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1. 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

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., 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

3. Health risks for body pierced community: a systematic review.

Author

Sindoni, A., Valeriani, F., Protano, C., Liguori, G., Romano Spica, V., Vitali, M., and Gallè, F.

Subjects
*HEALTH education, *ONLINE information services, *SYSTEMATIC reviews, *COMMUNITIES, *RISK assessment, *BODY piercing, *MEDLINE
Abstract

Body piercing is defined as the penetration of jewellery into openings made in different body areas. In the last decades, it has become increasingly common in the general population. The aim is to analyse the available literature about complications from body piercing for contributing to raise the awareness towards this issue and to plan and perform appropriate prevention interventions. This is a systematic review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used to perform this systematic review; the protocol was registered with PROSPERO [CRD42020177972]. PubMed, Scopus and Web of Science were searched from database inception to April 2020, and articles in English language reporting a proven association between piercings and health risks were included, and their quality were assessed by adequate quality assessment tools. A total of 4748 studies were found, and after duplicates removal and screening, 84 articles were included. Studies dealing with microbiological effects reported these complications both locally and at distant sites as a result of the spreading of the primary site infection: mastitis, endocarditis, glomerulonephritis, cephalic tetanus, viral hepatitis, HIV, cerebellar brain abscess and toxic shock syndrome. In addition, bleeding, gingival recession, dental injuries, contact dermatitis, granulomatous dermatitis, keloid, fibroma and basal cell carcinoma were reported. Health authorities should promote educational campaigns to spread the knowledge on health risks related to piercings. Besides, piercers are often not adequately aware of all the possible adverse effects due to piercings because their professional training differs among countries. It is therefore advisable to provide periodical upgrade of their education in this field. [ABSTRACT FROM AUTHOR]

Published
2022
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4. 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

5. 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

6. Legionella spp. survival after different disinfection procedures: Comparison between conventional culture, qPCR and EMA–qPCR.

Author

Mansi, A., Amori, I., Marchesi, I., Marcelloni, A.M., Proietto, A.R., Ferranti, G., Magini, V., Valeriani, F., and Borella, P.

Subjects
*LEGIONELLA, *DISINFECTION & disinfectants, *POLYMERASE chain reaction, *CELL survival, *WATER quality, *LEGIONNAIRES' disease, *ETHIDIUM, *COMPARATIVE studies, *PREVENTION
Abstract

Abstract: The development of rapid and sensitive methods for the detection and quantification of Legionella viable cells is essential for monitoring water quality and preventing legionellosis. The aim of this study was to verify the applicability of a quantitative PCR (qPCR) method used in combination with ethidium monoazide (EMA) to the quantification of Legionella spp. in samples collected from swimming pools, water recirculation systems and hot water systems in two fitness clubs. This molecular technique (EMA–qPCR) allows the amplification of target DNA from culturable and viable cells, but prevents the amplification of DNA from non-viable cells. The effectiveness of this new method able to detect alive legionellae was also compared with conventional qPCR and culture method. Our results confirm that EMA–qPCR allows to discriminate the non-viable cells from those viable and that it is particularly indicated for monitoring the effectiveness of thermal treatments for the Legionella contamination control in water environments, also providing information about the presence of Viable But Non-Culturable (VBNC) cells. Other Gram-negative bacteria typically associated with biofilm were identified in samples taken from swimming pools and balance tanks, suggesting that also the presence of biofilm should be monitored for a more general view of water contamination. [Copyright &y& Elsevier]

Published
2014
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7. 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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