30 results on '"Colpo, Marco"'
Search Results
2. Development of a clinical prediction model for the onset of functional decline in people aged 65–75 years: pooled analysis of four European cohort studies
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Jonkman, Nini H., Colpo, Marco, Klenk, Jochen, Todd, Chris, Hoekstra, Trynke, Del Panta, Vieri, Rapp, Kilian, van Schoor, Natasja M., Bandinelli, Stefania, Heymans, Martijn W., Mauger, Dominique, Cattelani, Luca, Denkinger, Michael D., Rothenbacher, Dietrich, Helbostad, Jorunn L., Vereijken, Beatrix, Maier, Andrea B., and Pijnappels, Mirjam
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- 2019
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3. The MooDFOOD project: Prevention of depression through nutritional strategies
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Cabout, M., Brouwer, I. A., Visser, M., van Strien, Tatjana, Elstgeest, Liset, Winkens, Laura, Bektas, Gülcan, Doncker, Sarah, Brunner, Eric, Knüppel, Anika, Gunnarsdottir, Ingibjorg, Gudnason, Vilmundur, Imai, Cindy M., Halldorsson, Thorhallur Ingi, Birgisdottir, Bryndis Eva, Aspelund, Thor, Nicolaou, Mary, Vermeulen, Esther, Lähteenmäki, Liisa, Loebnitz, Natascha, Toft, Madeleine Broman, Tudoran, Ana Alina, Pederson, Susanne, Friis, Rasmus, Penninx, Brenda, van Grootheest, Gerard, Verkerk, Bep, Watkins, Ed, Owens, Matthew, Romijn, Amy, Bunce, Hannah, Bunker‐Smith, Harriet, Durbridge, Fern, Winfield, Owain, Bond, Zenia, Molinares, Caterina Versari, Sapar, Atikah, Roca, Miquel, Gili, Margarita, Tortella, Miquel, Covas, Clara Homar, Forteza, Margalida Vives, Gracia, Adoración Castro, Reig, José Luis, Ara, Maria Angeles Pérez, Hegerl, Ulrich, Kohls, Elisabeth, Hoesel, Jana, Dogan, Ezgi, Baldofski, Sabrina, Mauche, Nicole, Bot, Mariska, Milaneschi, Yuri, Paans, Nadine, Thesing, Carisha, Gibson‐Smith, Deborah, Horsfall, Melany, Weiss, Lena, Bandinelli, Stefania, Colpo, Marco, Sini, Giovanna, Woodward, Euan, Bryant, Sheree, van Eijcken, Erik, and Marking, Christine
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- 2017
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4. Plasma proteomic signatures predict dementia and cognitive impairment
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Tanaka, Toshiko, primary, Lavery, Robert, additional, Varma, Vijay, additional, Fantoni, Giovanna, additional, Colpo, Marco, additional, Thambisetty, Madhav, additional, Candia, Julian, additional, Resnick, Susan M., additional, Bennett, David A., additional, Biancotto, Angelique, additional, Bandinelli, Stefania, additional, and Ferrucci, Luigi, additional
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- 2020
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5. Additional file 1: of Development of a clinical prediction model for the onset of functional decline in people aged 65–75 years: pooled analysis of four European cohort studies
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Jonkman, Nini, Colpo, Marco, Klenk, Jochen, Todd, Chris, Hoekstra, Trynke, Panta, Vieri, Rapp, Kilian, Schoor, Natasja, Bandinelli, Stefania, Heymans, Martijn, Mauger, Dominique, Cattelani, Luca, Denkinger, Michael, Rothenbacher, Dietrich, Helbostad, Jorunn, Vereijken, Beatrix, Maier, Andrea, and Pijnappels, Mirjam
- Abstract
Table S1. Characteristics of original variables in the four cohort studies and the harmonisation procedures. Table S2. Sensitivity analysis of stepwise backward procedure in complete-cases in the pooled data of 65–75 year old people from the four cohort studies (n = 2064). (DOCX 27 kb)
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- 2019
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6. An Integrated Air Monitoring Approach for Assessment of Formaldehyde in the Workplace
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Dugheri, Stefano, Bonari, Alessandro, Pompilio, Ilenia, Colpo, Marco, Mucci, Nicola, and Arcangeli, Giulio
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- 2018
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7. Bidirectional associations between food groups and depressive symptoms: longitudinal findings from the Invecchiare in Chianti (InCHIANTI) study
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Elstgeest, Liset E M, Visser, Marjolein, Penninx, Brenda W J H, Colpo, Marco, Bandinelli, Stefania, Brouwer, Ingeborg A, Elstgeest, Liset E M, Visser, Marjolein, Penninx, Brenda W J H, Colpo, Marco, Bandinelli, Stefania, and Brouwer, Ingeborg A
- Abstract
