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Iolascon G, Gimigliano F, Di Pietro G, Moretti A, Paoletta M, Rivezzi M, Distante A, Piscitelli P. Personalized paths for physical activity: developing a person-centered quantitative function to determine a customized amount of exercise and enhancing individual commitment. BMC Sports Sci Med Rehabil 2021; 13:60. [PMID: 34078454 PMCID: PMC8170630 DOI: 10.1186/s13102-021-00282-4] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Accepted: 05/11/2021] [Indexed: 02/08/2023]
Abstract
BACKGROUND Non-Communicable Diseases (NCDs) are leading causes of mortality. These conditions are also known as chronic diseases of long duration and generally slow progression. Physical activity (PA) is a main factor to delay symptoms and consequences of NCDs. In last decades, reduced physical exercise has been observed across all ages. Despite educational campaigns aimed at modifying unhealthy habits, it is difficult to promote healthy lifestyles in general population. Poor interest, lack of motivation, as well as career and family commitments hinder people's participation in regular PA programs. In this study we propose a theoretical person-centred approach to actively involve general population in enhancing their opportunity to perform PA based on personalized needs and targets. METHODS We defined four profiles of baseline PA levels (inactive, moderately inactive, moderately active, and active people) by referring to Metabolic equivalents (METs) based on individual answers to General Practice Physical Activity Questionnaire (GPPAQ). RESULTS Based on the answers to the GPPAQ and by computing the related METs for each profile of baseline exercise levels, we developed an innovative person-centered web-based algorithm/function for enhancing and measuring PA participation in community settings. This function can compute evidence-based standardized profiles of participants, personalized goals of PA being functional to the purpose of maintaining or gaining health benefits, as well as the type and duration of PA needed to reach these goals. CONCLUSION It might be speculated that this approach would be a reliable method for increasing people's self-efficacy and population adherence to recommended levels of PA. However, this theoretical proposal requires to be implemented in further research.
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Affiliation(s)
- Giovanni Iolascon
- Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Francesca Gimigliano
- Department of Mental and Physical Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Gioconda Di Pietro
- Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Antimo Moretti
- Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy.
| | - Marco Paoletta
- Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Matteo Rivezzi
- Doctorate in Translational Medicine, University of Foggia, Foggia, Italy
| | - Alessandro Distante
- Euro Mediterranean Scientific Biomedical Institute, ISBEM, Bruxelles, Belgium
| | - Prisco Piscitelli
- Euro Mediterranean Scientific Biomedical Institute, ISBEM, Bruxelles, Belgium
- Staff UNESCO Chair on Health Education and Sustainable Development, Federico II University of Naples, Naples, Italy
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Piscitelli P, Neglia C, Feola M, Rizzo E, Argentiero A, Ascolese M, Rivezzi M, Rao C, Miani A, Distante A, Esposito S, Iolascon G, Tarantino U. Updated incidence and costs of hip fractures in elderly Italian population. Aging Clin Exp Res 2020; 32:2587-2593. [PMID: 32056151 DOI: 10.1007/s40520-020-01497-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Accepted: 01/23/2020] [Indexed: 12/25/2022]
Abstract
PURPOSE We aimed at updating our previous researches about the burden of hip fractures in elderly Italian population. METHODS We analyzed national hospitalizations records from 2000 to 2014 to compute age- and sex-specific standardized rates. RESULTS 1,335,375 hospitalizations were recorded in people ≥ 65 (1,031,816 women: 77.27% and 303,559 men: 22.73%) over 15 years, passing from 73,493 in year 2000 to 94,525 in 2014, with an overall increase of 28.62% over the 15-year period (females: + 25.1%; males: + 41.2%). About 84.9% of total hip fractures were suffered by patients aged ≥ 75 years old. Direct hospitalization costs and rehabilitation costs increased from 343 to 457 million Euros and from 392 to 504 million Euros from year 2000 to 2014, respectively. Overall costs of hip fractures raised from 735 to 961 million Euros (+ 30.74% from 2000 to 2014). CONCLUSION The number of hip fractures and related hospitalizations costs in Italian elderly population is still increasing due to the absolute number of fractures occurring in people ≥ 65 years old and particularly over 75 years old.
