Embed Size (px)
Citation preview
Las Piñas City
NCR DISSEMINATION FORUMAugust 20, 2019, Dusit Thani Manila
2018 Expanded National Nutrition Survey
Sociodemographic and Socioeconomic Profiles of the Households and Individual Members
Socioeconomic Status
• refers to the social standing or class of an individualor group. It is often measured as a combination ofeducation, income and occupation.
Adapted from APA’s Socioeconomic Status Office publications
Operational DefinitionsWealth Index
• The wealth index is a composite measure of ahousehold's cumulative living standard.
• Calculated by principal component analysis using data on household’s ownership of selected assets, materials used for housing construction and types of water access and sanitation facilities.
Wealth Index
• The wealth index categorizes the households into 5wealth quintiles , allowing us to see how the commonhealth and nutrition indicators differs between thepoor and non-poor.
• For the provincial and HUCs estimates, wealth statusare classified as poor for the bottom 30% of theincome group and the non-poor for the upper 30%.
Operational Definitions
Highest Educational Attainment*refers to the highest grade/year of formal schooling completed by eachmember of the household and not the total years attended
Regrouped into:a)none - no grade completedb)elementary levelc)secondary leveld)college levele)others - Alternative Learning System, SPED , Arabic Schooling
* Phil. Standard Classification of Education (PSCEd)
Operational DefinitionsOccupation
• The occupation of each individual members of thehousehold, 10 years old and above in the past 6 months
• 2012 Philippine Standard Occupational Codes (PSOC) isa statistical classification of the different occupationalgroups of the working population, including the militarywork force in the country
Sociodemographic Profile• refers to groupings or categories created commonly
used to describe certain population groups:a) age - refers to the exact age of each household
member as of his/her last birthdayb) sex - refers to the sex of the household member as
males and females c) type of residence - urban-rural classification
Operational DefinitionsCivil status - status of an individual in relation to marriage and classified as:
a) single - a person who has never been marriedb) married - a person who has been united in matrimony with another person of
opposite sex through a religious or civil rites. To be considered married, the coupleshould still be living together, or if living apart from each other, the separationmust only be temporary (e.g. working elsewhere, attending seminars, etc)
c) separated - a person whose partner has left permanently, with or without legalsanctions.
d) widowed - a person who has been married before, whether formally orconsensually but his/her partner has died and has not remarried at the time ofvisit.
e) common law/live-in – those who live together consensually with another ashusband or wife
Operational Definitions
Household• an aggregate of persons, generally but not necessarily
bound by ties of kinship, who sleep in the same housing
unit and have a common arrangement for the
preparation and consumption of food.
Operational Definitions
Household head
• person who generally provides the chief source of income for the household unit
• adult person, male or female, who is responsible for the organization and care of the household or who is regarded as such by the members of the household
Las Piñas City
Profile of Households
Household size
Mean 4.7
More than 5
members
29.1%45.4%
Sex of Household Members
Male Female
54.6%
5 members
and below
70.9%
Age groups n (%)
0-23 months 113 3.9
24-71 months 302 9.6
72-120 months 315 9.1
>10-19 years 581 18.4
20-59 years 1,441 50.4
60 years and over 247 8.6
Population groups
Women of Reproductive Age
n (%)
25 3.6
66 8.9
671 87.4
Profile of Household Heads
Sex of HH Head
Male Female
Civil Status of HH Head
71.3 % 28.7 %
5.5 8.1
21.1
11.2
54.1
0
20
40
60
80
Separated Single CommonLaw/Live-in
Widowed Married
Occupation of HH Head
Educational Attainment of HH Head 0.3
17.1
49.6
33.0
010203040506070
No education Elementarylevel
Secondarylevel
College level Others
0.0
3.8
5.0
5.4
5.6
6.1
13.9
17.4
19.0
22.6
1.3
0 5 10 15 20 25 30
Special Occupations
Not classified
Clerks
Professionals
Officials of the gov't, Corporate executives, managers, supervisors
Technicians and associate prof
Craft and related traders workers
Laborers and unskilled workers
Service Workers
Plant and machine operators
Farmers, Forestry workers, Fishermen
Food Security
“exists when all people, at all times,
have physical and economic access
to sufficient, safe and nutritious food
that meets their dietary needs and
food preferences for an active and
healthy life”.
