prevalence of food and hypertension, obesity, diabetes … and proceedings/7b... · hypertension,...
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FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
MARIO V. CAPANZANA, Ph.D.
Director FOOD AND NUTRITION RESEARCH INSTITUTE
Department of Science and Technology
14th National Occupational Safety and Health (NOSH) Congress
November 21, 2014
Occupational Safety and Health Center, Quezon City
Prevalence of
Hypertension, Obesity, Diabetes
and Smoking in Filipino Adults
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
How Healthy is Juan Dela Cruz?
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
LEGAL BASIS
EOs 128 Section 22 The Food and Nutrition Research Institute (FNRI)
undertakes the National Nutrition Survey (NNS)
every five years in cognizant to its mandate of
defining the country’s nutrition condition and status
of the population
EO 352 The NNSs are one of the country’s designated
statistical activities that generates critical data for
policy/decision-making of both government and
private sector
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Components per survey periods
SURVEY COMPONENTS
SURVEY PERIODS
1978 1982 1987 1993 1998 2003 2008 2013
Anthropometry
Biochemical
Clinical HDL
Study
NNHES NNHES NNHES
Dietary: Household
Individual
-
-
-
-
-
-
-
Economics
Food Insecurity - - - -
Government Program
Participation
-
-
-
Government Program
Participation : Survey on
Household Salt
-
-
-
-
Infant and Young Child
Feeding
- -
Maternal Health and
Nutritional Status
- - - - - - -
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
4 replicates
from the
Master Sample
of 2008 Labor
Force Survey
(LFS)
1 2 3 4
17 Regions/
79 Provinces +
NCR 1st Stage – Primary Sampling Unit One barangay or contiguous bgys
with at least 500 HHs
2nd Stage – Enumeration Area Contiguous area in a barangay
with 150-200 HHs (n=3,377)
3rd Stage – Households 36,634 LFS households;
all household members in sampled households ( n=191,316)
Multi-Stage Stratified Sampling Design
SAMPLING DESIGN AND COVERAGE
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
All 17 Regions
79 Provinces & NCR
36,634 Households
191,316 Individuals
3,377 Enumeration Areas (EAs)
SCOPE AND COVERAGE
8,597 Households included in Food Consumption Survey
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
How Healthy is Juan Dela Cruz?
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Prevalence of Chronic Energy Deficient Adults, 20.0 yrs old and above : Philippines, 2013
or 1 in every 10 Filipino adult is Chronic
Energy Deficient
9.4% Males
10.5% Females
BMI: < 18.5
BMI is a measure of body fat based on
height and weight that applies to adult men
and women
13.3
7.8
10.4
8.2
8.6
11.4
8.7
11.6
4.8
12.9
13.8
10.0
7.8
20.0
7.0
12.6
12.9
10.5
0 10 20 30 40
12.8
7.6
9.8
6.7
6.6
7.6
6.7
8.7
13.1
10.6
11.4
9.7
7.9
10.2
4.6
11.4
11.5
9.4
0 10 20 30 40
REGION
Philippines
Ilocos Region
Cagayan Valley
CAR
Central Luzon
NCR
CALABARZON
MIMAROPA
Bicol
Western Visayas
Central Visayas
Eastern Visayas
Zamboanga Peninsula
Northern Mindanao
Davao Region
SOCCSKSARGEN
CARAGA
ARMM
PREVALENCE (Males)
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
PREVALENCE (Females)
Prevalence of CED among adults, 20 years old and above
by sex and region: Philippines, 2013
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Prevalence of Overweight/Obese Adults 20.0 yrs old and above: Philippines, 2013
