food and nutrition research institute department of science and
Transcription
food and nutrition research institute department of science and
NATIONAL NUTRITION SURVEY (2003) FOOD AND NUTRITION RESEARCH INSTITUTE DEPARTMENT OF SCIENCE AND TECHNOLOGY Food and Nutrition Research Institute NATIONAL NUTRITION SURVEY Department of Science and Technology CPM 8th EDITION General Santos Ave., Bicutan, Taguig, Metro Manila Telephone No: 8372071 to 82, Fax No. 8373164, 8376149 Organizational Structure OIC-Director OIC-Deputy Director Nutrition Science & Technology Division Food Science & Technology Division Nutritional Assessment & Monitoring Division Research Utilization Division Administrative & Finance Division 6th National Nutrition Survey: Philippines, 2003 Anthropometric Nutrition Survey Biochemical Nutrition Survey- Anemia Prevalence The Food and Nutrition Research Institute (FNRI) of the Department of Science and Technology (DOST), complying with its mandate to define the nutrition situation in the country, particularly among various population groups, has been regularly conducting national nutrition surveys since 1978, and every 5 years thereafter. The data generated from the NNSs have served as inputs to national plans and programs such as the MediumTerm Philippine Plan of Action for Nutrition (MTPPAN) 1999 - 2004, Medium-Term Philippine Plan of Action for Children (MTPPAC), Poverty Alleviation Programs, and the National Food Fortification Act of the Philippines, among others. The same have also been used as basis for estimating food thresholds and poverty incidence in the country. The 6th NNS being the first comprehensive nutrition survey conducted in the new millennium, will also be useful in providing the benchmarks by which to gauge the country’s progress towards achieving the Millennium Development Goals (MDG), which the country committed to when it became a signatory to the UN Millennium Declaration of 2000. The MDGs include, firstly, among others, the eradication of extreme poverty and hunger, and the targets include the halving of the proportion of the population consuming below the minimum dietary energy requirement and the proportion of underweight children between 1990 and 2015. The 6th NNS included four major components, namely: Anthropometric Nutrition Survey, Biochemical Nutrition Survey, Clinical Nutrition Survey, and Food Consumption Survey. This report focuses on Anthropometric Nutrition Survey that covered the 0-5 and 6-10 year-old children, 11-19 year-old preadolescents and adolescents, pregnant and lactating women, and other adults 20 years old and over; and the National Anemia Survey of the Dr. Gemiliano D. Aligui Dr. Mario V. Capanzana Ms.Celeste C. Tanchoco Dr. Mario V. Capanzana Dr. Ma. Regina A. Pedro Dr. Lydia M. Marero Dr. Ferdinand B. Oamar Biochemical Nutrition Survey Component, covering the 6 month-old infants to 12 year-old children, the pregnant and the lactating women. The 6th NNS utilized the Master Sample developed by the National Statistics Office (NSO) for the 2003 Family Income and Expenditure Survey (FIES). The 6th NNS covered one of the four replicates, and 50% of the sampled households therein, permitting the generation of national estimates for the nutrition variables in the 6th NNS. Using a stratified multi-stage sampling design, covering all regions and provinces, a total of 5,522 households (95.7%) were covered out