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Piessen G, Adenis A, Renaud F, Devaux S, Singh P, Xiao H, Casabianca P, Jamain C, Emery C, Torreton E, Fagnani F. P-152 Real-world data in patients with localized esophageal and gastro-esophageal junction cancer undergoing surgery in France: Results from the FREGAT database. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.04.242] [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: 11/01/2022] Open
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Craviari C, Fossati C, Quaranta F, Tomassi G, Fagnani F, Borrione P. Hepcidin as possible new indirect biomarker for blood doping: the authors' reply. MED SPORT 2021. [DOI: 10.23736/s0025-7826.21.03933-8] [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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3
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Hamilton BR, Lima G, Barrett J, Seal L, Kolliari-Turner A, Wang G, Karanikolou A, Bigard X, Löllgen H, Zupet P, Ionescu A, Debruyne A, Jones N, Vonbank K, Fagnani F, Fossati C, Casasco M, Constantinou D, Wolfarth B, Niederseer D, Bosch A, Muniz-Pardos B, Casajus JA, Schneider C, Loland S, Verroken M, Marqueta PM, Arroyo F, Pedrinelli A, Natsis K, Verhagen E, Roberts WO, Lazzoli JK, Friedman R, Erdogan A, Cintron AV, Yung SHP, Janse van Rensburg DC, Ramagole DA, Rozenstoka S, Drummond F, Papadopoulou T, Kumi PYO, Twycross-Lewis R, Harper J, Skiadas V, Shurlock J, Tanisawa K, Seto J, North K, Angadi SS, Martinez-Patiño MJ, Borjesson M, Di Luigi L, Dohi M, Swart J, Bilzon JLJ, Badtieva V, Zelenkova I, Steinacker JM, Bachl N, Pigozzi F, Geistlinger M, Goulis DG, Guppy F, Webborn N, Yildiz BO, Miller M, Singleton P, Pitsiladis YP. Correction to: Integrating Transwomen and Female Athletes with Differences of Sex Development (DSD) into Elite Competition: The FIMS 2021 Consensus Statement. Sports Med 2021; 51:1417-1418. [PMID: 33835352 DOI: 10.1007/s40279-021-01467-0] [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: 11/29/2022]
Affiliation(s)
- Blair R Hamilton
- Centre for Stress and Age-Related Disease, University of Brighton, Brighton, UK.,The Gender Identity Clinic Tavistock and Portman NHS Foundation Trust, London, UK
| | - Giscard Lima
- Centre for Exercise Sciences and Sports Medicine, FIMS Collaborating Centre of Sports Medicine, Rome, Italy.,Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - James Barrett
- The Gender Identity Clinic Tavistock and Portman NHS Foundation Trust, London, UK
| | - Leighton Seal
- The Gender Identity Clinic Tavistock and Portman NHS Foundation Trust, London, UK
| | | | - Guan Wang
- Sport and Exercise Science and Sports Medicine Research and Enterprise Group, University of Brighton, Brighton, UK
| | - Antonia Karanikolou
- Centre for Stress and Age-Related Disease, University of Brighton, Brighton, UK
| | - Xavier Bigard
- Union Cycliste Internationale (UCI), Aigle, Switzerland.,European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
| | - Herbert Löllgen
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Petra Zupet
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Anca Ionescu
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Andre Debruyne
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
| | - Nigel Jones
- British Association Sport and Exercise Medicine, Doncaster, UK.,British Cycling and University of Liverpool, Liverpool, UK
| | - Karin Vonbank
- Department of Pneumology, Pulmonary Function Laboratory, Medicine Clinic (KIMII), University of Vienna, Vienna, Austria
| | - Federica Fagnani
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Chiara Fossati
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.,Villa Stuart Sport Clinic, FIFA Medical Center of Excellence, Rome, Italy
| | - Maurizio Casasco
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Italian Federation of Sports Medicine (FMSI), Rome, Italy
| | - Demitri Constantinou
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Centre for Exercise Science and Sports Medicine, University of the Witwatersrand, Johannesburg, South Africa
| | - Bernd Wolfarth
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Department of Sports Medicine, Humboldt University and Charité University School of Medicine, Berlin, Germany
| | - David Niederseer
- Department of Cardiology, University Hospital Zurich, University Heart Centre, University of Zurich, Zurich, Switzerland
| | - Andrew Bosch
- Division of Exercise Science and Sports Medicine, University of Cape Town, Cape Town, South Africa
| | - Borja Muniz-Pardos
- GENUD Research Group, FIMS Collaborating Center of Sports Medicine, Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain
| | - José Antonio Casajus
- GENUD Research Group, FIMS Collaborating Center of Sports Medicine, Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain
| | - Christian Schneider
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Orthopaedic Center Theresie, Munich, Germany
| | - Sigmund Loland
- Department of Sport and Social Sciences, Norwegian School of Sport Sciences, Oslo, Norway
| | - Michele Verroken
- Centre of Research and Innovation for Sport, Technology and Law (CRISTAL), De Montfort University, Leicester, UK.,Sporting Integrity Ltd, Stoke Mandeville, UK
| | - Pedro Manonelles Marqueta
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Department of Sports Medicine, San Antonio Catholic University of Murcia, Murcia, Spain
| | - Francisco Arroyo
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,FIMS Collaborating Center of Sports Medicine, Guadalajara, Mexico
| | - André Pedrinelli
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Department of Orthopaedics, University of São Paulo Medical School, São Paulo, Brazil
| | - Konstantinos Natsis
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Interbalkan Medical Center, FIMS Collaborating Center of Sports Medicine, Thessaloniki, Greece.,Department of Anatomy and Surgical Anatomy, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Evert Verhagen
- Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands
| | - William O Roberts
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, USA
| | - José Kawazoe Lazzoli
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Biomedical Institute, Fluminense Federal University Medical School, Niterói, Brazil
| | - Rogerio Friedman
- Universidade Federal do Rio Grande do Sul, Endocrine Unit, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
| | - Ali Erdogan
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Gloria Sports Arena, FIMS Collaborating Centre of Sports Medicine, Antalya, Turkey
| | - Ana V Cintron
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Puerto Rico Sports Medicine Federation, San Juan, Puerto Rico
| | - Shu-Hang Patrick Yung
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Asian Federation of Sports Medicine (AFSM), Hong Kong Center of Sports Medicine and Sports Science, Hong Kong, China
| | | | - Dimakatso A Ramagole
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Sandra Rozenstoka
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,FIMS Collaboration Centre of Sports Medicine, Sports laboratory, Riga, Latvia
| | - Felix Drummond
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,FIMS Collaboration Centre of Sports Medicine, Instituto de Medicina do Esporte, Porto Alegre, Brazil
| | - Theodora Papadopoulou
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Defence Medical Rehabilitation Centre, Stanford Hall, Loughborough, UK
| | - Paulette Y O Kumi
- Centre for Sports and Exercise Medicine, Queen Mary University of London, London, UK
| | - Richard Twycross-Lewis
- School of Engineering and Materials Science, Queen Mary University of London, London, UK
| | - Joanna Harper
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | | | | | - Kumpei Tanisawa
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan
| | - Jane Seto
- Murdoch Children's Research Institute, Melbourne, VIC, Australia.,Department of Paediatrics, University of Melbourne, The Royal Children's Hospital, Melbourne, VIC, Australia
| | - Kathryn North
- Murdoch Children's Research Institute, Melbourne, VIC, Australia.,Department of Paediatrics, University of Melbourne, The Royal Children's Hospital, Melbourne, VIC, Australia
| | - Siddhartha S Angadi
- Department of Kinesiology, School of Education and Human Development, University of Virginia, Charlottesville, VA, USA
| | | | - Mats Borjesson
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Department of Molecular and Clinical Medicine, Sahlgrenska Academy, Center for Health and Performance, Goteborg University, Göteborg, Sweden.,Sahlgrenska University Hospital/Ostra, Region of Western Sweden, Göteborg, Sweden
| | - Luigi Di Luigi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Unit of Endocrinology, Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Michiko Dohi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Sport Medical Center, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Jeroen Swart
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,UCT Research Unit for Exercise Science and Sports Medicine, Cape Town, South Africa
| | - James Lee John Bilzon
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Department for Health, University of Bath, Bath, UK
| | - Victoriya Badtieva
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russian Federation.,Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Healthcare Department, Moscow, Russian Federation
| | - Irina Zelenkova
- GENUD Research Group, FIMS Collaborating Center of Sports Medicine, Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain
| | - Juergen M Steinacker
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Norbert Bachl
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Institute of Sports Science, University of Vienna, Vienna, Austria.,Austrian Institute of Sports Medicine, Vienna, Austria
| | - Fabio Pigozzi
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.,European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Villa Stuart Sport Clinic, FIFA Medical Center of Excellence, Rome, Italy
| | - Michael Geistlinger
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Unit of International Law, Department of Constitutional, International and European Law, University of Salzburg, Salzburg, Salzburg, Austria
| | - Dimitrios G Goulis
- Unit of Reproductive Endocrinology, 1st Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Fergus Guppy
- Centre for Stress and Age-Related Disease, University of Brighton, Brighton, UK.,School of Pharmacy and Biomolecular Sciences, University of Brighton, Brighton, UK
| | - Nick Webborn
- School of Sport and Service Management, University of Brighton, Eastbourne, UK
| | - Bulent O Yildiz
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Hacettepe University School of Medicine, 06100, Ankara, Turkey
| | - Mike Miller
- World Olympian Association, Lausanne, Switzerland
| | | | - Yannis P Pitsiladis
- Centre for Exercise Sciences and Sports Medicine, FIMS Collaborating Centre of Sports Medicine, Rome, Italy. .,Centre for Stress and Age-Related Disease, University of Brighton, Brighton, UK. .,Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy. .,European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland. .,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.
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4
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Hamilton BR, Lima G, Barrett J, Seal L, Kolliari-Turner A, Wang G, Karanikolou A, Bigard X, Löllgen H, Zupet P, Ionescu A, Debruyne A, Jones N, Vonbank K, Fagnani F, Fossati C, Casasco M, Constantinou D, Wolfarth B, Niederseer D, Bosch A, Muniz-Pardos B, Casajus JA, Schneider C, Loland S, Verroken M, Marqueta PM, Arroyo F, Pedrinelli A, Natsis K, Verhagen E, Roberts WO, Lazzoli JK, Friedman R, Erdogan A, Cintron AV, Yung SHP, Janse van Rensburg DC, Ramagole DA, Rozenstoka S, Drummond F, Papadopoulou T, Kumi PYO, Twycross-Lewis R, Harper J, Skiadas V, Shurlock J, Tanisawa K, Seto J, North K, Angadi SS, Martinez-Patiño MJ, Borjesson M, Di Luigi L, Dohi M, Swart J, Bilzon JLJ, Badtieva V, Zelenkova I, Steinacker JM, Bachl N, Pigozzi F, Geistlinger M, Goulis DG, Guppy F, Webborn N, Yildiz BO, Miller M, Singleton P, Pitsiladis YP. Integrating Transwomen and Female Athletes with Differences of Sex Development (DSD) into Elite Competition: The FIMS 2021 Consensus Statement. Sports Med 2021; 51:1401-1415. [PMID: 33761127 PMCID: PMC7988249 DOI: 10.1007/s40279-021-01451-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/10/2021] [Indexed: 01/06/2023]
Abstract
Sport is historically designated by the binary categorization of male and female that conflicts with modern society. Sport’s governing bodies should consider reviewing rules determining the eligibility of athletes in the female category as there may be lasting advantages of previously high testosterone concentrations for transwomen athletes and currently high testosterone concentrations in differences in sex development (DSD) athletes. The use of serum testosterone concentrations to regulate the inclusion of such athletes into the elite female category is currently the objective biomarker that is supported by most available scientific literature, but it has limitations due to the lack of sports performance data before, during or after testosterone suppression. Innovative research studies are needed to identify other biomarkers of testosterone sensitivity/responsiveness, including molecular tools to determine the functional status of androgen receptors. The scientific community also needs to conduct longitudinal studies with specific control groups to generate the biological and sports performance data for individual sports to inform the fair inclusion or exclusion of these athletes. Eligibility of each athlete to a sport-specific policy needs to be based on peer-reviewed scientific evidence made available to policymakers from all scientific communities. However, even the most evidence-based regulations are unlikely to eliminate all differences in performance between cisgender women with and without DSD and transwomen athletes. Any remaining advantage held by transwomen or DSD women could be considered as part of the athlete’s unique makeup.
