Mario V. Capanzana, Ph.D. Director IIRR CONFERENCE Silang Cavite

Transcription

1 Mario V. Capanzana, Ph.D. Director 2018 IIRR CONFERENCE Silang Cavite

2 Department of Science and Technology Food and Nutrition Research Institute DOST Compound, Gen. Santos Ave., Bicutan, Taguig City, Metro Manila, Philippines Tel nos.: (632) loc. 2296; ; Telefax No.: (632) E mail: mvc@fnri.dost.gov.ph Website: E nutrition:

3 FNRI MANDATE FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Undertake researches that define the citizenry s nutritional status, with reference particularly to the malnutrition problem, its causes and effects and identify alternative solutions to them; Develop and recommend policy options, strategies, programs and projects which address the malnutrition problem for implementation by appropriate agencies; and Disseminate research findings and recommendations to relevant end-users

4 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY

5 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY

6 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Tinimbang ka nguni t KULANG Children 0-5 years old: 21% underweight 33% underheight or stunted 7% wasted SOBRA Adults 20 + years: 31% overweight or obese 19% females have high waist circumference 58% females have high waist : hip ratio Source: 2015 Updating Survey, DOST-FNRI

7 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Stunting is a largely irreversible outcome of inadequate nutrition, bouts of infection during the FIRST 1,000 DAYS of a child s life. Source: WHO, Nutrition Global Targets

8 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Stunting or other measures of lost growth potential is associated with reduced grade attainment. Source: WHO, Nutrition Global Targets

9 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY including: DIMINISHED COGNITIVE & PHYSICAL DEVELOPMENT, REDUCED PRODUCTIVE CAPACITY and POOR HEALTH Source: WHO, Nutrition Global Targets

10 Stunted children have an increased risk of becoming OVERWEIGHT or OBESE later in life. FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Lower birthweight and greater undernutrition in childhood were risk factors for high glucose concentrations, blood pressure and harmful lipid profiles in adulthood. Source: WHO, Nutrition Global Targets

11 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Persistence of Undernutrition in Filipino children < 5 years old Source: National Nutrition Surveys, DOST FNRI

12 Nutritional Status among children < 5 years old (0 59 months): Philippines, 2015 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Source: DOST FNRI: 2015 National Nutrition Survey

13 Pregnancy 270 days Year 1 Year days = days First 1000 days A PERIOD OF OPPORTUNITY TO IMPROVE CHILD NUTRITION AND HEALTH

14 Nutritional Status of School-aged Children

15 Trends in the prevalence of malnutrition among children, 5.08 to 10.0 years old (61 to 120 months): Philippines,

16 Prevalence of underweight among children, 5.08 to 10.0 years old (61 to 120 months), by place of residence and wealth quintile: Philippines, 2015 % Prevalence

17 Prevalence of stunting among children, 5.08 to 10.0 years old (61 to 120 months), by place of residence and wealth quintile: Philippines, 2015 % Prevalence

18 Prevalence of wasting among children, 5.08 to 10.0 years old (61 to 120 months), by place of residence and wealth quintile: Philippines, 2015 % Prevalence

19 % Prevalence Prevalence of overweight/obesity among children, 5.08 to 10.0 years old (61 to 120 months), by place of residence and wealth quintile: Philippines, 2015

20 Trends in the overall prevalence of anemia, Philippines: 1993, 1998, 2003, 2008 and 2013

21 Prevalence of anemia among children by wealth quintile, Philippines: 2013

22 Median UIE and percent UIE values <50µg/L by age and physiologic groups: Philippines Age, y/ Physiologic Group n Median UIE, µg/l* UIE <50 µg/l, % Children, 6-12 Adolescents, Adults, Elderly, 60 Lactating Pregnant 22,588 5,514 14,820 3,676 1,460 1, Adequate UIE: median = ug/l for all groups, except pregnant ug/l

23 Frequency distribution of UIE values among 6 12 y old children, NNS 1998, 2003, 2008 & 2013: PHILIPPINES 1998 Median = 71 µg/l Prev < 50 µg/l = 35.8 % 2008 Median = 132 µg/l Prev < 50 µg/l = 19.7 % Median = 168 µg/l Prev < 50 µg/l = 16.4 % Median = 201 µg/l Prev < 50 µg/l = 11.4 %

