1
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Valeriani F, Protano C, De Giorgi A, Mazzeo E, Liguori G, Romano Spica V, Vitali M, Gallè F. Analysing features of home-based workout during COVID-19 pandemic: a systematic review. Public Health 2023; 222:100-114. [PMID: 37541063 DOI: 10.1016/j.puhe.2023.06.040] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 06/15/2023] [Accepted: 06/29/2023] [Indexed: 08/06/2023]
Abstract
OBJECTIVE Since the beginning of the COVID-19 pandemic, a decrease in physical activity (PA) related to home confinement has been reported worldwide. However, some individuals were able to engage in physical activities at home. Thus, in a perspective of public health, it may be useful to analyse the available evidence regarding PA adopted during home restrictions, in order to identify possible strategies to help people stay active even during emergency situations. The aim of this review was to analyse how healthy individuals spontaneously exercised at home in the course of the pandemic, in order to detect possible factors associated with this behaviour. STUDY DESIGN A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. METHODS The protocol was registered in PROSPERO, an international prospective register of systematic reviews, with the registration number CRD42023394673. A literature search was conducted in PubMed, Scopus, and Web of Science. Cross-sectional studies published in English from the inception of each database to February 06th 2023 and focused on healthy individuals practicing spontaneous PA/exercise at home during the pandemic were considered eligible. The quality assessment was performed using the adapted Newcastle-Ottawa Quality Assessment Scale. Bibliographic information, sample size, study paricipant/population with age, gender, ethnicity, socioeconomic status, education, smart workers or not, anthropometric parameters, characteristics of at home exercises, athletic status and sedentariness, associated health-related effects, and main findings were synthetised. RESULTS From 504 articles, 19 were included. Notwithstanding the differences in the studies examined, the majority of them reported that previous PA level was associated with exercise in such challenging conditions. Furthermore, technologies aimed at supporting exercise were shown to be a useful resource. CONCLUSIONS Being habitually active and using digital supports may be associated with a positive attitude towards exercise at home during isolation. This suggests that in emergency situations, exercise should be promoted, also through digital media, especially among those groups who are usually less engaged in PA. Further analyses of longitudinal studies are needed to confirm these findings.
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Affiliation(s)
- F Valeriani
- Department of Movement, Human, and Health Sciences, University of Rome Foro Italico, Rome, Italy
| | - C Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
| | - A De Giorgi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - E Mazzeo
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - G Liguori
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, Naples, Italy
| | - V Romano Spica
- Department of Movement, Human, and Health Sciences, University of Rome Foro Italico, Rome, Italy
| | - M Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - F Gallè
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, Naples, Italy
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2
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Dallolio L, Gallè F, Masini A, Valeriani F, Ceciliani A, di Cagno A, Galeone D, Pecoraro P, Valerio G, Liguori G, Romano Spica V, Brandi G, Baldelli G, Capelli G, Coco D, Corradi M, Cortis E, Deiana P, Di Rosa E, Marini S, Mulato R, Parisi A, Pesce C, Riegger S, Staiano A, Siniscalco A, Trombetta M, Ubaldi F. Active breaks: a strategy to counteract sedentary behaviors for Health Promoting Schools. A discussion on their implementation in Italy. Ann Ig 2023; 35:202-212. [PMID: 35788249 DOI: 10.7416/ai.2022.2532] [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] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Abstract School Active Breaks are short bouts of physical activity (5-15 minutes) conducted by appropriately trained teachers and delivered during or between curricular lessons. They are a good strategy to counteract sedentary behaviors, and a growing body of evidence shows that they can represent also a tool to promote and improve health, school wellbeing and academic achievements. On 19 February 2022, the Working Group on Movement Sciences for Health of the Italian Society of Hygiene, Preventive Medicine and Public Health organized an Awareness Day on the effectiveness, usefulness and feasibility of School Active Breaks, opened to teachers, educators, school leaders, pediatricians, personnel from Departments of Prevention and Public Health and Health Policy-makers. During the event, the testimonies about the experiences already carried out in Italy showed that School Active Breaks are an effective intervention that each school can easily include in its educational offer and apply in any context.
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Affiliation(s)
- L Dallolio
- Department of Biomedical and Neuromotor Science, University of Bologna, Bologna, Italy
| | - F Gallè
- Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Italy
| | - A Masini
- Department of Biomedical and Neuromotor Science, University of Bologna, Bologna, Italy
| | - F Valeriani
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - A Ceciliani
- Department for Life Quality Studies, University of Bologna, Bologna, Italy
| | - A di Cagno
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - D Galeone
- General Directorate for Health Prevention, Ministry of Health, Rome, Italy
| | - P Pecoraro
- Local Health Agency Naples 3 South, Naples, Italy
| | - G Valerio
- Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Italy
| | - G Liguori
- Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Italy
| | - V Romano Spica
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - G Brandi
- Department of Biomolecular Sciences, Public Health Unit, University "Carlo Bo", Urbino, Italy
| | - G Baldelli
- School Active Breaks awareness day, Italy.,Department of Biomolecular Sciences, Public Health Unit, University "Carlo Bo", Urbino, Italy
| | - G Capelli
- School Active Breaks awareness day, Italy.,National Centre for Diseases Prevention and Health Promotion, National Institutes of Health, Rome, Italy
| | - D Coco
- School Active Breaks awareness day, Italy.,Department of Education, University of Rome "Roma Tre", Rome, Italy
| | - M Corradi
- School Active Breaks awareness day, Italy.,Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy
| | - E Cortis
- School Active Breaks awareness day, Italy.,Pediatric Unit, Sant'Eugenio Hospital, ASL Rome 2, Rome, Italy
| | - P Deiana
- School Active Breaks awareness day, Italy.,Office of School Sport Policies, Italian Ministry of Education, Rome, Italy
| | - E Di Rosa
- School Active Breaks awareness day, Italy.,Office of School Sport Policies, Italian Ministry of Education, Rome, Italy
| | - S Marini
- Department for Life Quality Studies, University of Bologna, Bologna, Italy.,School Active Breaks awareness day, Italy
| | - R Mulato
- School Active Breaks awareness day, Italy.,Moving School 21 ONLUS, Bologna, Italy
| | - A Parisi
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.,School Active Breaks awareness day, Italy
| | - C Pesce
- School Active Breaks awareness day, Italy.,Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - S Riegger
- School Active Breaks awareness day, Italy.,Moving School 21 ONLUS, Bologna, Italy
| | - A Staiano
- School Active Breaks awareness day, Italy.,Department of Translational Science, University of Naples, Federico II, Naples, and Italian Society of Pediatrics (SIP), Italy
| | - A Siniscalco
- School Active Breaks awareness day, Italy.,Dinamica Tai Chi Chuan e Arti associate A.S.D., Rome, Italy
| | - M Trombetta
- School Active Breaks awareness day, Italy.,"FairPlay4U" Educational Project for School, Galatea Communications, Rome, Italy
| | - F Ubaldi
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.,School Active Breaks awareness day, Italy
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3
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Protano C, De Giorgi A, Valeriani F, Gallè F, Liguori G, Spica VR, Vitali M. Dietary supplements intake among youth: preliminary results of a multicentric survey. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac131.230] [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
In the last decades, a wide spread of dietary supplements (DSs) has been observed worldwide. However, DS use is not always motivated by real nutritional needs. In this context, commercial strategies and peers’ suggestions seem to play an important role in determining this habit, with harmful effects on consumers’ health. This cross-sectional study was aimed to evaluate the DS consumption patterns among a sample of undergraduate students attending 14 Italian universities.
Methods
An anonymous web questionnaire was used to collect information about DS use and consumption habits, related motivations and possible adverse effects. The survey is still ongoing and its conclusion is expected to be on May 2022.
Results
On a total of 2019 participants enrolled so far (69.7% female, mean age 22.8±4.7), 72.6% reported the use of at least a DS in the last six months. Multivitamin and multimineral products were the most used, being reported by 35.8% of the participants, while caffeinated energy supplements were the less reported (2.0%). The main reason for DS use was to deal with a specific deficiency following a physician or nutritionist indication (47.8%). The 3.4% of participants reported the occurrence of negative outcomes, mainly gastrointestinal disorders (74%).
