A study on nutritional status and change in body mass index with treatment outcome in smear-positive pulmonary TB patients on DOTS in Amritsar city
Journal Title: International Journal of Medical Science and Public Health - Year 2015, Vol 4, Issue 4
Abstract
Background: The association between tuberculosis (TB) and malnutrition has been recognized for a long time. A body mass index (BMI) below 18.5 increases the risk of TB by 2–3 times. Conversely, an increase in body weight lowers the risk. Objective : To assess the nutritional status and change of patients’ bodyweight over time depending on TB treatment outcome. Materials and Methods: The study was conducted on newly identified smear-positive patients registered under DOTS in two treatment units present in Amritsar city, Punjab, India. BMI of every patient was calculated from the weight and height measurements at the time of registration and again on completion of treatment. Nutritional requirement of the subjects was calculated using the Harris–Benedict equation. Data management and analysis was done by using Microsoft excel and SPSS software, version 17.00. Results: Of 250 patients, 149 (59.6%) were men and 101 (40.4%) women. Male preponderance, with male to female ratio of 1.5:1 was seen; 97.3% of the total men and all of the women were taking diet deficient in calories. It was observed that, in the beginning, 69.2% patients were underweight among which 34% are severely underweight having BMI < 16 kg/m 2 ; 29.6% cases were having normal BMI, while only 1.2% cases were preobese. At the end of treatment, it was evident that 62.8% of the cases were still underweight, 34.9% of the cases showed normal BMI, and 2.3% were in the preobese category. Conclusion: In this study, it was observed that that mean BMI in cured cases at the end of treatment was higher when compared with cases with outcome as failure. The results were found to be statistically significant. So, it was concluded that poor nutritional status is associated with unfavorable outcome in TB
Authors and Affiliations
Manisha Nagpal, Priyanka Devgun, Naresh Chawla
Keywords
Related Articles
- EP ID EP132861
- DOI http://dx.doi.org/10.5455/ijmsph.2015.1611201493
- Views 44
- Downloads 0
Study of acute acalculous cholecystitis as an atypical manifestation in dengue fever
Background: Dengue is a rapidly emerging global health problem. It is an arboviral disease caused by four antigenically distinct dengue viruses. Dengue epidemic occurs annually with major outbreaks in various part...
Assessment of health-related quality of life in asthmatic children and their caregivers
Background: Asthma is a common disease in Egypt that puts a serious burden on children’s health-related quality of life (HRQOL) and their primary caregiver. Objectives: To assess HRQOL of asthmatic children and their car...
A study of 25 cases of cerebral venous thrombosis
Background: Cerebral venous sinus thrombosis is a rare but dangerous condition, occurring with an incidence of 3-4 cases/ million/ year. It has a higher frequency among patients younger than 40 years of age. Cereb...
Seroprevalence of Dengue in Gujarat, Western India: A study at a tertiary care hospital
Background: Dengue is one of the most serious mosquito borne viral infection mainly affecting tropical and subtropical countries of the world. In absence of specific treatment and vaccine for dengue fever (DF); ve...
Privatization of Saudi health-care system and its significant effect: A review
This is a review paper focusing on privatization of health-care delivery system in the Kingdom of Saudi Arabia and its potential impact. 30 suitable literature were identified from a database out of which only 20 were re...