of the 5,768 statistically selected or eligible households. All members of the sample households, which totaled 25,897 were included in the Anthropometric Survey. The number maybe broken down into 4,111 preschool-age children (0-5); 3,436 primary school children (6-10 years); 1,343 pre-adolescents (11-12 years); 3,513 adolescents (13-19 years); 11,685 adults; 594 pregnant women and 1,201 lactating mothers. There were 12,507 males and 13,376 females. Anthropometric measurements such as weight and height (for subjects ≥2 years) recumbent length (for children <2 years) were taken from the subjects using standard techniques. The nutritional status of the children 0-10 years old was determined using the International Reference Standards of the NCHS/WHO, using weight-for-age, height-for-age and weight-for-height indices. The Body Mass Index (BMI) was used for the 11-19 years old children, adults and lactating women, to define different degrees of underweight and overweight, while the Weight-for-Height Table by Months of Pregnancy developed by FNRI was used to classify nutritional status among pregnant women. Blood samples were taken among subjects and hemoglobin was determined by the cyanmethemoglobin method using a portable spectrophotometer. Normal levels for hemoglobin was based on WHO, and the severity and magnitude of nutritional anemia was assessed using the criteria set by FAO/WHO. 157 NATIONAL NUTRITION SURVEYcpm 8th eDITION Anthropometric Survey Results Prevalence of Malnutrition Among the 0-5 Year-Old Children • 72 out of every 100 children have normal weight for their age, 27 are underweight and 1 child is overweight. • 69 out of every 100 children have normal height for their age, 30 are short or underheight, and 6 children out of a thousand are tall for their age. • 92 out of 100 children have normal weight for their height, 5 are thin and 2 are overweight for their height. • Translating these prevalences to actual count, an estimated 3.1 million are underweight, 3.5 million are underheight or short and 525,000 are thin based on the NSO Projected Population of 2003. Among the 6-10 Year-Old Children • 73 out of every 100 have normal weight-for-age, 26 are underweight, and 1 is overweight • 64 out of every 100 have normal height-forage, and the rest are short or underheight • 4 out of a thousand children are tall for their age • About 2.4 million are underweight and 3.3 million are underheight (2003 NSO Projected Population). (See Table 1.) Comparison with Past Surveys, 1998, 2001 and 2003 Among 0-5 year-Old Children • There are reductions of 5.1, 4.1 and 0.7 percentage points in the prevalence of underweight, underheight and thinness, respectively, between 1998 and 2003. For a period of 5 years, average yearly reductions of underweight and underheight translate to about 1.02 and 0.82 percentage points, respectively. • The prevalence of overweight for age and overweight for height increased by 1 and 1.2 percentage points respectively. Among 6-10 Year-Old Children • There are 4.6 and 5.0 percentage points reduction in the prevalence rates of underweight and underheight, respectively from 1998 to 2003. Translating these into average reduction, there are about 0.9 for underweight and 1.0 for underheight average percentage point reduction per year. • The prevalence rate of overweight-for-age increased from a zero rate in 1998 to a 1.3 prevalence rate in 2003. (See