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Giustino V, Bonaventura RE, Messina G, Patti A, Pillitteri G, Pajaujiene S, Paoli A, Palma A, Bianco A, Oliveri M, Battaglia G. Acute effects of prismatic adaptation on penalty kick accuracy and postural control in young soccer players: A pilot study. Heliyon 2024; 10:e30515. [PMID: 38742074 PMCID: PMC11089356 DOI: 10.1016/j.heliyon.2024.e30515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2023] [Revised: 04/24/2024] [Accepted: 04/29/2024] [Indexed: 05/16/2024] Open
Abstract
Background Prismatic adaptation (PA) is a visuomotor technique using prismatic glasses that are capable of moving the visual field and to affect the excitability of certain brain areas. The aim of this pilot study was to explore potential acute effects of PA on penalty kick accuracy and postural control in youth soccer players. Methods In this randomized crossover study, seven young male soccer players performed three PA sessions (rightward PA, r-PA; leftward PA, l-PA; sham PA, s-PA) with a washout period of 1-week between them. Immediately before and after each PA session, penalty kick accuracy and postural control were assessed. Results We detected an increase in penalty kick accuracy following PA, regardless of the deviation side of the prismatic glasses (F1,5 = 52.15; p = 0.08; ηp2 = 0.981). In detail, our results showed an increase in the penalty kick accuracy toward the right target of the football goal following r-PA and toward the left target of the football goal following l-PA. We detected a significant effect on the sway path length (F2,12 = 10.42; p = 0.002; ηp2 = 0.635) and the sway average speed (F2,12 = 9.17; p = 0.004; ηp2 = 0.605) parameters in the stabilometric test with open eyes following PA, regardless of the deviation side of the prismatic glasses. In detail, our results showed a significant difference in both the stabilometric parameters (p = 0.016 and p = 0.009, respectively) only following l-PA. Conclusion The findings of this pilot study indicate that PA could positively affect penalty kick accuracy and postural control suggesting that PA could be used as a visual training technique in athletes.
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Affiliation(s)
- Valerio Giustino
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | | | - Giuseppe Messina
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele University, Rome, Italy
- PLab Research Institute, Palermo, Italy
| | - Antonino Patti
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Guglielmo Pillitteri
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Simona Pajaujiene
- Department of Coaching Science, Lithuanian Sports University, Kaunas, Lithuania
| | - Antonio Paoli
- Department of Biomedical Sciences, University of Padova, Padova, Italy
| | - Antonio Palma
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
- Regional Sports School of Italian National Olympic Committee (CONI) Sicilia, Palermo, Italy
| | - Antonino Bianco
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Massimiliano Oliveri
- Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy
| | - Giuseppe Battaglia
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
- Regional Sports School of Italian National Olympic Committee (CONI) Sicilia, Palermo, Italy
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Pillitteri G, Rossi A, Cintia P, Trecroci A, Petrucci M, Battaglia G. Association between match-related physical activity profiles and playing positions in different tasks: A data driven approach. J Sports Sci 2024:1-10. [PMID: 38574361 DOI: 10.1080/02640414.2024.2338026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Accepted: 03/25/2024] [Indexed: 04/06/2024]
Abstract
Assessing the intensity characteristics of specific soccer drills (matches, small-side game, and match-based exercises) could help practitioners to plan training sessions by providing the optimal stimulus for every player. In this paper, we propose a data analytics framework to assess the neuromuscular or metabolic characteristics of a soccer-specific exercise in relation with the expected match intensity. GPS data describing the physical tasks' external intensity during an entire season of twenty-eight semi-professional soccer players competing at the fourth Italian division were used in this study. A supervised machine-learning approach was tested in order to detect difference in playing positions in different sport-specific drills. Moreover, a non-supervised machine-learning model was used to profile the match neuromuscular and metabolic characteristics. Players' playing positions during matches and match-based exercises are characterised by specific metabolic and neuromuscular characteristics related to tactical demands, while in the small-side game these differences are not detected. Additionally, our framework permits to evaluate if the match performance request is mirrored during training drills. Practitioners could evaluate the type of stimulus performed by a player in a specific training drill in order to assess if they reflect the matches characteristics of their specific playing position.
