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首页> 美国卫生研究院文献>The Indian Journal of Medical Research >Undernutrition tuberculosis in India: Situation analysis the way forward
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Undernutrition tuberculosis in India: Situation analysis the way forward

机译：印度的营养不良与结核病：现状分析和前进方向

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Undernutrition and tuberculosis (TB) are linked and have a bidirectional relationship. Undernutrition increases the risk of TB which in turn, can lead to malnutrition. Undernutrition not only is a risk factor for progression of latent TB infection to active disease, but also increases the risk of drug toxicity, relapse and death once TB develops. The dietary intake of TB patients in the country is inadequate. Nutritional supplementation in patients with TB is associated with faster sputum conversion, higher cure and treatment completion rates, significant gain in body weight and body composition as well as better performance status.The Government of India has various social support schemes (including nutrition supplementation schemes) and policies, at the Centre as well as State levels. Here we discuss some successful examples and suggest a few solutions to address this gap; like considering TB patients as a vulnerable group for “Targeted Public Distribution System” and providing extra rations for the duration of treatment. Recommendations for the research community, civil societies, government organizations, non-governmental and corporate sector on the actions needed to achieve the goals of the End TB Strategy are also provided. Ultimately, reduction of TB burden in India and its elimination will require improving the nutritional status of the community as a whole.
机译：营养不良与结核病（TB）相互关联，并具有双向关系。营养不良会增加结核病的风险，进而可能导致营养不良。营养不良不仅是潜在的TB感染发展为活动性疾病的危险因素，而且一旦TB发生，就会增加药物毒性，复发和死亡的风险。该国结核病患者的饮食摄入不足。结核病患者的营养补充与更快的痰液转化，更高的治愈和治疗完成率，体重和身体组成的显着增加以及更好的表现状态有关。印度政府制定了各种社会支持计划（包括营养补充计划）中心和州一级的政策和政策。在这里，我们讨论一些成功的例子，并提出一些解决此问题的解决方案。例如将结核病患者视为“定向公共分配系统”的弱势群体，并在治疗期间提供额外的口粮。还向研究界，民间团体，政府组织，非政府组织和企业部门提供了有关实现“最终结核病策略”目标所需采取的行动的建议。最终，要减少印度的结核病负担并予以消除，就需要改善整个社区的营养状况。

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