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METHODOLOGY OF NNS 2013

ANTHROPOMETRIC MEASUREMENTS
NNS SAMPLING DESIGN

The statistical design used was a multi-staged stratified sampling design.


 The first stage of the sampling was the selection of the Primary Sampling Unit ( PSU)
which consisted of one barangay or a contiguous barangay with at least 500
households.
 The second stage was the selection of the enumeration area( EA) which consisted of
a contiguous area in a barangay with 150-200 households and
 The third stage was the selection of the household in a sampled EA that served as
the ultimate sampling unit. The samples were taken separately from the regions by
urban and rural stratum.
RATIONALE AND OBJECTIVES

Anthropometry is a key component of the assessment of the nutritional status in


children and adults ( Simko and Cowell, 1995). Anthropometric data can reflect general
health and nutritional status, predicts performance, health and survial and is used to
track trends in the growth and development over time.
SAMPLING AND SELECTION

About 35, 825 sample households were selected for the survey. The sampling used
here cross sectional, multi-stage stratified sampling design, with a total of 33,852
participants. It includes infants, children, adolescents, adults, pregnant women and
lactating women.
METHODS EMPLOY IN ASSESSING NUTRITIONAL STATUS,
INFORMATION COLLECTED AND TOOLS/QUESTIONNAIRE AND
ASSESSMENT CRITERIA

ANTHROPOMETRIC INFORMATION TOOLS ASSESSMENT


METHODS USED COLLECTED CRITERIA

Weight See table T1a Platform beam balance See Table 1b


Recumbent length Microtoise
Height Infantometer
Waist circumference Tape measure
Hip circumference Tape measure
TABLE 1A. INFORMATION COLLECTED BASED ON AGE GROUPS

Measurements <2 2- >5-<6 >6-<10 10- 19- >20yo Pregnant Lactating


yo <5 yo yo 18yo <20yo
Weight √ √ √ √ √ √ √ √ √
Recumbent √
length
Height √ √ √ √ √ √ √ √
Waist √ √ √ √
circumference
Hip √ √ √ V
circumference
TABLE 1B. SUMMARY OF THE ANTHROPOMETRIC INDICES USED FOR DIFFERENT AGE GROUPS

Age groups Anthropometric Indices Used


Infants andYoung Children WHO Child Growth Standards 1995
School Aged Children WHO Growth Reference 2007
Adolescents WHO Growth Reference 2007
Adults and Lactating mothers BMI for age
NCHS / WHO 1978
WHO Growth Reference 2007

Pregnant women weight for height


Magbitang,1988
DATA ANALYSIS- STATISTICAL TEST USED

1. Mean
weight and height for children
3. Percentage distribution by
BMI for adults
height for age
Waist circumference
weight for age
Waist-hip ration
BMI for age
2. Prevalence rate
WC and WHR among adults
underweight, wasting and stunting for children
Pregnant women by age groups
overweight / obesity, CED and high WC for
Lactating women by age groups
adults
nutritionally at-risk pregnant women
DIETARY METHOD
RATIONALE AND OBJECTIVES

The dietary component collects data to measure food and nutrient intakes at the
household and individual levels. It provides information on the quantities of food
consumed, the nutritive value of the diet and the adequacy of the intake.
It is considered an indirect method of assessing the nutritional status of the
population.
SAMPLING AND SELECTION

100% of the households were included in food weighing while 1 day 24-
hr food recall were obtained from 50% of the these HH. The other 2 day
24-hr food recall were obtained from the other 50% of the HH.
METHODS EMPLOY IN ASSESSING NUTRITIONAL STATUS, INFORMATION
COLLECTED AND TOOLS/QUESTIONNAIRE AND ASSESSMENT CRITERIA

DIETARY METHOD INFORMATION TOOLS/


COLLECTED QUESTIONNAIRE
Household level: Food weighing on all meals: Digital dietary balance or
One day food weighing breakfast, lunch, dinner and the Sartorius AZ 4101
snacks prepared and cooked
in the house for all the
household members
Individual level: Face to face interview using
 2 day non consecutive 24-hr food intake a 24-hr food recall form
24- hr food recall
 1 day 24-hr food
recall
DIETARY ANALYSIS

1. Dietary evaluation system


2. Food Composition library – estimates the energy and nutrient intake from food
consumed
3. RENI, 2002 ed. – used to determine the adequacy of the nutrient intake