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FACTORS TO NON
FNRI COMMUNICABLE DISEASES
(NCDs) AMONG FILIPINO ADULTS
FOOD AND
NUTRITION
RESEARCH
INSTITUTE
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY
PRESENTATION OUTLINE
FNRI
Western Pacific Region
Philippines
FOOD AND
NUTRITION
Overview of the 2013 8th National Nutrition Survey (NNS)
RESEARCH
INSTITUTE Burden of selected risk factors of NCDs based on results
DEPARTMENT
of the 8th NNS
OF Obesity (Body Mass Index, Waist Circumference and Waist-Hip Ratio)
SCIENCE AND
TECHNOLOGY Hypertension
High fasting blood glucose
Dyslipidemia
Smoking Status
Alcohol Consumption Status
Physical Inactivity
http://www.who.int/mediacentre/factsheets/fs355/en/
BURDEN of NCDs in the WESTERN
PACIFIC REGION (WPRO)
Japan
Australia
Singapore NCDs are the leading causes of death
New Zealand
FNRI Brunei
Darussalam
Cook Islands
and disability in the Western Pacific
Region, responsible for 80% of all
Malaysia
FOOD AND
NUTRITION
Tonga
China
deaths.
Viet Nam
RESEARCH
Solomon Islands
INSTITUTE
Philippines
Micronesia,
DEPARTMENT
OF
the Federated States of
Vanuatu
Globally, NCD deaths are projected to
SCIENCE AND Samoa
Palau
increase from 36 million in 2010 to 44
TECHNOLOGY
Niue
Kiribati
million 2020. In the Western Pacific
Papua New Guinea
Lao People’s Region, the projected increase is from
Democratic Republic, the
Mongolia 10.2 million to 12.3 million.
Fiji
Cambodia
Tuvalu
Marshall Islands, the
Nauru
FOOD AND
NUTRITION Diseases of the heart and vascular system
RESEARCH
INSTITUTE made up one-third (33.0%) of all
DEPARTMENT
deaths (WHO-NCD Country Profiles,
OF 2014)
SCIENCE AND
TECHNOLOGY
10
8.5
7.9 7.8
6.8
5.7
4.8
5
3.3
0
All 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and
up
6.5
5.9 5.5
5.2
5 4.4
3.8
1.5
0
Males 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and
up
5.3
5 4.5
0
Females 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and
up
20
10
4.7 5.5 4.5
3.8 3.3 3.6
2.2
0
Males 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and up
10.5
10
0
Females 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and up
45 43.4
40.9
40
35.1
35
30
24.8
22.3 25
20
15.2
15
10 7.2
5
0
All 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
30 27.2
25.1
19.8
20
11.4
10
0
Males 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
43.3
40.3
40
33.8
30
22.7
19.9
20
11.6
10
3.7
0
Females 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
Modified JNC VIII (2013)
15
12.5
10.5
10
8.3
6.3
5.4
5
3.1
1.0
0
All 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
15
12.9
10.8
10 8.7
5.3 5.6
5
2.8
0.8
0
Females 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
* WHO and CPG criteria of high FBG >126 mg/dL
70
61.8
58.8
60 54.6
46.9 50.6
50 43.8
40
32.7
30
20
10
0
All 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline: 200-239 mg/dL; High > 240 mg/dL
80
70
60
47.3 48.2
41.5 50 44.6 43.0 41.4
40
29.8
30
20
10
0
Males 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
80 73.5 72.5
70 63.7
51.4 60 53.6
50 43.2
40 35.2
30
20
10
0
Females 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline: 200-239 mg/dL; High > 240 mg/dL
70
61.9 59.8
60 57.5
51.5
47.2
50 44.1
40
32.4
30
20
10
0
All 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline: 130-159 mg/dL; High > 160 mg/dL
80 74.2 72.7
70 66.9
57.8
53.6 60
50 46.9
40 35.2
30
20
10
0
Females 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline: 130-159 mg/dL; High > 160 mg/dL
50
40
30
20
10
0
All 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
*Adult Treatment Panel (ATP) III Cut-off, 2001: Males: Low < 40 mg/dL; Females: Low <50 mg/dL
40
20
0
Males 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
60
40
20
0
Females 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
*Adult Treatment Panel (ATP) III Cut-off, 2001: Males: Low < 40 mg/dL; Females: Low <50 mg/dL
50 45.6
45 42.8
38.6 40.9
40 37.7
33.4 34.4
35
30
25
20
15
10
5
0
All 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline High: 150-199 mg/dL ;High: 200-399 mg/dL; Very High > 400 mg/dL
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
Prevalence of borderline to very high triglyceride level*
among adults 20 years and over by sex and age group:
Philippines, 2013
50.8 52.1 47.5
46.4 50
42.3 40.0
40
29.2
30
20
10
0
Males 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
50 45.2
43.9
40 38.0
31.8 30.3
30 25.7 26.3
20
10
0
Females 20 -29 30- 39 40-49 50-59 60-69 ≥ 70
