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Kegiatan Pengabdian Masyarakat dalam Rangka Skrining Kadar Vitamin D Sebagai Penyebab Insomnia pada Geriatri Biromo, Anastasia Ratnawati; Santoso, Alexander Halim; Destra, Edwin; Gunaid, Farell Christian; Pratomo, Farhan; Lumintang, Valentino Gilbert
Bumi : Jurnal Hasil Kegiatan Sosialisasi Pengabdian kepada Masyarakat Vol. 3 No. 1 (2025): Bumi: Jurnal Hasil Kegiatan Sosialisasi Pengabdian kepada Masyarakat
Publisher : Asosiasi Riset Teknik Elektro dan Informatika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/bumi.v3i1.488

Abstract

Vitamin D is an essential steroid hormone that plays a role in calcium and phosphorus regulation and has the potential to affect sleep quality. Vitamin D deficiency in the elderly often occurs due to minimal exposure to sunlight and age-related physiological changes, which contribute to the high incidence of sleep disorders, including insomnia. This community service activity aims to screen vitamin D levels in the elderly as a cause of insomnia through the Plan-Do-Check-Act (PDCA) approach. The activity was carried out at Panti Bina Bhakti, South Tangerang, involving 93 elderly participants aged > 65 years. The results showed that the average vitamin D levels among the age groups 61-70 years, 71-80 years, 81-90 years, and 91-100 years were 7.6 mg/dl, 7.2 mg/dl, 7.6 mg/dl, and 13.9 mg/dl, respectively. Interventions through vitamin D supplementation, sunlight exposure, and education in the form of sleep hygiene are effective in improving the health and sleep quality of the elderly.
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 (In Press)
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.