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Evaluation of nutritional status of patients with Tuberculosis in Gonbad-e-Kavous, north of Iran (2014)
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Navisa-Sadat Seyedghasemi1    , Mina Dazi2 , Bahareh Nikrad2 , Hasan Khorsha3 , Mohammad Reza Honarvar 4 |
1- Ph.D Candidate in Biostatistics, Department of Biostatistics and Epidemiology, School of Health, Golestan University of Medical Sciences, Gorgan, Iran.
2- Bachelor of Public Health, School of Health, Golestan University of Medical Sciences, Gorgan, Iran.
3- Bachelor of Statistic, Health Management and Social Development research Center, Golestan University of Medical Sciences, Gorgan, Iran.
4- Assistant Profosser, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran. , mrhonarvar@goums.ac.ir |
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Abstract: (8293 Views) |
Background and Objective: The incidence of tuberculosis in Golestan province in northern Iran is 26.7 cases in 100000 persons. Lack of energy and nutrients is one of the reasons for the increased risk of tuberculosis. Malnutrition is an important cause of high mortality in the Tuberculosis (TB) population. With decreasing level of visceral proteins, anthropometric indices, and micronutrients increase the risk of mortality. This study was performed to determine the status of nutritional status of patients with Tuberculosis in Gonbad-e-Kavous, north of Iran during 2014.
Methods: This descriptive-analytical study was performed on 45 pulmonary tuberculosis patients with mean age of 57±20 living in Gonbad city, north of Iran during 2014. Demographic information and history of tuberculosis, body mass index, albumin, hemoglobin, total protein and blood cell count and food intake were recorded for each patient.
Results: 58% of patients were women. 52% of patient was resident in rural area. There was a significant difference in terms of body mass index and previous history of tuberculosis in patients with different disease intensities. Among patients with different disease intensities, the difference in the distribution of anemia severity was not significant. There was no significant difference between the two sexes in terms of disease severity distribution. According to the fitted regression model, the age variable, even in the presence of other variables, had a significant effect on disease severity (P<0.05).
Conclusion: With increasing disease severity, patients' BMI decreases and the severity of malnutrition and anemia increases. The severity of the disease increases with age. Tuberculosis patients need nutritional support.
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Keywords: Tuberculosis [MeSH], Malnutrition [MeSH], Anemia [MeSH], BMI [MeSH]
Article ID: Vol23-26 |
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Full-Text [PDF 1118 kb]
(11196 Downloads)
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Type of Study: Original Articles |
Subject:
Nutrition
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1. World Health Organization. Tuberculosis (TB) [Internet]. [cited 2021 Jan 17]. Available from: https://www.who.int/news-room/fact-sheets/detail/tuberculosis [ View at Publisher] 2. Salek S, Masjedi M, Salek S, Emami H. [Incidence Rate of Pulmonary Tuberculosis among Different Ethnicities in Golestan Province from 1999 to 2003]. Epidemiol. 