306 results on '"Frittitta, L."'
Search Results
2. Climate changes and nutrition sustainibility
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Frittitta, L. and Vigneri, M.
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- 2023
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3. A double blind randomized controlled trial investigating efficacy and safety of varenicline for smoking cessation in patients with type 2 diabetes: study protocol
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Russo, C., Caponnetto, P., Cibella, F., Maglia, M., Alamo, A., Campagna, D., Frittitta, L., Di Mauro, M., Leotta, C., Mondati, E., Krysiński, A., Franek, E., and Polosa, R.
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- 2021
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4. Short-term efficacy of high intensity group and individual education in patients with type 2 diabetes: a randomized single-center trial
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Reale, R., Tumminia, A., Romeo, L., La Spina, N., Baratta, R., Padova, G., Tomaselli, L., and Frittitta, L.
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- 2019
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5. Phenotyping normal kidney function in elderly patients with type 2 diabetes: a cross-sectional multicentre study
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Fadini, G P, Solini, A, Manca, M L, Zatti, G, Karamouzis, I, Di Benedetto, A, Frittitta, L, Avogaro, A, and For the DARWIN-T2D Network
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- 2018
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6. Abnormal 1-hour post-load glycemia during pregnancy impairs post-partum metabolic status: a single-center experience
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Tumminia, A., Milluzzo, A., Cinti, F., Parisi, M., Tata, F., Frasca, F., Frittitta, L., Vigneri, R., and Sciacca, L.
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- 2018
- Full Text
- View/download PDF
7. Efficacy, feasibility and tolerability of ketogenic diet for the treatment of poor response to bariatric surgery
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Vinciguerra, F. (F.), Longhitano, S. (S.), Carrubba, N. (N.), Piazza, L. (L.), Di Stefano, C. (C.), Arpi, M. L. (M. L.), Baratta, R. (R.), Hagnäs, M. (M.), Frittitta, L. (L.), Vinciguerra, F. (F.), Longhitano, S. (S.), Carrubba, N. (N.), Piazza, L. (L.), Di Stefano, C. (C.), Arpi, M. L. (M. L.), Baratta, R. (R.), Hagnäs, M. (M.), and Frittitta, L. (L.)
- Abstract
Purpose: Poor response to bariatric surgery, namely insufficient weight loss (IWL) or weight regain (WR), is a critical issue in the treatment of obesity. The purpose of our study was to assess the efficacy, feasibility, and tolerability of very low-calorie ketogenic diet (VLCKD) for the management of this condition. Methods: A real-life prospective study was conducted on twenty-two patients who experienced poor response after bariatric surgery and followed a structured VLCKD. Anthropometric parameters, body composition, muscular strength, biochemical analyses, and nutritional behavior questionnaires were evaluated. Results: A significant weight loss (mean 14.1 ± 4.8%), mostly due to fat mass, was observed during VLCKD with the preservation of muscular strength. The weight loss obtained allowed patients with IWL to reach a body weight significantly lower than that obtained at the post-bariatric surgery nadir and to report the body weight of patients with WR at the nadir observed after surgery. The significantly beneficial changes in nutritional behaviors and metabolic profiles were observed without variations in kidney and liver function, vitamins, and iron status. The nutritional regimen was well tolerated, and no significant side effects were detected. Conclusion: Our data demonstrate the efficacy, feasibility, and tolerability of VLCKD in patients with poor response after bariatric surgery.
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- 2023
8. SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach
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Zappa, M. A., Iossa, A., Busetto, L., Chiappetta, S., Greco, F., Lucchese, M., Micanti, F., Mingrone, Geltrude, Navarra, G., Raffaelli, Marco, Altorio, S. F., Angrisani, L., Arcudi, C., Bellini, F., Bernante, P., Berta, R., Capristo, Esmeralda, Carbonelli, M. G., Casella, G., Casella, J. M., Castagneto Gissey, L., Cerbone, M. R., Ciampaglia, F., Ciccoritti, Luigi, Contine, A., Curro, G., D'Alessio, R., De Palma, M., Delle Piane, D., Di Benedetto, N., Di Lorenzo, N., Fantola, G., Farnaz, R., Foletto, M., Forestieri, P., Frittitta, L., Galfrascoli, E., Gentileschi, P., Giardiello, C., Giustacchini, Piero, Giusti, M. P., Grandone, I., Guidone, Caterina, Iaconelli, Amerigo, Lembo, Erminia, Leanza, S., Lezoche, G., Lunardi, C., Martines, G., Marzano, B., Paone, E., Papadia, F. S., Perrone, F., Piazza, L., Pilone, V., Pizzi, P., Rice, M., Rizzi, A., Santini, F., Sarro, G., Schettino, A., Tartaglia, N., Toppino, Piero Maria, Usai, Alessandro, De Luca, Marianna, Mingrone G. (ORCID:0000-0003-2021-528X), Raffaelli M. (ORCID:0000-0002-1259-2491), Capristo E. (ORCID:0000-0002-5753-3495), Ciccoritti L., Giustacchini P., Guidone C., Iaconelli A., Lembo E., Toppino M., Usai A., De Luca M. (ORCID:0000-0002-9996-6563), Zappa, M. A., Iossa, A., Busetto, L., Chiappetta, S., Greco, F., Lucchese, M., Micanti, F., Mingrone, Geltrude, Navarra, G., Raffaelli, Marco, Altorio, S. F., Angrisani, L., Arcudi, C., Bellini, F., Bernante, P., Berta, R., Capristo, Esmeralda, Carbonelli, M. G., Casella, G., Casella, J. M., Castagneto Gissey, L., Cerbone, M. R., Ciampaglia, F., Ciccoritti, Luigi, Contine, A., Curro, G., D'Alessio, R., De Palma, M., Delle Piane, D., Di Benedetto, N., Di Lorenzo, N., Fantola, G., Farnaz, R., Foletto, M., Forestieri, P., Frittitta, L., Galfrascoli, E., Gentileschi, P., Giardiello, C., Giustacchini, Piero, Giusti, M. P., Grandone, I., Guidone, Caterina, Iaconelli, Amerigo, Lembo, Erminia, Leanza, S., Lezoche, G., Lunardi, C., Martines, G., Marzano, B., Paone, E., Papadia, F. S., Perrone, F., Piazza, L., Pilone, V., Pizzi, P., Rice, M., Rizzi, A., Santini, F., Sarro, G., Schettino, A., Tartaglia, N., Toppino, Piero Maria, Usai, Alessandro, De Luca, Marianna, Mingrone G. (ORCID:0000-0003-2021-528X), Raffaelli M. (ORCID:0000-0002-1259-2491), Capristo E. (ORCID:0000-0002-5753-3495), Ciccoritti L., Giustacchini P., Guidone C., Iaconelli A., Lembo E., Toppino M., Usai A., and De Luca M. (ORCID:0000-0002-9996-6563)
- Abstract
Purpose: Overweight and obesity affects 60% of adults causing more than 1.2 million deaths across world every year. Fight against involved different specialist figures and multiple are the approved weapons. Aim of the present survey endorsed by the Italian Society of Bariatric Surgery (SICOB) is to reach a national consensus on obesity treatment optimization through a Delphi process. Methods: Eleven key opinion leaders (KOLs) identified 22 statements with a major need of clarification and debate. The explored pathways were: (1) Management of patient candidate to bariatric/metabolic surgery (BMS); (2) Management of patient not eligible for BMS; (3) Management of patient with short-term (2 years) weight regain (WR) or insufficient weight loss (IWL); (4) Management of the patient with medium-term (5 years) WR; and (5) Association between drugs and BMS as WR prevention. The questionnaire was distributed to 65 national experts via an online platform with anonymized results. Results: 54 out of 65 invited panelists (83%) respond. Positive consensus was reached for 18/22 statements (82%); while, negative consensus (s20.4; s21.5) and no consensus (s11.5, s17) were reached for 2 statements, respectively (9%). Conclusion: The Delphi results underline the importance of first-line interdisciplinary management, with large pre-treatment examination, and establish a common opinion on how to properly manage post-operative IWL/WR. Level of evidence V: Report of expert committees.
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- 2023
9. Short-term effectiveness of dapagliflozin versus DPP-4 inhibitors in elderly patients with type 2 diabetes: a multicentre retrospective study
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Morieri, M. L., Raz, I., Consoli, A., Rigato, M., Lapolla, A., Broglio, F., Bonora, E., Avogaro, A., Fadini, G. P., Ginestra, F., Formoso, G., Andreozzi, F., Sesti, G., Turco, S., Lucibelli, L., Gatti, A., Aldigeri, R., Dei Cas, A., Felace, G., Li Volsi, P., Sorice, G. P., Giaccari, A., Mignogna, C., Buzzetti, R., Filardi, T., Morano, S., Barchetta, I., Gisella Cavallo, M., Malandrucco, I., Frontoni, S., Carletti, S., D'Angelo, P., Leto, G., Leonetti, F., Silvia Morpurgo, P., Fiorina, P., Palmieri, E., Orsi, E., Mantovani, E., Franzetti, I., Querci, F., Bossi, A., Turchi, F., Manfrini, S., Guida, D., Placentino, G., Beccuti, G., Cavalot, F., Nuzzo, A., Aimaretti, G., Lamacchia, O., Cignarelli, A., Laviola, L., Giorgino, F., Devangelio, E., Cazzetta, G., Chianetta, R., Citarrella, R., Tumminia, A., Frittitta, L., Anzaldi, M., Buscema, M., Piro, S., Di Pino, A., Purrello, F., Di Benedetto, A., Russo, G., Anichini, R., Solini, A., Garofolo, M., Del Prato, S., Fattor, B., Paolo Fadini, G., Sartore, G., D'Ambrosio, M., Da Tos, V., Frison, V., Simioni, N., Cigolini, M., Brun, E., Strazzabosco, M., Poli, M., Paccagnella, A., and Vinci, C.
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Aging ,Cardiovascular ,Heart failure ,Kidney disease ,Observational - Published
- 2023
10. Insulin, insulin receptors, and cancer
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Vigneri, R., Goldfine, I. D., and Frittitta, L.
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- 2016
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11. Influence of early-life and parental factors on childhood overweight and obesity
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Parrino, C., Vinciguerra, F., La Spina, N., Romeo, L., Tumminia, A., Baratta, R., Squatrito, S., Vigneri, R., and Frittitta, L.
