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Manzano-Felipe MÁ, Cruz-Cobo C, Bernal-Jiménez MÁ, Santi-Cano MJ. Validation of the General and Sport Nutrition Knowledge Questionnaire (GeSNK) in Spanish Adolescents. Nutrients 2022; 14:nu14245324. [PMID: 36558482 PMCID: PMC9786199 DOI: 10.3390/nu14245324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 12/12/2022] [Accepted: 12/12/2022] [Indexed: 12/23/2022] Open
Abstract
The General and Sport Nutrition Knowledge Questionnaire (GeSNK) is an instrument that has been developed and validated to assess the level of nutrition knowledge in adolescents and young adults. The aim of the present study was to validate the GeSNK questionnaire in a group of Spanish adolescents in the framework of a Nutrition Education Programme in Secondary Schools in Andalusia, Spain. This cross-sectional questionnaire validation study was developed in two phases: translation-cultural adaptation and validation. A total of 305 adolescents aged 11 to 17 years, studying from the first to the third year of compulsory secondary education, participated on a voluntary basis. The GeSNK questionnaire consists of 62 items: 29 items for the General Nutrition section and 33 items for the Sports Nutrition section. Cronbach's alpha coefficient for the complete questionnaire (GeSNK Total) was: 0.934; for the GeSNK General Nutrition section it was 0.918; and for the GeSNK Sports Nutrition section it was 0.856. The stability measured by the correlation coefficient for the General Nutrition section was 0.406 (p = 0.000); for the Sports Nutrition section it was 0.198 (p = 0.017); and for GeSNK Total the stability was 0.545 (p = 0.000). The questionnaire also demonstrated adequate construct validity. We therefore conclude that the Spanish version of the GeSNK questionnaire is a valid instrument to measure the level of knowledge in general nutrition and sports nutrition in adolescents.
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Affiliation(s)
- María Ángeles Manzano-Felipe
- Primary Health Care District of Bay of Cádiz-La Janda, 11006 Cádiz, Spain
- Research Group on Nutrition, Molecular, Pathophysiological and Social Issues, University of Cádiz, 11009 Cádiz, Spain
- Institute of Biomedical Research and Innovation of Cádiz (INiBICA), 11009 Cádiz, Spain
| | - Celia Cruz-Cobo
- Research Group on Nutrition, Molecular, Pathophysiological and Social Issues, University of Cádiz, 11009 Cádiz, Spain
- Institute of Biomedical Research and Innovation of Cádiz (INiBICA), 11009 Cádiz, Spain
- Faculty of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, Spain
| | - María Ángeles Bernal-Jiménez
- Research Group on Nutrition, Molecular, Pathophysiological and Social Issues, University of Cádiz, 11009 Cádiz, Spain
- Institute of Biomedical Research and Innovation of Cádiz (INiBICA), 11009 Cádiz, Spain
- Faculty of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, Spain
| | - María José Santi-Cano
- Research Group on Nutrition, Molecular, Pathophysiological and Social Issues, University of Cádiz, 11009 Cádiz, Spain
- Institute of Biomedical Research and Innovation of Cádiz (INiBICA), 11009 Cádiz, Spain
- Faculty of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, Spain
- Correspondence: ; Tel.: +34-956-019042; Fax: +34-956-015685
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2
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Bagordo F, Panico A, Zizza A, Serio F, Idolo A, Tumolo MR, Guido M, Gambino I, Grassi T. Buccal micronucleus cytome assay in children living in an area with low anthropogenic pressure: The EFFE.BI.P. study. MUTATION RESEARCH. GENETIC TOXICOLOGY AND ENVIRONMENTAL MUTAGENESIS 2022; 873:503424. [PMID: 35094808 DOI: 10.1016/j.mrgentox.2021.503424] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 11/01/2021] [Accepted: 11/03/2021] [Indexed: 12/13/2022]
Abstract
The study aimed to evaluate the micronucleus (MN) frequency in exfoliated buccal cells (EBCs) of 256 6-8-years-old schoolchildren living in a rural area of Salento peninsula (Southern Italy) with low anthropogenic pressure and with a normal rate of chronic diseases in order to determine the basal level of MN and identify which factors are able to influence it. Information about the personal data, lifestyles and dietary habits of the children were obtained by the administration of a questionnaire to their parents. The buccal micronucleus cytome assay was performed to evaluate the presence of early genotoxic effects among the children. In addition, the level of environmental exposure was assessed by sampling atmospheric particulate fractions near the schools attended by participants. The association between MN frequency and individual or environmental factors was also assessed. The children had a mean MN frequency of 0.27 ± 0.43‰ (95%CI = 0.22-0.33). This frequency was positively associated with vehicular traffic (OR = 2.99; 95%CI = 1.15-7.74) and negatively associated with a high educational level of the mother (OR = 0.41; 95%CI = 0.18-0.95) and physical exercise (OR = 0.56; 95%CI = 0.32-0.57). Data on genotoxic effects in buccal cells found in this study could be considered as the MN level in a pediatric population not exposed to environmental pollution.
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Affiliation(s)
- Francesco Bagordo
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Via Monteroni 165, 73100, Lecce, Italy.
| | - Alessandra Panico
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Via Monteroni 165, 73100, Lecce, Italy.
| | - Antonella Zizza
- Institute of Clinical Physiology, National Research Council, 73100, Lecce, Italy.
| | - Francesca Serio
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Via Monteroni 165, 73100, Lecce, Italy.
| | - Adele Idolo
- Department of Prevention, Local Health Authority (ASL LE), 73100, Lecce, Italy.
| | - Maria Rosaria Tumolo
- Institute for Research on Population & Social Policies, National Research Council, Research Unit of Brindisi, c/o ex Osp. Di Summa, Piazza Di Summa, 72100, Brindisi, Italy.
| | - Marcello Guido
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Via Monteroni 165, 73100, Lecce, Italy.
| | - Isabella Gambino
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Via Monteroni 165, 73100, Lecce, Italy.
| | - Tiziana Grassi
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Via Monteroni 165, 73100, Lecce, Italy.
