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Gaddi A, Cicero A, Dormi A, Bove M. Mo-P1:22 Estimation of familial combined hyperlipoproteinemia prevalence in a South-European population: The Brisighella heart study (BHS). ATHEROSCLEROSIS SUPP 2006. [DOI: 10.1016/s1567-5688(06)80157-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Cicero AFG, Dormi A, Nascetti S, Panourgia MP, Grandi E, D'Addato S, Gaddi A. Relative role of major risk factors for Type 2 diabetes development in the historical cohort of the Brisighella Heart Study: an 8-year follow-up. Diabet Med 2005; 22:1263-6. [PMID: 16108859 DOI: 10.1111/j.1464-5491.2005.01485.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
AIM The aim of this study was to evaluate and quantify the role of different risk factors in the long-term development of Type 2 diabetes mellitus in a rural Italian population. METHODS The Brisighella Heart Study (BHS; 1972-2003) is a prospective, population-based longitudinal epidemiological cohort involving 2939 randomly selected subjects, aged 14-84 years, resident in the rural Italian town of Brisighella. For this study, we randomly selected 1441 adult subjects representative of the Brisighella population; consecutively visited during three BHS surveys. A step-wise Cox regression analysis determined the prognostic significance of each independent risk factor for the development of Type 2 diabetes in the 8-year long follow-up. RESULTS Blood pressure, high-density lipoprotein cholesterol, triglycerides, physical activity, total energy intake, and drug treatment had no effect on the incidence of diabetes. Age was a significant predictor of Type 2 diabetes when inserted alone in the model (P = 0.007), but irrelevant when adjusted for baseline body mass index (BMI) and or fasting plasma glucose. Among these with impaired fasting glucose (IFG), the diabetes incidence/year was estimated to be 6.6% for men and 11.2% for women (P < 0.001). Basal glycaemia under 6.1 mmol/l were not significant long-term predictors of diabetes development, while higher basal glycaemia and each level BMI were. CONCLUSION Our findings confirm that IFG and BMI predict Type 2 diabetes development in our population. This should help to identify effective approaches to prevention.
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Borghi C, Dormi A, Prandin MG, Baraldi O, Veronesi M, Ambrosioni E. Role of Some Individual Factors in the Effect of Statins on Blood Pressure Control in Hypertensive Patients. High Blood Press Cardiovasc Prev 2005. [DOI: 10.2165/00151642-200512030-00026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Prandin MG, Borghi C, Cosentino ER, Esposti DD, Dormi A, Tsamita SC, Veronesi M, Ambrosioni E. Prevalence of Tinnitus in a Population of Hypertensive Patients Referring to a Hypertensive Clinic. High Blood Press Cardiovasc Prev 2005. [DOI: 10.2165/00151642-200512030-00032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Cosentino ER, Esposti DD, De Sanctis D, Veronesi M, Prandin MG, Dormi A, Math, Immordino V, Asong L, Ambrosioni E. Clinical Significance of Tinnitus in Patient with Congestive Heart Failure. High Blood Press Cardiovasc Prev 2005. [DOI: 10.2165/00151642-200512030-00025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Cosentino ER, Borghi C, Esposti DD, Dormi A, Trevisani M, De Sanctis D, Veronesi M, Prandin MG, Immordino