35 results on '"Morlino D"'
Search Results
2. Assessment of serum amino acids profile in adult patients with Crohn’s disease
- Author
-
Cioffi, I., primary, Fisco, M., additional, Santarpia, L., additional, Di Vincenzo, O., additional, Caterino, M., additional, Morlino, D., additional, Imperatore, N., additional, Castiglione, F., additional, Ruoppolo, M., additional, and Pasanisi, F., additional
- Published
- 2021
- Full Text
- View/download PDF
3. LONG TERM NUTRITIONAL AND METABOLIC COMPLICATIONS AFTER MALABSORPTIVE BARIATRIC SURGERY
- Author
-
Santarpia, L., Santopaolo, M.L., Bongiorno, C., Alfonsi, L., Speranza, E., Cioffi, I., Morlino, D., Marra, M., and Pasanisi, F.
- Published
- 2021
- Full Text
- View/download PDF
4. DEVELOPMENT OF NEW PREDICTIVE EQUATIONS FOR ESTIMATING RESTING ENERGY EXPENDITURE IN ADULTS WITH CROHN'S DISEASE
- Author
-
Cioffi, I., Morlino, D., Di Vincenzo, O., Pagano, C., Imperatore, N., Marra, M., Sammarco, R., Speranza, E., Castiglione, F., Scalfi, L., and Pasanisi, F.
- Published
- 2020
- Full Text
- View/download PDF
5. Changes in dietary habits of women with breast cancer: preliminary results of a randomized controlled trial
- Author
-
Cioffi, I., primary, Naccarato, M., additional, Repetti, C., additional, Morlino, D., additional, Santarpia, L., additional, Buono, G., additional, Di Vincenzo, O., additional, Speranza, E., additional, Arpino, G., additional, and Pasanisi, F., additional
- Published
- 2020
- Full Text
- View/download PDF
6. Nutritional risk and eating attitudes in adolescent and young women with anorexia nervosa
- Author
-
Cioffi, I., primary, Naccarato, M., additional, Auriemma, L., additional, Stornaiuolo, S., additional, De Rosa, A., additional, Morlino, D., additional, Di Vincenzo, O., additional, Speranza, E., additional, De Caprio, C., additional, and Pasanisi, F., additional
- Published
- 2020
- Full Text
- View/download PDF
7. Prevalence of sarcopenia in overweight women with breast cancer
- Author
-
Morlino, D., primary, Marra, M., additional, Cioffi, I., additional, Speranza, E., additional, Di Vincenzo, O., additional, Sammarco, R., additional, Arpino, G., additional, and Pasanisi, F., additional
- Published
- 2020
- Full Text
- View/download PDF
8. Nutritional risk screening 2002 and subjective global assessment (SGA) and their association with nutritional parameters in a hospital ward
- Author
-
Speranza, E., primary, Di Vincenzo, O., additional, Santarpia, L., additional, De Caprio, C., additional, Morlino, D., additional, Cioffi, I., additional, Sammarco, R., additional, Marra, M., additional, D'Onofrio, G., additional, Contaldo, F., additional, and Pasanisi, F., additional
- Published
- 2020
- Full Text
- View/download PDF
9. Relationship between Handgrip strength and bioimpedance variables in Italian obese
- Author
-
Morlino, D., primary, Di Vincenzo, O., additional, Speranza, E., additional, Sammarco, R., additional, Marra, M., additional, and Pasanisi, F., additional
- Published
- 2020
- Full Text
- View/download PDF
10. Body composition and segmental phase angle (BIA) in elite athletes
- Author
-
Di Vincenzo, O., primary, Morlino, D., additional, Speranza, E., additional, Marra, M., additional, Scalfi, L., additional, and Pasanisi, F., additional
- Published
- 2020
- Full Text
- View/download PDF
11. MON-PO518: Relationship Between Phase Angle, Handgrip Strenght and BMI in Italian Women
- Author
-
Sammarco, R., primary, Marra, M., additional, Morlino, D., additional, Di Vincenzo, O., additional, Carmela, D.C., additional, De Filippo, E., additional, De Rosa, A., additional, Truocchio, L., additional, Speranza, E., additional, Contaldo, F., additional, and Pasanisi, F., additional
- Published
- 2019
- Full Text
- View/download PDF
12. PT09.5: Evaluation and Prediction and of Resting Energy Expenditure in Adult Crohn Disease
- Author
-
Cioffi, I., primary, Sammarco, R., additional, Morlino, D., additional, Speranza, E., additional, Santarpia, L., additional, Alfonsi, L., additional, Imperatore, N., additional, Castiglione, F., additional, Marra, M., additional, and Pasanisi, F., additional
- Published
- 2019
- Full Text
- View/download PDF
13. MON-PO517: Relationship Between Handgrip Strength and Bioimpedance Variables in Italian Obese Women
- Author
-
Sammarco, R., primary, Marra, M., additional, Speranza, E., additional, Morlino, D., additional, Di Vincenzo, O., additional, Cioffi, I., additional, Santopaolo, M.L., additional, Contaldo, F., additional, and Pasanisi, F., additional
- Published
- 2019
- Full Text
- View/download PDF
14. Evaluation of body composition in adolescent patients with cystic fibrosis (CF)
- Author
-
Morlino, D., primary, Cuccurullo, I., additional, Speranza, E., additional, Sammarco, R., additional, Mobilia, S., additional, Di Vincenzo, O., additional, Casertano, A., additional, Marra, M., additional, and Franzese, A., additional
- Published
- 2018
- Full Text
- View/download PDF
15. Resting energy expenditure and body composition in underweight male
- Author
-
Sammarco, R., primary, Di Vincenzo, O., additional, Morlino, D., additional, Maione, F., additional, Speranza, E., additional, Marra, M., additional, Contaldo, F., additional, and Pasanisi, F., additional
- Published
- 2018
- Full Text
- View/download PDF
16. Body Composition and Segmental Phase Angle in Physically Active Men
- Author
-
Marra, M., primary, Sammarco, R., primary, Speranza, E., primary, Vincenzo, O. Di, primary, Morlino, D., primary, Cioffi, I., primary, Scalfi, L., primary, and Pasanisi, F., primary
- Published
- 2018
- Full Text
- View/download PDF
17. Nutritional indicators and metabolic alterations in outpatients with anorexia nervosa: a retrospective study
- Author
-
Fabrizio Pasanisi, Franco Contaldo, Emilia De Filippo, R. Sammarco, Maurizio Marra, Carmela De Caprio, E. Speranza, D. Morlino, Speranza, E., Marra, M., De Filippo, E., De Caprio, C., Sammarco, R., Morlino, D., Contaldo, F., and Pasanisi, F.