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Wang Z, Zhao L, Huang Q, Hong A, Yu C, Xiao Q, Zou B, Ji S, Zhang L, Zou K, Ning Y, Zhang J, Jia P. Traffic-related environmental factors and childhood obesity: A systematic review and meta-analysis. Obes Rev 2021; 22 Suppl 1:e12995. [PMID: 32003149 PMCID: PMC7988540 DOI: 10.1111/obr.12995] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Accepted: 11/29/2019] [Indexed: 02/05/2023]
Abstract
A growing body of research links traffic-related environmental factors to childhood obesity; however, the evidence is still inconclusive. This review aims to fill this important research gap by systematically reviewing existing research on the relationship between traffic-related environmental factors and childhood obesity. Based on the inclusion criteria, 39 studies are selected with environmental factors of interest, including traffic flow, traffic pollution, traffic noise, and traffic safety. Weight-related behaviours include active travel/transport, physical activity (PA), and intake of a high trans-fat diet or stress symptoms; weight-related outcomes are mainly body mass index (BMI) or BMI z-scores and overweight/obesity. Of 16 studies of weight-related behaviours, significant associations are reported in 11 out of 12 studies on traffic flow (two positively and nine negatively associated with PA), five out of six studies on traffic safety (four positively and one negatively associated with PA), one study on traffic pollution (positively with unhealthy food consumption), and one study on traffic noise (negatively associated with PA). Among 23 studies of weight-related outcomes, significant associations are reported in six out of 14 studies on traffic flow (five positively and one negatively associated with obesity outcome), seven out of 10 studies on traffic pollution (all positively associated with obesity outcome), and two out of five on traffic noise (all positively associated with obesity outcome). Our findings show that long-term traffic pollution is weakly positively associated with children's BMI growth, and traffic flow, pollution, and noise could affect weight-related behaviours. Associations between traffic density and noise and weight status are rather inconclusive.
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Affiliation(s)
- Zhuo Wang
- Department of Chronic and Non-communicable Disease Control and Prevention, Sichuan Center of Disease Control and Prevention, Chengdu, China
| | - Li Zhao
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China.,Healthy Food Evaluation Research Center, Sichuan University, Chengdu, Sichuan, China.,International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China
| | - Qin Huang
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Andy Hong
- International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China.,The George Institute for Global Health, University of Oxford, Oxford, UK
| | - Chao Yu
- State Key Laboratory of Remote Sensing Science, Aerospace Information Research Institute, Chinese Academy of Sciences, Beijing, China
| | - Qian Xiao
- International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China.,Department of Health and Human Physiology, University of Iowa, Iowa City, Iowa.,Department of Epidemiology, University of Iowa, Iowa City, Iowa
| | - Bin Zou
- School of Geosciences and Info-physics, Central South University, Changsha, China
| | - Shuming Ji
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Longhao Zhang
- Office of "Double First Class" Construction, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Kun Zou
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Yi Ning
- International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China.,Meinian Institute of Health, Beijing, China
| | - Junfeng Zhang
- Nicholas School of the Environment, Duke University, Durham, North Carolina.,Global Health Institute, Duke University, Durham, North Carolina.,BIC-ESAT and SKL-ESPC, College of Environmental Sciences and Engineering, Peking University, Beijing, China.,Duke Kunshan University, Kunshan, Jiangsu, China
| | - Peng Jia
- International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China.,Faculty of Geo-information Science and Earth Observation, University of Twente, Enschede, The Netherlands.,Department of Land Surveying and Geo-Informatics, The Hong Kong Polytechnic University, Hong Kong, China
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Paduano S, Borsari L, Salvia C, Arletti S, Tripodi A, Pinca J, Borella P. Risk Factors for Overweight and Obesity in Children Attending the First Year of Primary Schools in Modena, Italy. J Community Health 2021; 45:301-309. [PMID: 31522302 DOI: 10.1007/s10900-019-00741-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Over the last four decades, childhood overweight/obesity has dramatically increased, becoming a significant public health concern. The main aims of this study were to investigate the prevalence of overweight/obesity among first-year primary schools children in Modena and to identify the associated risk factors. Data were collected on the socio-demographic characteristics of family and weight, height, dietary habits and sedentary behaviours of the children, and on the parents' perception of their child's weight status, through an anonymous questionnaire administered to parents. The questionnaires were delivered by 660 out of 890 (74.2%) families, and after excluding those without anthropometric data, 588 children were included in the study. The prevalence of overweight/obesity among the children was 25.2%, significantly lower in children born to parents with a high education, and higher among children born to foreign parents and overweight/obese mothers. The multivariable analysis showed that the children most likely to become overweight/obese were those who skipped breakfast (OR 2.3, 95%CI 1.3-4.2) and/or mid-morning snacks (OR 3.2, 95%CI 1.5-6.5). Breakfast consumption was positively associated with higher parental education levels, whereas skipping mid-morning snacks is more frequent among children born to foreign parents and overweight/obese mothers. Moreover, 84.7% of the parents of overweight/obese children underestimated their child's weight status. One in four 6-7 year-old children is already overweight or obese. Childhood overweight/obesity is significantly associated with unhealthy lifestyles and family lifestyle. It is therefore essential to implement public health intervention programs aimed at both parents and children, in order to promote healthy lifestyles in early childhood.
