Evidence map›Paper›PMID 26393034›Full record

ArticlePublic health action2013

Nutritional status of HIV-infected women with tuberculosis in Dar es Salaam, Tanzania.

M Bakari, J Wamsele, T MacKenzie, I Maro, J Kimario, S Ali, S Dowla, K Hendricks, Z Lukmanji, N M Neke and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Public health action, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 92% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Different diets and their effect on tuberculosis prevention in HIV patients.Journal of family medicine and primary care · 2022
    Article
  3. HIV, Tuberculosis, and Food Insecurity in Africa-A Syndemics-Based Scoping Review.International journal of environmental research and public health · 2022
    Article
  4. Prevalence of undernutrition among adult tuberculosis patients in Ethiopia: A systematic review andJournal of clinical tuberculosis and other mycobacterial diseases · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 2 countries.

M BakariMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
J WamseleMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
T MacKenzieGeisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire, USA.
I MaroMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
J KimarioMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
S AliGeisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire, USA.
S DowlaGeisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire, USA.
K HendricksGeisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire, USA.
Z LukmanjiMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
N M NekeMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
R WaddellGeisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire, USA.
M MateeMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
K PallangyoMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
C F von ReynGeisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire, USA.
Muhimbili University of Health and Allied Sciences · TZDartmouth–Hitchcock Medical Center · US

Funding

Dartmouth/Boston University AITRPD43TW006807 · FIC · DARTMOUTH COLLEGE · PI VON REYN, CHARLES FORDHAM · 2003 to 2013
$4.6M
Effects of protein-calorie supplementation on HIV disease in breastfeeding womenR01HD057614 · NICHD · DARTMOUTH COLLEGE · PI VON REYN, CHARLES FORDHAM · 2009 to 2013
$1.7M
FIC NIH HHS D43 TW006807NICHD NIH HHS R01 HD057614
6 · The paper itself

Abstract

settingTuberculosis (TB) treatment clinics in Dar es Salaam, Tanzania.

objectiveTo quantify anthropometrics and intake of en-ergy and protein among human immunodeficiency virus (HIV) positive women with TB.

designHIV-positive women with newly diagnosed TB were assessed on their anthropometric characteristics and dietary intake. Energy and protein intake were determined using Tanzania food composition tables and compared with standard recommendations. Patients were re-evaluated after 4-6 months of anti-tuberculosis treatment.

resultsAmong 43 women, the baseline median CD4 count was 209 cells/µl (range 8-721); 19 (44%) had a CD4 count of <200; 20 (47%) were on antiretroviral therapy. Body mass index was <18.5 kg/m(2) in 25 (58%); the median food insecurity score was 6. The median level of kcal/day was 1693 (range 1290-2633) compared to an estimated need of 2658; the median deficit was 875 kcal (range -65-1278). The median level of protein/day was 42 g (range 27-67) compared to 77 g estimated need; the median protein deficit was 35 g (range 10-50). The median weight gain among 29 patients after 4-6 months was 6 kg.

conclusionHIV-positive women with TB have substantial 24-h deficits in energy and protein intake, report significant food insecurity and gain minimal weight on anti-tuberculosis treatment. Enhanced dietary education together with daily supplementation of 1000 kcal with 40 g protein may be required.

Indexed as

HIVnutritionTanzaniatuberculosiswomen

Identifiers

PMID26393034
PMCPMC4463132
OpenAlexW1972630879

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.