V, Ambrosioni E. Role of Non Steroidal Anti-Inflammatory Drugs in the Instability of Clinical Picture of Patients with Heart Failure. High Blood Press Cardiovasc Prev 2005; 12:162-92. [DOI: 10.2165/00151642-200512030-00054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Borghi C, Prandin MG, Costa FV, Dormi A, Immordino V, Veronesi M, Ambrosioni E. Compliance of Antihypertensive Treatment and Monotherapy. High Blood Press Cardiovasc Prev 2005. [DOI: 10.2165/00151642-200512030-00136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Dormi A, Brillante R, Miconi A, Laghi L, Borghi C, D??Addato S. Metabolic Syndrome and Hypertension. High Blood Press Cardiovasc Prev 2005. [DOI: 10.2165/00151642-200512030-00027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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D??Addato S, Dormi A, Borghi C, Miconi A, Gaddi A. Physical Activity and Cardiovascular Disease Mortality. High Blood Press Cardiovasc Prev 2005. [DOI: 10.2165/00151642-200512030-00041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Mazzeo C, Azzaroli F, Giovanelli S, Dormi A, Festi D, Colecchia A, Miracolo A, Natale P, Nigro G, Alberti A, Roda E, Mazzella G. Ten year incidence of HCV infection in northern Italy and frequency of spontaneous viral clearance. Gut 2003; 52:1030-4. [PMID: 12801962 PMCID: PMC1773703 DOI: 10.1136/gut.52.7.1030] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
BACKGROUND Little is known of the incidence of hepatitis C virus (HCV) infection, and the frequency of spontaneous viral clearance in the general population is unknown. We conducted an epidemiological study in two Apennine towns in northern Italy. METHODS Anti-HCV (ELISA and RIBA third generation) and HCV-RNA by polymerase chain reaction were tested in thawed sera from an adult general population of Loiano-Monghidoro in 1986 and 1996, obtained in the context of the MICOL (Multicenter Italian Study on Cholelithiasis). In 1999, anti-HCV positive subjects and sex and age matched controls were recalled in order to identify risk factors for acquiring HCV infection and to assess the family composition of anti-HCV+ subjects. RESULTS For 1646 subjects, sera were available from both 1986 and 1996 (mean age in 1986 43 (0.39) years). In 1986, 57 (3.46%) subjects were HCV antibody positive (HCV-Ab+). Eight new cases were recorded in 1996: adult incidence was 50.3 cases/100 000 inhabitants/year. Fifty three of 63 (84.1%) HCV-Ab+ sera were also HCV-RNA+. Genotype 2a/2c accounted for 44% and 1b for 47.0% of cases. HCV-Ab+ subjects had higher serum levels of alanine aminotransferase with respect to controls (p<0.005), as did subjects infected with genotype 1 with respect to those with genotype 2 (p<0.05). Eleven of 65 (16.9%) HCV-Ab+ subjects spontaneously cleared HCV-Ab; 7/11 also lost HCV-RNA- in both serum and leucocytes. Sixteen anti-HCV+ subjects belonged to families containing more than one infected member. Married couples accounted for 10 of these 16 subjects. In four of these five married couples, HCV genotype was identical in the two spouses. CONCLUSIONS In rural northern Italy, the adult incidence of HCV is approximately 50 cases/100 000 inhabitants/year. Our findings suggest that as many as 17% of infected subjects may spontaneously clear HCV-Ab. Interfamilial transmission seems to have a role in the spread of infection.