Table 2 below and Table 3 on page 3). Prevalence of Malnutrition Among the 11-19 year-Old Children by Age and Sex • The mean weight of both the preadolescents (11-12 years) and the adolescents (13-19 years) is 43.15 Table 2. Comparison in the prevalence of un derweight, underheight and thin among 0-5 year Classification/ Nutritional status Weight-for-Age Underweight Normal Overweight Height-for-Age Underheight Normal Tall Weight-for-Height Thin Normal Overweight for Height NEC 1998 2001 2003 32.0 67.6 0.4 30.6 68.4 1.0 26.9 71.7 1.4 34.0 65.7 0.4 31.4 68.0 0.5 29.9 69.5 0.6 6.0 93.0 0.9 0.1 6.3 92.1 1.4 0.1 5.3 92.4 2.1 0.3 Table 1. Percentage distribution of 0-5 and 6-10 year-old children, by NCHS/WHO weight-for-age, height-for-age and weight-for-height classification: Philippines, 2003 Classification 0-5 Year-Old Children Number % Distribution Weight-for-Age Underweight 1134 Normal 2925 Overweight 52 Height-for-Age Underheight 1267 Normal 2819 Tall 25 Weight-for-Height Thin 224 Normal 3790 Overweight for Height 84 NEC 13 158 6-10 Year-Old Children Number % Distribution 26.9 942 71.7 2455 1.4 39 25.6 73.1 1.3 29.9 1296 69.5 2128 0.6 12 35.8 63.7 0.4 5.3 92.4 2.1 0.3 - - - - - - CPM 8th EDITION NATIONAL NUTRITION SURVEY Among Adults 20 Years Old and Over by Age and Sex • The mean height and mean weight of the Filipino adult population generally decreased in both sexes, as they grow older. • More than one-half has normal BMI, about 64 in every 100. More males than females, and more younger (20-39 years) than older (40-59 years) adults have normal BMI levels. • The females and the middle age adults of 40-59 years are more proportionally overweight and obese than the males and the other adult age groups. • The elderly, 60 years old and over are more proportionally underweight with 23 in every 100. • The female adults are more vulnerable to both extreme conditions of undernutrition and obesity as compared with the male adults. Prevalence of CED (BMI of <18.5) among females is 14.2, which is 3.6 percentage points higher than the males at 10.6. Also, obesity prevalence among females is 5.7 as against 3.0 among males. (See Tables 6, 7 and 8 on page 4) Among Pregnant and Lactating Women • 69 pregnant women in every 100 are considered not nutritionally-at-risk and 31 are nutritionally-at-risk. These nutritionally-at-risk women are likely to deliver low birthweight (LBW) babies. • 71 lactating women are normal in every 100, 12 are underweight and 18 are overweight for their height. • Between 1998 and 2003, there is a 4.1 percentage point decrease in the proportion of nutritionally-at- Table 3. C omparison in the prevalence of un derweight and underheight among 6-10 year-old children: Philippines, 1998, 2001 and 2003 Classification/ 1998 2001 2003 Nutritional status Weight-for-Age Underweight 30.2 32.9 25.6 Normal 69.8 66.2 73.1 Overweight neg. 0.8 1.3 Height-for-Age Underheight 40.8 41.1 35.8 Normal 59.2 58.7 63.7 Tall neg. 0.2 0.4 K and their mean height is 149.91 cm. The males' mean weight is 42.88 K while that of the females is 41.36 K. Their mean height is 152.01 and 147.62 cm, respectively. • 26 in every 100 Filipino preadolescents and 12 adolescents are underweight, 4 and 3, respectively are overweight. There are proportionally normal adolescents than preadolescents with normal weight. • There are more females than males who have weights within the normal