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1. Erice 2018 Charter on the role of the National Health Service in the prevention of doping

Author

Romano Spica, V., Di Rosa, E., Savino, G., Pasquarella, C., Liguori, G., Fallace, P., Tripi, F., Fara, G. M., Giammanco, G., Abbafati, E., Alonzo, E., Agostini, D., Aini, M. A., Ajese, P., Amore, G., Antonuccio, G., Assisi, E., Attisani, G., Belfiore, P., Belotti, D., Bernieri, F., Bernini, D., Bolognini, I., Bono, R., Brandimarte, M. A., Buzancic, S., Cala, P., Cagnin, R., Capua, G., Caruso, L., Cattaruzza, M. S., Cella, P., Ciotti, L., Cipolla, A. M., Colucci, M. E., Coppola, L., Covacci, V., Creola, G., Culcasi, S., D'Alterio, A., De Santi, M., Di Benedetto, F., Di Onofrio, V., Donati, A., Dozzini, G., Esposito, R., Fabbro, A., Falcone, M., Fara, T., Fardella, M., Favuzzi, N., Fioretti, E., Frangella, C., Galle, F., Ghizzoni, D., Giampietro, M., Giorgino, A., Grillone, L., Gradilone, A., Greco, S., Grosso, G., Guberti, E., Guida, F., La Carruba, R., La Sala, L., Cadua, E., Landi, A., Lemma, P., Leonardi, F., Lusi, A., Manfredi Selvaggi, T. M., Mandina, G., Marini, S., Mazzeo, F., Menegon, T., Mete, R., Milicia, M. G., Morgado, M., Morgantini, F., Napoli, M., Nucera, S., Occhipinti, V., Orsini, M., Pacella, G., Pacifici, R., Palmi, I., Pandolfi, R., Parisi, A., Parodi, G., Parodi, S., Pasquarella, M. L., Persi, Y., Petrai, G., Petrella, E., Pinelli, M., Pompei, D., Pompili, M., Postiglione, N., Ripani, M., Romano, F., Rondinelli, L., Ricchiuti, R., Ruggeri, J., Santini, A., Scatigna, M., Scuderi, M., Signorelli, C., Sticchi, C., Tamarri, F., Tancredi, S., Tumbarello, A., Ursino, S., Valeriani, F., Vino, F., Zanetti, C., Zotta, I., Zucca, E., Calimeri, S., Privitera, G., Fabiani, L., D'Aloisio, F., Baccari, G., Leoni, E., Tafuri, S., Brandi, G., Gervasi, G., Dell'Eva, A., La Torre, A., Romano Spica, V., Di Rosa, E., Savino, G., Pasquarella, C., Liguori, G., Fallace, P., Tripi, F., Fara, G. M., Giammanco, G., Abbafati, E., Alonzo, E., Agostini, D., Aini, M. A., Ajese, P., Amore, G., Antonuccio, G., Assisi, E., Attisani, G., Belfiore, P., Belotti, D., Bernieri, F., Bernini, D., Bolognini, I., Bono, R., Brandimarte, M. A., Buzancic, S., Calà, P., Cagnin, R., Capua, G., Caruso, L., Cattaruzza, M. S., Cella, P., Ciotti, L., Cipolla, A. M., Colucci, M. E., Coppola, L., Covacci, V., Creola, G., Culcasi, S., D'Alterio, A., De Santi, M., Di Benedetto, F., Di Onofrio, V., Donati, A., Dozzini, G., Esposito, R., Fabbro, A., Falcone, M., Fara, T., Fardella, M., Favuzzi, N., Fioretti, E., Frangella, C., Gallè, F., Ghizzoni, D., Giampietro, M., Giorgino, A., Grillone, L., Gradilone, A., Greco, S., Grosso, G., Guberti, E., Guida, F., La Carruba, R., La Sala, L., Cadua, E., Landi, A., Lemma, P., Leonardi, F., Lusi, A., Manfredi Selvaggi, T. M., Mandina, G., Marini, S., Mazzeo, F., Menegon, T., Mete, R., Milicia, M. G., Morgado, M., Morgantini, F., Napoli, M., Nucera, S., Occhipinti, V., Orsini, M., Pacella, G., Pacifici, R., Palmi, I., Pandolfi, R., Parisi, A., Parodi, G., Parodi, S., Pasquarella, M. L., Persi, Y., Petrai, G., Petrella, E., Pinelli, M., Pompei, D., Pompili, M., Postiglione, N., Ripani, M., Romano, F., Rondinelli, L., Ricchiuti, R., Ruggeri, J., Santini, A., Scatigna, M., Scuderi, M., Signorelli, C., Sticchi, C., Tamarri, F., Tancredi, S., Tumbarello, A., Ursino, S., Valeriani, F., Vino, F., Zanetti, C., Zotta, I., Zucca, E., Calimeri, S., Privitera, G., Fabiani, L., D'Aloisio, F., Baccari, G., Leoni, E., Tafuri, S., Brandi, G., Gervasi, G., Dell'Eva, A., and La Torre, A.

Subjects
Doping in Sports, Health Promotion, Humans, Italy, State Medicine, Public Health, Department of Prevention, Doping, Physical Activity, Sport, Doping, Health Promotion, Physical Activity, Sport, Department of Prevention
Abstract

The Erice 2018 Charter was unanimously approved at the conclusion of the 53rd Residential Course of the International School of Epidemiology and Preventive Medicine “Adapted Physical Activity in Sport, Wellness and Fitness; the role of the Departments of Prevention and of the National Health Service in doping prevention and health promotion”, held on 15-19 May 2018 in Erice, Italy, at the “Ettore Majorana” Foundation and Centre for Scientific Culture, and promoted by the Study Group on “Movement Sciences for Health” of the Italian Society of Hygiene, Preventive Medicine and Public Health. The event was part of a larger project supported by the Ministry of Health aimed at preventing doping in the general population involved in sport and physical activities. After an intense discussion the participants focused on ten statements involving the following critical issues: responsibility, priority, message, alphabetization, networks and alliances, school promoting health, player and opportunities, competences, know-how, programming and acting. These statements provide hints to approach doping within a public health frame and summarize the role of the Departments of Prevention and NHS in promoting and coordinating preventive actions with other institutions and stakeholders. Doping represents a complex phenomenon related to cultural, social, economic and legal issues. In addition to regulatory or repressive actions, education to health and legality is proposed as the fundamental strategy to contrast doping by promoting healthy lifestyles, based on scientific knowledge and respect for legality.