Conclusions
These preliminary results evidenced a wide use of DSs in the studied population. Although the main motivation was a nutritional need with a medical recommendation, a notable proportion of the sample assumed DSs without any specific prescription. Thus, it is essential to increase the knowledge about DSs and related threats deriving from their inappropriate use in the population, especially among youths. Further analysis will allow to identify possible correlations with socio-demographic and behavioural variables.
Key messages
• It is essential to increase the knowledge about dietary supplements to avoid an inappropriate use in the population.
• Youths are the most exposed to this consumption.
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Affiliation(s)
- C Protano
- Public Health Department, Sapienza University of Rome , Rome, Italy
| | - A De Giorgi
- Public Health Department, Sapienza University of Rome , Rome, Italy
| | - F Valeriani
- Public Health Department, Foro Italico University , Rome, Italy
| | - F Gallè
- Public Health Department, Parthenope University , Naples, Italy
| | - G Liguori
- Public Health Department, Parthenope University , Naples, Italy
| | - VR Spica
- Public Health Department, Foro Italico University , Rome, Italy
| | - M Vitali
- Public Health Department, Sapienza University of Rome , Rome, Italy
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4
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Sindoni A, Valeriani F, Protano C, Liguori G, Romano Spica V, Vitali M, Gallè F. Health risks for body pierced community: a systematic review. Public Health 2022; 205:202-215. [PMID: 35339940 DOI: 10.1016/j.puhe.2022.01.035] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Revised: 01/20/2022] [Accepted: 01/23/2022] [Indexed: 12/28/2022]
Abstract
OBJECTIVE Body piercing is defined as the penetration of jewellery into openings made in different body areas. In the last decades, it has become increasingly common in the general population. The aim is to analyse the available literature about complications from body piercing for contributing to raise the awareness towards this issue and to plan and perform appropriate prevention interventions. STUDY DESIGN This is a systematic review. METHODS The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used to perform this systematic review; the protocol was registered with PROSPERO [CRD42020177972]. PubMed, Scopus and Web of Science were searched from database inception to April 2020, and articles in English language reporting a proven association between piercings and health risks were included, and their quality were assessed by adequate quality assessment tools. RESULTS A total of 4748 studies were found, and after duplicates removal and screening, 84 articles were included. Studies dealing with microbiological effects reported these complications both locally and at distant sites as a result of the spreading of the primary site infection: mastitis, endocarditis, glomerulonephritis, cephalic tetanus, viral hepatitis, HIV, cerebellar brain abscess and toxic shock syndrome. In addition, bleeding, gingival recession, dental injuries, contact dermatitis, granulomatous dermatitis, keloid, fibroma and basal cell carcinoma were reported. CONCLUSIONS Health authorities should promote educational campaigns to spread the knowledge on health risks related to piercings. Besides, piercers are often not adequately aware of all the possible adverse effects due to piercings because their professional training differs among countries. It is therefore advisable to provide periodical upgrade of their education in this field.
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Affiliation(s)
- A Sindoni
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185, Rome, Italy.
| | - F Valeriani
- Department of Movement, Human, and Health Sciences, University of Rome Foro Italico, 00135, Rome, Italy.
| | - C Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185, Rome, Italy.
| | - G Liguori
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, 80133, Naples, Italy.
| | - V Romano Spica
- Department of Movement, Human, and Health Sciences, University of Rome Foro Italico, 00135, Rome, Italy.
| | - M Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185, Rome, Italy.
| | - F Gallè
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, 80133, Naples, Italy.
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5
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Marotta D, Gallè F, Valeriani F, Liguori G, Romano Spica V, Vitali M, Protano C. Undergraduates' perception of health risk of body arts: results of an Italian multicentre study. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.068] [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
In the last decades, body art practices such as tattooing and piercing have known an increasing popularity, mainly in young people. These procedures are associated with infectious and non-infectious health risks. The aim of this multicenter study was to evaluate the knowledge of health risks related to body art procedures among undergraduate students from ten Italian universities.
Methods
A cross-sectional study was performed on undergraduate students attending universities in northern, central and southern Italy. An anonymous questionnaire was administered to the participants for collecting their socio-demographic characteristics and for assessing their knowledge about health risks associated with tattoos and piercing.
Results
A total of 2985 students (mean age 23.15 ± 3.99, 73.9% females) completed the questionnaire. 775 (25.9%) of them were from northern Italy, 906 (30.3%) from the Centre and 1324 (44.4%) from the South. More than 90% of the sample were aware that tattoo/piercing procedures can cause health problems. However, the mean values of correct answers about the health risks associated to body art practices were low (5.38 ± 2.39 on a total of 11 correct answers for tattooing and 5.93 ± 3.12 on a total of 14 for piercing). Higher knowledge of the health risks related to tattooing was found among those attending university since more than four years (p < 0.001), life science courses (p < 0.001) and residing/living in the university area (p = 0.023). Those attending North/Centre universities (p < 0.001), since more than 4 years (p < 0.001), life science courses (p < 0.001), and those with graduated father (p = 0.013) had better knowledge of the health risks related to piercing.
Conclusions
These results show a lack of knowledge about health risks related to body art practices in the sample. Educational interventions on this issue targeted to youth are needed in Italy.
Key messages
Undergraduates do not show a good knowledge of health risks related to tattooing and piercing. Educational interventions are needed to raise youth awareness and knowledge of health risks of body art.
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Affiliation(s)
- D Marotta
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - F Gallè
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, Naples, Italy
| | - F Valeriani
- Department of Movement, Human and Health Sciences, University of Rome, Rome, Italy
| | - G Liguori
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, Naples, Italy
| | - V Romano Spica
- Department of Movement, Human and Health Sciences, University of Rome, Rome, Italy
| | - M Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - C Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
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6
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Valeriani F, Gallè F, Cattaruzza MS, Antinozzi M, Gianfranceschi G, Postiglione N, Romano Spica V, Liguori G. Are nutrition and physical activity associated with gut microbiota? A pilot study on a sample of healthy young adults. Ann Ig 2021; 32:521-527. [PMID: 32744583 DOI: 10.7416/ai.2020.2372] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
BACKGROUND The literature shows that gut microbiota composition is related with health, and a lot of individual and outer factors may determine its variability. In particular, nutrition and exercise seem to influence the presence in the gut of the two major bacterial phyla of Firmicutes and Bacteroidetes. STUDY DESIGN An ongoing cross-sectional investigation is aimed to explore these associations in humans. METHODS Healthy Caucasian young adults were asked to provide a fecal sample in order to analyze their gut microbiome considering their Body Mass Index (BMI), adherence to Mediterranean diet and Physical Activity (PA) level. RESULTS A total of 59 participants (49.1% males, mean age 23.1 ± 3.14 years) were enrolled so far. Firmicutes (61.6±14.6) and Bacteroidetes (30.7 ± 13.3) showed the highest relative abundance in fecal samples. The Pearson's analysis showed a significant negative correlation between PA and Firmicutes (r =-0.270, p = 0.03). Linear regression confirmed a significant decrease of this phylum with the increase of PA (R2 = 0.07, p = 0.03). CONCLUSIONS These preliminary results suggest the association between physical activity and gut microbiota composition in healthy humans.
