Вы находитесь на странице: 1из 123

2 nd N AT I O N A L N U T R I T I O N S U M M I T:

8 NATIONAL
NUTRITION
SURVEY
th

Juan Mission for a Well-Nourished Nation

FOOD and NUTRITION


RESEARCH INSTITUTE
Department of Science and Technology

EXECUTIVE SUMMARY
INTRODUCTION
The Food and Nutrition Research Institute of the Department of Science and Technology (FNRIDOST) presents the initial results of the 8th National Nutrition Survey (NNS) as part of its mandate
and commitment to define the Filipino citizenrys nutritional status (E.O. 128 Sec. 22). The survey
was conducted from June 2013 to April 2014, covering all 17 regions of the country, 79 provinces,
45,047 households and 172,323 individuals.
The NNS has evolved to become the key source of data for the national government not just on
nutrition-related information but on health matters as well. The objectives of the survey are to
determine and evaluate the food intakes, nutrition and health status of Filipinos, and provide
official statistics on food, nutrition and health situations of the country.
The 2013 NNS has the following components: Anthropometry, Biochemical, Clinical, Dietary
intake of households and individuals, Demographic and Socio-Economic profiles of participants,
Food Security, Government Program Participation, selected Health risk factors pertinent to
nutrition, Infant and Young Child Feeding, Maternal and Child Health, and the Salt Survey.

METHODS

RESULTS

The 2013 NNS adopted the 2003 master


sample of the Philippine Statistics Authority
(formerly the National Statistics Office),
which utilized the 2009 Labor Force Survey
list of households. The NNS used the four
replicates of the master sample to obtain
national, regional, and provincial estimates
for measurements of anthropometry,
blood pressure and questionnaire-based
information. For the biochemical and dietary
components, one replicate was used to get
national estimates.

This initial release provides results for the


following: the Anthropometry of children
and adults with prevalences of under- and
over-nutrition, including the prevalence of
underweight in children below 5 years of age,
which is part of Millennium Development
Goal (MDG) 1; the prevalences of Anemia,
Hypertension and Diabetes, as well as of
Smoking, the latter three of which are major
risk factors for Non-communicable Diseases;
and the extent of household participation in
selected Government Programs, featuring
the Philippine Governments Conditional
Cash Transfer Program, also known as the 4Ps
(Programang Pantawid ng Pamilyang Pilipino).

The response rate for the different components


was at least 90.1% for the questionnaire and
85.2% for physical measurement components,
with a high of 97.4% for BP measurements
among the 10-19 yr olds. The blood exams
had response rates at 83.4% for FBS and 85.7%
for hemoglobin.

8 th N AT I O N A L N U T R I T I O N S U R V E Y

Food and Nutrition Research Institute Department of Science and Technology

EXECUTIVE SUMMARY
A. ANTHROPOMETRY
The main anthropometry results are as follows:
1) Children 0-60.0 months of age
Using weight for age as index, underweight prevalence has gone down to 19.9%, a slight reduction
from 20.2% in 2011 (Updating Survey, 7th NNS). This reflects a relatively unchanged status for the
past 10 years (from 20.7% in 2003, to 20.0% in 2005, and 20.6% in 2008), making it unlikely that
the Philippines will achieve the MDG goal of a 50% reduction in underweight prevalence from the
baseline of 27.3% in 1989.
Wasting/thinness increased to 7.9% from 7.3% in 2011 (p<0.05); this contributes to a consistent
upward trend from 5.8% in 2005, and 6.9% in 2008.
On the bright side, stunting has gone down to 30.3% from 33.6% in 2011 (p<0.05), the first substantial
drop in this indicator since 2003.
Males tended to be worse off during the younger age groups, with higher rates of underweight and
stunting, but the females catch up by the 4th and 5th years of age. Wasting/ thinness rates tended to
be about the same for each gender group, and highest among the younger infants (13.4%) with a
declining trend as the children got older.
Similar to findings from the 6th and 7th NNS, children in the second year of life (12-23 months old)
had the sharpest increases in underweight (4.9%age points higher than the 6-11 month olds) and
stunting (15.3% age points higher than the 6-11 month olds) prevalences.
The best performing areas, with the lowest rates of underweight, stunting and wasting/thinness, are:
the urban areas (17.3%, 25.7%, and 7.8% respectively), the richest quintiles (8.5%, 13.3%, and 5.5%
respectively), and the following regions: for underweight NCR (12.9%), CAR (16.5%) and Central
Luzon (17.7%); for stunting NCR (22.4%), Central Luzon (23.1%), and CALABARZON ( 25.3%); for
wasting/ thinness CAR (5.9%), NCR (6.5%) and SOCCSKSARGEN (6.6%).
As expected, the highest prevalences of underweight, stunting and wasting are among those in the
rural areas (22.6%, 35.0%, and 8.1% respectively), and in the poorest quintile (29.8%, 44.8% and 9.5%
respectively). Among the regions, the top 3 with the highest undernutrition prevalences are: for
underweight MIMAROPA (27.5%), W. Visayas (25.9%) and Bicol (24.6%); for stunting Bicol (39.8%),
ARMM (39%) and Zamboanga Peninsula (38.7%); for wasting/ thinness MIMAROPA (9.8%), Ilocos
Region (9.8%), and W. Visayas (8.9%).
Overweight rates are highest among the 0-5 month olds (9.9%), those in the highest wealth quintile
(10.7%) and those from regions IVA (6.6%), CAR (6.1%) and NCR (6.5%).

2) Children 5-10.0 years of age


Compared to the 0-5.0 age group, underweight prevalence is even higher in this older age group at
29.1%, though this is already an improvement from the 32% prevalence in 2011. Stunting is about the
same (compared to the younger age group) at 29.9%, and is likewise better than the 33.6% in 2011.
Wasting/ thinness is also higher than in the younger age group at 8.6%; this is unchanged from the
8.5% of 2011.
Regions with the better weight-for-age (WFA) and height-for-age (HFA) indices are CAR (78.8% normal
WFA), Cagayan Valley (74% normal WFA and 76.7% normal HFA), NCR (73.2% normal WFA and 80.4%
normal HFA), and Central Luzon (78.6% normal HFA).

8 th N AT I O N A L N U T R I T I O N S U R V E Y

Food and Nutrition Research Institute Department of Science and Technology

EXECUTIVE SUMMARY
Similar to trends in the younger age group, the poorest quintiles had the highest prevalences of
underweight (42.5%) and stunting (48%). Wasting/ thinness, however, tended to be about the same
for the 3 lowest quintiles (9.1%, 9.5% and 9.7%).
Underweight prevalence increased with age, starting at 25.7% for the 5yr olds, increasing to 25.6%,
29.1%, 31.4% and finally 32.4% among the 9 yr olds. Males, in general, had higher underweight and
stunting rates than females.
Wasting/ thinness are highest in MIMAROPA (12.6%), Central Luzon (11.6%) and Bicol (10.7%). In
contrast, overweight/obese rates are highest in NCR (16.6%), CALABARZON (12.1%) and Central
Luzon (11.9%). Among the wealthiest quintile, about 1 in 4 children are overweight or obese (25.5%)!

3) Adolescents
Stunting trends continued through adolescence, with higher rates among males (34%), the poorest
quintile (47.6%), those from rural areas (36.7%) and regions CAR (42.6%), SOCCSKSARGEN (41.9%),
and Zamboanga Peninsula (41.6%).
Wasting/ thinness had similar patterns affecting 15% of males, 13.2% of the poorest quintile, 16.1% of
those from MIMAROPA, 15.5% of those from CALABARZON, and 14.6% of West Visayan adolescents.
On the other hand, those from urban areas (11.3%), the wealthiest quintile (20.0%!), and CARAGA
(14.8%), NCR (11.7%) and Central Luzon (10.8%) had the highest rates of overweight/ obesity.