Published
2019

2. The prevention of doping and the improper use of drugs and food supplements in sports and physical activities: a survey on the activity of the prevention departments of Italian local health authorities

Author

Pasquarella, C., Pompili, M., Valeriani, F., Morgado, M., Milicia, G. M., Veronesi, L., Odone, A., Zoni, R., Saccani, E., Savino, G., Persi, Y., Pinelli, M., Liguori, G., Galle, F., Di Onofrio, V., Fallace, P., Romano Spica, V., Calimeri, S., Bono, R., Privitera, G., Fabiani, L., D'Aloisio, F., Baccari, G., Leoni, E., Tafuri, S., Brandi, G., Gervasi, G., Dell'Eva, A., Gradilone, A., Frangella, C., La Torre, A., Trenti, T., Agostini, D., Aini, M. A., Alonzo, E., Assisi, E., Belotti, D., Cagnin, R., Coppola, L., Giorgino, A., Libardi, L., Manfredi Selvaggi, T. M., Morgantini, F., Parodi, G., Pompei, D., Santini, I., Sticchi, C., Ursino, S., Pasquarella C., Pompili M., Valeriani F., Morgado M., Milicia G.M., Veronesi L., Odone A., Zoni R., Saccani E., Savino G., Persi Y., Pinelli M., Liguori G., Galle F., Di Onofrio V., Fallace P., Romano Spica V., Calimeri S., Bono R., Privitera G., Fabiani L., D'Aloisio F., Baccari G., Leoni E., Tafuri S., Brandi G., Dell'Eva A., Gradilone A., Frangella C., and La Torre A.

Subjects
Doping in Sports, Prevention departments, doping, food supplements, drugs, prevention, health promotion, Prevention, Doping, Drugs, Food supplements, Health promotion, Prevention departments, Food supplement, Health Promotion, drugs, State Medicine, food supplements, Italy, Athletes, Surveys and Questionnaires, Dietary Supplements, Humans, Public Health, Drug, human activities
Abstract

Introduction. Doping is an important public health problem widespread not only among elite athletes, but also among amateur and recreational athletes and the general population. In Italy the introduction of doping prevention within the Essential Levels of Care (LEA) with the DPCM 12/1/2017 represents a crucial step towards the implementation of education and health promotion interventions. In this context, the Departments of Prevention (DP) of the Local Health Authorities (LHA) have to play a fundamental role, becoming the cultural and operational reference on this issue. As part of the "Doping prevention: development of a permanent educational tool coordinated by the National Health Service Prevention Departments" project, funded by the Italian Ministry of Health, a survey was conducted on the activities carried out by the DP regarding doping prevention and improper use and abuse of drugs and food supplements in sports and physical activities, as a basis for the harmonization of organizational structures and prevention programs and the creation of a collaboration network at a regional and national level.Methods. A semi-structured questionnaire consisting of 11 questions, prepared on an electronic platform, was sent to the DP of all the Italian LHA.Results. A total of 38 DP out of 131 (29%) completed the questionnaire, with representation from all regions. 42.1% of DP carried out or are still running programs for the prevention of doping, a percentage that decreases to 27% considering the programs for the prevention of misuse and abuse of drugs and food supplements in sports and in physical activities; in less than half of the DP, 37.5% and 41.7%, respectively, dedicated funds have been allocated. The professionals most involved in prevention of doping are the Specialists in Sport Medicine (81.3%) followed by Specialists in Hygiene (43.8%) and Psychologists (37.5%), while Health Care Assistants (50%) are the professionals most involved in the prevention of the improper use of drugs and food supplements, followed by Specialists in Hygiene and Specialists in Sport Medicine (40%). Most of the DP (71.9%) believe that the introduction of programs to prevent and counteract doping in the LEA will have repercussions on their approach against doping.Conclusions. The survey, although conducted on a limited sample, has provided an important framework relating to programs for the prevention of doping and the misuse and abuse of drugs and food supplements in sports and in the physical activities carried out by DP A remarkable heterogeneity has been highlighted, both at national and regional level. It is urgent to provide DP with homogeneous and effective organizational models and adequate operational tools, paying particular attention to the training of all the professionals involved. It is also essential to implement permanent monitoring tools.

Published
2019

3. Higher education on physical activity and sport: The Movement Sciences graduate as a resource to promote healthy lifestyles in the National Health System

Author

Liguori, G., Gallé, F., Di Onofrio, V., Valeriani, F., Romano Spica, V., Wdpp, GSMS-SItI, Trenti, T., Pasquarella, C., Fallace, P., Calimeri, S., Bono, R., Privitera, G., Fabiani, L., D’Aloisio, F., Baccari, G., Leoni, E., Tafuri, S., Brandi, G., Gervasi, G., Dell’Eva, A., Gradilone, A., Frangella, C., A. La Torre., Liguori G., Galle F., Di Onofrio V., Valeriani F., Romano Spica V., Baccari G., Bono R., Calimeri S., D'Aloisio F, Dell'Eva A., Fabiani L., Frangella C., Gerais G., Gradilone A., La Torre A., Leoni E., Privitera G., and Tafuri S.

