A Study on the Nutritional Status in Hospitalized Patients with Pulmonary Tuberculosis

Hyunjai You; Yangha Kim

doi:10.4163/kjn.2009.42.7.615

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You and Kim: A Study on the Nutritional Status in Hospitalized Patients with Pulmonary Tuberculosis

Original Article

Korean Journal of Nutrition

Korean Journal of Nutrition 2009; 42(7): 615-621.

Published online: 31 October 2009

DOI: https://doi.org/10.4163/kjn.2009.42.7.615

A Study on the Nutritional Status in Hospitalized Patients with Pulmonary Tuberculosis

Hyunjai You¹, Yangha Kim²

¹Graduate School of Clinical Health Sciences, Ewha Womans University, Seoul 120-750, Korea.

²Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 120-750, Korea.

To whom correspondence should be addressed. (yhmoon@ewha.ac.kr)

Received 16 July 2009 Revised 7 August 2009 Accepted 16 October 2009

Abstract

This study was conducted to evaluate the change of nutritional status and to analyze related factors in hospitalized tuberculosis (TB) patients during their hospitalization. The subjects were 398 men patients (mean age: 47.3 ± 14.4 y) who had hospitalized more than 3 months at TB hospital located in Seoul. The anthropometric and blood biochemical indices were measured, and dietary intakes were assessed. At the time of admission the body weight of subjects was about 76% of the average body weight of Korean men with same age, Body mass index (BMI) of subjects was 18.5 kg/m², and 53.8% of subjects were under weight status. Average level of blood hemoglobin and hematocrit of subjects was lower than the normal value. After 3 months of hospitalization period, the body weight and body mass index were significantly increased compared to admission by 3.9 kg (7.41%) and 1.4 kg/m² (7.61%)(p < 0.001), respectively. Blood levels of hemoglobin, hematocrit, albumin, and total protein were also significantly increased after 3 months of hospitalization period compared to admission (p < 0.001). The increment in the body weight and blood indices was significantly higher in below 29 years group than over 60 years group (p < 0.05). The increment in the body weight and body mass index was significantly higher in the under-body weight group compared to the normal-body weight group (p < 0.05). In conclusion the body weight and body mass index of subjects were significantly increased after 3 months of hospitalization period, and the age and body weight of subjects at admission were supposed to influence the degree of change in the nutritional status.

Keywords: tuberculosis patient, nutritional status, body mass index, blood indices

Figures and Tables

Fig. 1

Comparison of distribution of BMI between admission and after 3 months measured by Chi-square test (^***: p < 0.001).

Fig. 2

Comparison of the changes in body weight during hospitalization period according to age. Different superscripts are significantly different among each age groups according to Tukey multiple range test at p < 0.05.

Fig. 3

Comparison of the changes during hospitalization period in blood profiles according to age. Significant differences within each group measured by the ANOVA and significantly different among each age groups according to Tukey multiple range test at p < 0.05, ^*: p < 0.05, ^***: p < 0.001. NS: not significant.

Fig. 4

Distribution of diet intake status according to age during hospitalization period.

Table 1

General characteristics of the subjects

1) Values are mean ± SD

2) N (%)

Table 2

Comparison in the body weight, BMI and blood profiles between admission and after 3 months

1) Values are mean ± SD

2) Significant difference between two groups measured by t-test, ^***: p < 0.001

BMI: Body mass index

Table 3

Changes of body weight, BMI, blood profiles between admission and after 3 months according to diet intake status

1) Values are mean ± SD

2) Different superscripts were significantly different among each groups at p < 0.05 according to Tukey multiple range test

Table 4

Changes in the body weight, BMI and blood profiles between admission and after 3 months according to BMI at admission

1) Values are mean ± SD

2) Different superscripts were significantly different among each groups at p < 0.05 according to Tukey multiple range test

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