4) Adults
The average height of adult Filipinos 20 yrs and older is 163 cm for males and 151.4 cm for females,
while the average weight for males is 61.3 kgs and for females is 54.3 kgs. One out of ten (10.0%)
adults have chronic energy deficiency (CED, BMI <18.5), while three out of ten (31.1%) are overweight
or obese.
In parallel to the results in children and adolescents, adults from West Visayas (14.1%), ARMM (13.2%),
and MIMAROPA (13.1%) have the highest CED rates, while adults from NCR (38.3%), CAR (33.6%) and
CARAGA (33.3%) have the highest overweight and obesity rates.
Urban residents have the double burden of the higher rates of CED as well as overweight and obesity
rates compared to their rural counterparts. As expected, there is an inverse relationship between
wealth and CED rates, and a positive one between wealth and overweight and obesity rates.
While CED rates have declined somewhat over time, overweight and obesity rates are climbing up.
Likewise, the % of adults 20 years old and older with high waist circumference has also been rising
particularly among females, though the % with high waist:hip ratios (WHR) appear to be plateauing.
The % of females with high waist circumference increased from 10.7% in 1998, to 17.0% in 2003,
19.0% in 2008, and 19.9% in 2011; those with high WHR increased from 39.5% in 1998, 54.8% in 2003
and peaked at 65.5 in 2008. The % females with high WHR has gone down to 62.5% in 2011. Male high
waist circumference rates have remained below 4% and the % male high WHRs have been between
7 and 12%. (Data from 5th, 6th and 7th NNS)
The 2013 NNS average waist circumference for males is 80.4 cm and for females is 79.3 cm; these are
lower than the WHO cut-offs of 102 cm for males and 88 cm for females. However, these averages
mask the proportion of the population whose waist circumferences exceed reference cut-offs (3.6%
for males and 22.2% for females). The average WHR for males at 89.1% is lower than the cut-off of
100%, but for females, the average WHR of 90.5% exceeds the WHO cut-off of 85%, with 61.5% of
females having high WHR compared to only 7.6% of males.

8 th N AT I O N A L N U T R I T I O N S U R V E Y

Food and Nutrition Research Institute Department of Science and Technology

EXECUTIVE SUMMARY

B. ANEMIA
Anemia rates in all population groups have been declining over the past 2 to 3 NNSs. Infants 6 months to
1 year of age still have the highest anemia rates1 (39.4%) among population groups, though this figure is
already a marked improvement over the 2003 (66.2%) and 2008 (55.7%) rates. Even rates among pregnant
(25.2%) and lactating women (16.6%) have been drastically reduced from 2008 levels of 42.5% and 31.6%
respectively.
Among the wealth quintiles, the middle quintile has the highest anemia levels (47.5%) for the 6 months
to 1 year olds, even higher than the poor (46.4%) and poorest (43.1%) quintiles. Similarly for this age
group, the richest quintile has higher anemia rates (30.8%) than the second richest quintile (26.6%).
Among adults, there is an inverse relationship between anemia rates and wealth, except among pregnant
women.
Hemoglobin (Hb) value cut-offs used for these analyses are from WHO, 1972: for infants and young children, 6 months to 6
years, Hb = 11.0 g/dl; for children 6 to 14 years, Hb = 12.0 g/dl; for adult males, Hb = 13.0 g/dl, adult females (non-pregnant,
regardless of lactating status), Hb = 12.0 g/dl; for pregnant, Hb= 11.0 g/dl
1

C. MATERNAL HEALTH
The health of mothers is receiving more attention with greater awareness of the consequences of poor
maternal health not just for the mother but for her infant as well. About 1 in 4 pregnant mothers or 24.8%
are nutritionally at risk, with the youngest mothers (age <20 years old) at highest risk (37.2%). This is just
a shade reduced from the 25% rate in 2011 (Updating Survey 7th NNS, 2011), and part of a slow downward
trend from 30.7% in 1998 (5th NNS).
Pregnant mothers from rural areas (25.2%), the poorest quintile (30.0%), the younger age groups, in their
first trimester (26.6%), and residing in the following regions: Cagayan Valley (33.6%), Bicol (33.0%) and
West Visayas (32.4%) are more likely to be nutritionally at risk.
Among lactating mothers, 12.5% are nutritionally at risk, with this proportion increasing as breastfeeding
duration lengthens. While 17.5% of these women are overweight only 5.1% of the youngest lactating
mothers are overweight; in contrast, 18.4% of their older counterparts have this condition.
Wealth is inversely related to chronic energy deficiency (CED) rates, but positively related with overweight
and obesity rates. CED is higher among rural lactating mothers, while overweight and obesity is higher
among urban ones.
Anemia rates, as reported above, are going down among pregnant and lactating women. Anemia rates
are inversely related to wealth among lactating mothers, but not among pregnant ones.
For the first time in the NNS, hypertension and elevated blood sugar are being reported among pregnant
and lactating women. Among pregnant women, hypertension prevalence is about 3.9%, while 3.0% of
pregnant mothers have elevated fasting blood glucose (FBG) levels. Hypertension prevalence is higher at
8.0% among lactating mothers; elevated FBG was found in around 5.3% of lactating ones.

8 th N AT I O N A L N U T R I T I O N S U R V E Y

Food and Nutrition Research Institute Department of Science and Technology

EXECUTIVE SUMMARY
D. HYPERTENSION (HPN) & DIABETES
The prevalence of hypertension and diabetes reported in this initial release is based on single visit
blood pressure readings and blood glucose determinations alone. Questionnaire information regarding
a previous diagnosis of the disease condition or intake of relevant medication is not yet included.
About 22.3% of the adult population is considered hypertensive; this figure is lower than the 25.3%
2008 prevalence (7th NNS). The prevalence of HPN peaks in the 50-59 age group (35.1%) and is lowest in
the youngest age group (3.4%). Males have a higher prevalence than females in every age group.
Hypertension prevalence also tends to increase with wealth, and is slightly higher among rural vs. urban
residents. The northern regions of CAR (25.0%), the Ilocos (23.3%) and Cagayan Valley (22.1%) have the
highest hypertension prevalences, while Zamboanga (17.2%), ARMM (17.3%) and West Visayas (18.4%)
have the lowest.
Diabetes prevalence based on a cut-off of 126 mg/dl is 5.4%. This is higher than the 4.8% reported in
2008 (7th NNS). However, if we consider impaired fasting blood glucose (IFG) as part of the prevalence,
then differences in prevalence arise depending on whether a cut-off of 100 mg/dl is used (based on
Philippine Unite Diabetes guidelines) or of 110 mg/dl (WHO/ IDF). Using Philippine guidelines, the IFG
prevalence would be 12.8%, while the WHO prevalence would be 4.1%.
Based on high Fasting Blood Glucose, diabetes prevalence peaks at the age of 60-69 (12.6%), among the
richest wealth quintile (6.0%) and urban residents (6.0%). Central Luzon (6.6%), Calabarzon (6.2%) and
NCR (5.2%) have the highest regional prevalences, while Northern Mindanao (3.3%), ARMM (3.8%) and
the Ilocos (4.0%) Regions have the lowest.

E. SMOKING
Smoking prevalence was measured using questions from the WHO STEPs on a history of current and
past smoking and never ever having smoked. The prevalence of current smoking has gone down from
31.0% in 2008 to 25.4%; never smoking increased from 54.3% to 59.1%, and former smoking from 14.7%
to 15.4%.
The peak prevalence among age groups occurs at 40-49 years, while the poorest quintiles still have the
highest rates of smoking.

F. GOVERNMENT PROGRAM PARTICIPATION


Participation of households in the three following government programs is presented: the Food
Production Program (FPP, 6.4% participation rate), Core Shelter Assistance Program (CSAP, 6.8%) and
the Pantawid Pamilyang Pilipino Program (17.3%).
Among the regions, the Zamboanga peninsula had the highest rates of participation for the FPP (15.7%)
and 4Ps (36.4%), while NCR had the lowest participation for all three programs. Rural areas and the
poorest quintiles tend to have the highest participation rates, though the proportions are in the range
of 25-30% in general, with the highest rate being that of the 4Ps among the poor, but even this is still at
45%, or less than 1/2 of those reporting participation.
The most common reason for no longer participating in the 4Ps is that the beneficiary was no longer
eligible (age older than 15 years).