limits, 54 males against 73 females out of every 100. • The proportion of underweight males is twice as many, 20 in every 100, as the females, at 10 in every 100. Three (3) in every 100 for both males and females are overweight. (See Tables 4 and 5) Table 4. Mean height and weight of adolescents, 11 to 19 Years old, by age group and by sex: Philippines 2003 Age Group (years) Height 11-12 13-19 Male Female Mean Mean WeightHeight Both Sexes Mean Weight Mean Height Mean Weight Mean (cm) (kg) (cm) (kg) (cm) (kg) 30.40 47.03 136.40 157.21 32.60 44.36 139.61 150.36 31.47 45.75 137.96 153.94 Table 5. Percentage distribution of adolescents (11 to 19 years) by BMI classification, by age and by sex: Philippines 2003 Age Group (years) & sex Male 11-12 13-19 All Female 11-12 13-19 All Both Sexes 11-12 13-19 All Underweight <5th Mild 5th to <15th Normal 15th to 85th Overweight >85th 31.0 17.0 20.5 21.5 21.5 21.5 42.6 58.5 54.6 4.90 2.9 3.4 20.6 6.4 10.10 19.3 11.5 13.5 56.7 78.2 72.7 3.4 3.9 3.8 25.9 12.0 15.5 20.4 16.7 17.7 49.4 67.9 63.2 4.2 3.4 3.6 159 NATIONAL NUTRITION SURVEYcpm 8th eDITION Table 6. Mean height and weight of adults, 20 years old and over by age group and by sex: Philippines 2003 Male Age Group Mean (years) and Height Weight Sex (cm) 20-39 40-50 163.49 162.6 Female Mean Mean WeightHeight (kg) (cm) 60.09 60.52 151.76 151.11 Both Sexes Mean Mean WeightHeight (kg) (cm) 51.7 54.2 158.41 156.70 Mean (kg) 56.44 57.28 Table 7. Distribution of adults by age group and BMI classification: Philippines, 2003 Age Group (in years) CED (<18.5) 20-39 40-59 60 and over All 10.6 10.4 23.4 12.3 Normal 18.5 to <25.0 68.7 58.7 57.5 63.7 Overweight (25.0 to <30.0) Obese (≥30) 17.1 3.6 25.1 5.7 1 5.8 3.3 19.7 4.3 Table 8. Distribution of adults by sex and BMI classification: Philippines, 2003 Sex Male Female Both CED (<18.5) 10.6 14.2 12.3 Normal 18.5 to <25.0 68.5 58.5 63.7 risk pregnant women or a yearly reduction of 0.82 points. • For the lactating women, the yearly reduction in underweight prevalence is lesser at 0.3-percentage point per year for a 5-year period. (See Tables 9 and 10 on page 5 ) Trends in the Nutritional Status of Children, 1989-90 to 2003 • In the span of 13 years, from 1989/90 to 2003, there has been a reduction of 7.6 and 10.0 percentage points in the prevalence of underweight and underheight, respectively among the 0-5 year-old children. These translate to average yearly reductions of 0.58 and 0.76 percentage point for underweight and underheight, respectively. • Also within the same time frame, thinness and overweight prevalences, however, increased by 0.3 and 0.8 percentage point. • Among the 6-10 year-old children, the prevalence of underweight and underheight decreased by 8.6 and 9.0 percentage points, respectively between 1989-90 and 2003. This averages a yearly reduction of 0.66 and 0.69 percentage points, respectively. • Overweight-for-age prevalence however, increased by 1.2 percentage points or an average yearly increase of 0.09 percentage point. Biochemical Nutrition Survey Anemia Prevalence Among Specific Population Groups Iron deficiency anemia (IDA) occurs if the amount of iron absorbed is too little to meet the body’s demands. 