CAMARINES NORTEenutrition.fnri.dost.gov.ph/site/uploads/2018_ENNS... · 2019. 11. 25. · Cagayan De Oro City Camiguin Davao City Davao Occidental Sultan Kudarat Oriental Mindoro

CAMARINES NORTEDISSEMINATION FORUM

October 17, 2019

One Platinum Hotel, Daet, Camarines Norte

2018 Expanded National Nutrition Survey

METHODOLOGY

Features Description

Survey Design One shot (one year) every 5 years

Coverage 17 regions, 81 provinces

Level of DisaggregationNational, Regional,

Provincial for some indicators

Target Number of Households 60,000

Target PopulationHouseholds and all members of the sampled

households

Duration of Data Collection 6.5 Months (one shot) for the reference year

Old Survey Design of the NNS

Why did we change the design of the NNS?

Provide Province and HUC Level estimates for local planning ofspecific and sensitive interventions of our stakeholders

Provide reliable National Level Estimates annually

Why did we change the design of the NNS?

Adoption of the new Master Sample of thePSA to provide reliable estimations at theProvince and HUC Levels

2013 Master Sample of PSA

Sampling domains:81 provinces

33 HUCs

3 other areas

(Pateros, Isabela City, Cotabato City)

Sampling Design of the 2018 ENNS

2-Stage Cluster Sampling Design

1st Stage - PSUs

PSU size ranges from 100 to 400 households z

2nd stage

Households from 16 replicates (1,536)

16 sample replicates are drawn from each domain

Icons used were retrieved from http://www.flaticon.com

What is the Survey Design of the 2018 NNS?

ROLLING40 Provinces &HUCs for 2018 40 Provinces &HUCs for 201937 Provinces &HUCs for 20203YEARS

SURVEY for

Target coverage per sampling domain is 1,536 households

PSA Board Resolution No. 06

Approving and Adopting the Survey Design of the Expanded

National Nutrition Survey

How did we select the provinces and HUCs to be includedin the 2018 ENNS?

Re

pli

ca

ted

Sa

mp

lin

gGrouping of provincesand HUCs with similarcharacteristics into

replicates

A replicate has at least 5

provinces and HUCs

2010 Census of Population and Housing

Formation of replicates

Test variables

Number of persons

Number of birth registered

Number of OFWs

Number of WRA

Number of infants

Number of children below 5

Number of disabled members

Provinces and HUCs covered in the 2018 ENNS

Cagayan Valley

Isabela

Nueva Vizcaya

Olongapo City

Zambales

Bulacan

Laguna

Camarines Norte

Sorsogon

Aklan

Capiz

Iloilo Province

Iloilo City

Mandaue City

Siquijor

Eastern Samar

Tacloban City

Western Samar

Northern Samar

Zamboanga Del Norte

Isabela City

Cagayan De Oro City

Camiguin

Davao City

Davao Occidental

Sultan Kudarat

Oriental Mindoro

Baguio City

Mountain Province

Abra

Maguindanao

Butuan City

Quezon City

City of Manila

City of Caloocan

City of San Juan

City of Las Piñas

City of Makati

City of Mandaluyong

City of Taguig

Households Individual

Eligible Response Response

Rate (%)

Eligible Response Response

Rate (%)

Philippines 52,285 45,957 87.9 196,332 159,926 81.5

Camarines

Norte1,469 1,402 95.4 6,133 5,472 89.2

Nutritional Status

of Filipino Preschool-Age

Children in Camarines Norte

Prevalence of malnutrition among children under five (0-59 months) in the Philippines and Camarines Norte: ENNS, 2018

23.931.0

7.52.6

0

10

20

30

40

50

Underweight Stunting Wasting Overweight-for-Height

Pre

vale

nce

(%

)

Camarines Norte

19.1

30.3

5.6 4.0

0

10

20

30

40

50

Underweight Stunting Wasting Overweight-for-Height

Pre

vale

nce

(%

)

Philippines

90% CI Underweight Stunting Wasting Overweight-

for-Height

Lower

Limit

17.7 28.2 5.2 3.6

Upper

Limit

20.5 32.4 6.1 4.3

90% CI Underweight Stunting Wasting Overweight-

for-Height

Lower

Limit

21.0 27.8 5.8 1.2

Upper

Limit

26.8 34.2 9.1 4.0

Prevalence of malnutrition among children under five (0-59 months) by sex and wealth status: Camarines Norte ENNS, 2018

23.9 24.9 22.9

36.6

17.6

0

10

20

30

40

50

60

70

All Male Female Poor Non-Poor

Pre

vale

nce

(%

)

Underweight

31.0 33.828.2

40.0

26.4

0

10

20

30

40

50

60

70


Pre

vale

nce

(%

)

Stunting

* *

* significantly different at 10% level of significance

7.5 7.3 7.5

11.4

5.6

0

10

20


Pre

vale

nce

(%

)

Wasting

2.6 1.73.7

1.23.6

0

10

20


Pre

vale

nce

(%

)

Overweight-for-Height

Prevalence of malnutrition among children under five (0-59 months) by sex and wealth status: Camarines Norte ENNS, 2018

*


in preschool-age children

Prevalence of anemia among preschool-age children 6 mos to 5 years old(6-71 months) in Camarines Norte: ENNS, 2018

14.3 13.1 14.2

8.7

0

10

20

30

Philippines Camarines Norte Male Female

Pre

vale

nce

(%

)

90%

CIPhilippines Camarines Norte Male Female

Lower

Limit12.8 9.2 8.4 4.5

Upper

Limit15.9 17.1 20.0 12.9

PREVALENCE OF IDD AND VAD

• Urinary iodine excretion and the determination of IDDis not covered among preschool-age children.

• Serum retinol and the determination of Vitamin Adeficiency (VAD) is in-progress.

