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Nutrition Status of Young Pulmonary Tuberculosis Patients At Tertiary Care Teaching Hospital FREE TO VIEW

Rakesh C. Gupta, Asso.Professor; Mayank Vats; Pramod Dadhich; Neeraj Gupta; Mukesh Taylor; Vinita Singh
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Teaching Hospital, Jlnmedical College, Ajmer, India


Chest. 2003;124(4_MeetingAbstracts):209S. doi:10.1378/chest.124.4_MeetingAbstracts.209S-a
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PURPOSE:  Infectious diseases & malnutrition are major public health problem in developing world. Malnutrition can predispose Pulomonary Tuberculosis (PTB). Conversely, PTB can result in malnutrition. TB has been called ’phthisis’ due to profound wasting. This study was conducted to assess the nutritional status of PTB patients.

METHODS:  This prospective study included 50 male and 38 female patients (30-40 years) during last 1 year. Patients were selected by non probability sampling. Demographic profile (Kuppuswami scale) and anthropometric measurements were noted & patients were categorized according to BMI. Detailed medical and dietary history (3 Day Recall Method) was taken. Biochemical tests were done (Hb, protein, A/G ratio etc.). Nutrient contents were assessed & compared with Recommended daily allowance (RDA) & analysed to compare percentage, mean & S.D.RESULT: 75% patients were from low socio-economic background. 67% male and 83% female had BMI <17 kg/m2 (52% males and 63.2% females had Grade III CEM with BMI < 16 kg/m2). Males had mean Hb level of 10.5 + 1.09 gm% while females had 7.8+1.8 gm%. 53.8% males and 86.2% females were anaemic. Serum Total protein, S. Albumin, & A/G ratio in majority of patients were below normal. Mean energy intake for male & female was 1548 +305 kcal & 1375 +260 kcal, which was low (56.29% of modified RDA).

CONCLUSION:  75% patients had lower BMI, 69.3% were anaemic and 35.2% patients had lower albumin level. These observations suggest that the need for dietary regime is essential in the management of PTB to maintain their desirable body weight, to reduce complication and for rapid recovery.

CLINICAL IMPLICATIONS:  Lower BMI, Hb levels & low S. albumin level may be due to attendant catabolism associated with PTB. Conversely, malnutrition leads to immunodeficiency and breakdown of tuberculosis. Therefore nutritional assessment in PTB patients should be carried out & balanced dietary regime is recommended in management and favourable outcome.

DISCLOSURE:  R.C. Gupta, None.

Wednesday, October 29, 2003

12:30 PM - 2:00 PM




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