2018 ENNS Dissemination Tacloban City

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TACLOBAN CITY

DISSEMINATION FORUM
October 1, 2019
Ironwood Hotel, Tacloban City
2018 Expanded National Nutrition Survey

METHODOLOGY
Old Survey Design of the NNS
Features Description
Survey Design One shot (one year) every 5 years
Coverage 17 regions, 81 provinces
National, Regional,
Level of Disaggregation
Provincial for some indicators
Target Number of Households 60,000
Households and all members of the sampled
Target Population
households
Duration of Data Collection 6.5 Months (one shot) for the reference year
Why did we change the design of the NNS?
 Provide Province and HUC Level estimates
for local planning of specific and sensitive
interventions of our stakeholders

 Provide reliable National Level Estimates


annually
Why did we change the design of the NNS?

 Adoption of the new Master Sample of the


PSA to provide reliable estimations at the
Province and HUC Levels
Sampling Design of the 2018 ENNS
2013 Master Sample of PSA
Sampling domains: 2-Stage Cluster Sampling Design
81 provinces
33 HUCs 1st Stage - PSUs
3 other areas PSU size ranges from
(Pateros, Isabela City, Cotabato City) 100 to 400 z
households
16 sample replicates
are drawn from each
domain 2nd stage

Households from 16 replicates (1,536)

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


What is the Survey Design of the 2018 NNS?
40 Provinces &
ROLLING HUCs for 2018
40 Provinces &
SURVEY for HUCs for 2019
37 Provinces &
3YEARS HUCs for 2020

Target coverage per sampling domain is 1,536 households


PSA Board Resolution No. 06
Approving and Adopting the Survey Design of the Expanded
National Nutrition Survey
How did we select the provinces and HUCs to be included
in the 2018 ENNS?
Grouping of provinces
Replicated Sampling
and HUCs with similar
characteristics into
replicates

A replicate has at least 5 Test variables


provinces and HUCs
Number of persons
Number of birth registered
Number of OFWs
2010 Census of Number of WRA
Population and Housing Number of infants
Number of children below 5
Number of disabled members

Formation of replicates
Provinces and HUCs covered in the 2018 ENNS
Cagayan Valley Capiz Maguindanao Isabela City

Isabela Iloilo Province Butuan City Cagayan De Oro City

Nueva Vizcaya Iloilo City Quezon City Camiguin

Olongapo City Mandaue City City of Manila Davao City

Zambales Siquijor City of Caloocan Davao Occidental

Bulacan Eastern Samar City of San Juan Sultan Kudarat

Laguna Tacloban City City of Las Piñas Oriental Mindoro

Camarines Norte Western Samar City of Makati Baguio City

Sorsogon Northern Samar City of Mandaluyong Mountain Province


Aklan Zamboanga Del Norte City of Taguig Abra
Level Eligible Response Response
Rate (%)

Household 52,285 45,957 87.9

Individuals 196,332 159,926 81.5


Households Individual
Eligible Response Response Eligible Response Response
Rate (%) Rate (%)

Tacloban City 1,385 1,234 89.1 5,763 4,760 82.6


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 individual


or group. It is often measured as a combination of
education, income and occupation.

Adapted from APA’s Socioeconomic Status Office publications


Operational Definition
Wealth Index
• The wealth index is a composite measure of a
household's cumulative living standard. The wealth
index is 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 5
wealth quintiles, allowing us to assess how the
common health and nutrition indicators differ between
the poor and non-poor households.
• For the provincial and HUCs estimates, wealth status is
classified as poor for the bottom 30% of the income
group and the non-poor for the upper 30%.
Operational Definition
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 completed
b) 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, usually
corresponding to four years of high school
d) college level - the stage of formal education following the secondary level covering non-degree programs that
have varying duration for three months to three years, concerned primarily with developing strong and
appropriately trained middle-level skilled manpower possessing capabilities supportive of national
development.
e) others - Alternative Learning System, SPED , Arabic Schooling
* Phil. Standard Classification of Education (PSCEd)
Operational Definition
Occupation
• The occupation of each individual members of the household, 10
years old and above in the past 6 months

• 2012 Philippine Standard Occupational Codes (PSOC) is a


statistical classification of the different occupational
groups of the working population, including the military
work 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 status
d) 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 married
b) 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 couple
should still be living together, or if living apart from each other, the separation
must 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 or
consensually but his/her partner has died and has not remarried at the time of
visit.
e) common law/live-in – those who live together consensually with another as
husband 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
Profile of Households
Household Size Sex of Household Members

Mean 4.8

5 members
and below
67.3%

More than 5
Male Female
members
32.7% 48.7% 51.3%
Population Groups

Age groups n (%) Women of Reproductive Age

0-23 months 191 4.4 n (%)

24-71 months 484 10.5 46 3.9

72-120 months 516 9.1


140 11.6
>10-19 years 965 22.3

20-59 years 2,191 46.3 994 84.5

60 years and over 413 7.3


Profile of Household
Heads
Sex Civil Status
100

80

60
51.0

40

20.9
Male Female 20
9.9 12.9
5.3
76.4% 23.6% 0
Separated Single Widowed Common Married
Law/Live-in
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
METHODOLOGY
Questionnaire
 Household Food Insecurity Access Scale (HFIAS)

 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)
Percentage of households by food security status:
Philippines, 2015 vs. 2018
Percentage of food insecure households : 66.1% vs. 53.9%

100 2015 2018

80
60
Percentage

46.1
40 33.9 31.9 28.8
21.9
20 12.3 12.3 12.8

0
Food Secure* Mildly Food Moderately Food Severely Food *
Insecure Insecure Insecure

* Significantly different at 5% level of significance


Percentage of households by food insecurity items:
Philippines, 2018
Percentage of food insecure households = 53.9%

Yes No
Worried about food 50.3 49.7
Unable to eat preferred food 47.5 52.5
Ate just a few kinds of food 43.2 56.8
Ate food they really do not want to eat 37.8 62.2
Ate a smaller meal 33.8 66.2
Ate a fewer meals in a day 19.1 80.9
Had no food of any kind in the household 7.7 92.3
Experienced going to sleep hungry 7.3 92.7
Experienced going a whole day and night without eating 3.3 96.7
0 10 20 30 40 50 % 60 70 80 90 100
Percentage of households by food security status by wealth status,
household size and sex of household head:
Philippines, 2018
Food Secure Food Insecure
100
82.0 84.1
80
62.1
53.9 55.7 51.8 48.2
49.6 50.4
Percentage