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Affiliation(s)
- Prisco Piscitelli
- Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy.
| | - Cosimo Neglia
- Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy
- University of Perugia, Perugia, Italy
| | - Maurizio Feola
- Division of Orthopaedics and Traumatology, University of Tor Vergata, Rome, Italy
| | - Emanuele Rizzo
- Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy
| | - Alberto Argentiero
- Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy
- University of Perugia, Perugia, Italy
| | - Mario Ascolese
- Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy
| | - Matteo Rivezzi
- Health Economics Laboratory, University of Foggia, Foggia, Italy
| | - Cecilia Rao
- Division of Orthopaedics and Traumatology, University of Tor Vergata, Rome, Italy
| | | | - Alessandro Distante
- Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy
| | | | - Giovanni Iolascon
- Department of Medical and Surgical Specialties and Dentistry, University of Campania "L. Vanvitelli", Naples, Italy
| | - Umberto Tarantino
- Division of Orthopaedics and Traumatology, University of Tor Vergata, Rome, Italy
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Piscitelli P, Feola M, Rao C, Neglia C, Rizzo E, Vigilanza A, Rivezzi M, Faccilongo N, Contò F, Distante A, Tarantino U. Incidence and costs of hip fractures in elderly Italian population: first regional-based assessment. Arch Osteoporos 2019; 14:81. [PMID: 31342284 DOI: 10.1007/s11657-019-0619-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Accepted: 06/11/2019] [Indexed: 02/03/2023]
Abstract
UNLABELLED We analyzed for the first-time hospitalizations and costs for hip fractures in the elderly Italian population at the regional level from 2007 to 2014. The number of fractures and the overall costs increased, mainly due to people aged > 85 in all the Italian regions, although at different rates. OBJECTIVE We aimed at evaluating the burden of hip fractures in elderly Italian population at the regional level. METHODS We analyzed national hospitalizations records 2007-2014 to compute standardized hospitalizations rates (SHR) due to hip fractures per 10,000 inhabitants at the regional level and average annual percent change (AAPC), along with related costs. RESULTS Hip fractures occurred in people over 65 years increased from 89,601 to 94,525 over 8 years. The overall increase in the number of hospitalizations is attributable only to people aged ≥85. Actually, in the 65-74 and 74-84 age groups, total hospitalizations decreased from 13,396 to 12,268 and from 40,733 to 37,786 respectively, while they increased from 35,472 to 44,471 in people aged ≥85 (women = 28,605 and men = 6,867 in 2007; women = 34,636 and men = 9,835 in 2014). Almost 50% of hip fractures were found to have been experienced by patients aged 85 or older in 2014 (with women ≥ 85 representing 36.6% of total fractures), in accordance with the higher prevalence of osteoporosis in this age group. Fractures increase in people aged ≥ 85 was two-folds higher in males (AAPC: + 5.0%; P > 0.05) than in females (AAPC: + 2.6%; P > 0.05). Increases in the number of hospitalizations and related costs were observed for all the regions, with the only exception of Lazio (AAPC: - 4.6%; P < 0.05) and Friuli Venezia Giulia (hip fractures AAPC: - 1.9%; P < 0.05). The most significant increases in hip fractures and related costs were recorded in Calabria (+ 2.7%), Campania (+ 2.2%), and Lombardia (+ 2.0%). At the national level, SHR per 10,000 inhabitants due to hip fractures decreased in all three examined age groups (65-74, 75-84, and ≥ 85), both in males and females during the 8-year period (P < 0.05). This reduction was confirmed also when looking at the regional dataset, with few exceptions concerning female population (AAPC not statistically significant). When looking at the SHR per 10,000 inhabitants for the entire nation, we recorded a decreasing trend also in females aged 85 years old and over but not in males ≥ 85. Actually, men aged ≥ 85 showed increased HR per 10,000 in 10 regions out of 20. Direct hospitalization and rehabilitation costs increased in all the regions over the 8-year period (although at different rates), except for Friuli Venezia Giulia (where costs decreased from 21 to 19 million Euros) and Lazio (from 107 to 87 million Euros). Lombardia and Piemonte were the regions spending the highest amount of money to treat hip fractures in elderly people (151 and 95 million Euros in the year 2014, respectively). CONCLUSION Hip fractures in the elderly population remain a major public health issue in all Italian regions, especially in people aged 85 years old and over, although the problem is starting to become more controlled compared with the past. Women represent the majority of hip fractures, but the highest increasing rate has been observed in men. Pilot projects at regional level targeting elderly people at higher risk of fractures and treatment compliance are needed.
