STRATEGI PROMOTIF-PREVENTIF MELALUI SKRINING KOLESTEROL TOTAL DAN HDL DALAM PENCEGAHAN STROKE DI MASYARAKAT
DOI:
https://doi.org/10.59407/jpki2.v3i6.3262Keywords:
Skrining Kolesterol, HDL, Pencegahan Stroke, Lansia, Pengabdian MasyarakatAbstract
Pengabdian ini bertujuan untuk menilai efektivitas strategi promotif-preventif melalui skrining kolesterol total dan HDL dalam pencegahan stroke di masyarakat lansia. Metode pengabdian yang digunakan adalah skrining profil lipid berbasis komunitas di Gereja Asisi, Jakarta Selatan, dengan 99 partisipan lansia menggunakan pemeriksaan darah kapiler point-of-care testing (POCT), dilengkapi edukasi kesehatan, konseling gaya hidup, dan tindak lanjut medis. Hasil pengabdian menunjukkan bahwa 42,4% partisipan memiliki kolesterol total batas tinggi atau tinggi, sedangkan 43,3% memiliki kadar HDL rendah; kegiatan ini meningkatkan kesadaran peserta terhadap faktor risiko stroke dan mendorong pengendalian dislipidemia secara berkelanjutan. Simpulan, strategi promotif-preventif berbasis komunitas melalui skrining kolesterol total dan HDL terbukti praktis dan efektif dalam mendeteksi individu berisiko serta menurunkan beban stroke di masyarakat.References
Ali, A., Obaid, O., Akhtar, N., Rao, R., Tora, S. H., & Shuaib, A. (2024). Association between HDL levels and stroke outcomes in the Arab population. Scientific Reports, 14(1), 3071. https://doi.org/10.1038/s41598-024-53613-z
Birtcher, K. K., & Ballantyne, C. M. (2004). Measurement of Cholesterol. Circulation, 110(11). https://doi.org/10.1161/01.CIR.0000141564.89465.4E
Feigin, V. L., Brainin, M., Norrving, B., Martins, S. O., Pandian, J., Lindsay, P., F Grupper, M., & Rautalin, I. (2025). World Stroke Organization: Global Stroke Fact Sheet 2025. International Journal of Stroke, 20(2), 132–144. https://doi.org/10.1177/17474930241308142
Hackam, D. G., & Hegele, R. A. (2019). Cholesterol Lowering and Prevention of Stroke. Stroke, 50(2), 537–541. https://doi.org/10.1161/STROKEAHA.118.023167
He, J., Gu, D., Reynolds, K., Wu, X., Muntner, P., Zhao, J., Chen, J., Liu, D., Mo, J., & Whelton, P. K. (2004). Serum Total and Lipoprotein Cholesterol Levels and Awareness, Treatment, and Control of Hypercholesterolemia in China. Circulation, 110(4), 405–411. https://doi.org/10.1161/01.CIR.0000136583.52681.0D
Hiles, M., Simmons, A., Hilleman, D., Gibson, C. A., & Backes, J. M. (2023). Atherosclerotic Cardiovascular Disease in Women: Providing Protection With Lipid-altering Agents. Clinical Therapeutics, 45(11), 1127–1136. https://doi.org/10.1016/j.clinthera.2023.08.021
Hilkens, N. A., Casolla, B., Leung, T. W., & de Leeuw, F.-E. (2024). Stroke. The Lancet, 403(10446), 2820–2836. https://doi.org/10.1016/S0140-6736(24)00642-1
Jin, X., Chen, H., Shi, H., Fu, K., Li, J., Tian, L., & Teng, W. (2021). Lipid levels and the risk of hemorrhagic stroke: A dose–response meta-analysis. Nutrition, Metabolism and Cardiovascular Diseases, 31(1), 23–35. https://doi.org/10.1016/j.numecd.2020.10.014