60
46.1 44.3
37.9
40
18.0 15.9
20

0
PHILIPPINES Wealth Quintile Wealth Quintile 1-5 members More than 5 Male Female
(Bottom 20%) (Upper 80%) members
Wealth Status Household Size Sex of Household Head
Food Security Status
Tacloban City, 2018
Percentage of households by food security status:
Tacloban City, 2018
100 100
Philippines Tacloban City
80 80

60 60
46.1 41.3
% 40 28.8 % 40 27.1
12.8 13.5 18.1*
20 12.3 20

0 0
Food Secure Mildly Food Moderately Severely Food Food Secure Mildly Food Moderately Severely Food
Insecure Food Insecure Insecure Insecure Food Insecure Insecure
90% Confidence Interval 90% Confidence Interval
LL 44.1 11.7 27.1 11.2 LL 37.5 11.0 24.3 15.5
UL 48.0 12.9 30.5 14.4 UL 45.0 16.0 29.9 20.7
* p<0.10
Percentage of households by food insecurity items:
Tacloban City, 2018
Percentage of food insecure households = 58.7%

Worried about food 51.0 49.0


Yes No
Unable to eat preferred food 51.1 48.9
Ate just a few kinds of food 46.1 53.9
Ate food they really do not want to eat 41.0 59.0
Ate a smaller meal 35.7 64.3
Ate a fewer meals in a day 23.4 76.6
Had no food of any kind in the household 12.3 87.7
Experienced going to sleep hungry 10.6 89.4
Experienced going a whole day and night without eating 4.6 95.4
0 10 20 30 40 50 60 70 80 90 100
%
Percentage of households by food security status by wealth status,
household size and sex of household head:
Tacloban City, 2018
Food Secure Food Insecure
100
80.3
80
65.3 61.1
58.7 55.5
Percentage

60 51.1 48.9
44.5 48.6 51.4
41.3 38.9
40 34.7
19.7
20

0
Tacloban City Poor * Non-poor 1-5 members * More than 5 Male * Female
members
Wealth Status Household Size Sex of Household Head

* p<0.10
Nutritional Status
of Filipino Preschool-Age Children
in Tacloban City
Prevalence of malnutrition among children under five (0-59 months)
in the Philippines and Tacloban City: ENNS, 2018
Philippines Tacloban City
40 40
30.3 33.5

Prevalence (%)
Prevalence (%)

30 30
19.1 21.6
20 20

10 5.6 4.0 10 5.9 3.0


0 0
90% CI Underweight Stunting Wasting Overweight- 90% CI Underweight Stunting Wasting Overweight-
for-Height for-Height
Lower 17.7 28.2 5.2 3.6 Lower 17.7 29.3 3.9 1.8
Limit Limit
Upper 20.5 32.4 6.1 4.3 Upper 25.5 37.7 8.0 4.3
Limit Limit
Prevalence of malnutrition among children under five (0-59 months)
by sex and wealth status: Tacloban City ENNS, 2018
50 Underweight 50 Stunting 47.5

40 40 35.0
32.4 33.5 32.0
Prevalence (%)

30

Prevalence (%)
30 24.8
21.6 22.8
20.4
20 16.4 20

10 10

0 0
All Male Female Poor* Non-
All Male Female Poor* Non-
Poor Poor

* significantly different at 10% level of significance


Prevalence of malnutrition among children under five (0-59 months)
by sex and wealth status: Tacloban City ENNS, 2018
20 Wasting 20 Overweight-for-Height
Prevalence (%)

Prevalence (%)
10 8.2 10
5.9 6.1 5.7 5.7
4.2
3.0 2.9 3.0
1.6
0 0
All Male Female Poor Non- All Male Female Poor Non-
Poor Poor
in preschool-age
children
Prevalence of anemia among preschool-age children 6 mos to 5 years old
(6-71 months) in Tacloban City: ENNS, 2018
30

22.4 22.3
20.2
20

Prevalence (%)
14.3

10

0
90% CI Philippines
Philippines Tacloban City City
Tacloban Male
Male Female
Female
Lower 12.8 15.5 11.0 11.7
Limit
Upper 15.9 29.3 33.6 28.6
Limit
PREVALENCE OF IDD AND VAD
• Urinary iodine excretion and the determination of
IDD is not covered among preschool-age children.

• Serum retinol and the determination of Vitamin A


deficiency (VAD) is in-progress.
Infant and Young Child
Feeding Practices
Breastfeeding
Practices
Proportion of infants 0-23 months old, by breastfeeding practices
100 Philippines 100 Tacloban City
80 69.2 80
67.2
Proportions (%)

Proportions (%)
60 54.9 50.6 60 52.3
49.7
40 33.1 40 30.8
20 20

0 0
Timely Exclusive Continued Continued Timely Exclusive Continued Continued
breastfeeding breastfeeding breastfeeding breastfeeding breastfeeding breastfeeding breastfeeding breastfeeding
initiation at 1 year at 2 years initiation at 1 year at 2 years

90% CI 90% CI
Lower Limit 65.2 51.2 45.4 29.3 Lower Limit 59.5 39.0 35.1 13.3
Upper Limit 73.1 58.5 55.9 37.0 Upper Limit 74.8 60.4 69.4 48.4
Complementary
Feeding
Practices
MINIMUM DIETARY DIVERSITY
Proportion of children 6-23 months of age
Minimum Dietary who receive foods from 4 or more food
Diversity: groups (DDS > 4) of the following 7 food
groups:

1. Grains, roots and tubers 3. Legumes and Nuts 6. Vitamin A rich fruits &
vegetables

5. Eggs
7. Other fruits & vegetables
2. Dairy Products 4. Flesh Meat
Minimum Meal Frequency
Proportion of breastfed and non-breastfed
Minimum children 6-23 months who received solid,
Meal semi-solid, or soft foods consumed at the
Frequency: 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 Acceptable Diet
Proportion of children 6-23 months
Minimum
meeting both the minimum dietary diversity
Acceptable
and the minimum meal frequency to
Diet:
ensure both dietary and nutrient adequacy.
Proportion of children 6-23 months, by complementary feeding
practices
100
89.0 Philippines 100 93.2 Tacloban City
80 80

Proportions (%)
Proportions (%)