8 th N AT I O N A L N U T R I T I O N S U R V E Y

Food and Nutrition Research Institute Department of Science and Technology

EXECUTIVE SUMMARY
CONCLUSIONS
The 2013 NNS results, in tandem with time trends from previous NNSs, may have reflected the impact of
policies and programs that have been implemented. The most dramatic results are seen in the reductions
in smoking and, to some extent, in stunting prevalences. The reductions in anemia prevalence may be
attributed to the intensive efforts on micronutrient fortification and supplementation, as well as on the
treatment of anemia-causing diseases such as malaria and parasitism.
Based on time trends, a major outcome, that of MDG 1s 50% reduction of underweight prevalence (from
1990 baseline levels) in children under 5 years of age, is unlikely to be achieved by 2015. While this is
disappointing, an evaluation of child undernutrition programs needs to be conducted so we can do better.
The positive changes documented by the NNSs should encourage more focused interventions to address
persistent nutrition problems such as childhood underweight, stunting (which though declining is still
relatively high) and wasting, as well as growing problems like adult overweight and obesity. Likewise,
programs and policies need to be strengthened to prevent emerging conditions such as diabetes from
increasing even further.
The addition of reports on hypertension and elevated blood glucose among pregnant and lactating
women was done to draw interest in doing further research along these lines as these become risk factors
for hypertension and diabetes for women later in life.
These results have incorporated wealth indices and regional distributions to highlight disparities in
prevalence estimates for almost all nutrition-related outcomes. For many conditions, more targeted efforts
may help narrow equity gaps in nutrition and its determinants.

ACKNOWLEDGEMENTS
FNRI wishes to acknowledge and thank the following,
without whom this 2013 NNS would not have been
realized: first and foremost would be to the hundreds of
thousands of Filipinos and their households who patiently
participated in this survey and gave of their time and of
themselves; the barangay local officials, health workers and
nutrition scholars who accompanied the NNS teams every
step of the way; the provincial, municipal and city local
governments who graciously assisted survey operations
before, during, and after field activities; the regional DOST
and DOH offices, particularly the NNC-DOH staff, who
helped coordinate, facilitate and mobilize arrangements,
including financial ones; our generous partners, donors,
and benefactors who helped provide resources during the
most crucial periods of the survey; our NNS consultants,
especially those from the PSA, who continue to work with
the teams at all hours and in all places; and last but not
least, to our hundreds of contractual staff and volunteers
who up to this moment are steadfastly processing and
analyzing data. This survey belongs as much to them as it
does to all of us.

8 th N AT I O N A L N U T R I T I O N S U R V E Y

Food and Nutrition Research Institute Department of Science and Technology

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Prevalence of underweight children, 0-5.0 years


old (0-60 months): Philippines, 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

2 out of 10 or 19.9%
children among 0-5 years
old were underweight

Prevalence of stunting among children, 0-5.0


years old (0-60 months): Philippines, 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

3 out of 10 or 30.3% children


among 0-5 years old were
Stunted

Prevalence of wasting among children, 0-5.0


years old (0-60 months): Philippines, 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

1 out of 10 or 7.9% children


among 0-5 years old were
wasted

Prevalence of overweight-for-height among


children, 0-5.0 years old (0-60 months):
Philippines, 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

5 out of 100 or 5.0% children among 0-5 years old were overweight

50

44.7
40.6 38.9

40

30

39.9

38.9
35.9

27.4

26.6

33.9

33.1

32.3

20.7

20.2

20.7

33.6

25.5
23.8

23.6

23
20.2

20

10

6.2
1.0

7.5
1.1

*
30.3

7.7
1.5

6.8

6.2
1.6

1.4

6.8

2.0

Underweight
*significant (p-value<0.05)

Stunting

Wasting

6.9

5.8
2.4

2.5

7.3

3.3
4.3

Overweight-for-height

19.9

*
7.9

*
5.0

Prevalence of underweight among children,


0-5.0 year-old (0-60 months) by age group:
Philippines, 2008 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Philippines 19.9%
30
24.1

25

22.8 21.8 21.8

23.0 23.2
21.0

19.3 19.5 20.1

20
15

21.7 22.3

15.5
12.0

12.4

15.2 15.2

12.2

10
5
0
0-5m

6-11m

1y
2008

2y
2011

2013

3y

4-5y

Prevalence of stunting among children, 0-5.0


year-old (0-60 months) by age group:
Philippines, 2008 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE

Philippines 30.3%
50
40.1

40

41.2

39.3

33.6

41.5

35.4

35.7

32.7

31.5

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

30

20

38.2 37.4

27.7
16.2
14.1
16.2
13.1 14.3
11.6

10
0
0-5m

6-11m

1y
2008

2y
2011

3y
2013

4-5y

Prevalence of wasting among children, 0-5.0


year-old (0-60 months) by age group:
Philippines, 2008 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Philippines 7.9%
20
15

13.4
11.9

11.1

11.6 11.9 11.4

10.6
9.4 9.1

10

5.5 6.6

6.4
4.4

4.5 5.8

5.5 5.5
4.3

0
0-5m

6-11m

1y
2008

2y
2011

2013

3y

4-5y

Prevalence of overweight-for-height among


children, 0-5.0 year-old (0-60 months) by
age group: Philippines, 2008 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Philippines 5.0%

15
9.9

10
5

8.1
5.2

4.7

4.1 5.0
2.7

3.4

4.4

3.7

4.1 4.8

4.2 4.2
2.5

4.8
3.0 2.9

0-5m

6-11m

1y
2008

2y
2011

2013

3y

4-5y

Top regions with highest and lowest prevalence


than national average: Philippines, 2013

FNRI

Form of
Malnutrition

Highest Regions

Lowest Regions

0-5.0 years old (0-60 months)

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

UNDERWEIGHT MIMAROPA
Western Visayas
Bicol

NCR
CAR
Central Luzon

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

STUNTING

Bicol
ARMM
Zamboanga Peninsula

NCR
Central Luzon
CALABARZON

WASTING*

MIMAROPA
Ilocos Region
Western Visayas

CAR
NCR
SOCCSKSARGEN

OVERWEIGHT

CALABARZON
NCR
Central

Zamboanga Peninsula
Eastern Visayas
Davao

Prevalence of malnourished children, 0-5.0 years old


(0-60 months) by place of residence and by wealth
quintile: Philippines, 2013

Philippines: 30.3%

Philippines: 19.9%

UNDERWEIGHT

STUNTING

60

60

50

50

40

40
31.5

30

20
10

29.3
22.9
20.4
12.9
8.4

30

23.8

45.0

44.2

37.1

33.9
29.0
20.8

20

17.3

13.1

12.7
9.1

27.9
19.5
14.0

10

Urban

Rural
Poorest

Poor

Urban
Middle

Rich

Rural
Richest

Prevalence of malnourished children, 0-5.0 years


old (0-60 months) by place of residence and by
wealth quintile: Philippines, 2013

Philippines: 7.9%

Philippines: 5.0%

WASTING

OVERWEIGHT

15

10

15

9.3

9.6
7.4

10.8

9.6
7.9

10.5

10
7.2

7.6
6.8

6.3

5.2

6.7

5.9

2.8 3.5

4.3
2.8

3.5 4.3

Urban

Urban

Rural
Poorest

Poor

Middle

Rich

Richest

Rural

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Prevalence of malnourished children, 5.08-10.0


years old (61-120 months): Philippines, 2013

UNDERWEIGHT

29.1%
40

STUNTING

30

UNDERWEIGHT
20

10

0
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

STUNTING

29.9%

Prevalence of malnourished children, 5.08-10.0


years old (61-120 months): Philippines, 2013

WASTING

OVERWEIGHT

8.6%

9.1%

10

WASTING

8
6

OVERWEIGHT

4
2
0
2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

50

40

36.4
34

33.9

33.6
29.9*

30

32.1

32.4

30.9

32.0
29.1*

20

10

7.4

6.5
6.8

5.8

8.1

8.5

6.6

7.5

8.6
9.1 *

0
2003

2004

2005

Underweight
*significant (p-value<0.05)