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- 2016
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12. Integrated insulin pump therapy with continuous glucose monitoring for improved adherence: technology update
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Tumminia A, Sciacca L, Frittitta L, Squatrito S, Vigneri R, Le Moli R, and Tomaselli L
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Medicine (General) ,R5-920 - Abstract
Andrea Tumminia,1 Laura Sciacca,1 Lucia Frittitta,1 Sebastiano Squatrito,1 Riccardo Vigneri,2 Rosario Le Moli,1 Letizia Tomaselli2 1Endocrinology, Department of Clinical and Experimental Medicine, University of Catania, Garibaldi-Nesima Hospital, Catania, Italy; 2Endocrinology, Garibaldi-Nesima Hospital, Catania, Italy Abstract: Insulin pump therapy combined with real-time continuous glucose monitoring, known as sensor-augmented pump (SAP) therapy, has been shown to improve metabolic control and to reduce the rate of hypoglycemia in adults with type 1 diabetes compared to multiple daily injections or standard continuous subcutaneous insulin infusion. Glycemic variability is also reduced in patients on SAP therapy. This approach allows patients to monitor their glucose levels being informed of glycemic concentration and trend. Trained diabetic patients, therefore, can appropriately modify insulin infusion and/or carbohydrate intake in order to prevent hypo- or hyperglycemia. For these reasons, SAP therapy is now considered the gold standard for type 1 diabetes treatment. To be clinically effective, however, devices and techniques using advanced technology should not only have the potential to theoretically ameliorate metabolic control, but also be well accepted by patients in terms of satisfaction and health-related quality of life, because these factors will improve treatment adherence and consequently overall outcome. SAP therapy is generally well tolerated by patients; however, many clinical trials have identified significant noncompliance in the use of this device, most notably in the pediatric and adolescent populations. In this review we aim to analyze the main reasons for good or poor adherence to SAP therapy and to provide useful tips in order to fully benefit from this kind of novel therapeutic approach. Keywords: sensor-augmented insulin pump therapy, type 1 diabetes, quality of life, patient adherence, continuous subcutaneous insulin infusion
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- 2015
13. Association of autoimmune thyroid diseases, chronic atrophic gastritis and gastric carcinoid: experience from a single institution
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Castoro, C., Le Moli, R., Arpi, M. L., Tavarelli, M., Sapuppo, G., Frittitta, L., Squatrito, S., and Pellegriti, G.
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- 2016
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14. Association of personalised care plans with monitoring and control of clinical outcomes, prescription of medication and utilisation of primary care services in patients with type 2 diabetes:an observational real-world study
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Mikkola, I. (Ilona), Morgan, S. (Simon), Winell, K. (Klas), Jokelainen, J. (Jari), Frittitta, L. (Lucia), Heikkala, E. (Eveliina), Hagnäs, M. (Maria), Mikkola, I. (Ilona), Morgan, S. (Simon), Winell, K. (Klas), Jokelainen, J. (Jari), Frittitta, L. (Lucia), Heikkala, E. (Eveliina), and Hagnäs, M. (Maria)
- Abstract
Objective: To study the association of personalised care plans with monitoring and controlling clinical outcomes, prescription of cardiovascular and antihyperglycaemic medication and utilisation of primary care services in patients with type 2 diabetes (T2D). Patients: Primary care T2D outpatients from the Rovaniemi Health Centre. Setting: The municipal health centre, Rovaniemi, Finland. Design: A cross-sectional, observational, retrospective register-based study. The patients were divided into three groups: ‘no care plan entries’ (usual care); ‘1–2 care plan entries’; and ‘3 or more care plan entries’. Main outcome measures: Monitoring of clinical and biochemical measures, achievement of treatment targets, prescription of cardiovascular and antihyperglycemic medication, and use of primary care services. Results: A total of 5104 patients with T2D (mean age 65.5 years (SD 12.4)), of which 67% had at least one care plan entry. Compared to usual care, the establishment of a care plan (either care plan group) was associated with better monitoring of glycosylated haemoglobin A1c, low-density-lipoprotein cholesterol, systolic blood pressure (sBP), and renal function, and there was more frequent prescription of all cardiovascular and antihyperglycemic medication. Patients in either care plan group were more likely to achieve sBP target (p < 0.05). Patients without a care plan had more unplanned primary care physician contacts compared to patients in care plan groups (p <0.001). Conclusion: Establishment of a care plan is associated with more intensive and focussed care of patients with T2D. The appropriate use of primary care resources is essential and personalised care plans may contribute to the treatment of patients with T2D.
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- 2022
15. Predictors of early discontinuation of dapagliflozin versus other glucose-lowering medications: a retrospective multicenter real-world study
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Fadini, G. P., Li Volsi, P., Devangelio, E., Poli, M., Cazzetta, G., Felace, G., Avogaro, A., Consoli, A., Formoso, G., Grossi, G., Pucci, A., Sesti, G., Andreozzi, F., Capobianco, G., Gatti, A., Bonadonna, R., Zavaroni, I., Cas, A. D., Buzzetti, R., Leto, G., Sorice, G. P., D'Angelo, P., Morano, S., Bossi, A. C., Duratorre, E., Franzetti, I., Morpurgo, P. S., Orsi, E., Querci, F., Boemi, M., D'Angelo, F., Petrelli, M., Aimaretti, G., Karamouzis, I., Cavalot, F., Saglietti, G., Cervone, S., Lamacchia, O., Arena, S., Di Benedetto, A., Frittitta, L., Giordano, C., Piro, S., Rizzo, M., Chianetta, R., Mannina, C., Anichini, R., Penno, G., Solini, A., Fattor, B., Bonora, E., Cigolini, M., Lapolla, A., Chilelli, N. C., Simioni, N., Frison, V., Vinci, C., Fadini G.P., Li Volsi P., Devangelio E., Poli M., Cazzetta G., Felace G., Avogaro A., Consoli A., Formoso G., Grossi G., Pucci A., Sesti G., Andreozzi F., Capobianco G., Gatti A., Bonadonna R., Zavaroni I., Cas A.D., Buzzetti R., Leto G., Sorice G.P., D'Angelo P., Morano S., Bossi A.C., Duratorre E., Franzetti I., Morpurgo P.S., Orsi E., Querci F., Boemi M., D'Angelo F., Petrelli M., Aimaretti G., Karamouzis I., Cavalot F., Saglietti G., Cervone S., Lamacchia O., Arena S., Di Benedetto A., Frittitta L., Giordano C., Piro S., Rizzo M., Chianetta R., Mannina C., Anichini R., Penno G., Solini A., Fattor B., Bonora E., Cigolini M., Lapolla A., Chilelli N.C., Simioni N., Frison V., and Vinci C.
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Blood Glucose ,Male ,medicine.medical_specialty ,Endocrinology, Diabetes and Metabolism ,030209 endocrinology & metabolism ,Type 2 diabetes ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Endocrinology ,Glucosides ,Diabetes mellitus ,Internal medicine ,Adherence ,Observational ,Pharmacotherapy ,Real-world ,Aged ,Benzhydryl Compounds ,Diabetes Mellitus, Type 2 ,Dipeptidyl-Peptidase IV Inhibitors ,Female ,Humans ,Hypoglycemic Agents ,Middle Aged ,Retrospective Studies ,Withholding Treatment ,Diabetes Mellitus ,medicine ,Outpatient clinic ,Dapagliflozin ,business.industry ,Retrospective cohort study ,medicine.disease ,Metformin ,Discontinuation ,chemistry ,Tolerability ,030220 oncology & carcinogenesis ,business ,Type 2 ,medicine.drug - Abstract
Background and aims: In routine clinical practice, early discontinuation of newly initiated glucose-lowering medications (GLM) is relatively common. We herein evaluated if the clinical characteristics associated with early discontinuation of dapagliflozin were different from those associated with early discontinuation of other GLM. Methods: The DARWIN-T2D was a multicenter retrospective study conducted at diabetes specialist outpatient clinics in Italy. We included 2484 patients who were initiated on dapagliflozin in 2015–2016 and 14,801 patients who were initiated on other GLM (DPP-4 inhibitors, GLP-1 receptor agonists, or gliclazide) in the same period. After excluding patients who had not (yet) returned to follow-up, we compared the characteristics of patients who persisted on drug versus those who were no longer on drug at the first available follow-up after at least 3months. Results: As compared to those who persisted on drug, patients who discontinued dapagliflozin (51.7%) were more often female, had higher baseline fasting plasma glucose (FPG), HbA1c, and eGFR, and less common use of metformin. Upon multiple regression, higher HbA1c, higher eGFR, and lower metformin use remained independently associated with early discontinuation. Among patients who had been initiated on other GLM, 41.7% discontinued. Variables independently associated with discontinuation were older age, longer diabetes duration, higher HbA1c, eGFR, and albumin excretion, more common use of insulin and less metformin. Conclusion: In routine clinical practice, all variables associated with dapagliflozin discontinuation were also associated with discontinuation of other GLM. Thus, despite a distinctive mechanism of action and a peculiar tolerability profile, no specific predictor of dapagliflozin discontinuation was detected.
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- 2019
16. Correction to: Analysis of common methodological flaws in the highest cited e-cigarette epidemiology research (Internal and Emergency Medicine, (2022), 17, 3, (887-909), 10.1007/s11739-022-02967-1)
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Hajat, C., Stein, E., Selya, A., Polosa, R., Alaimo, S., Anfuso, C. D., Barbagallo, I., Basile, F., Battiato, S., Benhamou, B., Bertino, G., Bianchi, A., Biondi, A. G., Brandi, M. L., Cacciola, E., Cacciola, R. R., Cacopardo, B. S., Calogero, A. E., Cambria, M. T., Campagna, D., Caraci, F., Cariola, A., Caruso, M., Caponnetto, P., Ciancio, A., Cibella, F., Mauro, M., Piazza, J., Stefano, A., Drago, F., Failla, S., Faraci, R., Ferlito, S., Ferrante, M., Ferro, A., Ferro, G. A., Frasca, F., Frittitta, L., Furneri, P. M., Gagliano, A., Gallo, G., Galvano, F., Grasso, G., Guarino, F., Gulino, A., Jannini, E. A., Vignera, S. L., Lazzarino, G., Ledda, C., Leonardi, R. M., Volti, G. L., Longo, A., Lupo, G., Malerba, M., Marletta, L., Nicolosi, G., Nocera, F., Conti, G. O., Palazzo, G., Parenti, R., Pedulla, E., Pulvirenti, A., Purrello, F., Rapisarda, F., Rapisarda, V., Rizzo, R., Ronsisvalle, S., Ronsisvalle, G., Ruggieri, M., Santagati, M., Satriano, C., Sciacca, L., Signorelli, M. S., Tatullo, M., Tibullo, D., Tomaselli, V., Volarevic, V., Zanoli, L., and Zappala, A.
- Published
- 2022
17. Efficacy and Safety of Varenicline for Smoking Cessation in Patients With Type 2 Diabetes: A Randomized Clinical Trial
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Russo, C., Walicka, M., Caponnetto, P., Cibella, F., Maglia, M., Alamo, A., Campagna, D., Frittitta, L., Mauro, Di, Caci, M., Krysinski, G., Franek, A., amp, and Polosa, R.
