Vitamin D, Body Mass Index, and Total Lymphocyte Count in Drug-Sensitive and Drug-Resistant Tuberculosis Patients in Banjarmasin
Downloads
Introduction: Tuberculosis (TB) remains a global health problem that causes high morbidity and mortality. Based on its classification, TB is divided into drug-sensitive (DS) and drug-resistant (DR). Several risk factors susceptible to TB are malnutrition with low body mass index (BMI), vitamin D deficiency (VDD), and low total lymphocyte count (TLC) related to low immune status. This study aimed to examine the relationship between vitamin D (VD), BMI, and TLC in the TB population in Banjarmasin.
Methods: This was an analytic observational study with a cross-sectional design. The total study sample was 42 patients, confirmed by rapid molecular testing, who had not been treated for TB in Banjarmasin from January to May 2023 and met the inclusion and exclusion criteria. Chi-Square and Fisher's exact statistical tests were used to see the relationship between VD, BMI, and TLC in DS TB and DR TB.
Results: The median age of DS TB was 38 (24-52) years old, and DR TB was 51 (37-58) years old. Most of the gender was male (24 patients/57.1%). There was a statistically significant difference between VD and BMI in DS TB and DR TB (p = 0.048; p = 0.019). There was a significant relationship between VD and TLC in DS TB and DR TB (p = 0.048).
Conclusion: VD and BMI significantly differed in DS TB and DR TB. There was a significant correlation between VD and TLC in TB patients.
Isa M, Nurrasyidah I, Nikmah EH, et al. Nutritional Status of Hospitalized Tuberculosis Patients in South Kalimantan: A Cross-Sectional Study. Mutiara Med J Kedokt dan Kesehat 2022; 22: 129–135. [Journal]
Isbaniah F, Burhan E, Sinaga BYM, et al. Tuberkulosis: Pedoman Diagnosis dan Penatalaksanaan di Indonesia. 2nd ed. Jakarta: Perhimpunan Dokter Paru Indonesia (PDPI), https://bukupdpi.klikpdpi.com/wp-content/uploads/2022/08/BUKU-GUIDELINE-TB-2021.pdf (2021).
Sia JK, Rengarajan J. Immunology of Mycobacterium tuberculosis Infections. Microbiol Spectr; 7. Epub ahead of print July 2019. [PubMed]
Indonesia KKR. Dashboard TB Indonesia. Jakarta, https://tbindonesia.or.id/dashboard-tb-indonesia/ (2021).
Sugiarti S, Ramadhian MR, Carolia N. Vitamin D sebagai Suplemen dalam Terapi Tuberkulosis Paru. Major Med J Lampung Univ 2018; 7: 198–202. [Journal]
Reviono R. Tuberculosis: Unfinished Battle Melawan Efek Samping pada Kasus TB Resisten Obat. Surakarta: UNS Press, 2018.
Tellez-Navarrete NA, Ramon-Luing LA, Muñoz-Torrico M, et al. Malnutrition and Tuberculosis: The Gap between Basic Research and Clinical Trials. J Infect Dev Ctries 2021; 15: 310–319. [PubMed]
Wang Q, Ma A, Gao T, et al. Poor Vitamin D Status in Active Pulmonary Tuberculosis Patients and Its Correlation with Leptin and TNF-α. J Nutr Sci Vitaminol (Tokyo) 2019; 65: 390–398. [PubMed]
Wibowo A, Burhan E, Putra AC. Pola Resistansi Kuman Tuberkulosis dan Regimen Pengobatan pada Pasien Tuberkulosis Resisten Obat di Rumah Sakit Pusat Rujukan Respirasi Nasional Persahabatan Jakarta. J Kedokt Univ Lampung 2021; 5: 1–6. [Journal]
Baluku JB, Anguzu GT, Bongomin F, et al. Absolute Eosinophil Count Correlates with Temperature and CD4 Count Independently of HIV Infection among Tuberculosis Patients. Trop Med Int Health 2020; 25: 1079–1084. [PubMed]
Hammami F, Koubaa M, Mejdoub Y, et al. The Association between Vitamin D Deficiency and Extrapulmonary Tuberculosis: Case-Control Study. Tuberculosis (Edinb) 2021; 126: 102034. [PubMed]
Gunarsa RG, Simadibrata M, Syam AF, et al. Total Lymphocyte Count as a Nutritional Parameter in Hospitalized Patients. Indones J Gastroenterol Hepatol Dig Endosc 2011; 12: 89–94. [Journal]
Yunda D, Witjaksono F, Nurwidya F. Correlation between Protein Intake, Fat Free Mass, and Total Lymphocyte Count with Quality of Life in Pulmonary Tuberculosis Patients Undergoing Intensive Phase Treatment in Pekanbaru, Riau Province. Mol Cell Biomed Sci 2020; 4: 128. [Journal]
Harahap FH. Hubungan Faktor Risiko Tuberkulosis terhadap Kadar Vitamin D Serum pada Pasien Tuberkulosis. JIMKI J Ilm Mhs Kedokt Indones 2021; 9: 1–8. [Journal]
Rostina R, Aprianti S, Arif M. Prediksi Jumlah Sel Limfosit T CD4+ Menggunakan Nilai TLC (Total Lymphocyte Count) pada Penderita HIV/AIDS. Indones J Clin Pathol Med Lab 2018; 14: 64–65. [Journal]
Iqbal M, Puspaningtyas DE. Penilaian Status Gizi ABCD. Jakarta: Salemba Medika, https://penerbitsalemba.com/buku/08-0271-penilaian-status-gizi-abcd (2018).
