1.Coping strategies to achieve food security among households with children in an urban poor community in Quezon City during COVID-19.
Eryn M. KIUNISALA ; Beatrice Ysabel G. DY ; Ralph Alexander T. FLORES ; Ramon Raphael M. MONTIERRO ; Renaeus Arlchristian Rualdo D. TORRES ; Kim Leonard G. DELA LUNA ; Ernani R. BULLECER
Acta Medica Philippina 2025;59(1):48-56
BACKGROUND
In the Philippines, the prevalence of food insecurity increased during the COVID-19 pandemic, affecting the nutritional status of communities nationwide. Urban areas in particular are vulnerable to the harmful effects of food insecurity, and the effects are extended and magnified when it comes to children.
OBJECTIVESThis study aims to evaluate the coping strategies of households with children aged 0-10 years old in an urban poor community in Quezon City. In particular, the study will determine Coping Strategies Index (CSI) scores and the frequency of specific coping strategies used.
METHODSA descriptive cross-sectional study was conducted to assess the coping strategies of 405 households with children in the community during the pandemic. Mothers or caregivers were given a survey inquiring about the sociodemographic data and CSI.
RESULTSSociodemographic profiling showed that the households generally belonged to class D and E (PhP 15,000 and below) income households (73.8%). The majority of the household heads (52.6%) have their highest educational attainment at the high school level. The majority (77.5%) of the households were categorized as having low CSI classification (90%CI: 73.9, 80.8). This could indicate that relief operations conducted in the community may have helped ease their food insecurity. Coping strategies that were most frequently employed by the households were depending on less preferred or more affordable food (74.8%), rationing money for prepared food (69.1%), and purchasing food on credit (58.5%).
CONCLUSIONLow CSI classification was noted, which may be due to increased adaptation to persistent food insecurity and the utilization of coping strategies not indicated in the questionnaire. Common coping strategies used by households include reliance on less favored or less costly food items, rationing resources for prepared food, and food on credit. It is recommended that the results collected be used to target food availability and accessibility interventions in the community.
Human ; Food Insecurity ; Adaptation, Psychological ; Nutritional Status ; Food Security
3.Advancing the role of higher education institutions in attaining the health-related sustainable development goals: Proceedings of the 53rd Asia Pacific Academic Consortium for Public Health, 21-23 September 2022, Philippines.
Maria Margarita M. LOTA ; Paul Michael R. HERNANDEZ ; Vivien Fe F. FADRILAN-CAMACHO ; Fresthel Monica M. CLIMACOSA ; Francis Andrew B. CUBE ; Kim Leonard G. DELA LUNA ; Crystal Amiel M. ESTRADA ; Emerito Jose A. FARAON ; Fernando B. GARCIA JR. ; Myra S. MISTICA ; Frederick S. NIETO ; Sharon Yvette Angelina M. VILLANUEVA ; Vicente Y. BELIZARIO JR.
Acta Medica Philippina 2025;59(4):10-13
Higher Education Institutions (HEIs) are acknowledged as key drivers in realizing health-related Sustainable Development Goals (SDGs). The University of the Philippines Manila, College of Public Health (UP CPH) together with the Asia-Pacific Academic Consortium for Public Health (APACPH), hosted the 53rd APACPH International Conference last 21-23 September 2022. The conference discussed current issues relating to the attainment of SDGs and promoted collaboration of leading academic institutions and other stakeholders in addressing various public health challenges. The conference revolved around the challenges and opportunities in attaining health-related SDGs, and the good practices and roles of HEIs in addressing health disparities. The lack of certificati on framework of public health tertiary programs, pedagogy and infrastructure, and ambiguous roles and network of public health professionals were discussed. The conference served as a platform for discussing potential resolutions and ways forward in addressing these challenges. Opportunities for improvement such as updating of policies and curricula, strengthening of internship and community engagement programs, establishment of capacity-building partnerships and programs, and developing multidisciplinary-competent faculty and students were identified. This paper providesthe highlights of the conference focusing on the good practices and roles of HEIs in addressing health disparities, the impact of COVID-19 pandemic, and other issues and challenges in attaining SDGs.
Human ; Sustainable Development ; Sustainable Development Goals ; Public Health
4.Association of anthropometric parameters with elevated fasting blood sugar among Filipino adults aged 18–65 years in highly urbanized cities in the Philippines.