- Subjects
Anorexia Nervosa ,Serum albumin ,Physiology ,Anorexia nervosa ,Nutrition alterations ,Body Mass Index ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Outpatients ,Medicine ,Humans ,Amenorrhea ,Retrospective Studies ,biology ,business.industry ,Cholesterol ,Malnutrition ,Albumin ,Retrospective cohort study ,Anthropometry ,medicine.disease ,030227 psychiatry ,Hepatic alteration ,Psychiatry and Mental health ,Clinical Psychology ,Phase angle ,Nutrition alteration ,chemistry ,biology.protein ,030211 gastroenterology & hepatology ,Original Article ,Female ,medicine.symptom ,Hepatic alterations ,business ,Body mass index - Abstract
Purpose In patients living with Anorexia Nervosa (AN), dehydration and haemoconcentration, may prevent a correct interpretation of laboratory nutritional parameters. Our study aims to evaluate if some indicators of disease severity, as body mass index (BMI), Phase Angle (PhA) and months of amenorrhea may be predictors of metabolic alterations (serum albumin, liver enzymes). Methods In 154 outpatients with AN, case history was collected, and anthropometric and laboratory parameters measured. Patients were divided according to the following tertiles (T) of BMI, duration of amenorrhea and PhA: (1) BMI (T1 16.8 kg/m2); (2) Amenorrhea duration (T1 14 months); (3) PhA value (T1 5.35°). ROC curves were used to determine which of these three indicators (BMI, PhA and amenorrhea duration) might better identify patients belonging to Group A or B (less than 3 or more metabolic abnormalities). Results The most frequent registered metabolic alterations were for alkaline phosphatase (ALP), alanine aminotransferase, cholesterol and hemoglobin. Aspartate aminotransferase, ALP and gamma glutamyl transferase abnormalities were frequent in the first tertiles of all the three indicators. Albumin was low in the T1 of BMI and PhA. No differences in nutritional alterations emerged according to amenorrhea duration. PhA had the best performance (AUCs: 0.721) in identifying patients with 3 or more abnormalities, with the optimal cut-off value of 4.5°. Conclusions Our data confirmed PhA as the more reliable predictor of metabolic alterations, followed by BMI and amenorrhea duration, especially in the first tertile. Evidence-based medicine Level 2.
- Published
- 2021
18. Bioelectrical Phase Angle in Patients with Breast Cancer: A Systematic Review
- Author
-
Delia Morlino, Iolanda Cioffi, Maurizio Marra, Olivia Di Vincenzo, Luca Scalfi, Fabrizio Pasanisi, Morlino, D., Cioffi, I., Marra, M., Di Vincenzo, O., Scalfi, L., and Pasanisi, F.
- Subjects
Cancer Research ,Oncology ,fat ma ,bioimpedance-analysi ,muscle strength ,chemotherapy ,survival - Abstract
Breast cancer (BC) is the most common cancer diagnosed among women worldwide. Phase angle (PhA), a proxy measure of membrane integrity and function, has gained relevance in clinical practice and it has been suggested to be a prognostic and nutritional indicator. This systematic review aimed to explore PhA and its relationship with nutritional status and survival in BC patients. Four databases (PubMed, EMBASE, Web of Science, and CINAHL) were systematically searched until September 2021 for studies evaluating PhA in BC patients. A total of 16 studies met the inclusion criteria, where 11 were observational studies and 5 were interventional studies. Baseline PhA-value varied from 4.9 to 6.30 degrees, showing a great variability and heterogeneity across the selected studies. Available data suggested that PhA decreased by 5–15% after completing chemotherapy, and those effects might persist in the long term. However, the use of tailored nutritional and/or exercise programs during and after therapy could prevent PhA reduction and body derangement. High PhA values were found in women displaying a better nutritional status, while inconsistent data were found on survival. Therefore, further studies are needed to focus on the clinical relevance of PhA in BC patients, evaluating its association with disease outcomes and survival.
- Published
- 2022
19. Nutritional Screening and Anthropometry in Patients Admitted From the Emergency Department
- Author
-
Enza Speranza, Lidia Santarpia, Maurizio Marra, Olivia Di Vincenzo, Marianna Naccarato, Carmela De Caprio, Delia Morlino, Gaetano D'Onofrio, Franco Contaldo, Fabrizio Pasanisi, Speranza, E., Santarpia, L., Marra, M., Di Vincenzo, O., Naccarato, M., De Caprio, C., Morlino, D., D'Onofrio, G., Contaldo, F., and Pasanisi, F.