Subjects
Movement Sciences, Health Promotion, Physical Activity, State Medicine, Professional Competence, Italy, Education, Professional, Quality of Life, Humans, Physical Activity, Movement Sciences, Health Promotion, Curriculum, Healthy Lifestyle, Movement Science, Cooperative Behavior, Exercise, Health Education, Sports
Abstract

Currently, physical activity is an important tool that may be useful to improve people health and quality of life through sustainable and effective interventions. In order to obtain durable improvements of individuals' behaviors, however, consistent changes in services organization and the creation of new opportunities in life settings are needed. This requires necessarily the involvement of complementary figures with specific competences. Considering their peculiar training curriculum, Movement Sciences graduates represent key figures in this context and they can operate fully in interventions of health education and promotion, within multidisciplinary teams collaborating with the National Health System (NHS), in order to obtain the global undertaking of citizens.

Published
2019

4. The prevention of doping and the improper use of drugs and food supplements in sports and physical activities: A survey on the activity of the prevention departments of Italian local health authorities

Author

Pasquarella C., Pompili M., Valeriani F., Morgado M., Milicia G. M., Veronesi L., Odone A., Zoni R., Saccani E., Savino G., Persi Y., Pinelli M., Liguori G., Galle F., Di Onofrio V., Fallace P., Romano Spica V., Calimeri S., Bono R., Privitera G., Fabiani L., D'Aloisio F., Baccari G., Leoni E., Tafuri S., Brandi G., Gervasi G., Dell'Eva A., Gradilone A., Frangella C., La Torre A., Trenti T., Agostini D., Aini M. A., Alonzo E., Assisi E., Belotti D., Cagnin R., Coppola L., Giorgino A., Libardi L., Manfredi Selvaggi T. M., Morgantini F., Parodi G., Pompei D., Santini I., Sticchi C., Ursino S., Pasquarella, C., Pompili, M., Valeriani, F., Morgado, M., Milicia, G. M., Veronesi, L., Odone, A., Zoni, R., Saccani, E., Savino, G., Persi, Y., Pinelli, M., Liguori, G., Galle, F., Di Onofrio, V., Fallace, P., Romano Spica, V., Calimeri, S., Bono, R., Privitera, G., Fabiani, L., D'Aloisio, F., Baccari, G., Leoni, E., Tafuri, S., Brandi, G., Gervasi, G., Dell'Eva, A., Gradilone, A., Frangella, C., La Torre, A., Trenti, T., Agostini, D., Aini, M. A., Alonzo, E., Assisi, E., Belotti, D., Cagnin, R., Coppola, L., Giorgino, A., Libardi, L., Manfredi Selvaggi, T. M., Morgantini, F., Parodi, G., Pompei, D., Santini, I., Sticchi, C., and Ursino, S.

Subjects
Doping in Sports, Prevention, Drugs, Health Promotion, State Medicine, Prevention departments, Italy, Athletes, Food supplements, Surveys and Questionnaires, Dietary Supplements, Doping, Humans, Public Health
Abstract

Introduction. Doping is an important public health problem widespread not only among elite athletes, but also among amateur and recreational athletes and the general population. In Italy the introduction of doping prevention within the Essential Levels of Care (LEA) with the DPCM 12/1/2017 represents a crucial step towards the implementation of education and health promotion interventions. In this context, the Departments of Prevention (DP) of the Local Health Authorities (LHA) have to play a fundamental role, becoming the cultural and operational reference on this issue. As part of the "Doping prevention: development of a permanent educational tool coordinated by the National Health Service Prevention Departments" project, funded by the Italian Ministry of Health, a survey was conducted on the activities carried out by the DP regarding doping prevention and improper use and abuse of drugs and food supplements in sports and physical activities, as a basis for the harmonization of organizational structures and prevention programs and the creation of a collaboration network at a regional and national level. Methods. A semi-structured questionnaire consisting of 11 questions, prepared on an electronic platform, was sent to the DP of all the Italian LHA. Results. A total of 38 DP out of 131 (29%) completed the questionnaire, with representation from all regions. 42.1% of DP carried out or are still running programs for the prevention of doping, a percentage that decreases to 27% considering the programs for the prevention of misuse and abuse of drugs and food supplements in sports and in physical activities; in less than half of the DP, 37.5% and 41.7%, respectively, dedicated funds have been allocated. The professionals most involved in prevention of doping are the Specialists in Sport Medicine (81.3%) followed by Specialists in Hygiene (43.8%) and Psychologists (37.5%), while Health Care Assistants (50%) are the professionals most involved in the prevention of the improper use of drugs and food supplements, followed by Specialists in Hygiene and Specialists in Sport Medicine (40%). Most of the DP (71.9%) believe that the introduction of programs to prevent and counteract doping in the LEA will have repercussions on their approach against doping. Conclusions. The survey, although conducted on a limited sample, has provided an important framework relating to programs for the prevention of doping and the misuse and abuse of drugs and food supplements in sports and in the physical activities carried out by DP. A remarkable heterogeneity has been highlighted, both at national and regional level. It is urgent to provide DP with homogeneous and effective organizational models and adequate operational tools, paying particular attention to the training of all the professionals involved. It is also essential to implement permanent monitoring tools.

