Open Access
Subscription Access
Open Access
Subscription Access
A Study on the Role of Vitamins and Minerals Supplementation in the Treatment of Tuberculosis
Subscribe/Renew Journal
Micronutrient deficiencies are thought to be the most common cause of secondary immunodeficiency and may reduce resistance to infection. The aim of this study was to compare the effect of vitamin A with Zinc and vitamin D with Calcium supplementation on sputum conversion and blood profile during the initial two months of therapy. The study was carried out in forty sputum positive pulmonary tuberculosis patients out of whom only thirty seven cases completed the study. The patients were divided into Group I (n=13) received antitubercular drugs only while group II (n=11) and group III (n=13) received vitamin D with Calcium and vitamin A with zinc respectively along with anti tubercular therapy. After two months of therapy all patients of group III become sputum negative (100%) while in group II and group I, the sputum conversion rate was 90.90% and 84.61% respectively. The two month supplementation of vitamin-A with Zinc and vitamin-D with Calcium in sputum positive pulmonary tuberculosis patients taking anti tubercular therapy complemented the recovery of patients with active tuberculosis and blood profile of these patients was also improved significantly.
Keywords
Pulmonary Tuberculosis, Vitamin, Mineral, Malnutrition, Immunity, Anti-Tubercular Therapy (ATT)
Subscription
Login to verify subscription
User
Font Size
Information
- Dipiro JT, Talbert RL, Yee JC, Marzke GR, Wells BG, Posey LM. Pharmacotherapy division: A Pathophysiologic approach, 6th edition. McGraw Hill Medical Publishing Division, 2006: PP 2015- 2020.
- Walker R and Edwards C. Clinical pharmacy and therapeutics, 3rd edition. Humana press, 2003: 583- 596.
- Mario C. Raviglione, Richard J. O’Brien: Tuberculosis. In Harrisonås Principle of Internal Medicine. 16th edition. McGraw Hill Medical Publishing Division, 2005; Vol-1: PP 953-966.
- Nancy A. Knechel. Tuberculosis: Pathophysiology, Clinical Features, and Diagnosis. Critical Care Nurse 2009; 29: 34-43
- Christopher dye. Global epidemiology of tuberculosis. Lancet 2006; 367: 938-40.
- Rodrigo Mora J, Makoto Iwata and Ulrich H. von Andrian. Vitamin effects on the immune system: vitamins A and D take centre stage. Nature Reviews Immunology 8, September 2008; 685- 698.
- Juliawati Untoro , Siti Muslimatun and Elvina Karyadi. Micronutrient supplementation and its relationships to nutritional status, health and disease. Asia Pacific J Clinical Nutrition, 2002:11(1); 355-359.
- Sita-Lumsden A, Lapthorn G, Swaminathan R, Milburn HJ. Reactivation of tuberculosis and vitamin D deficiency: the contribution of diet and exposure to sunlight. Thorax 2007; 62: 1003-1007
- Henrik Friis, Nyagosya Range, Marianne L. Pedersen, et al. Hypovitaminosis D Is Common among Pulmonary Tuberculosis Patients in Tanzania but is Not Explained by the Acute Phase Response. Journal of Nutrition, Dec 2008; 138(12): 2474-2480.
- Mohan G, Kulshrestha S and Sharma P. Zinc and copper in Indian patient of tuberculosis: Impact on antitubercular therapy. Biological Trace Elemental Research, June, 2006; 111(1-3): 63-69.
- Ramachandran G, Santha T, Garg R, et al. Vitamin A levels in sputum-positive pulmonary tuberculosis patients in comparison with household contacts and healthy ‘normals’. The International Journal of Tuberculosis and Lung Disease, September 2004; 8 (9): 1130-1133(4).
- Koyanagi A, Kuffo D, Gresely L , Shenkin A, Cuevas E. Relationships between serum concentration of C-reactive protein and micronutrient in patients with tuberculosis. Annals of Tropical Medicine and Parasitology, June 2004; 98(4): 391-399(9).
- Davies PD, Brown RC, Woodhead JS. Serum concentration of vitamin D metabolites in untreated tuberculosis. Thorax 1985 ; 40 : 187-190
- Chan T.Y.K. Vitamin D deficiency and susceptibility to tuberculosis. Calcif Tissue Int, 2000; 66: 476-478.
- Murli L Mathur. Role of vitamin A supplementation in the treatment of tuberculosis. Natl med J India, 2007; 20(1): 16-21.
- Santos MS, Meydani SN, Leka L, et al. Natural killer cell activity in elderly men is enhanced by beta- carotene supplementation. American Journal of Clinical Nutrition, 1996; 64: 772-777
- Paras K.Anand, Deepak Kaul, Meena Sharma. Synergistic action of vitamin D and retinoic acid restricts invasion of macrophages by pathogenic mycobacteria. J Microbiol Immunol Infect. 2008; 41:17-25
- Elvina Karyadi , Werner Schultink, Ronald H. H. Nelwan, et al. Poor micronutrient status of active pulmonary tuberculosis patients in Indonesia. Journal of Nutrition. 2000; 130: 2953-2958.
- Eduardo Villamor, Ferdinand Mugusi, Willy Urassa, et al. A trial of the effect of micronutrient supplementation on treatment outcome, T cell counts, Morbidity and Mortality in adults with pulmonary tuberculosis. The journal of infectious disease 2008; 197: 1499-1505.
- Ensiyeh Seyedrezazadeh, Ali Reza Ostadrahimi ,Soltan Ali Mahboob, et al. Vitamin E- selenium supplement and clinical responses of active pulmonary tuberculosis. Tanaffos, 2006; 5( 2 ): 49-55
- Nursyam EW, Amin Z, Rumende CM. The effect of vitamin D as supplementary treatment in patients with moderately advanced pulmonary tuberculosis lesion. Acta med Indones, 2006, Jan- March; 38 (1): 3-5.
- Elvina Karyadi, Clive E West, Werner Schultink, et al. A double-blind, placebo-controlled study of vitamin A and zinc supplementation in persons with tuberculosis in Indonesia: effects on clinical response and nutritional status. Am J Clin Nutr, 2002; 75(4):720-7.
- Range N, Changalucha J, Krarup H, Magnussen P, Andersen AB, Friis H. The effect of multivitamin/ mineral supplementation on mortality during treatment of pulmonary tuberculosis: a randomized two-by-two factorial trial in Mwanza, Tanzania. British Journal of Nutrition, April 2006; 95(4): 762-770.
Abstract Views: 458
PDF Views: 0