Anemia Management Model in Pulmonary Tuberculosis Using Beetroot and Tomato Combined With A High-Calorie and High-Protein Diet



Evarina Sembiring(1), Henny Syapitri(2), Amila Amila(3Mail),
(1) Sari Mutiara Indonesia University, Indonesia
(2) Sari Mutiara Indonesia University, Indonesia
(3) Sari Mutiara indonesia University, Indonesia

Mail Corresponding Author


DOI : https://doi.org/10.30604/jika.v6i1.451

Full Text:    Language : en
Submitted : 2021-02-17
Published : 2021-03-22

Abstract


Beetroots and tomatoes are rich In vitamins, iron, folic acid, and other nutrients that can be used as an alternative in treating anemia. High protein and calorie intake dietary is necessary to improve patients’ nutritional status in pulmonary tuberculosis. The purpose was to examine the effect of beetroot juice consumption, tomato juice combined with a high protein and calorie diet on hemoglobin pulmonary tuberculosis. This research was an analytical comparative with quasi-experimental design by pre-test and post-test control group design. This study was conducted to 45 patients of Pulmonary tuberculosis who having anti-TB treatment at Pulmonary Policlinic Sari Mutiara Medan General Hospital, using purposive sampling technique, divided into three treatment groups. All of the treatments were administered for 30 days, pre and post-treatment were given the hemoglobin test. Data were analyzed by using paired t-test and One Way Anova, followed by Linear Regression. All of three group treatments are having an increasing level of  hemoglobin, mean hemoglobin level in Group I:  2.5 gr/dl, p-value = 0.000., Group II: 1.8 gr/dl. p-value = 0.002. , Control group It:  1.1 gr/dl, p-value = 0.004.Beetroot juice with a diet high in proteins and calories most effective to increase levels of hemoglobin and nutritional status in pulmonary tuberculosis, this intervention can be recommended as a  management modeling of anemia in pulmonary TB patients who received anti-TB treatment.

 

Abstrak: Bit dan tomat kaya dengan vitamin,zat  besi,asam folat dan nutrisi lainnya dapat digunakan sebagai alternatif dalam mengobati anemia. Diet tinggi protein dan kalori diperlukan untuk meningkatkan status gizi pasien tuberkulosis paru. Tujuan penelitian adalah untuk menguji pengaruh konsumsi jus bit,jus tomat yang dikombinasikan dengan diet tinggi protein dan kalori terhadap hemoglobin tuberkulosis paru. Jenis penelitian ini adalah analitik komparatif dengan desain squasi eksperimen pre test  dan post test kontrol. Penelitian ini dilakukan terhadap 45 penderita TB Paru dengan program pengaoabatan  anti TB di Polikilinik  Paru RSU Sari Mutiara ,menggunakan tehnik purposive sampling yang dibagi menjadi 3 kelompok perlakuan.  Semua kelompok dilakukan treatmen selama 30 hari,sebelum dan sesudah treatmen dilakukan pemeriksaan hemoglobin. Analisa data menggunakan uji t berpasangan dan One way Anova dilanjutkan dengan Regresi Linier. Hasil penelitian didapatkan ketiga kelompok perlakuan mengalami peningkatan  kadar hemoglobin, rerata kadar hemoglobin pada  kelompok I: 2.5 gr/dl p .value= 0.00, Kelompok II: 1.8 gr/dl. p-value= 0.002, Kelompok Kontrol: 1.1 gr/dl, p-value= 0.004. Jus bit dengan diet tinggi protein dan kalori paling efektif untuk meningkatkan kadar hemoglobin dan status gizi pada tuberkulosis paru, Intervensi ini dapat direkomdasikan sebagai model dalam managani anemia pada tuberkulosis paru. dengan program pengobatan tanti TB (OAT).


Keywords


Anemia; Pulmonary Tuberculosis; Beetroot Juice; Tomato Juice; High Protein; High Calorie; Diet; Tuberculosis; Jus Bit; Jus Tomat; Diet Tinggi Protein; Diet Kalori

References


Bashir, B., Abdallah, S., & Mohamedani, A. (2015). Anemia among patients with pulmonary tuberculosis in port Sudan, eastern Sudan. International Journal of Recent Scientific Research, 6, 4128–4131.

Bhowmik, D., Kumar, K. P. S., Paswan, S., & Srivastava, S. (2012). Tomato-A Natural Medicine and Its Health Benefits. Phytojournal. 1(1). 33-43

Bolla, K. N. (2015). Soybean Consumption And Health Benefits. Soybean Consumption And Health Benefits, 4(7), 50–53.