60 60

40 40
27.7
23.0
20 13.4 20
17.2

0 0
Minimum Dietary Minimum Meal Minimum Minimum Minimum Meal Minimum
Diversity Frequency Acceptable Diet Dietary Diversity Frequency Acceptable Diet
90% CI 90% CI
Lower Limit 21.1 87.6 12.4 Lower Limit 21.1 89.4 11.3
Upper Limit 24.9 90.4 14.4 Upper Limit 34.4 97.0 23.2
Nutritional Status
of Filipino School-Age Children
Prevalence of malnutrition among school-age children
(5 to 10 years old) in the Philippines and Tacloban City: ENNS 2018

Philippines Tacloban City


28.7 28.6
30 24.9 24.6 30

Prevalence (%)
Prevalence (%)

20 20
11.6 11.9
10 7.6 10 6.7
0 0
Underweight Stunting Wasting Overweight & Obese Underweight Stunting Wasting Overweight & Obese
90% Underweight Stunting Wasting Overweight & 90% Underweight Stunting Wasting Overweight
CI Obese CI & Obese
Lower 23.1 22.8 7.2 10.4 Lower 25.1 25.2 5.1 9.2
Limit Limit
Upper 26.8 26.5 7.9 12.9 Upper 32.3 31.9 8.4 14.5
Limit Limit
Prevalence of malnutrition among school-age children
(5 to 10 years old) by sex and wealth status: Tacloban City ENNS, 2018
50 Underweight 46.6 50 Stunting 43.9
40 40
28.7 29.4 28.0 28.6 30.2

Prevalence (%)
30 30 26.9
Prevalence (%)

21.2
20 20
18.4

10 10

0 0
All Male Female Poor * Non- All Male Female Poor * Non-
Poor Poor

* significantly different at 10% level of significance


Prevalence of malnutrition among school-age children
(5 to 10 years old) by sex and wealth status: Tacloban City ENNS, 2018

30 Wasting 30 Overweight & Obesity

20 20
Prevalence (%)

Prevalence (%)
15.7
11.9 12.3 11.0
10 7.3 8.4 10
6.7 5.9 6.0
3.5

0 0
All Male Female Poor Non- All Male Female Poor* Non-
Poor Poor

* significantly different at 10% level of significance


in school-age
children
Prevalence of anemia among school-age children (6 to 12 years old)
in Tacloban City: ENNS, 2018
30

20

Prevalence (%) 13.5

10 7.9 8.2 8.4

0
90% CI Philippines Tacloban City Male Female
Philippines Tacloban City Male Female
Lower 11.8 4.0 4.2 3.7
Limit
Upper 15.2 11.8 12.3 13.0
Limit
Iodine Status among
School-age children
in Tacloban City
Median UIEº and Percent UIE below 50μg/L among school-age children
(6 to 12 years old) in Tacloban City: ENNS, 2018
300
20
250 16.5
14.6
200 180 170 11.5

Percentage (%)
10.1
Median

150 10
100

50

0 0
Philippines Tacloban Philippines Tacloban Male Female
90% CI Philippines TaclobanCity
City 90% Philippines Tacloban City Male Female
CI City
Lower 177.6 154.4 Lower 10.3 10.4 9.7 4.5
Limit Limit
Upper 183.2 186.0 Upper 12.7 18.9 23.2 15.7
Limit Limit

⁰Iodine Intake
<100 μg/L – Insufficient
100-199 μg/L – Adequate
200-299 μg/L – More than Adequate
300 μg/L and up - Excessive
Summary
• Underweight, stunting, and overweight & obesity prevalence in Tacloban
City is higher, while wasting is lower compared to the national results
among school-age children.
• Anemia prevalence is a public health problem with low to mild severity.
• Iodine intake of school-age children is adequate based on median urinary
iodine, however pockets of IDD are present.
TACLOBAN CITY
DISSEMINATION FORUM
October 1, 2019, Ironwood Hotel, Tacloban City
Nutritional Status of Filipino Adolescents
Tacloban City
Nutritional Status of Adolescents, >10 to 19 years
old: Philippines and Tacloban City, 2018
50
PHILIPPINES
PHILIPPINES 50 TACLOBAN CITY
40 40

Prevalence (%)
33.4
Prevalence (%)

30 26.3 30

20 20
11.3 11.6 10.6 10.2
10 10

0 0
Stunting Wasting Overweight Stunting * Wasting Overweight
and Obese and Obese
90% LL 24.7 10.5 10.7 90% LL 30.3 8.7 8.9
CI CI
UL 28.0 12.1 12.5 UL 36.4 12.4 11.5

* significantly different at 10% level of significance


Prevalence of Stunting among Adolescents, >10 to 19 years
old by sex and wealth status: Tacloban City, 2018
50
42.0
40
33.4 34.2 32.8
Prevalence (%)
30 27.8

20

10

0
All Male Female Poor* Non Poor
* significantly different at 10% level of significance
Prevalence of Wasting among Adolescents, >10 to 19 years
old by sex and wealth status: Tacloban City, 2018
20

15 14.1
12.9
Prevalence (%) 10.6
9.2
10 8.4

0
All Male Female Poor Non Poor
Prevalence of Overweight and Obese among Adolescents, >10
to 19 years old by sex and wealth status: Tacloban City, 2018
20

15 13.5

Prevalence (%)
11.6
10.2
10 8.8

5 3.7

0
All Male Female Poor * Non Poor
* significantly different at 10% level of significance
OPERATIONAL
DEFINITION PHYSICAL ACTIVITY

Insufficiently Physically
Active
- Doing less than 60 minutes of moderate- to
vigorous-intensity physical activity per day

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 Tacloban City, 2018
100

80 76.3 75.4
Prevalence (%)

60

40

20

0
Philippines Tacloban City
90% LL 74.8 72.4
CI UL 77.7 78.4
Proportion of insufficiently physically active adolescents >10
to 19 years old by sex and wealth status: Tacloban City, 2018
100
83.8
75.4 78.7
80
66.9 68.3
Prevalence (%)

60

40

20

0
All Male * Female Poor* Non Poor
* significantly different at 10% level of significance
Smoking Status of Filipino Adolescents
OPERATIONAL
DEFINITION SMOKING
CURRENT SMOKERS
– those who smoked during the survey either on a
“daily” basis (at least one cigarette a day) or on a
regular/occasional basis

• Occasional smokers are those who do not smoke


daily but who smoke at least weekly and

• those who smoke less often than weekly

Reference: World Health Organization


Proportion of current smokers among adolescents, >10 to
19 years old: Philippines and Tacloban City, 2018
10.0

8.0
Prevalence (%)

6.0
4.5
4.0
4.0

2.0

0.0
Philippines Tacloban City
90% LL 3.7 3.2
CI UL 4.4 5.9
Proportion of current smokers among adolescents, >10 to
19 years old by sex and wealth status: Tacloban City, 2018
10
8.9
8
Prevalence (%)