2006

2007

Stunting

2008

2009

Wasting

2010

2011

2012

2013

Overweight-for-height

Top regions with highest and lowest


prevalence: Philippines, 2013

FNRI

Form of
Malnutrition

Highest Regions

Lowest Regions

5.08-10.0 years old (61-120 months)

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

UNDERWEIGHT

MIMAROPA
Bicol
Eastern Visayas

CAR
NCR
Cagayan Valley

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

STUNTING

Zamboanga Peninsula
Eastern Visayas
Bicol

NCR
Central Luzon
CALABARZON

WASTING

MIMAROPA
Central Luzon
Bicol

CAR
Northern Mindanao
SOCCSKSARGEN

OVERWEIGHT/
OBESE

NCR
CALABARZON
Central Luzon

Bicol
Eastern Visayas
ARMM

Prevalence of malnourished children, 5.08-10.0 year


old (61-120 months) by place of residence and by
wealth quintile: Philippines, 2013

Philippines: 29.9%

Philippines:29.1%

UNDERWEIGHT

STUNTING

60

60

50

50

40
30

20

43.1

40.0
34.7

40

33.9
30.7
19.8

9.7

10

11.0

36.3

32.9

30

26.0
19.4

48.9
44.5

27.2

26
17.2

16.6

20

10.0

9.3

10
0

Urban

Rural
Poorest

Poor

Urban
Middle

Rich

Richest

Rural

Prevalence of malnourished children, 5.08-10.0 year


old (61-120 months) by place of residence and by
wealth quintile: Philippines, 2013

Philippines: 8.6%
30

Philippines: 9.1%

OVERWEIGHT

WASTING

30

25.7

24.7

20

20

13.4
10

10.4
9.6 10.3
8.2

8.9 8.9 8.9


6.3

12.1

10

6.8
4.3

3.2

5.5

6.8
2.7

3.9

6.2

Urban

Urban

Rural
Poorest

Poor

Middle

Rich

Rural
Richest

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Prevalence of malnourished children, 10.08-19.0


years old (121-228 months): Philippines, 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

WASTING

OVERWEIGHT

12.4%

8.3%

20
15

WASTING

10
5

OVERWEIGHT
0

Prevalence of malnourished children, 10.08-19.0


years old (121-228 months): Philippines, 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

STUNTING

31.5%
50
40
30
20
10
0

50

40

38.7
35.7

35.6

35.3

31.5

30

20

10

12.4

11.5

10.7

6.1

4.9

6.1

12.7

12.4

6.7

8.3

0
2003

2004

2005

2006

Stunted
*significant (p-value<0.05)

2007

2008

Wasted

2009

2010

2011

Overweight/Obese

2012

2013

Top regions with highest and lowest


prevalence: Philippines, 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE

Form of
Malnutrition

Highest Regions

Lowest Regions

10.08-19.0 years old (121-228 months)


STUNTING

ARMM
SOCCSKSARGEN
Zamboanga Peninsula

Central Luzon
NCR
Cagayan Valley

WASTING

MIMAROPA,
CALABARZON
Western Visayas

CAR
Northern Mindanao
Zamboanga Peninsula

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

OVERWEIGHT/ CAR
OBESE
NCR
Central Luzon

Bicol
MIMAROPA
Zamboanga Peninsula

Prevalence of malnourished children, 10.08-19.0 years old


(121-228 months) by place of residence and by wealth
quintile: Philippines, 2013

Philippines: 12.4%

Philippines: 31.5 %

STUNTING

WASTING

60

20
48.4

44.4
40

35.1

12.7

12.5

11.6
11.1

29.0
21.7
20

15

38.4

15.7
14.9
13.4
13.4

28.2

9.3

10

7.8

23.5

15.7

14.8

Urban

Urban

Rural
Poorest

Poor

Middle

Rich

Rural

Richest

Prevalence of overweight / obese children, 10.08-19.0


years old (121-228 months) by place of residence and
by wealth quintile: Philippines, 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE

Philippines: 8.3%

OVERWEIGHT / OBESE
30

20.8
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

20

17.1
11.5

9.8

10
7.0
4.0

5.2

2.8

5.9

4.0

Urban

Poorest

Rural

Poor

Middle

Rich

Richest

SUMMARY
FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Overall, there is a significant reduction in


the prevalence of stunting among the 0-19
years old between 2011 and 2013, but this
remains to be medium to high and a public
health concern.

Likewise, there is a slight reduction in


underweight among the 0-10 years old
but the prevalence also remains to be
medium to high and a public health
concern.

SUMMARY
FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Furthermore, although there are


improvements in the nutritional status with
regards to undernutrition, pockets of the
problem are still persistent in specific age
groups and selected areas.
Overweight and obese prevalence among
the 0-5 year-old is going up at an
average of 0.17%-points per year for the
past 24 years.

SUMMARY
FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Among the school-age and adolescent


groups, overweight prevalence increases
at an average of 0.33%-points and 0.34%points per year, respectively for the past
10 years.
The lowest/poorest quintiles have higher
prevalence of undernutrition while the
wealthiest/highest quintiles have higher
prevalence of overnutrition across age
groups.

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Mean Height and Weight of adults 20 yrs old


and above by region: Philippines, 2013
Mean Weight(kg)

FNRI

61.3

54.3

61.0
59.5

52.9
52.6

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Region
Philippines

163.0

Ilocos Region

163.4

Cagayan Valley

61.7
62.7

54.9

CAR

55.6

Central Luzon

64.7

NCR

56.4
62.6

54.7

58.6
59.0

52.3
52.4

58.2
60.7
59.8
59.1

51.8
53.6
54.4
53.5

61.8

54.8

61.4

54.6
59.2
61.1
57.8

53.0

Mean Height (cm)

CALABARZON
MIMAROPA
Bicol Region
Western Visayas

Central Visayas
Eastern Visayas
Zamboanga Peninsula
Northern Mindanao
Davao Region
SOCCSKSARGEN
CARAGA

55.0

ARMM

52.5

Male

Female

162.7

151.4
151.8

151.3
162.3 150.2
164.6
152.8
163.9
151.9
163.6
151.8
161.7
150.9
162.1
150.6
162.3
150.9
162.4
150.7
161.3
150.1
162.2
150.9
162.3
150.9
162.2
150.9
161.6
150.5
161.8
150.4
162.4
151.0

Mean Weight and Height by sex and by wealth


index: Philippines, 2013

FNRI

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

170
165
160
155
150
145
140

164.9

163.8

152.6

Richest

WEIGHT (kg)
Urban
Male: 63.3
Female: 55.5
Rural
Male: 59.2
Female: 52.8

Weight (kg)

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

Height (cm)

Mean Height (cm)

80
75
70
65
60
55
50
45
40

162.7

151.9

Rich

162.1

151.2

161.2

150.6

Middle

HEIGHT (cm)
Urban
Male: 163.6
Female: 151.8
Rural
Male: 162.3
Female: 150.9

Poor

149.9

Poorest

Mean Weight (kg)


Male

Female

67.7
63.6
60.7
57.5

Richest

58.4
55.7

Rich

54.0

Middle

55.8
52.5

Poor

50.2

Poorest

Prevalence of Chronic Energy Deficient Adults,


20.0 yrs old and above : Philippines, 2013
9.4% Males

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

10.5% Females

or 1 in every 10
Filipino adult is Chronic
Energy Deficient
BMI: < 18.5

Prevalence of Chronic Energy Deficient (CED)


and overweight/obese adults, 20 yrs old and
above by region: Philippines, 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Region

% CED

Philippines
Ilocos Region
Cagayan Valley
CAR
Central Luzon
NCR
CALABARZON
MIMAROPA
Bicol Region
Western Visayas
Central Visayas
Eastern Visayas
Zamboanga Peninsula
Northern Mindanao
Davao Region
SOCCSKSARGEN
CARAGA
ARMM

% Overweight/Obese

10.0

31.1
27.3

12.2
12.0

25.1

5.8
10.1

34.5
32.5

7.8
9.8

39.9
33.2

12.6

24.7
24.7
22.8

12.0
13.9

10.3

30.1

7.7

32.9
25.9

9.5

33.9

7.6
7.4

32.8
27.3

10.1

35.0

7.7
13.0
0.0

15.0

23.2
10.0
30.0

20.0

30.0

40.0

50.0

Prevalence of Overweight/Obese Adults 20.0 yrs


old and above : Philippines, 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