Published
2019

5. Hospital Hygiene and Infection Prevention and Control in Italy: state of the art and perspectives

Author

Brusaferro, S, Arnoldo, L, Finzi, G, Mura, I, Auxilia, F, Pasquarella, C, Agodi, A and the GISIO Group (Agodi A, Arrigoni, C, Barchitta, M, Calella, G, Casini, B, Cristina, Ml, D'Errico, M, Laurenti, P, Masia, Md, Montagna, Mt, Olivieri, G, Orsi, A, Orsi, Gb, Pesapane, L, Ripabelli, G, Sodano, L, Squeri, R, Teti, V, Torregrossa, Mv, Torri, E, Zarrilli, R, Are, Bm, Brighenti, A, Mascipinto, S, Iannazzo, S, D'Ancona, Fp, Sessa, G, Motta, A, Appignanesi, R, Argiolas, F, Baldovin, T, Bargellini, A, Berdini, S, Boccia, G, Calagreti, G, Caldarulo, T, Campanella, F, Chiesa, R, Ciorba, V, Contrisciani, R, D'Alessandro, D, De Giglio, O, Fabiani, L, Fara, Gm, Giuliani, G, Laganà, P, Marani, A, Mattaliano, Ar, Molino, A, Montesano, M, Moretti, F, Moro, M, Moscato, U, Napoli, C, Nicolotti, N, Nobile, M, Novati, R, Palumbo, F, Piana, A, Privitera, G, Prospero, E, Quattrocchi, A, Righi, E, Romano Spica, V, Rossi, F, Rossini, A, Schieppati, S, Sotgiu, G, Tardivo, S, Torre, I, Valeriani, F, Veronesi, L, Zotti, C), Brusaferro, S., Arnoldo, L., Finzi, G., Mura, I., Auxilia, F., Pasquarella, C., Agodi, A., Pitzurra, M., Arrigoni, C., Barchitta, M., Calella, G., Casini, B., Cristina, M. L., D'Errico, M., Laurenti, P., Masia, M. D., Montagna, M. T., Olivieri, G., Orsi, A., Orsi, G. B., Pesapane, L., Ripabelli, G., Sodano, L., Squeri, R., Teti, V., Torregrossa, M. V., Torri, E., Zarrilli, R., Are, B. M., Brighenti, A., Mascipinto, S., Iannazzo, S., D'Ancona, F. P., Sessa, G., Motta, A., Appignanesi, R., Argiolas, F., Baldovin, T., Bargellini, A., Berdini, S., Boccia, G., Calagreti, G., Caldarulo, T., Campanella, F., Chiesa, R., Ciorba, V., Contrisciani, R., D'Alessandro, D., De Giglio, O., Fabiani, L., Fara, G. M., Giuliani, G., Lagana, P., Marani, A., Mattaliano, A. R., Molino, A., Montesano, M., Moretti, F., Moro, M., Moscato, U., Napoli, C., Nicolotti, N., Nobile, M., Novati, R., Palumbo, F., Piana, A., Privitera, G., Prospero, E., Quattrocchi, A., Righi, E., Romano Spica, V., Rossi, F., Rossini, A., Schieppati, S., Sotgiu, G., Tardivo, S., Torre, I., Valeriani, F., Veronesi, L., and Zotti, C.

Subjects
Adult, Male, Healthcare organisation Igiene ospedaliera, National Health Programs, Infection Prevention and Control, hospital hygiene, infection prevention and control, public health, environmental and occupational health, infectious diseases, igiene ospedaliera, organizzazione sanitaria, prevenzione e controllo delle infezioni, Attitude of Health Personnel, Health Promotion, Healthcare organisation, Iran, Nursing Staff, Hospital, Hospital Hygiene, Igiene ospedaliera, Hospital Hygiene, Infection Prevention and Control, Healthcare organisation Igiene ospedaliera, prevenzione e controllo delle infezioni, organizzazione sanitaria, Hospital Administration, Patient Education as Topic, Terminology as Topic, Medical Staff, Hospital, Humans, Igiene ospedaliera, prevenzione e controllo delle infezioni, organizzazione sanitaria, European Union, Hospitals, Teaching, Workplace, Occupational Health, Cross-Sectional Studie, Cross Infection, Infection Control, Healthcare organisation Parole chiave: Igiene ospedaliera, Analysis of Variance, Organizzazione sanitaria, Prevenzione e controllo delle infezioni, Europe, Italy, Health Facilities, Hygiene, Healthcare organisation, Igiene ospedaliera, Environmental and Occupational Health, Public Health, Environmental and Occupational Health, Infectious Diseases, Healthcare organisation, Hospital Hygiene, Infection Prevention and Control, Public Health, Environmental and Occupational Health, Infectious Diseases, Hospital Administrator, Female, Public Health, Patient Participation, Hospital Hygiene, Infection Prevention and Control, Healthcare organisation, Human
Abstract

Although hospital hygiene has a long history in Italy it is necessary to reflect about it because of the innovation in healthcare systems and because of the evolution due to European Union related activities. Different traditions exist in European countries about hospital hygiene and European Centre for Disease Prevention and Control (ECDC) adopted the term of "infection control and hospital hygiene" which includes all the engaged European healthcare professionals. We propose to modify hospital hygiene as "healthcare organisation hygiene" in order to focalise the attention to all care settings not only hospitals and to adopt the following definition: "all activities aimed to guarantee, in an appropriate, scientifically sound and efficient way, that structures and processes support healthcare practices in a safe comfortable and healthy environment both for patients, caregivers and healthcare workers". Hospital hygiene and its professionals, besides the long tradition, still remain a relevant pillar in guaranteeing quality and safety of healthcare in Italy.

Published
2018

6. Adapted Physical Activity for the Promotion of Health and the Prevention of Multifactorial Chronic Diseases: the Erice Charter