5.9
6
4.5
4.0
4

0.2
0
All Male* Female Poor Non Poor
* significantly different at 10% level of significance
Drinking Status of Filipino Adolescents
OPERATIONAL
DEFINITION DRINKING

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

Reference: World Health Organization


Proportion of current drinkers among adolescents, >10 to
19 years old: Philippines and Tacloban City, 2018
50

40
Prevalence (%)

30.0
30

20 16.8

10

0
Philippines Tacloban City*
90% LL 15.2 26.2
CI
UL 18.4 33.8
* significantly different at 10% level of significance
Prevalence of anemia among adolescents, >13 to 19
years old: Philippines and Tacloban City, 2018
10
8.1
8 7.4

Prevalence (%)
6

0
Philippines Tacloban City
LL 7.4 4.9
90%
UL 8.8 9.8
CI
Significance Mild Low to Mild
Prevalence of anemia among adolescents, >13 to 19
years old by sex: Tacloban City, 2018
10 9.4

8 7.4

Prevalence (%) 6

4 3.4

0
All Male Female
Summary
• About 3 in every 10 adolescents are stunted; stunting is more prevalent
in poor than non-poor households
• Majority of adolescents are insufficiently physically active; prevalence
among females is significantly higher than in males
• Current smokers are significantly higher in males than in females
• The proportion of adolescent current drinkers are significantly higher
than the national estimate
TACLOBAN CITY
DISSEMINATION FORUM
October 1, 2019, Ironwood Hotel, Tacloban City
Nutrition Situation of Women of
Reproductive Age in Tacloban City
Prevalence of chronic energy deficiency (CED), overweight and obesity among
non- pregnant/non-lactating women of reproductive age, 15-49 years old, 2018
PHILIPPINES TACLOBAN CITY

CED Overweight and Obese CED Overweight and Obese

Prevalence (%)
Prevalence (%)

50 50
40 35.3 40 31.7
30 30
20 20 9.2
7.8
10 10
0 0
90% CI CED Overweight and Obese 90% CI CED Overweight and Obese
Lower Limit 7.3 33.7 Lower Limit 7.6 29.5

Upper Limit 8.3 36.9 Upper Limit 10.8 34.0


Proportion of nutritionally-at-risk pregnant women:
Philippines and Tacloban City, 2018
50
Proportion (%) 40 28.4
30 20.1
20
10
0
Philippines Tacloban City
90% CI LL 17.5 15.6
UL 22.8 41.1
Prevalence of chronic energy deficiency (CED), overweight and obesity
among lactating mothers, 2018
PHILIPPINES TACLOBAN CITY

CED Overweight and Obese CED Overweight and Obese

Prevalence (%)
Prevalence (%)

50 50
40 40 30.1
28.5
30 30
20 11.0 20
10 10 5.3
0 0

90% CI CED Overweight and Obese 90% CI CED* Overweight and Obese
Lower Limit 9.5 26.1 Lower Limit 1.6 23.8

Upper Limit 12.5 30.9 Upper Limit 8.9 36.5

* significantly different at 10% level of significance


Prevalence of anemia among lactating mothers and non-
pregnant/non-lactating women of reproductive age, 15-49 years old:
Philippines and Tacloban City, 2018
Non- Preg/Lact Lactating
Prevalence (%)

50
40
30 14.4
20 11.6 11.2 9.5
10
0
Philippines Tacloban City
90% CI NPNL Lactating 90% CI NPNL Lactating
Lower Limit 11.0 12.5 Lower Limit 7.9 2.9
Upper Limit 12.3 16.3 Upper Limit 14.6 16.1
ºMedian UIE and Percent UIE below 50ug/L among non- pregnant/non-lactating women
of reproductive age, 15-49 years old: Philippines and Tacloban City, 2018

250 50

Percentage (%)
200 170 40
Median

149 30
150 14.7
20 11.3
100 10
50 0
*
Philippines Tacloban City Philippines Tacloban City
90% LL 167.9 135.8 90% LL 10.7 11.0
CI 172.1 162.8 CI 12.0 18.4
UL UL

ºIodine Intake based on median UIE * significantly different at 10% level of significance
<100 ug/L – Insufficient
100-199 ug/L – Adequate
200-299 ug/L – More than Adequate
300 ug/L and up - Excessive
ºMedian UIE and Percent UIE below 50ug/L among lactating mothers of
reproductive age, 15-49 years old: Philippines and Tacloban City, 2018
250 50

Percentage (%)
200 40 30.2
30 21.2
Median

150
103 92 20
100
10
50 0
Philippines Tacloban City Philippines Tacloban City
90% LL 98.5 72.0 90% LL 19.7 21.7
CI 106.5 112.6 CI 22.8 38.7
UL UL

ºIodine Intake based on median UIE


<100 ug/L – Insufficient
100-199 ug/L – Adequate
200-299 ug/L – More than Adequate
300 ug/L and up - Excessive
SUMMARY
• 1 in every 3 non- pregnant/non-lactating women and lactating mothers are
overweight/obese in Tacloban City.

• Proportion of nutritionally-at-risk pregnant women is higher in Tacloban City compared to


the national estimate, though not statistically significant.

• Prevalence of anemia is lower among non-pregnant/non-lactating women and lactating


mothers in Tacloban City compared to the national estimate, though not statistically
significant.

• Non-pregnant/non-lactating women in Tacloban City have adequate iodine intake however


pockets of the population group (14.7%) have UIE level below 50 ug/L.