Raycha Lei Concess M. RAMA-SABANDAL ; Kim Leonard G. DELA LUNA ; Alvin Duke R. SY ; Anna Paulina S. RODRIGUEZ ; Rowel C. MALIMBAN ; Carl Mark Vincent B. BABASORO ; Eldridge B. FERRER ; Darwin E. DORMIS
Acta Medica Philippina 2025;59(4):125-138
BACKGROUND AND OBJECTIVE
Type II Diabetes Mellitus remains a pressing public health concern among Filipino adults, particularly prevalent in urban households belonging to the middle to richest wealth population. As body composition influences glucose metabolism, understanding the potential of anthropometric parameters is vital in predicting fasting blood sugar. This study aims to generate and find the most appropriate model that can detect likelihood of elevated FBS using different anthropometric parameters.
METHODSThe data set from 2018-2019, 2021 Expanded National Nutrition Survey of Department of Science and Technology - Food and Nutrition Research Institute, consisting of 14,655 adults aged 18–65 years from 33 highly urbanized cities (HUCs) was used in this study. While controlling for study variables, multiple logistic regression was used to determine significant predictors affecting the fasting blood sugar (FBS) status of these adults.
RESULTSThe above normal status of each anthropometric parameter, in the models for BMI (aOR=2.33; pCONCLUSION
There is no single anthropometric parameter that can truly discern the status of elevated FBS. However, it appears the use of waist circumference and waist-hip ratio have the potential to be an indicator especially in settings where the evaluation of the actual FBS of the individuals is not feasible. Future research suggests exploring possible interaction of BP, and FBS, diet quality and adequacy, and the effectiveness of having multiple anthropometric parameters in one model.
Human ; Male ; Female ; Adolescent: 13-18 Yrs Old ; Young Adult: 19-24 Yrs Old ; Middle Aged: 45-64 Yrs Old ; Aged: 65-79 Yrs Old ; Diabetes Mellitus, Type 2
5.Factors associated with stunting among infants and young children in the Fourth District of Camarines Sur, Philippines.
Jeena Sandra R. MANRIQUE-DE HITTA ; Kim Leonard G. DELA LUNA ; Anna Paulina S. RODRIGUEZ ; Mildred O. GUIRINDOLA
Acta Medica Philippina 2025;59(9):62-71
OBJECTIVE
This study aimed to investigate the determinants linked to stunting among infants and young children aged 0-23 months in the Fourth District of Camarines Sur.
METHODSAn analytical cross-sectional study was conducted among 628 primary caregivers with infants and young children aged 0-23 months in four municipalities of the Fourth District of Camarines Sur, Philippines, using a two stage stratified random sampling design. Data on sociodemographic and economic factors were collected through face-to-face interviews. Infant and young child feeding (IYCF) indicators were assessed using a list-based approach, while weight and length were evaluated using the World Health Organization Anthro Plus software. Descriptive statistics and multiple logistic regression were done using R statistical software version 4.3.1.
RESULTSThe study revealed that the prevalence of stunting was of significant public health concern, reaching 42.8%. Holding other variables constant, age of the child (OR=0.77; 95% CI: 0.63-0.94), having college undergraduate mothers (OR=0.26; 95% CI: 0.05-1.28), and belonging to a poor income household (OR=0.40; 95% CI: 0.14-0.88) were associated with stunting among infants aged 0.01-6.00 months. Moreover, after controlling for the confounding effects of other variables, age (OR=1.09; 95% CI: 1.05-1.14) and sex of the child (OR=1.55; 95% CI: 1.05-2.28) were associated with stunting among older children aged 6.00-23.99 months.
CONCLUSIONThis study emphasizes the challenge of stunting in the Fourth District of Camarines Sur. None of the IYCF indicators were associated with stunting; however, maternal education, the child’s age, sex, and socioeconomic status were identified as significant factors influencing stunting. Addressing these determinants through targeted interventions focusing on improving maternal education and enhancing socio-economic conditions were crucial to reducing stunting in the study areas.
Human ; Growth Disorders ; Risk Factors ; Nutritional Status ; Infant Nutrition Disorders
6.Micronutrient intake and diet quality of overweight/obese Filipino adults in the National Capital Region, Philippines.
Jade Q. FLORENTO ; Kim Leonard G. DELA LUNA ; Charina A. JAVIER ; Eldridge B. FERRER
Acta Medica Philippina 2025;59(10):85-94
OBJECTIVES
This study aims to describe the micronutrient intake and diet quality of overweight and obese Filipino adults in the National Capital Region (NCR). Specifically, it seeks to assess micronutrient inadequacy among these individuals and analyze differences in food intake based on their sociodemographic profiles and lifestyle habits.
