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Penurunan kognitif berkorelasi kuat dengan penurunan kualitas hidup secara keseluruhan, meningkatkan risiko isolasi sosial, depresi, dan ketergantungan sehingga perlu adanya Upaya pencegahan penurunan fungsi kognitif. Hasil wawancara dengan Kepala Puskesmas Sekaran menyampaikan bahwa dari 5 Kelurahan yang dibina oleh Puskesmas Sekaran, Kelurahan Sukorejo termasuk wilayah yang memiliki masalah kesehatan yang kompleks. Masalah kesehatan terkait lansia perlu mendapatkan perhatian yang tidak kalah penting juga. Kesehatan lansia yang di bawah pengelolaan posyandu lansia di daerah Kelurahan Sukerejo Deliksari telah berjalan dengan baik. Hanya saja wilayah tersebut terkait penanganan masalah kesehatan kognitif lansia masih perlu mendapatkan perhatian yang lebih. Salah satu gangguan fungsi kognitif pada lansia adalah demensia. Penanganan kesehatan terkait demensia di wilayah tersebut tidak ada, hal ini dikarenakan kader posyandu lansia menganggap masalah demensia atau pikun meruapakan yang wajar dan normal bagi lansia. Maka diperlukan upaya promotif dan pencegahan dengan diadakannya pengabdian masyarakat terkait peran kader dalam deteksi dini lansia dengan demensia. Setelah diberikan pendidikan kesehatan Lansia mengatakan bahwa perlu melakukan kegiatan untuk tetap menjaga daya ingat diusia senja.

When someone enters old age, symptoms such as senility or difficulty remembering new information often appear. This condition is known as dementia, a syndrome characterized by decreased cognitive function, behavioral changes, memory impairment, disorientation, and difficulty communicating and making decisions. This community service program aims to provide information and understanding about how to handle dementia that can be done at home. Activities are carried out through a counseling method consisting of a pre-test, education, and post-test, using leaflets and questionnaires containing questions to measure the level of understanding of participants. The results of the counseling showed an increase in participant knowledge, as seen from the comparison of the graph between the pre-test and post-test results. Education accompanied by brain gymnastics practices has been shown to have a positive impact on increasing participants' understanding of dementia and how to handle it. It is hoped that this counseling will continue to provide benefits to participants and can be applied in everyday life.

Neurocognitive disorders, particularly dementia, affect various cognitive functions such as memory, attention, language, learning, and problem-solving, with the elderly population being the most impacted. The prevalence of dementia is projected to rise to 131 million cases by 2050, posing significant social and economic implications. This study employed a cross-sectional method to evaluate the role of Apolipoprotein A (APOA) and Apolipoprotein B (APOB) in the diagnosis and prevention of dementia in older adults. The results showed that Apolipoprotein A was not significantly correlated with MMSE scores, indicating no clear relationship between APOA and cognitive function. In contrast, Apolipoprotein B demonstrated a significant negative correlation with MMSE, suggesting that increased APOB levels are associated with cognitive decline. Elevated ApoB, linked to increased LDL and oxidative stress, correlated with reduced cognitive function, whereas ApoA, the main component of HDL, is associated with neuroprotective effects. These findings underscore the importance of monitoring lipid profiles, including ApoA and ApoB, in the prevention and management of dementia in the elderly.    

Dementia is a growing global health challenge due to the aging population and lifestyle changes. Early and accurate diagnosis is crucial but often difficult and costly. The Case-Based Reasoning (CBR) method in artificial intelligence offers a solution by mimicking human problem-solving based on past experiences. This study aims to develop and implement an efficient and reliable CBR-based dementia diagnosis system. The system is expected to analyze and compare patient symptoms and medical histories with documented cases to provide faster and more accurate diagnostic recommendations. The implementation of CBR in a web-based expert system using PHP and MySQL has proven effective, significantly contributing to the improvement of patient quality of life and healthcare system effectiveness.