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Affiliation(s)
- Prisco Piscitelli
- Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, via Reali di Bulgaria, 72023, Mesagne, Brindisi, Italy.
| | - Maurizio Feola
- Department of Orthopaedics and Traumatology, University of Tor Vergata, Rome, Italy
| | - Cecilia Rao
- Department of Orthopaedics and Traumatology, University of Tor Vergata, Rome, Italy
| | - Cosimo Neglia
- Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, via Reali di Bulgaria, 72023, Mesagne, Brindisi, Italy
| | - Emanuele Rizzo
- Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, via Reali di Bulgaria, 72023, Mesagne, Brindisi, Italy
| | - Antonella Vigilanza
- Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, via Reali di Bulgaria, 72023, Mesagne, Brindisi, Italy
| | - Matteo Rivezzi
- Health Economics Laboratory (HERMES), Department of Economics, University of Foggia, Foggia, Italy
| | - Nicola Faccilongo
- Health Economics Laboratory (HERMES), Department of Economics, University of Foggia, Foggia, Italy
| | - Francesco Contò
- Health Economics Laboratory (HERMES), Department of Economics, University of Foggia, Foggia, Italy
| | - Alessandro Distante
- Euro Mediterranean Scientific Biomedical Institute, ISBEM Research Centre, via Reali di Bulgaria, 72023, Mesagne, Brindisi, Italy
| | - Umberto Tarantino
- Department of Orthopaedics and Traumatology, University of Tor Vergata, Rome, Italy
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Piscitelli P, Marino I, Falco A, Rivezzi M, Neglia C, Della Rosa G, Militerno G, Bonifacino A, Rivezzi G, Romizi R, Miserotti G, Montella M, Bianchi F, Marinelli A, De Donno A, De Filippis G, Serravezza G, Di Tanna G, Gennaro V, Ascolese M, Distante A, Burgio E, Colao A. Reply to the Letter of Terracini B. et al. "Comment on Piscitelli et al. Hospitalizations in Pediatric and Adult Patients for All Cancer Type in Italy: The EPIKIT Study under the E.U. COHEIRS Project on Environment and Health". Int. J. Environ. Res. Public Health 2017, 14, 495. Int J Environ Res Public Health 2017; 14:ijerph14111291. [PMID: 29068388 PMCID: PMC5707930 DOI: 10.3390/ijerph14111291] [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] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Revised: 10/10/2017] [Accepted: 10/12/2017] [Indexed: 11/16/2022]
Abstract
A letter to the IJERPH Editor was submitted by Terracini B. et al. as a comment to our latest paper "Hospitalizations in Pediatric and Adult Patients for all Cancer Type in Italy:[...].
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Affiliation(s)
- Prisco Piscitelli
- Euro Mediterranean Scientific Bio-Medical Institute, ISBEM, Via Reali di Bulgaria, Mesagne, 72023 Brindisi, Italy.
| | - Immacolata Marino
- Department of Economics and Statistics and CSEF, University Federico II, 80131 Naples, Italy.
| | - Andrea Falco
- Euro Mediterranean Scientific Bio-Medical Institute, ISBEM, Via Reali di Bulgaria, Mesagne, 72023 Brindisi, Italy.
| | - Matteo Rivezzi
- Euro Mediterranean Scientific Bio-Medical Institute, ISBEM, Via Reali di Bulgaria, Mesagne, 72023 Brindisi, Italy.
