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Pemeriksaan Kadar Asam Urat sebagai Skrining Hiperurisemia: Strategi Promotif dan Preventif dalam Menekan Risiko Gout Kosasih, Robert; Santoso, Alexander Halim; Wijaya, Bryan Anna; Andersan, Jonathan; Lo, Geoffrey Christian
Journal of Community Service and Society Empowerment Том 4 № 01 (2026): Journal of Community Service and Society Empowerment
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jcsse.v4i01.2107

Abstract

Hyperuricemia is a metabolic health issue that often goes undetected early, despite its strong association with gout and other metabolic diseases. This community service program aimed to improve early detection of hyperuricemia through uric acid screening and to provide promotive and preventive education on risk factors and their management. Conducted at Asisi Church, South Jakarta, the program involved 99 elderly participants and applied a Plan-Do-Check-Action (PDCA) approach. Uric acid levels were measured using point-of-care testing (POCT) with capillary blood, accompanied by education on low-purine diets, physical activity, and adequate hydration. The mean uric acid level was 4.69 mg/dL (SD 1.39), with 9 participants (9.1%) identified as having hyperuricemia. Although most participants were within normal limits, the screening revealed previously undetected cases among older adults with metabolic risks. This activity enhanced health literacy and strengthened the role of community health cadres, demonstrating that community-based POCT screening is feasible for integration into primary care and posbindu programs as a sustainable strategy to prevent gout and metabolic diseases.
Optimalisasi Deteksi Dini Diabetes Melitus melalui Pemeriksaan HbA1c dan Gula Darah Puasa sebagai Intervensi Promotif-Preventif Frisca, Frisca; Santoso, Alexander Halim; Wijaya, Bryan Anna; Alvianto, Fidelia; Pratama, Aditya
Journal of Community Service and Society Empowerment Том 4 № 01 (2026): Journal of Community Service and Society Empowerment
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jcsse.v4i01.2108

Abstract

Diabetes Mellitus (DM) is a major global health challenge with a steadily increasing prevalence over recent decades. Early detection through glycemic parameters such as HbA1c and Fasting Blood Glucose (FBG) is essential for effective promotive-preventive interventions. This community service activity aimed to optimize DM screening using practical and efficient Point of Care Testing (POCT) among 99 adult participants in South Jakarta. The average HbA1c level was 5.15% (SD 1.09), while the mean FBG was 109.15 mg/dL (SD 42.55). A total of 11.1% of participants were diagnosed with diabetes based on HbA1c criteria, and 18.2% based on FBG. Glycemic abnormalities were more prevalent among women and the elderly, highlighting vulnerabilities in glucose metabolism within these groups. Integrating POCT screening with comprehensive health education effectively facilitated early identification of at-risk individuals and improved community awareness of DM prevention. These findings support routine community-based screening as a sustainable promotive-preventive strategy to reduce the burden of DM and prevent long-term complications.
Peran Pemeriksaan Radiologis dalam Identifikasi Awal Kardiomegali untuk Mencegah Penyakit Jantung Wijaya, Inge Friska; Santoso, Alexander Halim; Wijaya, Bryan Anna; Dinali, Diana; Aziel, Disya Gwyneth
Journal of Community Service and Society Empowerment Том 4 № 01 (2026): Journal of Community Service and Society Empowerment
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jcsse.v4i01.2109

