Effect of Structured Nutritional Counselling on Nutritional Status of Tuberculosis Patients: A Quasi Experimental Study in Bogura, Bangladesh
1
Department of Community Medicine and Public Health, TMSS Medical College, Bogura, Bangladesh
2
Department of Nutrition and Biochemistry, National Institute of Preventive and Social Medicine (NIPSOM), Dhaka, Bangladesh
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
BACKGROUND:
Bangladesh bears high tuberculosis burden and under-nutrition worsening the disease with nearly 300,000 cases annually. Nutritional counselling offers a low-cost, sustainable way to improve nutrition and support faster recovery, though local evidence remains limited.
METHODS:
This quasi-experimental study was conducted in Bogura from July 2024- June 2025. Total 63 newly diagnosed, smear-positive pulmonary TB patients (BMI <18.5 kg/m²), aged ≥18 years, were purposively selected and divided into intervention (n=31) and control (n=32) groups. Face to face interview was done for collecting baseline data (24-hour dietary recall and anthropometric measurements) from household level. Intervention group received structured nutritional counselling along with TB treatment and control group received only TB treatment. Data were collected again after one month by follow-up visit and compared with baseline data. Nutrient intake was calculated using BFCT and FAO/WHO.
RESULTS:
Majority of the respondents in intervention group (41.9%) & control group (37.5%) were between 61 to 80 years age and males were predominant. The intervention group gained an average of 1.7 kg weight and 0.67 kg/m² BMI after one month, while control group showed minimal changes (0.57 kg and 0.23 kg/m²). Mean(±SD) daily calorie intake among intervention group was increased significantly about 511.97(±327.48) Kcal (p<0.01) and protein intake increased about 58%. In control group Mean(±SD) daily calorie intake was increased 154.99(±367)kcal and protein intake 31% (p<0.05). Mean carbohydrate and fat intake increased more (46% & 69%) in intervention group than control group (17% & 5%). Intervention group met the recommended calorie intake about 82.4% during follow-up while in baseline it was 54.92%, and in control group it increased from 53.13% in baseline to 60.90% after one month.
CONCLUSIONS:
Structured nutritional counselling improved dietary intake, body weight and BMI in TB patients. This cost-effective intervention may strengthen TB management in Bangladesh, especially in rural and resource-limited settings.
Bangladesh bears high tuberculosis burden and under-nutrition worsening the disease with nearly 300,000 cases annually. Nutritional counselling offers a low-cost, sustainable way to improve nutrition and support faster recovery, though local evidence remains limited.
METHODS:
This quasi-experimental study was conducted in Bogura from July 2024- June 2025. Total 63 newly diagnosed, smear-positive pulmonary TB patients (BMI <18.5 kg/m²), aged ≥18 years, were purposively selected and divided into intervention (n=31) and control (n=32) groups. Face to face interview was done for collecting baseline data (24-hour dietary recall and anthropometric measurements) from household level. Intervention group received structured nutritional counselling along with TB treatment and control group received only TB treatment. Data were collected again after one month by follow-up visit and compared with baseline data. Nutrient intake was calculated using BFCT and FAO/WHO.
RESULTS:
Majority of the respondents in intervention group (41.9%) & control group (37.5%) were between 61 to 80 years age and males were predominant. The intervention group gained an average of 1.7 kg weight and 0.67 kg/m² BMI after one month, while control group showed minimal changes (0.57 kg and 0.23 kg/m²). Mean(±SD) daily calorie intake among intervention group was increased significantly about 511.97(±327.48) Kcal (p<0.01) and protein intake increased about 58%. In control group Mean(±SD) daily calorie intake was increased 154.99(±367)kcal and protein intake 31% (p<0.05). Mean carbohydrate and fat intake increased more (46% & 69%) in intervention group than control group (17% & 5%). Intervention group met the recommended calorie intake about 82.4% during follow-up while in baseline it was 54.92%, and in control group it increased from 53.13% in baseline to 60.90% after one month.
CONCLUSIONS:
Structured nutritional counselling improved dietary intake, body weight and BMI in TB patients. This cost-effective intervention may strengthen TB management in Bangladesh, especially in rural and resource-limited settings.
| eISSN: | 2654-1459 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