2008; 3(3 and 4): 15-20. [Article in Persian] [ View at Publisher] 3. Ghaemi E, Ghazisaidei K, Kohsarei H, Khodabakhshei B, Kohsar F, Behnampour N, et al. [The comparison of environmental Mycobacteriums in the regions with high and low prevalency of TB in Golestan province]. J Gorgan Univ Med Sci. 2002; 4(2): 48-53. [Article in Persian] [ View at Publisher] 4. Yazdani-Charati J, Sheykholeslami AS, Kamalinia H, Sheikhi M, Rahimi E. [Epidemiologic Study of Pulmonary Tuberculosis in Golestan Province, Iran 2007-2016]. J Mazandaran Univ Med Sci. 2018; 28(165): 119-28. [Article in Persian] [ View at Publisher] 5. World Health Organization Global tuberculosis report 2020. WHO. Geneva. 2020. [ View at Publisher] 6. Cegielski JP, McMurray DN. The relationship between malnutrition and tuberculosis: evidence from studies in humans and experimental animals. Int J Tuberc Lung Dis. 2004 Mar; 8(3): 286-98. [ PubMed] 7. Honarvar MR, Charkazi A, Mirkarimi K, Sheikhi M, Kamalinia HR, Rahim Arbabi E. Eleven Year Epidemiological Study of Tuberculosis in Golestan Province, Northern of Iran. Iran J Public Health. 2020 Mar; 49(3): 563-69. DOI: 10.18502/ijph.v49i3.3154 [ View at Publisher] [ DOI] 8. Ren Z, Zhao F, Chen H, Hu D, Yu W, Xu X, et al. Nutritional intakes and associated factors among tuberculosis patients: a cross-sectional study in China. BMC Infect Dis. 2019; 19: 907. DOI: 10.1186/s12879-019-4481-6 [ View at Publisher] [ DOI] 9. World Health Organization. Nutrition assessment and counselling in individuals with active tuberculosis. [Internet]. WHO. [cited 2021 Jan 17] [ View at Publisher] 10. 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 Aug; 5(63): 1-6. DOI: 10.3389/fnut.2018.00063 [ View at Publisher] [ DOI] 11. Mozafari A, Gholamzade M. [Assessment of clinical manifestation and pulmonary function test on post tuberculosis treatment in Qom province 2005-2013]. Med J Mashhad Univ Med Sci. 2017 Dec; 60(5): 701-8. DOI: 10.22038/MJMS.2017.10455 [Article in Persian] [ View at Publisher] [ DOI] 12. Sari DK, Mega JY, Harahap J. Nutrition Status Related to Clinical Improvement in AFB-Positive Pulmonary Tuberculosis Patients in Primary Health Centres in Medan, Indonesia. Open Access Maced J Med Sci. 2019 May; 7(10): 1621-27. DOI: 10.3889/oamjms.2019.338 [ DOI] [ PubMed] 13. Campos-Gongora E, López-Martínez J, Huerta-Oros J, Arredondo-Mendoza GI, Jiménez-Salas Z. Nutritional status evaluation and nutrient intake in adult patients with pulmonary tuberculosis and their contacts. J Infect Dev Ctries. 2019 Apr; 13(4): 303-10. DOI: 10.3855/jidc.11267 [ DOI] [ PubMed] 14. Padmapriyadarsini C, Shobana M, Lakshmi M, Beena T, Swaminathan S. Undernutrition & tuberculosis in India: Situation analysis & the way forward. Indian J Med Res. 2016 Jul; 144(1): 11-20. DOI: 10.4103/0971-5916.193278 [ DOI] [ PubMed] 15. Lönnroth K, Williams BG, Cegielski P, Dye C. A consistent log-linear relationship between tuberculosis incidence and body mass index. Int J Epidemiol. 2010 Feb; 39(1): 149-55. DOI: 10.1093/ije/dyp308 [ DOI] [ PubMed] 16. Mukherjee A, Kaeley N, Dhar M, Kumar S, Bhushan B. Prevalence, characteristics, and predictors of tuberculosis associated anemia. J Family Med Prim Care. 2019 Jul; 8(7): 2445-49. DOI: 10.4103/jfmpc.jfmpc_311_19 [ DOI] [ PubMed] 17. Isanaka S, Mugusi F, Urassa W, Willett WC, Bosch RJ, Villamor E, et al. Iron deficiency and anemia predict mortality in patients with tuberculosis. J Nutr. 2012 Feb; 142(2): 350-57. DOI: 10.3945/jn.111.144287 [ DOI] [ PubMed] |
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Seyedghasemi N, Dazi M, Nikrad B, Khorsha H, Honarvar M R. Evaluation of nutritional status of patients with Tuberculosis in Gonbad-e-Kavous, north of Iran (2014). J Gorgan Univ Med Sci 2021; 23 (2) :51-57 URL: http://goums.ac.ir/journal/article-1-3886-en.html
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