Author

Spica V. R., Macini P., Galeone D., Liguori G., Signorelli C., Marensi L., Vagali P., Guberti E., Goletti M., Mammina C., Tabacchi G., Izzotti A., Cinquetti S., Pellizzari B., Beltrami P., Alonzo E., Gradilone A., Leoni E., Buono P., Brandi G., Di Rosa E., Parisi A., Capolongo S., Fantuzzi G., Aggazzotti G., Grillo C., Borella P., Manzoli L., Fabiani L., Faggiano F., Mete R., Privitera G., Coniglio M. A., Frangella C., Rossi D., Lagorio S., Pasquarella M. L., Isabella A., Tripi F., Franceschetti R., Commare A. L., Galle F., Brandimarte M. A., Savino G., Di Onofrio V., Tortorella F., Gabriele M., Monreale V., Abrignani M., Ferreri G., Cacciapuoti A., Valeriani F., Raffo M., Matarese M., Ripani M., Altana V., Antonioni S., Anzalone C., Astorino G., Azzollini A., Belfiore P., Valentini F. B., Bragazzi N. L., Calaciura A., Casano D., Ciulla A., Cono O. E., Contrisciani R., Cosenza B., D'Aloisio F., Antonino D. F., Marchis A. D., Francesco D. N., Fabri S., Famiglietti E., Gandolfi A., Genovese C., Genovesi A., Gianfredi V., Gigante S., Gigliotti A., Iacona C., Innocenzi L., Laurita V., Maratea F., Meletti L., Memmini S., Messana M. A., Morelli C., Nappi M. R., Nucci D., Orlandi P., Palamara M. A. R., Patti A., Persi Y., Polisano B., Roccaro D., Ricchiuti R., Sanclemente L., Scanavini S., Sirtori M. D., Soncini F., Stelitano G. I., Valenzano A. A., Veicsteinas A., Fara G. M., Giammanco G., Romano-Spica V., Spica V.R., Macini P., Galeone D., Liguori G., Signorelli C., Marensi L., Vagali P., Guberti E., Goletti M., Mammina C., Tabacchi G., Izzotti A., Cinquetti S., Pellizzari B., Beltrami P., Alonzo E., Gradilone A., Leoni E., Buono P., Brandi G., Di Rosa E., Parisi A., Capolongo S., Fantuzzi G., Aggazzotti G., Grillo C., Borella P., Manzoli L., Fabiani L., Faggiano F., Mete R., Privitera G., Coniglio M.A., Frangella C., Rossi D., Lagorio S., Pasquarella M.L., Isabella A., Tripi F., Franceschetti R., Commare A.L., Galle F., Brandimarte M.A., Savino G., Di Onofrio V., Tortorella F., Gabriele M., Monreale V., Abrignani M., Ferreri G., Cacciapuoti A., Valeriani F., Raffo M., Matarese M., Ripani M., Altana V., Antonioni S., Anzalone C., Astorino G., Azzollini A., Belfiore P., Valentini F.B., Bragazzi N.L., Calaciura A., Casano D., Ciulla A., Cono O.E., Contrisciani R., Cosenza B., D'Aloisio F., Antonino D.F., Marchis A.D., Francesco D.N., Fabri S., Famiglietti E., Gandolfi A., Genovese C., Genovesi A., Gianfredi V., Gigante S., Gigliotti A., Iacona C., Innocenzi L., Laurita V., Maratea F., Meletti L., Memmini S., Messana M.A., Morelli C., Nappi M.R., Nucci D., Orlandi P., Palamara M.A.R., Patti A., Persi Y., Polisano B., Roccaro D., Ricchiuti R., Sanclemente L., Scanavini S., Sirtori M.D., Soncini F., Stelitano G.I., Valenzano A.A., Veicsteinas A., Fara G.M., Giammanco G., and Romano-Spica V.

Subjects
Biomedical Research, Prevention parole chiave, Adapted physical activity, Health Promotion, Motor Activity, Health promotion, Prevention, Primary Prevention, Attività fisica adattata, Prevenzione, Italy, Physician, Promozione della salute, Chronic Disease, Public Health, Human, Specialization
Abstract

The Erice Charter was unanimously approved at the conclusion of the 47th Residential Course "Adapted Physical Activity in Sport, Wellness and Fitness: New Challenges for Prevention and Health Promotion", held on 20-24 April 2015 in Erice, Italy, at the "Ettore Majorana" Foundation and Centre for Scientific Culture, and promoted by the International School of Epidemiology and Preventive Medicine "G. D'Alessandro" and the Study Group on Movement Sciences for Health of the Italian Society of Hygiene, Preventive Medicine and Public Health. After an intense discussion the participants identified the main points associated with the relevance of physical activity for Public Health, claiming the pivotal role of the Department of Prevention in coordinating and managing preventive actions. The participants underlined the importance of the physicians specialized in Hygiene, Preventive Medicine and Public Health. The contribution of other operators such as physicians specialized in Sport Medicine was stressed. Further, the holders of the new degree in Human Movement and Sport Sciences were considered fundamental contributors for the performance of physical activity and their presence was seen as a promising opportunity for the Departments of Prevention. Primary prevention based on recreational physical activities should become easily accessible for the population, avoiding obstacles such as certification steps or complex bureaucracy. The Sport Doctor is recognized as the principal referent for preliminary physical evaluation and clinical monitoring in secondary and tertiary prevention actions based on adapted physical activities. Developing research in the field is essential as well as implementing higher education on physical activity management in Schools of Public Health.

Published
2015

8. Adapted physical activity for the promotion of health and the prevention of multifactorial chronic diseases: The Erice Charter

Author

Spica, V. R., Macini, P., Galeone, D., Liguori, G., Signorelli, C., Marensi, L., Vagali, P., Guberti, E., Goletti, M., Mammina, C., Tabacchi, G., Izzotti, A., Cinquetti, S., Pellizzari, B., Beltrami, P., Alonzo, E., Gradilone, A., Leoni, E., Buono, P., Brandi, G., Di Rosa, E., Parisi, A., Capolongo, S., Fantuzzi, G., Aggazzotti, G., Grillo, C., Borella, P., Manzoli, L., Fabiani, L., Faggiano, F., Mete, R., Privitera, G., Coniglio, M. A., Frangella, C., Rossi, D., Lagorio, S., Pasquarella, M. L., Isabella, A., Tripi, F., Franceschetti, R., Commare, A. L., Galle, F., Brandimarte, M. A., Savino, G., Di Onofrio, V., Tortorella, F., Gabriele, M., Monreale, V., Abrignani, M., Ferreri, G., Cacciapuoti, A., Valeriani, F., Raffo, M., Matarese, M., Ripani, M., Altana, V., Antonioni, S., Anzalone, C., Astorino, G., Azzollini, A., Belfiore, P., Valentini, F. B., Bragazzi, N. L., Calaciura, A., Casano, D., Ciulla, A., Cono, O. E., Contrisciani, R., Cosenza, B., D'Aloisio, F., Antonino, D. F., Marchis, A. D., Francesco, D. N., Fabri, S., Famiglietti, E., Gandolfi, A., Genovese, C., Genovesi, A., Gianfredi, V., Gigante, S., Gigliotti, A., Iacona, C., Innocenzi, L., Laurita, V., Maratea, F., Meletti, L., Memmini, S., Messana, M. A., Morelli, C., Nappi, M. R., Nucci, D., Orlandi, P., Palamara, M. A. R., Patti, A., Persi, Y., Polisano, B., Roccaro, D., Ricchiuti, R., Sanclemente, L., Scanavini, S., Sirtori, M. D., Soncini, F., Stelitano, G. I., Valenzano, A. A., Veicsteinas, A., Fara, G. M., Giammanco, G., and Romano-Spica, V.