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Affiliation(s)
- Blair R Hamilton
- Centre for Stress and Age-Related Disease, University of Brighton, Brighton, UK
- The Gender Identity Clinic Tavistock and Portman NHS Foundation Trust, London, UK
| | - Giscard Lima
- Centre for Exercise Sciences and Sports Medicine, FIMS Collaborating Centre of Sports Medicine, Rome, Italy
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - James Barrett
- The Gender Identity Clinic Tavistock and Portman NHS Foundation Trust, London, UK
| | - Leighton Seal
- The Gender Identity Clinic Tavistock and Portman NHS Foundation Trust, London, UK
| | | | - Guan Wang
- Sport and Exercise Science and Sports Medicine Research and Enterprise Group, University of Brighton, Brighton, UK
| | - Antonia Karanikolou
- Centre for Stress and Age-Related Disease, University of Brighton, Brighton, UK
| | - Xavier Bigard
- Union Cycliste Internationale (UCI), Aigle, Switzerland
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
| | - Herbert Löllgen
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Petra Zupet
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Anca Ionescu
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Andre Debruyne
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
| | - Nigel Jones
- British Association Sport and Exercise Medicine, Doncaster, UK
- British Cycling and University of Liverpool, Liverpool, UK
| | - Karin Vonbank
- Department of Pneumology, Pulmonary Function Laboratory, Medicine Clinic (KIMII), University of Vienna, Vienna, Austria
| | - Federica Fagnani
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Chiara Fossati
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
- Villa Stuart Sport Clinic, FIFA Medical Center of Excellence, Rome, Italy
| | - Maurizio Casasco
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Italian Federation of Sports Medicine (FMSI), Rome, Italy
| | - Demitri Constantinou
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Centre for Exercise Science and Sports Medicine, University of the Witwatersrand, Johannesburg, South Africa
| | - Bernd Wolfarth
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department of Sports Medicine, Humboldt University and Charité University School of Medicine, Berlin, Germany
| | - David Niederseer
- Department of Cardiology, University Hospital Zurich, University Heart Centre, University of Zurich, Zurich, Switzerland
| | - Andrew Bosch
- Division of Exercise Science and Sports Medicine, University of Cape Town, Cape Town, South Africa
| | - Borja Muniz-Pardos
- GENUD Research Group, FIMS Collaborating Center of Sports Medicine, Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain
| | - José Antonio Casajus
- GENUD Research Group, FIMS Collaborating Center of Sports Medicine, Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain
| | - Christian Schneider
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Orthopaedic Center Theresie, Munich, Germany
| | - Sigmund Loland
- Department of Sport and Social Sciences, Norwegian School of Sport Sciences, Oslo, Norway
| | - Michele Verroken
- Centre of Research and Innovation for Sport, Technology and Law (CRISTAL), De Montfort University, Leicester, UK
- Sporting Integrity Ltd, Stoke Mandeville, UK
| | - Pedro Manonelles Marqueta
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department of Sports Medicine, San Antonio Catholic University of Murcia, Murcia, Spain
| | - Francisco Arroyo
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- FIMS Collaborating Center of Sports Medicine, Guadalajara, Mexico
| | - André Pedrinelli
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department of Orthopaedics, University of São Paulo Medical School, São Paulo, Brazil
| | - Konstantinos Natsis
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Interbalkan Medical Center, FIMS Collaborating Center of Sports Medicine, Thessaloniki, Greece
- Department of Anatomy and Surgical Anatomy, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Evert Verhagen
- Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands
| | - William O Roberts
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, USA
| | - José Kawazoe Lazzoli
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Biomedical Institute, Fluminense Federal University Medical School, Niterói, Brazil
| | - Rogerio Friedman
- Universidade Federal do Rio Grande do Sul, Endocrine Unit, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
| | - Ali Erdogan
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Gloria Sports Arena, FIMS Collaborating Centre of Sports Medicine, Antalya, Turkey
| | - Ana V Cintron
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Puerto Rico Sports Medicine Federation, San Juan, Puerto Rico
| | - Shu-Hang Patrick Yung
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Asian Federation of Sports Medicine (AFSM), Hong Kong Center of Sports Medicine and Sports Science, Hong Kong, China
| | | | - Dimakatso A Ramagole
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Sandra Rozenstoka
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- FIMS Collaboration Centre of Sports Medicine, Sports laboratory, Riga, Latvia
| | - Felix Drummond
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- FIMS Collaboration Centre of Sports Medicine, Instituto de Medicina do Esporte, Porto Alegre, Brazil
| | - Theodora Papadopoulou
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Defence Medical Rehabilitation Centre, Stanford Hall, Loughborough, UK
| | - Paulette Y O Kumi
- Centre for Sports and Exercise Medicine, Queen Mary University of London, London, UK
| | - Richard Twycross-Lewis
- School of Engineering and Materials Science, Queen Mary University of London, London, UK
| | - Joanna Harper
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | | | | | - Kumpei Tanisawa
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan
| | - Jane Seto
- Murdoch Children's Research Institute, Melbourne, VIC, Australia
- Department of Paediatrics, University of Melbourne, The Royal Children's Hospital, Melbourne, VIC, Australia
| | - Kathryn North
- Murdoch Children's Research Institute, Melbourne, VIC, Australia
- Department of Paediatrics, University of Melbourne, The Royal Children's Hospital, Melbourne, VIC, Australia
| | - Siddhartha S Angadi
- Department of Kinesiology, School of Education and Human Development, University of Virginia, Charlottesville, VA, USA
| | | | - Mats Borjesson
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department of Molecular and Clinical Medicine, Sahlgrenska Academy, Center for Health and Performance, Goteborg University, Göteborg, Sweden
- Sahlgrenska University Hospital/Ostra, Region of Western Sweden, Göteborg, Sweden
| | - Luigi Di Luigi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Unit of Endocrinology, Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Michiko Dohi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Sport Medical Center, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Jeroen Swart
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- UCT Research Unit for Exercise Science and Sports Medicine, Cape Town, South Africa
| | - James Lee John Bilzon
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department for Health, University of Bath, Bath, UK
| | - Victoriya Badtieva
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russian Federation
- Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Healthcare Department, Moscow, Russian Federation
| | - Irina Zelenkova
- GENUD Research Group, FIMS Collaborating Center of Sports Medicine, Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain
| | - Juergen M Steinacker
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Norbert Bachl
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Institute of Sports Science, University of Vienna, Vienna, Austria
- Austrian Institute of Sports Medicine, Vienna, Austria
| | - Fabio Pigozzi
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Villa Stuart Sport Clinic, FIFA Medical Center of Excellence, Rome, Italy
| | - Michael Geistlinger
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Unit of International Law, Department of Constitutional, International and European Law, University of Salzburg, Salzburg, Salzburg, Austria
| | - Dimitrios G Goulis
- Unit of Reproductive Endocrinology, 1st Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Fergus Guppy
- Centre for Stress and Age-Related Disease, University of Brighton, Brighton, UK
- School of Pharmacy and Biomolecular Sciences, University of Brighton, Brighton, UK
| | - Nick Webborn
- School of Sport and Service Management, University of Brighton, Eastbourne, UK
| | - Bulent O Yildiz
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Hacettepe University School of Medicine, 06100, Ankara, Turkey
| | - Mike Miller
- World Olympian Association, Lausanne, Switzerland
| | | | - Yannis P Pitsiladis
- Centre for Exercise Sciences and Sports Medicine, FIMS Collaborating Centre of Sports Medicine, Rome, Italy.
- Centre for Stress and Age-Related Disease, University of Brighton, Brighton, UK.
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.
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5
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Shurlock J, Muniz-Pardos B, Tucker R, Bachl N, Papadopoulou T, Holloway G, Jones N, Bigard X, Vonbank K, Niederseer D, Meyer J, Nowak D, Debruyne A, Zupet P, Löllgen H, Steinacker JM, Wolfarth B, Bilzon JLJ, Ionescu A, Dohi M, Swart J, Constantinou D, Badtieva V, Zelenkova I, Casasco M, Geistlinger M, Fossati C, Fagnani F, Di Luigi L, Webborn N, Angeloudis K, Guppy FM, Singleton P, Miller M, Pigozzi F, Pitsiladis YP. Recommendations for Face Coverings While Exercising During the COVID-19 Pandemic. Sports Med Open 2021; 7:19. [PMID: 33721127 PMCID: PMC7957452 DOI: 10.1186/s40798-021-00309-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 02/28/2021] [Indexed: 01/09/2023]
Abstract
In an effort to reduce transmission and number of infections of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or COVID-19) virus, governments and official bodies around the world have produced guidelines on the use of face masks and face coverings. While there is a growing body of recommendations for healthcare professionals and the wider population to use facial protection in "enclosed spaces" where minimal distancing from other individuals is not possible, there is a dearth of clear guidelines for individuals undertaking exercise and sporting activity. The present viewpoint aims to propose recommendations for face coverings while exercising during the COVID-19 pandemic that consider physical distancing, the environment, the density of active cases associated with the specific sports activity, and the practical use of face coverings in order to reduce potential viral transmission. Recommendations are provided on the basis of very limited available evidence in conjunction with the extensive collective clinical experience of the authors and acknowledging the need to consider the likelihood of the presence of the SARS-CoV-2 in the general population. We recommend that face coverings should be used in any environment considered to be of a high or moderate transmission risk, where tolerated and after individual risk assessment. In addition, as national caseloads fluctuate, individual sporting bodies should consider up to date guidance on the use of face coverings during sport and exercise, alongside other preventative measures.
