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Hypertension is a non-communicable disease often referred to as a silent killer because it generally does not present noticeable symptoms. Several risk factors contribute to the development of hypertension, including high body mass index (BMI) and low levels of physical activity. However, data regarding the association between BMI, physical activity, and hypertension at Pakuan Baru Public Health Center, Jambi City, remain limited. Therefore, this study aimed to determine the relationship between body mass index and physical activity with hypertension among adults at Pakuan Baru Public Health Center, Jambi City. This study employed a quantitative approach with a cross-sectional design. The research was conducted at Pakuan Baru Public Health Center, Jambi City, from November 19 to December 6, 2025. The study population consisted of all adult patients with hypertension at Pakuan Baru Public Health Center, totaling 2,797 individuals. A sample of 93 respondents was selected using an accidental sampling technique. Data were collected using observation sheets through measurements of height and weight to calculate BMI, as well as the Global Physical Activity Questionnaire (GPAQ). Data analysis was performed using univariate and bivariate analyses with the chi-square statistical test. The univariate analysis showed that 27 respondents (29.0%) were classified as severely obese, 42 respondents (45.2%) had a low level of physical activity, and 28 respondents (30.1%) were categorized as having stage 2 hypertension at Pakuan Baru Public Health Center, Jambi City. The bivariate analysis revealed a significant relationship between body mass index and physical activity with blood pressure among patients with hypertension (p = 0.000). It is expected that healthcare providers at Pakuan Baru Public Health Center will continue to provide education regarding the importance of controlling body mass index and engaging in regular physical activity, as these factors contribute to increased blood pressure among patients with hypertension.

Background: Diabetes mellitus (DM) is a significant global health problem and continues to increase worldwide. Chronic and uncontrolled hyperglycemia is a major risk factor for macrovascular complications such as Peripheral Arterial Disease (PAD). Buerger Allen Exercise (BAE) is a recommended physical activity therapy to prevent peripheral arterial disease. Objective: This study aims to determine the effect of Buerger Allen Exercise on the Ankle Brachial Index (ABI) in diabetes mellitus patients. Methods: This study is a Quasi-experimental study with a pre-posttest with control group design. The study population was all Diabetes Mellitus patients at the Kusuma Bangsa Community Health Center, Pekalongan City with a sample of 32 respondents selected using a purposive sampling technique and divided into a control group and an intervention group. Buerger Allen Exercise in the intervention group was carried out for 5 consecutive days with a duration of 15 minutes. Data were analyzed using the Mann-Whitney Test. Results: In the control group, there was no significant difference in the average ABI value of the control group on day 1 and day 5 with a p-value = 0.195. In the intervention group, there was a difference in ABI scores before and after being given Buerger Allen Exercise with a p-value of 0.000. Conclusion: There is an effect of Buerger Allen Exercise on the Ankle Brachial Index value in diabetes mellitus patients at the Kusuma Bangsa Community Health Center.  

This community service activity was carried out through the Kuliah Kerja Nyata (KKN) program at SDN 30 V Koto Kampung Dalam, Padang Pariaman Regency, West Sumatra. The activity aimed to restore the psychological condition and learning spirit of students who experienced trauma following a fire disaster. Five educational games were implemented, namely sendok tepung (spoon and flour), pipet aqua (straw transfer), naga balon (balloon dragon), biskuit Roma (biscuit game), and joget balon (balloon dance). These games were selected to stimulate physical, social, emotional, and mental aspects of students. The instruction was delivered directly using a microphone and speaker system, with a storytelling approach that sparked imagination rather than evoking pity. The impact was measured through behavioral observation, with positive indicators including students transitioning from drooping posture to upright, laughter replacing silence, and passive children beginning to vocalize and cheer. Results indicated that educational game-based socialization is effective as a non-therapeutic initial psychosocial recovery strategy for disaster-affected children. This activity demonstrates that simple and participatory methods can significantly contribute to restoring children's learning motivation and psychological resilience post-disaster.

