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Liver dysfunction is a common health issue among the elderly and can significantly impact quality of life, particularly due to its progressive nature and frequently asymptomatic presentation in the early stages. Many older adults are unaware of liver problems, as mild symptoms such as fatigue, abdominal discomfort, or reduced appetite are often perceived as normal signs of aging. The Community Service Program (PKM) conducted at Panti Werdha Hana aimed to raise awareness among the elderly regarding the importance of early detection of liver dysfunction through SGOT and SGPT enzyme screening. This activity employed the Plan-Do-Check-Act (PDCA) approach, including laboratory examinations and interactive counseling on risk factors, healthy lifestyle practices, and the significance of regular health monitoring. Among the 76 participants, 10 individuals (13.16%) were found to have elevated SGOT levels, and 8 individuals (7.89%) had SGPT levels above the normal range. These findings underscore the importance of early detection in preventing the progression of chronic liver diseases, enhancing the quality of life of the elderly, and supporting more effective and sustainable healthcare interventions.

Type 2 diabetes mellitus is a chronic metabolic disease that is increasingly found in the productive age population and can have a major impact on quality of life, especially due to risk complications such as heart disease, nerve disorders, retinopathy, and kidney damage. Early symptoms are often not recognized because they are considered minor complaints, such as fatigue or frequent urination, so many cases are not diagnosed in the early stages. The Community Service Program (PKM) implemented in Grogol Village aims to increase public awareness of the importance of early detection of diabetes through fasting blood sugar screening activities. This activity uses the Plan-Do-Check-Act (PDCA) approach, including checking glucose levels with the Point-of-Care Testing (POCT) tool, as well as counseling on risk factors and prevention of diabetes. Of the 71 participants involved, 19 people (26.76%) were identified as having diabetes, 8 people (11.27%) had prediabetes, and the rest had blood sugar levels within normal limits. These results indicate that early screening is very important to prevent diabetes progression and severe complications, and is a foundation for building public awareness to maintain metabolic health sustainably.

Chronic kidney disease (CKD) is a metabolic disorder that is increasingly prevalent among the productive-age population and can significantly impair quality of life, particularly due to its progressive nature and often asymptomatic presentation in the early stages. Routine assessments of kidney function—such as estimated glomerular filtration rate (eGFR) and serum creatinine levels—are essential for the early detection of kidney impairment. The Community Service Program (PKM) conducted in Grogol Village aimed to raise public awareness regarding the importance of early screening for kidney dysfunction. Among the 71 participants involved in the activity, 9 individuals (12.68%) had elevated serum creatinine levels, 4 individuals (5.63%) showed evidence of stage 3a kidney function decline, and 31 individuals (43.66%) were identified with stage 2 kidney function decline. Only 36 participants (50.7%) had normal kidney function. These results underscore the necessity of early detection efforts to prevent the progression of CKD and to promote sustained public awareness on the importance of maintaining kidney and metabolic health.   Keywords: Chronic Kidney Disease, Creatinine, eGFR, Early Detection, Productive Age

High blood triglyceride levels indicate impaired fat metabolism and can trigger atherosclerosis, making hypertriglyceridemia a major risk factor for cardiovascular disease (CVD), metabolic syndrome, and acute pancreatitis. The productive-age population often experiences overnutrition due to unhealthy diets and low physical activity, increasing fat and triglyceride accumulation. Stress may also elevate triglyceride levels, necessitating early screening. The Community Service Program (PKM) at Assisi Church aimed to raise awareness of early dyslipidemia detection through triglyceride screening using Point-of-Care Testing (POCT) and educational counseling. Among 76 participants, 39 (57.35%) had high triglyceride levels, while 29 (42.65%) were normal. These findings highlight the importance of regular check-ups and continuous education to reduce cardiometabolic risks and promote healthier lifestyles.

