Q S Islam1, S M Ahmed1, M A Islam2, M Kamruzzaman1, M Rifat3. 1. BRAC Research and Evaluation Division, Dhaka, Bangladesh. 2. BRAC Health Nutrition and Population Programme, Dhaka, Bangladesh. 3. BRAC Health Nutrition and Population Programme, Dhaka, Bangladesh ; School of Medicine and Public Health, Faculty of Health, University of Newcastle, Newcastle, New South Wales, Australia.
Abstract
SETTINGS: All sputum microscopy laboratories under the BRAC Tuberculosis Programme in Dhaka City. OBJECTIVES: To study the nutritional status of tuberculosis (TB) patients attending microscopy laboratories during convalescence following DOTS. DESIGN: The study included 1068 TB patients registered for treatment at 10 laboratories from May 2010 to December 2011, and 910 healthy neighbourhood controls. Weight (in kg), height (in cm) and mid-upper arm circumference (MUAC; in cm) were measured before, at 2 months and immediately after completion of treatment. Body mass index (BMI) < 18.5 kg/m(2) and MUAC < 22.0 cm were taken as cut-offs for defining malnourishment. RESULTS: Two thirds of the patients (67%) had a low BMI (<18.5 kg/m(2)) before treatment, compared to only 23% among the healthy controls. At the end of treatment, 50% of the patients still had a low BMI, including 12% who had severe malnourishment (BMI ≤ 16 kg/m(2)). MUAC < 22.0 cm was higher among patients before (42%), at 2 months (39%) and immediately after completion of treatment (34%) compared to the control group (9%). CONCLUSIONS: Malnutrition is a serious problem among TB patients in peri-urban areas of Dhaka City. Under the circumstances, additional nutritional supplements, combined with education on nutrition, are expected to contribute to rapid and sustained recovery during DOTS-based treatment.
SETTINGS: All sputum microscopy laboratories under the BRAC Tuberculosis Programme in Dhaka City. OBJECTIVES: To study the nutritional status of tuberculosis (TB) patients attending microscopy laboratories during convalescence following DOTS. DESIGN: The study included 1068 TB patients registered for treatment at 10 laboratories from May 2010 to December 2011, and 910 healthy neighbourhood controls. Weight (in kg), height (in cm) and mid-upper arm circumference (MUAC; in cm) were measured before, at 2 months and immediately after completion of treatment. Body mass index (BMI) < 18.5 kg/m(2) and MUAC < 22.0 cm were taken as cut-offs for defining malnourishment. RESULTS: Two thirds of the patients (67%) had a low BMI (<18.5 kg/m(2)) before treatment, compared to only 23% among the healthy controls. At the end of treatment, 50% of the patients still had a low BMI, including 12% who had severe malnourishment (BMI ≤ 16 kg/m(2)). MUAC < 22.0 cm was higher among patients before (42%), at 2 months (39%) and immediately after completion of treatment (34%) compared to the control group (9%). CONCLUSIONS: Malnutrition is a serious problem among TB patients in peri-urban areas of Dhaka City. Under the circumstances, additional nutritional supplements, combined with education on nutrition, are expected to contribute to rapid and sustained recovery during DOTS-based treatment.
Entities:
Keywords:
body mass index; food supplementation; undernutrition
Authors: Susan Heaney; Helen O'Connor; Scott Michael; Janelle Gifford; Geraldine Naughton Journal: Int J Sport Nutr Exerc Metab Date: 2011-06 Impact factor: 4.599
Authors: Monique van Lettow; Anthony D Harries; Johnny J Kumwenda; Ed E Zijlstra; Tamara D Clark; Taha E Taha; Richard D Semba Journal: BMC Infect Dis Date: 2004-12-21 Impact factor: 3.090
Authors: Rose J Kosgei; Steven Callens; Peter Gichangi; Marleen Temmerman; Anne-Beatrice Kihara; Gathara David; Eunice Nyaboe Omesa; Enos Masini; E Jane Carter Journal: PLoS One Date: 2020-12-14 Impact factor: 3.240
Authors: Lies Ter Beek; Mathieu S Bolhuis; Harriët Jager-Wittenaar; René X D Brijan; Marieke G G Sturkenboom; Huib A M Kerstjens; Wiel C M de Lange; Simon Tiberi; Tjip S van der Werf; Jan-Willem C Alffenaar; Onno W Akkerman Journal: BMJ Open Date: 2021-12-30 Impact factor: 2.692