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Reported that hypertension contributes to around 9.4 million deaths worldwide each year. This makes it one of the main risk factors for cardiovascular disease and related deaths. The prevalence of hypertension in individuals aged 18-39 years shows a figure of around 7.5%. At the global level, stroke, heart disease, and hypertension rank first, second, and twenty-ninth in causes of death. In Indonesia, the percentage of deaths from 50 diseases that cause death shows that stroke contributes 23.48%, heart disease 9.89%, and hypertension 3.02%. This study is a quantitative descriptive study with a cross-sectional approach that aims to describe the blood pressure profile in students. The population in this study were active students aged 18-23 years. The sampling technique used the purposive sampling method. The results showed that the average blood pressure in men tended to be higher than in women. Blood pressure in male students was an average of 128.9 / 83.25 mmHg and women 118.25 / 76 mmHg. The average blood pressure in men is included in the pre-hypertension category. Various factors cause hypertension at a young age, mainly caused by lifestyle, diet, smoking behavior and lack of physical activity. High blood pressure in young adults is strongly associated with an increased risk of heart and kidney disease later in life. Therefore, various forms of prevention are needed, especially related to behavioral changes so that complications do not occur in the future.

Toddlers are a vulnerable group prone to health problems and malnutrition due to their rapid growth and high nutritional needs. Nutritional status serves as an indicator of adequate dietary intake, commonly assessed through weight and height measurements. Malnutrition, particularly among children aged 2-5 years, often occurs as they transition to family diets while maintaining high physical activity levels. Appropriate complementary feeding starting at six months (MP-ASI) is essential to support optimal growth and development. The Complementary Feeding Program includes porridge for infants aged 6-11 months and biscuits for children aged 12-24 months, aiming to improve nutritional status, especially among low-income families. Supplementary feeding (PMT) is an intervention designed to enhance the nutritional status of malnourished children without replacing their main daily meals. This study aims to examine the effect of the supplementary feeding program on weight changes among malnourished infants aged 6-11 months at the Tiley Health Center. A pre-experimental one-group pretest-posttest design was used with total sampling of 20 mothers with malnourished infants. Data were collected using questionnaires and weight observation sheets and analyzed using a paired t-test. The results showed a significant effect (p < 0.05), indicating that the supplementary feeding program improves infants’ weight.

Hypertension is a major risk factor for cardiovascular disease and contributes significantly to global morbidity and mortality. In Indonesia, the prevalence of hypertension in Women of Reproductive Age (WUS) reaches around 28.2%, while the use of hormonal contraception—especially injections, pills, and implants—is still a popular choice among couples of reproductive age. Several studies have shown a relationship between the use of exogenous hormones and increased blood pressure, but specific data at the local service facility level are still limited. This study aims to determine the relationship between the use of hormonal contraception and the incidence of hypertension in WUS at BPM Fitria Ningsih Siadari, Karawang Regency, West Java. This study used a cross-sectional analytic design. A sample of 102 WUS (15–49 years) who actively visit BPM Fitria Ningsih Siadari will be taken using purposive sampling. The independent variables include the type of hormonal contraception and duration of use; the dependent variable is hypertension status (blood pressure ≥ 140/90 mm Hg). Demographic data and confounding factors (age, BMI, family history of hypertension, salt intake, physical activity) were collected through questionnaires and standard blood pressure measurements. Bivariate (Chi square) and multivariate (logistic regression) analyses were used to evaluate the association, with a significance level of p <0.05. The results obtained The use of hormonal contraception in BPM Fitria Ningsih Siadari, Karawang Regency, West Java in 2023, the majority used injectable contraception, as many as 58 respondents (56.9%). Blood pressure in BPM Fitria Ningsih Siadari, Karawang Regency, West Java in 2023 was mostly grade 1 hypertension, as many as 46 respondents (45%). There was a relationship between the use of hormonal contraception and the incidence of hypertension in women of childbearing age (WUS) in BPM Fitria Ningsih Siadari, Karawang Regency, West Java in 2023 with a p value = 0.000

Drug abuse in today's young generation is one of the serious problems that has a very negative and very bad effect on the physical, social and future health of today's young generation. The purpose of the activity of socialization of the dangers of drug abuse for the young generation in Lumban Gurning Village is so that the young generation in Lumban Gurning Village can increase awareness and knowledge, and prevent drug abuse, and can build a healthy young generation and create a healthy environment. Drug abuse is one of the very serious problems in Indonesia, especially in the young generation. The method used in this socialization is the lecture and discussion method. In this socialization activity, the level of knowledge of people about drugs and the dangers of drugs has been quite good, but in their efforts to understand the prevention of drug abuse is still not good. Therefore, it is necessary to carry out socialization by trying to inform it maximally, especially in terms of strengthening topics and news about more effective ways of preventing the dangers of drugs, by carrying out socialization about drug abuse, it can help the people of Lumban Gurning Village to be more careful and understand more about what drugs really are. By understanding what drugs are, the community in Lumban Gurning village can prevent and overcome drug abuse.

