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1. Rationale and design of the CV-PREVITAL study: an Italian multiple cohort randomised controlled trial investigating innovative digital strategies in primary cardiovascular prevention

Author

Baldassarre, D, Iacoviello, L, Baetta, R, Roncaglioni, M, Condorelli, G, Remuzzi, G, Gensini, G, Frati, L, Ricciardi, W, Conaldi, P, Uccelli, A, Blandini, F, Bosari, S, Scambia, G, Fini, M, Di Malta, A, Amato, M, Veglia, F, Bonomi, A, Klersy, C, Colazzo, F, Pengo, M, Gorini, F, Auteri, L, Ferrante, G, Baviera, M, Ambrosio, G, Catapano, A, Gialluisi, A, Malavazos, A, Castelvecchio, S, Corsi-Romanelli, M, Cardani, R, La Rovere, M, Agnese, V, Pane, B, Prati, D, Spinardi, L, Liuzzo, G, Arbustini, E, Volterrani, M, Visconti, M, Werba, J, Genovese, S, Bilo, G, Invitti, C, Di Blasio, A, Lombardi, C, Faini, A, Rosa, D, Ojeda-Fernandez, L, Foresta, A, De Curtis, A, Di Castelnuovo, A, Scalvini, S, Pierobon, A, Gorini, A, Valenti, L, Luzi, L, Racca, A, Bandi, M, Tremoli, E, Menicanti, L, Parati, G, Pompilio, G, Colombo, G, Vavassori, C, Biondi, M, Frigerio, B, Ravani, A, Sansaro, D, Coggi, D, Romandini, A, Giroli, M, Giuliani, M, Bonmi, A, Rondinelli, M, Trudu, C, Cinieri, C, Monturano, M, Colazo, F, Inviti, C, Di Blasi, A, Torlasco, C, Gilardini, L, Soranna, D, Zambon, A, Perger, E, Zanotti, L, Badano, L, Cova, L, Gentilini, D, Grappiolo, L, Condoreli, G, Ferante, G, Papa, L, Savevski, V, Ieva, F, Romano, I, Remzzi, G, Ojeda, L, Clerici, F, Palumbo, A, Genini, G, Catpano, A, Mattioli, R, Longhi, E, Mantovani, L, Madotto, F, Bonaccio, M, Gianfagna, F, Ghulam, A, Magnacca, S, Noro, F, Costanzo, S, Esposito, S, Orlandi, S, Persichillo, M, Bracone, F, Panzera, T, Ruggiero, E, Parisi, R, Franciosa, S, Morelli, M, De Rita, F, Cerletti, C, de Gaetano, G, Donati, M, Mencanti, L, Romanelli, M, Cerri, A, Dubini, C, Trevisan, M, Renna, L, Milani, V, Boveri, S, Giubbilini, P, Ramputi, L, Baroni, I, De Angeli, G, Riciardi, W, Olmetti, F, Bussotti, M, Gaetano, C, Baiardi, P, Bachetti, T, Balbi, M, Comini, L, Lorenzoni, M, Olivares, A, Traversi, E, Garre, C, Sideri, R, Clemenza, F, Gentile, G, Caruana, G, Cuscino, N, Di Gesaro, G, Greco, A, Loddo, I, Tuzzolino, F, Ucelli, A, Palombo, D, Spinella, G, Mozzetta, G, Ameri, P, Zoppoli, G, Finotello, A, Porto, I, Pratesi, G, Bladini, F, Spnardi, L, Clerici, M, Pelusi, S, Bianco, C, Carpani, R, Periti, G, Margarita, S, Lanza, G, Severino, A, Pedicino, D, D'Amario, D, D'Aiello, A, Vinci, R, Bonanni, A, Brecciaroli, M, Filomia, S, Pastorino, R, Boccia, S, Urbani, A, Sanguinetti, M, Santoliquido, A, Proto, L, Tarquini, D, Grimaldi, M, Leonardi, S, Elia, A, Currao, A, Urtis, M, Di Toro, A, Giuliani, L, Caminiti, G, Marcolongo, F, Sposato, B, Guadagni, F, Morsella, V, Marziale, A, Protti, G, Baldassarre D., Iacoviello L., Baetta R., Roncaglioni M. C., Condorelli G., Remuzzi G., Gensini G., Frati L., Ricciardi W., Conaldi P. G., Uccelli A., Blandini F., Bosari S., Scambia G., Fini M., Di Malta A., Amato M., Veglia F., Bonomi A., Klersy C., Colazzo F., Pengo M., Gorini F., Auteri L., Ferrante G., Baviera M., Ambrosio G., Catapano A., Gialluisi A., Malavazos A. E., Castelvecchio S., Corsi-Romanelli M. M., Cardani R., La Rovere