Sex, smoking, and socioeconomic status are associated with body composition among tuberculosis patients in a Deuterium Dilution Cross-Sectional study in Mwanza, Tanzania
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Standard
Sex, smoking, and socioeconomic status are associated with body composition among tuberculosis patients in a Deuterium Dilution Cross-Sectional study in Mwanza, Tanzania. / PrayGod, George; Range, Nyagosya; Faurholt-Jepsen, Daniel; Jeremiah, Kidola; Faurholt-Jepsen, Maria; Aabye, Martine G.; Magnussen, Pascal; Changalucha, John; Andersen, Åse Bengård; Wells, Jonathan C. K.; Friis, Henrik.
I: Journal of Nutrition, Bind 143, Nr. 5, 2013, s. 735-741.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Sex, smoking, and socioeconomic status are associated with body composition among tuberculosis patients in a Deuterium Dilution Cross-Sectional study in Mwanza, Tanzania
AU - PrayGod, George
AU - Range, Nyagosya
AU - Faurholt-Jepsen, Daniel
AU - Jeremiah, Kidola
AU - Faurholt-Jepsen, Maria
AU - Aabye, Martine G.
AU - Magnussen, Pascal
AU - Changalucha, John
AU - Andersen, Åse Bengård
AU - Wells, Jonathan C. K.
AU - Friis, Henrik
N1 - CURIS 2013 NEXS 343
PY - 2013
Y1 - 2013
N2 - Underweight is common among tuberculosis (TB) patients. However, there is little information on determinants of body composition at TB treatment initiation in high-TB-burdened countries. This study aimed to determine factors associated with body composition at commencement of TB treatment in Mwanza, Tanzania. A cross-sectional study was conducted from 2007 to 2008 among newly diagnosed TB patients. Fat and fat-free mass were determined using a deuterium dilution technique and fat and fat-free mass indices were computed. Correlates were assessed using multiple regression analysis. A total of 201 pulmonary TB patients were recruited; of these, 37.8% (76) were female, 51.7% (104) were HIV infected, 65.3% (126) had sputum-positive TB, and 24.4% (49) were current smokers. In multiple regressions analysis, males had a 2.2-kg/m(2) [(95% CI = 1.6, 2.9); P <0.0001] lower fat mass index but 1.5 kg/m(2) [(95% CI = 0.9, 2.0); P <0.0001] higher fat-free mass index compared with females. Sputum-positive TB was associated with a lower fat mass index among HIV-uninfected patients [-1.4 kg (95% CI = -2.5, -0.4); P = 0.006] but not among HIV-infected patients (P-interaction = 0.09). Current smokers had a 0.7-kg/m(2) [(95% CI = 0.02, 1.5); P= 0.045] lower fat mass index, but smoking did not affect fat-free mass. High socioeconomic status (SES) was associated with higher fat as well as fat-free mass. HIV infection, cluster of differentiation 4 count, and antiretroviral therapy were not correlates. Sex, smoking, and SES were associated with body composition of TB patients at treatment commencement. Prospective studies are needed to determine the role of these factors on weight gain, functional recovery, and survival during and after treatment. J. Nutr. 143: 735-741, 2013.
AB - Underweight is common among tuberculosis (TB) patients. However, there is little information on determinants of body composition at TB treatment initiation in high-TB-burdened countries. This study aimed to determine factors associated with body composition at commencement of TB treatment in Mwanza, Tanzania. A cross-sectional study was conducted from 2007 to 2008 among newly diagnosed TB patients. Fat and fat-free mass were determined using a deuterium dilution technique and fat and fat-free mass indices were computed. Correlates were assessed using multiple regression analysis. A total of 201 pulmonary TB patients were recruited; of these, 37.8% (76) were female, 51.7% (104) were HIV infected, 65.3% (126) had sputum-positive TB, and 24.4% (49) were current smokers. In multiple regressions analysis, males had a 2.2-kg/m(2) [(95% CI = 1.6, 2.9); P <0.0001] lower fat mass index but 1.5 kg/m(2) [(95% CI = 0.9, 2.0); P <0.0001] higher fat-free mass index compared with females. Sputum-positive TB was associated with a lower fat mass index among HIV-uninfected patients [-1.4 kg (95% CI = -2.5, -0.4); P = 0.006] but not among HIV-infected patients (P-interaction = 0.09). Current smokers had a 0.7-kg/m(2) [(95% CI = 0.02, 1.5); P= 0.045] lower fat mass index, but smoking did not affect fat-free mass. High socioeconomic status (SES) was associated with higher fat as well as fat-free mass. HIV infection, cluster of differentiation 4 count, and antiretroviral therapy were not correlates. Sex, smoking, and SES were associated with body composition of TB patients at treatment commencement. Prospective studies are needed to determine the role of these factors on weight gain, functional recovery, and survival during and after treatment. J. Nutr. 143: 735-741, 2013.
U2 - 10.3945/jn.112.168997
DO - 10.3945/jn.112.168997
M3 - Journal article
C2 - 23514764
VL - 143
SP - 735
EP - 741
JO - Journal of Nutrition
JF - Journal of Nutrition
SN - 0022-3166
IS - 5
ER -
ID: 118289187