METHODSThis analytical cross-sectional study utilized data from the Expanded National Nutrition Survey (ENNS) conducted in 2018, 2019, and 2021 by the Department of Science and Technology-Food and Nutrition Research Institute (DOST-FNRI). A total of 3,154 overweight and obese subjects were included. ANOVA and Kruskal-Wallis tests were employed to analyze the food groups consumed by these adults.
RESULTSMajority of overweight and obese adults were found to be inadequate in vitamin A (81.7%), vitamin C (88.4%), thiamin (62.5%), riboflavin (70.7%), iron (69.8%), and calcium (88.7%). Significant differences were observed in the mean intake of various food groups across different age groups, sexes, civil statuses, wealth quintiles, educational attainments, employment statuses, and smoking and drinking statuses.
CONCLUSIONFilipino adults who are overweight and obese, and residing in urban settings face significant challenges related to micronutrient inadequacy. When their food intake was assessed based on sociodemographic and lifestyle characteristics, it was found that their diets were more calorie-dense than nutrient-dense. To address this issue, it is recommended to encourage a wider variety of nutrient-dense foods among overweight and obese adults.
Food Intake ; Eating ; Micronutrients ; Overweight ; Obesity ; Nutritional Status
7.Effect of a capacity building on the knowledge, attitude, and self-efficacy on Nutrition-Sensitive Agriculture (NSA) of the Local Agriculture Planners in CALABARZON: A non-randomized controlled trial.
Kim Leonard G. DELA LUNA ; Maria Theresa M. TALAVERA ; Leila S. AFRICA ; Clarissa B. JUANICO ; Nancy A. TANDANG ; Marison Felicidad R. DY
Acta Medica Philippina 2025;59(11):18-29
BACKGROUND
Filipino farmers recorded the highest incidence of poverty in the last decade. In addition, a heightened awareness was observed within agriculture and different government agencies to better understand the link between agriculture and nutrition. However, limited studies have been conducted in the Philippines integrating nutritionsensitive agriculture into the Municipal Agricultural Development Plan (MADP).
OBJECTIVESThis study aims to determine the effect of capacity building on the knowledge, attitude, and self-efficacy of municipal agriculturists on Nutrition-Sensitive Agriculture (NSA) in CALABARZON.
METHODSThis study utilized a non-randomized controlled trial design to measure the change in knowledge, attitude, and self-efficacy of the municipal agriculturists on NSA and nutrition sensitivity of the MADP. A total of 57 municipal agriculturists from CALABARZON participated in the capacity building.
RESULTSLocal agriculture planners' knowledge, attitude, and self-efficacy significantly improved after capacity building. In addition, membership of municipal agriculturists to local nutrition committee was significantly associated with higher scores difference in knowledge and self-efficacy after the training. Meanwhile, the score difference in their attitude was significantly related to the tenure of employment in local agriculture planners.
CONCLUSIONCapacity building on the NSA can significantly improve local agriculture planners' knowledge, attitude, and self-efficacy. Thus, the government must support programs and initiatives concerning the NSA, like increasing the capacity of local agriculture planners. This will allow them to integrate nutrition-sensitive agriculture concepts positively into their agriculture development plan.
Human ; Agriculture ; Food Security ; Capacity Building
8.Coping strategies to achieve food security among households with children in an urban poor community in Quezon City during COVID-19
Eryn M. Kiunisala ; Beatrice Ysabel G. Dy ; Ralph Alexander T. Flores ; Ramon Raphael M. Montierro ; Renaeus Arlchristian Rualdo D. Torres ; Kim Leonard G. Dela Luna ; Ernani R. Bullecer
Acta Medica Philippina 2024;58(Early Access 2024):1-9
Background:
In the Philippines, the prevalence of food insecurity increased during the COVID-19 pandemic, affecting the nutritional status of communities nationwide. Urban areas in particular are vulnerable to the harmful effects of food insecurity, and the effects are extended and magnified when it comes to children.
Objectives:
This study aims to evaluate the coping strategies of households with children aged 0-10 years old in an urban poor community in Quezon City. In particular, the study will determine Coping Strategies Index (CSI) scores and the frequency of specific coping strategies used.
Methods:
A descriptive cross-sectional study was conducted to assess the coping strategies of 405 households
with children in the community during the pandemic. Mothers or caregivers were given a survey inquiring about the sociodemographic data and CSI.
Results:
Sociodemographic profiling showed that the households generally belonged to class D and E (PhP 15,000 and below) income households (73.8%). The majority of the household heads (52.6%) have their highest educational attainment at the high school level.
The majority (77.5%) of the households were categorized as having low CSI classification (90%CI: 73.9, 80.8).