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Affiliation(s)
- F Valeriani
- Public Health Unit, University of Rome "Foro Italico", Rome, Italy
| | - F Gallè
- Department of Movement Sciences and Wellbeing, University "Parthenope", Naples, Italy
| | - M S Cattaruzza
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
| | - M Antinozzi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
| | - G Gianfranceschi
- Public Health Unit, University of Rome "Foro Italico", Rome, Italy
| | - N Postiglione
- Department of Movement Sciences and Wellbeing, University "Parthenope", Naples, Italy
| | - V Romano Spica
- Public Health Unit, University of Rome "Foro Italico", Rome, Italy
| | - G Liguori
- Department of Movement Sciences and Wellbeing, University "Parthenope", Naples, Italy
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7
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Gallè F, Valeriani F, Cattaruzza MS, Ubaldi F, Romano Spica V, Liguori G. Exploring the association between physical activity and gut microbiota composition: a review of current evidence. Ann Ig 2020; 31:582-589. [PMID: 31616902 DOI: 10.7416/ai.2019.2318] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
The gut microbiota is implicated in digestive, metabolic and immune processes of the host. The physiological and pathophysiological functions of the intestinal microbiota depend of its composition, and several individual or external factors may be associated with the presence of some categories, phyla or species of microorganisms in the gut. In particular, two bacterial phyla - Firmicutes and Bacteroidetes - are predominant in the human gut and their relative concentrations seem to be related with age, gender, diet habits and weight status. In the last decade, several studies have tried to characterize the possible role of physical activity in determining qualitative and quantitative composition of the intestinal microbiota. This review is aimed at exploring the current evidences regarding the association between physical activity and gut microbiota composition in animal models and in the humans. Further studies are needed to clarify the mutual relationships among exercise, diet, nutritional supplements/doping agents and gut microbiota.
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Affiliation(s)
- F Gallè
- Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Naples, Italy
| | - F Valeriani
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - M S Cattaruzza
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - F Ubaldi
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - V Romano Spica
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy - WDPP, Working Group on Doping Prevention Project - GSMS-SItI, Working Group on Movement Sciences for Health, Italian Society of Hygiene, Preventive Medicine and Public Health
| | - G Liguori
- Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Naples, Italy - WDPP, Working Group on Doping Prevention Project - GSMS-SItI, Working Group on Movement Sciences for Health, Italian Society of Hygiene, Preventive Medicine and Public Health
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8
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Pasquarella C, Pompili M, Valeriani F, Morgado M, Milicia GM, Veronesi L, Odone A, Zoni R, Saccani E, Savino G, Persi Y, Pinelli M, Liguori G, Gallè F, Di Onofrio V, Fallace P, Romano Spica V. The prevention of doping and the improper use of drugs and food supplements in sports and physical activities: a survey on the activity of the prevention departments of Italian local health authorities. Ann Ig 2020; 31:533-547. [PMID: 31616898 DOI: 10.7416/ai.2019.2314] [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] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
INTRODUCTION Doping is an important public health problem widespread not only among elite athletes, but also among amateur and recreational athletes and the general population. In Italy the introduction of doping prevention within the Essential Levels of Care (LEA) with the DPCM 12/1/2017 represents a crucial step towards the implementation of education and health promotion interventions. In this context, the Departments of Prevention (DP) of the Local Health Authorities (LHA) have to play a fundamental role, becoming the cultural and operational reference on this issue. As part of the "Doping prevention: development of a permanent educational tool coordinated by the National Health Service Prevention Departments" project, funded by the Italian Ministry of Health, a survey was conducted on the activities carried out by the DP regarding doping prevention and improper use and abuse of drugs and food supplements in sports and physical activities, as a basis for the harmonization of organizational structures and prevention programs and the creation of a collaboration network at a regional and national level. METHODS A semi-structured questionnaire consisting of 11 questions, prepared on an electronic platform, was sent to the DP of all the Italian LHA. RESULTS A total of 38 DP out of 131 (29%) completed the questionnaire, with representation from all regions. 42.1% of DP carried out or are still running programs for the prevention of doping, a percentage that decreases to 27% considering the programs for the prevention of misuse and abuse of drugs and food supplements in sports and in physical activities; in less than half of the DP, 37.5% and 41.7%, respectively, dedicated funds have been allocated. The professionals most involved in prevention of doping are the Specialists in Sport Medicine (81.3%) followed by Specialists in Hygiene (43.8%) and Psychologists (37.5%), while Health Care Assistants (50%) are the professionals most involved in the prevention of the improper use of drugs and food supplements, followed by Specialists in Hygiene and Specialists in Sport Medicine (40%). Most of the DP (71.9%) believe that the introduction of programs to prevent and counteract doping in the LEA will have repercussions on their approach against doping. CONCLUSIONS The survey, although conducted on a limited sample, has provided an important framework relating to programs for the prevention of doping and the misuse and abuse of drugs and food supplements in sports and in the physical activities carried out by DP. A remarkable heterogeneity has been highlighted, both at national and regional level. It is urgent to provide DP with homogeneous and effective organizational models and adequate operational tools, paying particular attention to the training of all the professionals involved. It is also essential to implement permanent monitoring tools.
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Affiliation(s)
- C Pasquarella
- Department of Medicine and Surgery, University of Parma, Parma, Italy - WDPP, Working Group Doping Prevention Project
| | - M Pompili
- Local Health Autority Area Vasta n.1, Fano, Italy - RRN, Regional Referents Network
| | - F Valeriani
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - M Morgado
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - G M Milicia
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - L Veronesi
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - A Odone
- University Vita-Salute San Raffaele, Milan, Italy
| | - R Zoni
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - E Saccani
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - G Savino
- Emilia-Romagna Antidoping Center, AUSL Modena, Modena, Italy - WDPP, Working Group Doping Prevention Project
| | - Y Persi
- Emilia-Romagna Antidoping Center, AUSL Modena, Modena, Italy
| | - M Pinelli
- Emilia-Romagna Antidoping Center, AUSL Modena, Modena, Italy
| | - G Liguori
- Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Naples, Italy - GSMS-SItI, Working Group on Movement Sciences for Health, Italian Society of Hygiene Preventive Medicine and Public Health - WDPP, Working Group Doping Prevention Project
| | - F Gallè
- Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Naples, Italy
| | - V Di Onofrio
- Department of Sciences and Technologies, University of Naples "Parthenope", Naples, Ital
| | - P Fallace
- Prevention Department of ASL Napoli 2 Nord, Naples, Italy - WDPP, Working Group Doping Prevention Project - RRN, Regional Referents Network
| | - V Romano Spica
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy - WDPP, Working Group Doping Prevention Project
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9
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Dorelli B, Iachini M, Zaccarin M, Preziosi Standoli J, Galle F, Valeriani F, Liguori G, Romano Spica V, Cattaruzza MS, De Vito C. The effects of physical activity on human gut microbiota composition: a systematic review. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.437] [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: 11/15/2022] Open
Abstract
Abstract
Background
Gut microbiota development and composition can be influenced by an existing dynamic balance between host physiology and lifestyle. This systematic review aims to assess the impact of physical activity on human gut microbiota.
Methods
PubMed, Scopus and Web of Science were searched until May 2019. Full-text in English were recruited if focused on gut microbiota in healthy athletes or active people, without age or gender restrictions, collected on faecal samples and analysed with genome sequencing of rRNA 16S. All types of study design were included as long as they performed a comparison with a sedentary control group. No specific time frame for the publication date was applied. Quality assessment was performed using the JBI Critical Appraisal Checklist for Analytical Cross Sectional Studies (2017) and Cochrane Risk of Bias Tool for Randomized Controlled Trials.
Results
The analysis yielded 7/985 articles: five cross-sectional studies and two clinical trials, published from 2014 to 2019. The overall methodological assessment was of fair quality. Types of exercise included in the studies were: rugby, running, aerobic exercise, bodybuilding. More in detail, regarding the exercise load, some studies were conducted on elite professional athletes, such as rugby players, marathon runners or bodybuilders, with rigorous training, while other studies included a few weeks of aerobic and resistance training at a moderate intensity. Shannon diversity index increased in three studies. Concerning phyla, Firmicutes were increased in five studies and three studies described a significant decrease in Bacteroides.
Conclusions
This systematic review confirms the direct correlation between microbiota composition and physical activity, but further studies are needed to establish the possible presence of a causal link between the two factors.
Key messages
Exercise can play an important role as an environmental factor in determining gut microbiota composition. Further studies are needed to gain robust evidence of physical activity influence on gut microbiota variability.
