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Undernutrition & tuberculosis in India: Situation analysis & the way forward
Undernutrition and tuberculosis (TB) are linked and have a bidirectional relationship. Undernutrition increases the risk of TB which in turn, can lead to malnutrition. Undernutrition not only is a risk factor for progression of latent TB infection to active disease, but also increases the risk of dr...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5116882/ https://www.ncbi.nlm.nih.gov/pubmed/27834321 http://dx.doi.org/10.4103/0971-5916.193278 |
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author | Padmapriyadarsini, C. Shobana, M. Lakshmi, M. Beena, T. Swaminathan, Soumya |
author_facet | Padmapriyadarsini, C. Shobana, M. Lakshmi, M. Beena, T. Swaminathan, Soumya |
author_sort | Padmapriyadarsini, C. |
collection | PubMed |
description | Undernutrition and tuberculosis (TB) are linked and have a bidirectional relationship. Undernutrition increases the risk of TB which in turn, can lead to malnutrition. Undernutrition not only is a risk factor for progression of latent TB infection to active disease, but also increases the risk of drug toxicity, relapse and death once TB develops. The dietary intake of TB patients in the country is inadequate. Nutritional supplementation in patients with TB is associated with faster sputum conversion, higher cure and treatment completion rates, significant gain in body weight and body composition as well as better performance status. The Government of India has various social support schemes (including nutrition supplementation schemes) and policies, at the Centre as well as State levels. Here we discuss some successful examples and suggest a few solutions to address this gap; like considering TB patients as a vulnerable group for “Targeted Public Distribution System” and providing extra rations for the duration of treatment. Recommendations for the research community, civil societies, government organizations, non-governmental and corporate sector on the actions needed to achieve the goals of the End TB Strategy are also provided. Ultimately, reduction of TB burden in India and its elimination will require improving the nutritional status of the community as a whole. |
format | Online Article Text |
id | pubmed-5116882 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-51168822016-11-30 Undernutrition & tuberculosis in India: Situation analysis & the way forward Padmapriyadarsini, C. Shobana, M. Lakshmi, M. Beena, T. Swaminathan, Soumya Indian J Med Res Review Article Undernutrition and tuberculosis (TB) are linked and have a bidirectional relationship. Undernutrition increases the risk of TB which in turn, can lead to malnutrition. Undernutrition not only is a risk factor for progression of latent TB infection to active disease, but also increases the risk of drug toxicity, relapse and death once TB develops. The dietary intake of TB patients in the country is inadequate. Nutritional supplementation in patients with TB is associated with faster sputum conversion, higher cure and treatment completion rates, significant gain in body weight and body composition as well as better performance status. The Government of India has various social support schemes (including nutrition supplementation schemes) and policies, at the Centre as well as State levels. Here we discuss some successful examples and suggest a few solutions to address this gap; like considering TB patients as a vulnerable group for “Targeted Public Distribution System” and providing extra rations for the duration of treatment. Recommendations for the research community, civil societies, government organizations, non-governmental and corporate sector on the actions needed to achieve the goals of the End TB Strategy are also provided. Ultimately, reduction of TB burden in India and its elimination will require improving the nutritional status of the community as a whole. Medknow Publications & Media Pvt Ltd 2016-07 /pmc/articles/PMC5116882/ /pubmed/27834321 http://dx.doi.org/10.4103/0971-5916.193278 Text en Copyright: © Indian Journal of Medical Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Review Article Padmapriyadarsini, C. Shobana, M. Lakshmi, M. Beena, T. Swaminathan, Soumya Undernutrition & tuberculosis in India: Situation analysis & the way forward |
title | Undernutrition & tuberculosis in India: Situation analysis & the way forward |
title_full | Undernutrition & tuberculosis in India: Situation analysis & the way forward |
title_fullStr | Undernutrition & tuberculosis in India: Situation analysis & the way forward |
title_full_unstemmed | Undernutrition & tuberculosis in India: Situation analysis & the way forward |
title_short | Undernutrition & tuberculosis in India: Situation analysis & the way forward |
title_sort | undernutrition & tuberculosis in india: situation analysis & the way forward |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5116882/ https://www.ncbi.nlm.nih.gov/pubmed/27834321 http://dx.doi.org/10.4103/0971-5916.193278 |
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