Regular physical activity is known to play an important role in maintaining overall health, including improving immune system function and mental health. Lack of physical activity remains a public health issue, making it important to understand the impact of physical activity on the immune system and mental health. This study aimed to review the effect of regular physical activity on the immune system and mental health using a literature review method. The literature sources were obtained from publications within the last five years using databases such as Google Scholar, PubMed, and ScienceDirect. The articles were then screened and selected based on inclusion and exclusion criteria, resulting in nine relevant articles for analysis. The selection results indicate that regular physical activity can increase the mobilization and activity of immune cells such as lymphocytes, neutrophils, and natural killer cells, and also modify the adaptive immune system through changes in T cells and B cells. In addition, physical activity also improves mental health through neurobiological mechanisms such as increased endorphin, dopamine, and serotonin levels, which can reduce stress, anxiety, and depression, as well as improve sleep quality and psychological well-being. Therefore, regular physical activity has a positive effect on the immune system and mental health and can be used as a promotive and preventive strategy to maintain overall health.

This study aims to analyze the effectiveness of play-based methods in Physical Education, Sports, and Health (PJOK) learning for sixth-grade students at Pelangi Elementary School. The background of this study is the decline in movement motivation in upper-grade students due to excessive focus on academic workload. The research method used is descriptive qualitative with data collection techniques in the form of participatory observation and in-depth interviews with key informants. The results of the study indicate that the integration of structured games in the Lesson Implementation Plan (RPP) can improve motor coordination and students' social values. In addition, modifications to game tools and rules provide creative solutions to overcome the limitations of existing facilities. The conclusion of the study confirms that the play-based approach functions not only as a recreational activity but also as an effective formal instructional method to achieve curriculum targets holistically, supporting students' physical and social development simultaneously. This approach is expected to be implemented more widely in schools to improve the quality of PJOK learning.

Non-hemorrhagic cerebrovascular disease (CVD) results from blood flow obstruction in the brain due to thrombus or embolus formation, often leading to balance disorders that affect standing and walking. This loss of motor function increases the risk of falls and fractures, which are major complications. Additionally, reduced physical activity can lead to depression. Active exercise has been shown to improve motor function in CVD patients, with nurses playing a key role in supporting these exercises. One effective intervention is the bridging exercise (BE), used for lumbopelvic stabilization, which enhances muscle strength and coordination. BE is particularly beneficial for improving balance in post-CVD patients with hemiplegia. This case study examines the effects of evidence-based bridging exercise (EBP) on balance in three hospitalized non-hemorrhagic CVD patients. Over eight 15-minute sessions, balance was assessed using the Berg Balance Scale (BBS). All patients showed significant balance improvement, with an average BBS score increase of 40 points. These results highlight the effectiveness of non-pharmacological bridging exercises in enhancing balance in CVD patients and recommend BE as a routine therapy to continue at home after discharge.

Stunting remains a major nutritional problem in Indonesia, impacting the quality of children's growth and development, both in the short and long term. This impact not only affects physical growth but also affects children's endurance and future productivity. Although the national prevalence of stunting shows a downward trend, cases of stunting are still found in various regions, including Banyusari Village, Tegalrejo District. The stunting problem in this region is closely related to parents' low understanding of fulfilling balanced nutrition, especially protein intake, which plays a crucial role in the growth and development of toddlers. This community service activity aims to increase parents' knowledge and awareness in stunting prevention efforts through applicable nutrition education. The activity was carried out by students of the Community Service Program (KKN) of Tidar University. The method used was a socialization method of presenting material on stunting prevention combined with fun cooking practices as a learning medium for serving balanced nutritious meals. In addition, this activity was also accompanied by the provision of Supplementary Food (PMT). The results of the activity showed that participants participated enthusiastically and were able to understand the material presented. The educational approach of fun cooking has been deemed effective in increasing parents' understanding of balanced nutrition and encouraging a shift in mindset from the "just to get full" paradigm to ensuring quality nutrition. This activity is expected to become a practical and sustainable alternative for nutrition education in supporting community-based stunting prevention efforts.    

The synchronization of physical and juridical land data is a fundamental prerequisite for ensuring legal certainty in every land rights transfer process. Discrepancies between physical field conditions and juridical documents frequently trigger land disputes that impede the performance of Notary/PPAT offices. This community service article reports on a Field Practice (PPL) activity conducted at the Office of Notary/PPAT in Jember Regency during January–February 2026. The primary objective was to provide technical assistance in accelerating physical-juridical data synchronization to guarantee the validity of issued deeds. The method employed was participatory observation, in which students were directly engaged in the partner's workflow. Assistance activities covered document inspection, file digitization, coordination with BPN and tax authorities, and factual field verification. Results indicate that PPL student assistance measurably accelerated the office's administrative workflow, enhanced data validation accuracy, and confirmed conformity between the physical condition of rice-field land and the certificate documents.

