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Lifestyle changes, such as smoking habits, low physical activity, and suboptimal sleep patterns, have the potential to affect various health indicators. However, empirical evidence showing a direct link between lifestyle factors and objective health indicators still shows varying results. This study aims to analyze the relationship between lifestyle factors and health indicators in adult respondents, in an effort to provide an empirical picture of behavioral factors related to health conditions. This study used a quantitative approach with a cross-sectional observational analytic design. Data were obtained from 94 respondents who had complete lifestyle data and health examination results. Lifestyle factors analyzed included smoking habits, exercise frequency, and sleep duration, while health indicators included body mass index (BMI), systolic and diastolic blood pressure, blood sugar levels, cholesterol, uric acid, and pulse rate. Data analysis was performed using descriptive statistics, the Shapiro–Wilk normality test, and the Spearman correlation test according to the characteristics of the data distribution. The results showed that smoking habits were significantly associated with diastolic blood pressure (p < 0.05), exercise frequency was significantly associated with BMI and systolic blood pressure (p < 0.05), and sleep duration was significantly associated with uric acid levels (p < 0.05). Meanwhile, the relationship between lifestyle factors and other health indicators did not show statistical significance. These findings indicate that the influence of lifestyle on health is specific to certain indicators and is not evenly distributed across all health parameters. This study concludes that identifying lifestyle factors relevant to certain health indicators is important as a basis for formulating more targeted health promotion strategies.

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.

Hypertension and hypercholesterolemia are closely related non-communicable diseases and major risk factors for cardiovascular disease, particularly in older adults. These conditions are influenced by medical, behavioral, family, and environmental factors, requiring a holistic family medicine approach through home visits. This study aimed to describe the clinical condition, family function, and environmental factors of a 60-year-old female patient with hypertension and hypercholesterolemia using the APGAR and SCREEM approaches. This study employed a qualitative descriptive design in the form of a case report involving Mrs. S (60 years old) in Lebbek Village, Pamekasan Regency. Data were collected through anamnesis, physical examination, total cholesterol measurement using a GCU meter, environmental observation, and assessment of family function and environmental factors. The results showed blood pressure values of 161/96 mmHg and 160/96 mmHg on repeated measurement, with a total cholesterol level of 154 mg/dL. The patient had a high-salt and high-fat diet with low physical activity. APGAR assessment indicated poor family function with a total score of 4, particularly in the partnership and resolve domains, while the growth domain was categorized as accepting. SCREEM analysis identified education as the main barrier. In conclusion, management of this condition requires family-based interventions focusing on improving family cooperation and health education tailored to the patient’s literacy level.

Low back pain (LBP) is one of the most common musculoskeletal complaints globally and is the main cause of decreased work productivity. One of the risk factors that has been widely studied in the literature is prolonged sitting duration. Prolonged sitting activities cause increased static pressure on the lumbar spine, fatigue of the supporting muscles, as well as a decrease in local blood flow that can trigger chronic pain. This study is a literature review with a meta-analytical approach that aims to analyze the relationship between long-term sitting and the incidence of LBP. The review process was carried out following PRISMA guidelines through searches on PubMed, Scopus, ScienceDirect, and Google Scholar databases for publication in 2020–2025. Of the 20 previous studies analyzed, most showed a positive association between sitting time and an increased risk of LBP, both in adults, adolescents, and children. Sitting for more than 6 hours per day increases the risk of LBP by 33%, especially in individuals with low physical activity. In addition, longer sitting durations with poor posture and minimal active rest were found in the group of office workers and professional drivers who had a high prevalence of LBP. Physical activity has been shown to play a protective role against the risk of LBP, while ergonomic interventions such as lumbar support can reduce pain complaints. Although most studies were observational, the consistency of results supports the importance of prevention through reduced sitting time, increased physical activity, and ergonomic work environment settings. These findings provide a scientific basis for multidimensional interventions to effectively reduce the incidence of LBP.  

Rheumatism in the elderly can cause chronic pain that affects the quality of sleep. One of the factors influencing the sleep pattern of elderly patients with rheumatism is the level of physical activity. Insufficient physical activity can worsen joint stiffness and increase sleep disturbances. This study aims to examine the effect of physical activity on sleep patterns in elderly rheumatism patients at the Sumber Pucung Elderly Posyandu, Malang Regency. This study is a quantitative study with an analytical correlational design using a cross-sectional approach. The population of this study consisted of all elderly rheumatism patients at the Sumber Pucung Elderly Posyandu, totaling 33 people. The sampling technique used was total sampling. The study was conducted from July 20 to 27, 2025. Data collection instruments used the Global Physical Activity Questionnaire (GPAQ) and the Pittsburgh Sleep Quality Index (PSQI) questionnaires. The results showed that most respondents (90.9%) had low physical activity and all respondents (100%) had poor sleep patterns. The simple linear regression test yielded a significance value of p = 0.479 (p > 0.05) and R Square = 0.016, indicating no significant effect of physical activity on sleep patterns. Based on these results, it is expected that elderly rheumatism patients can increase physical activity according to their abilities to help maintain sleep quality, and Posyandu officers can provide education and elderly exercise programs appropriate for rheumatism conditions.

