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Nutritional status and dietary intake before hospital admission of pulmonary tuberculosis patients

  • Received: 14 December 2022 Revised: 13 April 2023 Accepted: 14 May 2023 Published: 23 May 2023
  • Conducting research on nutritional status and dietary intake of pulmonary tuberculosis patients is essential for developing interventions in clinical nutrition practice and treatment during hospitalization, which can improve the quality of patients life. This cross-sectional descriptive study aimed to determine nutritional status and some related factors (such as geography, occupation, educational level, economic classification, etc.) of 221 patients with pulmonary tuberculosis who were examined and treated at the Respiratory Tuberculosis Department, National Lung Hospital in July 2019–May 2020. The results showed that the risk of undernutrition: According to BMI (Body Mass Index): 45.8% of patients were malnourished, 44.2% normal and 10.0% overweight/obese. According to MUAC (Mid-Upper Arm Circumference): 60.2% of patients were malnourished, 39.8% of patients were normal. According to SGA (Subjective Global Assessment): 57.9% of patients were at risk of undernutrition, of which 40.7% were at moderate risk of undernutrition and 17.2% risk of severe undernutrition. Classification of nutritional status according to serum albumin index: 50% of patients were malnourished, the rate of undernutrition of mild, moderate and severe levels was 28.9%, 17.9% and 3.2%, respectively. Most patients eat with others and eat less than four meals a day. The average dietary energy of patients with pulmonary tuberculosis in was 1242.6 ± 46.5 Kcal and 1084 ± 57.9 Kcal, respectively. 85.52% of patients did not eat enough food, 4.07% had enough, 10.41% consumed excess energy. The ratio of energy-generating substances in the diet (Carbohydrate:Protein:Lipid) was on average 54:18:28 for males and 55:16:32 for females. Most of the study population had diets that did not meet the experimental study in terms of micronutrient content. Specifically, more than 90% do not meet the requirements for magnesium, calcium, zinc, and vitamin D. The water-soluble and fat-soluble vitamins respond poorly, only about 30–40%. Selenium is the mineral with the best response rate, above 70%. Our findings revealed that the majority of the study subjects had poor nutritional status, as evidenced by diets lacking in essential micronutrients.

    Citation: Trong Hung Nguyen, Thi Hang Nga Nguyen, Hung Le Xuan, Phuong Thao Nguyen, Kim Cuong Nguyen, Tuyet Nhung Le Thi. Nutritional status and dietary intake before hospital admission of pulmonary tuberculosis patients[J]. AIMS Public Health, 2023, 10(2): 443-455. doi: 10.3934/publichealth.2023031

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  • Conducting research on nutritional status and dietary intake of pulmonary tuberculosis patients is essential for developing interventions in clinical nutrition practice and treatment during hospitalization, which can improve the quality of patients life. This cross-sectional descriptive study aimed to determine nutritional status and some related factors (such as geography, occupation, educational level, economic classification, etc.) of 221 patients with pulmonary tuberculosis who were examined and treated at the Respiratory Tuberculosis Department, National Lung Hospital in July 2019–May 2020. The results showed that the risk of undernutrition: According to BMI (Body Mass Index): 45.8% of patients were malnourished, 44.2% normal and 10.0% overweight/obese. According to MUAC (Mid-Upper Arm Circumference): 60.2% of patients were malnourished, 39.8% of patients were normal. According to SGA (Subjective Global Assessment): 57.9% of patients were at risk of undernutrition, of which 40.7% were at moderate risk of undernutrition and 17.2% risk of severe undernutrition. Classification of nutritional status according to serum albumin index: 50% of patients were malnourished, the rate of undernutrition of mild, moderate and severe levels was 28.9%, 17.9% and 3.2%, respectively. Most patients eat with others and eat less than four meals a day. The average dietary energy of patients with pulmonary tuberculosis in was 1242.6 ± 46.5 Kcal and 1084 ± 57.9 Kcal, respectively. 85.52% of patients did not eat enough food, 4.07% had enough, 10.41% consumed excess energy. The ratio of energy-generating substances in the diet (Carbohydrate:Protein:Lipid) was on average 54:18:28 for males and 55:16:32 for females. Most of the study population had diets that did not meet the experimental study in terms of micronutrient content. Specifically, more than 90% do not meet the requirements for magnesium, calcium, zinc, and vitamin D. The water-soluble and fat-soluble vitamins respond poorly, only about 30–40%. Selenium is the mineral with the best response rate, above 70%. Our findings revealed that the majority of the study subjects had poor nutritional status, as evidenced by diets lacking in essential micronutrients.



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    Acknowledgments



    We would like to express our gratitude to the National Lung Hospital for their support in enabling us to complete this study. Additionally, we extend our thanks to all the patients who participated in the study.