The aim of this research is to determine the influence and identify the factors that have the greatest impact on the quality of service provided to Open Trip Tidung Island customers. The method in this research uses quantitative methods. Sampling in this study used accidental sampling. It was obtained that 41 respondents filled out questionnaires in observing Tidung Island using Open Trip Tidung_Island on 3-4 August 2024. Data analysis in this research uses simple linear regression analysis, coefficient of determination and correlation. Data obtained from the questionnaire is used to find the factors that most influence customer satisfaction in service quality. The Service Quality variable (X) has a significant effect on the Customer Satisfaction variable (Y), this is shown from the results of the Pearson Product Moment correlation analysis of 0.718 and includes a "strong correlation" level of relationship. From the results of the questionnaire, it was found that the factors that most influence customer satisfaction in the quality of service at the C.V Tidung Island Open Trip tourism service are the dimensions of Tangible (Physical Evidence) and Empathy (Empathy) at 84.2% with the Equipment and tools used during the activity in good condition and the Open Trip. Staff pays attention to the needs and desires of participants (Customers). The results of partial t test hypothesis testing show a significance level of 0.001 < 0.05. It is stated that Ho is rejected and Ha is accepted. This means that service quality has a significant influence on Open Trip Tidung_Island customer satisfaction.

Hypertension in pregnant women is a serious health issue that contributes to the high maternal and fetal mortality rates. This condition can be influenced by various factors, including family history and physical activity. This study aims to analyze the relationship between family history and physical activity with the incidence of hypertension in pregnant women in the working area of Puskesmas Asera, North Konawe Regency. This research employs an observational analytic design with a case-control approach. The respondents consist of 38 pregnant women selected using the total sampling technique. Data were collected through questionnaires and medical records and then analyzed using the Chi-Square test. The results indicate a significant relationship between family history of hypertension (p=0.000) and physical activity (p=0.021) with the incidence of hypertension in pregnant women. This study concludes that hereditary factors and low physical activity increase the risk of hypertension during pregnancy. Therefore, preventive efforts are needed through health education, increased physical activity, and routine monitoring during pregnancy at healthcare facilities. With these measures, it is expected that the incidence of hypertension in pregnant women can be reduced, ensuring better maternal and fetal health.

The abuse of Narcotics, Psychotropics, and Addictive Substances among the younger generation is a serious issue that threatens the future of the nation. This abuse has significant negative impacts on the mental and physical development of the younger generation. Therefore, prevention efforts through education, routine counseling, and positive activities in the community are crucial. The rampant abuse of Narcotics, Psychotropics, and other Addictive Substances among students and college students has become a new problem in the education sector. According to a survey conducted by the National Narcotics Agency (BNN) and the Indonesian Institute of Sciences (LIPI) in 2019, 2.3 million students or college students in Indonesia have consumed narcotics. The lack of knowledge and information among students about the effects of drug abuse is a major factor in the spread of this issue. The approach to implementing community service is carried out in several stages, including initial surveys, problem identification, needs analysis, target audience determination, and program implementation. Based on the community service activities carried out, the benefits are greatly felt. This is evident from the enthusiasm of the participants in engaging in the community service activities. The author would like to express their deepest gratitude to the Principal of SMAN 1 Kutacane, Southeast Aceh Regency, who has provided time and space and fully supported this community service activity so that it could be carried out successfully.

Red snapper (Lutjanus sp) in Brondong waters, Lamongan Regency, is one of the main sources of livelihood for local fishermen. To increase the catch, optimizing the use of fishing gear, including setting time, is important. This study aims to determine the effect of differences in setting time on hand line fishing gear on red snapper catches. The study was conducted using the experimental fishing method, by dividing the setting time of hand line fishing gear into 2 treatments, namely morning 08.00-11.00 and afternoon 15.00-18.00. Based on the T test on paired samples, the average catch at 08.00-11.00 WIB was 2,131 with a total of 34.1 kg, while at 15.00-18.00 WIB, the average catch reached 6.4 with a total of 102.4 kg. The T-test results show that the t-count is greater than the t-table, so the null hypothesis is rejected and it can be concluded that there is a significant difference between the red snapper catches in the two time periods. Red snapper tends to be more active in foraging in the afternoon to evening, in line with its nocturnal nature. Several studies have stated that predatory fish such as red snapper hunt more when the light begins to dim. However, other factors such as food availability and physical conditions of the waters can also affect fish feeding activity. These findings provide additional insight into the feeding behavior of red snapper and the factors that influence its presence in the waters.