Subjects
Biomedical Research, Prevention, Adapted physical activity, Health Promotion, Motor Activity, Primary Prevention, Attività fisica adattata, Italy, Physicians, Chronic Disease, Humans, Public Health, Adapted physical activity, Attività fisica adattata, Health promotion, Prevention, Biomedical Research, Chronic Disease, Health Promotion, Humans, Italy, Motor Activity, Physicians, Primary Prevention, Specialization, Public Health, Specialization
Published
2015

9. Exposure to individual and multiple carcinogenic metals during paediatric age: an experience from an Italian urban scenario

Author

Carmela Protano, Maria Luisa Astolfi, Silvia Canepari, Andreoli, R., Mutti, A., Valeriani, F., Romano Spica, V., Antonucci, Arianna, Mattei, V., Stefano Martellucci, and Matteo Vitali

Subjects
Male, Urban Health, urinary carcinogenic metaks, children, gender differences, concurrent exposure, Italy, Environmental Exposure, Carcinogens, Environmental, Cross-Sectional Studies, Humans, Female, Child
Abstract

Exposure to single and multiple carcinogenic metals and/or semimetals represents a major environmental risk factor for public health. In particular, children are more susceptible to environmental pollutants than adults, but specific studies are still limited. The aims of the present study were: 1) to trace the exposure and co-exposure profiles to eight known or suspected carcinogenic metals and semimetals (As, Be, Cd, Co, Cr, Ni, Pb, and Sb); and: 2) to evaluate the influence of some possible interfering/confounding factors on the exposure to these elements during childhood.Cross-sectional study.We recruited 159 healthy Italian children attending a primary school of the urban area of Rome, Italy. Selected metals were determined by inductively coupled plasma mass spectrometry on urinary samples collected at the end of a "typical" day (one sample for each child), while information about possible confounding/interfering factors were collected via questionnaires.The great part of the studied children resulted co-exposed to the monitored metals: 83.2%, 69.2%, 51.0% and 29.3% of the participants were concurrently exposed to at least two, three, four and five trace elements, respectively. Gender was the only one among the investigated variable that significantly influenced the co-exposure, with females resulting at lower risk (OR = 0.392; 95 IC = 0.156 - 0.989; p0.047).Given the importance of protecting child's health and the risks related to the exposure to carcinogenic metals, especially when they occur simultaneously, other researches in this field are strongly recommended.

10. Assessing Undergraduates' Perception of Risks Related to Body Art in Italy: The SUPeRBA Multicenter Cross-Sectional Study

Author

Carmela Protano, Federica Valeriani, Daniela Marotta, Annalisa Bargellini, Aida Bianco, Giuseppina Caggiano, Maria Eugenia Colucci, Maria Anna Coniglio, Laura Dallolio, Osvalda De Giglio, Gabriella Di Giuseppe, Pasqualina Laganà, Francesca Licata, Giorgio Liguori, Isabella Marchesi, Sofia Marini, Maria Teresa Montagna, Christian Napoli, Giovanni Battista Orsi, Cesira Pasquarella, Concetta Paola Pelullo, Vincenzo Romano Spica, Rossella Sacchetti, Stefano Tardivo, Licia Veronesi, Matteo Vitali, Francesca Gallè, Protano C., Valeriani F., Marotta D., Bargellini A., Bianco A., Caggiano G., Colucci M.E., Coniglio M.A., Dallolio L., De Giglio O., Di Giuseppe G., Lagana P., Licata F., Liguori G., Marchesi I., Marini S., Montagna M.T., Napoli C., Orsi G.B., Pasquarella C., Pelullo C.P., Spica V.R., Sacchetti R., Tardivo S., Veronesi L., Vitali M., Galle F., Protano, C., Valeriani, F., Marotta, D., Bargellini, A., Bianco, A., Caggiano, G., Colucci, M. E., Coniglio, M. A., Dallolio, L., De Giglio, O., Di Giuseppe, G., Lagana, P., Licata, F., Liguori, G., Marchesi, I., Marini, S., Montagna, M. T., Napoli, C., Orsi, G. B., Pasquarella, C., Pelullo, C. P., Spica, V. R., Sacchetti, R., Tardivo, S., Veronesi, L., Vitali, M., and Galle, F.

Subjects
Adult, medicine.medical_specialty, knowledge, Adolescent, complications, Cross-sectional study, Health, Toxicology and Mutagenesis, media_common.quotation_subject, body art, piercing, tattooing, undergraduates, health, awareness, Specific knowledge, Article, Awareness, Body art, Complications, Health, Knowledge, Piercing, Tattooing, Undergraduates, Cross-Sectional Studies, Humans, Italy, Perception, Students, Young Adult, Body Piercing, Medicine, Health risk, media_common, Undergraduate, Cross-Sectional Studie, Health consequences, business.industry, Public Health, Environmental and Occupational Health, Attendance, Awarene, Mean age, Large sample, Family medicine, Student, business, Complication, Human
Abstract

Tattooing and piercing may lead to health complications. The present multicenter cross-sectional study aimed to assess awareness and knowledge of health risks related to body art and to identify their possible determinants among a large sample of undergraduates in Italy. A web-based questionnaire collecting information on socio-demographic characteristics, awareness, knowledge, and some potential predictors was administered to undergraduates attending twelve Italian universities. The level of knowledge was expressed as the number of correct answers (0–11 for tattooing, 0–14 for piercing). A total of 2985 participants (mean age 23.15 ± 3.99, 73.9% F) participated in the study. Although 95.4% of the respondents were aware of possible health consequences of body art, a low level of specific knowledge was registered for both tattooing (mean number of correct answers 5.38 ± 2.39) and piercing (5.93 ± 3.12) consequences. Lower knowledge was associated with the attendance of non-life science course and with lower duration of academic education for both tattoo and piercing. Lower knowledge of tattooing risks was related with commuter status, while lower knowledge of piercing risks was associated with lower father’s education. These findings highlight the need to enhance information campaigns targeted to youths to increase their awareness of possible health risk of body art.

