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Non-Communicable Diseases (NCDs) such as Diabetes Mellitus and Gout pose a serious threat to the health of the elderly due to their often asymptomatic nature. Cost barriers hinder the elderly community from accessing laboratory services. This community service activity aims to improve health standards and early detection of NCDs through monitoring blood glucose and uric acid levels in the Generasi Kaleb community of the JKI Injil Kerajaan Church, Semarang. The Participatory Health Screening and Education method used includes health education, screening using the Point of Care Testing (POCT) tool, and personal consultation on the results. The service subjects were 50 elderly respondents. The examination results showed a prevalence of abnormal random blood glucose (GDS) of 8%, 32%, had high uric acid levels with a maximum value of 10.3 mg/dL. This activity successfully transformed the elderly's awareness from subjective perception to awareness based on objective data, and encouraged community independence in managing a healthy lifestyle to prevent further NCD complications. .

Background: Hyperuricemia represents a medical condition marked by elevated concentrations of uric acid within the bloodstream, potentially triggering gout alongside various metabolic disorders. Central obesity has been identified as a contributing factor to rising uric acid concentrations, measurable through waist circumference assessment. Methods: An analytic observational design utilizing a cross-sectional approach was employed in this investigation, encompassing 100 male participants characterized by sedentary lifestyles who were employed as office workers in Medan City, North Sumatra Province. Waist circumference measurements were obtained using a flexible measuring tape, while uric acid concentrations were determined through Point of Care Test (POCT) devices. Statistical evaluation was conducted via the Chi-Square test, applying a significance threshold of 0.05. Results: Among all participants, 64 individuals (64%) exhibited waist circumference measurements indicative of central obesity, whereas 56 individuals (56%) demonstrated hyperuricemic conditions. Statistical evaluation revealed a significant association between waist circumference measurements and uric acid concentrations, evidenced by a p-value of 0.000 (p < 0.05). Conclusion: A meaningful correlation exists between waist circumference and uric acid concentrations among males engaged in sedentary occupations.

Unhealthy dietary patterns are usually associated with the consumption of purine-rich foods. These foods can increase blood uric acid levels because dietary purines are metabolized into uric acid. This study aims to examine the relationship between dietary patterns and uric acid levels among community members in Baitussalam Health Center, Aceh Besar. This research employed a quantitative, analytical-descriptive design and a cross-sectional method. The study consisted of individuals diagnosed with gout at Baitussalam Health Center. The population consisted of 453 patients. The sample was 81 patients selected using accidental sampling technique. The data were collected using a Food Frequency Questionnaire (FFQ. The uric acid levels were measured using an Auto-check device. Univariate and bivariate analyses were performed, with the Chi-square test used to determine the association between variables. The findings showed that 35 respondents with good dietary patterns (85.4%), 6 respondents had normal uric acid levels (14.6%) and 35 repsondent had abnormal levels (87.5). In contrast, among those with poor dietary patterns had bad dietary intake 40 respondents with 5 respondents (12.5%) had normal uric acid levels, while 35 respondents (87.5%) had abnormal level. Bivariate analysis revealed a p-value of 0.000 (p < 0.05), indicating that the alternative hypothesis (Ha) was accepted and the null hypothesis (Ho) was rejected. These results prove a significant relationship between dietary patterns and uric acid levels. This study recommends that community members improve their dietary habits by consuming low-purine foods such as fruits, green vegetables, eggs, low-fat milk, and carbohydrate sources (e.g., rice and potatoes). Increasing water consumption is highly recommended to help reduce uric acid levels. 

