Pengaruh Pemberian Kukis Kombinasi Tepung Ikan Tongkol (Euthynnus affinis) dan Tepung Bayam (Amaranthus tricolor) Dengan Penambahan Probiotik Dadih Terhadap Kadar Feritin Serum Pada Tikus Wistar Anemia

Authors

  • Azizah Firda Azahra Universitas Andalas
  • Nur Indrawaty Lipoeto Universitas Andalas
  • Zelly Dia Rofinda Universitas Andalas
  • Rauza Sukma Rita Universitas Andalas
  • Desmawati Desmawati Universitas Andalas
  • Dwi Yulia Universitas Andalas
  • Ulya Uti Fasrini Universitas Andalas

DOI:

https://doi.org/10.55681/sentri.v4i11.4950

Keywords:

anemia, serum ferritin, skipjack tuna, spinach, dadih, probiotics

Abstract

Anemia is a global health problem characterized by low hemoglobin and ferritin levels due to iron deficiency, which affects growth, cognition, and disease risk, particularly in children and women of reproductive age. Local food–based nutritional interventions such as skipjack tuna (heme iron), spinach (non-heme iron), and dadih (probiotics) have the potential to provide synergistic effects in improving iron status. This study aimed to determine the effect of cookies made from a combination of skipjack tuna flour and spinach with the addition of dadih probiotics on serum ferritin levels, as well as the effectiveness of Sodium Nitrite (NaNO₂) in decreasing ferritin and hemoglobin levels as indicators of anemia. The study used a Post-Test Only Control Group design with 36 female Wistar rats induced with anemia using NaNO₂ at a dose of 25 mg/200 g BW for 18 days, then divided into six treatment groups for 28 days. Ferritin levels were measured using the ELISA method. The results showed that administering cookies made from the combination of skipjack tuna flour and spinach with dadih probiotics significantly increased ferritin levels (P=0.000) compared to the control and single-ingredient groups. NaNO₂ was proven effective as an anemia-inducing agent. This combined cookie formulation has the potential to improve serum ferritin levels.

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References

Cappellini MD, Motta. Anemia in clinical practice—Definition and classification: Does hemoglobin change with aging. Semin Hematol [Internet]. 2015;52(4):261–9. Available from: https://doi.org/10.1053/j.seminhematol.2015.06.002

Mentari D. Mengenal Anemia : Patofisiologi, Klasifikasi, Dan Diagnosis. BRIN. Jakarta; 2023.

Malesza IJ, Bartkowiak-Wieczorek J, Winkler-Galicki J, Nowicka A, Dzięciołowska D, Błaszczyk M, et al. The Dark Side of Iron: The Relationship between Iron, Inflammation and Gut Microbiota in Selected Diseases Associated with Iron Deficiency Anaemia—A Narrative Review. Nutrients. 2022;14(17).

Riskesdas K. hasil utama riset kesehatan dasar (RISKESDAS). J Kesehat. 2013;

Muleviciene A, D’Amico F, Turroni S, Candela M, Jankauskiene A. Iron deficiency anemia-related gut microbiota dysbiosis in infants and young children: A pilot study. Acta Microbiol Immunol Hung. 2018;65(4):551–64.

Seyoum Y. Iron homeostasis in host and gut bacteria–a complex interrelationship. Gut Microbes [Internet]. 2021;13(1):1–19. Available from: https://doi.org/10.1080/19490976.2021.1874855

Sundararajan, Rabe. Prevention of iron deficiency anemia in infants and toddlers. Pediatr Res. 2021;89(1):63–73.

Rusu IG, Suharoschi R, Vodnar DC, Pop CR, Socaci SA, Vulturar R, et al. Iron supplementation influence on the gut microbiota and probiotic intake effect in iron deficiency—A literature-based review. Nutrients. 2020;12(7):1–17.

Nabila ZE. Pengaruh Substitusi Tepung Bayam Hijau (Amaranthus hybridus L.) Sebagai Alternatif Bahan Pangan Fungsional Terhadap Daya Terima, Kandungan Zat Gizi (Karbohidrat, Protein, Lemak, Kadar Air dan Kadar Abu), dan Kadar Zat Besi Pada Donat. Skripsi. 2022;1–106.

Skrypnik K, Bogdański P, Schmidt M, Suliburska J. The Effect of Multispecies Probiotic Supplementation on Iron Status in Rats. Biol Trace Elem Res. 2019;192(2):234–43.

Hasyi YI. Pengembangan Cookies Kombinasi Tepung Ikan Tongkol (Euthynnus Affinis) Dan Tepung Daun Bayam (Amaranthus Tricolor) Sebagai Cemilan Sehat Pada Remaja Putri Anemia Besi. Vol. 13, Nucl. Phys. Universitas Andalas; 2023.