Or 31.1% overweight /obese
27.6% Males 34.4% Females
3 out of 10
BMI: > 25
24.0
30.5
25.2
27.9
27.2
23.7
29.2
25.0
21.9
21.6
22.0
25.2
30.8
27.4
28.0
23.1
23.6
26.1
0.0 10.0 20.0 30.0 40.0
13.9
24.6
18.7
22.8
23.1
16.1
22.5
21.5
15.8
17.3
17.8
26.3
28.6
23.4
25.9
19.0
22.2
22.4
0 10 20 30 40
REGION
Philippines
Ilocos Region
Cagayan Valley
CAR
Central Luzon
NCR
CALABARZON
MIMAROPA
Bicol
Western Visayas
Central Visayas
Eastern Visayas
Zamboanga Peninsula
Northern Mindanao
Davao Region
SOCCSKSARGEN
CARAGA
ARMM
PREVALENCE (Males )
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
PREVALENCE (Females)
Prevalence of overweight among adults, 20 years old and above
by sex and region: Philippines, 2013
6.1
9.6
6.6
8.9
10.3
8.3
10.1
8.3
5.2
6.8
6.1
9.2
11.0
8.4
10.4
5.2
4.9
8.3
0.0 10.0
2.4
4.7
3.9
5.8
7.0
3.7
3.7
5.0
2.8
3.6
3.4
5.6
9.0
5.8
4.3
3.1
4.0
5.2
0 10
REGION
Philippines
Ilocos Region
Cagayan Valley
CAR
Central Luzon
NCR
CALABARZON
MIMAROPA
Bicol
Western Visayas
Central Visayas
Eastern Visayas
Zamboanga Peninsula
Northern Mindanao
Davao Region
SOCCSKSARGEN
CARAGA
ARMM
PREVALENCE (Males )
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
PREVALENCE (Females)
Prevalence of obesity among adults, 20 years old and above
by sex and region: Philippines, 2013
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
6.0 8.7
10.9 13.0
15.3
4.9 8.3
10.5 12.1
15.0
0.0
15.0
30.0
45.0
60.0
Urban Rural
Prevalence of CED and Overweight/Obese in adults 20 yrs old and over by place of residence and wealth index: Philippines, 2013
42.7
35.7
29.5 26.6
22.4
42.4
33.7
27.4
22.2
14.9
Overweight/Obese CED
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Is Juan Dela Cruz safe
from Non-Communicable
Diseases (NCDs)?
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Hypertension
Defined as blood pressure of greater than
or equal to 140/90 mmHg (<60 years old)
and 150/90 mmHg (> 60 years old)
Classification Systolic Blood
Pressure (mmHg)
Diastolic Blood
Pressure
(mmHg)
Normal < 140 and <90
Pre-hypertension* 120-139 or 80-89
Hypertension ≥140 (<60 years old)
≥ 150 (>60 years old)
or ≥ 90
Based on the Eighth Joint National Committee (JNC VIII)
*JNC VII ( 2009)
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Prevalence of hypertension based on a
single visit, by sex and age, Phil.: 2013
4.7
11.4
19.8
27.2
36.7
33.5 33.5
22.7
2.0 3.7
11.6
22.7
33.8
32.8 33.4
17.7
3.4
7.2
15.2
24.8
35.1
33.1 33.4
20.0
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
18 -19 20 -29 30- 39 40-49 50-59 60-69 ≥ 70 All
Males Females Both
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Prevalence and 95% CI of hypertension among
adults, 20 years and over by region, Philippines:
2013
18.6
22.7
21.1
20.4
21.0
19.4
23.3
21.4
20.9
23.6
22.0
21.5
21.7
24.2
26.7
24.2
25.8
22.3
0 5 10 15 20 25 30 35
REGION LOWER
LIMIT
UPPER
LIMIT
PHILIPPINES 21.8 22.7
Ilocos Region 24.0 27.5
Cagayan Valley 22.5 25.9
CAR 24.1 29.4
Central Luzon 22.5 25.8
NCR 20.5 23.0
CALABARZON 20.1 22.9
MIMAROPA 20.3 23.6
Bicol 21.9 25.3
Western Visayas 19.2 22.5
Central Visayas 20.0 22.8
Eastern Visayas 21.6 25.0
Zamboanga Peninsula 17.7 21.1
Northern Mindanao 19.2 22.8
Davao Region 18.8 22.0
SOCCSKSARGEN 19.5 22.6
CARAGA 21.0 24.4
ARMM 16.3 20.9
PREVALENCE
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
17.4 19.2
20.3 21.3 21.3
0
5
10
15
20
25
Poorest Poor Middle Rich Richest
Prevalence of hypertension based on a
