Observational studyPloS one2015
Nutritional Supplementation Is a Necessary Complement to Dietary Counseling among Tuberculosis and Tuberculosis-HIV Patients.
Observational study in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Malnutrition assessment methods in adult patients with tuberculosis: a systematic review.BMJ open · 2021Pooled it
- Pre-Digested Protein Enteral Nutritional Supplementation Enhances Recovery of CD4Frontiers in immunology · 2021Trial
- Post-tuberculosis morbidities and their associated mortality: moving from challenges to solutions.European respiratory review : an official journal of the European Respiratory Society · 2025Review
- MEAN DIFFERENCE OF ZINC AND SELENIUM LEVELS AND TUBERCULOSIS OUTCOMES IN CHILDREN RECEIVING TREATMENT IN INDONESIA.African journal of infectious diseases · 2025Article
- The prevalence of undernutrition and associated risk factors in people with tuberculosis in Lao People's Democratic Republic.PloS one · 2025Article
- Dietary patterns and micronutrients in respiratory infections including COVID-19: a narrative review.BMC public health · 2024Review
- A study to assess the nutritional status and dietary gap among pulmonary tuberculosis patients in Raipur city.Journal of family medicine and primary care · 2024Article
- A community-based cross-sectional study of dietary composition and associated factors among tuberculosis patients in China.Scientific reports · 2024Article
- Development of a mobile application to represent food intake in inpatients: dietary data systematization.BMC medical informatics and decision making · 2024Article
- Magnitude of undernutrition and associated factors among adult tuberculosis patients attending public health facilities in Haramaya District, Eastern Ethiopia.BMC pulmonary medicine · 2023Article
- Nutritional status and dietary intake before hospital admission of pulmonary tuberculosis patients.AIMS public health · 2023Article
- Cross-sectional study of nutritional intake among patients undergoing tuberculosis treatment along the Myanmar-Thailand border.BMJ open · 2022Article
- Experience of nutritional counselling in a nutritional programme in HIV care in the Tigray region of Ethiopia using the socio-ecological model.Journal of health, population, and nutrition · 2021Article
- Prevalence of undernutrition among adult tuberculosis patients in Ethiopia: A systematic review andJournal of clinical tuberculosis and other mycobacterial diseases · 2021Article
- Nutritional Status of Patients with Tuberculosis and Associated Factors in the Health Centre Region of Burkina Faso.Nutrients · 2020Article
- Article
- Undernutrition and Mortality among Adult Tuberculosis Patients in Addis Ababa, Ethiopia.Advances in preventive medicine · 2020Article
- Dietary Practice and Nutritional Status of Tuberculosis Patients in Pokhara: A Cross Sectional Study.Frontiers in nutrition · 2018Article
- Risk of Sarcopenia and Osteoporosis in Male Tuberculosis Survivors: Korea National Health and Nutrition Examination Survey.Scientific reports · 2017Article
- Essential and toxic metals in serum of individuals with active pulmonary tuberculosis in an endemic region.Journal of clinical tuberculosis and other mycobacterial diseases · 2017Article
Corrections and comments
- Erratum issuedCorrection: Nutritional Supplementation Is a Necessary Complement to Dietary Counseling among Tuberculosis and Tuberculosis-HIV Patients.2015 · Rolla, Valeria Cavalcante [corrected to Rolla, Valeria Cavalcanti]
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledThe Brazilian Ministry of Health and the World Health Organization recommend dietary counseling for patients with malnutrition during tuberculosis treatment. Patients under tuberculosis therapy (infected and not infected with HIV) were followed-up to evaluate the effectiveness of dietary counseling.
objectivedescribe the nutritional status of patients with tuberculosis.
methodsan observational follow-up study over a 180-day period of tuberculosis therapy in adults was conducted. Subjects were assessed for body composition (using BMI, TSF and MUAC parameters), serum biomarkers and offered dietary counseling. The data obtained at each visit (D15, D30, D60, D90, D120, D150, and D180) were analyzed, showing trajectories over time and central tendencies each time.
resultsat baseline, the mean age was 41.1 (± 13.4) years; they were predominantly male, with income lower than a local minimum wage and at least six years of schooling. Patients showed predominantly pulmonary tuberculosis. At baseline, all patients suffered from malnutrition. The overall energy malnutrition prevalence was of 70.6%. Anemia at baseline was observed in both groups (63.2%), however, it was significantly more pronounced in the HIV+. At the end, energy malnutrition was reduced to 57.1% (42.9% of HIV- and 71.4% of the HIV+). Micronutrients malnutrition was evident in 71.4% of the HIV- patients and 85.7% of HIV+ patients at the end of tuberculosis therapy. Using BMI (≤ 18.5 kg/m2cutoff) as an index of malnutrition, it was detected in 23.9% of the HIV- and 27.3% of the HIV+ patients at baseline, with no evident improvement over time; using TSF (≤ 11.4mm as cutoff) or MUAC (≤ 28.5cm as cutoff), malnutrition was detected in 70.1% and 85.3% of all patients, respectively. Nevertheless, combining all biomarkers, at the end of follow-up, all patients suffered from malnutrition.
conclusionAlthough with a limited number of patients, the evidence does not support that dietary counseling is effective to recover from malnutrition in our population.
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