Profile Description of Metabolic Health in the Elderly Community as Early Detection of Metabolic Syndrome Cases in RW 05 Jatisari_BuahBatu Mia Kusmiati, Rizky Suganda P, Ismawati, Nanda Amalia, Dwi Ulfah, Feri Ardhana, Kavin Abdurohiem, Fadhila Amalia, Raja Syafa Rexana
Department of Medical Education, Bioethics and Humanity
Medical Faculty of Universitas Islam bandung
Abstract
Jatisari is one of the sub-districts located within the Buahbatu District of Bandung City, situated on the border of the City and Bandung Regency, covering an area of approximately 208 hectares. There is an issue based on data from the Bandung City Health Office indicating that Buah Batu is the second-lowest sub-district in terms of elderly healthcare service coverage (42.38%) after Kiaracondong Sub-district (32.57%). Common diseases affecting the elderly generally include metabolic syndrome. The purpose of presenting this data is to understand the metabolic health profile of the elderly community in RW 05 Jatisari and to identify the risk of developing metabolic syndrome. We plan to implement a comprehensive series of interventions based on behavioral change models, promoting healthy dietary patterns in accordance with the Quran, Surah Al-Araf, verse 31, and practicing intermittent fasting.
The methodology includes mass screening of approximately 50 residents in RW 05, comprising 10 cadres and 40 residents aged between 46 to 78 years. Several indicators of metabolic syndrome were identified through anthropometric measurements, waist circumference, blood pressure measurements, blood sugar levels, and cholesterol levels of the 50 residents. The results are presented in the form of frequency tabulation.
The results of this community service program indicate that 30 out of 50 residents (60%) examined show signs of suspected metabolic syndrome, with at least high blood sugar levels (> 130 mg/dl) accompanied by hypertension and cholesterol levels above the recommended average. The Body Mass Index (BMI) measurements reveal an average BMI of 26.23, with the lowest and highest BMI being 17.4 and 35, respectively, within the elderly community, while the average BMI of the cadres is 28.22. The average blood sugar and cholesterol levels are recorded at 126.52 mg/dl and 200.18 mg/dl, respectively. It can be concluded that the metabolic health profile of the elderly community in RW 05 indicates a tendency toward metabolic syndrome in 60% of its residents. Metabolic syndrome is characterized by impaired glucose regulation or diabetes, insulin resistance, hypertension, dyslipidemia (triglyceride levels > 150 mg/dL and/or HDL-C cholesterol < 35, men: waist-to-hip ratio > 0.90- women: waist-to-hip ratio > 0.85), and/or body mass index (BMI) > 30 kg/m2.
Keywords: early detection, metabolic health, elderly, community empowerment
