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Hypertension, a global health issue, is increasingly prevalent and significantly contributes to morbidity and mortality. It often coexists with obesity, a key risk factor for hypertension and vascular complications. The combination of hypertension and obesity leads to metabolic changes, chronic inflammation, and oxidative stress that damage retinal blood vessels, directly affecting visual acuity. This literature review examines the relationship between hypertension, obesity, and visual acuity, analyzing 20 articles published between 2021 and 2025, sourced from PubMed, Google Scholar, and ScienceDirect. The study found a significant association between hypertension and obesity with decreased visual acuity. Obesity not only serves as a comorbidity but also as a mediator, worsening hypertension's effects through mechanisms like insulin resistance and endothelial dysfunction. Longitudinal studies indicate that visual impairment is progressive, while cross-sectional studies highlight its high prevalence in hypertensive obese populations. The review emphasizes the need for routine eye exams, blood pressure control, and weight management as preventive measures. In conclusion, hypertension and obesity together significantly increase the risk of visual impairment, necessitating a multidisciplinary approach to care and promoting preventive strategies to preserve eye health and enhance patients' quality of life.

Diabetes mellitus adalah penyakit gangguan metabolisme yang disebabkan oleh defisiensi sekresi insulin, kerusakan sel Beta pankreas, atau resistensi insulin sebagai akibat insulin yang tidak digunakan. DM secara progresif menyebabkan terjadinya komplikasi makrovaskuler, mikrovaskuler, dan neuropatik kronis yang mengancam jiwa. Selain berdampak pada masalah kesehatan, DM juga memiliki konsekuensi ekonomi yang besar. Biaya pengobatan meningkat khususnya apabila terjadi komplikasi jangka panjang dan pilihan pengobatan modern. Perubahan gaya hidup dapat meningkatkan kesehatan dan kualitas hidup sehingga penderita tidak mengalami komplikasi. Modifikasi gaya hidup dilakukan dengan mengurangi asupan energi, meningkatkan aktivitas fisik sebagai terapi utama untuk pasien DM yang obesitas. Penurunan berat badan dikombinasikan dengan peningkatan aktivitas dapat meningkatkan sensitivitas insulin dan kontrol glikemik serta mencegah perkembangan DM tipe 2 terhadap risiko tinggi gangguan toleransi glukosa. Target pengabdian masyarakat ini adalah meningkatkan pengetahuan, dan kemampuan penderita diabetes mellitus tipe 2 dalam melakukan modifikasi gaya hidup guna mencegah komplikasi diabetes. Kegiatan  ini dilakukan di layanan kesehatan praktik mandiri bidan (LKPMB) dengan melibatkan mitra dari lahan yaitu bidan dan tim kesehatan terkait dalam bentuk pemberian edukasi dan pelatihan keterampilan mengenai cara melakukan menejemen gaya hidup. Hasil evaluasi menunjukkan pemahaman peserta menjadi lebih baik tentang modifikasi gaya hidup dan memiliki motivasi untuk diterapkan dalam kehidupan sehari-hari

Childhood obesity has become an increasingly significant health and education problem in various countries, including Indonesia, influenced by unhealthy eating patterns, lifestyle changes, and low nutritional literacy within families. This article aims to examine the lack of balanced nutrition in obese early childhood from the perspective of family education as part of non-formal education. The research method used is a literature review by reviewing national and international literature related to nutrition, child growth and development, and the increasing trend of obesity. The results show that obesity has physical, cognitive, psychological, and social impacts that can hinder a child's holistic development. Parents play a crucial role in establishing healthy eating habits, monitoring food consumption, and fostering an active lifestyle. Improving nutritional literacy within families, synergizing with early childhood education institutions, and supporting public health policies are considered crucial to preventing the long-term risk of obesity. Therefore, family education about balanced nutrition is a crucial strategy in supporting optimal growth and development and creating a healthy and competitive generation of early childhood children.

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.

