ANTHROPOMETRIC ANO BIOCHEMICAL ASPECTS, SIGNALS ANO SYMPTOMS IN FEMALE PATIENTS WITH PULMONARY TUBERCULOSIS
Keywords:
nutrition assessment, protein-energy malnutrition, tuberculosis, pulmonaryAbstract
Objective
The purpose of the study is to correlate the protein-energy malnutrition in female patients with the presence of pulmonary tuberculosis, through the evaluation of anthropometric and biochemical data, and clinica/ findings.
Methods
Thirty-one female patients were admitted into hospital, presenting pulmonary tuberculosis diagnosis, confirmed by the Instituto Estadual de Doenças do Tórax Ary Parreiras, in Rio de Janeiro. They had their body mass index, muscular circumference of the arm, and total lymphocyte counting in the peripheral blood, evaluated. The main signals and symptoms re/ated to the pulmonary tuberculosis were registered at the moment of admission into the hospital.
Results
Out of the 37 patients, 67.3% presented protein-energy malnutrition and 71% showed depletion of fat-free mass, evaluated through muscular circumference. There were statistically significant correlations of the body mass index with the total lymphocyte counting (p=0.007), and with the muscular circumference of the arm (p<0.0001), and between the muscular circumference of the arm and the total lymphocyte counting (p=O.005). There was a statistical/y significant difference (p<0.05) in the presence of dyspnea, hemoptysis and hiporexia when conditions of the nourished and the malnourished patients were compared.
Conclusion
This study suggests a strong correlation between the pulmonary tuberculosis and protein-energy malnutrition. The hiporexia and hemoptysis were co-factors,
while the protein-energy malnutrition disease had been worsened due to the decrease in food intake. These findings show the need for a careful alimentary program for such patients, in arder to improve their clinica/ prospective, thus curtailing the protein-energy malnutrition and improving the survival rates
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