- Subjects
Male ,Diabetes mellitus ,Diabetes Mellitus, Type 2 ,Randomized controlled trial ,Quinoxalines ,Humans ,Female ,Smoking Cessation ,General Medicine ,Nicotinic Agonists ,Benzazepines ,Middle Aged ,Varenicline - Abstract
Importance: Evidence of effective smoking cessation interventions in patients with diabetes is limited. The unique behavioral and metabolic characteristics of smokers with type 2 diabetes warrants a randomized clinical trial of the smoking cessation drug varenicline. Objective: To evaluate the efficacy and safety of varenicline in patients with type 2 diabetes with an intention to quit smoking. Design, setting, and participants: This multicenter, double-blind, placebo-controlled randomized clinical trial recruited patients from 6 outpatient clinics in 5 hospitals in Catania, Italy. Patients with type 2 diabetes, who were smoking at least 10 cigarettes a day, and who intended to quit smoking were screened for eligibility. Eligible patients were randomized to either varenicline or placebo treatment. The trial consisted of a 12-week treatment phase followed by a 40-week follow-up, nontreatment phase. Intention-to-treat data analysis was performed from December 2020 to April 2021. Interventions: Varenicline, 1 mg, twice daily or matched placebo administered for 12 weeks. Patients in both treatment groups also received smoking cessation counseling. Main outcomes and measures: The primary efficacy end point of the study was the continuous abstinence rate (CAR) at weeks 9 to 24. Secondary efficacy end points were the CAR at weeks 9 to 12 and weeks 9 to 52 as well as 7-day point prevalence of abstinence at weeks 12, 24, and 52. Results: A total of 300 patients (mean [SD] age, 57.4 [0.8] years; 117 men [78.0%] in varenicline group and 119 men [79.3%] in placebo group) were randomized to receive varenicline (n = 150) or placebo (n = 150). The CAR at weeks 9 to 24 was significantly higher for the varenicline than placebo group (24.0% vs 6.0%; odds ratio [OR], 4.95; 95% CI, 2.29-10.70; P < .001). The CARs at weeks 9 to 12 (31.3% vs 7.3%; OR, 5.77; 95% CI, 2.85-11.66; P < .001) and weeks 9 to 52 (18.7% vs 5.3%; OR, 4.07; 95% CI, 1.79-9.27; P < .001) as well as the 7-day point prevalence of abstinence at weeks 12, 24, and 52 were also significantly higher for the varenicline vs placebo group. The most frequent adverse events occurring in the varenicline group compared with the placebo group were nausea (41 [27.3%] vs 17 [11.4%]), insomnia (29 [19.4%] vs 19 [12.7%]), abnormal dreams (19 [12.7%] vs 5 [3.4%]), anxiety (17 [11.4%] vs 11 [7.3%]), and irritability (14 [9.4%] vs 8 [5.4%]). Serious adverse events were infrequent in both groups and not treatment-related. Conclusions and relevance: Results of this trial showed that inclusion of varenicline in a smoking cessation program is efficacious in achieving long-term abstinence without serious adverse events. Varenicline should be routinely used in diabetes education programs to help patients with type 2 diabetes stop smoking. Trial registration: ClinicalTrials.gov Identifier: NCT01387425.
- Published
- 2022
18. Adiponectin increases glucose-induced insulin secretion through the activation of lipid oxidation
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Patané, G., Caporarello, N., Marchetti, P., Parrino, C., Sudano, D., Marselli, L., Vigneri, R., and Frittitta, L.
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- 2013
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19. TRIB3 R84 variant affects glucose homeostasis by altering the interplay between insulin sensitivity and secretion
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Prudente, S., Baratta, R., Andreozzi, F., Morini, E., Farina, M. G., Nigro, A., Copetti, M., Pellegrini, F., Succurro, E., Di Pietrantonio, L., Brufani, C., Barbetti, F., Dallapiccola, B., Sesti, G., Trischitta, V., and Frittitta, L.
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- 2010
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20. Similar effectiveness of dapagliflozin and GLP-1 receptor agonists concerning combined endpoints in routine clinical practice: A multicentre retrospective study
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Fadini, G. P., Sciannameo, V., Franzetti, I., Bottigliengo, D., D'Angelo, P., Vinci, C., Berchialla, P., Arena, S., Buzzetti, R., Avogaro, A., Consoli, A., Formoso, G., Grossi, G., Pucci, A., Sesti, G., Andreozzi, F., Capobianco, G., Gatti, A., Bonadonna, R., Zavaroni, I., Cas, A. D., Felace, G., Volsi, P. L., Leto, G., Sorice, G. P., Morano, S., Bossi, A. C., Duratorre, E., Morpurgo, P. S., Orsi, E., Querci, F., Boemi, M., D'Angelo, F., Petrelli, M., Aimaretti, G., Karamouzis, I., Cavalot, F., Saglietti, G., Cazzetta, G., Cervone, S., Devangelio, E., Lamacchia, O., Di Benedetto, A., Frittitta, L., Giordano, C., Piro, S., Rizzo, M., Chianetta, R., Mannina, C., Anichini, R., Penno, G., Solini, A., Fattor, B., Bonora, E., Cigolini, M., Lapolla, A., Chilelli, N. C., Poli, M., Simioni, N., Frison, V., Fadini G.P., Sciannameo V., Franzetti I., Bottigliengo D., D'Angelo P., Vinci C., Berchialla P., Arena S., Buzzetti R., Avogaro A., Consoli A., Formoso G., Grossi G., Pucci A., Sesti G., Andreozzi F., Capobianco G., Gatti A., Bonadonna R., Zavaroni I., Cas A.D., Felace G., Volsi P.L., Leto G., Sorice G.P., Morano S., Bossi A.C., Duratorre E., Morpurgo P.S., Orsi E., Querci F., Boemi M., D'Angelo F., Petrelli M., Aimaretti G., Karamouzis I., Cavalot F., Saglietti G., Cazzetta G., Cervone S., Devangelio E., Lamacchia O., Di Benedetto A., Frittitta L., Giordano C., Piro S., Rizzo M., Chianetta R., Mannina C., Anichini R., Penno G., Solini A., Fattor B., Bonora E., Cigolini M., Lapolla A., Chilelli N.C., Poli M., Simioni N., and Frison V.
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Blood Glucose ,Male ,Glycated Hemoglobin A ,Endocrinology, Diabetes and Metabolism ,Blood Pressure ,Type 2 diabetes ,030204 cardiovascular system & hematology ,Settore MED/13 - Endocrinologia ,chemistry.chemical_compound ,0302 clinical medicine ,Endocrinology ,Glucosides ,Clinical endpoint ,Medicine ,Dapagliflozin ,GLP-1 analogue ,Middle Aged ,Treatment Outcome ,glycaemic control ,antidiabetic drug ,dapagliflozin ,observational study ,Combination ,Original Article ,Drug Therapy, Combination ,Female ,Type 2 ,medicine.drug ,Adult ,medicine.medical_specialty ,030209 endocrinology & metabolism ,Glucagon-Like Peptide-1 Receptor ,03 medical and health sciences ,Drug Therapy ,GLP‐1 analogue ,Internal medicine ,Diabetes mellitus ,Internal Medicine ,Diabetes Mellitus ,Humans ,Hypoglycemic Agents ,Benzhydryl Compounds ,Aged ,Retrospective Studies ,Glycated Hemoglobin ,Body Weight ,Diabetes Mellitus, Type 2 ,Diabetic Angiopathies ,Exenatide ,Liraglutide ,business.industry ,Retrospective cohort study ,Original Articles ,medicine.disease ,Blood pressure ,chemistry ,Propensity score matching ,business ,Antidiabetic drug, dapagliflozin, GLP-1 analogue, glycaemic control, observational study - Abstract
Aims According to cardiovascular outcome trials, some sodium‐glucose contransporter‐2 inhibitors (SGLT2i) and glucagon‐like peptide‐1 receptor agonists (GLP‐1RA) are recommended for secondary cardiovascular prevention in type 2 diabetes (T2D). In this real‐world study, we compared the simultaneous reductions in HbA1c, body weight and systolic blood pressure after initiation of dapagliflozin or GLP‐1RA as second or a more advanced line of therapy. Materials and methods DARWIN‐T2D was a retrospective multi‐centre study conducted at diabetes specialist clinics in Italy that compared T2D patients who initiated dapagliflozin or GLP‐1RA (exenatide once weekly or liraglutide). Data were collected at baseline and at the first follow‐up visit after 3 to 12 months. The primary endpoint was the proportion of patients achieving a simultaneous reduction in HbA1c, body weight and systolic blood pressure. To reduce confounding, we used multivariable adjustment (MVA) or propensity score matching (PSM). Results Totals of 473 patients initiating dapagliflozin and 336 patients initiating GLP‐1RA were included. The two groups differed in age, diabetes duration, HbA1c, weight and concomitant medications. The median follow‐up was 6 months in both groups. Using MVA or PSM, the primary endpoint was observed in 30% to 32% of patients, with no difference between groups. Simultaneous reduction of HbA1c, BP and SBP by specific threshold, as well as achievement of final goals, did not differ between groups. GLP‐1RA reduced HbA1c by 0.3% more than the reduction achieved with dapagliflozin. Conclusion In routine specialist care, initiation of dapagliflozin can be as effective as initiation of a GLP‐1RA for attainment of combined risk factor goals.
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- 2019
21. Prevalence and clinical characteristics of children and adolescents with metabolically healthy obesity:role of insulin sensitivity
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Vinciguerra, F. (Federica), Tumminia, A. (Andrea), Baratta, R. (Roberto), Ferro, A. (Alfredo), Alaimo, S. (Salvatore), Hagnäs, M. (Maria), Graziano, M. (Marco), Vigneri, R. (Riccardo), and Frittitta, L. (Lucia)
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children ,insulin resistance ,nutritional and metabolic diseases ,metabolically healthy obesity ,adolescents ,metabolic syndrome - Abstract
Obesity represents a major risk factor for metabolic disorders, but some individuals, “metabolically healthy” (MHO), show less clinical evidence of these complications, in contrast to “metabolically unhealthy” (MUO) individuals. The aim of this cross-sectional study is to assess the prevalence of the MHO phenotype in a cohort of 246 overweight/obese Italian children and adolescents, and to evaluate their characteristics and the role of insulin resistance. Homeostasis model assessment–insulin resistance (HOMA-IR), insulin sensitivity index (ISI), insulinogenic index (IGI) and disposition index (DI) were all calculated from the Oral Glucose Tolerance Test (OGTT). MHO was defined by either: (1) HOMA-IR < 2.5 (MHO-IRes), or (2) absence of the criteria for metabolic syndrome (MHO-MetS). The MHO prevalence, according to MHO-MetS or MHO-IRes criteria, was 37.4% and 15.8%, respectively. ISI was the strongest predictor of the MHO phenotype, independently associated with both MHO-IRes and MHO-MetS. The MHO-MetS group was further subdivided into insulin sensitive or insulin resistant on the basis of HOMA-IR (either < or ≥ 2.5). Insulin sensitive MHO-MetS patients had a better metabolic profile compared to both insulin resistant MHO-MetS and MUO-MetS individuals. These data underscore the relevance of insulin sensitivity to identifying, among young individuals with overweight/obesity, the ones who have a more favorable metabolic phenotype.
