The Effect Of Giving Beetroot Juice On Increasing Hemoglobin Levels In Anemia Patients: A Literature Review

Abstract

Anemia in adolescent girls is a significant chronic health problem that remains prevalent in Indonesia, characterized by low hemoglobin levels due to inadequate iron intake and blood loss during menstruation. Although iron supplementation programs using Fe tablets have long been implemented, adherence among adolescents remains low because of gastrointestinal side effects, creating the need for alternative treatments that are safer, more acceptable, and affordable. One promising intervention is beetroot juice, which contains betacyanin, iron, folate, vitamin C, and antioxidants that support red blood cell formation and enhance iron absorption. This literature review aims to identify the effects of beetroot juice in increasing hemoglobin levels among anemic adolescent girls. This study used a Systematic Literature Review (SLR) method by searching relevant articles on Google Scholar published between 2019 and 2025. The analysis revealed that all included studies reported a significant increase in hemoglobin levels following the consumption of beetroot juice, either as a single intervention or in combination with dragon fruit or Fe tablets. Interventions lasting 7–14 days were shown to increase hemoglobin levels by 0.40–2.7 g/dL. These findings demonstrate that beetroot juice is highly effective and can serve as a supportive long-term management option for anemia, especially for adolescents with low adherence to Fe supplementation.