(World Food Summit, 1996)
Food Insecurity
“limited or uncertain availability of
nutritionally adequate and safe foods or
limited or uncertain ability to acquire
acceptable foods in socially acceptable
ways”
(Institute of Nutrition, 1990)
When recurrent leads
to hunger and
hunger when prolonged
results to malnutrition
Food Insecurity…
Questionnaire
METHODOLOGY
nine-item questionnaire
based on the respondent’s perception over food
situations, resources or supply
self-reported experience in the past month
Household Food Insecurity Access Scale (HFIAS)
Household Food Insecurity Access Scale (HFIAS)
Percentage of households by food security status: Philippines, 2015 vs. 2018
33.9
12.3
31.921.9
46.1
12.3
28.8
12.8
0
20
40
60
80
100
Food Secure Mildly FoodInsecure
Moderately FoodInsecure
Severely FoodInsecure
2015 2018
Percentage of food insecure households : 66.1% vs. 53.9%P
erc
en
tage
* *
* Significantly different at 5% level of significance
Percentage of households by food insecurity items: Philippines, 2018
Percentage of food insecure households = 53.9%
3.3
7.3
7.7
19.1
33.8
37.8
43.2
47.5
50.3
0 10 20 30 40 50 60 70 80 90 100
Experienced going a whole day and night without eating
Experienced going to sleep hungry
Had no food of any kind in the household
Ate a fewer meals in a day
Ate a smaller meal
Ate food they really do not want to eat
Ate just a few kinds of food
Unable to eat preferred food
Worried about food
%
Percentage of households by food security status by wealth status, household size and sex of household head:
Philippines, 2018
46.1
18.0
84.1
49.6
37.944.3
51.853.9
82.0
15.9
50.4
62.155.7
48.2
0
20
40
60
80
100
PHILIPPINES Wealth Quintile(Bottom 20%)
Wealth Quintile(Upper 80%)
1-5 members More than 5members
Male Female
Food Secure Food Insecure
Pe
rcen
tage
Wealth Status Household Size Sex of Household Head
Food Security Status
Las Piñas City, 2018
Percentage of households by food security status: Las Piñas City, 2018
60.0*
10.219.8*
9.9
0
10
20
30
40
50
60
70
80
90
100
Food Secure Mildly FoodInsecure
ModeratelyFood Insecure
Severely FoodInsecure
%46.1
12.3
28.8
12.8
0
10
20
30
40
50
60
70
80
90
100
Food Secure Mildly FoodInsecure
ModeratelyFood Insecure
Severely FoodInsecure
Philippines Las Piñas City
%
90% CI
LL 55.8 8.1 17.5 7.3
UL 64.3 12.4 22.2 12.590%
CI
LL 44.1 11.7 27.1 11.2
UL 48.0 12.9 30.5 14.4
* significantly different at 10% level of significance
Percentage of households by food insecurity items: Las Piñas City, 2018
Percentage of food insecure households = 40.0%
3.4
6.9
6.5
15.6
26.5
30.0
33.8
35.0
41.6
96.6
93.1
93.5
84.4
73.5
70.0
66.2
65.0
58.4
0 10 20 30 40 50 60 70 80 90 100
Experienced going a whole day and night without eating
Experienced going to sleep hungry
Had no food of any kind in the household
Ate a fewer meals in a day
Ate a smaller meal
Ate food they really do not want to eat
Ate just a few kinds of food
Unable to eat preferred food
Worried about foodYes No
%
Percentage of households by food security status by wealth status, household size and sex of household head:
Las Piñas City, 2018
60.0
34.7
72.063.5
52.359.9 61.4
40.0
65.3
28.036.5
47.740.1 38.6
0
20
40
60
80
100
CITY OF LAS PIÑAS Poor Non-poor 1-5 members More than 5members
Male Female
Food Secure Food Insecure
Pe
rcen
tage
Wealth Status Household Size Sex of Household Head
* *
* significantly different at 10% level of significance
Summary
Food insecurity is higher among households:
From poorer households
More than 5 household members
Nutritional Status of Filipino Preschool-Age Children
Prevalence of malnutrition among children under five (0-59 months) in the Philippines and Las Piñas City: ENNS, 2018
13.7
25.8
3.9 4.4
0
10
20
30
40
Underweight Stunting Wasting Overweight-for-Height
Pre
vale
nce
(%
)
Las Piñas City
19.1
30.3
5.6 4.0
0
10
20
30
40
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 7.2 21.5 2.1 2.3
Upper Limit 20.2 30.0 5.8 6.5
Prevalence of malnutrition among children under five (0-59 months) by sex and wealth status in Las Piñas City: ENNS, 2018
13.7 14.811.8
23.1
5.5
0
10
20
30
40
50
All Boys Girls Poor Non-Poor
Pre
vale
nce
(%
)
Underweight
25.8 27.224.0
35.8
18.4
0
10
20
30
40
50
All Boys Girls Poor Non-Poor
Pre
vale
nce
(%
)
Stunting
* *
* significantly different at 10% level of significance
3.9 3.9 4.15.1
2.6
0
10
20
All Boys Girls Poor Non-Poor
Pre
vale
nce
(%
)
Wasting
4.4 4.0 4.83.5
5.5
0
10
20
All Boys Girls Poor Non-Poor
Pre
vale
nce
(%
)
Overweight-for-Height
Prevalence of malnutrition among children under five (0-59 months) by sex and wealth status in Las Piñas City: ENNS, 2018
in preschool-age children
Prevalence of anemia among preschool-age children 6 mos to 5 yrsold (6-71 months) in Las Piñas City: ENNS, 2018
14.3
4.92.8
4.5
0
10
20
30
Philippines Las Piñas City Boys Girls
Pre
vale
nce
(%
)
90% CI PhilippinesLas Piñas
City*
LL 12.8 0.7
UL 15.9 9.1
PREVALENCE OF IDD AND VAD
•Urinary iodine excretion and determination of IDD arenot covered among preschool-age children.
