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Federici A, Bernardi G, Senna I, Fantoni M, Ernst MO, Ricciardi E, Bottari D. Crossmodal plasticity following short-term monocular deprivation. Neuroimage 2023; 274:120141. [PMID: 37120043 DOI: 10.1016/j.neuroimage.2023.120141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 04/21/2023] [Accepted: 04/27/2023] [Indexed: 05/01/2023] Open
Abstract
A brief period of monocular deprivation (MD) induces short-term plasticity of the adult visual system. Whether MD elicits neural changes beyond visual processing is yet unclear. Here, we assessed the specific impact of MD on neural correlates of multisensory processes. Neural oscillations associated with visual and audio-visual processing were measured for both the deprived and the non-deprived eye. Results revealed that MD changed neural activities associated with visual and multisensory processes in an eye-specific manner. Selectively for the deprived eye, alpha synchronization was reduced within the first 150 ms of visual processing. Conversely, gamma activity was enhanced in response to audio-visual events only for the non-deprived eye within 100-300 ms after stimulus onset. The analysis of gamma responses to unisensory auditory events revealed that MD elicited a crossmodal upweight for the non-deprived eye. Distributed source modeling suggested that the right parietal cortex played a major role in neural effects induced by MD. Finally, visual and audio-visual processing alterations emerged for the induced component of the neural oscillations, indicating a prominent role of feedback connectivity. Results reveal the causal impact of MD on both unisensory (visual and auditory) and multisensory (audio-visual) processes and, their frequency-specific profiles. These findings support a model in which MD increases excitability to visual events for the deprived eye and audio-visual and auditory input for the non-deprived eye.
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Affiliation(s)
- A Federici
- MoMiLab, IMT School for Advanced Studies Lucca, 55100 Lucca, Italy.
| | - G Bernardi
- MoMiLab, IMT School for Advanced Studies Lucca, 55100 Lucca, Italy
| | - I Senna
- Applied Cognitive Psychology, Ulm University, 89081 Ulm, Germany
| | - M Fantoni
- MoMiLab, IMT School for Advanced Studies Lucca, 55100 Lucca, Italy
| | - M O Ernst
- Applied Cognitive Psychology, Ulm University, 89081 Ulm, Germany
| | - E Ricciardi
- MoMiLab, IMT School for Advanced Studies Lucca, 55100 Lucca, Italy
| | - D Bottari
- MoMiLab, IMT School for Advanced Studies Lucca, 55100 Lucca, Italy
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Amatori S, Ferri Marini C, Gobbi E, Sisti D, Giombini G, Rombaldoni R, Rocchi MBL, Lucertini F, Federici A, Perroni F, Calcagnini G. Short High-Intensity Interval Exercise for Workplace-Based Physical Activity Interventions: A Systematic Review on Feasibility and Effectiveness. Sports Med 2023; 53:887-901. [PMID: 36840913 PMCID: PMC10036456 DOI: 10.1007/s40279-023-01821-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/07/2023] [Indexed: 02/26/2023]
Abstract
BACKGROUND Workplace exercise interventions showed good results, but lack of time was often reported as a barrier to participation. To overcome this problem, several studies attempted to implement short high-intensity interval training (HIT) within the workplace. OBJECTIVES The aim of this systematic review is to explore the feasibility and effectiveness of HIT interventions within the workplace setting. DATA SOURCES A systematic literature search was conducted in PubMed and SPORTDiscus to identify articles related to HIT within the workplace. STUDY ELIGIBILITY CRITERIA Only interventions that consisted of HIT programmes within the workplace and tested at least one physiological, psychological, or work-related outcome were included. RESULTS Seven studies (317 participants) met the inclusion criteria. HIT interventions lasted 6-12 weeks, with a frequency of 2-4 sessions/week and a duration of 8-30 min per session. Feasibility was qualitatively investigated in four studies, with key positive aspects reported for HIT time-appeal, the sense of competence driven by individual intensity, and improved intention to exercise; five studies reported adherence rates > 80%. Small-to-large effect sizes were reported for improvements in cardiorespiratory and muscular fitness. Small-to-medium effect sizes were reported for blood parameters and health-related quality of life. CONCLUSIONS HIT interventions in the workplace showed limited effectiveness in improving health-related outcomes, while promising results regarding feasibility were reported, mainly due to the time-efficiency and the positive post-exercise psychosocial responses. However, further high-quality studies involving more participants are still needed to make firm conclusions on HIT effectiveness and feasibility compared to other types of exercise in this context.
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Affiliation(s)
- Stefano Amatori
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Via Dell'Annunziata 4, 61029, Urbino, Italy
| | - Carlo Ferri Marini
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Via Dell'Annunziata 4, 61029, Urbino, Italy
| | - Erica Gobbi
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Via Dell'Annunziata 4, 61029, Urbino, Italy.
| | - Davide Sisti
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Via Dell'Annunziata 4, 61029, Urbino, Italy
| | - Germana Giombini
- Department of Economics, Social Science, and Politics, University of Urbino Carlo Bo, Urbino, Italy
| | - Rosalba Rombaldoni
- Department of Economics, Social Science, and Politics, University of Urbino Carlo Bo, Urbino, Italy
| | - Marco B L Rocchi
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Via Dell'Annunziata 4, 61029, Urbino, Italy
| | - Francesco Lucertini
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Via Dell'Annunziata 4, 61029, Urbino, Italy
| | - Ario Federici
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Via Dell'Annunziata 4, 61029, Urbino, Italy
| | - Fabrizio Perroni
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Via Dell'Annunziata 4, 61029, Urbino, Italy
| | - Giorgio Calcagnini
- Department of Economics, Social Science, and Politics, University of Urbino Carlo Bo, Urbino, Italy
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Francia P, Ferri Marini C, Bocchi L, Piccini B, Seghieri G, Federici A, Toni S, Lucertini F. The Assessment of Ankle Range-of-Motion and Its Relationship with Overall Muscle Strength in a Cross-Section of Soccer Players. Sports (Basel) 2023; 11:sports11010012. [PMID: 36668716 PMCID: PMC9865943 DOI: 10.3390/sports11010012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2022] [Revised: 12/21/2022] [Accepted: 12/24/2022] [Indexed: 01/06/2023] Open
Abstract
Soccer (football) practice can induce a limitation of ankle range of motion (ROM) that is a possible risk factor for injury and other negative consequences over time. The main objective of this research was to investigate the effects of soccer practice on ankle ROM throughout the entire period of a sports career of soccer players (SP). Furthermore, the relationship between ankle ROM and muscle strength in SP of different ages was studied. A total of 204 SP (range 6.7−45.1 years) and 87 controls (range: 7.5−45.2 years) matched for age, body mass index (BMI), and gender, were assessed. Ankle ROM in both plantar flexion (APF) and dorsiflexion (ADF) in addition to handgrip strength (HGS) were evaluated using an inclinometer and the Jamar hydraulic hand dynamometer, respectively. The comparison between SP and control groups showed a significant reduction in ankle ROM of both APF (26.3 ± 7.2° vs. 32.6 ± 7.4°; d = −0.90; p < 0.001) and ADF (95.5 ± 15.6° vs. 105.5 ± 15.8°; d = −0.66; p < 0.001). In SP, the results of the ANOVAs test indicate that age had a significant effect on ADF (F = 4.352, p = 0.038, partial eta-squared (ηp2) = 0.015) but not on APF (F = 0.430, p = 0.746, ηp2 = 0.001). Moreover, considering only the SP, a weak inverse correlation between ADF and HGS group ADF was found (rs = −0.27; p < 0.001). Factors such as the non-linear trend of growth in young SP could hinder the definition of the relationship between ankle ROM, age, and muscle strength. However, the appropriate consideration of age and muscle strength could facilitate the management of ankle ROM in PF of different ages.
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Affiliation(s)
- Piergiorgio Francia
- Department of Biomolecular Sciences—Division of Exercise and Health Sciences, University of Urbino, 61029 Urbino, Italy
- Department of Information Engineering, University of Florence, 50139 Florence, Italy
- Correspondence:
| | - Carlo Ferri Marini
- Department of Biomolecular Sciences—Division of Exercise and Health Sciences, University of Urbino, 61029 Urbino, Italy
| | - Leonardo Bocchi
- Department of Information Engineering, University of Florence, 50139 Florence, Italy
| | | | | | - Ario Federici
- Department of Biomolecular Sciences—Division of Exercise and Health Sciences, University of Urbino, 61029 Urbino, Italy
| | - Sonia Toni
- Department of Information Engineering, University of Florence, 50139 Florence, Italy
| | - Francesco Lucertini
- Department of Biomolecular Sciences—Division of Exercise and Health Sciences, University of Urbino, 61029 Urbino, Italy
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Ferri Marini C, Shoaei V, Micheli L, Francia P, Grossi T, Maggio S, Benelli P, Federici A, Lucertini F, Zoffoli L. Barbell load distribution and lifting velocity affect bench press exercise volume and perceived exertion. PLoS One 2022; 17:e0278909. [PMID: 36490269 PMCID: PMC9733861 DOI: 10.1371/journal.pone.0278909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 11/28/2022] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVE The intensity of barbell bench press exercise is generally prescribed as the load to be lifted for a specific number of repetitions; however, other factors (e.g., execution velocity) can affect bench press exercise intensity. Moreover, no study assessed whether load distribution (i.e., the distance between the disc stacks on the two sides of the barbell) affects exercise intensity. The present study aims to assess how different combinations of load, velocity, and barbell load distribution affect the number of repetitions to failure (REPfailure), and rating of perceived exertion (RPEfatigue) and number of repetitions (REPfatigue) at fatigue onset. METHODS Ten males (age 23.3±1.8 years) performed bench press exercises to exhaustion using random combinations of three loads (50%, 65%, and 80% of 1 repetition maximum), three execution velocities (50%, 70%, and 90% of maximal concentric velocity), and two load distributions (narrow and wide). Three separate three-way repeated-measures ANOVAs were performed to assess the effect of load, velocity, and load distribution on REPfailure, RPEfatigue, and REPfatigue expressed as a percentage of REPfailure. RESULTS REPfailure was affected by load (p<0.001), velocity (p<0.001), and distribution (p = 0.005). The interactions between load and velocity (p<0.001) and load and distribution (p = 0.004) showed a significant effect on REPfailure, whereas the interaction between velocity and distribution was not significant (p = 0.360). Overall, more REPfailure were performed using lower loads, higher velocities, and a wider distribution. RPEfatigue and REPfatigue were affected by load (p<0.001 and p = 0.007, respectively) and velocity (p<0.001 and p<0.001, respectively), and not by distribution (p = 0.510 and p = 0.571, respectively) or the two-way interaction effects. Overall, using higher loads yielded higher RPEfatigue but lower REPfatigue, while RPEfatigue and REPfatigue were higher when slower velocities were used. CONCLUSION The current investigation shows that not only load but also velocity and barbell load distribution may influence bench press training volume and perceived exertion.
