Dietary counseling adherence during tuberculosis treatment: A longitudinal study

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• 作者：Adriana Costa Bacelo^b ; ^{adriana.bacelo@ini.fiocruz.br} ; Pedro Emmanuel Alvarenga Americano do Brasil^c ; ^{pedro.brasil@ini.fiocruz.br} ; Clá ; udia dos Santos Cople-Rodrigues^d ; ^{claudiacople@gmail.com} ; Georg Ingebourg^e ; ^{ingebourg.georg@ini.fiocruz.br} ; Eliane Paiva^f ; ^{elianepaivanutricao@gmail.com} ; Andrea Ramalho^g ; ^{aramalho.rj@gmail.com} ; Valeria Cavalcanti Rolla^a ; ^{valeria.rolla@ini.fiocruz.br}
• 关键词：Tuberculosis ; HIV ; Dietary counseling ; Adherence ; Compliance ; Nutrition
• 刊名：Clinical Nutrition ESPEN
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：17
• 期：Complete
• 页码：44-53
• 全文大小：983 K
• 卷排序：17

文摘

The World Health Organization (WHO) recommends the use of dietary counseling to overcome malnutrition for patients with tuberculosis, with or without HIV, however the response to nutritional treatment depends on patient's adherence to nutritional counseling.ObjectiveIdentify the degree of adherence to dietary counseling and predictors of adherence among patients undergoing tuberculosis treatment.DesignObservational prospective follow-up study conducted in adults treating for tuberculosis with or without HIV. Self-reported adherence and 24-h diet recall were checked. Diet counseling according to WHO strategy was offered at each visit for all patients. The endpoint was the adherence to the recommended dietary allowance (RDA) and total calories consumed during tuberculosis treatment. Data were mainly analyzed with marginal models to estimate adjusted trajectories.ResultsSixty-eight patients were included in the study. The maximum probability of total calories consumption of at least one RDA was 80%. The adherence to dietary counseling was low regardless of HIV infection. The negative determinants of adherence were the presence of loss of appetite and nausea/vomiting. For patients with loss of appetite and nausea/vomiting, the probability of total calories consumption of at least one RDA is less than 20% at any time.ConclusionThe loss of appetite and nausea/vomiting are highly prevalents and were the main causes of non-adherence to dietary counseling.