• Lactating mothers in Tacloban City have insufficient iodine intake and about 30% have UIE
level below 50 ug/L.
TACLOBAN CITY
DISSEMINATION FORUM
October 1, 2019, Ironwood Hotel, Tacloban City
Health and Nutritional Status of
Filipino Adults
Tacloban City
Trends in the Prevalence of Chronic Energy Deficiency
and Overweight and Obesity among Adults,
20 years old and above: Philippines, 1993-2018
50

40 37.2
Prevalence (%)

31.1 31.1
26.6 28.4
30 24.0
20.2
20 16.6

10 13.9 13.2 12.3 11.6 10.0 10.0 10.3


8.0
0

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


Nutritional Status° of ADULTS, 20-59 years old:
Philippines, 2015 and 2018
50
2015 2018
40
Prevalence (%)

30
28.8
24.7
20
9.0 7.2 9.6
10 6.9

0
Chronic Energy Overweight * Obese *
Deficient * * 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 Tacloban City, 2018
50 PHILIPPINES 50 TACLOBAN CITY

Prevalence (%)
Prevalence (%)

40 40
28.8 30.0
30 30

20 20
6.9 9.6 10.3
10 10 6.2
0 0
Chronic Energy Overweight Obese Chronic Energy Overweight Obese
Deficient Deficient

90% LL 6.6 28.4 9.3 90% LL 5.2 27.7 9.2


CI UL 7.1 29.2 9.9 CI UL 7.2 32.2 11.3
Chronic Energy Deficiency among Adults, 20-59 years old,
by age group, sex, and wealth status: Tacloban City, 2018

20 20 25
Prevalence (%)

20
15 15
11.9
15
10 10
6.2 6.7 10 8.1
5.6
5 3.6 3.3 5 5.0
2.6 5

0 0 0
ALL 20-29 y 30-39 y 40-49 y 50-59 y Male Female Poor Non-Poor
Overweight among Adults, 20-59 years old, by age group, sex and
wealth status: Tacloban City, 2018
50 50 50
Prevalence (%)

40 37.4 40 40
34.9 33.6
30.1 31.9
30.0 29.9
30 30 30
24.4
19.3
20 20 20

10 10 10

0 0 0
ALL 20-29 y 30-39 y 40-49 y 50-59 y Male Female Poor * Non-Poor

* significantly different at 10% level of significance


Obesity among Adults, 20-59 years old, by age group, sex and
wealth status: Tacloban City, 2018
50 50 50
Prevalence (%)

40 40 40

30 30 30

20 20 20
14.0 14.9 13.3
10.3 10.9 11.6
10 10 7.6 10 6.3
5.1

0 0 0
ALL 20-29 y 30-39 y 40-49 y 50-59 y Male * Female Poor * Non-Poor

* significantly different at 10% level of significance


Trends in the Prevalence of High Waist
Circumference (WC)° among Adults, 20 years old
and above: Philippines, 2003-2018
40
Male Female
30
Prevalence (%)

23.1 23.5
19.0 19.9 18.5
20 17.0

10
2.4 3.1 3.2 3.8 3.0 3.9

0
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

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


Trends in the Prevalence of High Waist-Hip Ratio
(WHR)° among Adults, 20 years old and above:
Philippines, 2003-2018
Male Female
80
65.5 62.5 63.2 63.7
57.9
Prevalence (%)

60 54.8
*
40

20 12.1 11.1
6.9 8.0 7.1 8.3

0 *
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 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 Tacloban City, 2018

100 PHILIPPINES 100 TACLOBAN CITY

Prevalence (%)
Prevalence (%)

80 80

60 60

40 35.3 40 35.6

20 13.5 20 12.8
0 0
High Waist High Waist-Hip High Waist High Waist-Hip
Circumference Ratio Circumference Ratio

90% LL 13.2 34.9 90% LL 11.8 33.8


CI UL 13.8 35.7 CI UL 13.9 37.3
High Waist Circumference among Adults, 20-59 years old,
by age group, sex, and wealth status: Tacloban City, 2018
40 40 40
35 35 35
Prevalence (%)

30 30 30
25 23.3 25 22.1 25
19.1
20 20 20
12.8 14.4
15 15 15
10.8
10 10 10 8.6
4.8 4.4
5 5 5
0 0 0
ALL 20-29 y 30-39 y 40-49 y 50-59 y Male * Female Poor * Non-Poor

* significantly different at 10% level of significance


Prevalence of Anemia among Adults°, 20-59 years old, by sex,
place of residence, and wealth status: Philippines, 2018
15 15
12.7
Prevalence (%)

Prevalence (%)
2013 2018 11.2
10 9.3 8.3 10 9.0
7.6
6.0 5.2
5 5

2013 2018
0 0
ALL Male Female Rural Urban

15
Prevalence (%)

10 9.0 8.6 8.5 8.2


7.1
5

0 ° excluding pregnant
Poorest Poor Middle Rich Richest or lactating women
Prevalence of Anemia among Adults°,
20-59 years old: Philippines and Tacloban City, 2018
20 PHILIPPINES 20 TACLOBAN CITY

Prevalence (%)
Prevalence (%)

15 15
11.1
10 8.3 10
6.5
5 5
2.6

0 0
Anemia Anemia Male * Female

90% LL 7.7 LL 4.4 * significantly different at 10% level of significance


90% CI
CI UL 9.0 UL 8.6

° excluding pregnant or lactating women


Trend in the Prevalence of Elevated Blood Pressure°
among Adults, 20 years old and above: Philippines, 1993-2018
30
25.3
23.9
25 22.0 22.5 22.3
21.0
19.2
Prevalence (%)

20

15

10
° Based on a single-visit blood pressure measurement,
5 systolic blood pressure of 140 mmHg or higher and/or a
diastolic pressure of 90 mmHg or higher (JNC VII, 2004)
0
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
Elevated Blood Pressure among ADULTS,
20-59 years old, by age group and sex:
Philippines, 2015 vs 2018
50 50
2015 2018 2015 2018
Prevalence (%)

40 36.3

Prevalence (%)
40
28.3 30.0
30 30 25.3
20.8 22.2 20.2
20 16.0 16.7 20 16.9
11.7 12.7
9.1 10
10 5.5
2015 2018 0
0
ALL * 20-29 y * 30-39 y * 40-49 y * 50-59 y * Male * Female *
* significantly different at 5% level of significance
Prevalence of Elevated Blood Pressure among Adults, 20 to
59 years old: Philippines and Tacloban City, 2018
20
16.0 16.2

Prevalence (%)
15

10

0
Philippines Tacloban City
LL 15.6 14.7
90% CI
UL 16.4 17.8
Elevated Blood Pressure among Adults, 20-59 years old,
by age group, sex, and wealth status: Tacloban City, 2018

40 40 40
35 33.4 35 35
Prevalence (%)

30 30 30
25.1
25 25 21.0 25
20 16.2 20 20 16.7
15.0
15 11.7 15 11.8 15
10 6.2 10 10
5 5 5
0 0 0
ALL 20-29 y 30-39 y 40-49 y 50-59 y Male* Female Poor Non-poor
* significantly different at 10% level of significance
Trend in the Prevalence of High Fasting Blood Sugar
among Adults, 20 years old and above:
Philippines, 2003-2018
10
High FBS: ≥126 mg/dL
8.2
8 Impaired blood sugar: 110-125 mg/dL
Prevalence (%)

