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Gout arthritis, or often called gout, is a type of arthritis caused by the accumulation of uric acid crystals in the joints and surrounding tissues. Arthritis itself is a term used to describe inflammation of the joints. The process of gout begins with an increase in uric acid levels in the blood, called hyperuricemia. Gout arthritis sufferers in the world affect approximately 10% to 25% of the world's population, the WHO prevalence of gout arthritis in the world is 34.2%. The type of research used in this study is quantitative research using a quasi-experimental research method, namely the pre-posttest control one group design method. This study is a study conducted on 1 group using an intervention without a comparison. This study has been conducted with a total of 20 elderly people who meet the inclusion and exclusion criteria. It is known that the Sig. (2-tailed) value of 0.00 is greater than 0.05. then there is a significant difference between the results before and after the warm cinnamon water compress. So it can be concluded that there is an effect of warm cinnamon compresses (Cinnamomun Burmannii) on gout arthritis in the elderly at the Sei Pancur Community Health Center.

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.

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.

Successful development encompasses various aspects of community life and cannot be separated from progress in the health sector. Health is one of the key indicators in determining the quality of life of a population. Therefore, attention to health—especially for vulnerable groups such as the elderly—is of great importance. Regular health check-ups serve as a preventive measure to help the community detect illnesses early and encourage individuals to take an active role in maintaining their own health. Several types of examinations are commonly provided free of charge during community service activities, including blood pressure checks, random blood glucose tests, uric acid level tests, and cholesterol level screenings. These health checks are especially beneficial for the elderly, as they help monitor overall health conditions and enable early management of diseases to prevent further complications. In this activity, a total of 40 elderly individuals voluntarily participated in the health screening. The methods used included health education sessions and direct examinations of blood pressure, uric acid levels, and random blood glucose levels. The counseling was delivered using simple and clear language, and it included a question-and-answer session to help participants better understand the information provided. The results of the examinations showed that some of the elderly participants had high blood pressure and elevated blood glucose levels, which led to recommendations for follow-up visits to nearby healthcare facilities. Through this health screening initiative, the overall health quality of the elderly participants improved, and their awareness of the importance of early detection increased. This activity is expected to motivate the broader community to pay more attention to their health and to undergo regular health check-ups. By taking a proactive role in managing their well-being, individuals can reduce the risk of serious complications in the future and contribute to the creation of a healthier society overall.

Gout is a disease that is often found in the world. Usually gout occurs due to the deposition of monosidium urate crystals in the tissue or due to supersaturation of uric acid in the extracellular fluid. Some factors that cause gout include excessive purine intake. An unhealthy diet and high-protein foods with high purine levels. One of the non-pharmacological actions in reducing uric acid levels is the provision of soursop leaf decoction (Annona Muricata L) intervention. To determine the effectiveness of soursop leaf decoction on reducing uric acid levels in the elderly by administering soursop leaf decoction in Rambung Village, South Binjai District, Binjai City. This study uses a One-group pretest-posttest design research design approach. The sample of this study was 8 respondents. The sampling technique uses total sampling. The collection of research data uses demographic data, a consent sheet to become a respondent (Informed Consent). Data collection is carried out through observations by researchers of respondents and conducting observations. Research with Parametric Test Paired Sample T-test obtained a p Value of (0.000) <α (0.05), so there is a significant effectiveness of giving soursop leaf decoction to reduce uric acid levels in the elderly, and can be used as an alternative to reduce uric acid levels.

Uric acid is the final product of purine metabolism, which can increase due to high purine intake or impaired renal excretion. Accumulation of uric acid in the body is at risk of causing joint inflammation and other metabolic disorders. Early detection and dietary education are strategic steps to prevent complications of hyperuricemia. This activity uses the Plan-Do-Check-Act (PDCA) approach by examining uric acid levels using POCT and education on managing purine consumption. The examination was carried out on 62 adult participants. Educational leaflets were delivered directly and individually to each participant. All participants had uric acid levels in the normal range (median 4.2 mg/dL), with the lowest value of 3.5 mg/dL and the highest 6.5 mg/dL. Most participants were women and were in the middle to elderly age group. Although no cases of hyperuricemia were identified, preventive education remains essential to maintain uric acid levels within optimal ranges and reduce future metabolic risks. Lifestyle interventions focusing on diet and hydration are critical for sustainable uric acid control and long-term health outcomes.   Keywords: Uric Acid, Purine, Hyperuricemia, Diet, Nutrition Education