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Affiliation(s)
- Guglielmo Pillitteri
- Sport and Exercise Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Alessio Rossi
- Department of Research and Development, Feel Good Plus S.R.L. - MyPowerSet, Rome, Italy
- Department of Computer Science, University of Pisa, Pisa, Italy
- National Research Council (CNR), Institute of Information Science and Technologies (ISTI), Pisa, Italy
| | - Paolo Cintia
- Department of Computer Science, University of Pisa, Pisa, Italy
| | - Athos Trecroci
- Department of Biomedical Science for Health, University of Milan, Milan, Italy
| | - Marco Petrucci
- Department of Performance, Palermo Football Club, Palermo, Italy
| | - Giuseppe Battaglia
- Sport and Exercise Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
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Izadi M, Pillitteri G, Thomas E, Battaglia G, Bianco A, Bellafiore M. Sex differences in the determination of prescribed load in ballistic bench press. Front Physiol 2024; 15:1293044. [PMID: 38282756 PMCID: PMC10811050 DOI: 10.3389/fphys.2024.1293044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Accepted: 01/03/2024] [Indexed: 01/30/2024] Open
Abstract
Introduction: The objectives of the present study were twofold: first, to identify the specific relative load at which the concentric motion transforms into a purely propulsive action among women, and second, to compare the load-velocity relationships between men and women during the bench press throw. Methods: Fourteen men and fourteen women participated in a test where they progressively increased the load until reaching their one-repetition maximum (1RM) in the bench press exercise. Linear regression models were employed to elucidate the relationships between load and velocity, as well as load and the propulsive phase (% of total concentric time). Additionally, ANCOVA was utilized to compare the linear regression models between men and women. Results: The results revealed strong and linear associations between load and mean propulsive velocity (MPV) for both men and women, as well as between load and the propulsive phase. Notably, there were significant differences in MPV and the propulsive phase concerning load between men and women. Women transitioned into a fully propulsive concentric phase at approximately 80% of their 1RM, while men achieved this entirely propulsive phase at around 85% of their 1RM. Furthermore, women exhibited reduced velocities when handling lighter relative loads compared to men. Conversely, women demonstrated higher velocities when dealing with loads exceeding 85% of their 1RM in contrast to their male counterparts. Discussion: These findings hold notable implications for prescribing bench press throw loads for women, which should differ from those recommended for men. Further studies are necessary to validate the efficacy of the proposed load recommendations.
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Affiliation(s)
- Mohammad Izadi
- Sport and Exercise Research Unit, Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Palermo, Italy
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Pillitteri G, Petrigna L, Ficarra S, Giustino V, Thomas E, Rossi A, Clemente FM, Paoli A, Petrucci M, Bellafiore M, Palma A, Battaglia G. Relationship between external and internal load indicators and injury using machine learning in professional soccer: a systematic review and meta-analysis. Res Sports Med 2023:1-37. [PMID: 38146925 DOI: 10.1080/15438627.2023.2297190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Accepted: 10/25/2023] [Indexed: 12/27/2023]
Abstract
This study verified the relationship between internal load (IL) and external load (EL) and their association on injury risk (IR) prediction considering machine learning (ML) approaches. Studies were included if: (1) participants were male professional soccer players; (2) carried out for at least 2 sessions, exercises, or competitions; (3) correlated training load (TL) with non-contact injuries; (4) applied ML approaches to predict TL and non-contact injuries. TL included: IL indicators (Rating of Perceived Exertion, RPE; Session-RPE, Heart Rate, HR) and EL indicators (Global Positioning System, GPS variables); the relationship between EL and IL through index, ratio, formula; ML indicators included performance measures, predictive performance of ML methods, measure of feature importance, relevant predictors, outcome variable, predictor variable, data pre-processing, features selection, ML methods. Twenty-five studies were included. Eleven addressed the relationship between EL and IL. Five used EL/IL indexes. Five studies predicted IL indicators. Three studies investigated the association between EL and IL with IR. One study predicted IR using ML. Significant positive correlations were found between S-RPE and total distance (TD) (r = 0.73; 95% CI (0.64 to 0.82)) as well as between S-RPE and player load (PL) (r = 0.76; 95% CI (0.68 to 0.84)). Association between IL and EL and their relationship with injuries were found. RPE, S-RPE, and HR were associated with different EL indicators. A positive relationship between EL and IL indicators and IR was also observed. Moreover, new indexes or ratios (integrating EL and IL) to improve knowledge regarding TL and fitness status were also applied. ML can predict IL indicators (HR and RPE), and IR. The present systematic review was registered in PROSPERO (CRD42021245312).
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Affiliation(s)
- Guglielmo Pillitteri
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
- Program in Health Promotion and Cognitive Sciences, University of Palermo, Palermo, Italy
| | - Luca Petrigna
- Department of Biomedical and Biotechnological Sciences, Human Anatomy and Histology Section, School of Medicine, University of Catania, Catania, Italy
| | - Salvatore Ficarra
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
- Program in Health Promotion and Cognitive Sciences, University of Palermo, Palermo, Italy
| | - Valerio Giustino
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Ewan Thomas
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Alessio Rossi
- Department of Computer Science, University of Pisa, Pisa, Italy
| | - Filipe Manuel Clemente
- Escola Superior Desporto e Lazer, Instituto Politécnico de Viana do Castelo, Rua Escola Industrial e Comercial de Nun'Álvares, Viana do Castelo, Portugal
- Research Center in Sports Performance, Recreation, Innovation and Technology (SPRINT), Melgaço, Portugal
- Gdansk University of Physical Education and Sport, Gdańsk, Poland
| | - Antonio Paoli
- Department of Biomedical Sciences, University of Padova, Padova, Italy
| | | | - Marianna Bellafiore
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Antonio Palma
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
- Regional Sports School of CONI Sicilia, Palermo, Italy
| | - Giuseppe Battaglia
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
- Regional Sports School of CONI Sicilia, Palermo, Italy
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Leale I, Petrigna L, Giustino V, Pillitteri G, Barbieri RA, Palma A, Musumeci G, Battaglia G. A standard operating procedure for the physical performance analysis of wheelchair fencer: a scoping review. J Sports Med Phys Fitness 2023; 63:1175-1181. [PMID: 37535340 DOI: 10.23736/s0022-4707.23.14998-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/04/2023]
Abstract
INTRODUCTION Wheelchair fencing (WF) is a very practiced sport within the Paralympic world. A careful analysis of the characteristics and data of a WF athlete can be useful for coaches and movement experts to better plan a training program. The objective of the study was to evaluate physical fitness assessment methods adopted in WF and to propose a standard operating procedures (SOP). EVIDENCE ACQUISITION Original articles written in English were included in this review, and the population studied was composed of athletes who practiced WF. Studies were searched from PubMed, Web of Science, and Scopus databases using keywords and Boolean operators. Eight studies were included in this review. EVIDENCE SYNTHESIS Most of the studies converge and agree on the physical, physiological, and technical characteristics of a WF athlete. CONCLUSIONS The scientific literature referring to this sport is very scarce, hence the need for new original studies to optimize the SOP proposed.