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Affiliation(s)
| | - Borja Muniz-Pardos
- GENUD (Growth, Exercise, Nutrition and Development) research group, University of Zaragoza, Zaragoza, Spain
| | | | - Norbert Bachl
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Institute of Sports Science, University of Vienna, Vienna, Austria
- Austrian Institute of Sports Medicine, Vienna, Austria
| | - Theodora Papadopoulou
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- British Association Sport and Exercise Medicine, Doncaster, UK
- Defence Medical Rehabilitation Centre (DMRC), Loughborough, UK
| | - Graham Holloway
- British Association Sport and Exercise Medicine, Doncaster, UK
| | - Nigel Jones
- British Association Sport and Exercise Medicine, Doncaster, UK
- British Cycling and University of Liverpool, Liverpool, UK
| | - Xavier Bigard
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Union Cycliste Internationale (UCI), Aigle, Switzerland
| | - Karin Vonbank
- Department of Pneumology, Pulmonary Function Laboratory, Medicine Clinic (KIMII), University of Vienna, Vienna, Austria
| | - David Niederseer
- Department of Cardiology, University Hospital Zurich, University Heart Centre, University of Zurich, Zurich, Switzerland
| | - Joachim Meyer
- German Respiratory Society (DGP), Berlin, Germany
- Lung Center Bogenhausen-Harlaching, Munich Clinic, Munich, Germany
| | - Dennis Nowak
- German Respiratory Society (DGP), Berlin, Germany
- LMU Klinikum, Institute and Clinic for Occupational, Social and Environmental Medicine, Comprehensive Pneumology Center, member DZL, German Center for Lung Research, Munich, Germany
| | - Andre Debruyne
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
| | - Petra Zupet
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Herbert Löllgen
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Juergen M Steinacker
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Bernd Wolfarth
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department of Sports Medicine, Humboldt University and Charité University School of Medicine, Berlin, Germany
| | - James L J Bilzon
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- British Association Sport and Exercise Medicine, Doncaster, UK
- Department for Health, University of Bath, Bath, UK
| | - Anca Ionescu
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Michiko Dohi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Sport Medical Center, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Jeroen Swart
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- UCT Research Unit for Exercise Science and Sports Medicine, Cape Town, South Africa
| | - Demitri Constantinou
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Centre for Exercise Science and Sports Medicine, University of the Witwatersrand, Johannesburg, South Africa
| | - Victoriya Badtieva
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russian Federation
- Moscow Research and Practical Centre for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Healthcare Department, Moscow, Russian Federation
| | - Irina Zelenkova
- GENUD (Growth, Exercise, Nutrition and Development) research group, University of Zaragoza, Zaragoza, Spain
- Moscow Research and Practical Centre for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Healthcare Department, Moscow, Russian Federation
| | - Maurizio Casasco
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Italian Federation of Sports Medicine (FMSI), Rome, Italy
| | - Michael Geistlinger
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Unit International Law, Department of Constitutional, International and European Law, University of Salzburg, Salzburg, Austria
| | - Chiara Fossati
- University of Rome "Foro Italico", Rome, Italy
- Villa Stuart Sport Clinic, FIFA Medical Center of Excellence, Rome, Italy
| | | | - Luigi Di Luigi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- University of Rome "Foro Italico", Rome, Italy
| | - Nick Webborn
- School of Sport and Service Management, University of Brighton, Eastbourne, UK
| | - Konstantinos Angeloudis
- Centre for Exercise Sciences and Sports Medicine, FIMS Collaborating Centre of Sports Medicine, Rome, Italy
| | - Fergus M Guppy
- Centre for Stress and Age-related Disease, University of Brighton, Brighton, UK
| | | | - Mike Miller
- World Olympians Association, Lausanne, Switzerland
| | - Fabio Pigozzi
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- University of Rome "Foro Italico", Rome, Italy
- Villa Stuart Sport Clinic, FIFA Medical Center of Excellence, Rome, Italy
| | - Yannis P Pitsiladis
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.
- University of Rome "Foro Italico", Rome, Italy.
- Centre for Exercise Sciences and Sports Medicine, FIMS Collaborating Centre of Sports Medicine, Rome, Italy.
- Centre for Stress and Age-related Disease, University of Brighton, Brighton, UK.
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6
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Hamilton BR, Martinez-Patiño MJ, Barrett J, Seal L, Tucker R, Papadopoulou T, Bigard X, Kolliari-Turner A, Löllgen H, Zupet P, Ionescu A, Debruyne A, Jones N, Steinacker JM, Vonbank K, Lima G, Fagnani F, Fossati C, Di Luigi L, Pigozzi F, Casasco M, Geistlinger M, Wolfarth B, Seto JT, Bachl N, Twycross-Lewis R, Niederseer D, Bosch A, Swart J, Constantinou D, Muniz-Pardos B, Casajus JA, Badtieva V, Zelenkova I, Bilzon JLJ, Dohi M, Schneider C, Loland S, Verroken M, Marqueta PM, Arroyo F, Pedrinelli A, Natsis K, Verhagen E, Roberts WO, Lazzoli JK, Friedman R, Erdogan A, Cintron AV, Yung SHP, van Rensburg DCJ, Ramagole DA, Rozenstoka S, Drummond F, Webborn N, Guppy FM, Pitsiladis YP. Response to the United Nations Human Rights Council's Report on Race and Gender Discrimination in Sport: An Expression of Concern and a Call to Prioritise Research. Sports Med 2020; 51:839-842. [PMID: 33289907 PMCID: PMC7721858 DOI: 10.1007/s40279-020-01380-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2020] [Indexed: 11/04/2022]
Affiliation(s)
- Blair R Hamilton
- Collaborating Centre of Sports Medicine, University of Brighton, Eastbourne, UK.,Centre for Stress and Age-Related Disease, University of Brighton, Eastbourne, UK.,The Gender Identity Clinic Tavistock and Portman NHS Foundation Trust, London, UK
| | | | - James Barrett
- The Gender Identity Clinic Tavistock and Portman NHS Foundation Trust, London, UK
| | - Leighton Seal
- The Gender Identity Clinic Tavistock and Portman NHS Foundation Trust, London, UK
| | | | - Theodora Papadopoulou
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,British Association Sport and Exercise Medicine, Doncaster, UK.,Defense Medical Rehabilitation Centre (DMRC), Loughborough, UK
| | - Xavier Bigard
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Union Cycliste Internationale (UCI), Aigle, Switzerland
| | | | - Herbert Löllgen
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Petra Zupet
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Anca Ionescu
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Andre Debruyne
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
| | - Nigel Jones
- British Association Sport and Exercise Medicine, Doncaster, UK.,British Cycling and University of Liverpool, Liverpool, UK
| | - Juergen M Steinacker
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Karin Vonbank
- Department of Pneumology, Pulmonary Function Laboratory, Medicine Clinic (KIMII), University of Vienna, Vienna, Austria
| | - Giscard Lima
- Collaborating Centre of Sports Medicine, University of Brighton, Eastbourne, UK.,Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Federica Fagnani
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Chiara Fossati
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.,Villa Stuart Sport Clinic, FIFA Medical Center of Excellence, Rome, Italy
| | - Luigi Di Luigi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Fabio Pigozzi
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.,Villa Stuart Sport Clinic, FIFA Medical Center of Excellence, Rome, Italy
| | - Maurizio Casasco
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Italian Federation of Sports Medicine (FMSI), Rome, Italy
| | - Michael Geistlinger
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Unit International Law, Department of Constitutional, International and European Law, University of Salzburg, Salzburg, Austria
| | - Bernd Wolfarth
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Department of Sports Medicine, Humboldt University and Charité University School of Medicine, Berlin, Germany
| | - Jane T Seto
- Murdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, VIC, 3052, Australia.,Department of Paediatrics, University of Melbourne, The Royal Children's Hospital, Melbourne, VIC, 3052, Australia
| | - Norbert Bachl
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Institute of Sports Science, University of Vienna, Vienna, Austria.,Austrian Institute of Sports Medicine, Vienna, Austria
| | - Richard Twycross-Lewis
- School of Engineering and Materials Science, Queen Mary University of London, London, UK
| | - David Niederseer
- Department of Cardiology, University Hospital Zurich University Heart Centre, University of Zurich, Zurich, Switzerland
| | - Andrew Bosch
- Division of Exercise Science and Sports Medicine, University of Cape Town, Cape Town, South Africa
| | - Jeroen Swart
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Division of Exercise Science and Sports Medicine, University of Cape Town, Cape Town, South Africa
| | - Demitri Constantinou
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Centre for Exercise Science and Sports Medicine, University of the Witwatersrand, Johannesburg, South Africa
| | - Borja Muniz-Pardos
- GENUD Research Group, Faculty of Sport and Health Sciences, Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain
| | - José Antonio Casajus
- GENUD Research Group, Faculty of Sport and Health Sciences, Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain
| | - Victoriya Badtieva
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russian Federation.,Moscow Research and Practical Centre for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Healthcare Department, Moscow, Russian Federation
| | - Irina Zelenkova
- GENUD Research Group, Faculty of Sport and Health Sciences, Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain.,I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russian Federation
| | - James L J Bilzon
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,British Association Sport and Exercise Medicine, Doncaster, UK.,Department for Health, University of Bath, Bath, UK
| | - Michiko Dohi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Sport Medical Center, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Christian Schneider
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Orthopaedic Center Theresie, Munich, Germany
| | - Sigmund Loland
- Institute of Sport and Social Sciences, Norwegian School of Sport Sciences, Oslo, Norway
| | - Michele Verroken
- Sporting Integrity Ltd, Stoke Mandeville, UK.,Centre of Research and Innovation for Sport, Technology and Law (CRISTAL), Faculty of Business and Law, De Montfort University, Leicester, UK
| | | | - Francisco Arroyo
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,FIMS Collaborating Center of Sports Medicine, Guadalajara, Mexico
| | - André Pedrinelli
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Department of Orthopaedics, University of São Paulo Medical School, São Paulo, Brazil
| | - Konstantinos Natsis
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Intebalkan Medical Centre, FIMS Collaborating Centre of Sports Medicine, Thessaloniki, Greece
| | - Evert Verhagen
- Amsterdam Collaboration On Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands
| | - William O Roberts
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, USA
| | - José Kawazoe Lazzoli
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Biomedical Institute, Fluminense Federal University Medical School, Niterói, Brazil
| | - Rogerio Friedman
- Universidade Federal Do Rio Grande Do Sul, Endocrine Unit, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
| | - Ali Erdogan
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Gloria Sports Arena, FIMS Collaborating Centre of Sports Medicine, Antalya, Turkey
| | - Ana V Cintron
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Puerto Rico Sports Medicine Federation, San Juan, Puerto Rico
| | - Shu-Hang Patrick Yung
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Asian Federation of Sports Medicine (AFSM), Hong Kong Center of Sports Medicine and Sports Science, Hong Kong, China
| | - Dina C Janse van Rensburg
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Dimakatso A Ramagole
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Sandra Rozenstoka
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,FIMS Collaboration Centre of Sports Medicine, Sports Laboratory, Riga, Latvia
| | - Felix Drummond
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.,FIMS Collaboration Centre of Sports Medicine, Instituto de Medicina Do Esporte, Porto Alegre, Brazil
| | - Nick Webborn
- School of Sport and Service Management, University of Brighton, Eastbourne, UK
| | - Fergus M Guppy
- Collaborating Centre of Sports Medicine, University of Brighton, Eastbourne, UK.,Centre for Stress and Age-Related Disease, University of Brighton, Eastbourne, UK
| | - Yannis P Pitsiladis
- Collaborating Centre of Sports Medicine, University of Brighton, Eastbourne, UK. .,European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland. .,International Federation of Sports Medicine (FIMS), Lausanne, Switzerland. .,Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.