The definition of Health is a complete physical and mental condition, free of disease or disability. Feelings of uselessness, sadness, insomnia, stress, depression, anxiety, delirium, and dementia are signs of psychological regression in the elderly. Health care for depressed parents with dementia requires non-pharmacological care. Objective: This research analyzes the effects of reminiscence therapy, Brain Gym, and music therapy to relieve elderly people suffering from dementia and depression. This literature review research took the published articles from 2014 to 2024 on Google Scholar and Pubmed. The researchers collected relevant data or sources based on the keywords. The results found both in Indonesia and Japan, non-pharmacological care interventions like reminiscence therapy had a significant impact. However, the Brain Gym intervention group and music therapy performed in Japan had no significant impact on relieving depression or improving the cognitive function of dementia patients. Conclusion: Reminiscence therapy succeeded in relieving cognitive function in parents suffering from dementia in Indonesia and Japan. Therefore, reminiscence therapy is suggested to be applied in Japan.

Dementia or senility is an aging process so it is considered a normal thing and if dementia is not prevented or treated it will have an impact such as a decrease in cognitive function. Cognitive function is mental and intellectual abilities and memory. Cognitive function ability was measured using the MMSE (Mini Mental State Examination) questionnaire which consisted of 11 questions. Efforts to improve cognitive function one of them with classical music therapy. This case study aims to describe the application of classical music therapy to improve cognitive function in the elderly at the Sekaran Health Center in Semarang. This case study uses a type of case study with a descriptive approach. The subjects of this case study used 2 people with inclusion criteria: age between 60-74 years, able to communicate well, elderly with mild dementia (MMSE score 24-30) and moderate (probable) MMSE score 17-23, elderly who are cooperative and can read and write, the elderly who are not hearing impaired. This case study was conducted 4 meetings over 2 weeks. The results of this case study showed an increase in cognitive function felt by both subjects. Subject I from a score of 22 (probable cognitive disorder) to 28 (normal). Subject II from a score of 19 (probable cognitive disorder) to 25 (normal). Classical music therapy in conclusion can improve the cognitive function of elderly people with dementia and is recommended as an effective therapy application in improving cognitive function.

This research aims to analyze the role of cadres in caring for elderly people with dementia in Deliksari Village, Gunungpati. Cadres are individuals who are specially trained to provide health and social support in their communities. In this context, they have a responsibility to help families and elderly people experiencing dementia through various programs and activities focused on improving quality of life and preventing further cognitive decline. This study uses a qualitative approach with observation methods, in-depth interviews and document analysis to obtain relevant data. The research results show that cadres play an important role in providing health information, care training, and emotional support to families and the elderly. They also act as a link between the community and formal health services, assisting in the early detection and more effective management of dementia

Demensia merupakan kelainan yang menyebabkan seseorang mengalami kehilangan kognitif yang meliputi daya ingat, IQ, dan aktivitas sehari-hari. Fungsi kognitif menurun akibat kerusakan morfologi dan biokimia pada saraf. Aktivitas fisik akan lebih efektif jika dipadukan dengan berbagai rangsangan lainnya. (Nur Sukma, et al, 2020). Tujuannya untuk mengetahui pengaruh Brain Gym dan Multi-Exercise (Square Stepping exsercise dan Pazzel) dalam meningkatkan fungsi kognitif pada Kondisi Demensia. Metode penelitian pra-eksperimental. Sampel yang memenuhi kriteria inklusi dan eksklusi berjumlah 15 orang. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Desain penelitiannya adalah one-group pretest-posttest. Dilaksanakan selama 4 minggu dan 3 kali pertemuan. Hasil : Uji hipotesis menggunakan uji Unpaired t test dengan nilai p=0,0017 artinya p<0,05 (lebih kecil dari 0,05) yang berarti Ha diterima dan Ho ditolak yang berarti terdapat pengaruh Brain Gym dan Multi-Exercise terhadap peningkatan kognitif pada siswa. ukuran. Kesimpulan Terdapat pengaruh pemberian Brain Gym dan Multi-Exercise dari kombinasi latihan dan terdapat peningkatan kognitif pada demensia.

