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Cardiovascular diseases are the leading cause of death worldwide, accounting for 17.9 million deaths annually. Stroke and heart attacks often go undetected due to their silent nature. This community service activity aimed to increase community knowledge about stroke and heart attacks and conduct early detection through health screening. The activity was conducted in Lalimbue Village, Kapoiala District, Konawe Regency on May 11 and 18, 2025. Methods included healthy exercise, educational talk show, first aid workshop, and health screening (blood pressure, blood glucose, cholesterol). Knowledge evaluation used pre-test and post-test with 10 questions. Results showed 56 participants on implementation day and 17 on follow-up. Pre-test showed 23% had good knowledge, 34% moderate, and 43% poor. Post-test showed 87% good knowledge and 13% moderate. Health screening found 10.7% with hypertension and 10.7% with diabetes mellitus on implementation day. Follow-up found 47.1% with hypertension and 23.5% with diabetes mellitus. This study concluded that health education is effective in increasing community knowledge about stroke and heart attack prevention, and health screening is important for early detection of cardiovascular and metabolic diseases.

Non-communicable diseases (NCDs) are the leading causes of morbidity and mortality, particularly among older adults. Integrated Development Posts for Non-Communicable Diseases (Pos Pembinaan Terpadu Penyakit Tidak Menular / Posbindu PTM) play a crucial role in the early detection of NCD risk factors at the community level. This activity aimed to conduct NCD risk factor screening through the measurement of blood pressure, random blood glucose, total cholesterol, and uric acid levels, as well as to provide health consultations for participants of Posbindu Rosella, South Kembangan. The activity was conducted in November 2025 using a descriptive design. A total of 30 Posbindu participants were involved. Health examinations included blood pressure, random blood glucose, total cholesterol, and uric acid measurements. Data were analyzed descriptively and classified into normal and abnormal categories based on clinical guidelines. The majority of participants were female (80%), with a mean age of 60.5 ± 9.7 years. The mean systolic blood pressure was within the hypertensive range. Approximately 50% of participants had impaired glucose regulation, 60% experienced hyperuricemia, and 40% had total cholesterol levels classified as borderline or higher.  Health screening activities at Posbindu revealed a high prevalence of NCD risk factors among participants. Posbindu plays an essential role in early detection and community-based prevention of non-communicable diseases.

Background: Central Sulawesi has experienced a high frequency of natural disasters, with 111 recorded incidents in 2023 and 238 in 2022. The province was also designated as a high-risk disaster area in 2021. Blood pressure and cholesterol screenings are essential tools for diagnosing diseases, identifying risk factors, tracking disease progression, and assessing the effectiveness of treatments. Objective: This initiative aimed to provide free health screenings and offer basic food assistance to the community. Methods: The screenings were conducted in Wombo Village, Tanantovea District, Donggala Regency, Central Sulawesi. Results: The community health screenings revealed that the majority of adults and elderly participants had normal blood pressure and cholesterol levels. However, 5 individuals were found to have high blood pressure, while 20 participants exhibited normal levels. Additionally, 25 individuals had normal cholesterol levels. Conclusion: The screening results indicated that while most participants were in good health, a small percentage had elevated blood pressure, which warrants further attention. This initiative successfully provided free healthcare services and essential food support to the community.

Background: Central Sulawesi has experienced a high frequency of natural disasters, with 111 recorded incidents in 2023 and 238 in 2022. The province was also designated as a high-risk disaster area in 2021. Blood pressure and cholesterol screenings are essential tools for diagnosing diseases, identifying risk factors, tracking disease progression, and assessing the effectiveness of treatments. Objective: This initiative aimed to provide free health screenings and offer basic food assistance to the community. Methods: The screenings were conducted in Wombo Village, Tanantovea District, Donggala Regency, Central Sulawesi. Results: The community health screenings revealed that the majority of adults and elderly participants had normal blood pressure and cholesterol levels. However, 5 individuals were found to have high blood pressure, while 20 participants exhibited normal levels. Additionally, 25 individuals had normal cholesterol levels. Conclusion: The screening results indicated that while most participants were in good health, a small percentage had elevated blood pressure, which warrants further attention. This initiative successfully provided free healthcare services and essential food support to the community.