Infant and Young Child Feeding Practices

Breastfeeding Practices

Proportion of infants 0-23 months old, by breastfeeding practices

69.2

54.9 50.6

33.1

0

20

40

60

80

100

Timelybreastfeeding

initiation

Exclusivebreastfeeding

Continuedbreastfeeding

at 1 year


at 2 years

Pro

po

rtio

ns

(%)

Philippines

76.0 73.3 74.9

34.6

0

20

40

60

80

100

Timelybreastfeeding

initiation

Exclusivebreastfeeding


at 1 year


at 2 years

Pro

po

rtio

ns

(%)

Camarines Norte

90% CI

Lower Limit 65.2 51.2 45.4 29.3

Upper Limit 73.1 58.5 55.9 37.0

90% CI

Lower Limit 70.5 61.5 61.8 19.1

Upper Limit 81.5 85.2 87.9 50.2

* *


Complementary Feeding

Practices

MINIMUM DIETARY DIVERSITY

Proportion of children 6-23 months of age

who receive foods from 4 or more food

groups (DDS > 4) of the following 7 food

groups:

Minimum Dietary

Diversity:

6. Vitamin A rich fruits &

vegetables

7. Other fruits & vegetables5. Eggs

1. Grains, roots and tubers

2. Dairy Products

3. Legumes and Nuts

4. Flesh Meat

Minimum Meal Frequency

Proportion of breastfed and non-breastfed

children 6-23 months who received solid,

semi-solid, or soft foods consumed at the

minimum number of times per day

Defined as:

2x for breastfed infants 6-8 months old

3x for breastfed children 9-23 months old

4x for non-breastfed children 6-23 months old

Minimum

Meal

Frequency:

Minimum Acceptable Diet

Proportion of children 6-23 months meeting

both the minimum dietary diversity and the

minimum meal frequency to ensure both

dietary and nutrient adequacy.

Minimum

Acceptable

Diet:

Proportion of children 6-23 months, by complementary feeding practices

20.5

87.0

11.4

0

20

40

60

80

100

Minimum DietaryDiversity

Minimum MealFrequency

MinimumAcceptable Diet

Pro

po

rtio

ns

(%)

Camarines Norte

23.0

89.0

13.4

0

20

40

60

80

100

Minimum DietaryDiversity

Minimum MealFrequency

MinimumAcceptable Diet

Pro

po

rtio

ns

(%)

Philippines

90% CI

Lower Limit 21.1 87.6 12.4

Upper Limit 24.9 90.4 14.4

90% CI

Lower Limit 15.1 79.5 6.7

Upper Limit 25.8 94.5 16.0

Summary• Underweight, stunting and wasting prevalence in Camarines Norte is

higher, while overweight is lower compared to the national results amongpreschool-age children.

• Anemia is a “mild” public health problem among preschool-age children.• Camarines Norte had higher number of mothers practicing timely

breastfeeding initiation, exclusive breastfeeding and continuedbreastfeeding than national estimate.

• Complementary feeding among children 6-23 months of age is inadequatein energy and nutrient as indicated by minimum dietary diversity (MDD)and minimum acceptable diet (MAD)

Nutritional Status

of Filipino School-Age

ChildrenCamarines Norte

Prevalence of malnutrition among school-age children 5 to 10 years old in the Philippines and Camarines Norte: ENNS 2018

31.727.9

11.25.2

0

10

20

30

40

Underweight Stunting Wasting Overweight & Obese

Pre

vale

nce

(%

)

Camarines Norte

24.9 24.6

7.611.6

0

10

20

30

40

Underweight Stunting Wasting Overweight & Obese

Pre

vale

nce

(%

)

Philippines

90% CI Underweight Stunting Wasting Overweight & Obese

Lower

Limit23.1 22.8 7.2 10.4

Upper

Limit26.8 26.5 7.9 12.9

90%

CI

Underweight Stunting Wasting Overweight

& Obese

Lower

Limit28.2 26.0 8.9 3.7

Upper

Limit35.1 29.8 13.4 6.8

* * *


Prevalence of malnutrition among school-age children 5 to 10 years old by sex and wealth status: Camarines Norte ENNS, 2018

31.735.0

28.1

41.0

25.4

0

10

20

30

40

50

60


Pre

vale

nce

(%

)

Underweight

27.931.1

24.5

36.6

23.4

0

10

20

30

40

50

60


Pre

vale

nce

(%

)

Stunting

* *


11.2 12.59.8

11.7 10.7

0

10

20

30


Pre

vale

nce

(%

)

Wasting

5.2 5.8 4.61.1

7.2

0

10

20

30


Pre

vale

nce

(%

)

Overweight & Obese

Prevalence of malnutrition among school-age children 5 to 10 years old by sex and wealth status: Camarines Norte ENNS, 2018

*


in school-age children

Prevalence of anemia among school-age children (6 to 12 years old) in Camarines Norte: ENNS, 2018

13.5

7.3 7.66.1

0

10

20

30

Philippines Camarine Norte Male Female

Pre

vale

nce

(%

)

90% CI Philippines Camarines Norte Male Female

Lower

Limit11.8 4.5 4.0 3.0

Upper

Limit15.2 10.0 11.2 9.2

*


Iodine Status among School-age children in Camarines Norte

11.5 10.6 9.811.7

0

10

20

30

Philippines Camarines Norte Male Female

Pe

rce

nta

ge (

%)

90%

CIPhilippines Camarines

Norte

Male Female

Lower

Limit10.3 7.6 7.4 6.0

Upper

Limit12.7 13.6 12.2 17.4

180 181

0

50

100

150

200

250

300

Philippines Camarines Norte

Me

dia

n

90% CI Philippines Camarines Norte

Lower

Limit177.6 161.3

Upper

Limit183.2 200.2

⁰Iodine Intake

<100 μg/L – Insufficient

100-199 μg/L – Adequate

200-299 μg/L – More than Adequate

300 μg/L and up - Excessive

Median UIEº and Percent UIE below 50μg/L among school-age children (6 to 12 years old) in Camarines Norte: ENNS, 2018

Summary• Underweight and wasting prevalence in Camarines Norte is significantly

higher, while overweight & obesity is significantly lower compared to thenational results among school-age children.