Desissa F, Workineh T, Beyene T. Risk Factors for the Occurrence of Multidrug-Resistant Tuberculosis among Patients undergoing Multidrug-Resistant Tuberculosis Treatment in East Shoa, Ethiopia. BMC Public Health 2018; 18: 422. [PubMed]
Anisah A, Sumekar D, Budiarti E. Demographics and Comorbidities with Incident Drug Resistant Tuberculosis. J Ilm Kesehat Sandi Husada; 10. Epub ahead of print 31 December 2021. [Journal]
Baya B, Achenbach CJ, Kone B, et al. Clinical Risk Factors associated with Multidrug-Resistant Tuberculosis (MDR-TB) in Mali. Int J Infect Dis 2019; 81: 149–155. [PubMed]
Kesehatan BP dan P. Laporan Provinsi Kalimantan Selatan Riskesdas 2018. Jakarta, https://repository.badankebijakan.kemkes.go.id/id/eprint/3896/ (2019).
Lu Z, Jiang W, Zhang J, et al. Drug Resistance and Epidemiology Characteristics of Multidrug-Resistant Tuberculosis Patients in 17 Provinces of China. PLoS One 2019; 14: e0225361. [PubMed]
Affandi VP. Rokok dan Kejadian Konversi Sputum Pasien Tuberkulosis. J Ilm Kesehat Sandi Husada; 8. Epub ahead of print 30 December 2019. [Journal]
Herlina N, Sinaga BYM, Siagian P, et al. Serum Vitamin D Level and Susceptibility to Multidrug-Resistant Tuberculosis among Household Contacts. IOP Conf Ser Earth Environ Sci 2018; 125: 12143. [ResearchGate]
Silva DR, Muñoz-Torrico M, Duarte R, et al. Risk Factors for Tuberculosis: Diabetes, Smoking, Alcohol Use, and the Use of Other Drugs. J Bras Pneumol 2018; 44: 145–152. [PubMed]
Kementerian Kesehatan Republik Indonesia. Pedoman Nasional Pelayanan Kedokteran Tata Laksana Tuberkulosis. Jakarta: Kementerian Kesehatan Republik Indonesia, 2020.
