Vitamin A and zinc deficiencies among tuberculosis patients in Ethiopia.
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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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keflie2018vitaminjournal
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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
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| 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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