Subcutaneous fat deposition is a key factor influencing overall health, playing a significant role in metabolic regulation, energy balance, and the risk of chronic diseases such as obesity and cardiovascular conditions. Understanding and accurately predicting subcutaneous fat accumulation is critical for early intervention and effective management of these health risks. This study aims to analyze the correlation between hemoglobin levels, uric acid, and anthropometric parameters as predictors of subcutaneous fat deposition in elderly individuals. A cross-sectional study was conducted on 32 elderly participants at St. Asisi Church. Anthropometric measurements, including body weight, height, muscle composition, and circumferences, were assessed using OMRON Body Composition Monitor HBF-375, elastic tape and GEA Medical HT721. Biochemical tests for hemoglobin and uric acid levels were performed using Fora 6 Plus. Spearman correlation analysis was used to evaluate the relationship between these variables and subcutaneous fat deposition. Body weight, upper arm circumference, abdominal circumference, and calf circumference showed strong positive correlations with subcutaneous fat (r>0.9, p<0.001). Skeletal muscle percentage exhibited a negative correlation with fat accumulation. Hemoglobin and uric acid levels had weaker correlations, suggesting more complex metabolic interactions. Anthropometric parameters serve as strong predictors of subcutaneous fat deposition in elderly individuals, while hemoglobin and uric acid levels show limited predictive capability.

Background: A low-purine diet is one of the treatments that can be carried out by elderly who suffer from gout to control their uric acid levels. This study aims to determine the effectiveness of low purine diet education on the knowledge level of elderly with gout. Methods: This research used a quasi-experimental design with a non-equivalent control group approach. This research was carried out on May 16th – 20th 2024 in the Harapan Raya Health Center working area, Pekanbaru City with a total sample of 34 respondents selected based on inclusion criteria using purposive sampling technique. The analysis used is univariate and bivariate analysis with the Wilcoxon test and Mann-Whitney test. This research used a low-purine diet knowledge questionnaire and a flip sheet containing material about a low-purine diet. Result: There is an increase on knowledge in the experimental group by 29% with the majority of respondents having a level of knowledge in the good category of 47.1% after being given low-purine diet education. Statistical tests obtained the results of the p value (0.000) < α (0.05) which means that there is an increase in knowledge after the intervention. Conclusion: Low-purine diet education is effective on the knowledge of elderly suffering from gout.

High uric acid which causes joint pain is a disease where there is a buildup of purine which causes the joints to become inflamed to the point of swelling. Gout which occurs in people of course when they have a disease that causes gout they will undergo medical treatment to reduce uric acid levels and the pain that occurs in the elderly due to high levels. And most people assume that by taking medication they assume that the pain will disappear, according to Ilham (2019) that to reduce joint pain you can do ginger compress therapy on the joint pain, because the spicy effect of ginger can reduce pain in the joints. Objective: To determine the effect of ginger compress therapy on the level of joint pain in the elderly. Method: The design in this research uses a quasi-experiment using a one group pretest posttest design approach. Results: based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 < 0.05. Conclusion: it can be concluded that there is an influence of ginger compress therapy on the level of joint pain in the elderly in the working area of ??the Central Jampang Community Health Center. Suggestion: It is recommended for future researchers to measure the influence of respondent characteristics such as age, gender, education level, length of time suffering from joint pain, type of work and type of medication used.

Gout is a type of inflammatory joint disease that occurs due to the accumulation of uric acid crystals. It usually occurs in several joints, such as the toes, ankles, knees, and big toes. Gout is also commonly called gout. This study aims to determine the Effect of Bay Leaf Decoction on Reducing Uric Acid in the Elderly at the Binjai Estate Health Center in 2024. The design of this study uses a descriptive correlation research method ( correlation study). The population in this study were all elderly people as many as 26 respondents, a total sampling of 26 samples. The variables in the study were the independent variable, namely boiled bay leaves and the dependent variable, uric acid levels in the elderly. The research instrument used a questionnaire and chi-square test. The results of the study show that regular elderly drink stew leaf greetings , grade sour tendon down as many as 16 people (84.2%) and elderly minority drink stew leaf regards regular , level sour tendon No down as many as 3 respondents (15.8%) while majority elderly who do not regular drink stew leaf greetings , grade sour tendon down as many as 1 respondent (14.2%) and a minority elderly who do not regular drink leaf greetings , grade sour tendon No down as many as 6 respondents (85.8%). The chi-square test shows that mark significant p-Value = 0.002< a( 0.05), so H 1 is accepted. Conclusion This research is There is connection influence stew leaf regards to decline level sour veins in the elderly at the Community Health Center Binjai Estate.