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Affiliation(s)
- Ignazio Leale
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy -
| | - Luca Petrigna
- Section of Anatomy, Histology and Movement Science, Department of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, Catania, Italy
| | - Valerio Giustino
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Guglielmo Pillitteri
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
- Unit of High-Performance, Palermo FC, Palermo, Italy
| | - Ricardo A Barbieri
- School of Physical Education and Sport of Ribeirão Preto (EEFERP), University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Antonio Palma
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
- Regional Sports School of CONI Sicilia, Palermo, Italy
| | - Giuseppe Musumeci
- Section of Anatomy, Histology and Movement Science, Department of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, Catania, Italy
- Department of Biology, Sbarro Institute for Cancer Research and Molecular Medicine, College of Science and Technology, Temple University, Philadelphia, PA, USA
| | - Giuseppe Battaglia
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
- Regional Sports School of CONI Sicilia, Palermo, Italy
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Pillitteri G, Clemente FM, Petrucci M, Rossi A, Bellafiore M, Bianco A, Palma A, Battaglia G. Toward a New Conceptual Approach to "Intensity" in Soccer Player's Monitoring: A Narrative Review. J Strength Cond Res 2023; 37:1896-1911. [PMID: 37616540 DOI: 10.1519/jsc.0000000000004503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/26/2023]
Abstract
ABSTRACT Pillitteri, G, Clemente, FM, Petrucci, M, Rossi, A, Bellafiore, M, Bianco, A, Palma, A, and Battaglia, G. Toward a new conceptual approach to "intensity" in soccer player's monitoring: A narrative review. J Strength Cond Res 37(9): 1896-1911, 2023-In the last decade, monitoring physiological and match-related demands in soccer has become an increasingly common practice in sports sciences. One of the great challenges during monitoring process is the identification of key indicators that permit to generalize evidence and sustain decision-making process during training prescription. Actually, one of the major debates in the scientific community and among practitioners is the identification of the "intensity" concept. Defining a given training session or exercise based on "intensity" is difficult due to the fact that a huge amount of indicators are available (related both to the performed activities and to the athletes' psychophysiological responses). These indicators can lead to specific outcomes with different interpretations. The current narrative review aims to discuss the different measures approaches used in soccer to describe the intensity for both internal and external demands. In addition, a second purpose of this review is to propose general recommendations for combining intensity indicators with the aim of defining an overall intensity score of a training session or drill.