Berdasarkan data dari World Health Organization (WHO) sekitar 29% orang dewasa di seluruh dunia diperkirakan akan menderita hipertensi pada tahun 2025, yang berarti peningkatan dari sekitar 1 miliar orang menjadi 1,5 miliar orang. Hipertensi disebabkan oleh kombinasi faktor gaya hidup seperti konsumsi garam tinggi, obesitas, kurang olahraga, merokok, konsumsi alkohol, dan stres, serta faktor medis seperti penyakit ginjal, gangguan hormonal, dan sleep apnea. Penelitian ini bertujuan untuk membutikan secara signifikan efektivitas konsumsi black garlic terhadap penurunan tekanan darah pada penderita hipertensi. Penelitian ini merupakan jenis penelitian kuantitatif menggunakan metode observasional dengan pendekatan pre-test post-test with control grup untuk membandingkan efektivitas black garlic sebelum dan sesudah mengkonsumsi 1 kali sehari dengan efektivitas black garlic sebelum dan sesudah mengkonsumsi 2 kali sehari. Diketahui perbandingan antara kedua kelompok menunjukkan bahwa konsumsi black garlic dua kali sehari secara statistik lebih efektif dibandingkan satu kali sehari, baik untuk tekanan darah sistolik (p = 0,001) maupun diastolik (p = 0,010).

Obesity is a growing global health issue affecting both developed and developing countries. Despite various preventive efforts, the prevalence of obesity continues to rise. One of the emerging approaches in managing obesity and its complications is by modulating gut microbiota balance. Gut microbiota plays a significant role in energy metabolism, inflammation regulation, and insulin sensitivity. An imbalance in gut microbiota, known as dysbiosis, is frequently observed in obese individuals and has been associated with increased insulin resistance, a key feature of type 2 diabetes mellitus. This study aims to systematically review the relationship between gut microbiota imbalance and insulin resistance in obese patients, based on literature from 2016 to 2024. The literature search was conducted through accredited databases such as PubMed, Google Scholar, and others using the keywords “Gut Microbes,” “Insulin Resistance,” and “Obesity.” From 500 initial articles, 10 highly relevant journals were selected for further analysis. The review findings reveal a strong association between dysbiosis and increased insulin resistance through various mechanisms, including short-chain fatty acid (SCFA) production, activation of inflammatory pathways, and disruption of glucose metabolism. Several studies also suggest that interventions such as probiotics, prebiotics, and fecal microbiota transplantation may improve insulin sensitivity. However, more longitudinal and interventional studies are needed to establish a strong causal relationship. These findings highlight the importance of maintaining gut microbiota balance as a potential strategy in managing obesity and insulin resistance.

Central obesity in women of reproductive age can have a negative impact on their health and is associated with the occurrence of metabolic diseases. This study aims to determine the factors associated with central obesity in women aged 15-49 years in Indonesia in 2023 using 2023 SKI data with a cross-sectional study design. The study sample was 213,309 women of reproductive age obtained using the linear systematic sampling technique. Data analysis was carried out up to multivariate analysis using the Cox Regression test. The results showed that the prevalence of central obesity in women of reproductive age was 49.11%. Age [PR = 1.96 (95% CI: 1.93 - 2.00)], occupation [PR = 1.20 (95% CI: 1.19 - 1.22)], and place of residence [PR = 1.08 (95% CI: 1.07 - 1.10)] were found to be associated with an increased risk of central obesity. Meanwhile, education level [PR = 0.97 (95% CI: 0.95 – 0.98)], physical activity [PR = 0.93 (95% CI: 0.91 – 0.94)], and emotional mental disorders [PR = 0.75 (95% CI: 0.70 – 0.80)] were found to be protective factors against central obesity. The most dominant factor with the occurrence of central obesity is age. Therefore, it is important for WUS to be aware of the risk of central obesity and implement appropriate preventive measures. Preventive efforts can be done by maintaining hormonal balance and body metabolism through a healthy lifestyle, as well as undergoing regular health checks.

Hypertension is a health problem that is often found in society with a prevalence in Indonesia of 30.8%, is one of the non-communicable diseases (NCDs) that are still a health problem in Indonesia because of their contribution to cardiovascular disease as a contributor to morbidity and mortality in society. This study aims to analyze the relationship between age, gender and obesity status with the incidence of hypertension, through a cross-sectional approach. The study was conducted on 219 respondents using a total sampling technique. The data obtained were analyzed univariately and bivariately. The results of the univariate analysis showed that the percentage of hypertension was 18.72% and the percentage of obesity was 40.2%. The results of the bivariate analysis using the Chi square test produced a significance level of p-value of 0.000 (significant) between age and obesity with a PR value of 3.47 (CI 1.22-9.87) for the age group above 54 years, and a PR value of 2.66 (CI 1.21-5.81) for the age group 46-54 years (with the age group 18-45 years as a reference). The results of the bivariate analysis using the Chi square test between gender and obesity produced a p-value of 0.0040 with a PR of 0.45. The results of the chi square test between obesity and hypertension were proven to be statistically significant with a PR of 1.90, meaning that respondents with obesity had a 1.9 times greater risk of suffering from hypertension than people without hypertension.