Non-communicable diseases (NCDs) are major public health problems that develop slowly and are often asymptomatic in the early stages. The Baduy community has limited access to modern health services, resulting in a lack of routine health screening. This community service activity aimed to conduct health screening through uric acid, blood sugar, and blood pressure examinations as an effort for early detection of NCDs in the Baduy community of Kanekes Village, Lebak Regency, Banten. The activity methods included preparation, health examinations, health education, and evaluation. A total of 17 community members participated in the activity. The results showed that 41.2% of participants had elevated uric acid levels, 11.8% had high blood sugar levels, and 47.1% had high blood pressure. This activity increased community awareness of the importance of routine health checks and provided an initial overview of NCD risk factors. Health screening combined with education is expected to contribute to the prevention of NCDs and improvement of community quality of life.

Latar Belakang: Penyakit Tidak Menular (PTM) merupakan salah satu masalah kesehatan utama di Indonesia yang berdampak besar terhadap kualitas hidup masyarakat, termasuk mereka yang tinggal di wilayah pedesaan. Upaya pencegahan dan peningkatan kesadaran dini melalui pemeriksaan kesehatan rutin menjadi strategi dalam menurunkan risiko PTM pada berbagai kelompok usia. Tujuan: Kegiatan pengabdian kepada masyarakat ini bertujuan untuk melakukan pemeriksaan kesehatan guna mendeteksi faktor risiko PTM melalui pengukuran kadar asam urat, kolesterol, glukosa darah, tekanan darah, serta pengukuran antropometrik (berat badan dan tinggi badan). Metode: Kegiatan dilaksanakan melalui kolaborasi antara kampus dan Posbindu di Desa Ngrawan, Jawa Tengah pada bulan Juli-September 2024. Pemeriksaan dilakukan terhadap tekanan darah, kadar glukosa, asam urat, kolesterol, berat, dan tinggi badan. Data dianalisis secara deskriptif untuk memetakan risiko PTM pada kelompok usia produktif dan lanjut usia. Hasil: Sebanyak 70 warga mengikuti pemeriksaan, terdiri atas 59% usia lanjut dan 41% usia produktif, dengan mayoritas perempuan (90%). Sebagian besar kadar asam urat dan glukosa normal, namun ditemukan kolesterol tinggi pada usia produktif (45%) dan lanjut usia (67%), serta hipertensi pada kedua kelompok (66% dan 59%). Kesimpulan: Kegiatan kolaboratif antara kampus dan Posbindu di Desa Ngrawan menunjukkan partisipasi masyarakat yang tinggi serta mengungkap potensi risiko hipertensi dan kolesterol tinggi. Sinergi ini menegaskan kebutuhan penguatan kader dan keberlanjutan Posbindu dalam deteksi dini dan pencegahan PTM di pedesaan.

Non-communicable diseases (NCDs) such as hypercholesterolemia, hyperuricemia, and hyperglycemia are common health problems among adults and can develop into cardiovascular diseases and diabetes if not detected early. This community service activity was carried out to provide education on risk factors, prevention, and control of cholesterol, uric acid, and blood glucose levels among parents of students at RA Avicenna in Sorong City, as well as to conduct examinations of these three parameters as an early detection effort. The methods used included interactive counseling using presentation media, question-and-answer discussions, and health checks using point-of-care testing (POCT) devices. A total of 23 respondents participated, ranging in age from 22 to 55 years. The results showed that 22 individuals had normal blood glucose levels and 1 individual had high glucose levels. Nine people had normal cholesterol levels, eight were in the borderline category, and six had high cholesterol levels. Five participants had normal uric acid levels, while 18 had elevated uric acid levels, for which additional education and recommendations for further medical examination were provided. In conclusion, educational activities combined with health screening proved effective in increasing community awareness and motivation to prevent NCDs early.