single visit BP, by wealth quintile, Phil.: 2013
p-value< 0.0001
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
17.2 17.9 19.8
18.1
21.1 19.6
22.4 20.8
22.5 21.0
0.0
5.0
10.0
15.0
20.0
25.0
30.0
Rural Urban
Pre
vale
nce
(%)
Poorest Poor Middle Rich Richest
Prevalence of hypertension based on a
single visit BP, by wealth quintile and place
of residence, Philippines: 2013
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Classification and cut-off points of Fasting Blood Glucose by Guidelines
Classification WHO
and IDFa Philippine
CPGb
Normal < 110 < 100
Impaired Fasting
Glucose (IFG) 110-125 100-125
Diabetes > 126 > 126 aInternational Diabetes Federation bClinical Practice Guideline
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Prevalence of High Fasting Blood Glucose*,
by age and sex, Philippines: 2013
0
5
10
15
18-19 20-29 30-39 40-49 50-59 60-69 > 70 All
0.4
1.3
3.4
7.1
10.2
12.1
7.8
5.3
0.2 0.8
2.8
5.6
10.8
12.9
8.7
5.0
0.3 1.0
3.1
6.3
10.5
12.5
8.3
5.1
Males Females Both
* WHO and CPG criteria of high FBG >125 mg/dL
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Comparison in the Prevalence of Impaired Fasting Glucose (IFG) using WHO and Philippine CPG, Philippines: 2013
0.0
5.0
10.0
15.0
20.0
25.0
All 18-19 20-29 30-39 40-49 50-59 60-69.9 ≥ 70
12.8
3.8 5.9
10.4
16.9
19.4
22.6
17.8
4.1
0.7 1.3 2.7
5.6 6.6
9.1
6.1
CPG (IFG 100-125 mg/dL) WHO (IFG 110-125 mg/dL)
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
3.4 4.0
4.4
6.0
7.7
0
2
4
6
8
Poorest Poor Middle Rich Richest
DM: Wealth Index*
Prevalence of Diabetes, Philippines: 2013
4.3
6.0
0
2
4
6
8
Rural Urban
DM: Place of Residence*
2.6
5.7
4.4
3.4 3.8
4.9
5.9 6.1
7.4 7.8
0
2
4
6
8
Rural Urban
Poorest Poor Middle Rich Richest
p-value: 0.0001
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Prevalence and 95% CI of diabetes among adults,
20 years and over by region: Philippines, 2013
4.0
5.4
4.6
5.6
3.5
4.3
5.1
4.8
4.8
4.4
5.6
6.5
6.2
7.0
4.3
5.0
4.2
5.4
0 2 4 6 8 10
REGION LOWER
LIMIT
UPPER
LIMIT
PHILIPPINES 5.1 5.8
Ilocos Region 2.9 5.5
Cagayan Valley 3.8 6.1
CAR 3.0 5.6
Central Luzon 5.3 8.8
NCR 5.1 7.2
CALABARZON 5.4 7.7
MIMAROPA 3.5 7.6
Bicol 2.8 5.9
Western Visayas 3.8 5.8
Central Visayas 3.4 6.1
Eastern Visayas 3.8 6.5
Zamboanga Peninsula 2.5 6.0
Northern Mindanao 2.4 4.5
Davao Region 4.2 7.0
SOCCSKSARGEN 3.3 6.0
CARAGA 3.8 7.1
ARMM 2.0 6.1
PREVALENCE
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Prevalence of borderline to high total cholesterol
level* among adults, 20 years and over by age:
Philippines, 2013
All
46.9
0
10
20
30
40
50
60
70
20 -29 30- 39 40-49 50-59 60-69 ≥ 70
32.7
43.8
50.6
61.8 58.8
54.6
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline: 200-239 mg/dL; High >
240 mg/dL
Prevalence of borderline to high total cholesterol level* among adults
20 years and over by sex and age group: Philippines, 2013
Females
51.4
0
10
20
30
40
50
60
70
80
20 -29 30- 39 40-49 50-59 60-69 ≥ 70
35.2 43.2
53.6
73.5 72.5
63.7
Males
41.5
0
10
20
30
40
50
60
70
80
20 -29 30- 39 40-49 50-59 60-69 ≥ 70
29.8
44.6 47.3 48.2 43.0 41.4
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline: 200-239 mg/dL; High > 240 mg/dL
Prevalence and 95% CI of borderline to high total cholesterol level
among adults, 20 years and over by region, Philippines: 2013
41.7
46.2
50.2
45.9
40.4
40.2
42.3
41.5
45.3
57.1
29.3
46.1
53.6
51.2
53.2
45.9
43.4
46.9
0 10 20 30 40 50 60
