ArticleJournal of nutrition and metabolism2026
Determinants of Weight Gain Among Adult Tuberculosis Patients During Intensive Phase in East Gojjam Zone Public Health Institutions, Amhara Region, Ethiopia. A Cross-Sectional Study.
Article in Journal of nutrition and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Determinants of Weight Gain Among Adult Tuberculosis Patients During Intensive Phase in East Gojjam Zone Public Health Institutions, Amhara Region, Ethiopia. A Cross-Sectional Study.Journal of nutrition and metabolism · 2026Article
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7 authors.
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Abstract
Background: Ethiopia ranks among the countries with the highest tuberculosis (TB) burden globally. Weight gain during the intensive treatment phase is a reliable indicator of successful TB treatment outcomes; however, evidence on its magnitude and its determinants in Northwest Ethiopia, particularly, in East Gojjam Zone, remains limited. Objective: This study aimed to determine the magnitude of weight gain and its determinants among adult TB patients during the first two months of the intensive treatment phase in East Gojjam Zone public health institutions, Northwest Ethiopia, 2025. Methods: An institution-based cross-sectional study design was conducted from June 4 to August 4, 2025. Using proportional simple random sampling, 619 adult TB patients aged 18+ years under follow-up at public at 31 health institutions were enrolled. Data were collected via interviewer-administered questionnaires and medical record reviews. Binary logistic regression identified determinants factors; variables with Results: Weight gain was achieved by 428 (69.1%) of TB patients (95% CI: 65.4, 72.7) during the intensive phase treatment. Six factors were independently associated with weight gain: completed drug adherence (AOR: 4.12, 95% CI: 3.12-5.71), illness duration ≤ 30 days prior to treatment initiation (AOR: 3.51, 95% CI: 2.17-5.13), supplementary food provision (AOR: 3.03, 95% CI: 1.90-4.83), meal frequency ≥ 3 times/day (AOR: 3.85, 95% CI: 2.41-6.14), good TB knowledge (AOR: 3.19, 95% CI: 2.19-4.05), and favorable attitude toward treatment (AOR: 2.41, 95% CI: 1.13-3.79). Conclusion: Approximately seven in ten adult TB patients achieved weight gain during the intensive treatment phase. Promoting drug adherence, early treatment initiation, nutritional supplementation, adequate meal frequency, and health education targeting TB knowledge and patient attitude are essential strategies for improving weight recovery and treatment outcomes.
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