Nutritional supplementation Is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patients
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2015 |
| Outros Autores: | , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/35008 |
Resumo: | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Serviço de Nutrição. Rio de Janeiro, RJ, Brasil. |
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Bacelo, Adriana CostaRamalho, AndreaBrasil, Pedro EmmanuelCople-Rodrigues, Cláudia dos SantosGeorg, IngebourgPaiva, ElianeArgolo, Sheila Vasques LeandroRolla, Valeria Cavalcante2019-08-23T12:21:03Z2019-08-23T12:21:03Z2015BARCELO, Adriana Costa et al. Nutritional supplementation is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patients. Plos One, p. 1-17, Aug. 2015.1932-6203https://www.arca.fiocruz.br/handle/icict/3500810.1371/journal.pone.01347851932-6203engPublic Library of ScienceLaboratório de Pesquisa ClínicaMicobacteriosesTuberculosisHIV patientsNutritional supplementationNutritional supplementation Is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patientsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Serviço de Nutrição. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em Doença de Chagas. Rio de Janeiro, RJ, Brasil.Universidade do Estado do Rio de Janeiro. Institute of Nutrition. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Coordenação de Atividades Diagnósticas. Seção de Imunodiagnóstico. Rio de Janeiro, RJ, Brasil.Centro Universitário Augusto Motta. Department of Nutrition. Rio de Janeiro, RJ, Brazil.Sergio Franco Laboratory. Duque de Caxias, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em Micobacterioses. Rio de Janeiro, RJ, Brasil.The Brazilian Ministry of Health and the World Health Organization recommend dietary counseling for patients with malnutrition during tuberculosis treatment. Patients under tuberculosis therapy (infected and not infected with HIV) were followed-up to evaluate the effectiveness of dietary counseling. Objective: describe the nutritional status of patients with tuberculosis. Methods: an observational follow-up study over a 180-day period of tuberculosis therapy in adults was conducted. Subjects were assessed for body composition (using BMI, TSF and MUAC parameters), serum biomarkers and offered dietary counseling. The data obtained at each visit (D15, D30, D60, D90, D120, D150, and D180) were analyzed, showing trajectories over time and central tendencies each time. Results: at baseline, the mean age was 41.1 (±13.4) years; they were predominantly male, with income lower than a local minimum wage and at least six years of schooling. Patients showed predominantly pulmonary tuberculosis. At baseline, all patients suffered from malnutrition. The overall energy malnutrition prevalence was of 70.6%. Anemia at baseline was observed in both groups (63.2%), however, it was significantly more pronounced in the HIV+. At the end, energy malnutrition was reduced to 57.1% (42.9% of HIV and 71.4% of the HIV+). Micronutrients malnutrition was evident in 71.4% of the HIV- patients and 85.7% of HIV+ patients at the end of tuberculosis therapy. Using BMI (≤18.5 kg/m2 cutoff) as an index of malnutrition, it was detected in 23.9% of the HIV- and 27.3% of the HIV+ patients at baseline, with no evident improvement over time; using TSF (≤11.4mm as cutoff) or MUAC (≤28.5cm as cutoff), malnutrition was detected in 70.1% and 85.3% of all patients, respectively. Nevertheless, combining all biomarkers, at the end of follow-up, all patients suffered from malnutrition. Conclusion: Although with a limited number of patients, the evidence does not support that dietary counseling is effective to recover from malnutrition in our population.