This study investigated bidirectional associations between intake of food groups and depressive symptoms in 1058 Italian participants (aged 20-102 years) of the Invecchiare in Chianti study. Dietary intake, assessed with a validated FFQ, and depressive symptoms, measured with the Center for Epidemiologic Studies Depression scale (CES-D), were assessed at baseline and after 3, 6 and 9 years. Associations of repeated measurements of intakes of thirteen food groups with 3-year changes in depressive symptoms, and vice versa, were analysed using linear mixed models and logistic generalised estimating equations. Fish intake was inversely (quartile (Q)4 v. Q1, B=-0·97, 95 % CI -1·74, -0·21) and sweet food intake positively (Q4 v. Q1, B=1·03, 95 % CI 0·25, 1·81) associated with subsequent CES-D score. In the other direction, higher CES-D scores were associated with decreases in intakes of vegetables (ratio: 0·995, 95 % CI 0·990, 0·999) and red and processed meat (B=-0·006, 95 % CI -0·010, -0·001), an increase in dairy product intake (ratio: 1·008, 95 % CI 1·004, 1·013), and increasing odds of eating savoury snacks (OR: 1·012, 95 % CI 1·000, 1·024). Fruit, nuts and legumes, potatoes, wholegrain bread, olive oil, sugar-sweetened beverages, and coffee and tea were not significantly associated in either direction. Our study confirmed bidirectional associations between food group intakes and depressive symptoms. Fish and sweet food intakes were associated with 3-year improvement and deterioration in depressive symptoms, respectively. Depressive symptoms were associated with 3-year changes in vegetable, meat, dairy product and savoury snack intakes. Trials are necessary to examine the causal associations between food groups and depression.
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- 2019
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8. A robust machine learning framework to identify signatures for frailty: a nested case-control study in four aging European cohorts.
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Gomez-Cabrero, David, Walter, Stefan, Abugessaisa, Imad, Miñambres-Herraiz, Rebeca, Palomares, Lucia Bernad, Butcher, Lee, Erusalimsky, Jorge D., Garcia-Garcia, Francisco Jose, Carnicero, José, Hardman, Timothy C., Mischak, Harald, Zürbig, Petra, Hackl, Matthias, Grillari, Johannes, Fiorillo, Edoardo, Cucca, Francesco, Cesari, Matteo, Carrie, Isabelle, Colpo, Marco, and Bandinelli, Stefania
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FRAIL elderly ,MACHINE learning ,AGING ,CHOLECALCIFEROL ,BIOMARKERS ,CASE-control method - Abstract
Phenotype-specific omic expression patterns in people with frailty could provide invaluable insight into the underlying multi-systemic pathological processes and targets for intervention. Classical approaches to frailty have not considered the potential for different frailty phenotypes. We characterized associations between frailty (with/without disability) and sets of omic factors (genomic, proteomic, and metabolomic) plus markers measured in routine geriatric care. This study was a prevalent case control using stored biospecimens (urine, whole blood, cells, plasma, and serum) from 1522 individuals (identified as robust (R), pre-frail (P), or frail (F)] from the Toledo Study of Healthy Aging (R=178/P=184/F=109), 3 City Bordeaux (111/269/100), Aging Multidisciplinary Investigation (157/79/54) and InCHIANTI (106/98/77) cohorts. The analysis included over 35,000 omic and routine laboratory variables from robust and frail or pre-frail (with/without disability) individuals using a machine learning framework. We identified three protective biomarkers, vitamin D3 (OR: 0.81 [95% CI: 0.68–0.98]), lutein zeaxanthin (OR: 0.82 [95% CI: 0.70–0.97]), and miRNA125b-5p (OR: 0.73, [95% CI: 0.56–0.97]) and one risk biomarker, cardiac troponin T (OR: 1.25 [95% CI: 1.23–1.27]). Excluding individuals with a disability, one protective biomarker was identified, miR125b-5p (OR: 0.85, [95% CI: 0.81–0.88]). Three risks of frailty biomarkers were detected: pro-BNP (OR: 1.47 [95% CI: 1.27–1.7]), cardiac troponin T (OR: 1.29 [95% CI: 1.21–1.38]), and sRAGE (OR: 1.26 [95% CI: 1.01–1.57]). Three key frailty biomarkers demonstrated a statistical association with frailty (oxidative stress, vitamin D, and cardiovascular system) with relationship patterns differing depending on the presence or absence of a disability. [ABSTRACT FROM AUTHOR]
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- 2021
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9. Association of a priori dietary patterns with depressive symptoms: a harmonised meta-analysis of observational studies
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Nicolaou, Mary, primary, Colpo, Marco, additional, Vermeulen, Esther, additional, Elstgeest, Liset E. M., additional, Cabout, Mieke, additional, Gibson-Smith, Deborah, additional, Knuppel, Anika, additional, Sini, Giovana, additional, Schoenaker, Danielle A. J. M., additional, Mishra, Gita D., additional, Lok, Anja, additional, Penninx, Brenda W. J. H., additional, Bandinelli, Stefania, additional, Brunner, Eric J., additional, Zwinderman, Aiko H., additional, Brouwer, Ingeborg A., additional, and Visser, Marjolein, additional
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- 2019