Published
2021

11. Investigating the role of physical education in physical activity promotion: An Italian multicenter study

Author

Francesca Gallè, Valeria Di Onofrio, Fabio Barbone, Giorgio Brandi, Sebastiano Calimeri, Elisabetta Carraro, Federica Carraturo, Laura Dallolio, Concetta De Meo, Mauro De Santi, Guglielmina Fantuzzi, Francesca Fortunato, Ilaria Gorrasi, Marco Guida, Daniele Ignazio La Milia, Erica Leoni, Daniela Lo Giudice, Liliana Minelli, Christian Napoli, Maria Parpinel, Cesira Pasquarella, Rosa Prato, Vincenzo Romano Spica, Carlo Signorelli, Silvio Tafuri, Federica Valeriani, Giorgio Liguori, Gallè, Francesca, Di Onofrio, Valeria, Barbone, Fabio, Brandi, Giorgio, Calimeri, Sebastiano, Carraro, Elisabetta, Carraturo, Federica, Dallolio, Laura, De Meo, Concetta, De Santi, Mauro, Fantuzzi, Guglielmina, Fortunato, Francesca, Gorrasi, Ilaria, Guida, Marco, La Milia, Daniele Ignazio, Leoni, Erica, Giudice, Daniela Lo, Minelli, Liliana, Napoli, Christian, Parpinel, Maria, Pasquarella, Cesira, Prato, Rosa, Spica, Vincenzo Romano, Signorelli, Carlo, Tafuri, Silvio, Valeriani, Federica, Liguori, Giorgio, Onofrio, Valeria Di, Lo Giudice, Daniela, Romano Spica, Vincenzo, Gallè, F., Di Onofrio, V., Barbone, F., Brandi, G., Calimeri, S., Carraro, E., Carraturo, F., Dallolio, L., De Meo, C., De Santi, M., Fantuzzi, G., Fortunato, F., Gorrasi, I., Guida, M., La Milia, D. I., Leoni, E., Lo Giudice, D., Minelli, L., Napoli, C., Parpinel, M., Pasquarella, C., Prato, R., Spica, V. R., Signorelli, C., Tafuri, S., Valeriani, F., and Liguori, G.

Subjects
Adult, Male, 0301 basic medicine, Exercise promotion, medicine.medical_specialty, Adolescent, media_common.quotation_subject, Physical activity, movement sciences, Pilot Projects, Physical education, Young Adult, 03 medical and health sciences, active lifestyle promotion, 0302 clinical medicine, Promotion (rank), exercise promotion, higher secondary school, orthopedics and sports medicine, Surveys and Questionnaires, exercise promotion, movement sciences, higher secondary school, Humans, Medicine, Orthopedics and Sports Medicine, 030212 general & internal medicine, Young adult, Exercise, Recreation, Curriculum, media_common, Physical Education, Physical Activity Promotion, Physical Education and Training, business.industry, Odds ratio, Higher secondary school, Physical education (PE), Movement science, 030104 developmental biology, Italy, Multicenter study, Family medicine, Physical therapy, physical activity promotion, Movement Sciences, Female, business
Abstract

Background:Physical education (PE) can be considered an instrument for active lifestyle promotion, and PE teachers can motivate youths to continue their studies in the field of Movement Sciences (MS).Methods:To evaluate the role of PE in higher secondary school in promoting physical activity (PA) and MS careers, previous PE experiences and current PA practice were investigated in a sample of Italian freshmen enrolled in different university degree courses.Results:A total of 7033 questionnaires were completed by students from 14 universities (41.3% males, mean age 20 ± 2.76 years). Recreation seemed to be the principal aim (42.2%) pursued during PE lessons, which are based mainly on practical activities (51.7%). Of all respondents, 67.2% were satisfied with the PE received during higher secondary school, and 51.6% participated in extracurricular PA. Current practice of PA was reported by 58.1% of the sample. Extracurricular activities were associated with choice of MS curricula (odds ratio: 2.15; 95% confidence interval, 1.85–2.50) and with current practice of PA (odds ratio: 1.68, 95% confidence interval, 1.51–1.87). Geographical differences concerning lessons organization and satisfaction were registered (P < .01).Conclusions:To enhance its role in health promotion, PE teaching should be improved by increasing the time allocated to PE and by strengthening the provision of school-based extracurricular PA.

Published
2016

12. Adapted Physical Activity for the Promotion of Health and the Prevention of Multifactorial Chronic Diseases: the Erice Charter

