Abstract
The prevalence of undernutrition among adult tuberculosis patients is high in developing countries. However it has not been well explored in Ethiopian situation. Therefore the aim of this study was to determine the prevalence of undernutrition and its associated factors among adult TB patients in some selected public health facilities of Addis Ababa. An institution based cross-sectional study was conducted. The total sample size of the study was 360. The sample size was allocated to the selected health facilities proportional to their size and study subjects were consecutively enrolled to the study during the study period. Data were collected using a pretested structured questionnaire. The data were entered and cleaned by using EPI info version 3.6.1 and transferred to SPSS version 20 for analysis. Bivariate and multivariate logistic regression analyses were done to identify factors that are associated with undernutrition. The prevalence of undernutrition was 39.7 % (23.6 % mild, 8.6 % moderate and 7.2 % severe undernutrition). Functional status of the patients (AOR = 2.57; 95 % CI = 1.42, 4.68) and dietary counselling (AOR = 1.79; 95 % CI = 1.03, 3.12) were factors independently associated with undernutrition among adult TB patients. The prevalence of undernutrition was found to be very high. Regular nutritional assessment and dietary counselling should be part of the routine care of adult TB patients.
Highlights
Malnutrition is a broad term which refers to both undernutrition and over nutrition [1]
The prevalence of undernutrition among adult TB patients was (39.7 %) which is higher than a study conducted in Peru (21 %) [13] but it is lower when compared with another study done in Gulbarga, India (62.2 %) [17]
The prevalence of undernutrition among adult TB patients was very high with the majority having a mild form
Summary
Malnutrition is a broad term which refers to both undernutrition and over nutrition [1]. Even if people get enough to eat, they will become undernourished if the food they eat does. There are a number of adult tuberculosis (TB) patients suffering from profound undernutrition in the world especially in developing countries [3, 4]. It is estimated that undernutrition causes about one quarter of all new TB cases globally [5]. This can have serious public health impacts if those with undernourished adult TB are not identified early [6]. The relationship between undernutrition and active tuberculosis infection is bidirectional. Having active tuberculosis leads to loss of weight, and being underweight is known risk factor for developing tuberculosis either through the reactivation of latent
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