The Effect of Nutritional Management in the Nutritional Status of Patients with Pulmonary Tuberculosis: A Systematic Review Literature

  • Adi Brando M Sagala Faculty of Nursing, Universitas Indonesia
  • Etty Rekawati Faculty of Nursing, Universitas Indonesia
  • Astuti Yuni Nursasi Faculty of Nursing, Universitas Indonesia
Keywords: dietary recommendations, nutrition management, nutrition status, tuberculosis

Abstract

Pulmonary Tuberculosis (TB) incidence and mortality rates in 2021 are higher than in 2020. The main risk factor for TB is malnutrition. Conversely, TB patients with malnutrition will experience obstacles in the healing process. The aim of this study was to review the results of research on the effect of nutritional management on the nutritional status of clients. The study design was a systematic literature review with PRISMA protocol. The literature search was limited to the last 10 years (2013-2023) in six databases, namely: Pubmed, Proquest, Science Direct, Scopus, Sage Journal, Wiley, and supplemented with hand searched in Google Scholar. All literature obtained has been reviewed for quality by each researcher using the Joanna Bridge Institute checklist for critical appraisal, then summarizing evidence, and interpreting the results. The initial search obtained 2688 literatures. The final result was seven literatures in this study. The results of these studies show that nutritional management has a positive effect on the nutritional status of TB patients. The types of nutrition management activities are individual diet, provision of high-calorie and high-protein supplementary foods, nutrition counseling, and supplementation. It was concluded that the intervention of individualized diet preparation had a statistically significant effect on improving nutritional status.

References

Afifi, Z., Hassan, A., Abdelrahman, N., El Sayed, A., & Salem, M. (2023). Impact of nutrition counseling on anthropometry and dietary intake of multiple sclerosis patients at Kasr Alainy Multiple Sclerosis Unit, Cairo, Egypt 2019–2020: randomized controlled clinical trial. Archives of Public Health, 81(1). https://doi.org/10.1186/s13690-022-01013-y

Barker, T. H., Stone, J. C., Sears, K., Klugar, M., Tufanaru, C., Leonardi-Bee, J., Aromataris, E., & Munn, Z. (2023). The revised JBI critical appraisal tool for the assessment of risk of bias for randomized controlled trials. JBI Evidence Synthesis, 21(3), 494–506. https://doi.org/10.11124/JBIES-22-00430

Batbold, U., Butov, D. O., Kutsyna, G. A., Damdinpurev, N., Grinishina, E. A., Mijiddorj, O., Kovolev, M. E., Baasanjav, K., Butova, T. S., Sandagdorj, M., Batbold, O., Tseveendorj, A., Chunt, E., Zaitzeva, S. I., Stepanenko, H. L., Makeeva, N. I., Mospan, I. V., Pylypchuk, V. S., Rowe, J. L., … Bourinbaiar, A. S. (2017). Double-blind, placebo-controlled, 1:1 randomized Phase III clinical trial of Immunoxel honey lozenges as an adjunct immunotherapy in 269 patients with pulmonary tuberculosis. Immunotherapy, 9(1), 13–24. https://doi.org/10.2217/imt-2016-0079

Benzekri, N. A., Sambou, J. F., Tamba, I. T., Diatta, J. P., Sall, I., Cisse, O., Thiam, M., Bassene, G., Badji, N. M., Faye, K., Sall, F., Malomar, J. J., Seydi, M., & Gottlieb, G. S. (2019). Nutrition support for HIV-TB co-infected adults in Senegal, West Africa: A randomized pilot implementation study. PLoS ONE, 14(7). https://doi.org/10.1371/journal.pone.0219118

Bhargava, A., Bhargava, M., Meher, A., Teja, G. S., Velayutham, B., Watson, B., Benedetti, A., Barik, G., Singh, V. P., Singh, D., Madhukeshwar, A. K., Prasad, R., Pathak, R. R., Chadha, V., & Joshi, R. (2023). Nutritional support for adult patients with microbiologically confirmed pulmonary tuberculosis: outcomes in a programmatic cohort nested within the RATIONS trial in Jharkhand, India. The Lancet Global Health, 11(9), e1402–e1411. https://doi.org/10.1016/S2214-109X(23)00324-8

Bulechek RN FAAN, G. M. (2013). Nursing Interventions Classification (NIC).