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Affiliation(s)
- B Dorelli
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - M Iachini
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - M Zaccarin
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - J Preziosi Standoli
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - F Galle
- Department of Movement Sciences and Wellbeing, University of Naples “Parthenope”, Naples, Italy
| | - F Valeriani
- Department of Movement, Human, and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
| | - G Liguori
- Department of Movement Sciences and Wellbeing, University of Naples “Parthenope”, Naples, Italy
| | - V Romano Spica
- Department of Movement, Human, and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
| | - M S Cattaruzza
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - C De Vito
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
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10
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Giffi M, Antinozzi M, Sini N, Valeriani F, Gallè F, Romano Spica V, Liguori G, De Vito C, Cattaruzza MS. Influence of tobacco and e-cig smoke on intestinal microbiota: a systematic review. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.424] [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: 11/15/2022] Open
Abstract
Abstract
Background
Intestinal microbiota (IM) plays a crucial role in maintaining human body homeostasis, yet it is highly susceptible to lifestyle changes and environmental factors, such as tobacco and e-cig smoking.
This systematic review aims to investigate the relationship between smoking and IM in healthy humans, by assessing abundance of Phyla and species' variability.
Methods
PubMed, Scopus and Web of Science were searched until April 2019. Studies assessing IM of healthy adult tobacco/e-cig smokers, collected on faecal samples and analysed with genome sequencing of rRNA 16 S, were included. Any type of study design, described in English, was considered. Quality assessment was performed with Methodological index for non-randomized studies and Joanna Briggs Institute Critical Appraisal tool for cross-sectional studies.
Results
Eight out of 1,838 studies (one controlled prospective and seven cross-sectional studies) were included. The only controlled prospective study found a significant increase in α and β-diversity, an increase in Firmicutes (p = 0.014) and a decrease in Bacteroidetes (p = 0.019) after a smoking cessation intervention. In cross- sectional studies, five out of seven studies found a statistically significant decrease in α-diversity among tobacco/e-cig smokers, while results on β-diversity were more contradictory. One out of two studies evaluating Firmicutes found a significant decrease in smokers (p = 0.047). The only study assessing Bacteroidetes found a significant increase among smokers (p = 0.015). Five studies analysed genera, three of them found a decrease in Bacteroides and two an increase in Prevotella.
Conclusions
What seems to emerge is a decreasing species’ variability in smokers, yet it is difficult to profile IM in smokers in terms of phyla’s abundance, because of few studies available and some further limitations, such as small sample sizes and lack of adjusted analysis to cope with confounding factors like gender, diet and other lifestyles.
Key messages
There is a decrease in species’ variability among smokers. Further studies are needed to assess abundance of phyla in healthy smokers, taking into account confounding factors.
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Affiliation(s)
- M Giffi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - M Antinozzi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - N Sini
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - F Valeriani
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy
| | - F Gallè
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, Naples, Italy
| | - V Romano Spica
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy
| | - G Liguori
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, Naples, Italy
| | - C De Vito
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - M S Cattaruzza
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
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11
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Cattaruzza MS, Valeriani F, Sindoni A, Castrechini M, Antinozzi M, Romano Spica V, Liguori G, Galle F. Smoking and gut microbiota: a cross sectional study involving students. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.471] [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
Cigarette smoking is associated with oncological and non-oncological diseases. Tobacco smoking causes more than 7 million deaths per year worldwide. Cigarette smoking could impact not only on human tissues and organs, but also on the gut microbiota, i.e. the community of microorganisms in the gastrointestinal tract. The aim of this study is to evaluate the composition of gut microbiota among smoker and non-smoker university students.
Methods
Students from Sapienza University of Rome were asked to fill a questionnaire about smoking attitude and to provide a fecal sample. Students undergoing therapy which could affect gut microbiota were excluded. Differences in microbial composition and variability between smokers and non-smokers were assessed.
Results
A total of 107 students (43.9% males, mean age 21.96±2.52 years, 30,0% smokers) were enrolled so far. As for microbial composition, Firmicutes/Bacteroidetes ratios (F/B ratio) differed between smokers and non-smokers (5.34±16.66 vs 2.47±2.28). As for variability measures, smokers had lower Shannon index (3.43±0.26 vs 3.46±0.29). At Genus level, Prevotella was significantly more abundant in smokers (10.97±15.87 vs 4.86±10.86; p = 0.027) in comparison to non-smokers.
Conclusions
Our preliminary results seem to suggest that smoking habit affects gut microbiota. Smokers had higher Firmicutes/Bacteroidetes ratio and Prevotella Genus, while lower Shannon index. These preliminary data suggest that smoking habit may cause changes in gut microbiota pattern, but further research is needed.
Key messages
Smoking may cause changes in gut microbiota pattern. Smoking seems increases F/B ratio and Prevotella, while reduces gut microbiota variability.
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Affiliation(s)
- M S Cattaruzza
- Sapienza University, Department of Public Health, Rome, Italy
| | - F Valeriani
- University of Rome Foro Italico, Department of Movement, Human and Health Sciences, Rome, Italy
| | - A Sindoni
- Sapienza University, Department of Public Health, Rome, Italy
| | - M Castrechini
- Sapienza University, Department of Public Health, Rome, Italy
| | - M Antinozzi
- Sapienza University, Department of Public Health, Rome, Italy
| | - V Romano Spica
- University of Rome Foro Italico, Department of Movement, Human and Health Sciences, Rome, Italy
| | - G Liguori
- University of Naples Parthenope, Department of Movement Sciences and Wellbeing, Naples, Italy
| | - F Galle
- University of Naples Parthenope, Department of Movement Sciences and Wellbeing, Naples, Italy
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12
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Mingrone VM, Paduano S, Venturelli F, Marchesi I, Valeriani F, Bassi MC, Borella P, Bargellini A. Effectiveness of mud-therapy in rheumatic and dermatologic diseases: a systematic review. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1173] [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
Background
Thermal mud therapy alone or in combination with thermal water baths is widely used in clinical practice for the management of rheumatic and dermatologic diseases in many countries. Despite its long history and tradition, its biological action and its clinical effectiveness are still not clear. The aim of this systematic review is to synthetize the current evidence on the mud therapy effects on pain, function and quality of life in patients with rheumatic and dermatologic diseases.
Methods
PubMed/Medline, Embase, and Cochrane Library were searched for articles about the comparative effectiveness of mud therapy alone or combined with other therapies on pain, function and quality of life in adults with rheumatic or dermatological diseases without any restrictions of severity. Studies were searched up to 15 October 2019. We included randomized and non-randomized trials and comparative cohort studies, as well as non-comparative case series and case reports only for safety outcomes. The following outcomes were considered: pain assessed by validated scales or through painkillers drugs consumption, function (i.e. muscle tone, joint motility and stiffness) assessed by validated scores, quality of life and autonomy assessed by validated scales and adverse events. Laboratory inflammation parameters were investigated as secondary outcomes.
Results
A total of 2,455 articles were retrieved through database search, remaining 1,914 records after duplicates removed. The selection by title and abstract led to include 140 studies for full-text evaluation. The screening of full-text is still being carried out. The majority of 140 records assess the effects of mud therapy in patients with osteoarthritis (51 articles), osteoarthrosis (12) and psoriasis (10).
Conclusions
Our results will provide a synthesis of the current evidence on the mud therapy effectiveness, useful to evaluate its inclusion within clinical protocols for the treatment of rheumatic and dermatologic diseases.
Key messages
The majority of studies report the treatment with mud for rheumatic diseases. The synthesis of the evidence is useful to evaluate the mud therapy as treatment for rheumatic and dermatologic diseases.
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Affiliation(s)
- V M Mingrone
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - S Paduano
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - F Venturelli
- Epidemiology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - I Marchesi
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - F Valeriani
- Department of Movement, Human and Health Sciences, University of Rome ‘Foro Italico’, Rome, Italy
| | - M C Bassi
- Medical Library, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - P Borella
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - A Bargellini
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
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13
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Gallè F, Valeriani F, Antinozzi M, Liguori R, Gianfranceschi G, Romano Spica V, Liguori G, Cattaruzza MS. Physical activity and gut microbiota: a cross-sectional study. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.413] [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 composition of gut microbiota, and in particular the intestinal abundance of the two main bacterial phyla of Firmicutes and Bacteroidetes, are associated with human health and diseases and may be conditioned by host and environmental factors such as age, gender and diet. The role of Physical Activity (PA) in determining gut microbiota composition has not been yet completely clarified. A cross-sectional study involving undergraduates from two Italian cities is ongoing to explore this relationship.
