Nutrition Situation Philippines

61
 MARIO V. CAPANZANA, PhD Director Food and Nutrition Research Institute Dept. of Science and Technology 

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Nutrition in the Phils

Transcript of Nutrition Situation Philippines

  • MARIO V. CAPANZANA, PhDDirectorFood and Nutrition Research InstituteDept. of Science and Technology

  • OUTLINEIntroductionFNRI MandatePlans & ProgramsNutrition SituationAnthropometric SurveyBiochemical SurveyClinical SurveyDietary/Food Consumption SurveyPolicy EnvironmentFood-based InterventionConclusion

  • FOOD AND NUTRITION RESEARCH INSTITUTEDepartment of Science and Technology

  • Define the citizenrys nutritional status

    Develop recommendations for improvement of nutritional status

    Disseminate research findings and recommendations

  • Survey Components

  • Nutritional status of 05 y old children

  • Nutritional status of 610y old children

  • *Using NSO 2003 Projected Population based on 1995 CensusNutritional Status

    Prevalence%Estimated No. (in million)*0-5 Years OldUnderweightUnderheightThinnessOverweight

    6-10 Years OldUnderweightUnderheightOverweight

    26.929.95.31.4

    25.635.81.3

    3.13.40.60.1

    2.43.30.1Estimated Number of Underweight, Underheight and Thin 0-5 and 6-10 Year-old Children

  • Malnutrition Among Filipino AdolescentsUnderweightOverweightUnderwtOverweightFemaleMale2003

  • MaleFemaleCED (BMI
  • Trends in Anemia and Vitamin A DeficiencyAnemiaVitamin A Deficiency

  • 6 12 years old 1998 - 35.8 % 2003- 11.4 % Pregnant Women 2003 - 18.0 % Lactating Women 2003 - 23.7 % Prevalence of IDD

  • Trends in Food Consumption: Philippines, 1978-2003

  • Mean one-day per capita food intake by food groups, 2003Total food intake: 886g