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Affiliation(s)
- Carlo Ferri Marini
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Carlo Bo, Italy
- * E-mail:
| | - Vahid Shoaei
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Carlo Bo, Italy
| | - Lorenzo Micheli
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Carlo Bo, Italy
| | - Piergiorgio Francia
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Carlo Bo, Italy
| | - Tommaso Grossi
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Carlo Bo, Italy
| | - Serena Maggio
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Carlo Bo, Italy
| | - Piero Benelli
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Carlo Bo, Italy
| | - Ario Federici
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Carlo Bo, Italy
| | - Francesco Lucertini
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Carlo Bo, Italy
| | - Luca Zoffoli
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Carlo Bo, Italy
- Scientific Research & Innovation Department, Technogym S.p.A., Italy
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Federici A, De Marchis M, Alghisi F, Fiocchi AG, Bella S. Telemonitoring for Cystic fibrosis patients of Bambino Gesù Children's Hospital during COVID-19. Clin Ter 2022; 173:440-442. [PMID: 36155730 DOI: 10.7417/ct.2022.2460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
BACKGROUND Cystic fibrosis (CF) is the most common autosomal recessive genetic pathology of the Caucasian race and it affects nearly 100,000 people worldwide (many have not been diagnosed) and, in Italy, there are about 6000 patients. In the last few years, telemedicine has proved to be an effective home care tool for patients suffering from chronic pathologies. The advent of the COVID-19 pandemic has caused an increase of communications through mobile devices. AIM To evaluate the role of telemonitoring during the pandemic phase of Covid-19. MATERIALS AND METHODS 34 (M 15, F 19) (M 44%, F 56%) Cystic Fi-brosis patients were evaluated; Median age ± SD 30.97±10.59 Median FEV1 2020 74.76; number of trasmission and hospital admissions. RESULTS It was evident that the absolute number of telemedicine visits increased from 1456 to 1605 in the pandemic year (10% more). CONCLUSIONS Telemedicine became an important tool for home management of patients, in particular about chronic diseases. Telemonitoring, an integral part of telemedicine, underlined its effectiveness in all health emergency phase.
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Affiliation(s)
- A Federici
- Cystic Fibrosis Unit, Bambino Gesù pediatric hospital IRCCS, Rome, Italy
| | - M De Marchis
- Cystic Fibrosis Unit, Bambino Gesù pediatric hospital IRCCS, Rome, Italy
| | - F Alghisi
- Cystic Fibrosis Unit, Bambino Gesù pediatric hospital IRCCS, Rome, Italy
| | - A G Fiocchi
- Cystic Fibrosis Unit, Bambino Gesù pediatric hospital IRCCS, Rome, Italy
| | - S Bella
- Cystic Fibrosis Unit, Bambino Gesù pediatric hospital IRCCS, Rome, Italy
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De Marchis M, Ciarnella M, Federici A, Di Giovanni D, Fiocchi AG, Bella S. Evaluation of nutritional status through bioimpedance analysis in a group of Cystic Fibrosis patients. Clin Ter 2022; 173:471-474. [PMID: 36155733 DOI: 10.7417/ct.2022.2465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Cystic fibrosis (CF) is the most common genetic disease in Caucasian people. Nutritional status represents an important key in the progression of the pulmonary disease in CF. People with better nutritional status, generally, maintain good levels of physical activity. Generally Bioelectrical impedance (BIA) analysis is frequently used as a method of body composition assessment, due to easy of use, safety and low cost of this procedure. The aim of this study was to investigate nutritional parameters in cystic fibrosis patient. We performed a single group cohort study. The study examined change in nutritional values in people with CF who practice sport or not, measured by bio-impedance analysis (BIA). Inclusion criteria were people with CF diagnosis confirmed. Primary outcome was evaluate body composition and the correlation with the rate of physical activity. A total of 32 patients were included in the analysis. The most important data was a correlation between Phangle and Body cellular mass index (BCMI) Pvalue<0.01, expecially in patients who had a good levels of aerobic and anaerobic session-training. Patients who did strong physical activity training had a statistically significant values of correlation with nutritional status. Further study were necessary to find association between exercise capa city and body mass index.
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Affiliation(s)
- M De Marchis
- Cystic Fibrosis Unit, Bambino Gesù Pediatric Hospital IRCCS, Roma, Italy
- University of Magna Graecia of Catanzaro, Italy
| | - M Ciarnella
- CN Clinical Nutrition, International Society of Sport Nutrition Certified, Roma, Italy
| | - A Federici
- Cystic Fibrosis Unit, Bambino Gesù Pediatric Hospital IRCCS, Roma, Italy
| | - D Di Giovanni
- Researcher Industrial Engineering Department, University of Rome 'Tor Vergata', Roma, Italy
| | - A G Fiocchi
- Cystic Fibrosis Unit, Bambino Gesù Pediatric Hospital IRCCS, Roma, Italy
| | - S Bella
- Cystic Fibrosis Unit, Bambino Gesù Pediatric Hospital IRCCS, Roma, Italy
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Marini CF, Sisti D, Skinner JS, Sarzynski MA, Bouchard C, Amatori S, Rocchi MBL, Piccoli G, Stocchi V, Federici A, Lucertini F. Effect of individual characteristics and aerobic training on the %HRR-% V˙O 2R relationship. Eur J Sport Sci 2022:1-12. [PMID: 35960537 DOI: 10.1080/17461391.2022.2113441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
This study aimed to assess if, during incremental exercise, considering individual characteristics can make the relationship between the percentages of heart rate (HRR) and oxygen uptake (VO2R) reserve either 1:1 or more accurate. Cycle ergometer data of the maximal incremental exercise tests performed by 450 healthy and sedentary participants (17-66 years) of the HERITAGE Family Study, grouped for sex, ethnicity, age, body fat, resting HR, and VO2max, were used to calculate the individual linear regressions between %HRR and %VO2R. The mean slope and intercept of the individual linear regressions of each subgroup were compared with 1 and 0 (identity line), respectively, using Hotelling tests followed by post-hoc one-sample t-tests. Two multiple linear regressions were also performed, using either the slopes or intercepts of the individual linear regressions as dependent variables and sex, age, resting HR, and VO2max as independent variables. The mean %HRR-%VO2R relationships of all subgroups differed from the identity line. Moreover, individual linear regression intercepts (8.9±16.0) and slopes (0.971±0.190) changed (p<0.001) after 20 weeks of aerobic training (13.1±11.1 and 0.891±0.122). The multiple linear regressions could explain only 3.8% and 1.3% of the variance in the intercepts and slopes, whose variability remained high (standard error of estimate of 15.8 and 0.189). In conclusion, the %HRR-%VO2R relationship differs from the identity line regardless of individual characteristics and their difference increased after aerobic training. Moreover, due to the high interindividual variability, using a single equation for the whole population seems not suitable for representing the %HRR-%VO2R relationship of a given subject, even when several individual characteristics are considered.
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Affiliation(s)
- Carlo Ferri Marini
- Department of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Davide Sisti
- Department of Biomolecular Sciences - Unit of Biostatistics, University of Urbino Carlo Bo, Urbino, Italy
| | - James S Skinner
- Department of Kinesiology, Indiana University, Bloomington (IN), USA
| | - Mark A Sarzynski
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia (SC), USA
| | - Claude Bouchard
- Human Genomics Laboratory, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge (LA), USA
| | - Stefano Amatori
- Department of Biomolecular Sciences - Unit of Biostatistics, University of Urbino Carlo Bo, Urbino, Italy
| | - Marco B L Rocchi
- Department of Biomolecular Sciences - Unit of Biostatistics, University of Urbino Carlo Bo, Urbino, Italy
| | - Giovanni Piccoli
- Department of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Vilberto Stocchi
- Department of Human Sciences for the Promotion of Quality of Life, University San Raffaele Roma, Rome, Italy
| | - Ario Federici
- Department of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Francesco Lucertini
- Department of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, Italy
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Bella S, Federici A, Milo F, De Marchis M, Viscomi C, Popa N, Tabarini P, Alghisi F, Fiocchi A. P094 Randomised controlled trial of humanoid robot-based distraction for invasive nursing procedures in children with cystic fibrosis: preliminary results. J Cyst Fibros 2022. [DOI: 10.1016/s1569-1993(22)00427-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Ferri Marini C, Federici A, Skinner JS, Piccoli G, Stocchi V, Zoffoli L, Correale L, Dell’Anna S, Naldini CA, Vandoni M, Lucertini F. Effect of steady-state aerobic exercise intensity and duration on the relationship between reserves of heart rate and oxygen uptake. PeerJ 2022; 10:e13190. [PMID: 35497191 PMCID: PMC9048681 DOI: 10.7717/peerj.13190] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 03/08/2022] [Indexed: 01/12/2023] Open
Abstract
Background The percentages of heart rate (%HRR) or oxygen uptake (%V̇O2R) reserve are used interchangeably for prescribing aerobic exercise intensity due to their assumed 1:1 relationship, although its validity is debated. This study aimed to assess if %HRR and %V̇O2R show a 1:1 relationship during steady-state exercise (SSE) and if exercise intensity and duration affect their relationship. Methods Eight physically active males (age 22.6 ± 1.2 years) were enrolled. Pre-exercise and maximal HR and V̇O2 were assessed on the first day. In the following 4 days, different SSEs were performed (running) combining the following randomly assigned durations and intensities: 15 min, 45 min, 60% HRR, 80% HRR. Post-exercise maximal HR and V̇O2 were assessed after each SSE. Using pre-exercise and post-exercise maximal values, the average HR and V̇O2 of the last 5 min of each SSE were converted into percentages of the reserves (%RES), which were computed in a 3-way RM-ANOVA (α = 0.05) to assess if they were affected by the prescription parameter (HRR or V̇O2R), exercise intensity (60% or 80% HRR), and duration (15 or 45 min). Results The %RES values were not affected by the prescription parameter (p = 0.056) or its interactions with intensity (p = 0.319) or duration and intensity (p = 0.117), while parameter and duration interaction was significant (p = 0.009). %HRRs and %V̇O2Rs did not differ in the 15-min SSEs (mean difference [MD] = 0.7 percentage points, p = 0.717), whereas %HRR was higher than %V̇O2R in the 45-min SSEs (MD = 6.7 percentage points, p = 0.009). Conclusion SSE duration affects the %HRR-%V̇O2R relationship, with %HRRs higher than %V̇O2Rs in SSEs of longer duration.
