Administering Tuna Fish Dimsum Mixed with Spinach on the Hemoglobin Levels of Adolescent Girls at State Senior High School 1 Tenga, North Sulawesi, Indonesia

Anemia is one of the micronutrient problems that is quite serious because it causes various complications in groups and newborns and women. Adolescent girls who are menstruating lose twice as much iron as adolescent boys. Cod fish is a fish that has complete nutrients and is affordable. Cod fish has the advantage of high protein content and rich in omega 3 fatty acids and every 100 grams has a composition consisting of 1.50% fat, 25% protein, and 0.03% carbohydrates and contains several minerals such as calcium, phosphorus, iron, sodium, vitamin A, vitamin B. Spinach is a vegetable plant that has many benefits and nutritious content, Spinach contains vitamin C, dolic acid and iron which are good and can prevent anemia in adolescents. To determine the effect of giving cod fish dimsum mixed spinach on hemoglobin levels of adolescent girls at SMA Negeri 1 Tenga. This study was carried out with the design of the one group pretest-posttest design, which is a research design that contains a pretest before being treated and a posttest after being given treatment, where observations are carried out twice, namely before and after the experiment for 14 days. The results of this study showed that there was an effect of giving cod fish mixed spinach dimsum on the increase in hb levels, namely with the p-velue value (0.000 0.05) and there was a difference in hb levels before and after administration with an average value before 13.2 gr/dL and an average value after 15.8 gr/dL, this was strengthened by the p-velue value (0.002 0.05) which means that there was a difference between hb levels before and after hb levels.