Sultan Kudarat - Department of Science and Technology

Sultan Kudarat

August 30, 2019

Isulan, Sultan Kudarat

2018 Expanded National Nutrition Survey

Sociodemographic and Socioeconomic Profiles of Households and Its 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

https://www.apa.org/pi/ses/resources/publications

Operational Definition

Wealth Index

• The wealth index is a composite measure of ahousehold's cumulative living standard. The wealthindex is calculated by principal component analysisusing data on household’s ownership of selectedassets, materials used for housing construction andtypes of water access and sanitation facilities.

Wealth Index

• The wealth index categorizes the households into 5wealth quintiles, allowing us to assess how thecommon health and nutrition indicators differ betweenthe poor and non-poor households.

• For the provincial and HUCs estimates, wealth status isclassified as poor for the bottom 30% of the incomegroup and the non-poor for the upper 30%.


Highest Educational Attainment*• refers to the highest grade/year of formal schooling completed by each member of the

household and not the total years attended• Regrouped into:a) none - no grade completedb) elementary level - the stage of formal education concerned with providing the first six years of basic education.c) secondary level - the stage of formal education following the elementary level concerned primarily with

continuing basic education and expanding it to include the learning of employable gainful skills, usuallycorresponding to four years of high school

d) college level - the stage of formal education following the secondary level covering non-degree programs thathave varying duration for three months to three years, concerned primarily with developing strong andappropriately trained middle-level skilled manpower possessing capabilities supportive of nationaldevelopment.

e) others - Alternative Learning System, SPED , Arabic Schooling

* Phil. Standard Classification of Education (PSCEd)


Occupation

• The occupation of each individual members of the household, 10years old and above in the past 6 months

• 2012 Philippine Standard Occupational Codes (PSOC) is astatistical classification of the different occupationalgroups of the working population, including the militarywork force in the country

Sociodemographic Profile

• Describes the population groups by:

a) age - refers to the exact age of each household member as of his/her last birthday

b) sex – categorized the household members of the households as males and females

c) civil status – or marital statusd) type of residence - urban-rural classification of PSA

Operational Definitions

Civil 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 legal sanctions.

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


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.


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

Sultan Kudarat

Profile of Households

Mean 4.9

More than 5

members32.7% 50.6% 49.4%

5 members

and below67.3%

Household Size Sex of Household Members

Male Female

Age groups n (%)

0-23 months 230 4.4%

24-71 months 588 11.2%

72-120 months 635 11.1%

>10-19 years 1,221 20.8%

20-59 years 2,316 45.7%

60 years and over 446 6.8%

n (%)

52 4.4%

168 15.3%

970 80.3%

Population Groups

Women of Reproductive Age

Occupation of HH Heads

Educational Attainment of HH Heads 9.9

39.633.7

14.6

2.20

10203040506070

No education Elementarylevel

Secondarylevel

College level Others

1.2

0.41.3

2.73.2

1.95.9

11.18.7

11.152.6

0 10 20 30 40 50 60 70 80

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

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

Pe

rcen

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 food insecure households by wealth status, household size and sex of household head:

Philippines, 2018

53.9

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

Pe

rcen

tage

Wealth Status Household Size Sex of Household Head

Food Security Status

Sultan Kudarat, 2018

Percentage of households by food security status:Sultan Kudarat, 2018

46.1

12.3

28.8

12.8

0

20

40

60

80

100


ModeratelyFood Insecure


Philippines

%

90% Confidence Interval

LL 44.1 11.7 27.1 11.2

UL 48.0 12.9 30.5 14.4

23.4*

7.4*

41.0*

28.2*

0

20

40

60

80

100


ModeratelyFood Insecure


Sultan Kudarat

%

90% Confidence Interval

LL 20.0 6.3 38.4 24.8

UL 26.8 8.5 43.6 31.6

* p<0.10

Percentage of households by food insecurity items: Sultan Kudarat, 2018

Percentage of food insecure households = 76.6%

8.8

17.7

19.4

43.2

63.2

63.4

68.1

72.6

72.8

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

%

Percentage of food insecure households by wealth status, household size and sex of household head:


76.6

90.8

70.4 73.682.6

77.571.0

0

20

40

60

80

100

Sultan Kudarat Poor Non-poor 1-5 members More than 5members

Male Female

Food Insecure

* *

Pe

rcen

tage

Wealth Status Household Size Sex of Household Head

*

* p<0.10

Summary

Food insecurity is higher among:

Poorer Households (bottom 30%)

Households with >5 members

Male headed households

Nutritional Status of Filipino Preschool-Age Children

in Sultan Kudarat

Magnitude and Severity Cut-off points (WHO, 1995)

Magnitude and Severity Prevalence Group for

Wasting*

Acceptable <5%

Poor 5-9%

Serious 10-14%

Critical >15%

Magnitude and

Severity

Prevalence Group

for Underweight*

Prevalence Group

for Stunting*

Low <10% <20%

Medium 10-19% 20-29%

High 20-29% 30-39%

Very High >30% >40%

Magnitude

and Severity

Prevalence Group

for Underweight**

Low 5-9%

Medium 10-19%

High 20-39%

Very High >40%

Cut-off points used in determining magnitude and severity of underweight, stunted, and wasted among

children under 5 years old, and among adults, 19 years old and over, as public health problem

*Under-5 years old (0-<60 months)**Adults 19.0 years old and over (>228 months)

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

29.4

43.7

7.62.7

0

10

20

30

40

50

Underweight Stunting Wasting Overweight-for-Height

Pre

vale

nce

(%

)

Sultan Kudarat

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

25.4 39.1 6.0 1.9

Upper

Limit

33.3 48.2 9.3 3.5

* * *

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

29.4 30.1 28.1

41.9

22.9

0

10

20

30

40

50

60

70

All Male Female Poor Non-Poor

Pre

vale

nce

(%

)

Underweight

43.7 45.741.1

60.6

32.6

0

10

20

30

40

50

60

70


Pre

vale

nce

(%

)

Stunting

* *

7.6 8.46.7

8.67.2

0

10

20


Pre

vale

nce

(%

)

Wasting

2.7 3.0 2.3 2.13.4

0

10

20


Pre

vale

nce

(%

)

Overweight-for-Height

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

in preschool-age children

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

14.3

20.5

25.7

20.5

0

10

20

30

Philippines Sultan Kudarat Male Female

Pre

vale

nce

(%

)

90%

CIPhilippines Sultan Kudarat Male Female

Lower

Limit12.8 13.8 13.5 8.7

Upper

Limit15.9 27.2 37.8 32.2

PREVALENCE OF IDD AND VAD

• Urinary iodine excretion and the determination ofIDD is 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

(%)

Philippines72.7

67.1

48.7

25.2

0

20

40

60

80

100

Timelybreastfeeding

initiation

Exclusivebreastfeeding


at 1 year


at 2 years

Pro

po

rtio

ns

(%)

Sultan Kudarat

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 66.1 53.9 31.2 10.2

Upper Limit 79.3 80.4 66.2 40.3

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

13.7

80.4

8.6

0

20

40

60

80

100

Minimum DietaryDiversity

Minimum MealFrequency

MinimumAcceptable Diet

Pro

po

rtio

ns

(%)

Sultan Kudarat

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 9.1 76.2 4.4

Upper Limit 18.3 84.6 12.8

* *

Summary

• Underweight prevalence is of “high” public health significance.

• Stunting prevalence is of “very high” public health significance.

• Wasting prevalence is above the acceptable level of <5%.

• Anemia is a “moderate” public health problem.

• Exclusive breastfeeding is higher than the national estimate but

continued breastfeeding up to 1 or 2 years are not common.

Among preschool-age children…

Summary

• Complementary feeding is inadequate in energy and nutrient as

indicated by low minimum dietary diversity (MDD) and minimum

acceptable diet (MAD).

Among preschool-age children…

Nutritional Status of Filipino School-Age Children

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

34.8 38.9

5.3 6.2

0

10

20

30

40

Underweight Stunting Wasting Overweight & Obese

Pre

vale

nce

(%

)

Sultan Kudarat

24.9 24.6

7.6 11.6

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

Limit32.1 35.4 4.1 4.7

Upper

Limit37.5 42.4 6.5 7.7

* * **

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

34.838.8

30.5

47.9

30.0

0

10

20

30

40

50

60


Pre

vale

nce

(%

)

Underweight

38.943.7

33.7

54.3

31.4

0

10

20

30

40

50

60


Pre

vale

nce

(%

)

Stunting

* * * *

5.36.9

3.62.0

7.2

0

10

20

30


Pre

vale

nce

(%

)

Wasting

6.2 6.2 6.14.0

7.7

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: Sultan Kudarat ENNS, 2018

*

in school-age children

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

13.515.0

18.7

11.5

0

10

20

30

Philippines Sultan Kudarat Male Female

Pre

vale

nce

(%

)