160 Overweight (25.0 to <30.0) Obese (≥30) 17.9 3.0 21.6 5.7 19.7 4.3 This may due to insufficient iron intake, reduced bioavailability of dietary iron, infections (such as hookworm and malaria), chronic blood loss, and/or increased iron requirements, as occurring during pregnancy or the period of growth. A total of 13,663 individuals were covered in the survey and the prevalence of nutritional anemia was assessed using hemoglobin (Hb) levels. The WHO cut-off levels for hemoglobin and the FAO-WHO criteria were used for assessing the severity and magnitude of anemia. (See Tables 12 and 13 on page 5). Epidemiological Criteria for Assessing Severity and magnitude of Nutritional anemia in the Population: See Table 13 • Among infants and children, 6 months to 5 years of age, 32 in every 100 are suffering from nutritional anemia • The youngest group of 6 months to less than one year of age are the most afflicted with 66% prevalence rate or about 7 in every 10 infants are anemic • For the one year-old children, prevalence rate is also high with more than one-half (53% prevalence rate) are anemic • For the other group of children, aged 2, 3, 4 and 5 years, about 35, 25, 19, and 14 out of every 100 children are anemic • The older age group of 6-12 years, prevalence rate is 37.4% • Among the pregnant and lactating women, 44 and 42 out of every 100 are anemic CPM 8th EDITION NATIONAL NUTRITION SURVEY Table 12. Normal Hemoglobin Levels Table 9. Percentage distribution of pregnant women, by weight for height classification: Philippines, Percentage Distribution Year Total NutritionallyNot nutritionally Subjects at-risk at-risk <95% ≥95% 1998 2,880 30.7 69.3 2003 594 26.6 73.4 Table 13 Parameter High Moderate Low Percent of population ≥40.0 10-39 1-9 with Hb Less than the above cut-off points especially for women and children Percent of population ≥10 1-9 <1 with Hb less than 7.0 g/dL especially women and children. Table 10. Percentage distribution of lactating women, by nutritional status: Philippines, 1998 Year 1998 2003 Nutritional status Total Under- Normal Subjects weight 2,990 13.2 73.3 1,201 11.7 70.7 Age/Physiological State Normal Hb Level (g/dL) Children: 6 mos. - 6 yrs 11.0 6.1 yrs. -14 yrs 12.0 Pregnant women 11.0 Lactating women 12.0 Overweight 13.6 17.6 • Anemia remains to be a public health concern, particularly among 6 months to one year old, pregnant and lactating women (see Tables 14 and 15). Table 14. Prevalence of Anemia by age and Physi- Age/Physiologic State 6 mos. to < 1 year 1-5 years 53.0 2 24.8 4 5 6 mos. - 5 years 6-12 years Conclusions 1. There has been a general improvement between 1998 and 2003 in the country’s overall nutrition situation, affecting various population groups, as evidenced specifically in the reduction of underweight and underheight among the 0-5 and 6-10 year-old children, reduction in underweight among pregnant and lactating women, and reduction in chronic energy deficiency (CED) among adults. 2.There is however a trend towards increasing over weight among adults as well as children. 3. The anemia problem, especially among infants from 6 months to less than 1 year and 11months, pregnant and lactating women have remained unabated. 