World Tuberculosis Day 2020: ‘Healthy, balanced diet need of the hour’


By: Lifestyle Desk | New Delhi |

Published: March 24, 2020 8:50:05 pm


world tuberculosis day 2020, world tuberculosis day, indianexpress.com, indianexpress, TB diet, TB patiemts, fats, balanced diet TB patients, TB types, A balanced diet alone cannot be fruitful, unless food hygiene and healthy cooking practices are ensured. (Source: File Photo)

Undernutrition is the most widely prevalent risk factor for development of tuberculosis (TB) in India, as per Sandhya Pandey, chief clinical nutritionist, Fortis Memorial Research Institute, Gurugram. Not only this, it is the major driver of the TB epidemic in India contributing to around half of annual incidences. It impairs immunity and makes the patient vulnerable to multiple infections. Absence of nutrients in the diet can lead to drug-induced hepatotoxicity or drug-induced liver injury, death, relapse after the cure.

Measurements like Body Mass Index (BMI), dietary recall, weight loss history, pathology tests like haemoglobin are analysed to check the nutritional status of TB patients.

Significance of a balanced diet

Much like the importance of regular medication, TB patients and their caregivers need to understand the importance of nutritional requirements. One’s nutritional counselor should emphasise on consumption of a healthy balanced diet to attain the desired protein-intake for energy.

A balanced diet is one that contains an adequate quantity of the nutrients that we require in a day i.e. fats, proteins, carbohydrates, fibre, vitamins and minerals. Though there is no special diet or requirements for TB patients, a diet plan is created according to a person’s BMI and physical activities, mentioned Pandey.

Energy requirements

TB patients have higher energy and protein requirements to refill the exhausted deposits from the body. As recovery occurs, it is very important that patients do not remain completely sedentary, and engage in some physical activity (such as house chores and walking) as tolerated; since it helps build muscle mass and excess fat deposition should be avoided in the regained weight.

The proportion of carbohydrates in the diet recommended is 55-75 per cent of total energy intake, and this is derived from intake of cereals, pulses, roots and tubers and vegetables.

In India, major sources of carbohydrates are cereals like wheat, and rice, and local millets such as jowar, bajra and ragi (high in calcium content, especially recommended for children and lactating women).

Protein requirements

tuberculosis Ensure at least one-fourth of your plate is protein. (Source: File Photo)

The requirements of protein would be 1.2-1.5 g/kg ideal body weight per day. Proteins or the building components can be of animal or plant origin. Proteins of animal origin includes milk, eggs, and meat, whereas a mixture of vegetable proteins from cereals and pulses are available for vegetarians.

Fat requirements

These can comprise 15-30 per cent daily energy intake. Fats are present in oils, nuts, milk and milk products and meat. Groundnuts act as a good source of calories as well as protein. Soyabean oil, mustard oil, butter and ghee can also be taken in moderate amount.

Micronutrients

Anaemia is one of the most prevalent nutrient deficiency disease in TB patients. Micronutrients such as iron and folate, vitamin A, zinc, vitamin D are important for immunity development and fighting mechanism of the busy. Leafy vegetables and fruits are vital sources of vitamins and minerals and these should be a part of the daily diet with five-six servings in each day.

What should be avoided?

• Skip tobacco in all forms.
• Don’t drink alcohol — it can add to the risk of liver damage from some of the drugs used to treat your TB.
• Limit coffee and other caffeinated/carbonated drinks.
• Limit excess use of spices and salt or refined products, like sugar, white breads, and white rice.

Food hygiene and cooking practices

A balanced diet alone cannot be fruitful, unless food hygiene and healthy cooking practices are ensured. Simple steps can avoid several infections like diarrhoea.

*Washing hands before cooking, eating and after using toilet.
*Cleaning vegetables and fruits before consuming.
*Cooking vegetables with a lid to preserve the nutritive value
*Cooking at controlled temperature to prevent destruction of nutrients.

📣 The Indian Express is now on Telegram. Click here to join our channel (@indianexpress) and stay updated with the latest headlines

For all the latest Lifestyle News, download Indian Express App.

© IE Online Media Services Pvt Ltd

60 thoughts on “World Tuberculosis Day 2020: ‘Healthy, balanced diet need of the hour’

  1. Hello! Someone in my Facebook group shared this website with us
    so I came to take a look. I’m definitely enjoying the information. I’m bookmarking and will
    be tweeting this to my followers! Excellent blog and wonderful design.

  2. I really like your blog.. very nice colors & theme. Did you create this website yourself or did you hire someone to do it for you?
    Plz answer back as I’m looking to design my own blog and would
    like to find out where u got this from. thanks a
    lot

  3. Have you ever considered creating an ebook or guest authoring
    on other blogs? I have a blog based upon on the same topics
    you discuss and would love to have you share some stories/information.
    I know my visitors would enjoy your work. If you are even remotely interested, feel free
    to shoot me an e-mail. yynxznuh cheap flights

  4. Having read this I thought it was very informative. I appreciate you spending some time and
    energy to put this information together. I once again find myself spending a lot of time both reading and commenting.
    But so what, it was still worthwhile!

  5. Howdy, i read your blog from time to time and i own a similar one and i was just wondering if you get
    a lot of spam responses? If so how do you reduce it, any
    plugin or anything you can recommend? I get so much lately it’s driving me
    insane so any help is very much appreciated.

Leave a Reply

Your email address will not be published.