| | - Cosimo Neglia
- Euro Mediterranean Scientific Bio-Medical Institute, ISBEM, Via Reali di Bulgaria, Mesagne, 72023 Brindisi, Italy.
| | - Giulia Della Rosa
- Euro Mediterranean Scientific Bio-Medical Institute, ISBEM, Via Reali di Bulgaria, Mesagne, 72023 Brindisi, Italy.
| | | | | | - Gaetano Rivezzi
- Division of Neonatology, St. Anna & St. Sebastiano Hospital, 81100 Caserta, Italy.
| | | | | | - Maurizio Montella
- IRCCS G. Pascale Foundation, National Cancer Institute, 80131 Naples, Italy.
| | | | - Alessandra Marinelli
- Department of Experimental Medicine, Second University of Naples (SUN), 80138 Naples, Italy.
| | - Antonella De Donno
- Department of Biological and Environmental Sciences and Technologies (DISTEBA), University of Salento, 73100 Lecce, Italy.
| | | | | | | | | | - Mario Ascolese
- Division of Pediatric Surgery, Salerno University Hospital "Ruggi D'Aragona", 84100 Salerno, Italy.
| | - Alessandro Distante
- Euro Mediterranean Scientific Bio-Medical Institute, ISBEM, Via Reali di Bulgaria, Mesagne, 72023 Brindisi, Italy.
| | - Ernesto Burgio
- European Cancer and Environment Research Institute (ECERI), 21004 Bruxelles, Belgium.
| | - Annamaria Colao
- Department of Clinical Medicine and Surgery, University Federico II, 80131 Naples, Italy.
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Piscitelli P, Marino I, Falco A, Rivezzi M, Romano R, Mazzella R, Neglia C, Della Rosa G, Pellerano G, Militerno G, Bonifacino A, Rivezzi G, Romizi R, Miserotti G, Montella M, Bianchi F, Marinelli A, De Donno A, De Filippis G, Serravezza G, Di Tanna G, Black D, Gennaro V, Ascolese M, Distante A, Burgio E, Crespi M, Colao A. Hospitalizations in Pediatric and Adult Patients for All Cancer Type in Italy: The EPIKIT Study under the E.U. COHEIRS Project on Environment and Health. Int J Environ Res Public Health 2017; 14:ijerph14050495. [PMID: 28486413 PMCID: PMC5451946 DOI: 10.3390/ijerph14050495] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [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: 12/15/2016] [Revised: 04/06/2017] [Accepted: 04/15/2017] [Indexed: 01/16/2023]
Abstract
Background: Cancer Registries (CRs) remain the gold standard for providing official epidemiological estimations. However, due to CRs’ partial population coverage, hospitalization records might represent a valuable tool to provide additional information on cancer occurrence and expenditures at national/regional level for research purposes. The Epidemiology of Cancer in Italy (EPIKIT) study group has been built up, within the framework of the Civic Observers for Health and Environment: Initiative of Responsibility and Sustainability (COHEIRS) project under the auspices of the Europe for Citizens Program, to assess population health indicators. Objective: To assess the burden of all cancers in Italian children and adults. Methods: We analyzed National Hospitalization Records from 2001 to 2011. Based on social security numbers (anonymously treated), we have excluded from our analyses all re-hospitalizations of the same patients (n = 1,878,109) over the entire 11-year period in order to minimize the overlap between prevalent and incident cancer cases. To be more conservative, only data concerning the last five years (2007–2011) have been taken into account for final analyses. The absolute number of hospitalizations and standardized hospitalization rates (SHR) were computed for each Italian province by sex and age-groups (0–19 and 20–49). Results: The EPIKIT database included a total of 4,113,169 first hospital admissions due to main diagnoses of all tumors. The annual average number of hospital admissions due to cancer in Italy has been computed in 2362 and 43,141 hospitalizations in pediatric patients (0–19 years old) and adults (20–49 years old), respectively. Women accounted for the majority of cancer cases in adults aged 20–49. As expected, the big city of Rome presented the highest average annual number of pediatric cancers (n = 392, SHR = 9.9), followed by Naples (n = 378; SHR = 9.9) and Milan (n = 212; SHR = 7.3). However, when we look at SHR, minor cities (i.e., Imperia, Isernia and others) presented values >10 per 100,000, with only 10 or 20 cases per year. Similar figures are shown also for young adults aged 20–49. Conclusions: In addition to SHR, the absolute number of incident cancer cases represents a crucial piece of information for planning adequate healthcare services and assessing social alarm phenomena. Our findings call for specific risk assessment programs at local level (involving CRs) to search for causal relations with environmental exposures.
