The Relationship Between Malnutrition and Tuberculosis (TB) At The Age Group More Than 18 Years Old In Indonesia (Analysis Of The Basic Health Research 2018)

Abstract

The study aimed to determine the relationship between nutritional status based on Body Mass Index (BMI) and Tuberculosis (TB) in the age group >18 years. This study further analyzes the 2018 Basic Health Research (Riskesdas 2018), a cross-sectional study conducted in all city districts in 34 provinces of Indonesia. Unit samples of this study are population-based in the age group >18 years. The determination of having had TB is if the respondent answered yes to the question: "Has a doctor ever been diagnosed with TB by a period of ≤1 year". Nutritional status based on BMI value by calculating height per body weight. Nutritional status was classified as: underweight: BMI <18.5; normal: BMI ≥18.5 - <25.0; Overweight: BMI ≥25.0 - <27.0; obesity: BMI ≥27.0. The total sample was 624,562. The number of TB sufferers 3,220 (0.5%). The number of underweight respondents 62,456 (9.4%), normal respondents 344,941 (55.2%), overweight and obese respondents 221,021 (35.4%). There is a relationship between nutritional status and TB after controlling for confounding variables such as gender, education, type of work, residence, DM risk factors, and smoking behavior. Underweight has a risk of 7.67 (CI 6.40-9.20) of getting TB compared to overweight/obesity, while normal weight has a risk of 2.55 (CI 2.18-2.98) of getting TB compared to overweight/ obesity after controlled confounding variables. Underweight people have 7.67 times the risk of getting TB, and normal weight has 2.55 times have the prevalence ratio getting TB than obese people. The Additional food program for TB patients whose weight is thin in the age group >18 years.