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
REGION LOWER
LIMIT
UPPER
LIMIT
PHILIPPINES 45.7 48.0
Ilocos Region 38.6 48.1
Cagayan Valley 41.9 50.0
CAR 47.2 59.3
Central Luzon 47.0 55.4
NCR 49.7 57.5
CALABARZON 43.2 49.2
MIMAROPA 25.2 33.3
Bicol 52.0 62.1
Western Visayas 41.5 49.1
Central Visayas 38.0 45.0
Eastern Visayas 38.1 46.6
Zamboanga Peninsula 35.5 44.9
Northern Mindanao 35.9 44.8
Davao Region 41.8 50.1
SOCCSKSARGEN 45.7 54.6
CARAGA 42.5 49.9
ARMM 39.1 44.2
PREVALENCE
Prevalence of borderline to high LDL cholesterol level* among
adults 20 years and over by age: Philippines, 2013
All
47.2
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
0
10
20
30
40
50
60
70
20 -29 30- 39 40-49 50-59 60-69 ≥ 70
32.4
44.1
51.5
61.9 59.8 57.5
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline: 130-159 mg/dL; High > 160 mg/dL
Prevalence of borderline to high LDL cholesterol level* among adults,
20 years and over by sex and age group: Philippines, 2013
Females
53.6
0
10
20
30
40
50
60
70
80
20 -29 30- 39 40-49 50-59 60-69 ≥ 70
35.2
46.9
57.8
74.2 72.7 66.9
Males
40.0
0
10
20
30
40
50
60
70
80
20 -29 30- 39 40-49 50-59 60-69 ≥ 70
29.1
40.8 44.8 47.3 44.8 43.8
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline: 130-159 mg/dL; High > 160 mg/dL
Prevalence and 95% CI of borderline to high LDL cholesterol level
among, adults 20 years and over by region, Philippines: 2013
46.2
44.6
54.4
44.9
44.4
40.7
45.9
43.8
44.2
59.6
38.7
48.7
48.8
49.7
54.3
46.6
41.2
47.2
0 10 20 30 40 50 60 70
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
REGION LOWER
LIMIT
UPPER
LIMIT
PHILIPPINES 46.2 48.3
Ilocos Region 36.7 45.7
Cagayan Valley 43.3 49.8
CAR 48.6 59.9
Central Luzon 45.7 53.5
NCR 44.9 52.5
CALABARZON 46.6 50.9
MIMAROPA 34.6 42.9
Bicol 55.4 64.0
Western Visayas 40.3 48.2
Central Visayas 40.1 47.4
Eastern Visayas 40.9 50.8
Zamboanga Peninsula 36.4 45.2
Northern Mindanao 39.1 49.7
Davao Region 41.9 47.9
SOCCSKSARGEN 50.0 58.7
CARAGA 41.1 48.1
ARMM 42.9 49.5
PREVALENCE
Prevalence of low HDL cholesterol level* among adults,
20 years and over by age: Philippines, 2013
All
71.3
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
0
10
20
30
40
50
60
70
80
20 -29 30- 39 40-49 50-59 60-69 ≥ 70
65.2 71.4 74.1 74.0 74.4 76.5
*Adult Treatment Panel (ATP) III Cut-off, 2001: Males: Low < 40 mg/dL; Females: Low <50 mg/dL
Prevalence of low HDL cholesterol level* among adults,
20 years and over by sex and age group: Philippines, 2013
Females
78.2
0
20
40
60
80
20 -29 30- 39 40-49 50-59 60-69 ≥ 70
71.9 78.7 80.8 80.7 82.0 83.7
Males
63.2
0
20
40
60
80
20 -29 30- 39 40-49 50-59 60-69 ≥ 70
57.4 63.0
67.1 66.0 65.6 66.0
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
*Adult Treatment Panel (ATP) III Cut-off, 2001: Males: Low < 40 mg/dL; Females: Low <50 mg/dL
Prevalence and 95% CI of low HDL level among adults,
20 years and over by region, Philippines: 2013
77.3
78.7
86.6
73.5
83.8
77.3
75.2
71.0
70.9
66.9
78.7
71.2
58.1
69.5
84.4
70.0
68.1
71.3
0 10 20 30 40 50 60 70 80 90
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
REGION LOWER
LIMIT
UPPER
LIMIT
PHILIPPINES 70.2 72.3
Ilocos Region 64.0 72.3
Cagayan Valley 65.2 74.8
CAR 81.4 87.5
Central Luzon 66.4 72.6
NCR 55.3 60.8
CALABARZON 68.8 73.6
MIMAROPA 75.6 81.7
Bicol 62.9 71.0
Western Visayas 67.9 73.8
Central Visayas 67.4 74.5
Eastern Visayas 68.3 82.0
Zamboanga Peninsula 72.8 81.8
Northern Mindanao 80.2 87.5
