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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. .

Pregnancy complications remain a major health problem contributing to high maternal morbidity and mortality rates in Indonesia. Factors influencing the occurrence of pregnancy complications include the level of maternal knowledge and advanced maternal age. Advanced age increases the risk of pregnancy disorders due to decreased reproductive function, while low knowledge limits a mother’s ability to recognize danger signs and take appropriate preventive measures. This study aimed to determine the relationship between knowledge level and advanced maternal age and the occurrence of pregnancy complications in the working area of Bonebobakal Public Health Center, Banggai Regency. This study employed a quantitative analytic design with a cross-sectional approach involving 41 pregnant women selected through total sampling. Data were collected using questionnaires and interviews and analyzed using the Chi-Square test. The results showed a significant relationship between maternal knowledge level and maternal age with the occurrence of pregnancy complications. Health education and regular pregnancy monitoring are necessary to reduce the risk of complications and improve maternal and fetal safety..

Muscle strength is the ability of muscles to produce power for physical activity, important for mobility, balance and body function. Decreased muscle strength, especially due to aging, negatively impacts quality of life and increases the risk of diseases such as diabetes and cardiovascular disease. Handgrip is a simple method for measuring muscle strength, especially hand grip strength. This study aims to evaluate the relationship between hand grip strength and blood insulin levels in the elderly. This study used a cross-sectional design at the Bina Bhakti Nursing Home with 93 participants aged 60 years and over. Hand grip strength was measured using a dynamometer, and blood insulin levels were measured from venous blood samples. Data were analyzed using Spearman correlation. The results showed an average right hand grip strength of 10.23 kg and left hand 9.33 kg, with an average blood insulin level of 4.83 µU/mL. A significant positive correlation was found between right and left hand grip strength (rho = 0.884, p < 0.001), as well as between right (rho = 0.218, p = 0.036) and left hand grip strength (rho = 0.290, p = 0.005) and insulin levels. blood. These results indicate that hand grip strength can be an indicator of metabolic health in the elderly. Interventions such as strength training and proper nutrition are important for maintaining muscle strength and metabolic health in the elderly.

Elderly individuals often experience physiological and health-related changes, including reduced muscle quality and decreased levels of physical activity. This decline negatively impacts overall health, increases the risk of chronic diseases, and diminishes the ability to perform daily activities. This study aimed to examine the relationship between vitamin D levels and physical activity in older adults. A cross-sectional study was conducted at the Bina Bhakti Nursing Home involving 93 participants aged 60 years and above. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ), while vitamin D levels were measured through venous blood sampling. Statistical analyses included descriptive statistics and Spearman correlation. The average age of the participants was 74.34 years, with a mean vitamin D level of 23.73 ng/mL. Based on IPAQ results, 26.9% of participants had low physical activity, 44.1% moderate, and 29% high. Spearman correlation revealed a weak but statistically significant positive correlation between vitamin D levels and physical activity (r = 0.240, p = 0.021). These findings suggest that higher physical activity levels are associated with higher vitamin D concentrations. Engaging in outdoor activities that promote sun exposure and an active lifestyle contributes to maintaining adequate vitamin D levels, which are essential for muscle function, balance, and bone health. Therefore, ensuring sufficient vitamin D status is crucial for supporting optimal physical activity and enhancing the overall health and quality of life among the elderly.

The Elderly Posyandu plays a very important role in maintaining the health and quality of life of the elderly in the community. Family support plays a crucial role in encouraging the activity of the elderly to visit the elderly posyandu. The objective of this study is to determine the relationship between family support and elderly visits to the elderly posyandu in Environment 2, Pandu Village, Bunaken District, Manado City. The research uses a descriptive-analytical design with a cross-sectional method. The sample in this study consisted of 44 respondents using purposive sampling technique. Data collection on family support and posyandu visits was conducted using a questionnaire, and analyzed using the chi-square statistical test. The results of the study on family support showed that the most common type of family support was in the good category, with 26 respondents (59.1%), while the most frequent type of posyandu visits was in the active category, with 23 respondents (52.3%). The chi-square test result showed a p-value of 0.000, where < α 0.05. Conclusion there is The relationship between family support and elderly visits at the elderly posyandu in Environment 2, Pandu Village, Bunaken District, Manado City.

