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Gout is a disease that is often found in the world. Usually gout occurs due to the deposition of monosidium urate crystals in the tissue or due to supersaturation of uric acid in the extracellular fluid. Some factors that cause gout include excessive purine intake. An unhealthy diet and high-protein foods with high purine levels. One of the non-pharmacological actions in reducing uric acid levels is the provision of soursop leaf decoction (Annona Muricata L) intervention. To determine the effectiveness of soursop leaf decoction on reducing uric acid levels in the elderly by administering soursop leaf decoction in Rambung Village, South Binjai District, Binjai City. This study uses a One-group pretest-posttest design research design approach. The sample of this study was 8 respondents. The sampling technique uses total sampling. The collection of research data uses demographic data, a consent sheet to become a respondent (Informed Consent). Data collection is carried out through observations by researchers of respondents and conducting observations. Research with Parametric Test Paired Sample T-test obtained a p Value of (0.000) <α (0.05), so there is a significant effectiveness of giving soursop leaf decoction to reduce uric acid levels in the elderly, and can be used as an alternative to reduce uric acid levels.

Hyperuricemia contributes to various metabolic disorders, including gout and kidney disease. Detection of uric acid levels through simple screening is important for early risk identification. One non-pharmacological approach that can help reduce uric acid levels is maintaining adequate fluid intake. Uric acid level examination was performed by taking capillary blood from 104 adult participants. Results were obtained directly using the Point-of-Care Testing (POCT) instrument. Education was provided to all participants using a leaflet discussing the role of hydration in supporting uric acid excretion. The average uric acid level was recorded at 4.08 ± 1.00 mg/dL. A total of 103 participants (99.0%) were in the normal range, and 1 participant (1.0%) had high levels. Most participants have not experienced excessive urate accumulation, but still need education to maintain this status. Uric acid level screening is useful as an effort to detect the risk of metabolic disorders early. Education about the importance of fluid intake is the main strategy to maintain uric acid levels within normal limits and prevent complications due to hyperuricemia.

Uric acid is the final product of purine metabolism, which can increase due to high purine intake or impaired renal excretion. Accumulation of uric acid in the body is at risk of causing joint inflammation and other metabolic disorders. Early detection and dietary education are strategic steps to prevent complications of hyperuricemia. This activity uses the Plan-Do-Check-Act (PDCA) approach by examining uric acid levels using POCT and education on managing purine consumption. The examination was carried out on 62 adult participants. Educational leaflets were delivered directly and individually to each participant. All participants had uric acid levels in the normal range (median 4.2 mg/dL), with the lowest value of 3.5 mg/dL and the highest 6.5 mg/dL. Most participants were women and were in the middle to elderly age group. Although no cases of hyperuricemia were identified, preventive education remains essential to maintain uric acid levels within optimal ranges and reduce future metabolic risks. Lifestyle interventions focusing on diet and hydration are critical for sustainable uric acid control and long-term health outcomes.   Keywords: Uric Acid, Purine, Hyperuricemia, Diet, Nutrition Education

Hyperuricemia is a medical condition characterized by an increase in uric acid levels in the blood above normal limits, which can trigger various metabolic complications such as gouty arthritis, urate nephropathy, and cardiovascular disease. In the early stages, hyperuricemia is often asymptomatic, therefore routine investigation of uric acid level are an important step in early detection. The Community Service Program (PKM) implemented at the Asisi Church, Tebet District, aims to increase public awareness of the importance of early detection of hyperuricemia through blood uric acid level screening activities. This activity uses the Plan-Do-Check-Act (PDCA) approach, which includes capillary blood tests with Point-of-Care Testing (POCT) tools and education on risk factors, symptoms, and prevention of hyperuricemia. Of the 68 participants, all participants showed uric acid levels within the normal range. These results emphasize the importance of education and routine screening efforts to maintain uric acid levels within normal limits, prevent complications in the future, and build public awareness of the importance of a healthy lifestyle to maintain quality of life sustainably.

Frailty is a common syndrome in older adults, marked by declining physiological reserves and increased vulnerability to adverse health outcomes. It impacts quality of life and links to higher morbidity, mortality, and healthcare needs. Identifying frailty markers early helps prevent or delay its onset. In Indonesia, frailty affects 10–20% of the elderly, with higher rates in rural areas and those over 75, driven by poor nutrition, chronic diseases, and limited healthcare access. This study explores these factors and their relationship with frailty in elderly residents of Bina Bhakti Elderly Home. This cross-sectional study analyzed anthropometric measurement, uric acid, vitamin D, albumin, and diabetes mellitus with frailty in 42 elderly residents, excluding those with cognitive impairments, acute illnesses, or psychiatric disorders. The analysis identified fasting blood glucose, HbA1c, and albumin as significant predictors of frailty, highlighting the importance of glucose regulation and nutritional status in frailty risk among the studied population. Fasting blood glucose, HbA1c, and albumin emerged as key predictors of frailty, highlighting the roles of glycemic control and nutritional health in reducing frailty risk. Lower fasting blood glucose and higher albumin levels were protective, while higher HbA1c increased vulnerability. Targeted interventions in these areas may effectively mitigate frailty risk.