•Serum retinol and determination of Vitamin Adeficiency (VAD) are 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
0102030405060708090
100
Timelybreastfeeding
initiation
Exclusivebreastfeeding
Continuedbreastfeeding
at 1 year
Continuedbreastfeeding
at 2 years
Pro
po
rtio
ns
(%)
Philippines
59.0
31.4
50.0
27.9
0
10
20
30
40
50
60
70
80
90
100
Timelybreastfeeding
initiation
Exclusivebreastfeeding
Continuedbreastfeeding
at 1 year
Continuedbreastfeeding
at 2 years
Pro
po
rtio
ns
(%)
Las Piñas City
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 45.2 8.5 18.9 8.0
Upper Limit 72.9 54.2 81.1 47.8
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
23.5
94.2
11.4
0
10
20
30
40
50
60
70
80
90
100
Minimum DietaryDiversity
Minimum MealFrequency
MinimumAcceptable Diet
Pro
po
rtio
ns
(%)
Las Piñas City
23.0
89.0
13.4
0
10
20
30
40
50
60
70
80
90
100
Minimum DietaryDiversity
Minimum MealFrequency
MinimumAcceptable Diet
Pro
po
rtio
ns
(%)
Philippines
90% CI Minimum Dietary Diversity
Minimum Meal Frequency
Minimum Acceptable Diet
LL 21.1 87.6 12.4
UL 24.9 90.4 14.4
90% CI Minimum Dietary Diversity
Minimum Meal Frequency
Minimum Acceptable Diet
LL 15.0 89.4 3.4
UL 32.0 99.0 19.3
Summary
• Stunting is of medium public health concern• Underweight is of mild to medium severity• Wasting prevalence is still within the acceptable range at <5%.• Anemia is a “mild” public health problem• Exclusive breastfeeding among infants 0-5 months is low.• Continued breastfeeding up to 2 years is not common.• Complementary feeding among children 6-23 months old is inadequate
in energy and nutrient based on IYCF indicators.
Among preschool-age children in Las Piñas City:
Nutritional Status of Filipino School-Age Children
Prevalence of malnutrition among school-age children 5 to 10 years old in the Philippines and Las Piñas City: ENNS 2018
17.2 18.5
6.7
18.4
0
10
20
30
Underweight Stunting Wasting Overweight& Obese
Pre
vale
nce
(%
)
Las Piñas City
24.9 24.6
7.611.6
0
10
20
30
Underweight Stunting Wasting Overweight& Obese
Pre
vale
nce
(%
)
Philippines
90% CI Underweight Stunting Wasting Overweight & Obese
Lower Limit 23.1 22.8 7.2 10.4
Upper Limit 26.8 26.5 7.9 12.9
90% CI Underweight* Stunting* Wasting Overweight
& Obese*
Lower Limit 13.0 15.0 5.3 14.5
Upper Limit 21.3 22.1 8.2 22.3
Prevalence of malnutrition among school-age children 5 to 10 years old by sex and wealth status in Las Piñas City: ENNS, 2018
17.2 16.8 17.2
26.4
10.6
0
10
20
30
40
All Boys Girls Poor Non-Poor
Pre
vale
nce
(%
)
Underweight
18.516.6
20.4
32.5
8.9
0
10
20
30
40
All Boys Girls Poor Non-Poor
Pre
vale
nce
(%
)
Stunting
* *
* significantly different at 10% level of significance
6.79.0
4.57.1 6.1
0
10
20
30
40
All Boys Girls Poor Non-Poor
Pre
vale
nce
(%
)
Wasting
18.420.4
15.9
11.7
22.3
0
10
20
30
All Boys Girls Poor Non-Poor
Pre
vale
nce
(%
)
Overweight & Obese
Prevalence of malnutrition among school-age children 5 to 10 years old by sex and wealth status in Las Piñas City: ENNS, 2018
*
* significantly different at 10% level of significance
in school-age children
Prevalence of anemia among school-age children (6 to 12 years old) in Las Piñas City: ENNS, 2018
13.5
8.310.4
3.3
0
10
20
30
Philippines Las Piñas City Boys Girls
Pre
vale
nce
(%
)
90% CI Philippines Las Piñas City
LL 11.8 3.2
UL 15.2 13.5
Iodine Status among School-age
children in NCR ≥
11.5
6.7
0
10
20