5.6 7.9
6 4.8
4 3.4
4.3
2
2.7
0
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
High Fasting Blood Sugar among ADULTS,
20-59 years old, by age group and sex:
Philippines, 2013 vs 2018
20 20
2013 2018 2013 2018

Prevalence (%)
Prevalence (%)

15 12.9 15
10.6
10 8.6 10
6.7 6.3 6.8 6.6
4.7 4.7 5.1 4.3
5 3.2 5
1.0 1.6
2013 2018
0 0
ALL* 20-29 y 30-39 y 40-49 y 50-59 y Male * Female *
* significantly different at 5% level of significance
Prevalence of High Fasting Blood Sugar among Adults, 20 to
59 years old: Philippines and Tacloban City, 2018
20

Prevalence (%)
15

10
6.7 5.8
5

0
Philippines Tacloban City
LL 6.2 3.8
90% CI
UL 7.2 7.8
High Fasting Blood Sugar among Adults, 20-59 years old,
by age group and sex: Tacloban City, 2018

30 30
Prevalence (%)

25 25

20 20

15 12.0 15

10 8.8 10
5.8 6.4 5.3
4.7
5 5
0.5
0 0
ALL 20-29 y 30-39 y 40-49 y 50-59 y Male Female
Smoking Status

Current Smokers 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.
Current Smoking° among Adults, 20 years
old and above: Philippines, 1998-2018
40 34.8
32.7 31.0
30 25.4
Proportion (%)

23.3
20.7
20

10

° 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.
Current Smoking among ADULTS, 20-59 years old,
by age group, sex, and place of residence:
Philippines, 2015 vs 2018
60 2015 2018 60 2015 2018
50 50 44.5
41.3
Prevalence (%)

Prevalence (%)
40 40

30 24.0 25.0 23.9 22.5 30


21.5 22.0 23.4 23.6
20.3 20.9
20 20

10 10 6.3 5.8
2015 2018
0 0
ALL * 20-29 y 30-39 y 40-49 y 50-59 y Male * Female
* significantly different at 5% level of significance
Proportion of Current Smokers among Adults,
20 to 59 years old: Philippines and Tacloban City, 2018
30
25 21.5 20.9

Proportion (%)
20
15
10
5
0
Philippines Tacloban City
LL 20.7 19.1
90% CI
UL 22.4 22.7
Current Smoking among Adults, 20-59 years old,
by age group, sex, and wealth status: Tacloban City, 2018

50 50 50
40.7
40 40 40
Proportion (%)

30 30 30 27.0
23.6
20.9 20.8 20.9
20 20 20 17.9
15.5

10 10 10
3.2
0 0 0
ALL 20-29 y 30-39 y 40-49 y 50-59 y Male * Female Poor * Non-Poor
* significantly different at 10% level of significance
Alcohol Consumption Status
CURRENT Those who consumed 1 or more drinks of any
type of alcohol in the year preceding the survey
DRINKERS
FORMER Those who did not consume 1 or more drinks
DRINKERS during the year preceding the survey

LIFETIME Those who never consumed 1 or more drinks


ABSTAINERS of any type of alcohol in their entire lifetime

World Health Organization. (2015). Indicator and Measurement Registry version 1.7. Alcohol consumers, past 12 months
World Health Organization. (2015). Global Health Observatory (GHO) Data. Abstainers, past 12 months.
BINGE DRINKING
or the harmful use of alcohol means excessive
consumption of alcoholic beverages in a single
occasion, specifically the intake of…
drinking 5 or more standard drinks in a row for men or
drinking of 4 or more standard drinks in a row for women
among those who reported drinking alcoholic
beverages in the past 30 days.
National Institute of Alcohol Abuse and Alcoholism. (2004). NIAAA council approves definition of binge drinking.
Binge Drinking° among currently drinking
ADULTS, 20-59 years old, in the past 30 days by
age group and sex: Philippines, 2018
70 70 64.4
60 55.7 55.2 57.1 54.7 55.6 60
Proportion (%)

Proportion (%)
50 50
40 40
31.0
30 30
20 20
10 10
0 0
ALL 20-29 y 30-39 y 40-49 y 50-59 y Male * Female

° Drinking 5 or more standard drinks in a row for men * significantly different at 5% level of significance
or 4 or more standard drinks in a row for women
Proportion of Binge Drinkers among currently drinking Adults, 20-59
years old, in the past 30 days: Philippines and Tacloban City, 2018

80

Proportion (%)
60 55.7
41.6
40

20

0
Philippines Tacloban City*
LL 53.3 38.3
90% CI
UL 58.1 44.8

* significantly different at 10% level of significance


Proportion of Binge Drinkers among currently
drinking Adults, 20-59 years old, in the past 30 days by age
group, sex, and wealth status: Tacloban City, 2018
80 80 80
70 70 70
Prevalence (%)

60 60 60
49.8
50 46.3 50 50
41.6 42.2 41.6 41.0
40 35.0 40 40
31.0
30 30 23.1 30
20 20 20
10 10 10
0 0 0
ALL 20-29 y 30-39 y 40-49 y 50-59 y Male * Female Poor Non-Poor
* significantly different at 10% level of significance
INSUFFICIENT PHYSICAL ACTIVITY
A person not meeting any of the following criteria is considered being physically
inactive or insufficiently physically active:

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


per week or
- 150 minutes (5 or more days) of moderate-intensity physical activity per week
(or walking of at least 30 minutes per day) or
- an equivalent combination of moderate- and vigorous-intensity physical activity
achieving at least 600 Metabolic Equivalents-minutes per week
- World Health Organization. (2010). Global recommendations on physical activity for health.
Physical Inactivity° among ADULTS, 20-59 years old,
by age group and sex: Philippines, 2015 vs 2018

70 2015 2018 70 2015 2018


60 60
51.6
Proportion (%)

50 45.0 45.7 50 46.6

Proportion (%)
40.7 40.6 40.2 40.3
40 37.3 37.0 38.9 37.8 40 32.9
30 30
28.0

20 20
10 10
2015 2018
0 0
ALL 20-29 y 30-39 y 40-49 y 50-59 y Male Female

° A person not meeting any of the following criteria:


 75 mins of vigorous-intensity physical activity per week (≥ 3 days of vigorous-intensity activity of at least 20 mins per day) OR
 150 mins of moderate-intensity physical activity per week (≥ 5 days of moderate-intensity activity or walking of at least 30 mins per day) OR
 an equivalent combination of moderate- and vigorous-intensity physical activity achieving at least 600 MET-minutes per week
- World Health Organization (2010). Global recommendations on physical activity for health.
Proportion of Physically Inactive Adults,
20 to 59 years old: Philippines and Tacloban City, 2018
60
51.2
50

