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Titolo:
Tuberculosis, human immunodeficiency virus infection, and malnutrition in Burundi
Autore:
Niyongabo, T; Henzel, D; Idi, M; Nimubona, S; Gikoro, E; Melchior, JC; Matheron, S; Kamanfu, G; Samb, B; Messing, B; Begue, J; Aubry, P; Larouze, B;
Indirizzi:
CHU Kamenge, Bujumbura, Burundi CHU Kamenge Bujumbura BurundiCHU Kamenge, Bujumbura, Burundi Hop St Lazare, IMEA, INSERM, U13, Paris, France Hop St Lazare Paris France St Lazare, IMEA, INSERM, U13, Paris, France Hop St Lazare, Serv Nutr, Paris, France Hop St Lazare Paris FranceHop St Lazare, Serv Nutr, Paris, France Hop St Lazare, Serv Malad Infect & Trop, Paris, France Hop St Lazare Paris France are, Serv Malad Infect & Trop, Paris, France Hop St Lazare, INSERM, U290, Paris, France Hop St Lazare Paris FranceHop St Lazare, INSERM, U290, Paris, France Hop Bichat Claude Bernard, Serv Biochim C, F-75877 Paris 18, France Hop Bichat Claude Bernard Paris France 18 im C, F-75877 Paris 18, France
Titolo Testata:
NUTRITION
fascicolo: 4, volume: 15, anno: 1999,
pagine: 289 - 293
SICI:
0899-9007(199904)15:4<289:THIVIA>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
ENERGY-EXPENDITURE; HIV-INFECTION; AIDS; MORTALITY;
Keywords:
tuberculosis; nutrition; AIDS; HIV infection; Africa;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Larouze, B Hop Bichat Claude Bernard, IMEA, INSERM, U13, 46 Rue Henri Huchard, F-75018 Hop Bichat Claude Bernard 46 Rue Henri Huchard Paris France F-75018
Citazione:
T. Niyongabo et al., "Tuberculosis, human immunodeficiency virus infection, and malnutrition in Burundi", NUTRITION, 15(4), 1999, pp. 289-293

Abstract

In order to compare the nutritional status of tuberculosis (TB) patients who were human immunodeficiency virus (HIV)seropositive with those who were seronegative, we carried out a cross-sectional anthropometric and biochemical assessment, together with bioelectrical impedance analysis (BIA) of the nutritional status of TB patients hospitalized in the Department of Internal Medicine, Bujumbura University Hospital, Burundi, East Africa. Of the 65 TB patients (33 pulmonary, 6 extrapulmonary, and 26 disseminated TB), 50 (76.9%) were HIV-seropositive (HIV+). When assessed according to anthropometric, BIA, and biochemical variables, HIV+ TB patients had more pronounced malnutrition than HIV- patients. Similar results were obtained when the comparison was restricted td patients with only pulmonary TB: HIV+ patients weremore malnourished than HIV- patients. The results according to anthropometric measurements were: weight loss (13.5% of HIV- patients versus 26.4% of HIVS patients, P = 0.005), body mass index (18.6 versus 15.1, P = 0.003), fat free mass (FFM) (13.9 versus 11.9, P < 0.01), and body fat (BF) (4.55 versus 3.71, P = 0.03) expressed per unit height(2). BIA showed that the difference in FFM between HIV- and HIV+ TB pulmonary patients was mostly due toa decrease in body cellular mass. Measurements of albumin, prealbumin, andtransferrin showed a marked decrease in all three markers in HIV+ TB pulmonary patients. The nutritional status of HIV+ patients with disseminated versus pulmonary TB was similar. The nutritional status of HIV+ TB patients is far worse than that of HIV- TB patients. In such patients, anthropometry underestimates the degree of malnutrition because it does not account for the water component of FFM. Nutritional status should be assessed and nutritional intervention should be provided in an attempt to improve the prognosis of TB patients, especially those who are infected by HIV. Nutrition 1999;15:289-293. (C) Elsevier Science Inc. 1999.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 03:26:31