Methods
Students were invited to provide a fecal sample and to complete the International Physical Activity Questionnaire (IPAQ) in order to define their habitual PA level (inactive, minimally active, health enhancing physical activity -HEPA- active). Demographic and anthropometric information were also collected. DNA from fecal samples was analyzed through the 16S amplicon sequencing. Microbial composition and variability of the samples were evaluated on the light of participants' PA levels.
Results
A total of 153 students (47.7% males, mean age 22.4±2.9, mean BMI 22.3±2.7) participated to the study so far. Firmicutes and Bacteroidetes were the main represented phyla. An increase in Firmicutes (58.3±16 to 61.4±13.3, p = 0.68) and a reduction in Bacteroidetes (32.6±14.8 to 30.3±11.4, p = 0.51) have been registered with the increase of PA level. A higher variability (expressed as Shannon α-index) has been detected in minimally active (3.39±0.03) and HEPA-active (3.41±0) individuals respect to inactive subjects (3.35±0.07) (p = 0.05).
Conclusions
Even if they are not significant, these preliminary results suggest a relationship between PA levels and gut microbiota composition. An active lifestyle seems to be associated with a greater microbial diversity in the gut. Further researches are needed to explain these findings.
Key messages
Physical activity seems to be associated with gut microbiota composition. A greater variability in gut microbiota was found in active people.
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Affiliation(s)
- F Gallè
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, Naples, Italy
| | - F Valeriani
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy
| | - M Antinozzi
- Department of Public Health and Infectious Diseases, University of Rome La Sapienza, Rome, Italy
| | - R Liguori
- Department of Sciences and Technologies, University of Naples Parthenope, Naples, Italy
| | - G Gianfranceschi
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy
| | - V Romano Spica
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy
| | - G Liguori
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, Naples, Italy
| | - MS Cattaruzza
- Department of Public Health and Infectious Diseases, University of Rome La Sapienza, Rome, Italy
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14
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Margarucci LM, Romano Spica V, Protano C, Gianfranceschi G, Giuliano M, Di Onofrio V, Mucci N, Valeriani F, Vitali M, Romano F. Potential antimicrobial effects of photocatalytic nanothecnologies in hospital settings. Ann Ig 2020; 31:461-473. [PMID: 31304526 DOI: 10.7416/ai.2019.2307] [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] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND Recently, several advanced technologies have been considered to reduce the microbial load in hospital environments and control Healthcare Associated Infections (HAIs) incidence. New strategies for preventing HAIs have continuously evolved, including enforcement of hygiene procedures by novel liquid biocides or no-touch technologies, self-disinfecting surfaces coated by heavy metals or light-activated photosensitizers such as Titanium Dioxide (TiO2) nanoparticles. STUDY DESIGN Review publications concerning the use of photocatalytic systems in hospital setting, focusing on products based on TiO2. METHODS Specific keywords combinations were analitically searched in PubMed and Scopus databases. RESULTS Starting 80s-90s, over 2000 papers report "in vitro" studies on antimicrobial activity of TiO2 photocatalysis on several microorganisms including bacteria, viruses, fungi, yeasts, and antibiotic resistant strains. Besides, at least 4 selected papers addressed the potentials of this approach by "in field" studies, showing a widespread pool of applications in hospital and healthcare settings. However, the low number of available experiences and their heterogeneity represent major limitations to achieve a comprehensive final overview on effectiveness and feasibility of these technologies. CONCLUSIONS Photocatalytic systems based on TiO2 represent a promising strategy for hospital hygiene and HAI prevention. Additional "in field" studies are desirable in a next future to further evaluate and exploit this novel and interesting health technology.
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Affiliation(s)
- L M Margarucci
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Piazza Lauro De Bosis 6, 00135 Rome, Italy
| | - V Romano Spica
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Piazza Lauro De Bosis 6, 00135 Rome, Italy
| | - C Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, P.le Aldo Moro, 5, 00185 Rome, Italy
| | - G Gianfranceschi
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Piazza Lauro De Bosis 6, 00135 Rome, Italy
| | - M Giuliano
- Department of Experimental Medicine, Biotechnology and Molecular Biology Section, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - V Di Onofrio
- Department of Sciences and Technologies, University of Naples Parthenope, Naples, Italy
| | - N Mucci
- INAIL, Department of Technological Innovations and Safety of Plants, Products and Anthropic Seattlements, Rome, Italy
| | - F Valeriani
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Piazza Lauro De Bosis 6, 00135 Rome, Italy
| | - M Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, P.le Aldo Moro, 5, 00185 Rome, Italy
| | - F Romano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, P.le Aldo Moro, 5, 00185 Rome, Italy
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15
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Protano C, Cammalleri V, Romano Spica V, Valeriani F, Vitali M. Hospital environment as a reservoir for cross transmission: cleaning and disinfection procedures. Ann Ig 2020; 31:436-448. [PMID: 31304524 DOI: 10.7416/ai.2019.2305] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND Healthcare associated infections (HAIs) represent a serious problem for public health, as they increase the morbidity and mortality rates, present a relevant financial burden, and significantly contribute to the antimicrobial resistance. METHODS The aim of this review was to investigate the literature about HAIs, with particular reference to hospital environments and the role of cleaning and disinfection procedures. Hospital environments are an essential reservoir for HAIs cross transmission, and the application of appropriate procedures related to hand hygiene and disinfection/sterilization of surfaces and instruments remain key strategies for controlling HAIs. RESULTS Different procedures, based on the risk associated with the healthcare procedure, are recommended for hand hygiene: washing with soap and water, antiseptic rubbing with alcohol-based disinfectants, antiseptic and surgical hand washing. Environmental surfaces can be treated with different products, and the mostly used are chlorine-based and polyphenolic disinfectant. The reprocessing of instruments is related to their use according to the Spaulding's classification. In addition, scientific evidence demonstrated the great relevance of the "bundles" (small set of practices performed together) in controlling HAIs. CONCLUSIONS Research agenda should include the improvement of well-known effective preventive procedures and the development of new bundles devoted to high-risk procedures and specific microorganisms.
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Affiliation(s)
- C Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - V Cammalleri
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - V Romano Spica
- Unit of Public Health, Department of Movement, Human and Health Sciences, University of Rome 'Foro Italico', Rome, Italy
| | - F Valeriani
- Unit of Public Health, Department of Movement, Human and Health Sciences, University of Rome 'Foro Italico', Rome, Italy
| | - M Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
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16
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Romano Spica V, Gallè F, Baldelli G, Valeriani F, Di Rosa E, Liguori G, Brandi G. Swimming Pool safety and prevention at the time of Covid-19: a consensus document from GSMS-SItI. Ann Ig 2020; 32:439-448. [PMID: 32578839 DOI: 10.7416/ai.2020.2368] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Public health measures to cope with the Covid-19 pandemic, imposed also a shutdown of sports facilities and swimming pools. Safety issues related to recreational waters were emerging during the lockdown, rising concerns on how and when reopening pools and on how improve their management while SARS-CoV-2 is circulating in the population. The GSMS-SItI, Working Group on Movement Sciences for Health of the Italian Society of Hygiene Preventive Medicine and Public Health, discussed and summarized some indications for a suitable preventive approach. Several measures are highlighted, including social distancing, optimized water management, airflow and microclimatic parameters in the pool as well in the annexed rooms, verification of sanitation procedures. The GSMS-SItI underlines that prevention should be based on monitoring of the local epidemiological situation and on the constant collaboration with the local health authority and the national health service.