Elderly is the end of the human life process which causes decreased activity. The stress that arises during the aging process can cause three types of changes, namely changes in self-perception, changes in relationships with other people, and philosophical changes regarding priorities, perseverance, and spirituality. Apart from that, spirituality can also help someone develop their awareness. Stress can be avoided if a person has a high level of spirituality, spirituality can be understood as a relationship between a person and God. The aim of this research is to determine the relationship between spirituality and the stress level of elderly people in Social Service Homes. This study used a cross-sectional design. The sample in this study was 105 respondents using purposive sampling. Spirituality data was collected using the SAS questionnaire and Stress Levels using the DASS questionnaire. This research shows a high level of spirituality of 52.4%, moderate spirituality of 40%, low spirituality of 7.6% and a level of severe stress of 24.8%, a level of moderate stress of 58.1%, a level of light stress of 17.1%.

Background: As you get older, health problems increase, one of which is stress. Stress is very important because stress will have an impact on the quality of life and psychological well-being of the elderly. Psychological well-being in the elderly is the elderly's ability to accept themselves as they are, be able to build positive relationships with other people, be able to independently face social pressure, master the environment, have a purpose in life, and be able to realize one's potential in a sustainable manner. Stress in the elderly can describe that a person experiences a decrease in psychological well-being in the elderly which can be said to be low. Objective: This research is to analyze the relationship between stress levels and psychological well-being in elderly people at the Pucang Gading Semarang and Wening Wardoyo Ungaran Elderly Social Service Homes. Method: This research is a type of correlational quantitative research using the cross-section method. The sample taken in this study was 105 elderly people who were in the Pucang Gading Semarang and Wening Wardoyo Ungaran elderly service homes. The instrument for measuring stress levels and psychological wellbeing in the elderly uses a questionnaire. The test used in this research is the Gamma test. Conclusion: There is a relationship between stress levels and psychological wellbeing in the elderly at the Pucang Gading Semarang and Wening Wardhoyo Ungaran Social Service Homes for the Elderly.

Rheumatoid Arthritis is an autoimmune disease.. This system attacks joints and other parts of the body such as tendons, ligaments, and bones. One implementation of reducing rheumatoid arthritis pain is to massage the feet of the painful joints. This study used a quasi-experimental design. The population in this study was 48 people and the research sample was 20 people with two groups, namely the experimental group and the control group. The results of the study were obtained after rheumatoid arthritis foot massage had a significant effect in reducing pain in the experimental group with a p-value of 0.007. Foot massage on painful joints has benefits in reducing the pain scale in the elderly.

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.

Acute Respiratory Distress Syndrome (ARDS) is a life-threatening condition characterized by severe inflammation and damage to the alveoli, leading to impaired oxygen exchange in the lungs. Older adults are particularly vulnerable to ARDS due to age-related physiological changes and the presence of comorbidities. This literature review aims to explore the risk factors, pathophysiology, and management strategies of ARDS in the elderly population. The review identifies key factors such as immunosenescence, decreased lung elasticity, and the presence of chronic conditions like hypertension, diabetes, and cardiovascular disease as contributing to the increased susceptibility to ARDS in older adults. Infections, especially pneumonia and sepsis, are found to be significant triggers for the onset of ARDS. Additionally, environmental factors, such as long-term exposure to air pollution and smoking, further elevate the risk. Prevention through vaccination and the management of comorbidities are highlighted as essential strategies for reducing the incidence of ARDS. The review also emphasizes the importance of lung-protective ventilation strategies in the treatment of ARDS in older adults. Overall, this paper underscores the need for comprehensive healthcare approaches, including early detection, vaccination, and integrated care for managing comorbid conditions to mitigate the impact of ARDS in the elderly. Further research is recommended to develop more effective and tailored treatment approaches for this vulnerable population. 

Dermatoporosis is a chronic skin fragility syndrome common in the elderly, characterized by thinning of the skin that increases the risk of injury, bruising, and delayed wound healing. Chronic hyperglycemia and poor glycemic control have been reported to be associated with an increased risk of dermatoporosis. This community service activity aims to screen blood sugar levels, HbA1c, and dermatoporosis and educate the elderly using the Plan-Do-Check-Act (PDCA) method at Panti Bina Bhakti, South Tangerang. This activity involved 93 elderly participants aged >65 years. Meanwhile, based on the results of the HbA1C examination, 52 people had moderate glycemic control and 24 people had poor glycemic control. The results of the dermatoporosis examination have not been included. Early intervention through education and monitoring of blood sugar levels can reduce the risk of dermatoporosis, improve the health of the elderly's skin, and reduce the burden of health care.