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Affiliation(s)
- Carlo Ferri Marini
- Department of Biomolecular Sciences –Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, PU, Italy
| | - Ario Federici
- Department of Biomolecular Sciences –Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, PU, Italy
| | - James S. Skinner
- Department of Kinesiology, Indiana University, Bloomington, IN, USA
| | - Giovanni Piccoli
- Department of Biomolecular Sciences –Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, PU, Italy
| | - Vilberto Stocchi
- Department of Human Sciences for the Promotion of Quality of Life, University San Raffaele Roma, Rome, RM, Italy
| | - Luca Zoffoli
- Department of Biomolecular Sciences –Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, PU, Italy,Scientific Research & Innovation Department, Technogym S.p.A., Cesena, FC, Italy
| | - Luca Correale
- Sports Science Unit, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, PV, Italy
| | - Stefano Dell’Anna
- Sports Science Unit, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, PV, Italy,Department of Theoretical and Applied Sciences, eCampus University, Novedrate, CO, Italy
| | - Carlo Alberto Naldini
- Laboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, PV, Italy
| | - Matteo Vandoni
- Laboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, PV, Italy
| | - Francesco Lucertini
- Department of Biomolecular Sciences –Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, PU, Italy
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Ferri Marini C, Sisti D, Leon AS, Skinner JS, Sarzynski MA, Bouchard C, Rocchi MBL, Piccoli G, Stocchi V, Federici A, Lucertini F. HRR and V˙O2R Fractions Are Not Equivalent: Is It Time to Rethink Aerobic Exercise Prescription Methods? Med Sci Sports Exerc 2021; 53:174-182. [PMID: 32694364 DOI: 10.1249/mss.0000000000002434] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
INTRODUCTION According to current guidelines, the intensity of health-enhancing aerobic exercise should be prescribed using a percentage of heart rate reserve (%HRR), which is considered to be more closely associated (showing a 1:1 relation) with the percentage of oxygen uptake reserve (%V˙O2R) rather than with the percentage of maximal oxygen uptake (%V˙O2max) during incremental exercise. However, the associations between %HRR and %V˙O2R and between %HRR and %V˙O2max are under debate; hence, their actual relationships were investigated in this study. METHODS Data from each stage of a maximal incremental exercise test performed by 737 healthy and physically inactive participants of the HERITAGE Family Study were screened and filtered then used to calculate the individual linear regressions between %HRR and either %V˙O2R or %V˙O2max. For each relationship, the mean slope and intercept of the individual linear regression were compared with 1 and 0 (i.e., the identity line), respectively, using one-sample t-tests. The individual root mean square errors of the actual versus the 1:1 predicted %HRR were calculated for both relationships and compared using a paired-sample t-test. RESULTS The mean slopes (%HRR-%V˙O2R, 0.972 ± 0.189; %HRR-%V˙O2max, 1.096 ± 0.216) and intercepts (%HRR-%V˙O2R, 8.855 ± 16.022; %HRR-%V˙O2max, -3.616 ± 18.993) of both relationships were significantly different from 1 and 0, respectively, with high interindividual variability. The average root mean square errors were high and revealed that the %HRR-%V˙O2max relationship was more similar to the identity line (P < 0.001) than the %HRR-%V˙O2R relationship (7.78% ± 4.49% vs 9.25% ± 5.54%). CONCLUSIONS Because both relationships are different from the identity line and using a single equation may not be appropriate to predict exercise intensity at the individual level, a rethinking of the relationships between the intensity variables may be necessary to ensure that the most suitable health-enhancing aerobic exercise intensity is prescribed.
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Affiliation(s)
- Carlo Ferri Marini
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, ITALY
| | - Davide Sisti
- Department of Biomolecular Sciences, Unit of Biostatistics, University of Urbino Carlo Bo, Urbino, ITALY
| | - Arthur S Leon
- Department of Kinesiology, University of Minnesota, Minneapolis, MN
| | - James S Skinner
- Department of Kinesiology, Indiana University, Bloomington, IN
| | - Mark A Sarzynski
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC
| | - Claude Bouchard
- Human Genomics Laboratory, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA
| | - Marco B L Rocchi
- Department of Biomolecular Sciences, Unit of Biostatistics, University of Urbino Carlo Bo, Urbino, ITALY
| | - Giovanni Piccoli
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, ITALY
| | - Vilberto Stocchi
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, ITALY
| | - Ario Federici
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, ITALY
| | - Francesco Lucertini
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, ITALY
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Cocchiara RA, Lia L, Dorelli B, Mannocci A, Follmann M, Griesshammer E, Wesselmann S, De Angelis R, Federici A, La Torre G. The Ipaac Evaluation Tool: how to select Quality Indicators for Comprehensive Cancer Care Networks. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
The Comprehensive Cancer Care Networks (CCCNs) represent innovative approaches for the management of cancer patients consisting of multiple cooperating health units with specific expertise in the different steps of care. Quality Indicators (QIs) constitute valid and reliable tools that allow to measure the quality of care among similar structures belonging to different health systems. Objective of this project was to develop a standardized tool in order to define a multi-step process for the selection of QIs for the evaluation of CCCNs.
Methods
Under the coordination of the Innovative Partnership for Action Against Cancer (IPAAC) joint action, our research team performed a systematic review of the scientific literature to identify the reported methodology for the selection of QIs applicable for the CCCNs' setting. An additional search of national and international Quality Assurance organizations was performed to detect any missing information.
Results
The IET (Ipaac Evaluation Tool) for QIs was developed: a methodological tool describing an 8-step process that leads to the selection of QIs feasible for the CCCN setting. The tool was implemented accordingly with the reporting standards for guideline-based performance measures of the Guideline International Network (GIN). A pilot testing of the tool was performed in order to identify its strengths and weaknesses.
Conclusions
The IET for QIs represents an innovative methodological instrument to select valid and reliable indicators for the assessment of the quality of care within the CCCN settings.
Key messages
The Quality Indicators represent valid and reliable tools to measure and compare the quality of care delivered to cancer patients in Comprehensive Cancer Care Networks. The development of the Ipaac Evaluation Tool leads to a standardized assessment of the quality of care provided for cancer patients within the CCCN setting.
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Affiliation(s)
- R A Cocchiara
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - L Lia
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - B Dorelli
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - A Mannocci
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | | | | | | | | | | | - G La Torre
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
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Sassano M, Calabrò GE, Tognetto A, Federici A, Ricciardi W, Boccia S. Systematic review on citizens’ literacy in omic sciences and web search of initiatives to improve it. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1287] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
We are assisting to a progressive change in the classical approach to patient care toward so-called personalized medicine, mainly driven by the development of omic sciences. To implement omic sciences into practice it is important to address healthcare professionals', policy makers', leaders', and citizens' literacy
Methods
As part of a project funded by the Italian Centre for Disease Prevention and Control (CCM), we carried out a systematic review (SR) on citizens' attitude, knowledge, and educational needs in omic sciences. The search was carried out on Pubmed, Web of Science, and Embase. We also conducted a separate web search on Google, Yahoo, and Bing on initiatives published in Italian and English aimed at improving citizens' literacy in the same field. Websites of retrieved initiatives were examined to identify additional resources
Results
Forty-nine studies were included in the SR. Most studies (n = 26, 66.7%) reported low levels of knowledge in omic sciences among citizens, and conflicting attitudes related to potential risks and benefits of omic sciences. Eleven studies (22%) evaluated citizens' educational needs, and most (n = 9, 82%) reported a clear knowledge gap. As for the web search, 13 initiatives were identified in Italy, 4 in Europe, and 22 in non-European Countries. Overall, 33% of them required in-person attendance, while 67% were web-based resources. The former included exhibitions, seminars, courses, symposia, information stands in public places, guided visits at research laboratories, and interactive laboratories; the latter included web-pages for reading, online lessons and courses, web portals for information, videos and short movies, animations, apps for mobile devices
Conclusions
Results show a clear need to improve citizens' literacy. To achieve this goal, the implementation of effective strategies and initiatives is crucial, hence this effort to summarize the existing ones will be essential for future plan developments.
Key messages
The current challenge is to identify effective methods of improving citizens' literacy and implementing them. Only through citizens’ empowerment the implementation of omic sciences in the Health System will be possible, since citizens are increasingly active in the health context.