3 out of 10
Or 31.1% overweight /obese

27.6% Males

BMI: > 25

34.4% Females

Prevalence of CED and Overweight/Obese in


adults 20 yrs old and over by place of
residence and wealth index: Philippines, 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE

CED

60.0

Overweight/Obese

45.0

42.7
42.4
35.7
33.7

30.0

29.5
27.4 26.6
22.2

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

15.0

8.7

6.0

8.3

10.9
10.5

13.0
12.1

15.3
15.0

14.9

4.9

0.0

Urban

22.4

Rural

Prevalence of malnourished adults, >20.0


years old: Philippines, 19932013

FNRI

70

Overweight/Obese

60
FOOD AND
NUTRITION
RESEARCH
INSTITUTE

CED

50
40

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

26.6

30

28.4

31.1

24.0
20.2

20
10
0

16.6

13.9

1993

13.2

1998

12.3

2003

11.6

2008

10.0

2011

10.0

2013

Prevalence of high waist circumference (WC)


among Adults > 20 yrs old by Sex: Philippines,
2013
Mean WC (cm) Male: 80.4

Female: 79.3

FNRI

Male

AGE GROUP

20-29

10.5

2.2

22.4

3.3

30-39
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

22.2

3.6

All
FOOD AND
NUTRITION
RESEARCH
INSTITUTE

Female

40-49

25.5

4.8

50-59

32.1

5.5

29.9

4.5

60-69

26.3

3.5

70 and over
0

High WC: Male > 102 cm

10

20

Female > 88 cm

40

60

Prevalence of high waist hip ratio (WHR) among


Adults > 20 years old by Sex: Philippines, 2013
Mean WHR Male: 0.9
Female: 0.87

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

AGE GROUP

Female

Male

All

7.6

20-29

61.5

3.0

30-39

45.5
6.0

40-49

64.6
9.3

50-59

68.3
12.7

60-69

71.9

13.7

70 and over

69.8

13.0
0.0

High WHR: Male > 1.0

10.0

67.1
20.0

Female > 0.85

50

Trends in high waist circumference and high


waist hip ratio prevalence among adults, 20
years old and over: Philippines 1998-2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Waist Circumference

Female

Male

50
40
30
20
10

17.0

19.0

19.9

10.7
2.4

3.1

3.2

23.1
3.8

2003

2008

2011

2013

65.5

62.5

63.2

12.1

11.1

6.9

8.0

2003

2008

2011

2013

2.7

1998

Waist Hip Ratio


80
70
60
50
40
30
20
10
0

54.8

39.5

7.9

1998

SUMMARY
Mean weight for male is 61.3 kg and 54.3 kg for female. Mean
height is 163 cm for male and 151.4 cm for female.

FNRI

Mean weight and height increased for both male and female as their
wealth quintile increased

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

1 in every 10 Filipino adults is Chronic Energy Deficient (CED). By


gender more , more females are energy deficient.

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

3 in every 10 adults are overweight and obese and more female


adults are overweight and obese.
The prevalence of CED is inversely related to wealth, while the
prevalence of overweight and obese is positively related to wealth.

From 1993 to 2013, there is a decreasing trend in the prevalence of


CED from 13.9% to 10.3% but an increasing trend in the prevalence
of overweight and obesity from 16.6% in 1993 to 29.9%.

SUMMARY

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Mean waist circumference for male is 80.4 cm and 79.3 cm for


female. Mean waist hip ratio is 0.9 for males and 0.87 for females

From 1993 to 2013, there is an increasing trend of high waist


circumference and high waist hip ratio for both males and females.

8th National Nutrition Survey,


Philippines 2013
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

VISAYAS

ANEMIA
Leah A. Perlas, Juanita M. Marcos,
Josefina A. Desnacido, Michael E. Serafico
and Marites Alibayan

BACKGROUND

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

Anemia is a global public health problem affecting both


developing and developed countries with major
consequences for human health, as well as social &
economic developments
- occurs at all stages of life cycle, but more prevalent
in pregnant women and young children

Iron deficiency anemia (IDA) was considered to be the


most important contributing factors to the global burden
of disease (WHO, 2002)
- affects 1.62 billion people globally; with preschool-age
children as the most at-risk (47.4%), while men
presented the lowest prevalence (12.7%) (WHO, 2008)

BACKGROUND
Consequences of iron deficiency
Iron deficiency adversely affects:
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

the cognitive performance, behavior, and physical


growth of infants, preschool and school-aged children
the immune status and morbidity from infections
of all age groups
the use of energy sources by muscles and thus the
physical capacity and work performance of adolescents
and adults of all age groups

Specifically, iron deficiency anemia during


pregnancy
increases perinatal risks for mothers and neonates
increases overall infant mortality

METHODS
Study Design:

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

- Cross-sectional
- Multi-stage stratified sampling design

Participants:

33,852
Infants & children, 6 mos- 5y (3,190)

All
age/sex/
population/
physiologic
groups
8th

NNS

School children, 6-12 y (5,794)


Adolescents, 13-19 y (5,500)

Adults, 20 - <60 y (14,665)


Elderly, 60 y & up (3,644)
Pregnant women (310)
Lactating women (749)

METHODS
Blood Collection
Sample Assay
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

FINGER PRICK
from children, 6mos -5y

by cyanmethemoglobin method 1
using spectrophotometer

VENIPUNCTURE
from 6 yrs to elderly
1 ICSH,

J Clin Path 31: 139 - 143, 1978

METHODS
Quality Assurance
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

Accuracy
- Tri-level Control Blood Sample determined
in the field in every barangay

- Hemoglobin level within the acceptable limit


of the certified value

Precision
- In-house QC blood sample (pooled) analyzed
in each assay day
- Hemoglobin level within 2SD of the analyzed
value and plotted in a QC chart

ASSESSMENT CRITERIA
Normal hemoglobin levels, WHO cut-off, 1972
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

AGE/ SEX/
PHYSIOLOGIC STATE

Normal
hemoglobin level
(g/dL)

Children: 6 mos - 6 yrs


6.1 - 14 yrs

11.0
12.0

Adult:

13.0
12.0

Males
Females
(non-pregnant/non-lactating)

Pregnant

11.0

Lactating Women

12.0

ASSESSMENT CRITERIA

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

Classification of public health significance of anemia


in populations on the basis of prevalence estimated
from blood levels of hemoglobin, WHO, 2001

Category of public health


significance
Severe

Prevalence of anemia
(%)
40.0

Moderate

20.0 39.9

Mild

5.0 19.9

Low

4.9

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

RESULTS

Prevalence of anemia by age, sex and physiologic state, 2013


Age/Sex/Physiologic State No. of Subjects
Philippines

6 mos - < 1 yr
1
FOOD AND
NUTRITION
6
RESEARCH
INSTITUTE

5y

33852
262
2928

12 y,

M
F

2993
2801

y, M
F

2898
2602

y, M
F

3746
3238

40 59 y, M
F

3706
3974

60 y,

1588
2056

13 19
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
20 39

M
F

Pregnant

310

Lactating

749

Prevalence (%)

Prevalence of anemia among children by age, 2008


Age

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

6 mos 5 y

DEPARTMENT
OF SCIENCE
1
AND
TECHNOLOGY

n
3190

6 mos - < 1 y

262

5y

2928

1 y

529

2 y

545

3 y

567

4 y

597

5 y

690

Prevalence (%)

Trends in the overall prevalence of anemia,


Philippines: 1993, 1998, 2003, 2008 and 2013

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

Trends in the prevalence of anemia among children


Philippines: 1998, 2003, 2008 and 2013

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

Trends in the prevalence of anemia among children


Philippines: 1993, 1998, 2003, 2008 and 2013

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

Trends in the prevalence of anemia


among pregnant and lactating women,
Philippines: 1993, 1998, 2003, 2008 & 2013
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