Philippines Las Piñas City
Pre
vale
nce
(%
)
90% CI Philippines Las Piñas City
LL 10.3 2.6
UL 12.7 10.7
180
219
0
50
100
150
200
250
300
Philippines Las Piñas City
Me
dia
n
90% CI Philippines Las Piñas City
LL 177.6 183.6
UL 183.2 248.7
*Iodine Intake<100 ug/L – Insufficient100-199 ug/L – Adequate200-299 ug/L – More than Adequate300 ug/L and up - Excessive
Median UIE and Percent UIE level of <50µg/L among school-age children (6 to 12 years old) in Las Piñas City : ENNS, 2018
Summary
• Stunting is of mild severity• Underweight is of moderate severity• Overweight has emerged to be a growing problem• Anemia prevalence is of mild severity• Iodine status is more than adequate based on median urinary iodine
excretion, but pockets of IDD still exist
Among school-age in children in Las Piñas City:
Nutritional Status of Filipino Adolescents
21.514.9 16.3
0
10
20
30
40
50
Stunting Wasting Overweight/obese
Pre
vale
nce
(%
)
Nutritional Status of Adolescents, >10 to 19 years old: Philippines and Las Piñas City, 2018
26.3
11.3 11.6
0
10
20
30
40
50
Stunting Wasting Overweight/obese
Pre
vale
nce
(%
)
PHILIPPINES Las Piñas City
90% CI
LL 24.7 10.5 10.7
UL 28.0 12.1 12.5
90% CI
LL 16.6 11.7 12.9
UL 26.5 18.1 19.8
*
Prevalence of Stunting among Adolescents, >10 to 19 years old by sex and wealth status: Las Piñas City, 2018
21.523.9
19.9
27.6
15.6
0
10
20
30
40
50
All Male Female Poor Non Poor
Pre
vale
nce
(%
)
*
Prevalence of Wasting among Adolescents, >10 to 19 years old by sex and wealth status : Las Piñas City, 2018
14.923.9
10.4
21.0
8.8
0
10
20
30
40
50
All Male Female Poor Non Poor
Pre
vale
nce
(%
)
*
Prevalence of Overweight/Obese among Adolescents, >10 to 19 years old by sex and wealth status : Las Piñas City, 2018
16.320.8
11.8 13.6
19.5
0
10
20
30
40
50
All Male Female Poor Non Poor
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 Las Piñas City, 2018
76.381.3
0
20
40
60
80
100
Philippines Las Piñas
Pre
vale
nce
(%
)
90% CILL 74.8 78.7
UL 77.7 83.8
Proportion of current smokers among adolescents, >10 to 19 years old: Philippines and Las Piñas City, 2018
4.0
1.8
0.0
2.0
4.0
6.0
8.0
10.0
Philippines Las Piñas
Pre
vale
nce
(%
)
90% CILL 3.7 0.3
UL 4.4 3.3
*
Proportion of current smokers among adolescents, >10 to 19 years old by sex and wealth status: Las Piñas City, 2018
1.8
2.9
0.7
2.7
1.3
0
2
4
6
8
10
All Male Female Poor Non Poor
Pre
vale
nce
(%
)
Drinking Status of Filipino Adolescents
Proportion of current drinkers among adolescents, >10
to 19 years old: Philippines and Las Piñas City, 2018
16.812.8
0
10
20
30
40
50
Philippines Las Piñas
Pre
vale
nce
(%
)
90% CILL 15.2 9.7
UL 18.4 15.8
Prevalence of anemia among adolescents, >13 to 19 years old: Philippines and Las Piñas City, 2018
8.1
1.9
0
2
4
6
8
10
Philippines Las Piñas
Pre
vale
nce
(%
)
90% CI
LL 7.4 0.1
UL 8.8 3.8
Significance Mild Low
Prevalence of anemia among adolescents, >13 to 19 years old by sex: Las Piñas City, 2018
1.91.2
2.0
0
2
4
6
8
10
All Male Female
Pre
vale
nce
(%
)
Summary
• Stunting is of low to moderate public health significance• Wasting prevalence is high (> 5% acceptable level)• Overweight/obesity is a growing problem• Anemia is of low severity but higher among females than males adolescents• Current smoking is higher among boys than girls and from poor than non-
poor households• Physical inactivity is prevalent, specifically among girls.