• Anemia prevalence is a public health problem with low to mild severity.• Iodine intake of school-age children is adequate based on median urinary

iodine, but still pockets of IDD exist.

Nutritional Status of Filipino

AdolescentsCamarines

Norte

Nutritional Status of Adolescents, >10 to 19 years old: Philippines and Camarines Norte, 2018

26.3

11.3 11.6

0

10

20

30

40

50

Stunting Wasting Overweight andObese

Pre

vale

nce

(%)

PHILIPPINESPHILIPPINES

90% CI

LL 24.7 10.5 10.7

UL 28.0 12.1 12.5

90% CI

LL 26.7 14.8 3.8

UL 31.2 19.5 6.6

29.0

17.2

5.2

0.0

10.0

20.0

30.0

40.0

50.0

Stunting Wasting Overweight andObese

Pre

vale

nce

(%)

CAMARINES NORTE

*

*


Prevalence of Stunting among Adolescents, >10 to 19 years old by sex and wealth status: Camarines Norte, 2018

29.031.9

25.7

37.5

25.3

0.0

10.0

20.0

30.0

40.0

50.0

All Male Female Poor Non Poor

Pre

vale

nce

(%

)

* *


Prevalence of Wasting among Adolescents, >10 to 19 years old by sex and wealth status: Camarines Norte, 2018

17.220.5

13.515.8

17.7

0

10

20

30

40

50


Pre

vale

nce

(%

)

*


Prevalence of Overweight and Obese among Adolescents, >10 to 19 years old by sex and wealth status: Camarines Norte, 2018

5.24.4

6.0

2.9

6.3

0

2

4

6

8

10


Pre

vale

nce

(%

)

*


OPERATIONAL DEFINITION PHYSICAL ACTIVITY

- Doing less than 60 minutes of moderate- tovigorous-intensity physical activity per day

Insufficiently Physically Active

Reference: World Health Organization (2015) Global Reference List of 100 Care Health Indicators. Geneva 27, Switzerland

Proportion of insufficiently physically active adolescents >10 to 19 years old: Philippines and Camarines Norte, 2018

90% CI

LL 74.8 70.9

UL 77.7 78.2

76.3 74.6

0

20

40

60

80

100


Pre

vale

nce

(%

)

Proportion of insufficiently physically active adolescents >10 to 19 years old by sex and wealth status: Camarines Norte, 2018

74.6 72.077.3

68.776.7

0

20

40

60

80

100


Pre

vale

nce

(%

)

Smoking Status of Filipino Adolescents

– those who smoked during the survey either on a“daily” basis (at least one cigarette a day) or on aregular/occasional basis

OPERATIONAL DEFINITION SMOKING

CURRENT SMOKERS

• Occasional smokers are those who do not smokedaily but who smoke at least weekly and

• those who smoke less often than weekly

Reference: World Health Organization

Proportion of current smokers among adolescents, >10 to 19 years old: Philippines and Camarines Norte, 2018

90% CI

LL 3.7 2.1

UL 4.4 3.9

4.03.0

0

2

4

6

8

10


Pre

vale

nce

(%)

Proportion of current smokers among adolescents, >10 to 19 years old by sex and wealth status: Camarines Norte, 2018

3.0

5.8

0

3.6

2.5

0.0

2.0

4.0

6.0

8.0

10.0


Pre

vale

nce

(%

)

Drinking Status of Filipino Adolescents

– those who consumed one or more drinks of any type ofalcohol in the year preceding the survey

OPERATIONAL DEFINITIONDRINKING

CURRENT DRINKERS

Reference: World Health Organization

Proportion of current drinkers among adolescents, >10 to 19 years old: Philippines and Camarines Norte, 2018

90% CI

LL 15.2 17.1

UL 18.4 21.8

16.819.4

0

10

20

30

40

50


Pre

vale

nce

(%)

Prevalence of anemia among adolescents, >13 to 19 years old: Philippines and Camarines Norte, 2018

90% CI

LL 7.4 4.2

UL 8.8 8.8

Significance Mild Low to Mild

8.1 6.5

0

10

20

30

40

50


Pre

vale

nce

(%

)

Prevalence of anemia among adolescents, >13 to 19 years old by sex: Camarines Norte, 2018

6.5

7.7

6.1

0

2

4

6

8

10

All Male Female

Pre

vale

nce

(%

)

Summary• About 3 in every 10 adolescents are stunted; stunting is more prevalent

in poor than non-poor households

• The prevalence of wasting among adolescents are significantly lower

than the national estimate

• The prevalence of overweight and obese adolescents are significantly

lower than the national prevalence; overweight and obese is more

prevalent in poor than non-poor households

• Majority of adolescents were insufficiently physically inactive

Nutrition Situation of Women of

Reproductive Age Camarines Norte

CAMARINES NORTEPHILIPPINES

7.8

35.3

0

10

20

30

40

50

Pre

vale

nce

(%

)

CED Overweight and Obese

90% CI CED Overweight and Obese

Lower Limit 7.3 33.7

Upper Limit 8.3 36.9

90% CI CED* Overweight and Obese*



10.9

26.8

0

10

20

30

40

50

Pre

vale

nce

(%

)


Prevalence of chronic energy deficiency (CED), overweight and obesity among non- pregnant/non-lactating women of reproductive age, 15-49 years old, 2018


90% CI LL 17.5 13.5

UL 22.8 33.8

20.123.7

01020304050


Pro

po

rtio

n (

%)

Proportion of nutritionally-at-risk pregnant women: Philippines and Camarines Norte, 2018

CAMARINES NORTEPHILIPPINES

11.0

28.5

0

10

20

30

40

50

Pre

vale

nce

(%

)