90% CI Philippines Sultan Kudarat Male Female

Lower

Limit11.8 10.3 9.4 7.3

Upper

Limit15.2 19.7 28.1 15.8

Iodine Status among School-age children

in Sultan Kudarat

11.5

16.8

10.9

21.2

0

10

20

30

Philippines SultanKudarat

Male Female

Pe

rce

nta

ge (

%)

90%

CI

Philippines Sultan

Kudarat

Male Female

Lower

Limit10.3 14.5 7.0 17.7

Upper

Limit12.7 19.0 14.8 24.7

180

150

0

50

100

150

200

250

300

Philippines Sultan Kudarat

Me

dia

n

90% CI Philippines Sultan Kudarat

Lower

Limit177.6 139.4

Upper

Limit183.2 160.6

O 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

Median UIE° and Percent UIE level of <50µg/L among school-age children (6 to 12 years old) in Sultan Kudarat: ENNS, 2018

* * *

Summary

• Underweight is a very high public health problem;

• Stunting is of public health problem with high severity,

• Wasting prevalence is above the acceptable level at <5% but lower than

national prevalence

• Overweight is not much of a problem in the area,

• Anemia prevalence is a public health problem with mild severity.

• Iodine status is adequate based on median urinary iodine excretion, but still

pockets of IDD exist.

Among school-age children…

Nutritional Status of Filipino Adolescents

Nutritional Status of Adolescents, >10 to 19 years old: Philippines and Sultan Kudarat, 2018

26.3

11.3 11.6

0

10

20

30

40

50

Stunting Wasting Overweight/obese

Pre

vale

nce

(%

)

PHILIPPINESPHILIPPINES

36.6

7.4 7.2

0

10

20

30

40

50

Stunting Wasting Overweight/Obese

Pre

vale

nce

(%

)

*

SULTAN KUDARAT

90% CI

LL 24.7 10.5 10.7

UL 28.0 12.1 12.5

90% CI

LL 31.8 5.8 5.4

UL 41.4 9.1 9.0

* *

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

36.6 39.333.8

51.4

31.6

0

20

40

60

80

100

All Male Female Poor Non Poor

Pre

vale

nce

(%

)

*

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

7.4 9.55.5 7.6 7.6

0

20

40

60

80

100


Pre

vale

nce

(%

)

Prevalence of Overweight/Obesity among Adolescents, >10 to 19 years old by sex and wealth status: Sultan Kudarat, 2018

7.2 6.37.9

5.47.9

0

10

20

30

40

50


Pre

vale

nce

(%

)

OPERATIONAL DEFINITION PHYSICAL ACTIVITY

- Doing less than 60 minutes of moderate- to vigorous-intensity physical activity per day in the past seven days

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 Sultan Kudarat, 2018

76.3 77.4

0

20

40

60

80

100


Pre

vale

nce

(%

)

90% CI

LL 74.8 75.0

UL 77.7 79.9

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

77.471.5

83.379.2 78.4

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 onecigarette a day) or on a regular/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

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

4.0 4.1

0.0

2.0

4.0

6.0

8.0

10.0


Pre

vale

nce

(%

)

90% CI

LL 3.7 2.9

UL 4.4 5.3

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

-

4.1

8.0

0.4

4.9

3.6

0

2

4

6

8

10


Pre

vale

nce

(%

)

*

Drinking Status of Filipino Adolescents

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

16.8

7.8

0

10

20

30

40

50


Pre

vale

nce

(%

)

90% CI

LL 15.2 5.8

UL 18.4 9.9

*

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

8.18.7

0

2

4

6

8

10


Pre

vale

nce

(%

)

90% CI

LL 7.4 5.8

UL 8.8 11.6

Significance Mild Mild

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

8.76.1

11.1

0

10

20

30

40

50

All Male Female

Pre

vale

nce

(%

)

Summary• Stunting is significantly higher than the national prevalence

and it is common among adolescents in poor households;

• Majority of adolescents are insufficiently physically inactive;

• Current smoking is more common among male adolescents;

• Proportion of current drinkers is significantly lower than the

national prevalence; and

• Anemia is of “mild” public health concern and is more

prevalent among females.

