THE RELATIONSHIP OF BODY MASS INDEX (BMI) LEVEL AND SEVERITY OF PULMONARY TUBERCULOSIS IN PATIENTS AGED 18-64 YEARS AT GOTONG ROYONG HOSPITAL SURABAYA
Abstract
Background: Tuberculosis (TB) infection remains a concern for developing countries especially Indonesia due to its high prevalence and mortality rate. Malnutrition is often observed in TB patients. Malnutrition can be assessed through the Body Mass Index (BMI) level. Low BMI levels can increase the progression of pulmonary TB and resulting more severe manifestations in chest X-ray. The severity of pulmonary TB is determined based on the assessment of chest X-ray lesions, which categorized as mild, moderate, and severe.
Objective: The aim of this study is to analyze the relationship between BMI levels and the severity of pulmonary TB in patients aged 18-64 years at Gotong Royong Hospital, Surabaya.
Method: The method of this research is observational analytical with a cross-sectional design on pulmonary TB patients who underwent chest X-ray examinations before treatment. The study utilizes secondary data from the patients medical records, including weight, height, and chest X-ray images. Additional supporting data which is not available in the medical records were obtained through the patient responses using Google Form. Samples were taken according to the inclusion criteria and all data were collected at Gotong Royong Hospital from July to September 2023.
Results: There are 39 samples collected in this research, consisted of 17 men and 22 women. The result based on Spearman correlation analysis revealed that the correlation between BMI levels and the severity of pulmonary TB has a p-value=0,397 (p > 0,05).
Conclusion: There is no significant relationship between BMI levels and the severity of pulmonary TB in patients aged 18-64 years at Gotong Royong Hospital Surabaya.
Keywords
Full Text:
PDFReferences
Global tuberculosis report 2022 [Internet]. [cited 2023 Feb 18]. Available from: https://www.who.int/publications/i/item/9789240061729
World Health Organization. TB profile [Internet]. [cited 2023 Mar 31]. Available from: https://worldhealthorg.shinyapps.io/tb_profiles/?_inputs_&entity_type=%22country%22&lan=%22EN%22&iso2=%22ID%22
Heryawan IMG, Sukrama IDM, Iswari IS, Pinatih KJP. Hubungan indeks massa tubuh dengan kadar albumin serum pada pasien tuberkulosis di Rumah Sakit Umum Ganesha Gianyar tahun 2019. E-jurnal Med Udayana [Internet]. 2021 Jul 30 [cited 2023 Feb 8];10. Available from: https://garuda.kemdikbud.go.id/documents/detail/2232441
Doucette K, Cooper R. Fishmans pulmonary diseases and disorders. 5th ed. Grippi MA, Elias JA, Fishman JA, Kotloff R, Pack AI, Senior R, editors. McGraw Hill Education; 2015.
Narasimhan P, Wood J, Macintyre CR, Mathai D. Risk factors for tuberculosis. Pulm Med [Internet]. 2013 [cited 2023 Mar 16];2013:11. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3583136/
Kemenkes. Pedoman nasional pelayanan kedokteran tata laksana tuberkulosis. 2020.
CDC. TB risk factors [Internet]. 2016 [cited 2023 Apr 11]. Available from: https://www.cdc.gov/tb/topic/basics/risk.htm
Angelia F, Herman D, Ariani N. Hubungan indeks massa tubuh dengan kadar albumin pada aasien tuberkulosis taru. Indones J Heal Sci [Internet]. 2020 Oct [cited 2023 Mar 16]; Available from: http://jikesi.fk.unand.ac.id/index.php/jikesi/article/view/146/29
Pritasari, Damayanti D, Lestari NT. Kemenkes bahan ajar gizi: Gizi dalam daur kehidupan [Internet].
Available from: http://journal.um-surabaya.ac.id/index.php/JKM/article/view/2203
Diaz R. Hubungan antara indeks masa tubuh dengan prestasi belajar pada murid kelas IV dan V di sekolah dasar negeri no 101763 Kecamatan Hamparan Perak Kabupaten Deli Serdang. 2016 Jun 11;
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Factors Affecting Weight & Health [Internet]. 2018 [cited 2023 Apr 16]. Available from: https://www.niddk.nih.gov/health-information/weight-management/adult-overweight-obesity/factors-affecting-weight-health
Edwina I, Soetikno RD, Hikmat IH. Hubungan antara luas lesi pada foto toraks penderita TB paru dewasa yang memiliki riwayat diabetes melitus dengan indeks massa tubuh di Rumah Sakit Hasan Sadikin Bandung. J Radiol Indones. 2016;1(3):13844.
Putra MAB, Latief S, Zulfahmidah, K, Indah Lestari Daeng, Safitri A. Hubungan antara luas lesi pada foto thorax pasien tuberkulosis paru dewasa sebelum dan sesudah pengobatan dengan indeks massa tubuh. Fakumi Med JournalJurnal Mhs Kedokt [Internet]. 2021;1(3):22431. Available from: https://fmj.fk.umi.ac.id/index.php/fmj
Hoyt KJ, Sarkar S, White L, Joseph NM, Salgame P, Lakshminarayanan S, et al. Effect of malnutrition on radiographic findings and mycobacterial burden in pulmonary tuberculosis. PLoS One [Internet]. 2019 Mar 1 [cited 2023 Apr 10];14(3):e0214011. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214011
Abdulkadir W, Djuwarno EN, Rasdianah N, Hiola F. Gambaran efek samping obat antituberkulosis pada pasien tuberkulosis. J Syifa Sci Clin Res. 2022;4(1).
Beyker De Mendon Aid E, Aranastanis Schmaltz C, Santanna FM, Gomes Vizzoniid A, Mendes-De-Almeida DP, De R, et al. Anemia in tuberculosis cases: A biomarker of severity? 2021; Available from: https://doi.org/10.1371/journal.pone.0245458
Aryani W, Budi Syahputra M, Chandra Sulistiawati A, Aulia. Hubungan indeks massa tubuh dengan kejadian TB paru di Puskesmas Bangun Purba Kabupaten
Rokan Hulu Riau. Ibnu Sina J Kedokt dan Kesehat - Fak Kedokt Univ Islam Sumatera Utara [Internet]. 2023 Mar 10 [cited 2024 Jan 5];22(2):11723. Available from: https://jurnal.fk.uisu.ac.id/index.php/ibnusina/article/view/351
Editia YV, Nugroho GS, Yunritati E. Hubungan status gizi dengan tuberkulosis: systematic review & meta-analisis. Preportif J Kesehat Masy [Internet]. 2023 Apr [cited 2023 May 7];7(`):14957. Available from: https://journal.universitaspahlawan.ac.id/index.php/prepotif/article/view/12002/10087
Sinha P, Davis J, Saag L, Wanke C, Salgame P, Mesick J, et al. Undernutrition and tuberculosis: public health implications. J Infect Dis [Internet]. 2019 [cited 2023 Feb 26]; Available from: https://academic.oup.com/jid/article/219/9/1356/5197537
DOI: https://doi.org/10.33508/jwmj.v6i2.5494
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Journal of Widya Medika Junior is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License