Cookies are one type of biscuit made from soft dough, relatively crispy, and the appearance of the pieces has a solid texture that is in great demand by all groups. Cookies with pumpkin flour substitution and the addition of chias seed contain fiber and antioxidants that serve to reduce risk factors for obesity. The study aims to analyze the effect of yellow pumpkin flour subtitration and the addition of chia seeds on the receptivity and nutritional content of cookies as an alternative counterpart to young adult obesity. This type of research is pure experimental research using a 3x2 factorial design. Data collection was done by observation through hedonic test of level of liking (color, aroma, texture, and taste) by 36 untrained panelists using an observation sheet. Data analysis in this study used the SPSS multiple variance analysis method (Two Way ANOVA) and Duncan's further test. After determining the best product, nutritional content tests were conducted at the Surabaya Nutrition Laboratory to determine fiber and antioxidant content. The results showed that: 1) Substitution of pumpkin flour affects the color of cookies but has no effect on aroma, texture and taste; 2) Addition of chia seed has no effect on the color, aroma, texture and taste of cookies; 3) The interaction of pumpkin flour substitution and chia seed addition has no effect on the color, aroma, texture, and taste of cookies. 4) The nutritional content of the best favorability test results in formula L2C2 (30% pumpkin flour substitution and the addition of chia seed as much as 10%) per 100 grams of cookies is obtained with a fat content of 13.1 grams, fiber 7.71 grams, and antioxidants 26 mg with recommended consumption of cookies at serving of 49 grams or 7 pieces containing 6.4 grams of fat, 3.8 grams of fiber and 12.7 mg of antioxidants. The conclusion of this study is that the subtitration of yellow pumpkin flour affects the color of cookies but does not affect the aroma, texture and flavor; the addition of chia seeds does not influence the color, aroma, texture and flavour of cookies; the interaction of subtitrating yellow pummel flour and adding chia seed has no effect on the colour, flavours, textures, and flavors in cookies; as well as the nutritional content of the best liking test results on formula L2C2 (subtitrations of 30% yellow pasta and additions of 10% Chia seed).    

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.

Excessive fat accumulation is called obesity. Obesity occurs at all ages, but is most common in the first year of life, at school age and in adolescence. The main behavioral and risk factors for obesity include an unhealthy or unbalanced diet, lack of beneficial activities, such as smoking, and lack of fiber, such as vegetables and fruit. Therefore, preventing and controlling obesity is very important. Nutrition education is an educational approach that functions to increase teenagers' knowledge, attitudes and behavior towards nutritional problems. Education can be done using media, one of which is posters. Posters are a type of media that contain health information with a combination of clear visuals to attract readers' attention. Posters as a health promotion media have the advantage of increasing awareness, trust and attitudes towards health. The aim of this research is to develop poster media for obesity prevention for students at Senior High School 5 Surakarta. This research method uses Research and Development (R&D), with the ADDIE model being developed in 5 stages, namely (Analysis, Design, Development, Implementation, Evaluation). The results of this research showed that the assessment of poster media from stage 1 material experts was 59% inadequate, stage 2 material experts were 62% with decent results, and stage 3 material experts were 76% with decent results. Stage 1 media experts were 88% very decent results, and stage 2 and 3 media experts were 100% very decent. The media aspect got a percentage result of 91%, the media usefulness aspect was 89% which was very feasible. Overall, the average final assessment score was 89.9%, a very decent category. And a field trial was carried out which was attended by 30 students, producing results of 85% from the media aspect and 84% from the media usefulness aspect, including the very feasible category, so it can be concluded that the media developed is "very suitable" for use in preventing obesity in teenagers in Senior High School 5 Surakarta.

