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Sleep quality is a crucial component of health and overall well-being among older adults, as the aging process is commonly associated with various physiological, psychological, and environmental changes that may significantly disrupt normal sleep patterns. Declining bodily functions, increased health problems, and changes in daily routines often contribute to sleep disturbances in later life. This literature review aims to analyze the factors influencing sleep quality in the elderly by synthesizing findings from relevant national and international studies published in recent years. Various factors were identified, including physiological conditions such as chronic diseases, pain, and hormonal changes; psychological factors such as anxiety, depression, stress, and cognitive decline; lifestyle-related factors such as levels of physical activity, dietary habits, medication use, and caffeine consumption; and environmental aspects including noise exposure, lighting conditions, temperature, and overall bedroom comfort. The reviewed literature consistently indicates that poor sleep quality is strongly associated with impaired physical health, reduced cognitive function, increased fatigue, and decreased emotional well-being in older adults. This review highlights the importance of comprehensive, multidisciplinary interventions that address both intrinsic and extrinsic determinants of sleep to effectively improve overall sleep quality among elderly populations.

Aging leads to changes in body composition influenced by physical, psychological, and social factors. Understanding the relationship between fat distribution and nutritional status, particularly in older adults, is crucial for targeted interventions. This study examines the impact of body fat composition on nutritional assessment, particularly its influence on MNA scores in older adults. It aims to provide insights into how fat distribution and related metabolic changes affect nutritional status and inform targeted interventions for aging populations. The sample consisted of 31 elderly woman subjects selected through purposive sampling in a cross-sectional design from St. Francis of Assisi Catholic Church. Their nutritional status was determined using the MNA score, and the body composition measures were total body fat and skeletal muscle measured by the Omron Karada Scan HBF 375. SPSS analyzed statistical differences between body composition and MNA scores. This study found significant correlations between the Mini Nutritional Assessment scores and body composition parameters, including BMI (r = 0.473, p = 0.007), total subcutaneous fat (r = 0.468, p = 0.008), and visceral fat (r = 0.457, p = 0.010). Arm skeletal muscle showed a negative correlation (r = -0.486, p = 0.006). These results emphasize that fat composition is a critical determinant of nutritional status in the elderly.  The study found a significant correlation between fat composition as a key determinant of nutritional status in the elderly, with significant correlations observed between MNA scores and various body fat parameters. Keywords: Body Composition, Elderly, Mini Nutritional Assessment

This qualitative study explores the role of pickleball in promoting healthy aging among elderly players in Indonesia. As the global elderly population continues to rise, the need for effective strategies to enhance physical, mental, and social well-being in older adults becomes more pressing. Pickleball, a low-impact sport that combines elements of tennis, badminton, and table tennis, has gained significant popularity worldwide due to its accessibility, moderate intensity, and low risk of injury. This study employed a phenomenological approach, conducting semi-structured interviews, participant observations, and focus group discussions with 19 elderly pickleball players aged 50 and above in Surabaya, Indonesia. The findings suggest that regular participation in pickleball leads to significant improvements in physical health, including enhanced strength, balance, flexibility, and cardiovascular endurance. The sport also has positive effects on mental well-being, helping to reduce stress, improve cognitive function, and provide a sense of purpose and accomplishment. Socially, pickleball fosters community engagement, reduces feelings of isolation, and strengthens intergenerational relationships, allowing older adults to connect with younger generations. However, barriers such as physical limitations, limited access to facilities, and unfavorable weather conditions hinder consistent participation. In conclusion, pickleball is a valuable and effective activity for promoting healthy aging by providing a holistic approach to improving the quality of life in older adults. Policymakers, healthcare providers, and community leaders are encouraged to invest in pickleball infrastructure, promote awareness, and support active aging initiatives to further enhance the well-being of elderly populations. This version now has 253 words, making it more closely aligned with your desired word count.

This study explores the impact of complementary herbal therapy education on improving the quality of life in the elderly. As aging populations face increasing health challenges, there is a growing interest in alternative approaches that can enhance well-being. Herbal therapy, a practice rooted in traditional medicine, offers potential benefits for managing chronic conditions and promoting overall health in older adults. The research involved educating elderly participants about the use of specific herbal remedies tailored to common geriatric issues, such as arthritis, digestive problems, and sleep disturbances. Pre- and post-intervention assessments were conducted to measure changes in physical health, emotional well-being, and daily functioning. The results revealed significant improvements in the participants' quality of life, with notable reductions in symptoms, enhanced vitality, and increased satisfaction with their health management. The study concludes that educating the elderly about safe and effective use of herbal therapy can serve as a valuable complement to conventional treatments, leading to better health outcomes and improved quality of life. Further research is recommended to refine educational strategies and explore the long-term benefits of herbal therapy in the elderly population.  

This article investigates the role of legal frameworks in safeguarding the welfare of elderly populations, particularly in cases of financial abuse, healthcare, and elder neglect. By examining elderly care policies from various countries, the study evaluates the effectiveness of laws designed to protect the rights and dignity of older adults. Findings suggest that comprehensive elderly care policies, including legal protections and support systems, are essential for preventing abuse and ensuring quality of life.

This study explores the role of social support in shaping mental health outcomes among aging populations. Through a survey of older adults, the research examines how family, peer, and community support influence depression, anxiety, and life satisfaction. The findings suggest that strong social networks significantly improve mental health outcomes, emphasizing the importance of social support in promoting well-being in older adults.