Effect of persistent malnutrition on pulmonary tuberculosis treatment: A cross-sectional study in Weifang, China.

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS Asia Pacific journal of clinical nutrition Pub Date : 2023-01-01 DOI:10.6133/apjcn.202306_32(2).0003
Zhixuan Lei, Yang Yang, Xin Guo, Kuan Zhao, Bo Zhang, Aiguo Ma
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Abstract

Background and objectives: Malnutrition is associated with pulmonary tuberculosis (PTB). The aim of this study is to investigate the association between persistent malnutrition and the effect of PTB treatment.

Methods and study design: A total of 915 PTB patients were included. Baseline demographic information, anthropometry, and nutritional indicators were measured. The treatment effect was assessed by combinations of clinical manifestations, sputum smear, chest computerized tomography, gastrointestinal symptoms, and the indexes of liver function. Persistent malnutrition was considered when one or more indicators of malnutrition were lower than the reference standards in two tests on admission and after one month of treatment. Clinical symptom score (TB score) was used to assess the clinical manifestations. The generalized estimating equation (GEE) was used to assess the associations.

Results: In GEE analyses, patients with underweight had a higher incidence of TB score >3 (OR=2.95; 95% CI, 2.28-3.82) and lung cavitation (OR=1.36; 95% CI, 1.05-1.76). Hypoproteinemia was associated with a higher risk of TB score >3 (OR=2.73; 95% CI, 2.08-3.59) and sputum positive (OR=2.69; 95% CI, 2.08-3.49). Anemia was associated with a higher risk of TB score >3 (OR=1.73; 95% CI, 1.33-2.26), lung cavitation (OR=1.39; 95% CI, 1.19-1.63), and sputum positive (OR=2.23; 95% CI, 1.72-2.88). Lymphocytopenia was associated with a higher risk of gastrointestinal adverse reactions (OR=1.47; 95% CI, 1.17-1.83).

Conclusions: Persistent malnutrition within one month of treatment can adversely affect anti-tuberculosis treatment. Nutritional status during anti-tuberculosis treatment should be continuously monitored.

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持续营养不良对肺结核治疗的影响:中国潍坊的一项横断面研究。
背景和目的:营养不良与肺结核(PTB)有关。本研究的目的是探讨持续性营养不良与肺结核治疗效果之间的关系。方法与研究设计:共纳入915例肺结核患者。测量基线人口统计信息、人体测量和营养指标。结合临床表现、痰涂片、胸部ct、胃肠道症状、肝功能指标评价治疗效果。如果在入院时和治疗一个月后的两次测试中,一项或多项营养不良指标低于参考标准,则认为存在持续性营养不良。采用临床症状评分(TB评分)评价临床表现。使用广义估计方程(GEE)来评估相关性。结果:在GEE分析中,体重过轻的患者TB评分>3的发生率更高(OR=2.95;95% CI, 2.28-3.82)和肺空化(OR=1.36;95% ci, 1.05-1.76)。低蛋白血症与TB评分>3的高风险相关(OR=2.73;95% CI, 2.08-3.59),痰液阳性(OR=2.69;95% ci, 2.08-3.49)。贫血与TB评分>3的高风险相关(OR=1.73;95% CI, 1.33-2.26),肺空化(OR=1.39;95% CI, 1.19-1.63),痰液阳性(OR=2.23;95% ci, 1.72-2.88)。淋巴细胞减少与胃肠道不良反应的高风险相关(OR=1.47;95% ci, 1.17-1.83)。结论:治疗1个月内持续营养不良会对抗结核治疗产生不利影响。抗结核治疗期间应持续监测营养状况。
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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
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