Gaceta Sanitaria, 35, S127–S130. https://doi.org/10.1016/j.gaceta.2021.10.011
Rahman, J., Rahman, M., Habibur, M., Sarker, R., & Matsuyama, R. (2025). Impact of mobile health-based nutritional education on hemoglobin levels in anemic adolescent girls in rural Bangladesh : a randomized controlled trial.
Rakhshani, T., Masoomi, R., Yousefi, M., Kamyab, A., & Taravatmanesh, S. (2025). The effect of educational intervention based on the theory of planned behavior to prevent iron deficiency anemia in female high school students.
Sari, D. N., Hilmanto, D., Sunjaya, D. K., & Sari, P. (2025). Community-based interventions to improve adolescent nutrition : a scoping review.
Sari, P., Tina, R., Judistiani, D., & Hilmanto, D. (2022). Iron Deficiency Anemia and Associated Factors Among Adolescent Girls and Women in a Rural Area of Jatinangor , Indonesia. August, 1137–1147.
Tirtawati, G. A., Kusmiyati, K., Rompas, M., Terok, M., Runtu, L. G., Fione, V. R., Adam, Y., & Solang, S. D. (2025). Red guava ( Psidium guajava L ) juice increases hemoglobin levels in female adolescent. 45(1), 98–102. https://doi.org/10.12873/451tirtawati
Tricco, A. C., Lillie, E., Zarin, W., Brien, K. K. O., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Ma, Q., Horsley, T., Weeks, L., Hartling, L., Aldcroft, A., Hons, B. A., Wilson, M. G., & Garritty, C. (2018). PRISMA Extension for Scoping Reviews ( PRISMA-ScR ): Checklist and Explanation. https://doi.org/10.7326/M18-0850
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
