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Metabolic syndrome, encompassing hypertension, elevated blood glucose levels, high cholesterol, and increased waist circumference, is a significant risk factor for frailty in older adults. The FRAIL questionnaire is a screening tool that assesses five components of frailty, enabling early detection for appropriate intervention. This community service program was conducted using the PDCA (Plan-Do-Check-Act) method with 93 elderly participants. Health education and screening for metabolic syndrome and frailty were performed using the FRAIL questionnaire. Among the participants, 22.58% were categorized as "Non-Frail," 50.54% as "Pre-Frail," and 26.88% as "Frail." These findings indicate a high prevalence of frailty risk among the elderly population. The FRAIL questionnaire proved effective for early detection of frailty, facilitating preventive interventions such as physical activity, nutritional monitoring, comorbidity management, and psychosocial support. These measures have the potential to sustain long-term health in older adults. The application of the FRAIL questionnaire for the elderly provides significant benefits for managing frailty risk, with a sustainable approach that promotes the well-being of older adults.

This study investigated the influence of anticoagulant therapy on biochemical parameters and vascular function in patients with mixed dyslipidemia and asymptomatic atherosclerosis. Twenty-five participants were divided into two groups: a study group (SG) of 15 patients with mixed dyslipidemia and a control group (CG) of 9 healthy individuals. Baseline characteristics, including lipid profiles, inflammatory markers (osteopontin, osteoprotegerin, MMP-2, MMP-9), and clotting parameters, were assessed. The SG exhibited significantly elevated levels of total cholesterol, LDL cholesterol, non-HDL cholesterol, and triglycerides, alongside decreased HDL cholesterol and unexpectedly lower myeloperoxidase levels compared to the CG. Significant variability in biomarker levels was observed across quartiles within both groups. A strong positive correlation was found between serum TSH levels and Factor X activity, while a strong negative correlation was observed between serum TSH and PAI-1 antigen levels in patients with subclinical hyperthyroidism. Clotting times, assessed using the thromboplastin generation test with inosithin, did not reveal significant differences between venous and arterial samples or between the study and control groups based on the provided data. Further research incorporating quantitative clotting time analyses and a more comprehensive assessment of anticoagulant effects is needed to elucidate the complex interplay between anticoagulant therapy, dyslipidemia, and atherosclerosis.

The elderly are an age group that experiences the aging process with various physical, mental and social changes that affect their quality of life. As the number of elderly people increases in various countries, it is important to have a clear understanding of the scope of the needs and conditions of the elderly from a social, health and economic perspective. The aim of this research is to determine the scope of the needs and conditions of the elderly. This research method uses a qualitative approach and involves literature study, data collection techniques using interview methods and literature research. This research discusses the health needs and conditions of the elderly, with a focus on medical aspects of care, including ongoing care and management of chronic conditions (such as diabetes, cholesterol and high blood pressure). Elderly people also experience several challenges, such as accessing health care facilities which is often difficult due to distance, physical limitations, or dependence on family for care. Therefore, researchers hope to provide a deeper understanding of the challenges and needs of the elderly, as well as families spending more time providing care.  

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.

Cholesterol is a type of fat naturally found in the body and plays a vital role in biological functions such as cell membrane formation and hormone production. However, elevated cholesterol levels can lead to plaque buildup in arterial walls, which is a major risk factor for peripheral artery disease. This condition is characterized by the narrowing of arteries that impedes blood flow, particularly to the extremities. A cholesterol screening program is conducted to detect elevated cholesterol levels early and to provide education about healthy lifestyle habits to adults. This program employs the Plan-Do-Check-Act (PDCA) approach, which includes planning, implementing education and screenings, evaluating effectiveness, and taking follow-up actions based on the results. The total cholesterol screenings revealed an average level of 181.81 with a standard deviation (SD) of 34.18. While this average is within the normal range, it approaches the upper limit, warranting caution to prevent further increases that could affect cardiovascular health in the future. Regular cholesterol screening can help minimize the risk of peripheral artery disease, thereby maintaining the quality of life for adults.

Metabolic syndrome is a cluster of conditions that increases the risk of cardiovascular diseases and type 2 diabetes mellitus. Early screening of metabolic parameters such as fasting blood glucose, triglycerides, waist circumference, HDL cholesterol, and blood pressure is essential for risk detection and prevention of complications. This community service activity was conducted at SMA Kalam Kudus II, involving education on metabolic syndrome and screening of metabolic parameters in the productive age group. The education aimed to raise awareness of healthy lifestyles and the importance of routine screening. Early detection enables preventive actions and lifestyle improvements, such as balanced diets, regular exercise, and stress management. The program's implications include long-term reductions in metabolic disease risks. Education and metabolic syndrome screening have proven effective in raising awareness of metabolic health.