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- 2020
22. Implementation of a personalized care plan for patients with type 2 diabetes is associated with improvements in clinical outcomes:an observational real-world study
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Vuohijoki, A. (Anni), Mikkola, I. (Ilona), Jokelainen, J. (Jari), Keinänen-Kiukaanniemi, S. (Sirkka), Winell, K. (Klas), Frittitta, L. (Lucia), Timonen, M. (Markku), Hagnäs, M. (Maria), Vuohijoki, A. (Anni), Mikkola, I. (Ilona), Jokelainen, J. (Jari), Keinänen-Kiukaanniemi, S. (Sirkka), Winell, K. (Klas), Frittitta, L. (Lucia), Timonen, M. (Markku), and Hagnäs, M. (Maria)
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Objective: To analyze the clinical outcomes of patients with type 2 diabetes (T2D) before and after implementation of a personalized care plan in the primary health care setting. Design: Observational, retrospective, real-world study. Setting: All T2D patients with a care plan in Rovaniemi Health Center, Rovaniemi, Finland, for whom data were available from a baseline visit (in 2013–2015 during which the care plan was written) and from a follow-up visit, including an updated care plan by the year 2017. Subjects: In total, 447 patients were included. Mean age was 66.9 (SD 10.1) years, 58.8% were male, 15.4% were smokers, 33.1% had vascular disease, and 17.0% were receiving insulin treatment. The mean follow-up time was 14.4 months. Main Outcome Measures: Glycosylated hemoglobin A1 (HbA1c), low-density lipoprotein (LDL), blood pressure (BP), and body mass index (BMI). Clinical values were taken at both baseline and follow-up. Results: LDL decreased by 0.2 mmol/L, systolic blood pressure by 2.2 mm Hg, diastolic blood pressure by 1.5 mm Hg, and BMI by 0.5 kg/m² (P < 0.05 for each). The decrease in HbA1c was 0.8 mmol/mol (P = 0.07). Conclusion: We observed statistically significant decreases in LDL, BP, and BMI. Our results indicate that, over 14 months of follow-up, implementation of a written care plan was associated with small improvements in the clinical outcomes of T2D patients in a primary health care study population in a real-world setting.
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- 2020
23. Influence of the Mediterranean and Ketogenic Diets on cognitive status and decline:a narrative review
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Vinciguerra, F. (Federica), Graziano, M. (Marco), Hagnäs, M. (Maria), Frittitta, L. (Lucia), Tumminia, A. (Andrea), Vinciguerra, F. (Federica), Graziano, M. (Marco), Hagnäs, M. (Maria), Frittitta, L. (Lucia), and Tumminia, A. (Andrea)
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Alzheimer’s disease (AD) is the most common form of senile dementia, accounting for up to 70% of dementia cases. AD is a slowly progressive disease, which causes global mental deterioration by affecting various cognitive areas. A growing body of evidence has demonstrated that lifestyle habits and nutritional patterns could delay the natural course of the neurodegeneration process. There is no single dietary pattern unequivocally proven to prevent AD. Nevertheless, epidemiological data suggest that by adopting several dietary habits, especially if accompanied with a healthy lifestyle, the negative consequences of AD could potentially be delayed. Alongside with others, two specific eating patterns have been well investigated concerning their potential beneficial effect on cognitive status: the Mediterranean diet (MedDi) and the Ketogenic Diet (KD). Despite the different underlying mechanisms, both of them have demonstrated a fairly profitable role in reducing or delaying cognitive impairment. The aim of the present narrative review is to overview the existing research on the efficacy of MedDi and KD against AD-related cognitive decline, focusing on the proposed protective mechanisms of action. Although the current knowledge on this complex topic does not allow us, at this point, to make exhaustive conclusions, this information could be of help in order to better characterize the possible role of MedDi and KD as nonpharmacological therapies in the treatment of AD and, more generically, of neurodegenerative disorders.
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- 2020
24. Ultrasonographic Bone Evaluation in Young Women with Type 1 Diabetes
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Migliorino, Guardo F, Sciacca L, Marco Russo, Frittitta L, Giuseppa Padova, and Graziella Borzì
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Type 1 diabetes ,Pediatrics ,medicine.medical_specialty ,business.industry ,Medicine ,business ,medicine.disease - Published
- 2018
25. Evidence for genetic epistasis in human insulin resistance: the combined effect of PC-1 (K121Q) and PPARγ2 (P12A) polymorphisms
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Baratta, R., Di Paola, R., Spampinato, D., Fini, G., Marucci, A., Coco, A., Vigneri, R., Frittitta, L., and Trischitta, V.
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- 2003
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26. The intravenous insulin tolerance test is an accurate method for screening a general population for insulin resistance and related abnormalities
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Graci, S., Baratta, R., Degano, C., Iuppa, A., Vigneri, R., Frittitta, L., and Trischitta, V.
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- 1999
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27. Comparative Effectiveness of DPP-4 Inhibitors Versus Sulfonylurea for the Treatment of Type 2 Diabetes in Routine Clinical Practice: A Retrospective Multicenter Real-World Study
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Fadini, Gian Paolo, Bottigliengo, Daniele, D'Angelo, Federica, Cavalot, Franco, Bossi, Antonio Carlo, Zatti, Giancarlo, Baldi, Ileana, Avogaro, A, Consoli, A, Formoso, G, Grossi, G, Pucci, A, Sesti, G, Andreozzi, F, Capobianco, G, Gatti, A, Bonadonna, R, Zavaroni, I, Cas, Ad, Felace, G, Volsi, Pl, Buzzetti, R, Leto, G, Sorice, Gp, D'Angelo, P, Morano, S, Bossi, Ac, Duratorre, E, Franzetti, I, Morpurgo, Ps, Orsi, E, Querci, F, Boemi, M, D'Angelo, F, Petrelli, M, Aimaretti, G, Karamouzis, I, Cavalot, F, Saglietti, G, Cazzetta, G, Cervone, S, Devangelio, E, Lamacchia, O, Arena, S, Benedetto, Di, A, Frittitta, L, Giordano, C, Piro, S, Rizzo, M, Chianetta, R, Mannina, C, Anichini, R, Penno, G, Solini, A, Fattor, B, Bonora, E, Cigolini, M, Lapolla, A, Chilelli, Nc, Poli, M, Simioni, N, Frison, V, Vinci, C, Fadini G.P., Bottigliengo D., D'Angelo F., Cavalot F., Bossi A.C., Zatti G., Baldi I., Avogaro A., Consoli A., Formoso G., Grossi G., Pucci A., Sesti G., Andreozzi F., Capobianco G., Gatti A., Bonadonna R., Zavaroni I., Cas A.D., Felace G., Volsi P.L., Buzzetti R., Leto G., Sorice G.P., D'Angelo P., Morano S., Duratorre E., Franzetti I., Morpurgo P.S., Orsi E., Querci F., Boemi M., Petrelli M., Aimaretti G., Karamouzis I., Saglietti G., Cazzetta G., Cervone S., Devangelio E., Lamacchia O., Arena S., Di Benedetto A., Frittitta L., Giordano C., Piro S., Rizzo M., Chianetta R., Mannina C., Anichini R., Penno G., Solini A., Fattor B., Bonora E., Cigolini M., Lapolla A., Chilelli N.C., Poli M., Simioni N., Frison V., and Vinci C.
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endocrine system ,medicine.medical_specialty ,Epidemiology ,Endocrinology, Diabetes and Metabolism ,030209 endocrinology & metabolism ,Type 2 diabetes ,030204 cardiovascular system & hematology ,Database ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Diabetes mellitus ,Internal medicine ,medicine ,Clinical endpoint ,Pharmacotherapy ,Internal Medicine ,Outpatient clinic ,Gliclazide ,Original Research ,Glycemic ,business.industry ,nutritional and metabolic diseases ,Retrospective cohort study ,medicine.disease ,Metformin ,Diabetes and Metabolism ,business ,medicine.drug - Abstract
Introduction DPP-4 inhibitors (DPP4i) and sulfonylureas are popular second-line therapies for type 2 diabetes (T2D), but there is a paucity of real-world studies comparing their effectiveness in routine clinical practice. Methods This was a multicenter retrospective study on diabetes outpatient clinics comparing the effectiveness of DPP4i versus gliclazide extended release. The primary endpoint was change from baseline in HbA1c. Secondary endpoints were changes in fasting plasma glucose, body weight, and systolic blood pressure. Automated software extracted data from the same clinical electronic chart system at all centers. Propensity score matching (PSM) was used to generate comparable cohorts to perform outcome analysis. Results We included data on 2410 patients starting DPP4i and 1590 patients starting gliclazide (mainly 30–60 mg/day). At baseline, the two groups differed in disease duration, body weight, blood pressure, HbA1c, fasting glucose, HDL cholesterol, triglycerides, liver enzymes, eGFR, prevalence of microangiopathy, and use of metformin. Among DPP4i molecules, no difference in glycemic effectiveness was detected. In matched cohorts (n = 1316/group), patients starting DPP4i, as compared with patients starting gliclazide, experienced greater reductions in HbA1c (− 0.6% versus − 0.4%; p
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- 2018
28. Phenotyping normal kidney function in elderly patients with type 2 diabetes: a cross-sectional multicentre study
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Fadini, G. P., Solini, A., Manca, M. L., Zatti, G., Karamouzis, I., Di Benedetto, A., Frittitta, L., Avogaro, A., Consoli, Agostino, Formoso, Gloria, Grossi, Giovanni, Pucci, Achiropita, Sesti, Giorgio, Andreozzi, Francesco, Capobianco, Giuseppe, Gatti, Adriano, Bonadonna, Riccardo, Zavaroni, Ivana, Dei Cas, Alessandra, Felace, Giuseppe, Li Volsi, Patrizia, Buzzetti, Raffaella, Leto, Gaetano, Sorice, Gian Pio, D’Angelo, Paola, Morano, Susanna, Bossi, Antonio Carlo, Duratorre, Edoardo, Franzetti, Ivano, Morpurgo, Paola Silvia, Orsi, Emanuela, Querci, Fabrizio, Boemi, Massimo, D’Angelo, Federica, Petrelli, Massimiliano, Aimaretti, Gianluca, Karamouzis, Ioannis, Cavalot, Franco, Saglietti, Giuseppe, Cazzetta, Giuliana, Cervone, Silvestre, Devangelio, Eleonora, Lamacchia, Olga, Arena, Salvatore, Di Benedetto, Antonino, Frittitta, Lucia, Giordano, Carla, Piro, Salvatore, Rizzo, Manfredi, Chianetta, Roberta, Mannina, Carlo, Anichini, Roberto, Penno, Giuseppe, Solini, Anna, Fattor, Bruno, Bonora, Enzo, Cigolini, Massimo, Lapolla, Annunziata, Chilelli, Nino Cristiano, Poli, Maurizio, Simioni, Natalino, Frison, Vera, Vinci, Carmela, Fadini, G P, Solini, A, Manca, M L, Zatti, G, Karamouzis, I, Di Benedetto, A, Frittitta, L, and Avogaro, A, Giordano, C
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Male ,Epidemiology ,Endocrinology, Diabetes and Metabolism ,Type 2 diabetes ,030204 cardiovascular system & hematology ,Kidney ,Type 2 diabete ,Settore MED/13 - Endocrinologia ,0302 clinical medicine ,Endocrinology ,80 and over ,Medicine ,Diabetic Nephropathies ,030212 general & internal medicine ,Aged, 80 and over ,education.field_of_study ,General Medicine ,Insulin resistance ,Nephropathy ,Protective ,Diabetes and Metabolism ,Phenotype ,Lipotoxicity ,Female ,Type 2 ,Human ,Glomerular Filtration Rate ,medicine.medical_specialty ,Population ,Renal function ,Internal Medicine ,Diabetes Mellitus, Type 2 ,Humans ,03 medical and health sciences ,Internal medicine ,Diabetes mellitus ,Diabetes Mellitus ,education ,Aged ,business.industry ,medicine.disease ,Diabetic Nephropathie ,business ,Kidney disease - Abstract
AimsType 2 diabetes (T2D) accelerates the decline in glomerular function; however, some individuals do not develop chronic kidney disease despite advanced age and long-lasting T2D. We aimed to phenotype patients with T2D aged 80years or older who presented with a fully preserved kidney function.MethodsFrom an Italian population of 281,217 T2D outpatients, we collected data on demographics, anthropometrics, diabetes duration, HbA1c, fasting plasma glucose, lipids, liver enzymes, estimated glomerular filtration rate (eGFR), albumin excretion rate (AER), chronic complications, and medication use. We primarily compared patients with a fully preserved kidney function (eGFR>90ml/min/1.73m(2) and AER
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- 2018
29. The insulin receptor content is increased in breast cancers initiated by three different oncogenes in transgenic mice
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Frittitta, L., Cerrato, A., Sacco, M.G., Weidner, N., Goldfine, I.D., and Vigneri, R.