  • Trend in food consumption by Philippine households

    Chart1

    367356345340361

    3742221719

    1922241924

    1314141218

    810101010

    2332373461

    71091419

    10211311199103

    89101213

    4244434451

    1041021077754

    145130111106110

    1978

    1982

    1987

    1993

    2003

    Mean one-day per capita food consumption (g) by food groups, 1978-2003

    Chart2

    367356345340361

    3742221719

    1922241924

    1314141218

    1978

    1982

    1987

    1993

    2003

    Chart3

    2332373461

    71091419

    10211311199103

    89101213

    4244434451

    1978

    1982

    1987

    1993

    2003

    Chart4

    1041021077754

    3437293030

    11193827680

    810101010

    1978

    1982

    1987

    1993

    2003

    31

    54

    Chart5

    897

    915

    869

    803

    881

    Chart9

    361

    19

    24

    10

    18

    13

    80

    103

    51

    54

    110

    Mean one-day per capita food intake (in grms) by food groups, 2003

    Chart10

    340

    17

    19

    10

    12

    12

    48

    99

    44

    77

    106

    Mean one-day food consumption (gms) by food groups, 1993

    Chart12

    22182693

    31208676

    26210633

    19203581

    38247596

    g

    Chart13

    22182693

    31208676

    26210633

    19203581

    38247596

    Others

    Animal source

    Plant source

    Sheet1

    Trends food `consumption

    1978198219871993200320031993

    Cereals367356345340361Cereals361Cereals340

    Starcgy roots & tubers3742221719Starchy roots & tubers19Starchy roots & tubers17

    Sugars1922241924Sugars24Sugars19

    Fats & oils1314141218Dried beans, nuts & seeds10Dried beans, nuts & seeds10

    Dried beans, nuts & seeds810101010Fats & oils18Fats & oils12

    Meat & meat ptoducts2332373461Eggs13Eggs12

    Poultry71091419Meats80Meats48

    Fish10211311199103Fish103Fish99

    Eggs89101213Milk & products51Milk & products44

    Milk & products4244434451Fruits54Fruits77

    Fruits1041021077754Vegetables110Vegetables106

    Vegetables145130111106110

    1978198219871993200319781982198719932003

    Cereals367356345340361897915869803881

    Starchy roots & tubers3742221719897915869803881

    Sugars1922241924

    Fats & oils1314141218Others2231261938

    Total food intake897915869803881Animal source182208210203247

    Plant source693676633581596

    19781982198719932003

    Meat & meat ptoducts2332373461

    Poultry71091419

    Fish10211311199103

    Eggs89101213

    Milk & products4244434451

    19781982198719932003

    Fruits1041021077754

    GLY vegetabes3437293030

    Other vegetables11193827680

    Dried beans, nuts & seeds810101010

    Chart6

    74.9

    156.3

    68

    86.2

    91.3

    57

    60.2

    99.1

    98.1

    Chart7

    73.274.9

    68156.3

    57.168

    68.486.2

    88.191.3

    6757

    64.760.2

    106.299.1

    87.898.1

    1993

    2003

    Chart8

    0.698

    0.118

    0.181

    Contribution of carbohydrates, fats and proteins to total dietary energy intake, 2003

    Chart11

    87.173.274.9

    98.268156.3

    91.557.168

    7568.486.2

    75.988.191.3

    66.76757

    54.464.760.2

    119.9106.299.1

    8087.898.1

    1987

    1993

    2003

    Mean one-day energy and nutrient adequacy, 1987 - 2003

    Sheet2

    Trends energy and nutrient intake

    1978198219871993200319932003

    Energy88.66987.187.898.1Ascorbic acid74.9Ascorbic acid73.274.9

    Protein102.999.698.2106.299.1Niacin156.3Niacin68156.3

    Iron91.791.591.564.760.2Riboflavin68Riboflavin57.168

    Calcium80.4756757Thiamin86.2Thiamin68.486.2

    Vitamin A75.988.191.3Vitamin A91.3Vitamin A88.191.3

    Thiamin71.866.768.486.2Calcium57Calcium6757

    Riboflavin56.354.457.168Iron60.2Iron64.760.2

    Niacin119.7119.968156.3Protein99.1Protein106.299.1

    Ascorbic acid91.18073.274.9Energy98.1Energy87.898.1

    198719932003

    Dietary energy:Ascorbic acid87.173.274.9

    Carbohydrate69.80%Niacin98.268156.3

    Protein11.80%Riboflavin91.557.168

    Fat18.10%Thiamin7568.486.2

    Vitamin A75.988.191.3

    Calcium66.76757

    Iron54.464.760.2

    Protein119.9106.299.1

    Energy8087.898.1

    Sheet3

  • First 30 commonly consumed foods: Philippines, 2003

    Food Group/Sub-group Frequency% of Households ConsumingRice, ordinary281892.6Coconut Oil209368.8Salt course209198.7Coffee, instant165354.3Sugar, white refined158452.0Garlic146148.0Vetsin143747.2Onion bombay140946.3Soysauce113637.3Chicken eggs98132.2Sugar brown94130.9Milk, powdered milk77925.6Tomatoes 75924.9Pork liempo71623.5Softdrinks 68222.4

  • First 30 commonly consumed foods: Philippines, 2003

    Food Group/Sub-groupFrequency% of Households ConsumingPandesal 64621.2Vinegar coconut 63220.8Eggplant60119.7Sitaw59519.5Milo54417.9Instant Noodle51316.9Luya49316.2Squash fruit45815.0Pan de monay43014.1Malunggay42614.0Iodized Salt41513.6Bangus35911.8Sardines in tomato sauce35911.8Coconut cream35811.8Okra34411.3

  • Mean one-day food intake of 6 m-5 y-old children by food groups, 2003 562 gFood and nutrient intake among children

  • List of 30 food items most commonly eaten by 6-month to 5 year-old children ranked by % of children who consumed the food item

    RankFood item% of Total SubjectsMean Intake (Raw, as Purchased, in grams)1Rice ( well-milled, white)88.81082Coconut oil (langis ng niyog)63.043Sugar ( white, refined)37.294Milk (powdered filled milk)29.5275Sugar (brown) 25.9106Chicken egg 25.4277Pan de sal 20.0298Milo chocolate drink 19.079Instant noodles17.41910Galunggong 16.945

  • List of 30 food items most commonly eaten by 6-month to 5 year-old children ranked by % of children who consumed the food item

    RankFood item% of Total SubjectsMean Intake (Raw, as Purchased, in grams)11Coffee (instant, powder) 16.412Squash fruit 15.72213Stringbeans, green 15.72514Saba banana14.78915Softdrinks14.212816Pork belly, lean part13.53217Rice gruel13.118Pan de Monay 12.53519Candy, hard 12.4520Coconut cream (niyog, kakang gata)11.611

  • List of 30 food items most commonly eaten by 6-month to 5 year-old children ranked by % of children who consumed the food item

