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Perna S, Alalwan TA, Spadaccini D, Al-Thawadi S, Gasparri C, Isu A, Riva A, Alaali Z, Iannello G, Allegrini P, Infantino V, Peroni G, Rondanelli M. Comparison between Bioimpedance Analysis and Dual-Energy X-ray Absorptiometry in assessment of body composition in a cohort of elderly patients aged 65-90 years. Adv Gerontol 2019; 32:1023-1033. [PMID: 32160444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
We compare bioimpedance analysis (BIA) with dual-energy X-ray absorptiometry (DXA) in the assessment of free fat mass (FFM), fat mass (FM) and percentage of body fat under different conditions in relation to age categories, hydration parameters, body mass index (BMI) and sarcopenia. A cross-sectional analysis of body composition was estimated by BIA and DXA in 379 hospitalized elderly patients. In addition, estimates of FFM, FM and percentage of body fat were investigated across different conditions. Paired t-tests, Bland-Altman plot and intraclass correlation coefficient analysis were used to compare methods. Data showed an underestimation of means (BIA versus DXA) of FFM (women: 0,97 kg, p<0,01; men: 1,99 kg; p<0,01), and an overestimation of both the FM (women: +1,11 kg; p<0,01; men: +1,67 kg; p<0,01) and percentage of body fat (women: +2,07 %, p<0,01; men: +2,82 %, p<0,01). BIA underestimated FFM and overestimated FM and percentage of body fat in patients from the age group of 75 to 85 years, in patients with a total body water content <60%, in underweight and normal weight patients and in patients with sarcopenia (p<0,01). The intraclass coefficient results were indicative of poor reproducibility between BIA and DXA for FFM (women: +0,197; men: +0,250) and FM (women: +0,141; men +0,144). BIA is a good alternative for estimation of FFM and FM only in overweight or obese patients or in patients with good hydration status. BIA, on the other hand, is not an accurate method for assessing FFM in sarcopenic patients.
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Affiliation(s)
- S Perna
- Department of Biology, College of Science, University of Bahrain, Sakhir Campus, P.O. Box 32038 Kingdom of Bahrain
| | - T A Alalwan
- Department of Biology, College of Science, University of Bahrain, Sakhir Campus, P.O. Box 32038 Kingdom of Bahrain
| | - D Spadaccini
- Endocrinology and Nutrition Unit, Azienda di Servizi alla Persona «Istituto Santa Margherita», University of Pavia, Pavia, 27100 Italy, e-mail:
| | - S Al-Thawadi
- Department of Biology, College of Science, University of Bahrain, Sakhir Campus, P.O. Box 32038 Kingdom of Bahrain
| | - C Gasparri
- Endocrinology and Nutrition Unit, Azienda di Servizi alla Persona «Istituto Santa Margherita», University of Pavia, Pavia, 27100 Italy, e-mail:
| | - A Isu
- Endocrinology and Nutrition Unit, Azienda di Servizi alla Persona «Istituto Santa Margherita», University of Pavia, Pavia, 27100 Italy, e-mail:
| | - A Riva
- Research and Development Unit, Indena, Milan, 20139 Italy
| | - Z Alaali
- Department of Biology, College of Science, University of Bahrain, Sakhir Campus, P.O. Box 32038 Kingdom of Bahrain
| | - G Iannello
- General Management, Azienda di Servizi alla Persona di Pavia, Pavia, 27100 Italy
| | - P Allegrini
- General Management, Azienda di Servizi alla Persona di Pavia, Pavia, 27100 Italy
| | - V Infantino
- Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro, 70121 Italy
| | - G Peroni
- Endocrinology and Nutrition Unit, Azienda di Servizi alla Persona «Istituto Santa Margherita», University of Pavia, Pavia, 27100 Italy, e-mail:
| | - M Rondanelli
- IRCCS Mondino Foundation, Pavia, 27100 Italy
- Department of Public Health, Experimental and Forensic Medicine, Unit of Human and Clinical Nutrition, University of Pavia, Pavia, 27100 Italy
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Perna S, Nichetti M, Isu A, Nicosanti G, Spadaccini D, Rondanelli M. Evaluation of body cellular mass index In healthy, sarcopenic and sarcopenic obese elderly. A cross sectional study. Nutrition 2018. [DOI: 10.1016/j.nut.2018.03.023] [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: 11/15/2022]