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- 1997
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30. Increased adipose tissue PC-1 protein content, but not tumour necrosis factor-a gene expression, is associated with a reduction of both whole body insulin sensitivity and insulin receptor tyrosine-kinase activity
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Frittitta, L., Youngren, J. F., Sbraccia, P., D'Adamo, M., Buongiorno, A., Vigneri, R., Goldfine, I. D., and Trischitta, V.
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- 1997
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31. PC-1 content in skeletal muscle of non-obese, non-diabetic subjects: relationship to insulin receptor tyrosine kinase and whole body insulin sensitivity
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Frittitta, L., Youngren, J., Vigneri, R., Maddux, B. A., Trischitta, V., and Goldfine, I. D.
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- 1996
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32. Peptide-based radioimmunoassay for the two isoforms of the human insulin receptor
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Sesti, G., D'Alfonso, R., Vargas Punti, M. D., Frittitta, L., Trischitta, V., Liu, Y. Y., Borboni, P., Longhi, R., Montemurro, A., and Lauro, R.
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- 1995
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33. Insulin receptor tyrosine-kinase activity is altered in both muscle and adipose tissue from non-obese normoglycaemic insulin-resistant subjects
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Grasso, G., Frittitta, L., Anello, M., Russo, P., Sesti, G., and Trischitta, V.
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- 1995
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34. Insulin receptor tyrosine kinase activity is reduced in monocytes from non-obese normoglycaemic insulin-resistant subjects
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Frittitta, L., Grasso, G., Munguira, M. E., Vigneri, R., and Trischitta, V.
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- 1993
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35. Rationale and design of the DARWIN-T2D (DApagliflozin Real World evIdeNce in Type 2 Diabetes): A multicenter retrospective nationwide Italian study and crowdsourcing opportunity
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Fadini, G. P., Zatti, G., Consoli, A., Bonora, E., Sesti, G., Avogaro, Consoli A, A. DARWIN-T2D. Network., Formoso, G, Antenucci, D, Grossi, G, Pucci, A, Sesti, G, Andreozzi, F, Indrieri, L, Capobianco, G, Gatti, A, Bonadonna, R, Zavaroni, I, Dei Cas, A, Felace, G, Li Volsi, P, Buzzetti, R, Leto, G, D'Angelo, F, Morano, S, Giaccari, A, Sorice, G, Orsi, E, Carlo Bossi, A, Querci, F, Duratorre, E, Malagola, C, Franzetti, I, Silvia Morpurgo, P, Boemi, M, Petrelli, M, Aimaretti, G, Karamouzis, I, Cavalot, F, Saglietti, G, Gruden, G, Devangelio, E, Cazzetta, G, Lamacchia, O, Cervone, S, Frittitta, L, Arena, S, Di Benedetto, A, Piro, S, Giordano, C, Rizzo, M, Chianetta, R, Mannina, C, Solini, A, Natali, A, Anichini, R, Dotta, F, Fattor, B, Avogaro, A, Fadini, Gp, Bonora, E, Cigolini, M, Simioni, N, Frison, V, Poli, M, Lapolla, A, Cristiano Chilelli, N, Author information, Vinci C., Fadini, G, Zatti, G, Consoli, A, Bonora, E, Sesti, G, Avogaro, A, and Giordano, C
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randomized controlled trial ,real-life ,retrospective study ,sodium glucose co-transporter-2 inhibitor ,medicine (miscellaneous) ,endocrinology ,diabetes and metabolism ,nutrition and dietetics ,cardiology and cardiovascular medicine ,Blood Glucose ,Time Factors ,Glucoside ,Glycated Hemoglobin A ,Time Factor ,Medicine (miscellaneous) ,Settore MED/13 - Endocrinologia ,Endocrinology ,Glucosides ,Sodium-Glucose Transporter 2 ,Retrospective Studie ,Diabetes Mellitus ,Humans ,Hypoglycemic Agents ,Data Mining ,Benzhydryl Compounds ,Randomized controlled trial ,Real-life ,Retrospective study ,Sodium glucose co-transporter-2 inhibitor ,Biomarkers ,Diabetes Mellitus, Type 2 ,Italy ,Research Design ,Retrospective Studies ,Sodium-Glucose Transporter 2 Inhibitors ,Treatment Outcome ,Crowdsourcing ,Evidence-Based Medicine ,Endocrinology, Diabetes and Metabolism ,Nutrition and Dietetics ,Cardiology and Cardiovascular Medicine ,Glycated Hemoglobin ,Benzhydryl Compound ,Hypoglycemic Agent ,Sodium-Glucose Transporter 2 Inhibitor ,Biomarker ,Diabetes and Metabolism ,Type 2 ,Human - Abstract
Background Randomized controlled trials (RCTs) in the field of diabetes have limitations inherent to the fact that design, setting, and patient characteristics may be poorly transferrable to clinical practice. Thus, evidence from studies using routinely accumulated clinical data are increasingly valued. Aims We herein describe rationale and design of the DARWIN-T2D (DApagliflozin Real World evIdeNce in Type 2 Diabetes), a multicenter retrospective nationwide study conducted at 50 specialist outpatient clinics in Italy and promoted by the Italian Diabetes Society. Data synthesis The primary objective of the study is to describe the baseline clinical characteristics (particularly HbA1c) of patients initiated on dapagliflozin from marketing authorization approval to the end of 2016. Secondary and exploratory objectives will evaluate the changes in glycaemic and extraglycaemic efficacy parameters after initiation of dapagliflozin or after initiation of comparator glucose lowering medications (DPP-4 inhibitors, gliclazide extended release, and long-acting GLP-1 receptor agonists). An automated software will extract relevant data from the same electronic chart system at all centres, thereby minimizing data treatment and human intervention. Conclusion The study is expected to collect an enormous dataset of information on dapagliflozin- and comparator-using patients. After study completion, the Italian Diabetes Society will launch an open crowdsourcing call on the DARWIN-T2D database, challenging diabetes researchers to apply their ideas and approaches to address new unmet needs and knowledge gaps in diabetes. We believe this will move DARWIN-T2D to the next generation of real world studies.
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- 2017
36. Manifesto delle criticità in Nutrizione clinica e preventiva: Le prime dieci sfide Italiane (2015-2018)
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Lucchin, L., Fusco, M. A., Caretto, A., Alessandrini, L., Facchin, N., Grossi, E., Dalle Grave, R., Banderali, G., Banderali, A., Rovera, G. M., Ballardini, D., Bertoni, G., Gramezi, A., Ronchi, B., Baldi, A., Carruba, M., Lacirignola, M., Capone, R., Agostoni, C., Fargion, S., Mosca, F., Roggero, P., Giannì, M. L., De Cosmi, V., Donegani, G., Leonardi, F., Mattivi, F., Viola, R., Ferreiro, M. S., Giannini, M., Poli, A., Marangoni, F., Fatati, G., Grandone, I., Di Lorenzo, N., Carbonelli, M. G., Foschi, D., Riccardi, G., Giacco, R., Trimarchi, F., Aroso, M., Corazza, G. R., Biolo, G., Brighenti, F., Casini, A., Giovannini, M., Riva, E., Verduci, E., Sirtori, C., Cicero, A., Racca, A., Sarpa, B., Nisoli, E., Sbraccia, P., Busetto, L., Muratori, F., Migliaccio, P., Piretta, L., Melchionda, N., Donini, L. M., Guberti, E., Alonzo, E., Giorgino, F., Laviola, L., Banni, S., Agodi, A., Frittitta, L., Rotella, C. M., Dicembrini, I., Barbaro, V., Morelli, L., Contaldo, F., Gnessi, L., Laviano, A., Muscaritoli, M., Pinto, A., Vania, A., De Lorenzo, A., Di Renzo, L., Vettor, R., D'Andrea, F., Battino, M., Melissano, M., Scaffidi, C., Archero, E., Vezzali, V., Buzzavo, G., Lucchin, L., Fusco, M. A., Caretto, A., Alessandrini, L., Facchin, N., Grossi, E., Dalle Grave, R., Banderali, G., Banderali, A., Rovera, G. M., Ballardini, D., Bertoni, G., Gramezi, A., Ronchi, B., Baldi, A., Carruba, M., Lacirignola, M., Capone, R., Agostoni, C., Fargion, S., Mosca, F., Roggero, P., Giannì, M. L., De Cosmi, V., Donegani, G., Leonardi, F., Mattivi, F., Viola, R., Ferreiro, M. S., Giannini, M., Poli, A., Marangoni, F., Fatati, G., Grandone, I., Di Lorenzo, N., Carbonelli, M. G., Foschi, D., Riccardi, G., Giacco, R., Trimarchi, F., Aroso, M., Corazza, G. R., Biolo, G., Brighenti, F., Casini, A., Giovannini, M., Riva, E., Verduci, E., Sirtori, C., Cicero, A., Racca, A., Sarpa, B., Nisoli, E., Sbraccia, P., Busetto, L., Muratori, F., Migliaccio, P., Piretta, L., Melchionda, N., Donini, L. M., Guberti, E., Alonzo, E., Giorgino, F., Laviola, L., Banni, S., Agodi, A., Frittitta, L., Rotella, C. M., Dicembrini, I., Barbaro, V., Morelli, L., Contaldo, F., Gnessi, L., Laviano, A., Muscaritoli, M., Pinto, A., Vania, A., De Lorenzo, A., Di Renzo, L., Vettor, R., D'Andrea, F., Battino, M., Melissano, M., Scaffidi, C., Archero, E., Vezzali, V., and Buzzavo, G.