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Affiliation(s)
| | - F Gallè
- University of Napoli "Parthenope", Naples, Italy
| | - G Baldelli
- University of Urbino "Carlo Bo", Urbino, Italy
| | - F Valeriani
- University of Rome "Foro Italico", Rome, Italy
| | | | - G Liguori
- University of Napoli "Parthenope", Naples, Italy
| | - G Brandi
- University of Urbino "Carlo Bo", Urbino, Italy
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17
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Fallace P, Aiese P, Bianco E, Bolognini I, Costa MP, Esposito R, Gallé F, Liguori G, Pandolfi R, Pasquarella C, Savino G, Valeriani F, Romano Spica V. Peer Education strategies for promoting prevention of doping in different populations. Ann Ig 2019; 31:556-575. [PMID: 31616900 DOI: 10.7416/ai.2019.2316] [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] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND In the field of doping prevention, alongside the traditional functions of repression and control of the phenomenon, educational aspects are becoming increasingly important. Article 18 of the World Anti doping Code obliges the signatories to invest in anti-doping education with the aim of preserving the spirit of sport. The educational commitment should involve young people in health promotion interventions for the prevention of risk behaviors. Therefore, our attention has focused on finding the mechanisms that lead people to make certain behavioral choices. MATERIAL AND METHODS In the context of preventive programs, to counter the doping phenomenon through health promotion programs, the most recognized method is peer education, particularly with adolescents. It is an educational method according to which some members of a group are empowered and trained to carry out specific activities with their peers. It is constituted as an example of equal relationship and finds its basis in cooperation and solidarity with the aim of increasing empowerment and a healthy development of the identity and collective dimension in young people. RESULTS Numerous experts - biologists / nutritionists, hygienists, sports coaches, psychologists, teachers of physical education in secondary schools and other stakeholders have actively participated in the co-construction of a training package aimed at activating cascade training processes on the knowledge and skills of peer education in contexts of youth aggregation, such as schools, gyms, sports associations, social gatherings of all kinds. The path allowed to define a peer education model capable of enabling the participants to activate health promotion interventions for the prevention of doping risk behaviors, each in their own setting. CONCLUSIONS In conclusion, we can say that prevention programs are the more effective the more they are addressed to young people and adolescents and provide interactive and action-oriented interventions. Successful initiatives aim to emphasize the development of life skills and to influence numerous determinants of behavior, including individual attitudes, knowledge, motivations, interpersonal relationships and social norms. If the aim is to act on the change of behavior, the efforts will be more successful if the content of the intervention will give due consideration to the context in which it applies and the target population, involving it and addressing its specific needs and values.
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Affiliation(s)
- P Fallace
- Prevention Department, ASL Napoli 2 Nord, Frattamaggiore, Italy - WDPP, Working Group Doping Prevention Project
| | - P Aiese
- Prevention Department, ASL Napoli 2 Nord, Frattamaggiore, Italy
| | - E Bianco
- Prevention Department, ASL Napoli 2 Nord, Frattamaggiore, Italy
| | - I Bolognini
- Prevention Department, ASL Napoli 2 Nord, Frattamaggiore, Italy
| | - M P Costa
- Prevention Department, ASL Napoli 2 Nord, Frattamaggiore, Italy
| | - R Esposito
- Prevention Department, ASL Napoli 2 Nord, Frattamaggiore, Italy
| | - F Gallé
- Department of Motor and Wellness Sciences, University of Naples "Parthenope", Naples, Italy
| | - G Liguori
- Department of Motor and Wellness Sciences, University of Naples "Parthenope", Naples, Italy - WDPP, Working Group Doping Prevention Project
| | - R Pandolfi
- Prevention Department, ASL Napoli 2 Nord, Frattamaggiore, Italy
| | - C Pasquarella
- Department of Medicine and Surgery, University of Parma, Italy - WDPP, Working Group Doping Prevention Project
| | - G Savino
- Ausl Modena and Antidoping Regional Center, Emilia-Romagna Region, Italy - WDPP, Working Group Doping Prevention Project
| | - F Valeriani
- Department of Movement, Human, and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - V Romano Spica
- Department of Movement, Human, and Health Sciences, University of Rome "Foro Italico", Rome, Italy - WDPP, Working Group Doping Prevention Project
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18
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Liguori G, Gallé F, Di Onofrio V, Valeriani F, Romano Spica V. Higher education on physical activity and sport: The Movement Sciences graduate as a resource to promote healthy lifestyles in the National Health System. Ann Ig 2019; 31:642-648. [PMID: 31616907 DOI: 10.7416/ai.2019.2323] [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] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Currently, physical activity is an important tool that may be useful to improve people health and quality of life through sustainable and effective interventions. In order to obtain durable improvements of individuals' behaviors, however, consistent changes in services organization and the creation of new opportunities in life settings are needed. This requires necessarily the involvement of complementary figures with specific competences. Considering their peculiar training curriculum, Movement Sciences graduates represent key figures in this context and they can operate fully in interventions of health education and promotion, within multidisciplinary teams collaborating with the National Health System (NHS), in order to obtain the global undertaking of citizens.
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Affiliation(s)
- G Liguori
- Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Naples, Italy - WDPP, Working Group Doping Prevention Project - GSMS-SItI, Working Group on Movement Sciences for Health, Italian Society of Hygiene Preventive Medicine and Public Health
| | - F Gallé
- Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Naples, Italy
| | - V Di Onofrio
- Department of Sciences and Technologies, University of Naples "Parthenope", Naples, Italy
| | - F Valeriani
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - V Romano Spica
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy - WDPP, Working Group Doping Prevention Project - GSMS-SItI, Working Group on Movement Sciences for Health, Italian Society of Hygiene Preventive Medicine and Public Health
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19
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Sao Miguel Morgado M, Odone A, Milicia GM, Valeriani F, Veronesi L, Liguori G, Fallace P, Savino G, Romano Spica V, Pasquarella C. Prevalence of doping and dietary supplements use in Europe. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky212.522] [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: 11/13/2022] Open
Affiliation(s)
| | - A Odone
- University Vita-Salute San Raffaele, Milan, Italy
| | | | - F Valeriani
- Department of Movement, Human and Health Sciences, University of Rome, Rome, Italy
| | | | - G Liguori
- Department of Movement and Wellbeing Sciences, University of Naples, Naples, Italy
| | - P Fallace
- Local Health Unit, Naples 2 Nord, Naples, Italy
| | - G Savino
- Regional Centre Anti-Doping Emilia-Romagna Region, Local Health Unit, Modena, Italy
| | - V Romano Spica
- Department of Movement, Human and Health Sciences, University of Rome, Rome, Italy
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20
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Cristina ML, Valeriani F, Casini B, Agodi A, D'Errico MM, Gianfranceschi G, Laganà P, Liguori G, Liguori R, Mucci N, Mura I, Pasquarella C, Piana A, Sotgiu G, Privitera G, Protano C, Quattrocchi A, Ripabelli G, Rossini A, Scaramucci E, Spagnolo AM, Tamburro M, Tardivo S, Veronesi L, Vitali M, Romano Spica V. Procedures in endoscope reprocessing and monitoring: an Italian survey. Ann Ig 2018; 30:45-63. [PMID: 30374511 DOI: 10.7416/ai.2018.2250] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND The high diffusion of endoscopes worldwide and the need for effective reprocessing methods requested the development of guidelines and implementation of surveillance procedures at local level. STUDY DESIGN In order to collect data on everyday's practice and adherence to available guidelines, endoscopy units from different public institutions were surveyed using a dedicated questionnaire. METHODS Between July and November 2015 a survey was carried in 12 main hospitals from 10 different Italian regions, involving 22 endoscopy units. The state of the art of national and international guidelines was investigated to compare the protocols adopted at local level. RESULTS In all the surveyed hospitals, the reprocessing activity is based on pre-established protocols in adherence with principal guidelines. Enzymatic detergents, which are recommended by the international guidelines, are used in 55.6% of units and peracetic acid is currently the most widely used chemical disinfectant. Discrepancies were observed in the application of periodic quality controls. CONCLUSION Updated guidelines are generally applied in reprocessing practice. Quality controls may represent a critical issue to improve effectiveness and surveillance. The whole of acquired data can promote a positive trend towards the application of best practices.