Gout can be triggered by several interconnected factors, such as genetic predisposition, family history, obesity, hypertension, heart disease, age, being overweight, and insufficient fluid intake. Recommended exercises for gout sufferers include regular exercise, stretching, and gymnastics. Ergonomic exercise is important for lowering uric acid, especially among elderly people with hyperuricemia. Hyperuricemia is a condition where blood uric acid levels are elevated. This study aims to determine whether ergonomic exercise lowers uric acid levels in the elderly at the Peukan Bada Public Health Center. The study used a quasi-experimental design with a one-group pretest-posttest approach. The sample included all 17 elderly with gout, selected using the total sampling method. Uric acid was measured using a Uric Acid measuring device. Data were analyzed using the Paired t-test. The results showed a p-value of 0.000. This proves ergonomic exercise affects uric acid levels in the elderly at the Peukan Bada Public Health Center. In conclusion, ergonomic exercise influences uric acid levels in the elderly at the Peukan Bada Public Health Center. Patients should regularly perform ergonomic exercises, using correct movements and staying within their physical abilities. Ergonomic exercises can be done 3-4 times a week to improve metabolism, maintain joint flexibility, and reduce uric acid in the body.

Uric acid is a byproduct of purine breakdown, which is a component found in DNA and food. Purine is broken down into uric acid in the body, and if not excreted properly, it can lead to the accumulation of uric acid in the blood, known as hyperuricemia. If left untreated, this condition can develop into gout, which is characterized by joint pain and inflammation, particularly in the foot joints. In addition to medical treatment through medications, uric acid levels can also be naturally reduced through the consumption of certain foods, one of which is pineapple juice. Pineapple juice is known to have beneficial properties in reducing uric acid levels. Pineapple contains vitamin C, flavonoids, and bromelain. Vitamin C plays an important role in increasing the excretion of uric acid through urine, thereby helping to lower uric acid levels in the body. In addition, the flavonoids in pineapple act as antioxidants, inhibiting the enzyme xanthine oxidase, which is involved in the purine metabolism that produces uric acid. By inhibiting this enzyme, the process of uric acid formation can be reduced. Bromelain, a protease enzyme found in pineapple, also provides additional benefits. Bromelain helps accelerate the healing of swelling and joint pain caused by uric acid, as well as having anti-inflammatory effects that help reduce inflammation. This study was conducted using a case study method with a one-group pretest-posttest design to observe changes in uric acid levels in respondents after consuming pineapple juice. For 7 days, four respondents consumed 200 ml of pineapple juice per day. The results showed a reduction in uric acid levels in all four respondents, indicating that pineapple juice is effective as a supportive therapy in lowering uric acid levels. These findings suggest the potential of pineapple juice as a natural alternative to help manage uric acid levels.

Penyakit asam urat (gout) adalah gangguan metabolik yang sering dialami oleh lansia, yang dapat menyebabkan rasa sakit yang hebat, keterbatasan gerakan, serta penurunan kualitas hidup. Penyakit ini terjadi akibat penumpukan kristal asam urat di persendian, yang dapat menyebabkan peradangan dan nyeri yang parah. Faktor risiko utama termasuk pola makan yang kaya purin, obesitas, gangguan ginjal, serta penggunaan obat-obatan tertentu. Namun, banyak lansia yang kurang memahami penyebab, gejala, dan penanganan penyakit ini dengan baik, sehingga kondisi mereka seringkali memburuk. Untuk itu, kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan lansia dalam merawat penyakit asam urat secara mandiri. Program ini diselenggarakan melalui penyuluhan kesehatan yang interaktif, dengan materi yang mencakup etiologi penyakit asam urat, manifestasi klinis, komplikasi yang dapat ditimbulkan, serta berbagai strategi pengelolaan yang efektif. Salah satu aspek penting yang dibahas adalah modifikasi gaya hidup, yang meliputi diet rendah purin, hidrasi yang cukup, serta pentingnya aktivitas fisik. Selain itu, peserta juga diberikan pemahaman mengenai pentingnya kepatuhan terhadap terapi medis yang direkomendasikan oleh tenaga kesehatan. Metode pelaksanaan kegiatan ini meliputi ceramah yang interaktif, sesi tanya jawab, dan distribusi leaflet informatif untuk memperkuat pemahaman peserta. Kegiatan ini dilaksanakan di wilayah RW 05 Srengseng Sawah, Jagakarsa, Jakarta Selatan, yang diikuti oleh sejumlah lansia yang aktif berpartisipasi. Hasil evaluasi menunjukkan adanya peningkatan signifikan dalam pemahaman peserta tentang penyakit asam urat dan bagaimana cara merawatnya. Lansia menunjukkan antusiasme yang tinggi dan mampu mengidentifikasi langkah-langkah praktis yang dapat mereka terapkan dalam kehidupan sehari-hari untuk mengelola kondisi mereka. Melalui kegiatan ini, diharapkan lansia dapat lebih mandiri dalam mengelola asam urat, mengurangi frekuensi serangan, dan meningkatkan kualitas hidup mereka secara keseluruhan.