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Medicine (all) - Abstract
Razionale EXPO 2015 affronta un bisogno primario per l’essere umano: “nutrire il pianeta; energia per la vita”. Per le ripercussioni globali a breve-medio termine è una importante occasione di confronto nazionale e internazionale. La problematica dovrebbe essere affrontata in modo razionale, chiaro e, soprattutto, ampiamente compartecipato dall’opinione pubblica. Dato per scontato che il primo nutrimento è l’ossigeno, l’assunto è che la composizione e non solo la qualità del cibo ingerito siano indispensabili per stabilire la porzione e la frequenza di consumo. Il primo aspetto da fare emergere dovrebbe pertanto riguardare le caratteristiche della corretta nutrizione e le modalità per ottenerla, considerando che il comportamento alimentare è la risultante di una complessa interazione tra fattori biologici, psicologici e l’ambiente in cui si vive. Cibo in quantità suf#ciente, sicuro e in grado di fornire il giusto apporto nutrizionale sono le condizioni per mantenere la salute e avere una vita attiva (World Food Summit del 1996). Mentre la Commissione Europea propone un aggiornamento dei Regolamenti a garanzia della sicurezza alimentare con una rinnovata attenzione alla prevenzione e alle ricadute ecologiche dell’alimentazione, le Agenzie Internazionali (OMS, FAO, UE) sottolineano la necessità di porre la giusta attenzione agli aspetti nutrizionali dell’alimentazione e alle sue conseguenze in termini di salute. Sulla scelta al consumo le tre priorità emergenti sono: 1. ricerca del benessere e salute. L’equazione “mangiare bene-stare bene”, sempre più percepita dalla popolazione, necessita di chiarimenti sui rapporti tra sano e naturale, sano e industriale, sano e biologico (più di 700 milioni di euro in Italia nel 2014 per prodotti bio), sano ed eco-friendly; 2. attenzione all’ambiente e alla sostenibilità; 3. criteri etici nella scelta dei prodotti. La visione globale della problematica risulta estremamente complessa, richiedendo una pianificazione a 360° che va oltre il mero ambito sanitario. Imprescindibile alla sua realizzazione, specie a livello nazionale, l’esistenza di un “Sistema Paese” di fatto coeso. Se nutrire l’individuo è lo scopo principale del cibo, dovrebbero risultare de#nite le priorità/emergenze nutrizionali da affrontare su scala nazionale e internazionale per poter rendere efficaci i modelli d’intervento sia di tipo preventivo sia terapeutico e di piani#cazione agro-alimentare per le popolazioni. Purtroppo, le politiche d’intervento attivate nei vari Paesi dimostrano ancora impostazioni fortemente settoriali e in parte condizionate da interessi economico-finanziari. Una constatazione risulta evidente: l’incomprensibile inadeguato investimento strategico in nutrizione clinica e preventiva nell’ambito della politica sanitaria nazionale. E a maggior ragione, alla luce dei grandi cambiamenti demografici avvenuti in tutti i Paesi del mondo: invecchiamento della popolazione, aumento degli adolescenti, specie nei Paesi in via di sviluppo, migrazioni. Ciò ha modificato prevalenza e incidenza delle patologie cronico degenerative, che richiedono un numero crescente d’interventi riabilitativi, specie in relazione alla malnutrizione per eccesso e difetto (calorico-proteica e/o in micronutrienti). Una evidenziazione delle criticità condivisa dai tecnici del settore, nel rispetto della necessaria multidisciplinarietà, risulta pertanto quanto mai necessaria per un serio raffronto, anche a livello internazionale, su problematiche comuni. La “pesatura” delle stesse, sulla base di criteri quantitativi assoluti, rende oggettiva e trasparente all’opinione pubblica e ai policy maker la possibile e ottimale allocazione delle risorse necessarie per contrastarle. Il manifesto delle criticità in nutrizione clinica e preventiva: • faciliterà la riflessione dei cittadini italiani, sottoposti a una eccessiva e costante pressione mediatica – prevalentemente a fini commerciali – su tali argomenti, fonte di crescente confusione e insicurezza circa i comportamenti da seguire. Non bisognerebbe lasciarsi sfuggire l’opportunità di un’ampia ri*essione di carattere scientifico, che possa portare all’attenzione di un pubblico globale temi che sono centrali per l’intera Comunità Internazionale non solo per la durata di Expo 2015; • potrà fungere da strumento operativo d’indirizzo istituzionale per un intervallo temporale di almeno quattro anni, necessario per una ef#cace pianificazione degli interventi. Il documento non è una linea-guida o un decalogo di nobili propositi, ma una analisi oggettiva corredata di azioni strategiche fattibili e auspichiamo vincolanti. Deve aumentare il convincimento che le problematiche nutrizionali (per lo più connesse alla patologia cronica), non sono risolvibili con soli interventi sanitari, ma richiede un cambio di orientamento culturale a livello produttivo, distributivo e di consumo. In questa operazione risulta evidente la centralità del Ministero della Salute e in particolare della Direzione Generale della Igiene e Sicurezza degli Alimenti e della Nutrizione, per un’eventuale revisione delle politiche in materia (tramite strumenti quali linee-guida, LEA, PSN, ecc.) e ricadute in ambito nazionale (politiche regionali in materia sanitaria dedicate alla nutrizione) e internazionale.
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- 2015
37. Short-term efficacy of high intensity group and individual education in patients with type 2 diabetes: a randomized single-center trial
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Reale, R., primary, Tumminia, A., additional, Romeo, L., additional, La Spina, N., additional, Baratta, R., additional, Padova, G., additional, Tomaselli, L., additional, and Frittitta, L., additional
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- 2018
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38. Long-acting insulin analogs and cancer
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Sciacca, L., primary, Vella, V., additional, Frittitta, L., additional, Tumminia, A., additional, Manzella, L., additional, Squatrito, S., additional, Belfiore, A., additional, and Vigneri, R., additional
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- 2018
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39. Rationale and design of the DARWIN-T2D (DApagliflozin Real World evIdeNce in Type 2 Diabetes)
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Fadini, G.P., primary, Zatti, G., additional, Consoli, A., additional, Bonora, E., additional, Sesti, G., additional, Avogaro, A., additional, Formoso, G., additional, Antenucci, D., additional, Grossi, G., additional, Pucci, A., additional, Andreozzi, F., additional, Indrieri, L., additional, Capobianco, G., additional, Gatti, A., additional, Bonadonna, R., additional, Zavaroni, I., additional, Dei Cas, A., additional, Felace, G., additional, Li Volsi, P., additional, Buzzetti, R., additional, Leto, G., additional, D'Angelo, F., additional, Morano, S., additional, Giaccari, A., additional, Sorice, G., additional, Orsi, E., additional, Carlo Bossi, A., additional, Querci, F., additional, Duratorre, E., additional, Malagola, C., additional, Franzetti, I., additional, Silvia Morpurgo, P., additional, Boemi, M., additional, Petrelli, M., additional, Aimaretti, G., additional, Karamouzis, I., additional, Cavalot, F., additional, Saglietti, G., additional, Gruden, G., additional, Devangelio, E., additional, Cazzetta, G., additional, Lamacchia, O., additional, Cervone, S., additional, Frittitta, L., additional, Arena, S., additional, Di Benedetto, A., additional, Piro, S., additional, Giordano, C., additional, Rizzo, M., additional, Chianetta, R., additional, Mannina, C., additional, Solini, A., additional, Natali, A., additional, Anichini, R., additional, Dotta, F., additional, Fattor, B., additional, Fadini, G.P., additional, Cigolini, M., additional, Simioni, N., additional, Frison, V., additional, Poli, M., additional, Lapolla, A., additional, Cristiano Chilelli, N., additional, and Vinci, C., additional
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- 2017
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40. Effect of Sibutramine on Cardiovascular Outcomes in Overweight and Obese Subjects
