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

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 skin, the largest organ in the human body, provides protection against the external environment by covering the entire exterior surface of the body. Dermatoporosis is a skin fragility syndrome that develops as time progresses. Extrinsic and intrinsic factors contribute to skin aging, whereas extrinsic factors comprise nutrition, smoking, ionizing radiation, and solar exposure. In the elderly, the incidence of dermatoporosis is higher. In Europe, the incidence of dermatoporosis varies between 30 and 37%. Dermatoporosis is distinguished by the presence of slender, fragile, and shredded skin. This renders elderly individuals susceptible to complications related to hemorrhaging and infections, thereby exerting a detrimental influence on their overall health and well-being. It is anticipated that by engaging in this exercise, participants will develop a greater understanding of the significance of skin health maintenance.

Insomnia affects 30-50% of the adult population in the United States, with 5-15% experiencing chronic symptoms. Insomnia is characterized by dissatisfaction with the quality or quantity of sleep, insomnia presents challenges such as difficulty initiating, maintaining, and waking early, and is common in older adults. The Hana Nursing Home hosted this activity, with 61 participants in attendance. In this activity, there were 9 elderly people with mild and moderate insomnia respectively (14.75%) and 5 people (8.2%). Therefore, comprehensive clinical evaluation in the form of education and early detection is essential for effective clinical management of insomnia.
Keywords: Insomnia, Education, Early detection