Tuberculosis Worsen The Nutritional Status Of Hiv Patients If Unsupported By Good Nutrition: A Cross Sectional Study At Pulmonary Diseases Center Semarang City, Indonesia

ABSTRACT

Ma lnutrition, HIV and tuberculosis (TB) disease is a triangle of death that should be given attention. This study was comparing nutritional status of HIV patients with and without TB in Semarang , Indonesia, to describe the effect of TB burden to their nutrit ional status. The study design was cross - sectional study. The study began with an examination of sputum and chest X - ra ys , then examined by anti - HIV antibodies using the method of screening of 3 times. About 5 6 subjects were recruited to the HIV group and 3 6 subjects to the HIV - TB . The a nthropometric examination was carried out b y using scales, microtoise , Mid Upper Arm Circumference ribbon, an d Body Impedance Analyzer to measure body fat. Interviews were conducted to the subject on ph ysical activity examin ation , 24 hours dietary recall and food frequency questionnaire. Data analysis using Independent t - test or Mann - Whitney test. The results showed that group of HIV - TB had worse nutritional status than those suffer from TB. Body weight, BMI, MUAC, BMR, and Vitamin A blood serum in HIV patients with TB was significantly lower than the HIV group. The nutritional status of HIV patients with TB was significantly more malnourished than counterparts ( underweight 25.7% vs 14.3%). Dietary intake of vitamin A, Fe, Z n, energy, protein and fat was better in HIV group compared to HIV - TB group. Respondents who are 19 years old on average were stunting , an indicator of malnourished in a long time . TB can worsen the nutritional sta tus of HIV patients if not supported by go od nutrition.