An elderly person is someone who has reached the age of 60 years and over. One of the health problems that often occurs in the elderly is a decline in memory, learning and cognitive abilities in the elderly which causes them to have difficulty interacting and being difficult to understand. Conditions that affect cognitive abilities in the elderly are called dementia. Dementia is a chronic and progressive decline in memory and thinking function, causing disruption of functional activities. Nursing interventions that can be given to the elderly to improve cognitive function in the occurrence of dementia include brain gymnastics. The case study design used is descriptive research. The method used to collect data is using the Android-based MMSE (Mini Mental State Examination), namely MEFuKo (MMSE for Cognitive Function) to determine the level of dementia in the elderly. Brain exercise therapy (brain gym) is carried out for 7 consecutive days, 1 meeting per day with a duration of 15 minutes. Subject I's MMSE score before brain exercise therapy was 16 (presence of definite cognitive impairment) increased to 19 (presence of probable cognitive impairment) and there was an increase of 3 in total MMSE scores. The MMSE score in subject II before brain exercise therapy was 19 (possible cognitive impairment), after therapy the MMSE score became 23 (probable cognitive impairment) and there was an increase of 4 in total MMSE scores. The more activities you do, the less likely it is that seniors will experience a decline in cognitive function. The conclusion is that there was an increase in cognitive function in the two case study subjects which illustrate the application of brain gym therapy to cognitive function in elderly people with dementia. Brain exercise therapy is recommended to improve working memory function which can improve the quality of life of the elderly.  

STIKES Kesdam IV/Diponegoro as one of the health universities has great potential in the form of human resources (HR) to play a role in the development of the target area in the health sector. The results of an interview with the Head of the Sekaran Community Health Center revealed that of the 5 sub-districts managed by the Sekaran Community Health Center, Sukorejo Sub-District is an area that has complex health problems. Health problems related to the elderly need attention that is no less important. The health of the elderly under the management of the elderly posyandu in the Sukerejo Deliksari sub-district area has been going well. It's just that this area related to handling the cognitive health problems of the elderly still needs more attention. One of the cognitive function disorders in the elderly is dementia. There is no health care related to dementia in this area, this is because elderly posyandu cadres consider the problem of dementia or senile dementia to be natural and normal for the elderly. So promotive and preventive efforts are needed by holding community service related to cadre training in early detection of elderly people with dementia health problems.

Background: The prevalence of elderly people continues to increase every year. This is directly proportional to the problems that continue to occur. One of them is a decrease in cognitive abilities which results in dementia. One of the risk factors for dementia is the level of physical activity. Decreased physical activity is believed to be one of the causes of dementia in the elderly, along with other risk factors. Objective: To determine the relationship between physical activity levels and risk factors for dementia in elderly posyandu participants in RW 03, Dinoyo Village. Research Method: This research uses descriptive analytical methods with a cross-sectional design. The method with sampling of both variables is carried out in the same time period. The total sample was 51 elderly posyandu participants in RW 03 Dinoyo Village who met the inclusion criteria. The measurement instrument uses the IPAQ-SF questionnaire to measure physical activity levels and the MMSE questionnaire to measure cognitive abilities. The correlation test used the Spearman Rho test with IBM SPSS 25. Results: Based on the Spearman Rho correlation test, the result was p = 0.339 (p > 0.05). The results showed that there was no relationship between the level of physical activity and the risk of dementia. Conclusion: There is no significant relationship between the level of physical activity and the risk of dementia in respondents. The lack of results in this study was caused by several factors, namely the limited research design and other supporting factors that were not studied.

Based on population projection data, it is estimated that in 2017 there will be 23.66 million elderly people in Indonesia (9.03%). The number of elderly people is predicted in 2020 (27.08 million), 2025 (33.69 million), 2030 (40.95 million) and 2035 (48.19 million) (Ministry of Health RI, 2017). The prevalence of dementia (per 1000 people) in Indonesia in 2005 was 191.4 incidents, in 2020 it is estimated to be 314.1 incidents, and will increase in 2050 to around 932 incidents. The data obtained in the work area of ​​the Telaga District Public Health Center were 134 elderly, of which 38 had dementia. From the results of interviews obtained from health workers at the puskesmas and families, they said that often the elderly forgot many activities such as bathing, taking medicine and others, so the family had to remind them to take a bath, take medicine and so on. Further interviews conducted by researchers on the elderly, some said that they rarely consume vitamins, especially vitamin D, are lazy to exercise, do light activities or sunbathe every morning which can increase the risk of developing dementia.