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Affiliation(s)
- Stefania Paduano
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, Modena, Italy.
| | - Lucia Borsari
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, Modena, Italy
| | - Chiara Salvia
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, Modena, Italy
| | | | - Alberto Tripodi
- Department of Public Health, Food Hygiene and Nutrition Service, AUSL Modena, Modena, Italy
| | - Jenny Pinca
- Department of Public Health, Food Hygiene and Nutrition Service, AUSL Modena, Modena, Italy
| | - Paola Borella
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, Modena, Italy
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5
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Panico A, Grassi T, Bagordo F, Idolo A, Serio F, Tumolo MR, De Giorgi M, Guido M, Tutino M, De Donno A. Micronucleus Frequency in Exfoliated Buccal Cells of Children Living in an Industrialized Area of Apulia (Italy). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17041208. [PMID: 32069990 PMCID: PMC7068596 DOI: 10.3390/ijerph17041208] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 02/05/2020] [Accepted: 02/11/2020] [Indexed: 12/11/2022]
Abstract
Micronuclei (MN) are biomarkers of early biological effect often used for detecting DNA damage in human population exposed to genotoxic agents. The aim of this study was to evaluate the frequency of MN in exfoliated buccal cells of children living in an industrialized (impacted) area compared with that found in children living in a control area without significant anthropogenic impacts. A total of 462 6–8-year-old children (206 in the impacted area, 256 in the control area) attending primary school were enrolled. A questionnaire was administered to the parents of the recruited children to obtain information about personal data, lifestyles, and food habits of their children. Atmospheric particulate fractions were collected near the involved schools to assess the level of environmental exposure of the children. The presence of MN was highlighted in 68.4% of children living in the impacted area with a mean MN frequency of 0.66‰ ± 0.61‰. MN positivity and frequency were significantly lower in the control area (37.1% and 0.27‰ ± 0.43‰, respectively). The frequency of MN was positively associated with quasi-ultrafine particulate matter (PM0.5), traffic near the home, and consuming barbecued food; while adherence to the Mediterranean diet and practicing sport were negatively associated.
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Affiliation(s)
- Alessandra Panico
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
| | - Tiziana Grassi
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
| | - Francesco Bagordo
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
- Correspondence: ; Tel.: +39-832-298-951
| | - Adele Idolo
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
| | - Francesca Serio
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
| | - Maria Rosaria Tumolo
- Institute for Research on Population and Social Policies, National Research Council (IRPPS-CNR), 72100 Brindisi, Italy;
- Institute of Clinical Physiology (CNR-IFC), 73100 Lecce, Italy
| | - Mattia De Giorgi
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
| | - Marcello Guido
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
| | - Maria Tutino
- Regional Agency for Environmental Protection (ARPA Puglia), 70126 Bari, Italy;
| | - Antonella De Donno
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
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6
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Grassi T, Bagordo F, Panico A, De Giorgi M, Idolo A, Serio F, Tumolo MR, De Donno A. Adherence to Mediterranean diet of children living in small Southern Italian villages. Int J Food Sci Nutr 2019; 71:490-499. [DOI: 10.1080/09637486.2019.1679725] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Tiziana Grassi
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
| | - Francesco Bagordo
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
| | - Alessandra Panico
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
| | - Mattia De Giorgi
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
| | - Adele Idolo
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
| | - Francesca Serio
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
| | - Maria Rosaria Tumolo
- Institute for Research on Population and Social Policies, National Research Council (IRPPS-CNR), Brindisi, Italy
| | - Antonella De Donno
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
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7
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A Community Bundle to Lower School-Aged Obesity Rates in a Small Midwestern City. REPORTS 2019. [DOI: 10.3390/reports2030020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background: Multi-component interventions in large communities such as Philadelphia can effectively lower childhood obesity rates. It is less clear whether this type of intervention can be successful in smaller communities with more limited resources. Norwood, Ohio is a small Midwestern city with a population of 19,207. In 2010, Ohio passed a school health law requiring Body Mass Index (BMI) screening of students in kindergarten and grades 3, 5 and 9 along with restrictions on competitive foods and vending machine products and a physical education requirement of 30 min per day. In 2014, Norwood implemented a multi-component childhood obesity prevention and treatment bundle of interventions. Our objective was to describe the effects if this bundle on childhood overweight/obesity (OW/OB) rates. We hypothesized that implementation of the bundle would lower the prevalence of OW/OB in Norwood school children. Methods: In 2012, the Healthy Kids Ohio Act was fully implemented in the Norwood City School District (NCSD). In 2014 a comprehensive bundle was implemented that included: 1. A student gardening program; 2. Supplementation of fresh produce to a local food pantry and a family shelter; 3. A farmers market; 4. A health newsletter; 5. Incentives in the school cafeterias to promote healthy food selection; 6. A 100-mile walking club; 7. “Cook for America” (a “cooked from scratch” intervention for school cafeterias); 8. A school-based obesity treatment clinic; Results: The OW/OB rate in the NCSD was 43% at the time of the Bundle implementation in 2014 and 37% in 2016 (p = 0.029). Conclusions: A childhood OW/OB prevention bundle can be implemented in a small city and is associated with a favorable change in BMI.
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Bansal E, Placidi D, Carver S, Renzetti S, Giorgino A, Cagna G, Zoni S, Fedrighi C, Montemurro M, Oppini M, Conversano M, Guazzetti S, Wright RO, Smith D, Claudio L, Lucchini RG. Metabolic Outcomes in Southern Italian Preadolescents Residing Near an Industrial Complex: The Role of Residential Location and Socioeconomic Status. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E2036. [PMID: 31181712 PMCID: PMC6603983 DOI: 10.3390/ijerph16112036] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/13/2019] [Revised: 06/02/2019] [Accepted: 06/06/2019] [Indexed: 11/25/2022]
Abstract
Evidence suggests that environmental exposures and socioeconomic factors may interact to produce metabolic changes in children. We assessed the influence of residential location and socioeconomic status (SES) on pediatric body mass index (BMI) Z-score and fasting blood glucose (FBG) concentration. Participants included 214 children aged 6-11 years who live near a large industrial complex in Taranto, Italy. Participants were grouped into residential zones based on the distance between their home address and the complex periphery (Zone 1: 0.000-4.999 km, Zone 2: 5.000-9.999 km, Zone 3: 10.000-15.000 km). BMI Z-scores were calculated via World Health Organization (WHO) pediatric reference curves. FBG was obtained via venous blood sampling. Closer residential location to the industrial complex on the order of 5.000 km was significantly associated with worsened metabolic outcomes, particularly in female children. Zone 1 participants had higher BMI-adjusted FBG than Zone 2 and 3 participants (p < 0.05 versus Zone 2; p < 0.01 versus Zone 3). SES did not significantly influence BMI-adjusted FBG. Moreover, BMI Z-scores indicated high rates of overweight (22.0%) and obesity (22.9%) in the cohort. BMI Z-score was not significantly associated with SES or residential zone but was negatively associated with maternal education level (p < 0.05). These results offer new evidence that residing near industrial activity may predict adverse effects on child metabolic health.