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Pugliese M, Esposti DD, Venturoli N, Gaito PM, Ridolfi L, Dormi A, Ghirardini A, Costa AN. Hospital attitude survey on organ donation in the Emilia-Romagna region, Italy. Transpl Int 2001. [DOI: 10.1111/j.1432-2277.2001.tb00080.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Pugliese MR, Degli Esposti D, Venturoli N, Mazzetti Gaito P, Dormi A, Ghirardini A, Costa AN, Ridolfi L. Hospital attitude survey on organ donation in the Emilia-Romagna region, Italy. Transpl Int 2001; 14:411-9. [PMID: 11793039 DOI: 10.1007/s001470100007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
UNLABELLED The role of hospital staff in the organ procurement process is crucial. Nevertheless, there is little literature about their attitudes toward donation. The Donor Action Hospital Attitude Survey (HAS) comprises a series of questions to assess hospital staff's attitudes, beliefs, and knowledge on organ donation and transplantation. Further analysis of the data will help identify any weak areas in the staff viewpoint and information, highlight potential needs for more education on specific issues, and establish a baseline to monitor future improvements. We used the Donor Action HAS in the Emilia-Romagna region, Italy. The aim of this paper is to assess and better understand the personnel's viewpoint in the 12 main hospitals of the region. The survey was carried out among hospital staff involved in organ donation. 1576 responses were collected (52 % of distributed questionnaires), of which 1024 came from nurses, 475 from physicians, and 77 from other backgrounds. Questions were subdivided into categories, and for every point an overall mark (maximum 3/3) was calculated. RESULTS 1. Involvement in donation process during the past year: 1.24 /3, 2. Attitudes to organ donation (OD): 2.51 /3, 3. Skills / Self-confidence in donation practices: 1.36 /3, 4. Satisfaction with local transplant coordinator (TC) services: 2.31 /3. The attitude towards organ donation was positive, 1386 respondents support organ donation. A high percentage (93.6 % of respondents) is of the opinion that transplantation helps save other people's lives. Most uncertainty arises on the question whether donation helps families with grief. It is remarkable that only 53 % of those prepared to donate organs have informed the family of their wish. Many respondents do not feel comfortable performing key tasks close to donation. Major difficulties were observed in explaining to a family the concept of brain death (0.98 /3). Knowledge on the concept of brain-death was one of the most requested subjects for improvement. Emilia-Romagna is the region with one of the highest donation rates in Italy (29.9 pmp in 2000). Nevertheless, more profound knowledge of the local situation could help further improve donation.
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Borghi C, Veronesi M, Prandin MG, Dormi A, Ambrosioni E. Statins and blood pressure regulation. Curr Hypertens Rep 2001; 3:281-8. [PMID: 11470010 DOI: 10.1007/s11906-001-0090-y] [Citation(s) in RCA: 41] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Hypertension and high serum cholesterol levels are two of the most relevant risk factors for cardiovascular diseases. A combined increase in both risk factors has been reported in a significant proportion of patients with coronary artery disease. Statins are the most widely used drugs to treat hypercholesterolemia, and they interact with blood pressure control in different populations of hypertensive patients. A significant reduction in blood pressure associated with the use of statins has been described in patients with untreated hypertension and in patients treated with antihypertensive drugs, particularly angiotensin converting enzyme inhibitors and calcium channel blockers. The effect of statins on blood pressure control has also been reported in diabetic patients. The mechanisms responsible for the hypotensive effect seem to be largely independent of the effect of statins on lipid profile, and are probably related to their interaction with endothelial function or angiotensin II receptors. The capacity of statins to improve blood pressure control could be a useful consideration for an integrated approach to better prevention of cardiovascular diseases.
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Martini C, Rimondi S, Mussoni C, Sangiorgi Z, Dormi A, Gaddi A. Correlation between oxidized LDL antibody plasma level and carotid atheromasia seriousness in normo- and hyperlipidaemic subjects. ATHEROSCLEROSIS SUPP 2001. [DOI: 10.1016/s1567-5688(01)80347-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Gaddi A, Cicero AF, Wani FO, Dormi A, Pasquarelli V, D'Addato S. The realization of a project aimed at reducing the plasmatic lipid level in a large Italian population improves the mean calcium daily intake: the Brisighella Study. Eur J Clin Nutr 2001; 55:97-106. [PMID: 11305632 DOI: 10.1038/sj.ejcn.1601123] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
OBJECTIVES Evaluation of the impact of a coronary heart disease prevention program on calcium, magnesium, phosphorus and vitamin D dietary intake in respect of recommended daily allowances in a large Italian rural population. DESIGN Retrospective analysis of the Brisighella Study dietary data. The Brisighella Study started in 1972 as a longitudinal study on atherosclerosis risk factors. SETTING Brisighella, a rural North Italian village. SUBJECTS The Brisighella population's dietary habits were monitored from 1980 every 4 h through a dietary record sheet. 1,350 constantly tested subjects were subdivided according to NHI Consensus Conference on Calcium RDA. INTERVENTION In 1986, the studied subjects were invited to reduce their consumption of animal fats and cholesterol through a Nutrition Educational Program (NEP). RESULTS Before NEP, calcium intake was low in each sex and age category: 20-40% of the populatioin had a daily intake < 550 mg. In 1988, among the 1350 subjects who constantly completed the questionnaire (M = 651, F = 699), the mean calcium intake significantly rose in all age categories: M = 1,003 (25-65 y) and 877 ( > 65) mg/24h (P < 0.001 vs 1984); F = 923 (25-50), 860 (51-65) and 767 (> 65)mg/24h (P < 0.05). In 1992, 3y after the NEP conclusion, calcium intake dropped in each sex and age category. The NEP influenced vitamin D, phosphorus and magnesium intakes less. CONCLUSIONS A collective NEP aimed at lowering saturated fats and cholesterol intakes, improves the calcium intake; in order to maintain their efficacy on nutritional habit changes, these programs must become an ongoing item.
