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Several studies suggest that aging loss of bone mass is not necessarily associated with reduced mechanical proprieties as bending resistance. Since postmenopausal women with fracture and without osteoporosis might have an impairment in the bending mechanisms at hip, our aim was to assess if women with and without fractures differ in the femoral parameters of resistance to bending, independent of the bone loss. In this cross-sectional study we enrolled 192 postmenopausal women who underwent X-ray absorptiometry scan to measure bone mineral density as well as cross-sectional geometry parameters at the hip (Hip structure analysis). Among women with osteoporosis, a higher odds ratio for fracture was found in the first tertile of NN-Dmax, a parameter linked to the resistance to bending forces in a cross-section (tertile I, OR = 6.7, p = 0.03; CI 1.19–38.01; reference tertile III). We also found a significantly higher risk for major fracture in the first tertile of NN-Dmax (tertile I, OR = 6.0, p = 0.02; CI 1.26−28.4; reference tertile III). Among women without osteoporosis, a significantly higher odds ratio for fracture was found in the first tertile of IT-CSA, a parameter of resistance to axial load (tertile I, OR = 7.2, p = 0.002; CI 2.04–25.9; reference tertile III). We also found a significantly higher risk for major fracture in the first tertile of IT-CSA (OR = 18.4, p = 0.001; CI 1.52−221.8; tertile III reference). We demonstrate that some hip structural parameters are independently associated to the fracture risk in postmenopausal women.

The COVID-19 pandemic has brought about various restrictions around the world, and its impact on healthcare has been enormous: RDNs have had to shift from in-person interactions with clients to telenutrition consultations, encountering obstacles. We designed the first survey to investigate the changes in RDN practices related to telenutrition provision after the onset of the pandemic through an online survey in Italy. Four hundred and thirty-six responses were analyzed. Before the pandemic, only 16% of Italian RDNs provided telenutrition; this percentage increased significantly up to 63% (p < 0.001). Among patients, the lack of interest in accessing telenutrition (30.9%) and the Internet (16.7%) were the most frequently reported barriers. Among RDNs, one of the main obstacles was their inability to conduct nutritional evaluation or monitoring activities (24.4%). Our survey indicated that increased adoption of telenutrition can be a valid, safe alternative to face-to-face visits. Telenutrition was mainly used by young RDNs (20–39 years) with fewer years of professional experience (0–20 years) and master’s degrees. Remote nutrition can enable RDNs to maintain normal workloads and provide patients with uninterrupted access to nutritional healthcare. It is important that RDNs using telemedicine resources possess the ability to provide high-quality, efficient, and secure services using evidence-based guidance.

Background and Objectives: Thyroid dysfunction is associated with non-alcoholic fatty liver disease, but its role in the progression of liver damage in obese patients remains unclear. In addition, several case reports have suggested the existence of a levothyroxine-induced liver injury, which has been poorly investigated. Our aim was to verify whether a difference in the prevalence of liver fibrosis exists in a population of obese individuals taking Levothyroxine. Materials and Methods: We conducted a cross-sectional study on a population of 137 obese individuals, of which 49 were on replacement therapy with Levothyroxine. We excluded those who had hypertriglyceridemia and diabetes mellitus. All participants underwent a liver stiffness assessment by transient elastography as well as biochemical measurements. In subjects with liver fibrosis, other cause of liver fibrosis were ruled out. Results: Participants taking Levothyroxine had a higher prevalence of liver fibrosis than those not taking Levothyroxine (30.6% vs. 2.3%; p < 0.001), and these results were obtained after we made an adjustment for age (Exp(B) = 18.9; 95% CI = 4.1–87.4; p < 0.001). The liver stiffness value differed significantly between groups (6.0 ± 3.6 and 5.1 ± 1.2, p = 0.033). Of those subjects taking Levothyroxine, there were no significant differences in the dose of medication (1.21 ± 0.36 vs. 1.07 ± 0.42; p = 0.240) and treatment duration (13.7 ± 7.43 vs. 11.13 ± 6.23; p = 0.380) between those with and without liver fibrosis. Conclusions: We found, for the first time, a greater prevalence of liver fibrosis in obese individuals taking Levothyroxine than in those not taking this medication. This finding needs to be confirmed by longitudinal population studies as well as by cellular studies.