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Affiliation(s)
- Esha Bansal
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy.
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
| | - Donatella Placidi
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy.
| | - Shaye Carver
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy.
- Department of Biology, Morrissey College of Arts and Sciences, Boston College, Chestnut Hill, PA 02467, USA.
| | - Stefano Renzetti
- Department of Molecular and Translational Medicine, University of Brescia, 25123 Brescia, Italy.
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy.
| | - Augusto Giorgino
- Department of Prevention, Local Health Authority of Taranto, 74121 Taranto, Italy.
| | - Giuseppa Cagna
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy.
| | - Silvia Zoni
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy.
| | - Chiara Fedrighi
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy.
| | - Miriana Montemurro
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy.
- Department of Prevention, Local Health Authority of Taranto, 74121 Taranto, Italy.
| | - Manuela Oppini
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy.
| | - Michele Conversano
- Department of Prevention, Local Health Authority of Taranto, 74121 Taranto, Italy.
| | - Stefano Guazzetti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy.
- Local Health Authority of Reggio Emilia, 42122 Reggio Emilia, Italy.
| | - Robert O Wright
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
| | - Donald Smith
- Department of Microbiology and Environmental Toxicology, University of California Santa Cruz, Santa Cruz, CA 95064, USA.
| | - Luz Claudio
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
| | - Roberto G Lucchini
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy.
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
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9
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Bonetta S, Bonetta S, Schilirò T, Ceretti E, Feretti D, Covolo L, Vannini S, Villarini M, Moretti M, Verani M, Carducci A, Bagordo F, De Donno A, Bonizzoni S, Bonetti A, Pignata C, Carraro E, Gelatti U. Mutagenic and genotoxic effects induced by PM 0.5 of different Italian towns in human cells and bacteria: The MAPEC_LIFE study. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2019; 245:1124-1135. [PMID: 30682747 DOI: 10.1016/j.envpol.2018.11.017] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Revised: 10/15/2018] [Accepted: 11/05/2018] [Indexed: 06/09/2023]
Abstract
Particulate matter (PM) is considered an atmospheric pollutant that mostly affects human health. The finest fractions of PM (PM2.5 or less) play a major role in causing chronic diseases. The aim of this study was to investigate the genotoxic effects of PM0.5 collected in five Italian towns using different bioassays. The role of chemical composition on the genotoxicity induced was also evaluated. The present study was included in the multicentre MAPEC_LIFE project, which aimed to evaluate the associations between air pollution exposure and early biological effects in Italian children. PM10 samples were collected in 2 seasons (winter and spring) using a high-volume multistage cascade impactor. The results showed that PM0.5 represents a very high proportion of PM10 (range 10-63%). PM0.5 organic extracts were chemically analysed (PAHs, nitro-PAHs) and tested by the comet assay (A549 and BEAS-2B cells), MN test (A549 cells) and Ames test on Salmonella strains (TA100, TA98, TA98NR and YG1021). The highest concentrations of PAHs and nitro-PAHs in PM0.5 were observed in the Torino, Brescia and Pisa samples in winter. The Ames test showed low mutagenic activity. The highest net revertants/m3 were observed in the Torino and Brescia samples (winter), and the mutagenic effect was associated with PM0.5 (p < 0.01), PAH and nitro-PAH (p < 0.05) concentrations. The YG1021 strain showed the highest sensitivity to PM0.5 samples. No genotoxic effect of PM0.5 extracts was observed using A549 cells except for some samples in winter (comet assay), while BEAS-2B cells showed light DNA damage in the Torino, Brescia and Pisa samples in winter, highlighting the higher sensitivity of BEAS-2B cells, which was consistent with the Ames test (p < 0.01). The results obtained showed that it is important to further investigate the finest fractions of PM, which represent a relevant percentage of PM10, taking into account the chemical composition and the biological effects induced.
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Affiliation(s)
- Sara Bonetta
- Department of Public Health and Pediatrics, University of Torino, 94 Piazza Polonia, 10126 Torino, Italy.
| | - Silvia Bonetta
- Department of Public Health and Pediatrics, University of Torino, 94 Piazza Polonia, 10126 Torino, Italy.
| | - Tiziana Schilirò
- Department of Public Health and Pediatrics, University of Torino, 94 Piazza Polonia, 10126 Torino, Italy.
| | - Elisabetta Ceretti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 11 Viale Europa, 25123 Brescia, Italy.
| | - Donatella Feretti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 11 Viale Europa, 25123 Brescia, Italy.
| | - Loredana Covolo
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 11 Viale Europa, 25123 Brescia, Italy.
| | - Samuele Vannini
- Department of Pharmaceutical Sciences, University of Perugia, Via del Giochetto, 06122 Perugia, Italy.
| | - Milena Villarini
- Department of Pharmaceutical Sciences, University of Perugia, Via del Giochetto, 06122 Perugia, Italy.