24 Progress in the Philippines towards the elimination of IDD, Indicator Goal * Proportion of households using adequately iodized salt > 90 Median urinary iodine, µg/l Children, 6 12 yrs yrs Adults, yrs Elderly, 60 yrs Lactating women Pregnant women Proportion < 50µg/L, % < 20 Children, 6 12 yrs yrs Adults, yrs Elderly, 60 yrs Lactating women Pregnant women Achievements

25 Prevalence of VAD by age and physiologic state, 2008 Age/Sex/ Physiologic State No. of Participants (n) Prevalence (%) Philippines 6 mos 5 yrs 6 12 y y y 60 y Pregnant Lactating

26 Serum retinol level and percent distribution by age and physiologic state: Philippines, 2008 Age/ Physiologic State n Serum retinol level (µg/dl) x ± SD % Distribution Def & low Acceptable High Philippines ± mos 5 yrs ± y ± y ± y ± yr ± Pregnant women ± Lactating women ±

27 Mean serum zinc levels (± SE) and prevalence of zinc deficiency among Filipino children by age group by sex: Philippines, 2008 Population group/ sex n Zn, g/dl Mean ± SE % Prevalence Preschool children,6mo 5y ± 0.9 Male ± 1.3 Female ± 1.3 School-aged children,6-12y ± 0.8 Male ± 0.9 Female ± 1.0 Adolescents, y ± 0.9 Male ± 1.1 Female ± 1.2

28 Food Intake

29 Mean one day total food intake by population group 788 Grams 544 Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12 y

30 Mean one day total food intake by population group: 2008 and 2013 LEGEND Grams 544 * * 783 * * Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12 y *Significant increase *Significant decrease

31 Cereals and Cereal Products, 250.8g (43.0%) Starchy roots & tubers, 7.8g(1.3%) Sugars, 12.4g(2.1%) Dried beans, nuts & seeds, 4.9g(0.8%) Misc., 40.7g(7.0%) Milk & Milk Products, 44.3g (7.6%) Vegetables, 35.9g (6.2%) Fruits, 28.5g(4.9%) Fats & oils, 6.4g(1.1%) Eggs, 13.2g(2.3%) Meat, Poultry 72.9g (12.5%) Fish, 64.9,g(11.1%)

32 Proportion of the population meeting adequate FLUID intake by age/physiologic group: Philippines, 2013 Fluid intake adequacy was generally LOW across Filipino population groups. Population Group Pre-school Children Recommended Intake Intake (ml/day) Schoolchildren Adolescents Adults Elderly Pregnant Women Lactating Mothers Meeting Recommended Water Intake (PDRI 2015) Source: DS Concepcion, eta l th (2013) National Nutrition Survey: Fluid Intake of Filipinos, DOST-FNRI.

33 Nutrient sources of energy intake by population group: Philippines, 2013 Energy intake (kilocalories) Percent Contribution LEGEND Carbohydrates Fats Protein Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12y

34 Contribution of food groups to energy intake by population groups and percent meeting RENI POPULATION GROUP INTAKE (kcal) PERCENT CONTRIBUTION % Meeting RENI Children, 6m to5y Children, 6 to12y Adolescents Adults Elderly Pregnant women Lactating mothers RENI Recommended Energy and Nutrient Intake % 20% 40% 60% 80% 100% LEGEND Cereals & Products Fish, Meat & Poultry Milk & Products Fats and Oils Sugars & Syrups Others 9.8

35 Mean one-day iron intake by population group: Philippines, Milligrams 5.7 Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12y

36 Proportion of population groups meeting the estimated average requirement for iron: Philippines, 2008 and 2013 LEGEND Percent Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12y

37 Contribution of food groups to iron intake by population groups and percent meeting EAR POPULATION GROUP Children, 6m to5y Children, 6 to12y INTAKE (mg) PERCENT CONTRIBUTION % Meeting ear Adolescents Adults Elderly Pregnant women Lactating mothers *Estimated Average Requirement 0% 20% 40% 60% 80% 100% LEGEND Cereals & Products Fish, Meat & Poultry Milk & Products Eggs Vegetables Beverages Others

38 Mean one-day vitamin A intake by population group: Philippines, Microgram RE Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12y

39 Proportion of population groups meeting the estimated average requirement for vitamin A: Philippines, 2008 and 2013 LEGEND Percent Children 6m to 5y Children Adolescents Adults Elderly Pregnant Lactating 6 to 12y

