M Bhargava, K M Akshaya, M N Badarudeen, S B Nagaraja, A Bhargava
{"title":"在卡纳塔克邦对成年结核病患者进行营养评估的BMI现场图表的实施。","authors":"M Bhargava, K M Akshaya, M N Badarudeen, S B Nagaraja, A Bhargava","doi":"10.5588/pha.25.0017","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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<sup>2</sup>).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>The median (interquartile range [IQR]) weight and BMI were 44 kg (37.0, 50.0) and 16.9 kg/m<sup>2</sup> (15.2, 18.9), respectively, in 214 PwTB, of which 146 (68.2%) patients had a BMI of <18.5 kg/m<sup>2</sup>. 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<sup>2</sup>, the deficit was 6.4 kg (3.4, 8.5) in men and 11.3 kg (4.6, 13.6) in women.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":46239,"journal":{"name":"Public Health Action","volume":"15 3","pages":"103-107"},"PeriodicalIF":1.6000,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422703/pdf/","citationCount":"0","resultStr":"{\"title\":\"Implementation of BMI field charts for nutritional assessment in adult patients with tuberculosis in Karnataka.\",\"authors\":\"M Bhargava, K M Akshaya, M N Badarudeen, S B Nagaraja, A Bhargava\",\"doi\":\"10.5588/pha.25.0017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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<sup>2</sup>).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>The median (interquartile range [IQR]) weight and BMI were 44 kg (37.0, 50.0) and 16.9 kg/m<sup>2</sup> (15.2, 18.9), respectively, in 214 PwTB, of which 146 (68.2%) patients had a BMI of <18.5 kg/m<sup>2</sup>. 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<sup>2</sup>, the deficit was 6.4 kg (3.4, 8.5) in men and 11.3 kg (4.6, 13.6) in women.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":46239,\"journal\":{\"name\":\"Public Health Action\",\"volume\":\"15 3\",\"pages\":\"103-107\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-09-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422703/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health Action\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5588/pha.25.0017\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Action","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5588/pha.25.0017","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
Implementation of BMI field charts for nutritional assessment in adult patients with tuberculosis in Karnataka.
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/m2).
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/m2 (15.2, 18.9), respectively, in 214 PwTB, of which 146 (68.2%) patients had a BMI of <18.5 kg/m2. 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/m2, 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.
期刊介绍：
Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.
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