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Affiliation(s)
- Guglielmo Pillitteri
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
- PhD Program in Health Promotion and Cognitive Sciences, University of Palermo, Palermo, Italy
- Palermo FC, Italy
| | - Filipe M Clemente
- Escola Superior Desporto e Lazer, Instituto Politécnico de Viana do Castelo, Rua Escola Industrial e Comercial de Nun'Álvares, Portugal
- Research Center in Sports Performance, Recreation, Innovation and Technology (SPRINT), Melgaço, Portugal
- Instituto de Telecomunicações, Delegação da Covilhã, Lisboa, Portugal; and
| | | | - Alessio Rossi
- Department of Computer Science, University of Pisa, Pisa, Italy
| | - Marianna Bellafiore
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Antonino Bianco
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Antonio Palma
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Giuseppe Battaglia
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
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Pillitteri G, Rossi A, Simonelli C, Leale I, Giustino V, Battaglia G. Association between internal load responses and recovery ability in U19 professional soccer players: A machine learning approach. Heliyon 2023; 9:e15454. [PMID: 37123915 PMCID: PMC10131058 DOI: 10.1016/j.heliyon.2023.e15454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 04/05/2023] [Accepted: 04/10/2023] [Indexed: 05/02/2023] Open
Abstract
Background The objective of soccer training load (TL) is enhancing players' performance while minimizing the possible negative effects induced by fatigue. In this regard, monitoring workloads and recovery is necessary to avoid overload and injuries. Given the controversial results found in literature, this study aims to better understand the complex relationship between internal training load (IL) by using rating of perceived exertion (RPE), recovery, and availability (i.e., subjective players' readiness status). Methods In this cross-sectional study, twenty-two-professional soccer players (age: 18.5 ± 0.4 years, height: 177 ± 6 cm, weight: 67 ± 6.7 kg) competing in the U19 Italian Championship were monitored using RPE scale to assess IL, and TreS scale to detect information about recovery and training/match availability during an entire season (2021-2022). Results Autocorrelation analysis showed a repeated pattern with 7 days lag (weekly microcycle pattern) for all the variables considered (i.e., TL, recovery, and availability). For recovery (r = 0.64, p < 0.001) and availability (r = 0.63, p < 0.001) the best lag for both of them is 1 day. It indicates that recovery and availability are related to the past day value. Moreover, TL was found to be negatively affected by recovery and availability of the current day (lag = 0 day). Cross-correlation analysis indicates that TL is negatively affected by recovery (r = 0.46, p < 0.001) and availability (r = 0.42, p < 0.001) of the current day (lag = 0 day). In particular, lower recovery and availability will result in following lower TL. Furthermore, we found that TL negatively affects recovery (r = 0.52, p < 0.001) and availability (r = 0.39, p < 0.01) of the next day (lag = 1 day). In fact, the higher the TL in a current day is, the lower the recovery and availability in the next day will be. Conclusion In conclusion, this study highlights that there is a relationship between TL and recovery and that these components influence each other both on the same day and on the next one. The use of RPE and TreS scale to evaluate TL and recovery/availability of players allows practitioners to better adjust and schedule training within the microcycle to enhance performance while reducing injury risk.
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Affiliation(s)
- Guglielmo Pillitteri
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Alessio Rossi
- Department of Computer Science, University of Pisa, Pisa, Italy
- National Research Council (CNR), Institute of Information Science and Technologies (ISTI), Pisa, Italy
| | - Carlo Simonelli
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - Ignazio Leale
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Valerio Giustino
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Giuseppe Battaglia
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
- Corresponding author.
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Pillitteri G, Giustino V, Messina G, Petrucci M, Rossi A, Bellafiore M, Iovane A, Thomas E, Bianco A, Palma A, Battaglia G. Comparison of external load indicators between official matches and sport-specific training in semi-professional soccer players: focus on intensity and strength. J Sports Med Phys Fitness 2023; 63:385-393. [PMID: 36205088 DOI: 10.23736/s0022-4707.22.14189-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND The aim of this study was to investigate any differences in external load indicators (ELi) between official matches (OM) and sport-specific tasks in semi-professional soccer players. METHODS Among 28 semi-professional soccer players, 1932 observations (age: 25±6 years, height: 183±6 cm, weight: 75.2±7 kg; FC Palermo, Palermo, Italy) were collected through GPS devices (Qstarz BT-Q1000EX, 10 Hz; Qstarz International Co., Ltd., Taipei, Taiwan) and the related software (LaGalaColli V: 8.6.4.3; Spinitalia Srl, Rome, Italy) during the season 2019-2020. Participants were monitored during OM, friendly matches (FM), small sided games (SSG), and match-based exercises (MBE), considering the percentage of intense accelerations (%int. acc.), percentage of intense decelerations (%int. dec.), and passive recovery time /min (PrT/m) as Eli. RESULTS We detected the highest mean value for PrT/m in OM and the lowest in MBE and SSG (18.36±4.38 and 13.4±5.26 and 13.4±4.29 (s/min), respectively). The lowest mean values of %int. acc. and %int. dec. were found in OM and the highest in SSG (8.64±1.52 vs. 13.02±3.14 and 9.25±1.56 vs. 15.68±3.14, for %int. acc. and %int. dec., respectively). Significant differences between the four tasks for all the ELi considered (P<0.001). The post-hoc pairwise comparisons revealed significant differences for all the ELi between all tasks (P<0.001) except for the %int. acc. between MBE vs. FM (P=0.003). No significant difference was found in PrT/m between MBE vs. FM and SSG vs. FM. CONCLUSIONS ELi are in accordance with the performance model by achieving better values in training than OM, suggesting the fundamental role of GPS for monitoring external load in soccer.