This study aims to determine the effect of educational activities on the management of ARI through infant massage practices on increasing maternal knowledge and reducing complaints of coughs and colds in infants in Majungan Village. The research method used was descriptive with a mixed methods approach (quantitative and qualitative). The study subjects consisted of 25 mothers with infants aged 0–12 months. Data were collected through observation, interviews, and pre-test and post-test questionnaires. The results showed that the level of maternal knowledge increased from 28% to 88% after being provided with education and demonstrations of infant massage. In addition, 76% of mothers reported a decrease in complaints of coughs and colds in infants after routine infant massage for one week. Qualitative results indicate that this activity is not only physically beneficial, but also increases the role of mothers in the management of mild ARI and awareness of the importance of cleanliness and environmental health. Thus, education on the management of ARI through infant massage practices can be one of the supporting efforts in maintaining infant health, especially in areas with limited access to health services.

The elderly are a vulnerable group to experience decreased physical and cognitive function, such as hypertension and dementia, which can affect their quality of life. The Activity Therapy Program aims to improve the well-being of the elderly through laughter therapy, listening to music, and playing guess the word. The method used is group dynamics, which involves fun activities to stimulate the cognitive and social of the elderly. This activity is expected to increase social interaction, sensory stimulation, and improve the cognitive function of the elderly. The implementation of therapy was carried out involving 60 elderly people, with stages that included orientation, work, and termination. Evaluations showed that 60% of participants actively participated in laughter and guess therapy, as well as being able to express their feelings. This program has shown success in improving the quality of life of the elderly by encouraging them to be more active and social. In conclusion, TAK can be an effective solution to improve the quality of life of the elderly through physical and cognitive stimulation. It is recommended that this program be carried out regularly to maintain the memory and social health of the elderly.

Cardiovascular dysfunction is a disorder of the blood vessels, such as hypertension, heart failure, and stroke. In 2016, cardiovascular disease was the leading cause of death worldwide, based on data from the World Health Organization (WHO). Coronary Heart Disease (CHD) is the leading cause of death, along with stroke, as shown by the Sample Registration System survey in 2014.This case involves a 64-year-old male, Mr. N, who presented to the emergency department of RSUD dr. Fauziah Bireuen with complaints of chest pain that developed gradually and worsened over the past month. The pain was located across the entire chest and radiated to the back and neck. The pain was described as severe, like being crushed by a heavy load, worsened during strenuous activities such as cutting grass and chopping wood, and relieved when the patient bent forward. The pain could occur at any time, with a Visual Analog Scale (VAS) score of 10 (severe pain). The patient also reported easy fatigue during heavy physical activity over the past month. Laboratory examination revealed elevated leukocytes, mean corpuscular volume (MCV), segmented neutrophils, troponin I, cholesterol, and triglycerides. The patient was diagnosed with extensive anterior ST-elevation myocardial infarction (STEMI) post successful fibrinolytic therapy.

The increase in the number of elderly residents demands the provision of residential facilities that not only meet physical needs, but also support the psychological and social well-being of their users. This study aims to formulate the concept of behavioral architecture-based nursing home design by focusing on the relationship between elderly activity patterns, privacy levels, and spatial relationships of space in the local context of Indonesia. This study uses a qualitative-descriptive approach in the framework of architectural design, with data collection through observation of elderly activities, site analysis, and documentation studies. Activity data was analyzed to identify space needs and usage patterns, then synthesized with site characteristics to formulate the concepts of zoning, circulation, and behavior-based spatial relationships. The results of the study show that the activities of the elderly form a layered behavioral structure, including residential and health activities as primary needs as well as social, productive, and educational activities as support for psychosocial welfare. Hierarchically arranged space zoning based on privacy levels has been proven to improve the readability of the space, sense of security, and comfort of the elderly. The integration of green open spaces as part of the activity system also strengthens support for light physical activity and social interaction. This study confirms that the application of behavioral architecture allows the translation of data on elderly behavior and site conditions into a contextual, humanist, and quality-of-life-oriented design concept. These findings provide practical implications for designers and policymakers in the development of sustainable elderly housing.