| | - Massimo Moretti
- Department of Pharmaceutical Sciences, University of Perugia, Via del Giochetto, 06122 Perugia, Italy.
| | - Marco Verani
- Department of Biology, University of Pisa, 35/39 Via S. Zeno, 56127 Pisa, Italy.
| | - Annalaura Carducci
- Department of Biology, University of Pisa, 35/39 Via S. Zeno, 56127 Pisa, Italy.
| | - Francesco Bagordo
- Department of Biological and Environmental Science and Technology, University of Salento, 165 Via Monteroni, 73100 Lecce, Italy.
| | - Antonella De Donno
- Department of Biological and Environmental Science and Technology, University of Salento, 165 Via Monteroni, 73100 Lecce, Italy.
| | | | - Alberto Bonetti
- Centro Servizi Multisettoriale e Tecnologico - CSMT Gestione S.c.a.r.l., 45 Via Branze, 25123 Brescia, Italy.
| | - Cristina Pignata
- Department of Public Health and Pediatrics, University of Torino, 94 Piazza Polonia, 10126 Torino, Italy.
| | - Elisabetta Carraro
- Department of Public Health and Pediatrics, University of Torino, 94 Piazza Polonia, 10126 Torino, Italy.
| | - Umberto Gelatti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 11 Viale Europa, 25123 Brescia, Italy.
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Psychomotor Limitations of Overweight and Obese Five-Year-Old Children: Influence of Body Mass Indices on Motor, Perceptual, and Social-Emotional Skills. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16030427. [PMID: 30717253 PMCID: PMC6388181 DOI: 10.3390/ijerph16030427] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Revised: 01/04/2019] [Accepted: 01/29/2019] [Indexed: 12/22/2022]
Abstract
The present research aimed to study the psycho-motor performance of five-year-old children with different body mass indices (BMI). A total of 694 pre-school children in the province of Albacete-Spain participated. Their performance in motor, perceptual, and social-emotional skills was analyzed using a standardized observation sheet (Checklist of Psychomotor Activities—CPA) and then compared according to their BMI using non-parametric statistical methods (Mann-Whitney test). Separate comparisons were made for girls and boys. Results indicated significant differences in performance amongst the groups of girls in all the motor and perceptual activities, and in the social relationships component of the social-emotional factor. These differences seemed to penalize motor activities, perceptual skills, and social relationships in overweight and obese girls compared to normal weight girls. In the case of boys, there were significant differences in laterality and visual-motor coordination (favoring overweight boys). Differences in respiratory control were also found, but in this case, penalizing obese boys compared to normal weight boys. Knowledge of possible psychomotor limitations in obese children could allow psychologists and healthcare professionals to design more focused interventions.
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Frondelius K, Oudin A, Malmqvist E. Traffic-Related Air Pollution and Child BMI-A Study of Prenatal Exposure to Nitrogen Oxides and Body Mass Index in Children at the Age of Four Years in Malmö, Sweden. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15102294. [PMID: 30347657 PMCID: PMC6210059 DOI: 10.3390/ijerph15102294] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 09/28/2018] [Accepted: 10/16/2018] [Indexed: 12/21/2022]
Abstract
Traffic-related air pollution could be a danger to the health of children. Earlier studies have linked prenatal exposure to an increased risk of a range of diseases and negative health outcomes, including overweight and obesity. Presently, a knowledge gap exists in investigating the risk of overweight and obesity among children exposed to lower levels of air pollution in utero. This study aimed to investigate the relationship between prenatal traffic-related air pollution (nitrogen dioxides (NOx) and traffic density) and childhood overweight and obesity in Malmö, Sweden. A cohort, based on attendance of a four-year check-up examination at Swedish Child Health Care (CHC) centers, and a parent-assessed questionnaire provided data on body-mass index adjusted for four-year-old children (ISO-BMI) as well as socioeconomic and health variables. We estimated exposure by using traffic density and levels of NOx at the maternal geocoded residential level. Analysis of 5815 children was performed using binary logistic regression models. This study showed no associations of increased risk for childhood overweight or obesity through to prenatal exposure to NOx in this low-exposure setting. We further suggest analysis of risks related to exposure levels ranging between the ones presented here and those proposed in previous literature.
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Affiliation(s)
- Kasper Frondelius
- Occupational and Environmental Medicine, Department for Laboratory Medicine, Lund University, 221 85 Lund, Sweden.
| | - Anna Oudin
- Occupational and Environmental Medicine, Department for Laboratory Medicine, Lund University, 221 85 Lund, Sweden.
| | - Ebba Malmqvist
- Occupational and Environmental Medicine, Department for Laboratory Medicine, Lund University, 221 85 Lund, Sweden.
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12
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De Donno A, De Giorgi M, Bagordo F, Grassi T, Idolo A, Serio F, Ceretti E, Feretti D, Villarini M, Moretti M, Carducci A, Verani M, Bonetta S, Pignata C, Bonizzoni S, Bonetti A, Gelatti U. Health Risk Associated with Exposure to PM 10 and Benzene in Three Italian Towns. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E1672. [PMID: 30082675 PMCID: PMC6121301 DOI: 10.3390/ijerph15081672] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/25/2018] [Revised: 07/25/2018] [Accepted: 08/02/2018] [Indexed: 11/29/2022]
Abstract
Air pollution in urban areas is a major concern as it negatively affects the health of a large number of people. The purpose of this study was to assess the inhalation health risk for exposure to PM10 and benzene of the populations living in three Italian cities. Data regarding PM10 and benzene daily measured by "traffic" stations and "background" stations in Torino, Perugia, and Lecce during 2014 and 2015 were compared to the limits indicated in the Directive 2008/50/EC. In addition, an inhalation risk analysis for exposure to benzene was performed for adults and children by applying the standard United States Environmental Protection Agency's (USEPA) methodology. The levels of PM10 detected in Torino exceeded the legal limits in both years with an increased mean concentration >10 µg/m³ comparing with background station. Benzene concentrations never exceeded the legislative target value. The increased cancer risk (ICR) for children exposed to benzene was greater than 1 × 10-6 only in the city of Torino, while for adults, the ICR was higher than 1 × 10-6 in all the cities. The results suggest the need for emission reduction policies to preserve human health from continuous and long exposure to air pollutants. A revision of legal limits would also be recommended.
