| 总结: | Tuberculosis (TB) is a global disease, which is responsible for 1.4 million deaths each
year (WHO 2010). Bangladesh is the sixth highest TB-burden country in the world. TB
treatment may be complicated when malnutrition also coexists in patients. TB has
been found to coexist with malnutrition among patients at the beginning of treatment in
both developed and developing countries (Zachariah eta/. 2002, Onwubalili JK 1988,
Kennedy et at. 1996, Harries et a/. 1988). Nutrition supplementation can play an
important role in improving the disease condition to reduce further morbidity and
mortality. Some TB-burden countries have already started food supplementation
programme for patients' healthy life (Farmer eta/. 1991, Karyadi et a/. 2002, Paton et
a/. 2004, Aye and Wyss 2009).
There is no nutrition intervention programme for patients in DOTS (Directly
observed treatment, short course) approach to TB treatment under National TB
Control Programme (NTP) of Bangladesh, where malnutrition is prevalent. Even,
Bangladesh does not have much information about the nutritional situation of TB
patients to formulate nutrition intervention. To fill-in this knowledge gap and help in
informed design of a nutrition intervention for TB patients, this study measured the
nutritional status (using Body Mass Index or BMI) of TB patients before, at two
months, and after completion of TB treatment (DOTS) to study the changes during
treatment and its relation with various socioeconomic and demographic factors
including household food availability and consumption.
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