Among adolescents in Las Piñas City:
Nutrition Situation of Women of Reproductive Age in the Philippines
PHILIPPINES Las Piñas City
90% CI CED Overweight and Obese
Lower Limit 5.0 36.5
Upper Limit 9.0 44.9
90% CI CED Overweight and Obese
Lower Limit 7.3 33.7
Upper Limit 8.3 36.9
7.8
35.3
0
10
20
30
40
50
All
Pre
vale
nce
(%
)
CED Overweight and Obese
7.0
40.7
0
10
20
30
40
50
All
Pre
vale
nce
(%
)
CED Overweight and Obese
Prevalence of chronic energy deficiency (CED) and overweight/obesity among non- pregnant/non-lactating women of reproductive age, 15-49 years old, 2018
Prevalence of nutritionally-at-risk among pregnant women: Las Piñas City, 2018
90% CI Prevalence
Lower Limit 9.5
Upper Limit 41.4
90% CI Prevalence
Lower Limit 17.5
Upper Limit 22.8
20.125.4
0
10
20
30
40
50
National Las Piñas
Pre
vale
nce
(%
)
Las Piñas City
90% CI CED Overweight and Obese
Lower Limit 1.6 32.3
Upper Limit 10.2 60.2
Prevalence of chronic energy deficiency (CED) and overweight/obesity among lactating mothers, 2018
5.9
46.3
01020304050
All
Pre
vale
nce
(%
)
CED Overweight and Obese
PHILIPPINES
90% CI CED Overweight and Obese
Lower Limit 9.5 26.1
Upper Limit 12.5 30.9
11.0
28.5
01020304050
All
Pre
vale
nce
(%
)
CED Overweight and Obese
*
11.3
8.6
0
5
10
15
20
Philippines Las Piñas
Pre
vale
nce
(%
)
° Median UIE and Percent UIE level of <50ug/L among non-pregnant, non-
lactating (NP/NL) women of reproductive age (WRA): Philippines and Las PiñasCity, 2018
90%
CI
LL 10.7 5.5
UL 12.0 11.8
170 169
0
50
100
150
200
250
300
Philippines Las Piñas City
Me
dia
n
90%
CI
LL 167.9 143.6
UL 172.1 193.6
°Iodine Intake<100 ug/L – Insufficient100-199 ug/L – Adequate200-299 ug/L – More than Adequate300 ug/L and up - Excessive
Summary
• Overweight/obesity is more of a problem than undernutrition amongnon-pregnant/non-lactating women
• Wasting prevalence is high (> 5% acceptable level)• Overweight/obesity is a growing problem• Anemia is of low severity• Pockets of iodine deficiency disorder exist
Among WRA in Las Piñas City:
Health and Nutritional Status ofFilipino Adults Las Piñas City
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 EnergyDeficient
Overweight Obese
Pre
va
len
ce
(%
)
2015 2018
***
* significantly different at 5% level of significance
° Based on the WHO Body Mass Index (BMI) cut-off points
Nutritional Status of Adults, 20 to 59 years old: Philippines and Las Piñas City, 2018
6.9
28.8
9.6
0
10
20
30
40
50
Chronic EnergyDeficiency
Overweight Obese
Pre
vale
nce
(%
)
PHILIPPINES
5.5
33.9
13.6
0
10
20
30
40
50
Chronic EnergyDeficiency
Overweight Obese
Pre
vale
nce
(%
)
Las Piñas City
90%
CI
LL 6.6 28.4 9.3
UL 7.1 29.2 9.9
90%
CI
LL 4.2 31.1 11.5
UL 6.8 36.8 15.7
* *
5.5
11.5
4.33.0
1.4
0
5
10
15
20
ALL 20-29 y 30-39 y 40-49 y 50-59 y
Pre
va
len
ce
(%
)
7.3
4.5
0
5
10
15
20
Male Female
Chronic Energy Deficiency among Adults, 20-59 years old, by age group, sex and wealth status: Las Piñas City, 2018
7.9
3.8
0
5
10
15
20
Poor Non-Poor
33.9
21.6
32.9
41.7 41.6
13.6
8.6
15.3 16.013.5
0
10
20
30
40
50
ALL 20-29 y 30-39 y 40-49 y 50-59 y
Pre
va
len
ce
(%
)
32.8 34.5
12.7 14.3
0
10
20
30
40
50
Male Female
Overweight and Obesity among Adults, 20-59 years old, by age group, sex and wealth status: Las Piñas City, 2018
36.4 34.9
10.614.7
0
10
20
30
40
50
Poor Non-Poor
■ Overweight ■ Obese
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
18.4
23.5
0
10
20
30
40
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Pre
va
len
ce
(%
)
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
65.5 62.5 63.257.9
63.7
0
20
40
60
80
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Pre
va
len
ce
(%
)
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 Las Piñas City, 2018
13.5
35.3
0
20
40
60
80
100
High WaistCircumference
High Waist-HipRatio
Pre
vale
nce (
%) PHILIPPINES
90%
CI
LL 13.2 34.9
UL 13.8 35.7
19.2
42.1
0
20
40
60
80
100
High WaistCircumference
High Waist-HipRatio
Pre
va
len
ce
(%
) Las Piñas City
90%
CI
LL 16.6 39.1
UL 21.8 45.0
* *
19.2
10.6
19.321.2
28.2
0
5
10
15
20
25
30
35
40
ALL 20-29 y 30-39 y 40-49 y 50-59 y
Pre
va
len
ce
(%
)
7.6
26.5
0
5
10
15
20
25
30
35
40
Male Female
High Waist Circumference among Adults, 20-59 years old,by age group, sex and wealth status: Las Piñas City, 2018
19.6 20.7
0
5
10
15
20
25
30
35
