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Skrining Anemia dengan Pemeriksaan Hemoglobin: Strategi Promotif dan Preventif untuk Peningkatan Kualitas Hidup pada Masyarakat Herdiman, Julia; Santoso, Alexander Halim; Wijaya, Bryan Anna; Alexin, Corry Calista; Pranata, Catherine Christiana
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.v4i01.2106

Abstract

Anemia remains a major public health issue with high prevalence and substantial impact on quality of life, especially among vulnerable groups such as older adults and women. This community service program aimed to improve early anemia detection through structured hemoglobin screening combined with evidence-based health education. Conducted at Asisi Church, South Jakarta, the program involved 99 adult participants who attended health sessions and underwent hemoglobin and hematocrit assessments using point-of-care testing (POCT). Results showed that 82.82% of participants were anemic, with a mean hemoglobin of 10.89 g/dL and hematocrit of 31.71%. Women had a higher proportion of anemia and lower mean hemoglobin levels than men. These findings underscore anemia as a persistent urban health problem influenced by demographic, nutritional, lifestyle, and chronic disease factors. The program provided early identification of at-risk individuals, enhanced knowledge, and strengthened the role of community health cadres, demonstrating potential for broader replication as a promotive-preventive strategy.
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.
The Role of Diabetes Mellitus Panel on Kidney Function Decline in Elderly Population: Cross-Sectional Study Gunawan, Shirly; Kosasih, Robert; Firmansyah, Yohanes; Santoso, Alexander Halim; Wijaya, Bryan Anna; Bambang, Kresna; Pratomo, Farhan
Biomedical Journal of Indonesia Vol. 12 No. 1 (2026): Vol 12, No 1, 2026
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v12i1.293

Abstract

Introduction. Chronic kidney disease (CKD) is a major public health issue, particularly among the elderly, where metabolic disturbances accelerate renal decline. Diabetes mellitus contributes to kidney dysfunction through insulin resistance and altered glycemic control. This study investigates the relationship between diabetes-related parameters—fasting blood glucose, HbA1c, fasting insulin, HOMA-IR, and kidney function, as measured by estimated glomerular filtration rate (eGFR) in an elderly population. Methods. A cross-sectional analytic study was conducted among 82 elderly residents of Bina Bhakti Nursing Home. Venous blood samples were collected to assess fasting blood glucose, HbA1c, fasting insulin, and HOMA-IR. Kidney function was estimated using the CKD-EPI equation. Results. Age showed a significant negative correlation with eGFR (r = –0.266, p = 0.016), indicating age-related renal decline. HOMA-IR (r = 0.247, p = 0.025) and fasting insulin (r = 0.224, p = 0.043) demonstrated weak but significant positive correlations with eGFR. Conversely, fasting glucose (r = 0.055, p = 0.623) and HbA1c (r = 0.029, p = 0.795) had negligible, non-significant correlations with eGFR, suggesting limited predictive value for renal impairment. Insulin growth factor exhibited a weak, non-significant negative correlation (r = –0.104, p = 0.355). Conclusion. Age remains a key determinant of declining kidney function in the elderly. Insulin resistance markers showed mild but unexpected associations, warranting further longitudinal studies to confirm these findings and explore underlying mechanisms.
Korelasi Komposisi Tubuh dan Antropometri dengan Tekanan Darah, Gula Darah Puasa, dan Profil Lipid Perempuan di Kota Salatiga: Correlation of Body Composition and Anthropometry with Blood Pressure, Fasting Blood Sugar, and Lipid Profile of Women in Salatiga City Herdiman, Julia; Santoso, Alexander Halim; Wijaya, Bryan Anna
Jurnal Keperawatan Bunda Delima Vol 8 No 1 (2026): EDISI FEBRUARI
Publisher : Akademi Keperawatan Bunda Delima Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jkbd.v8i1.260