Bullying is a psychosocial hazard that can occur in the school environment and may negatively affect students’ mental health, social interactions, and learning processes. Bullying can take various forms, including physical, verbal, and psychological actions that occur repeatedly and cause victims to experience emotional distress, decreased learning motivation, and feelings of insecurity at school. This Community Service Program (PKM) aimed to increase high school students’ knowledge and awareness regarding the dangers of bullying and its prevention through the principles of Occupational Safety and Health (OSH). The methods used in this activity included delivering educational materials through lectures, conducting question-and-answer sessions to assess students’ initial understanding, and facilitating interactive discussions to encourage active participation. Monitoring and evaluation were also conducted to assess the effectiveness of the activity. The results of the program indicated a significant improvement in students’ understanding and awareness of the forms, impacts, and prevention strategies related to bullying in the school environment. Students also demonstrated a more critical attitude toward bullying behavior and a greater awareness of the importance of creating a safe, healthy, and respectful school environment. The application of an OSH-based approach in bullying prevention is expected to strengthen the safety culture in schools and support the development of a conducive learning environment for all students.  

Family health is a fundamental component of public health development, as the family represents the smallest social unit shaping individual health behaviors. This study aimed to analyze the family health conditions of the community in Pulau Jambu Village, Kampar District, based on demographic, behavioral, socioeconomic, and environmental factors. A descriptive quantitative approach was employed with a total sample of 153 respondents selected using random sampling, ensuring equal probability for each population member to be included.The results indicated that most respondents were in the productive age group of 19–60 years (68.8%), with farming as the dominant occupation (47.1%). The majority relied on borehole wells as their water source (61.4%); however, 47.1% had septic tank distances ≤10 meters, posing potential risks of water contamination. Regular physical activity was reported by 60.8% of respondents, yet the prevalence of smoking was very high (78.4%). Most respondents had a junior high school education (45.1%), influencing health literacy levels, although 58.2% demonstrated good knowledge of clean and healthy living behavior (PHBS). Health service utilization was relatively high (86.3%), though some residents still practiced traditional treatment.In conclusion, family health conditions are influenced by a combination of behavioral, environmental sanitation, and socioeconomic factors. Strengthening family-based health interventions through PHBS education, smoking control, and environmental sanitation improvement is essential to enhance sustainable community health status.

Hyperglycemia is a condition of elevated blood sugar levels that can potentially lead to various health complications if not controlled early. This condition is often influenced by unhealthy eating habits, lack of physical activity, and low awareness among adolescents regarding regular blood sugar checks. Adolescents are an age group that is vulnerable to lifestyle changes, putting them at risk of developing metabolic disorders later in life. This community service activity aims to increase adolescent knowledge and awareness regarding the dangers of hyperglycemia and the importance of preventive measures from school age. The activity was carried out at SMK Nurul Ulum Lebaksiu, involving 59 students as participants. The methods used included health education through audio-visual media, interactive lectures, discussions, and Random Blood Sugar (GDS) tests for early detection. The results of the activity showed an increase in student knowledge based on a comparison of pre-test and post-test scores, as well as the implementation of GDS tests on all participants. This activity is expected to foster healthy lifestyle behaviors and increase adolescent awareness of the prevention of non-communicable diseases.

Community Service Program (Kuliah Kerja Nyata/KKN) is a community engagement program organized by Universitas Negeri Padang as an implementation of the Tri Dharma of Higher Education. This program was conducted in Nagari Sikucur, V Koto Kampung Dalam District, Padang Pariaman Regency, West Sumatra Province, from January 9 to February 9, 2026. The program aimed to empower the local community through a participatory approach based on the identification of local needs and potentials. The methods applied consisted of several stages, including observation, planning, implementation, evaluation, and reporting, while actively involving community members in every activity. The implemented programs covered several areas, such as education and religious development, social and psychosocial activities, as well as economic empowerment and strengthening of village physical facilities. The results of the activities indicated an increase in community participation, the strengthening of religious values and social solidarity, and support for the development of local economic potential. Despite several challenges, including limited implementation time and adjustments to program targets, the collaborative approach proved effective in encouraging community engagement. Therefore, the KKN program of Universitas Negeri Padang in Nagari Sikucur contributed positively to strengthening the social, religious, and economic capacities of the local community.