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7
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Fossati C, Torre G, Borrione P, Giombini A, Fagnani F, Turchetta M, Albo E, Casasco M, Parisi A, Pigozzi F. Biohumoral Indicators Influenced by Physical Activity in the Elderly. J Clin Med 2020; 9:jcm9041115. [PMID: 32295038 PMCID: PMC7231282 DOI: 10.3390/jcm9041115] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [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: 02/18/2020] [Revised: 03/30/2020] [Accepted: 04/09/2020] [Indexed: 12/30/2022] Open
Abstract
In the scientific landscape, there is a growing interest in defining the role of several biomolecules and humoral indicators of the aging process and in the modifications of these biomarkers induced by physical activity and exercise. The main aim of the present narrative review is to collect the available evidence on the biohumoral indicators that could be modified by physical activity (PA) in the elderly. Online databases including Pubmed, Web of science (Medline), and Scopus were searched for relevant articles published in the last five years in English. Keywords and combination of these used for the search were the following: “biological”, “indicators”, “markers”, “physical”, “activity”, and “elderly”. Thirty-four papers were analyzed for inclusion. Twenty-nine studies were included and divided into four categories: cardiovascular (CV) biomarkers, metabolic biomarkers, inflammatory markers-oxidative stress molecules, and other markers. There are many distinct biomarkers influenced by PA in the elderly, with promising results concerning the metabolic and CV indexes, as a growing number of studies demonstrate the role of PA on improving parameters related to heart function and CV risk like atherogenic lipid profile. Furthermore, it is also a verified hypothesis that PA is able to modify the inflammatory status of the subject by decreasing the levels of pro-inflammatory cytokines, including interleukin-1 (IL-1), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-α). PA seems also to be able to have a direct effect on the immune system. There is a strong evidence of a positive effect of PA on the health of elderly people that could be evidenced and “quantified” by the modifications of the levels of several biohumoral indicators.
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Affiliation(s)
- Chiara Fossati
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (C.F.); (P.B.); (A.G.); (F.F.); (A.P.); (F.P.)
| | - Guglielmo Torre
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Roma, Italy;
- Correspondence: ; Tel.: +06-225418825
| | - Paolo Borrione
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (C.F.); (P.B.); (A.G.); (F.F.); (A.P.); (F.P.)
| | - Arrigo Giombini
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (C.F.); (P.B.); (A.G.); (F.F.); (A.P.); (F.P.)
| | - Federica Fagnani
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (C.F.); (P.B.); (A.G.); (F.F.); (A.P.); (F.P.)
| | - Matteo Turchetta
- Department of Orthopaedics, Policlinico Casilino, 00169 Rome, Italy;
| | - Erika Albo
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Roma, Italy;
| | | | - Attilio Parisi
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (C.F.); (P.B.); (A.G.); (F.F.); (A.P.); (F.P.)
| | - Fabio Pigozzi
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy; (C.F.); (P.B.); (A.G.); (F.F.); (A.P.); (F.P.)
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8
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Désaméricq G, Fagnani F, Emery C, Gourmelen J, Chauny J, Kutikova L. Real-World Characteristics And Risk Of Cardiovascular Events In High Cardiovascular Risk Patients In France. Atherosclerosis 2019. [DOI: 10.1016/j.atherosclerosis.2019.06.546] [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: 10/26/2022]
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9
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Fagnani F, Faiola F, Tomassi G, Di Cagno A, Pigozzi F, Borrione P. Dissemination of the "WADA's outreach model on antidoping" in youth sport. MED SPORT 2018. [DOI: 10.23736/s0025-7826.18.03397-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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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10
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Duburcq A, Fagnani F, Galperine T, Vanhems P, Le Monnier A, Alami S, Bensoussan C, Jeanbat V, Barbut F. Impact sur la qualité de vie d’un épisode d’infection à Clostridium difficile en milieu hospitalier. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.04.024] [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: 10/16/2022] Open
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11
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Sperandii F, Guerra E, Tranchita E, Minganti C, Lanzillo C, Nigro A, Quaranta F, Parisi A, Di Roma M, Maresca L, Fagnani F, Calò L. Clinical significance of ST depression at exercise stress testing in competitive athletes: usefulness of coronary CT during screening. J Sports Med Phys Fitness 2017; 58:1876-1882. [PMID: 29148628 DOI: 10.23736/s0022-4707.17.07961-0] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Congenital coronary anomalies (CCAs) and coronary artery disease (CAD) arouse intense scientific and clinical interest in sports medicine and sports cardiology medical communities because of their potential to trigger sudden cardiac death (SCD) in athletes. Exercise stress testing represent the first instrumental assessment to evaluate electrocardiographic changes during effort. Coronary computed tomography angiography (CCTA) is an advanced accurate noninvasive imaging modality for excluding CAD and abnormalities of origin and course of coronary vessels. The aim of this study is to investigate with CCTA the clinical significance of ST depression suggestive for myocardial ischemia during exercise stress testing in athletes and to determine the prevalence of CAD and/or CCAs. METHODS Sixty-five consecutive athletes showing electrocardiographic findings positive or equivocal for myocardial ischemia on exercise stress testing during pre-participation screening were investigated with CCTA. RESULTS Among the 65 athletes investigated, 36 showed Myocardial Bridge (MB), one showed an anomalous coronary origin and seven showed CAD. Among 36 athletes with MB, 4 were associated with mild coronary artery stenosis. Three athletes with CAD needed percutaneous transluminal coronary angioplasty or coronary artery bypass surgery. CONCLUSIONS In competitive athletes even with excellent workload capacities, in absence of cardiomyopathy, the presence of ischemic electrocardiographic abnormalities could be mainly determined by a coronary congenital or acquired pathology. In this population CCTA is a useful imaging modality of choice for the risk stratification and for the diagnostic process, to allow eligible athletes to compete and to follow-up subjects requiring medical surveillance.
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Affiliation(s)
| | - Emanuele Guerra
- Unit of Sports Medicine, Department of Public Health, AUSL Modena, Modena, Italy
| | - Eliana Tranchita
- Division of Health Sciences, Department of Movement, Human, and Health Sciences, Foro Italico University, Rome, Italy -
| | - Carlo Minganti
- Division of Health Sciences, Department of Movement, Human, and Health Sciences, Foro Italico University, Rome, Italy
| | | | - Antonia Nigro
- Division of Health Sciences, Department of Movement, Human, and Health Sciences, Foro Italico University, Rome, Italy
| | - Federico Quaranta
- Division of Health Sciences, Department of Movement, Human, and Health Sciences, Foro Italico University, Rome, Italy
| | - Attilio Parisi
- Division of Health Sciences, Department of Movement, Human, and Health Sciences, Foro Italico University, Rome, Italy
| | - Mauro Di Roma
- Department of Cardiology, Casilino Polyclinic, Rome, Italy
| | | | - Federica Fagnani
- Division of Health Sciences, Department of Movement, Human, and Health Sciences, Foro Italico University, Rome, Italy
| | - Leonardo Calò
- Department of Cardiology, Casilino Polyclinic, Rome, Italy
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12
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Borrione P, Fagnani F, Di Gianfrancesco A, Mancini A, Pigozzi F, Pitsiladis Y. The Role of Platelet-Rich Plasma in Muscle Healing. Curr Sports Med Rep 2017; 16:459-463. [DOI: 10.1249/jsr.0000000000000432] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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13
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Borrione P, Quaranta F, DE Luca V, Sperandii F, Ciminelli E, Cantera E, Fagnani F, Pigozzi F. Ophthalmologic findings in contact sport disciplines. J Sports Med Phys Fitness 2016; 56:1598-1601. [PMID: 26333793] [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: 06/05/2023]
Abstract
BACKGROUND The aim of the study was to investigate the prevalence and the incidence of ocular complications in contact sport disciplines in a large population of professional and amateur athletes over a period of 3 years. METHODS We performed a retrospective review of 694 medical records from athletes examinated from 2008 to 2011. The following data were collected during the routine visit for agonistic sports eligibility: medical history, age, weight, years of sport practice, approximate number of matches, head and eyes injuries during and beyond of the match and a through ocular history. All athletes underwent a detailed ophthalmological evaluation. The follow-up of each athlete was carried out during the following routine visit for agonistic sports eligibility. RESULTS Most common disorders observed were: peripheral retinal degeneration, blepharitis, conjunctival and corneal diseases with a prevalence of 7%, 4%, 7% and 4% respectively. It was observed a positive correlation between peripheral retinal degeneration and age in amateur male boxers. Moreover, we noticed an incidence of 6% of laser therapeutic treatments as a result of retinal holes or degenerations, during the follow-up. CONCLUSIONS Contact sport disciplines did not result in higher prevalence of severe ocular lesion. Both conjuntival diseases and peripheral retinal degenerations represented the ophthalmologic disorders with the higher prevalence in our sample. In particular, peripheral retinal degeneration is remarkable because of the increased risk of retinal detachment. Dyschromatopsie, even if quite rare, should be considered when analysing the reception of shots, since gloves in most cases are either red or blue.
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Affiliation(s)
- Paolo Borrione
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Federico Quaranta
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Valeria DE Luca
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Fabio Sperandii
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Emanuela Ciminelli
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy -
| | - Emilia Cantera
- Villa Stuart Sport Clinic FIFA Medical Centre of Excellence, Rome, Italy
| | - Federica Fagnani
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Fabio Pigozzi
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
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14
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DI Cagno A, Minganti C, Quaranta F, Pistone EM, Fagnani F, Fiorilli G, Giombini A. Effectiveness of a new cervical pillow on pain and sleep quality in recreational athletes with chronic mechanical neck pain: a preliminary comparative study. J Sports Med Phys Fitness 2016; 57:1154-1161. [PMID: 27607589 DOI: 10.23736/s0022-4707.16.06587-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND The aim of this intervention study was to determine the effects of a new experimental cervical pillow, on symptomatic adults affected by chronic mechanical neck pain. METHODS Twelve recreational athletes of both sexes (mean age 40.5 years; range 35-55), affected by grade II chronic mechanical neck pain, were evaluated with a daily diary type of self-report questionnaire, which incorporated an 11-point Numerical Rating Pain Scale, to collect the primary outcome measures of pre- and post-sleep neck pain and with the Neck Pain Disability Scale. Tympanic temperature, heart rate (HR) variability continuous monitoring during sleep, overnight pillow comfort and sleep quality were assessed. RESULTS Average weekly scores in overall questionnaires, tympanic temperature and the HR low frequency (LF) / high frequency (HF) ratio were significantly lower (P<0.05) after the use of the DM2 pillow than the own pillow. The 80% of participants considered the DM2 "perfectly comfortable" and reported a "good" quality of sleep lying over it. CONCLUSIONS The use of an appropriate pillow is a determinant factor in relieving neck pain, improving LF/HF ratio and enhancing-vagal activity, promoting deeper stages during the sleep. The shape of this pillow maintains an appropriate cervical curvature, reduces intra-disc pressure allowing a better distribution of loads between cervical discs. The round shaped portion of the pillow, facilitates breathing and avoids the narrowing of the airway due to the incorrect position during the sleep. The peculiar material of the DM2 pillow, contributed to lower brain temperature promoting dry heat loss from the head to the pillow, reducing sweating.
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Affiliation(s)
- Alessandra DI Cagno
- Department of Movement, Human and Health Sciences, Foro Italico University of Sports and Movement, Rome, Italy -
| | - Carlo Minganti
- Department of Movement, Human and Health Sciences, Foro Italico University of Sports and Movement, Rome, Italy
| | - Federico Quaranta
- Department of Movement, Human and Health Sciences, Foro Italico University of Sports and Movement, Rome, Italy
| | - Eugenio M Pistone
- Department of Movement, Human and Health Sciences, Foro Italico University of Sports and Movement, Rome, Italy
| | - Federica Fagnani
- Department of Movement, Human and Health Sciences, Foro Italico University of Sports and Movement, Rome, Italy
| | - Giovanni Fiorilli
- Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy
| | - Arrigo Giombini
- Department of Movement, Human and Health Sciences, Foro Italico University of Sports and Movement, Rome, Italy
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15
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Sullivan W, Hirst M, Beard S, Gladwell D, Fagnani F, López Bastida J, Phillips C, Dunlop WCN. Economic evaluation in chronic pain: a systematic review and de novo flexible economic model. Eur J Health Econ 2016; 17:755-70. [PMID: 26377997 PMCID: PMC4899502 DOI: 10.1007/s10198-015-0720-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2015] [Accepted: 07/22/2015] [Indexed: 05/05/2023]
Abstract
There is unmet need in patients suffering from chronic pain, yet innovation may be impeded by the difficulty of justifying economic value in a field beset by data limitations and methodological variability. A systematic review was conducted to identify and summarise the key areas of variability and limitations in modelling approaches in the economic evaluation of treatments for chronic pain. The results of the literature review were then used to support the development of a fully flexible open-source economic model structure, designed to test structural and data assumptions and act as a reference for future modelling practice. The key model design themes identified from the systematic review included: time horizon; titration and stabilisation; number of treatment lines; choice/ordering of treatment; and the impact of parameter uncertainty (given reliance on expert opinion). Exploratory analyses using the model to compare a hypothetical novel therapy versus morphine as first-line treatments showed cost-effectiveness results to be sensitive to structural and data assumptions. Assumptions about the treatment pathway and choice of time horizon were key model drivers. Our results suggest structural model design and data assumptions may have driven previous cost-effectiveness results and ultimately decisions based on economic value. We therefore conclude that it is vital that future economic models in chronic pain are designed to be fully transparent and hope our open-source code is useful in order to aspire to a common approach to modelling pain that includes robust sensitivity analyses to test structural and parameter uncertainty.