- Subjects
Nutrition and Dietetics ,Nutritional Risk Screening (NRS 2002) ,Hospital malnutrition ,Nutrition. Foods and food supply ,Subjective Global Assessment (SGA) ,Endocrinology, Diabetes and Metabolism ,GLIM criteria ,anthropometry measurements ,TX341-641 ,malnutrition risk ,anthropometry measurement ,Food Science - Abstract
BackgroundDue to the high prevalence of malnutrition among hospitalized patients, screening and assessment of nutritional status should be routinely performed upon hospital admission. The main objective of this observational study was to evaluate the prevalence of and the risk for malnutrition, as identified by using three nutritional screening tests, and to observe whether some anthropometric and functional parameters used for nutritional evaluation were related to these test scores.MethodsThis single-center observational study included 207 patients admitted from the emergency department for hospitalization in either the internal medicine or surgery units of our institution from September 2017 to December 2018. The prevalence of malnutrition among this patient sample was evaluated by using the Nutritional Risk Screening (NRS-2002), the Subjective Global Assessment (SGA) and the Global Leadership Initiative on Malnutrition (GLIM) criteria. Body mass index (BMI), bioimpedance analysis (BIA), handgrip strength (HGS) and calf circumference (CC) assessments were also performed.ResultsAccording to the NRS-2002, 93% of the patients were at no risk or at low nutritional risk (NRS score < 3), and 7% were at a high nutritional risk (NRS score ≥ 3). On the other hand, according to the SGA, 46.3% of the patients were well-nourished (SGA-a), 49.8% were moderately malnourished (SGA-b), and 3.9% were severely malnourished (SGA-c). Finally, according to the GLIM criteria, 18% patients were malnourished. Body weight, body mass index (BMI), phase angle (PhA), CC and HGS were significantly lower in the patients with NRS scores ≥ 3, SGA-c and in patients with stage 1 and stage 2 malnutrition, according to the GLIM criteria.ConclusionThe NRS-2002, the SGA and the GLIM criteria appear to be valuable tools for the screening and assessment of nutritional status. In particular, the lowest NRS-2002, SGA and GLIM scores were associated with the lowest PhA and CC. Nevertheless, a weekly re-evaluation of patients with better screening and assessment scores is recommended to facilitate early detection of changes in nutritional status.
- Published
- 2022
20. New Predictive Equations for Estimating Resting Energy Expenditure in Adults With Crohn's Disease
- Author
-
Nicola Imperatore, Luca Scalfi, Maria Carmen Pagano, Maurizio Marra, D. Morlino, Olivia Di Vincenzo, Iolanda Cioffi, Fabrizio Pasanisi, Lidia Santarpia, Lucia Alfonsi, Fabiana Castiglione, Marra, M, Cioffi, I, Morlino, D, Vincenzo, Od, Pagano, Mc, Imperatore, N, Alfonsi, L, Santarpia, L, Castiglione, F, Scalfi, L, and Pasanisi, F.
- Subjects
Adult ,Male ,Adolescent ,Population level ,030309 nutrition & dietetics ,Population ,dietary advice ,Medicine (miscellaneous) ,Body Mass Index ,predictive equations ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Crohn Disease ,GTP-Binding Proteins ,Predictive Value of Tests ,Weight loss ,Statistics ,energy expenditure ,medicine ,Humans ,Resting energy expenditure ,education ,Aged ,Mathematics ,0303 health sciences ,Crohn's disease ,education.field_of_study ,Nutrition and Dietetics ,Original Communication ,accuracy ,Reproducibility of Results ,Calorimetry, Indirect ,Regression analysis ,Middle Aged ,Anthropometry ,medicine.disease ,Individual level ,Original Communications ,Female ,030211 gastroenterology & hepatology ,Basal Metabolism ,medicine.symptom ,Energy Metabolism - Abstract
Background Increased resting energy expenditure (REE) has been hypothesized to be a potential cause of weight loss in individuals with Crohn's disease (CD). This study aimed to develop and validate new predictive equations for estimating REE in adults with CD. Methods Adults, ages 18–65 years, with CD were recruited. Anthropometry, indirect calorimetry, and bioimpedance analysis were performed in all patients. Disease activity was assessed by Crohn's Disease Activity Index. The new predictive equations were generated using different regression models. Prediction accuracy of the new equations was assessed and compared with the most commonly used equations. Results A total of 270 CD patients (159 males, 111 females) were included and randomly assigned to the calibration (n = 180) and validation groups (n = 90). REE was directly correlated with weight and bioimpedance index, whereas the relation with both age and disease activity was inverse. The new equations were suitable for estimating REE at population level (bias: −0.2 and −0.3, respectively). Individual accuracy was good in both models (≥80%, respectively), especially in females; and similar results were shown by some of the selected equations. But, when accuracy was set within ±5%, the new equations gave the highest prediction. Conclusion The new, disease‐specific, equations for predicting REE in individuals with CD give a good prediction accuracy as far as those proposed in the literature for the general population. However, the new ones performed better at the individual level. Further studies are needed to verify the reliability and usefulness of these new equations.
- Published
- 2020
21. A proposal for reference values of hand grip strength in women with different body mass indexes
- Author
-
Fabrizio Pasanisi, D. Morlino, Emilia De Filippo, Carmela De Caprio, Olivia Di Vincenzo, R. Sammarco, Iolanda Cioffi, Maurizio Marra, E. Speranza, Morlino, D., Marra, M., Cioffi, I., Sammarco, R., Speranza, E., Di Vincenzo, O., De Caprio, C., De Filippo, E., and Pasanisi, F.
- Subjects
0301 basic medicine ,Adult ,Adolescent ,Endocrinology, Diabetes and Metabolism ,030209 endocrinology & metabolism ,Body weight ,Handgrip strength ,Body Mass Index ,BMI ,03 medical and health sciences ,Grip strength ,Young Adult ,0302 clinical medicine ,Age groups ,Reference Values ,Bayesian multivariate linear regression ,Medicine ,Humans ,Women ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Hand Strength ,business.industry ,Anthropometry ,Middle Aged ,Phase angle ,Cross-Sectional Studies ,Italy ,Bioimpedance Analysis ,Reference values ,Female ,Bioimpedance analysi ,business ,Body mass index ,Demography - Abstract
Objective Hand grip strength (HGS) is frequently used in clinical practice, resulting in a potential marker of nutritional status. This study aimed to develop reference values of HGS in Italian women with different categories of body mass index (BMI). Additionally, the main predictors of HGS were identified. Methods A cross-sectional study was conducted in Italian women between ages 16 and 55 y with different categories of BMI at the Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples Italy. The whole sample was divided into tertiles according to BMI: 15 to 17.29 kg/m2 (T1), 17.3 to 19.9 kg/m2 (T2), and 20 to 25 kg/m2 (T3). Anthropometry, bioimpedance analysis, and muscle strength by an HGS test were evaluated. The cut-off values for HGS were developed for all participants and stratified by age group. Finally, a multivariate linear regression analysis was performed to assess the main predictors of HGS. Results A total of 529 women with a mean age of 23.2 ± 7.0 y and an average BMI of 18.9 ± 2.5 kg/m2 were analyzed. HGS was higher for the dominant hand than for the non-dominant hand in all BMI tertiles. On both sides, according to age groups, HGS increased with increasing age in T1 and T3, whereas it increased in the women between ages 20 and 30 y in T2 only. Multivariate linear regression analysis showed that predictors of HGS varied according to tertiles. Specifically, we found that body weight (R2 = 0.252) was the main predictor in T1, whereas phase angle (PhA) was the main determinant in both T2 (R2 = 0.240) and T3 (R2 = 0.216). Conclusion This study defined the normal reference values of HGS in Italian women with different BMI ranges, stratifying the sample group by age. Additionally, the main predictors of HGS were assessed for each BMI tertile. In primary malnutrition (T1), the main predictor of HGS was body weight, whereas in the other two tertiles (T2, T3), the PhA was the main predictor of HGS.