Davao Region 70.6 76.4
SOCCSKSARGEN 82.6 90.6
CARAGA 75.3 82.1
ARMM 71.0 83.7
PREVALENCE
Prevalence of borderline to very high triglyceride level*
among adults, 20 years and over by age: Philippines, 2013
All
38.6
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
0
5
10
15
20
25
30
35
40
45
50
20 -29 30- 39 40-49 50-59 60-69 ≥ 70
33.4 37.7
40.9
45.6 42.8
34.4
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline High: 150-199 mg/dL ;High: 200-399 mg/dL; Very High > 400 mg/dL
Prevalence of borderline to very high triglyceride level* among
adults, 20 years and over by sex and age group:
Philippines, 2013
Females
31.8
0
10
20
30
40
50
20 -29 30- 39 40-49 50-59 60-69 ≥ 70
25.7 26.3 30.3
43.9 45.2
38.0
Males
46.4
0
10
20
30
40
50
20 -29 30- 39 40-49 50-59 60-69 ≥ 70
42.3
50.8 52.1 47.5
40.0
29.2
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline High: 150-199 mg/dL ;High: 200-399 mg/dL; Very High > 400 mg/dL
Prevalence and 95% CI of borderline to very high triglyceride level
among adults, 20 years and over by region, Philippines: 2013
31.2
45.0
45.6
43.6
36.7
38.0
31.2
33.5
37.9
30.2
24.6
34.9
45.4
40.6
51.5
39.8
41.1
38.6
0 10 20 30 40 50
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
REGION LOWER
LIMIT
UPPER
LIMIT
PHILIPPINES 37.6 39.7
Ilocos Region 37.8 44.4
Cagayan Valley 36.5 43.1
CAR 46.2 56.7
Central Luzon 37.1 44.0
NCR 42.3 48.4
CALABARZON 31.2 38.5
MIMAROPA 19.3 30.1
Bicol 27.0 33.5
Western Visayas 35.0 41.0
Central Visayas 30.8 36.4
Eastern Visayas 26.8 35.5
Zamboanga Peninsula 32.6 43.6
Northern Mindanao 32.5 40.9
Davao Region 40.3 46.9
SOCCSKSARGEN 42.5 48.6
CARAGA 41.8 48.2
ARMM 26.5 35.8
PREVALENCE
Prevalence of borderline to high total cholesterol level* and mean total
cholesterol level among adults 20 years and over by sex: Philippines,
2008 and 2013
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline: 200-239 mg/dL; High > 240 mg/dL
0
10
20
30
40
50
60
Overall
31.4
46.9
2008 2013
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
Males
26.6
41.5
2008 2013
0
10
20
30
40
50
60
Females
35.7
51.4
2008 2013
0
100
200
Mean TC level (mg/dL)
186.8 201.3
2008 2013
Males
23.9
40.0
2008 2013
Prevalence of borderline to high LDL-cholesterol level and mean LDL
cholesterol among adults 20 years and over by sex: Philippines, 2008
and 2013*
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline: 130-159 mg/dL; High > 160 mg/dL
0
10
20
30
40
50
Overall
31.4
47.2
2008 2013
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
0
10
20
30
40
50
Females
38.0
53.6
2008 2013
0
150
Mean LDL-c level (mg/dL)
118.3 131.2
2008 2013
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline High: 150-199 mg/dL ;High: 200-399 mg/dL; Very High > 400 mg/dL
0
10
20
30
40
50
Overall
30.1
38.6
2008 2013
Prevalence of borderline to very high triglyceride level among adults
20 years and over by sex : Philippines, 2008 and 2013*
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
Males
37.9
46.4
2008 2013
0
10
20
30
40
50
Females
23.2
31.8
2008 2013
0
150
Mean triglyceride level (mg/dL)
141.3 154.4
2008 2013
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Smoking Status of
Filipino Adults
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
- those who smoked during the survey either on a “daily”
(at least one cigarette a day) or on a regular/occasional
basis; those who do not smoke daily but who smoke at
least weekly or those who smoke less often than weekly.