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Reggiani A, Cicero A, Martini C, Odoo F, Dormi A, Gaddi A. Epidemiology of high density lipoprotein levels in pre- and post-menopause: The Brisighella Heart Study. Atherosclerosis 2000. [DOI: 10.1016/s0021-9150(00)80476-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Dormi A. Pulse pressure (PP) and cardiovascular disease, is PP an independent risk factor? Results from the Brisighella Heart Study (BHS). Am J Hypertens 2000. [DOI: 10.1016/s0895-7061(00)01004-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Nascetti S, D'Addato S, Dormi A, Gaddi A. P52 Brisighella Heart Study: evaluation of compliance to therapy. Atherosclerosis 1999. [DOI: 10.1016/s0021-9150(99)90195-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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D'Addato S, Fiorito A, Bolognesi M, Sangiorgi Z, Dormi A, Gaddi A, Galetti C, Spanò C, Turchetto E. P50 Effects of different vegetable oils in patients with primitive hypercholesterolemia: Preliminary report on CCF-one study. Atherosclerosis 1999. [DOI: 10.1016/s0021-9150(99)90193-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Cicero A, Gaddi A, Galetti C, Dormi A. P24 Correlations between cigarette smoking and lipidic/glycemic plasmatic pattern: a study on the 605 smokers of the Brisighella Heart Study. Atherosclerosis 1999. [DOI: 10.1016/s0021-9150(99)90170-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Cicero A, Mascitti M, Martini C, Mambelli R, Toma M, Dormi A, Gaddi A. Cigarette smoking and lipidic/glycemic plasmatic pattern: A research on 590 smokers of the brisighella heart study. Atherosclerosis 1999. [DOI: 10.1016/s0021-9150(99)80772-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Cicero A, Galetti C, Martini C, Nativio V, Dormi A, Gaddi A. Variability of the lipidic plasmatic phenotypes prevalence in a population and diagnosis of familial combined hyperlipidemia: The Brisighella heart study. Atherosclerosis 1999. [DOI: 10.1016/s0021-9150(99)80542-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Dormi A, Cicero A, Favali D, Mascitti M, Toma M, Gaddi A. Cardiovascular mortality and risk factors trend in a large rural population: The brisighella heart study. Atherosclerosis 1999. [DOI: 10.1016/s0021-9150(99)80547-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mussoni C, Fiorito A, Grippo M, Martini C, Panourgia M, Galetti C, Dormi A, Gaddi A. Effects of hormone-replacement therapy on lipid levels in hypercholesterolemic postmenopausal women. Atherosclerosis 1999. [DOI: 10.1016/s0021-9150(99)80379-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Fiorito A, Mussoni C, Grippo M, Dormi A, Sangiorgi Z, Gaddi A. Omega-3-fatty acids are effective in the treatment of familial hypertrigliceridemic patients. Atherosclerosis 1999. [DOI: 10.1016/s0021-9150(99)80667-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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