Increasing age will reduce the physiological functions of the body including muscle mass. The ability to synthesize muscle protein decreases due to a reduction in the number of muscle fibers and a decrease in muscle fiber size. This results in the loss of neurons, reducing muscle strength capacity. Decreased muscle strength limits the daily activities of the elderly, such as difficulty walking, climbing stairs, and lifting weights. The purpose of this study was to determine the description of upper and lower extremity muscle strength of the elderly in Griya Asih Lawang nursing home, Malang Regency. This descriptive study used 30 populations with a sampling technique that is total sampling. The variable in this study is the strength of the upper and lower extremities of the elderly measured using Manual Muscule Testing. Univariate data analysis, then the data is presented in a frequency distribution table. This research was conducted in June 2023 at Griya Asih Lawang nursing home, Malang Regency. The results showed that more than half of the respondents as many as 18 people (60%) had moderate muscle strength in the upper extremities and less than half as many as 13 people (43.5%) had low muscle strength in the lower extremities, and less than half as many as 13 people (43.5%) also had moderate muscle strength in the lower extremities. Elderly gymnastics efforts to prevent early muscle decline. Providing the right walking aids as needed in daily activities can minimize the risk of falls. 

This study focuses on the happiness of the elderly living in Panti Tresna Werdha Sabai Nan Aluih Sicincin, Padang Pariaman. An important part to help the elderly overcome the problems they face. This study aims to describe how happy the elderly are in the shelter, where happy elderly tend to be more open to new activities and have lower mortality and death rates. The method used is descriptive qualitative, with the main informant being the shelter officer and the elderly as supporting informants, and the study was conducted from January to June 2022. The results of the study show that the happiness of the elderly is reflected in their daily activities, such as skills guidance, health, religion, arts, social, to mutual cooperation and gymnastics. The elderly also fill their free time by reading the Qur'an and cleaning the environment. They feel happy because they are treated well, do not feel lonely, and consider the residents and staff of the shelter as family. Most of the elderly are comfortable living in the shelter and do not want to go home, even want to be buried there, showing that their happiness has been fulfilled at Panti Tresna Werdha Sabai Nan Aluih Sicincin.  

Obesitas adalah kondisi di mana seseorang memiliki berat badan melebihi batas normal akibat penumpukan lemak berlebih dalam tubuh. Obesitas berhubungan erat dengan terjadinya resistensi insulin, yaitu suatu kondisi dimana tubuh tidak dapat memberikan respon kepada insulin secara efektif. Oleh sebab itu, edukasi dan skrining rutin pada kelompok lanjut usia dalam rangka mendeteksi dan mengelola resistensi insulin pada tahap awal merupakan hal yang sangat penting. Kegiatan pengabdian ini dilakukan dengan metode PDCA (Plan-Do-Check-Act), yang mencakup edukasi tentang pola makan sehat, aktivitas fisik, dan manajemen berat badan, serta skrining kadar insulin. Berdasarkan kegiatan ini, edukasi dan skrining terbukti penting dalam mencegah komplikasi lebih lanjut dan meningkatkan kualitas hidup lanjut usia.

Introduction: Hypertension (HTN), defined as systolic blood pressure (SBP) >140 mmHg or diastolic blood pressure (DBP) >90 mmHg, is a major health problem that is growing worldwide. It is the most common risk factor for cardiovascular disease and affects nearly two-thirds of adults aged 60 years or older. The side effects caused by experiencing prolonged high blood pressure are kidney damage (kidney failure), heart (coronary heart disease) and brain which can lead to stroke if not detected early and receive adequate treatment. And can also cause death. Risk factors for complications of hypertension include elderly age, medication compliance, and lifestyle. Empowerment of the elderly can be through non-pharmacological therapy. An example of non-pharmacological therapy is by doing anti-hypertension exercises. The purpose of this program is for the elderly to be able to learn about hypertension and apply how to do anti-hypertension exercises. The method used is providing education to the elderly and applying anti-hypertension exercises with participants (elderly). Implementation of health education and anti-hypertension exercise activities for the elderly at the UPTD for Elderly Social Services in Binjai in November 2023. Most participants were able to answer questions during the question and answer session after the presentation of the material and participants were able to follow the instructor's exercise movement directions. Health education about hypertension and anti-hypertension exercise for the elderly is a program that can help increase physical activity in the elderly which can lower blood pressure in the elderly.