: Hiperkolesterolemia adalah keadaan kadar kolesterol didalam darah melebihi 200mg/dL. Data RISKESDAS 2013 menunjukkan bahwa 35.9% penduduk Indonesia berusia ≥15 tahun mengalami hiperkolesterolemia. Tujuan kegiatan ini adalah memeriksa kadar kolesterol dan memberikan informasi mengenai hiperkolesterolemia. Kegiatan PKM diawali dengan koordinasi dengan mitra, dan saat pelaksanaan PKM dilakukan pengukuran kadar kolesterol dari darah kapiler serta konsultasi dengan tim kesehatan. Kegiatan PKM diikuti oleh 143 orang, yang terdiri dari 43 laki-laki (30%) dan 100 perempuan (70%). Hasil pemeriksaan menunjukkan bahwa 63 peserta memiliki kadar kolesterol melebihi 200 mg/dL (44%), dengan laki-laki sebanyak 21 peserta (48.84%) dan perempuan 42 peserta (42%). Tingginya kadar kolsterol menunjukan bahwa asupan makanan pada remaja masih tinggi karbohidrat dan kolesterol. Sedentary lifestyle juga memicu penumpukan kolesterol dalam tubuh, dan dapat memicu penurunan kualitas hidup para remaja. Kadar kolesterol tinggi dapat memicu timbulnya berbagai macam penyakit seperti penyakit jantung koroner, stroke, dan obesitas. Sehingga perlu dilakukan pemeriksaan kesehatan berkala.

Obesity in children and adolescents is a global health problem, with increasing prevalence in low- and middle-income countries and consistently high obesity rates in high-income countries. Obesity, characterized by excessive lipid accumulation, is primarily caused by an energy imbalance resulting from high caloric intake and inadequate expenditure. This activity uses the PDCA (Plan-Do-Check-Act) methodology, involving 167 participants for obesity screening. The results of measuring Body Mass Index and waist circumference showed that 14 (8.39%) people were obese level II, 22 (13.18%) people were obese level I, 13 (7.79%) people were overweight, and 53 ( 31.74%) people have a risk of central obesity. Early detection through routine anthropometric assessments allows timely intervention, including lifestyle modifications to prevent obesity and related comorbidities, thereby improving overall health outcomes.

The incidence of tinea cruris in children varies around the world. It is estimated that about 10-20% of children will experience tinea cruris as in Singapore 13.5%, and and Saudi Arabia 15.1%, in a study in Saudi Arabia tinea cruris is the second most common tinea infection in children. According to PERDOKSI in 2022, Indonesia does not yet have adequate demographic data on the skin condition of Indonesians, in addition to functioning as a form of skin disease surveillance, research on skin conditions is also needed so that handling skin problems can be done more precisely. This study aims to determine the relationship of personal hygiene and obesity to the incidence of tinea cruris in patients at The Amanda Medika Clinic in 2023. This study is a type of quantitative research using case control design. The sampling technique used in this study is Simple Random Sampling with 108 respondents. The results showed that based on The Chi square analysis can be concluded that based on the chi square test above shows the value of Asy Sig (2-tailed) shows the value of 0.048 if < 0.05 means there is a relationship of personal hygiene to the incidence of tinea cruris in patients Amanda Medika Clinic. Based on the chi square test above shows the value of Asy Sig (2-tailed) shows a value of 0.025 if < 0.05 there is a relationship of obesity to the incidence of tinea cruris in patients Amanda Medika Clinic.

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

340 million children and adolescents aged 5-19 years worldwide are overweight and obese. Education and screening are efforts made to prevent obesity. This activity was carried out on 37 teenagers at Pondok Kasih Agape Orphanage, North Jakarta, in the form of counseling, physical examinations/screening, and health consultation. Obesity education and screening in adolescents is an important thing to do to prevent obesity in adolescents and its complications. It is hoped that the education provided can change aspects of lifestyle so that various changeable risk factors can be avoided and the incidence of obesity in adolescents can be avoided. Furthermore, these lifestyle changes can have an impact on society, so that the incidence of obesity in the community can be reduced.

