PMID- 38302630 OWN - NLM STAT- MEDLINE DCOM- 20240205 LR - 20240206 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 14 IP - 1 DP - 2024 Feb 1 TI - A community-based cross-sectional study of dietary composition and associated factors among tuberculosis patients in China. PG - 2676 LID - 10.1038/s41598-024-53146-5 [doi] LID - 2676 AB - To determine the dietary structure and its associated factors of tuberculosis (TB) patients in the community. This cross-sectional study analysed the dietary intake of 300 TB patients in two impoverished counties in China. Food intake was collected by using food frequency and two consecutive 24-h dietary review (24hdr) methods. The dietary composition and dietary structure of TB patients were compared with China's 2022 Dietary Reference Intake (DRIs) and the average reference value of dietary composition (ARC) in China in 2013. Binary logistic regression models were used to explore the factors associated with inadequate intake of animal food, insufficient protein and fat energy supply in patients with TB. The daily intake of various foods in TB patients was measured and the results were as follows: staple foods-median 372.12 g (interquartile range [IQR] 315.87 g); vegetables-median 200.00 g (IQR 205.55 g); fruits-median 20.22 g (IQR 36.82 g); animal foods-median 100.82 g (IQR 180.74 g); dairy products-median 0.00 g (IQR 0.00 g); nuts-median 17.10 g (IQR 29.75 g). The average daily intakes of vegetables, fruits, animal food, dairy products, soy and nuts were lower than those recommended by the DRIs (P < 0.01). Compared to women, men consumed more whole grains and mixed legumes, but less fruit. The dietary structures, including food and nutrient supply for energy, protein and fat, were significantly different in 300 patients compared with DRIs or ARC values. Inadequate rates of animal food intake were observed in 54.85% of men and 59.57% of women. Protein undersupply rates were 66.02% in men and 56.38% in women, while fat undersupply rates were 52.91% in men and 52.13% in women. The study revealed that being 18-49 years old, being the Han nationality, having less than 2 h of physical activity per day on average, and eating twice a day were risk factors for inadequate animal protein intake, protein energy deficiency and fat energy deficiency. TB patients from impoverished counties in China have inadequate intake of several food categories and insufficient protein and fat energy supply, correlating with multiple factors in socio-demographics, behavioral practices, and TB disease. To improve the nutritional status of TB patients, urgent public health actions, especially carrying out nutritional screening and evaluation once diagnosed, developing individualized nutritional support treatment plans, strengthening dietary nutritional health education and intervention, and advocating for enhanced nutritional support, should be taken. CI - (c) 2024. The Author(s). FAU - Zheng, Yan AU - Zheng Y AD - Center for Disease Control and Prevention of Jiulongpo District, Chongqing, China. FAU - Chen, Hui AU - Chen H AD - National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. FAU - Zhang, Canyou AU - Zhang C AD - National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. FAU - Hu, Dongmei AU - Hu D AD - National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. FAU - Zhao, Fei AU - Zhao F AD - National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. AD - Clinical Trial and Research Center, Beijing Hospital, Beijing, China. FAU - Piao, Wei AU - Piao W AD - National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China. FAU - Li, Shujuan AU - Li S AD - National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China. FAU - Liang, Dabin AU - Liang D AD - Institute of Tuberculosis Control and Prevention, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, China. FAU - Luo, Zongye AU - Luo Z AD - Division of Tuberculosis Control and Prevention, Lingyun County Center for Disease Control and Prevention, Baise, China. FAU - Fan, Yueling AU - Fan Y AD - Shanxi Provincial Center for Disease Control and Prevention, Taiyuan, China. FAU - Gao, Jianwei AU - Gao J AD - Shanxi Provincial Center for Disease Control and Prevention, Taiyuan, China. FAU - Cheng, Jun AU - Cheng J AD - National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. chengjun@chinacdc.cn. FAU - Yu, Dongmei AU - Yu D AD - National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China. yudm@ninh.chinacdc.cn. LA - eng GR - 2015.22.CHN.3.STB/Investigation of nutrition and diet of patients with pulmonary tuberculosis in poor areas in China/ GR - 2015.22.CHN.3.STB/Investigation of nutrition and diet of patients with pulmonary tuberculosis in poor areas in China/ PT - Journal Article DEP - 20240201 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 SB - IM MH - Male MH - Animals MH - Humans MH - Female MH - Adolescent MH - Young Adult MH - Adult MH - Middle Aged MH - Cross-Sectional Studies MH - *Nutritional Status MH - Nutrition Assessment MH - Energy Intake MH - Diet MH - Fruit MH - Vegetables MH - China/epidemiology MH - *Tuberculosis/epidemiology MH - Feeding Behavior PMC - PMC10834478 COIS- The authors declare no competing interests. EDAT- 2024/02/02 00:42 MHDA- 2024/02/05 06:43 PMCR- 2024/02/01 CRDT- 2024/02/01 23:46 PHST- 2023/07/29 00:00 [received] PHST- 2024/01/29 00:00 [accepted] PHST- 2024/02/05 06:43 [medline] PHST- 2024/02/02 00:42 [pubmed] PHST- 2024/02/01 23:46 [entrez] PHST- 2024/02/01 00:00 [pmc-release] AID - 10.1038/s41598-024-53146-5 [pii] AID - 53146 [pii] AID - 10.1038/s41598-024-53146-5 [doi] PST - epublish SO - Sci Rep. 2024 Feb 1;14(1):2676. doi: 10.1038/s41598-024-53146-5.