    RankFood item% of Total SubjectsMean Intake (Raw, as Purchased, in grams21Dried mungbeans11.41022Cracker, salted11.11423Horseradish tree, leaves (malunggay, dahon)11.01524Tilapia9.76225Hotdog9.62426Milkfish9.63927Eggplant9.51928Sardines in tomato sauce9.51429Fruit juice drink, orange9.111930Corn grits, white (mais, durog, puti)8.473

  • IntakeEnergy (kcal)Protein (g)Iron (g)Calcium (g)Vitamin A (g RE)Thiamin (mg)RiboflavinNiacin (mg)Ascorbic Acid (mg)NutrientMean One-Day Energy and Nutrient Adequacy of 6 mos-5 years old Children, 2003 % Adequacy 980 31.5 6.2 0.37 315.9 0.65 0.74 10.4 31.7

  • Trends in Non Communicable Diseases

  • Diabetes or Hyperglycemia:Filipino Adult, 20 years and above 1998 - 4.0 %2003 - 3.4 %

    High Blood Cholesterol or Hypercholesterolemia:1998 - 4.0 %2003 - 8.5 %

  • Android or Apple Shape Obesity:

    20031998Female - 18.3 % 10.2 %Male - 3.1 % 3.7 %

    Hypertension or High Blood Pressure (BP):Filipino Adult, 20 years and above2003- 22.5 % 1998 - 20.0 %

  • Prevalence of Dyslipidemia, Hypertension, Diabetes Mellitus+Impaired FBS among adultsTotal cholesterolLDL-c Triglyceride( 240 mg/dL)HypertensionDM & Impaired FBS( 400 mg/dL)(< 40 mg/dL)( 190 mg/dL)(> 140 / 90 mmHg)(FBS >100 mg/dL)HDL-c

  • The Medium-TermPhilippine Plan of Action for Nutrition (MTPPAN)2005-2010

  • NNC Governing Board

    To carry out this mandate the NNC has a Governing Board and us, the Secretariat.

    The NNC Governing Board is the collegial body that leads in the formulation of policies and directs the implementation of the Philippine Plan of Action for Nutrition or PPAN.

    The Board is chaired by the agriculture secretary and is composed of ten (10) government organizations represented by their secretaries and three (3) non-government organizations, appointed by the President of the Philippines for a two-year term.

  • PROGRAMSHome, School and Community Food ProductionFood FortificationMicronutrient SupplementationNutrition Information, Communication and EducationFood AssistanceLivelihood AssistanceNutrition in Essential Maternal and Child Health Services

  • Supplementary/Nutrient-rich Foods:Weaning FoodsSnack FoodsNoodlesFoods for Disaster/EmergencyCondiments and Nutritious Soup BlendsFortified Foods:Staple Foods, e.g. rice, sugar, oil and flourFunctional Foods:High fiber Low fat FoodsLow sugar

  • Snack FoodsCurls (Extruded)Rice MongoRice SoyCorn SoyCorn Mongo

    Crunchies/Chips (Deep Fried)Rice MongoCorn MongoSquash

  • Instant Rice Mongo Instant Gabi PaayapInstant Rice SoyInstant Corn MongoInstant Corn SoyInstant Rice MongoComplementary Foods (Pre-cooked)Complementary FoodsRice Mongo Sesame Banana SoybeanBanana PeanutCamote PaayapBanana PaayapGerminated Rice and Mongo

  • Fortified Bihon Noodles50 g serving of fortified bihon noodles will provide 40% of iron and 33% of iodine based on RDA for a reference man.Noodles (Canton Style & In Cups)SquashSeaweedSaluyot

  • Noodles with Squash (Canton Style)Blend of wheat flour, squash puree, salt and eggGolden yellow in colorContain 13 g protein, 512 kcal and 1.12 mg -carotene per 100 gNoodles with Saluyot (Canton Style)Rich in -carotene Blend of wheat flour, saluyot puree (Corchorus Olitorius), salt and eggOlive green in colorContain 11.9 g protein, 156 mg calcium, 4.2 mg iron and 1.8 mg -carotene per 100 g

  • SQUASH PRODUCTS

  • Dehydrated Vegetables Carrots Sweet Pepper Celery Kangkong leaves Alugbati leaves Kamote Leaves Petsay leaves Mushroom caps