    Use of AI tools declaration



    The authors declare they have not used Artificial Intelligence (AI) tools in the creation of this article.

    Conflict of interests



    The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. The authors of this article affirm that they have no potential conflicts of interest regarding the research, authorship, and/or publication of this manuscript.

    [1] World Health OrganizationGlobal tuberculosis report 2018 (‎2018). Available from: https://apps.who.int/iris/handle/10665/274453.
    [2] Nguyen VC (2006) Tuberculosis Pathology. Hanoi: Medicine Publishing House.
    [3] Feleke BE, Feleke TE, Biadglegne F (2019) Nutritional status of tuberculosis patients, a comparative cross-sectional study. BMC Pulm Med 19: 182. https://doi.org/10.1186/s12890-019-0953-0
    [4] Chai Q, Zhang Y, Liu CH (2018) Mycobacterium tuberculosis: An Adaptable Pathogen Associated With Multiple Human Diseases. Front Cell Infect Microbiol 8: 158. https://doi.org/10.3389/fcimb.2018.00158
    [5] Macallan D (2009) Infection and malnutrition. Med 37: 525-528. https://doi.org/10.1016/j.mpmed.2009.07.005
    [6] Gupta KB, Gupta R, Atreja A, et al. (2009) Tuberculosis and nutrition. Lung India 26: 9-16. https://doi.org/10.4103/0970-2113.45198
    [7] Ren Z, Zhao F, Chen H, et al. (2019) Nutritional intakes and associated factors among tuberculosis patients: a cross-sectional study in China. BMC Infect Dis 19: 907. https://doi.org/10.1186/s12879-019-4481-6
    [8] Bhargava A, Chatterjee M, Jain Y, et al. (2013) Nutritional Status of Adult Patients with Pulmonary Tuberculosis in Rural Central India and Its Association with Mortality. PLoS One 8: e77979. https://doi.org/10.1371/journal.pone.0077979
    [9] Musuenge BB, Poda GG, Chen PC (2020) Nutritional Status of Patients with Tuberculosis and Associated Factors in the Health Centre Region of Burkina Faso. Nutrients 12: 2540. https://doi.org/10.3390/nu12092540
    [10] Ko Y, Kim C, Park YB, et al. (2020) Changes in Nutritional Status in Pulmonary Tuberculosis: Longitudinal Changes in BMI According to Acid-Fast Bacilli Smear Positivity. J Clin Med 9: 4082. https://doi.org/10.3390/jcm9124082
    [11] Le TT, Le VH, Nguyen TH, et al. (2019) Characteristics tuberculosis of the patients who hospitalized at the Respiratory Tuberculosis Department, National Lung Hospital in 2018. J Vietnam Med 481: 149-153.
    [12] Le TT, Le VH, Nguyen TLH, et al. (2019) Nutritional status using subjective global assessment method and some risk factors in patients with pulmonary at the Respiratory Tuberculosis Department, National Lung Hospital in 2018. J Vietnam Med 481: 226-230.
    [13] Gurung LM, Bhatt LD, Karmacharya I, et al. (2018) Dietary Practice and Nutritional Status of Tuberculosis Patients in Pokhara: A Cross Sectional Study. Front Nutr 5: 63. https://doi.org/10.3389/fnut.2018.00063
    [14] (2013) WHOGuideline: Nutritional care and support for patients with tuberculosis. Geneva: World Health Organization. Available from: https://apps.who.int/iris/bitstream/handle/10665/94836/9789241506410_eng.pdf.
    [15] Chandrasekaran P, Saravanan N, Bethunaickan R, et al. (2017) Malnutrition: Modulator of Immune Responses in Tuberculosis. Front Immunol 8: 1316. https://doi.org/10.3389/fimmu.2017.01316
    [16] Wagnew F, Alene KA, Eshetie S, et al. (2022) Effects of zinc and vitamin A supplementation on prognostic markers and treatment outcomes of adults with pulmonary tuberculosis: a systematic review and meta-analysis. BMJ Global Health 7: e008625. https://doi.org/10.1136/bmjgh-2022-008625
    [17] Gombart AF, Pierre A, Maggini S (2020) A Review of Micronutrients and the Immune System–Working in Harmony to Reduce the Risk of Infection. Nutrients 12: 236. https://doi.org/10.3390/nu12010236
    [18] Pham TH (2019) Nutritional status and some related factors in Graves patients at the National Hospital of Endocrinology in 2019. Graduation thesis, Hanoi Medical University .
    [19] Phạm DT, Hà DK (2006) Guidelines for nutritional practice in the community. Hanoi: Medical Publishing House.