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Affiliation(s)
- M Sassano
- Section of Hygiene, Institute of Public Health, Catholic University of Sacred Heart, Rome, Italy
| | - G E Calabrò
- Section of Hygiene, Institute of Public Health, Catholic University of Sacred Heart, Rome, Italy
| | - A Tognetto
- Section of Hygiene, Institute of Public Health, Catholic University of Sacred Heart, Rome, Italy
| | | | - W Ricciardi
- Section of Hygiene, Institute of Public Health, Catholic University of Sacred Heart, Rome, Italy
- Department of Woman and Child Health and Public Health, Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - S Boccia
- Section of Hygiene, Institute of Public Health, Catholic University of Sacred Heart, Rome, Italy
- Department of Woman and Child Health and Public Health, Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
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Calabrò GE, Mazzaccara A, Carbone P, Barbina D, Guerrera D, Di Pucchio A, Sassano M, Federici A, Ricciardi W, Boccia S. Distance learning training in genetics and genomics practices for Italian healthcare professionals. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Genomics and related fields are becoming increasingly relevant in healthcare practice. Italy is the first European country with a structured policy of Public Health Genomics and dedicated guidelines that focus on three pillars: Health Technology Assessment of omic applications, promotion of citizens' literacy, and promotion of extensive training for all healthcare stakeholders. In January 2019 we initiated a project funded by the Italian Ministry of Health and entitled 'Capacity building and Citizens-Omics'.
Objectives
The project is coordinated by the National Institute of Health and is aimed at implementing the “Italian National Plan for innovation of the healthcare system based on omics sciences” published in 2017.
Results
The project had set-up two distance-learning courses on genetic/genomics: an advanced course for physicians and biologists, and a basic one for the remaining healthcare professionals. The courses focused on genetic/genomic testing in clinical practice, pharmacogenomics and oncogenomic and they were developed according to the main models of andragogical training (Problem-based Learning and Case-based Learning). The courses include audio-video lectures and interactive clinical cases and they will be accessible free of charge for a year (from February 17th 2020). In three weeks, we had 2129 participants (1101 physicians, 1028 biologists) for the advanced course and 10.000 for the basic one.
Conclusions
Genomic literacy among healthcare professionals is essential to ensure optimal translation to healthcare delivery of research. The distance-learning training in genetic/genomic practices represents an effective method to improve healthcare professionals' knowledge in the immediate and mid-term time scale. Our courses represent the third Italian experience in distance training in omic field. The educational effects related with online courses could potentially be relevant internationally and across a wider range of potential audiences.
Key messages
In view of the ongoing rapid developments in genetics research it is important that omic literacy among healthcare providers be enhanced to ensure translation to healthcare delivery of research. E-learning training appears to offer a cost-effective and time-efficient method of improving omic knowledge and it could be relevant across a wider range of potential audiences.
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Affiliation(s)
- G E Calabrò
- Sezione di Igiene, Dipartimento di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
| | | | - P Carbone
- National Institute of Health, Rome, Italy
| | - D Barbina
- National Institute of Health, Rome, Italy
| | - D Guerrera
- National Institute of Health, Rome, Italy
| | | | - M Sassano
- Sezione di Igiene, Dipartimento di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
| | | | - W Ricciardi
- Sezione di Igiene, Dipartimento di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
- Department of Woman and Child Health and Public Health, Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - S Boccia
- Sezione di Igiene, Dipartimento di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
- Department of Woman and Child Health and Public Health, Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
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Francia P, Ferri Marini C, Toni S, Mencarelli A, Iannone G, Lucertini F, Brandoni G, Monteiro-Soares M, Federici A, Piccini B. The effect of an adapted training protocol on ankle joint mobility in young soccer players. MED SPORT 2020. [DOI: 10.23736/s0025-7826.20.03696-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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15
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Ferri Marini C, Correale L, Carnevale Pellino V, Federici A, Vandoni M, Lucertini F. Assessing Maximal Oxygen Uptake: Creating Personalized Incremental Exercise Protocols Simply and Quickly. Strength Cond J 2020. [DOI: 10.1519/ssc.0000000000000569] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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16
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Saulle R, Sinopoli A, De Paula Baer A, Mannocci A, Marino M, De Belvis AG, Federici A, La Torre G. The PRECEDE-PROCEED model as a tool in Public Health screening: a systematic review. Clin Ter 2020; 171:e167-e177. [PMID: 32141490 DOI: 10.7417/ct.2020.2208] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJETCTIVE The aim of this systematic review was to summarize the scientific literature concerning the use of the Precede-Proceed model (PPM) applied to educational programs and health screenings contextsV. STUDY DESIGN Systematic review. METHODS The search process was based on a selection of publications listed in Medline and Scopus. The keywords used were "Precede-Proceed" AND ("screening" OR "educational programs"). Studies included in the systematic review were subdivided into those applying the model in a screening context, and those applying it within educational programs. RESULTS Twenty-seven studies were retrieved, mostly performed in the USA and, generally, the promoting center was the University. In the context of cancer screening, the PPM model was most of all applied to Mammography Screening (5 of 13 studies in cancer screening), and Cervical Cancer Screening (5 of 13). Another three studies within the cancer field investigated Menopause-Inducing Cancer Treatments, Oral cancer prevention, and cancer screening in general. In the remaining studies, the model was applied in various screening areas, particularly chronic and degenerative diseases. There were many different study designs, most of which cross-sectional (8), though several RTCs (8) and focus groups (5) were also found. For the cross-sectional studies the methodological quality varied between 3/10 and 9/10, whilst for the RCTs it ranged from 2/5 to 3/5. CONCLUSIONS The PPM provides an excellent framework for health intervention programs especially in screening contexts, and could improve the understanding of the relationship between variables such as knowledge and screening. Given the complexity of a behavioral change process, certain important predisposing factors could be measured in future studies, and during health intervention planning.
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Affiliation(s)
- R Saulle
- Department of Public Health and Infectious Diseases "Sapienza" University of Rome, Rome, Italy
| | - A Sinopoli
- Department of Public Health and Infectious Diseases "Sapienza" University of Rome, Rome, Italy
| | - A De Paula Baer
- Department of Public Health and Infectious Diseases "Sapienza" University of Rome, Rome, Italy - Faculty of medicine, University of São Paulo, Brasil
| | - A Mannocci
- Department of Public Health and Infectious Diseases "Sapienza" University of Rome, Rome, Italy
| | - M Marino
- Department of Public Health, Catholic University of the Sacred Heart, Rome
| | - A G De Belvis
- Department of Public Health, Catholic University of the Sacred Heart, Rome
| | - A Federici
- Ministero della Salute, Direzione Generale della Prevenzione, Rome, Italy
| | - G La Torre
- Department of Public Health and Infectious Diseases "Sapienza" University of Rome, Rome, Italy
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Ferri-Marini C, Lucertini F, Valentini M, Federici A. The effect of slackline training on balance performance in healthy male children. jhse 2020. [DOI: 10.14198/jhse.2020.152.15] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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18
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Betta M, Handjaras G, Leo A, Federici A, Farinelli V, Siclari F, Ricciardi E, Meletti S, Ballotta D, Benuzzi F, Bernardi G. Sleep slow waves are associated with increased thalamic activity and with a delayed decreased activity in primary sensory cortices. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Cocchiara RA, Mannocci A, Cianfanelli S, Sestili C, D’Egidio V, Lia L, Backhaus I, Dorelli B, Federici A, La Torre G. The use of quality indicators (QIs) to evaluate the oncologic care in CCCN: a systematic review. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz185.278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Due to the increase of life expectancy for cancer patients, it has become necessary to implement complete and economically sustainable clinical care pathways that integrate different professional competences. The Comprehensive Cancer Care Network (CCCN) model consists of multiple specialized structures that cooperate for cancer patients care. Quality Indicators (QIs) represent valid and reliable tools of evaluation that allow a standardized comparison among different structures. The aim of this systematic review was to highlight a wide and complete description of the implemented QIs within the CCCNs and to identify and analyze methodologies used for the development of QIs. The literature was performed investigating two databases (PubMed and Scopus) and the search identified 7342 studies. After duplicate removal, title and abstract screening, and full text evaluation, 46 studies were included in the study. Most QIs were implemented in USA, Germany and Italy where the CCCN approach seems to be well defined. Eighty -two QIs concerned diagnosis, 260 concerned treatment, 7 concerned prevention, 29 about follow up, 71 about palliative care, 12 concerned rehabilitation and 7 research. The majority of the identified QIs belonged to the process domain, followed by the structure ones. Excluding QIs related to the management of cancer in general, the most represented organs resulted breast, colorectum and lung. Overall, it can be stated that the most represented categories of QIs concerned diagnosis and treatment. Furthermore, also the palliative care domain appeared very represented. Regarding the methodology of the QIs development, a consensus approach among experts and the Delphi method were the most frequently used methodologies. Only a few studies included the participation of patients for the implementation of the QIs. This systematic review provides a synthesis of existing QIs related to the setting of integrated oncological care
Key messages
The CCCN has been recognized as an ideal model for structuring the process of care that guarantees a complete and integrated approach for the management of oncological patients. Quality Indicators represent valid and reliable tools that should be used to perform a standardized comparison among different healthcare systems and to guarantee a homogeneous quality of care.