Obesity, central obesity, and hypercholesterolemia are prevalent yet often unrecognized health conditions that significantly elevate the risk for various non-communicable diseases (NCDs) such as diabetes mellitus, hypertension, and cardiovascular disorders. These conditions, when left undiagnosed and untreated, contribute to the growing public health burden worldwide. This community service program was designed to raise awareness and provide early detection of these conditions through basic health screening measures, including body mass index (BMI), waist circumference, and blood cholesterol levels. The program was implemented in Tomang Subdistrict, West Jakarta, where 90 participants were involved. The findings from the screening revealed concerning results: 67% of the participants were classified as obese, and 58% had central obesity, both of which are major risk factors for NCDs. A deeper analysis of lifestyle factors highlighted that high-fat diets, sedentary behaviors, and night shift work were significant contributors to the high rates of obesity and metabolic abnormalities observed. The educational outreach component of the program, which included the provision of information about healthy diets, exercise, and the importance of regular health screenings, proved to be effective in raising awareness about these health issues. Moreover, the simple health screening process was well-received by the community and contributed to a greater understanding of individual health risks. This initiative is expected to serve as a sustainable model for promoting health and preventing metabolic diseases in the community. The findings underscore the importance of early detection and education as critical strategies in the fight against obesity and related NCDs, suggesting that such programs can play a key role in reducing the future burden of chronic diseases in underserved populations

Hypercholesterolemia is one of the health problems that is often experienced by the elderly and has a major impact on their quality of life, especially because it increases the risk of cardiovascular diseases such as coronary heart disease, stroke, and peripheral vascular disorders. This condition often does not show symptoms, but the process of atherosclerosis can develop slowly and cause serious complications if not treated early. The Community Service Program (PKM) implemented at Panti Werdha Hana aims to increase awareness among the elderly of the importance of early detection of Cholesterol and High Density Lipoprotein (HDL) levels as part of efforts to prevent heart disease. This activity applies the Plan-Do-Check-Act (PDCA) approach, including total cholesterol and HDL examinations using the Point-of-Care Testing (POCT) method, as well as interactive education about risk factors and healthy lifestyles. The results of the activity showed that out of 76 participants, 38 people (50%) had total cholesterol levels above normal, while 22 people (28.95%) had low or very low HDL levels. Early detection through screening has proven effective in identifying cardiovascular risks earlier and providing a basis for timely medical and educational interventions. Through this activity, it is hoped that the elderly can understand their health conditions better and take preventive steps to maintain lipid levels within normal limits, to improve the quality of life and reduce the risk of cardiovascular complications in the future.

Social changes and lifestyles of the elderly and children at the Al-Hikmah orphanage are very different from before living in the orphanage and after living in the orphanage. The purpose of this study was to see the extent of social changes and lifestyles of the elderly and children at the Al-Hikmah orphanage. The method used in this study is capacity building which aims to increase individual or group understanding of the problems they face while equipping them with ways to overcome them independently. The results of the analysis showed that there was a significant increase in the knowledge of the elderly about cholesterol and hypertension. Before the intervention, 40% of the elderly still did not understand the mpact of cholesterol and hypertension. The results of the analysis showed that there was a significant increase in children's knowledge about healthy lifestyles. As many as 30% of children at the Al-Hikmah orphanage still did not understand what a healthy lifestyle was

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.

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 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.

Hypertension is a growing epidemic in the United States, with more than 40% of adults aged 45-64 years and more than 70% of adults aged 65 years and older diagnosed with this condition. Hyperglycemia and high cholesterol contribute to damage to blood vessel walls which triggers hypertension. Physical damage due to hypertension is cumulative, so compliance with treatment is the key to preventing serious illnesses such as end-stage kidney disease. In an effort to improve self-management of elderly people with hypertension, health education activities were carried out at the Wesabbe Complex, working area of ​​the Tamalanrea Community Health Center, Makassar, involving 30 participants. The activity lasted for two days and included lectures, discussions, distribution of leaflets, and blood pressure checks. The results showed an increase in self-management, where before the activity, 66.7% of participants had poor self-management, but after education, 86.7% of participants showed a significant increase in self-management. The evaluation showed an increase in participants' knowledge in hypertension management, including the ability to control blood pressure and recognize signs of increased blood pressure. Conclusion: Health education has proven effective in improving self-management of elderly people with hypertension, which has an impact on increasing their ability to control blood pressure and make health decisions independently. It is recommended that more adequate facilities and infrastructure be provided to support activities to improve public health in the Wesabbe Complex in the Tamalanrea Makassar Health Center Working Area.

Fatty liver is a medical condition in which fat builds up in liver cells, which can develop into steatohepatitis, fibrosis, cirrhosis and liver cancer if not treated properly. Fatty liver in the elderly causes an increased risk of serious complications due to the high prevalence of metabolic risk factors such as hypertension, diabetes, hyperlipidemia and obesity which are more common in the elderly. The importance of education and understanding risk factors so that the elderly community can adopt a healthy lifestyle is the main focus of this community service activity. Through the Plan-Do-Check-Act (PDCA) method, initial assessment, education, implementation of healthy eating and exercise patterns, and evaluation of the effectiveness of the intervention are carried out. The results showed that the majority of elderly people had cholesterol levels and liver function within normal limits, although 9.7% had hypercholesterolemia and 43% had SGOT levels that were not optimal. Continuous education and support are key in preventing and managing fatty liver and dyslipidemia in the elderly, thereby improving their quality of life.

