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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Predictors of change in nutritional and hemoglobin status among adults treated for tuberculosis in Tanzania</title><author><name sortKey="Kawai, Kosuke" sort="Kawai, Kosuke" uniqKey="Kawai K" first="Kosuke" last="Kawai">Kosuke Kawai</name><affiliation><nlm:aff id="A1">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Villamor, Eduardo" sort="Villamor, Eduardo" uniqKey="Villamor E" first="Eduardo" last="Villamor">Eduardo Villamor</name><affiliation><nlm:aff id="A1">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Department of Nutrition, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A6">Departments of Environmental Health Sciences and Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA</nlm:aff></affiliation></author><author><name sortKey="Mugusi, Ferdinand M" sort="Mugusi, Ferdinand M" uniqKey="Mugusi F" first="Ferdinand M" last="Mugusi">Ferdinand M. Mugusi</name><affiliation><nlm:aff id="A7">Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania</nlm:aff></affiliation></author><author><name sortKey="Saathoff, Elmar" sort="Saathoff, Elmar" uniqKey="Saathoff E" first="Elmar" last="Saathoff">Elmar Saathoff</name><affiliation><nlm:aff id="A9">Division of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich (LMU), Germany</nlm:aff></affiliation></author><author><name sortKey="Urassa, Willy" sort="Urassa, Willy" uniqKey="Urassa W" first="Willy" last="Urassa">Willy Urassa</name><affiliation><nlm:aff id="A8">Department of Microbiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania</nlm:aff></affiliation></author><author><name sortKey="Bosch, Ronald J" sort="Bosch, Ronald J" uniqKey="Bosch R" first="Ronald J" last="Bosch">Ronald J. Bosch</name><affiliation><nlm:aff id="A3">Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Center for Biostatistics in AIDS Research, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Spiegelman, Donna" sort="Spiegelman, Donna" uniqKey="Spiegelman D" first="Donna" last="Spiegelman">Donna Spiegelman</name><affiliation><nlm:aff id="A1">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Fawzi, Wafaie W" sort="Fawzi, Wafaie W" uniqKey="Fawzi W" first="Wafaie W" last="Fawzi">Wafaie W. Fawzi</name><affiliation><nlm:aff id="A1">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Department of Nutrition, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Department of Global Health and Population, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22283899</idno><idno type="pmc">3404808</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404808</idno><idno type="RBID">PMC:3404808</idno><idno type="doi">10.5588/ijtld.10.0784</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001F24</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001F24</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Predictors of change in nutritional and hemoglobin status among adults treated for tuberculosis in Tanzania</title><author><name sortKey="Kawai, Kosuke" sort="Kawai, Kosuke" uniqKey="Kawai K" first="Kosuke" last="Kawai">Kosuke Kawai</name><affiliation><nlm:aff id="A1">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Villamor, Eduardo" sort="Villamor, Eduardo" uniqKey="Villamor E" first="Eduardo" last="Villamor">Eduardo Villamor</name><affiliation><nlm:aff id="A1">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Department of Nutrition, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A6">Departments of Environmental Health Sciences and Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA</nlm:aff></affiliation></author><author><name sortKey="Mugusi, Ferdinand M" sort="Mugusi, Ferdinand M" uniqKey="Mugusi F" first="Ferdinand M" last="Mugusi">Ferdinand M. Mugusi</name><affiliation><nlm:aff id="A7">Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania</nlm:aff></affiliation></author><author><name sortKey="Saathoff, Elmar" sort="Saathoff, Elmar" uniqKey="Saathoff E" first="Elmar" last="Saathoff">Elmar Saathoff</name><affiliation><nlm:aff id="A9">Division of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich (LMU), Germany</nlm:aff></affiliation></author><author><name sortKey="Urassa, Willy" sort="Urassa, Willy" uniqKey="Urassa W" first="Willy" last="Urassa">Willy Urassa</name><affiliation><nlm:aff id="A8">Department of Microbiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania</nlm:aff></affiliation></author><author><name sortKey="Bosch, Ronald J" sort="Bosch, Ronald J" uniqKey="Bosch R" first="Ronald J" last="Bosch">Ronald J. Bosch</name><affiliation><nlm:aff id="A3">Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Center for Biostatistics in AIDS Research, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Spiegelman, Donna" sort="Spiegelman, Donna" uniqKey="Spiegelman D" first="Donna" last="Spiegelman">Donna Spiegelman</name><affiliation><nlm:aff id="A1">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Fawzi, Wafaie W" sort="Fawzi, Wafaie W" uniqKey="Fawzi W" first="Wafaie W" last="Fawzi">Wafaie W. Fawzi</name><affiliation><nlm:aff id="A1">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Department of Nutrition, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Department of Global Health and Population, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation></author></analytic><series><title level="j">The International Journal of Tuberculosis and Lung Disease</title><idno type="ISSN">1027-3719</idno><idno type="eISSN">1815-7920</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>BACKGROUND</title><p id="P1">Patients with tuberculosis (TB) often suffer from profound malnutrition.</p></sec><sec id="S2"><title>OBJECTIVE</title><p id="P2">To examine the patterns and predictors of change in nutritional and hemoglobin status during and after TB treatment.</p></sec><sec id="S3"><title>METHODS</title><p id="P3">A total of 471 HIV-positive and 416 HIV-negative adults with pulmonary TB were prospectively followed in Dar es Salaam, Tanzania. All patients received 8 months TB treatment following enrollment.