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Affiliation(s)
- R A Cocchiara
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - A Mannocci
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - S Cianfanelli
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - C Sestili
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - V D’Egidio
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - L Lia
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - I Backhaus
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - B Dorelli
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - A Federici
- Department of Public Health, Ministry of Health, Rome, Italy
| | - G La Torre
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
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Lucertini F, Ferri Marini C, Sisti D, Stocchi V, Federici A, Gregorio F, Piangerelli D, Chiatti C, Cherubini A, Boemi M, Romagnoli F, Cucchi M, D'Angelo F, Luconi MP, Bonfigli AR. Discontinuously supervised aerobic training vs. physical activity promotion in the self-management of type 2 diabetes in older Italian patients: design and methods of the 'TRIPL-A' randomized controlled trial. BMC Geriatr 2019; 19:11. [PMID: 30634923 PMCID: PMC6330458 DOI: 10.1186/s12877-018-1022-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Accepted: 12/20/2018] [Indexed: 12/03/2022] Open
Abstract
Background Physical activity (PA) has health benefits for people with type 2 diabetes (T2D). Indeed, regular PA is considered an important part of any T2D management plan, yet most patients adopt a sedentary lifestyle. Exercise referral schemes (ERS) have the potential to effectively promote physical activity among T2D patients, and their effectiveness may be enhanced when they are supported by computer-based technologies. The ‘TRIPL-A’ study (i.e., a TRIal to promote PhysicaL Activity among patients in the young-old age affected by T2D) aims to assess if realizing an innovative ERS, based on a strong partnership among general practitioners, specialist physicians, exercise specialists, and patients, and supported by a web-based application (WBA), can effectively lead sedentary older T2D patients to adopt an active lifestyle. Methods A randomized controlled design will be used, and an ERS, supported by a WBA, will be implemented. 300 physically inactive T2D patients (aged 65–74 years) will be assigned to either an intervention or control arm. Control arm patients will only receive behavioral counseling on physical activity and diet, while intervention arm patients will also undergo an 18-month (3 day/week), discontinuously supervised aerobic exercise training program. The trial will be divided into six three-month periods: during first, third and fifth period, an exercise specialist will supervise the training sessions and, using the WBA, prescribe exercise progression and monitor exercise adherence. Patients will exercise on their own in the other periods. Patients’ sedentary behaviors (primary outcome), PA level, fitness status, metabolic profile, psychological well-being, quality of life, and use of health care services (secondary outcomes) will be assessed at baseline and at 6, 12, and 18 months from baseline. Repeated measure ANCOVAs will be used to compare the intervention and control arm with respect to each study outcome measure. Discussion Primary and secondary outcome results will allow us to evaluate the effectiveness of an ERS, specifically designed for the management of T2D clinical conditions and supported by a WBA, in promoting PA within Italian primary care settings. Trial registration This trial is retrospectively registered under the Australian New Zealand Clinical Trials Registry (reference number: ACTRN12618001164280; registered 13 July 2018).
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Affiliation(s)
- Francesco Lucertini
- Department of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Via I Maggetti, 26/2 -61029, Urbino, PU, Italy.
| | - Carlo Ferri Marini
- Department of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Via I Maggetti, 26/2 -61029, Urbino, PU, Italy
| | - Davide Sisti
- Department of Biomolecular Sciences - Unit of Medical Statistic and Biometry, University of Urbino Carlo Bo, Piazza Rinascimento, 7-61029, Urbino, PU, Italy
| | - Vilberto Stocchi
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Via I Maggetti, 26/2-61029, Urbino, PU, Italy
| | - Ario Federici
- Department of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Via I Maggetti, 26/2 -61029, Urbino, PU, Italy
| | - Franco Gregorio
- ASUR Marche - Diabetology Unit, Via Montello, 4-60035, Jesi, Italy
| | - Donata Piangerelli
- IRCCS INRCA, Scientific Direction, Via della Montagnola, 81-60127, Ancona, Italy
| | - Carlos Chiatti
- IRCCS INRCA, Scientific Direction, Via della Montagnola, 81-60127, Ancona, Italy
| | - Antonio Cherubini
- IRCCS INRCA, Geriatria, Accettazione Geriatrica, Centro di Ricerca per l'Invecchiamento, Via della Montagnola, 81-60127, Ancona, Italy
| | - Massimo Boemi
- IRCCS INRCA, Diabetology Unit, Via della Montagnola, 81-60127, Ancona, Italy
| | - Fabio Romagnoli
- IRCCS INRCA, Diabetology Unit, Via della Montagnola, 81-60127, Ancona, Italy
| | - Michela Cucchi
- IRCCS INRCA, Diabetology Unit, Via della Montagnola, 81-60127, Ancona, Italy
| | - Federica D'Angelo
- IRCCS INRCA, Diabetology Unit, Via della Montagnola, 81-60127, Ancona, Italy
| | - Maria Paola Luconi
- IRCCS INRCA, Diabetology Unit, Via della Montagnola, 81-60127, Ancona, Italy
| | - Anna Rita Bonfigli
- IRCCS INRCA, Scientific Direction, Via della Montagnola, 81-60127, Ancona, Italy
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Federici A, Ferri-Marini C, Brandoni G, Grassi E, Valentini M, Lucertini F. Effect of a 16-month exercise training program on functional capacities in a centenarian male master athlete: A case study. jhse 2019. [DOI: 10.14198/jhse.2020.154.20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Sinopoli A, Saulle R, Marino M, De Belvis AG, Federici A, La Torre G. The PRECEDE–PROCEED model as a tool in Public Health screening. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky214.182] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A Sinopoli
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - R Saulle
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - M Marino
- Department of Public Health, Catholic University of the Sacred Heart, Rome, Italy
| | - AG De Belvis
- Department of Public Health, Catholic University of the Sacred Heart, Rome, Italy
| | - A Federici
- Ministry of Health, General Direction of Prevention, Rome, Italy
| | - G La Torre
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
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D'Egidio V, Backhaus I, Sinopoli A, Villari P, Federici A, La Torre G, Mannocci A. How to educate and promote physical activity among children and adolescents? An umbrella review. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky213.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- V D'Egidio
- Department of Public Health and Infectious Disease, Sapienza University of Rome, Rome, Italy
| | - I Backhaus
- Department of Public Health and Infectious Disease, Sapienza University of Rome, Rome, Italy
| | - A Sinopoli
- Department of Public Health and Infectious Disease, Sapienza University of Rome, Rome, Italy
| | - P Villari
- Department of Public Health and Infectious Disease, Sapienza University of Rome, Rome, Italy
| | - A Federici
- Department of Public Health and Infectious Disease, Sapienza University of Rome, Rome, Italy
| | - G La Torre
- Department of Public Health and Infectious Disease, Sapienza University of Rome, Rome, Italy
| | - A Mannocci
- Department of Public Health and Infectious Disease, Sapienza University of Rome, Rome, Italy
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24
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Agostini D, Natalucci V, Baldelli G, De Santi M, Donati Zeppa S, Vallorani L, Annibalini G, Lucertini F, Federici A, Izzo R, Stocchi V, Barbieri E. New Insights into the Role of Exercise in Inhibiting mTOR Signaling in Triple-Negative Breast Cancer. Oxid Med Cell Longev 2018; 2018:5896786. [PMID: 30363988 PMCID: PMC6186337 DOI: 10.1155/2018/5896786] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Revised: 08/03/2018] [Accepted: 08/12/2018] [Indexed: 02/06/2023]
Abstract
Triple-negative breast cancer (TNBC) does not express estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 and is characterized by its aggressive nature, lack of targets for targeted therapies, and early peak of recurrence. Due to these specific characteristics, chemotherapy does not usually yield substantial improvements and new target therapies and alternative strategies are needed. The beneficial responses of TNBC survivors to regular exercise, including a reduction in the rate of tumor growth, are becoming increasingly apparent. Physiological adaptations to exercise occur in skeletal muscle but have an impact on the entire body through systemic control of energy homeostasis and metabolism, which in turn influence the TNBC tumor microenvironment. Gaining insights into the causal mechanisms of the therapeutic cancer control properties of regular exercise is important to improve the prescription and implementation of exercise and training in TNBC survivors. Here, we provide new evidence of the effects of exercise on TNBC prevention, control, and outcomes, based on the inhibition of the phosphatidylinositol-3-kinase (PI3K)/protein kinase B (PKB also known as Akt)/mammalian target of rapamycin (mTOR) (PI3K-Akt-mTOR) signaling. These findings have wide-ranging clinical implications for cancer treatment, including recurrence and case management.
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Affiliation(s)
- Deborah Agostini
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Valentina Natalucci
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Giulia Baldelli
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Mauro De Santi
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Sabrina Donati Zeppa
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Luciana Vallorani
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Giosuè Annibalini
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Francesco Lucertini
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Ario Federici
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Riccardo Izzo
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Vilberto Stocchi
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Elena Barbieri
- Interuniversity Institute of Myology (IIM), University of Urbino Carlo Bo, 61029 Urbino, PU, Italy
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25
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Mazzucco W, Pastorino R, Lagerberg T, Colotto M, d'Andrea E, Marotta C, Marzuillo C, Villari P, Federici A, Ricciardi W, Boccia S. Current state of genomic policies in healthcare among EU member states: results of a survey of chief medical officers. Eur J Public Health 2018; 27:931-937. [PMID: 27687585 PMCID: PMC5881673 DOI: 10.1093/eurpub/ckw155] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Background A need for a governance of genomics in healthcare among European Union (EU) countries arose during an international meeting of experts on public health genomics (PHG). We have conducted a survey on existing national genomic policies in healthcare among Chief Medical Officers (CMOs) of the 28 EU member states, plus Norway. Methods A questionnaire was sent to CMOs after a meeting on the policy implications of PHG held during the Italian presidency of the Council of EU in 2014. The survey was closed in November 2015. Results CMOs response rate was 65.5% (19/29). Twelve (63.2%) reported that their countries had a policy for genomics in healthcare in place, and 15 (78.9%) reported that public funding existed. Public research facilities for the development of such policies were documented in 13 (68.4%) countries, and 15 (83.3%) had working groups devoted to policy development. National agencies carrying out Health Technology Assessment of genomic-based technologies were present in nine countries (50%). Sixteen (88.9%) countries reported having agencies dealing with ethical issues related to genomic technologies. About 55% of countries disclosed the lack of information campaigns aimed at citizens, and 44.4% reported they had a legal framework for direct-to-consumer genetic tests. Conclusion Belgium, France, Italy, Spain and UK documented the presence of a policy on genomics in healthcare. While many caveats are necessary because of the methodology, results suggest a need for a co-ordinated effort to foster development and harmonization of dedicated policies across EU to responsibly integrate genomics policies into existing health systems.
