2018 ENNS Dissemination Tacloban City
2018 ENNS Dissemination Tacloban City
2018 ENNS Dissemination 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
Formation of replicates
Provinces and HUCs covered in the 2018 ENNS
Cagayan Valley Capiz Maguindanao Isabela City
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
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
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%
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
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%
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
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
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.
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
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
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
20
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
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
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
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
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
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
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
• 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
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
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
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
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
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
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
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
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
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 (%)
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
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
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
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
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
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:
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
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
- 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 *
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 (%)
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
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*
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
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
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
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
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:
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