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Affiliation(s)
- Guglielmo Pillitteri
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.,Program in Health Promotion and Cognitive Sciences, University of Palermo, Palermo, Italy.,Palermo FC, Palermo, Italy
| | - Valerio Giustino
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Giuseppe Messina
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy -
| | | | - Alessio Rossi
- Department of Computer Science, University of Pisa, Pisa, Italy
| | - Marianna Bellafiore
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Angelo Iovane
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Ewan Thomas
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Antonino Bianco
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Antonio Palma
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Giuseppe Battaglia
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
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Petrigna L, Petta A, Giustino V, Leale I, Pillitteri G, Palma A, Zangla D, Battaglia G. A scoping review on how physical fitness is evaluated in sitting volleyball players. J Sports Med Phys Fitness 2023; 63:430-435. [PMID: 35816141 DOI: 10.23736/s0022-4707.22.13982-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
INTRODUCTION Sitting volleyball is a widely practiced paralympic sport. A correct and standardized physical evaluation helps coaches to plan and manage the training. It is also important to evaluate physical fitness accurately and adopt standardized protocols to compare and normalize the data. The aim of the study was to evaluate physical fitness evaluation methods adopted in sitting volleyball and to eventually propose standard operating procedures. EVIDENCE ACQUISITION English-written and peer-reviewed original articles were included in this review. The population studied was composed only of athletes practicing sitting volleyball. Articles were searched on the electronic databases PubMed, Web of Science, and Scopus using keywords matched with Boolean operators. Two independent investigators collected and screened the studies against the eligibility criteria. Data were analyzed narratively. EVIDENCE SYNTHESIS Only 7 studies were eligible and included in this review, but a wide testing methodology exists. There are some tests commonly adopted in the studies included and these are the handgrip test, the agility t-test, the speed, and endurance test. These tests with the 2-site skinfold thickness evaluation, the modified push-ups, the shoulder-stretch test, the chest throw test and the simple reaction time task were included in the standard operating procedure. CONCLUSIONS The literature on the topic is poor and standardization of the testing procedure to evaluate the physical fitness of people practicing SV has been provided.
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Affiliation(s)
- Luca Petrigna
- Sports and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy - .,School of Medicine, Department of Biomedical and Biotechnological Sciences, Section of Anatomy, Histology and Movement Science, University of Catania, Catania, Italy -
| | - Antonina Petta
- Sports and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Valerio Giustino
- Sports and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Ignazio Leale
- Sports and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Guglielmo Pillitteri
- Sports and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Antonio Palma
- Sports and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Daniele Zangla
- Sports and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Giuseppe Battaglia
- Sports and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
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Di Stefano V, Thomas E, Alonge P, Giustino V, Pillitteri G, Leale I, Torrente A, Pignolo A, Norata D, Iacono S, Lupica A, Palma A, Battaglia G, Brighina F. Patisiran Enhances Muscle Mass after Nine Months of Treatment in ATTRv Amyloidosis: A Study with Bioelectrical Impedance Analysis and Handgrip Strength. Biomedicines 2022; 11:biomedicines11010062. [PMID: 36672570 PMCID: PMC9855676 DOI: 10.3390/biomedicines11010062] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 11/30/2022] [Accepted: 12/23/2022] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND AND AIMS Hereditary transthyretin amyloidosis with polyneuropathy (ATTRv) is caused by mutations in the TTR gene, leading to misfolded monomers that aggregate generating amyloid fibrils. The clinical phenotype is heterogeneous, characterized by a multisystemic disease affecting the sensorimotor, autonomic functions along with other organs. Patisiran is a small interfering RNA acting as a TTR silencer approved for the treatment of ATTRv. Punctual and detailed instrumental biomarkers are on demand for ATTRv to measure the severity of the disease and monitor progression and response to treatment. METHODS Fifteen patients affected by ATTRv amyloidosis (66.4 ± 7.8 years, six males) were evaluated before the start of therapy with patisiran and after 9-months of follow-up. The clinical and instrumental evaluation included body weight and height; Coutinho stage; Neuropathy Impairment Score (NIS); Karnofsky performance status (KPS); Norfolk QOL Questionnaire; Six-minute walking test (6 MWT); nerve conduction studies; handgrip strength (HGS); and bioimpedance analysis (BIA). RESULTS Body composition significantly changed following the 9-months pharmacological treatment. In particular, the patients exhibited an increase in fat free mass, body cell mass, and body weight with a decrease in fat mass. A significant increase after 9 months of treatment was observed for the 6 MWT. Coutinho stage, KPS, NIS, NIS-W, nerve conduction studies, Norfolk, COMPASS-31 scale, and HGS remained unchanged. CONCLUSIONS BIA might represent a useful tool to assess the effects of multiorgan damage in ATTRv and to monitor disease progression and response to treatments. More evidence is still needed for HGS. Patisiran stabilizes polyneuropathy and preserves motor strength by increasing muscle mass after 9 months of treatment.