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Affiliation(s)
- W Mazzucco
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.,Department of Science for Health Promotion and Mother to Child Care "G. D'Alessandro", University of Palermo, Italy
| | - R Pastorino
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - T Lagerberg
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.,Better Value HealthCare, Oxford, UK
| | - M Colotto
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - E d'Andrea
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - C Marotta
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - C Marzuillo
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - P Villari
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | | | - W Ricciardi
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.,National Institute of Health, Rome, Italy
| | - S Boccia
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario 'Agostino Gemelli', Rome, Italy
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Calabrò GE, La Torre G, de Waure C, Villari P, Federici A, Ricciardi W, Specchia ML. Disinvestment in healthcare: an overview of HTA agencies and organizations activities at European level. BMC Health Serv Res 2018; 18:148. [PMID: 29490647 PMCID: PMC5831213 DOI: 10.1186/s12913-018-2941-0] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2017] [Accepted: 02/19/2018] [Indexed: 11/10/2022] Open
Abstract
Background In an era of a growing economic pressure for all health systems, the interest for “disinvestment” in healthcare increased. In this context, evidence based approaches such as Health Technology Assessment (HTA) are needed both to invest and to disinvest in health technologies. In order to investigate the extent of application of HTA in this field, methodological projects/frameworks, case studies, dissemination initiatives on disinvestment released by HTA agencies and organizations located in Europe were searched. Methods In July 2015, the websites of HTA agencies and organizations belonging to the European network for HTA (EUnetHTA) and the International Network of Agencies for HTA (INAHTA) were accessed and searched through the use of the term “disinvestment”. Retrieved deliverables were considered eligible if they reported methodological projects/frameworks, case studies and dissemination initiatives focused on disinvestment in healthcare. Results 62 HTA agencies/organizations were accessed and eight methodological projects/frameworks, one case study and one dissemination initiative were found starting from 2007. With respect to methodological projects/frameworks, two were delivered in Austria, one in Italy, two in Spain and three in U.K. As for the case study and the dissemination initiative, both came from U.K. The majority of deliverables were aimed at making an overview of existing disinvestment approaches and at identifying challenges in their introduction. Conclusions Today, in a healthcare context characterized by resource scarcity and increasing service demand, “disinvestment” from low-value services and reinvestment in high-value ones is a key strategy that may be supported by HTA. The lack of evaluation of technologies in use, in particular at the end of their lifecycle, may be due to the scant availability of frameworks and guidelines for identification and assessment of obsolete technologies that was shown by our work. Although several projects were carried out in different countries, most remain constrained to the field of research. Disinvestment is a relatively new concept in HTA that could pose challenges also from a methodological point of view. To tackle these challenges, it is necessary to construct experiences at international level with the aim to develop new methodological approaches to produce and grow evidence on disinvestment policies and practices. Electronic supplementary material The online version of this article (10.1186/s12913-018-2941-0) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- G E Calabrò
- Institute of Public Health, Section of Hygiene, Catholic University of the Sacred Heart, L.go F. Vito 1, 00168, Rome, Roma, Italy
| | - G La Torre
- Department of Public Health and Infectious Diseases, Sapienza Università di Roma, Rome, Italy
| | - C de Waure
- Institute of Public Health, Section of Hygiene, Catholic University of the Sacred Heart, L.go F. Vito 1, 00168, Rome, Roma, Italy. .,Department of Experimental Medicine, University of Perugia, via Gambuli 1, 06132, Perugia, Italy.
| | - P Villari
- Department of Public Health and Infectious Diseases, Sapienza Università di Roma, Rome, Italy
| | | | - W Ricciardi
- Institute of Public Health, Section of Hygiene, Catholic University of the Sacred Heart, L.go F. Vito 1, 00168, Rome, Roma, Italy
| | - M L Specchia
- Institute of Public Health, Section of Hygiene, Catholic University of the Sacred Heart, L.go F. Vito 1, 00168, Rome, Roma, Italy
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Calabrò GE, Mazzaccara A, Barbina D, Carbone P, Guerrera D, Federici A, Ricciardi W, Boccia S. Distance learning training in genetics and genomics practices for Italian physicians. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx189.092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- GE Calabrò
- Department of Public Health, Section of Hygiene, Catholic University of the Sacred Heart, Rome, Italy
| | - A Mazzaccara
- Department of Public Health, Section of Hygiene, Catholic University of the Sacred Heart, Rome, Italy
| | - D Barbina
- National Institute of Health, Rome, Italy
| | - P Carbone
- National Institute of Health, Rome, Italy
| | - D Guerrera
- National Institute of Health, Rome, Italy
| | | | - W Ricciardi
- President of the National Institute of Health, Rome, Italy
| | - S Boccia
- Department of Public Health, Section of Hygiene, Catholic University of the Sacred Heart, Rome, Italy
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Zoffoli L, Ditroilo M, Federici A, Lucertini F. Local stability and kinematic variability in walking and pole walking at different speeds. Gait Posture 2017; 53:1-4. [PMID: 28061400 DOI: 10.1016/j.gaitpost.2016.12.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Revised: 11/05/2016] [Accepted: 12/16/2016] [Indexed: 02/02/2023]
Abstract
This study investigated the kinematic variability and the local stability of walking and pole walking using two tri-axial accelerometers placed on the seventh cervical (C7) and the second sacral (S2) vertebrae of twenty-one adults. Each participant performed three 1-min trials of walking and pole walking on a motorized treadmill (60, 80, 100% of the preferred walk-to-run transition speed). Forty strides per trial were used to calculate, in all directions of C7 and S2, the median of the stride-to-stride median absolute deviation (medMAD) and the local divergence exponent (λ). Generalised estimating equations and pairwise contrasts revealed, during pole walking, a higher medMAD (all directions, most speeds, C7 level only), and a lower λ (all directions, all speeds, both C7 and S2 level). As speed increased, so did medMAD (all directions, both walking with or without poles), with higher values at C7 compared to S2 level. A similar effect was observed for λ in the vertical direction (walking and pole walking), and in the anterior-posterior direction (only pole walking). An increase in speed brought about a λ reduction in the medial-lateral direction (C7 level only), especially during walking. Finally, both medMAD and λ were higher at C7 than S2 level (all directions, both walking and pole walking) except for λ in the anterior-posterior direction, which resulted higher in walking (C7 level only). In conclusion, despite a higher kinematic variability, pole walking appears to be more locally stable than walking at any speed, especially at C7 level.
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Affiliation(s)
- Luca Zoffoli
- Department of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, Italy.
| | - Massimiliano Ditroilo
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Ireland
| | - Ario Federici
- Department of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Francesco Lucertini
- Department of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, Italy
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29
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La Torre G, Mannocci A, Saulle R, Mipatrini D, Sinopoli A, D’Egidio V, Nicoletti G, Federici A, Villari P. Finding indicators to assess policies on prevention outcomes: the case of tobacco smoking. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw173.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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30
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Zoffoli L, Lucertini F, Federici A, Ditroilo M. Trunk muscles activation during pole walking vs. walking performed at different speeds and grades. Gait Posture 2016; 46:57-62. [PMID: 27131178 DOI: 10.1016/j.gaitpost.2016.02.015] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Revised: 02/17/2016] [Accepted: 02/22/2016] [Indexed: 02/02/2023]
Abstract
Given their functional role and importance, the activity of several trunk muscles was assessed (via surface electromyography-EMG) during Walking (W) and Pole Walking (PW) in 21 healthy adults. EMG data was collected from the external oblique (EO), the erector spinae longissimus (ES), the multifidus (MU), and the rectus abdominis (RA) while performing W and PW on a motorized treadmill at different speeds (60, 80, and 100% of the highest speed at which the participants still walked naturally; PTS60, PTS80 and PTS100, respectively) and grades (0 and 7%; GRADE0 and GRADE7, respectively). Stride length, EMG area under the curve (AUC), muscles activity duration (ACT), and percentage of coactivation (CO-ACT) of ES, MU and RA, were calculated from the averaged stride for each of the tested combinations. Compared to W, PW significantly increased the stride length, EOAUC, RAAUC and the activation time of all the investigated muscles, to different extents depending on treadmill speeds and grades. In addition, MUAUC was higher in PW than in W at GRADE0 only (all speeds, p<0.01), while ESAUC during W and PW was similar at all the speeds and grades. These changes resulted in longer CO-ACT in PW than W, at GRADE0-PTS100 (p<0.01) and GRADE7 (all speeds, p<0.01). In conclusion, when compared to W, PW requires a greater engagement of the abdominal muscles and, in turn, a higher control of the trunk muscles. These two factors taken together may suggest an elevated spinal stability while walking with poles.
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Affiliation(s)
- Luca Zoffoli
- Department of Biomolecular Sciences-Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, Italy.
| | - Francesco Lucertini
- Department of Biomolecular Sciences-Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Ario Federici
- Department of Biomolecular Sciences-Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Massimiliano Ditroilo
- Department of Sport, Health and Exercise Science, University of Hull, Hull, United Kingdom
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Lucertini F, Ponzio E, Di Palma M, Galati C, Federici A, Barbadoro P, D’Errico MM, Prospero E, Ambrogini P, Cuppini R, Lattanzi D, Minelli A. High Cardiorespiratory Fitness Is Negatively Associated with Daily Cortisol Output in Healthy Aging Men. PLoS One 2015; 10:e0141970. [PMID: 26529517 PMCID: PMC4631391 DOI: 10.1371/journal.pone.0141970] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2015] [Accepted: 10/15/2015] [Indexed: 12/11/2022] Open
Abstract
Physical fitness has salutary psychological and physical effects in older adults by promoting neuroplasticity and adaptation to stress. In aging, however, the effects of fitness on the hypothalamic-pituitary-adrenal (HPA) axis are mixed. We investigated the association between cardiorespiratory fitness and HPA activity in healthy elderly men (n = 22, mean age 68 y; smokers, obese subjects, those taking drugs or reporting recent stressful events were excluded), by measuring in saliva: i) daily pattern of cortisol secretion (6 samples: 30' post-awakening, and at 12.00, 15.00, 18.00, 21.00, 24.00 h); and ii) the cortisol response to a mental challenge. Cardiorespiratory fitness (VO2max) was estimated using the Rockport Walking Test and the participants were assigned to high-fit (HF, ≥60°, n = 10) and low-fit (LF, ≤35°, n = 12) groups according to age-specific percentiles of VO2max distribution in the general population. At all daytimes, basal cortisol levels were lower in the HF than the LF group, most notably in the evening and midnight samples, with a significant main effect of physical fitness for cortisol levels overall; the area-under-the-curve for total daily cortisol output was significantly smaller in the HF group. Among the subjects who responded to mental stress (baseline-to-peak increment >1.5 nmol/L; n = 13, 5 LF, 8 HF), the amplitude of cortisol response and the steepness of recovery decline displayed an increasing trend in the HF subjects, although between-group differences failed to reach the threshold for significance. In conclusion, cardiorespiratory fitness in healthy aging men is negatively correlated with daily cortisol output and contributes to buffering the HPA dysregulation that occurs with advancing age, thus possibly playing a beneficial role in contrasting age-related cognitive and physical decline.