- Published
- 2020
22. New predictive equations for estimating resting energy expenditure in subjects with normal weight and overweight
- Author
-
Fabrizio Pasanisi, Maurizio Marra, E. Speranza, R. Sammarco, Iolanda Cioffi, D. Morlino, Olivia Di Vincenzo, Marra, M., Sammarco, R., Cioffi, I., Morlino, D., Di Vincenzo, O., Speranza, E., and Pasanisi, F.
- Subjects
Adult ,Male ,0301 basic medicine ,Calibration and validation ,Endocrinology, Diabetes and Metabolism ,030209 endocrinology & metabolism ,Indirect calorimetry ,Overweight ,Body Mass Index ,03 medical and health sciences ,0302 clinical medicine ,Predictive equation ,Predictive Value of Tests ,Statistics ,medicine ,Humans ,Resting energy expenditure ,Obesity ,Normal weight ,Group level ,Mathematics ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Phase angle ,Reproducibility of Results ,Calorimetry, Indirect ,Bioimpedance Analysis ,Female ,Basal Metabolism ,Bioimpedance analysi ,medicine.symptom ,Energy Metabolism ,Body mass index - Abstract
Objective: The aim of this study was to develop and validate new predictive equations for estimating resting energy expenditure (REE) in subjects with normal weight and overweight, considering anthropometric parameters as well as raw variables from bioimpedance analysis (BIA). Methods: Adult participants with normal weight and overweight were recruited and randomly split into calibration and validation groups. Indirect calorimetry (IC) and BIA were performed in all subjects. New predictive equations were developed using the following models: model 1 with age, weight, stature, and body mass index (BMI) as predictors; and model 2: model 1 + raw BIA variables (bioimpedance index and phase angle). The accuracy of the new equations at both the group (bias) and individual (within ±10%) levels was tested in the validation group. Three published predictive equations were also compared, with the REE values measured by IC. Results: A total of 2483 adults were included for developing and validating the new equations. All selected formulas, including the new ones, showed a bias of
- Published
- 2021
23. Long-Term Outcomes from a 10-Year Follow-Up of Women Living with a Restrictive Eating Disorder: A Brief Report
- Author
-
E. Speranza, Emilia De Filippo, Franco Contaldo, Maurizio Marra, Lidia Santarpia, D. Morlino, Olivia Di Vincenzo, Fabrizio Pasanisi, Speranza, E., Santarpia, L., Marra, M., De Filippo, E., Di Vincenzo, O., Morlino, D., Pasanisi, F., and Contaldo, F.
- Subjects
050103 clinical psychology ,Anorexia Nervosa ,Time Factors ,Osteoporosis ,Absorptiometry, Photon ,0302 clinical medicine ,Bone Density ,Adaptation, Psychological ,Outcome Assessment, Health Care ,Electric Impedance ,Long term outcomes ,Nutrition and Dietetics ,10 year follow up ,05 social sciences ,Middle Aged ,Adaptation, Physiological ,Restrictive eating ,Cohort ,Body Composition ,Educational Status ,Female ,lifestyle results ,lcsh:Nutrition. Foods and food supply ,Adult ,Employment ,medicine.medical_specialty ,lcsh:TX341-641 ,Article ,03 medical and health sciences ,Lumbar ,medicine ,Humans ,0501 psychology and cognitive sciences ,Data collection ,Marital Status ,business.industry ,Calorimetry, Indirect ,medicine.disease ,030227 psychiatry ,Lifestyle result ,Osteopenia ,Socioeconomic Factors ,restrictive eating disorders ,Physical therapy ,Energy Metabolism ,bone mineral density ,business ,Biomarkers ,Follow-Up Studies ,Food Science - Abstract
Background: This study aimed to evaluate several socio-demographic and long-term clinical outcomes in a cohort of women living with a restrictive eating disorder. Methods: Patients were asked to fill in a general data collection form aiming to investigate their current conditions and to attend the outpatient unit for a 10-year follow-up clinical and laboratory evaluation. Results: Forty-four patients completed the follow-up general data collection form and 20 agreed to attend the outpatient unit for the 10 year-follow-up evaluation. In total, 52% of patients were single, 55% had achieved a university degree, and 55% had steady employment. After 10 years, there was a clear improvement in biochemical markers, but cholesterol levels were still slightly high. The prevalence of osteopenia in the whole sample was 70% when measured on the lumbar column and 20% on the total body, while osteoporosis was found in 10% of patients and only on the lumbar column. Conclusion: According to the collected data, women with a history of restrictive eating disorders appear to re-adapt well to social life by obtaining the level of their unaffected peers in terms of education and employment.
- Published
- 2020
24. Body composition and segmental phase angle in physically active men
- Author
-
D. Morlino, Iolanda Cioffi, Luca Scalfi, Maurizio Marra, R. Sammarco, O. Di Vincenzo, Fabrizio Pasanisi, E. Speranza, Marra, M., Sammarco, R., Speranza, E., Di Vincenzo, O., Morlino, D., Cioffi, I., Scalfi, L., and Pasanisi, F.