Saragih JP, Sinaga B, Amir Z. Hubungan Kadar Vitamin D dalam Darah dengan Kejadian Tuberkulosis Paru. J Respirologi Indones 2015; 35: 51–56. [Journal]
Tedja I, Syam AF, Rumende CM. Status Nutrisi Pasien Rawat Inap Tuberkulosis Paru di Rumah Sakit Cipto Mangunkusumo, Jakarta. Indones J CHEST Crit Emerg Med 2014; 1: 95–98. [Journal]
Campos-Gongora E, López-Martínez J, Huerta-Oros J, et al. Nutritional Status Evaluation and Nutrient Intake in Adult Patients with Pulmonary Tuberculosis and Their Contacts. J Infect Dev Ctries 2019; 13: 303–310. [PubMed]
Kadri A, Machmud R, Putra A, et al. Factors Associated of Multidrug-Resistance Tuberculosis among Minangkabau Ethnicity in Indonesia. Open Access Maced J Med Sci 2022; 10: 1736–1739. [Journal]
Soeroto AY, Pratiwi C, Santoso P, et al. Factors Affecting Outcome of Longer Regimen Multidrug-Resistant Tuberculosis Treatment in West Java Indonesia: A Retrospective Cohort Study. PLoS One 2021; 16: e0246284. [PubMed]
Aristiana CD, Wartono M. Faktor-Faktor yang Mempengaruhi Kejadian Multi Drug Resistance Tuberkulosis (MDR-TB). J Biomedika dan Kesehat 2018; 1: 65–74. [Journal]
Kurnia AD, Masruroh N, Melizza N. Factors Related to the Low Nutritional Status among Tuberculosis Patients. J Keperawatan Padjadjaran 2020; 8: 42–48. [Journal]
Ramkumar V, Raja MK, Subramaniam SR, et al. A Study of Serum Vitamin D Levels in Newly Diagnosed Pulmonary Tuberculosis. J Med Sci Clin Res 2018; 6: 31974–31980. [Journal]
Merker M, Amsler A, Pereira R, et al. Vitamin D Deficiency is Highly Prevalent in Malnourished Inpatients and Associated with Higher Mortality: A Prospective Cohort Study. Medicine (Baltimore) 2019; 98: e18113. [PubMed]
Song C, Sun H, Wang B, et al. Association between Vitamin D Status and Undernutrition Indices in Children: A Systematic Review and Meta-Analysis of Observational Studies. Frontiers in Pediatrics 2021; 9: 665749. [PubMed]
Wang S-Y, Shen T-T, Xi B-L, et al. Vitamin D Affects the Neutrophil-to-Lymphocyte Ratio in Patients with Type 2 Diabetes Mellitus. J Diabetes Investig 2021; 12: 254–265. [PubMed]
Lungu PS, Kilembe W, Lakhi S, et al. A Comparison of Vitamin D and Cathelicidin (LL-37) Levels between Patients with Active TB and Their Healthy Contacts in a High HIV Prevalence Setting: A Prospective Descriptive Study. Trans R Soc Trop Med Hyg 2022; 116: 336–343. [PubMed]
Yang H, Chen H, Ma Y, et al. Effects of 25-Hydroxy Vitamin D on T Lymphocyte Subsets and Sputum Smear Conversion during Antituberculosis Treatment. Int J Infect Dis 2022; 121: 17–23. [PubMed]
Rocha NP, Fortes RC. Total Lymphocyte Count and Serum Albumin as Predictors of Nutritional Risk in Surgical Patients. Arq Bras Cir Dig 2015; 28: 193–196. [PubMed]
Patiung F, Wongkar MCP, Mandang V. Hubungan Status Gizi dengan CD4 pada Pasien TB Paru. e-CliniC; 2. Epub ahead of print 15 May 2014. [Journal]
Tyastarini NPAT, Saraswati MR. Hubungan Jumlah Limfosit Total dengan Status Nutrisi pada Pasien Diabetes Melitus Tipe 2 Rawat Inap di Rumah Sakit Umum Pusat Sanglah Denpasar Tahun 2014. E-Jurnal Med Udayana; 6, https://ojs.unud.ac.id/index.php/eum/article/view/33461 (2017).
Tojek K, BanaÅ› W, Czerniak B, et al. Total Blood Lymphocyte Count as a Prognostic Factor among Unselected Inpatients. Adv Med Sci 2020; 65: 141–148. [PubMed]
Iizuka K, Sato H, Kobae K, et al. Young Japanese Underweight Women with ‘Cinderella Weight' are Prone to Malnutrition, including Vitamin Deficiencies. Nutrients; 15. Epub ahead of print May 2023. [PubMed]
Altika Si, Wijayanti IT. Analisis Status Asam Ascorbat, Nilai Limfosit dan Lama Pengebotan Pasien TB MDR di RSUD Soewondo Pati. Coping Community Publ Nurs 2020; 8: 289–296. [Journal]
Diallo A, Diallo BD, Camara LM, et al. Different Profiles of Body Mass Index Variation among Patients with Multidrug-Resistant Tuberculosis: A Retrospective Cohort Study. BMC Infect Dis 2020; 20: 315. [PubMed]
Copyright (c) 2024 Soraya Riefani, Juhairina Juhairina, Mohamad Isa, Erna Kusumawardhani, Haryati Haryati, Shaogi Syam, Ira Nurrasyidah
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions.
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).
4. The Creative Commons Attribution Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under "the same, similar or a compatible license”. Other than the conditions mentioned above, the editorial board is not responsible for copyright violation.