“Triple trouble”: Malnutrition, TB and HIV - CORE Group

TB treatment and nutritionalstatus• TB treatment improves nutritional status, butlimited to gains in fat mass– Alterations in protein metabolism may continue duringtreatment– Typical diet may be inadequate to support lean massrepletion• Randomized controlled trial that provided an energy-protein supplement toTB patients receiving treatment showed gains in lean mass, and greater gripstrength (Paton et al, 2004)• Role for nutritional support during and after TBtreatment, but limited data exist on mosteffective (and cost-effective) approach andneeded duration of support12