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10. An Exploratory Factor Analysis of Sensor-Based Physical Capability Assessment
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Coni, Alice, primary, Mellone, Sabato, additional, Colpo, Marco, additional, Guralnik, Jack M., additional, Patel, Kushang V., additional, Bandinelli, Stefania, additional, and Chiari, Lorenzo, additional
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- 2019
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11. Bidirectional associations between food groups and depressive symptoms: longitudinal findings from the Invecchiare in Chianti (InCHIANTI) study
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Elstgeest, Liset E. M., primary, Visser, Marjolein, additional, Penninx, Brenda W. J. H., additional, Colpo, Marco, additional, Bandinelli, Stefania, additional, and Brouwer, Ingeborg A., additional
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- 2018
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12. Anticholinergic Drug Induced Cognitive and Physical Impairment: Results from the InCHIANTI Study
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Sargent, Lana, primary, Nalls, Mike, primary, Amella, Elaine J, primary, Mueller, Martina, primary, Lageman, Sarah K, primary, Bandinelli, Stefania, primary, Colpo, Marco, primary, Slattum, Patricia W, primary, Singleton, Andrew, primary, and Ferrucci, Luigi, primary
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- 2018
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13. Adherence to a Mediterranean Diet Protects from Cognitive Decline in the Invecchiare in Chianti Study of Aging
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Tanaka, Toshiko, primary, Talegawkar, Sameera, additional, Jin, Yichen, additional, Colpo, Marco, additional, Ferrucci, Luigi, additional, and Bandinelli, Stephania, additional
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- 2018
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14. Higher sRAGE Levels Predict Mortality in Frail Older Adults with Cardiovascular Disease.
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Butcher, Lee, Carnicero, Jose Antonio, Pérès, Karine, Colpo, Marco, Gomez Cabrero, David, Dartigues, Jean-François, Bandinelli, Stefania, Garcia-Garcia, Francisco Jose, Rodríguez-Mañas, Leocadio, and Erusalimsky, Jorge D.
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OLDER people ,ADVANCED glycation end-products ,FRAIL elderly ,CARDIOVASCULAR disease related mortality ,PROGNOSTIC models ,CARDIOVASCULAR diseases - Abstract
Introduction: The evidence that blood levels of the soluble receptor for advanced glycation end products (sRAGE) predict mortality in people with cardiovascular diseases (CVD) is inconsistent. To clarify this matter, we investigated if frailty status influences this association. Methods: We analysed data of 1,016 individuals (median age, 75 years) from 3 population-based European cohorts, enrolled in the FRAILOMIC project. Participants were stratified by history of CVD and frailty status. Mortality was recorded during 8 years of follow-up. Results: In adjusted Cox regression models, baseline serum sRAGE was positively associated with an increased risk of mortality in participants with CVD (HR 1.64, 95% CI 1.09–2.49, p = 0.019) but not in non-CVD. Within the CVD group, the risk of death was markedly enhanced in the frail subgroup (CVD-F, HR 1.97, 95% CI 1.18–3.29, p = 0.009), compared to the non-frail subgroup (CVD-NF, HR 1.50, 95% CI 0.71–3.15, p = 0.287). Kaplan-Meier analysis showed that the median survival time of CVD-F with high sRAGE (>1,554 pg/mL) was 2.9 years shorter than that of CVD-F with low sRAGE, whereas no survival difference was seen for CVD-NF. Area under the ROC curve analysis demonstrated that for CVD-F, addition of sRAGE to the prediction model increased its prognostic value. Conclusions: Frailty status influences the relationship between sRAGE and mortality in older adults with CVD. sRAGE could be used as a prognostic marker of mortality for these individuals, particularly if they are also frail. [ABSTRACT FROM AUTHOR]
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- 2021
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15. A META-ANALYSIS OF THE ROLE OF A PRIORI DIETARY INDICES IN DEPRESSION AMONG 7 COHORTS; THE MOODFOOD PROJECT
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Nicolaou, Mary, Vermeulen, Esther, Elstgeest, Liset, Knuppel, Anika, Colpo, Marco, Schoenaker, Danielle, Gibson-Smith, Deborah, Pot, Gerda, Brouwer, Ingeborg, Visser, Marjolein, Psychiatry, APH - Mental Health, Internal medicine, AGEM - Endocrinology, metabolism and nutrition, APH - Aging & Later Life, and APH - Health Behaviors & Chronic Diseases
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- 2017
16. Association of a priori dietary patterns with depressive symptoms: a harmonised meta-analysis of observational studies.