Hyperuricemia is a condition of increased uric acid levels in the blood that can develop into various metabolic disorders, including gouty arthritis and kidney disease. Physical activity is known to play an important role in controlling uric acid levels by increasing excretion and inhibiting purine production. This activity uses the Plan-Do-Check-Act (PDCA) approach which includes checking uric acid levels using the Point-of-Care Testing (POCT) method in 91 productive-age individuals, as well as education about the importance of physical activity. The results were obtained directly and presented to the participants along with interpretive explanations and preventive recommendations. The average uric acid levels of the participants were recorded at 3.78 ± 0.60 mg/dL with a range of 2.5 to 5.6 mg/dL. All participants (100%) had uric acid levels within the normal range. Physical activity contributes to the regulation of uric acid levels, so proper education remains important even though the examination results show normal values. Education-based interventions play a role in strengthening primary prevention.

Subcutaneous fat deposition is a key factor influencing overall health, playing a significant role in metabolic regulation, energy balance, and the risk of chronic diseases such as obesity and cardiovascular conditions. Understanding and accurately predicting subcutaneous fat accumulation is critical for early intervention and effective management of these health risks. This study aims to analyze the correlation between hemoglobin levels, uric acid, and anthropometric parameters as predictors of subcutaneous fat deposition in elderly individuals. A cross-sectional study was conducted on 32 elderly participants at St. Asisi Church. Anthropometric measurements, including body weight, height, muscle composition, and circumferences, were assessed using OMRON Body Composition Monitor HBF-375, elastic tape and GEA Medical HT721. Biochemical tests for hemoglobin and uric acid levels were performed using Fora 6 Plus. Spearman correlation analysis was used to evaluate the relationship between these variables and subcutaneous fat deposition. Body weight, upper arm circumference, abdominal circumference, and calf circumference showed strong positive correlations with subcutaneous fat (r>0.9, p<0.001). Skeletal muscle percentage exhibited a negative correlation with fat accumulation. Hemoglobin and uric acid levels had weaker correlations, suggesting more complex metabolic interactions. Anthropometric parameters serve as strong predictors of subcutaneous fat deposition in elderly individuals, while hemoglobin and uric acid levels show limited predictive capability.

Gout is a condition where high levels of uric acid in the blood that causes pain, and pain in the joints. One of the measures to lower joint pain is non- pharmacologically with ergonomic Gymnastics and warm compresses of lemongrass decoction. The purpose of this study is to analyze the effectiveness of ergonomic gymnastics and warm compresses of lemongrass decoction on the scale of joint pain in patients with gout in Alassumur lor village. This type of research was quasi-experimental with cross over group design approach. A population was 38 people selected by purposive sampling technique obtained 34 respondents who meet the inclusion requirements. This research used the numeric pain scale (NRS) observation sheet Instrument. The normality of the data had been tested with Kolmogorov-smirnov. The results of the study obtained ergonomic gymnastics pain scale period I pre-test was 6.94 and post-test was 2.94, stew period II pre-test was 5.18 post-test was was 2.59. In the warm compress group lemongrass stew period I pre-test was 3.18, post-test 1.82, period II pre-test was 3.76, post-test was 1.94. The results of data analysis obtained the value of pV 0.000 with a significant level of p value <a = 0.005, the value of Z prepost period I ergonomic exercise -3.695, warm compress of lemongrass stew -3.676, in period II ergonomic exercise -3.580 and warm compress lemongrass stew -3.531, so that it can be stated that ergonomic exercise is more effective to decrease the joint pain scale in patients with gout in Alassumur lor village. Ergonomic Gymnastics turns out to be more effective to reduce joint pain in gout and is expected to be one of the alternative interventions to reduce joint pain in people with gout.      

