Nutritional intakes and associated factors among tuberculosis patients: a cross-sectional study in China

Abstract

BackgroundThe objectives of this study were to examine nutrient intakes of tuberculosis (TB) patients and to identify their associated factors.MethodsIn this cross-sectional study, 300 adult TB patients were surveyed in two impoverished counties in China. Nutrient intakes were evaluated through two consecutive 24-h dietary recalls and compared with the Chinese Dietary Reference Intakes (DRIs) 2013. The potential socio-demographic and behavioral factors were analyzed using multivariate logistic model to identify strong influential factors.ResultsWe found that mean daily energy intake was 1655.0 kcal (SD: 619.3 kcal) and 1360.3 kcal (SD: 552.1 kcal) for male and female patients, respectively. The mean daily energy intake was significantly lower than that has been recommended by DRI (i.e., 2250 and 1800 kcal for males and females, respectively), with 87.4% of the male patients and 59.9% of female patients failed to consume adequate energy. The protein intakes were 44.6 g (SD: 18.2 g) and 35.9 g (SD: 12.3 g) for male and female patients, respectively, which were lower than the recommended values by DRI (i.e., 65 and 55 g for males and females, respectively). Most male (90.8%) and female (58.4%) TB patients had insufficient daily protein intake. Further analyses suggested that mean daily intakes of many micronutrients, were insufficient, while for most of patients, intakes of vitamin E and sodium were sufficient. We identified that unemployment was a risk factor for low energy intake (p < 0.05) and out-home-eating was a protective factor for low protein intake (p < 0.01).ConclusionsIn impoverished areas in China, intakes of macronutrients and most micronutrients in TB patients were inadequate compared with DRIs, especially for unemployed patients and patients eating at home. These findings suggested that public health actions are needed to promote education on TB patients about significance of nutritional support, and, further interventions in TB patients’ nutritional intakes are also required.

Prediction model for death in patients with pulmonary tuberculosis accompanied by respiratory failure in ICU: retrospective study

“…Many previous studies reported that nutritional status is an important factor in TB treatment (25,26). Malnutrition leads to a decrease in immunity and M. TB is susceptible to infection; on the other hand, increased consumption of TB leads to malnutrition in the body.…”

Increased vegetable and fruit intake is associated with reduced failure rate of tuberculosis treatment: a hospital-based cohort study in China

“…Through univariate analysis, we determined the variables (BMI, marital status) related to treatment outcome. Additionally, variables previously reported to be associated with outcome (age (33) , sex (33) , education completed (34) , occupation (35) , smoking (36) , drinking (36) , regular exercise (37) and total energy intake (38) ) were considered potential confounders. The crude model was unadjusted; model 1 was adjusted for age and sex; model 2 was adjusted for age, sex, BMI, education completed, occupation, marital status, smoking, drinking, regular exercise and total energy intake.…”

Nutritional and Microbiological Characteristics of Snakehead Fish Flour (Channa Striata) and Its Modification as Weight Enhancing Supplements for Children with Tuberculosis

“…A cross sectional study in China by Ren et al showed that TB patients have insufficient daily energy-protein intake compared with the Chinese Dietary Reference Intakes (DRIs) 2013. Also they are insufficient of many micronutrients daily intake [19]. Macronutrients including carbohydrate and fat are converted to energy, while protein and some fat are used to make structural and functional components of human tissue.…”