40
Poor Nonpoor*
9.3
6.0
12.7
8.3
5.2
11.2
0
5
10
15
ALL Male Female
Pre
va
len
ce
(%
) 2013 2018
9.07.6
0
5
10
15
Rural Urban
Pre
va
len
ce
(%
)
9.0 8.6 8.5 8.27.1
0
5
10
15
Poorest Poor Middle Rich Richest
Pre
va
len
ce
(%
)
2013 2018
° excluding pregnant
or lactating women
Prevalence of Anemia among Adults, 20-59 years old, by sex, place of residence and wealth status: Philippines, 2018
Prevalence of Anemia among Adults°, 20-59 years old: Philippines and Las Piñas City, 2018
8.3
0
5
10
15
20
Anemia
Pre
va
len
ce
(%
)
PHILIPPINES
90%
CI
LL 7.7
UL 9.0
6.5
3.4
9.1
0
5
10
15
20
Anemia Male Female
Pre
va
len
ce
(%
)
Las Piñas City
90%
CI
LL 3.8
UL 9.3
° excluding pregnant or lactating women
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
va
len
ce
(%
) 2015 2018
25.3
16.920.2
12.7
0
10
20
30
40
50
Male Female
Pre
va
len
ce
(%
)
2015 2018
*
* significantly different at 5% level of significance
* * * * **2015 2018
Prevalence of Elevated Blood Pressure among Adults, 20 to 59 years old: Philippines and Las Piñas City, 2018
90% CILL 15.6 14.3
UL 16.4 18.6
16.0 16.5
0
5
10
15
20
Philippines Las Piñas
Pre
va
len
ce
(%
)
16.5
6.2
12.3
24.727.9
0
5
10
15
20
25
30
35
40
ALL 20-29 y 30-39 y 40-49 y 50-59 y
Pre
va
len
ce
(%
)
20.9
14.2
0
5
10
15
20
25
30
35
40
Male Female
Elevated Blood Pressure among Adults, 20-59 years old, by age group, sex and wealth status: Las Piñas City, 2018
17.0 15.9
0
5
10
15
20
25
30
35
40
Poor Nonpoor*
High Fasting Blood Sugar among ADULTS, 20-59 years old, by age group and sex:
Philippines, 2013 vs 2018
4.7
1.0
3.2
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
va
len
ce
(%
)
2013 2018
5.1 4.3
6.8 6.6
0
5
10
15
20
Male Female
Pre
va
len
ce
(%
)
2013 2018
*
* significantly different at 5% level of significance
*
2013 2018
*
Prevalence of High Fasting Blood Sugar among Adults, 20 to 59 years old: Philippines and Las Piñas City, 2018
90% CILL 6.2 4.4
UL 7.2 8.1
6.7 6.3
0
5
10
15
20
Philippines Las Piñas
Pre
va
len
ce
(%
)
6.3
0.9
4.0
10.6
15.4
0
5
10
15
20
25
30
ALL 20-29 y 30-39 y 40-49 y 50-59 y
Pre
va
len
ce
(%
)
7.85.4
0
5
10
15
20
25
30
Male Female
High Fasting Blood Sugar among Adults, 20-59 years old, by age group and sex: Las Piñas City, 2018
°Current smokers are those who either smokeon a “daily” basis (at least one cigarette a day) or on aregular/occasional basis (at least weekly or less oftenthan weekly)
- World Health Organization (2008). WHO STEPS Surveillance Manual.
Smoking Status
Current Smoking among ADULTS, 20-59 years old, by age group, sex and place of residence:
Philippines, 2015 vs 2018
* significantly different at 5% level of significance
*
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
va
len
ce
(%
)
2015 2018
44.5
6.3
41.33
5.77
0
10
20
30
40
50
60
Male Female
Pre
va
len
ce
(%
)
2015 2018
2015 2018
*
Proportion of Current Smokers among Adults, 20 to 59 years old: Philippines and Las Piñas City, 2018
90% CILL 20.7 16.1
UL 22.4 20.6
21.518.3
0
5
10
15
20
25
30
Philippines Las Piñas
Pro
po
rtio
n (
%)
18.3 18.120.5 18.9 17.0
0
10
20
30
40
50
ALL 20-29 y 30-39 y 40-49 y 50-59 y
Pro
po
rtio
n (
%)
37.8
8.4
0
10
20
30
40
50
Male Female
Current Smoking among Adults, 20-59 years old, by age group, sex and wealth status: Las Piñas City, 2018
17.7 18.2
0
10
20
30
40
50
Poor Non-Poor*
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
po
rtio
n (
%)
64.4
31.0
0
10
20
30
40
50
60
70
Male Female
Pro
po
rtio
n (%
)
Binge Drinking° among currently drinking ADULTS, 20-59 years old, 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
(a)
(b)
Different letters represent significant difference
between groups at 5% level of significance
53.260.6
47.2
56.9
41.0
0
10
20
30
40
50
60
70
80
ALL 20-29 y 30-39 y 40-49 y 50-59 y
Pre
va
len
ce
(%
) 63.0
35.5
0
10
20
30
40
50
60
70
80
Male Female
Proportion of Binge Drinkers among currently drinking Adults, 20-59 years old, by age group, sex and
wealth status: Las Piñas City, 2018
50.8 52.0
0
10
20
30
40
50
60
70
80
Poor Non-Poor*
40.745.0
40.237.3 38.940.6
45.740.3
37.0 37.8
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
ALL 20-29 y 30-39 y 40-49 y 50-59 y
Pro
po
rtio
n (
%)
2015 2018
28.0
51.6
32.9
46.6
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
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.