M. T., Agnese V., Pane B., Prati D., Spinardi L., Liuzzo G., Arbustini E., Volterrani M., Visconti M., Werba J. P., Genovese S., Bilo G., Invitti C., Di Blasio A., Lombardi C., Faini A., Rosa D., Ojeda-Fernandez L., Foresta A., De Curtis A., Di Castelnuovo A., Scalvini S., Pierobon A., Gorini A., Valenti L., Luzi L., Racca A., Bandi M., Tremoli E., Menicanti L., Parati G., Pompilio G., Colombo G., Vavassori C., Biondi M. L., Frigerio B., Ravani A., Sansaro D., Coggi D., Romandini A., Giroli M., Giuliani M., Bonmi A., Rondinelli M., Trudu C., Cinieri C., Monturano M., Colazo F., Inviti C., Di Blasi A., Torlasco C., Gilardini L., Soranna D., Zambon A., Perger E., Zanotti L., Badano L., Cova L., Gentilini D., Grappiolo L., Condoreli G., Ferante G., Papa L., Savevski V., Ieva F., Romano I., Remzzi G., Ojeda L., Clerici F., Palumbo A., Genini G. F., Catpano A., Mattioli R., Longhi E., Mantovani L. G., Madotto F., Bonaccio M., Gianfagna F., Ghulam A., Magnacca S., Noro F., Costanzo S., Esposito S., Orlandi S., Persichillo M., Bracone F., Panzera T., Ruggiero E., Parisi R., Franciosa S., Morelli M., De Rita F., Cerletti C., de Gaetano G., Donati M. B., Mencanti L., Romanelli M. M. C., Cerri A., Dubini C., Trevisan M. B., Renna L. V., Milani V., Boveri S., Giubbilini P., Ramputi L., Baroni I., De Angeli G., Riciardi W., Olmetti F., Bussotti M., Gaetano C., Baiardi P., Bachetti T., Balbi M., Comini L., Lorenzoni M., Olivares A., Traversi E., Garre C., Sideri R., Clemenza F., Gentile G., Caruana G., Cuscino N., Di Gesaro G., Greco A., Loddo I., Tuzzolino F., Ucelli A., Palombo D., Spinella G., Mozzetta G., Ameri P., Zoppoli G., Finotello A., Porto I., Pratesi G., Bladini F., Spnardi L., Clerici M., Pelusi S., Bianco C., Carpani R., Periti G., Margarita S., Lanza G. A., Severino A., Pedicino D., D'Amario D., D'Aiello A., Vinci R., Bonanni A., Brecciaroli M., Filomia S., Pastorino R., Boccia S., Urbani A., Sanguinetti M., Santoliquido A., Proto L., Tarquini D., Grimaldi M. C., Leonardi S., Elia A., Currao A., Urtis M., Di Toro A., Giuliani L., Caminiti G., Marcolongo F., Sposato B., Guadagni F., Morsella V., Marziale A., Protti G., Baldassarre, D, Iacoviello, L, Baetta, R, Roncaglioni, M, Condorelli, G, Remuzzi, G, Gensini, G, Frati, L, Ricciardi, W, Conaldi, P, Uccelli, A, Blandini, F, Bosari, S, Scambia, G, Fini, M, Di Malta, A, Amato, M, Veglia, F, Bonomi, A, Klersy, C, Colazzo, F, Pengo, M, Gorini, F, Auteri, L, Ferrante, G, Baviera, M, Ambrosio, G, Catapano, A, Gialluisi, A, Malavazos, A, Castelvecchio, S, Corsi-Romanelli, M, Cardani, R, La Rovere, M, Agnese, V, Pane, B, Prati, D, Spinardi, L, Liuzzo, G, Arbustini, E, Volterrani, M, Visconti, M, Werba, J, Genovese, S, Bilo, G, Invitti, C, Di Blasio, A, Lombardi, C, Faini, A, Rosa, D, Ojeda-Fernandez, L, Foresta, A, De Curtis, A, Di Castelnuovo, A, Scalvini, S, Pierobon, A, Gorini, A, Valenti, L, Luzi, L, Racca, A, Bandi, M, Tremoli, E, Menicanti, L, Parati, G, Pompilio, G, Colombo, G, Vavassori, C, Biondi, M, Frigerio, B, Ravani, A, Sansaro, D, Coggi, D, Romandini, A, Giroli, M, Giuliani, M, Bonmi, A, Rondinelli, M, Trudu, C, Cinieri, C, Monturano, M, Colazo, F, Inviti, C, Di