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Nicolaou, Mary, Colpo, Marco, Vermeulen, Esther, Elstgeest, Liset E. M., Cabout, Mieke, Gibson-Smith, Deborah, Knuppel, Anika, Sini, Giovana, Schoenaker, Danielle A. J. M., Mishra, Gita D., Lok, Anja, Penninx, Brenda W. J. H., Bandinelli, Stefania, Brunner, Eric J., Zwinderman, Aiko H., Brouwer, Ingeborg A., and Visser, Marjolein
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MENTAL depression risk factors , *CONFIDENCE intervals , *FOOD habits , *META-analysis , *DESCRIPTIVE statistics , *MEDITERRANEAN diet , *DASH diet , *ODDS ratio - Abstract
Background: Review findings on the role of dietary patterns in preventing depression are inconsistent, possibly due to variation in assessment of dietary exposure and depression. We studied the association between dietary patterns and depressive symptoms in six population-based cohorts and meta-analysed the findings using a standardised approach that defined dietary exposure, depression assessment and covariates. Methods: Included were cross-sectional data from 23 026 participants in six cohorts: InCHIANTI (Italy), LASA, NESDA, HELIUS (the Netherlands), ALSWH (Australia) and Whitehall II (UK). Analysis of incidence was based on three cohorts with repeated measures of depressive symptoms at 5–6 years of follow-up in 10 721 participants: Whitehall II, InCHIANTI, ALSWH. Three a priori dietary patterns, Mediterranean diet score (MDS), Alternative Healthy Eating Index (AHEI-2010), and the Dietary Approaches to Stop Hypertension (DASH) diet were investigated in relation to depressive symptoms. Analyses at the cohort-level adjusted for a fixed set of confounders, meta-analysis used a random-effects model. Results: Cross-sectional and prospective analyses showed statistically significant inverse associations of the three dietary patterns with depressive symptoms (continuous and dichotomous). In cross-sectional analysis, the association of diet with depressive symptoms using a cut-off yielded an adjusted OR of 0.87 (95% confidence interval 0.84–0.91) for MDS, 0.93 (0.88–0.98) for AHEI-2010, and 0.94 (0.87–1.01) for DASH. Similar associations were observed prospectively: 0.88 (0.80–0.96) for MDS; 0.95 (0.84–1.06) for AHEI-2010; 0.90 (0.84–0.97) for DASH. Conclusion: Population-scale observational evidence indicates that adults following a healthy dietary pattern have fewer depressive symptoms and lower risk of developing depressive symptoms. [ABSTRACT FROM AUTHOR]
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- 2020
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17. Anticholinergic Drug Induced Cognitive and Physical Impairment: Results from the InCHIANTI Study.
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Sargent, Lana, Nalls, Mike, Amella, Elaine J, Mueller, Martina, Lageman, Sarah K, Bandinelli, Stefania, Colpo, Marco, Slattum, Patricia W, Singleton, Andrew, and Ferrucci, Luigi
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COGNITION disorders ,OLDER people ,BIOLOGICAL models ,POPULATION aging ,CROSS-sectional method ,PARASYMPATHOMIMETIC agents ,RETROSPECTIVE studies - Abstract
Background: The aims of this study were to evaluate the relationship between anticholinergic drug burden (ACB) cognitive impairment, physical frailty, and cognitive frailty, and to determine if ACB is predictive of these phenotypes when modeled with biological and genomic biomarkers.Methods: In a retrospective cohort study, a total of 1,453 adults aged 20-102 years were used to examine ACB as a predictor for cognitive impairment, physical frailty, and cognitive frailty. Anticholinergic burden is examined as a predictor for all phenotypes in a cross-sectional analysis using logistic, ordinal regression models, and Extreme Gradient Boosting for population predictive modeling.Results: A significant association was found between ACB and cognitive decline (p = .02), frailty (p < .001), and cognitive frailty (p < .001). The odds of cognitive impairment increased by 1.21 (95% confidence interval [CI] = 1.06-1.37, p < .001), odds of being frail increased by 1.33 (95% CI = 1.18-1.50, p < .001), and odds of having cognitive frailty increased by 1.36 (95% CI = 1.21-1.54, p < .001). Population modeling results indicated ACB score as one of the stronger predictors for cognitive impairment, physical frailty, and cognitive frailty with area under the curves ranging from 0.81 to 0.88.Conclusions: Anticholinergic medications are a potentially modifiable risk factor for the prevention of cognitive and physical decline. Identification of reversible causes for cognitive and physical impairment is critical for the aging population. These findings encourage new research that may lead to effective interventions for deprescribing programs for the prevention of cognitive and physical decline in older adults. [ABSTRACT FROM AUTHOR]- Published
- 2020
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18. Assessment of occupational exposure to gaseous peracetic acid
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Dugheri, Stefano, primary, Bonari, Alessandro, additional, Pompilio, Ilenia, additional, Colpo, Marco, additional, Montalti, Manfredi, additional, Mucci, Nicola, additional, and Arcangeli, Giulio, additional
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- 2018
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19. Predicting Trajectories of Functional Decline in 60- to 70-Year-Old People
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Jonkman, Nini H., primary, Del Panta, Vieri, additional, Hoekstra, Trynke, additional, Colpo, Marco, additional, van Schoor, Natasja M., additional, Bandinelli, Stefania, additional, Cattelani, Luca, additional, Helbostad, Jorunn L., additional, Vereijken, Beatrix, additional, Pijnappels, Mirjam, additional, and Maier, Andrea B., additional