Drug abuse (NAPZA) has become a serious threat among students and poses significant risks to their physical health, psychological well-being, and future development. Therefore, preventive efforts through structured education and mentoring programs are essential. This community service activity aims to describe the process and outcomes of a drug abuse prevention mentoring program conducted at SMP Negeri 2 Bulu, Temanggung. The program applied a participatory approach consisting of four stages: coordination with the school, educational socialization on the dangers of drugs, follow-up activities through discussions and student reflections, and evaluation to measure students’ understanding. The educational sessions were delivered using interactive lectures, question-and-answer methods, and visual learning media to enhance students’ engagement and comprehension. The results indicate an increase in students’ knowledge and awareness regarding the types, impacts, and prevention strategies of drug abuse. Moreover, students demonstrated more positive attitudes and a stronger commitment to avoiding drugs as a form of self-protection for their health and future. This program is expected to serve as a school-based preventive education model to reduce drug abuse among students through collaboration between teachers, schools, and the wider community.

Lifestyle changes, such as smoking habits, low physical activity, and suboptimal sleep patterns, have the potential to affect various health indicators. However, empirical evidence showing a direct link between lifestyle factors and objective health indicators still shows varying results. This study aims to analyze the relationship between lifestyle factors and health indicators in adult respondents, in an effort to provide an empirical picture of behavioral factors related to health conditions. This study used a quantitative approach with a cross-sectional observational analytic design. Data were obtained from 94 respondents who had complete lifestyle data and health examination results. Lifestyle factors analyzed included smoking habits, exercise frequency, and sleep duration, while health indicators included body mass index (BMI), systolic and diastolic blood pressure, blood sugar levels, cholesterol, uric acid, and pulse rate. Data analysis was performed using descriptive statistics, the Shapiro–Wilk normality test, and the Spearman correlation test according to the characteristics of the data distribution. The results showed that smoking habits were significantly associated with diastolic blood pressure (p < 0.05), exercise frequency was significantly associated with BMI and systolic blood pressure (p < 0.05), and sleep duration was significantly associated with uric acid levels (p < 0.05). Meanwhile, the relationship between lifestyle factors and other health indicators did not show statistical significance. These findings indicate that the influence of lifestyle on health is specific to certain indicators and is not evenly distributed across all health parameters. This study concludes that identifying lifestyle factors relevant to certain health indicators is important as a basis for formulating more targeted health promotion strategies.

The increasing sedentary lifestyle in the digital era has the potential to cause various health problems due to lack of physical activity. One approach that can be taken to encourage physical activity is through the use of digital games with body movement-based control mechanisms. This study aims to develop a body gesture-based game character control system using a hybrid Convolutional Neural Network (CNN) and Long Short-Term Memory (LSTM) model. CNN is used to extract spatial features from each video frame, while LSTM serves to model the temporal relationship between frames so that movement patterns can be recognized sequentially. The research method used refers to the Machine Learning Lifecycle stages, starting from data collection, preprocessing, model development, to implementation in the endless runner game genre. Testing results show that the CNN–LSTM model is capable of classifying body gestures and generating outputs that can be used as commands to control game characters. The implementation of this system enables more natural and interactive game interactions without conventional input devices, and has the potential to encourage players to lead a more active lifestyle.

Background: Hand grip strength is an essential indicator of physical capacity and nutritional status that can identify obesity risk. Adipose tissue accumulation in central obesity contributes to decreased hand grip strength quality through impaired muscle force transmission. Previous studies showed inconsistent results regarding the relationship between waist circumference and hand grip strength, especially in populations with high physical activity. Objective: To analyze the relationship between waist circumference and hand grip strength in male construction workers with high physical activity in Medan City. Methods: This descriptive-analytic study with cross-sectional design involved 100 male construction workers aged 30-39 years selected using purposive sampling technique. Waist circumference was measured using measuring tape, while hand grip strength was measured using handgrip dynamometer. Data analysis used Chi-Square test with significance level α=0.05. Results: The majority of respondents had normal waist circumference (64%) with mode 70 cm and normal grip strength category (53%) with mode 41.7 kg. Chi-Square test showed significant relationship between waist circumference and hand grip strength (p=0.039). Conclusion: There is a significant relationship between waist circumference and hand grip strength in construction workers. High physical activity does not completely prevent central obesity, therefore nutritional management and health education programs are needed for optimization of body composition and muscle functional capacity.