Muscle strength is the ability of muscles to produce power for physical activity, important for mobility, balance and body function. Decreased muscle strength, especially due to aging, negatively impacts quality of life and increases the risk of diseases such as diabetes and cardiovascular disease. Handgrip is a simple method for measuring muscle strength, especially hand grip strength. This study aims to evaluate the relationship between hand grip strength and blood insulin levels in the elderly. This study used a cross-sectional design at the Bina Bhakti Nursing Home with 93 participants aged 60 years and over. Hand grip strength was measured using a dynamometer, and blood insulin levels were measured from venous blood samples. Data were analyzed using Spearman correlation. The results showed an average right hand grip strength of 10.23 kg and left hand 9.33 kg, with an average blood insulin level of 4.83 µU/mL. A significant positive correlation was found between right and left hand grip strength (rho = 0.884, p < 0.001), as well as between right (rho = 0.218, p = 0.036) and left hand grip strength (rho = 0.290, p = 0.005) and insulin levels. blood. These results indicate that hand grip strength can be an indicator of metabolic health in the elderly. Interventions such as strength training and proper nutrition are important for maintaining muscle strength and metabolic health in the elderly.

Elderly individuals often experience physiological and health-related changes, including reduced muscle quality and decreased levels of physical activity. This decline negatively impacts overall health, increases the risk of chronic diseases, and diminishes the ability to perform daily activities. This study aimed to examine the relationship between vitamin D levels and physical activity in older adults. A cross-sectional study was conducted at the Bina Bhakti Nursing Home involving 93 participants aged 60 years and above. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ), while vitamin D levels were measured through venous blood sampling. Statistical analyses included descriptive statistics and Spearman correlation. The average age of the participants was 74.34 years, with a mean vitamin D level of 23.73 ng/mL. Based on IPAQ results, 26.9% of participants had low physical activity, 44.1% moderate, and 29% high. Spearman correlation revealed a weak but statistically significant positive correlation between vitamin D levels and physical activity (r = 0.240, p = 0.021). These findings suggest that higher physical activity levels are associated with higher vitamin D concentrations. Engaging in outdoor activities that promote sun exposure and an active lifestyle contributes to maintaining adequate vitamin D levels, which are essential for muscle function, balance, and bone health. Therefore, ensuring sufficient vitamin D status is crucial for supporting optimal physical activity and enhancing the overall health and quality of life among the elderly.

Neurocognitive disorders, particularly dementia, affect various cognitive functions such as memory, attention, language, learning, and problem-solving, with the elderly population being the most impacted. The prevalence of dementia is projected to rise to 131 million cases by 2050, posing significant social and economic implications. This study employed a cross-sectional method to evaluate the role of Apolipoprotein A (APOA) and Apolipoprotein B (APOB) in the diagnosis and prevention of dementia in older adults. The results showed that Apolipoprotein A was not significantly correlated with MMSE scores, indicating no clear relationship between APOA and cognitive function. In contrast, Apolipoprotein B demonstrated a significant negative correlation with MMSE, suggesting that increased APOB levels are associated with cognitive decline. Elevated ApoB, linked to increased LDL and oxidative stress, correlated with reduced cognitive function, whereas ApoA, the main component of HDL, is associated with neuroprotective effects. These findings underscore the importance of monitoring lipid profiles, including ApoA and ApoB, in the prevention and management of dementia in the elderly.    

Cholesterol is a lipid compound produced by the body and obtained from food, functioning to build cell membranes, produce certain hormones, and support metabolic processes in the body. Excessive cholesterol levels can increase the risk of cardiovascular diseases. This Community Service initiative aims to enhance the understanding and awareness of staff and employees at St. Yoseph High School, Cakung, regarding the risks of high cholesterol and preventive measures through routine screenings and health education. The program follows the Plan-Do-Check-Act (PDCA) approach, encompassing planning for education and screenings, conducting information sessions and cholesterol measurements, evaluating program effectiveness, and implementing follow-up actions for continuous improvement. Education on a healthy lifestyle, which includes a balanced diet, physical activity, and avoidance of alcohol and smoking, plays a vital role in maintaining normal cholesterol levels. Routine screenings are also essential for the early detection of high cholesterol risks. This initiative is expected to promote healthy behaviors and support improved workplace health by raising awareness about the importance of cholesterol prevention in the work environment.