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- 2017
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20. Development of an innovative gas chromatography-mass spectrometry method for assessment of formaldehyde in the workplace atmosphere
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Dugheri, Stefano, primary, Bonari, Alessandro, additional, Pompilio, Ilenia, additional, Colpo, Marco, additional, Mucci, Nicola, additional, Montalti, Manfredi, additional, and Arcangeli, Giulio, additional
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- 2017
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21. Predicting trajectories of functional decline in 60-70 year old people
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Jonkman, Nini, Del Panta, Vieri, Hoekstra, Trynke, Colpo, Marco, Schoor, Natasja, Bandinelli, Stefania, Cattelani, Luca, Helbostad, Jorunn, Vereijken, Beatrix, Pijnappels, Mirjam, Andrea Maier, Neuromechanics, AMS - Ageing and Morbidity, Methodology and Applied Biostatistics, APH - Health Behaviors & Chronic Diseases, and APH - Methodology
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- 2018
22. Bidirectional associations between food groups and depressive symptoms: longitudinal findings from the Invecchiare in Chianti (InCHIANTI) study.
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Elstgeest, Liset E. M., Visser, Marjolein, Penninx, Brenda W. J. H., Colpo, Marco, Bandinelli, Stefania, and Brouwer, Ingeborg A.
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DIAGNOSIS of mental depression ,MENTAL depression risk factors ,CONFIDENCE intervals ,DAIRY products ,FISHES ,FOOD ,INGESTION ,LONGITUDINAL method ,MEAT ,QUESTIONNAIRES ,REGRESSION analysis ,SNACK foods ,VEGETABLES ,LOGISTIC regression analysis ,STRUCTURAL equation modeling ,REPEATED measures design ,ODDS ratio - Abstract
This study investigated bidirectional associations between intake of food groups and depressive symptoms in 1058 Italian participants (aged 20–102 years) of the Invecchiare in Chianti study. Dietary intake, assessed with a validated FFQ, and depressive symptoms, measured with the Center for Epidemiologic Studies Depression scale (CES-D), were assessed at baseline and after 3, 6 and 9 years. Associations of repeated measurements of intakes of thirteen food groups with 3-year changes in depressive symptoms, and vice versa, were analysed using linear mixed models and logistic generalised estimating equations. Fish intake was inversely (quartile (Q)4 v. Q1, B= –0·97, 95 % CI –1·74, –0·21) and sweet food intake positively (Q4 v. Q1, B= 1·03, 95 % CI 0·25, 1·81) associated with subsequent CES-D score. In the other direction, higher CES-D scores were associated with decreases in intakes of vegetables (ratio: 0·995, 95 % CI 0·990, 0·999) and red and processed meat (B= –0·006, 95 % CI –0·010, –0·001), an increase in dairy product intake (ratio: 1·008, 95 % CI 1·004, 1·013), and increasing odds of eating savoury snacks (OR: 1·012, 95 % CI 1·000, 1·024). Fruit, nuts and legumes, potatoes, wholegrain bread, olive oil, sugar-sweetened beverages, and coffee and tea were not significantly associated in either direction. Our study confirmed bidirectional associations between food group intakes and depressive symptoms. Fish and sweet food intakes were associated with 3-year improvement and deterioration in depressive symptoms, respectively. Depressive symptoms were associated with 3-year changes in vegetable, meat, dairy product and savoury snack intakes. Trials are necessary to examine the causal associations between food groups and depression. [ABSTRACT FROM AUTHOR]
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- 2019
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23. Association between smartphone-based activity monitoring and traditional clinical assessment tools in community-dwelling older people
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Coni, Alice, primary, Mellone, Sabato, additional, Leach, Julia M., additional, Colpo, Marco, additional, Bandinelli, Stefania, additional, and Chiari, Lorenzo, additional
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- 2016
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24. Consumption of fruit and vegetables and risk of frailty: a dose-response analysis of 3 prospective cohorts of community-dwelling older adults ,
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García-Esquinas, Esther, primary, Rahi, Berna, additional, Peres, Karine, additional, Colpo, Marco, additional, Dartigues, Jean-François, additional, Bandinelli, Stefania, additional, Feart, Catherine, additional, and Rodríguez-Artalejo, Fernando, additional
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- 2016
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25. The association between dietary patterns derived by reduced rank regression and depressive symptoms over time: the Invecchiare in Chianti (InCHIANTI) study
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Vermeulen, Esther, primary, Stronks, Karien, additional, Visser, Marjolein, additional, Brouwer, Ingeborg A., additional, Schene, Aart H., additional, Mocking, Roel J. T., additional, Colpo, Marco, additional, Bandinelli, Stefania, additional, Ferrucci, Luigi, additional, and Nicolaou, Mary, additional
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- 2016
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26. Predicting Trajectories of Functional Decline in 60- to 70-Year-Old People.