Camaschella, C. (2015). Iron-Deficiency Anemia From. N Engl j Med, 372, 1832–1843. https://doi.org/10.1056/NEJMra1401038

Clifford, T., Howatson, G., West, D. J., & Stevenson, E. J. (2015). The potential benefits of red beetroot supplementation in health and disease. Nutrients, 7(4), 2801–2822. https://doi.org/10.3390/nu7042801

Darmawan, M. A., Karima, N. N., & Maulida, N. N. (2017). Potential of Iron Fortification Complex Compounds against Soybean Food for Anemia Problem Solution in Indonesia. Journal of Advanced Agricultural Technologies, 4(2), 185–189. https://doi.org/10.18178/joaat.4.2.185-189

Devi, U., Rao, C. M., Srivastava, V. K., Rath, P. K., & Das, B. S. (2003). Effect of iron supplementation on mild to moderate anaemia in pulmonary tuberculosis. British Journal of Nutrition, 90(3), 541–550. https://doi.org/10.1079/bjn2003936

Dhawan, D., Sharma, S., Ph, I., & Scholar, . D. (2019). Exploration of the Nourishing, Antioxidant and Product Development Potential of Beetroot (Beta Vulgaris) Flour. International Journal of Health Sciences & Research (Www.Ijhsr.Org), 9(6), 280.

Gil-santana, L., Cruz, L. A. B., Arriaga, M. B., Mirand, P. F. C., Fukutani, K. F., Silve, P. S., Silva, E. C., Oliveira, M. G., Mesquita, E. D. D., Rauwerdink, A., Cobelens, F., Oliveira, M. M., Kritski, A., & Andrade, B. B. (2019). Tuberculosis-associated anemia is linked to a distinct inflammatory profile that persists after initiation of antitubercular therapy. December 2018, 1–8. https://doi.org/10.1038/s41598-018-37860-5

Glaziou, P., Falzon, D., Floyd, K., & Raviglione, M. (2013). Global epidemiology of tuberculosis. Seminars in Respiratory and Critical Care Medicine, Oliveira, M. G., Delogo, K. N., Oliveira, H. M. de. https://doi.org/10.1055/s-0032-1333467

Gupta, K., Gupta, R., Atreja, A., Verma, M., & Vishvkarma, S. (2009). Tuberculosis and nutrition. In Lung India. https://doi.org/10.4103/0970-2113.45198

Gurung, L. M., Bhatt, L. D., Karmacharya, I., & Yadav, D. K. (2018). Dietary Practice and Nutritional Status of Tuberculosis Patients in Pokhara: A Cross Sectional Study. Frontiers in Nutrition. https://doi.org/10.3389/fnut.2018.00063

Hidajati, S. S. H. K. (2018). Tomato Fruit Extract Improves the Levels of Hemoglobin (HB) in Pregnant Women the Anaemia who Get Fe Supplementation. International Journal of Science and Research (IJSR).

Isanaka, S., Mugusi, F., Urassa, W., Willett, W. C., Bosch, R. J., Villamor, E., Spiegelman, D., Duggan, C., & Fawzi, W. W. (2012). Iron deficiency and anemia predict mortality in patients with tuberculosis. Journal of Nutrition, 142(2), 350–357. https://doi.org/10.3945/jn.111.144287

Karyadi, E., Schultink, W., Nelwan, R. H. H., Gross, R., Amin, Z., Dolmans, W. M. V., Van Der Meer, J. W. M., Hautvast, J. G. A. J., & West, C. E. (2000). Poor micronutrient status of active pulmonary tuberculosis patients in Indonesia. Journal of Nutrition, 130(12), 2953–2958. https://doi.org/10.1093/jn/130.12.2953

Kavitha, S., & Denish. (2020). An Experimental Study To Determine The Effectiveness Of Beetroot Juice On Hemoglobin Among Girls Of Selected Hostel Girls , Bidar , Karnataka. World Journal Of Advance Healthcare Research, 4(1).

Kemenkes RI. (2018). Infodatin Tuberkulosis. Kementerian Kesehatan RI, 1–8.

Kohli, D., Kumar, S., Upadhyay, S., & Mishra, R. (2017). Preservation and processing of soymilk : A review. International Journal of Food Science and Nutrition.

Kuang, H., Yang, F., Zhang, Y., Wang, T., & Chen, G. (2018). The Impact of Egg Nutrient Composition and Its Consumption on Cholesterol Homeostasis. In Cholesterol. https://doi.org/10.1155/2018/6303810

Kumar, Y. (2015). Beetroot: A Super Food. Internal Journal of Engineering Studies and Technical Approach, 01(3), 1–7.