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Affiliation(s)
- Vincenzo Di Stefano
- Neurology Unit, Department of Biomedicine, Neuroscience, and Advanced Diagnostics (BiND), University of Palermo, 90129 Palermo, Italy
- Correspondence: ; Tel.: +39-09-1655-4780
| | - Ewan Thomas
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90127 Palermo, Italy
| | - Paolo Alonge
- Neurology Unit, Department of Biomedicine, Neuroscience, and Advanced Diagnostics (BiND), University of Palermo, 90129 Palermo, Italy
| | - Valerio Giustino
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90127 Palermo, Italy
| | - Guglielmo Pillitteri
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90127 Palermo, Italy
| | - Ignazio Leale
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90127 Palermo, Italy
| | - Angelo Torrente
- Neurology Unit, Department of Biomedicine, Neuroscience, and Advanced Diagnostics (BiND), University of Palermo, 90129 Palermo, Italy
| | - Antonia Pignolo
- Neurology Unit, Department of Biomedicine, Neuroscience, and Advanced Diagnostics (BiND), University of Palermo, 90129 Palermo, Italy
| | - Davide Norata
- Neurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, 60121 Ancona, Italy
| | - Salvatore Iacono
- Neurology Unit, Department of Biomedicine, Neuroscience, and Advanced Diagnostics (BiND), University of Palermo, 90129 Palermo, Italy
| | - Antonino Lupica
- Neurology Unit, Department of Biomedicine, Neuroscience, and Advanced Diagnostics (BiND), University of Palermo, 90129 Palermo, Italy
| | - Antonio Palma
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90127 Palermo, Italy
| | - Giuseppe Battaglia
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90127 Palermo, Italy
| | - Filippo Brighina
- Neurology Unit, Department of Biomedicine, Neuroscience, and Advanced Diagnostics (BiND), University of Palermo, 90129 Palermo, Italy
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Di Stefano V, Thomas E, Giustino V, Iacono S, Torrente A, Pillitteri G, Gagliardo A, Lupica A, Palma A, Battaglia G, Brighina F. Motor Conduction Studies and Handgrip in Hereditary TTR Amyloidosis: Simple Tools to Evaluate the Upper Limbs. Front Neurol 2022; 13:835812. [PMID: 35295833 PMCID: PMC8918493 DOI: 10.3389/fneur.2022.835812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 01/10/2022] [Indexed: 11/29/2022] Open
Abstract
Purpose Hereditary transthyretin amyloidosis with polyneuropathy (ATTRv) is caused by mutations in the TTR gene, leading to misfolded monomers that aggregate generating amyloid fibrils. The clinical phenotype is heterogeneous, and characterized by a multisystemic disease affecting the sensorimotor and autonomic functions along with other organs. Materials and Methods All the patients were assessed by complete neurological assessment, neurophysiological evaluation, of the median nerve, and handgrip analysis. The data are presented as means and standard deviations. Parametric and non-parametric assessments have been performed to identify differences between groups. Pearson's correlation has been carried out when appropriate. Results Twenty patients with ATTRv (66.1 ± 8.4 years; eight females) and 30 controls (61.1 ± 11.6 years; 16 females) were enrolled. Handgrip strength was reduced in patients with ATTR in both right and left hands compared to the controls. Significant differences were found between patients and controls in the right (handgrip right, HGSR TTR 21.1 ± 13 kg vs. HGSR Control 29.4 ± 11.3 kg, p = 0.017) and left (handgrip left, HGSL TTR 22.2 ± 10.7 kg. vs. HGSL Control 31 ± 11.3 kg, p = 0.007). NIS and CMAP amplitude of the median nerve were related to HGS measures for both hands in patients with ATTRv. Conclusions The progression of bilateral carpal tunnel syndrome is related to neurophysiological data in the median nerve in ATTRv. Also, handgrip measures might represent an important tool for the assessment of disease progression in ATTRv. We propose using a combination of CMAP amplitude and HGS for the assessment of hand motor strength in ATTRv.
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Affiliation(s)
- Vincenzo Di Stefano
- Department of Biomedicine, Neuroscience and Advanced Diagnostic (BIND), University of Palermo, Palermo, Italy
- *Correspondence: Vincenzo Di Stefano
| | - Ewan Thomas
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Valerio Giustino
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Salvatore Iacono
- Department of Biomedicine, Neuroscience and Advanced Diagnostic (BIND), University of Palermo, Palermo, Italy
| | - Angelo Torrente
- Department of Biomedicine, Neuroscience and Advanced Diagnostic (BIND), University of Palermo, Palermo, Italy
| | - Guglielmo Pillitteri
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Andrea Gagliardo
- Department of Biomedicine, Neuroscience and Advanced Diagnostic (BIND), University of Palermo, Palermo, Italy
| | - Antonino Lupica
- Department of Biomedicine, Neuroscience and Advanced Diagnostic (BIND), University of Palermo, Palermo, Italy
| | - Antonio Palma
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Giuseppe Battaglia
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Filippo Brighina
- Department of Biomedicine, Neuroscience and Advanced Diagnostic (BIND), University of Palermo, Palermo, Italy
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Ficarra S, Thomas E, Pillitteri G, Migliore D, Gómez-López M, Palma A, Bianco A. Changes
in quality of life, strength and heart rate variability after 4-weeks of
supervised online burpees training during the covid-19 quarantine in healthy
young adults. KINESIOLOGY 2022. [DOI: 10.26582/k.54.1.13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
In order to maintain physical fitness during the COVID-19 quarantine, we designed a short-term intervention with one body-weight exercise – burpees. Thus, the aim of this study was to understand level of feasibility and potential benefits of our protocol to different variables in young adults during the COVID-19 quarantine. An online 4-week intervention was administered to 13 young adults (age 22.5±1.39 years, weight 71.8±10.1 kg). The main phase of each session consisted of burpees, a calisthenics body-weight exercises. The training was administered daily. Data regarding quality of life (QoL), body composition, posture, heart rate variability (HRV), cardiovascular health, and strength were collected before and after the intervention period. Participants’ QoL significantly increased after four weeks (p=.025). Also, participants’ strength improved, assessed by the push-up test (p=.017). Systolic blood pressure showed no difference between the pre- and post-measures, while a significant reduction was found in diastolic blood pressure. The HRV assessment showed increased mean RR (p=.005) and RMSSD (p=.014) and decreased mean HR (p=.004) (in the time-domain). For the frequency-domain variables, no significant difference was found. No significant changes were noted in body composition, posture, handgrip strength and countermovement squat jump height. Our preliminary results suggest that the 4-week daily online burpees intervention is a feasible method that could improve QoL, upper body strength and HRV in young adults. This non-time-consuming approach could be easily administered to promote healthy living and counteract physical inactivity during COVID-19 restrictions thanks to its feasibility, short duration, and low cost.