40 Contribution of food groups to vitamin A intake by population groups and percent meeting EAR: Philippines, 2013 POPULATION GROUP Children, 6m to5y INTAKE (mcg RE) PERCENT CONTRIBUTION % Meeting RENI 57.4 Children, 6 to12y Adolescents Adults Elderly Pregnant women Lactating mothers *Estimated Average Requirement % 20% 40% 60% 80% 100% LEGEND Cereals & Products Fish, Meat & Poultry Milk & Products 7.5 Eggs Vegetables Beverages Others

41 Percentage contribution of food groups to PROTEIN intake by population groups: Philippines, 2013 POPULATION GROUPS INTAKE (gram) PERCENTAGE CONTRIBUTION (%) Preschool Children 27.6 Children 41.1 Adolescents 53.0 Adults 57.2 Elderly 45.4 Pregnant Women 52.5 Lactating Women 50.7 *All Source: 2013 National Nutrition Survey, DOST FNRI

42 Percentage contribution of food groups to CARBOHYDRATE intake by population groups: Philippines, 2013 POPULATION GROUPS INTAKE (GRAM) PERCENTAGE CONTRIBUTION (%) Preschool Children 136 Children 230 Adolescents 300 Adults 307 Elderly 244 Pregnant Women 284 Lactating Women 295 *All Source: 2013 National Nutrition Survey, DOST FNRI

43 Percentage contribution of food groups to FAT intake by population groups: Philippines, 2013 POPULATION GROUPS INTAKE (gram) PERCENTAGE CONTRIBUTION (%) Preschool Children 24 Children 28 Adolescents 34 Adults 32 Elderly 22 Pregnant Women 31 Lactating Women 28 *All Source: 2013 National Nutrition Survey, DOST FNRI

44 Parameters AGE GROUP FNRI-DOST Underweight FOOD AND NUTRITION RESEARCH INSTITUTE Underheight Wasting DEPARTMENT OF SCIENCE AND TECHNOLOGY Overweight CED 0-60 mos mos mos >20 years Pregnant Lactating Waist Circumference M/F Waist-Hip Ratio M/F

45 What S&T solution can we offer... FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY FNRI initiatives to address malnutrition in the Philippines

46 Malnutrition Reduction Program S & T INTERVENTION DOST PINOY (Package for the Improvement of Nutrition Of Young Children) Technology Transfer OUTCOMES Reduced underweight and stunting prevalence among 6-35 months old children was met in 4/25 provinces: Basey, Samar Pulilan and Plaridel, Bulacan Bagulin, Pangasinan Tobias Fornier, Antique 2 points increased in the mean scores on nutrition knowledge of mothers after the education intervention Continuously benefitting children and their mothers/ caregivers LGU policy resolutions approved and passed for the adoption of DOST PINOY Considered by NEDA as a national priority project (NPP) of the government Used in time of manmade (Marawi) and natural disaster (Yolanda etc)

47 Malnutrition Reduction Program FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY

48 Supply Strategy Thru: FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Establishment of Complementary Food Processing Facility all over the Region. 38 CFPF

49 Demand Strategy Thru: Implementation of FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY A Nutrition Intervention Strategy (Package for the Improvement of Nutrition Of Young Children)

50 Nutrition intervention strategy MRP 120 feeding days of complementary foods among 6-35 months old children nutrition education for the mothers/ caregivers using developed modules

51 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY

52 Region # CFPF NCR 2 CAR 1 I 1 II 2 III 1 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY IV-A 5 IV-B 5 V 4 VI 4 VII 1 VIII 3 IX 1 X 3 XI 1 XII 2 XIII 1 ARMM 1 Total 38

53 FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY DOST PINOY IMPLEMENTATION IN THE COUNTRY

54 COMPLEMENTARY FOOD MINGO MEALS IN MARAWI FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY

55 COMPLEMENTARY FOOD MINGO MEALS IN SARI-SARI STORES FNRI-DOST FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY

56 2017 YEAR OF PINGGANG PINOY

57 ov I Icons for Specific " Population,.. Groups Development of Pinggang Pinoy for specific population groups was spearheaded by FN RI in 2015 and was launched at the 61st NDAP Convention in 2016

58 Department of Science and Technology Food and Nutrition Research Institute DOST Compound, Gen. Santos Ave., Bicutan, Taguig City, Metro Manila, Philippines Tel nos.: (632) loc. 2296; ; Telefax No.: (632) E mail: mvc@fnri.dost.gov.ph Website: E nutrition:

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