Low Nutrient Intake Among Adult Women and Patients With Severe Tuberculosis Disease in Uganda: A Cross-Sectional Study
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Date
2012-12
Journal Title
Journal ISSN
Volume Title
Publisher
BMC Public Health
Abstract
Background: Information regarding dietary nutrient intake during tuberculosis disease is lacking. We established
the relationship between disease severity or wasting during pulmonary tuberculosis and nutrient intake.
Methods: In a cross-sectional study of 131 adults with or without pulmonary tuberculosis were screened for
human immune-deficiency virus (HIV), wasting, disease severity using 13 item validated clinical TBscore, and
24-hour dietary intake recall.
Results: Of the 131 participants, 61 were males and 70 females. Overall men and women had similar age. In
average 24-hour nutrient intake, the following nutrients: energy, protein, total fat, carbohydrate, calcium, vitamin A, and folate were low among patients with severe tuberculosis disease. Patients with moderate-to-severe clinical
TBscore had lower average energy intake than patients with mild TBscores (6.11 vs. 9.27 MJ, respectively) (p<0.05).
The average 24-hour nutrient intakes between wasted and non-wasted tuberculosis patients were comparable.
Nutrient intake among men was higher when compared to women regardless of wasting and severity of
tuberculosis. Among those with wasting, men had higher average energy intake than women (8.87 vs. 5.81 MJ,
respectively) (p<0.05). Among patients with mild disease, men had higher average energy intake than women with mild disease (12.83 vs. 7.49 kcal, respectively) (p<0.001).
Conclusions: Findings suggest that severity of pulmonary tuberculosis and female gender had reduced nutrient
intake. Early tuberculosis diagnosis and nutritional support may be important in management of tuberculosis
patients.
Description
The article is about Low nutrient intake among adult women and patients with severe tuberculosis disease in Uganda
Keywords
Tuberculosis disease severity, Dietary intake, Body wasting, HIV
Citation
Mupere, Ezekiel, Parraga, Isabel M, Tisch, Daniel J, Mayanja, Harriet K, Whalen, Christopher C, 2012. Low nutrient intake among adult women and patients with severe tuberculosis disease in Uganda: a cross-sectional study, BMC Public Health; doi: 10.1186/1471-2458-12-1050.