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Affiliation(s)
- M L Cristina
- Department of Health Sciences, University of Genoa - UOS Igiene Ospedaliera E.O. Ospedali Galliera, Genoa, Italy
| | - F Valeriani
- Unit of Public Health, Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - B Casini
- Department of Translational Research and New Technologies in Medicine and Surgery, Pisa University, Pisa, Italy
| | - A Agodi
- Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, Catania, Italy
| | - M M D'Errico
- Department of Biomedical Sciences and Public Health, Politechnic University of Marche, Ancona, Italy
| | - G Gianfranceschi
- Unit of Public Health, Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - P Laganà
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - G Liguori
- Department of Movement and Health Sciences, University "Parthenope," Napoli, Italy
| | - R Liguori
- Department of Science and Technology, University "Parthenope," Napoli, Italy
| | - N Mucci
- Department of Technological Innovations and Safety of Plants, Products and Anthropic Settlements, National Institute for Insurance against Accidents at Work, INAIL, Rome, Italy
| | - I Mura
- Department of Biomedical Science-Hygiene Section, University of Sassari, Sassari, Italy
| | - C Pasquarella
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - A Piana
- Department of Biomedical Science-Hygiene Section, University of Sassari, Sassari, Italy
| | - G Sotgiu
- Department of Biomedical Science-Hygiene Section, University of Sassari, Sassari, Italy
| | - G Privitera
- Department of Translational Research and New Technologies in Medicine and Surgery, Pisa University, Pisa, Italy
| | - C Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - A Quattrocchi
- Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, Catania, Italy
| | - G Ripabelli
- Department of Medicine and Health Sciences "Vincenzo Tiberio," University of Molise, Campobasso, Italy
| | - A Rossini
- Fondazione Santa Lucia Institute for Research and Health Care, IRCCS, Rome, Italy
| | | | - A M Spagnolo
- Department of Health Sciences, University of Genoa - UOS Igiene Ospedaliera E.O. Ospedali Galliera, Genoa, Italy
| | - M Tamburro
- Department of Medicine and Health Sciences "Vincenzo Tiberio," University of Molise, Campobasso, Italy
| | - S Tardivo
- Department of Diagnostics and Public Health, University of Verona, Verona, Italy
| | - L Veronesi
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - M Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - V Romano Spica
- Unit of Public Health, Department of Movement, Human and Health Sciences, University of Rome 'Foro Italico', Rome, Italy
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Protano C, Astolfi ML, Canepari S, Andreoli R, Mutti A, Valeriani F, Romano Spica V, Antonucci A, Mattei V, Martellucci S, Vitali M. Exposure to individual and multiple carcinogenic metals during paediatric age: an experience from an Italian urban scenario. Ann Ig 2018; 29:494-503. [PMID: 29048448 DOI: 10.7416/ai.2017.2180] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND Exposure to single and multiple carcinogenic metals and/or semimetals represents a major environmental risk factor for public health. In particular, children are more susceptible to environmental pollutants than adults, but specific studies are still limited. The aims of the present study were: 1) to trace the exposure and co-exposure profiles to eight known or suspected carcinogenic metals and semimetals (As, Be, Cd, Co, Cr, Ni, Pb, and Sb); and: 2) to evaluate the influence of some possible interfering/confounding factors on the exposure to these elements during childhood. STUDY DESIGN Cross-sectional study. METHODS We recruited 159 healthy Italian children attending a primary school of the urban area of Rome, Italy. Selected metals were determined by inductively coupled plasma mass spectrometry on urinary samples collected at the end of a "typical" day (one sample for each child), while information about possible confounding/interfering factors were collected via questionnaires. RESULTS The great part of the studied children resulted co-exposed to the monitored metals: 83.2%, 69.2%, 51.0% and 29.3% of the participants were concurrently exposed to at least two, three, four and five trace elements, respectively. Gender was the only one among the investigated variable that significantly influenced the co-exposure, with females resulting at lower risk (OR = 0.392; 95 IC = 0.156 - 0.989; p < 0.047). CONCLUSIONS Given the importance of protecting child's health and the risks related to the exposure to carcinogenic metals, especially when they occur simultaneously, other researches in this field are strongly recommended.
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Affiliation(s)
- C Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
| | - M L Astolfi
- Department of Chemistry, Sapienza University of Rome, Italy
| | - S Canepari
- Department of Chemistry, Sapienza University of Rome, Italy
| | - R Andreoli
- Department of Clinical and Experimental Medicine, Laboratory of Industrial Toxicology, University of Parma, Italy
| | - A Mutti
- Department of Clinical and Experimental Medicine, Laboratory of Industrial Toxicology, University of Parma, Italy
| | - F Valeriani
- Public Health Unit, University of Rome "Foro Italico", Rome, Italy
| | - V Romano Spica
- Public Health Unit, University of Rome "Foro Italico", Rome, Italy
| | - A Antonucci
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
| | - V Mattei
- Laboratory of Experimental Medicine and Environmental Pathology, Polo Universitario di Rieti "Sabina Universitas", Rieti, Italy
| | - S Martellucci
- Laboratory of Experimental Medicine and Environmental Pathology, Polo Universitario di Rieti "Sabina Universitas", Rieti, Italy
| | - M Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
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Valeriani F, Gianfranceschi G, Vitali M, Protano C, Romano Spica V. Development of the laboratory prototype "CavyPool" for assessing treatments and materials for swimming pools. Ann Ig 2018; 29:548-560. [PMID: 29048452 DOI: 10.7416/ai.2017.2184] [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] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND Hygiene and surveillance in swimming pools are established by WHO Guidelines and national laws. Progress in water management and pool construction is revolutionizing the field, introducing new materials, systems, disinfection procedures or monitoring markers. Innovation advances challenge the upgrading of safety and quality in pools and the appropriate implementation of guidelines. STUDY DESIGN In order to provide a device for laboratory test, a prototype was realized and applied to study and compare swimming pool materials and treatments. METHODS A pool scale-model was engineered and evaluated by computational fluid dynamics algorithms. An automated real time monitoring assured steady state. Critical control points along the water circuit were made accessible to allow the placing of different biocides or water sampling. Simulations were safely performed in a standard hood. Materials for pool surfaces and pipelines were evaluated for biofilm formation under different disinfection conditions. Adherent microorganisms were assayed by mfDNA analysis using real time PCR. RESULTS The prototype reached the steady state within 5-25 hours under different conditions, showing chemical, physical and fluid-dynamic stability. A method was optimized for testing materials showing their different response to biofilm induction. Several innovative PVC samples displayed highest resistance to bacterial adhesion. CONCLUSIONS A device and method was developed for testing swimming pool hygienic parameters in laboratory. It allowed to test materials for pools hygiene and maintenance, including biofilm formation. It can be applied to simulate contaminations under different water treatments or disinfection strategies. It may support technical decisions and help policymakers in acquiring evidences for comparing or validating innovative solutions.
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Affiliation(s)
- F Valeriani
- Public Health Unit, University of Rome "Foro Italico", Rome, Italy
| | - G Gianfranceschi
- Public Health Unit, University of Rome "Foro Italico", Rome, Italy
| | - M Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
| | - C Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
| | - V Romano Spica
- Public Health Unit, University of Rome "Foro Italico", Rome, Italy
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Valeriani F, Cianfanelli C, Gianfranceschi G, Santucci S, Romano Spica V, Mucci N. Monitoring biodiversity in libraries: a pilot study and perspectives for indoor air quality. J Prev Med Hyg 2017; 58:E238-E251. [PMID: 29123371 PMCID: PMC5668934] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Indoor Air Quality (IAQ) in libraries is influenced by the presence of specific factors which can impact on both paper storage as well as people health. Microclimatic conditions induce and support a biodiversity pattern involving environmental and anthropic microorganisms. We used a multidisciplinary monitoring model to characterize microflora biodiversity by Next Generation Sequencing (NGS). Biodiversity indexes were adapted to evaluate anthropic vs environmental pollution by combining Shannon mean index (H), species representativeness (EH), human/environmental pollution ratio (SA) to better characterize the NGS output and acquire synthetic information on Indoor Air Microbial Biodiversity (IAMB). Results indicate a frequently low microbial load (IGCM/m3 < 1000) characterized by different species (n = 102), including several cellulose metabolizing bacteria. Workers and visitors appeared a relevant source of microbial contamination. Air biodiversity assayed by NGS seems a promising marker for studying IAQ.
