A study of tuberculosis, malnutrition and gender in Sri Lanka
A study of tuberculosis, malnutrition and gender in Sri Lanka
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DOI：
10.1016/j.trstmh.2004.06.007
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发表时间：
2005-02-01
影响因子：
2.2
通讯作者：
Metcalfe, N
中科院分区：
文献类型：
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作者：
Metcalfe, N
本研究评估了斯里兰卡结核病（TB）患者的营养状况以及配偶和女性之间营养表现的差异。2002年5月至6月，对来自科伦坡医院的病例和来自斯里兰卡空军基地的对照病例以及在科伦坡参加“改善健康”报告会的听众进行了营养状况评估，评估采用的是改良的全球标准。评估。招募了50例病例和49例对照。营养检查显示，这些病例的营养价值明显低于对照组（体重指数16.2 vs. 24.0 kg/m）；臂围20.7 vs. 28.4 cm；肌肉萎缩[太阳穴56% vs. 0%；肩部46% vs. 0%])。营养史显示，这些病例在前两周内有较高程度的厌食、呕吐、恶心和腹泻。除了女性出现呕吐和恶心的频率分别增加了23%和19%外，性别之间的差异很小。因此，斯里兰卡的男性和女性结核病患者都严重营养不良。建议患者在治疗期间接受营养支持，需要研究微量营养素水平的确切营养缺乏及其对免疫系统的影响。(C) 2004年皇家热带医学与卫生学会。Elsevier Ltd.出版。版权所有。
This study assesses the nutritional status of tuberculosis (TB) patients in Sri Lanka and differences in the nutritional presentation between mates and females. In May-June 2002, cases from Colombo hospitals and controls from both the Sri Lankan Air Force Base and audience members at a 'better health' presentation in Colombo were assessed for nutritional status using a modified Standard Global. Assessment. Fifty cases and 49 controls were recruited. Nutritional examinations revealed the cases to have significantly lower nutritional values than the controls (body mass index 16.2 vs. 24.0 kg/m(2); arm circumference 20.7 vs. 28.4 cm; muscle wasting [temple 56% vs. 0%; shoulder 46% vs. 0%]). The nutritional history revealed the cases to have higher levels of anorexia, vomiting, nausea and diarrhoea within the preceding fortnight. Differences between the genders were minimal other than an increase of 23 and 19% in the frequency of female cases having suffered with vomiting and nausea respectively. Consequently, both mate and female TB patients in Sri Lanka are significantly malnourished. It is recommended that patients receive nutritional support during their treatment, with studies of the exact nutritional deficiencies at the micronutrient level and their effect on the immune system being required. (C) 2004 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.