Proportion (%)
40.6
40
30
20
10
0
Philippines Tacloban City*
LL 38.1 47.4
90% CI
UL 43.1 54.9
* significantly different at 10% level of significance
Physical Inactivity° among Adults, 20-59 years old,
by age group, sex, and wealth status:
Tacloban City, 2018
80 80 80
70 70 70
Proportion (%)

59.8
60
51.2 53.2 51.7 60 60 54.4
50.2 47.6
50 50 50
41.4 41.2
40 40 40
30 30 30
20 20 20
10 10 10
0 0 0
ALL 20-29 y 30-39 y 40-49 y 50-59 y Male * Female Poor * Non-Poor
* significantly different at 10% level of significance

° 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.
Summary (Adults)
 Chronic energy deficiency prevalence is nearly the same with the Philippine
estimate
 Overweight is significantly greater among non-poor households while obesity is
significantly higher among female adults and those belonging to the non-poor
households.
 High WHR is nearly similar with the national estimate while high WC is
significantly greater in female adults and in non-poor households.
 Anemia is of “low to mild” public health significance and is more prevalent among
females.
 More male adults in Tacloban City had elevated blood pressure.
Summary (Adults)
 High fasting blood sugar is slightly lower than the national prevalence but
not significant.
 Current smoking in Tacloban City is significantly greater among male than
female adults and those belonging to the poor households.
 Binge drinking is significantly lower than the national estimate and more
males than female adults are binge drinkers.
 Physical inactivity is significantly higher than the national estimate and is
greater among females and those living in non-poor households.
Health and Nutritional Status
of Filipino Elderly
Tacloban City
Nutritional Status of the Elderly,
60 years old and above: Philippines, 2018
50
2015 2018
40
Prevalence (%)

30 24.7
21.3
20 17.2
13.4
10 4.8 6.3
0
Chronic Energy Deficient * Overweight * Obese *
* significantly different at 5% level of significance
Chronic Energy Deficiency among Elderly, 60 years old
and above: Philippines and Tacloban City, 2018
30

20

Prevalence (%)
13.4
9.4
10

0
Philippines Tacloban City*
LL 12.9 7.0
90% CI
UL 14.0 11.7
* significantly different at 10% level of significance
Prevalence of Overweight and Obesity among Elderly,
60 years old and above: Philippines and Tacloban City, 2018
50 PHILIPPINES 50 TACLOBAN CITY

Prevalence (%)
Prevalence (%)

40 40 34.6
30 24.7 30

20 20
10.4
10 6.3 10
0 0
Overweight Obese Overweight * Obese *

LL 23.9 5.9 LL 29.6 7.8


90% CI 90% CI
UL 25.5 6.8 UL 39.5 13.0
* significantly different at 10% level of significance
High Waist Circumference among Elderly MALES,
60 years old and above, by age group and place
of residence: Philippines, 2015 vs 2018
10 10
2015 2018 2015 2018
7.5
Prevalence (%)

8 8

6 5.0 6
4.8 4.9 4.7
4 3.3 3.5 4
2.9 2.7 2.7
2.1
2 2
0.9
2015 2018
0 0
ALL 60-69 y 70-79 y 80 y & over Rural Urban *
* significantly different at 5% level of significance
High Waist Circumference among Elderly FEMALES,
60 years old and above, by age group, and
place of residence: Philippines, 2015 vs 2018
40 2015 2018 40 2015 2018
34.5
Prevalence (%)

30 27.9 30 28.2
24.2 25.8
22.2 23.8 21.6
20.0 20.6
20 15.8 20 16.1

10 10
2015 2018
0 0
ALL * 60-69 y 70-79 y 80 y & above Rural * Urban *
* significantly different at 5% level of significance
High Waist-Hip Ratio among Elderly MALES,
60 years old and above, by age group and place of
residence: Philippines, 2015 vs 2018
30 30
Proportion (%)

2015 2018 2015 2018


25 25 21.9
20 20
15.9 16.4 16.0 16.6
15 12.8 13.5 15
11.9 11.4
8.7 9.5 9.4
10 10

5 5
2015 2018 0
0
ALL 60-69 y 70-79 y 80y & over Rural Urban
High Waist-Hip Ratio among Elderly FEMALES,
60 years old and above, by age group and place
of residence: Philippines, 2015 vs 2018
100 100 2015 2018
2015 2018
Proportion (%)

77.8
80 72.0 73.8 69.7 80 70.0
64.1 67.2 65.4 66.5
59.9 55.6 57.9
60 60

40 40

20 20
2015 2018
0 0
ALL * 60-69 y * 70-79 y * 80y & over * Rural * Urban *
* significantly different at 5% level of significance
Prevalence of High Waist Circumference and High Waist-Hip Ratio among
Elderly, 60 years old and above: Philippines and Tacloban City, 2018

100 PHILIPPINES 100 TACLOBAN CITY


Prevalence (%)

Prevalence (%)
80 80
58.6
60 47.7 60
40 40 24.4
17.8
20 20
0 0
High Waist High Waist-Hip Ratio High Waist High Waist-Hip Ratio *
Circumference Circumference*

90% LL 17.1 46.7 90% LL 21.0 54.7


CI UL 18.6 48.6 CI UL 27.7 62.4
* significantly different at 10% level of significance
Anemia among Elderly, 60 years old and above, by sex,
place of residence, and wealth status: Philippines, 2013 vs 2018
30 2013 2018 30 2018
23.0 23.3
Prevalence (%)

Prevalence (%)
25 25 21.7
20.8 20.2 19.1 17.8 20
18.3
20
15 15
10 10
5 5
2013 2018
0 0
ALL Male Female Rural Urban

30 2018
24.1
Prevalence (%)

25 21.1 21.8
16.8 17.4
20
15
10
5
0
Poorest Poor Middle Rich Richest
Prevalence of Anemia among Elderly, 60 years old and above:
Philippines and Tacloban City, 2018
40

Proportion (%)
30
20.2
20 15.4
10

0
Philippines Tacloban City
LL 17.7 10.8
90% CI
UL 22.8 20.0
Percent distribution of UIE values among the Elderly,
60 years old and above: Philippines, 2013 vs 2018
50
2013 2018
Median UIE = 80 μg/L Median UIE = 108 μg/L
Prev <50 μg/L = 33.8% Prev <50 μg/L = 23.8% 2013 2018
40
Percentage (%)