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Affiliation(s)
- Francesco Lucertini
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Elisa Ponzio
- Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy
| | - Michael Di Palma
- Department of Earth, Life and Environmental Sciences (DiSTeVA), University of Urbino Carlo Bo, Urbino, Italy
| | - Claudia Galati
- Department of Earth, Life and Environmental Sciences (DiSTeVA), University of Urbino Carlo Bo, Urbino, Italy
| | - Ario Federici
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Pamela Barbadoro
- Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy
| | - Marcello M. D’Errico
- Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy
| | - Emilia Prospero
- Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy
| | - Patrizia Ambrogini
- Department of Earth, Life and Environmental Sciences (DiSTeVA), University of Urbino Carlo Bo, Urbino, Italy
| | - Riccardo Cuppini
- Department of Earth, Life and Environmental Sciences (DiSTeVA), University of Urbino Carlo Bo, Urbino, Italy
| | - Davide Lattanzi
- Department of Earth, Life and Environmental Sciences (DiSTeVA), University of Urbino Carlo Bo, Urbino, Italy
| | - Andrea Minelli
- Department of Earth, Life and Environmental Sciences (DiSTeVA), University of Urbino Carlo Bo, Urbino, Italy
- * E-mail:
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Mocchegiani F, Gemini S, Vincenzi P, Montalti R, Vecchi A, Nicolini D, Federici A, Coletta M, Pansini M, Lanari J, Svegliati Baroni G, Risaliti A, Vivarelli M. Liver transplantation in neurological Wilson's Disease: is there indication? A case report. Transplant Proc 2015; 46:2360-4. [PMID: 25242788 DOI: 10.1016/j.transproceed.2014.07.059] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Wilson's disease (WD) is an autosomal recessive disorder characterized by copper overload. In this disease, inadequate hepatic excretion leads to copper accumulation in the liver, brain, kidney, and cornea. Severe neurological symptoms can develop in patients with WD, often in the absence of relevant liver damage: it is unclear whether liver transplantation (LT) could reverse neurological symptoms, and at present LT is not recommended in this setting. We report a case of regression of neurological symptoms in a patient affected by WD with prevalent neurological involvement. A 19-year-old man with disabling neuropsychiatric symptoms from WD that included frontal ataxia, akinesia, dystonia, tremors, and behavioral disorders in the presence of preserved liver function (Model for End-Stage Liver Disease score=7; Child-Turcotte-Pugh score=A5) underwent LT in November 2009. At the time of LT, encephalic magnetic resonance imaging (MRI) indicated diffuse neurodegenerative alterations involving subtentorial and supratentorial structures; bilateral Kayser-Fleischer ring was present. Four years after LT, laboratory tests show normalized copper metabolism and excellent liver function test results. Encephalic MRI shows a substantial improvement of already-known signal alterations at nuclei thalamus and putamen, mesencephalon, and pons. Kayser-Fleischer ring disappeared from the right eye, but a little remnant is still visible in the left eye. At neurological examination, all of the previous symptoms and signs are no longer present and behavioral disorders are no longer present; psychosocial functions are completely restored. The present case provides some evidence that LT may be a valid therapeutic option for WD patients with marked neurological impairment, particularly in those no longer responsive to chelation therapy.
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Affiliation(s)
- F Mocchegiani
- Hepatobiliary and Abdominal Transplantation Surgery, Polytechnic University of Marche, Ancona, Italy.
| | - S Gemini
- Clinic of Gastroenterology, Hepatology and Digestive Endoscopy, Department of Gastroenterology and Transplantation, Polytechnic University of Marche, Ancona, Italy
| | - P Vincenzi
- Hepatobiliary and Abdominal Transplantation Surgery, Polytechnic University of Marche, Ancona, Italy
| | - R Montalti
- Hepatobiliary and Abdominal Transplantation Surgery, Polytechnic University of Marche, Ancona, Italy
| | - A Vecchi
- Hepatobiliary and Abdominal Transplantation Surgery, Polytechnic University of Marche, Ancona, Italy
| | - D Nicolini
- Hepatobiliary and Abdominal Transplantation Surgery, Polytechnic University of Marche, Ancona, Italy
| | - A Federici
- Hepatobiliary and Abdominal Transplantation Surgery, Polytechnic University of Marche, Ancona, Italy
| | - M Coletta
- Hepatobiliary and Abdominal Transplantation Surgery, Polytechnic University of Marche, Ancona, Italy
| | - M Pansini
- Hepatobiliary and Abdominal Transplantation Surgery, Polytechnic University of Marche, Ancona, Italy
| | - J Lanari
- Hepatobiliary and Abdominal Transplantation Surgery, Polytechnic University of Marche, Ancona, Italy
| | - G Svegliati Baroni
- Clinic of Gastroenterology, Hepatology and Digestive Endoscopy, Department of Gastroenterology and Transplantation, Polytechnic University of Marche, Ancona, Italy
| | - A Risaliti
- Department of Surgery and Transplantation, University of Udine, Italy
| | - M Vivarelli
- Hepatobiliary and Abdominal Transplantation Surgery, Polytechnic University of Marche, Ancona, Italy
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Guerra R, Federici A. The role of innovation in health care sustainability. Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv169.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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de Belvis AG, Faggiano F, Baldasseroni A, Cerbo M, Tanzariello M, Bucci S, Federici A, Cipriani F, Ricciardi W. The Italian Network for Evidence Based Prevention: a new tool for decision making in Public Health. Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv174.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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35
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Cagetti MG, Federici A, Iannetti G, Gherlone E, Mazza C, Majorana A, Marcoli PA, Montagna MT, Munizzi MR, Nardone M, Pinchi V, Pizzi S, Polimeni A, Zampogna S, Strohmenger L, De Filippo S, De Giglio O, Mastroberardino S, Aloe M, Quaranta A, Talarico V. National guidelines for the prevention and clinical management of dental trauma in individuals during their developmental age. Ann Ig 2013; 25:459-484. [PMID: 24284533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- M G Cagetti
- Scientific Committee Ministry of Health/Department of Public Health and Innovation, Rome, Italy
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Tanzariello M, Bucci S, De Leva AC, Cocomazzi A, Pelone F, de Belvis AG, Federici A, Baldasseroni A, Faggiano F, Ricciardi WW. What works in public health? An evidence-based tool for setting priorities in the field of prevention and health promotion research. Eur J Public Health 2013. [DOI: 10.1093/eurpub/ckt124.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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37
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Rosso A, Massimi A, Marzuillo C, Unim B, Rinaldi A, de Belvis AG, La Torre G, Federici A, Villari P. The process of prevention planning in Italy: a preliminary analysis of 705 projects included in Regional Prevention Plans (PRPs). Eur J Public Health 2013. [DOI: 10.1093/eurpub/ckt123.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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38
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Lucertini F, Spazzafumo L, De Lillo F, Centonze D, Valentini M, Federici A. Effectiveness of professionally-guided physical education on fitness outcomes of primary school children. Eur J Sport Sci 2013; 13:582-90. [DOI: 10.1080/17461391.2012.746732] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Francesco Lucertini
- a Department of Biomolecular Sciences, Division of Movement and Health Sciences , University of Urbino , Urbino , Italy
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39
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Giorgi Rossi P, Federici A, Zappa M. The cancer screening monitoring system: indicators for organised programmes and possible extension to spontaneous screening. Pathologica 2013; 105:83-85. [PMID: 24047033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023] Open
Abstract
European Commission recommends the implementation of organized screening programs for cervical cancer based on active invitation of the target population and with a systematic monitoring system and quality assurance. Nevertheless, in many Member States opportunistic screening is still the only or the main way to access Pap test. In Italy, Pap test coverage in women aged 25-64 is close to 80%, about half of them are screened in organized programs and half by opportunistic screening. Organized programs are diffused in the vast majority of the country (78% in 2009) even if in some cases they are not able to actively invite all the target population every three years (actual extension 67%); furthermore, participation rate after invitation is quite low (39%). Organized screening programs showed performance indicators in line with most of the international standards: low referral rates (2.4%), low inadequate cytological results (4.7%), and high positive predictive value for high grade cervical intraepithelial neoplasia (16.2%). Opportunistic screening has no systematic monitoring system. The coexistence of the two screening models, organized programs and opportunistic, can be a source of inappropriate use of secondary prevention duplicating the tests and favoring deviations from recommended protocols. The Italian Ministry of Health recommends re-organizing cervical cancer prevention favoring organized programs or integrating spontaneous Pap testing in an organized system. To implement such integration it is necessary to have monitoring system and quality assurance for all providers and to integrate archives in order to avoid over-testing and deviation from protocols.
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40
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De Belvis AG, La Torre G, Marino M, Di Thiene D, Specchia ML, Tanzariello M, Saulle R, Federici A, Villari P, Ricciardi W, Boccia A. [Implementation of the stewardship model in public health: proposal of an assessment tool for the Italian national prevention plan]. Ig Sanita Pubbl 2012; 68:293-301. [PMID: 23064092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The stewardship model has been adopted as a system of governance in several countries. In Italy, the Ministry of Health has proposed the use of the stewardship model for implementing the activities of the National Prevention Plan 2010-2012. The authors present the conceptual foundations and methodology used in the development of an assessment tool (audit tool) for evaluating the level of implementation of the stewardship model with regards to the activities of the national prevention plan in all Italian regions.