Prevalence
Prevalence of
ofanemia
anemiaby
byage
agegroup,
group,by
byregion
region
Ilocos
Cagayan
Central Luzon
CALABARZON
MIMAROPA
FOOD AND Bicol
NUTRITION
W. Visayas
RESEARCH
C. Visayas
INSTITUTE
E. Visayas
DEPARTMENT
Zamboanga
OF
SCIENCEPen
AND N. Mindanao
TECHNOLOGY
Davao
SOCCSKSARGEN
NCR
CAR
ARMM
CARAGA
Philippines
Children,
6 mos 5y

Children
6-12 y

Adolescents,
13 19 y

Adults,
20 - <60y

Elderly,
60y

Regions with highest & lowest prevalence of anemia


by age group
Cagayan
24.2

CARAGA
21.5

Cagayan
15.6

Cagayan
13.3

NCR
22.1

Cagayan
19.8

CARAGA
12.0

CARAGA
12.1

21.0

NCR
18.4

NCR
10.7

Bicol
12.0

FOOD AND
NUTRITION
RESEARCH
CARAGA
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Ilocos

8.9
E Visayas
8.2

C Visayas
5.2

Children,
6 mos - 5y

Davao
6.9
SOCCSKSARGEN/
E. Visayas
5.8
C Visayas
4.4

Children
6-12 y

Ilocos
4.7
CALABARZON /
W Visayas
4.2
SOCCSKSARGEN
3.7

Adolescents,
13 19 y

Ilocos
MIMAROPA
C Visayas
7.6
W Visayas
6.4
SOCCSKSARGEN
5.1

Adults,
20 - <60y

Cagayan
38.9

NCR
34.2

ARMM
26.6

Davao
13.2
W Visayas
11.8
Zambo Pen
10.6

Elderly,
60y

Prevalence of anemia among preschool children


by quintile index , Philippines: 2013

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

Prevalence of anemia among children


by quintile index , Philippines: 2013

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

Prevalence of anemia among adults


by quintile index, Philippines: 2013

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

Prevalence of anemia among pregnant and


lactating women by quintile index,
Philippines: 2013
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

Prevalence of anemia by urbanization,


Philippines, 2013

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

SUMMARY
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY

Over all, the 2013 NNS showed a


decreasing trend in anemia prevalence
among Filipinos
Anemia prevalence is moderate among
infants, 6 mos -<1 year and pregnant
and lactating women
Highest prevalence of anemia was found
among infants, 6 mos -<1 y and
generally among the poorest groups

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Prevalence of nutritionally at-risk* pregnant


women by age-group: Philippines, 2013
Philippines: 24.8%

<20 years of age

20 - 29 years of age

37.2% or 1 in about 3

23.0% or 1 out 0f 4

30 39 years of age

40 years of age

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

14.8% or 1 out of 7

17.4% or 1 out of 6

*Based on weight-for-height classification; P<95 = Nutritionally at- risk, P95 = Not nutritionally at- risk
(Magbitang, et.al, 1988)

Prevalence of nutritionally at-risk pregnant women


by wealth quintile and by place of residence:
Philippines, 2013
WEALTH INDEX
Philippines: 24.8

30.0

FNRI

26.5

Percentage

30

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

24.7

25.9

20

14.4

10
0
Poorest

Percentage

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

35
30
25
20
15
10
5
0

28.9

Poor

Rich

33.3

26.4

23.3

Middle

Richest

30.8
26.3

23.0

25.8

17.7

13.3

Poorest

Poor

Middle

RURAL

Rich

Richest

Poorest

Poor

Middle

URBAN

Rich

Richest

Trends in the prevalence of nutritionally at-risk


pregnant women: Philippines, 1998-2013
40

FNRI

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

30
Percentage

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

30.7
26.6

28.4

26.3

25.0

24.8

2008

2011

2013

20

10
0
1998

2003

2005

YEAR

Elevated blood pressure* among pregnant


women by wealth quintile and place of
residence: Philippines, 2013

FNRI

Philippines: 3.9%
Hypertension (140/90 (age <60)

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

Percentage

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

6
4

5.2
2

5.3

2.7

3.4

3.3

0
Poorest

Poor

Middle

Rich

Wealth quintile

Richest

3.3

Rural

4.5

Urban

Place of Residence

*Based on a single visit BP measurement


Source: Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy.
Am J Obstet Gynecol 2000; 183(1);S1-S22

Fasting Blood Glucose (FBG) among


pregnant women 18 years and over:
Philippines, 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE

Mean FBG

PSC
Pregnant

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Mean

SE

268

74.33

0.95

(95% CI)
72.46

76.20

% Distribution by FBG (mg/dL) levels*

<100
%
97.03

(95% CI)
95.03

126

100 - 125

99.04

%
1.13

(95% CI)
-0.02

2.27

2.97%

%
1.84

(95% CI)
0.18

3.50

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Nutritional status of lactating


mothers: Philippines, 2013

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

60
40
20

17.5

12.5

CED

4.2

Overweight

25

p= 0.8409;NS

19.8

0
CED

Normal

OW

20

Obese

Percentage

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

Percentage

FNRI

Trends in the prevalence of


malnutrition among
lactating mothers:
Philippines, 1998-2013

65.8

80

17.6

15

13.6

10

13.2

16.1

17.7
17.5

13.9 13.0
11.9
11.7

12.5

p= 0.4827;NS

0
1998 2003 2005 2008 2011 2013
Year

Nutritional status of lactating mothers by


age group and length of lactation:
Philippines, 2013

FNRI

AGE GROUP (in years)

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

15
10

12.4

18.4
CED
Overweight
Obese
12.5

LENGTH OF LACTATION (in months)


CED
25

5.1

4.4
1.4

5
0

< 20

20

Percentage

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

Percentage

20

OW

Obese

20.2

20

16.2

15

16.7
14.0

15.9 16.8

10.4
10

6.0

5.4

3.8

4.8

3.3

0
<3

4-5.9

6-11.9

12

Nutritional status of lactating mothers by


wealth quintile and place of residence:
Philippines, 2013
WEALTH INDEX
CED

25
20
15

21.7
18.8

14.4
15.1

16.4
12.7

11.5

10
5

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

27.6

30
Percentage

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

Obese

4.1

2.8

10.3
8.3

5.8

3.4

2.1

0
Poorest

Poor

Middle

Rich

Richest
PLACE OF RESIDENCE
CED

Overweight

Obese
19.7

20
Percentage

FNRI

OW

13.5

15.6

11.3

15
10

5.9
2.8

5
0
Rural

Urban

Nutritional status of lactating mothers by wealth


quintile by place of residence: Philippines, 2013

FNRI

29.0

30

23.1

25

FOOD AND
18.6
18.5
20
NUTRITION
17.0
15.8
15.5
RESEARCH
15
12.4
INSTITUTE
12.0 12.6

19.8

2.7

2.6

18.9

17.3

Percentage

10
DEPARTMENT
OF
5 AND 2.0
SCIENCE
TECHNOLOGY

22.9
15.0
11.9

10.3

8.2

6.4

5.5

3.9

10.9
4.0

1.5

7.6

6.5
2.2

Poorest

Poor

Middle
RURAL

Rich

Richest

Poorest

Poor

Middle
Rich
URBAN

Richest

Elevated blood pressure* among lactating


women 18 yrs old & over by wealth index and
place of residence : Philippines, 2013
Philippines: 8.0%

FNRI

Hypertension (140/90 (age<60y)

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

10

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Percentage

8
6

9.3

8.9

7.2

5.9

7.9

8.8

7.1

2
0
Poorest

Poor

Middle

Rich

Wealth Index

Richest

Rural

Urban

Place of Residence

*Based on a single visit BP measurement


Source: Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy.
Am J Obstet Gynecol 2000; 183(1);S1-S22

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE

Fasting Blood Glucose (FBG) and


percentage distribution among lactating
mothers 18 years and over: Philippines,
2013
Mean FBG

PSC
Lactating

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Mean

SE

685

80.19

0.67

(95% CI)
78.86

81.51

% Distribution by FBG (mg/dL) levels*


<100

%
94.69

(95% CI)
92.87

126

100 - 125

96.50

%
4.59

(95% CI)
2.95

6.22

5.32%

%
0.73

(95% CI)
-0.21

1.66

SUMMARY

The prevalence of nutritionally-at-risk


pregnant women remained high at 24.8%
with pregnant teen age girls more likely to be
nutritionally at-risk at 37.2%.