Background: One of the psychological problems often faced by the elderly, especially those living in nursing homes, is anxiety. Physical activity is one of the factors that plays a role in reducing anxiety. Compared to elderly people who are less active, those who are physically active usually experience lower levels of anxiety Method: This study used cross-sectional methodology and observational analytical design. Using the Slovin technique, 95 elderly residents of Panti Wening Wardoyo Ungaran and Panti Pucang Gading Semarang became the research sample. The Physical Activity Scale for the Elderly (PASE) questionnaire was used to measure physical activity, and the Beck Anxiety Inventory (BAI) was used to examine anxiety levels. The Gamma correlation test was used to analyze the data. Result: The research findings show that the majority of elderly people in this study do physical exercise regularly (48.4%) and experience mild anxiety (51.6%). With a p value of 0.027 (p< 0.05), the results of the correlation test indicate a strong relationship between anxiety levels and physical activity.Conclusion: There is a relationship between anxiety in elderly people and physical exercise.

This qualitative study explores the role of pickleball in promoting healthy aging among elderly players in Indonesia. As the global elderly population continues to rise, the need for effective strategies to enhance physical, mental, and social well-being in older adults becomes more pressing. Pickleball, a low-impact sport that combines elements of tennis, badminton, and table tennis, has gained significant popularity worldwide due to its accessibility, moderate intensity, and low risk of injury. This study employed a phenomenological approach, conducting semi-structured interviews, participant observations, and focus group discussions with 19 elderly pickleball players aged 50 and above in Surabaya, Indonesia. The findings suggest that regular participation in pickleball leads to significant improvements in physical health, including enhanced strength, balance, flexibility, and cardiovascular endurance. The sport also has positive effects on mental well-being, helping to reduce stress, improve cognitive function, and provide a sense of purpose and accomplishment. Socially, pickleball fosters community engagement, reduces feelings of isolation, and strengthens intergenerational relationships, allowing older adults to connect with younger generations. However, barriers such as physical limitations, limited access to facilities, and unfavorable weather conditions hinder consistent participation. In conclusion, pickleball is a valuable and effective activity for promoting healthy aging by providing a holistic approach to improving the quality of life in older adults. Policymakers, healthcare providers, and community leaders are encouraged to invest in pickleball infrastructure, promote awareness, and support active aging initiatives to further enhance the well-being of elderly populations. This version now has 253 words, making it more closely aligned with your desired word count.

Background: Menstrual disorders that are often found in women include late menstruation, and the amount of menstrual blood. Almost 75% of adolescents experience menstruation, including irregular cycles, pain, long and heavy bleeding during menstruation. The menstrual cycle is not only influenced by biological factors such as lifestyle, hormonal disorders, nutritional status, but can also be influenced by social and environmental factors. The purpose of this study was to determine the factors that influence the menstrual cycle in adolescent girls at MAN 1 Semarang City. Method: This type of research is quantitative with a cross-sectional approach. The sample of this study amounted to 168 respondents. The respondent selection used probability sampling technique. This study used univariate, bivariate, and multivariate analysis tests. The analysis used was Spearman's rho and multiple logistic regression. Results and Conclusions: The results of this study indicate that the factors age, menarche, diet, nutritional status, and hemoglobin levels have no relationship to the menstrual cycle in female adolescents, but from the factors of stress, physical activity, fast food consumption habits, and sleep quality there is a relationship to the menstrual cycle in female adolescents at MAN 1 Semarang City where for stress level obtained p value: 0.002, physical activity with p value: 0.012, fast food consumption habits with p value: 0.035, and sleep quality with p value: 0.022. The factors that most influence the menstrual cycle in female adolescents at AN 1 Semarang City are stress levels with p value 0.002 and Od Ratio 3.365.