Cholesterol sufferers in Indonesia are quite high, reaching 28%. If treated too late, high cholesterol will endanger health, and can even cause death. Risk factors that influence cholesterol levels are age, gender, BMI, and blood pressure. Carrying out screening through routine cholesterol level checks is important for early detection and prevention of heart and blood vessel disease caused by increased cholesterol levels. This research method uses a cross-sectional study research design. The number of samples in this study was 20 respondents. Sampling in this study used a purposive sampling method. Data analysis used the Chi Square test. The results showed that there was no relationship between cholesterol levels and age and gender (p-value=0.343) (p-value=0.391)

Spices are parts of plants such as leaves, stems, rhizomes, seeds and other parts. One product made from spices is a functional drink. This functional drink has many good benefits for the body, including preventing various diseases, preventing the aging process, and maintaining the body's immune system. Herbal drinks are a functional drink that has many benefits for the body, the basic ingredients for which are made using spices that are often found around. People in Cimalaka Village are used to using kitchen spices to make herbal drinks.  The aim of this research is to determine the benefits of kitchen spices used by the people of Cimalaka Village as ingredients for making herbal drinks which are commonly consumed by the people in the village. The research was conducted in September-November 2024. The method used in this research used a quantitative approach with the measurement parameters Use Value (UV) and Informant Consensus Factor (ICF). This sample was taken using the snawball sampling technique with a total of 31 respondents. The research results showed that the highest spice utilization value was lemongrass (UV = 0.61) with a UV percentage of 22%, and the lowest spice utilization value was garlic (UV = 0.16) with a UV percentage of 6%. With the highest ICF value of 1, namely rheumatism, gout and gastritis with a percentage value for each disease of 21%. And the disease with the lowest uniformity value, the ICF value is 0.86, namely cholesterol disease with a percentage value of 18%. Herbal drinks have benefits for the people of Cimalaka Village which can be seen from the diversity of benefits.

Hypercholesterolemia is one of the main factors that contribute to the development of life-threatening cardiovascular diseases. Bitter melon (Momordica charantia L.) is known to contain antioxidant compounds that have the potential to reduce cholesterol and triglyceride levels, making it an alternative natural treatment for hyperlipidemia.  This study aims to evaluate the effectiveness of bitter melon juice in reducing triglyceride levels in Wistar rats induced by high-fat feed. This study used a true experimental design with a pretest-posttest with control group design. A total of 24 Wistar rats were induced with high-fat feed and divided into four groups: negative control, positive control, treatment group 1 (given bitter melon juice 1.8 mL), and treatment group 2 (given bitter melon juice 2.7 mL). Data analysis was performed using paired t test... A significant decrease in triglyceride levels was found in the groups given bitter melon juice 1.8 mL (p < 0.003) and 2.7 mL (p < 0.001) compared to the control group. Higher doses showed greater effectiveness in reducing triglyceride levels... Bitter melon (Momordica charantia L.) juice was shown to be effective in reducing triglyceride levels in Wistar rats induced by high-fat diet. These findings support the potential of bitter melon as a natural intervention to manage hyperlipidemia..  

This study aims to evaluate effectiveness of health education on public perception and knowledge regarding the use of garlic extract to reduce cholesterol in Suco Seloi Malere Aldeia Namanei Posto Administrativo Aileu Municipiu Aileu in 2024. This research uses a quasi-experimental design with a pretest-posttest approach. Data was collected from the community in Suco Seloi Malere Aldeia Namanei Posto Administrativo Aileu Municipiu Aileu in 2024 through questionnaires before and after being given health education.  Before education, 62% of respondents had moderate knowledge; After education, 64% of respondents had high knowledge about the use of garlic extract to lower cholesterol. Before education, 60% of respondents had a moderate perception; After education, 62% of respondents showed an increase in perception to high perception. Before education, 38% of respondents had little experience, after education, 98% of respondents had good experience regarding the use of garlic extract to lower cholesterol. Before education, the majority of respondents (60%) had a secondary education level. After education, the proportion of respondents with a secondary education level remained stable at 60%. Before education, 40% of respondents felt a high cultural influence regarding the use of garlic extract. After education, this figure increases to 70%.  The health education provided is effective in increasing public knowledge and perception regarding the use of garlic extract to lower cholesterol.

