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Elderly will experience changes in body composition which will affect the Waist to Hip Ratio (WHR) and have an impact on blood pressure. Hypertension is often found in the elderly in Indonesia. The aim of this study was to determine the relationship and differences in WHR and body composition between hypertensive and non-hypertensive elderly. The design used in this research is case control. The population of this study included all elderly people in the Griya Werdha Jambangan Surabaya Regional Technical Implementation Unit (RTIU) with a total sample of 76 elderly people consisting of 38 hypertensive and 38 non-hypertensive. The results of the research were the relationship between getting WHR, fat mass, muscle mass (p = 0,000), bone mass (p = 0,026), and fluid mass (p = 0,049). The results of the study were differences in WHR, fat mass, muscle mass, bone mass (p = 0,000), and fluid mass (p = 0,001). The odds ratio (OR) value shows that elderly people with obesity WHR have a risk of 27,4, more fat mass and muscle mass below normal have a risk of 24,4, bone mass below normal has a risk of 5,8, and less fluid mass has a risk of 5,1 times developing hypertension. Based on these results, it can be concluded that there is a relationship between WHR and body composition and hypertension, and there are differences in WHR ​​and body composition values between hypertensive and non-hypertensive elderly.

Elderly is the final stage of adulthood where a person will enter the age of 60 and above. In the elderly, osteoarthritis occurs more often in the knee joints (knee osteoarthritis) than in other areas, such as the joints of the hands and hips. The most common clinical symptoms are pain that arises gradually and worsens over time, stiffness, crepitus, and joint motion restrictions. The purpose of this study was to educate the elderly about the meaning of knee osteoarthritis, risk factors, signs and symptoms, prevention efforts, and exercises that can be done at home. The method used was to provide counseling in the form of health promotion about knee osteoarthritis to the elderly with leaflets as a medium for counseling. Pre-test and post-test were given to measure the effectiveness of counseling. The conclusion of this study was that the activity went smoothly, was well realized, and received enthusiasm from the participants. The results obtained based on the evaluation were an increase in the knowledge and understanding of the elderly community in Tulusrejo Village regarding knee osteoarthritis.

Social interaction an important role in the lives of the elderly because in the elderly there are various declines in body abilities and five senses which can influence and limit the activities and movements of the elderly. Lack of social interaction in the elderly can be a factor in reducing the quality of life of the elderly. Purpose: This study aims to determine the relationship between social interaction and quality of life in the elderly. Method: Quantitative research method uses a correlational design. The research population was the total number of elderly people in the Kedurang District Health Center Working Area in Durian Sebatang Village, 75 people. The sampling technique uses purposive sampling. Data were collected using quality of life and social interaction questionnaires. Analysis uses the Chi–Square Test (c2). Result: The research results showed that (1) of the 43 respondents, the majority (51.2%) had poor interaction and (48.8%) respondents had good interaction. (2) Of the 43 respondents, (51.2) had good quality of life and (48.8%) had poor quality of life. The results of the chi-square test (Continuity Correction) obtained a value of c2=5.254 with asymp.sig(p) = 0.022 < 0.05. This result shows that there is a significant relationship between social interaction and quality of life. Conclusion: it can be concluded that there is a significant relationship between social interaction and quality of life in the elderly

Background: The influence of the aging process can cause various problems, both physically, biologically, mentally, and socioeconomically. This also results in disruptions in meeting their living needs, so that it can increase dependence that requires the help of others. Independence in the elderly is assessed by their ability to carry out daily activities (Activities of Daily Living) is one of the measuring tools to assess functional capacity to find out the elderly who need the help of others in carrying out daily life activities or can do it independently. Method: The research design used is a descriptive method. The location of the study was carried out in Tibubeneng Village, North Kuta, Badung, with a sample of 60 respondents selected by purposive sampling technique. The instrument of this research is the Barthel Index Questionnaire, Data processing is carried out using computerization. The data is presented in a textual/narrative manner and accompanied by tables. Result: The characteristics of respondents are many genders of women with 60%, the age group is mostly in the age range of 60-74 years old with a percentage of 56.7%, Diabetes Militus is the highest history of diseases experienced by the elderly as much as 33.4% and 100% of the elderly live together with their families. The level of independence of the elderly in carrying out daily activities shows that most of the elderly are independent in carrying out their activities as much as 60%. Conclusion: The results of the study show that most of the elderly with the female gender, the age range of the elderly is mostly with the age range of the elderly (60 – 74 years) as large, based on the history of the disease most of the elderly do not experience illness, the elderly all live with family. The results of the study show that the level of independence of the elderly in carrying out daily activities shows that most of the elderly are independent.