- Subjects
Materials science ,Dancer ,Phase angle ,Analytical chemistry ,Computer Science Applications1707 Computer Vision and Pattern Recognition ,Physical Therapy, Sports Therapy and Rehabilitation ,Composition (combinatorics) ,Cyclist ,Athlete ,Phase Angle ,BIA ,Body Composition ,Orthopedics and Sports Medicine ,Software - Abstract
Body composition (BC) is strongly related to the overall health and fitness levels of athletes. The aim of this study was to evaluate BC and in particular phase angle for whole body and for the different body segments in males elite athletes compared with a normal-weight control group. 27 young men participated in the study: 9 ciclysts (age 28.8±3.5 years; weight 70.2±5.6kg; BMI 21.2±1.2 kg / m2), 9 dancers (age 19.2±1.3 years; weight 63.3±5.8 kg; BMI 20.8±1.0kg /m2) and 9 young normal-weight men (age 18.9±2.8years, weight 70.7±11.6 kg, BMI 22.9±3.3 kg / m2.) Bioimpedance analysis (BIA) was performed at 50 kHz (DS Medica) early in the morning. Phase angle (a bioimpedance variable related to nutritional status) was used in order to evaluate differences in fat free mass (FFM) characteristics among the groups. As far as BC, cyclists showed the highest values of FFM whereas dancers and controls were similar. Fat mass (FM), both in absolute value and in percentage, is significantly lower in dancers and cyclists than controls. Total phase angle and leg phase angle were similar in Cyclist, dancers and controls. Regarding arm phase angle, there were no significantly differences between groups. This study shows that the sports activity, regardless of the type of sport, had a significant effect on BC variables respect non-athletic young men.
25. Prevalence of Sarcopenia in Women with Breast Cancer.
- Author
-
Morlino D, Marra M, Cioffi I, Santarpia L, De Placido P, Giuliano M, De Angelis C, Carrano S, Verrazzo A, Buono G, Naccarato M, Di Vincenzo O, Speranza E, De Placido S, Arpino G, and Pasanisi F
- Subjects
- Adult, Aged, Cross-Sectional Studies, Female, Hand Strength, Humans, Middle Aged, Prevalence, Breast Neoplasms complications, Breast Neoplasms epidemiology, Sarcopenia diagnosis, Sarcopenia epidemiology, Sarcopenia etiology
- Abstract
Sarcopenia is a common finding in patients with cancer and potentially influences the patient’s outcome. The aim of this study was to evaluate the prevalence of sarcopenia, according to the European Working Group on Sarcopenia in Older People, in a sample of women with breast cancer (BC) and a BMI lower than 30 kg/m2. This cross-sectional study was conducted in patients with BC, stage 0-III, and receiving therapy for BC; the women were recruited at the Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy. A control group with similar age and BMI was selected from the internal database. Anthropometry, bioimpedance analysis (BIA) and hand grip strength (HGS) were measured to detect sarcopenia. A total of 122 patients (mean age 49.3 ± 11.0 years, BMI 24.6 ± 3.0 kg/m2) and 80 healthy controls were analyzed. Sarcopenia was found in 13.9% patients with BC, while none of the subjects in the control group was sarcopenic. By comparing BC patients with and without sarcopenia and the control group, the fat-free mass of sarcopenic BC patients were significantly lower than those of both non-sarcopenic BC patients and the control (p < 0.05). The phase angle was also significantly lower in sarcopenic patients (−0.5 degrees, p = 0.048) than in the control group. Considering the prevalence of sarcopenia in patients with BC, our findings suggest the usefulness of body composition and HGS evaluation for early screening of sarcopenia to reduce the risk of associated complications.
- Published
- 2022
- Full Text
- View/download PDF
26. Bioelectrical Phase Angle in Patients with Breast Cancer: A Systematic Review.
- Author
-
Morlino D, Cioffi I, Marra M, Di Vincenzo O, Scalfi L, and Pasanisi F
- Abstract
Breast cancer (BC) is the most common cancer diagnosed among women worldwide. Phase angle (PhA), a proxy measure of membrane integrity and function, has gained relevance in clinical practice and it has been suggested to be a prognostic and nutritional indicator. This systematic review aimed to explore PhA and its relationship with nutritional status and survival in BC patients. Four databases (PubMed, EMBASE, Web of Science, and CINAHL) were systematically searched until September 2021 for studies evaluating PhA in BC patients. A total of 16 studies met the inclusion criteria, where 11 were observational studies and 5 were interventional studies. Baseline PhA-value varied from 4.9 to 6.30 degrees, showing a great variability and heterogeneity across the selected studies. Available data suggested that PhA decreased by 5-15% after completing chemotherapy, and those effects might persist in the long term. However, the use of tailored nutritional and/or exercise programs during and after therapy could prevent PhA reduction and body derangement. High PhA values were found in women displaying a better nutritional status, while inconsistent data were found on survival. Therefore, further studies are needed to focus on the clinical relevance of PhA in BC patients, evaluating its association with disease outcomes and survival.
