Agustin, Heidy
Department Of Pulmonology And Respiratory Medicine, Faculty Of Medicine, University Of Indonesia, Jakarta

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Hubungan Antara Asupan Vitamin A dan Seng dengan Penanda Inflamasi pada Pasien Tuberkulosis Paru di Rumah Sakit Umum Pusat Persahabatan Mitrasari, Surya; Nurwidya, Fariz; Wulandari, Yohannessa; Agustin, Heidy
Medica Hospitalia : Journal of Clinical Medicine Vol. 13 No. 1 (2026): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v13i1.1222

Abstract

BACKGROUND: Indonesia has the second highest burden of tuberculosis (TB) worldwide, with an incidence of 354 per 100,000 population and approximately 969,000 cases reported in 2021. Micronutrients such as vitamin A and zinc play important roles in immune function and may influence inflammatory responses in TB. The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are potential markers of systemic inflammation; however, evidence regarding their association with dietary micronutrient intake in pulmonary TB patients remains limited, particularly in Indonesia. AIMS: To examine the association between vitamin A and zinc intake and inflammatory markers in pulmonary TB patients. METHODS: A cross-sectional study was conducted among 133 pulmonary TB patients recruited consecutively from March to April 2024 at Persahabatan Hospital. Vitamin A and zinc intake were assessed using a semi-quantitative food frequency questionnaire (SQ-FFQ), while NLR and PLR values were obtained from medical records. Data normality was tested using the Kolmogorov–Smirnov test, and correlations were analyzed using Spearman’s test. The median vitamin A intake was 105.47 RE/day and zinc intake was 7.38 mg/day, with median NLR and PLR of 2.91 and 202.08, respectively. RESULTS: No significant correlations were found between vitamin A or zinc intake and NLR or PLR (p > 0.05). CONCLUSION: In conclusion, vitamin A and zinc intake were not associated with inflammatory markers in pulmonary TB patients, although host-related factors may contribute to the inflammatory response.
Malnutrition and lung cavity formation in pulmonary tuberculosis patients Christi Giovani Anggasta Hanafi; Fariz Nurwidya; Wiji Lestari; Heidy Agustin
World Nutrition Journal Vol. 7 No. 1 (2023): WNJ. Volume 07 Issue 1, August 2023
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/10.25220/WNJ.V07.i1.0005

Abstract

Background: Tuberculosis (TB) is an infectious disease and still major public health threat globally, also one of the leading causes of death worldwide. One of the characteristics found in pulmonary TB patient is lung cavity on their chest radiograph. This is related to many aspects, including slower conversion of sputum cultures, treatment failure and relapse, drug resistance, higher bacillary load, even higher infection transmission rates. Some studies before had found that the lung cavity is affected by many factors, such as elder age, sex, diabetes mellitus, and malnutrition. Meanwhile, malnutrition itself in pulmonary TB patients is found to be related to each other, this article review how malnutrition affects the formation of lung cavity in pulmonary TB patients. Objective: To observe the relationship between malnutrition and lung cavity formation in pulmonary tuberculosis patients. Method: In this paper, we provide a literature review. The method to achieve the objective consists of using literature exploration, which was conducted from October 2022-February 2023 by searching the relevant studies from several databases. Results: Cavity formation in pulmonary TB patients is a complex mechanism from many factors contributing, including the immune system of the host. Studies show that malnutrition in pulmonary TB patients plays important role linked to lung cavity formation since malnutrition affects both innate and cellular immune response in host. Conclusion: Malnutrition is more predominating in pulmonary TB patients and is related to incidence of lung cavity in pulmonary TB patients, therefore plays role in the severity of the disease in pulmonary TB.