Nutritional Status of Patients with Tuberculosis and Associated Factors in the Health Centre Region of Burkina Faso.

Nutritional Status of Patients with Tuberculosis and Associated Factors in the Health Centre Region of Burkina Faso.
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DOI:
10.3390/nu12092540
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发表时间:
2020-08-21
期刊:
影响因子:
5.9
通讯作者:
Chen PC
Chen PC
中科院分区:
医学2区
文献类型:
--
作者:
Musuenge BB;Poda GG;Chen PC

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极端饥饿和贫困仍然是维持正常和健康生活的重大障碍,并增加了撒哈拉以南非洲国家的结核病负担。本研究的目的是评估布基纳法索成年结核病患者营养不良的患病率和相关因素。在布基纳法索的卫生中心地区,我们进行了一项横断面调查,从2019年3月至4月对15岁及以上的结核病患者(n = 302)进行了面对面访谈。营养不良的定义是体重指数<18.5公斤/平方米。进行多元逻辑回归分析,以确定营养不良的相关因素。营养不良的患病率为35.8%,其中重度、中度和轻度消瘦分别为7.7%、8.9%和19.5%。每日进食频率低(校正比值比[aOR] = 3.28,置信区间[CI]:1.42-7.55,p = 0.005),人类免疫缺陷病毒感染(aOR = 6.18,CI:2.26-16.88,p < 0.001),糖尿病(aOR = 17.52,95% CI:1.88-162.97,p = 0.012)和年轻(45-54岁vs. 65岁及以上,aOR = 2.93,95%CI:1.11-7.70,p = 0.029)与营养不良的几率增加相关。我们的结论是,合并症和营养状况的评估应该是成人结核病患者治疗的一部分。
Extreme hunger and poverty remain a significant barrier to maintaining a normal and healthy life, and increase the burden of tuberculosis (TB) in sub-Saharan African countries. The purpose of this study was to assess the prevalence and factors associated with undernutrition among adult patients with TB in Burkina Faso. In the Health Centre Region of Burkina Faso, we conducted a cross-sectional survey with face-to-face interviews of patients aged 15 years and older with TB (n = 302), from March to April 2019. Undernutrition was defined as a body mass index of <18.5 kg/m2. Multiple logistic regression analyses were performed to determine the correlates of undernutrition. The prevalence of undernutrition was 35.8%, in which severe, moderate, and mild thinness were 7.7%, 8.9%, and 19.5%, respectively. Low food frequency per day (adjusted odds ratio [aOR] = 3.28, confidence interval [CI]: 1.42–7.55, p = 0.005), human immunodeficiency virus infection (aOR = 6.18, CI: 2.26–16.88, p < 0.001), and diabetes mellitus (aOR = 17.52, 95% CI: 1.88–162.97, p = 0.012) and young age (45–54 years vs. 65 years and older, aOR = 2.93, 95% CI: 1.11–7.70, p = 0.029) were associated with increased odds of undernutrition. We concluded that the assessment of comorbidity and nutritional status should be part of the treatment for adult TB patients.
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