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

@#Malnutrition, 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 nutritional status. The study design was cross-sectional study. The study began with an examination of sputum and chest X-rays, then examined by anti- HIV antibodies using the method of screening of 3 times. About 56 subjects were recruited to the HIV group and 36 subjects to the HIV-TB. The anthropometric examination was carried out by using scales, microtoise, Mid Upper Arm Circumference ribbon, and Body Impedance Analyzer to measure body fat. Interviews were conducted to the subject on physical activity examination, 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, Zn, 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 status of HIV patients if not supported by good nutrition.