- Published
- 2022
- Full Text
- View/download PDF
27. Nutritional Screening and Anthropometry in Patients Admitted From the Emergency Department.
- Author
-
Speranza E, Santarpia L, Marra M, Di Vincenzo O, Naccarato M, De Caprio C, Morlino D, D'Onofrio G, Contaldo F, and Pasanisi F
- Abstract
Background: Due to the high prevalence of malnutrition among hospitalized patients, screening and assessment of nutritional status should be routinely performed upon hospital admission. The main objective of this observational study was to evaluate the prevalence of and the risk for malnutrition, as identified by using three nutritional screening tests, and to observe whether some anthropometric and functional parameters used for nutritional evaluation were related to these test scores., Methods: This single-center observational study included 207 patients admitted from the emergency department for hospitalization in either the internal medicine or surgery units of our institution from September 2017 to December 2018. The prevalence of malnutrition among this patient sample was evaluated by using the Nutritional Risk Screening (NRS-2002), the Subjective Global Assessment (SGA) and the Global Leadership Initiative on Malnutrition (GLIM) criteria. Body mass index (BMI), bioimpedance analysis (BIA), handgrip strength (HGS) and calf circumference (CC) assessments were also performed., Results: According to the NRS-2002, 93% of the patients were at no risk or at low nutritional risk (NRS score < 3), and 7% were at a high nutritional risk (NRS score ≥ 3). On the other hand, according to the SGA, 46.3% of the patients were well-nourished (SGA-a), 49.8% were moderately malnourished (SGA-b), and 3.9% were severely malnourished (SGA-c). Finally, according to the GLIM criteria, 18% patients were malnourished. Body weight, body mass index (BMI), phase angle (PhA), CC and HGS were significantly lower in the patients with NRS scores ≥ 3, SGA-c and in patients with stage 1 and stage 2 malnutrition, according to the GLIM criteria., Conclusion: The NRS-2002, the SGA and the GLIM criteria appear to be valuable tools for the screening and assessment of nutritional status. In particular, the lowest NRS-2002, SGA and GLIM scores were associated with the lowest PhA and CC. Nevertheless, a weekly re-evaluation of patients with better screening and assessment scores is recommended to facilitate early detection of changes in nutritional status., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Speranza, Santarpia, Marra, Di Vincenzo, Naccarato, De Caprio, Morlino, D'Onofrio, Contaldo and Pasanisi.)
- Published
- 2022
- Full Text
- View/download PDF
28. Nutritional indicators and metabolic alterations in outpatients with anorexia nervosa: a retrospective study.
- Author
-
Speranza E, Marra M, De Filippo E, De Caprio C, Sammarco R, Morlino D, Contaldo F, and Pasanisi F
- Subjects
- Amenorrhea etiology, Body Mass Index, Female, Humans, Outpatients, Retrospective Studies, Anorexia Nervosa
- Abstract
Purpose: In patients living with Anorexia Nervosa (AN), dehydration and haemoconcentration, may prevent a correct interpretation of laboratory nutritional parameters. Our study aims to evaluate if some indicators of disease severity, as body mass index (BMI), Phase Angle (PhA) and months of amenorrhea may be predictors of metabolic alterations (serum albumin, liver enzymes)., Methods: In 154 outpatients with AN, case history was collected, and anthropometric and laboratory parameters measured. Patients were divided according to the following tertiles (T) of BMI, duration of amenorrhea and PhA: (1) BMI (T1 < 15.6; T2 15.6-16.8; T3 > 16.8 kg/m
2 ); (2) Amenorrhea duration (T1 < 7; T2 7-14; T3 > 14 months); (3) PhA value (T1 < 4.64; T2 4.64-5.35; T3: > 5.35°). ROC curves were used to determine which of these three indicators (BMI, PhA and amenorrhea duration) might better identify patients belonging to Group A or B (less than 3 or more metabolic abnormalities)., Results: The most frequent registered metabolic alterations were for alkaline phosphatase (ALP), alanine aminotransferase, cholesterol and hemoglobin. Aspartate aminotransferase, ALP and gamma glutamyl transferase abnormalities were frequent in the first tertiles of all the three indicators. Albumin was low in the T1 of BMI and PhA. No differences in nutritional alterations emerged according to amenorrhea duration. PhA had the best performance (AUCs: 0.721) in identifying patients with 3 or more abnormalities, with the optimal cut-off value of 4.5°., Conclusions: Our data confirmed PhA as the more reliable predictor of metabolic alterations, followed by BMI and amenorrhea duration, especially in the first tertile., Evidence-Based Medicine: Level 2., (© 2021. The Author(s).)- Published
- 2021
- Full Text
- View/download PDF
29. Resting energy expenditure in elite athletes: development of new predictive equations based on anthropometric variables and bioelectrical impedance analysis derived phase angle.
- Author
-
Marra M, Di Vincenzo O, Cioffi I, Sammarco R, Morlino D, and Scalfi L
- Subjects
- Adolescent, Adult, Calorimetry, Indirect, Humans, Male, Regression Analysis, Rest, Retrospective Studies, Young Adult, Anthropometry, Electric Impedance, Energy Metabolism, Models, Statistical, Sports physiology
- Abstract
Background: An accurate estimation of athletes' energy needs is crucial in diet planning to improve sport performance and to maintain an appropriate body composition. This study aimed to develop and validate in elite athletes new equations for estimating resting energy expenditure (REE) based on anthropometric parameters as well as bioimpedance analysis (BIA)-derived raw variables and to validate the accuracy of selected predictive equations., Methods: Adult elite athletes aged 18-40 yrs were studied. Anthropometry, indirect calorimetry and BIA were performed in all subjects. The new predictive equations were generated using different regression models. The accuracy of the new equations was assessed at the group level (bias) and at the individual level (precision accuracy), and then compared with the one of five equations used in the general population or three athletes-specific formulas., Results: One-hundred and twenty-six male athletes (age 26.9 ± 9.1 yrs; weight 71.3 ± 10.9 kg; BMI 22.8 ± 2.7 kg/m
2 ) from different sport specialties were randomly assigned to the calibration (n = 75) or validation group (n = 51). REE was directly correlated with individual characteristics, except for age, and raw BIA variables. Most of the equations from the literature were reasonably accurate at the population level (bias within ±5%). The new equations showed a mean bias -0.3% (Eq. A based on anthropometric parameters) and -0.6% (Eq. B based on BIA-derived raw variables). Precision accuracy (individual predicted-measured differences within ±5%) was ~75% in six out of eight of the selected equations and even higher for Eq. A (82.4%) and Eq. B (92.2%)., Conclusion: In elite athletes, BIA-derived phase angle is a significant predictor of REE. The new equations have a very good prediction accuracy at both group and individual levels. The use of phase angle as predictor of REE requires further research with respect to different sport specialties, training programs and training level., (© 2021. The Author(s).)- Published