    [20] Ha HK (1997) Nutritional epidemiological methods.Medical Publishing House.
    [21] WHO Expert Consultation.Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet (2004) 10 363: 157-163. https://doi.org/10.1016/S0140-6736(03)15268-3
    [22] National Institute of Nutrition.Assess nutritional status and monitor growth. J Nutr Food (2015) 2: 13-16.
    [23] Detsky AS, McLaughlin JR, Baker JP, et al. (1987) What is subjective global assessment of nutritional status?. JPEN J Parenter Enteral Nutr 11: 8-13. https://doi.org/10.1177/014860718701100108
    [24] National Cancer Institute24-hour Dietary Recall (24HR) At a Glance (2017). Available from: https://dietassessmentprimer.cancer.gov/profiles/recall/.
    [25] Seltzer MH, Bastidas JA, Cooper DM, et al. (1979) Instant nutritional assessment. JPEN J Parenter Enteral Nutr 3: 157-159. https://doi.org/10.1177/014860717900300309
    [26] Duong QT (2016) Relationship between BMI with some clinical and subclinical characteristics of pulmonary tuberculosis and the change of BMI after 1 month of treatment. J Pharm - Hue Pharm Univers 4. https://doi.org/10.34071/jmp.2016.4.12
    [27] Owolabi OA, Jallowa AO, Jallowa M, et al. (2020) Delay in the diagnosis of pulmonary tuberculosis in The Gambia, West Africa: A cross-sectional study. Inter J Infect Disea 101: 102-106. https://doi.org/10.1016/j.ijid.2020.09.029
    [28] Diriba K, Churiso G (2022) The prevalence of Mycobacterium tuberculosis using Gene Xpert among tuberculosis suspected patients in Gedeo Zone, Southern Ethiopia. Euro J Med Resear 27: 24. https://doi.org/10.1186/s40001-022-00650-x
    [29] Hoang KTA, Tran TVA, Pham TD, et al. (2018) Nutritional status in tuberculosis patients treated at Thai Binh Lung Hospital in 2017. J Nutr Food 14: 80-85.
    [30] Bacelo AC, Ramalho A, Brasil PE, et al. (2015) Nutritional Supplementation Is a Necessary Complement to Dietary Counseling among Tuberculosis and Tuberculosis-HIV Patients. PLoS One 10: e0134785. https://doi.org/10.1371/journal.pone.0134785
    [31] Oliveira CMC, Kubrusly M, Mota RS, et al. (2010) Malnutrition in chronic kidney failure: what is the best diagnostic method to assess?. J Bras Nefrol 32: 55-68. https://doi.org/10.1590/S0101-28002010000100011
    [32] Al Moamary MS, Alorainy H, AL-Hajjaj MS (2014) Pulmonary rehabilitation: A regional perspective evidenced-based review. Ann Thorac Med 9: 3-7. https://doi.org/10.4103/1817-1737.124408
    [33] Chakraborty R, Bose K, Koziel S (2011) Use of mid-upper arm circumference in determining undernutrition and illness in rural adult Oraon men of Gumla District, Jharkhand, India. Rural Remote Health 11: 118-129. https://doi.org/10.22605/RRH1754
    [34] Lin HS, Lin MS, Chi CC, et al. (2021) Nutrition Assessment and Adverse Outcomes in Hospitalized Patients with Tuberculosis. J Clin Med 10: 2702. https://doi.org/10.3390/jcm10122702
    [35] Sergi G, Coin A, Enzi G, et al. (2006) Role of visceral proteins in detecting malnutrition in the elderly. Eur J Clin Nutr 60: 203-209. https://doi.org/10.1038/sj.ejcn.1602289
    [36] Akirov A, Masri-Iraqi H, Atamna A, et al. (2017) Low Albumin Levels Are Associated with Mortality Risk in Hospitalized Patients. Am J Med 130: 1465. https://doi.org/10.1016/j.amjmed.2017.07.020
    [37] (2021) National Institute of Nutrition, VietnamPress release Conference announcing the results of the 2019-2020 Nutrition Census. Available from: http://viendinhduong.vn/vi/tin-tuc---su-kien-noi-bat/thong-cao-bao-chi-hoi-nghi-cong-bo-ket-qua-tong-dieu-tra-dinh-duong-2019-2020.html.
    [38] Macallan DC (1999) Malnutrition in tuberculosis. Diagn Microbiol Infect Dis 34: 153157. https://doi.org/10.1016/S0732-8893(99)00007-3
    [39] Huang Z, Liu Y, Qi G, et al. (2018) Role of Vitamin A in the Immune System. J Clin Med 7: 258. https://doi.org/10.3390/jcm7090258
    [40] (2016) Vietnam Ministry of Health, Institute of NutritionRecommended nutritional needs for Vietnamese people. Hanoi: Medical Publishing House.
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