Abstract

Early detection of cardiomegaly is essential to prevent progression toward heart failure, especially in aging populations where cardiovascular remodeling is common. This community-based program evaluated the use of chest radiography for identifying cardiomegaly while increasing public awareness of cardiovascular risk factors. A total of 99 elderly participants (median age 73 years; 71.7% female) underwent radiographic screening. Cardiothoracic ratio (CTR) assessment showed that 36.4% had cardiomegaly (CTR ≥50%), while 63.6% were within normal limits. Cardiomegaly prevalence was higher in participants over 70 years and more frequent in females. These findings align with known age- and sex-related cardiac remodeling patterns, including postmenopausal estrogen decline, which contributes to hypertension, endothelial dysfunction, and myocardial fibrosis. The program demonstrated that community-based radiological screening is a practical tool for early detection of structural cardiac abnormalities and can support timely referral and preventive care. Despite limitations in design and sample size, the activity highlights the value of integrating simple imaging screening with health education to reduce cardiovascular disease burden.
Optimalisasi Pemeriksaan Kreatinin dan eGFR sebagai Indikator Biomarker untuk Deteksi Dini Penyakit Ginjal Sari, Triyana; Santoso, Alexander Halim; Wijaya, Bryan Anna; Enike, Syilvia Cendy; Khoto, Anthon Eka Prayoga
Journal of Community Service and Society Empowerment Том 4 № 01 (2026): Journal of Community Service and Society Empowerment
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jcsse.v4i01.2110

Abstract

Chronic kidney disease (CKD) is a growing global health issue, particularly among the elderly, as it progresses silently and often remains undetected until advanced stages. Early identification is essential to slow the deterioration of kidney function and reduce cardiovascular complications. This community engagement program aimed to optimize serum creatinine testing and estimated glomerular filtration rate (eGFR) calculation as simple yet reliable biomarkers for CKD screening. A total of 99 participants (mean age 71.85 ± 8.08 years) underwent laboratory assessments and health education. The mean creatinine level was 1.41 mg/dL, with an average eGFR of 53.14 mL/min/1.73 m²; most participants (55.6%) fell within the moderate impairment category. Based on KDIGO criteria, only 1% had normal kidney function, whereas 5.1% had reached end-stage renal disease. Age, cardiometabolic factors, and sex differences were associated with varying degrees of dysfunction. Combining biomarker screening with education effectively increased awareness and supported community health workers. Serum creatinine and eGFR assessment are recommended as promotive-preventive strategies for early CKD detection in high-risk populations.
Skrining SGOT dan SGPT sebagai Deteksi Dini Gangguan Fungsi Hati untuk Peningkatan Kualitas Hidup Sidarta, Erick; Santoso, Alexander Halim; Wijaya, Bryan Anna; Fajarivaldi, Kresna Bambang; Bachri, Fiqi Afrizal
Journal of Community Service and Society Empowerment Том 4 № 01 (2026): Journal of Community Service and Society Empowerment
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jcsse.v4i01.2111

Abstract

Liver disease is a major contributor to global morbidity and mortality, with its burden increasing due to epidemiological transition and lifestyle-related risk factors. A key challenge is the lack of early detection, as many cases are identified only at advanced stages when treatment becomes less effective. This community engagement program aimed to perform liver function screening through SGOT and SGPT measurements as a promotive–preventive strategy to enhance community health. Conducted at Asisi Church, South Jakarta, the program involved 99 elderly participants (mean age 71.85 years) who received education on liver disease risk factors and underwent biochemical assessment. The mean SGOT level was 26.17 U/L and SGPT 22.59 U/L, with no participants exhibiting elevated transaminases. These findings indicate a low prevalence of abnormal liver enzyme levels, though interpretation should consider possible healthy volunteer effects and age-related changes. The program highlights the value of integrating simple biochemical screening with health education to improve awareness and support early prevention of liver disease in community settings.
Edukasi dan Pemeriksaan Dini Apolipoprotein untuk Menurunkan Risiko Penyakit Kardiovaskular di Masyarakat Charissa, Olivia; Santoso, Alexander Halim; Wijaya, Bryan Anna; Rafi, Muhammad Adam Abizar; Pratama, Muhammad Kevin Dava
Journal of Community Service and Society Empowerment Том 4 № 01 (2026): Journal of Community Service and Society Empowerment
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jcsse.v4i01.2112