- 2021
- Full Text
- View/download PDF
30. A proposal for reference values of hand grip strength in women with different body mass indexes.
- Author
-
Morlino D, Marra M, Cioffi I, Sammarco R, Speranza E, Di Vincenzo O, De Caprio C, De Filippo E, and Pasanisi F
- Subjects
- Adolescent, Adult, Body Mass Index, Cross-Sectional Studies, Female, Humans, Italy, Middle Aged, Reference Values, Young Adult, Hand Strength
- Abstract
Objective: Hand grip strength (HGS) is frequently used in clinical practice, resulting in a potential marker of nutritional status. This study aimed to develop reference values of HGS in Italian women with different categories of body mass index (BMI). Additionally, the main predictors of HGS were identified., Methods: A cross-sectional study was conducted in Italian women between ages 16 and 55 y with different categories of BMI at the Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples Italy. The whole sample was divided into tertiles according to BMI: 15 to 17.29 kg/m
2 (T1), 17.3 to 19.9 kg/m2 (T2), and 20 to 25 kg/m2 (T3). Anthropometry, bioimpedance analysis, and muscle strength by an HGS test were evaluated. The cut-off values for HGS were developed for all participants and stratified by age group. Finally, a multivariate linear regression analysis was performed to assess the main predictors of HGS., Results: A total of 529 women with a mean age of 23.2 ± 7.0 y and an average BMI of 18.9 ± 2.5 kg/m2 were analyzed. HGS was higher for the dominant hand than for the non-dominant hand in all BMI tertiles. On both sides, according to age groups, HGS increased with increasing age in T1 and T3, whereas it increased in the women between ages 20 and 30 y in T2 only. Multivariate linear regression analysis showed that predictors of HGS varied according to tertiles. Specifically, we found that body weight (R2 = 0.252) was the main predictor in T1, whereas phase angle (PhA) was the main determinant in both T2 (R2 = 0.240) and T3 (R2 = 0.216)., Conclusion: This study defined the normal reference values of HGS in Italian women with different BMI ranges, stratifying the sample group by age. Additionally, the main predictors of HGS were assessed for each BMI tertile. In primary malnutrition (T1), the main predictor of HGS was body weight, whereas in the other two tertiles (T2, T3), the PhA was the main predictor of HGS., (Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.)- Published
- 2021
- Full Text
- View/download PDF
31. Fat mass and vascular health in overweight/obese children.
- Author
-
Licenziati MR, Iannuzzo G, Morlino D, Campana G, Renis M, Iannuzzi A, and Valerio G
- Subjects
- Adolescent, Age Factors, Carotid Artery Diseases etiology, Child, Child, Preschool, Female, Humans, Italy, Male, Pediatric Obesity complications, Pediatric Obesity physiopathology, Predictive Value of Tests, Prognosis, Risk Assessment, Risk Factors, Adiposity, Carotid Artery Diseases diagnostic imaging, Carotid Intima-Media Thickness, Models, Biological, Pediatric Obesity diagnosis
- Abstract
Background and Aim: Childhood obesity is one of the most serious public health challenges of the 21st century. Body mass index (BMI), the most widely used marker of body fatness, has serious limitations, particularly in children, since it does not accurately discriminate between lean and fat mass. Aim of our study was to investigate if the estimate of fat mass, as derived by a new prediction model, was associated with carotid intima media thickness (IMT) and the cross-sectional area of the intima media complex (CSA-IMC) in overweight or obese children., Methods and Results: As many as 375 overweight/obese Italian children, 54.7% males, aged 5-15 years, admitted to a tertiary care hospital, were consecutively enrolled in a study on cardiovascular markers of atherosclerosis. All children underwent an ultrasound carotid examination. Mean weight was 62.2 ± 20.8 Kg and fat-mass was 26.2 ± 10.7 Kg. Multiple regression analyses showed a significant association of fat mass with carotid IMT (β 0.156, p 0.01) and CSA-IMC (β 0.216, p < 0.001); these associations remained significant after controlling for the main cardiovascular risk factors (age, sex, blood pressure, HOMA-index, triglycerides, LDL-cholesterol, HDL-cholesterol, birth weight and high-sensitivity C-reactive protein)., Conclusion: Fat mass calculated with the new formula is independently associated with subclinical atherosclerosis in overweight/obese children., (Copyright © 2021 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
32. New predictive equations for estimating resting energy expenditure in subjects with normal weight and overweight.
- Author
-
Marra M, Sammarco R, Cioffi I, Morlino D, Di Vincenzo O, Speranza E, and Pasanisi F
- Subjects
- Adult, Basal Metabolism, Body Mass Index, Calorimetry, Indirect, Energy Metabolism, Female, Humans, Male, Predictive Value of Tests, Reproducibility of Results, Obesity, Overweight
- Abstract
Objective: The aim of this study was to develop and validate new predictive equations for estimating resting energy expenditure (REE) in subjects with normal weight and overweight, considering anthropometric parameters as well as raw variables from bioimpedance analysis (BIA)., Methods: Adult participants with normal weight and overweight were recruited and randomly split into calibration and validation groups. Indirect calorimetry (IC) and BIA were performed in all subjects. New predictive equations were developed using the following models: model 1 with age, weight, stature, and body mass index (BMI) as predictors; and model 2: model 1 + raw BIA variables (bioimpedance index and phase angle). The accuracy of the new equations at both the group (bias) and individual (within ±10%) levels was tested in the validation group. Three published predictive equations were also compared, with the REE values measured by IC., Results: A total of 2483 adults were included for developing and validating the new equations. All selected formulas, including the new ones, showed a bias of <5% in estimating REE at the group level. Accuracy at the individual level was slightly higher for the new equations, especially for the equation based on raw BIA variables (men = 70.3%; women = 72.3%)., Conclusions: Compared to the equations in the literature, the new equations showed good accuracy at both the group and individual levels, with a slight improvement in individual accuracy for the formula including raw BIA variables. However, future research is required to verify the role of the raw BIA variables in predicting REE in subjects with normal weight and overweight., (Copyright © 2020 The Author(s). Published by Elsevier Inc. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