Physical Inactivity° among ADULTS, 20-59 years old, by age group, sex and place of residence:
Philippines, 2015 vs 2018
Proportion of Physically Inactive Adults,20 to 59 years old: Philippines and Las Piñas City, 2018
90% CILL 38.1 45.2
UL 43.1 52.3
40.648.7
0
10
20
30
40
50
60
Philippines Las Piñas
Pro
po
rtio
n (
%)
*
° 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.
48.7
57.7
47.443.5 44.0
0
10
20
30
40
50
60
70
80
ALL 20-29 y 30-39 y 40-49 y 50-59 y
Pro
po
rtio
n (
%)
43.2
51.6
0
10
20
30
40
50
60
70
80
Male Female
39.6
52.2
0
10
20
30
40
50
60
70
80
Poor Non-Poor
Physical Inactivity° among ADULTS, 20-59 years old, by age group, sex and wealth status:
Las Piñas City, 2018
*
16.328.2
50.6
0
20
40
60
80
Current Smokers Current AlcoholDrinkers
PhysicallyInactive
Pro
po
rtio
n (
%)
PHILIPPINES
16.528.5
59.5
0
20
40
60
80
Current Smokers Current AlcoholDrinkers
PhysicallyInactive
Pro
po
rtio
n (
%)
Las Piñas City
90%
CI
LL 15.5 25.8 48.5
UL 17.1 30.5 52.7
90%
CI
LL 13.0 23.2 52.4
UL 19.9 33.8 66.7
Proportion of Current Smokers, Current Alcohol Drinkers°and Physically Inactive Elderly, 60 years old and above:
Philippines and Las Piñas City, 2018
° among current drinkers in the past 30 days
Summary (Adults)Overnutrition by BMI are more common than undernutrition
Android type of obesity (WC and WHR) is higher among females than males
Anemia is of “mild” public health significance
Elevated blood pressure and high fasting blood sugar increase with age
Physical inactivity is more common among females than males
Health and Nutritional Status of Filipino Elderly in Las Piñas City
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
va
len
ce
(%
)
2015 2018
* *** significantly different at 5% level of significance
Nutritional Status of Elderly, 60 years old and above: Philippines and Las Piñas City, 2018
13.4
24.7
6.3
0
10
20
30
40
50
Chronic EnergyDeficiency
Overweight Obese
Pre
vale
nce
(%
)
PHILIPPINES
3.0
28.7
9.5
0.0
10.0
20.0
30.0
40.0
50.0
Chronic EnergyDeficiency
Overweight Obese
Pre
vale
nce
(%
)
Las Piñas City
90%
CI
LL 12.9 23.9 5.9
UL 14.0 25.5 6.8
90%
CI
LL 1.1 23.5 5.9
UL 5.0 33.8 13.2
*
3.0 4.01.9
0
5
10
15
20
ALL Male Female
Pre
va
len
ce
(%
)
Chronic Energy Deficiency among Elderly, 60 years old and above, by sex and wealth status: Las Piñas City, 2018
12.5
2.0
0
5
10
15
20
Poor Non-Poor
28.724.9
31.7
9.5 8.7 8.9
0
10
20
30
40
50
ALL Male Female
Pre
va
len
ce
(%
)Overweight and Obesity among Elderly, 60 years old
and above, by sex and wealth status: Las Piñas City, 2018
17.6
31.5
18.5
6.6
0
10
20
30
40
50
Poor Non-Poor
■ Overweight ■ Obese
Prevalence of High Waist Circumference (WC) among Elderly, 60 years old and above: Philippines and Las Piñas City, 2018
17.8
0
10
20
30
40
High Waist Circumference
Pre
va
len
ce
(%
)
PHILIPPINES
90%
CI
LL 17.1
UL 18.6
26.5
9.2
36.7
21.5
27.4
0
10
20
30
40
High WC Male Female Poor Non-Poor
Pre
va
len
ce
(%
)
Las Piñas City
90%
CI
LL 19.7
UL 33.3
* *
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
57.9
70.066.577.8
0
20
40
60
80
100
Rural Urban
2015 2018
* significantly different at 5% level of significance
* ** * * *
2015 2018
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
va
len
ce
(%
)
2013 2018
21.718.3
0
5
10
15
20
25
30
Rural Urban
Pre
va
len
ce
(%
)
24.121.1 21.8
16.8 17.4
0
5
10
15
20
25
30
Poorest Poor Middle Rich Richest
Pre
va
len
ce
(%
)
2018
2018
2013 2018
Prevalence of Anemia among Elderly, 60 years old and above: Philippines and Las Piñas City, 2018
20.2
0
10
20
30
40
Anemia
Pre
va
len
ce
(%
)
PHILIPPINES
90%
CI
LL 17.7
UL 22.8
22.6
10.1
23.2
0
10
20
30
40
Anemia Male Female
Pre
va
len
ce
(%
)
Las Piñas City
90%
CI
LL 9.1
UL 36.1
35.332.2
25.320.6
0
10
20
30
40
50
Rural Urban
Pre
va
len
ce
(%
) 2013 2018
37.9 37.4 34.9 33.2
25.930.6
24.6 24.818.7 18.5