Body composition refers to the various components that make up a person's body weight, such as lean mass (muscle, water, bones, ligaments, and tendons) and fat mass. As we age, significant changes occur in body composition, including increased fat mass and decreased muscle and bone mass, which often leads to sarcopenic obesity. This condition, which is common in older adults, is associated with frailty, disability, metabolic syndrome, reduced survival rates in certain cancers, and osteopenia/osteoporosis. This activity uses the PDCA (Plan-Do-Check-Act) method to measure the body composition of elderly participants at Hana Nursing Home, South Tangerang. A total of 40 participants underwent body composition examinations. The examination results showed that the average total body fat, visceral fat, subcutaneous fat, and skeletal muscle mass were 36.7% each; 8%; 27.6%; and 20.7%. We need to carry out routine body composition checks for early detection to provide timely management, ultimately improving long-term public health. Keywords: Body Composition, Early Detection, Elderly, Obesity, Sarcopenia

Abstract: Obesity is a global epidemic and a significant public health problem. In the elderly population, obesity is defined as a BMI ≥ 25 kg/m². In the United States, the prevalence of obesity among the elderly is 37.1% in men and 33.6% in women over the age of 60. Obesity increases the risk of chronic diseases such as type 2 diabetes, hypertension and cardiovascular disease, and can cause psychological problems such as sleep disorders and lack of self-confidence. Accurate obesity risk assessment involves measuring Body Mass Index (BMI) and waist circumference. This activity uses the Plan-Do-Check-Act (PDCA) methodology to screen for obesity in the elderly at Hana Nursing Home, South Tangerang. The screening includes anthropometric measurements of BMI and waist circumference, followed by evaluation and nutritional counseling for at-risk individuals. 9 people (14.75%) had overweight nutritional status, 3 people (4.92%) had obese nutritional status, and 35 people (57.38%) were at risk of central obesity. Routine anthropometric measurements are critical for monitoring obesity and implementing preventive measures to improve overall health outcomes, improve quality of life, and reduce obesity-related morbidity and mortality rates. Keywords: Obesity, Central Obesity, Elderly, Body Mass Index, Waist Circumference

Pruritus, or itching, is a common symptom in seniors that has a significant impact on their quality of life. Primary skin disorders such as xerosis, atopic dermatitis, and scabies, as well as systemic diseases such as cancer, chronic renal failure, cholestasis, hyperthyroidism, diabetes mellitus, iron deficiency anemia, and certain medications, can cause this condition. Chronic pruritus, which is common in individuals over 60 years of age, can cause discomfort, sleep disturbances, and psychological stress. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for pruritus intensity in the elderly in St. Anna. One individual (2.4%) reported mild pruritus, while 12 individuals (29.3%) reported severe pruritus. Routine assessment using the 12-PSS provides important information for managing pruritus in the elderly, meeting clinical and research needs, and improving patient care and quality of life.

The World Health Organisation (WHO) estimates that the global population aged over 60 years will increase from 900 million in 2015 to 2 billion in 2050. This demographic is particularly vulnerable to disease and disability, with declining haemoglobin levels long considered a consequence of aging. Nutritional deficiencies, chronic diseases, kidney disease, haematological malignancies, and anemia of unknown cause can all contribute to anemia in the elderly. This significantly impacts physical performance, cognitive function, and overall health. We carried out this activity at St. Francis Assisi, Jakarta, with 36 participants. We perform a physical examination and a complete blood count, including haemoglobin and hematocrit levels, to detect nemia. Among the 36 participants, 18 people (50%) had mild anaemia, 6 people (16.7%) had moderate anaemia, and 1 person (2.8%) had very severe anaemia. Anaemia in the elderly can cause severe health consequences, including physical and cognitive decline, increased hospitalisations, and death. Routine screening for haemoglobin and hematocrit levels is essential for early detection and intervention, improving quality of life and health outcomes for older adults.

Ultraviolet (UV) radiation, especially UVB and UVA, plays an important role in the pathogenesis of skin damage. Excessive sun exposure causes various skin problems, such as burning, dehydration, and premature aging, and increases the risk of skin cancer. Precautions such as using sunscreen, protective clothing, and avoiding peak UV exposure times are essential. Using the PDCA (Plan-Do-Check-Act) cycle, we carry out facial skin health checks, including education about sun protection, identification of skin problems, and follow-up interventions. 33 participants (11 men and 22 women) participated in this activity. It was found that the average wrinkle, roughness, moist, and UV damage were 17%, 20%, 46%, and 22.18% respectively. Early counseling and screening is essential to increase awareness, change behavior, and prevent skin problems, ultimately improving skin health and improving quality of life.