Cho, S. H., Lee, H., Kwon, H., Shin, D. W., Joh, H. K., Han, K., Park, J. H., & Cho, B. (2022). Association of underweight status with the risk of tuberculosis: a nationwide population-based cohort study. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-20550-8

Dargie, B., Tesfaye, G., & Worku, A. (2016). Prevalence and associated factors of undernutrition among adult tuberculosis patients in some selected public health facilities of Addis Ababa, Ethiopia: A cross-sectional study. BMC Nutrition, 2(1). https://doi.org/10.1186/s40795-016-0046-x

Gelaw, Y., Getaneh, Z., & Melku, M. (2021). Anemia as a risk factor for tuberculosis: a systematic review and meta-analysis. Environmental Health and Preventive Medicine, 26(13). https://doi.org/10.1186/s12199-020-00931-z

Grobler, L., Nagpal, S., Sudarsanam, T. D., & Sinclair, D. (2016). Nutritional supplements for people being treated for active tuberculosis. In Cochrane Database of Systematic Reviews (Vol. 2016, Issue 6). John Wiley and Sons Ltd. https://doi.org/10.1002/14651858.CD006086.pub4

He, L., Zhang, G., Wei, M., Zhao, Y., Chen, W., Peng, Q., & Meng, G. (2019). Effect of Individualized Dietary Intervention on Oxidative Stress in Patients with Type 2 Diabetes Complicated by Tuberculosis in Xinjiang, China. Diabetes Therapy, 10, 2095–2105. https://doi.org/10.6084/m9.figshare.9778511

Hoyt ID, K. J., Sarkar, S., White, L., Mariya Joseph, N., Salgame, P., Lakshminarayanan, S., Muthaiah, M., Vinod Kumar, S., Ellner, J. J., Roy, G., Robert Horsburgh, C., & Hochberg, N. S. (2019). Effect of malnutrition on radiographic findings and mycobacterial burden in pulmonary tuberculosis. https://doi.org/10.1371/journal.pone.0214011

Koshimoto, S., Yamazaki, T., Amano, K., Kako, J., Arimoto, M., Saitou, K., Hashizume, A., Takeuchi, T., & Matsushima, E. (2023). Psychosocial Factors and the Need for Multidisciplinary Support in Nutrition Counselling for Cancer Chemotherapy Patients. Nutrients, 15(12). https://doi.org/10.3390/nu15122712

Leis, C., Arthur, A. E., Chen, X., Greene, M. W., & Frugé, A. D. (2023). Systematic Review of Nutrition Interventions to Improve Short Term Outcomes in Head and Neck Cancer Patients. Cancers, 15(3). https://doi.org/10.3390/cancers15030822

Liu, H., Feng, J., Shi, Z., Su, J., Sun, J., Wu, F., & Zhu, Z. (2024). Effects of a Novel Applet-Based Personalized Dietary Intervention on Dietary Intakes: A Randomized Controlled Trial in a Real-World Scenario. Nutrients, 16(4). https://doi.org/10.3390/nu16040565

Lodha, R., Mukherjee, A., Singh, V., Singh, S., Friis, H., Faurholt-Jepsen, D., Bhatnagar, S., Saini, S., Kabra, S. K., Grewal, H. M. S., Aneja, S., Arya, T., Chandra, J., Dutta, A. K., Doherty, T. M., Hesseling, A. C., Marais, B., Parashar, D., Prajapati, S., … Singh, R. R. (2014). Effect of micronutrient supplementation on treatment outcomes in children with intrathoracic tuberculosis: A randomized controlled trial. American Journal of Clinical Nutrition, 100(5), 1287–1297. https://doi.org/10.3945/ajcn.113.082255

Lolong, D. B., Ketut Aryastami, N., Kusrini, I. I., Simarmata, O. S., & Ariati, Y. (2023). Nonadherence to anti-tuberculosis treatment, reasons and associated factors among pulmonary tuberculosis patients in the communities in Indonesia. PLOS ONE. https://doi.org/10.1371/journal.pone.0287628

Ma’Rufi, I., Ali, K., Jati, S. K., Sukmawati, A., Ardiansyah, K., & Ningtyias, F. W. (2020). Improvement of Nutritional Status among Tuberculosis Patients by Channa striata Supplementation: A True Experimental Study in Indonesia. BioMed Research International, 2020. https://doi.org/10.1155/2020/7491702

