Published Paper Details:

Abstract : A major infectious disease now a days is tuberculosis. Tuberculosis is an infectious disease that caused by various strains of micro-bacterium, usually Mycobacterium Tuberculosis. In shortly, Mycobacterium Tuberculosis is called as MTB. The major public health problem in India and worldwide is Tuberculosis. Poor nutrition is a problem among TB patients. Approximately 2 million TB cases is found in India and 8.6 million TB cases is stayed worldwide. The relation between malnutrition and tuberculosis is stayed. Malnutrition is generally measured by BMI (Body Mass Index).Malnutrition is mainly two types. One is under-nutrition and another is over nutrition. When BMI is less than 18.5 kg/m2 (<18.5 kg/m2), it is called underweight and when BMI is greater than equal to 25 kg/m2 (>=25 kg/m2) is known as overweight/obese. Severe underweight is occurred when BMI is less than 16 kg/m2. It is seen in many studies that underweight peoples are more prone to develop Tuberculosis (TB) and it is also observed in many studies and survey that males are more affected in TB than females. Micronutrient status of tuberculosis patients with malnutrition is very poor. Micronutrient mainly vitamin A and Zinc (Zn) deficiency is observed in patients with pulmonary tuberculosis. Lower concentration of hemoglobin of blood, white blood cell (WBC), serum albumin, vitamin A (serum retinol) and zinc is observed with active tuberculosis compared with health peoples. Active tuberculosis patients has poor micronutrient status compared with healthy peoples. Low hemoglobin concentration, serum retinol and zinc (Zn) is observed with TB patients with malnutrition. It is cleared that TB patients has poor nutritional status. It is seen that maximum number of patients belongs to underweight with BMI less than 18.5kg/m2. Maximum number of nutrients deficiency occur with malnourished Tuberculosis patients mainly calorie, protein, micronutrients deficiencies like vitamin A,D,B12, zinc (Zn), iron and folic acid. For TB patients, medication with proper diet is needed to overcome the situation. High calorie, high protein and adequate amount of micronutrients diet is required to fulfill the deficiency gap in TB patients. The diet needs to contain liberal amounts of milk, dhal, eggs, fish, meat, green leafy vegetables and fruits. Now, there are treatment (DOTS stands for Directly Observed Treatment, Short-course) and dietary guideline for TB patients. Patients needs to be disciplined to take their medicine properly from primary health care in villages. In together, TB medicine and diet can cure the patients more quickly than medicine alone. And patients should be stayed in tension free condition because tension can decrease appetite.