OPERATIONAL
DEFINITION SMOKING
- those who have ever smoked in the past year prior to
survey whether on a daily basis or an aggregate lifetime
consumption of at least 100 cigarettes but not daily, and
are no longer smoking at the time of the survey
CURRENT SMOKERS
- those individuals who have never smoked at all
FORMER SMOKERS
NEVER SMOKERS
REGIONS LL UL
PHILIPPINES 24.5 26.3
NCR 20.4 26.1
Ilocos 24.5 28.5
Cagayan Valley 21.5 28.6
CAR 14.3 23.7
Central Luzon 28.1 34.1
CALABARZON 23.1 27.9
MIMAROPA 21.7 29.3
Bicol 23.2 28.6
Western Visayas 23.3 29.3
Central Visayas 16.9 22.1
Eastern Visayas 19.2 26.6
Zamboanga Peninsula 26.8 35.8
Northern Mindanao 20.9 26.0
Davao 20.1 26.3
SOCCSKSARGEN 24.3 32.1
ARMM 23.4 32.5
CARAGA 24.3 32.5
Prevalence and 95% CI of adult current smokers: Philippines,
2013
28.4
28.0
28.2
23.2
23.5
31.3
22.9
19.5
26.3
25.9
25.5
25.5
31.1
19.0
25.1
26.5
23.3
25.4
0 10 20 30
PREVALENCE
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
Proportion of current smokers among adults 20 years and above by
sex: Philippines, 2008 and 2013
0
10
20
30
40
50
Overall
31.0 25.4
2008 2013
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
Males
53.2
44.7
2008 2013
0
10
20
30
40
50
Females
12.5 7.8
2008 2013
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
people who have never consumed alcohol
OPERATIONAL
DEFINITION ALCOHOL CONSUMPTION
people who have previously consumed alcohol but who
have not done so in the previous 12-month period
LIFETIME ABSTAINERS
people who were currently consuming alcohol during the
survey period
FORMER DRINKERS
CURRENT DRINKERS
Reference: World Health Organization: Global Status Report on Alcohol and Health 2014
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
REGIONS LL UL
PHILIPPINES 47.1 49.5
NCR 47.5 55.7
Ilocos 42.1 47.9
Cagayan Valley 41.2 49.5
CAR 42.0 53.3
Central Luzon 48.3 53.4
CALABARZON 50.1 55.3
MIMAROPA 47.5 56.1
Bicol 49.5 59.5
Western Visayas 39.2 46.1
Central Visayas 32.0 44.0
Eastern Visayas 64.0 74.6
Zamboanga Peninsula 40.4 52.1
Northern Mindanao 39.9 49.8
Davao 44.0 54.5
SOCCSKSARGEN 33.9 44.5
ARMM 11.3 23.7
CARAGA 47.3 58.3
Prevalence and 95% CI of adult current drinkers:
Philippines, 2013
52.8
17.7
39.2
49.3
44.8
46.3
69.3
38.0
42.6
54.5
51.8
52.7
50.8
47.7
45.3
45.0
51.6
48.3
0 20 40 60
PREVALENCE
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Proportion of current alcohol drinkers among adults 20 years and over
by sex: Philippines, 2008
0
10
20
30
40
50
60
70
Overall
26.9
48.3
2008 2013
Males
47.5
70.0 2008 2013
0
10
20
30
40
50
60
70
Females
9.8
28.6
2008 2013
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
OPERATIONAL
DEFINITION PHYSICAL ACTIVITY
A person not meeting any of the following
criteria is considered being physically inactive
or insufficiently physically active and therefore
at risk of chronic disease:
- 3 or more days of vigorous-intensity activity
of at least 20 minutes per day; OR
- 5 or more days of moderate-intensity activity
or walking of at least 30 minutes per day
Insufficiently Physically Active
Reference: World Health Organization STEPS Surveillance
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Proportion of insufficiently physically active adults,
20.0 years old and over by age group: Philippines,
2013
All
45.2
0
20
40
60
80
20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and up
51.9
41.1 37.9 39.1
49.7
66.0
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Proportion of insufficiently physically active adults,