Nutrition Situation of Women of Reproductive Age in Sultan Kudarat

SULTAN KUDARAT

9.7

29.7

0

10

20

30

40

50

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

PHILIPPINES

7.8

35.3

0

10

20

30

40

50

Pre

vale

nce

(%

)


90% CI CED Overweight and Obese*

Lower Limit 8.1 27.4

Upper Limit 11.4 32.0

90% CI CED Overweight and Obese



Proportion of nutritionally-at-risk pregnant women: Sultan Kudarat, 2018

20.126.4

01020304050


Pre

vale

nce

(%

)

90% CI LL 17.5 13.4

UL 22.8 39.4

SULTAN KUDARAT

14.2

23.3

0

10

20

30

40

50

Pre

vale

nce

(%

)


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

PHILIPPINES

11.0

28.5

0

10

20

30

40

50

Pre

vale

nce

(%

)








11/09/2019

11/09/2019

Prevalence of anemia among women of reproductive age (WRA): Sultan Kudarat, 2018

11.6 10.614.420.4

01020304050


Pre

vale

nce

(%

)

Non- Preg/Lact Lactating

90% CI NPNL Lactating



90% CI NPNL Lactating

Lower Limit 7.1 6.6


90% CI Lactating NPNL


Upper Limit 106.5 172.1Iodine Intake<100 µg/L – Insufficient100-199 µg/L – Adequate200-299 µg/L – More than Adequate300 µg/L and up - Excessive

90% CI Lactating NPNL*



Median urinary iodine excretion (UIE ) among lactating mothers and non-pregnant/non-lactating women of reproductive age, 15-49 years old :


103

149170

141

0

50

100

150

200


Me

dia

n

Lactating

Non- Preg/Lact

Median UIE° and Percent UIE level of <50µg/L among non-pregnant/non-lactating women of reproductive age, 15-49 years old: Sultan Kudarat, 2018

90%CI

LL 167.9 125.5

UL 172.1 157.2

90%CI

LL 10.7 16.6

UL 12.0 25.0

°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

170141

50

100

150

200

250


Me

dia

n

11.3

20.8

0

10

20

30

40

50


Pe

rce

nta

ge (

%)

* *

Median UIE° and Percent UIE level of <50µg/L among lactating mothers of reproductive age, 15-49 years old: Sultan Kudarat, 2018

90%CI

LL 98.5 95.8

UL 106.5 202.1

90%CI

LL 19.7 11.4

UL 22.8 31.7

°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

103

149

50

100

150

200

250


Me

dia

n

21.2 21.6

0

10

20

30

40

50


Pe

rce

nta

ge (

%)

SUMMARY

Among non-pregnant and non-lactating women…

• Prevalence of overweight and obesity is significantly lower than thenational prevalence;

• Anemia is of ‘mild’ public health concern; and

• Iodine status is adequate based on the median UIE but still pocketsof IDD exist.

SUMMARY

• Proportion of nutritionally-at-risk pregnant women isslightly higher than the national prevalence

Among pregnant women…

• Prevalence of chronic energy deficiency (CED) is slightly higher than the national prevalence;

• Anemia prevalence is slightly higher than the national prevalence; and

• Iodine status is adequate based on the median UIE but still pockets of IDD exist.

Among lactating mothers…

Health and Nutritional Status ofFilipino Adults

SULTAN KUDARAT

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

Pre

va

len

ce

(%

)

° 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 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 Sultan Kudarat, 2018

6.9

28.8

9.6

0

10

20

30

40

50

Chronic EnergyDeficiency

Overweight Obese

Pre

vale

nce

(%

)

PHILIPPINES

10.0

25.0

6.1

0

10

20

30

40

50


Overweight Obese

Pre

vale

nce

(%

)

SULTAN KUDARAT

90%

CI

LL 6.6 28.4 9.3

UL 7.1 29.2 9.9

90%

CI

LL 8.9 22.6 5.1

UL 11.0 27.3 7.0

*

**


10.011.6

6.6

8.8

14.3

0

5

10

15

20

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

Pre

va

len

ce

(%

)

8.4

11.8

0

5

10

15

20

Male Female

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

by age group, sex and wealth status: Sultan Kudarat, 2018

13.7

8.5

0

5

10

15

20

Poor Non-Poor* *


25.0

17.6

26.930.1

25.5

6.1

1.8

7.1 8.1 7.8

0

10

20

30

40

50

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

Pre

va

len

ce

(%

)