Mayasari OR. Pengaruh Cookies Bar Berbasis Sukun (Artocarpus Altilis) Dan Kedelai (Glycine Max L.) Dengan Prebiotik Dan Fortifikasi Besi Terhadap Hemoglobin Dan Ferritin Tikus Sprague Dawley Anemia. Universitas Gajah Mada; 2019.

Hasanalita H, Amir A, Defrin D. Efektifitas Ekstrak Jambu Biji Terhadap Kadar Hemoglobin Pada Tikus Bunting. J Kesehat Andalas. 2019;8(2):290.

Lee JK, DeLellis R, Ebea P, Zhu S, R. T. Establishing dietary iron requirements for mouse and rat models of hereditary hemochromatosis. FASEB J [Internet]. 2022;36(1):R2602. Available from: https://doi.org/10.1096/fasebj.2022.36.S1.R260236

García López S, Rubio A, Poza V, Bermejo, García López S. Optimal management of iron deficiency anemia due to poor dietary intake. Int J Gen Med. 2015;741.

Sandy EN. Pengaruh Pemberian Ekstrak Rumput Laut Cokelat (Sargassum Duplicatum) Terhadap Peningkatan Kadar Hemoglobin Pada Darah Tikus Jantan (Rattus Norvegicus) Galur Wistar Anemia Yang Di Induksi Nano2. Ocean Biomed J. 2021;Vol 4(1):11–25.

Kusumatjahja GA. Pengaruh Vitamin C Pada Profil Darah Tikus (Rattus norvegicus) Jantan yang Diinduksi Natrium Nitrit (NaNO2). Univ Udayana. 2022;2:186–98.

Maisaroh A. The Intervention Effect Of Spinach Juice (Amaranthus Hybridus L.) With Pineapple (Ananas Comosus (L) Merr) Against Hemoglobin Level In White Rats (Rattus Norvegicus L.) Sodium Nitrite-Induced Strain Of Wistar. 2019.

Ansari FA. Taurine mitigates nitrite‑induced methemoglobin formation and oxidative damage in human erythrocytes. Environ Sci Pollut Res Int [Internet]. 2017;24(23). Available from: https://doi.org/10.1007/s11356-017-9512-5

Kumar A, Sharma E, Marley A, Samaan MA, Brookes MJ. Iron deficiency anaemia: Pathophysiology, assessment, practical management. BMJ Open Gastroenterol. 2022;9(1):1–9.

Abbas M, Hayirli Z, Drakesmith H, Andrews SC, Lewis MC. Effects of iron deficiency and iron supplementation at the host-microbiota interface: Could a piglet model unravel complexities of the underlying mechanisms. Front Nutr. 2022;9(1):1–12.

Andina R, Kuswari M, Melani V. Hubungan Asupan Zat Gizi dan Status Gizi Remaja Putri di SMK Ciawi Bogor. Indones J Hum Nutr. 2018;5(2):125.

Jurnalis YD. Pengaruh Pemberian Dadih Terhadap Keseimbangan Mikroflora Usus dan Tinggi Vili Ileum. Sari Pediatr. 2020;21(4):207.

Hurrell RF EII. Iron bioavailability and dietary reference values. Am J Clin Nutr Nutr [Internet]. 2019;91(5). Available from: https://doi.org/10.3945/ajcn.2010.28674F

Apte A, Parge A, Nimkar R, Sinha A. Effect of probiotic and prebiotics supplementation on hemoglobin levels and iron absorption among women of reproductive age and children: a systematic review and meta-analysis. BMC Nutr [Internet]. 2025;11(1). Available from: https://doi.org/10.1186/s40795-025-01015-3

Kalman D, Hewlings S, Madelyn-Adjei A, Ebersole B. Dietary Heme Iron: A Review of Efficacy, Safety and Tolerability. Nutr . 2025;17(13):1–17.

Hadadi N, Berweiler V, Wang H, Trajkovski M. Intestinal microbiota as a route for micronutrient bioavailability. Curr Opin Endocr Metab Res [Internet]. 2021;20:10028. Available from: https://doi.org/10.1016/j.coemr.2021.100285

Axling U, Önning G, Combs MA, Bogale A, Högström M, Svensson M. Lactobacillus plantarum 299v improves iron status in female iron-deficient athletes: A randomized controlled trial. Nutrients [Internet]. 2020;12(5). Available from: https://doi.org/10.3390/nu12051279

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Published

2025-11-22

How to Cite

Azahra, A. F., Lipoeto, N. I., Rofinda, Z. D., Rita, R. S., Desmawati, D., Yulia, D., & Fasrini, U. U. (2025). Pengaruh Pemberian Kukis Kombinasi Tepung Ikan Tongkol (Euthynnus affinis) dan Tepung Bayam (Amaranthus tricolor) Dengan Penambahan Probiotik Dadih Terhadap Kadar Feritin Serum Pada Tikus Wistar Anemia. SENTRI: Jurnal Riset Ilmiah, 4(11), 2995–3004. https://doi.org/10.55681/sentri.v4i11.4950