Dementia is a cognitive decline that is so severe that it interferes with activities of daily living and social activities. Cognitive decline in dementia usually begins with a decline in memory or memory (forgetfulness). Cognitive function is the main human capital in the activities of daily life. Brain gymnastics is a light exercise that is carried out with cross movements in order to harmonize and optimize the performance of the right and left brain so that it can improve cognitive function. This study aims to determine the results of the application of brain exercise on cognitive function in the elderly with dementia. Quantitative research with a cross sectional approach and sampling collection technique with purposive sampling with a sample of 34 respondents. The data collection tool used was the Mini Mental Status Examination (MMSE) questionnaire. It was found from this study that before brain exercise, normal cognitive function was 0, while moderate was 2 respondents (5.9%) and mild cognitive function was 32 respondents (94.1%). After brain exercise, normal cognitive function was 14 respondents (41.2%) while 20 respondents (58.8%) had moderate cognitive function and 0. mild cognitive function.

Public service is a form of realization of orderly government administration to make it easier for citizens, including marginalized groups of people such as the poor who are cared for by the state (one of them is neglected elderly) in fulfilling various complexities of daily needs. The government gives privileges to neglected elderly in population and health services because in the administrative process they cannot be equated with members of the public in general. The factor of dementia and neglect is an important highlight of special services. Type of this research is descriptive qualitative at the Institution owned by the Provincial Government of DKI Jakarta, Tresna Werdha Social Institution (PSTW) Budi Mulia 3. The results of this study indicate that the population and health services provided by PSTW BM 3 have fulfilled service facilities quite well in terms of Tangible, Dementia elderly get convenience in the process of obtaining a Population Identification Number (NIK) and KTP-El even though it is scheduled once a year. Reliability is quite good in terms of timeliness, Responsiveness The services provided are good, supported by the intensity of coordination, Assurance of data security is well maintained in privacy so that it is safe, and Emphaty for both Dukcapil and Jamkesda are ready 24 hours in receiving service requests from PSTW BM 3 with a follow-up process on work days.  

Menopause dikaitkan dengan peningkatan risiko penyakit kardiovaskular. Hal tersebut dikarenakan adanya pengaruh hormon estrogen yang dapat melindungi wanita dari penyakit kardiovaskular salah satunya hipertensi. Kurangnya aktifitas fisik yang dilakukan oleh wanita menopause adalah salah satu dari banyak faktor yang berkontribusi terhadap peningkatan maupun kejadian tekanan darah tinggi atau hipertensi. Tujuan penelitian ini adalah menganalisis Hubungan Aktivitas Fisik Dengan Kejadian Hipertensi Pada Wanita Menopause di Wilayah Kerja Puskesmas Telaga Kabupaten Gorontalo. Desain penelitian ini adalah desain penelitian analitik dengan rancangan cross sectional dengan jumlah sampel sebanyak 45 orang diambil dengan menggunakan teknik sampling yaitu purposive sampling. Hasil penelitian yang diperoleh nilai p value (0.003) < α (0.05), jika p < α berarti hipotesis diterima. Statistic dan metode chi square hasil nilai p = (0.003) < = 0.05. yang berarti Ha diterima. Aktivitas Fisik berhubungan dengan Kejadian Hipertensi Pada Wanita Menopause di Wilayah Kerja Puskesmas Telaga Kabupaten Gorontalo. Perlunya penelitian lanjutan dengan mengendalikan dengan meneliti faktor-faktor beresiko terjadinya hipertensi seperti kebiasaan merokok, konsumsi garam, kualitas dan kuantitas tidur, stress serta faktor pemicunya sehingga diharapkan mendapatkan hasil penelitian yang lebih baik.  Demensia,Vitamin D,Lansia,Kognitif    