90% CI CED Overweight and Obese*



90% CI CED Overweight and Obese



12.618.0

0

10

20

30

40

50

Pre

vale

nce

(%

)


Prevalence of chronic energy deficiency (CED), overweight and obesityamong lactating mothers, 2018


90% CI NPNL Lactating



90% CI NPNL* Lactating

Lower Limit 5.3 5.0


11.6 7.514.4 10.2

01020304050


Pre

vale

nce

(%

)

Non- Preg/Lact Lactating

Prevalence of anemia among lactating mothers and non-pregnant/non-lactating women of reproductive age, 15-49 years old:

Philippines and Camarines Norte, 2018


ºMedian UIE and Percent UIE below 50ug/L among non- pregnant/non-lactating women

of reproductive age, 15-49 years old: Philippines and Camarines Norte, 2018

90%CI

LL 167.9 183.3

UL 172.1 217.1

90%CI

LL 10.7 4.9

UL 12.0 8.3

ºIodine Intake based on median UIE<100 ug/L – Insufficient100-199 ug/L – Adequate200-299 ug/L – More than Adequate300 ug/L and up - Excessive

170200

50

100

150

200

250


Me

dia

n

11.36.6

0

10

20

30

40

50


Pe

rce

nta

ge (

%)

* *


ºMedian UIE and Percent UIE below 50ug/L among lactating mothers of reproductive age, 15-49 years old: Philippines and Camarines Norte, 2018

90%CI

LL 98.5 84.5

UL 106.5 151.7

90%CI

LL 19.7 12.0

UL 22.8 27.9

ºIodine Intake based on median UIE<100 ug/L – Insufficient100-199 ug/L – Adequate200-299 ug/L – More than Adequate300 ug/L and up - Excessive

103118

50

100

150

200

250


Me

dia

n

21.2 19.9

0

10

20

30

40

50


Pe

rce

nta

ge (

%)

SUMMARY• 1 in every 4 non- pregnant/non-lactating women and 1 in every 6 lactating mothers are

overweight/obese in Camarines Norte.

• Proportion of nutritionally-at-risk pregnant women is higher in Camarines Norte compared tothe national estimate, though not statistically significant.

• Prevalence of anemia is lower among non-pregnant/non-lactating women and lactatingmothers in Camarines Norte compared to the national estimate, though not statisticallysignificant.

• Non-pregnant/non-lactating women in Camarines Norte have more than adequate iodineintake and about 7% have UIE level below 50 ug/L.

• Lactating mothers in Camarines Norte have adequate iodine intake however pockets of thepopulation group (19.9%) have UIE level below 50 ug/L.

Health and Nutritional Status of Filipino AdultsCamarines Norte

Trends in the Prevalence of Chronic Energy Deficiency

and Overweight and Obesity among Adults,

20 years old and above: Philippines, 1993-2018

13.9 13.2 12.3 11.6 10.0 10.0 10.38.0

16.620.2

24.026.6

28.431.1 31.1

37.2

0

10

20

30

40

50

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Pre

vale

nce (

%)

Based on the WHO Body Mass Index (BMI) cut-off points

Nutritional Status° of ADULTS, 20-59 years old:

Philippines, 2015 and 2018

9.0

24.7

7.26.9

28.8

9.6

0

10

20

30

40

50

Chronic Energy Deficient Overweight Obese

Pre

vale

nce (

%)

2015 2018

* **


° Based on the WHO Body Mass Index (BMI) cut-off points

Nutritional Status of Adults, 20 to 59 years old:


6.9

28.8

9.6

0

10

20

30

40

50

Chronic EnergyDeficient

Overweight Obese

Pre

vale

nce

(%)

PHILIPPINES

8.7

23.9

7.2

0

10

20

30

40

50

Chronic EnergyDeficient

Overweight Obese

Pre

vale

nce

(%)

CAMARINES NORTE

90%

CI

LL 6.6 28.4 9.3

UL 7.1 29.2 9.990%

CI

LL 8.0 22.2 6.1

UL 9.5 25.7 8.2


***

8.7

13.4

7.46.5

7.6

0

5

10

15

20

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pre

vale

nce (

%)

9.1 8.5

0

5

10

15

20

Male Female

Chronic Energy Deficiency among Adults, 20-59 years old,

by age group, sex, and wealth status: Camarines Norte, 2018

14.5

7.2

0

5

10

15

20

25

Poor Non-Poor


*

23.9

17.3

23.828.2 26.3

0

10

20

30

40

50

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pre

vale

nce (

%)

21.925.8

0

10

20

30

40

50

Male Female

Overweight among Adults, 20-59 years old, by age group, sex, and

wealth status: Camarines Norte, 2018

17.9

25.8

0

10

20

30

40

50

Poor Non-Poor


*

7.22.8

6.89.7 9.2

0

10

20

30

40

50

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pre

vale

nce (

%)

5.19.3

0

10

20

30

40

50

Male Female

Obesity among Adults, 20-59 years old, by age group, sex, and

wealth status: Camarines Norte, 2018

3.3

8.7

0

10

20

30

40

50

Poor Non-Poor


**

Trends in the Prevalence of High Waist

Circumference (WC)° among Adults, 20 years old

and above: Philippines, 2003-2018

2.4 3.1 3.2 3.8 3.0 3.9

17.019.0 19.9

23.1

18.5

23.5

0

10

20

30

40

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Pre

vale

nce (

%)

Male Female

° High WC is ≥102 cm (>40in) for males or ≥88 cm (>34in) for females

12.1 11.16.9 8.0 7.1 8.3

54.8

65.562.5 63.2

57.963.7

0

20

40

60

80

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Pre

vale

nce (

%)

Male Female

*

*

Trends in the Prevalence of High Waist-Hip Ratio

(WHR)° among Adults, 20 years old and above:

Philippines, 2003-2018

° High WHR is ≥1.00 for males or ≥0.85 for females

Prevalence of High Waist Circumference and High Waist-Hip Ratio among

Adults, 20 to 59 years old: Philippines and Camarines Norte, 2018

13.5

35.3

0

20

40

60

80

100

High Waist Circumference High Waist-Hip Ratio

Pre

vale

nce (

%)

PHILIPPINES

90%

CI

LL 13.2 34.9

UL 13.8 35.7

10.7

32.8

0

20

40

60

80

100

High Waist Circumference High Waist-Hip Ratio

Pre

vale

nce (

%)

CAMARINES NORTE

90%

CI

LL 9.2 31.4

UL 12.1 34.2


**

10.7

4.3

9.813.5 15.0

0

5

10

15

20

25

30

35

40

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pre

vale

nce (

%)

3.3

17.9

0

5

10

15

20

25

30

35

40

Male Female

High Waist Circumference among Adults, 20-59 years old,


6.4

12.2

0

5

10

15

20

25

30

35

40

Poor Non-Poor


**

Prevalence of Anemia among Adults°, 20-59 years old, by sex,

place of residence, and wealth status: Philippines, 2018

9.3

6.0

12.7

8.3

5.2

11.2

0

5

10

15

ALL Male Female

Pre

vale

nce (

%)

2013 2018

9.07.6

0

5

10

15

Rural Urban

Pre

vale

nce (

%)

9.0 8.6 8.5 8.27.1

0

5

10

15

Poorest Poor Middle Rich Richest

Pre

vale

nce (

%)

2013 2018

° excluding pregnant or

lactating women

Prevalence of Anemia among Adults°,

20-59 years old: Philippines and Camarines Norte, 2018

8.3

0

5

10

15

20

Anemia

Pre

vale

nce (

%)

PHILIPPINES

90%

CI

LL 7.7

UL 9.0

6.5

3.3

9.1

0

5

10

15

20

Anemia Male Female

Pre

vale

nce (

%)

CAMARINES NORTE

90%

CI

LL 4.6

UL 8.4

° excluding pregnant or lactating women


*

Trend in the Prevalence of Elevated Blood Pressure°

among Adults, 20 years old and above: Philippines, 1993-2018

22.021.0

22.5

25.3

22.323.9

19.2

0

5

10

15

20

25

30

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Pre

vale

nce (

%)

° Based on a single-visit blood pressure measurement,systolic blood pressure of 140 mmHg or higher and/or adiastolic pressure of 90 mmHg or higher (JNC VII, 2004)

Elevated Blood Pressure among ADULTS,

20-59 years old, by age group and sex:

Philippines, 2015 vs 2018

20.8

9.1

16.7

28.3

36.3

16.0

5.5

11.7

22.2

30.0

0

10

20

30

40

50

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pre

vale

nce (

%) 2015 2018

25.3

16.920.2

12.7

0

10

20

30

40

50

Male Female

Pre

vale

nce (

%)

2015 2018

*


* * * * **

2015 2018

Prevalence of Elevated Blood Pressure among Adults, 20 to

59 years old: Philippines and Camarines Norte, 2018

90% CI

LL 15.6 12.7

UL 16.4 16.3

16.014.5

0

5

10

15

20


Pre

vale

nce (

%)

14.5

4.5

10.4

18.8

27.6

0

5

10

15

20

25

30

35

40

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pre

vale

nce (

%)

17.4

12.1

0

5

10

15

20

25

30

35

40

Male Female

Elevated Blood Pressure among Adults, 20-59 years old,


11.415.3

0

5

10

15

20

25

30

35

40

Poor Non-poor


*

3.4

4.85.6 7.9

2.7

4.3

8.2

0

2

4

6

8

10

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Pre

vale

nce (

%)

High FBS: ≥126 mg/dL

Impaired blood sugar: 110-125 mg/dL

Trend in the Prevalence of High Fasting Blood Sugar

among Adults, 20 years old and above:

Philippines, 2003-2018

High Fasting Blood Sugar among ADULTS,

20-59 years old, by age group and sex:


4.7

1.03.2

6.3

10.6

6.7

1.6

4.7

8.6

12.9

0

5

10

15

20

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pre

vale

nce (

%)

2013 2018

5.1 4.3

6.8 6.6

0

5

10

15

20

Male Female

Pre

vale

nce (

%)

2013 2018

*


*

2013 2018

*

Prevalence of High Fasting Blood Sugar among Adults, 20 to

59 years old: Philippines and Camarines Norte, 2018

90% CI

LL 6.2 3.3

UL 7.2 6.9

6.75.1

0

5

10

15

20


Pre

vale

nce (

%)

5.1

2.43.3

4.9

9.9

0

5

10

15

20

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pre

vale

nce (

%)

4.65.5

0

5

10

15

20

Male Female

High Fasting Blood Sugar among Adults, 20-59 years old,

by age group and sex: Camarines Norte, 2018

Smoking Status

Current Smokers are those who either smoke on a “daily”

basis (at least one cigarette a day) or on a regular/occasionalbasis (at least weekly or less often than weekly)

World Health Organization. (2008). WHO STEPS Surveillance Manual.

Current Smoking° among Adults, 20 years

old and above: Philippines, 1998-2018

32.734.8

31.0

25.423.3

20.7

0

10

20

30

40

Pro

po

rtio

n (

%)

° Are those who either smoke on a “daily” basis (at least one cigarette a day) or on aregular/occasional basis (at least weekly or less often than weekly)

- World Health Organization. (2008). WHO STEPS Surveillance Manual.

