Undernutrition & tuberculosis in India: Situation analysis & the way forward.
Undernutrition & tuberculosis in India: Situation analysis & the way forward.
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DOI：
10.4103/0971-5916.193278
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发表时间：
2016-07
期刊：
影响因子：
--
通讯作者：
Swaminathan S
中科院分区：
文献类型：
--
作者：
Padmapriyadarsini C;Shobana M;Lakshmi M;Beena T;Swaminathan S
营养不良和结核病相互关联，具有双向关系。营养不良会增加结核病的风险，而结核病又会导致营养不良。营养不良不仅是潜伏性结核病感染发展为活动性疾病的危险因素，而且一旦结核病发展，还会增加药物毒性、复发和死亡的风险。该国结核病患者的饮食摄入量不足。结核病患者的营养补充与更快的痰转化、更高的治愈率和治疗完成率、体重和身体成分的显著增加以及更好的体能状态有关。印度政府在中央和邦一级制定了各种社会支助计划（包括营养补充计划）和政策。在这里，我们讨论了一些成功的例子，并提出了一些解决方案，以解决这一差距，如考虑结核病患者作为一个弱势群体的“有针对性的公共分配系统”，并提供额外的口粮治疗期间。报告还就实现结核病战略目标所需采取的行动向研究界、民间社会、政府组织、非政府组织和企业部门提出了建议。最终，印度结核病负担的减少和消除将需要改善整个社区的营养状况。
Undernutrition and tuberculosis (TB) are linked and have a bidirectional relationship. Undernutrition increases the risk of TB which in turn, can lead to malnutrition. Undernutrition not only is a risk factor for progression of latent TB infection to active disease, but also increases the risk of drug toxicity, relapse and death once TB develops. The dietary intake of TB patients in the country is inadequate. Nutritional supplementation in patients with TB is associated with faster sputum conversion, higher cure and treatment completion rates, significant gain in body weight and body composition as well as better performance status. The Government of India has various social support schemes (including nutrition supplementation schemes) and policies, at the Centre as well as State levels. Here we discuss some successful examples and suggest a few solutions to address this gap; like considering TB patients as a vulnerable group for “Targeted Public Distribution System” and providing extra rations for the duration of treatment. Recommendations for the research community, civil societies, government organizations, non-governmental and corporate sector on the actions needed to achieve the goals of the End TB Strategy are also provided. Ultimately, reduction of TB burden in India and its elimination will require improving the nutritional status of the community as a whole.
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DOI：
10.5588/ijtld.14.0231
发表时间：
2014-09-01
影响因子：
4
作者：
Hicks, R. M.;Padayatchi, N.;O'Donnell, M. R.
通讯作者：
O'Donnell, M. R.
影响因子：
3.7
作者：
Bhat PG;Kumar AM;Naik B;Satyanarayana S;Kg D;Nair SA;Md S;Heldal E;Enarson DA;Reid AJ
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Reid AJ
影响因子：
3.7
作者：
Dye C;Bourdin Trunz B;Lönnroth K;Roglic G;Williams BG
通讯作者：
Williams BG
影响因子：
4.5
作者：
Loennroth, Knut;Williams, Brian G.;Stadlin, Stephanie;Jaramillo, Ernesto;Dye, Christopher
通讯作者：
Dye, Christopher
DOI：
10.4103/0970-2113.45198
发表时间：
2009-01
期刊：
Lung India : official organ of Indian Chest Society
影响因子：
--
作者：
Gupta KB;Gupta R;Atreja A;Verma M;Vishvkarma S
通讯作者：
Vishvkarma S