20.0 years old and over, sex and age group:
Philippines, 2013
Males
36.7
0
20
40
60
80
20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and up
42.5
32.4 30.4 32.0
42.7
58.0
Females
52.7
0
20
40
60
80
20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and up
60.4
49.1 45.2 45.3
56.0
71.2
Proportion and 95% CI of insufficiently physically active adults
by region, Philippines: 2013
46.9
46.6
23.8
33.8
39.6
33.0
39.9
55.1
47.9
47.3
41.9
54.1
49.1
40.6
41.9
47.5
43.6
45.2
0 10 20 30 40 50 60 70
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
REGION LOWER
LIMIT
UPPER
LIMIT
PHILIPPINES 43.5 46.8
Ilocos Region 38.7 48.5
Cagayan Valley 40.7 54.3
CAR 33.1 50.8
Central Luzon 34.7 46.6
NCR 44.5 53.7
CALABARZON 50.3 58.0
MIMAROPA 34.2 49.6
Bicol 38.2 56.4
Western Visayas 41.3 54.5
Central Visayas 48.2 62.0
Eastern Visayas 33.8 46.1
Zamboanga Peninsula 28.1 38.0
Northern Mindanao 34.4 44.9
Davao Region 25.8 41.7
SOCCSKSARGEN 17.9 29.6
CARAGA 40.3 53.0
ARMM 37.9 55.9
PREVALENCE
Proportion of physically inactive adults 20 years and over:
Philippines, 2008
0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 100.0
M
F
M
F
M
F
76.3
95.7
71.3
70.0
89.1
76.2
Wo
rk-r
ela
ted
PA
T
rav
el-
rela
ted
PA
L
eis
ure
-re
late
d P
A
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Did we make any
progress for
Juan’s health?
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
13.9 13.2
12.3 11.6
10.0 10.0
1
6
11
16
1993 1998 2003 2008 2011 2013
Trend in the Prevalence of Chronic Energy
Deficiency/Underweight among Adults, > 20.0 years
old: Philippines, 1993-2013
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
16.6
20.2
24.0 26.6
28.4 31.1
0
10
20
30
40
50
1993 1998 2003 2008 2011 2013
Trend in the Prevalence of Overweight/Obese
among Adults, > 20.0 years old: Philippines, 1993-2013
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Trends in the Prevalence of Hypertension* among adults ≥ 20 years old in the Philippines: 1993, 1998, 2003, 2008 & 2013
22.0 21.0
22.5 25.3
22.3
0
10
20
30
1993 1998 2003 2008 2013
Pre
vale
nce (
%)
Based on single visit BP determination using the 7th Joint
National Committee (JNC 7) p-value< 0.0001
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
Trends in the prevalence of high fasting blood glucose among adults ≥ 20 years old, Philippines: 1998, 2003, 2008 and 2013
3.9 3.4
4.8 5.4
0
1
2
3
4
5
6
1998 2003 2008 2013
Pre
va
len
ce
(%
)
An increasing trend was noted in the
prevalence of high FBS level from 2003 to 2013 among Filipino adults.
p-value: 0.0336
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
54.5 55.0 54.3
59.1
32.7 34.8
31.0
25.4
12.8 10.2
14.7 15.4
0
10
20
30
40
50
60
70
1998 2003 2008 2013
Pre
va
len
ce
%
Never Smokers Current Smokers Former Smokers
Distribution of Smoking Status among Adults 20 years & over : Philippines, 1998-2013
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
The growing problems on
adult overweight and
obesity, and diabetes
warrant implementation of
more focused interventions
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
What can we do to ensure
that every Juan will be
healthy and safe even at
the workplace?
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY
• Encourage healthy eating by
teaching them what and how
much to eat through integrating
Pinggang Pinoy concept
• Provide wellness program
among employees
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF SCIENCE
AND
TECHNOLOGY