The screening and education program on the prevention of degenerative diseases was conducted in the coastal community of Panjang Island, Batam. This initiative aimed to address the high prevalence of degenerative diseases such as diabetes, hypertension, and dyslipidemia through health screenings and community education. The study involved 55 participants, primarily pre-elderly individuals, and included examinations of blood pressure, cholesterol, blood sugar, and uric acid. The results revealed that 65.5% of participants had hypertension (34.5% with Stage 1 and 31% with Stage 2), while 69.1% had high cholesterol levels. Blood sugar screening indicated that 14.5% of participants had elevated glucose levels. Uric acid levels were high in 47.3% of participants, predominantly among women. Additionally, 78% of respondents with comorbidities presented abnormalities in at least one biochemical parameter. Educational sessions resulted in a 26.4% increase in knowledge about disease prevention and healthy lifestyles. The program highlighted the importance of regular health screenings, lifestyle modifications, and community empowerment for sustainable health improvements. Collaboration with local health centers and the establishment of health cadres are recommended for ongoing support and monitoring of degenerative disease prevention efforts.

Uric acid is the end product of purine metabolism which can cause hyperuricemia if levels increase. Hyperuricemia, if left untreated, can cause joint inflammation, pain, and various other health problems. This study aims to evaluate Halu Oleo University students' understanding of gout and its impact on health. Using a quantitative approach and analytical descriptive design, this research involved 50 randomly selected respondents. Examination of uric acid levels is carried out by taking blood samples using the Nesco Multi Check device. The results showed that 70% of respondents had uric acid levels within normal limits, while 30% experienced hyperuricemia, which indicates a potential risk of developing gout. These findings suggest that unbalanced eating patterns, lack of physical activity, and inadequate fluid intake contribute to increased uric acid levels among college students. This research emphasizes the importance of education about healthy eating patterns and an active lifestyle to prevent health problems related to gout.

Gout is a musculoskeletal disease that occurs in the joints due to an increased concentration of uric acid in the blood. Risk factors that can cause high levels of uric acid include age, gender, obesity, purine diet, alcohol, and some medications. Therapies that can be given to the elderly who experience gout include ergonomic exercises. Objective : To determine the effectiveness of applying ergonomic exercise therapy as a non-pharmacological method to reduce high uric acid levels in the elderly. This study used a case study approach with two elderly had high uric acid levels. The intervention was carried out for 2 weeks by giving ergonomic exercises 4 times in 1 week consecutively with a duration of 20 minutes of exercise. There were changes in uric acid levels in both respondents and they decreased. Ergonomic gymnastics is a potential non-pharmacological method in reducing high uric acid levels in the elderly.

Background: Gout is a disease associated with high levels of uric acid in the blood. Apart from the aging process, gout can also occur due to the inhibition of the secretion process and a decrease in the enzyme uricase. The aging process in the elderly causes various health problems, as a result of which they are susceptible to diseases, one of which is an increase in uric acid. Uric acid numbers can be said to be abnormal if >6 mg/dl for women and >7.2 mg/dl for men. Non-pharmacological therapy that can be done is ergonomic exercise. The purpose of this study is to compare measurements of uric acid levels before and after ergonomic exercise. Methods: A case study of 2 respondents was conducted three times a week, with a duration of 19 minutes for each exercise. Results: The application of the two respondents resulted in a significant decrease in uric acid levels; namely, Mrs. S obtained a result of 4.8 mg/dl, while Mrs. T obtained a result of 5 mg/dl. Conclusion: The results of this study concluded that there was a decrease in uric acid levels in both respondents after ergonomic gymnastics.    

Gouty arthritis or often known as gout is a disease that attacks the joints, this is caused by high uric acid levels caused by genetic or hereditary factors and a lifestyle that often consumes foods that contain lots of purines. Purine substances are the core part of protein, and protein is widely obtained in offal foods, meat and beans (Uric Acid, 2023). Complementary therapy is a natural therapy including herbal therapy. Herbal therapy can utilize surrounding fruits / plants such as pineapple fruit, soursop fruit, bay leaves, and soursop leaves. This research uses a case study method with a family nursing care approach with gout. data collection instruments use family nursing care assessment formats through the nursing process of assessment, diagnosis, intervention, implementation, evaluation. Based on the results of the study after implementation in the patient, the results showed a decrease in the pain scale and an increase in the patient's sense of comfort. Non-pharmacological pain management carried out is by drinking pineapple juice and honey regularly. Evaluation results found after treatment for 3 days with reduced pain data, pain scale 1-2. The evaluation found after treatment for 3 days of ineffective family health management problems related to the family's inability to care for sick family members with family data can understand about gout and its actions.