Author

Spica, Vincenzo Romano, Macini, Pierluigi, Galeone, Daniela, Liguori, Giorgio, Signorelli, Carlo, Marensi, Lorenzo, Vagali, Pierluigi, Guberti, Emilia, Goletti, Mauro, Mammina, Caterina, Tabacchi, Garden, Izzotti, Alberto, Cinquetti, Sandro, Pellizzari, Barbara, Beltrami, Patrizia, Alonzo, Elena, Gradilone, Antonio, Leoni, Erica, Buono, Pasqualina, Brandi, Giorgio, Rosa, Enrico Di, Parisi, Attilio, Capolongo, Stefano, Fantuzzi, Guglielmina, Aggazzotti, Gabriella, Grillo, Claudio, Borella, Paola, Manzoli, Lamberto, Fabiani, Leila, Faggiano, Fabrizio, Mete, Rosario, Privitera, GAETANO PIERPAOLO, Coniglio, Maria Anna, Frangella, Claudia, Rossi, Daniela, Lagorio, Silvia, Pasquarella, Maria Luisa, Isabella, Albino, Tripi, Ferdinando, Franceschetti, Romano, Commare, Antonella La, Gallè, Francesca, Brandimarte, Maria Alessandra, Savino, Gustavo, Onofrio, Valeria Di, Tortorella, Franco, Gabriele, Michele, Monreale, Vincenzo, Abrignani, Maurizio, Ferreri, Giovanni, Cacciapuoti, Antonio, Valeriani, Federica, Raffo, Marisa, Matarese, Massimo, Ripani, Maurizio, Altana, Valentina, Antonioni, Stefania, Anzalone, Concetta, Astorino, Gerardo, Azzollini, Annunziata, Belfiore, Patrizia, Valentini, Fabio Besozzi, Bragazzi, Nicola Luigi, Calaciura, Antonella, Casano, Diego, Ciulla, Antonio, Cono, Osvaldo Ernandez, Contrisciani, Roberta, Cosenza, Bruno, D’Aloisio, Francesco, Antonino, De Francesco, Marchis, Antonella De, Francesco, Di Nardo, Fabri, Serena, Famiglietti, Elena, Gandolfi, Angela, Genovese, Cristina, Genovesi, Antonio, Gianfredi, Vincenza, Gigante, Sebastiano, Gigliotti, Alfredina, Iacona, Claudia, Innocenzi, Ludovico, Laurita, Vincenzo, Maratea, Fabio, Meletti, Luca, Memmini, Silvia, Messana, Maria Anna, Morelli, Cristina, Nappi, Maria Rosaria, Nucci, Daniele, Orlandi, Pierluigi, Palamara, Maria Angela Rita, Patti, Anna, Persi, Ylenia, Polisano, Benedetta, Roccaro, Davide, Ricchiuti, Roberta, Sanclemente, Leonardo, Scanavini, Sara, Sirtori, Mario Donato, Soncini, Francesco, Stelitano, Gilda Immacolata, Valenzano, Anna Antonia, Veicsteinas, Arsenio, Fara, Gaetano Maria, Giammanco, Giuseppe, Spica, V. R., Macini, P., Galeone, D., Liguori, G., Signorelli, C., Marensi, L., Vagali, P., Guberti, E., Goletti, M., Mammina, C., Tabacchi, G., Izzotti, A., Cinquetti, S., Pellizzari, B., Beltrami, P., Alonzo, E., Gradilone, A., Leoni, E., Buono, P., Brandi, G., Di Rosa, E., Parisi, A., Capolongo, S., Fantuzzi, G., Aggazzotti, G., Grillo, C., Borella, P., Manzoli, L., Fabiani, L., Faggiano, F., Mete, R., Privitera, G., Coniglio, M. A., Frangella, C., Rossi, D., Lagorio, S., Pasquarella, M. L., Isabella, A., Tripi, F., Franceschetti, R., Commare, A. L., Galle, F., Brandimarte, M. A., Savino, G., Di Onofrio, V., Tortorella, F., Gabriele, M., Monreale, V., Abrignani, M., Ferreri, G., Cacciapuoti, A., Valeriani, F., Raffo, M., Matarese, M., Ripani, M., Altana, V., Antonioni, S., Anzalone, C., Astorino, G., Azzollini, A., Belfiore, P., Valentini, F. B., Bragazzi, N. L., Calaciura, A., Casano, D., Ciulla, A., Cono, O. E., Contrisciani, R., Cosenza, B., D'Aloisio, F., Antonino, D. F., Marchis, A. D., Francesco, D. N., Fabri, S., Famiglietti, E., Gandolfi, A., Genovese, C., Genovesi, A., Gianfredi, V., Gigante, S., Gigliotti, A., Iacona, C., Innocenzi, L., Laurita, V., Maratea, F., Meletti, L., Memmini, S., Messana, M. A., Morelli, C., Nappi, M. R., Nucci, D., Orlandi, P., Palamara, M. A. R., Patti, A., Persi, Y., Polisano, B., Roccaro, D., Ricchiuti, R., Sanclemente, L., Scanavini, S., Sirtori, M. D., Soncini, F., Stelitano, G. I., Valenzano, A. A., Veicsteinas, A., Fara, G. M., and Giammanco, G.

Subjects
Biomedical Research, Adapted physical activity, Health promotion, Prevention, Chronic Disease, Health Promotion, Humans, Italy, Motor Activity, Physicians, Primary Prevention, Specialization, Public Health, Prevention parole chiave, Physical Activity, Health Promotion, Prevention, Chronic Diseases, Erice Charter, Physical Activity, Erice Charter, Attività fisica adattata, Prevenzione, Promozione della salute, Chronic Diseases, health promotion, prevention
Abstract

The Erice Charter was unanimously approved at the conclusion of the 47th Residential Course "Adapted Physical Activity in Sport, Wellness and Fitness: New Challenges for Prevention and Health Promotion", held on 20-24 April 2015 in Erice, Italy, at the "Ettore Majorana" Foundation and Centre for Scientific Culture, and promoted by the International School of Epidemiology and Preventive Medicine "G. D'Alessandro" and the Study Group on Movement Sciences for Health of the Italian Society of Hygiene, Preventive Medicine and Public Health. After an intense discussion the participants identified the main points associated with the relevance of physical activity for Public Health, claiming the pivotal role of the Department of Prevention in coordinating and managing preventive actions. The participants underlined the importance of the physicians specialized in Hygiene, Preventive Medicine and Public Health. The contribution of other operators such as physicians specialized in Sport Medicine was stressed. Further, the holders of the new degree in Human Movement and Sport Sciences were considered fundamental contributors for the performance of physical activity and their presence was seen as a promising opportunity for the Departments of Prevention. Primary prevention based on recreational physical activities should become easily accessible for the population, avoiding obstacles such as certification steps or complex bureaucracy. The Sport Doctor is recognized as the principal referent for preliminary physical evaluation and clinical monitoring in secondary and tertiary prevention actions based on adapted physical activities. Developing research in the field is essential as well as implementing higher education on physical activity management in Schools of Public Health.

Published
2015

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