BIO-IMPEDANCE TESTING OF BODY COMPOSITION IN TUBERCULOSIS PATIENTS

Cross screening study of the body composition in 240 adult tuberculosis patients found out significantly lower rates of weight and height, lean and fat mass indices and the value of phase diwerence compared to the population of clinically healthy people examined in health centers. 46 (19.2%) patients out of all examined had cachexia defined basing on the criteria of World Health Organisation (WHO). In addition, 75 (31.7%) of tuberculosis patients had protein debilitation and 39 (16.3%) had lipid debilitation. Diagnostic sensitivity of WHO criteria of cachexia by body mass index when defining protein debilitation made 56%, and when defining lipid debilitation it made 61.5%. Among women the rates of protein and lipid debilitation were similar (29.1% and 26.6%), and among men protein debilitation prevailed (32.9% against 11.2%). Protein debilitation were most often detected in case of multiple drug resistance (in 54.7% of cases), in those receiving repeated treatment after chemotherapy failure (45.9%) and in disseminated forms of pulmonary tuberculosis (44.3%). Examination results of 55 workers of anti-tuberculosis medical units in general corresponded to the reference data of the health centers.

tuberculosis, nutritive status disorders, body composition, bio-impedance analysis, health centers, lean tissue index, fat mass index, phase difference

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