Li, H., Qian, F., Zuo, Y., Yuan, J., Chen, S., Wu, S., & Wang, A. (2022). U-Shaped Relationship of High-Density Lipoprotein Cholesterol and Incidence of Total, Ischemic and Hemorrhagic Stroke: A Prospective Cohort Study. Stroke, 53(5), 1624–1632. https://doi.org/10.1161/STROKEAHA.121.034393
Liu, Y., Jin, X., Fu, K., Li, J., Xue, W., Tian, L., & Teng, W. (2023). Non-traditional lipid profiles and the risk of stroke: A systematic review and meta-analysis. Nutrition, Metabolism and Cardiovascular Diseases, 33(4), 698–714. https://doi.org/10.1016/j.numecd.2023.01.003
Maida, C. D., Norrito, R. L., Rizzica, S., Mazzola, M., Scarantino, E. R., & Tuttolomondo, A. (2024). Molecular Pathogenesis of Ischemic and Hemorrhagic Strokes: Background and Therapeutic Approaches. International Journal of Molecular Sciences, 25(12), 6297. https://doi.org/10.3390/ijms25126297
Moreno, S., Ayers, C., Nguyen, N., Rohatgi, A., & Lau, E. S. (2024). Lipid changes across menopause status point to increased cardiovascular risk. European Heart Journal, 45(Supplement_1). https://doi.org/10.1093/eurheartj/ehae666.2839
Nadhifah, T. A., & Sjarqiah, U. (2022). Gambaran Pasien Stroke Pada Lansia di Rumah Sakit Islam Jakarta Sukapura Tahun 2019. Muhammadiyah Journal of Geriatric, 3(1), 23. https://doi.org/10.24853/mujg.3.1.23-30
Pandian, J. D., Padma Srivastava, M. V., Aaron, S., Ranawaka, U. K., Venketasubramanian, N., Sebastian, I. A., Injety, R. J., Gandhi, D. B. C., Chawla, N. S., Vijayanand, P. J., Rangamani, S., & Kalkonde, Y. V. (2023). The burden, risk factors and unique etiologies of stroke in South-East Asia Region (SEAR). The Lancet Regional Health - Southeast Asia, 17, 100290. https://doi.org/10.1016/j.lansea.2023.100290
Ruslim, D., Destra, E., Kurniawan, J., & Firmansyah, Y. (2023). Pengaruh Kadar High Density Lipoprotein (HDL) dan Usia terhadap Kejadian Peripheral Arterial Disease (PAD). Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran, 1(3), 180–190. https://doi.org/https://doi.org/10.55606/termometer.v1i3.2059
Sacco, R. L., Benson, R. T., Kargman, D. E., Boden-Albala, B., Tuck, C., Lin, I.-F., Cheng, J. F., Paik, M. C., Shea, S., & Berglund, L. (2001). High-Density Lipoprotein Cholesterol and Ischemic Stroke in the Elderly. JAMA, 285(21), 2729. https://doi.org/10.1001/jama.285.21.2729
Sriprasert, I., Kim, S. S., Mohammed, I. E., Kono, N., Karim, R., Allayee, H., Hodis, H. N., Mack, W. J., & Krauss, R. M. (2025). Effect of Hormone Therapy on Lipoprotein Subfractions in Early and Late Postmenopausal Women. The Journal of Clinical Endocrinology & Metabolism, 110(2), e301–e309. https://doi.org/10.1210/clinem/dgae171
Wang, M.-C., Hu, H.-Y., Lin, I.-F., & Chuang, J.-T. (2019). Plasma lipid concentrations and survival in geriatric population. Medicine, 98(49), e18154. https://doi.org/10.1097/MD.0000000000018154
Watanabe, J., Kakehi, E., Kotani, K., Kayaba, K., Nakamura, Y., & Ishikawa, S. (2020). Isolated low levels of high‐density lipoprotein cholesterol and stroke incidence: JMS Cohort Study. Journal of Clinical Laboratory Analysis, 34(3). https://doi.org/10.1002/jcla.23087






