Dermatoporosis is a chronic skin fragility syndrome common in the elderly, characterized by thinning of the skin that increases the risk of injury, bruising, and delayed wound healing. Chronic hyperglycemia and poor glycemic control have been reported to be associated with an increased risk of dermatoporosis. This community service activity aims to screen blood sugar levels, HbA1c, and dermatoporosis and educate the elderly using the Plan-Do-Check-Act (PDCA) method at Panti Bina Bhakti, South Tangerang. This activity involved 93 elderly participants aged >65 years. Meanwhile, based on the results of the HbA1C examination, 52 people had moderate glycemic control and 24 people had poor glycemic control. The results of the dermatoporosis examination have not been included. Early intervention through education and monitoring of blood sugar levels can reduce the risk of dermatoporosis, improve the health of the elderly's skin, and reduce the burden of health care.

Obesitas adalah kondisi di mana seseorang memiliki berat badan melebihi batas normal akibat penumpukan lemak berlebih dalam tubuh. Obesitas berhubungan erat dengan terjadinya resistensi insulin, yaitu suatu kondisi dimana tubuh tidak dapat memberikan respon kepada insulin secara efektif. Oleh sebab itu, edukasi dan skrining rutin pada kelompok lanjut usia dalam rangka mendeteksi dan mengelola resistensi insulin pada tahap awal merupakan hal yang sangat penting. Kegiatan pengabdian ini dilakukan dengan metode PDCA (Plan-Do-Check-Act), yang mencakup edukasi tentang pola makan sehat, aktivitas fisik, dan manajemen berat badan, serta skrining kadar insulin. Berdasarkan kegiatan ini, edukasi dan skrining terbukti penting dalam mencegah komplikasi lebih lanjut dan meningkatkan kualitas hidup lanjut usia.

Body composition refers to the distribution of fat, muscle, bone, and other tissues in the human body, which is often expressed as a percentage of total body weight consisting of fat mass and lean body mass. Obesity, characterized by excess fat in adipose tissue, poses a significant health risk and is increasing in countries with low and medium mortality rates, especially in metropolitan areas. Factors contributing to this include genetics, a lack of physical activity, socioeconomic status, unhealthy eating patterns, psychosocial factors, smoking, and alcohol consumption. Excess body fat significantly contributes to morbidity and mortality. Although optimal body fat levels vary, excess fat increases the risk of health issues such as joint problems and cardiovascular disease. People widely use bioimpedance analysis (BIA), an efficient, non-invasive method, to assess nutritional status and body composition. This activity uses the PDCA (Plan-Do-Check-Action) method, which is carried out at PT. Narindo, North Jakarta, in the productive age population. The examination results showed that the average levels of total body fat, visceral fat, total subcutaneous fat, total muscle mass were 28.6%; 11%; 22.2%; 28.3%. Early detection of body composition is critical for assessing nutritional and health status as well as diagnosing disease, potentially reducing obesity-related morbidity and mortality.

Obesity in children and adolescents is a global health problem, with increasing prevalence in low- and middle-income countries and consistently high obesity rates in high-income countries. Obesity, characterized by excessive lipid accumulation, is primarily caused by an energy imbalance resulting from high caloric intake and inadequate expenditure. This activity uses the PDCA (Plan-Do-Check-Act) methodology, involving 167 participants for obesity screening. The results of measuring Body Mass Index and waist circumference showed that 14 (8.39%) people were obese level II, 22 (13.18%) people were obese level I, 13 (7.79%) people were overweight, and 53 ( 31.74%) people have a risk of central obesity. Early detection through routine anthropometric assessments allows timely intervention, including lifestyle modifications to prevent obesity and related comorbidities, thereby improving overall health outcomes.