Uric acid (UA) is a waste product formed when the body breaks down purines, which are natural compounds found in the body and can be found in various types of foods such as alcohol, shellfish, and liver. Hyperuricemia is caused by increased uric acid production, decreased excretion, or a combination of both processes. Most people with hyperuricemia are asymptomatic (85% to 90%), but increased levels of uric acid in the blood or urine can cause gout or nephrolithiasis. Hyperuricemia and hyperuricosuria are also associated with other disorders such as metabolic syndrome, diabetes mellitus, cardiovascular disease, hypertension, atherosclerosis, obesity, and chronic kidney disease. The Community Service (PKM) activity held in Grogol Village, West Jakarta, aims to increase awareness of the elderly community regarding the importance of early detection of hyperuricemia. This program uses the Plan-Do-Check-Act (PDCA) approach, starting from planning uric acid level examinations and compiling educational materials, followed by implementing interactive screening and counseling, evaluating results, and following up in the form of medical referrals for participants with abnormal results. Of the 71 participants involved, only 1 person had uric acid levels above normal. Through education on low-purine diets, the importance of hydration, and physical exercise, this activity is expected to be able to reduce the incidence of hyperuricemia and its complications, as well as support the realization of a healthier elderly community that is aware of its metabolic health.

Komunitas adalah sekelompok orang yang memiliki kesamaan karakteristik. Kesamaan karakteristik tersebut ditentukan dari lokasi, ras, etnis, usia, pekerjaan, kesamaan minat dalam menyelesaikan masalah tertentu, hasil, atau ikatan umum lainnya. Untuk meningkatkan derajat kesehatan masyarakat dapat dimulai dari individu, kelompok sampai tingkat RT dan RW Di wilayah Kp Pengasinan RW 03 Kelurahan Periuk Jaya Kecamatan Periuk Kota Tangerang terdiri dari 4 RT dengan jumlah 644 Kepala Keluarga. Jenis penelitian ini adalah deskriptif dengan pendekatan observasi melalui metode wawancara terpimpin, pengumpulan angket, serta observasi terhadap masyarakat di Kp. Pengasinan RW.03 Kel. Periuk Jaya Kec. Periuk. Jumlah kuesioner yang disebarkan berjumlah 100 kuesioner. Hasil pengkajian di Kp. Pengasinan RW.03 terdapat 644 KK dengan diambil sampel untuk data sebanyak 100 KK. Dari hasil data kuesioner yang dibagikan ke 100 KK secara random ke RT.01, RT 02, RT03, RT 04 yang ada di wilayah RW.03 terdapat 3 penyakit teratas yaitu Hipertensi (49%), Maag (Gastritis) (12%) dan Asam Urat (11%). Telah dilakukan implementasi sesuai dengan rancangan intervensi keperawatan dimana implementasi yang dilakukan adalah memberikan pendidikan kesehatan mengenai Hipertensi, demontrasi senam Hipertensi, demonstrasi pemberian jus buah semangka, pendidikan kesehatan mengenai Gout Athritis, demonstrasi kompres air jahe, pendidikan kesehatan tentang gastritis, demonstrasi perasan kunyit tawar

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 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.

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.

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.