</p></sec><sec id="S4"><title>RESULTS</title><p id="P4">About 40% of HIV-positive and 47% of HIV-negative TB patients had BMI <18.5 kg/m<sup>2</sup> at baseline. About 94% of HIV-positive and 84% of HIV-negative participants were anemic at baseline. Both HIV-positive and HIV-negative patients experienced increases in BMI and hemoglobin concentrations over the course of TB treatment. Among HIV-positive patients, older age, low CD4 cell counts, and high viral load were independently associated with a smaller increase in BMI from baseline to 8 months. Female sex, older age, low CD4 cell counts, previous TB infection, and less money spent on food were independently associated with a smaller improvement in hemoglobin among HIV-positive patients during treatment.</p></sec><sec id="S5"><title>CONCLUSION</title><p id="P5">HIV- positive TB patients, especially those with low CD4 cell counts, showed poor nutritional recovery during TB treatment. Adequate nutritional support should be considered during TB treatment.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9706389</journal-id><journal-id journal-id-type="pubmed-jr-id">20773</journal-id><journal-id journal-id-type="nlm-ta">Int J Tuberc Lung Dis</journal-id><journal-id journal-id-type="iso-abbrev">Int. J. Tuberc. Lung Dis.</journal-id><journal-title-group><journal-title>The International Journal of Tuberculosis and Lung Disease</journal-title></journal-title-group><issn pub-type="ppub">1027-3719</issn><issn pub-type="epub">1815-7920</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22283899</article-id><article-id pub-id-type="pmc">3404808</article-id><article-id pub-id-type="doi">10.5588/ijtld.10.0784</article-id><article-id pub-id-type="manuscript">NIHMS391004</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Predictors of change in nutritional and hemoglobin status among adults treated for tuberculosis in Tanzania</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Kawai</surname><given-names>Kosuke</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Villamor</surname><given-names>Eduardo</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A6">6</xref></contrib><contrib contrib-type="author"><name><surname>Mugusi</surname><given-names>Ferdinand M</given-names></name><xref ref-type="aff" rid="A7">7</xref></contrib><contrib contrib-type="author"><name><surname>Saathoff</surname><given-names>Elmar</given-names></name><xref ref-type="aff" rid="A9">9</xref></contrib><contrib contrib-type="author"><name><surname>Urassa</surname><given-names>Willy</given-names></name><xref ref-type="aff" rid="A8">8</xref></contrib><contrib contrib-type="author"><name><surname>Bosch</surname><given-names>Ronald J</given-names></name><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>Spiegelman</surname><given-names>Donna</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Fawzi</surname><given-names>Wafaie W</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A4">4</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</aff><aff id="A2"><label>2</label>Department of Nutrition, Harvard School of Public Health, Boston, MA, USA</aff><aff id="A3"><label>3</label>Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA</aff><aff id="A4"><label>4</label>Department of Global Health and Population, Harvard School of Public Health, Boston, MA, USA</aff><aff id="A5"><label>5</label>Center for Biostatistics in AIDS Research, Harvard School of Public Health, Boston, MA, USA</aff><aff id="A6"><label>6</label>Departments of Environmental Health Sciences and Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA</aff><aff id="A7"><label>7</label>Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania</aff><aff id="A8"><label>8</label>Department of Microbiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania</aff><aff id="A9"><label>9</label>Division of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich (LMU), Germany</aff><author-notes><corresp id="FN1">Correspondence to K Kawai, Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave., Boston, MA 02115, USA. Phone: 1-617-869-2513. Fax: 1-617-566-7805. <email>kkawai8@gmail.com</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>14</day><month>7</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>10</month><year>2011</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>10</month><year>2012</year></pub-date><volume>15</volume><issue>10</issue><fpage>1380</fpage><lpage>1389</lpage><abstract><sec id="S1"><title>BACKGROUND</title><p id="P1">Patients with tuberculosis (TB) often suffer from profound malnutrition.</p></sec><sec id="S2"><title>OBJECTIVE</title><p id="P2">To examine the patterns and predictors of change in nutritional and hemoglobin status during and after TB treatment.</p></sec><sec id="S3"><title>METHODS</title><p id="P3">A total of 471 HIV-positive and 416 HIV-negative adults with pulmonary TB were prospectively followed in Dar es Salaam, Tanzania. All patients received 8 months TB treatment following enrollment.</p></sec><sec id="S4"><title>RESULTS</title><p id="P4">About 40% of HIV-positive and 47% of HIV-negative TB patients had BMI <18.5 kg/m<sup>2</sup> at baseline. About 94% of HIV-positive and 84% of HIV-negative participants were anemic at baseline. Both HIV-positive and HIV-negative patients experienced increases in BMI and hemoglobin concentrations over the course of TB treatment. Among HIV-positive patients, older age, low CD4 cell counts, and high viral load were independently associated with a smaller increase in BMI from baseline to 8 months. Female sex, older age, low CD4 cell counts, previous TB infection, and less money spent on food were independently associated with a smaller improvement in hemoglobin among HIV-positive patients during treatment.</p></sec><sec id="S5"><title>CONCLUSION</title><p id="P5">HIV- positive TB patients, especially those with low CD4 cell counts, showed poor nutritional recovery during TB treatment. Adequate nutritional support should be considered during TB treatment.</p></sec></abstract><kwd-group><kwd>tuberculosis</kwd><kwd>HIV</kwd><kwd>malnutrition</kwd><kwd>anemia</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</funding-source><award-id>U01 AI045441 || AI</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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