Soil is the largest carbon pool whose change will have an impact on the terrestrial carbon cycle in the terrestrial ecosystem. Old-field succession on abandoned farmland, which usually has a noticeable effect on soil status, is a common phenomenon in karst valley where human activity alters frequently. In order to understand the changes in the accumulation of organic carbon (OC) in aggregates and bulk soil in different stages of old-field succession on abandoned farmland in the karst valley area, soil samples were collected at 0-10-cm and 10-20-cm depth representing three typical stages of old-field succession, i.e., abandoned farmland, secondary grass, and secondary shrub in Qingmuguan karst valley area, Chongqing City, Southwest China. Results displayed that during old-field succession (1) the mean weight diameter and geometric mean diameter of the aggregates increased and the fractal dimension decreased; (2) OC content within aggregates and bulk soil had no significant change in topsoil (0-10 cm); OC content within microaggregates and bulk soil had a significant reduction in subsoil (10-20 cm); the OC content within silt and clay fractions was significantly higher than that within the other two kinds of aggregates; (3) bulk-soil OC storage had no significant change but its accumulation relied more on the increase in the number of larger aggregates. It is concluded that the old-field succession in karst valley was beneficial to protect against soil erosion by improving soil aggregate stability, but had a limited effect on soil organic carbon sequestration.

Mediterranean Diet represents the traditional eating habits of populations living around the Mediterranean Sea, and it is associated with a lower risk of overall mortality and cancer incidence and cardiovascular diseases. Severe acute respiratory syndrome coronavirus 2 is a new pandemic, and represents a significant and critical threat to global human health. In this study, we aimed to review the possible effects of Mediterranean Diet against the risk of the coronavirus disease 2019. Several vitamins, minerals, fatty acids, and phytochemicals with their potential anti-COVID-19 activity are presented. Different risk factors may increase or reduce the probability of contracting the disease. Mediterranean Diet has also a positive action on inflammation and immune system and could have a protective effect against severe acute respiratory syndrome coronavirus 2. Further studies are needed to corroborate the benefits of the Mediterranean Diet protective role on infection with SARS-CoV-2.

CuO nanoarrays were synthesized by using a hydrothermal method, and TiO2 nanocrystals were deposited on the surface of CuO nanoarrays to form bulk heterostructure photoelectrodes. The current-time curve revealed that TiO2 nanocrystals can enhance the photocurrent of CuO nanoarrays, resulting from the higher charge separation efficiency and transfer rate. In addition, the effects of small biases (–0.1 and 0.1 V) on the photocurrent and photogenerated charge dynamics in the aforementioned photoelectrodes were evaluated. A small bias was found to not influence the macroscopic dynamical process during charging and discharging of the CuO photoelectrode, but it was more correlated with the microscopic dynamics. Additionally, the built-in electric field in the CuO nanoarray/TiO2 heterojunction could be affected by a small external bias, thereby influencing the charge separation and charge diffusion concentration, which, subsequently, influenced the charge diffusion length, L. In contrast, L in the pristine CuO nanoarray was not improved under a small reverse bias, because the small reverse bias could not efficiently improve the diffusion concentration owing to the lack of a built-in electric field to dissociate electron-hole pairs. These kinetic mechanisms are helpful in understanding the photoelectric conversion process in heterogeneous photoelectrodes.

BackgroundMost studies focused on the benefits of lycopene on serum lipids but no studies have been specifically designed to assess the role of a tomato sauce from vine-ripened tomatoes on patients affected by polygenic hypercholesterolemia. The aim of this study was to compare the lipid-lowering effect of a novel functional tomato sauce with a well-known functional food with a lipid-lowering effect, i.e. a sterol-enriched yogurt.MethodsIn this cross-over study, we evaluated a population of 108 ambulatory patients affected by polygenic hypercholesterolemia of both gender, who were allocated to a tomato sauce (namely OsteoCol) 150 ml/day or a sterol-enriched yogurt (containing sterols 1.6 g/die) treatment, for 6 weeks. Carotenoids content was 3.5 mg per gram of product. We measured serum lipids and creatinine and transaminases at basal and follow-up visit.ResultsA total of 91 subjects completed the protocol. A significant difference in LDL-cholesterol change was found between participants taking yogurt, tomato sauce (high adherence) and tomato sauce (low adherence) (− 16; − 12; + 8 mg/dl respectively; p ConclusionA novel functional tomato sauce from vine-ripened tomatoes compares favourably with a commercialised sterol-enriched yogurt in term of absolute LDL-cholesterol change. Intake of a tomato sauce with a high carotenoid content may support treatment of patients affected by common hypercholesterolemia. The present study has various limitations. The presence of other dietary components, which may have influenced the results, cannot be ruled out. Of course, these results cannot be extrapolated to other populations. Furthermore, there was a low adherence rate in the tomato sauce group. Moreover, we did not report serum carotenoids data.Trial registration: ID: 13244115 on the ISRCTN registry, retrospectively registered in 2019-5-14. URL:http://www.isrctn.com/ISRCTN13244115