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Affiliation(s)
- Antonella De Donno
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
| | - Mattia De Giorgi
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
| | - Francesco Bagordo
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
| | - Tiziana Grassi
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
| | - Adele Idolo
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
| | - Francesca Serio
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
| | - Elisabetta Ceretti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11, 25123 Brescia, Italy.
| | - Donatella Feretti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11, 25123 Brescia, Italy.
| | - Milena Villarini
- Department of Pharmaceutical Sciences, University of Perugia, Via del Giochetto, 06122 Perugia, Italy.
| | - Massimo Moretti
- Department of Pharmaceutical Sciences, University of Perugia, Via del Giochetto, 06122 Perugia, Italy.
| | - Annalaura Carducci
- Department of Biology, University of Pisa, Via S. Zeno 35/39, 56126 Pisa, Italy.
| | - Marco Verani
- Department of Biology, University of Pisa, Via S. Zeno 35/39, 56126 Pisa, Italy.
| | - Silvia Bonetta
- Department of Public Health and Pediatrics, University of Torino, Piazza Polonia 94, 10126 Torino, Italy.
| | - Cristina Pignata
- Department of Public Health and Pediatrics, University of Torino, Piazza Polonia 94, 10126 Torino, Italy.
| | | | - Alberto Bonetti
- Centro Servizi Multisettoriale e Tecnologico⁻CSMT Gestione Scarl., via Branze 45, 25123 Brescia, Italy.
| | - Umberto Gelatti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11, 25123 Brescia, Italy.
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13
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Idolo A, Grassi T, Bagordo F, Panico A, De Giorgi M, Serio F, Guido M, Piscitelli P, De Filippis G, Raho A, De Donno A. Micronuclei in Exfoliated Buccal Cells of Children Living in a Cluster Area of Salento (Southern Italy) with a High Incidence of Lung Cancer: The IMP.AIR Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15081659. [PMID: 30081588 PMCID: PMC6121539 DOI: 10.3390/ijerph15081659] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/25/2018] [Revised: 07/31/2018] [Accepted: 08/01/2018] [Indexed: 11/24/2022]
Abstract
During the years 2014–2016 the University of Salento performed the “Impact of Air Quality on Health of Residents in the Municipalities of Cutrofiano, Galatina, Sogliano Cavour, Soleto and Sternatia” (IMP.AIR) study, an epidemiological-molecular research project aiming to evaluate early DNA damage in children living in an area of Salento with high incidence of lung cancer among the male population. One hundred and twenty-two children aged 6–8 years attending primary school were enrolled and the frequency of micronucleated cells (MNC) in oral mucosa was evaluated. In addition, a questionnaire was administered to parents to obtain information about personal data, anthropometric characteristics and lifestyles (physical activity, food habits, family context) of the children and perform a multivariate analysis to detect any factors associated with MNC occurrence. Data on airborne pollutants detected in the study area were acquired by the Regional Agency for the Environmental Protection. The presence of MNC was highlighted in about 42% of children with a mean MNC frequency of 0.49‰. The frequency of MNC was associated to obesity, consumption of red or processed meat and having a mother who smokes. Moreover, the prevalence of biomarkers was higher than in another area of Salento not included in the cluster area.
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Affiliation(s)
- Adele Idolo
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
| | - Tiziana Grassi
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
| | - Francesco Bagordo
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
| | - Alessandra Panico
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
| | - Mattia De Giorgi
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
| | - Francesca Serio
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
| | - Marcello Guido
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
- Interuniversity Research Centre on Influenza and other Tnsmitted Infections (CIRI-IT), 16132 Genoa, Italy.
| | - Prisco Piscitelli
- Local Health Authority ASL LE, 73100 Lecce, Italy.
- Euro Mediterranean Scientific Biomedical Institute, 72100 Brindisi, Italy.
| | | | | | - Antonella De Donno
- Department of Biological and Environmental Science and Technology, University of Salento, via Monteroni 165, 73100 Lecce, Italy.
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14
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Buccal micronucleus cytome assay in primary school children: A descriptive analysis of the MAPEC_LIFE multicenter cohort study. Int J Hyg Environ Health 2018; 221:883-892. [PMID: 29914775 DOI: 10.1016/j.ijheh.2018.05.014] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Revised: 05/22/2018] [Accepted: 05/30/2018] [Indexed: 01/24/2023]
Abstract
BACKGROUND Recent data support the hypothesis that genetic damage occurring early in life during childhood can play an important role in the development of chronic diseases in adulthood, including cancer. OBJECTIVES The objective of this paper, part of the MAPEC_LIFE project, is to describe the frequency of micronuclei and meta-nuclear alterations in exfoliated buccal cells of 6-8year-old Italian children recruited in five Italian towns (i.e., Brescia, Torino, Pisa, Perugia and Lecce) with different air pollution levels. METHODS About 200 children per town were recruited from primary schools. Biological samples were collected twice from the same children, in two different seasons (winter 2014-15 and late spring 2015). Cytogenetic damage was evaluated by the buccal micronucleus cytome assay. RESULTS Overall,n = 1046 children represent the final cohort of the MAPEC_LIFE study. On the whole, the results showed a higher mean MN frequency in winter (0.42 ± 0.54‰) than late-spring (0.22 ± 0.34‰). MN frequency observed among the five Italian towns showed a trend that follows broadly the levels of air pollution in Italy: the highest MN frequency was observed in Brescia during both seasons, the lowest in Lecce (winter) and Perugia (late-spring). CONCLUSIONS To the best of our knowledge, the number of recruited children included in the analysis (n = 1046) is the highest compared to previous studies evaluating the frequency of MN in exfoliated buccal cells so far. MN frequency was associated with winter season and living in towns at various levels of air pollution, suggesting an important role of this exposure in determining early cytogenetic effects.