4. Considering the target levels set by the Medium Term Philippine Plan of Action for Nutrition (MTPPAN) by 2004 and the Medium Development Goals (MDG) set for 2015, overall efforts to reduce protein energy malnutrition (PEM) and chronic energy deficiency (CED), as well as arrest the increasing trend of overweight and obesity will need to be strengthened. Number 329 3,291 1 Prevalence 66.0 29.1 626 637 3 34.8 711 660 657 3,620 4,647 18.8 14.0 32.4 37.4 Table 15. Comparison of Prevalence of Anemia by age and Physiologic state (by specific population group): Philippines, 2003 Age/Physiologic State 6 mos. to < 1 year 1-5 years 6-12 years Pregnant Lactating 1993 49.2 25.7 42.0 43.6 43.0 1998 56.6 29.6 35.6 50.7 45.7 2003 66.0 29.1 37.4 43.9 42.2 Table 11. Trends in the Prevalence of Underweight, Underheight and Overweight among 0-5 and 6-10 year-old children: Philippines, 1989-90 to 2003 Nutritional Status 1989-90 1992 1993 1996 1998 2001 2003 0-5 Years Old Underweight 34.5 34.0 Underheight 39.9 36.8 Thinness 5.0 6.6 Overweight 0.6 0.7 6-10 Years Old Underweight 34.2 32.5 Underheight 44.8 42.8 Overweight 0.1 0.2 % Prevalence 29.9 34.3 6.7 0.4 30.8 34.5 5.2 0.5 32.0 34.0 6.0 0.4 30.6 31.4 6.3 1.0 26.9 29.9 5.3 1.4 30.5 42.2 0.6 28.3 39.1 0.4 30.2 40.8 n 32.9 41.1 0.8 25.6 35.8 1.3 161 CPM 8th EDITION NATIONAL NUTRITION SURVEY Drugs Mentioned in the Treatment Guideline This index lists drugs/drug classifications mentioned in the treatment guideline. Prescribing information of these drugs can be found in PPD reference systems. Vitamins and Minerals Calcium with Vitamins Agre-Calvit (Reformulated) Calcebone Calci-Aid Calcium Sandoz Calcium-D Redoxon Calsan Caltrate Plus Calvit Drugmaker's Biotech Calcium Carbonate Esvical Forte Miracal Osteo-4 Rhea Calcium Lactate Tridin United Home Calactate Flouride Preparations Drugmaker's Biotech Multivitamins + Fluoride Infaflor Drops Poly-Vi-Flor Pediatric Vitamins and Minerals Bio-Termin Plus with Lecithin Biograd Cabral Children's Food Supplement Vitamin Drops Celermin Cherifer Drops with Taurine and CGF Cherifer Forte Syrup with Taurine and CGF plus Zinc Cherifer Forte Syrup with Taurine and Double CGF Cherifer PGM 10-22 with High CGF Cherifer PGM 10-22 with Zinc Cherifer Syrup with Taurine and CGF Cherifer Syrup with Zinc Children's Clusivol Chlorvytol Drops with Taurine Chlorvytol Syrup with Taurine + Lysine and Chlorella Powder Clusivol Drops Drugmaker's Biotech Multivitamins + Taurine + Lysine + CGF Enervon Drops Enervon-C Plus Syrup Enouvim Ferlin Growee Syrup Kiddi Pharmaton Macrobee w/ Lysine Medgivit Syrup Memorx IQ Plus Children’s Formula Syrup Molvite w/ Iron Nutrilin Drops/Syrup Nutroplex w/ Iron and Lysine Pediatifen Pharex Vitamin Syrup for Kids Poly-Vi-Flor Poly-Vi-Sol Polynerv Regeron Vita Regeron Vita with Chlorella Regeron-C Rejuvon Kiddi Syrup and Infant Drops Restor Big Selvon-C Supplemin C Taurex United American Tiki-Tiki Plus Vitamin Drops United American Tiki-Tiki Star Vita-SL w/ Lecithin Viteron Z-Vita Zimuvite Zinbee Zoiron Zuvirille Pregnancy/Lactation Vitamins Clusivol OB Elevit Pronatal Enhansid Enouvim OB Folart Genalin OD Hemarate Iberet-Folic-500 Martham Materna 1.6 Molvite-OB Natalac Natalins M Natalins-M with Flouride Natalwiz OB Max Capsule OB Smart SG Pregnamin Pro-Lacta Purifol Rejuvon OB Usanatal Vitamins A,D,E Afaxin Drugmaker's Biotech Vitamin E Enat Enervon-E Evion Lecit-E Myra 300-E Myra E Quest Vitamin E Rhea Vitamin A and D Rocaltrol Rovigon Squibb Vitamin E Vitamin E w/ selenium Zyme E-200/E-400/E-600 Vitamin C Bonalet-Cee C-4-Kids Carezee Ce-Vi-Sol Cecon 500 Ceelin Cetrasol Cetrin Concentrate Cetrinets Fruteez Cetrinets Hello Kitty Cixtor Delrosa DLI-Ascorbic acid Esvicee Harcee Incee-Vit Nutricee Ped Cee Pharex Ascorbic Acid Poten-Cee Quest Ascorbic Acid Rhea Ascorbic Acid Ritemed Ascorbic Acid