TY - JOUR
T1 - Malnutrition assessment methods in adult patients with tuberculosis
T2 - a systematic review
AU - Ter Beek, Lies
AU - Bolhuis, Mathieu S
AU - Jager-Wittenaar, Harriët
AU - Brijan, René X D
AU - Sturkenboom, Marieke G G
AU - Kerstjens, Huib A M
AU - de Lange, Wiel C M
AU - Tiberi, Simon
AU - van der Werf, Tjip S
AU - Alffenaar, Jan-Willem C
AU - Akkerman, Onno W
N1 - © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2021/12/30
Y1 - 2021/12/30
N2 - OBJECTIVES: Malnutrition 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.DESIGN: Different 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.RESULTS: Seventeen 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.CONCLUSIONS: Our 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 NUMBER: CRD42019122832.
AB - OBJECTIVES: Malnutrition 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.DESIGN: Different 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.RESULTS: Seventeen 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.CONCLUSIONS: Our 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 NUMBER: CRD42019122832.
KW - Adult
KW - Body Mass Index
KW - Humans
KW - Malnutrition/diagnosis
KW - Nutrition Assessment
KW - Nutritional Status
KW - Tuberculosis/complications
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U2 - 10.1136/ bmjopen-2021-049777
DO - 10.1136/ bmjopen-2021-049777
M3 - Review article
C2 - 35344503
AN - SCOPUS:85122634679
SN - 2044-6055
VL - 11
SP - 1
EP - 8
JO - BMJ Open
JF - BMJ Open
IS - 12
M1 - e049777
ER -
