PHILIPPINE NUTRITION

PROGRAM
 Nutritional Guidelines for
Filipinos
Goal
The goal of the 2020 Nutritional
Guidelines for Filipinos is the
improvement of the nutritional status,
productivity and quality of life of the
population, through adoption of
desirable dietary practices and
healthy lifestyle.
General Objectives
1.To reduce the morbidity and mortality
rates due to “Avitaminoses and other
nutritional deficiencies” among the
population, particularly among infants
and pre – schoolers.
2.To reduce PEM among infants and pre
– schoolers
2.To reduce vitamin A deficiency use
among infants and pre schoolers
using Bitot’s spot as indicators
4. To reduce the prevalence of IDA
among pregnant mothers and
infants.
5. To identify IDD endemic areas
using clinical indicators and
classify severity using laboratory
indicators
6. To reduce significantly the
magnitude and severity of IDD
through provision of iodine
supplements using goiter grade
and laboratory indicators
Policies:

I. Nutritional Surveillance (NS)

II. Food Production
III. Nutrition Education
IV. Nutrition Rehabilitation
I. Nutritional Surveillance (NS) – to det’m
victims of malnutrition
A. Anthropometric Measurement – study of
measurements of human dimensions
1. Age for weight – best for use
- If weight is not appropriate with the age:
a. Stunting: growth retardation
b. Wasting: muscle wasting connotes
malnutrition
2. Age for Height
- If height is not appropriate with the age:
Stunting
 3. Weight for height
Rule Male Female
Every height of 5 ft. 110 lbs 105 lbs
Every increment of an +6 +5
inch (1 inch) above 5 ft.
add

Every decrement of an -6 -5
inch (1 inch) below 5ft
subtract

Eg. Female: 4’11 at 100 lbs. 105

5 ft = 105 lbs - 5
1’’ decrement = - 5 100 lbs. IBW (Ideal body Weight)

100
100 x 100 = 100 % normal
Gomez Table Reference
Percentile Description
110% & above Obesity (a form of malnutrition)
90-109% Normal
76-89% 1st degree – Needs home diet care
60-75% 2nd degree malnutrition – Needs
hospitalization; use TPN
Below 60% 3rd degree malnutrition – Needs
hospitalization; use TPN
Formula: Actual Body Weight x 100 = _____ %
Ideal Body Weight

Eg. Male: Height 5’11; Actual Body Weight: 154 lbs.

5ft = 110 lbs 176 154
11 x 6 = 66 lbs - 156 176 x 100 = 88% (1 st BNL)
IBW = 176 lbs 22 lbs underweight
4. Skin Folds Test
- pinch the external oblique m. (bilbil) w/ your
palm
Normal: 1 inch Overweight: > 1 inch

5. Middle Upper Arm Circumference (MUAC)

- used in children below 5 yrs. Old
- measure middle upper arm using tape measure
Normal: 13 cm. & above
Malnutrition: < 13 cm.
 Schedule for receiving Vitamin A supplement to infants,
preschoolers and mother:
Schedule Infants (6-11 mos.) Preschoolers Post partum mother

Give 1 dose 100,000 IU 200,000 IU 200,000 within 1

month

Give after 6 100,000 IU 200,000 IU After delivery of each

months high risk only
conditions present

Schedule for treatment of Vitamin A deficiency

Schedule Infants (6-11 mos.) Preschoolers
Give today 100,000 IU 200,000 IU
Give tomorrow 100,000 IU 200,000 IU

Give after two weeks 100,000 IU 200,000 IU

Protein – Energy Malnutrition (PEM)
- refers to a range of clinical
disorder due to deficient of protein
or calories or both. These maybe
manifested by
2.1 Marasmus – carbohydrates
deficiency (energy giving food)
2.2 Kwashiorkor – protein deficiency
 KWASHIORKOR MARASMUS
Etiology (origin) Dse. experienced by an elder child Muscle wasting
upon the birth of a new baby
Deficiency CHON CHO
Age Toddlers (1-3 y/o) All ages
Major Signs and Facial edema Muscle wasting
Symptoms With moon face Old man’s face
Hair (changes) (+) color change
fr. Black to brown / fr. Brown to ( - ) hair changes
golden yellow
(+) Sparse “Flag Sign”
Skin Dermatosis – (-)
dryness/desquamation/peeling off of
skin
Behavior Irritable Apathetic
Management High protein High CHO diet
Hospital setting TPN (Total Parental Nutrition)/hyperalimentation process/IV
infusion w/ CHON,
CHO regulated by a machine
II. Food Production
1. Fortification – products w/o any nutrient are
added w/ nutrients
* RA 8172 (Asin Law)
- FIDEL Salt (Fortification of iodine Deficiency
Elimination) = Iodized salt
“ Patak Asin”, Dec 1-5, 2003
* RA 832 (Rice Fortification)
- FVR (Fortified Vitamin Rice)
- Erap Rice
- Gloria Rice
2. Enrichment – adding more nutrients to
products already w/ nutrients
- Canned Goods
- Noodles Written in their labels:
Enriched w/ Vit. ABCDE…
- Junk foods
w/ DOH Seal “Sangkap
Pinoy”
III. Nutrition Education
– sharing of information to mothers whose children are malnourished.
3 basic food groups:
Go – CHO
Grow – CHON
Glow – Vitamins, minerals and fats

Healthy Filipino Food Lifestyle

Oils
Fats Eat less
Sugar, salt

Meat, poultry, peanut, Eat some

Fatty dairies
Eat more
Vegetables, fruits, salad

Wheat, corn, bread, potato, rice Eat most

Water, clear broth Drink a lot