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James, Wp, Caterson, Id, Coutinho, W, Finer, N, VAN GAAL LF, Maggioni, Ap, TORP-PEDERSEN, C, Sharma, Am, Shepherd, Gm, Rode, Ra, Renz, Cl, Van Gaal LF, Torp-Pedersen, C, Pepine, C, Pocock, S, Drexler, H, Swedberg, K, Sleight, P, Armstrong, P, Kerr, D, Dagenais, G, Brophy, J, Avezum, A, Bogaty, P, Fabbri, G, Galli, M, Hildebrandt, P, Mann, J, Ostergren, J, Sherman, D, Zannad, F, Colquhoun, D, Hollanders, G, e Forti A, Costa, Cifkova, R, Toubro, S, Ziegler, O, Scherbaum, Wa, Jordan, J, Halmy, L, Ferrannini, E, Santini, F, Gonzalez, C, Narkiewicz, K, Hancu, N, Payer, J, Pascual, J, Wilding, J, Campbell, L, Carey, D, Gerstman, M, Karrasch, J, Lefkovits, J, Marks, J, Marks, S, Moses, R, Phillips, P, Proietto, J, Roberts, D, Roberts-Thomson, P, Shaw, J, Simpson, R, Singh, B, Singleton Jeffries, W, Stuckey, B, Boland, J, Brohet, C, Coucke, F, Dendale, P, Jouret, G, Kolanowski, J, Kutnowski, M, Martens, F, Muls, E, Peiffer, F, Penninckx, H, Scheen, A, Schoors, D, Vaerenberg, M, Van Cleemput, J, Van Crombrugge, P, Van Kuyk, M, Verhaegen, A, Wollaert, B, de Albuquerque DC, Appolinario, J, de Godoy Matos AF, Gross, Jl, Halpern, A, Kerr Saraiva JF, Milagres, R, Repetto, G, Suplicy, Hl, Zanella, Mt, Bednarova, J, Cepelak, V, Cerny, P, Hainer, V, Havranek, P, Homza, M, Jansa, P, Karlicek, M, Kolesar, J, Kotik, I, Kucera, D, Kuchar, J, Kunc, M, Kvapil, M, Linhart, A, Machova, V, Matuska, J, Oral, I, Pavlas, J, Pesatova, S, Povolny, J, Semrad, B, Smetana, K, Soucek, M, Svacina, S, Tesinsky, P, Urbanek, R, Wasserburger, B, Zachoval, R, Zahumensky, E, Zidkova, E, Astrup, A, Dominguez, H, Faber, J, Hilderbrant, P, Kober, L, Perrild, H, Richelsen, B, Sogaard, P, Svendsen, Ol, Urhammer, S, Archambeaud, F, Basdevant, A, Borys, Jm, Bringer, J, Brunetiere, C, Charpentier, G, Cocaul-André, M, Dabadie, H, Dubreuil, A, Estour, B, Gautier, Jf, Gibault, T, Halimi, S, Hespel, Jp, Issa Sayegh, M, Krempf, M, Laville, M, Lecerf, Jm, Louvet, Jp, Penfornis, A, Ritz, P, Schlienger, Jl, Schmitt, B, Valensi, P, Baar, M, Beermann, J, Bock, M, Boenner, G, Dammann, Hg, Diehm, C, Ditschuneit, H, Gadow, J, Gehlhar, S, Gessner, S, Guthersohn, A, Hamann, A, Hanefeld, M, Hasenfuss, G, Herzner, A, Heun, Kc, Heufelder, Ae, Hohensee, H, Jacob, S, Krings, P, Krätzig, B, Krosse, B, Lehmann, Rt, Mindt-Prüfert, S, Maisch, B, Pfeiffer, Af, Richard, F, Rose, B, Schmidt, E, Scholze, J, Schreckenberg, A, Stuebler, P, Walter, J, Wirth, A, Wunderlich, J, Abraham, G, Altorjay, A, Augusztin, G, Csaszar, A, Czuriga, I, Dinnyes, J, Gero, L, Gyimesi, A, Janosi, A, Kovacs, I, Liziczai, I, Majtenyi, A, Medvegy, M, Nadhazi, Z, Pados, G, Polak, G, Ronaszeki, A, Sido, Z, Simon, K, Anzà, C, Bevilacqua, M, Bosello, O, Chiariello, M, Cordera, R, Ferrari, E, Frittitta, L, Giorgino, R, Liuzzi, A, Malinverni, C, Di Mario, U, Melchionda, N, Occhi, G, Perticone, F, Pinchera, A, Pinelli, G, Rovera, G, Santeusanio, F, Urbinati, S, Alpizar-Salazar, M, Carrillo-Ortega, E, Fanghanel Salmon, G, Laviada-Molina, Ha, Madero, Ma, Rodriguez, G, Saldate, C, Sanchez-Castillo, Cp, Violante, Rm, Wacher, N, Zayas-Jaime, Fj, Zuniga-Guajardo, S, Adamiec, R, Banasiak, W, Chrusciel, P, Derlaga, B, Gebala, A, Gessek, J, Janik, K, Janion, M, Kalina, Z, Kozlowski, A, Kusnierz, B, Majcher, Z, Miekus, P, Niegowska, J, Okopien, B, Ostrowska, L, Pasowicz, M, Piepiorka, M, Pluta, W, Polaszewska-Muszynska, M, Ponikowski, P, Pupek-Musialik, D, Sawicki, A, Sobocik, H, Stankiewicz, A, Szpajer, M, Trojnar, R, Tykarski, A, Wrabec, K, Wyrzkowski, B, Zahorska-Markiewicz, B, Zalewski, M, Carrageta, M, Mendes Pedro MM, Parente Martins LM, dos Santos, L, Babes, A, Creteanu, G, Dan, Ga, Dragulescu, Si, Graur, M, Tirgoviste, Ci, Morosanu, M, Mota, M, Paveliu, Fs, Radoi, M, Ranetti, A, Totoian, I, Andre, I, Bugan, V, Cencarik, J, Csala, L, Farsky, S, Gonsorcik, J, Kamensky, G, Kmec, J, Krahulec, B, Kurian, R, Macek, V, Majercak, I, Micko, K, Mokan, M, Riecansky, I, Sojka, G, Uhliar, R, Urgeova, L, Vancik, J, Baro, Fm, Barrios Merino, A, Borras, Jl, Caixas, A, Cuatrecasas Cambra, G, Dominguez Escribano JR, Duran Garcia, S, Escobar-Jimenez, L, Esteva de Antonio, I, Formiguera Sala, X, Garcia-Luna, Pp, Garcia Robles, R, Gonzalez Albarran, O, Hernandez-Mijares, A, Martin Hidalgo, A, Masmiquel Comas, L, Morales Perez, F, Moreno Esteban, B, Pascual Izuel JM, Redon Mas, J, Ricart, W, Rubio, Ma, Ruilope, Lm, Salas-Salvado, J, Terroba Larumbe, M, Tinahones, F, de la Torre Casares ML, Vidal Cortada, J, Zuniga-Perez Lemaur, M, Abdulhakim, Ee, Adler, A, Barnett, Ah, Bodmer, C, Campbell, Iw, Chowdhury, T, Cleland, J, Cook, Rc, Dinneen, S, Donnachie, H, Haslam, Dw, Hillis, Gs, Horne, M, Howarth, Dj, Hughes, E, Jackson, S, Jones, Sc, Jones, Th, Kumar, S, Lean, M, Maroni, J, Mcinnes, G, Middleton, A, Morris, A, Newcombe, G, O'Kane, Kp, Pavel, Ic, Pawa, R, Perry, C, Pitts, C, Raja, A, Reckless, J, Robinson, J, Sarmiento, R, Soo, Sc, Taylor, S, Thomas, Ho, Thomson, Ma, and Wilkins, M.
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Male ,medicine.medical_specialty ,Myocardial Infarction ,Blood Pressure ,Kaplan-Meier Estimate ,Type 2 diabetes ,Klinikai orvostudományok ,Placebo ,law.invention ,Double-Blind Method ,Randomized controlled trial ,Weight loss ,law ,Internal medicine ,Appetite Depressants ,medicine ,Humans ,Obesity ,Myocardial infarction ,Stroke ,Aged ,business.industry ,Hazard ratio ,Orvostudományok ,General Medicine ,Middle Aged ,Overweight ,medicine.disease ,Surgery ,Diabetes Mellitus, Type 2 ,Cardiovascular Diseases ,Cardiology ,Female ,Human medicine ,medicine.symptom ,business ,Cyclobutanes ,Sibutramine ,medicine.drug - Abstract
Background The long-term effects of sibutramine treatment on the rates of cardiovascular events and cardiovascular death among subjects at high cardiovascular risk have not been established. Methods We enrolled in our study 10,744 overweight or obese subjects, 55 years of age or older, with preexisting cardiovascular disease, type 2 diabetes mellitus, or both to assess the cardiovascular consequences of weight management with and without sibutramine in subjects at high risk for cardiovascular events. All the subjects received sibutramine in addition to participating in a weight-management program during a 6-week, single-blind, lead-in period, after which 9804 subjects underwent random assignment in a double-blind fashion to sibutramine (4906 subjects) or placebo (4898 subjects). The primary end point was the time from randomization to the first occurrence of a primary outcome event (nonfatal myocardial infarction, nonfatal stroke, resuscitation after cardiac arrest, or cardiovascular death). Results The mean duration of treatment was 3.4 years. The mean weight loss during the lead-in period was 2.6 kg; after randomization, the subjects in the sibutramine group achieved and maintained further weight reduction (mean, 1.7 kg). The mean blood pressure decreased in both groups, with greater reductions in the placebo group than in the sibutramine group (mean difference, 1.2/1.4 mm Hg). The risk of a primary outcome event was 11.4% in the sibutramine group as compared with 10.0% in the placebo group (hazard ratio, 1.16; 95% confidence interval [CI], 1.03 to 1.31; P=0.02). The rates of nonfatal myocardial infarction and nonfatal stroke were 4.1% and 2.6% in the sibutramine group and 3.2% and 1.9% in the placebo group, respectively (hazard ratio for nonfatal myocardial infarction, 1.28; 95% CI, 1.04 to 1.57; P=0.02; hazard ratio for nonfatal stroke, 1.36; 95% CI, 1.04 to 1.77; P=0.03). The rates of cardiovascular death and death from any cause were not increased. Conclusions Subjects with preexisting cardiovascular conditions who were receiving long-term sibutramine treatment had an increased risk of nonfatal myocardial infarction and nonfatal stroke but not of cardiovascular death or death from any cause. (Funded by Abbott; ClinicalTrials.gov number, NCT00234832.)
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- 2010
41. Abnormal 1-hour post-load glycemia during pregnancy impairs post-partum metabolic status: a single-center experience
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Tumminia, A., primary, Milluzzo, A., additional, Cinti, F., additional, Parisi, M., additional, Tata, F., additional, Frasca, F., additional, Frittitta, L., additional, Vigneri, R., additional, and Sciacca, L., additional
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- 2017
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42. Manifesto delle criticità in nutrizione clinica e preventiva (2015-2018)
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Fusco, Ma, Lucchin, L, Dalle Grave, R, Banderali, G, Rovera, Gm, Ballardini, D, Bertoni, G, Gramezi, A, Ronchi, B, Baldi, A, Carruba, M, Lacirignola, M, Agostoni, C, Fargion, S, Donegani, G, Leonardi, F, Mattivi, F, Viola, R, Ferreiro, Ms, Giannini, M, Fatati, G, Grandone, I, Di Lorenzo, N, Carbonelli, Mg, Riccardi, G, Giacco, R, Trimarchi, F, Aroso, M, Corazza, G, Brighenti, F, Casini, A, Giovannini, M, Riva, E, Sirtori, C, Cicero, A, Nisoli, E, Sbraccia, P, Migliaccio, P, Piretta, L, Melchionda, N, Donini, Lorenzo Maria, Guberti, E, Alonzo, E, Giorgino, F, Laviola, L, Agodi, A, Frittitta, L, Rotella, Cm, Dicembrini, I, Morelli, L, Contaldo, F, Gnessi, Lucio, Laviano, Alessandro, Muscaritoli, Maurizio, Pinto, Alessandro, Vania, Andrea, De Lorenzo, A, Di Renzo, L, Vettor, R, D’Andrea, F, Battino, M, and Biolo, G.