Background: A low-purine diet is one of the treatments that can be carried out by elderly who suffer from gout to control their uric acid levels. This study aims to determine the effectiveness of low purine diet education on the knowledge level of elderly with gout. Methods: This research used a quasi-experimental design with a non-equivalent control group approach. This research was carried out on May 16th – 20th 2024 in the Harapan Raya Health Center working area, Pekanbaru City with a total sample of 34 respondents selected based on inclusion criteria using purposive sampling technique. The analysis used is univariate and bivariate analysis with the Wilcoxon test and Mann-Whitney test. This research used a low-purine diet knowledge questionnaire and a flip sheet containing material about a low-purine diet. Result: There is an increase on knowledge in the experimental group by 29% with the majority of respondents having a level of knowledge in the good category of 47.1% after being given low-purine diet education. Statistical tests obtained the results of the p value (0.000) < α (0.05) which means that there is an increase in knowledge after the intervention. Conclusion: Low-purine diet education is effective on the knowledge of elderly suffering from gout.

High uric acid which causes joint pain is a disease where there is a buildup of purine which causes the joints to become inflamed to the point of swelling. Gout which occurs in people of course when they have a disease that causes gout they will undergo medical treatment to reduce uric acid levels and the pain that occurs in the elderly due to high levels. And most people assume that by taking medication they assume that the pain will disappear, according to Ilham (2019) that to reduce joint pain you can do ginger compress therapy on the joint pain, because the spicy effect of ginger can reduce pain in the joints. Objective: To determine the effect of ginger compress therapy on the level of joint pain in the elderly. Method: The design in this research uses a quasi-experiment using a one group pretest posttest design approach. Results: based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 < 0.05. Conclusion: it can be concluded that there is an influence of ginger compress therapy on the level of joint pain in the elderly in the working area of ??the Central Jampang Community Health Center. Suggestion: It is recommended for future researchers to measure the influence of respondent characteristics such as age, gender, education level, length of time suffering from joint pain, type of work and type of medication used.

Gout arthritis (gout) is a disease that occurs suddenly and repeatedly, characterized by the formation of monosodium uric acid crystal deposits that attack the joints, due to high levels of uric acid in the blood (hyperuricemia). The aim of this activity is to be able to understand gouty arthritis and the practice of making non-pharmacological drugs from pineapple juice and honey to reduce uric acid levels in the body. This health education can increase the knowledge of Purwodadi village residents to do their best to treat gout arthritis using traditional medicine. Health education for residents can increase knowledge and skills in using simple traditional medicines

Gout is a type of inflammatory joint disease that occurs due to the accumulation of uric acid crystals. It usually occurs in several joints, such as the toes, ankles, knees, and big toes. Gout is also commonly called gout. This study aims to determine the Effect of Bay Leaf Decoction on Reducing Uric Acid in the Elderly at the Binjai Estate Health Center in 2024. The design of this study uses a descriptive correlation research method ( correlation study). The population in this study were all elderly people as many as 26 respondents, a total sampling of 26 samples. The variables in the study were the independent variable, namely boiled bay leaves and the dependent variable, uric acid levels in the elderly. The research instrument used a questionnaire and chi-square test. The results of the study show that regular elderly drink stew leaf greetings , grade sour tendon down as many as 16 people (84.2%) and elderly minority drink stew leaf regards regular , level sour tendon No down as many as 3 respondents (15.8%) while majority elderly who do not regular drink stew leaf greetings , grade sour tendon down as many as 1 respondent (14.2%) and a minority elderly who do not regular drink leaf greetings , grade sour tendon No down as many as 6 respondents (85.8%). The chi-square test shows that mark significant p-Value = 0.002< a( 0.05), so H 1 is accepted. Conclusion This research is There is connection influence stew leaf regards to decline level sour veins in the elderly at the Community Health Center Binjai Estate.

The screening and education program on the prevention of degenerative diseases was conducted in the coastal community of Panjang Island, Batam. This initiative aimed to address the high prevalence of degenerative diseases such as diabetes, hypertension, and dyslipidemia through health screenings and community education. The study involved 55 participants, primarily pre-elderly individuals, and included examinations of blood pressure, cholesterol, blood sugar, and uric acid. The results revealed that 65.5% of participants had hypertension (34.5% with Stage 1 and 31% with Stage 2), while 69.1% had high cholesterol levels. Blood sugar screening indicated that 14.5% of participants had elevated glucose levels. Uric acid levels were high in 47.3% of participants, predominantly among women. Additionally, 78% of respondents with comorbidities presented abnormalities in at least one biochemical parameter. Educational sessions resulted in a 26.4% increase in knowledge about disease prevention and healthy lifestyles. The program highlighted the importance of regular health screenings, lifestyle modifications, and community empowerment for sustainable health improvements. Collaboration with local health centers and the establishment of health cadres are recommended for ongoing support and monitoring of degenerative disease prevention efforts.