The heart is a vital organ that plays a crucial role in the circulatory system, responsible for pumping oxygen-rich blood and nutrients throughout the body and returning blood containing carbon dioxide to the lungs. Anatomically, the heart consists of four chambers. The coronary vascular system supplies oxygen and nutrients to the heart muscles. The physiology of the heart involves the cycle of heart muscle contraction (systole) and relaxation (diastole), heart rate regulation, and the electrical conduction system that coordinates the heartbeat. Coronary artery disease (CAD) is a disorder of the coronary blood vessels due to atherosclerosis, causing narrowing or blockage of the arteries, hindering blood flow, and leading to ischemia. Prevention of CAD can be done by maintaining a healthy diet, exercising regularly, avoiding smoking, and controlling blood pressure, cholesterol, and blood sugar levels. Understanding the anatomy, physiology, and coronary artery disease is essential for maintaining heart health and preventing cardiovascular disorders.

Fasting, as one of the main acts of worship in Islam, has a deeper meaning other than just enduring hunger and thirst. It is hoped that this practice can shape individual character, increase spiritual awareness, and have a positive impact on physical and mental health. However, although the spiritual benefits of fasting have been widely discussed, scientific research regarding the impact of fasting on health is still limited. Therefore, this study aims to explore the impact of fasting on physical and psychological health and its influence on self-development. This research uses quantitative methods with an experimental design. A total of 100 participants consisting of individuals who fasted and non-fasted during Ramadan were randomly selected. Data was collected through questionnaires regarding physical and psychological health as well as direct observation of lifestyle before and after fasting. Body mass index (BMI), blood pressure, and stress levels were also measured at two time points: before and after the 30-day fasting period. Data analysis was carried out using the t test to see significant differences between the fasting and non-fasting groups. The results of the study showed that fasting had a significant effect on weight loss, reduced cholesterol levels, and a more stable increase in blood pressure. Psychologically, participants who fasted experienced reduced levels of anxiety and increased concentration and peace of mind. However, this effect is temporary and is more visible in individuals who had a healthy lifestyle before fasting. In addition, most respondents reported increased spiritual closeness and increased feelings of empathy towards others after fasting.

Previous studies have shown that red ginger has the potential to treat PCOS because it has been proven to be able to reduce serum FSH, LH and estradiol and testosterone, inhibit the cyclooxygenase pathway, change the pituitary axis, inhibit lipoxygenase expression in various animal studies. The purpose of this study is to prove the potential of red ginger extract as a regulator of anti-androgenic, ovulation, estrogenic activity and reduce insulin resistance. The research design used was for experimental research using a post-test-only control group design. And for the analysis of the potential bioactivity of red ginger extract as an immunomodulatory agent computationally (Insilico). Animal care was carried out in the Pharmacology and Biomedicine Laboratory and has received approval from the Ethics Committee. The sample used was a female Wistar rat on the 56th day of the experiment (after modeling). All treatments were given orally for 28 times. Independent variable = Red ginger extract. Dependent variable = Dependent variables are 1. Hormones: Testosterone, LH, FSH 2. ovarian inflammation activation (PPARγ activation and anti-inflammatory cytokines IL-4 and ROS, NFKB, TNF a. 3. Insulin resistance (insulin, glucose, HOMA IR) and 4 Lipid profile (TG, HDL, LDL, cholesterol). Control variables are: 1) Gender; 2) Age; 3) Strain; 4) Food and beverage intake; 5) Maintenance and care. Quantitative and qualitative research data. using parametric tests, namely One-Way ANOVA after meeting the requirements for normal data distribution and the same data variance. The One-Way ANOVA statistical test is continued with the Tuckey test to determine the differences in each group.

Non-Communicable Diseases (NCDs) pose a growing threat to public health, especially among elderly populations. This community service program was conducted in RT 001 and RT 01A, 20 Ilir 4 Village, Palembang, focusing on early detection and education to prevent NCDs such as hypertension, diabetes, and high cholesterol. The program utilized a participatory action research approach, incorporating health screenings and interactive health education sessions. Activities included blood pressure, glucose, cholesterol measurements, and lifestyle counseling. The results demonstrated a significant increase in awareness and proactive health behaviors among residents. Over 60% of participants with high-risk conditions were referred for further medical evaluation. Regular exercise initiatives and dietary modifications were adopted by the community. The program also established health cadres trained to sustain these efforts post-intervention. This initiative highlights the effectiveness of early detection and education in reducing NCD risks and fostering long-term community health improvements.

