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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.