Current Smoking among ADULTS, 20-59 years old,

by age group, sex, and place of residence:



*

24.0 25.0 23.9 23.4 23.621.5 22.0 22.5 20.3 20.9

0

10

20

30

40

50

60

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pre

vale

nce (

%)

2015 2018

44.5

6.3

41.3

5.8

0

10

20

30

40

50

60

Male Female

Pre

vale

nce (

%)

2015 2018

2015 2018

*

Proportion of Current Smokers among Adults,

20 to 59 years old: Philippines and Camarines Norte, 2018

90% CI

LL 20.7 18.0

UL 22.4 20.8

21.519.4

0

5

10

15

20

25

30


Pro

port

ion (

%)

19.4 19.4 21.4 19.715.9

0

10

20

30

40

50

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pro

port

ion (

%)

40.2

3.0

0

10

20

30

40

50

Male Female

Current Smoking among Adults, 20-59 years old,


24.9

17.1

0

10

20

30

40

50

Poor Non-Poor


**

Alcohol Consumption Status

Those who never consumed 1 or more drinks of any type of alcohol in their entire lifetime

Those who did not consume 1 or more drinks during the year preceding the survey

Those who consumed 1 or more drinks of any type of alcohol in the year preceding the survey

LIFETIME

ABSTAINERS

FORMER DRINKERS

CURRENT DRINKERS

World Health Organization. (2015). Indicator and Measurement Registry version 1.7. Alcohol consumers, past 12 monthsWorld Health Organization. (2015). Global Health Observatory (GHO) Data. Abstainers, past 12 months.

drinking 5 or more standard drinks in a row for men or

drinking of 4 or more standard drinks in a row for women

BINGE DRINKINGor the harmful use of alcohol means excessive

consumption of alcoholic beverages in a single

occasion, specifically the intake of…

National Institute of Alcohol Abuse and Alcoholism. (2004). NIAAA council approves definition of binge drinking.

among those who reported drinking alcoholic

beverages in the past 30 days.

55.7 55.2 57.1 54.7 55.6

0

10

20

30

40

50

60

70

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pro

port

ion (

%)

64.4

31.0

0

10

20

30

40

50

60

70

Male Female

Pro

port

ion

(%)

Binge Drinking° among currently drinking

ADULTS, 20-59 years old, in the past 30 days by

age group and sex: Philippines, 2018

° Drinking 5 or more standard drinks in a row for menor 4 or more standard drinks in a row for women

*


Proportion of Binge Drinkers among currently drinking Adults, 20-59

years old, in the past 30 days: Philippines and Camarines Norte, 2018

90% CI

LL 53.3 60.2

UL 58.1 66.5

55.763.4

0

20

40

60

80


Pro

port

ion (

%)


*

63.4 66.3 67.7

57.7 58.7

0

10

20

30

40

50

60

70

80

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pre

vale

nce (

%)

73.6

31.6

0

10

20

30

40

50

60

70

80

Male Female

Proportion of Binge Drinkers among currently

drinking Adults, 20-59 years old, in the past 30 days by age

group, sex, and wealth status: Camarines Norte, 2018

70.0

61.2

0

10

20

30

40

50

60

70

80

Poor Non-Poor


*

INSUFFICIENT PHYSICAL ACTIVITY

A person not meeting any of the following criteria is considered being physicallyinactive or insufficiently physically active:

- 75 minutes (3 or more days) of vigorous-intensity physical activity (e.g. running) per week or

- 150 minutes (5 or more days) of moderate-intensity physical activity per week (or walking of at least 30 minutes per day) or

- an equivalent combination of moderate- and vigorous-intensity physical activity achieving at least 600 Metabolic Equivalents-minutes per week

- World Health Organization. (2010). Global recommendations on physical activity for health.

Physical Inactivity° among ADULTS, 20-59 years old,

by age group and sex: Philippines, 2015 vs 2018

40.745.0

40.2 37.3 38.940.645.7

40.337.0 37.8

0

10

20

30

40

50

60

70

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pro

port

ion (

%)

2015 2018

28.0

51.6

32.9

46.6

0

10

20

30

40

50

60

70

Male Female

Pro

port

ion (

%)

2015 2018

2015 2018

° A person not meeting any of the following criteria: 75 mins of vigorous-intensity physical activity per week (≥ 3 days of vigorous-intensity activity of at least 20 mins per day) OR 150 mins of moderate-intensity physical activity per week (≥ 5 days of moderate-intensity activity or walking of at least 30 mins per day) OR an equivalent combination of moderate- and vigorous-intensity physical activity achieving at least 600 MET-minutes per week

- World Health Organization (2010). Global recommendations on physical activity for health.

Proportion of Physically Inactive Adults,

20 to 59 years old: Philippines and Camarines Norte, 2018

90% CI

LL 38.1 32.2

UL 43.1 38.5

40.635.4

0

10

20

30

40

50

60


Pro

port

ion (

%)

Physical Inactivity° among Adults, 20-59 years old,

by age group, sex, and wealth status:

Camarines Norte, 2018

° A person not meeting any of the following criteria: 75 mins of vigorous-intensity physical activity per week (≥ 3 days of vigorous-intensity activity of at least 20 mins per day) OR 150 mins of moderate-intensity physical activity per week (≥ 5 days of moderate-intensity activity or walking of at least 30 mins per day) OR an equivalent combination of moderate- and vigorous-intensity physical activity achieving at least 600 MET-minutes per week

- World Health Organization (2010). Global recommendations on physical activity for health.

35.442.1

33.0 35.229.4

0

10

20

30

40

50

60

70

80

ALL 20-29 y 30-39 y 40-49 y 50-59 y

Pro

port

ion (

%)

28.2

41.1

0

10

20

30

40

50

60

70

80

Male Female

29.637.4

0

10

20

30

40

50

60

70

80

Poor Non-Poor


**

Summary (Adults)

Chronic energy deficiency is significantly higher

than the Philippine estimate

Overweight and obesity, including android obesity

(high WC and high WHR) are significantly lower than the

national estimate.

Anemia is of “low to mild” public health significance and is

more prevalent among female adults.

More males than female adults had raised blood pressure.

Summary (Adults)High fasting blood sugar is slightly lower than the

national prevalence but the difference is not

significant.

Current smoking in Camarines Norte is significantly

higher among male adults and those living in poor

households.

Binge drinking is significantly greater than the national

estimate and is more common among male adults.