This article aims to explain the conditions of Gen Z in the blanket of rapid development of digitalization technology. This article uses a qualitative method with a literature study and a descriptive analytical approach. The results of the study indicate that the Fear of Missing Out (FOMO) phenomenon on social media reflects symptoms of deep anxiety experienced by modern society, especially Generation Z, due to the fear of being left behind by information or trends that are considered important. In a digital world full of endless information, individuals are encouraged to stay connected and consume content that is often irrelevant, creating the illusion of engagement and validation. This phenomenon creates a great irony, where social media, which should be a tool for communication and information, has instead become a space filled with social pressure, value gaps, and artificial scenarios. The impact of FOMO can be seen in psychological aspects, such as anxiety, depression, and low self-confidence; social, in the form of a decrease in the quality of direct relationships between individuals; and physical, such as lack of sleep and reduced physical activity. However, social media also offers positive opportunities, such as increased creativity, network expansion, and the opening of new opportunities, if used wisely. To overcome the negative impacts of FOMO, efforts are needed to limit the time spent using social media, change the mindset to be more reflective and productive, and engage in meaningful activities.

Background: “The highest prevalence of LBP at Awal Bros Hospital in Pekanbaru is estimated to be 0.70% or 3,238 people in 2022, 1.38% or 5,584 people in 2023, and 2,084 people or 1.11% in 2024. The impact of low back pain can make movement difficult, affect quality of life, and limit work activities and mental health. Method: The design of this research is quantitative research, with a cross sectional approach. The sampling technique used the consecutive formula and the sample size was 83 respondents. The data collection method uses a questionnaire. The data analysis used is univariate analysis and bivariate analysis using Somer's test. Results: Characteristics of the majority of respondents were women, 51 people (61.4%), 60 people aged > 35 years (72.3%), 54 people with a working period of > 5 years (65.1%), with BMI obesity amounted to 49 people (59.0%), amounted to 53 people (63.9%) who never did physical activity (exercise per week). The majority experienced moderate lower back pain, amounting to 34 respondents (41.0%), and had poor sleep quality, amounting to 51 respondents (61.4%). Based on the analysis test results, the d value was 0.482, meaning there was a moderate positive correlation with the p value (0.000 < 0.05), meaning there was a relationship between lower back pain and sleep quality in LBP patients at Awal Bros Hospital, Pekanbaru. Conclusion: There is a relationship between lower back pain and sleep quality. This shows that the higher the lower back pain, the worse the sleep quality.”    

Stroke is a disease that causes stroke sufferers of depend on other people for ADL (Activity Daily Living). Family support is important for stroke sufferers so they don’t give up and can fulfill their spiritual needs. This research aims to analyze the relationship between spirituality needs and family support with ADL (Activity Daily Living). With this third factor, stroke patients can maintain optimal health. This research is descriptive research using a quantitative approach. The population of this study was 113 people. The sample used was 88 respondents using a cross sectional approach. Data were collected using the Daily Spiritual Experience Scale (DSES) questionnaire, the family support questionnaire, and the Bartel Index Questionnaire. Bivariate analysis test of the relationship between spirituality needs in stroke patients who experience impaired physical mobility using the gamma coefficient test obtained a p value of 0.040 and a correlation value (r) of 0.0338. The bivariate analysis test of the relationship between family support in stroke patients using the gamma coefficient test obtained a p value of 0.017 and a correlation value (r) of -0.468. There is a relationship between the need for spirituality and family support with ADL (Activity Daily Living) in stroke patients who experience impaired physical mobility at RSI Sultan Agung Semarang.

Stroke is one of the leading causes of long-term disability worldwide. Stroke survivors often experience severe disabilities, particularly in their ability to walk and perform daily physical activities independently. Many are unable to ambulate without assistance, even after reaching a certain level of independence. These persistent impairments contribute to a decreased quality of life and increase the risk of long-term complications. This study aims to determine the self-perceived difficulty in performing Activities of Daily Living (ADL) among ischemic stroke patients. The research employed a quantitative descriptive design and involved 25 ischemic stroke patients selected through purposive sampling. Data were collected at Banda General Hospital using the Barthel Index (BI) assessment tool to evaluate the patients' level of independence in carrying out daily activities, both before and after receiving physiotherapy. The results showed that, prior to physiotherapy, 10 respondents (40%) were in the category of severe dependency, requiring significant assistance to perform ADL. Following physiotherapy intervention, there was a decrease in the number of patients in the severe dependency category, indicating an improvement in functional independence. These findings suggest that physiotherapy plays an important role in supporting recovery and enhancing the ability of ischemic stroke patients to carry out daily activities. Patients’ self-perceived difficulties are also essential indicators in designing more personalized and effective rehabilitation programs.