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Affiliation(s)
- Salvatore Ficarra
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
| | - Ewan Thomas
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
| | - Guglielmo Pillitteri
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
| | - Davide Migliore
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
| | - Manuel Gómez-López
- Department of Physical Activity and Sport, Faculty of Sports Sciences, University of Murcia, Spain
| | - Antonio Palma
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
| | - Antonino Bianco
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
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Pillitteri G, Thomas E, Battaglia G, Navarra GA, Scardina A, Gammino V, Ricchiari D, Bellafiore M. Validity and Reliability of an Inertial Sensor Device for Specific Running Patterns in Soccer. Sensors (Basel) 2021; 21:s21217255. [PMID: 34770566 PMCID: PMC8587914 DOI: 10.3390/s21217255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 10/28/2021] [Accepted: 10/29/2021] [Indexed: 11/04/2022]
Abstract
Electronic performance tracking devices are largely employed in team sports to monitor performance and improve training. To date, global positioning system (GPS) based devices are those mainly used in soccer training. The aim of this study was to analyse the validity and reliability of the inertial sensor device (ISD) in monitoring distance and speed in a soccer-specific circuit and how their performance compare to a GPS system. 44 young male soccer players (age: 14.9 ± 1.1, range 9–16, years, height: 1.65 ± 0.10 m, body mass: 56.3 ± 8.9 kg) playing in a non-professional soccer team in Italy, participated in the study. We assessed the players trough a soccer running sport-specific circuit. An ISD and a GPS were used to assess distance and speed. Data was compared to a video reference system, and the difference were quantified by means of the root mean square error (RMSE). Significant differences were found for both GPS and ISD devices for distance and speed. However, lower error for distance (dRMSE 2.23 ± 1.01 m and 5.75 ± 1.50 m, respectively) and speed (sRMSE 0.588 ± 0.152 m·s–1 and 1.30 ± 0.422 m·s–1, respectively) were attained by the ISD compared to the GPS. Overall, our results revealed a statistically significant difference between systems in data monitoring for either distance and speed. However, results of this study showed that a smaller error was obtained with the ISD than the GPS device. Despite caution is warranted within the interpretation of these results, we observed a better practical applicability of the ISD due to its small size, lower cost and the possibility to use the device indoor.
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Affiliation(s)
- Guglielmo Pillitteri
- Sport and Exercise Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, 90144 Palermo, Italy; (G.P.); (G.B.); (G.A.N.); (A.S.); (V.G.); (M.B.)
| | - Ewan Thomas
- Sport and Exercise Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, 90144 Palermo, Italy; (G.P.); (G.B.); (G.A.N.); (A.S.); (V.G.); (M.B.)
- Correspondence:
| | - Giuseppe Battaglia
- Sport and Exercise Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, 90144 Palermo, Italy; (G.P.); (G.B.); (G.A.N.); (A.S.); (V.G.); (M.B.)
| | - Giovanni Angelo Navarra
- Sport and Exercise Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, 90144 Palermo, Italy; (G.P.); (G.B.); (G.A.N.); (A.S.); (V.G.); (M.B.)
| | - Antonino Scardina
- Sport and Exercise Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, 90144 Palermo, Italy; (G.P.); (G.B.); (G.A.N.); (A.S.); (V.G.); (M.B.)
| | - Viviana Gammino
- Sport and Exercise Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, 90144 Palermo, Italy; (G.P.); (G.B.); (G.A.N.); (A.S.); (V.G.); (M.B.)
| | | | - Marianna Bellafiore
- Sport and Exercise Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, 90144 Palermo, Italy; (G.P.); (G.B.); (G.A.N.); (A.S.); (V.G.); (M.B.)