Lai, H. H., Lai, Y. J., & Yen, Y. F. (2017). Association of body mass index with timing of death during tuberculosis treatment. PLoS ONE. https://doi.org/10.1371/journal.pone.0170104

Lotfi, M., Azizi, M., Tahmasbi, W., & Bashiri, P. (2018). The Effects of Consuming 6 Weeks of Beetroot Juice (Beta vulgaris L.) on Hematological Parameters in Female Soccer Players. Journal of Kermanshah University of Medical Sciences. https://doi.org/10.5812/jkums.82300

Maggini, S., Pierre, A., & Calder, P. C. (2018). Immune function and micronutrient requirements change over the life course. In Nutrients. https://doi.org/10.3390/nu10101531

Messina, M. (2016). Soy and health update: Evaluation of the clinical and epidemiologic literature. In Nutrients. https://doi.org/10.3390/nu8120754

Miranda, J. M., Anton, X., Redondo-Valbuena, C., Roca-Saavedra, P., Rodriguez, J. A., Lamas, A., Franco, C. M., & Cepeda, A. (2015). Egg and egg-derived foods: Effects on human health and use as functional foods. In Nutrients. https://doi.org/10.3390/nu7010706

Neha, P., Sk, J., Nk, J., Hk, J., & Hk, M. (2018). Chemical and functional properties of beetroot (Beta vulgaris L.) for product development: A review. . International Journal of Chemical Studies, 6(3), 3190–3194.

Nthiga, I., Mbithe, D., Mugendi, B., Nyangaresi, D., & Wambui, T. (2017). Dietary practices of pulmonary tuberculosis patients attending clinic at lodwar county and referral. International Journal of Food Science and Nutrition, 2(1), 123–127.

Olga I. Ustinova*, and Y. V. U. (2016). Research Journal of Pharmaceutical , Biological and Chemical Sciences Animal Models. 4(2), 1800–1810.

Oliveira, M. G. (2014). Anemia in hospitalized patients with pulmonary tuberculosis*. J Bras Pneumol. 2014;40(4):403-410. http://dx.doi.org/10.1590/S1806-3713201400040000

Priya, N. G. (2013). Beet root juice on haemoglobin among adolescent girls. IOSR Journal of Nursing and Health Science. https://doi.org/10.9790/1959-0210913

Raiola, A., Rigano, M. M., Calafiore, R., Frusciante, L., & Barone, A. (2014). Enhancing the health-promoting effects of tomato fruit for biofortified food. In Mediators of Inflammation. https://doi.org/10.1155/2014/139873

Ren, Z., Zhao, F., Chen, H., Hu, D., Yu, W., Xu, X., Lin, D., Luo, F., Fan, Y., Wang, H., Cheng, J., & Zhao, L. (2019). Nutritional intakes and associated factors among tuberculosis patients: A cross-sectional study in China. BMC Infectious Diseases. https://doi.org/10.1186/s12879-019-4481-6

Rizwan, F. (2014). A Cross-sectional Study of Morphological Types of Anemia in Pulmonary Tuberculosis Patient and Associated Risk Indicators in a Selected Hospital of Dhaka City, Bangladesh. In International Journal of Chemical, Environmental & Biological Sciences.

Rizzo, G., & Baroni, L. (2018). Soy, soy foods and their role in vegetarian diets. In Nutrients (Vol. 10, Issue 1). https://doi.org/10.3390/nu10010043

Ruxton, C. H. S., Derbyshire, E., & Gibson, S. (2010). The nutritional properties and health benefits of eggs. In Nutrition and Food Science. https://doi.org/10.1108/00346651011043961

Schwenk, A., Hodgson, L., Rayner, C. F. J., Griffin, G. E., & Macallan, D. C. (2003). Leptin and energy metabolism in pulmonary tuberculosis. The American Journal of Clinical Nutrition, 77(2), 392–398. https://doi.org/10.1093/ajcn/77.2.392

WHO. (2018). Global Tuberculosis Report 2017: Leave no one behind - Unite to end TB. In WHO - Technical Report Series;727. http://www.who.int/tb/publications/global_report/gtbr2017_main_text.pdf?ua=1

World Health Organization. (2013). Guideline : Nutritional care and support for patients with tuberculosis. World Health Organization, 54. http://apps.who.int/iris/bitstream/10665/94836/1/9789241506410_eng.pdf


Article Metrics

 Abstract Views : 54 times
 Fulltext (Bahasa Indonesia) Downloaded : 11 times

Dimensions, PlumX, and Google Scholar Metrics

10.30604/jika.v6i1.451



Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.