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nutrizione clinica - Published
- 2015
43. Effetti di un ceppo di Staphylococcus aureus meticillino resistente sulla cellula beta pancreatica
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Caporarello, N, Parrino, C, Motta, C, Genovese, C, Amodeo, A, Salmeri, M, Lupo, G, and Frittitta, L
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- 2014
44. Hyperinsulinemia and insulin resistance are independently associated with plasma lipids, uric acid and blood pressure in non-diabetic subjects. The GISIR database
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Bonora, E., Capaldo, B., Perin, P. C., Del Prato, S., De Mattia, G., Frittitta, L., Frontoni, S., Leonetti, F., Luzi, L., Marchesini, G., Marini, M. A., Natali, A., Paolisso, G., Piatti, P. M., Pujia, A., Solini, A., Vettor, R., Bonadonna, R. C., Ferrannini, E., Baratta, R., Graci, S., Bracaglia, D., Monti, L., Setola, E., Montalcini, T., Sesti, G., De Kreutzenberg, S. V., E. Bonora, B. Capaldo, P. Cavallo Perin, S. Del Prato, G. De Mattia, L. Frittitta, S. Frontoni, F. Leonetti, L. Luzi, G. Marchesini Reggiani, M.A. Marini, A. Natali, G. Paolisso, P.M. Piatti, A .Pujia, A. Solini, R. Vettor, R.C. Bonadonna, Bonora, E, Capaldo, B, Perin, Pc, DEL PRATO, S, DE MATTIA, G, Frittitta, L, Frontoni, S, Leonetti, F, Luzi, L, Marchesini, G, Marini, Ma, Natali, A, Paolisso, Giuseppe, Piatti, Pm, Pujia, A, Solini, A, Vettor, R, Bonadonna, Rc, and GROUP OF ITALIAN SCIENTISTS OF INSULIN RESISTANCE, Gisir
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Adult ,medicine.medical_specialty ,Adolescent ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Medicine (miscellaneous) ,Settore MED/13 - Endocrinologia ,chemistry.chemical_compound ,Insulin resistance ,High-density lipoprotein ,Internal medicine ,Hyperinsulinism ,Hyperinsulinemia ,Medicine ,Humans ,Insulin ,Hyperuricemia ,Triglycerides ,Aged ,Aged, 80 and over ,Nutrition and Dietetics ,business.industry ,Hypertriglyceridemia ,Cholesterol, HDL ,blood pressure ,HDL-cholesterol ,insulin ,insulin resistance ,triglycerides ,uric acid ,nutritional and metabolic diseases ,Middle Aged ,medicine.disease ,Lipids ,Endocrinology ,Blood pressure ,chemistry ,Uric acid ,Cardiology and Cardiovascular Medicine ,business - Abstract
Backgound and Aims: We evaluated whether hyperinsulinemia and/or insulin resistance are independently associated with plasma lipids, uric acid and blood pressure in nondiabetic subjects. Methods and Results: A database of hyperinsulinemic euglycemic clamp carried out with standard technique (40 mU per min per square meter of body surface area) in nondiabetic Italian subjects has been recently established. In this database we evaluated the relationships existing between fasting plasma insulin (FPI), glucose metabolized during clamp (M) and plasma levels of triglycerides (TG), high density lipoprotein cholesterol (HDL-C), uric acid (UA) as well as blood pressure (BP) in nondiabetic subjects with fasting plasma glucose
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- 2008
45. Correspondence between the International Diabetes Federation criteria for metabolic syndrome and insulin resistance in a cohort of Italian nondiabetic Caucasians: the GISIR database
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SESTI G, CAPALDO B, CAVALLO PERIN P, DEL PRATO S, FRITTITTA L, FRONTONI S, HRIBAL ML, MARCHESINI G, PIATTI PM, SOLINI A, BONORA E, GROUP OF, ITALIAN SCIENTISTS OF INSULIN RESISTANCE, PAOLISSO, Giuseppe, Sesti, G, Capaldo, Brunella, CAVALLO PERIN, P, DEL PRATO, S, Frittitta, L, Frontoni, S, Hribal, Ml, Marchesini, G, Paolisso, G, Piatti, Pm, Solini, A, Bonora, E, Group, Of, ITALIAN SCIENTISTS OF INSULIN, Resistance, Capaldo, B, and Paolisso, Giuseppe
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- 2007
46. Hyperinsulinemia and insulin resistance are independently associated with plasma lipids, uric acid and blood pressure in non-diabetic subjects. The GISIR database
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Bonora E, Perin Cavallo P, Del Prato S, De Mattia G, Frittitta L, Frontoni S, Leonetti F, Marchesini G, Marini MA, Natali A, Prolisso G, Piatti PM, Pujia A, Solini A. Vettor R, Bonadonna RC, on behalf of the Group of Italian Scientists of Insulin R.e.s.i.s.t.a.n.c.e., CAPALDO, BRUNELLA, Bonora, E, Capaldo, Brunella, Perin Cavallo, P, Del Prato, S, De Mattia, G, Frittitta, L, Frontoni, S, Leonetti, F, Marchesini, G, Marini, Ma, Natali, A, Prolisso, G, Piatti, Pm, Pujia, A, Solini A., Vettor R, Bonadonna, Rc, and on behalf of the Group of Italian Scientists of Insulin, R. e. s. i. s. t. a. n. c. e.
- Abstract
Background and aims: We evaluated whether hyperinsulinemia and/or insulin resistance are independently associated with plasma lipids, uric acid and blood pressure in non-diabetic subjects. Methods and results: A database of non-diabetic Italian subjects has recently been set up using data from hyperinsulinemic euglycemic clamp studies carried out using the standard technique (40 mU per min per square meter of body surface area). In this database we evaluated the relationships between fasting plasma insulin (FPI), glucose metabolized during clamp (M) and plasma levels of triglycerides (TG), high density lipoprotein cholesterol (HDL-C), uric acid (UA) as well as blood pressure (BP) in non-diabetic subjects with fasting plasma glucose
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- 2007
47. A PC-1 amino acid variant (K121Q) is associated with faster progression of renal disease in patients with type 1 diabetes and albuminuria
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De Cosmo, S, Argiolas, A, Miscio, G, Thomas, S, Piras, G, Trevisan, R, Perin, P, Bacci, S, Zucaro, L, Margaglione, M, Frittitta, L, Pizzuti, A, Tassi, V, Viberti, G, Trischitta, V, De Cosmo S, Argiolas A, Miscio G, Thomas S, Piras GP, Trevisan R, Perin PC, Bacci S, Zucaro L, Margaglione M, Frittitta L, Pizzuti A, Tassi V, Viberti GC, Trischitta V, De Cosmo, S, Argiolas, A, Miscio, G, Thomas, S, Piras, G, Trevisan, R, Perin, P, Bacci, S, Zucaro, L, Margaglione, M, Frittitta, L, Pizzuti, A, Tassi, V, Viberti, G, Trischitta, V, De Cosmo S, Argiolas A, Miscio G, Thomas S, Piras GP, Trevisan R, Perin PC, Bacci S, Zucaro L, Margaglione M, Frittitta L, Pizzuti A, Tassi V, Viberti GC, and Trischitta V
- Abstract
Insulin resistance characterizes type I diabetes in patients with albuminuria. A PC-1 glycoprotein amino acid variant, K121Q, is associated with insulin resistance. We examined the impact of the PC-1 K121Q variant on the rate of decline of the glomerular filtration rate (GFR) by creatinine clearance derived from the Cockroft-Gault formula in 77 type I diabetic patients with albuminuria who were followed for an average of 6.5 years (range 2.5-15). Patients carrying the Q allele (n = 22; 20 with KQ and 2 with QQ genotypes) had a faster GFR decline than those patients with the KK genotype (n = 55) (median 7.2 vs. 3.7 ml · min-1 · year-1; range 0.16 to 16.6 vs. -3.8 to 16.0 ml · min-1 · year-1; P< 0.001). Significantly more patients carrying the Q allele belonged to the highest tertile of GFR decline (odds ratio = 5.7, 95% CI 4.1-7.2, P = 0.02). Levels of blood pressure, HbA(1c), and albuminuria were comparable in the two genotype groups. Albuminuria (P = 0.001), mean blood pressure (P = 0.046), and PC-1 genotype (P = 0.036) independently correlated with GFR decline. Because all patients were receiving antihypertensive treatment, the faster GFR decline in the patients carrying the Q allele could be the result of reduced sensitivity to the renoprotective effect of antihypertensive therapy. PC-1 genotyping identifies type I diabetic patients with a faster progression of diabetic nephropathy.
- Published
- 2000
48. Role of cytosolic and calcium independent phospholipases A2 in insulin secretion impairment of INS‐1E cells infected by S. aureus
- Author
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Caporarello, N., primary, Salmeri, M., additional, Scalia, M., additional, Motta, C., additional, Parrino, C., additional, Frittitta, L., additional, Olivieri, M., additional, Toscano, M.A., additional, Anfuso, C.D., additional, and Lupo, G., additional
- Published
- 2015
- Full Text
- View/download PDF
49. Trischitta V, Frittitta L. ENPP1 Affects Insulin Action and Secretion: Evidences from In Vitro Studies
- Author
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Di Paola R, Caporarello N, Marucci A, Dimatteo C, Iadicicco C, Del Guerra S, Prudente S, Sudano D, Miele C, Parrino C, Piro S, Beguinot F, Marchetti P, Trischitta V, and Frittitta L.
- Subjects
endocrine system ,endocrine system diseases - Abstract
The aim of this study was to deeper investigate the mechanisms through which ENPP1, a negative modulator of insulin receptor (IR) activation, plays a role on insulin signaling, insulin secretion and eventually glucose metabolism. ENPP1 cDNA (carrying either K121 or Q121 variant) was transfected in HepG2 liver-, L6 skeletal muscle- and INS1E beta-cells. Insulin-induced IR-autophosphorylation (HepG2, L6, INS1E), Akt-Ser(473), ERK1/2-Thr(202)/Tyr(204) and GSK3-beta Ser(9) phosphorylation (HepG2, L6), PEPCK mRNA levels (HepG2) and 2-deoxy-D-glucose uptake (L6) was studied. GLUT 4 mRNA (L6), insulin secretion and caspase-3 activation (INS1E) were also investigated. Insulin-induced IR-autophosphorylation was decreased in HepG2-K, L6-K, INS1E-K (20%, 52% and 11% reduction vs. untransfected cells) and twice as much in HepG2-Q, L6-Q, INS1E-Q (44%, 92% and 30%). Similar data were obtained with Akt-Ser(473), ERK1/2-Thr(202)/Tyr(204) and GSK3-beta Ser(9) in HepG2 and L6. Insulin-induced reduction of PEPCK mRNA was progressively lower in untransfected, HepG2-K and HepG2-Q cells (65%, 54%, 23%). Insulin-induced glucose uptake in untransfected L6 (60% increase over basal), was totally abolished in L6-K and L6-Q cells. GLUT 4 mRNA was slightly reduced in L6-K and twice as much in L6-Q (13% and 25% reduction vs. untransfected cells). Glucose-induced insulin secretion was 60% reduced in INS1E-K and almost abolished in INS1E-Q. Serum deficiency activated caspase-3 by two, three and four folds in untransfected INS1E, INS1E-K and INS1E-Q. Glyburide-induced insulin secretion was reduced by 50% in isolated human islets from homozygous QQ donors as compared to those from KK and KQ individuals. Our data clearly indicate that ENPP1, especially when the Q121 variant is operating, affects insulin signaling and glucose metabolism in skeletal muscle- and liver-cells and both function and survival of insulin secreting beta-cells, thus representing a strong pathogenic factor predisposing to insulin resistance, defective insulin secretion and glucose metabolism abnormalities.
- Published
- 2011
50. Highlights from 'Italian Standards for the Treatment of Diabetes Mellitus 2009-2010'
- Author
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Bruno, G., De Micheli, A., Frontoni, S., Monge, L., Bonomo, M., De Cosmo, S., Grassi, G., Nicolucci, A., Aiello, A., Bertuzzi, F., Bonora, Enzo, Cimino, A., Cordera, R., de Bigontina, G., Di Bartolo, P., Dotta, F., Frittitta, L., Giaccari, A., Giorgino, F., Gruden, G., Marchetti, P., Meschi, F., Pellegrini, M. A., Rivellese, A., and Sesti, G.
- Subjects
Diabetes mellitus ,Evidence based practice ,Practice Guideline ,Diabetes mellitus therapy ,Quality of healthcare - Published
- 2011
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