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Affiliation(s)
- Prisco Piscitelli
- Medicina Futura Research, Southern Italy Hospital Institute (IOS), Centro Direzionale, Isola E3, Palazzo Avalon, 80143 Naples, Italy.
| | - Immacolata Marino
- Department of Economics and Statistics and CSEF, University Federico II, 80131 Naples, Italy.
| | - Andrea Falco
- Medicina Futura Research, Southern Italy Hospital Institute (IOS), Centro Direzionale, Isola E3, Palazzo Avalon, 80143 Naples, Italy.
| | - Matteo Rivezzi
- Medicina Futura Research, Southern Italy Hospital Institute (IOS), Centro Direzionale, Isola E3, Palazzo Avalon, 80143 Naples, Italy.
| | - Roberto Romano
- Euro Mediterranean Scientific Bio-Medical Institute, ISBEM, 72023 Mesagne (Brindisi), Italy.
| | - Restituta Mazzella
- Euro Mediterranean Scientific Bio-Medical Institute, ISBEM, 72023 Mesagne (Brindisi), Italy.
| | - Cosimo Neglia
- Euro Mediterranean Scientific Bio-Medical Institute, ISBEM, 72023 Mesagne (Brindisi), Italy.
| | - Giulia Della Rosa
- Euro Mediterranean Scientific Bio-Medical Institute, ISBEM, 72023 Mesagne (Brindisi), Italy.
| | - Giuseppe Pellerano
- Euro Mediterranean Scientific Bio-Medical Institute, ISBEM, 72023 Mesagne (Brindisi), Italy.
| | | | | | - Gaetano Rivezzi
- Division of Neonatology, St. Anna & St. Sebastiano Hospital, 81100 Caserta, Italy.
| | | | | | - Maurizio Montella
- IRCCS G. Pascale Foundation, National Cancer Institute, 80131 Naples, Italy.
| | | | - Alessandra Marinelli
- Department of Experimental Medicine, Second University of Naples (SUN), 80138 Naples, Italy.
| | - Antonella De Donno
- Department of Biological and Environmental Sciences and Technologies (DISTEBA), University of Salento, 73100 Lecce, Italy.
| | | | | | - Gianluca Di Tanna
- Centre of Primary Care and Public Health, Queen Mary University of London, London E14NS, UK.
| | - Dennis Black
- Department of Epidemiology and Biostatistics, University of California San Francisco (UCSF), San Francisco, CA 94158, USA.
| | - Valerio Gennaro
- National Cancer Institute IRCCS San Martino, 16121 Genova, Italy.
| | - Mario Ascolese
- Division of Pediatric Surgery, Salerno University Hospital "Ruggi D'Aragona", 84100 Salerno, Italy.
| | - Alessandro Distante
- Euro Mediterranean Scientific Bio-Medical Institute, ISBEM, 72023 Mesagne (Brindisi), Italy.
| | - Ernesto Burgio
- European Cancer and Environment Research Institute (ECERI), 21004 Bruxelles, Belgium.
| | | | - Annamaria Colao
- Department of Clinical Medicine and Surgery, University Federico II, 80131 Naples, Italy.