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Jonkman, Nini H., Del Panta, Vieri, Hoekstra, Trynke, Colpo, Marco, van Schoor, Natasja M., Bandinelli, Stefania, Cattelani, Luca, Helbostad, Jorunn L., Vereijken, Beatrix, Pijnappels, Mirjam, and Maier, Andrea B.
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FUNCTIONAL loss in older people ,DECISION making ,CARDIOVASCULAR diseases - Abstract
Background: Early identification of people at risk of functional decline is essential for delivering targeted preventive interventions.Objective: The aim of this study is to identify and predict trajectories of functional decline over 9 years in males and females aged 60-70 years.Methods: We included 403 community-dwelling participants from the InCHIANTI study and 395 from the LASA study aged 60-70 years at baseline, of whom the majority reported no functional decline at baseline (median 0, interquartile range 0-1). Participants were included if they reported data on ≥2 measurements of functional ability during a 9-year follow-up. Functional ability was scored with 6 self-reported items on activities of daily living. We performed latent class growth analysis to identify trajectories of functional decline and applied multinomial regression models to develop prediction models of identified trajectories. Analyses were stratified for sex.Results: Three distinct trajectories were identified: no/little decline (219 males, 241 females), intermediate decline (114 males, 158 females), and severe decline (36 males, 30 females). Higher gait speed showed decreased risk of functional limitations in males (intermediate limitations, odds ratio [OR] 0.74, 95% CI 0.57-0.97; severe limitations, OR 0.42, 95% CI 0.26-0.66). The final model in males further included the predictors fear of falling and alcohol intake (no/little decline, area under the receiver operating curve [AUC] 0.68, 95% CI 0.62-0.73; intermediate decline, AUC 0.63, 95% CI 0.56-0.69; severe decline, AUC 0.79, 95% CI 0.71-0.87). In females, higher gait speed showed a decreased risk of intermediate limitations (OR 0.51, 95% CI 0.38-0.68) and severe limitations (OR 0.18, 95% CI 0.07-0.44). Other predictors in females were age, living alone, economic satisfaction, balance, physical activity, BMI, and cardiovascular disease (no/little decline, AUC 0.80, 95% CI 0.75-0.85; intermediate decline, AUC 0.74, 95% CI 0.69-0.79; severe decline, AUC 0.95, 95% CI 0.91-0.99).Conclusion: Already in people aged 60-70 years, 3 distinct trajectories of functional decline were identified in these cohorts over a 9-year follow-up. Predictors of trajectories differed between males and females, except for gait speed. Identification of people at risk is the basis for targeting interventions. [ABSTRACT FROM AUTHOR]- Published
- 2018
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27. Predicting Trajectories of Functional Decline in 60- to 70-Year-Old People
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Stefania Bandinelli, Marco Colpo, Andrea B. Maier, Mirjam Pijnappels, Beatrix Vereijken, Natasja M. van Schoor, Vieri Del Panta, Nini H. Jonkman, Jorunn L. Helbostad, Luca Cattelani, Trynke Hoekstra, Epidemiology and Data Science, APH - Methodology, APH - Health Behaviors & Chronic Diseases, APH - Personalized Medicine, APH - Aging & Later Life, Neuromechanics, AMS - Ageing and Morbidity, Methodology and Applied Biostatistics, Jonkman, Nini H., Del Panta, Vieri, Hoekstra, Trynke, Colpo, Marco, Van Schoor, Natasja M., Bandinelli, Stefania, Cattelani, Luca, Helbostad, Jorunn L., Vereijken, Beatrix, Pijnappels, Mirjam, and Maier, Andrea B.