Hypertension is a condition of the blood circulation system that causes an increase in blood pressure above normal values ​​or blood pressure ≥140/90 mmHg. Prolonged increase in blood pressure can trigger the risk of stroke, heart failure, and kidney failure. Community service activities are one of the efforts to implement physiotherapy services, one form of counseling is by addressing problems that are widely complained about by the community. The purpose of the counseling is to provide knowledge about hypertension and how to do exercises to reduce neck pain independently at home. The method used is in the form of education and stretching exercises using leaflets as a counseling medium. Counseling is carried out by providing pre-tests and post-tests in the form of questions to patients to assess the effectiveness of the counseling that will be given to the elderly community. The results of the counseling went smoothly and from the evaluation there was an increase in participant knowledge from 0% to 100%, which in counseling activities can increase participant knowledge about how to deal with neck pain caused by hypertension.

This study was motivated by the high prevalence of high blood pressure (hypertension) and uncontrolled blood sugar levels among the elderly, particularly in Kalitengah Village, Blitar Regency. The elderly are a vulnerable group to health problems due to a decline in physiological function, which can lead to serious complications such as stroke, heart failure, and diabetes mellitus. This study aims to determine the relationship between elderly exercise activities and blood pressure and blood sugar levels. The method used is quantitative with a correlational design. The study subjects consisted of 30 elderly individuals who actively participated in regular exercise activities at the Kalitengah Village Health Post. Measurements were taken of systolic and diastolic blood pressure and blood sugar levels before and after the exercise intervention. Based on the findings supported by previous literature reviews, it is known that physical activities such as elderly exercise significantly reduce blood pressure and help control blood sugar levels. The findings of this study indicate that regular exercise can improve blood pressure and blood glucose parameters. The results of this study are expected to serve as a basis for promotive and preventive efforts to improve the quality of life of the elderly through community-based interventions that are easy, affordable, and effective, namely elderly exercise.

The elderly is a final condition in human life which is characterized by physiological and psychosocial changes. The elderly at the Adiyuswo Semarang Nursing Home are elderly people who are categorized as abandoned. One of the health services obtained by the elderly at the Adiyuswo Nursing Home is care that supports spirituality. Spirituality prevents the elderly from committing maladaptive actions. This research is aimed at identifying the relationship between the level of spirituality and quality of life in the elderly in the Adiyuswo Nursing Home. The research sample was 40 elderly respondents over 60 years old, the research design used cross sectional with the Stratified Random Sampling technique. Data analysis using Chi-Squre showed that there was a relationship between the level of spirituality and quality of life in the elderly (p-value = 0.000 < 0.005 and X2 = 21.774). The results of the analysis also showed an OR value of 4,745 which means that a low level of spirituality is 5 times more likely to have alow quality of life. The results of this research are expected to be beneficial for services, institutions of Nursing Homes and the development of social sciences, as well as research related to improving the quality of life by increasing the spirituality of the elderly. The purpose of this study is to find out the relationship between spiritual aspects and the level of quality of life of the elderly in the Adiyuswo Semarang Nursing Home.

Osteoarthritis is a joint disorder that develops degeneratively due to chronic inflammation in the joint. Symptoms involve the gradual breakdown of cartilage, osteophyte formation, and changes in the synovial membrane. Osteoarthritis sufferers often experience a decrease in daily activities. In particular, Knee Osteoarthritis is the most common type of Osteoarthritis that causes joint pain and limitation of motion in the knee, characterized by damage to the joint cartilage and Diarthrodial structures. In order for people to prevent Osteoarthritis Knee, it is important to identify the risk factors that can lead to the condition. With this understanding, it is hoped that people can avoid the risk factors as part of prevention efforts. By distributing leaflets and conducting Knee Osteoarthritis examinations and daily activity evaluations on patients, the results showed an increase in functional activity in the elderly after undergoing routine exercise therapy. In conclusion, through this counseling activity, increasing public awareness, especially among the elderly, about the importance of preventing Osteoarthritis Knee. Continuous preventive and curative efforts are needed to reduce the incidence rate of Osteoarthritis Knee in the community.

The process of aging in the course of human life is a natural thing. A common problem experienced by elderly people related to physical health is that they are susceptible to various diseases, due to reduced body resistance in dealing with external influences. Low back pain or lower back pain is a feeling of discomfort that can cause various kinds of disorders that can cause health problems in human life. So it is important for people to understand about low back pain. Therefore, there is a need to increase knowledge and understanding at community health centers about low back pain, including signs of symptoms, prevention and treatment for the elderly at Posyandu, Kedungkandang Village. The method used is to provide physiotherapy education in the form of health promotion about low back pain to elderly posyandu participants using posters as an educational medium. Questions and answers to participants to measure effectiveness and provide independent training education. The activity ran smoothly and was easily understood by the elderly at the Posyandu, Kedungkandang Village and could increase participants' knowledge about cases of low back pain.