United home Ascorbic Acid Vitamin B- Complex 163 NATIONAL NUTRITION SURVEYcpm 8th eDITION Beta Plus Forte Centravim Crescin Drugmaker's Biotech Silymarine + B1+B6+B12 Drugmaker's Biotech Vitamin B1+B6+B12 Hyper B12 Injection Hyper BH3 Meganerv 1000 Meganerv-300 Methycobal Nervafil Neuro-B's Neurobase Neurobexol Neurobexol Forte Neurobion/Neurobion 5000 Nevramin Nuron-E/Hinuron-E One-Six-Twelve Oranerv Forte Pharex Vitamin B-Complex Polynerv 500/1000 Polynerv-EC Rubramin SB-Plex Seven Seas Vitamin B Complex Silymarine Plus Vit B- Complex Supraneuron Valtroplex Vaneular Vibee Vitamins with Hormones/Geriatric preparations Matrovim Memovit-E Vitamins/with Minerals Aminovita Becedyn Benutrex C Berocca Centrum Cherifer Premium Clusivol Cluvimin Cyltabs Drugmaker's Biotech Multivitamins + Minerals Enerforte Enervon with E and Zinc Enervon-C Tablet Enervon with E & Zinc Enerzip 164 Esliger Esvimin Eurivit M Fundamin-E Glutaphos Homtamin G Plus Immuvit Interplex Josilvite Juvelon E+ Lyovit Magniferron Meganerv-E Memovit-E Moriamin Forte Mosvit Multi-Sanostol Nutricap Nutroplex with Iron and Lysine Syrup Ocuvite Omnivit One-A-Day Opstress Pharemin Pharex Vitamins Plus Minerals Pharmaton Polynerv-E with Lecithin Provital Prozinc Regeron-E Plus Rejuvenex Restor-F Revicon Forte Tablet Revicon Max Rogin-E Seven Seas Multivitamins + Minerals Capsule Seven Seas Multivitamins + Minerals with Ginseng Extract Seven Seas Multivitamins syrup SG Glutergen Siglaton Stresstabs Termin-C Theragran-M Tracutil Unicap M United Home Multivitamins Vigor-Ace Vita-SL Vitafit Globulin Plus/Iron Plus Vitalivin E Vitalux/Vitalux Plus Vitamoren Appetite Enhancers Appebon 500 Appebon 500 Syrup Appebon with Iron Appebon with Iron Syrup Appetens Bio-termin AS Children's Clusivol Drugmaker's Biotech Pizotifen Heraclene Litec Mosegor Mosegor Vita Propan with Iron Regeron-E Plus Hematinics Am-Europharma Ferrous Sulfate Ameciron Brofesol Cherifer Children's Clusivol Dupharon Femina Feosol Spansule Fer-In-Sol Fergesol Ferglobin Ferlin Ferro-Folsan Plus (Reformulated) Ferro Sanol Duodenal Ferroplex Ferrous Sulfate-Vamsler Fersulvit Foralivit Foramefer Fortifer/Fortifer-FA Fumabit Hanizyn Harvifer Hemarate Hemobion IBC Iberet-500 FT Incremin with Iron Macrobee w/ Iron Microferron Micron-C Mulvitron Nakaron Odiron/Odiron-C Purifol Rhea Ferrous Sulfate Sangobion Sorbifer Durules Terraferron Trev-Iron Trihemic CPM 8th EDITION UL Ferrous Fumarate United Home Ferrous Sulfate Infant Formulas Alacta Infant Formula Powder with Fibercal Alactamil Milk Supplement Powder with Fibercal Bonna Dulac/Dulac (with DHA) Enfalac A+ (with DHA +ARA) Enfalac Lactofree Enfalac Lactofree with DHA Precursors Enfalac Premature Formula Enfalac w/ DHA Precursors Enfapro A+ Enfapro Lactofree Enfapro Lactofree with DHA Enfapro with DHA Precursors Frisolac Mylac NAN 1 NAN H.A. 1 (Hypoallergenic) Nestogen 1 with DHA + More Calcium Nutramigen S-26 S-26 Gold Similac Advance with Eye-Q Similac Neosure Follow-on Formulas Bonamil Dupro/Dupro (with DHA) Enfapro Follow on Milk Frisomel Gain with Eye-Q Nutrition System Hi-Nulac NAN 2 w/ Bifidus Nestogen 2 with DHA + Prebio 1 New Advanced Enfapro New Advanced Enfapro w/ DHA Promil Promil Gold Growing-up Formulas Alactagrow Growing-up Milk Powder with Fibercal Anchor 1+ Growing-Up Milk Powder-Chocolate Powder (Reformulated) Anchor 1+ Growing-Up Milk Powder Vanilla Flavour Anchor 3+ Growing-Up Milk