摩洛哥的结核病：病程、体重减轻和营养不良

IF 2.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart & Lung Pub Date : 2025-06-25 DOI:10.1016/j.hrtlng.2025.06.003

Youssef EL BAHI, Soukaina LOULIDI, Samia RKHA, Mohamed LOUKID

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引用次数: 0

摘要

结核病仍然是全球公共卫生领域的一个严重挑战。患者在诊断和疾病方面的延迟变化可能使疾病复杂化。了解影响延误的因素对于制定有效的预防和治疗策略至关重要。目的本研究的目的是分析和确定结核病患者的病程、体重状况和饮食习惯变化之间的关系，以及解决饮食习惯对改善结核病预后的重要性。方法对480例肺结核患者进行横断面研究。结果本组患者病程平均（SD）为5.98个月（6.8个月），诊断病程平均（SD）为3.35个月（6.01个月）。不同结核类型的诊断时间差异有统计学意义（p = 0.018）。疾病期间平均体重减轻（SD）为7.34 kg(5.21)，年龄组间差异有统计学意义(p <；0.001)，结核病类型之间(p <；0.001)。在疾病期间，患者的BMI平均下降1.72 kg/m2 (p <；0.001)。大约84%的患者改变了他们的饮食习惯。体重减轻和饮食习惯的改变与疾病持续时间的增加显著相关。结论饮食习惯的改变，以体重减轻和患者食物摄入量的减少为标志，显著延长了疾病的持续时间。卫生保健专业人员应意识到饮食习惯对结核病进展和病程的影响，并鼓励患者采取健康的饮食习惯。

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Tuberculosis in Morocco: Disease duration, weight loss and malnutrition

Background

Tuberculosis remains a serious challenge in public health worldwide. Changes in patients' delays in diagnosis and illness can complicate the disease. Understanding the factors affecting the delays is crucial to the development of effective prevention and treatment strategies.

Objectives

The aim of our study is to analyze and identify the association between the duration of illness, weight status and changes in dietary habits of TB patients as well as addressing the importance of dietary habits in improving tuberculosis outcomes.

Methods

A cross-sectional study was carried out on a sample of 480 tuberculosis patients.

Results

The results revealed that the mean (SD) duration of the disease was 5.98 months (6.8), while the mean (SD) diagnostic duration was 3.35 months (6.01). Significant difference was observed in diagnostic duration between TB types (p = 0.018). Mean weight loss during the disease (SD) was 7.34 kg (5.21) with a significant difference between age groups (p < 0.001) and between TB types (p < 0.001). During the disease, patients lost an average of 1.72 kg/m² of their BMI (p < 0.001). Around 84 % of patients have changed their eating habits. Weight loss and changes in dietary habits were significantly associated with increased disease duration.

Conclusions

Changes in eating habits, marked by weight loss and reduction in patients’ food intake significantly prolonged the disease's duration. Healthcare professionals are called to be aware of the impact of eating habits on the progression and duration of tuberculosis, and to encourage their patients to adopt healthy eating practices.

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来源期刊

Heart & Lung 医学-呼吸系统

CiteScore

4.60

自引率

3.60%

发文量

184

审稿时长

35 days

期刊介绍： Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.