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Male ,Aging ,medicine.medical_specialty ,Alcohol Drinking ,Prognosi ,Successful aging ,Healthy Aging/physiology ,Fear of falling ,Physical performance ,Healthy Aging ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,SDG 3 - Good Health and Well-being ,Risk Factors ,Interquartile range ,Activities of Daily Living ,Epidemiology ,medicine ,Humans ,Longitudinal Studies ,030212 general & internal medicine ,Functional ability ,Accidental Falls/prevention & control ,Aged ,business.industry ,Prevention ,Fear ,Odds ratio ,Decision-making Disability ,Middle Aged ,Middle age ,Clinical Section / Original Paper ,Aging/physiology ,Walking Speed ,3. Good health ,Regression Analysis ,Accidental Falls ,Female ,Geriatrics and Gerontology ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Cohort study ,Demography - Abstract
Background: Early identification of people at risk of functional decline is essential for delivering targeted preventive interventions. Objective: The aim of this study is to identify and predict trajectories of functional decline over 9 years in males and females aged 60–70 years. Methods: We included 403 community-dwelling participants from the InCHIANTI study and 395 from the LASA study aged 60–70 years at baseline, of whom the majority reported no functional decline at baseline (median 0, interquartile range 0–1). Participants were included if they reported data on ≥ 2 measurements of functional ability during a 9-year follow-up. Functional ability was scored with 6 self-reported items on activities of daily living. We performed latent class growth analysis to identify trajectories of functional decline and applied multinomial regression models to develop prediction models of identified trajectories. Analyses were stratified for sex. Results: Three distinct trajectories were identified: no/little decline (219 males, 241 females), intermediate decline (114 males, 158 females), and severe decline (36 males, 30 females). Higher gait speed showed decreased risk of functional limitations in males (intermediate limitations, odds ratio [OR] 0.74, 95% CI 0.57–0.97; severe limitations, OR 0.42, 95% CI 0.26–0.66). The final model in males further included the predictors fear of falling and alcohol intake (no/little decline, area under the receiver operating curve [AUC] 0.68, 95% CI 0.62–0.73; intermediate decline, AUC 0.63, 95% CI 0.56–0.69; severe decline, AUC 0.79, 95% CI 0.71–0.87). In females, higher gait speed showed a decreased risk of intermediate limitations (OR 0.51, 95% CI 0.38–0.68) and severe limitations (OR 0.18, 95% CI 0.07–0.44). Other predictors in females were age, living alone, economic satisfaction, balance, physical activity, BMI, and cardiovascular disease (no/little decline, AUC 0.80, 95% CI 0.75–0.85; intermediate decline, AUC 0.74, 95% CI 0.69–0.79; severe decline, AUC 0.95, 95% CI 0.91–0.99). Conclusion: Already in people aged 60–70 years, 3 distinct trajectories of functional decline were identified in these cohorts over a 9-year follow-up. Predictors of trajectories differed between males and females, except for gait speed. Identification of people at risk is the basis for targeting interventions. © 2017 The Author(s) Published by S. Karger AG, Basel. Th is article is licensed under the Creative Commons AttributionNonCommercial-NoDerivatives 4.0 International License (CC BYNC-ND) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes as well as any distribution of modifi ed material requires written permission.
- Published
- 2018
28. An Exploratory Factor Analysis of Sensor-Based Physical Capability Assessment
- Author
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Stefania Bandinelli, Sabato Mellone, Kushang V. Patel, Lorenzo Chiari, Alice Coni, Marco Colpo, Jack M. Guralnik, Coni, Alice, Mellone, Sabato, Colpo, Marco, Guralnik, Jack M, Patel, Kushang V, Bandinelli, Stefania, and Chiari, Lorenzo
- Subjects
Male ,030506 rehabilitation ,medicine.medical_specialty ,Computer science ,Population ,Walking ,lcsh:Chemical technology ,Biochemistry ,Article ,Analytical Chemistry ,older adult ,Wearable Electronic Devices ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Activities of Daily Living ,medicine ,Humans ,physical capability assessment ,lcsh:TP1-1185 ,Muscle Strength ,Electrical and Electronic Engineering ,education ,Gait ,Geriatric Assessment ,Postural Balance ,Instrumentation ,older adults ,Aged ,Aged, 80 and over ,education.field_of_study ,exploratory factor analysis ,Construct validity ,Atomic and Molecular Physics, and Optics ,Exploratory factor analysis ,Test (assessment) ,exploratory factor analysi ,Lower Extremity ,Female ,Independent Living ,Smartphone ,instrumented functional test ,Factor Analysis, Statistical ,0305 other medical science ,human activities ,030217 neurology & neurosurgery - Abstract
Physical capability (PC) is conventionally evaluated through performance-based clinical assessments. We aimed to transform a battery of sensor-based functional tests into a clinically applicable assessment tool. We used Exploratory Factor Analysis (EFA) to uncover the underlying latent structure within sensor-based measures obtained in a population-based study. Three hundred four community-dwelling older adults (163 females, 80.9 ±, 6.4 years), underwent three functional tests (Quiet Stand, QS, 7-meter Walk, 7MW and Chair Stand, CST) wearing a smartphone at the lower back. Instrumented tests provided 73 sensor-based measures, out of which EFA identified a fifteen-factor model. A priori knowledge and the associations with health-related measures supported the functional interpretation and construct validity analysis of the factors, and provided the basis for developing a conceptual model of PC. For example, the &ldquo, Walking Impairment&rdquo, domain obtained from the 7MW test was significantly associated with measures of leg muscle power, gait speed, and overall lower extremity function. To the best of our knowledge, this is the first time that a battery of functional tests, instrumented through a smartphone, is used for outlining a sensor-based conceptual model, which could be suitable for assessing PC in older adults and tracking its changes over time.
