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* Supervising Science Research Specialist, Food and Nutrition Research
Institute-Department of Science and Technology, Bicutan, Tagig, Metro
Manila, Philippines. ** Director, Food and Nutrition Research Institute-Department
of Science and Technology.
Abstract: The growing proportion of older persons in the Philippine population,
with their potential contribution to development efforts as well as special
needs for health and social services, presents an emerging demographic
concern. The Philippines participated in the IUNS multicenter cross-cultural
study of "Food Habits in Later Life" among urban elderly in
three different care settings - elderly who lived with their families,
those housed in government-operated homes for the aged, and older persons
in private institutions. A second study employed the CRONOS protocol to
differentiate nutritional and non-nutritional factors that affect the
health and nutritional status of the Filipino elderly in urban and rural
settings. Findings from the two studies revealed deficiencies in energy
and protein intake among older persons. Those cared for by government
social workers and care-givers had lowest protein-energy intakes and the
highest proportion of underweight. Food habits of the urban elderly, particularly
in terms of meal pattern, and use of table salt, sugar and fats were reported
in the IUNS study. There was general perception of tiredness and limited
social activity, network and support, but over-all self-rating of the
elderly's health was good. The CRONOS study found significant association
between later life status indicators, as well as between BMI and illness
and physical activity scores. The paper included data from the 1993 National
Nutrition Survey describing the nutritional situation of the elderly on
a national scale: 30% of Filipino adults aged 60 y and over had a BMI
<18.5 kg/m2 indicating chronic energy deficiency, 11% were obese with
BMI = 25 kg/m2 , 41% were hypertensive and 45% anemic. Caring patterns
were reflected in a 1984 four-country ASEAN study on the elderly which
included the Philippines. While favorable, as the Filipino elderly generally
lived in households where there was at least one adult female, the presence
of other household members who likely competed for the time of the carer
diminished the quality and adequacy of care for the persons. Further data
is needed to update this information. The paper also discussed methodological
and programmatic issues regarding improvement of the nutritional assessment
of, and nutritional intervention programmes for the elderly.
Key words: Filipino elderly, later life status indicator, aging, nutrition,
elderly.
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