22.4

28.1

4.0

8.4

0

10

20

30

40

50

Male Female

Overweight and Obesity among Adults, 20-59 years old,


15.8

28.3

2.97.2

0

10

20

30

40

50

Poor Non-Poor

■ Overweight ■ ObeseDifferent letters represent significant difference between

groups at 10% level of significance

(a)

(b)

(a)

(b)

(a)

(a)

(b)

(b)

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

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 Sultan Kudarat, 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

8.9

27.2

0

20

40

60

80

100


High Waist-HipRatio

Pre

va

len

ce

(%

) SULTAN KUDARAT

90%

CI

LL 7.3 25.6

UL 10.5 28.8

* *


8.9

2.7

8.812.0 13.6

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

(%

)

1.3

18.0

0

5

10

15

20

25

30

35

40

Male Female

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


5.0

10.1

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

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: Philippines and Sultan Kudarat, 2018

8.3

0

5

10

15

20

Anemia

Pre

va

len

ce

(%

)

PHILIPPINES

90%

CI

LL 7.7

UL 9.0

10.89.3

12.5

0

5

10

15

20

Anemia Male Female

Pre

va

len

ce

(%

)

SULTAN KUDARAT

90%

CI

LL 8.6

UL 13.0

° 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

22.525.3

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

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

*


* * * * **2013 2018

Prevalence of Elevated Blood Pressure among Adults,

20 to 59 years old: Philippines and Sultan Kudarat, 2018

90% CILL 15.6 12.1

UL 16.4 15.3

16.013.7

0

5

10

15

20


Pre

va

len

ce

(%

)

*


13.7

4.2

10.2

19.4

28.9

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

(%

)

16.0

11.3

0

5

10

15

20

25

30

35

40

Male Female

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


10.714.7

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

va

len

ce

(%

)

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

1.0

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

*


*

2013 2018

*

Prevalence of High Fasting Blood Sugar among Adults,


90% CILL 6.2 4.0

UL 7.2 7.9

6.7 5.9

0

5

10

15

20


Pre

va

len

ce

(%

)

5.9

0.3

2.8

9.4

13.3

0

5

10

15

20

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

Pre

va

len

ce

(%

)

5.6 5.9

0

5

10

15

20

Male Female

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

by age group and sex: Sultan Kudarat, 2018

Current Smoking° among Adults, 20 years old and above: Philippines, 1998-2018

32.7 34.831.0

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

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,


90% CILL 20.7 20.8

UL 22.4 24.1

21.5 22.4

0

5

10

15

20

25

30


Pro

po

rtio

n (

%)

22.418.8

23.1 24.0 25.1

0

10

20

30

40

50

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

Pro

po

rtio

n (

%)

42.9

2.8

0

10

20

30

40

50

Male Female

Current Smoking among Adults, 20-59 years old,


28.9

20.1

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, in the past 30 days,

by age group and sex: Philippines, 2018

° Drinking 5 or more standard drinks in a row for men or 4 ormore standard drinks in a row for women in the past 30 days

*


Proportion of Binge Drinkers among currently drinking

Adults, 20-59 years old, in the past 30 days:


90% CILL 53.3 45.5

UL 58.1 56.7

55.7 51.1

0

20

40

60

80


Pro

po

rtio

n (

%)

51.1

33.9

52.759.8

46.1

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

(%

)

54.2

27.3

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,


55.050.8

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 place of residence:


40.745.0

40.237.3 38.940.6

45.740.3

37.0 37.8

0

10

20

30

40

50

60

70

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

Pro

po

rtio

n (

%)

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,


90% CILL 38.1 32.5

UL 43.1 36.7

40.634.6

0

10

20

30

40

50

60


Pro

po

rtio

n (

%)

*


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

by age group, sex and wealth status:


° 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.

34.638.6

34.628.2

35.9

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 (

%)

24.6

44.0

0

10

20

30

40

50

60

70

80

Male Female

28.4

37.2

0

10

20

30

40

50

60

70

80

Poor Non-Poor* ** significantly different at 10% level of significance

Summary (Adults)Chronic energy deficiency in Sultan Kudarat

is higher than the national estimate, especially

in adults coming from the poor households

Android obesity (high WC and WHR) is significantly

lower than the national estimates

Anemia is of “mild” public health significance and is

more prevalent among women

Raised blood pressure is significantly lower, though

high fasting blood sugar is slightly lower than the

national prevalence

Summary (Adults)Current smokers in Sultan Kudarat is

slightly higher than the national

proportion and is more common among men

Proportion of binge drinkers among current drinkers

and physically inactive adults are lower than the

national estimates

Health and Nutritional Status of Filipino Elderly

SULTAN KUDARAT

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


Overweight Obese

Pre

va

len

ce

(%

)

