Nutritional Status of Elderly Tuberculosis Patients in Yunnan

Lin WANG; Yingrong DU; Jianpeng GAO; Mingwu LI; Lingjun SHEN; Zhiqiang MA

doi:10.12259/j.issn.2095-610X.S20220432

Volume 43 Issue 4

Apr. 2022

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Lin WANG, Yingrong DU, Jianpeng GAO, Mingwu LI, Lingjun SHEN, Zhiqiang MA. Nutritional Status of Elderly Tuberculosis Patients in Yunnan[J]. Journal of Kunming Medical University, 2022, 43(4): 32-37. doi: 10.12259/j.issn.2095-610X.S20220432

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Nutritional Status of Elderly Tuberculosis Patients in Yunnan

doi: 10.12259/j.issn.2095-610X.S20220432

Clinical Medical Center for Infectious Diseases of Yunnan/Dept. of Laboratory，The 3rd People’s Hospital of Kunming，Kunming Yunnan 650301，China

Received Date: 2022-02-16
Available Online: 2022-03-15
Publish Date: 2022-04-25

Abstract

Abstract

Objective To investigate the nutritional status of elderly tuberculosis patients in Yunnan and provide evidence for the prevention of malnutrition of elderly tuberculosis patients and nutritional intervention. Methods A total of 1316 elderly tuberculosis patients aged ≥65 years who were admitted to The Third People’s Hospital of Kunming from June 2019 to June 2021 were selected as the case group, and 520 healthy people who underwent physical examination during the same period were selected as the control group. The nutrition-related indexes of the two groups were compared to analyze the nutritional status of elderly tuberculosis patients. Results Compared with the control group, TB patients’ hemoglobin （Hb）（126.40 + 25.51） g/L, lymphocyte count （LYM） [（1.24 + 0.59） x 109/L], serum total protein （TP）（66.00 + 8.22） g/L, albumin [（36.03） +/-6.04 g/L）, albumin/globulin ratio （A/g） [1.25 +/-0.33）, cholesterol （TC） [（4.48 +/-1.18） mmol/L], triglycerides （TG）（1.19 +/-0.70） mmol/L and high-density lipoprotein （HDL -C） [（1.19 ± 0.40） mmol/L] levels were lower than those in the control group （t =15.640, 26.240, 14.770, 35.900, 35.080, 8.272, 7.986, 7.381; P < 0.05）; The RBC conut [（4.92 ± 0.52）×10¹²/L] and globulin level [（29.97 ± 6.06） g/L] were higher than those in the control group （t = 13.060, 15.490; P < 0.05）. The prevalence of anemia [10.50% （105/1000）], hypoproteinemia [30.30% （303/1000）] and low high-density lipoprotein [27.00% （270/1000）] in tuberculosis patients were higher than those in control group （χ² = 28.900, 147.900, 53.490; P < 0.05）. The prevalence of hypercholesterolemia [11.00% （110/1000）] and hypertriglyceridemia [7.20% （72/1000）] were lower than that of the control group （χ² = 56.640, 179.900; P < 0.05）. The degree of nutrition-related diseases in TB patients are mild and moderate. The level of Alb[（32.24±6.90） g/L] in patients with tuberculosis combined with diabetes was lower than that in patients with tuberculosis alone [（36.03 ± 6.04） g/L] （t = 3.18; P < 0.01）; The levels of Hb[（146±23.23） g/L] and TC[（5.54±0.85） mmol/L] were higher than those of the tuberculosis group [（126.40 ± 25.51） g/L and （4.48 ± 1.18） mmol/L] （t = 3.720, 8.420; P < 0.05）. In tuberculosis patients, Hb, Alb, TC, HDL-C levels were correlated with age （r = -0.489, 0.604, -0.526, -0.479; P < 0.05）, while TG level was not correlated with age （r = 0.070; P = 0.770）. There were no significant differences in the levels of Alb, TC, TG and HDL-C in gender （t = 0.601, 0.942, 0.299, 0.485; P = 0.548, 0.347, 0.765, 0.628）. Conclusion The incidence of malnutrition in elderly tuberculosis patients in Yunnan was higher than healthy people, The degree of malnutrition is age-related, and nutrition-related diseases are mainly mild and moderate, in addition, diabetes can aggravate the degree of malnutrition in elderly tuberculosis patients.
- Tuberculosis,
- The elderly,
- Patient,
- Nutritional status

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