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Affiliation(s)
| | - M Hirst
- MundiPharma International, 194 Cambridge Science Park, Milton Road, Cambridge, Cambridgeshire, CB4 0AB, UK
| | - S Beard
- BresMed Health Solutions, Sheffield, UK
| | | | | | | | | | - W C N Dunlop
- MundiPharma International, 194 Cambridge Science Park, Milton Road, Cambridge, Cambridgeshire, CB4 0AB, UK.
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16
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Le Monnier A, Duburcq A, Zahar JR, Corvec S, Guillard T, Cattoir V, Woerther PL, Fihman V, Lalande V, Jacquier H, Mizrahi A, Farfour E, Morand P, Marcadé G, Coulomb S, Torreton E, Fagnani F, Barbut F. Hospital cost of Clostridium difficile infection including the contribution of recurrences in French acute-care hospitals. J Hosp Infect 2015; 91:117-22. [DOI: 10.1016/j.jhin.2015.06.017] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2014] [Accepted: 06/30/2015] [Indexed: 12/21/2022]
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17
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Giombini A, Menotti F, Laudani L, Piccinini A, Fagnani F, Di Cagno A, Macaluso A, Pigozzi F. Effect of whole body vibration frequency on neuromuscular activity in ACL-deficient and healthy males. Biol Sport 2015; 32:243-7. [PMID: 26424928 PMCID: PMC4577562 DOI: 10.5604/20831862.1163369] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [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: 09/26/2014] [Revised: 01/10/2015] [Accepted: 03/25/2015] [Indexed: 11/13/2022] Open
Abstract
Whole-body vibration (WBV) has been shown to enhance muscle activity via reflex pathways, thus having the potential to contrast muscle weakness in individuals with rupture of the anterior cruciate ligament (ACL). The present study aimed to compare the magnitude of neuromuscular activation during WBV over a frequency spectrum from 20 to 45 Hz between ACL-deficient and healthy individuals. Fifteen males aged 28±4 with ACL rupture and 15 age-matched healthy males were recruited. Root mean square (RMS) of the surface electromyogram from the vastus lateralis in both limbs was computed during WBV in a static half-squat position at 20, 25, 30, 35, 40 and 45 Hz, and normalized to the RMS while maintaining the half-squat position without vibration. The RMS of the vastus lateralis in the ACL-deficient limb was significantly greater than in the contralateral limb at 25, 30, 35 and 40 Hz (P<0.05) and in both limbs of the healthy participants (dominant limb at 25, 30, 35, 40 and 45 Hz, P<0.05; non dominant limb at 20, 25, 30, 35, 40 and 45 Hz, P<0.05). The greater neuromuscular activity in the injured limb compared to the uninjured limb of the ACL-deficient patients and to both limbs of the healthy participants during WBV might be due to either augmented excitatory or reduced inhibitory neural inflow to motoneurons of the vastus lateralis through the reflex pathways activated by vibratory stimuli. The study provides optimal WBV frequencies which might be used as reference values for ACL-deficient patients.
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Affiliation(s)
- A Giombini
- Department of Medicine and Health Sciences, University of Molise, Via F. De Sanctis, 86100, Campobasso, Italy
| | - F Menotti
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Piazza Lauro de Bosis 6, 00135, Rome, Italy
| | - L Laudani
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Piazza Lauro de Bosis 6, 00135, Rome, Italy
| | - A Piccinini
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Piazza Lauro de Bosis 6, 00135, Rome, Italy
| | - F Fagnani
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Piazza Lauro de Bosis 6, 00135, Rome, Italy
| | - A Di Cagno
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Piazza Lauro de Bosis 6, 00135, Rome, Italy
| | - A Macaluso
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Piazza Lauro de Bosis 6, 00135, Rome, Italy
| | - F Pigozzi
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Piazza Lauro de Bosis 6, 00135, Rome, Italy
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18
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Breban M, Claudepierre P, de Chalus T, Joubert J, Laurendeau C, Gourmelen J, Fagnani F. FRI0224 Prevalence Determination of Severe Ankylosing Spondylitis and its Co-Morbidities in 2012 in France: Analysis of a National Public Health Insurance Database. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2039] [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: 11/03/2022]
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19
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Saraux A, Flipo RM, Fagnani F, Bru I, Cukierman G, Joubert JM, Czarlewski W, Dunkel J, Massol J, Combe B. AB1101 Baseline Characteristics of Rheumatoid Arthritis Patients Starting Certolizumab Pegol Therapy and Glucocorticoid Prescription in the Eclair Study in 2012–2013. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2222] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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20
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Borrione P, Grasso L, Racca S, Abbadessa G, Carriero V, Fagnani F, Quaranta F, Pigozzi F. Systemic effects of locally injected platelet rich plasma in a rat model: an analysis on muscle and bloodstream. J BIOL REG HOMEOS AG 2015; 29:251-258. [PMID: 25864767] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Abundant evidence suggests that growth factors, contained in platelets alpha granules, may play a key role in the early stages of the muscle healing process with particular regard to the inflammatory phase. Although the contents of the platelet-rich plasma preparations have been extensively studied, the biological mechanisms involved as well as the systemic effects and the related potential doping implications of this approach are still largely unknown. The aim of the present study was to investigate whether local platelet-rich plasma administration may modify the levels of specific cytokines and growth factors both in treated muscle and bloodstream in rats. An additional aim was to investigate more deeply whether the local platelet-rich plasma administration may exert systemic effects by analyzing contralateral lesioned but untreated muscles. The results showed that platelet-rich plasma treatment induced a modification of certain cytokines and growth factor levels in muscle but not in the bloodstream, suggesting that local platelet-rich plasma treatment influenced directly or, more plausibly, indirectly the synthesis or recruitment of cytokines and growth factors at the site of injury. Moreover, the observed modifications of cytokine and growth factor levels in contralateral injured but not treated muscles, strongly suggested a systemic effect of locally injected platelet-rich plasma.
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Affiliation(s)
- P Borrione
- Department of Movement, Human and Health Science, University of Rome Foro Italico, Rome, Italy
| | - L Grasso
- 1 Department of Movement, Human and Health Science, University of Rome Foro Italico, Rome, Italy
| | - S Racca
- Department of Clinical and Biological Sciences, University of Turin, Turin, Italy
| | - G Abbadessa
- Department of Clinical and Biological Sciences, University of Turin, Turin, Italy
| | - V Carriero
- Department of Clinical and Biological Sciences, University of Turin, Turin, Italy
| | - F Fagnani
- Department of Movement, Human and Health Science, University of Rome Foro Italico, Rome, Italy
| | - F Quaranta
- Department of Movement, Human and Health Science, University of Rome Foro Italico, Rome, Italy
| | - F Pigozzi
- Department of Movement, Human and Health Science, University of Rome Foro Italico, Rome, Italy
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21
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di Cagno A, Battaglia C, Fiorilli G, Piazza M, Giombini A, Fagnani F, Borrione P, Calcagno G, Pigozzi F. Motor Learning as Young Gymnast's Talent Indicator. J Sports Sci Med 2014; 13:767-773. [PMID: 25435768 PMCID: PMC4234945] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2014] [Accepted: 06/26/2014] [Indexed: 06/04/2023]
Abstract
Talent identification plans are designed to select young athletes with the ability to achieve future success in sports. The aim of the study was to verify the predictive value of coordination and precision in skill acquisition during motor learning, as indicators of talent. One hundred gymnasts, both cadets (aged 11.5 ± 0.5 yr.) and juniors (aged 13.3 ± 0.5 years), competing at the national level, were enrolled in the study. The assessment of motor coordination involved three tests of the validated Hirtz's battery (1985), and motor skill learning involved four technical tests, specific of rhythmic gymnastics. All the tests were correlated with ranking and performance scores reached by each gymnast in the 2011, 2012, and 2013 National Championships. Coordination tests were significantly correlated to 2013 Championships scores (p < 0.01) and ranking (p < 0.05) of elite cadet athletes. Precision, in skill acquisition test results, was positively and significantly associated with scores in 2013 (adj. R(2) = 0.26, p < 0.01). Gymnasts with the best results in coordination and motor learning tests went on to achieve better competition results in three- year time. Key pointsIn talent identification and selection procedures it is better to include the evaluation of coordination and motor learning ability.Motor learning assessment concerns performance improvement and the ability to develop it, rather than evaluating the athlete's current performance.In this manner talent identification processes should be focused on the future performance capabilities of athletes.
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Affiliation(s)
- Alessandra di Cagno
- Department of Movement, Human and Health Sciences, Italian University of Sport and Movement of Rome "Foro Italico" , Rome, Italy
| | - Claudia Battaglia
- Department of Movement, Human and Health Sciences, Italian University of Sport and Movement of Rome "Foro Italico" , Rome, Italy
| | - Giovanni Fiorilli
- Department of Medicine and Health Sciences, University of Molise , Campobasso, Italy
| | - Marina Piazza
- Department of Anatomy, Histology and Forensic Medicine, University of Florence , Florence, Italy
| | - Arrigo Giombini
- Department of Medicine and Health Sciences, University of Molise , Campobasso, Italy
| | - Federica Fagnani
- Department of Movement, Human and Health Sciences, Italian University of Sport and Movement of Rome "Foro Italico" , Rome, Italy
| | - Paolo Borrione
- Department of Movement, Human and Health Sciences, Italian University of Sport and Movement of Rome "Foro Italico" , Rome, Italy
| | - Giuseppe Calcagno
- Department of Medicine and Health Sciences, University of Molise , Campobasso, Italy
| | - Fabio Pigozzi
- Department of Movement, Human and Health Sciences, Italian University of Sport and Movement of Rome "Foro Italico" , Rome, Italy
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22
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Sullivan W, Gladwell D, Fagnani F, LopezBastida J, Phillips C, Hirst M, Dunlop W. A Systematic Search and Methodological Review of Economic Models of Analgesics for Chronic Pain. Value Health 2014; 17:A559. [PMID: 27201844 DOI: 10.1016/j.jval.2014.08.1844] [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] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
| | | | | | | | | | - M Hirst
- Mundipharma International Limited, Cambridge, UK
| | - W Dunlop
- Mundipharma International Limited, Cambridge, UK
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23
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Guerra E, di Cagno A, Mancini P, Sperandii F, Quaranta F, Ciminelli E, Fagnani F, Giombini A, Pigozzi F. Physical fitness assessment in multiple sclerosis patients: a controlled study. Res Dev Disabil 2014; 35:2527-2533. [PMID: 25000308 DOI: 10.1016/j.ridd.2014.06.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2014] [Revised: 06/10/2014] [Accepted: 06/12/2014] [Indexed: 06/03/2023]
Abstract
There is growing evidence to show the effectiveness of physical exercise for multiple sclerosis (MS) patients. Aim of this study was to evaluate aerobic capacity, strength, balance, and the rate of perceived exertion (RPE) after exercise, in ambulatory patients with mild MS and matched control healthy participants. Seventeen MS patients aged 48.09 ± 10.0 years, with mild MS disability (Expanded Disability Status Scale: EDSS 1.5 to 4.5) and 10 healthy sedentary age matched (41.9 ± 11.2 years) subjects volunteered for the study. MS patients underwent medical examination with resting electrocardiogram, arterial blood pressure, EDSS, and Modified Fatigue Impact Scale-MFIS. Both groups also underwent physical assessment with the Berg Balance Scale(,) test (Berg), Six Minutes Walking Test (6MWT), maximal isometric voluntary contraction (MIVC) of forearm, lower limb, shoulder strength test, and the Borg 10-point scale test. The one-way ANOVA showed significant differences for MFIS (F1.19=9.420; p<0.01), Berg (F1.19=13.125; p<0.01), handgrip MIVC (F1.19=4.567; p<0.05), lower limbs MIVC (F1.19=7.429; p<0.01), and 6MWT (F1.19=28.061; p<0.01) between groups. EDSS, Berg test and Borg scores explained 80% of 6MWT variation. Mild grade EDSS patients exhibited impaired balance, muscle strength, and low self pace-6MWT scores, whereas RPE response after the exercise was similar to that of sedentary individuals. Both groups showed similar global physiological adjustments to exercise.
