Vitamin A and zinc deficiencies among tuberculosis patients in Ethiopia.

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ID: 65473
2018
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Abstract
The link between tuberculosis (TB) and malnutrition has long been recognized. Vitamin A and zinc deficiencies may reduce the host defenses and increase the risk for diseases.The aim of the present study was to estimate the difference in vitamin A and zinc deficiencies together with dietary intakes among pulmonary TB patients and controls.A case-control study design was employed to undertake this study in North Shewa, Ethiopia. Sputum smear examination, high-performance liquid chromatography (HPLC), flame atomic absorption spectrometry (FAAS), and enzyme-linked immunosorbent assay (ELISA) were used to analyse acid fast bacilli (AFB), vitamin A, zinc, and C-reactive protein (CRP), respectively. Dietary intake was assessed using a 24-h recall questionnaire. Mann-Whitney U test, Kruskal-Wallis test, Chi-square, odds ratio (OR), Spearman correlation, and multinomial logistic regression model were computed for data analyses.In this study, 62 TB cases and 59 controls were included. The proportions of vitamin A deficiency among TB cases and controls were 56.4% and 39.0%, respectively. All TB cases and 92.5% controls were zinc deficient. The odds of TB cases with deficiencies of vitamin A and zinc was 2.3 (95% CI: 1.1 to 4.8)times more likely as compared to the controls. More than 80% of all participants had below average fulfilment of energy and vitamin A intakes.Vitamin A and zinc deficiencies are severe problems among TB patients. Moreover, undernutrition determines the development of TB. Therefore, the management programs of TB need to address the problems of vitamin A and zinc deficiencies together with protein-energy malnutrition.
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Authors Keflie, Tibebeselassie Seyoum;Samuel, Aregash;Woldegiorgis, Ashagrie Zewdu;Mihret, Adane;Abebe, Markos;Biesalski, Hans Konrad;
Journal journal of clinical tuberculosis and other mycobacterial diseases
Year 2018
DOI
10.1016/j.jctube.2018.05.002
URL
Keywords
Zinc ethiopia tuberculosis vitamin a ci, confidence interval sd, standard deviation hplc, high performance liquid chromatography afb, acid fast bacilli bmi, body mass index crp, c-reactive protein dds, dietary diversity score elisa, enzyme-linked immunosorbent assay faas, flame atomic absorption spectrometry iqr, inter quartile range izincg, international zinc nutrition consultative group muac, mid upper arm circumference tb, tuberculosis vif, variance inflation factor

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