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Neglia C, Argentiero A, Chitano G, Agnello N, Ciccarese R, Vigilanza A, Pantile V, Argentiero D, Quarta R, Rivezzi M, Di Tanna GL, Di Somma C, Migliore A, Iolascon G, Gimigliano F, Distante A, Piscitelli P. Diabetes and Obesity as Independent Risk Factors for Osteoporosis: Updated Results from the ROIS/EMEROS Registry in a Population of Five Thousand Post-Menopausal Women Living in a Region Characterized by Heavy Environmental Pressure. Int J Environ Res Public Health 2016; 13:ijerph13111067. [PMID: 27809297 PMCID: PMC5129277 DOI: 10.3390/ijerph13111067] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/27/2016] [Revised: 10/19/2016] [Accepted: 10/24/2016] [Indexed: 11/16/2022]
Abstract
Objectives: We aimed to analyze bone mineralization and the effect of different risk factors for osteoporosis in postmenopausal women. Methods: We found 4909 postmenopausal subjects within ≥10,000 records from the ROIS/EMEROS (Ionian and Salento Osteoporosis Registry/Euro Mediterranean Registry of Osteoporosis) registry, a population study carried out in an area characterized by heavy environmental pressure between Brindisi and Taranto from 2009 to 2016. All subjects were assessed via phalangeal quantitative ultrasound (QUS) to evaluate their bone mineralization (assessed via amplitude dependent speed of sound (AD-SoS)) and the association between demineralization and the presence of other conditions or risk factors. Results: Mean age was 64 ± 9.5 years and mean body mass index (BMI) was 28.7 ± 3.5 kg/m². Pearson correlation analyses revealed a negative association between bone mineralization (AD-SoS) and BMI (p < 0.001). By using multivariate logistic regression analysis, we observed significant values of odds ratios (ORs) of osteoporosis (adjusted for age, physical activity, and the use of drugs known to increase the risk of fractures) in subjects with diabetes and obesity: 1.39 (confidence interval (CI): 1.05-1.83) and 1.46 (CI: 1.20-1.78), respectively. A statistically significant linear trend of higher ORs of osteoporosis was found for increasing values of BMI. Conclusions: Our study confirmed the high impact of obesity and type 1 and type 2 diabetes on osteoporosis.
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Affiliation(s)
- Cosimo Neglia
- ISBEM (Istituto Scientifico Biomedico Euro Mediterraneo), Brindisi 72100, Italy.
| | - Alberto Argentiero
- ISBEM (Istituto Scientifico Biomedico Euro Mediterraneo), Brindisi 72100, Italy.
| | - Giovanna Chitano
- ISBEM (Istituto Scientifico Biomedico Euro Mediterraneo), Brindisi 72100, Italy.
| | - Nadia Agnello
- ISBEM (Istituto Scientifico Biomedico Euro Mediterraneo), Brindisi 72100, Italy.
| | - Roberta Ciccarese
- ISBEM (Istituto Scientifico Biomedico Euro Mediterraneo), Brindisi 72100, Italy.
| | - Antonella Vigilanza
- ISBEM (Istituto Scientifico Biomedico Euro Mediterraneo), Brindisi 72100, Italy.
| | - Valerio Pantile
- ISBEM (Istituto Scientifico Biomedico Euro Mediterraneo), Brindisi 72100, Italy.
| | - Domenico Argentiero
- ISBEM (Istituto Scientifico Biomedico Euro Mediterraneo), Brindisi 72100, Italy.
| | - Raffaele Quarta
- ISBEM (Istituto Scientifico Biomedico Euro Mediterraneo), Brindisi 72100, Italy.
| | - Matteo Rivezzi
- IOS, Southern Italy Hospital Institute, Medicina Futura Research, Naples 80100, Italy.
| | - Gian Luca Di Tanna
- Centre for Primary Care and Public Health, Queen Mary University of London, London E1 4NS, UK.
| | - Carolina Di Somma
- IRCCS SDN Istituto di Ricerca Diagnostica e Nucleare, Naples 80133, Italy.
| | | | - Giovanni Iolascon
- Department of Orthopaedic Surgery and Rehabilitation, Second University of Naples, Naples 81100, Italy.
| | - Francesca Gimigliano
- Department of Orthopaedic Surgery and Rehabilitation, Second University of Naples, Naples 81100, Italy.
| | - Alessandro Distante
- ISBEM (Istituto Scientifico Biomedico Euro Mediterraneo), Brindisi 72100, Italy.
| | - Prisco Piscitelli
- IOS, Southern Italy Hospital Institute, Medicina Futura Research, Naples 80100, Italy.