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Ciatto S, Cecchini S, Isu A, Maggi A, Cammelli S. Determinants of Non-Attendance to Mammographic Screening. Analysis of a Population Sample of the Screening Program in the District of Florence. Tumori 2018; 78:22-5. [PMID: 1609454 DOI: 10.1177/030089169207800105] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The characteristics associated with non-attendance to mammographic breast cancer screening were studied by interviewing a random sample (213 attenders, 121 non-attenders in the 1989 screening) of residents in one of the municipalities of the Florence District Program, where screening has been ongoing since 1970. The overall attendance rate was 60%, and it was dependent on age (40–49 years, 66.5%; 50–59 years, 62.5%; 60–70 years, 55.5%), whereas a significant association with socio-economic status, educational level and health-behavior reported in other programs was not confirmed in the study. This finding suggests that determinants of non-attendance may vary and should be evaluated in each local setting. The belief that screening is useless, fear of cancer being detected, postponement and laziness were the most common motivations of refusal stated by non-attenders, and such a negative attitude towards screening was rather strong since most non-attenders stated they would not like to be informed or stimulated to attend future screenings. Rapid improvement of attendance rates in such a context might be achieved only by putting special pressure on women aimed to change their negative attitude towards screening and their opinion about the benefits of early breast cancer detection. This might be regarded as unacceptable and however would involve high costs and a major organization effort.
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Affiliation(s)
- S Ciatto
- Centro per lo Studio e la Prevenzione Oncologica, Firenze, Italy
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Grazzini G, Castiglione G, Isu A, Mantellini P, Rubeca T, Sani C, Turco P, Zappa M. Colorectal Cancer Screening by Fecal Occult Blood Testing: Results of a Population-Based Experience. Tumori 2018; 86:384-8. [PMID: 11130566 DOI: 10.1177/030089160008600503] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Aims and background The study evaluated the results of an experimental screening protocol for colorectal cancer by fecal occult blood testing in a municipality of the Province of Florence. Methods A total of 15,235 subjects aged 50–70 years were invited to perform a 1-day immunochemical fecal occult blood testing without any dietary restrictions. All eligible subjects were sent a personal invitation letter, followed by a postal reminder to non-responders. Subjects with a negative stool test were advised to repeat screening after 2 years. Subjects with a positive screening test were invited to undergo full colonoscopy or a combination of left colonoscopy and a double contrast barium enema. Results A total of 6,418 subjects performed the screening test, with an overall compliance of 42.1%. A total of 268 compilers had positive test results. The positivity rate was 4.2%. Detection rate for cancer and for adenomas was 5.1‰ and 11.6‰, respectively. The positive predictive value was 14.3% for cancer and 32.5% for adenoma. A higher compliance was recorded in subjects born in the province of Florence or living in the centre of the town, in married subjects, and in women. The best results in compliance were associated with the direct distribution of fecal occult blood testing kits by general practitioners to their outpatients. Conclusions The study provides useful information about the efficiency and feasibility of a screening program for colorectal cancer using fecal occult blood testing. Compliance results confirm the importance of GP involvement in oncological screening.
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Affiliation(s)
- G Grazzini
- CSPO Presidio per la Prevenzione Oncologica, Azienda Ospedaliera Careggi, Florence, Italy.
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Perna S, Miccono A, Faliva M, Isu A, Naso M, Guerriero F, Sgarlata C, Rondanelli M. P-356: Association of loneliness scale (UCLA) with drugs, smoking, nutritional status, and gender in elderly with dementia. Eur Geriatr Med 2015. [DOI: 10.1016/s1878-7649(15)30453-8] [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: 10/23/2022]
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Perna S, Bologna C, Isu A, Miccono A, Infantino V, Faliva M, Guerriero F, Sgarlata C, Degli Agosti I, Rondanelli M. P-357: Osteoporosis in elderly women during hospitalization. Intention to treat following FRAX index cutoff. Eur Geriatr Med 2015. [DOI: 10.1016/s1878-7649(15)30454-x] [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]
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