A B S T R A C TIntroduction. Old age is related to geriatric syndrome where there are several healthproblems that often occur related to a decrease in body function and an increase inthe inflammatory process. Decrease in muscle mass, muscle strength and physicalperformance will lead to a condition of sarcopenia and frailty syndrome in the elderly.The importance of prevention so that sarcopenia does not occur in the elderly byevaluating the factors that can cause it, one of which is controlling nutritional factors(macro and micro nutrients), such as in research, namely omega-3 macronutrients.The purpose of this study was to determine the correlation between serum omega-3levels with muscle mass, muscle strength, and physical performance in the elderlycommunity at Moehammad Hoesin Hospital Palembang. Methods. This research isan observational analytic study with a cross-sectional approach which wasconducted at the Integrated Geriatric Clinic Internal Medicine RSMH Palembangfrom November 2019 to November 2020. A sample of 21 people aged> 60 years wasexamined for muscle mass, muscle strength, physical performance and omega-levels. 3 serums. All data processing and analysis in this study used SPSS version25 for Windows. Results. Of the 21 subjects, it was found that women were 19people (90.5%) and 2 men (9.5%). The mean value of muscle mass was 37.65 ± 5.7,hand grip strength was 24.04 ± 5 kg, and walking speed was 6.72 ± 1.8 seconds per6 meters. There were 11 subjects with low serum omega-3 levels of 485.25 ± 110.19mg. There was a significant relationship between serum omega-3 levels and musclemass (p = 0.041) with moderate correlation strength (r = 0.448). Conclusion: Musclemass has a significant relationship with serum omega-3 levels in the elderly withmoderate strength. Meanwhile, muscle strength and physical performance did nothave a significant relationship.

A B S T R A C TIntroduction. Old age is related to geriatric syndrome where there are several healthproblems that often occur related to a decrease in body function and an increase inthe inflammatory process. Decrease in muscle mass, muscle strength and physicalperformance will lead to a condition of sarcopenia and frailty syndrome in the elderly.The importance of prevention so that sarcopenia does not occur in the elderly byevaluating the factors that can cause it, one of which is controlling nutritional factors(macro and micro nutrients), such as in research, namely omega-3 macronutrients.The purpose of this study was to determine the correlation between serum omega-3levels with muscle mass, muscle strength, and physical performance in the elderlycommunity at Moehammad Hoesin Hospital Palembang. Methods. This research isan observational analytic study with a cross-sectional approach which wasconducted at the Integrated Geriatric Clinic Internal Medicine RSMH Palembangfrom November 2019 to November 2020. A sample of 21 people aged> 60 years wasexamined for muscle mass, muscle strength, physical performance and omega-levels. 3 serums. All data processing and analysis in this study used SPSS version25 for Windows. Results. Of the 21 subjects, it was found that women were 19people (90.5%) and 2 men (9.5%). The mean value of muscle mass was 37.65 ± 5.7,hand grip strength was 24.04 ± 5 kg, and walking speed was 6.72 ± 1.8 seconds per6 meters. There were 11 subjects with low serum omega-3 levels of 485.25 ± 110.19mg. There was a significant relationship between serum omega-3 levels and musclemass (p = 0.041) with moderate correlation strength (r = 0.448). Conclusion: Musclemass has a significant relationship with serum omega-3 levels in the elderly withmoderate strength. Meanwhile, muscle strength and physical performance did nothave a significant relationship.

Non-Insulin Dependent Diabetes Mellitus (NIDDM) is a metabolic disease characterized by increased blood sugar due to decreased insulin secretion by pancreatic beta cells or insulin resistance. One of the four pillars of NIDDM management is the regulation of dietary intake. The nutrients that most affect the increase of blood glucose are carbohydrates. The absorption of liquid carbohydrates will be different if given in solid form. The emptying of the liquid food is gastric faster than emptying the solid food, and the purpose of this study is to determine the effect of liquid and solid additional dietary intake on HbA1c levels. The total number of samples in the study was 60 respondents divided into two groups, 30 respondents who consumed other liquid food and 30 respondents who consumed other solid food with primary data from the questionnaire and secondary data generated from the medical record. The data is processed and analyzed by a simple linear regression test. Respondents who consumed liquid dietary intake showed significantly increased HbA1c levels (p < 0.001) with a coefficient of correlation (r) of 0.652, but solid food and HbA1c did not correlate significantly (p < 0.2) with the coefficient of correlation results (r) of 0.262. Most people with NIDDM add liquid foods to their daily menu, which will leave the patient feeling unsatisfied and quickly getting hungry, and also they assume that liquid-based foods such as diabetes-specific milk are medications. It will help to lower their blood sugar levels so that the patient will remain to consume heavy foods that will result in excessive caloric supply that will impact the blood sugar levels. From this study, it can be concluded that the dietary intake of liquid food increased HbA1c. Key words: Non-Insulin Dependent Diabetes Mellitus, additional dietary intake, HbA1c level.

Hypertension is an increase in systolic and diastolic blood pressure above average, which can increase the occurrence of chronic kidney failure. Age, gender, genetics, nutrition, stress, activity, and lifestyle are risk factors for this problem. This study aims to determine the relationship and comparison of hypertension grades 1 and 2 to the incidence of chronic kidney failure at UKI General Hospital by looking at medical record data. This research was conducted with an analytical observational method and a cross-sectional approach. The sample consists of 73 respondents, and the sample selection using a simple random sampling technique. The results showed that the most criteria were age > 40 years (74.0%), the most gender was female (58.9%), and the highest body mass index (BMI) was mild overweight (43.8%). In this study, there was a significant relationship between hypertension and chronic kidney failure p=0.002 (p<0.05), and respondents with grade 2 hypertension had a higher risk of chronic kidney failure compared to grade 1 hypertension (95.6%).

During the Covid 19 pandemic, one of the prevention measures suggested by Indonesian Food and Drug Authority (BPOM) is to consume herbal medicine to boost one's health immunity. The major factors that encourage the individual to consume herbal medicines are their knowledge and attitude towards the herbal medicines themselves. In these pandemic condition, consumption of herbal medicines will still increase as one of the prevention measures. This research aims to understand the knowledge and attitude of indigenous people in Wasur village RT 002 RW 001 regency towards herbal medicines during the pandemic. This research is descriptive research using a cross-sectional approach. The instrument that is being used in this research is a questionnaire. There are 100 people as the sample used in this research was taken under a nonrandom sampling technique with purposive sampling criteria that have been inclusively determined. The results have shown that plants that are frequently consumed as herbal medicines are Sambiloto (36%), Ginger (26%), Meniran leaves (13%), Galangal leaves (13%), Papaya leaves (11%), and Guava leaves (8%). The dosage form that is being used by the sample is decoction. The village's knowledge of the people's herbal medicines is mainly passed down by the family (60%). The majority of these herbal medicines concoctions are local's concoctions. To be noted in this research, 44 persons of the samples passed the "GOOD" knowledge criteria, and 98% passed the "GOOD" criteria for attitude toward herbal medicines. This research concludes that knowledge and attitude are majorly in the "GOOD" criteria. Keywords: Consume, Knowledge, Attitude, Herbal.