Epidemiological evidence has confirmed the potential causal relationship between specific dietary factors and non-communicable diseases. However, currently nutrition was shown to be insufficiently integrated into medical education, regardless of the country. Without an adequate nutrition education, it is reasonable to assume that future physicians, as well as other health care professionals, will be not able to provide the highest quality care to patients in preventing and treating non-communicable diseases. Furthermore, the insufficient availability of physicians with specializations in nutrition has posed the basis for the development of non-medical careers in the field of nutrition. The present document was drafting by the Italian College of Academic Nutritionists, MED-49 (ICAN-49), with the aim to provide an overview on the nutritional competency standards covered by several health care professionals (Physicians Clinical Nutrition Specialists, Clinical Dietitians, Professional Clinical Nutrition Specialists, etc) for the prevention of diseases and/or support of pharmacological therapies. The aim of the ICAN 49 is to suggest a major shift in practice opportunities and roles for many nutritionists, especially for the management of the metabolic diseases, and promote a paradigm change: a clinical and educational leadership role for Physician Clinical Nutrition Specialists in the hospital setting.

Additional file 1: Table S1. Servings of various food categories consumed daily or weekly during the study according with the dietary treatment.

Background: Although hyperglycaemia is known to be the leading cause of the diabetic complications, the beneficial effect of an optimal glucose control on the prevention of diabetic complications is still far from being proven. In fact, such complications may not to be related to glycaemic control alone. Objective: This review summarizes several studies that suggest that a C-peptide deficiency could be a new and common pathophysiology for complications in type 1 diabetes including sexual and reproductive dysfunction. Method: We reviewed in vitro, in vivo and human studies on the association between C-peptide deficiency or C-peptide replacement therapy and complications in type 1 diabetes. It seems that C-peptide replacement therapy may interrupt the connection between diabetes and sexual/reproductive dysfunction. Results : The Diabetes Control and Complications Trial suggested that maintaining C-peptide secretion is associated with reduced incidence of retinopathy, nephropathy and hypoglycaemia. Risk of vascular, hormonal and neurologic damage in the structures supplying the penis increases with increasing levels of HbA1. However, several human studies suggested that there is an association between C-peptide production and hypothalamic/pituitary functions. When exposed to C-peptide, cavernosal smooth muscle cells increase the production of nitric oxide. Compared with non-treated diabetic rats, C-peptide in diabetic rats improves sperm count, sperm motility, testosterone levels, and nerve conduction. Conclusion: C-peptide deficiency may be involved, at least partially, in the development of several pathological features associated with type 1 diabetes including sexual/reproductive dysfunction. Preliminary studies reported that C-peptide administration protects against diabetic micro- and macrovascular damages as well as sexual/reproductive dysfunction. Therefore, further studies are now needed to confirm these promising findings.

Despite the abundance of studies on the beneficial effects of a fiber rich diet as well as polyphenols deriving from Citrus fruits on postprandial serum glucose and insulin, clinical evidence on their synergic effects on healthy subjects have never been published. We aimed to investigate the feasibility of a new dietary approach in controlling glucose and insulin response at breakfast time by testing a brioche enriched with wheat bran and bergamot fiber.We enrolled 11 healthy volunteers in a cross-over study. Participants consumed a classic brioche at breakfast and our functional brioche, containing wheat bran and bergamot fiber, on another day. Vital functions, biochemical parameters (including glucose and insulin), anthropometric measurements as well as resting energy expenditure and fat oxidation were evaluated before and after the intake of both meals.The mean age was ~25 years. The mean BMI was 23.5 kg/mThe association of wheat bran and bergamot fiber significantly influences glucose metabolism and may exert insulin-like effects on healthy volunteers. If confirmed, berga-brioche would be a useful tool in preventing diabetes and controlling the glycometabolic status of type 2 diabetic patients.