NATIONAL NUTRITION SURVEY Powder-Chocolate Powder (Reformulated) Anchor 3+ Growing-Up Milk Powder Vanilla Flavour Anchor Full Cream Milk Powder Anchor Full Cream Milk Powder Chocolate Flavour Bonakid Dugro 1Plus with Fine Cereals (with DHA) Dugro 3Plus with Fine Cereals (with DHA) Dumex 1Plus Dumex 1Plus Chocolate (with DHA) Dumex 1Plus Honey Dumex 1Plus Honey (with DHA) Dumex 1 Plus Vanilla (with DHA) Dumex 3Plus Dumex 3 Plus Choco (with DHA) Dumex 3Plus Honey Dumex 3Plus Honey (with DHA) Dumex 3Plus Vanilla (with DHA) Enervon Bright Enfagrow A+ Enfakid A+ Enfakid Tummy Friendly Frisogrow Grow Advance Lactum Neslac Honey Nestle Premium Growing Up Milk Nido Calci-N (6+) Nido Fortified (1+) Nido Full Cream Nido Prebio Plus (3+) Progress Progress Gold Promil Kid Promil Pre-School Sustagen Junior UCare 1-2-3 Growing-Up Milk Powder Vanilla Flavour UCare Powdered Milk Drink Solid Food Supplements Gerber Cereals Banana/Gerber Cereals Mixed Fruits/Gerber Cereals MIxed Vegetables Gerber Cereals Chicken Rice/ Gerber Cereals Nutri-rice/ Gerber Cereals Fish and Vegetable Rice Gerber Jars Nestle Baby Cereal Brown Rice with Prebio1 Nestle Baby Cereal Mixed Fruits Nestle Baby Cereal Mixed Vegetables Nestle Baby Cereal Rice Nestle Baby Cereal Wheat Banana with Prebio1 Nestle Baby Cereal Wheat with Prebio1 Nestle Baby Rice Meals - Beef Pochero Nestle Baby Rice Meals - Beef Stew Nestle Baby Rice Meals - Chicken Delight Nestle Baby Rice Meals - Chicken Tinola Special Formulas Al 110 Lactose-Free Formula Alfare Enfagrow Lactofree Enfalac A+ (w/ DHA+ARA) Enfalac-Iron Fortified Enfalac Lactofree Enfalac Lactofree w/ DHA Precursors Enfalac Premature Formula Enfalac w/ DHA Precursors Enfapro Lactofree with DHA Enfapro w/ DHA Precursors Isomil NAN H. A. 1 (Hypoallergenic) NAN H. A. 2 (Hypoallergenic) Nursoy Pregestemil Prenan w/ LCPUFA Promil Lactose-free S-26 LF Enteral/Nutritional Products Alitraq Aminoleban EN Choice DM Ensure Ensure Plus Ensure with Fiber Essential Falkamin Fresubin Original Fibre/Fresubin 165 NATIONAL NUTRITION SURVEYcpm 8th eDITION Original Drink Glucerna/Glucerna SR Jevity Nepro Nutren 1.0/Nutren Diabetes/ Nutren Fibre/Nutren Junior Pediasure Peptamen/Peptamen Junior Polycose Promod Prosure Providextra Pulmocare Reconvan Suplena Supportan/Supportan Drink Sustagen Premium Maternal and Other Nutritional Preparations Anchor Shape-Up Non fat Milk Powder Anlene Active Hi-Calcium Non-Fat Milk Powder Anlene Active Hi-Calcium Reduced Fat Milk Powder Chocolate Flavor Anlene Active Hi-Calcium UHT Anlene Gold Hi-Calcium Non-fat Milk Powder Anlene Gold Hi-Calcium Non-fat Milk Powder Chocolate Flavor Anlene Gold Hi-Calcium UHT Anlene Plus Hi-Calcium Non-Fat Milk Powder Anmum Chocolate Powdered Milk Drink For Pregnant Women Anmum Powdered Milk Drink For Pregnant Women Athena Hi-Calcium Non-fat Milk for Women Calciumade Enervon 33 Enervon Prime Enervon-HP Enfamama Gerber for Mom Nestle Calcium Plus with Fiber Nesvita Sustagen Premium Procalcium Other Food Supplements Addlife Coq10 Amargozin Bio-strath Circulan Dietary Supplement 166 Delrosa Diaban Drugmaker’s Biotech Ginkgo Biloba Drugmaker’s Biotech Squalene Esberitox N Eveprim Fibermate Herb-Ace Illumina Jamieson Calcium And Magnesium Leizenzi Liposorb Liveraide Nutrotal Ohhira Regen-fros Remifemin TMC Pure Ginseng Vitafit Protein Plus Viva-Natural Dry Powdered Wakame Seaweed Zyme Garlicap Zyme Lecithin Zymechol Zymepolis