在卡纳塔克邦成年结核病患者中实施用于营养评估的体重指数（BMI）图表
Implementation of BMI field charts for nutritional assessment in adult patients with tuberculosis in Karnataka.
作者信息
Bhargava M, Akshaya K M, Badarudeen M N, Nagaraja S B, Bhargava A
机构信息
Department of Community Medicine, Yenepoya Medical College, Mangalore, India.
Center for Nutrition Studies, Yenepoya (Deemed to be University), Mangalore, India.
出版信息
Public Health Action. 2025 Sep 3;15(3):103-107. doi: 10.5588/pha.25.0017. eCollection 2025 Sep.
BACKGROUND
We tested the operational feasibility of body mass index (BMI) field charts in nutritional assessment of adult patients with tuberculosis (PwTB), which obviate calculations and provide nutritional status based on BMI and the ideal weight (BMI = 21 kg/m).
METHODS
We trained primary health care providers (HCPs) in 39 primary health centres for nutritional assessment and classification and identifying the ideal weight using BMI field charts in PwTB. Using the descriptive statistics method, we analysed the collected data and reported the nutritional status in PwTB and the uptake of the field charts among the HCPs.
RESULTS
The median (interquartile range [IQR]) weight and BMI were 44 kg (37.0, 50.0) and 16.9 kg/m (15.2, 18.9), respectively, in 214 PwTB, of which 146 (68.2%) patients had a BMI of <18.5 kg/m. The HCPs documented the ideal weight in 155 (72.4%) patients, which was correct in 147 (94.8%) patients. The median (IQR) weight deficit to achieve the ideal weight was 10.4 kg (7.3, 12.8) in men and 11.9 kg (7.0, 17.9) in women. For a BMI of 18.5 kg/m, the deficit was 6.4 kg (3.4, 8.5) in men and 11.3 kg (4.6, 13.6) in women.
CONCLUSION
The magnitude and severity of undernutrition in adult PwTB in a well-performing district of Karnataka in South India were high. A single training session successfully improved nutritional assessment and BMI field chart usage among the primary HCPs.
背景
我们测试了体重指数（BMI）现场图表在成年结核病患者（PwTB）营养评估中的操作可行性，该图表无需计算，可根据BMI和理想体重（BMI = 21 kg/m²）提供营养状况。
方法
我们在39个初级卫生中心对初级卫生保健人员（HCP）进行了培训，内容包括使用BMI现场图表对PwTB进行营养评估和分类以及确定理想体重。我们采用描述性统计方法分析收集到的数据，并报告PwTB的营养状况以及HCP对现场图表的使用情况。
结果
214例PwTB患者的体重中位数（四分位间距[IQR]）和BMI分别为44 kg（37.0，50.0）和16.9 kg/m²（15.2，18.9），其中146例（68.2%）患者的BMI<18.5 kg/m²。HCP记录了155例（72.4%）患者的理想体重，其中147例（94.8%）患者的记录正确。男性达到理想体重的体重中位数（IQR）不足为10.4 kg（7.3，12.8），女性为11.9 kg（7.0，17.9）。对于BMI为18.5 kg/m²的情况，男性不足为6.4 kg（3.4，8.5），女性为11.3 kg（4.6，13.6）。
结论
印度南部卡纳塔克邦一个表现良好地区的成年PwTB患者营养不良的程度和严重程度较高。一次培训成功改善了初级HCP的营养评估和BMI现场图表使用情况。
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