  • Carrot-Pineapple JuiceA blend of carrots, pineapple, sugar and stabilizerHas an attractive orange colorPacked and processed in 375 ml glass bottlesA serving of 250 ml prepared juice provides 20% RDA for Vitamin A of an adult reference man A blend of carrots, mango, sugar and stabilizer Has an attractive orange color Packed and processed in 375 ml glass bottles A serving of 25 ml prepared juice provides 26% RDA for Vitamin A of an adult reference manCarrot-Mango Juice

  • High-Fiber CookiesContains: 10.9% protein 500 Kcal energy 7% dietary fiber

    Peanut flavorConsumption of 2 servings (15 g /serving) will provide RDI for protein Stable for 9 monthsSOYBEAN SPREAD

  • FRUIT JUICE DRINKS:Guyabano-Nata Fruit Drink Mango-Nata Fruit Drink

  • SOYBEAN GEL

  • Rice Crispy Bars Combination of cereal, legumes and oilseedsReady-to-eat ,appealing and deliciousComes in three flavors, tropical fruit, peanut, and chocolate coated

    Squash instant cream soup Mongo instant cream soup30g cream soup powder in 250 ml water will satisfy 28% & 7% of the RDA for protein & energy of 4-6 year old childrenInstant Cream Soups Combination of cereal and legumes with milk, vegetable, fat and sugarDry and compressed formCompact, light and convenient to handle and store

    Compressed Food

  • VEGETABLES MIXKare-Kare Mix Putsero Mix Laing Pinakbet Sinigang Mix Lumpia Sauce & Lumpia Wrapper Sinamak Kalamansi Extract Barbecue Marinade

  • Small & Medium Enterprises (SMEs)FarmtechDayapan Multipurpose CooperativeEagle Multipurpose CooperativeJojos Noodle Center

  • MOONBAKE INC.CANNED LAINGSmall & Medium Enterprises (SMEs)

  • FNRI VEGETABLE RECIPES

    FNRI has developed the following manuals:Mga Piling Lutuing Gulay - a compilation of vegetable recipes as main dish, snackfoods, dessert, and appetizersSquash Recipes - compilation of squash recipes as main dish, snackfoods, dessert and appetizers

  • Nutritional anemia remains to be a major health problem among children 6 mos to
  • Considering the targets set for 2004 in the MTPPAN and the Medium Development Goals set for 2015, overall efforts to reduce Protein-Energy Malnutrition, Chronic Energy Deficiency, Nutritional Anemia as well as arrest the increasing trend of overweight and obesity must be strengthened.Strict enforcement and proper implementation of the Food Fortification Law

  • Strengthen the R&D particularly on FRUITS AND VEGETABLE production and processing

    Intensification of home food production

    Coordinated nutrition education and information campaign

  • FNRI HOME PAGE:FOOD AND NUTRITION RESEARCH INSTITUTEDepartment of Science and TechnologyDOST Compd., Bicutan, TaguigMetro Manila, PHILIPPINESOUR ADDRESShttp://www.fnri.dost.gov.ph

  • Thank You

    886g

    The next slides look at the childrens food intake beyond breastfeeding up to 5 years of age The childrens usual food intake was measured from 24-hour food recall carried out on 2 non-consecutive or independent days. Food records which were edited in the field were processed in FNRI using the Individual Dietary Evaluation Program of FNRI. Foods were processed as raw, edible portion; and estimates of nutrient values were based on raw, edible portion (as what is available from the Philippine FCT.)

    The childs food intake beyond breastfeeding is largely composed of, firstly, milk and milk products (31% of total food intake, or 179g mean intake converted as whole milk), secondly, cereals and cereal products (30% of total food intake, which, like the general household diet, is mostly rice). Meats, fish and eggs, lumped together, contribute 17% of total food intake, and fruits and vegetables for accounted for 10%. Good afternoon. Thank you for the opportunity to present the 3rd Philippine Plan of Action for Nutrition. PPAN is the countrys response to the malnutrition and related problems. It is integral to the Medium Term Philippine Development Plan coordinated by NEDA.

    Todays presentation is auspicious because the draft MTPPAN is scheduled for consultations before its finalization in April. Therefore, any comments and suggestions during this convention will be highly appreciatedGood afternoon. Thank you for the opportunity to present the 3rd Philippine Plan of Action for Nutrition. PPAN is the countrys response to the malnutrition and related problems. It is integral to the Medium Term Philippine Development Plan coordinated by NEDA.

    Todays presentation is auspicious because the draft MTPPAN is scheduled for consultations before its finalization in April. Therefore, any comments and suggestions during this convention will be highly appreciated