The risk of sarcopenia and metabolic complications in the elderly can be caused by the aging process and decreased muscle mass in the elderly group. Sarcopenia and obesity in the elderly also increase the risk of cardiovascular disease, diabetes, and physical disability, which have the potential to reduce quality of life and increase morbidity and mortality. The purpose of this community service activity is to screen protein levels and lipid profiles in the elderly group in order to detect the risk of sarcopenia and dyslipidemia early. This activity is carried out using the Plan-Do-Check-Action (PDCA) method which includes planning, implementation, supervision, and follow-up. The community service activity was carried out at Panti Bina Bhakti, South Tangerang, involving 93 elderly participants aged >65 years. The results of the activity showed that 35 people (37.63%), 9 people (9.68%), 35 people (37.63%), and 7 people (7.53%) each had abnormal lipid profiles for HDL, Cholesterol, LDL, and Triglycerides. While 24 people (25.81%) had abnormal albumin levels. Therefore, it is necessary to monitor protein levels and lipid profiles regularly as well as early intervention through a healthy diet, regular exercise, and education for the elderly to maintain muscle mass and muscle strength.

Cholesterol is a lipid compound produced by the body and obtained from food, functioning to build cell membranes, produce certain hormones, and support metabolic processes in the body. Excessive cholesterol levels can increase the risk of cardiovascular diseases. This Community Service initiative aims to enhance the understanding and awareness of staff and employees at St. Yoseph High School, Cakung, regarding the risks of high cholesterol and preventive measures through routine screenings and health education. The program follows the Plan-Do-Check-Act (PDCA) approach, encompassing planning for education and screenings, conducting information sessions and cholesterol measurements, evaluating program effectiveness, and implementing follow-up actions for continuous improvement. Education on a healthy lifestyle, which includes a balanced diet, physical activity, and avoidance of alcohol and smoking, plays a vital role in maintaining normal cholesterol levels. Routine screenings are also essential for the early detection of high cholesterol risks. This initiative is expected to promote healthy behaviors and support improved workplace health by raising awareness about the importance of cholesterol prevention in the work environment.

Cholesterol is a fatty substance circulating in the blood, yellowish and waxy, which is produced by the liver and is needed by the body. Cholesterol is a group of lipids that are not hydrolyzed and is the main sterol in human body tissue. Hypercholesterolemia is a condition where the cholesterol level in the blood exceeds the normal limit, namely >200 mg/dl. The aim of this research was to determine the effect of boiled garlic water on reducing cholesterol levels in the elderly at the Sei Langkai Community Health Center. Pre-Experimental research method using One Group Pre-Post Test research design. Effectiveness is assessed by comparing the pre-test results with the post-test. The number of samples in this research was 15 respondents. The data testing method uses an observation sheet and a glucometer. The results of the research using the paired T-Test statistical test found a ρ value of 0.000 > 0.05. It can be concluded that there is an effect of giving boiled garlic water on reducing cholesterol levels in the elderly at the Sei Langkai Community Health Center in 2023. The recommendation from the research results is that boiled garlic water can be continued as an intervention to reduce cholesterol levels

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.

Hypercholesterolemia is a condition where the concentration of cholesterol in the blood increases beyond normal values. One of the plants recommended for consumption by cholesterol sufferers is bay leaves. This is because bay leaves contain various active compounds such as flavonoids which can prevent the oxidation of Low Density Lipoprotein (LDL) and prevent the deposition of fat on blood vessel walls. Saponins can prevent fat absorption, increase excretion in the urine so that fat does not accumulate. This case study aims to provide an overview of implementing the provision of bay leaf boiled water in reducing cholesterol levels in Mrs. R at the health center often in Sidorejo sub-district, Medan Tembung sub-district. The type of research is descriptive with an observational approach through case studies to obtain an overview of the use of bay leaf boiled water in hypercholesterolemia sufferers. The subjects used in the case studies taken were patients with hypercholesterolemia. The instruments used in data collection were family protection observation sheets and taking action to apply boiled bay leaf water. The results of the research showed that boiled bay leaf water was effective in reducing cholesterol levels as applied by Mrs. R taken twice a day, namely morning and evening for 11 days, resulted in a decrease in cholesterol levels from 263 mg/dl to 187 mg/dl.

Bay leaves are one of the toga plants (family medicinal plants) which can be used to stop excessive defecation. Apart from that, bay leaves can also be used to treat gout, stroke, high cholesterol, improve blood circulation, stomach inflammation, itching and diabetes. Therefore, there is a need for education in the form of counseling regarding the use of bay leaves and how to process them as herbal medicine to help cure diseases. Kaffir lime is a natural ingredient in various food and beverage products in Indonesia and other Asian countries. Kaffir lime plants contain compounds including essential oils which are also rich in benefits such as antioxidants, antimicrobials, antileuchemicals, antitussives, insecticides, illaricides and phenolic compounds such as flavonoids, flavanones, flavones, flavonols and glycerolipids which according to research function as a source of antioxidants, anti-inflammatory , antiviral, anti-allergic, and anti-carcinogenic, anti-aging for the human body. The planting of kitchen spices in the form of bay plants and orange leaves is grown using organic and environmentally friendly materials.