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Affiliation(s)
- F. Valeriani
- University of Rome "Foro Italico", Department of Movement, Human and Health Sciences, Public Health Unit, Rome, Italy
| | - C. Cianfanelli
- INAIL, Department of Technological Innovations and Safety of Plants, Products and Anthropic Settlements, Rome, Italy
| | - G. Gianfranceschi
- University of Rome "Foro Italico", Department of Movement, Human and Health Sciences, Public Health Unit, Rome, Italy
| | - S. Santucci
- INAIL, Department of Technological Innovations and Safety of Plants, Products and Anthropic Settlements, Rome, Italy
| | - V. Romano Spica
- University of Rome "Foro Italico", Department of Movement, Human and Health Sciences, Public Health Unit, Rome, Italy
| | - N. Mucci
- INAIL, Department of Technological Innovations and Safety of Plants, Products and Anthropic Settlements, Rome, Italy,Correspondence: Nicolina Mucci, INAIL, Department of Technological Innovations and Safety of Plants, Products and Anthropic Settlements, via Roberto Ferruzzi 38/40, 00143 Rome, Italy. -
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Liguori G, Gallé F, Valeriani F, Romano Spica V. The role of the hygienist in prevention and health promotion through physical activity: the contribute of the Working Group "Movement Sciences for Health" of the Italian Society of Hygiene. Ann Ig 2015; 27:11-5. [PMID: 25748501 DOI: 10.7416/ai.2015.2018] [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] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Inactivity is the fourth leading risk factor for chronic diseases morbidity and mortality, with high related costs. Exercise represents a useful instrument of preventive medicine due to its effects in maintaining and improving psycho-physical wellbeing at any age and condition. The promotion of physical activity may represent an important prevention strategy for public health, and it implies an interaction among several figures from health and wellbeing settings. Due to their competencies in prevention and health promotion, hygienists play a fundamental role as intermediary among the different actors involved in this multidisciplinary scenario. The Working Group "Movement Sciences for Health" of the Italian Society of Hygiene, established in 2009, is engaged in detailing, evaluating and strengthening the role of physical activity for health promotion. It combines rigorous research activities regarding human movement for health with their application in public health setting and with the evaluation of their sustainability. Its attention is also focused on the safety aspects related to structural conditions of sport facilities and to health conditions or behaviours of their users as well. These activities led to numerous scientific publications and training events.
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Affiliation(s)
- G Liguori
- Department of Movement and Wellbeing Sciences, Parthenope University, Naples, Italy
| | - F Gallé
- Department of Movement and Wellbeing Sciences, Parthenope University, Naples, Italy
| | - F Valeriani
- Public Health Unit, University "Foro Italico", Rome, Italy
| | - V Romano Spica
- Public Health Unit, University "Foro Italico", Rome, Italy
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Giampaoli S, Berti A, Di Maggio R, Pilli E, Valentini A, Valeriani F, Gianfranceschi G, Barni F, Ripani L, Romano Spica V. The environmental biological signature: NGS profiling for forensic comparison of soils. Forensic Sci Int 2014; 240:41-7. [DOI: 10.1016/j.forsciint.2014.02.028] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2013] [Revised: 02/11/2014] [Accepted: 02/25/2014] [Indexed: 10/25/2022]
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Semproni M, Briancesco R, Giampaoli S, Gianfranceschi G, Paradiso R, Romano Spica V, Valeriani F, Bonadonna L. [Comparison of cultural methods for the recovery of Pseudomonas aeruginosa: the UNI EN ISO 16266 reference method and the alternative method Pseudalert®]. Ann Ig 2014; 26:110-118. [PMID: 24452189 DOI: 10.7416/ai.201.1963] [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: 06/03/2023]
Abstract
BACKGROUND For the water analysis, for Pseudomonas aeruginosa a presumptive positive result can be achieved in 40- 48 hours using the traditional membrane filtration technique followed by an additional 24-48 hour confirmation stage. Conversely, the Pseudalert Quanti-Tray™ method can give confirmed results after 24-28 hours. In this case, actively growing strains of Pseudomonas aeruginosa show a confirmed positive result when a specific enzyme cleaving the substrate in the reagent produces a blue fluorescence under 365 nm ultraviolet light. A comparison of the performance of the Pseudalert respect to the standard method was conducted using statistical methods. METHODS Drinking water was analyzed in parallel with the membrane filtration technique using Pseudomonas CN agar (UNI EN ISO 16266) and the Pseudalert. Confirmation test are requested by the standard method and although Pseudalert Quanti-Tray™ gives confirmed results, all the positive isolates were also confirmed. Data were analyzed by statistical methods. RESULTS For drinking water, Pseudalert showed a very high sensitivity (98,8%) and a high percentage of specificity (96,8%). From a total of 889 positive isolates, a very high confirmation rates (99,3%) was calculated. Statistical analyses confirmed that the two methods were not statistically different. CONCLUSIONS These results indicate that the Pseudalert produces confirmed results in a shorter time than the standard reference method allowing the detection of Pseudomonas aeruginosa with no further confirmation steps. It could be a valid alternative method for the water analysis.
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Affiliation(s)
- M Semproni
- Reparto di Microbiologia e Virologia Ambientale e Wellness, Dipartimento di Ambiente e Connessa Prevenzione Primaria, Istituto Superiore di Sanità, Roma
| | - R Briancesco
- Reparto di Microbiologia e Virologia Ambientale e Wellness, Dipartimento di Ambiente e Connessa Prevenzione Primaria, Istituto Superiore di Sanità, Roma
| | - S Giampaoli
- Unità di Sanità Pubblica, Facoltà di Scienze Motorie, Università degli Studi di Roma "Foro Italico", Roma
| | - G Gianfranceschi
- Unità di Sanità Pubblica, Facoltà di Scienze Motorie, Università degli Studi di Roma "Foro Italico", Roma
| | - R Paradiso
- Reparto di Microbiologia e Virologia Ambientale e Wellness, Dipartimento di Ambiente e Connessa Prevenzione Primaria, Istituto Superiore di Sanità, Roma
| | - V Romano Spica
- Unità di Sanità Pubblica, Facoltà di Scienze Motorie, Università degli Studi di Roma "Foro Italico", Roma
| | - F Valeriani
- Unità di Sanità Pubblica, Facoltà di Scienze Motorie, Università degli Studi di Roma "Foro Italico", Roma
| | - L Bonadonna
- Reparto di Microbiologia e Virologia Ambientale e Wellness, Dipartimento di Ambiente e Connessa Prevenzione Primaria, Istituto Superiore di Sanità, Roma
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Mansi A, Amori I, Marchesi I, Marcelloni A, Proietto A, Ferranti G, Magini V, Valeriani F, Borella P. Legionella spp. survival after different disinfection procedures: Comparison between conventional culture, qPCR and EMA–qPCR. Microchem J 2014. [DOI: 10.1016/j.microc.2013.09.017] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Valeriani F, Giampaoli S, Buggiotti L, Gianfranceschi G, Romano Spica V. Molecular enrichment for detection of S. aureus in recreational waters. Water Sci Technol 2012; 66:2305-2310. [PMID: 23032758 DOI: 10.2166/wst.2012.435] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The identification of rapid methods for the control of recreational water and of aquatic environments with similar characteristics is necessary to provide adequate levels of health safety for users. Molecular techniques have been proposed in recent years as a viable alternative to traditional microbiological methods, as they offer various advantages and are less time consuming than traditional tests. An innovative protocol based on molecular enrichment that allows the identification of low concentrations of Staphylococcus aureus in recreational water has been developed. The method is based on the specific amplification of prokaryotic genomic DNA by the usage of universal primers for 23S rDNA; subsequently, a second amplification step is performed with specific real-time polymerase chain reaction (PCR) primers and probe. This approach shows sensitivity levels similar to those observed with microbiological tests, with the additional benefits of the specificity typical of nucleic acids techniques. This methodology is easily applicable also to other microbiological parameters, representing an important milestone in hygiene monitoring by the detection of specific pollution indicators.
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Affiliation(s)
- F Valeriani
- University of Rome Foro Italico, Roma, Italy
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De Santis A, Valeriani F. [Open clinical study of clotiazepam in psychiatry]. Minerva Psichiatr 1986; 27:209-11. [PMID: 2875376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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