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Affiliation(s)
- E Guerra
- Department of Health, Movement and Human Sciences University of Rome "Foro Italico", Piazza Lauro de Bosis 15, Rome, Italy.
| | - A di Cagno
- Department of Health, Movement and Human Sciences University of Rome "Foro Italico", Piazza Lauro de Bosis 15, Rome, Italy.
| | - P Mancini
- Department of Health, Movement and Human Sciences University of Rome "Foro Italico", Piazza Lauro de Bosis 15, Rome, Italy.
| | - F Sperandii
- Department of Health, Movement and Human Sciences University of Rome "Foro Italico", Piazza Lauro de Bosis 15, Rome, Italy.
| | - F Quaranta
- Department of Health, Movement and Human Sciences University of Rome "Foro Italico", Piazza Lauro de Bosis 15, Rome, Italy.
| | - E Ciminelli
- Department of Health, Movement and Human Sciences University of Rome "Foro Italico", Piazza Lauro de Bosis 15, Rome, Italy.
| | - F Fagnani
- Department of Health, Movement and Human Sciences University of Rome "Foro Italico", Piazza Lauro de Bosis 15, Rome, Italy.
| | - A Giombini
- Department of Medicine and Health Sciences, University of Molise, V. De Sanctis, Campobasso, Italy.
| | - F Pigozzi
- Department of Health, Movement and Human Sciences University of Rome "Foro Italico", Piazza Lauro de Bosis 15, Rome, Italy.
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24
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Benain JP, Aguilera D, Galland R, Hannedouche T, Kessler M, de Pouvourville G, Fagnani F, Chauvet V, Laville M. Coût et impact budgétaire de l’hémodialyse à haute dose en France. Nephrol Ther 2014. [DOI: 10.1016/j.nephro.2014.07.082] [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: 10/24/2022]
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25
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Bertin P, Fagnani F, Duburcq A, Woronoff A, Chauvin P, Cukierman G, Tropé-Chirol S, Joubert JM, Kobelt G. AB1088 Impact of Rheumatoid Arthritis on Work Capacity: Results of A Survey in A Population of Patients under 60 Years. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.2361] [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: 11/04/2022]
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26
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de Zélicourt M, de Toffol B, Vespignani H, Laurendeau C, Lévy-Bachelot L, Murat C, Fagnani F. Management of focal epilepsy in adults treated with polytherapy in France: The direct cost of drug resistance (ESPERA study). Seizure 2014; 23:349-56. [DOI: 10.1016/j.seizure.2014.01.016] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2013] [Revised: 01/20/2014] [Accepted: 01/21/2014] [Indexed: 10/25/2022] Open
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Duburcq A, Fagnani F, Fau E, Camus MC. Utilisation du programme de médicalisation des systèmes d’information (PMSI) pour estimer l’incidence et le coût d’une infection nosocomiale : le Clostridium difficile. Rev Epidemiol Sante Publique 2014. [DOI: 10.1016/j.respe.2013.11.063] [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: 11/17/2022] Open
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28
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Fautrel B, Joubert JM, Cukierman G, Laurendeau C, Gourmelen J, Fagnani F. THU0512 Rheumatoid Arthritis (RA), Comorbidities and Biological Agents Uptake in France: Analysis of a National Claims Database. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2013-eular.1040] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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29
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Battaglia C, di Cagno A, Fiorilli G, Giombini A, Fagnani F, Borrione P, Marchetti M, Pigozzi F. Benefits of selected physical exercise programs in detention: a randomized controlled study. Int J Environ Res Public Health 2013; 10:5683-96. [PMID: 24185842 PMCID: PMC3863865 DOI: 10.3390/ijerph10115683] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [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: 07/27/2013] [Revised: 10/09/2013] [Accepted: 10/22/2013] [Indexed: 11/16/2022]
Abstract
The aim of the study was to determine which kind of physical activity could be useful to inmate populations to improve their health status and fitness levels. A repeated measure design was used to evaluate the effects of two different training protocols on subjects in a state of detention, tested pre- and post-experimental protocol.Seventy-five male subjects were enrolled in the studyand randomly allocated to three groups: the cardiovascular plus resistance training protocol group (CRT) (n = 25; mean age 30.9 ± 8.9 years),the high-intensity strength training protocol group (HIST) (n = 25; mean age 33.9 ± 6.8 years), and a control group (C) (n = 25; mean age 32.9 ± 8.9 years) receiving no treatment. All subjects underwent a clinical assessmentandfitness tests. MANOVA revealed significant multivariate effects on group (p < 0.01) and group-training interaction (p < 0.05). CRT protocol resulted the most effective protocol to reach the best outcome in fitness tests. Both CRT and HIST protocols produced significant gains in the functional capacity (cardio-respiratory capacity and cardiovascular disease risk decrease) of incarcerated males. The significant gains obtained in functional capacity reflect the great potential of supervised exercise interventions for improving the health status of incarcerated people.
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Affiliation(s)
- Claudia Battaglia
- Department of Health Sciences, Italian University of Sport and Movement of Rome “Foro Italico”, Piazza Lauro De Bosis 15, Rome 00196, Italy; E-Mails: (C.B.); (F.F.); (P.B.); (F.P.)
| | - Alessandra di Cagno
- Department of Health Sciences, Italian University of Sport and Movement of Rome “Foro Italico”, Piazza Lauro De Bosis 15, Rome 00196, Italy; E-Mails: (C.B.); (F.F.); (P.B.); (F.P.)
- Author to whom correspondence should be addressed; E-Mail: ; Tel.: +39-06-3673-3246; Fax: +39-33-8851-1016
| | - Giovanni Fiorilli
- Department of Health Sciences, University of Molise, V. De Sanctis 1, Campobasso 86100, Italy; E-Mails: (G.F.); (A.G.); (M.M.)
| | - Arrigo Giombini
- Department of Health Sciences, University of Molise, V. De Sanctis 1, Campobasso 86100, Italy; E-Mails: (G.F.); (A.G.); (M.M.)
| | - Federica Fagnani
- Department of Health Sciences, Italian University of Sport and Movement of Rome “Foro Italico”, Piazza Lauro De Bosis 15, Rome 00196, Italy; E-Mails: (C.B.); (F.F.); (P.B.); (F.P.)
| | - Paolo Borrione
- Department of Health Sciences, Italian University of Sport and Movement of Rome “Foro Italico”, Piazza Lauro De Bosis 15, Rome 00196, Italy; E-Mails: (C.B.); (F.F.); (P.B.); (F.P.)
| | - Marco Marchetti
- Department of Health Sciences, University of Molise, V. De Sanctis 1, Campobasso 86100, Italy; E-Mails: (G.F.); (A.G.); (M.M.)
| | - Fabio Pigozzi
- Department of Health Sciences, Italian University of Sport and Movement of Rome “Foro Italico”, Piazza Lauro De Bosis 15, Rome 00196, Italy; E-Mails: (C.B.); (F.F.); (P.B.); (F.P.)
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Borrione P, Rizzo M, Quaranta F, Ciminelli E, Fagnani F, Parisi A, Pigozzi F. Consumption and biochemical impact of commercially available plant-derived nutritional supplements. An observational pilot-study on recreational athletes. J Int Soc Sports Nutr 2012; 9:28. [PMID: 22713127 PMCID: PMC3407721 DOI: 10.1186/1550-2783-9-28] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2012] [Accepted: 06/19/2012] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND A growing consumption of natural (plant-derived) dietary supplements with ergogenic aims, with particular regard for ecdysteroids, phytoestrogens and vegetal sterols, has been registered over the last years among "recreational" athletes. The present study was carried out in order to evaluate the real knowledge of plant-derived nutritional supplements among physically active people as well as their real consumption. Additional aim was to evaluate the effects of these supplements on the health profile of the users. METHODS Twenty-three trained subjects who habitually used natural dietary supplements, and 30 matched controls were analyzed for plasma biochemical markers and hormonal profile. RESULTS The laboratory tests revealed the absence of any sign of organ toxicity/damage in both athletes and controls. On the contrary, hormone profiles revealed marked alterations in 15 (65%) out of the 23 of investigated athletes. Specifically, 10 males presented increased plasma levels of progesterone, 15 subjects presented abnormal estrogen levels, including 5 (2 F and 3 M) presenting a "dramatic" increased estrogen values and 2 two males with increased estrogen levels, increased testosterone levels and associated suppression of luteinizing hormone and follicle-stimulating hormone. CONCLUSIONS The results of the present study highlighted that the habitual consumption of plant-derived nutritional supplements is frequently associated with significant hormonal alterations both in male and female subjects. Although these biochemical alterations were not associated with signs or symptoms of organ toxicity/damage at the moment of the study, it cannot be excluded that, in the mid/long-term, these subjects would suffer of health problems secondary to chronic exposure to heavily altered hormonal levels. Further large scale studies are needed to confirm the results of this pilot study as well as to investigate the biological mechanisms at the base of the observed hormonal alterations.
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Affiliation(s)
- Paolo Borrione
- Department of Health Sciences, University of Rome "Foro Italico", Piazza Lauro de Bosis 15, 00194, Rome, Italy.