Abstract

Latar Belakang: Komposisi tubuh dan distribusi adipositas memiliki peran penting dalam regulasi metabolik pada perempuan dewasa, namun asosiasi diferensial antara parameter antropometri dengan kendali tekanan darah, glukosa, dan lipid belum sepenuhnya tereksplorasi di level komunitas.  Tujuan: Menganalisis korelasi antara komposisi tubuh dan antropometri dengan tekanan darah, homeostasis gula darah, dan profil lipid pada perempuan dewasa di Salatiga. Metode: Penelitian potong lintang melibatkan 51 perempuan dewasa dengan rata-rata usia 41,65 tahun. Pengukuran meliputi antropometri (indeks massa tubuh, lingkar perut, lingkar panggul), analisis komposisi tubuh (lemak subkutan regional, massa otot rangka segmental), dan parameter biokimia (glukosa darah puasa, profil lipid, tekanan darah). Analisis korelasi Spearman digunakan untuk evaluasi hubungan antar variabel. Hasil: Adipositas sentral menunjukkan korelasi positif dengan glukosa darah puasa dan trigliserida, serta korelasi negatif dengan HDL cholesterol. Massa otot rangka tubuh utama menunjukkan korelasi negatif signifikan dengan dysglycemia. Namun, asosiasi antara parameter komposisi tubuh dengan tekanan darah tetap lemah dan tidak signifikan, mengindikasikan regulasi tekanan darah dipengaruhi mekanisme independen. Kesimpulan: Adipositas sentral dan massa otot rangka memiliki peran regulatif diferensial dalam kendali metabolik glukosa dan lipid, sementara tekanan darah diregulasi melalui mekanisme multi-sistem. Penelitian longitudinal dengan detailed mechanistic assessment sangat direkomendasikan untuk elucidasi lebih lanjut.
Co-Authors Aditya Pratama Alexander Halim Santoso Alexandro, Cristian Alexin, Corry Calista Alvianto, Fidelia Alwini, Muhammad Rifat Umar Amertha, Anak Agung Ngurah Putrayoga Andersan, Jonathan Aziel, Disya Gwyneth Bachri, Fiqi Afrizal Bambang, Kresna Biromo, Anastasia Ratnawati Charissa, Olivia Daniel Ruslim David Ariwibowo Destra, Edwin Dewanto, Naomi Esthernita Fauzia Dewanto, Paulus Gegana Thery Dinali, Diana Enike, Syilvia Cendy Ernawati Ernawati EVELYN EVELYN Fadil Hidayat Fajarivaldi, Kresna Bambang Fransisca I. R. Dewi Frisca Frisca Gunaidi, Farell Christian Gunawan, Paskalis Andrew Hadisono, Hadisono Harsono, Axsel Hartono, Vincent Aditya Budi Haryanto, Ines Hekmatyar, Haritsyah Hendrianto, Rafindra Raja Adi Hendrianto, Rifandra Rifqi Adi Herdiman, Julia Jaya, I Made Satya Pramana Johan Johan Johan Johan Johan, Richver Framanto Kasvana, Kasvana Khoto, Anthon Eka Prayoga Kosasih, Robert Kristianto, Angeline Florencia Grace Kurniawan, Joshua Kurniawan, Junius Lo, Geoffrey Christian Lontoh, Susy Olivia Lucius, Steven Hizkia Lumintang, Valentino Gilbert Mahendri, Ryan Daffano Putra Mano S., Donatila Mijaata, Djoko Micni Moniaga, Catharina Sagita Noer Saelan Tadjudin Olivia Charissa Peter Ian Limas Philo, Andrew Pranata, Catherine Christiana Pratama, Muhammad Kevin Dava Pratana, Catherine Christiana Pratomo, Farhan Purnomo, Yonathan Adi Putra, Muhammad Dzakwan Dwi Rafi, Muhammad Adam Abizar Ruslim, Welly Hartono S., Donatila Mano Saerah, Stefanus Handy Santoso, Alexander Halim Sari Mariyati Dewi Nataprawira Setiady, Brandon Alexander Setiawan, Fiona Valencia Shirly Gunawan Sidarta, Erick Sim, Alfred Sutrisno Singh, Arwinder Soebrata, Linginda Soni, Yulfitra Sukianto, Louise Audrey Suros, Angel Sharon Syarifah, Andini Ghina Tan, Sukmawati Tansil Tantoso, Lydia Triyana Sari W., Linda Julianti Warsito, Jonathan Hadi Wijaya, Dean Ascha Wijaya, Inge Friska Yohanes Firmansyah Yunita, Fenny