Nutritional status and patterns of anemia in sudanese adult patients with active pulmonary tuberculosis: A cross-sectional study

Background: Malnutrition increases the risk of developing tuberculosis (TB) and causes reactivation of latent pulmonary TB. On the other hand, TB is a recognized cause of malnutrition. Evaluation of the nutritional status and anemia of tuberculous patients with active disease is an important step to...

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Main Authors: Iman Osman Elfaky, Tarig H Merghani, Izzeldin A Elmubarak, Alaeldin H Ahmed
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:International Journal of Mycobacteriology
Subjects:
Online Access:http://www.ijmyco.org/article.asp?issn=2212-5531;year=2023;volume=12;issue=1;spage=73;epage=76;aulast=Elfaky
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author Iman Osman Elfaky
Tarig H Merghani
Izzeldin A Elmubarak
Alaeldin H Ahmed
author_facet Iman Osman Elfaky
Tarig H Merghani
Izzeldin A Elmubarak
Alaeldin H Ahmed
author_sort Iman Osman Elfaky
collection DOAJ
description Background: Malnutrition increases the risk of developing tuberculosis (TB) and causes reactivation of latent pulmonary TB. On the other hand, TB is a recognized cause of malnutrition. Evaluation of the nutritional status and anemia of tuberculous patients with active disease is an important step toward TB management. The objectives of the study were to determine the nutritional status and patterns of anemia in adult patients with active pulmonary TB. Methods: A cross-sectional hospital-based study was performed on newly diagnosed patients with sputum-positive pulmonary TB. The nutritional status, total percentage of body fat (BF%), anemia, and general health of each patient were assessed with measurements of the body mass index (BMI), skin fold thickness, complete blood counts, and biochemical tests. Results: Patients' ages ranged from 16- to 74-year old, with the majority between 20- and 40-year old. Male: female ratio was 2:1. The majority of males and females (91.2% and 84.5%, respectively) had low BF%. Underweight (BMI < 18.5) was 62%, whereas overweight (BMI ≥25.0) was 4%. BMI showed a significant decline with chronicity of the illness (P < 0.001). Eighty participants showed anemia, 90% microcytic hypochromic, and 10% normocytic normochromic. Serum albumin was low in 21%, with no relation to renal disease and insignificant association with proteinuria. Conclusion: Patients with active pulmonary TB are likely to have microcytic hypochromic anemia, low BF%, and low BMI, especially with a long duration of the disease.
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spelling doaj.art-06f6e3df7dec45ce8fe233ab088bf4432023-03-21T11:07:45ZengWolters Kluwer Medknow PublicationsInternational Journal of Mycobacteriology2212-55312212-554X2023-01-01121737610.4103/ijmy.ijmy_14_23Nutritional status and patterns of anemia in sudanese adult patients with active pulmonary tuberculosis: A cross-sectional studyIman Osman ElfakyTarig H MerghaniIzzeldin A ElmubarakAlaeldin H AhmedBackground: Malnutrition increases the risk of developing tuberculosis (TB) and causes reactivation of latent pulmonary TB. On the other hand, TB is a recognized cause of malnutrition. Evaluation of the nutritional status and anemia of tuberculous patients with active disease is an important step toward TB management. The objectives of the study were to determine the nutritional status and patterns of anemia in adult patients with active pulmonary TB. Methods: A cross-sectional hospital-based study was performed on newly diagnosed patients with sputum-positive pulmonary TB. The nutritional status, total percentage of body fat (BF%), anemia, and general health of each patient were assessed with measurements of the body mass index (BMI), skin fold thickness, complete blood counts, and biochemical tests. Results: Patients' ages ranged from 16- to 74-year old, with the majority between 20- and 40-year old. Male: female ratio was 2:1. The majority of males and females (91.2% and 84.5%, respectively) had low BF%. Underweight (BMI < 18.5) was 62%, whereas overweight (BMI ≥25.0) was 4%. BMI showed a significant decline with chronicity of the illness (P < 0.001). Eighty participants showed anemia, 90% microcytic hypochromic, and 10% normocytic normochromic. Serum albumin was low in 21%, with no relation to renal disease and insignificant association with proteinuria. Conclusion: Patients with active pulmonary TB are likely to have microcytic hypochromic anemia, low BF%, and low BMI, especially with a long duration of the disease.http://www.ijmyco.org/article.asp?issn=2212-5531;year=2023;volume=12;issue=1;spage=73;epage=76;aulast=Elfakyanemiabody mass indexmalnutritionpulmonary tuberculosis
spellingShingle Iman Osman Elfaky
Tarig H Merghani
Izzeldin A Elmubarak
Alaeldin H Ahmed
Nutritional status and patterns of anemia in sudanese adult patients with active pulmonary tuberculosis: A cross-sectional study
International Journal of Mycobacteriology
anemia
body mass index
malnutrition
pulmonary tuberculosis
title Nutritional status and patterns of anemia in sudanese adult patients with active pulmonary tuberculosis: A cross-sectional study
title_full Nutritional status and patterns of anemia in sudanese adult patients with active pulmonary tuberculosis: A cross-sectional study
title_fullStr Nutritional status and patterns of anemia in sudanese adult patients with active pulmonary tuberculosis: A cross-sectional study
title_full_unstemmed Nutritional status and patterns of anemia in sudanese adult patients with active pulmonary tuberculosis: A cross-sectional study
title_short Nutritional status and patterns of anemia in sudanese adult patients with active pulmonary tuberculosis: A cross-sectional study
title_sort nutritional status and patterns of anemia in sudanese adult patients with active pulmonary tuberculosis a cross sectional study
topic anemia
body mass index
malnutrition
pulmonary tuberculosis
url http://www.ijmyco.org/article.asp?issn=2212-5531;year=2023;volume=12;issue=1;spage=73;epage=76;aulast=Elfaky
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AT tarighmerghani nutritionalstatusandpatternsofanemiainsudaneseadultpatientswithactivepulmonarytuberculosisacrosssectionalstudy
AT izzeldinaelmubarak nutritionalstatusandpatternsofanemiainsudaneseadultpatientswithactivepulmonarytuberculosisacrosssectionalstudy
AT alaeldinhahmed nutritionalstatusandpatternsofanemiainsudaneseadultpatientswithactivepulmonarytuberculosisacrosssectionalstudy