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Levaché B, Sousselier B, Cany L, Maguire C, Fagnani F. Prise en charge de l’anémie en oncologie: modalités pratiques, efficacité des agents stimulant l’érythropoïèse (ASE) [darbépoétine alpha] et place de la transfusion. ONCOLOGIE 2012. [DOI: 10.1007/s10269-012-2123-3] [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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Armoiry X, Fagnani F, Benboubker L, Facon T, Fermand JP, Hulin C, Moreau P, Aulagner G. Management of relapsed or refractory multiple myeloma in French hospitals and estimation of associated direct costs: a multi-centre retrospective cohort study. J Clin Pharm Ther 2011; 36:19-26. [PMID: 21198717 DOI: 10.1111/j.1365-2710.2009.01153.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
WHAT IS KNOWN AND BACKGROUND For relapsed or refractory multiple myeloma (RRMM), a series of novel agents (thalidomide, bortezomib and lenalidomide) has emerged during the latest decade, but their use in routine clinical practice is not well documented as well as the cost of RRMM. OBJECTIVE Our aim is to review the therapeutic management of such patients in France and to estimate the associated costs. METHODS A retrospective cohort study, based on chart reviews, was conducted in French Haematology Departments over the period 2004-2007 and the associated direct costs estimated. RESULTS One hundred and two patients with a relapse after first-line therapy were selected from five centres. The average follow-up from diagnosis or the date of first relapse to death or to the latest news was respectively 56.25 and 23.53 months. Novel agents were used in 73% of all cases, and in all cases of first relapse. Thalidomide and bortezomib were respectively the most frequently used second-line (57%) and third-line treatments (44%). The average number of lines of treatment received per patient as from first relapse was 2.75 (min 1; max 8) and the mean direct cost per month was estimated at 3130 € after the first relapse. This cost was represented in greater part by the cost of chemotherapy drugs (66%). WHAT IS NEW AND CONCLUSION The use of novel agents such as thalidomide, bortezomib and lenalidomide for RRMM is highly prevalent in France from the first relapse. The associated medical cost is substantial mainly due to the cost of the new agents.
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Affiliation(s)
- X Armoiry
- Hospices Civils de Lyon, Groupement Hospitalier Est, Pharmacy Department/Délégation à la Recherche Clinique et à l'Innovation, Cellule Innovation, Bron, France.
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Pigozzi F, Rizzo M, Fagnani F, Parisi A, Spataro A, Casasco M, Borrione P. Endothelial (dys)function: the target of physical exercise for prevention and treatment of cardiovascular disease. J Sports Med Phys Fitness 2011; 51:260-267. [PMID: 21681161] [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: 05/30/2023]
Abstract
AIM Endothelial dysfunction has been recognized as the early event and the common feature of chronic disorders associated with increased risk for atherosclerotic heart diseases. While the beneficial effects of aerobic, moderate-intensity exercise on endothelial function are very well assessed, an intriguing doubt exists about the effects of long-term high-intensity physical activity. The aim of the present study was to compare recent findings of our group concerning homocysteine levels in athletes to available data in literature in order to clarify the meaning of such apparent metabolic paradox. METHODS The studied population included 185 athletes: 180 healthy age and sex matched subjects served as control group. The assessed variables included homocysteine, folate, vitamin B12, total and HDL cholesterol, LDH, CPK and IL-6. Results were compared to available data in literature. RESULTS The prevalence of hyperhomocysteinemia (>15 µmol/L) in athletes and controls was 55% and 15%, respectively. In the studied population, no correlation was found between homocysteine and all the other investigated variables. CONCLUSION The present results suggest that intensive physical training could induce a pathological increase of homocysteine levels. With this regard, it has been suggested that the observed increases of cardio-vascular risk factors in athletes could represent an adaptative feature marker of muscle demand but would not actually lead to endothelial damage. This remains, however, a speculative hypothesis and further analysis are needed in order to clarify the clinical significance of those observations in order to better preserve the athletes immediate and future health.
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Affiliation(s)
- F Pigozzi
- Department of Health Sciences, University of Rome Foro Italico, Rome, Italy.
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Fagnani F, Spaccamiglio A, Grasso L, Termine A, Angeli A, Pigozzi F, Borrione P. N-terminal proB-type natriuretic peptide and homocysteine concentrations in athletes. J Sports Med Phys Fitness 2009; 49:440-447. [PMID: 20087304] [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: 05/28/2023]
Abstract
AIM Several studies suggest that intense exercise may increase the athlete's thrombotic tendency. Available data on those metabolic alteration are still conflicting and their clinical significance is still worth of interest. The aim of the present study was to investigate if widely used markers of cardiac damage such as NT-proBNP levels are affected by homocysteine concentrations during sustained sport activities. METHODS Seventy-eight competitive, non-professional athletes were enrolled in the study; 70 healthy age matched subjects, recruited from blood donors, served as controls. Besides the general clinical determinations, the assessed variables included homocysteine, folate, vitamin B12, total and HDL cholesterol, LDH, CPK, NT-proBNP and IL-6. RESULTS The percentages of athletes with normal and elevated homocysteine levels resulted 46% and 54%, respectively. Mean NT-proBNP levels were significantly higher in athletes than in controls (1176.66 + or - 442.15 pg/mL versus 450.34 + or - 180.39 pg/mL). No correlation was found between homocysteine and NT-proBNP values. CONCLUSIONS The previously described "sport related" homocysteine is not related to other markers of cardiovascular stress such as NT-proBNP. Available data suggest that both hyperhomocysteinemia and high NT-proBNP levels in healthy young athletes could be interpreted as markers of metabolic and morphologic adaptation to training rather than a risk factor for cardio-vascular diseases.
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Affiliation(s)
- F Fagnani
- Department of Health Sciences, University of Rome Foro Italico, Rome, Italy
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Levaché B, Sousselier B, Cany L, Maguire C, Bogillot O, Fagnani F. Prise en charge de l’anémie en oncologie : modalités pratiques, efficacité des agents stimulant l’érythropoïèse ASE (Darbepoetin alfa) et place de la transfusion. Rev Epidemiol Sante Publique 2009. [DOI: 10.1016/j.respe.2009.07.014] [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: 11/29/2022] Open
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36
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Bouée S, Fagnani F, Alfonsi A, De Sahb R. Impact relatif de la généralisation du dépistage et de l’innovation thérapeutique sur l’évolution de la mortalité spécifique du cancer du sein : un modèle de simulation sur la période 1994–2005. Rev Epidemiol Sante Publique 2009. [DOI: 10.1016/j.respe.2009.07.054] [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: 10/20/2022] Open
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Levache B, Sousselier B, Cany L, Maguire C, Saillour-Glenisson F, Fagnani F. 3053 Management of anaemia in oncology: use and efficacy of Darbepoetin alfa in CIA patients. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)70652-4] [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] Open
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Pigozzi F, Rizzo M, Giombini A, Parisi A, Fagnani F, Borrione P. Bone mineral density and sport: effect of physical activity. J Sports Med Phys Fitness 2009; 49:177-183. [PMID: 19528896] [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: 05/27/2023]
Abstract
Osteoporosis is a multifactorial progressive skeletal disorder characterized by compromised bone mass which predisposes to increased fracture risk. Fractures are often associated with increased morbidity, mortality, loss of function, deformity and functional limitations. The major public health impact of osteoporosis calls for organized strategies for both primary and secondary prevention. Even if pharmacological therapeutic interventions provide substantial reduction in fracture risk, prevention of osteoporosis should begin early in life. Primary prevention during growth and adolescence aims to obtain a high peak bone mass, adequate calcium intake, exercise and early diagnosis and treatment of potential skeletal deformities. Secondary prevention, during middle age, aims to identify the subjects with low bone mass and more than one risk factor for an osteoporotic fracture, in order to plan multifactorial interventions with a special emphasis on nutritional aspects and individualized sport therapy.
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Affiliation(s)
- F Pigozzi
- Department of Health Science, University of Rome ''Foro Italico'', Rome, Italy.
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Ripani M, Di Cesare A, Giombini A, Agnello L, Fagnani F, Pigozzi F. Spinal curvature: comparison of frontal measurements with the Spinal Mouse and radiographic assessment. J Sports Med Phys Fitness 2008; 48:488-494. [PMID: 18997653] [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: 05/27/2023]
Abstract
AIM The Spinal Mouse is an external non-invasive device which measures the spinal shape and mobility of the spine in several planes. The aim of the present study was to evaluate the reliability and the validity of the Spinal Mouse to assess frontal standing measurements of the spine in a sample of young healthy volunteers. METHODS Twenty-six young volunteers of both sex took part in the study. Angle data of vertebral inclination of each subject in frontal view were measured by Spinal Mouse and standard radiography for vertebral segments from T1-T2 down to L5-S1. RESULTS Repetition of the measurements by Spinal Mouse performed by two examiners in different days resulted in no significant difference for the parameter examined, as well as measurements performed by the two examiners in the same day (P<0.05). The ICC values showed no correlation between the two devices in the following pairs of vertebrae: T2-T3, T4-T5, T5-T6, T7-T8, T8-T9, T9-T10, T11-T12, T12-L1, L1-L2, L3-L4, L4-L5. CONCLUSION The Spinal Mouse results, concerning the standing frontal curvature of the spine, even if reliable, were poor when compared with the standard radiography.
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Affiliation(s)
- M Ripani
- Department of Health, University of Rome - IUSM, Rome, Italy.
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40
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Hascoet JM, Fagnani F, Charlemagne A, Vieux R, Rozé JC, Bendjenana H. [Methodological aspects of economic evaluation in pediatrics: illustration by RSV infection prophylaxis in the French setting]. Arch Pediatr 2008; 15:1739-48. [PMID: 18990549 DOI: 10.1016/j.arcped.2008.09.024] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2007] [Revised: 07/25/2008] [Accepted: 09/01/2008] [Indexed: 11/19/2022]
Abstract
The methodological approach of the economic evaluation of drugs in pediatrics is illustrated by the case study of the prophylaxis for RSV infections using palivizumab in the French setting. The indications for the reimbursement of this treatment have been restricted to premature children with bronchopulmonary dysplasia (BPD) or hemodynamically significant congenital-heart disease. A model was developed primarily using the results of the pivotal clinical studies on palivizumab. Unit costs were estimated (2006 values) in both societal and payer's perspectives. An assumption was made and discussed on the benefits of the prophylaxis on mortality. Based on the different data available and the estimated costs and benefits, different cost-effectiveness ratios (CERs) were estimated from both the society's and payer's points of view. A discount rate of 3% was applied to benefit. The CER obtained in the most unfavorable case is considered acceptable for the innovative-medical technologies in the French-healthcare system. Some of the parameters used by the model will be illustrated from the EPIPAGE study data from 2 of the 9 regions involved in this study: this evaluation suggests that the children not having an RSV infection during their 1st year of life will continue to require significantly fewer hospitalizations in the following years. These additional evaluations also suggest that the model overestimates the costs of the treatment with regard to the true medical situation. This could be explained by the model not using the children's exact weight or the real number of injections because the children had been discharged from the maternity ward based on their date of birth and the epidemic period. In spite of these factors, RSV prophylaxis using palivizumab in premature children with BPD or hemodynamically significant congenital-heart disease can be considered cost-effective in France.
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Affiliation(s)
- J-M Hascoet
- Service de néonatologie, soins intensifs et réanimation néonatale, maternité régionale universitaire de Nancy, 10, rue du Docteur-Heydenreich, 54042 Nancy, France.