33. Bioimpedance phase angle in elite male athletes: a segmental approach.
- Author
-
Marra M, Di Vincenzo O, Sammarco R, Morlino D, and Scalfi L
- Subjects
- Adolescent, Adult, Humans, Male, Young Adult, Anthropometry, Athletes, Body Composition, Electric Impedance, Sports
- Abstract
Objective: Phase angle (PA), a bioelectrical impedance analysis (BIA) parameter, has proven to be a proxy of body cell mass in athletes, but very few data are available on its segmental evaluation (upper and lower limbs). Therefore, we aimed to assess whether whole-body and segmental PA varied among elite male athletes of different sports and compared these to control groups. Additionally, we investigated its relationship with anthropometric and body composition parameters., Approach: Elite athletes practicing cycling, water polo and ballet dance aged 18-40 years underwent anthropometric and BIA measurements. PA (whole-body and upper and lower limbs) was considered as raw BIA variable. Data were also compared with healthy subjects with similar characteristics who served as control groups., Main Results: Participants included three groups of male athletes: 18 cyclists (age 28.6 ± 3.4 years; weight 70.6 ± 5.4 kg; BMI 21.5 ± 1.4 kg m
2 ), 20 water polo players (age 23.9 ± 4 years; weight 89.0 ± 5.2 kg; BMI 25.9 ± 1.9 kg m2 ) and 18 ballet dancers (age 19.2 ± 1.3 years; weight 63.3 ± 5.8 kg; BMI 20.8 ± 1.0 kg m2 ) and three groups of healthy control subjects each of which similar for general characteristics (one to one) to the previous ones. Both whole-body and limb PAs were significantly higher in athletes compared to their respective controls, whereas no differences were found among sport groups. PA was positively correlated with BMI and fat-free mass (FFM) more in athletes than in controls and FFM was the main determinant., Significance: PA may represent a useful proxy parameter of soft tissue mass quality, directly related to physical activity level. Furthermore, the direct evaluation of segmental PA among athletes practicing different sports may be useful for assessing and monitoring the differences among athletes and changes due to training.- Published
- 2021
- Full Text
- View/download PDF
34. Long-Term Outcomes from a 10-Year Follow-Up of Women Living with a Restrictive Eating Disorder: A Brief Report.
- Author
-
Speranza E, Santarpia L, Marra M, De Filippo E, Di Vincenzo O, Morlino D, Pasanisi F, and Contaldo F
- Subjects
- Absorptiometry, Photon, Adaptation, Physiological, Adaptation, Psychological, Adult, Biomarkers analysis, Body Composition, Bone Density, Calorimetry, Indirect, Educational Status, Electric Impedance, Employment statistics & numerical data, Energy Metabolism, Female, Follow-Up Studies, Humans, Marital Status, Middle Aged, Outcome Assessment, Health Care, Anorexia Nervosa physiopathology, Anorexia Nervosa psychology, Socioeconomic Factors, Time Factors
- Abstract
Background: This study aimed to evaluate several socio-demographic and long-term clinical outcomes in a cohort of women living with a restrictive eating disorder., Methods: Patients were asked to fill in a general data collection form aiming to investigate their current conditions and to attend the outpatient unit for a 10-year follow-up clinical and laboratory evaluation., Results: Forty-four patients completed the follow-up general data collection form and 20 agreed to attend the outpatient unit for the 10 year-follow-up evaluation. In total, 52% of patients were single, 55% had achieved a university degree, and 55% had steady employment. After 10 years, there was a clear improvement in biochemical markers, but cholesterol levels were still slightly high. The prevalence of osteopenia in the whole sample was 70% when measured on the lumbar column and 20% on the total body, while osteoporosis was found in 10% of patients and only on the lumbar column., Conclusion: According to the collected data, women with a history of restrictive eating disorders appear to re-adapt well to social life by obtaining the level of their unaffected peers in terms of education and employment.
- Published
- 2020
- Full Text
- View/download PDF
35. New Predictive Equations for Estimating Resting Energy Expenditure in Adults With Crohn's Disease.
- Author
-
Marra M, Cioffi I, Morlino D, Vincenzo OD, Pagano MC, Imperatore N, Alfonsi L, Santarpia L, Castiglione F, Scalfi L, and Pasanisi F
- Subjects
- Adolescent, Adult, Aged, Basal Metabolism, Body Mass Index, Calorimetry, Indirect, Energy Metabolism, Female, GTP-Binding Proteins, Humans, Male, Middle Aged, Predictive Value of Tests, Reproducibility of Results, Young Adult, Crohn Disease
- Abstract
Background: Increased resting energy expenditure (REE) has been hypothesized to be a potential cause of weight loss in individuals with Crohn's disease (CD). This study aimed to develop and validate new predictive equations for estimating REE in adults with CD., Methods: Adults, ages 18-65 years, with CD were recruited. Anthropometry, indirect calorimetry, and bioimpedance analysis were performed in all patients. Disease activity was assessed by Crohn's Disease Activity Index. The new predictive equations were generated using different regression models. Prediction accuracy of the new equations was assessed and compared with the most commonly used equations., Results: A total of 270 CD patients (159 males, 111 females) were included and randomly assigned to the calibration (n = 180) and validation groups (n = 90). REE was directly correlated with weight and bioimpedance index, whereas the relation with both age and disease activity was inverse. The new equations were suitable for estimating REE at population level (bias: -0.2 and -0.3, respectively). Individual accuracy was good in both models (≥80%, respectively), especially in females; and similar results were shown by some of the selected equations. But, when accuracy was set within ±5%, the new equations gave the highest prediction., Conclusion: The new, disease-specific, equations for predicting REE in individuals with CD give a good prediction accuracy as far as those proposed in the literature for the general population. However, the new ones performed better at the individual level. Further studies are needed to verify the reliability and usefulness of these new equations., (© 2020 The Authors. Journal of Parenteral and Enteral Nutrition published by Wiley Periodicals, Inc. on behalf of American Society for Parenteral and Enteral Nutrition.)
- Published
- 2020
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.