Uric acid is the end product of purine metabolism which can cause hyperuricemia if levels increase. Hyperuricemia, if left untreated, can cause joint inflammation, pain, and various other health problems. This study aims to evaluate Halu Oleo University students' understanding of gout and its impact on health. Using a quantitative approach and analytical descriptive design, this research involved 50 randomly selected respondents. Examination of uric acid levels is carried out by taking blood samples using the Nesco Multi Check device. The results showed that 70% of respondents had uric acid levels within normal limits, while 30% experienced hyperuricemia, which indicates a potential risk of developing gout. These findings suggest that unbalanced eating patterns, lack of physical activity, and inadequate fluid intake contribute to increased uric acid levels among college students. This research emphasizes the importance of education about healthy eating patterns and an active lifestyle to prevent health problems related to gout.

Uric acid is a byproduct of purine metabolism in the body, typically excreted through urine. However, excessive uric acid can lead to the accumulation of crystals in the joints, resulting in gouty arthritis, particularly in individuals of productive age. This article aims to discuss a community service initiative to prevent elevated uric acid levels through routine screenings and education on healthy lifestyles. The initiative employed the PDCA (Plan-Do-Check-Act) approach, encompassing counseling, uric acid level examinations, and iterative evaluations, thereby enhancing public awareness of the importance of maintaining normal uric acid levels and understanding healthy lifestyle practices. Education and early detection of uric acid levels can help the community comprehend actionable steps to reduce the risk of long-term health complications.

Gout is a metabolic disorder whose prevalence continues to increase in society. This study aims to evaluate public health by examining uric acid levels in the local population and analyzing the risk factors that influence it. The research method used is a quantitative approach with field surveys and checking uric acid levels using a portable diagnostic tool. Data was collected from 50 respondents who were randomly selected in the Anduonohu ​​sub-district area. The research results showed that the average respondent had uric acid levels above the normal threshold. The main risk factors identified include consumption of foods high in purine, lack of physical activity, and family history of similar diseases. This study underlines the importance of regular check-ups and public education about healthy lifestyles to prevent increased uric acid levels. Community-based interventions are recommended to reduce the prevalence of this disease. It is hoped that this research can become a reference in planning more effective public health programs.

The prevalence of arthritis gout in the world is 34, 2% dominated by degenerative diseases found in the elderly. The increase in gout incidences not only occurs in developed countries but also developing countries such as Indonesia. This study aimed to examine the effects of soursop leaf decoction on reducing uric acid levels in Indrapuri Public Health Center, Aceh Besar. This study used a quasi-experimental design with a pretest-posttest approach. The population was 203 gout sufferers, while the sample was 22 patients, chosen using the Random Sampling technique. This study was carried out on May 2nd – 18th, 2024 with the univariate and bivariate questionnaire analysis using a Paired T-test. The results prove that before the soursop leaf decoction treatment, the average uric acid level of the respondents were 7, 08 mg/dl. However, after the treatment, the uric acid level was 5, 97 mg/dl. It indicates that the uric acid level decreased to 1,109 mg/dl with a ρ-value 0,000. This result proves that soursop leaf decoction treatment (Annona Muricata Linn) is effective in reducing uric acid level. It hopes that the community will be aware of health on the non-pharmacological treatment of uric acid by utilizing soursop leaf decoction

Uric acid is the end product of purine metabolism in the body, generated from the breakdown of purine substances found in certain foods. When uric acid levels in the body exceed normal limits due to excessive production or impaired excretion, uric acid crystals can accumulate in the joints, leading to a condition known as gout. This Community Service initiative aims to enhance understanding among adults regarding the risks of high uric acid levels and preventive efforts through routine screening and health education. The program is structured using the Plan-Do-Check-Act (PDCA) method to provide comprehensive education on risk factors and prevention, as well as to assess participants' uric acid levels. This initiative emphasizes the importance of a healthy lifestyle and routine examinations as preventive measures, supporting early detection and management of health risks related to uric acid. The continuity of this service activity is expected to improve community quality of life over time.

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.

Gout is a musculoskeletal disease that occurs in the joints due to an increased concentration of uric acid in the blood. Risk factors that can cause high levels of uric acid include age, gender, obesity, purine diet, alcohol, and some medications. Therapies that can be given to the elderly who experience gout include ergonomic exercises. Objective : To determine the effectiveness of applying ergonomic exercise therapy as a non-pharmacological method to reduce high uric acid levels in the elderly. This study used a case study approach with two elderly had high uric acid levels. The intervention was carried out for 2 weeks by giving ergonomic exercises 4 times in 1 week consecutively with a duration of 20 minutes of exercise. There were changes in uric acid levels in both respondents and they decreased. Ergonomic gymnastics is a potential non-pharmacological method in reducing high uric acid levels in the elderly.