Compared with 2011 results, prevalence of


CED/underweight among lactating mothers
slightly increased from 11.9% to 12.5%
while overweight barely changed from
17.7% to 17.5%.

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

SUMMARY

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Elevated BP affected 3.9% of pregnant


women and 8.0% of lactating mothers.
Impaired and elevated fasting blood
sugar affected 2.97% of pregnant
women and 5.32% of lactating
mothers.

8th National Nutrition Survey: 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Clinical and Health


Survey Component

Hypertension

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Defined as blood pressure of


greater than or equal to 140/90
mmHg

Classification

Diastolic Blood
Pressure
(mmHg)

Systolic Blood
Pressure (mmHg)

Normal

< 140

and

<90

Hypertension

140

or

90

Based on the Modified JNC VIII (2013)

Prevalence of hypertension based on a


on a single visit, by sex and age,
Philippines: 2013

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Males

50.0

Females

Both

45.0
40.0

41.6

35.0

43.5

40.3 40.9

43.4
43.3

36.7

33.8

35.1

30.0
27.2

25.0

25.1

24.8
22.7

20.0

22.3

19.8
19.9

15.0
10.0

15.2
11.6

11.4
7.2

5.0
3.7

0.0

20 -29

30- 39

40-49

Based on the Modified JNC VIII (2013)

50-59

60-69

70

All

Prevalence of hypertension based on


a single visit BP, by wealth quintile and
place of residence, Philippines: 2013
Poorest

FNRI

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Middle

Rich

Richest

30.0
25.0

Prevalence (%)

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

Poor

20.0

22.0

23.5

24.8 24.7
20.0 20.5

19.0

22.0

15.0
10.0
5.0
0.0

Rural

Urban

23.3 23.4

Trends in the Prevalence of Hypertension*


among adults 20 years old in the Philippines:
1993, 1998, 2003, 2008 & 2013
30

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Prevalence (%)

FNRI
25.3
20

22.0

21.0

22.5

22.3

10

1993

1998

2003

2008

2013

Based on single visit BP determination using the 7th Joint National Committee (JNC 7)

p-value< 0.0001

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Classification and cut-off points of Fasting


Blood Glucose by Guidelines

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Classification

WHO
and IDFa

Philippine
CPGb

< 110

< 100

110-125

100-125

> 126

> 126

Normal
Impaired Fasting
Glucose (IFG)
Diabetes
aInternational Diabetes Federation
bClinical Practice Guideline

Prevalence of High Fasting Blood Glucose*,


by age and sex, Philippines: 2013
15

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Males

Females

Both
10.2

10

12.9
12.5
12.1

10.8
10.5
8.7
7.8

8.3

7.1
6.3
5.6 5.3
5.4

5.6

5
3.4
2.8
1.3

3.1

0.8 1.0

0
20-29

30-39

40-49

50-59

* WHO and CPG criteria of high FBG >125 mg/dL

60-69

> 70

All

Comparison in the Prevalence of Impaired Fasting


Glucose (IFG) using WHO and Philippine CPG,
Philippines: 2013
CPG (IFG 100-125 mg/dL)

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

WHO (IFG 110-125 mg/dL)

25.0

22.6
19.4

20.0

17.8

16.9
15.0

13.4
10.4

10.0

9.1

5.8
5.0

5.6

4.2
1.3

6.6

6.1

2.7

0.0
All

20-29

30-39

40-49

50-59

60-69.9

70

Prevalence of Diabetes, Philippines: 2013


10

DM: Wealth Index*

8.1

6.4
6

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

3.5

4.5

4.6

4.3

DM: Place of Residence*


6.3

2
0

Poorest Poor

Middle

Rich Richest

Poorest

10

Poor

Rich

6.3
6

4.7

4.1

8.2
6.4

5.8

5.2

3.6

2.8

2
0
p-value: 0.0001

Rural

Urban

Richest

7.7

Middle

Rural

Urban

Trends in the prevalence of high fasting


blood glucose among adults 20 years old,
Philippines: 1998, 2003, 2008 and 2013

FNRI

4.8

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Prevalence (%)

5
4

5.4

3.9
3.4

3
2
An increasing trend was noted in the
prevalence of high FBS level from
2003 to 2013 among Filipino adults.

1
0

1998
p-value: 0.0336

2003

2008

2013

Summary

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

The prevalence of hypertension slightly


decreased while that of diabetes significantly
increased from 2008 to 2013.

There were more hypertensive males than


females across all ages.

The urban poor have a higher prevalence of


diabetes
compared
to
their
rural
counterparts.

The prevalences of hypertension


diabetes have increasing trend
increasing age and wealth.

and
with

SMOKING STATUS OF
FILIPINO CHILDREN & ADULTS
FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

SMOKING
OPERATIONAL DEFINITIONS

FNRI CURRENT
SMOKERS
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

those who smoked during the survey either on a


daily (at least one cigarette a day) or on a
regular/occasional basis; those who do not smoke
daily but who smoke at least weekly or those who
smoke less often than weekly.

FORMER
SMOKERS

- those who have ever smoked in the past year


prior to survey whether on a daily basis or an
aggregate lifetime consumption of at least 100
cigarettes but not daily, and are no longer
smoking at the time of the survey

