Study On The Relationship Between Dietary Nutrition And Tuberculosis In Uygur People

Objective:Analyze of the relationship between dietary nutrition and tuberculosis of Uygur nationality,to accumulate information for the occurrence and development of tuberculosis of Uygur nationality,to study the diet pattern with the dietary habits of Uygur residents,to find the specific nutrients that affect the incidence of tuberculosis,and to provide important basis for diet intervention and regulation of immune status of tuberculosis patients.Methods:100 newly diagnosed and qualified TB patients were collected from the TB clinic of Yining people's Hospital,Yili Prefecture,Xinjiang as the case group,and 100 normal people who participated in the national health examination and met the standard in the same period were selected as the control group,with age and gender comparable between the two groups.At the same time,from the physical examination population and the close contacts of TB patients,we used TST and consultation methods to determine 100 latent TB patients as the latent group.A retrospective dietary survey was conducted among the three groups by using semi quantitative food frequency questionnaire.EpiData input all kinds of food and intake data,calculate the nutrient intake,through factor analysis to establish three groups of people's dietary pattern and obtain the score of each factor,calculate the dietary balance index and China healthy dietary index.SPSS23.0 was used for statistical analysis.Results:1.Basic information : The final sample size is 300 cases,including 100 cases in the case group,1:0.96 for men and women,with an average age of 32.35 ± 13.65 years;100 cases in the control group,1:1 for men and women,with an average age of 28.57 ± 8.83 years;100 cases in the latent group,with a ratio of 1:0.82 for men and women,with an average age of 27.47 ± 7.05 years.2.Comparison of food intake among groups : the average daily intake of Cereals,drinks and salt in the case group of tuberculosis was lower than the control group and the latent group;the average daily intake of potato,beans,vegetables,bacteria and algae,fruits,milk and meat in the tuberculosis group was lower than the control group and higher than the latent group;the average daily intake of fish,shrimp,eggs and soy sauce in the case group of tuberculosis The average daily intake of pastry food in the pulmonary tuberculosis group was higher than that in the control group and lower than that in the latent group.3.Comparison of nutrient intake between groups : The average intakes of energy,carbohydrate,vitamin B1,vitamin B6,vitamin D and niacin in the case group were lower than those in the control group,and lower than those in the latent group;the average intakes of protein,dietary fiber,vitamin B2,vitamin C,calcium,zinc,potassium,sodium,magnesium,copper,selenium and phosphorus in the case group were lower than those in the control group,but higher than those in the latent group;the cholesterol maintenance in the case group of tuberculosis The average intake of iodine a was higher than that of the control group,and higher than that of the latent group.4.Ordered multi classification logistic regression analysis: in terms of diet,intake of more grains,cereals and drinks may be the strengthening factor of TB,which may increase the risk of TB or latent infection;however,intake of more vegetables,appropriate intake of beans,meat and eggs may be the negative strengthening factor of TB,which may reduce the risk of TB or latent infection.In terms of nutrient intake,intake of more carbohydrates and potassium may be the strengthening factors of TB,which may increase the risk of TB or latent infection;intake of more dietary fiber,appropriate vitamin C,more vitamin D,calcium and zinc may be the negative strengthening factors of TB,which may reduce the risk of TB or latent infection.5.Dietary pattern analysis: potato vegetable fruit meat pattern(mainly potato,vegetable,fruit,meat),legume algae fish shrimp egg pattern(mainly beans,bacteria algae,fish shrimp,eggs),oil salt soy sauce pattern(mainly oil,salt,soy sauce)Dairy pastry nut model(dairy,pastry,nut based),beverage grain model(beverage,grain based)and vinegar model(vinegar based).The case group was more inclined to legumes,algae,fish,shrimp and eggs,and less inclined to drink grain model;the latent group was more inclined to drink grain model,less inclined to oil salt soy sauce model.6.Chdi and DBI analysis: the results of both indexes indicate that the case group and the latent group have the situation of unqualified or unbalanced diet compared with the control group,which is more serious in the case group.Compared with the case group,the case group and the latent group tend to be deficient in dietary level.The situation of the latent group is more serious than the case group.The number of mild and moderate deficiency is higher than the case group.Compared with the control group,the number of mild and moderate dietary imbalances in the case group and the latent group is much larger,and the number of dietary imbalances in the case group is higher than that in the latent group.Conclusions:The intakes of Cereals,potatoes,beans,vegetables,bacteria and algae,fruits,milk,meat,salt,protein,vitamin C,vitamin D,niacin,calcium,zinc,selenium and copper in tuberculosis patients and latent infection patients were lower than those in the control group.In the case group and the latent group,the intake of vegetables and aquatic products is insufficient,and the dietary level tends to be insufficient.Compared with the case group,the intake of the latent group is more serious.The number of mild and moderate dietary imbalances in the case group and the latent group is more,and the number of dietary imbalances in the case group is higher than that in the latent group.It is suggested to improve the dietary pattern,supplement the intake of vegetables and aquatic products,and supplement protein,vitamin C,vitamin D,calcium,copper,selenium and zinc in time.