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15
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Gong QH, Li SX, Li H, Cui J, Xu GZ. Insufficient Sleep Duration and Overweight/Obesity among Adolescents in a Chinese Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15050997. [PMID: 29762538 PMCID: PMC5982036 DOI: 10.3390/ijerph15050997] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Revised: 05/11/2018] [Accepted: 05/12/2018] [Indexed: 12/19/2022]
Abstract
OBJECTIVES The objective of this study was to investigate the relationship between sleep duration and overweight/obesity among Chinese adolescents. METHODS A school-based cross-sectional study was conducted among Chinese adolescents in 2016. In total, 2795 school-aged Chinese children aged 12 to 13 years participated in this study. Participants were asked to complete self-administered surveys during a 45-min class period in their classroom. Details of the questionnaire about health-related behaviors included sleep habits, physical activity, screen time, cigarette use, and alcohol use. Height, weight, waist circumference and hip circumference were directly measured. RESULTS The mean sleep duration was 8.7 h/day. In total, 43.0% of the participants had a sleep duration of less than 9 h/day. Sleep duration was significantly inversely related to BMI, waist circumference, hip circumference and WHtR in multiple linear regression analyses in both genders. Logistic regression models showed that insufficient sleep (<9 h/day) was associated with high odds of overweight/obesity among both young boys and girls. CONCLUSIONS Insufficient sleep duration was associated with overweight/obesity in Chinese adolescents, and short sleep duration was probably associated with central adiposity, especially among boys.
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Affiliation(s)
- Qing-Hai Gong
- Ningbo Center for Disease Control and Prevention, Ningbo 315010, China.
| | - Si-Xuan Li
- Ningbo Center for Disease Control and Prevention, Ningbo 315010, China.
| | - Hui Li
- Ningbo Center for Disease Control and Prevention, Ningbo 315010, China.
| | - Jun Cui
- Ningbo Center for Disease Control and Prevention, Ningbo 315010, China.
| | - Guo-Zhang Xu
- Ningbo Center for Disease Control and Prevention, Ningbo 315010, China.
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16
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Fioravanti S, Cesaroni G, Badaloni C, Michelozzi P, Forastiere F, Porta D. Traffic-related air pollution and childhood obesity in an Italian birth cohort. ENVIRONMENTAL RESEARCH 2018; 160:479-486. [PMID: 29078141 DOI: 10.1016/j.envres.2017.10.003] [Citation(s) in RCA: 60] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Revised: 10/03/2017] [Accepted: 10/03/2017] [Indexed: 06/07/2023]
Abstract
BACKGROUND Air pollution is associated with several adverse health outcomes in children, such as respiratory illnesses and cognitive development impairment. There are suggestions of an effect of traffic-related air pollution on the occurrence of childhood obesity, but the results are not consistent. OBJECTIVES The aim of the study is to analyse whether air pollution and vehicular traffic exposure, during the first four years of life, influence obesity- related measures among 4 and 8-year-old children from a prospective birth cohort in Rome. METHODS A cohort of newborns, enrolled in 2003-2004 within the GASPII project, was followed at 4 and 8 years of age with parental interviews and clinical examinations. Air pollution was assessed at residential address using Land Use Regression models (for NO2, NOx, PM10, PM2.5, PMcoarse, PM2.5 absorbance and one traffic variable (Total traffic load of all roads in a 100m buffer)). The outcomes under study were body mass index (BMI Z-scores according to WHO recommendations, considered both categorical and continuous) measured at 4 and 8 years, and, waist circumference, waist-to-hip ratio, total and HDL cholesterol measured at 8 years. The associations were evaluated through both cross-sectional and longitudinal approaches, using logistic regression models, Generalized Estimating Equation models (GEE) and linear regression models, as appropriate. Moreover, Inverse Probability Weighting (IPW) methodology was used to account for selection bias at enrolment and at follow-up. RESULTS A total of 719 infants were enrolled and 581 (80.8%) and 499 (69.4%) were followed at 4 and 8 years, respectively. The prevalence of overweight/obesity was 9.3% and 36.9% at 4 and 8 years. No evidence of an association was found between vehicular traffic and being overweight/obese. Similarly, there was no evidence of an association between exposure to air pollutants and all other ponderal excess parameters. CONCLUSIONS The study shows no association between exposure to vehicular traffic and exposure to pollutants on obesity related parameters such as BMI, blood lipids and abdominal adiposity during childhood. Overall evidence of air pollution being obesogenic remains limited.
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Affiliation(s)
- Sara Fioravanti
- Department of Statistical Science University of Rome "La Sapienza", Piazzale Aldo Moro, 5, 00185 Rome, Italy; Department of Epidemiology of the Lazio Regional Health Service, Via Cristoforo Colombo, 112, 00147 Rome, Italy.
| | - Giulia Cesaroni
- Department of Epidemiology of the Lazio Regional Health Service, Via Cristoforo Colombo, 112, 00147 Rome, Italy.
| | - Chiara Badaloni
- Department of Epidemiology of the Lazio Regional Health Service, Via Cristoforo Colombo, 112, 00147 Rome, Italy.
| | - Paola Michelozzi
- Department of Epidemiology of the Lazio Regional Health Service, Via Cristoforo Colombo, 112, 00147 Rome, Italy.
| | - Francesco Forastiere
- Department of Epidemiology of the Lazio Regional Health Service, Via Cristoforo Colombo, 112, 00147 Rome, Italy.
| | - Daniela Porta
- Department of Epidemiology of the Lazio Regional Health Service, Via Cristoforo Colombo, 112, 00147 Rome, Italy.