NEVER
SMOKERS

- those individuals who have never smoked at all

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

SMOKING
STATUS

Distribution of male adults 20 years old and over


by smoking status and age group: Philippines,
2013
Never

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Males

Current

Former

34.0

0.0

10.0

44.7

20.0

30.0

40.0

50.0

21.3

60.0

70.0

80.0

90.0

100.0

Prevalence %
AGE GROUP
Never

20.0-29.9

Current

Former

41.6

30.0-39.9

34.0

40.0-49.9

29.9

50.0-59.9

29.6

60.0-69.9

48.1

10.0

22.5

44.3

26.0

38.2

34.9
0.0

17.9

47.6

25.7

> 70

13.4

45.0

20.0

36.1

25.1
30.0

40.0

50.0

Prevalence %

40.0
60.0

70.0

80.0

90.0

100.0

Distribution of female adults 20 years old and


over by smoking status and age group:
Philippines, 2013
Never

Current

FNRI Females
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Former

82.0

0.0

10.0

20.0

30.0

40.0

7.8

50.0

60.0

70.0

10.2

80.0

90.0

100.0

Prevalence %
AGE GROUP

Never

Current

20.0-29.9

82.6

30.0-39.9

83.7

40.0-49.9

84.6

Former

6.7

11.1

72.1

> 70
0.0

10.0

20.0

30.0

40.0

8.0

9.1

78.0

60.0-69.9

9.6

7.4

81.4

50.0-59.9

11.2

6.2

13.2
50.0

Prevalence %

60.0

70.0

80.0

9.5
10.9
14.7

90.0

100.0

Distribution of adults 20 years old and over by


smoking status and age group: Philippines, 2013
Never

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

All

Current

Former

59.1

0.0

10.0

20.0

30.0

15.4

25.4

40.0

50.0

60.0

70.0

80.0

90.0

100.0

Prevalence %
AGE GROUP

Never

Current

Former

62.9

20.0-29.9

24.8

59.9

30.0-39.9
40.0-49.9

57.5

50.0-59.9

57.1

26.6

0.0

10.0

20.0

30.0

15.2

25.7

17.3

23.9

57.5

> 70

13.6

27.3

53.3

60.0-69.9

12.3

22.8

17.9
40.0

50.0

Prevalence %

60.0

70.0

24.6
80.0

90.0

100.0

Distribution of Smoking Status among Adults


20 years & over : Philippines, 1998-2013
70

FNRI

Never Smokers

Former Smokers

60

59.1

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

50

Prevalence %

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Current Smokers

54.5

55.0

54.3

40

30

32.7

34.8
31.0
25.4

20

10

12.8

14.7

15.4

2008

2013

10.2

1998

2003

Distribution of children 10.0-19.9


smoking status: Philippines, 2013
Never

Males

Current

years

by

Former

80.7

7.4

11.9

FNRI
0.0

10.0

20.0

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

30.0

Never

40.0

50.0

Current

Females

60.0

70.0

80.0

10.0

20.0

30.0

40.0

Never

Current

All

1.2 3.9

50.0

60.0

70.0

80.0

10.0

20.0

30.0

40.0

90.0

100.0

Former

87.5

0.0

100.0

Former

94.8

0.0

90.0

50.0

6.8

60.0

70.0

80.0

90.0

5.7

100.0

Distribution of Smoking Status among Children


10.0-19.9 years: Philippines, 2008 and 2013
2008

FNRI

90

86.4

2013

87.5

80

FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

70
60
50
40
30
20

9.1

6.8

10

4.5

5.7

Never

Current

Former

Prevalence and 95% CI


smokers: Philippines, 2013
REGIONS

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

of

adult

current

LL

UL

PHILIPPINES

24.5

26.3

NCR

20.4

26.1

Ilocos

24.5

28.5

Cagayan Valley

21.5

28.6

CAR

14.3

23.7

Central Luzon

28.1

34.1

CALABARZON

23.1

27.9

25.5

MIMAROPA

21.7

29.3

25.5

Bicol

23.2

28.6

25.9

Western Visayas

23.3

29.3

26.3

Central Visayas

16.9

22.1

Eastern Visayas

19.2

26.6

Zamboanga Peninsula

26.8

35.8

Northern Mindanao

20.9

26.0

23.5

Davao

20.1

26.3

23.2

SOCCSKSARGEN

24.3

32.1

28.2

ARMM

23.4

32.5

28.0

CARAGA

24.3

32.5

28.4

PREVALENCE (%)
25.4
23.3
26.5
25.1
19.0
31.1

19.5

22.9
31.3

Prevalence of Current Smokers by Place of


Residence and Wealth Quintile: Philippines, 2013
Poorest
35.0

Poor

Middle

Rich

Richest

33.9
30.7

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

30.0

28.4

27.8
25.0

27.1
24.9

24.3

21.1
20.0

18.6

16.0
15.0

10.0

5.0

0.0
Rural

Urban

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

SMOKELESS
SMOKING
STATUS

Distribution of male adults 20 years old and over


by smokeless smoking status and age group:
Philippines, 2013
Never

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Current

Males

Former

2.5 1.2

96.3

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

Prevalence %
AGE GROUP
Never

Current

Former

20.0-29.9

97.4

1.8 0.8

30.0-39.9

95.7

2.8 1.5

40.0-49.9

96.2

2.6 1.2

50.0-59.9

96.1

2.7 1.2

60.0-69.9

95.6

3.0 1.5

70 and over

94.3

4.2 1.5

0.0

20.0

40.0

Prevalence %

60.0

80.0

100.0

Distribution of female adults 20 years old and


over by smokeless smoking status and age group:
Philippines, 2013
Never

Current

FNRI Females
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

Former

98.2

0.0

20.0

1.1 0.8

40.0

60.0

80.0

100.0

Prevalence %
AGE GROUP

Never

Current

Former

20.0-29.9

99.3

0.3 0.4

30.0-39.9

99.0

0.6 0.4

40.0-49.9

98.3

1.0 0.7

50.0-59.9

97.8

1.4 0.8

95.7

60.0-69.9

2.7

93.0

> 70
0.0

20.0

40.0

4.1
60.0

Prevalence %

80.0

1.6
2.9

100.0

Distribution of adults 20 years old and over by


smokeless smoking status and age group:
Philippines, 2013 Never Current Former

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

All

97.3

0.0

20.0

1.8 1.0

40.0

60.0

80.0

100.0

Prevalence %
AGE GROUP

Never

Current

Former

20.0-29.9

98.4

1.0 0.6

30.0-39.9

97.4

1.6 0.9

40.0-49.9

97.2

1.8 1.0

50.0-59.9

97.0

2.0 1.0

60.0-69.9

95.6

2.8

93.5

> 70
0.0

20.0

40.0

Prevalence %

4.1
60.0

80.0

1.6
2.3

100.0

Prevalence of Current Smokeless Smoking by


Place of Residence and Wealth Quintile:
Philippines, 2013
Poorest

Poor

Middle

Rich

Richest

6.0

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

5.3
5.0

4.0

3.0

2.6

2.7
2.3

2.0

1.5
1.2
1.0

1.1
0.7
0.4

0.0
Rural

Urban

0.2

FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

REPORTED
EXPOSURE TO
SECONDHAND
SMOKE

Distribution of children 10.0-19.9 years by


reported exposure to secondhand smoke at
home: Philippines, 2013
No exposure

FNRI

Males

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

2-6 days a week

3.9 12.1

59.1

0.0

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

1x a week

10.0

20.0

30.0

No exposure

Females

40.0
1x a week

50.0

60.0

2-6 days a week

3.4 12.9

59.9

0.0

10.0

20.0

30.0

No exposure

All

40.0

1x a week

50.0

10.0

20.0

30.0

40.0

60.0

70.0

2-6 days a week

59.5

0.0

70.0

50.0

3.7

12.5

60.0

70.0

7 days a week

25.0

80.0

90.0

100.0

7 days a week

23.8

80.0

90.0

100.0

7 days a week

24.4

80.0

90.0

100.0

Distribution of adults 20.0 years old and over by


reported exposure to secondhand smoke at
home: Philippines, 2013
No exposure

FNRI

Males

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

2-6 days a week

10.0

20.0

30.0

No exposure

Females

40.0
1x a week

50.0

10.0

20.0

30.0

No exposure

All

10.0

20.0

40.0

1x a week

30.0

70.0

50.0

60.0

2-6 days a week

50.0

60.0

80.0

90.0

100.0

28.3

70.0

80.0

90.0

100.0

7 days a week

2.6 8.3

40.0

22.8

7 days a week

2.7 8.6

63.5

0.0

60.0

2-6 days a week

60.3

0.0

7 days a week

2.4 7.8

67.0

0.0

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

1x a week

70.0

25.7

80.0

90.0

100.0

Distribution of adults 20.0 years old and over by


reported exposure to secondhand smoke outside
the home: Philippines, 2013
No exposure

FNRI

Males

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

32.9

0.0

10.0

20.0

30.0

Females

10.0

20.0

No exposure

All

1x a week

30.0

10.0

20.0

40.0

1x a week

5.2

30.0

7 days a week

41.6

50.0

40.0

60.0

2-6 days a week

70.0

50.0

60.0

2-6 days a week

60.0

90.0

100.0

90.0

100.0

29.7

70.0

80.0

7 days a week

35.3

20.5

50.0

80.0

7 days a week

19.7

6.2

38.9

0.0

40.0

44.4

0.0

2-6 days a week

21.4

4.1

No exposure

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

1x a week

70.0

80.0

90.0

100.0

SUMMARY
FNRI
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

25.4% or 1 in 4 adults, 20 years old and over are current


smokers
There is a significant decline in the prevalence of smoking
among adults from 2008 to 2013.
6.8% or 7 in 100 children 10.0 to 19.9 years old are current
smokers
A decrease in the prevalence of smoking among children
from 2008 to 2013 is also observed, although results are not
statistically significant.
The top three regions with the highest proportions of current
adult smokers are Zamboanga Peninsula (31.3%), Central
Luzon (31.1%) and CARAGA (28.4%).

SUMMARY
FNRI

There is a significantly higher proportion of current smokers


among the rural poor than in their urban counterparts.

FOOD AND
NUTRITION
RESEARCH
INSTITUTE

1.8% of adults are current smokeless smokers; 2.5% were


males and 1.1% were females

DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY

40.6% of children reported to have been exposed to


secondhand smoke at home
Overall, 36.6%of adults have reported to have been
exposed to secondhand smoke at home; exposure is
higher among females at 39.6% than males at 33%.
Reported exposure to secondhand smoke outside the
home is higher among males at 67.1% than females.

Вам также может понравиться