Mycetoma Research Center, University of Khartoum, Khartoum, Sudan.
The School of Health Sciences, Ahfad University for Women, Omdurman, Sudan.
PLoS Negl Trop Dis. 2024 Jan 2;18(1):e0011726. doi: 10.1371/journal.pntd.0011726. eCollection 2024 Jan.
Nutrition plays a critical and crucial role in addressing neglected tropical diseases (NTDs) and their complications, as they often contribute to malnutrition, which can worsen the impact of these conditions. Therefore, it is necessary to investigate the nutritional status of mycetoma patients, which has not been explored previously. This descriptive cross-sectional hospital-based study was conducted at the Mycetoma Research Center (MRC), University of Khartoum, Sudan. The study included 179 confirmed mycetoma patients and an equal number of age- and sex-matched normal controls. The nutritional status of the mycetoma patients was assessed and compared with that of the control group. The majority of the patients were young adults with varying educational levels, predominantly from Central Sudan. The foot was the most commonly affected part; most patients had lesions more than 10 cm in diameter. The Body Mass Index (BMI) was calculated for both study groups, revealing that 43.5% of the patients and 53.6% of controls had a normal BMI. Furthermore, 36% of patients were underweight, contrasting with only 11% in the control group. Correlation analyses indicated no significant associations between BMI and age groups, educational levels, daily meals, food quantity, and appetite in the study population (p > 0.05). Similarly, no significant differences were observed in BMI concerning disease duration and affected sites (p = 0.0577). The Kruskal-Wallis test did not reveal significant differences in BMI means among the groups. The study revealed that most participants consumed three meals daily, and the control group showed a more robust appetite and consumed more food than the patient group (p = 0.005). Nevertheless, there were no significant differences in the consumption of different food types between the patient and control groups and among different BMI categories (p = 0.025 and 0.040, respectively).
营养在解决被忽视的热带病(NTDs)及其并发症方面起着至关重要的作用,因为它们常常导致营养不良,从而使这些疾病的影响恶化。因此,有必要调查足菌肿患者的营养状况,这方面以前尚未得到研究。这项在苏丹喀土穆大学的足菌肿研究中心(MRC)进行的描述性病例对照医院研究纳入了 179 例确诊的足菌肿患者和 179 例年龄和性别匹配的正常对照者。评估了足菌肿患者的营养状况,并与对照组进行了比较。大多数患者为不同受教育程度的年轻成年人,主要来自中苏丹。最常受影响的部位是脚;大多数患者的病变直径超过 10 厘米。计算了两组的体重指数(BMI),结果显示 43.5%的患者和 53.6%的对照组的 BMI 正常。此外,36%的患者体重不足,而对照组只有 11%。相关性分析表明,在研究人群中,BMI 与年龄组、教育程度、每日进餐次数、食物量和食欲之间没有显著相关性(p>0.05)。同样,BMI 与疾病持续时间和受累部位之间也没有观察到显著差异(p=0.0577)。Kruskal-Wallis 检验也未显示各组 BMI 均值之间存在显著差异。研究表明,大多数参与者每天进食三餐,对照组的食欲更强,进食量多于患者组(p=0.005)。然而,患者组和对照组之间以及不同 BMI 类别之间的不同食物类型的摄入量没有显著差异(p=0.025 和 0.040)。