Appearance is one of the important factors for humans in living their lives. However, each individual's perception of their own body tends to be inconsistent with the good anthropometric body standards. This body image perception is closely related to lifestyle, diet, physical activity, and environment. This study aims to explore the body image perception of workers in Jayapura City. This research is an exploratory study to gain an in-depth understanding of the body image perception of workers in Jayapura City. The subjects of this study were 379 workers domiciled in Jayapura City. Data was collected using a body image perception questionnaire and anthropometric measurements were conducted on the workers. The results showed that 53% of respondents were female, 60% were in the early working-age category, and 47% worked as civil servants, military personnel, police officers, or employees of state-owned enterprises. Furthermore, most respondents had normal nutritional status (60%) and 87% had a negative body image perception. Cross-tabulation analysis found that a positive body image perception was mostly found among respondents with normal nutritional status. However, many respondents with normal nutritional status still had a negative body image perception. Further studies are needed to investigate the factors related to body image perception to develop interventions that improve workers' understanding of the ideal body shape.

Happy and healthy gymnastics is a physical activity designed to enhance preschool children's gross motor skills through enjoyable and educational movements. This study was conducted at TK Wadifatimah Kota Cirebon to analyze the effectiveness of the program in improving movement coordination, balance, and rhythm-following skills in children aged 4-6 years. The method used was Participatory Action Research (PAR) with an Asset-Based Community Development (ABCD) approach, involving teachers, parents, and children in all stages of the program, from planning and implementation to evaluation. The program was implemented over 12 weeks with a sequence of warm-up, core, and cool-down movements. The results showed a significant improvement in children's gross motor skills. Movement coordination increased by 32.9%, balance by 28.5%, and rhythm-following skills by 33.8%. Additionally, the program encouraged greater participation in physical activities at home and created an enjoyable learning experience. Program evaluation indicated that active teacher involvement and the use of music as movement stimulation played a crucial role in enhancing the effectiveness of gymnastics. The study concludes that happy and healthy gymnastics can be an effective method for developing preschool children's gross motor skills. For optimization and sustainability, it is recommended that this activity be integrated into the school curriculum, with a wider variety of movements and more intensive parental involvement.

Diabetes mellitus triggers complications that can cause nerve damage, kidney damage, vision problems, diabetic wounds and cardiovascular problems. Healthy eating patterns, exercise, and family support are several strategies for controlling diabetes mellitus and maintaining blood sugar levels in diabetes sufferers within normal limits. The aim of this study was to determine the relationship between blood glucose levels in individuals with diabetes mellitus and diet compliance, physical activity and family support. Purposive sampling, cross-sectional techniques, and analytical observation were used in this study, which involved 119 participants. Based on this research, there was good family support (84.9%), moderate physical activity (63.9%), and high dietary compliance (84.9%). Analysis using the chi square test obtained a p value of 0.001 (<0.05) which shows that there is a significant relationship between diet compliance, physical activity and family support with blood glucose levels in diabetes mellitus patients at the Bangetayu Health Center, Semarang.

This community service activity aims to provide health check-ups and awareness programs for fishermen in Galesong Takalar, Makassar, South Sulawesi. Fishermen are vulnerable to various health issues due to prolonged exposure to extreme weather conditions, lack of nutrition, and high physical workload. The program includes general medical check-ups, awareness sessions on occupational health risks, and distribution of basic health kits. The methods used involve community engagement, collaboration with local health centers, and participatory discussions. The results indicate increased health awareness and early detection of common diseases among fishermen, which can improve their quality of life and work productivity.

Penelitian ini bertujuan untuk mengetahui tingkat aktivitas fisik pendaki Gunung Panderman Buthak Kota Batu. Penelitian ini termasuk penelitian deskriptif dengan pendekatan kuantitatif. Subjek dari penelitian ini adalah pendaki Gunung Panderman Buthak Kota Batu dengan total sampel 122 yang mencakup 88 pendaki laki-laki dan 34 pendaki perempuan dengan rentan usia 18 sampai 30 tahun. Instrumen pada penelitan ini berupa kuisioner terstruktur dari World Health Organization yaitu Global Physical Activity Questionnaire untuk mengukur tingkat aktivitas fisik dengan reliabilitas tinggi (Kappa=0,67-0,73) dan validitas sedang (r=0,48). Analisis data penelitian menggunakan analisis statistik deskriptif kuantitatif melalui presentase. Hasil penelitian menunjukkan bahwa pendaki laki-laki mempunyai presentase dengan kategori tingkat aktivitas fisik 86% tinggi, 11% sedang, dan 3% rendah. Sedangkan pendaki perempuan memiliki presentase dengan kategori tingkat aktivitas fisik 68% tinggi, 19% sedang, dan 15% rendah. Data yang dikumpulkan menunjukkan bahwa sebagian besar aktivitas fisik pendaki gunung Panderman Buthak laki-laki dan perempuan memiliki tingkat aktivitas fisik dalam kategori tinggi.