Nutritional status of adult Tuberculosis patients in Burdwan municipality area of West Bengal
DOI:
https://doi.org/10.47203/IJCH.2020.v32i02.024Keywords:
Nutrition Assessment, Nutritional Status, Tuberculosis, Diet Surveys, AdultsAbstract
Background: Nutritional status of a Tuberculosis (TB) patient plays a role in disease manifestation. Aims & Objective: To assess the nutritional status of adult tuberculosis patients under intensive phase of treatment. Settings and Design: A descriptive study with cross-sectional design was conducted at Burdwan Municipality of West Bengal. Methods and Material: In this study, TB patients aged 18 years and above receiving intensive phase of treatment, registered in the Tuberculosis units in the months of October-December, 2018 and residing in the municipality were approached. Nutritional status was evaluated through two approaches - dietary intake by twenty-four hours recall method and anthropometric status by measuring weight, height, BMI and MUAC. Data were analysed using SPSS v20. Results: Out of 113 study subjects, under-nutrition was present in 61.9% and inappropriate MUAC was observed in 68.1%. Interestingly, intake of Cereals and Millets among food groups was found to be deficient. The adjusted odds ratio for having under-nutrition among new cases compared to previously treated was 0.16 (0.33-0.82). Conclusions: For combating protein energy malnutrition in TB patients, emphasis should be given on balanced diet intake.
Downloads
References
Bhargava A, Benedetti A, Oxlade O, Pai M, Menzies D. Undernutrition and the incidence of tuberculosis in India: national and subnational estimates of the population-attributable fraction related to undernutrition. Natl Med J India. 2014 May-Jun;27(3):128-33. PubMed PMID: 25668081.[PubMed].
Bhargava A, Chatterjee M, Jain Y, Chatterjee B, Kataria A, Bhargava M, Kataria R, D'Souza R, Jain R, Benedetti A, Pai M, Menzies D. Nutritional status of adult patients with pulmonary tuberculosis in rural central India and its association with mortality. PLoS One. 2013;8(10):e77979. doi: 10.1371/journal.pone.0077979. eCollection 2013. PubMed PMID: 24205052; PubMed Central PMCID: PMC3812022.[PubMed].
Zachariah R, Spielmann MP, Harries AD, Salaniponi FM. Moderate to severe malnutrition in patients with tuberculosis is a risk factor associated with early death. Trans R Soc Trop Med Hyg. 2002 May-Jun;96(3):291-4. doi: 10.1016/s0035-9203(02)90103-3. PubMed PMID: 12174782.[PubMed].
World Health Organization. Guideline: nutritional care and support for patients with tuberculosis. World Health Organization; 2013.p23.
Guidance Document- Nutritional Care & Support for TB patients in India [Internet]. Central TB Division [Accessed on 28/03/2018]. Available from: http://www.tbcindia.gov.in/index1/.
Krishnaswamy K, Bhaskaram P, Bhat RV, Ghafoorunissa RT, Raghuramulu N, et al. Dietary guidelines for Indians: A manual. Hyderabad: National Institute of Nutrition, ICMR. 2011.p86.
Bhawalkar J, Khedkar D, Lanjewar B, Landge J, Ghonge S. Socio-Demographic Factors Associated with Tuberculosis Cases Registered Under RNTCP in an Urban Area of Pune, Maharashtra. Natl J Community Medicine 2018;9(2):130-4.
Gurung LM, Bhatt LD, Karmacharya I, Yadav DK. Dietary Practice and Nutritional Status of Tuberculosis Patients in Pokhara: A Cross Sectional Study. Front Nutr. 2018;5:63. doi: 10.3389/fnut.2018.00063. eCollection 2018. PubMed PMID: 30167434; PubMed Central PMCID: PMC6106647.[PubMed].
Khan A, Sterling TR, Reves R, Vernon A, Horsburgh CR. Lack of weight gain and relapse risk in a large tuberculosis treatment trial. Am J Respir Crit Care Med. 2006 Aug 1;174(3):344-8. doi: 10.1164/rccm.200511-1834OC. Epub 2006 May 18. PubMed PMID: 16709935.[PubMed].
Das S, Sen S, Debnath A, Basuthakur S, Saha PK, Biswas C. A study of nutritional assessment of newly diagnosed tuberculosis patients in a tertiary care hospital of Tripura, India. Int J Res Med Sci 2018;6: 1382-7.
Bhargava A, Chatterjee M, Jain Y, Chatterjee B, Kataria A, Bhargava M, Kataria R, D'Souza R, Jain R, Benedetti A, Pai M, Menzies D. Nutritional status of adult patients with pulmonary tuberculosis in rural central India and its association with mortality. PLoS One. 2013;8(10):e77979. doi: 10.1371/journal.pone.0077979. eCollection 2013. PubMed PMID: 24205052; PubMed Central PMCID: PMC3812022.[PubMed].
United Nations/sub-committee on Nutrition, Geneva. Assessment of Nutritional status in Emergency-affected populations. Collins S, Duffield A, Myatt M. UN; July, 2000.p8.
Downloads
Published
How to Cite
License
Copyright (c) 2020 Indian Journal of Community Health
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