This could indicate that relief operations conducted in the community may have helped ease their food insecurity. Coping strategies that were most frequently employed by the households were depending on less preferred or more affordable food (74.8%), rationing money for prepared food (69.1%), and purchasing food on credit (58.5%).
Conclusion
Low CSI classification was noted, which may be due to increased adaptation to persistent food insecurity and the utilization of coping strategies not indicated in the questionnaire. Common coping strategies used by households include reliance on less favored or less costly food items, rationing resources for prepared food, and food on credit. It is recommended that the results collected be used to target food availability and accessibility interventions in the community.
Food Insecurity
;
Adaptation, Psychological
9.Factors associated with stunting among infants and young children in the Fourth District of Camarines Sur, Philippines
Jeena Sandra R. Manrique-de Hitta ; Kim Leonard G. Dela luna ; Anna Paulina S. Rodriguez ; Mildred O. Guirindola
Acta Medica Philippina 2024;58(Early Access 2024):1-10
Objective:
This study aimed to investigate the determinants linked to stunting among infants and young children aged 0-23 months in the Fourth District of Camarines Sur.
Methods:
An analytical cross-sectional study was conducted among 628 primary caregivers with infants and young children aged 0-23 months in four municipalities of the Fourth District of Camarines Sur, Philippines, using a twostage stratified random sampling design. Data on sociodemographic and economic factors were collected through face-to-face interviews. Infant and young child feeding (IYCF) indicators were assessed using a list-based approach, while weight and length were evaluated using the World Health Organization Anthro Plus software. Descriptive statistics and multiple logistic regression were done using R statistical software version 4.3.1.
Results:
The study revealed that the prevalence of stunting was of significant public health concern, reaching 42.8%. Holding other variables constant, age of the child (OR=0.77; 95% CI: 0.63-0.94), having college undergraduate mothers (OR=0.26; 95% CI: 0.05-1.28), and belonging to a poor income household (OR=0.40; 95% CI: 0.14-0.88) were associated with stunting among infants aged 0.01-6.00 months. Moreover, after controlling for the confounding effects of other variables, age (OR=1.09; 95% CI: 1.05-1.14) and sex of the child (OR=1.55; 95% CI: 1.05-2.28) were associated with stunting among older children aged 6.00-23.99 months.
Conclusion
This study emphasizes the challenge of stunting in the Fourth District of Camarines Sur. None of the IYCF indicators were associated with stunting; however, maternal education, the child’s age, sex, and socioeconomic status were identified as significant factors influencing stunting. Addressing these determinants through targeted interventions focusing on improving maternal education and enhancing socio-economic conditions were crucial to reducing stunting in the study areas.
Human
;
growth disorders
;
risk factors
;
nutritional status
;
infant nutrition disorders
10.Micronutrient intake and diet quality of overweight/obese Filipino adults in the National Capital Region, Philippines
Jade Q. Florento ; Kim Leonard G. Dela luna ; Charina A. Javier ; Eldridge B. Ferrer
Acta Medica Philippina 2024;58(Early Access 2024):1-10
Objectives:
This study aims to describe the micronutrient intake and diet quality of overweight and obese Filipino adults in the National Capital Region (NCR). Specifically, it seeks to assess micronutrient inadequacy among these individuals and analyze differences in food intake based on their sociodemographic profiles and lifestyle habits.
Methods:
This analytical cross-sectional study utilized data from the Expanded National Nutrition Survey (ENNS) conducted in 2018, 2019, and 2021 by the Department of Science and Technology-Food and Nutrition Research Institute (DOST-FNRI). A total of 3,154 overweight and obese subjects were included. ANOVA and Kruskal-Wallis tests were employed to analyze the food groups consumed by these adults.
Results:
Majority of overweight and obese adults were found to be inadequate in vitamin A (81.7%), vitamin C (88.4%), thiamin (62.5%), riboflavin (70.7%), iron (69.8%), and calcium (88.7%). Significant differences were observed in the mean intake of various food groups across different age groups, sexes, civil statuses, wealth quintiles, educational attainments, employment statuses, and smoking and drinking statuses.
Conclusion
Filipino adults who are overweight and obese, and residing in urban settings face significant challenges related to micronutrient inadequacy. When their food intake was assessed based on sociodemographic and lifestyle characteristics, it was found that their diets were more calorie-dense than nutrient-dense. To address this issue, it is recommended to encourage a wider variety of nutrient-dense foods among overweight and obese adults.
food intake
;
eating
;
micronutrients
;
overweight
;
obesity
;
nutritional status


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