Latar Belakang : Masalah kesehatan yang sering dialami oleh lansia salah satunya adalah penyakit dimensia. Demensia merupakan kumpulan gejala neurodegeneratif yang timbul karena kelainan yang bersifat kronis dan progesif disertai dengan gangguan fungsi kognitif seperti kemampuan mengingat, proses berpikir, kalkulasi, kapasitas belajar, orientasi, bahasa, dan mengambil keputusan. Demensia terjadi karena sel saraf otak di bagian tertentu mengalami kerusakan, sehingga menyebabkan kemampuan otak untuk berkomunikasi dengan saraf tubuh lainnya menjadi menurun. Dampak demensia terjadinya penurunan dalam daya ingat, kemampuan untuk mengingat waktu, mengenali orang, tempat dan benda. Tujuan penelitian ini bertujuan untuk mengetahui tingkat pengetahuan lansia tentang penyakit demensia Metode : Penelitian ini menggunakan metode deskriptif menggunakan alat ukur kuesioner. Lokasi penelitian ini di Banjar Kerta, Kecamatan Payangan, Kabupaten Gianyar, dengan jumlah sampel 77 orang lansia yang berusia lebih dari 45 tahun dengan teknik purposive sampling. Hasil : Karakteristik berdasrakan usia sebagian besar usia 60-74 tahun 55 responden (71,4%), berdasarkan jenis kelamin sebagian besar perempuan 43 (55,8%), berdasarkan pekerjaan sebagian besar tidak bekerja 39 (50,6%), berdasarkan pendidikan sebagian besar SD 48 (62,3), hasil tingkat pengetahuan lansia tentang penyakit demensia yang diperoleh yaitu hasil pengetahuan dalam kategori kurang sebesar 64 (83,1%). Simpulan : Tingkat pengetahuan lansia tentang penyakit demensia di Banjar Kerta, Kecamatan Payangan, Kabupaten Gianyar sebagian besar memiliki tingkat pengetahuan kurang. Perlu penekanan pengetahuan pada pasien yang berlatar belakang pendidikan rendah dan yang tidak bekerja dan pada lansia tentang demensia.

Background: Dementia in the elderly is a chronic confucius condition and the loss of cognitive abilities globally and progressively is associated with physical problems. Family health tasks as a support system are very important for people with dementia in order to do their daily activities. Purpose: This research aims to find out the relationship between family health tasks and dementia rates in the elderly. Methods: This research used analytical research type with cross sectional approach. Sample as much as 40 dementia elderly with total sampling technik. The dependent variable in this study was the dementia level in the elderly, while the independent variable was the family health task. Results: Based on the results of research, it was found that most of them have less family health duties and almost half of them with the level of dementia was severe. The Spearman Rank test resulted obtained p = 0.000 (?= 0.05), there was relationship between family health duties and the level of dementia in the elderly. Conclusion: Efforts made need to provide comprehensive and effective counseling from all sectors to the community to provide correct information about the importance of family duties or family roles to family members who have health problems, so that the community can pay attention to and care for sick families.Keywords: Family health tasks; Dementia; Elderly

 Lansia merupakan kelompok umur pada manusia yang telah memasuki tahapan akhir dari fase kehidupannya. Proses menua ini ditandai dengan perubahan pada fisik maupun mental lansia maupun kemunduran fungsi kognitif salah satunya demensia. Salah satu kelainan yang diduga memiliki hubungan dengan penurunan fungsi kognitif ini adalah adanya defisiensi vitamin D. Tujuan dari penelitian ini untuk Mengetahui Hubungan Antara Keadekuatan Asupan Vitamin D Dengan Kejadian Demensia Pada Lansia Di Wilayah Kerja Puskesmas Telaga. Desain penelitian analitik dengan rancangan cross sectional untuk mengetahui hubungan antara keadekuatan asupan vitamin d dengan kejadian demensia pada lansia di wilayah kerja Puskesmas Telaga. Populasi dalam penelitian ini adalah lansia di wilayah kerja puskesmas telaga yang menderita demensia sejumlah 38 orang, sampel berjumlah 38 orang yang telah terseleksi melalui kriteria inklusi dan eksklusi. Instrumen yang digunakan adalah cross sectional dengan menggunakan analisis univariat dan bivariat.