05. Dr. Astuti Lamid
Transcript of 05. Dr. Astuti Lamid
FOOD CONSUMPTION SURVEY (FCS)
INDONESIA 2014
Research Center and Development of Resources and Health Services
National Institute of Health Research and Development,
MOH Indonesia
Astuti Lamid
3
Fig 1. Disease Mortality
Disease
outcomes
• Heart disease
• Stroke
• Diabetes
• Cancer
• Chronic Obstructive
Pulmonary Diseases
(COPD)
Physiologic risk factors (Parameters change in the body)
• Body Mass Index
• Blood pressure
• Blood glucose
• Blood cholesterol
Risky Behaviors
• Tobacco Smoking
• Alcohol
• Lack of physical
activities
• Diet (Nutrition
and
contaminants
intakes)
Food Consumption Survey (FCS)
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Fig 2. Risk Factor NCD
• Food Consumption Survey 2014
• Food Chemical Contaminant Exposure Analysis 2015
• Total Diet Study
National Institute of Health Research
and Development (Indonesia MOH)
Fig 3. FCS, Indonesia 2014
Objectives Food Consumption Survey
1. To determine mean food consumed by population
based on ages and food groups
2. To determine mean intake and adequacy of energy and
protein of population
3. To determine proportion of population consumed
sodium, sugar and fat exceeds the recomendation of
health ministerial decree
4. To determine foodlist which represented of 90 percent
of population diet
METHODOLOGY
A cross sectional design Study site: all province and district Timeline: Jan –Dec 2014 Individu: 191.524; Household: 51.127 Census Block: 2.080
trict
Respond Rate: Individu: 162.044 (84,6%); Household: 46.238 (90,4%) Census Block: 2.072 (99,6%)
Fig 4. Sample of FCS, Indonesia 2014
In each CB there were 25 chosen house hold. All members in
each HH were interviewed and measured the body weight.
Data collected and method data collection:
1. Food consumed
(food, beverage, condiment)
Recall method 1x24 hours
Techniques recall method used was
5-Step Multiple-Pass Method
Repeated Recall 1x24 hr/
Sub-sample nonconsequtive days 10%
2. Body weight Measurement
3. Social economy Interview
4. Food processing & cooking Interview
1. Questionaire (Households and Individu)
2. Anthropometry digital weight scales
3. Manual for conducting FCS 2014
4. Manual to fill out FCS Questionnaire
5. Manual code dish FCS 2014
6. Manual code raw food FCS 2014
7. Manual conversion cooked to raw weight
8. Recipe fast food and snacks
9. Manual estimation the amount of salt and oil absorption
10.Photo album of type of food consumed in FCS 2014.
11.Manual management data FCS 2014
12.Manual organizing and management FCS 2014
The instruments and manual used in data collection
Quality Assurance (QA) and Quality Control (QC) • QA: Training tim,test questioner and manual etc
• QC: supervision
Data Management and Data Analysis
•Data management: editing, entry, merging, cleaning and imputation data
•Data analysis:
vFood grouped into 17 groups (Asean grouping)
vAge groups : children 0-59 mo, 5-12 yr, adolescent 13-18 yr, adults19-55 yr,
ederly > 55 yr
vFood consumed analysis using Food Composition Data-borrowing data
vData energy, protein, CHO, fat and natrium presented in mean and
proportion. Determination of energy and protein adequacy using Indonesia
RDA
Tabel 1. Food Group FCS, Indonesia 2014 1 Cereals and cereal product
2 Starchy roots and tubers and product
3 Legumen, nut and seed
4 Vegetable and produts
5 Fruits and product
6 Meat, poultry and product and other animal
7 Offal and product
8 Fish and shellfish, and other aquatic animal
9 Egg and product
10 Milk and milk product
11 Fat and oil
12 Sugar, Syrup, and confectionery
13 Condiment and spices
14 Beverage
15 Fast food
16 Fluid
17 Miscellaneous
Age group Male Female Total
n % n % n %
0 – 59 mo 3.140 51,5 2.953 48,5 6.093 100
5 – 12 yr 7.674 51,6 7.197 48,4 14.871 100
13 – 18 yr 8.830 51,3 8.398 48,7 17.228 100
19 – 55 yr 44.495 50,2 44.140 49,8 88.635 100
> 55 yr 8.873 47,9 9.660 52,1 18.533 100
INDONESIA 73.011 50,2 72.348 49,8 145.360 100
Table 2 Sample distribution based on age FCS,
Indonesia 2014
0-59 mo: 6.093 consist of 704 (<6mo); 528 (6-11 mo); 2205 (12-35 mo); 2656 (36-59 mo)
Pregnant women: 644
Food Consumption/Day/Capita
Based on Food Group
RESULT
Fig 5.
