Undernutrition and Tuberculosis: Public Health Implications.


Journal

The Journal of infectious diseases
ISSN: 1537-6613
Titre abrégé: J Infect Dis
Pays: United States
ID NLM: 0413675

Informations de publication

Date de publication:
16 04 2019
Historique:
received: 05 08 2018
accepted: 20 11 2018
pubmed: 27 11 2018
medline: 10 1 2020
entrez: 27 11 2018
Statut: ppublish

Résumé

Almost 800 million people are chronically undernourished worldwide, of whom 98% are in low- and middle-income countries where tuberculosis is endemic. In many tuberculosis-endemic countries, undernutrition is a driver of tuberculosis incidence and associated with a high population attributable fraction of tuberculosis and poor treatment outcomes. Data suggest that undernutrition impairs innate and adaptive immune responses needed to control Mycobacterium tuberculosis infection and may affect responses to live vaccines, such as BCG. Given its impact on tuberculosis, addressing undernutrition will be a vital component of the World Health Organization End TB strategy. This narrative review describes the effect of undernutrition on the immune response, vaccine response, and tuberculosis incidence, severity, and treatment outcomes.

Identifiants

pubmed: 30476125
pii: 5197537
doi: 10.1093/infdis/jiy675
pmc: PMC6941617
doi:

Substances chimiques

Vaccines 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S. Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1356-1363

Subventions

Organisme : NCATS NIH HHS
ID : TL1 TR000447
Pays : United States
Organisme : NCATS NIH HHS
ID : TL1 TR002244
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001430
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI042853
Pays : United States
Organisme : NIAID NIH HHS
ID : U19 AI111276
Pays : United States

Commentaires et corrections

Type : CommentIn

Informations de copyright

© The Author(s) 2018. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

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Auteurs

Pranay Sinha (P)

Section of Infectious Diseases, Department of Medicine, Boston University School of Medicine, Massachusetts.

Juliana Davis (J)

Department of Epidemiology, Boston University School of Public Health, Massachusetts.

Lauren Saag (L)

Division of Epidemiology, Vanderbilt University, Nashville, Tennessee.

Christine Wanke (C)

Tufts University School of Medicine, Boston, Massachusetts.

Padmini Salgame (P)

Centre for Emerging Pathogens, Department of Medicine, Rutgers-New Jersey Medical School, Newark.

Jackson Mesick (J)

Department of Epidemiology, Boston University School of Public Health, Massachusetts.
Department of Global Health, Boston University School of Public Health, Massachusetts.

C Robert Horsburgh (CR)

Section of Infectious Diseases, Department of Medicine, Boston University School of Medicine, Massachusetts.
Department of Epidemiology, Boston University School of Public Health, Massachusetts.
Department of Global Health, Boston University School of Public Health, Massachusetts.

Natasha S Hochberg (NS)

Section of Infectious Diseases, Department of Medicine, Boston University School of Medicine, Massachusetts.
Department of Epidemiology, Boston University School of Public Health, Massachusetts.

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Classifications MeSH