Niu, T., He, F., Yang, J., Ma, C., Sun, T., Zhang, X., Chen, S., & Ru, C. (2023). The epidemiological characteristics and infection risk factors for extrapulmonary tuberculosis in patients hospitalized with pulmonary tuberculosis infection in China from 2017 to 2021. BMC Infectious Disease. https://doi.org/10.1186/s12879-023-08410-w

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Systematic Reviews, 10(1). https://doi.org/10.1186/s13643-021-01626-4

Ponnampalli, S., & Birudukota, N. V. S. (2023). The impact of COVID-19 pandemic in high-burden countries for tuberculosis: A systematic review. Health Sciences Review, 9, 100128. https://doi.org/10.1016/j.hsr.2023.100128

Poveda, N. E., Adair, L. S., Martorell, R., Patel, S. A., Ramirez-Zea, M., Bhargava, S. K., Bechayda, S. A., Carba, D. B., Kroker-Lobos, M. F., Horta, B. L., Lima, N. P., Mazariegos, M., Menezes, A. M. B., Norris, S. A., Nyati, L. H., Richter, L. M., Sachdev, H., Wehrmeister, F. C., & Stein, A. D. (2023). Growth patterns in childhood and adolescence and adult body composition: A pooled analysis of birth cohort studies from five low and middle-income countries (COHORTS collaboration). BMJ Open, 13(3). https://doi.org/10.1136/bmjopen-2022-068427

Seid, G., & Ayele, M. (2020). Undernutrition and Mortality among Adult Tuberculosis Patients in Addis Ababa, Ethiopia. Advances in Preventive Medicine, 2020, 1–9. https://doi.org/10.1155/2020/5238010

Si, Z. L., Kang, L. L., Shen, X. B., & Zhou, Y. Z. (2015). Adjuvant efficacy of nutrition support during pulmonary tuberculosis treating course: Systematic review and meta-analysis. Chinese Medical Journal, 128(23), 3219–3230. https://doi.org/10.4103/0366-6999.170255

Singh, A. K., Siddhanta, A., & Goswami, L. (2021). Improving tuberculosis treatment success rate through nutrition supplements and counselling: Findings from a pilot intervention in India. Clinical Epidemiology and Global Health, 11. https://doi.org/10.1016/j.cegh.2021.100782

Tadesse, F., Mitiku, H., Girma, S., & Kenay, A. (2023). Magnitude of undernutrition and associated factors among adult tuberculosis patients attending public health facilities in Haramaya District, Eastern Ethiopia. BMC Pulmonary Medicine, 23(1). https://doi.org/10.1186/s12890-023-02318-6

Taslim, N. A., Rasyid, H., Atmanegara, M. K., Angriavan, S., & Amelia, R. (2020). Effect of chocolate soybean drink on nutritional status, gamma interferon, vitamin D, and calcium in newly lung tuberculosis patients. Open Access Macedonian Journal of Medical Sciences, 8(T2), 210–214. https://doi.org/10.3889/oamjms.2020.5233

Wei, N., Zheng, H., & Nathan, D. M. (2014). Empirically establishing blood glucose targets to achieve HbA1c goals. Diabetes Care, 37(4), 1048–1051. https://doi.org/10.2337/dc13-2173

WHO. (2022). Global Tuberculosis Report 2022. http://apps.who.int/bookorders.

Williams, V., Onwuchekwa, C., Vos, A. G., Grobbee, D. E., Otwombe, K., & Klipstein-Grobusch, K. (2022). Tuberculosis treatment and resulting abnormal blood glucose: a scoping review of studies from 1981 - 2021. Global Health Action, 15(1). https://doi.org/10.1080/16549716.2022.2114146

Wondmieneh, A., Gedefaw, G., Getie, A., & Demis, A. (2021). Prevalence of undernutrition among adult tuberculosis patients in Ethiopia: A systematic review and meta-analysis. Journal of Clinical Tuberculosis and Other Mycobacterial Diseases, 22. https://doi.org/10.1016/j.jctube.2020.100211.

Published
2024-03-28
How to Cite
Sagala, A. B. M., Rekawati, E., & Nursasi, A. (2024). The Effect of Nutritional Management in the Nutritional Status of Patients with Pulmonary Tuberculosis: A Systematic Review Literature. Indonesian Journal of Global Health Research, 6(3), 1161-1172. https://doi.org/10.37287/ijghr.v6i3.3085