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Armoiry X, Fagnani F, Benboubker L, Facon T, Fermand J, Hulin C, Moreau P, Aulagner G. Estimating direct costs of care for patients with relapsed or refractory multiple myeloma in french hospitals. J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.8596] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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42
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Borrione P, Rizzo M, Spaccamiglio A, Salvo RA, Dovio A, Termine A, Parisi A, Fagnani F, Angeli A, Pigozzi F. Sport-related hyperhomocysteinaemia: a putative marker of muscular demand to be noted for cardiovascular risk. Br J Sports Med 2008; 42:894-900. [DOI: 10.1136/bjsm.2007.045021] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Parisi A, Quaranta F, Masala D, Fagnani F, Di Salvo V, Casasco M, Pigozzi F. Do aspartate and asparagine acute supplementation influence the onset of fatigue in intense exercise? J Sports Med Phys Fitness 2007; 47:422-426. [PMID: 18091682] [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: 05/25/2023]
Abstract
AIM Oxaloacetic acid represents a fundamental intermediary in the metabolism of energy substrate. Asparagine and aspartate constitute precursor compounds of this substance. Therefore, they could affect tricarbossilic acids cycle. Besides, it was suggested that supplementation with aspartate and asparagine determines a muscular glycogen sparing during strenuous physical exercise, even if the real effectiveness remain controversial. The aim of the present pilot study was to evaluate the hypothesis that a supplementation with oxaloacetate precursors, precisely aspartate and asparagine, could improve sport performance during high intensity endurance exercise. METHODS We recruited 15 male trained athletes, aged from 20 to 30 years (mean age: 24.13+/-3.87 years), practicing triathlon. We administered them placebo or aspartate (7 g) and asparagine (7 g) mixture, using a double blind technique, before performing an exhaustion stress test on cycloergometer carried out to 90% of each athlete's maximum oxygen consumption, previously determined. RESULTS We evaluated lactatemia through earlobe punctures at the end of warming up, at the maximum effort and at recovery time (3 min, 5 min, 10 min, 15 min, 30 min). Furthermore, subjects were submitted to three blood samples from brachial artery in order to assess the glycemia (before the exercise, at the end of the exercise, and 30 min after the end of the exercise). CONCLUSION The analysis of these parameters and the results of the ergometric tests after amino acids assumption indicate that acute supplementation with aspartate and asparagine do not significantly affect physical performance in athletes practicing high intensity exercises, and that acute administration of aspartate does not cause a sparing of muscle glycogen concentration.
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Affiliation(s)
- A Parisi
- Department of Health Sciences, University of Rome (IUSM), Rome, Italy
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Massol J, Puech A, Boissel JP, Alperovitch A, Bamberger M, Begaud B, Blin O, Blin P, Breart G, Brun Strang C, Buyse M, Castot A, Chauvenet M, Chicoye A, David N, De Bels F, De Sahb Berkovitch R, Dohin E, Fagnani F, Falissard B, Gastaldi-Menager C, Giri I, Haim M, Joubert J, Lapeyre-Mestre M, Lassale C, Marchant Ramirez I, Meyer F, Micallef J, Mollimard M, Moreau-Defarges T, Pazart L, Perret L, Pigeon M, Rumeau Pichon C, Tcheng P, Woler M, Zanetti L, Zylberman M. How to Anticipate the Assessment of the Public Health Benefit of New Medicines? Therapie 2007; 62:427-35. [DOI: 10.2515/therapie:2007071] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2007] [Indexed: 11/20/2022]
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Massol J, Puech A, Boissel JP, Alperovitch A, Bamberger M, Bégaud B, Blin O, Blin P, Bréart G, Brun Strang C, Buyse M, Castot A, Chauvenet M, Chicoye A, David N, De Bels F, De Sahb Berkovitch R, Dohin E, Fagnani F, Falissard B, Gastaldi-Menager C, Giri I, Haim M, Joubert J, Lapeyre-Mestre M, Lassale C, Marchant Ramirez I, Meyer F, Micallef J, Mollimard M, Moreau-Defarges T, Pazart L, Perret L, Pigeon M, Rumeau Pichon C, Tcheng P, Woler M, Zanetti L, Zylberman M. Comment anticiper l’évaluation de l’intérêt de santé publique des médicaments ? Therapie 2007; 62:417-25. [DOI: 10.2515/therapie:2007072] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2007] [Accepted: 10/05/2007] [Indexed: 11/20/2022]
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Abstract
PURPOSE To estimate the association between self-reported visual impairment and mortality. METHODS Two national surveys in community and institutionalized populations were combined. First, 2,075 institutions for children with impairments, adults with impairments aged persons, and psychiatric patients were selected randomly. The sample comprised 15,403 subjects of whom 14,603 (94.9%) were interviewed. Second, a random, stratified sample of 21,760 persons living in the community was selected, and 16,945 (77.9%) were interviewed. Types of impairment were identified by face-to-face interviews. Two years later, 14,497 subjects in institutions and 15,648 in the community were revisited. Data on death were obtained from either the National Register or households. Death rates were related to age, gender, and impairment. A logistic regression was performed including impairments, activities of daily living, age, gender, type of residence, and geographical area. RESULTS Strong, independent associations were found between particular impairments, institutional residence, activities of daily living, age, gender, and risk of death. Associations between mortality and type of impairment could be ranked as follows: motor (OR = 1.235), brain (OR = 1.552), low vision (OR = 1.681), speech (OR = 2.090), visceral (OR = 2.233) and blindness (OR = 2.262). CONCLUSIONS Self-reported visual impairment is an independent factor associated with mortality.
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Affiliation(s)
- G Berdeaux
- Conservatoire National des Arts et Métiers, Paris, France.
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Giombini A, Innocenzi L, Di Cesare A, Di Salvo W, Fagnani F, Pigozzi F. Partial rupture of the distal biceps brachii tendon in elite waterpolo goalkeeper: a case report of conservative treatment. J Sports Med Phys Fitness 2007; 47:79-83. [PMID: 17369802] [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: 05/14/2023]
Abstract
The aim of this study was to describe a case of a 27-year-old male elite waterpolo goalkeeper, who had a partial rupture of the distal biceps tendon of his dominant arm while he was trying to save a strong outside shot. Pain on the antecubital fossa was the chief complaint. Ultrasound and magnetic resonance imaging completed the instrumental set-up. This case had the resolution of the pain and impairment after 3 months of conservative treatment. At 1-year follow-up, the athlete is asymptomatic and the isokinetic test provided almost complete recovery of the strength for elbow flexors and supinators muscles.
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Affiliation(s)
- A Giombini
- National Institute of Sports Medicine, Rome, Italy.
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48
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Fagnani F, Giombini A, Di Cesare A, Pigozzi F, Di Salvo V. The effects of a whole-body vibration program on muscle performance and flexibility in female athletes. Am J Phys Med Rehabil 2006; 85:956-62. [PMID: 17117001 DOI: 10.1097/01.phm.0000247652.94486.92] [Citation(s) in RCA: 98] [Impact Index Per Article: 5.4] [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: 01/27/2023]
Abstract
OBJECTIVE This randomized controlled study was designed to investigate the short-term effects of an 8-wk whole-body vibration protocol on muscle performance and flexibility in female competitive athletes. DESIGN Twenty-six young volunteer female athletes (ages 21-27 yrs) were randomized to either the vibration group or control group. The vibration intervention consisted of an 8-wk whole-body vibration 3 times a week employed by standing on a vertical vibration platform. As outcome measures, three performance tests (counter-movement jump, extension strength of lower extremities with an isokinetic horizontal leg press, and a sit-and-reach test for flexibility) were performed initially and after 8 wks. RESULTS A total of 24 athletes completed the study properly. In the vibration group (n = 13) whole-body vibration induced significant improvement of bilateral knee extensor strength (P < 0.001), counter-movements jump (P < 0.001), and flexibility (P < 0.001) after 8 wks of training. No significant changes were found for all the outcome measures for the control group (n = 11). CONCLUSIONS Whole-body vibration is a suitable training method to improve knee extension maximal strength, counter-movement jump, and flexibility in a young female athlete if it is properly designed. Not only do the optimal frequency, amplitude, and g-forces need to be identified but also the level of muscle activation that would benefit more from vibration stimulation. The improvement of flexibility is important not only for performance but also for the prevention of muscle-tendon injury.
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Affiliation(s)
- Federica Fagnani
- Sports Medicine Laboratory, Department of Health Sciences, University of Rome "IUSM", Rome, Italy
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D Iellamo F, Pigozzi F, Spataro A, Di Salvo V, Fagnani F, Roselli A, Rizzo M, Malacarne M, Pagani M, Lucini D. Autonomic and psychological adaptations in Olympic rowers. J Sports Med Phys Fitness 2006; 46:598-604. [PMID: 17119526] [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: 05/12/2023]
Abstract
AIM Power spectral analysis of heart rate variability has been used to assess the time course of neurovegetative adaptations to training. This study was undertaken: 1) to evaluate whether and which indicator(s) of autonomic cardiac regulation and psychophysical stress can identify successful athletes during a training season culminating with the Olympic Games and 2) to evaluate the feasibility of a quasi-on-line assessment of autonomic cardiac regulation from training field, by a telematic approach. METHODS This study was conducted on the group of male athletes composing the Italian national team of rowing (n=34), in the season preceding the 2004 Olympic Games. Complete results are from 18 subjects (age 25.3+/-0.5 years), who were selected to participate to the Athens' Olympic games. Athletes were studied while partially detrained, at mid-training season and close to the games. The RR interval was obtained through a miniature transtelephonic-ECG recorder in the supine and standing posture, thus allowing the evaluation of cardiovascular responses to a sympathetic challenge. Data were downloaded through a telephone line, to the referral center where RR-interval variability data were analyzed with the autoregressive method. Also, in each study sessions, athletes filled a self-administered questionnaire of stress perception and somatic symptoms (4S-Q). RESULTS All ECG recordings were transmitted successfully by phone to the referral center. No significant difference was detected in any marker of autonomic cardiac regulation between athletes who won a medal at the Olympic Games and those who did not. However, respiratory rate was faster in medal winners (P=0.02), while the questionnaire addressing stress (4S-Q) provided greater scores in the group that did not win a medal (F=5.55, P<0.022) at mid-training season and close to the Olympic Games. CONCLUSIONS The results of this study would suggest the possibility of an early detection of psychosomatic symptoms resulting from long duration and elevated stress of preparing for top level competitions, whose better handling might identify the most successful athletes. In addition, it indicates the feasibility of a quasi-on-line assessment of autonomic cardiac adaptations to strenuous training directly from field to be possibly used for improving individual training programs, allowing athletes evaluation in their natural environment.
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Affiliation(s)
- F D Iellamo
- Department of Internal Medicine, Tor Vergata University of Rome, Rome, Italy
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Bouee S, Lafuma A, Fagnani F, Meunier PJ, Reginster JY. Estimation of direct unit costs associated with non-vertebral osteoporotic fractures in five European countries. Rheumatol Int 2006; 26:1063-72. [PMID: 16953395 DOI: 10.1007/s00296-006-0180-x] [Citation(s) in RCA: 52] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2006] [Accepted: 07/23/2006] [Indexed: 01/14/2023]
Abstract
The objective of this study was to estimate the unit costs of non-vertebral osteoporotic fractures in five European countries based on the results of the SOTI and TROPOS clinical trials in postmenopausal osteoporotic women. The information recorded in the Case Report Forms was used. The perspective of third party payers was adopted. Hip fracture unit cost was the highest. The ranges of costs among countries was narrow for hip from 8,346 euros (Italy) to 9,907euros (France), but wider for other fractures: 890 euros (Spain) to 2,022 euros (Italy) for wrist, 1,167euros (Spain) to 3,268 euros (Italy) for pelvis, 837euros (Spain) to 2,116 euros (Italy) for sternum/clavicle, 565 euros (Spain) to 908 euros (France) for rib, 1,518 euros (Spain) to 3,651 euros (Belgium) for humerus, 1,805 euros (Spain) to 3,521 euros (Italy) for leg. The costs of those fractures should be considered when estimating the cost of osteoporosis.
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Affiliation(s)
- S Bouee
- CEMKA, 43 boulevard du Maréchal Joffre, 92340 Bourg La Reine, France.
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