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Guarnotta V, Pillitteri G, Gambino G, Radellini S, Vigneri E, Pizzolanti G, Giordano C. Levothyroxine and insulin requirement in autoimmune polyglandular type 3 syndrome: a real-life study. J Endocrinol Invest 2021; 44:1387-1394. [PMID: 33099763 PMCID: PMC8195810 DOI: 10.1007/s40618-020-01421-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Accepted: 09/07/2020] [Indexed: 11/17/2022]
Abstract
PURPOSE To evaluate factors influencing the insulin and levothyroxine requirement in patients with autoimmune polyglandular syndrome type 3 (APS-3) vs. patients with type 1 diabetes mellitus (T1DM) and autoimmune hypothyroidism (AH) alone, respectively. METHODS Fifty patients with APS-3, 60 patients with T1DM and 40 patients with AH were included. Anthropometric, clinical and biochemical parameters were evaluated in all patients. Insulin requirement was calculated in patients with APS-3 and T1DM, while levothyroxine requirement was calculated in APS-3 and AH. RESULTS Patients with APS-3 showed higher age (p = 0.001), age of onset of diabetes (p = 0.006) and TSH (p = 0.004) and lower total insulin as U/day (p < 0.001) and U/Kg (p = 0.001), long-acting insulin as U/day (p = 0.030) and U/kg (p = 0.038) and irisin (p = 0.002) compared to T1DM. Patients with APS-3 had higher waist circumference (p = 0.008), duration of thyroid disease (p = 0.020), levothyroxine total daily dose (p = 0.025) and mcg/kg (p = 0.006), triglycerides (p = 0.007) and VAI (p = 0.010) and lower age of onset of thyroid disease (p = 0.007) than AH. At multivariate analysis, levothyroxine treatment and VAI were associated with insulin and levothyroxine requirement in APS-3, respectively. VAI was independently associated with insulin requirement in T1DM. Circulating irisin levels were independently associated with levothyroxine requirement in AH. CONCLUSION Patients with APS-3 show lower insulin requirement and higher levothyroxine requirement than T1DM and AH alone, respectively. Levothyroxine treatment and VAI affect insulin and levothyroxine requirement, respectively, in APS-3. In T1DM, adipose tissue dysfunction, indirectly expressed by high VAI, is associated with an increased insulin requirement, while circulating irisin levels influence the levothyroxine requirement in AH.
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Affiliation(s)
- V Guarnotta
- Dipartimento di Promozione della Salute, Materno-Infantile, Medicina Interna e Specialistica di Eccellenza "G. d'Alessandro" (PROMISE), Sezione di Malattie Endocrine, del Ricambio e della Nutrizione, Università di Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy
| | - G Pillitteri
- Dipartimento di Promozione della Salute, Materno-Infantile, Medicina Interna e Specialistica di Eccellenza "G. d'Alessandro" (PROMISE), Sezione di Malattie Endocrine, del Ricambio e della Nutrizione, Università di Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy
| | - G Gambino
- Dipartimento di Promozione della Salute, Materno-Infantile, Medicina Interna e Specialistica di Eccellenza "G. d'Alessandro" (PROMISE), Sezione di Malattie Endocrine, del Ricambio e della Nutrizione, Università di Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy
| | - S Radellini
- Dipartimento di Promozione della Salute, Materno-Infantile, Medicina Interna e Specialistica di Eccellenza "G. d'Alessandro" (PROMISE), Sezione di Malattie Endocrine, del Ricambio e della Nutrizione, Università di Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy
| | - E Vigneri
- Dipartimento di Promozione della Salute, Materno-Infantile, Medicina Interna e Specialistica di Eccellenza "G. d'Alessandro" (PROMISE), Sezione di Malattie Endocrine, del Ricambio e della Nutrizione, Università di Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy
| | - G Pizzolanti
- Dipartimento di Promozione della Salute, Materno-Infantile, Medicina Interna e Specialistica di Eccellenza "G. d'Alessandro" (PROMISE), Sezione di Malattie Endocrine, del Ricambio e della Nutrizione, Università di Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy.
| | - C Giordano
- Dipartimento di Promozione della Salute, Materno-Infantile, Medicina Interna e Specialistica di Eccellenza "G. d'Alessandro" (PROMISE), Sezione di Malattie Endocrine, del Ricambio e della Nutrizione, Università di Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy.
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Zagra A, Lamartina C, Pace A, Balzarini E, Zerbi A, Scoles P, Ajello F, Mazzarella P, Pillitteri G. Posterior spinal fusion in scoliosis: computer-assisted tomography and biomechanics of the fusion mass. Spine (Phila Pa 1976) 1988; 13:155-61. [PMID: 3406835] [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: 01/05/2023]
Abstract
Thirty patients who had posterior vertebral fusion for scoliosis, performed without metallic implants, were examined using computer-assisted tomography to study the configuration of the evolving fusion mass. It was observed that the deposition of bone followed lines of force, according to Wolff's Law. The greatest amounts of bone at the apex of the curve on the concave side indicate that flexion-compression forces are greater at this point. Further, it was observed that usually the fusion mass, seen in section, has a hollow "box-section" shape, which means that a resorption of unstressed central bone occurs. The hypothesis that the torsional forces are the predominant forces acting on the scoliotic spine can explain the characteristic "box-section" of the CT scans obtained.
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Affiliation(s)
- A Zagra
- Istituto Ortopedico Galeazzi, Milan, Italy
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