Nguter is one of the villages in Nguter Subdistrict, Sukoharjo Regency, Central Java. The geographical location of Nguter Subdistrict is at an altitude of 104 meters above sea level. One of the healthcare facilities in Nguter Village is the Nguter Community Health Center (Puskesmas). From January to July 2024, the number of low back pain cases treated at Nguter Community Health Center reached 285 people. This figure is considered quite hi gh, as it continues to show a significant increase each year. The goal of this program is to provide education on William Flexi Exercise for myogenic low back pain in the elderly, helping alleviate the complaints of lower back pain. The method used involves counseling sessions through lectures and leaflets for the Elderly Posyandu Community in RW 07, Nguter Subdistrict, Sukoharjo Regency, Central Java. The result of this community service program is that the elderly understood the material provided and are able to perform the exercises independently at home.

As cities in Indonesia continue to develop, there will inevitably be ignorance of the elderly's knowledge of their own health. For example, elderly people with working backgrounds are generally at risk of lower back pain, pinched nerves, complaining of various muscle tension problems and so on which can disrupt their daily activities. This problem is caused by incorrect positioning while working, such as frequently pushing, lifting, bending, sitting or standing for long periods of time and unergonomic body posture while working. Physiotherapy outreach activities related to increasing knowledge of daily activity disorders, efforts to educate the elderly regarding activity disorders, especially about definitions, signs of symptoms, causes, prevention, and daily activity activity therapy independently after work to reduce the symptoms suffered. This outreach activity uses leaflets as media, containing educational material for the elderly, then education and training depending on the location of the disorders the elderly complain of. The counseling activities at the Mobile Health Center Posyandu which are held every day by the Kendalsari Community Health Center, Malang City, went smoothly, the response was good, full of enthusiasm. The results obtained show the results of the pretest so that there is increased knowledge among workers which shows that workers have knowledge and insight regarding prevention and independent treatment after work. The results obtained showed that most of them were mild complaints, so that the majority of complaints involving disruption of daily activities were experienced by women, 68% of which were indicated by questionnaires for 25 elderly people at the Kendalsari Community Health Center and Posyandu for the Elderly in Malang City.

The increasing number of elderly people is a development challenge that must receive the attention of all stakeholders, both local, national and global. Policies based on statutory regulations and government commitments are complete and require ongoing support. The aim of this community assistance and partnership is to improve the quality of health, productive economic, socio-cultural and socio-religious businesses within the institutional context of the church.  The results of the mentoring show good achievements, increasing innovation in healthy living and group activities being active.

As the elderly experience increasing age, it causes gradual physical and psychological decline, one of the problems faced by the elderly is cognitive impairment in the form of decreased memory. One effort to prevent cognitive decline in the elderly is to regularly do a brain gym. The aim of this community service is that the elderly can understand what cognitive decline is and how to prevent cognitive decline. The research method was carried out using a community service approach at the Arjuna Klampok Elderly Posyandu, Malang Regency by providing counseling about "Cognitive Decline" using leaflet media.

Non-communicable diseases (NCDs), such as hypertension and diabetes, are the leading causes of death among the elderly in Indonesia. To address this issue, a community service program was conducted in the working area of the Ariodilla Health Center, Palembang, focusing on NCD screening and health education through senior exercise. The program was attended by 45 elderly individuals who underwent health screenings, including blood pressure, blood sugar, cholesterol, and uric acid measurements. The results showed that 15.5% of the elderly were diagnosed with diabetes mellitus, 75.8% had high cholesterol, and 24.4% had elevated uric acid levels. In addition, senior exercise sessions were conducted to improve physical fitness. This program successfully increased the knowledge and awareness of the elderly regarding NCDs, the importance of regular health check-ups, and maintaining a healthy lifestyle. In the future, similar programs are expected to be expanded to reach more elderly individuals, aiming to prevent serious complications from NCDs.

Elderly or old age is the final phase of the human life cycle, which is part of the natural life process that cannot be avoided by everyone. The elderly will experience degenerative diseases, one of which is musculoskeletal disease, namely frozen shoulder. Thus, there is a need to increase knowledge about frozen shoulder disease. The method provided in community physiotherapy activities is to provide education regarding the meaning, causes, risk factors, prevention, physiotherapy treatment and physiotherapy exercises using education media in the form of posters. In the question and answer discussion session, the elderly were very active in asking questions about the material presented by the students, because the elderly wanted to know about possible treatments and prevention. From the outreach activities that were carried out at the Buring Village Pustu, Kedungkandang, Malang City on October 25 2023, it can be concluded that it went smoothly and was well realized. The benefit of this outreach activity is to provide insight and knowledge regarding the prevention and treatment of stiff shoulder joints or frozen shoulder so that the knowledge of the elderly regarding frozen shoulder increases.