More females than males and those belonging to the

non-poor households are physically inactive.

Health and Nutritional Status of Filipino Elderly

Camarines Norte

Nutritional Status of the Elderly,

60 years old and above: Philippines, 2018

17.221.3

4.8

13.4

24.7

6.3

0

10

20

30

40

50

Chronic Energy Deficient Overweight Obese

Pre

vale

nce (

%)

2015 2018

* *** significantly different at 5% level of significance

Chronic Energy Deficiency among Elderly, 60 years old

and above: Philippines and Camarines Norte, 2018

13.415.5

0

10

20

30


Pro

port

ion (

%)

90% CI

LL 12.9 12.4

UL 14.0 18.7

Prevalence of Overweight and Obesity among Elderly,

60 years old and above: Philippines and Camarines Norte, 2018

24.7

6.3

0

10

20

30

40

50

Overweight Obese

Pre

vale

nce

(%)

PHILIPPINES

19.8

6.0

0

10

20

30

40

50

Overweight Obese

Pre

vale

nce

(%)

CAMARINES NORTE

90%

CI

LL 23.9 5.9

UL 25.5 6.890%

CI

LL 16.7 4.1

UL 22.9 7.9


*

3.3 3.52.9 2.7

4.8 5.0 4.9

0.9

0

2

4

6

8

10

ALL 60-69 y 70-79 y 80 y & over

Pre

vale

nce (

%) 2015 2018

2.1

4.7

2.7

7.5

0

2

4

6

8

10

Rural Urban

2015 2018


*2015 2018

High Waist Circumference among Elderly MALES,

60 years old and above, by age group and place

of residence: Philippines, 2015 vs 2018

22.224.2

20.015.8

27.925.8

23.820.6

0

10

20

30

40

ALL 60-69 y 70-79 y 80 y & above

Pre

vale

nce (

%)

2015 2018

16.1

28.2

21.6

34.5

0

10

20

30

40

Rural Urban

2015 2018


2015 2018

* * *

High Waist Circumference among Elderly FEMALES,

60 years old and above, by age group, and

place of residence: Philippines, 2015 vs 2018

High Waist-Hip Ratio among Elderly MALES,

60 years old and above, by age group and place of

residence: Philippines, 2015 vs 2018

12.8 13.511.9

8.7

15.9 16.4 16.0

9.5

0

5

10

15

20

25

30

ALL 60-69 y 70-79 y 80y & over

Pro

po

rtio

n (

%)

2015 2018

9.4

16.6

11.4

21.9

0

5

10

15

20

25

30

Rural Urban

2015 2018

2015 2018

High Waist-Hip Ratio among Elderly FEMALES,

60 years old and above, by age group and place

of residence: Philippines, 2015 vs 2018

64.1 67.259.9 55.6

72.0 73.8 69.7 65.4

0

20

40

60

80

100

ALL 60-69 y 70-79 y 80y & over

Pro

po

rtio

n (

%) 2015 2018

57.970.066.5

77.8

0

20

40

60

80

100

Rural Urban

2015 2018


* ** * * *

2015 2018

Prevalence of High Waist Circumference and High Waist-Hip Ratio among Elderly, 60 years old and above: Philippines and Camarines Norte, 2018

17.8

47.7

0

20

40

60

80

100

High WaistCircumference

High Waist-Hip Ratio

Pre

vale

nce

(%)

PHILIPPINES

14.5

43.4

0

20

40

60

80

100

High WaistCircumference

High Waist-Hip Ratio

Pre

vale

nce

(%)

CAMARINES NORTE

90%

CI

LL 17.1 46.7

UL 18.6 48.690%

CI

LL 12.6 40.0

UL 16.5 46.9


*

Anemia among Elderly, 60 years old and above, by sex,

place of residence, and wealth status: Philippines, 2013 vs 2018

20.823.0

19.120.223.3

17.8

0

5

10

15

20

25

30

ALL Male Female

Pre

vale

nce (

%)

2013 2018

21.718.3

0

5

10

15

20

25

30

Rural Urban

Pre

vale

nce (

%)

24.121.1 21.8

16.8 17.4

0

5

10

15

20

25

30

Poorest Poor Middle Rich Richest

Pre

vale

nce (

%)

2018

2018

2013 2018

Prevalence of Anemia among Elderly, 60 years old and above:


90% CI

LL 17.7 11.7

UL 22.8 19.6

20.215.7

0

10

20

30

40


Pro

port

ion (

%)

Percent distribution of UIE values among the Elderly,

60 years old and above: Philippines, 2013 vs 2018

15.018.8

24.027.6

8.95.8

7.8

15.5

23.8

30.4

12.99.6

0

10

20

30

40

50

<20 μg/L 20-49 μg/L 50-99 μg/L 100-199 μg/L 200-299 μg/L ≥300 μg/L

Perc

enta

ge (

%)

2013 2018

2013Median UIE = 80 μg/LPrev <50 μg/L = 33.8%

2018Median UIE = 108 μg/LPrev <50 μg/L = 23.8%

Median UIE° and Percent UIE below 50 μg/L among Elderly, 60 years old and above: Philippines and Camarines Norte, 2018

108.0133.0

0

50

100

150

200


Med

ian

UIE

(μ

g/L)

23.3 18.8

0

10

20

30

40

50

60


Pe

rce

nta

ge (

%)

90%

CI

LL 105.2 113.8

UL 110.3 153.0

90%

CI

LL 20.4 12.5

UL 26.3 25.1

°Iodine Intake based on median UIE<100 μg/L – Insufficient100-199 μg/L – Adequate200-299 μg/L – More than adequate300 μg/L and up – Excessive


*

41.2 40.6 42.7 40.635.0 33.8

37.1 36.8

0

10

20

30

40

50

ALL 60-69 y 70-79 y 80y & over

Pre

vale

nce (

%)

2015 2018

40.8 41.536.8

33.6

0

10

20

30

40

50

Male Female

Pre

vale

nce (

%)