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17
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Calella P, Iacullo VM, Valerio G. Validation of a General and Sport Nutrition Knowledge Questionnaire in Adolescents and Young Adults: GeSNK. Nutrients 2017; 9:nu9050439. [PMID: 28468271 PMCID: PMC5452169 DOI: 10.3390/nu9050439] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Revised: 04/19/2017] [Accepted: 04/21/2017] [Indexed: 01/05/2023] Open
Abstract
Good knowledge of nutrition is widely thought to be an important aspect to maintaining a balanced and healthy diet. The aim of this study was to develop and validate a new reliable tool to measure the general and the sport nutrition knowledge (GeSNK) in people who used to practice sports at different levels. The development of (GeSNK) was carried out in six phases as follows: (1) item development and selection by a panel of experts; (2) pilot study in order to assess item difficulty and item discrimination; (3) measurement of the internal consistency; (4) reliability assessment with a 2-week test-retest analysis; (5) concurrent validity was tested by administering the questionnaire along with other two similar tools; (6) construct validity by administering the questionnaire to three groups of young adults with different general nutrition and sport nutrition knowledge. The final questionnaire, consisted of 62 items of the original 183 questions. It is a consistent, valid, and suitable instrument that can be applied over time, making it a promising tool to look at the relationship between nutrition knowledge, demographic characteristics, and dietary behavior in adolescents and young adults.
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Affiliation(s)
- Patrizia Calella
- Department of Movement Sciences and Wellbeing, Parthenope University, Naples, Italy.
| | | | - Giuliana Valerio
- Department of Movement Sciences and Wellbeing, Parthenope University, Naples, Italy.
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18
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Bagordo F, De Donno A, Grassi T, Guido M, Devoti G, Ceretti E, Zani C, Feretti D, Villarini M, Moretti M, Salvatori T, Carducci A, Verani M, Casini B, Bonetta S, Carraro E, Schilirò T, Bonizzoni S, Bonetti A, Gelatti U. Lifestyles and socio-cultural factors among children aged 6-8 years from five Italian towns: the MAPEC_LIFE study cohort. BMC Public Health 2017; 17:233. [PMID: 28264671 PMCID: PMC5339991 DOI: 10.1186/s12889-017-4142-x] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2016] [Accepted: 02/23/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Lifestyles profoundly determine the quality of an individual's health and life since his childhood. Many diseases in adulthood are avoidable if health-risk behaviors are identified and improved at an early stage of life. The aim of the present research was to characterize a cohort of children aged 6-8 years selected in order to perform an epidemiological molecular study (the MAPEC_LIFE study), investigate lifestyles of the children that could have effect on their health status, and assess possible association between lifestyles and socio-cultural factors. METHODS A questionnaire composed of 148 questions was administered in two different seasons to parents of children attending 18 primary schools in five Italian cities (Torino, Brescia, Pisa, Perugia and Lecce) to obtain information regarding the criteria for exclusion from the study, demographic, anthropometric and health information on the children, as well as some aspects on their lifestyles and parental characteristics. The results were analyzed in order to assess the frequency of specific conditions among the different seasons and cities and the association between lifestyles and socio-economic factors. RESULTS The final cohort was composed of 1,164 children (50.9 boys, 95.4% born in Italy). Frequency of some factors appeared different in terms of the survey season (physical activity in the open air, the ways of cooking certain foods) and among the various cities (parents' level of education and rate of employment, sport, traffic near the home, type of heating, exposure to passive smoking, ways of cooking certain foods). Exposure to passive smoking and cooking fumes, obesity, residence in areas with heavy traffic, frequency of outdoor play and consumption of barbecued and fried foods were higher among children living in families with low educational and/or occupational level while children doing sports and consuming toasted bread were more frequent in families with high socio-economic level. CONCLUSIONS The socio-economic level seems to affect the lifestyles of children enrolled in the study including those that could cause health effects. Many factors are linked to the geographical area and may depend on environmental, cultural and social aspects of the city of residence.
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Affiliation(s)
- Francesco Bagordo
- Department of Biological and Environmental Science and Technology, University of Salento, Via Prov.le Lecce-Monteroni, 73100, Lecce, Italy
| | - Antonella De Donno
- Department of Biological and Environmental Science and Technology, University of Salento, Via Prov.le Lecce-Monteroni, 73100, Lecce, Italy.
| | - Tiziana Grassi
- Department of Biological and Environmental Science and Technology, University of Salento, Via Prov.le Lecce-Monteroni, 73100, Lecce, Italy
| | - Marcello Guido
- Department of Biological and Environmental Science and Technology, University of Salento, Via Prov.le Lecce-Monteroni, 73100, Lecce, Italy
| | - Gabriele Devoti
- Department of Biological and Environmental Science and Technology, University of Salento, Via Prov.le Lecce-Monteroni, 73100, Lecce, Italy
| | - Elisabetta Ceretti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
| | - Claudia Zani
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
| | - Donatella Feretti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
| | - Milena Villarini
- Department of Pharmaceutical Sciences, University of Perugia, Perugia, Italy
| | - Massimo Moretti
- Department of Pharmaceutical Sciences, University of Perugia, Perugia, Italy
| | - Tania Salvatori
- Department of Pharmaceutical Sciences, University of Perugia, Perugia, Italy
| | | | - Marco Verani
- Department of Biology, University of Pisa, Pisa, Italy
| | - Beatrice Casini
- Department of Translational Research, N.T.M.S., University of Pisa, Pisa, Italy
| | - Sara Bonetta
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy
| | - Elisabetta Carraro
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy
| | - Tiziana Schilirò
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy
| | | | - Alberto Bonetti
- Centro Servizi Multisettoriale e Tecnologico - CSMT Gestione S.c.a.r.l., Brescia, Italy
| | - Umberto Gelatti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
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