Obesity, characterised by excessive or abnormal fat accumulation, poses significant health risks. The prevalence of obesity in Indonesia's adult population increased from 14.8% in 2013 to 21.8% in 2018, with central obesity rising from 26.6% to 31%. Contributing factors include genetics, lifestyle, psychological stress, and socioeconomic status. Although the Body Mass Index (BMI) is a standard measurement for assessing obesity, BMI does not accurately reflect the composition or distribution of body fat. Therefore, additional anthropometric measurements such as waist and hip circumference are essential. This activity uses the PDCA (Plan-Do-Check-Action) methodology to screen for obesity in adults at Kalam Kudus Middle School, West Jakarta. Of the 129 participants, 26 people (20.16%) were overweight and 35 people (27.14%) were obese. Waist circumference indicated central obesity in 61 women (47.29%) and 19 men (14.73%). Hip circumference showed that 9 men and women (6.98%) had a high risk of metabolic disease. Anthropometric measurements provide important insights into obesity and its health implications, emphasising the need for regular screening and lifestyle modification.

Abstract: Obesity is a global epidemic and a significant public health problem. In the elderly population, obesity is defined as a BMI ≥ 25 kg/m². In the United States, the prevalence of obesity among the elderly is 37.1% in men and 33.6% in women over the age of 60. Obesity increases the risk of chronic diseases such as type 2 diabetes, hypertension and cardiovascular disease, and can cause psychological problems such as sleep disorders and lack of self-confidence. Accurate obesity risk assessment involves measuring Body Mass Index (BMI) and waist circumference. This activity uses the Plan-Do-Check-Act (PDCA) methodology to screen for obesity in the elderly at Hana Nursing Home, South Tangerang. The screening includes anthropometric measurements of BMI and waist circumference, followed by evaluation and nutritional counseling for at-risk individuals. 9 people (14.75%) had overweight nutritional status, 3 people (4.92%) had obese nutritional status, and 35 people (57.38%) were at risk of central obesity. Routine anthropometric measurements are critical for monitoring obesity and implementing preventive measures to improve overall health outcomes, improve quality of life, and reduce obesity-related morbidity and mortality rates. Keywords: Obesity, Central Obesity, Elderly, Body Mass Index, Waist Circumference

Ultraviolet (UV) radiation, especially UVB and UVA, plays an important role in the pathogenesis of skin damage. Excessive sun exposure causes various skin problems, such as burning, dehydration, and premature aging, and increases the risk of skin cancer. Precautions such as using sunscreen, protective clothing, and avoiding peak UV exposure times are essential. Using the PDCA (Plan-Do-Check-Act) cycle, we carry out facial skin health checks, including education about sun protection, identification of skin problems, and follow-up interventions. 33 participants (11 men and 22 women) participated in this activity. It was found that the average wrinkle, roughness, moist, and UV damage were 17%, 20%, 46%, and 22.18% respectively. Early counseling and screening is essential to increase awareness, change behavior, and prevent skin problems, ultimately improving skin health and improving quality of life.

Pruritus, or itching, is a common symptom in seniors that has a significant impact on their quality of life. Primary skin disorders such as xerosis, atopic dermatitis, and scabies, as well as systemic diseases such as cancer, chronic renal failure, cholestasis, hyperthyroidism, diabetes mellitus, iron deficiency anemia, and certain medications, can cause this condition. Chronic pruritus, which is common in individuals over 60 years of age, can cause discomfort, sleep disturbances, and psychological stress. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for pruritus intensity in the elderly in St. Anna. One individual (2.4%) reported mild pruritus, while 12 individuals (29.3%) reported severe pruritus. Routine assessment using the 12-PSS provides important information for managing pruritus in the elderly, meeting clinical and research needs, and improving patient care and quality of life.