The prevalence of gout in Indonesia is the fourth largest country in the world whose population suffers from gout. 35% of gout occurs in men over the age of 45 years. Joint disease in those aged 55-64 years is 45%. Age 65-74 years 51.9%. Age ≥ 75 years 54.8%. The incidence of joint disease based on diagnosis by health workers in Indonesia is 7.3 and based on diagnosis or symptoms 24.7% (RISKESDAS, 2018). This type of research is quantitative using a quasi-experimental research method with pre-test and post-test with control methods. The population of all elderly people suffering from gout who underwent examination and treatment in the Batu Aji Health Center UPT area, namely 140 people as of April 2021. The number of samples in this study was 30 people, divided into 15 elderly people in the experimental group and 15 elderly people in the experimental group. Control. Based on the results of research and data processing that has been carried out by researchers, regarding the effect of boiling bay leaf water on reducing uric acid levels in the elderly in the Batu Aji Health Center UPT area, Batam City in 2021 with a total of 30 respondents, consisting of 15 intervention groups and 15 control groups . The research carried out not only provides conclusions but also provides suggestions to various parties to help improve health and prevent complications in gout patients.

Uric acid is a metabolic waste in the form of purine crystals that are naturally present in the blood. Normal uric acid levels in the blood of adult men are 3.5 – 7.2 mm/dl and in women 2.6 – 6.0 mg/dl. Purine substances are natural substances which are one of a group of chemical structures that make up DNA and RNA derived from the body's own production and from food. This study aims to determine the relationship of knowledge and behavior of the elderly to the prevention of increased gout at the Tampahan Health Center, Tampahan District, Toba Regency. This research was conducted from  Oktober to Desember 2023. Behavioral relationships. This research is a quantitative study using a Cross-sectional Design. The population in this study were all gout sufferers who came for treatment at the Tampahan Health Center, Tampahan  District, Toba Regency. The sample size was 35 respondents using a questionnaire. Data analysis used Chi-square test with significance level = 0.05. From the results of research on 35 respondents showed that the majority were knowledgeable enough as many as 20 people (57.1%), the majority of behavior was in the good category as many as 17 people (48.6%). While the majority for prevention in the good category were 27 people (80.0%). There is no relationship between the knowledge of the elderly about gout and the prevention of increased gout where X2 count < X2 table and there is a relationship between the behavior of the elderly with gout on the prevention of increased gout where the chi-square test X2 count > X2 table. For the elderly with gout to further increase their knowledge about preventing an increase in uric acid and pay attention to their health, especially in reducing consumption of high-protein foods and diligently self-examination to the health center.

Background: Gout arthritis (gout) is a disease that arises due to excessive blood uric acid levels, which causes excessive blood uric acid levels, namely the production of uric acid in the body more than its disposal, besides that the cause of excessive uric acid production in the body can occur due to genetic factors (congenital), food factors. Complaints of gout arthritis pain vary from mild, moderate to severe. One of the non-pharmacological therapies that can be used to relieve gout arthritis pain is warm ginger compresses. This study aims to see the effect of warm ginger compresses on the gout arthritis pain scale. Methods: This research is a type of pre-experimental research, namely experimental research without a control group. The research was conducted with a one group pre-posttest design. Sampling using total sampling technique. Results: The results of the Friedman test showed a P value (0.000). The results of this study indicate that warm ginger compresses can reduce gout arthritis pain. Conclusion: There is a significant effect on the level of gout arthritis pain before and after the warm ginger compress intervention

Background: Increased of uric acid levels can be caused other disorders in the human body such as a feeling of aches and pains in the joint area and is often along with extreme pain for the sufferer. This disease is better known as gout (Andry, 2021 ). Objective: This study aims to find out the effectiveness of consumption the pineapple fruit on reducing uric acid levels in the Batu Lubang Lembeh Selatan Village. This research uses a Pre-Experimental method with a One Group Pre-Post Test Design approach. The samples in this study were 12 early adult men who with having gout in Batu Lubang Lembeh Selatan Village, using an accidental sample. The data collected using observation sheets and analyzed using the non-parametric Wilcoxon test using SPSS. The results of the research showed the conditions of uric acid sufferers before and after consumption pineapple analysis the value of 0.003, there was a significant effect between giving pineapple fruit on reducing uric acid levels in the Batu Lubang Lembeh Selatan sub-district. The conclusion in this study there were an effect of giving pineapple on reducing uric acid levels in Batu Lubang Lembeh Selatan Village. Based on the research results, it is recommended the Respondents be expected to frequently consume pineapple so that uric acid levels can decrease till the normal limits.