2015 2018

***


Chronic Energy Deficiency among Elderly, 60 years old and above: Philippines and Sultan Kudarat, 2018

13.4

24.5

0

10

20

30


Pro

po

rtio

n (

%)

90%

CI

LL 12.9 21.2

UL 14.0 27.9

*


Prevalence of Overweight and Obesity among Elderly,

60 years old and above: Philippines and Sultan Kudarat, 2018

24.7

6.3

0

10

20

30

40

50

Overweight Obese

Pre

vale

nce

(%

)

PHILIPPINES

15.1

2.70

10

20

30

40

50

Overweight Obese

Pre

vale

nce

(%

)

SULTAN KUDARAT

*

90%

CI

LL 23.9 5.9

UL 25.5 6.8

90%

CI

LL 11.9 1.3

UL 18.3 4.0

*

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

57.9

70.066.577.8

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 Sultan Kudarat, 2018

17.8

47.7

0

20

40

60

80

100


High Waist-HipRatio

Pre

vale

nce

(%

) PHILIPPINES

8.7

36.4

0

20

40

60

80

100


High Waist-HipRatio

Pre

vale

nce

(%

) SULTAN KUDARAT

*

90%

CI

LL 17.1 46.7

UL 18.6 48.690%

CI

LL 6.2 32.5

UL 11.1 40.4

*


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:


90%

CI

LL 17.7 7.6

UL 22.8 24.2

20.215.9

0

10

20

30

40


Pro

po

rtio

n (

%)

Percent 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

10

20

30

40

50

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

Pe

rce

nta

ge

(%

)

2013 2018

2013Median UIE = 80 µg/L

Percent <50 µg/L = 33.8%

2018Median UIE = 108 µg/L

Percent <50 µg/L = 23.8%

Median UIE° and Percent UIE level of <50µg/L among

Elderly, 60 years old and above: Philippines and Sultan

Kudarat, 2018

108.0135.0

0

50

100

150

200


Med

ian

UIE

(µ

g/L)

23.3 20.2

0

10

20

30

40

50


Pe

rce

nta

ge (

%)

90%

CI

LL 105.2 113.4

UL 110.3 157.4

90%

CI

LL 20.4 14.6

UL 26.3 25.7

° 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 40.6

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:



*

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,



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 Sultan Kudarat, 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

28.1

6.0

0

10

20

30

40

50

Elevated BloodPressure

High Fasting BloodSugar

Pre

va

len

ce

(%

) SULTAN KUDARAT

90%

CI

LL 23.6 1.9

UL 32.5 10.1

* *


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,



*

* 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

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

po

rtio

n (

%)

2015 2018

Physical Inactivity among the ELDERLY,



2015 2018

16.328.2

50.6

0

20

40

60

80

CurrentSmokers

Current AlcoholDrinkers

PhysicallyInactive

Pro

po

rtio

n (

%)

PHILIPPINES

23.5 20.3

46.0

0

20

40

60

80

CurrentSmokers

Current AlcoholDrinkers

PhysicallyInactive

Pro

po

rtio

n (

%)

SULTAN KUDARAT

* *

90%

CI

LL 15.5 25.8 48.5

UL 17.1 30.5 52.7

90%

CI

LL 20.2 17.6 40.2

UL 26.7 23.1 51.8

Proportion of Current Smokers, Current Alcohol Drinkers

and Physically Inactive Elderly, 60 years old and above:


Summary (Elderly) Chronic energy deficiency is significantly higher in

Sultan Kudarat compared with the national estimate.

While overweight and obesity, including android

obesity (high WC and WHR) are significantly lower.

Anemia is of “mild” public health significance.

Iodine intake based on median UIE is significantly

higher. Iodine deficiency disorder (based on UIE

<50µg/L) is slightly lower than the Philippine estimate.

Summary (Elderly) More than a quarter (28.1%) of the elderly had elevated

blood pressure. This is significantly lower compared

with the Philippine estimate. High fasting blood sugar

is also significantly lower.

Smoking is significantly higher in the province

compared with the national estimate.

Current alcohol drinkers is significantly lower.

About 4 to 5 elderly out of 10 (46.0%) in Sultan Kudarat

are physically inactive.

Documents

Sultan Kudarat - Department of Science and Technology