Impaired cognitive function is still a serious health problem that can cause psychological and socio-economic impacts in the form of social isolation and financial difficulties, delayed mobility, and worsening of other symptoms as well as reducing quality of life. As a basis for elderly health services, it is hoped that healthy elderly people will remain healthy. by optimizing physical, mental, cognitive and spiritual functions, through promotive and preventive efforts, including elderly empowerment activities. This counseling aims to assess cognitive function using the Mini Mental State Examination (MMSE) in the elderly at Posyandu for the elderly RW 8 Tanjung Rejo, Malang City. The method given is an examination using the Mini Mental State Examination (MMSE) questionnaire. The counseling process went smoothly. The results of the examination showed that the majority of elderly people had normal cognitive conditions. A good lifestyle can reduce the risk of dementia.

Background: The elderly are vulnerable to chronic diseases and musculoskeletal issues, such as rheumatoid arthritis, which is characterized by pain in the joints and extremities. This disease can lead to persistent pain, fatigue, and an increased risk of injury. One effective non-pharmacological therapy for reducing joint pain in patients with rheumatoid arthritis is rheumatic exercise, which focuses on maintaining range of motion and physical health. Objective: The objective of this research is to describe the comparison of the final results between two respondents before and after the application of rheumatic exercises. Method: This research uses a case study approach with a descriptive method. Descriptive research aims to present or describe the events observed in society. The application of rheumatic exercises was carried out for 4 weeks with a frequency of once a week for 8 minutes. Result: From this study, a decrease in pain levels was found in both respondents, with N. Y's pain level dropping from 5 to 1 and Ny. Y's from 6 to 2. Conclusion: Rheumatic exercise therapy can reduce pain levels in patients with rheumatoid arthritis. (RA).

The purpose of this study is to understand the role of Panti Jompo Anugrah Pematang Siantar in achieving the happiness of the elderly. Nursing homes are very important to provide a safe environment and adequate care to improve the quality of life of the elderly, because they often face various social and emotional challenges. The interactions, conversations, and narratives among the elderly, workers, and the head of the foundation were analyzed in this study through discourse studies. This study was conducted with a qualitative approach and used participant observation, in-depth interviews, and documentation. This study involved the elderly living in Panti Jompo Anugrah Pematang Siantar, nursing home employees, and the head of the foundation. This study is expected to provide a better understanding of the role of nursing homes in fulfilling the happiness of the elderly. The results are also expected to help related parties, including the government, elderly care institutions, and the general public, develop more efficient ways to improve the quality of life of the elderly living in nursing homes.

The Elderly is a stage where organs reach a process of decreasing size and function over time. The elderly's ability to carry out daily activities and measure independence can be done with an Activity Daily Living (ADL) examination. ADL is an activity carried out routinely daily and included in the main activities of self-care. ADL is one of the benchmarks for assessing functional capacity by asking questions about daily activities. The purpose of the examination was to find out and identify the number of elderly people with a level of independence and dependence in the KNDJH Wonokoyo nursing home. The method used is to carry out physiotherapy examinations regarding ADL using the Katz index instrument. The results obtained mostly have a level of total independence to the lightest dependence. However, some elderly people have a level of mild dependence to full dependence.

The global elderly population in 2022 was 1.4 billion, and in ASEAN, the number of elderly people reached 142 million or 8% of the population. Indonesia has become an aging population since 2021 with 10% of its population being elderly, reaching 28.9 million people in 2022, with 1 elderly person supported by 6 productive residents (BPS, 2022). In DKI Jakarta, there are 951,557 elderly people with 2,340 elderly people in Kelurahan Dukuh (Jakarta Open Data, 2020). The increasing number of elderly people indicates successful development, but unproductive, financially weak, sick elderly people without social security and needing assistance can become an economic burden (BKKBN, 2020). Neglected elderly are at risk of becoming PMKS and are fostered by the Social Service. These elderly people need social adaptation and are vulnerable to depression. This study aims to analyze the process of social adaptation and depression control in an effort to improve the quality of life of neglected elderly at Sasana Tresna Werdha Dukuh 5, 2023-2024. The observational study uses a sequential explanatory mixed-method approach with surveys and in-depth interviews as well as FGDs, using 19 respondents. The results show that 89.47% of respondents are young elderly, 68.42% show moderate social adaptation, 10.53% mild depression, and 26.32% have a moderate quality of life. Some of these elderly people experience social adaptation disorders and schizophrenia, as well as severe social problems. ASN and PJLP lack knowledge about mental disorders, especially depression. In conclusion, most neglected elderly fostered by PSTW experience good self-adaptation, do not experience depression, and have a good quality of life, but some elderly people are found to experience severe depression and moderate quality of life. Special education on mental health for ASN and PJLP is very necessary.