Obesity among college students is a public health issue that is gaining increasing attention because it is associated with an increased risk of chronic diseases such as diabetes mellitus, hypertension, and heart disease, and can reduce quality of life and academic productivity. College students, as a group of early adults, are in a transition phase towards independence and are therefore vulnerable to lifestyle changes, including unhealthy eating patterns, fast food consumption, low physical activity due to busy studies, irregular sleep habits, and high academic stress. This study aims to determine the risk factors associated with obesity among students at the Islamic University of Ogan Komering Ilir in 2025. This study used a cross-sectional design with a quantitative approach. A sample of 95 students was selected using a purposive sampling technique. Data were collected through a structured questionnaire and body mass index (BMI) measurement to determine respondents' nutritional status. Independent variables included diet, physical activity, sleep quality, stress levels, and a family history of obesity. The results showed a prevalence of obesity of 17.9%. Bivariate analysis found a significant association between obesity and unhealthy diet (p=0.002), low physical activity (p=0.000), poor sleep quality (p=0.000), and high stress levels (p=0.001). Meanwhile, a family history of obesity showed a tendency to have an effect but was not statistically significant. These findings indicate that obesity in college students is largely influenced by modifiable lifestyle factors. Therefore, this study emphasizes the importance of health promotion interventions on campus, such as balanced nutrition counseling, increased access to sports facilities, stress management, and education on healthy sleep patterns. Promotive and preventive efforts undertaken from a young age are expected to reduce the risk of obesity and chronic disease in the future.

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.

Hypertension in pregnant women is a serious health issue that contributes to the high maternal and fetal mortality rates. This condition can be influenced by various factors, including family history and physical activity. This study aims to analyze the relationship between family history and physical activity with the incidence of hypertension in pregnant women in the working area of Puskesmas Asera, North Konawe Regency. This research employs an observational analytic design with a case-control approach. The respondents consist of 38 pregnant women selected using the total sampling technique. Data were collected through questionnaires and medical records and then analyzed using the Chi-Square test. The results indicate a significant relationship between family history of hypertension (p=0.000) and physical activity (p=0.021) with the incidence of hypertension in pregnant women. This study concludes that hereditary factors and low physical activity increase the risk of hypertension during pregnancy. Therefore, preventive efforts are needed through health education, increased physical activity, and routine monitoring during pregnancy at healthcare facilities. With these measures, it is expected that the incidence of hypertension in pregnant women can be reduced, ensuring better maternal and fetal health.

Physical activity is one of the factors that affect the nutritional status of adolescents. Lack of physical activity will lead to excess weight. The purpose of this study is to analyze the relationship between physical activity and nutritional status of eleventh grade students in high school in Palembang. This quantitative research uses a cross-sectional research design with a sample of 91 students. Physical activity was measured using the Adolescent-Physical Activity Questionnaire (PAQ-A). The nutritional status used is based on BMI/age. The correlation analysis used was Kendall's tau-b. Univariate results were obtained by the majority of students with low physical activity (f=40) and normal nutritional status (f=60). Based on the results of the correlation test, a p-value of 0.004 < 0.05 was obtained, which means that there is a significant relationship between physical activity and nutritional status based on BMI/U. With a correlation coefficient of 0.276, which means that the correlation strength is low with positive traits. Based on the results of the study, it is recommended that adolescents do enough physical activity to maintain physical fitness and health as well as normal nutritional status.

This study aims to explore the role of nutrition in disease prevention and identify the factors influencing the nutritional status of the population in Indonesia. Using a qualitative descriptive approach, this research analyzes scientific literature and secondary data from official sources such as the Central Statistics Agency (BPS) and the Indonesian Ministry of Health. The analysis results indicate that macro and micronutrients, such as complex carbohydrates, plant-based proteins, healthy fats, and vitamins and minerals, play a significant role in reducing the risk of chronic diseases such as type 2 diabetes, heart disease, and cancer. The Mediterranean diet and plant-based eating patterns have proven effective in improving health and preventing disease. However, Indonesia faces complex nutritional challenges, including a high prevalence of stunting in children and rising obesity rates in adults. Stunting is primarily caused by limited access to nutritious food and lack of nutritional knowledge, while obesity is associated with high-calorie diets and low physical activity. This study suggests increasing nutrition education, access to nutritious food, and promoting healthy lifestyles as essential steps to address nutritional problems in Indonesia and improve the overall quality of life.  

Atrial Septal Defect (ASD) is a common congenital heart defect in adults, often undetected early due to lack of symptoms. Patients with ASD who have undergone closure experience physical limitations and low physical activity, also face low psychological and social conditions. Therefore, they need social and emotional support. This study examined the relationship between physical, psychological, and social activities with quality of life in patients with ASD Closure at the Indonesian Pulmonary Hypertension Foundation. The cross-sectional research method involved 30 adults (19-45 years old). The results of the study with Spearman Rank and chi square showed a significant relationship between physical activity (p value 0,00 < 0.05), psychological aspects (p value 0,00 < 0.05), and social aspects (p value 0.00 < 0.05) with quality of life. This study is expected to provide benefits for ASD closure patients in improving their quality of life