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41
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Valentini M, Mezzelani E, Marziani G, Di Tore S, Federici A. School: a coloured world af a everyday reality performance analysis: motor project of educational research for an effective integration. JHSE 2012. [DOI: 10.4100/jhse.2012.7.proc1.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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42
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Petrosillo G, Di Venosa N, Moro N, Colantuono G, Paradies V, Tiravanti E, Federici A, Ruggiero FM, Paradies G. In vivo hyperoxic preconditioning protects against rat-heart ischemia/reperfusion injury by inhibiting mitochondrial permeability transition pore opening and cytochrome c release. Free Radic Biol Med 2011; 50:477-83. [PMID: 21130864 DOI: 10.1016/j.freeradbiomed.2010.11.030] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2010] [Revised: 11/22/2010] [Accepted: 11/24/2010] [Indexed: 12/24/2022]
Abstract
In vivo hyperoxic preconditioning (PC) has been shown to protect against ischemia/reperfusion (I/R) myocardial damage. Mitochondrial permeability transition pore (MPTP) opening is an important event in cardiomyocyte cell death occurring during I/R and therefore a possible target for cardioprotection. We tested the hypothesis that in vivo hyperoxic PC, obtained by mechanical ventilation of animals, could protect heart against I/R injury by inhibiting MPTP opening and cytochrome c release from mitochondria. Mechanically ventilated rats were first exposed to a short period of hyperoxia and isolated hearts were subsequently subjected to I/R in a Langendorff apparatus. Hyperoxic PC significantly improved the functional recovery of hearts on reperfusion, reduced the infarct size, and decreased necrotic damage as shown by the reduced release of lactate dehydrogenase. Mitochondria from hyperoxic PC hearts were less sensitive than mitochondria from reperfused heart to MPTP opening. In addition, hyperoxic PC prevented mitochondrial NAD(+) depletion, an indicator of MPTP opening, and cytochrome c release as well as cardiolipin oxidation/depletion associated with I/R. Together, these results demonstrate that hyperoxic PC protects against heart I/R injury by inhibiting MPTP opening and cytochrome c release. Thus, in vivo hyperoxic PC may represent a useful strategy for the treatment of cardiac I/R injury and could have potential applications in clinical practice.
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Affiliation(s)
- G Petrosillo
- Department of Biochemistry and Molecular Biology and CNR Institute of Biomembranes and Bioenergetics, University of Bari, 70126 Bari, Italy
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43
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Federici A, Mangia M, Giorgi Rossi P. [Mass screening and early detection of cancer: organizational characteristics of preventive services in Italy]. Ann Ig 2009; 21:489-500. [PMID: 20058539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
The commitment to fight against cancer is a part of European Community health strategies and of Italian health services planning. Interesting and useful results have been achieved in Europe and in our country where most of the population can participate to screening programmes. In Italy there are two main organisational models to deliver intervention for secondary prevention: population based and individual access. Several experimental data show population-based prevention is more fair and appropriate and achieves better results in reducing incidence and mortality rates; data are summarized. Because of this differences we go trough the different characteristics of the two models to handle them better planning and managing more efficiently a sustainable secondary-prevention.
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Affiliation(s)
- A Federici
- Direzione Generale Prevenzione, Ministero del Lavoro della Salute e delle Politiche Sociali, Roma.
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Zappa M, Naldoni C, Paci E, Segnan N, Vettorazzi C, Federici A. Introduction. The diffusion of screening programmes in Italy: 2007. Epidemiol Prev 2009; 33:7-10. [PMID: 19776483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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45
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Nazzaro P, Federici A, Lucivero V, Schirosi G, Di Noia D, Vurro L, Vulpis V, Diana G, Tinelli A, Livrea P, Federico F, Pirrelli AM. The Ambulatory Arterial Stiffness Index is Associated with Capillary Rarefaction. High Blood Press Cardiovasc Prev 2007. [DOI: 10.2165/00151642-200714030-00177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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46
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Federici A, Consolante CA, Barca A, Baiocchi D, Borgia P, Marzolini L, Guasticchi G. [Risk management in a regional screening program for breast cancer in the region of Lazio, Italy]. Ann Ig 2006; 18:467-79. [PMID: 17228605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
In the Lazio Region, it has been put into effect a plan of clinical Risk Management for the Breast Cancer Screening Regional Program (BCSP), involving all of the 12 Local Health Units and the Public Health Agency of Lazio (ASP). Being the BCSP a health care service, it consists of a perfect integration of health care structures, professionals and skills working for the citizens. This program originates from an unexpressed health need and leads to a evidence-based health benefit. The BCSP provides free breast screening for 700,000 women aged between 50 and 69 in the Lazio region; the Public Health Agency carries out the clinical governance of the BCSP The prevention of errors and incidents represents a fundamental basis of governance: it is a contribution to the achievement of efficacy in breast cancer screening. The BCSP deals with screening incidents from a systemic point of view and actively involves several Local Health Units staff going through each step of the whole patient's clinical path, from the identification of the target population, to the oncological treatment of positive cases. The programme is an integration of different tools: literature research, process analysis using the HFMEA methodology and reporting system. The results reached so far are the following: the regional severity rating scale, the regional Master-List of possible adverse events, occurrence and detection rating scale.
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Affiliation(s)
- A Federici
- Agenzia di Sanità Pubblica della Regione Lazio, Roma
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Federici A, Valle S, Giorgi Rossi P, Grassi A, Borgia P, Guasticchi G. [Colorectal cancer screening: survey of endoscopy center's physicians in Lazio region]. Ann Ig 2006; 18:215-24. [PMID: 16821499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
The aim of the present work is to describe the characteristics of digestive endoscopy centers and the physicians that work there, with particular attention to their attitudes and practices in colorectal cancer screening. A questionnaire was sent to all 80 digestive endoscopy centers in the Lazio region, identified by the annual census of Italian Society of Digestive Endoscopy (Società Italiana di Endoscopia Digestiva, SIED). Seventy-one centers (89%), returned the questionnaire. Screening activity on average represents 14% of the centers' colonoscopy workload. Colonoscopy was considered to be a "very effective" screening test by 96% of physicians, the faecal occult blood test "very effective" by 20%, and flexosigmoidoscopy "very effective" by 11%. Ninety-seven percent (97%) of physicians reported recommending any test for screening: 80% colonoscopy, 61% faecal occult blood test, 14% double contrast barium enema and 11% flexosigmoidoscopy. Despite the fact that almost all physicians reported recommending screening, the centres are only marginally involved in screening practice. Endoscopy centers' physicians tend to have an aggressive strategy for colorectal cancer prevention and exclusive trust in colonoscopy; an attitude more consistent with a clinical-diagnostic approach than with real mass screening of a healthy population.
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Affiliation(s)
- A Federici
- Agenzia di Sanità Pubblica della Regione Lazio, Roma
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48
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Petrosillo G, Di Venosa N, Pistolese M, Casanova G, Tiravanti E, Colantuono G, Federici A, Paradies G, Ruggiero FM. Protective effect of melatonin against mitochondrial dysfunction associated with cardiac ischemiareperfusion: role of cardiolipin. FASEB J 2006; 20:269-76. [PMID: 16449799 DOI: 10.1096/fj.05-4692com] [Citation(s) in RCA: 95] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Reactive oxygen species (ROS) are considered an important factor in ischemia/reperfusion injury to cardiac myocytes. Mitochondrial respiration, mainly at the level of complex I and III, is an important source of ROS generation and hence a potential contributor of cardiac reperfusion injury. Appropriate antioxidant strategies could be particularly useful to limit this ROS generation and associated mitochondrial dysfunction. Melatonin has been shown to effectively protect against ischemic-reperfusion myocardial damage. The mechanism by which melatonin exerts this cardioprotective effect is not well established. In the present study we examined the effects of melatonin on various parameters of mitochondrial bioenergetics in a Langerdoff isolated perfused rat heart model. After isolation of mitochondria from control, ischemic-reperfused and melatonin-treated ischemic-reperfused rat heart, various bioenergetic parameters were evaluated such as rates of mitochondrial oxygen consumption, complex I and complex III activity, H2O2 production as well as the degree of lipid peroxidation, cardiolipin content, and cardiolipin oxidation. We found that reperfusion significantly altered all these mitochondrial parameters, while melatonin treatment had strong protective effect attenuating these alterations. This effect appears to be due, at least in part, to the preservation, by ROS attack, of the content and integrity of cardiolipin molecules which play a pivotal role in mitochondrial bioenergetics. Protection of mitochondrial dysfunction was associated with an improvement of post-ischemic hemodynamic function of the heart. Melatonin had also strong protective effect against oxidative alterations to complex I and III as well as to cardiolipin in isolated mitochondria.
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Affiliation(s)
- G Petrosillo
- Department of Biochemistry and Molecular Biology and CNR Institute of Biomembranes and Bioenergetics, University of Bari, Bari Italy
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49
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Potenza M, Marasciulo F, Tarquinio M, Tiravanti E, Colantuono G, Federici A, Quon M, Montagnani M. We-P14:486 Epigallocatechin gallate reduces blood pressure, improves insulin sensitivity, and protects against myocardial ischemia/reperfusion injury in SHR. ATHEROSCLEROSIS SUPP 2006. [DOI: 10.1016/s1567-5688(06)81838-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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50
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Rocchi MBL, Sisti D, Benedetti P, Valentini M, Bellagamba S, Federici A. Critical comparison of nine different self-administered questionnaires for the evaluation of disability caused by low back pain. Eura Medicophys 2005; 41:275-81. [PMID: 16474281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
AIM The aim of this study was to critically compare 9 self-administered questionnaires designed to evaluate disability caused by back pain. METHODS The questionnaires were analyzed considering and comparing their psychometric characteristics (reliability, validity, responsiveness, minimal clinically relevant difference), together with other practical and technical aspects (number of items, number and kind of domains, scaling of items, scoring, time to complete, validated translations, etc.). Data were obtained from scientific literature. RESULTS Only 3 out of 9 analyzed instruments (i.e., the Oswestry Low Back Pain Disability Questionnaire, the Quebec Back Pain Disability Scale, and the Roland-Morris Low Back Pain Disability Questionnaire) appear fully validated from a psychometric standpoint. CONCLUSIONS On the basis of psychometric evaluations as well as feasibility considerations, the authors suggest using either the Roland-Morris or Oswestry questionnaire as the best assessment of the level of disability caused by back pain.
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Affiliation(s)
- M B L Rocchi
- Institute of Biomathematics, University of Urbino Carlo Bo, Urbino, Italy.
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