*Adult Treatment Panel (ATP) III Cut-off, 2001: Borderline High: 150-199 mg/dL ;High: 200-399 mg/dL; Very High > 400 mg/dL
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
Prevalence and 95% CI of borderline to very high triglyceride
level among adults 20 years and over by region, Philippines:
2013 REGION
LOWER
LIMIT
UPPER
LIMIT PREVALENCE
PHILIPPINES 37.6 39.7 38.6
Ilocos Region 37.8 44.4 41.1
Cagayan Valley 36.5 43.1 39.8
CAR 46.2 56.7 51.5
Central Luzon 37.1 44.0 40.6
NCR 42.3 48.4 45.4
CALABARZON 31.2 38.5 34.9
MIMAROPA 19.3 30.1 24.6
Bicol 27.0 33.5 30.2
Western Visayas 35.0 41.0 37.9
Central Visayas 30.8 36.4 33.5
Eastern Visayas 26.8 35.5 31.2
Zamboanga Peninsula 32.6 43.6 38.0
Northern Mindanao 32.5 40.9 36.7
Davao Region 40.3 46.9 43.6
SOCCSKSARGEN 42.5 48.6 45.6
CARAGA 41.8 48.2 45.0
ARMM 26.5 35.8 31.2
0 10 20 30 40 50
DEPARTMENT
OF
FORMER SMOKERS
SCIENCE AND
TECHNOLOGY - those who have ever smoked in the past year prior to
survey whether on a daily basis or an aggregate lifetime
consumption of at least 100 cigarettes but not daily, and
are no longer smoking at the time of the survey
NEVER SMOKERS
- those individuals who have never smoked at all
Distribution of adults 20 years old and over by smoking status
and age group: Philippines, 2013
Never Current Former
0 10 20 30 40 50 60 70 80 90 100
AGE GROUP
Never Current Former
0 10 20 30 40 50 60 70 80 90 100
AGE GROUP
Never Current Former
0 10 20 30 40 50 60 70 80 90 100
AGE GROUP
Never Current Former
LIFETIME ABSTAINERS
people who have never consumed alcohol
FNRI
FOOD AND
NUTRITION FORMER DRINKERS
RESEARCH
INSTITUTE people who have previously consumed alcohol but who
DEPARTMENT have not done so in the previous 12-month period
OF
SCIENCE AND
TECHNOLOGY
CURRENT DRINKERS
people who were currently consuming alcohol during the
survey period
Reference: World Health Organization: Global Status Report on Alcohol and Health 2014
Distribution of adults 20.0 years old and over by alcohol
consumption status and age group: Philippines, 2013
100
23.9
80 35.7
48.3 51.7 44.4
53.1 52.4
19.9
60
17.1
13.5 14.6
40 11.4 13.0 12.8
56.2
20 41.0 47.2
38.2 35.5 34.7 35.6
0
All 20.00-29.99 30.00-39.99 40.00-49.99 50.00-59.99 60.00-69.99 70 & over
100
80 39.9
56.2
70.0 60 72.0 75.8 74.6 67.3
24.2
40
16.5
9.6 6.2 12.8
20 6.8 9.4 35.9
20.4 21.9 17.4 19.9 27.3
16.0
0
Males 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and
up
Lifetime Abstainers Former Drinkers Current Drinkers
100
17.3 13.4
28.6 30.8 29.2 24.1
80 35.6 17.1
17.7
17.0 16.1 16.1
60
16.3 18.6
40
59.8 65.0 69.5
54.5 48.2 50.6 54.8
20
0
Females 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and
up
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
Prevalence and 95% CI of adult current drinkers: Philippines,
2013
REGIONS LL UL PREVALENCE
PHILIPPINES 47.1 49.5 48.3
NCR 47.5 55.7 51.6
Ilocos 42.1 47.9 45.0
Cagayan Valley 41.2 49.5 45.3
CAR 42.0 53.3 47.7
Central Luzon 48.3 53.4 50.8
CALABARZON 50.1 55.3 52.7
MIMAROPA 47.5 56.1 51.8
Bicol 49.5 59.5 54.5
Western Visayas 39.2 46.1 42.6
Central Visayas 32.0 44.0 38.0
Eastern Visayas 64.0 74.6 69.3
Zamboanga Peninsula 40.4 52.1 46.3
Northern Mindanao 39.9 49.8 44.8
Davao 44.0 54.5 49.3
SOCCSKSARGEN 33.9 44.5 39.2
ARMM 11.3 23.7 17.7
CARAGA 47.3 58.3 52.8
0 20 40 60
FOOD AND NUTRITION RESEARCH INSTITUTE-
DEPARTMENT OF SCIENCE AND TECHNOLOGY
OPERATIONAL
DEFINITION BINGE DRINKING
BINGE DRINKING
DEPARTMENT
OF
SCIENCE AND
TECHNOLOGY
62.9 56.9
56.2 60 55.6
50.5
47.4
40
29.6
20
0
All 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and
up
40 35.1
20
0
Males 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and
up
60 52.3
37.8 35.5
40
30.2 27.8 29.2
20
17.7
0
Females 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and
up
FNRI
A person not meeting any of the following
FOOD AND
NUTRITION criteria is considered being physically inactive
RESEARCH
INSTITUTE or insufficiently physically active and therefore
DEPARTMENT
at risk of chronic disease:
OF
SCIENCE AND
TECHNOLOGY - 3 or more days of vigorous-intensity activity
of at least 20 minutes per day; OR
80
66.0
60
51.9 49.7
45.2
41.1 39.1
40
37.9
20
0
All 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and
up
60
58.0
42.5 42.7
36.7 40 32.4 30.4 32.0
20
0
Males 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and
up
80
71.2
60.4
52.7 60 56.0
49.1 45.2 45.3
40
20
0
Females 20.0-29.9y 30.0-39.9y 40.0-49.9y 50.0-59.9y 60.0-69.9y 70.0 y and
up
70 2008 2013
60
48.3
50
40
30
26.9
20
10
0
Overall