Little is known about the role of Lp(a) in the assessment of cardiovascular risk in the paediatric population. Trying to clarify the clinical relevance of Lp(a) in risk stratification, the aim of the study is to evaluate the association between Lp(a) plasma levels in children with familial hypercholesterolaemia (FH) and positive family history for premature cardiovascular disease (pCVD) in first- and second-degree relatives.653 Caucasian children and adolescents (334 females and 319 males), aged 2-17 years, with diagnosis of FH from a paediatric cohort included in the LIPIGEN Network, were selected. We compared family history of pCVD, lipid and genetic profile in two groups based on Lp(a) levels below or above 30 mg/dL. To determine the independent predictors of pCVD, a multivariate logistic regression was used, with all clinical characteristics and blood measurements as predictors.Subjects with Lp(a) 30 mg/dl more frequently reported positive family history of pCVD compared to subjects with Lp(a)≤30 mg/dl (69.90% vs 36.66%, p 0.0001), while did not show differences in terms of median [interquartile range] LDL-cholesterol level (153.00 [88.00 vs 164.50 [90.25] mg/dL, p = 0.3105). In the regression analysis, Lp(a) 30 mg/dl was an independent predictor of family history of pCVD. Comparing subjects with or without family history of pCVD, we reported significant differences for Lp(a) 30 mg/dl (46.25% vs 17.65%, p 0.0001), FH genetic mutation (50.48% vs 40.75%, p = 0,0157), as well as for LDL-cholesterol (p = 0.0013) and total cholesterol (p = 0.0101).Children/adolescents with FH and Lp(a) 30 mg/dl where more likely to have a positive family history of pCVD. Lp(a) screening in children and adolescents with FH may enhance risk assessment and help identify those subjects, children and relatives, at increased pCVD risk.

Variations in soil organic carbon (SOC) and its fractions within soil aggregates in response to land-use change are important to understand the carbon cycles in terrestrial ecosystem. However, responses of total SOC, SOC fractions, and SOC stability in different soil aggregates to land-use change are less addressed, especially in karst regions with serious land degradation. Therefore, bulk soil samples were collected under four land uses with similar geographical characteristics and previous framing practices including farmland (FL), Bamboo forest (BA), landscape tree planting (LAT), and orange orchards (ORO) in a karst region of Southwest China. Contents of total SOC and three carbon fractions based on their degree of oxidizability (F1, very labile; F2, inert; F3, oxidizable resistant) in bulk soil and different soil aggregates (macro-aggregate, micro-aggregate, and silt+clay fraction) were measured. Afforestation significantly increased contents of total SOC and three carbon fractions in bulk soil and soil aggregates, and the influence was more obvious in macro-aggregate than the other aggregates. Contents of total SOC, F1, F2, and F3 under afforestation land increased by 41.73%, 58.19%, 33.91%, and 40.55%, respectively, in bulk soil, by 55.60%, 79.24%, 121.77%, and 43.30%, respectively, in macro-aggregate, by 52.80%, 33.57%, 20.14%, and 75.02%, respectively, in micro-aggregate, and by 26.21%, 35.60%, 29.26%, and 23.75%, respectively, in silt+clay fraction than those under FL. In bulk soil and soil aggregates, proportions of F1, F2, and F3 in total SOC ranged from 0.11 to 0.18, from 0.13 to 0.22, and from 0.60 to 0.73, respectively, suggesting that the stable carbon was the predominant carbon fraction in the study area. Afforestation decreased the values of stability of SOC in macro-aggregate and silt+clay fraction, while it increased the value in micro-aggregate. Although both BA and ORO had higher SOC content in bulk soil than the LAT, but the SOC stability in bulk soil under BA was significantly lower than that under ORO. In conclude, afforestation form FL improved SOC content and altered SOC stability in bulk soil and soil aggregates, and conversion of FL to ORO might be the best choice to increase SOC sequestration in the four land-use types compared in karst regions of Southwest China.