0
10
20
30
40
50
Poorest Poor Middle Rich Richest
Pre
va
len
ce
(%
)
2013 2018
33.829.8
36.9
23.3 22.4 24.0
0
10
20
30
40
50
ALL Male Female
Pre
va
len
ce
(%
)
2013 2018
* * * *
* * *
* significantly
different at
5% level of
significance
Iodine Deficiency Disorder among the Elderly, 60 years old and above, by sex, place of residence and wealth quintile: Philippines, 2013 vs 2018
Percent distribution of UIE (<50µg/L) 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
0.0
10.0
20.0
30.0
40.0
50.0
<20 µg/dL 20-49 µg/dL 50-99 µg/dL 100-199 µg/dL 200-299 µg/dL ≥300 µg/dL
Pe
rce
nta
ge
(%
)
2013 20182013
Median UIE = 80 mcg/lPrev <50 mcg/l = 33.8%
2018Median UIE = 108 mcg/lPrev <50 mcg/l = 23.8%
Median UIE° and Percent UIE level of < 50 µg/L) among Elderly, 60 years old and above: Philippines and Las Piñas City, 2018
23.316.2
0
10
20
30
40
50
Philippines Las Piñas
Pre
va
len
ce
(%
)<
50
ug
/L
90% CI
LL 20.4 5.4
UL 26.3 27.0
108 115
0
50
100
150
200
Philippines Las Piñas CityMe
dia
n (
ug
/L)
90%
CI
LL 105.2 91.0
U
L110.3 139.0
°Iodine Intake based on median UIE
<100 µg/L – Insufficient100-199 100 µg/L – Adequate200-299 100 µg/L – More than adequate300 100 µg/L and up - Excessive
41.2 40.6 42.7 40.6
35.0 33.837.1 36.8
0
10
20
30
40
50
ALL 60-69 y 70-79 y 80y & over
Pre
va
len
ce
(%
)
2015 2018
40.8 41.536.8
33.6
0
10
20
30
40
50
Male Female
Pre
va
len
ce
(%
)
2015 2018
* * **
Elevated Blood Pressure° among the ELDERLY, 60 years old and above, by age group and sex:
Philippines, 2015 vs 2018
* significantly different at 5% level of significance
*
2015 2018
° Based on a single-visit blood pressure measurement, systolic blood pressureof 140 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, 60 years old and above, by age group and sex:
Philippines, 2013 vs 2018
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
va
len
ce
(%
)
2013 2018
10.611.4
13.8 13.9
0
5
10
15
20
Male Female
Pre
va
len
ce
(%
)
2013 2018
2013 2018
Prevalence of Elevated Blood Pressure and High Fasting Blood Sugar among Elderly, 60 years old and above: Philippines and Las Piñas City, 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
26.4
17.4
0
10
20
30
40
50
Elevated BloodPressure
High Fasting BloodSugar
Pre
va
len
ce
(%
) Las Piñas City
90%
CI
LL 20.6 6.8
UL 32.2 27.9
*
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
po
rtio
n (
%) 2015 2018
32.0
9.4
28.2
7.5
0
10
20
30
40
50
Male Female
Pro
po
rtio
n (%
)
2015 2018
Current Smoking° among the ELDERLY, 60 years old and above, by age group and sex:
Philippines, 2015 vs 2018
*
* 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.
52.6
45.1
61.8
77.6
50.645.5
56.6
70.6
0.0
20.0
40.0
60.0
80.0
ALL 60-69 y 70-79 y 80y & over
Pro
port
ion (
%)
2015 2018
42.9
59.9
44.7
55.0
0.0
20.0
40.0
60.0
80.0
Male Female
Pro
po
rtio
n (
%)
2015 2018
Physical Inactivity among the ELDERLY, 60 years old and above, by age group and sex:
Philippines, 2015 vs 2018
2015 2018
16.328.2
50.6
0
20
40
60
80
Current Smokers Current AlcoholDrinkers
PhysicallyInactive
Pro
po
rtio
n (
%)
PHILIPPINES
16.528.5
59.5
0
20
40
60
80
Current Smokers Current AlcoholDrinkers
PhysicallyInactive
Pro
po
rtio
n (
%)
Las Piñas City
90%
CI
LL 15.5 25.8 48.5
UL 17.5 30.5 52.7
90%
CI
LL 13.0 23.2 52.4
UL 19.9 33.8 66.7
Proportion of Current Smokers, Current Alcohol Drinkersand Physically Inactive Elderly, 60 years old and above:
Philippines and Las Piñas City, 2018
° among current drinkers in the past 30 days
Summary (Elderly)
Nutritional status of the elderly - overweight and obesity are more common than CED
Anemia is of “moderate” public health significance
Elevated blood pressure and high fasting blood sugar affects elderly population
Smoking and alcohol drinking exist among elderly
More than half (59.5%) are physically inactive