30.4
30 27.6
24.0 23.8
20
18.8
15.0 15.5
12.9
7.8 8.9 9.6
10 5.8

0
<20 μg/L 20-49 μg/L 50-99 μg/L 100-199 μg/L 200-299 μg/L ≥300 μg/L
Median UIE° and Percent UIE below 50 μg/L among Elderly, 60
years old and above: Philippines and Tacloban City, 2018

60
Median UIE (μg/L)

200

Percentage (%)
50
150 111.0 40
108.0 25.8
100 30 23.3
20
50 10
0 0
Philippines Tacloban City Philippines Tacloban City

LL 105.2 89.4 LL 20.4 19.4


90% 90%
CI CI UL
UL 110.3 132.3 26.3 32.2

°Iodine Intake based on median UIE


<100 μg/L – Insufficient
100-199 μg/L – Adequate
200-299 μg/L – More than adequate
300 μg/L and up – Excessive
Elevated Blood Pressure° among the ELDERLY,
60 years old and above, by age group and sex:
Philippines, 2015 vs 2018
50 2015 2018 50 2015 2018
41.2 40.6 42.7 40.6 40.8 41.5
Prevalence (%)

40 35.0 37.1 36.8 40 36.8

Prevalence (%)
33.8 33.6
30 30

20 20

10 10
2015 2018
0 0
ALL * 60-69 y * 70-79 y * 80y & over Male * Female *
° Based on a single-visit blood pressure measurement, systolic blood pressure * significantly different at 5% level of significance
of 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
20 20
2013 2018 2013 2018
Prevalence (%)

15.3
15 13.8 15 13.8 13.9

Prevalence (%)
12.5 11.8
11.0 11.4
10.6
10 9.2 10
6.4 5.9
5 5

2013 2018
0 0
ALL 60-69 y 70-79 y 80y & above Male Female
Prevalence of Elevated Blood Pressure and High Fasting Blood Sugar among
Elderly, 60 years old and above: Philippines and Tacloban City, 2018

50 PHILIPPINES 50 TACLOBAN CITY

Prevalence (%)
Prevalence (%)

40 35.0 40 36.6
30 30
20 20
18.3
13.8
10 10
0 0
Elevated Blood High Fasting Blood Elevated Blood High Fasting Blood
Pressure Sugar Pressure Sugar
90% LL 33.7 12.2 90% LL 33.0 12.1
CI UL 36.2 15.5 CI UL 40.3 24.5
Smoking Status

Current Smokers 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.
Current Smoking° among the ELDERLY,
60 years old and above, by age group and sex:
Philippines, 2015 vs 2018
50 50
2015 2018 2015 2018
Proportion (%)

40 40

Proportion (%)
32.0
30 30 28.2

19.2 21.2
18.8 17.0
20 16.3 20
12.6 11.8
9.0 9.4
10 10 7.5
2015 2018
0 0
ALL* 60-69y 70-79 y* 80y & over Male Female
° Are those who either smoke on a “daily” basis (at least one cigarette a day) * significantly different at 5%
level of significance
or on a regular/occasional basis (at least weekly or less often than weekly)
- World Health Organization (2008). WHO STEPS Surveillance Manual.
Alcohol Consumption Status
CURRENT Those who consumed 1 or more drinks of any
type of alcohol in the year preceding the survey
DRINKERS
FORMER Those who did not consume 1 or more drinks
DRINKERS during the year preceding the survey

LIFETIME Those who never consumed 1 or more drinks


ABSTAINERS of any type of alcohol in their entire lifetime

World Health Organization. (2015). Indicator and Measurement Registry version 1.7. Alcohol consumers, past 12 months
World Health Organization. (2015). Global Health Observatory (GHO) Data. Abstainers, past 12 months.
Current Alcohol Drinking among the ELDERLY,
60 years old and above, by age group and sex:
Philippines, 2015 vs 2018
70 70
2015 2018 2015 2018
60 60

Proportion (%)
Proportion (%)

48.5 48.6
50 50

40 33.8 40
32.2
30 27.8 28.2 30
21.7 20.4
20 15.5 20
10.4 12.0 13.0
10 10

0 2015 2018 0
ALL 60-69 y 70-79 y 80y & over Male Female
INSUFFICIENT PHYSICAL ACTIVITY

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

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


per week or
- 150 minutes (5 or more days) of moderate-intensity physical activity per week
(or walking of at least 30 minutes per day) or
- an equivalent combination of moderate- and vigorous-intensity physical activity
achieving at least 600 Metabolic Equivalents-minutes per week
- World Health Organization. (2010). Global recommendations on physical activity for health.
Physical Inactivity among the ELDERLY,
60 years old and above, by age group and sex:
Philippines, 2015 vs 2018
80 77.6 80
2015 2018 70.6 2015 2018
61.8 59.9

Proportion (%)
56.6
Proportion (%)

60 52.6 60 55.0
50.6
45.1 45.4 42.9 44.7
40 40

20 20

2015 2018
0 0
ALL 60-69 y 70-79 y 80y & over Male Female
Proportion of Current Smokers, Current Alcohol Drinkers,
and Physically Inactive Elderly, 60 years old and above:
Philippines and Tacloban City, 2018
80 PHILIPPINES 80 TACLOBAN CITY
Proportion (%)

Proportion (%)
50.6 57.2
60 60 50.5
40 28.2 40

20
16.3
20 9.4
0 0
Current Current Alcohol Physically Current Current Alcohol Physically
Smokers Drinkers Inactive Smokers * Drinkers * Inactive

90% LL 15.5 25.8 48.5 90% LL 7.6 44.5 51.0


CI UL 17.1 30.5 52.7 CI UL 11.2 56.6 63.4
* significantly different at 10% level of significance
Summary (Elderly)
 Chronic energy deficiency is significantly lower in Tacloban City
compared with the national estimate.
 Overweight and obesity, including android obesity (high WC and
high WHR) are significantly higher than the Philippine
prevalence.
 Anemia is of “mild to moderate” public health significance.
 Iodine intake in Tacloban City is adequate based on median
UIE.
Summary (Elderly)
 Elevated blood pressure is slightly higher than the Philippine estimate but not
significant.
 High fasting blood sugar is higher than the national prevalence however, this
difference is not significant.
 Current smoking is significantly lower in Tacloban City compared with the
national estimate.
 Half of the elderly (50.5%) in Tacloban City are engaged in current alcohol
drinking. This is significantly greater than the national proportion.
 More than half (57.2%) of the elderly in Tacloban City are physically inactive.

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