The average of food group consumed FCS,
Indonesia 2014
Fig 6.
Average consumption of serealia based on type of foodstuff
FCS, Indonesia 2014
g/c
ap
/d
1. Energy and Protein Intake and Adequacy
2. Carbohydrate and Fat Intake
RESULT Fig 7.
Population Proportion based on energy adequacy and age group,
FCS Indonesia 2014
%
Fig 8.
Population proportion based on protein adequacy and
age group FCS, Indonesia 2014 Age group
Energy Protein
Intake (kcal) Adequacy (%) Intake (g) Adequacy (%)
0-59 mo 1.137 101 36,8 134,5
5-12 yr 1.636 86,5 57,3 115,9
13-18 yr 1.697 72,3 59,8 89,5
19-55 yr 1.752 73,8 65,0 107,2
>55 yr 1.497 78 55,9 93,0
All age
group
1.675 76 61,2 105,3
Table 3.
Mean intake and adequacy of energy dan protein
based on age group FCS, Indonesia 2014
Fig 9. Proportion energy adequacy of pregnant women
based on residency FCS, Indonesia 2014
Fig 10. Proportion protein adequacy of pregnant
women based on residency FCS, Indonesia 2014
%
%
Age
group
Carbohydrate
(g)
Fat
(g)
Protein
(g)
0-59 mo 148,0 41,9 36,8
5-12 yr 230,3 56,8 57,3
13-18 yr 244,2 56,7 59,8
19-55 yr 256,8 54,4 65,0
>55 yr 225,2 43,4 55,9
All age
group
243,9 52,9 61,2
Table 4. Mean carbohydrate, fat and protein intake based on age group FCS, Indonesia 2014
Fig 11.
Proportion of CHO, fat and
protein of total energy intake
FCS, Indonesia 2014
Salt, Natrium, Sugar and Fat consumption
Health Ministerial Decree No 30 Year 2013
(Permenkes No 30 Year 2013)
RESULT
Age group Sugar >50g Natrium >2000mg Fat >67g
0-59 mo 1,3 24,6 11,7
5-12 yr 1,6 55,2 30,3
13-18 yr 2,0 55,7 30,3
19-55 yr 5,7 54,8 28,1
>55 yr 6,8 47,2 17,1
All age
group
4,8 52,7 26,5
Table 5.
Proportion population consumed sugar>50g, natrium >2000mg
and fat >67g based on age group FCS, Indonesia 2014
Fig 12.
Total consumption of natrium from food and salt FCS,
Indonesia 2014
1473
mg
CONCLUSION
1. The main energy source was from cereals. The highest
consumption cereal came from rice, followed by wheat, noodles etc
2. Consumption exceeds the limit recommended by The Ministery of
Health Decree Year 2013 were sugar (4.8%), fat (26,5%) and
sodium (52,7 %).
3. Energy intake <70% RDA were found in each group namely 0-59
mo (6.8%), 5-12 yr (29.7%), 13-18 yr (52.5%), 19-55 yr (50%),
and>55 yr (44.6%), and pregnant women were about 50 percent
4. Protein intake <80% RDA in each group were 0-59 mo (23.6%), 5-
12 yr (29.3%), 13- 18 yr (48.1%), 19-55 yr (33.8%), and> = 55 yr
(45.8%), while in pregnant women were approximately 50 percent