Abstract

Cardiovascular disease remains the leading cause of global mortality, with a growing burden particularly in low- and middle-income countries, including Indonesia. Atherogenic dyslipidemia—marked by an imbalance between apolipoproteins, specifically elevated Apolipoprotein B and reduced Apolipoprotein A—has emerged as a more accurate cardiometabolic risk indicator than conventional lipid measurements. This community service program aimed to enhance early detection and health education regarding apolipoprotein profiles among the elderly population in South Jakarta. A total of 99 participants (mean age 71.85 years; 71.7% female) underwent ApoA and ApoB testing and received targeted health education. Results showed that 16.2% of participants had elevated ApoB levels, while all participants (100%) exhibited ApoA levels within the high-risk category. Based on the ApoB/ApoA ratio, 25.3% of participants were classified as having high cardiovascular risk. These findings highlight the need to integrate apolipoprotein-based screening into primary healthcare services, supported by educational interventions focusing on lifestyle modification, to help reduce the community burden of cardiovascular disease.
Optimalisasi Edukasi Kesehatan dengan Pemeriksaan Spirometri pada Kegiatan Pengabdian Masyarakat Hadisono, Hadisono; Santoso, Alexander Halim; Wijaya, Bryan Anna; Hendrianto, Rifandra Rifqi Adi; Johan, Richver Framanto
Journal of Community Service and Society Empowerment Том 4 № 01 (2026): Journal of Community Service and Society Empowerment
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jcsse.v4i01.2113

Abstract

Chronic obstructive pulmonary disease (COPD) is a health problem with increasing prevalence in aging populations, contributing to a decline in the quality of life among older adults. This community service program aimed to optimize health education through spirometry assessments in an urban population. The activity was conducted at Asisi Church, South Jakarta, involving 99 participants (mean age 71.85±8.08 years; majority female 71.7%). Pulmonary function was assessed by spirometry, measuring FVC, FEV1, and FEV1/FVC ratio. Results showed that most participants exhibited a restrictive pattern, with reduced FVC (mean 58.8%; 89.9% decreased) and FEV1 (67%; 77.8% decreased), although the FEV1/FVC ratio remained within the normal range (91.9%). These findings highlight that the decline in lung capacity is more prominent in urban older adults. Integrating simple screening with health education sessions proved effective as a promotive–preventive strategy to raise community awareness regarding regular monitoring of lung function and adopting sustainable healthy lifestyles.
Diabetes Predictive Scoring Model in Adults at Jakarta Based on Waist-to-Hip Ratio and Handgrip Strength Setiawan, Fiona Valencia; Wijaya, Bryan Anna; Gunawan, Shirly; Firmansyah, Yohanes
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 14 No. 1 (2026): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v14i1.52320

Abstract

Background: Diabetes mellitus is an escalating public health concern, particularly among productive-age populations in urban settings. This study aimed to evaluate the potential of WHR and HG as low-cost, non-invasive tools for early diabetes risk detection. Methods: A cross-sectional study was conducted among 539 productive-age adults (>18 years) across multiple districts in Jakarta during 2024–2025 using consecutive sampling. Fasting blood glucose, WHR, and HG were assessed. Multiple linear regression was applied to examine associations between WHR, HG, and fasting glucose. A binary logistic regression model with backward likelihood ratio selection was used to identify predictors of diabetes. Results: WHR showed a significant positive association with fasting glucose (B = 72.647; p = 0.001), while HG demonstrated a significant inverse association (B = –0.468; p = 0.047). Logistic regression analysis indicated that lower HG (B = –0.867; Exp(B) = 0.420; p = 0.001) and higher WHR (B = –2.413; Exp(B) = 0.090; p = 0.018) were independently associated with diabetes risk. The model constant was 4.535 (p < 0.001). Conclusion: A model integrating WHR and HG shows promise for early diabetes risk stratification among productive-age adults in Jakarta, supporting their utility in community-based screening.