Obesity is a result of excessive energy consumption, this excess energy is stored in the body as fat, so that over time the body becomes heavier. This condition can be experienced by everyone, regardless of gender group or group of teenagers to adults. The aim of the research is to determine the effect of nutritional education about obesity using animation media on knowledge and attitudes in obese adolescents. This research was conducted at SMP Negeri 1 Lubuk Pakam. The research was conducted in May 2023 with quantitative methods using a Group Pre and Post Test design. Intervention in the form of counseling using animation media was given 3 times. The population in this study was class VIII, 319 students. The sample in this study was 32 obese students who met the criteria for being a sample. Data were collected using a knowledge and attitude questionnaire using a statistical test, namely the T-dependent test. The research results showed that the average knowledge of teenagers about obesity before counseling was 10.09, after being given counseling was 13.25 with a significant value of p=0.000. The average attitude score before being given counseling was 39.53, after being given counseling was 51.19 with a significant value of p=0.000. The conclusion of this research is that there is an influence of nutrition education about obesity using animation media on the knowledge and attitudes of teenagers at SMP Negeri 1 Lubuk Pakam. It is hoped that the school can play an active and creative role in providing health education about nutrition, especially about obesity in teenagers.    

Hyperlipidemia is a metabolic disorder that indicates an increase in lipid levels in the body. Obesity, particularly central obesity, is correlated with hyperlipidemia and metabolic syndrome. Complications of hyperlipidemia such as coronary artery disease, type 2 diabetes, and high blood pressure can be fatal if left untreated. Education and early detection of hyperlipidemia are crucial to prevent serious complications and maintain good health. This community service involved 50 elderly at Santa Anna Elderly Care Facility. All respondents participated in a series of activities, including education through posters, physical examinations, and diagnostic tests. Results of the diagnostic tests indicated 2 respondents had LDL levels ? 135 mg/dL, 6 respondents had HDL levels < 40 mg/dL, and 12 respondents had total cholesterol levels ? 200 mg/dL. The results of the education activities are expected to increase public awareness, all of which can reduce the overall healthcare burden when applied correctly and properly.

Background; Menstruation is bleeding that occurs when the uterine lining sheds. One of the factors that cause menstrual cycle irregularities is being overweight. According to the Surakarta City Health Profile, there were 8,889 cases of obesity in 2021, an increase compared to 2020 with 5,384 cases. In obese women there is an increase in estrogen production which causes an increase in androgen hormones, which can affect the development of mature follicles. Objective; This study aims to determine the relationship between obesity and menstrual cycle regularity. Method; Analytical observational research with a cross sectional research design. The population of all midwifery students at `Aisyiyah University Surakarta, totaling 142 students with a sample size of 59 respondents, used a purposive sampling technique. Primary data refers to the questionnaire sheet. The data obtained were analyzed using the Chi-Square statistical test. Results; The results showed that the analysis of the relationship between obesity and the regularity of the menstrual cycle using the Chi-Square test obtained p = 0.047. This figure is smaller than ? = 0.05, which means that there is a significant relationship between obesity and the regularity of the menstrual cycle of undergraduate students in Midwifery at `Aisyiyah University, Surakarta. The results of the Odds Ratio (OR) were also obtained at 3.187. This states that obesity increases the risk factor for irregular menstrual cycles up to 3.187 times. Conclusion; There is a relationship between obesity and the regularity of the menstrual cycle in adolescents.

Obesity is one of commonly found problem, with the numbers rising globally. Obesity also often associated with other conditions, such as heart disease, stroke, diabetes, and osteoarthritis. This study aims to find out the correlation between obesity and incidence of knee pain for elderly. The study is an analytic observational study with cross-sectional design, that’s done at Sasana Tresna Werda RIA Pembangunan in January 2019. The population for this study is the elderly with minimum 60 years of age. Data were obtained through interview for knee pain variable, height and weight were measured by health workers using calibrated tools. Body mass index (BMI) over 25 kg/m2 is categorized as obese. Descriptive data will be presented as proportion (%). Statistical test used in the study are Pearson Chi Square with Yates Correction and Fisher Exact as alternative. The expected significance value in this study is 5%. The study found that there was significant relationship between obesity and knee pain in the elderly at Sasana Tresna Werda RIA Pembangunan (p-value=0.022). Elderly group with obesity is clinically known have 2.684 times higher riks of experiencing knee pain compared to the other group. Obesity is a major risk factor for knee pain including osteoarthritis and has an impact on morbidity in the elderly population. Holistic evaluation and treatment is needed in dealing with knee pain and obesity, considering that these two variables have a complex and multi-factorial pathogenesis.