- Published
- 2019
29. Association between smartphone-based activity monitoring and traditional clinical assessment tools in community-dwelling older people
- Author
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Julia M. Leach, Alice Coni, Stefania Bandinelli, Lorenzo Chiari, Sabato Mellone, Marco Colpo, Coni, Alice, Mellone, Sabato, Leach, Julia M., Colpo, Marco, Bandinelli, Stefania, and Chiari, Lorenzo
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Gerontology ,Engineering ,Activities of daily living ,Physical activity ,Biomedical Engineering ,Energy Engineering and Power Technology ,Human Factors and Ergonomics ,smartphone ,older adult ,03 medical and health sciences ,Activity monitoring ,0302 clinical medicine ,030212 general & internal medicine ,Association (psychology) ,Instrumentation ,Simulation ,business.industry ,Computer Science Application ,Cognition ,Gait ,Computer Networks and Communication ,factor analysi ,Computer Vision and Pattern Recognition ,Older people ,business ,human activities ,030217 neurology & neurosurgery ,Cohort study - Abstract
Smartphones are used in the framework of the FARSEEING-InChianti study to gain information on activities of daily living and define objective physical activity profiles. In this study we aimed to investigate the association between mean and extreme values of physical activity and gait characteristics derived from daily living activities and well-established clinical tools. 171 older adults from the InChianti cohort study were recruited. Factor analysis was performed to extract the underlying structure of physical activity and gait features for both mean and extreme values. Outcomes of the smartphone-based home monitoring are associated with clinical assessments. Extreme values seem to be more informative than the mean values and are more closely related with clinical assessments.
- Published
- 2016
30. Plasma proteomic signatures predict dementia and cognitive impairment.
- Author
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Tanaka T, Lavery R, Varma V, Fantoni G, Colpo M, Thambisetty M, Candia J, Resnick SM, Bennett DA, Biancotto A, Bandinelli S, and Ferrucci L
- Abstract
Introduction: Biomarker discovery of dementia and cognitive impairment is important to gather insight into mechanisms underlying the pathogenesis of these conditions., Methods: In 997 adults from the InCHIANTI study, we assessed the association of 1301 plasma proteins with dementia and cognitive impairment. Validation was conducted in two Alzheimer's disease (AD) case-control studies as well as endophenotypes of AD including cognitive decline, brain amyloid burden, and brain volume., Results: We identified four risk proteins that were significantly associated with increased odds (peptidase inhibitor 3 (PI3), trefoil factor 3 (TFF3), pregnancy associated plasma protein A (PAPPA), agouti-related peptide (AGRP)) and two protective proteins (myostatin (MSTN), integrin aVb5 (ITGAV/ITGB5)) with decreased odds of baseline cognitive impairment or dementia. Of these, four proteins (MSTN, PI3, TFF3, PAPPA) were associated cognitive decline in subjects that were cognitively normal at baseline. ITGAV/ITGB5 was associated with lower brain amyloid burden, MSTN and ITGAV/ITGB5 were associated with larger brain volume and slower brain atrophy, and PI3, PAPPA, and AGRP were associated with smaller brain volume and/or faster brain atrophy., Discussion: These proteins may be useful as non-invasive biomarkers of dementia and cognitive impairment., Competing Interests: None to declare., (Published 2020. This article is a U.S. Government work and is in the public domain in the USA. Alzheimer's & Dementia: Translational Research & Clinical Interventions published by Wiley Periodicals, Inc on behalf of Alzheimer's Association.)
- Published
- 2020
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