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 14 th 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
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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