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/35008/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALve_Barcelo_Adriana_etal_INI_2015.pdfve_Barcelo_Adriana_etal_INI_2015.pdfapplication/pdf1329434https://www.arca.fiocruz.br/bitstream/icict/35008/2/ve_Barcelo_Adriana_etal_INI_2015.pdf38a260cd330b2fbc6e87f2016a34e05bMD52ve_Barcelo_Adriana_etal_INI_2015_corr.pdfve_Barcelo_Adriana_etal_INI_2015_corr.pdfapplication/pdf112687https://www.arca.fiocruz.br/bitstream/icict/35008/3/ve_Barcelo_Adriana_etal_INI_2015_corr.pdfc9cf18b4232778a569b5486dbb255038MD53TEXTve_Barcelo_Adriana_etal_INI_2015.pdf.txtve_Barcelo_Adriana_etal_INI_2015.pdf.txtExtracted texttext/plain51223https://www.arca.fiocruz.br/bitstream/icict/35008/4/ve_Barcelo_Adriana_etal_INI_2015.pdf.txt6e8642ce822ae8d93b5dad79955f80fdMD54ve_Barcelo_Adriana_etal_INI_2015_corr.pdf.txtve_Barcelo_Adriana_etal_INI_2015_corr.pdf.txtExtracted texttext/plain1412https://www.arca.fiocruz.br/bitstream/icict/35008/5/ve_Barcelo_Adriana_etal_INI_2015_corr.pdf.txt497334d437666b2e987ec11055dc0160MD55icict/350082019-08-24 02:03:25.081oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352019-08-24T05:03:25Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
| dc.title.pt_BR.fl_str_mv |
Nutritional supplementation Is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patients |
| title |
Nutritional supplementation Is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patients |
| spellingShingle |
Nutritional supplementation Is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patients Bacelo, Adriana Costa Laboratório de Pesquisa Clínica Micobacterioses Tuberculosis HIV patients Nutritional supplementation |
| title_short |
Nutritional supplementation Is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patients |
| title_full |
Nutritional supplementation Is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patients |
| title_fullStr |
Nutritional supplementation Is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patients |
| title_full_unstemmed |
Nutritional supplementation Is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patients |
| title_sort |
Nutritional supplementation Is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patients |
| author |
Bacelo, Adriana Costa |
| author_facet |
Bacelo, Adriana Costa Ramalho, Andrea Brasil, Pedro Emmanuel Cople-Rodrigues, Cláudia dos Santos Georg, Ingebourg Paiva, Eliane Argolo, Sheila Vasques Leandro Rolla, Valeria Cavalcante |
| author_role |
author |
| author2 |
Ramalho, Andrea Brasil, Pedro Emmanuel Cople-Rodrigues, Cláudia dos Santos Georg, Ingebourg Paiva, Eliane Argolo, Sheila Vasques Leandro Rolla, Valeria Cavalcante |
| author2_role |
author author author author author author author |
| dc.contributor.author.fl_str_mv |
Bacelo, Adriana Costa Ramalho, Andrea Brasil, Pedro Emmanuel Cople-Rodrigues, Cláudia dos Santos Georg, Ingebourg Paiva, Eliane Argolo, Sheila Vasques Leandro Rolla, Valeria Cavalcante |
| dc.subject.other.pt_BR.fl_str_mv |
Laboratório de Pesquisa Clínica Micobacterioses |
| topic |
Laboratório de Pesquisa Clínica Micobacterioses Tuberculosis HIV patients Nutritional supplementation |
| dc.subject.en.pt_BR.fl_str_mv |
Tuberculosis HIV patients Nutritional supplementation |
| description |
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Serviço de Nutrição. Rio de Janeiro, RJ, Brasil. |
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2015 |
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2015 |
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2019-08-23T12:21:03Z |
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2019-08-23T12:21:03Z |
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BARCELO, Adriana Costa et al. Nutritional supplementation is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patients. Plos One, p. 1-17, Aug. 2015. |
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https://www.arca.fiocruz.br/handle/icict/35008 |
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1932-6203 |
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10.1371/journal.pone.0134785 |
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1932-6203 |
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BARCELO, Adriana Costa et al. Nutritional supplementation is a necessary complement to dietary counseling among tuberculosis and tuberculosis-HIV patients. Plos One, p. 1-17, Aug. 2015. 1932-6203 10.1371/journal.pone.0134785 |
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