Hyperlipidemia, characterized by elevated levels of lipids such as cholesterol and triglycerides in the blood, significantly increases the risk of atherosclerosis, which causes cardiovascular disease, ischemic stroke, and peripheral arterial disease. Genetic tendencies and unhealthy lifestyles such as diet, smoking, and physical activity can cause this. This condition often does not cause symptoms, so it is necessary to carry out regular health checks. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for hyperlipidemia in the elderly at the Hana Nursing Home, South Tangerang. This activity included 61 respondents, and 28 people (45.9%) experienced hypercholesterolemia. These results highlight the importance of routine lipid screening in identifying individuals at risk early, enabling timely intervention. This examination can significantly reduce morbidity and mortality, thereby improving overall quality of life.

Stroke is a functional disorder of the brain with varied clinical manifestations, which occurs suddenly due to disturbances in cerebral blood circulation. Stroke is a major cause of mortality and disability despite its increasing prevalence. Promotive and preventive efforts are still the main priority in efforts to reduce morbidity, disability and mortality. Early detection of someone who has risk factors is very necessary considering that stroke can attack anyone at any time. STIKES Kesdam IV/Diponegoro is a health university that has a vision of global competitiveness, so it really supports the Tri Dharma of Higher Education activities at the international level, including carrying out community service activities in the health sector in the Philippines. This community service activity is a promotional activity in the form of education about stroke and a preventive activity in the form of screening for stroke risk factors directly to the community. Screening is carried out for 3 stroke risk factors, namely blood pressure, cholesterol levels and blood sugar levels. The results of community service showed that after providing education using posters and leaflets, there was an increase in the knowledge of LBB Mabini Apartelle residents regarding definitions, modifiable risk factors, and stroke prevention. The health screening results of the 20 people examined showed that 40% had a risk of stroke from measuring blood pressure and 20% had a risk of stroke from measuring cholesterol.

Health is an important factor that influences the quality of life of the community. This study aims to increase awareness of the people of Karawana Village, Dolo District, Sigi Regency, about the importance of maintaining cholesterol levels through regular physical activity. The methods used include counseling, healthy exercise, and cholesterol checks using a cholesterol meter. This activity was attended by 8 participants aged over 40 years. The results showed that 2 participants had total cholesterol levels above 239 mg/dL, which indicates a high risk of cardiovascular disease. The education provided succeeded in increasing public understanding of the importance of a healthy lifestyle and regular health checks. The conclusion of this activity is the need for follow-up in the form of health counseling and ongoing education programs to maintain public health related to cholesterol.

Muhammadiyah, Wiradesa branch, Pekalongan Regency, has a General Health Advisory Council (MPKU). Muhammadiyah is an organization that cares about the condition of society, namely the health condition and economic condition of the community. MPKU holds blood pressure, blood sugar, uric acid, cholesterol and free health education activities. , the location of the activity was centered in one of the Muhammadiyah/Aisyiyah Mayangan Branches, Wiradesa District, Pekalongan Regency. The Wiradesa Branch of the Muhammadiyah Public Health Advisory Council requires medical personnel to participate in carrying out these community service activities. The aim of this community service activity is Early Detection of Non-Communicable Diseases by providing health services in the form of checking blood pressure, blood sugar, uric acid, cholesterol and free health education

Smoking is an activity that we are now familiar with. Smoking habits have been proven to cause diseases that attack various organs of the human body. Adolescents as part of society who are at a productive age. Cigarette addiction among teenagers is a severe problem in many countries, including Indonesia. Smoking is one of the factors that increase cholesterol levels in the blood. Nicotine can increase fatty acids that affect total cholesterol levels. The purpose of this study was to describe the total cholesterol levels in active smokers in the light, medium and heavy categories in their teens. The type of research used is descriptive. The sample in this study were 41 active smokers with inclusion criteria, namely active smokers, adolescents less than 18 years of age, male sex, not taking drugs, and had fasted 8-12 hours. The sampling technique used is random. The samples were then examined for cholesterol using the CHOD-PAP method. From the results of the study, 26 (63.4%) respondents had normal cholesterol levels, 10 (24.4%) respondents experienced total cholesterol levels in the threshold category, and 5 (12.2%) respondents experienced total cholesterol levels in the high category. From these results, it can be concluded that most of the active smokers in the Cilawu District have cholesterol levels (<200 mg/dL) with an average value of 157 mg/dL. With this research, it is hoped that adolescent smokers can reduce the number of cigarettes consumed, which can stop smoking.

Fish is known as a functional food which is important for health. Fish has a fairly high protein content, besides that it contains OMEGA-3 unsaturated fatty acids (in which it contains EPA and DHA) which are quite popular for maintaining and lowering cholesterol, containing vitamins and minerals. Fish meatballs, Shredded Fish, Naga Legs and Nugget are diversified processed fish products. This dedication aims   to increase the knowledge and skills of the community in processing fish into fish meatballs, shredded fish, dragon feet and nuggets. The method used in  dedication is direct counseling and training. The results obtained from this dedication showed that increase knowledge and skills of PKK mothers in diversification process fish product.