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7
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Piscitelli P, Neglia C, Falco A, Rivezzi M, Agnello N, Argentiero A, Chitano G, Distante C, Della Rosa G, Vinci G, De Donno A, Distante A, Romanini A. Melanoma in the Italian Population and Regional Environmental Influences: A National Retrospective Survey on 2001-2008 Hospitalization Records. Int J Environ Res Public Health 2015; 12:9102-18. [PMID: 26251915 PMCID: PMC4555267 DOI: 10.3390/ijerph120809102] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [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: 04/24/2015] [Revised: 07/22/2015] [Accepted: 07/23/2015] [Indexed: 12/05/2022]
Abstract
OBJECTIVE To assess the burden of regional environmental factors influencing the incidence of Melanoma in the Italian population and overcome the problem of partial population coverage by local cancer registries and thematic archives. METHODS We analyzed the Italian national hospitalization records from 2001 to 2008 provided by the Ministry of Health, excluding hospital re-admissions of the same patients, in order to assess the occurrence of Melanoma over a 8-year period. Data were presented by age groups (absolute number of cases from 20 to ≥80 years old) and per Region (rates per 100,000 inhabitants) for each year. RESULTS The overall number of new hospitalizations due to malignant Melanoma increased by 16.8% from 2001 (n = 4846) to 2008 (n = 5823), with the rate per 100,000 inhabitants passing from 10.5 to almost 12.0 at a national level. The majority of new diagnoses of malignant Melanoma was observed in two age groups: 61-70 years old (from 979 in 2001 up to 2109 in 2008, corresponding to 15.1 and 18.1 new cases per 100,000 inhabitants, respectively) and 71-80 years old (from 954 in 2001 up to 1141 in 2008, corresponding to 19.5 and 21.8 new cases per 100,000 inhabitants, respectively). The number of hospitalizations due to Melanoma increased in all age groups with the only exception of the youngest patients aged 20-30 years old. The highest increases over the 8-year period were observed in people aged ≥81 years old (+34%), 61-70 years old (+20%) and surprisingly in the age group 31-40 years old (+17%). Southern Regions showed lower hospitalization rates compared to Northern Italy and Region Lazio. The highest increases between 2001 and 2008 were observed in Trentino/Alto Adige, Friuli Venezia Giulia, Valla d'Aosta and Veneto Region. CONCLUSIONS Hospitalizations due to malignant Melanoma in Italy seem to be influenced by environmental or population-related factors showing a decreasing incidence rate from the Northern to Southern Regions.
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Affiliation(s)
- Prisco Piscitelli
- Southern Italy Hospital Institute, IOS/Coleman Ltd., Naples 80100, Italy.
| | - Cosimo Neglia
- Euro Mediterranean Biomedical Scientific Institute, Brindisi 72100, Italy.
| | - Andrea Falco
- Southern Italy Hospital Institute, IOS/Coleman Ltd., Naples 80100, Italy.
| | - Matteo Rivezzi
- Southern Italy Hospital Institute, IOS/Coleman Ltd., Naples 80100, Italy.
| | - Nadia Agnello
- Euro Mediterranean Biomedical Scientific Institute, Brindisi 72100, Italy.
| | - Alberto Argentiero
- Euro Mediterranean Biomedical Scientific Institute, Brindisi 72100, Italy.
| | - Giovanna Chitano
- Euro Mediterranean Biomedical Scientific Institute, Brindisi 72100, Italy.
| | - Chiara Distante
- Euro Mediterranean Biomedical Scientific Institute, Brindisi 72100, Italy.
| | - Giulia Della Rosa
- Euro Mediterranean Biomedical Scientific Institute, Brindisi 72100, Italy.
| | - Giorgia Vinci
- Department of Medical Sciences, Federico II University, Naples 80132, Italy.
| | - Antonella De Donno
- Department of Science, Biotechnology and Environment (DISTEBA), University of Salento, Lecce 73100, Italy.
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