2015 2018

* * **

Elevated Blood Pressure° among the ELDERLY,

60 years old and above, by age group and sex:



*2015 2018

° Based on a single-visit blood pressure measurement, systolic blood pressure of140 mmHg or higher and/or a diastolic pressure of 90 mmHg or higher- 7th Joint National Committee on detection and treatment of high blood pressure (JNC VII, 2004)

High Fasting Blood Sugar among the ELDERLY,



11.012.5

9.2

6.4

13.815.3

11.8

5.9

0

5

10

15

20

ALL 60-69 y 70-79 y 80y & above

Pre

vale

nce (

%)

2013 2018

10.611.4

13.8 13.9

0

5

10

15

20

Male Female

Pre

vale

nce (

%)

2013 2018

2013 2018

Prevalence of Elevated Blood Pressure and High Fasting Blood Sugar among

Elderly, 60 years old and above: Philippines and Camarines Norte, 2018

35.0

13.8

0

10

20

30

40

50

Elevated BloodPressure

High Fasting BloodSugar

Pre

vale

nce (

%)

PHILIPPINES

90%

CI

LL 33.7 12.2

UL 36.2 15.5

38.8

10.2

0

10

20

30

40

50

Elevated BloodPressure

High Fasting BloodSugar

Pre

vale

nce (

%)

CAMARINES NORTE

90%

CI

LL 34.5 6.8

UL 43.0 13.7

Smoking Status

Current Smokers are those who either smoke on a “daily”

basis (at least one cigarette a day) or on a regular/occasionalbasis (at least weekly or less often than weekly)

World Health Organization. (2008). WHO STEPS Surveillance Manual.

19.2 21.217.0

11.816.3

18.8

12.69.0

0

10

20

30

40

50

ALL 60-69y 70-79 y 80y & over

Pro

port

ion (

%)

2015 2018

32.0

9.4

28.2

7.5

0

10

20

30

40

50

Male Female

Pro

port

ion

(%)

2015 2018

Current Smoking° among the ELDERLY,



** significantly different at

5% level of significance

2015 2018

° Are those who either smoke on a “daily” basis (at least one cigarette a day)or on a regular/occasional basis (at least weekly or less often than weekly)

- World Health Organization (2008). WHO STEPS Surveillance Manual.

*

Alcohol Consumption Status

Those who never consumed 1 or more drinks of any type of alcohol in their entire lifetime

Those who did not consume 1 or more drinks during the year preceding the survey

Those who consumed 1 or more drinks of any type of alcohol in the year preceding the survey

LIFETIME

ABSTAINERS

FORMER DRINKERS

CURRENT DRINKERS

World Health Organization. (2015). Indicator and Measurement Registry version 1.7. Alcohol consumers, past 12 monthsWorld Health Organization. (2015). Global Health Observatory (GHO) Data. Abstainers, past 12 months.

27.832.2

21.715.5

28.233.8

20.4

10.4

0

10

20

30

40

50

60

70

ALL 60-69 y 70-79 y 80y & over

Pro

port

ion (

%)

2015 2018

48.5

12.0

48.6

13.0

0

10

20

30

40

50

60

70

Male Female

Pro

port

ion (

%)

2015 2018

Current Alcohol Drinking among the ELDERLY,



2015 2018

INSUFFICIENT PHYSICAL ACTIVITY

A person not meeting any of the following criteria is considered being physicallyinactive or insufficiently physically active:

- 75 minutes (3 or more days) of vigorous-intensity physical activity (e.g. running) per week or

- 150 minutes (5 or more days) of moderate-intensity physical activity per week (or walking of at least 30 minutes per day) or

- an equivalent combination of moderate- and vigorous-intensity physical activity achieving at least 600 Metabolic Equivalents-minutes per week- World Health Organization. (2010). Global recommendations on physical activity for health.

52.645.1

61.8

77.6

50.645.4

56.6

70.6

0

20

40

60

80

ALL 60-69 y 70-79 y 80y & over

Pro

port

ion (

%)

2015 2018

42.9

59.9

44.7

55.0

0

20

40

60

80

Male Female

Pro

port

ion (

%)

2015 2018

Physical Inactivity among the ELDERLY,



2015 2018

16.328.2

50.6

0

20

40

60

80

Current Smokers Current AlcoholDrinkers

Physically Inactive

Pro

po

rtio

n (

%)

PHILIPPINES

16.0

35.848.2

0

20

40

60

80

Current Smokers Current AlcoholDrinkers

Physically Inactive

Pro

po

rtio

n (

%)

CAMARINES NORTE

90%

CI

LL 15.5 25.8 48.5

UL 17.1 30.5 52.790%

CI

LL 13.7 32.3 43.6

UL 18.3 39.3 52.8

Proportion of Current Smokers, Current Alcohol Drinkers,

and Physically Inactive Elderly, 60 years old and above:



*

Summary (Elderly) Chronic energy deficiency is slightly higher in Camarines Norte

compared with the national estimate however, the difference is

not significant.

Overweight is significantly lower than the Philippine estimate

while obesity is nearly similar with the national result.

High WC is significantly lower in the province while high WHR

is lower than the national estimate but not significant.

Anemia is of “mild” public health significance.

Iodine intake in Camarines Norte is adequate based on median

UIE.

Summary (Elderly) Elevated blood pressure is slightly higher than the national

prevalence but not significant.

High fasting blood sugar is slightly lower than the national

prevalence however, this is not significant.

Current smoking in Camarines Norte is nearly the same with

the national estimate.

Current alcohol drinking is significantly higher than the

national proportion.

Almost half (48.2%) of the elderly in Camarines Norte are

physically inactive.

Documents

CAMARINES NORTEenutrition.fnri.dost.gov.ph/site/uploads/2018_ENNS... · 2019. 11. 25. · Cagayan De Oro City Camiguin Davao City Davao Occidental Sultan Kudarat Oriental Mindoro