Undernutrition assessment and nutrient intake of people with TB in the Philippines

<sec><title>BACKGROUND</title>TB remains a major health concern in the Philippines, with malnutrition worsening patient outcomes. However, limited data on under nutrition and nutrient intake among TB patients hinder effective nutritional care.</sec><sec><title>METHOD</title>This cross-sectional study in Cavite, Philippines, assessed nutritional status, dietary intake, and the feasibility of nutritional assessment, counselling, and support (NACS) in outpatient TB clinics. Adult TB patients from six catchment areas participated. Nutritional status was evaluated using the Subjective Global Assessment questionnaire, and dietary intake was recorded through a 72-h asynchronous video nutrient diary via the SureAdhere app. NACS feasibility was assessed based on health care worker adherence to guidelines.</sec><sec><title>RESULTS</title>Among 141 participants, 88% were malnourished, with 85% classified as mildly/moderately malnourished and 3% as severely malnourished. Macronutrient deficiencies were common, with protein and fat intake at 56% and 51% of requirements, respectively. NACS delivery was feasible, with all participants completing the assessment and receiving nutritional support.</sec><sec><title>CONCLUSION</title>These findings highlight the urgent need for integrating nutritional care into TB management. The successful implementation of NACS in outpatient TB clinics presents an opportunity to enhance patient outcomes and reduce the TB burden in the Philippines.</sec>.