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Malnutrition assessment methods in adult patients with tuberculosis: a systematic review

Authors :
Lies ter Beek
Mathieu S Bolhuis
Harriët Jager-Wittenaar
René X D Brijan
Marieke G G Sturkenboom
Huib A M Kerstjens
Wiel C M de Lange
Simon Tiberi
Tjip S van der Werf
Jan-Willem C Alffenaar
Onno W Akkerman
University of Groningen
Department of Health and Life Sciences
Faculty of Science and Engineering
Microbes in Health and Disease (MHD)
Groningen Research Institute for Asthma and COPD (GRIAC)
Source :
BMJ Open, Ter Beek, L, Bolhuis, M S, Jager-Wittenaar, H, Brijan, R X D, Sturkenboom, M G G, Kerstjens, H A M, de Lange, W C M, Tiberi, S, van der Werf, T S, Alffenaar, J-W C & Akkerman, O W 2021, ' Malnutrition assessment methods in adult patients with tuberculosis : a systematic review ', BMJ Open, vol. 11, no. 12, e049777, pp. e049777 . https://doi.org/10.1136/bmjopen-2021-049777, BMJ Open, 11(12). BMJ PUBLISHING GROUP, Ter Beek, L, Bolhuis, M S, Jager-Wittenaar, H, Brijan, R X D, Sturkenboom, M G G, Kerstjens, H A M, De Lange, W C M, Tiberi, S, Van Der Werf, T S, Alffenaar, J W C & Akkerman, O W 2021, ' Malnutrition assessment methods in adult patients with tuberculosis : A systematic review ', BMJ Open, vol. 11, no. 12, e049777, pp. 1-8 . https://doi.org/10.1136/ bmjopen-2021-049777
Publication Year :
2021
Publisher :
BMJ Publishing Group, 2021.

Abstract

ObjectivesMalnutrition is associated with a twofold higher risk of dying in patients with tuberculosis (TB) and considered an important potentially reversible risk factor for failure of TB treatment. The construct of malnutrition has three domains: intake or uptake of nutrition; body composition and physical and cognitive function. The objectives of this systematic review are to identify malnutrition assessment methods, and to quantify how malnutrition assessment methods capture the international consensus definition for malnutrition, in patients with TB.DesignDifferent assessment methods were identified. We determined the extent of capturing of the three domains of malnutrition, that is, intake or uptake of nutrition, body composition and physical and cognitive function.ResultsSeventeen malnutrition assessment methods were identified in 69 included studies. In 53/69 (77%) of studies, body mass index was used as the only malnutrition assessment method. Three out of 69 studies (4%) used a method that captured all three domains of malnutrition.ConclusionsOur study focused on published articles. Implementation of new criteria takes time, which may take longer than the period covered by this review. Most patients with TB are assessed for only one aspect of the conceptual definition of malnutrition. The use of international consensus criteria is recommended to establish uniform diagnostics and treatment of malnutrition.PROSPERO registration numberCRD42019122832.

Details

Language :
English
ISSN :
20446055
Volume :
11
Issue :
12
Database :
OpenAIRE
Journal :
BMJ Open
Accession number :
edsair.doi.dedup.....f7e76787289bc8c913f93bc3856d5ab9
Full Text :
https://doi.org/10.1136/bmjopen-2021-049777