Blasi, A, Torlasco, C, Gilardini, L, Soranna, D, Zambon, A, Perger, E, Zanotti, L, Badano, L, Cova, L, Gentilini, D, Grappiolo, L, Condoreli, G, Ferante, G, Papa, L, Savevski, V, Ieva, F, Romano, I, Remzzi, G, Ojeda, L, Clerici, F, Palumbo, A, Genini, G, Catpano, A, Mattioli, R, Longhi, E, Mantovani, L, Madotto, F, Bonaccio, M, Gianfagna, F, Ghulam, A, Magnacca, S, Noro, F, Costanzo, S, Esposito, S, Orlandi, S, Persichillo, M, Bracone, F, Panzera, T, Ruggiero, E, Parisi, R, Franciosa, S, Morelli, M, De Rita, F, Cerletti, C, de Gaetano, G, Donati, M, Mencanti, L, Romanelli, M, Cerri, A, Dubini, C, Trevisan, M, Renna, L, Milani, V, Boveri, S, Giubbilini, P, Ramputi, L, Baroni, I, De Angeli, G, Riciardi, W, Olmetti, F, Bussotti, M, Gaetano, C, Baiardi, P, Bachetti, T, Balbi, M, Comini, L, Lorenzoni, M, Olivares, A, Traversi, E, Garre, C, Sideri, R, Clemenza, F, Gentile, G, Caruana, G, Cuscino, N, Di Gesaro, G, Greco, A, Loddo, I, Tuzzolino, F, Ucelli, A, Palombo, D, Spinella, G, Mozzetta, G, Ameri, P, Zoppoli, G, Finotello, A, Porto, I, Pratesi, G, Bladini, F, Spnardi, L, Clerici, M, Pelusi, S, Bianco, C, Carpani, R, Periti, G, Margarita, S, Lanza, G, Severino, A, Pedicino, D, D'Amario, D, D'Aiello, A, Vinci, R, Bonanni, A, Brecciaroli, M, Filomia, S, Pastorino, R, Boccia, S, Urbani, A, Sanguinetti, M, Santoliquido, A, Proto, L, Tarquini, D, Grimaldi, M, Leonardi, S, Elia, A, Currao, A, Urtis, M, Di Toro, A, Giuliani, L, Caminiti, G, Marcolongo, F, Sposato, B, Guadagni, F, Morsella, V, Marziale, A, Protti, G, Baldassarre D., Iacoviello L., Baetta R., Roncaglioni M. C., Condorelli G., Remuzzi G., Gensini G., Frati L., Ricciardi W., Conaldi P. G., Uccelli A., Blandini F., Bosari S., Scambia G., Fini M., Di Malta A., Amato M., Veglia F., Bonomi A., Klersy C., Colazzo F., Pengo M., Gorini F., Auteri L., Ferrante G., Baviera M., Ambrosio G., Catapano A., Gialluisi A., Malavazos A. E., Castelvecchio S., Corsi-Romanelli M. M., Cardani R., La Rovere M. T., Agnese V., Pane B., Prati D., Spinardi L., Liuzzo G., Arbustini E., Volterrani M., Visconti M., Werba J. P., Genovese S., Bilo G., Invitti C., Di Blasio A., Lombardi C., Faini A., Rosa D., Ojeda-Fernandez L., Foresta A., De Curtis A., Di Castelnuovo A., Scalvini S., Pierobon A., Gorini A., Valenti L., Luzi L., Racca A., Bandi M., Tremoli E., Menicanti L., Parati G., Pompilio G., Colombo G., Vavassori C., Biondi M. L., Frigerio B., Ravani A., Sansaro D., Coggi D., Romandini A., Giroli M., Giuliani M., Bonmi A., Rondinelli M., Trudu C., Cinieri C., Monturano M., Colazo F., Inviti C., Di Blasi A., Torlasco C., Gilardini L., Soranna D., Zambon A., Perger E., Zanotti L., Badano L., Cova L., Gentilini D., Grappiolo L., Condoreli G., Ferante G., Papa L., Savevski V., Ieva F., Romano I., Remzzi G., Ojeda L., Clerici F., Palumbo A., Genini G. F., Catpano A., Mattioli R., Longhi E., Mantovani L. G., Madotto F., Bonaccio M., Gianfagna F., Ghulam A., Magnacca S., Noro F., Costanzo S., Esposito S., Orlandi S., Persichillo M., Bracone F., Panzera T., Ruggiero E., Parisi R., Franciosa S., Morelli M., De Rita F., Cerletti C., de Gaetano G., Donati M. B., Mencanti L., Romanelli M. M. C., Cerri A., Dubini C., Trevisan M. B., Renna L. V., Milani V., Boveri S., Giubbilini P., Ramputi L., Baroni I., De Angeli G., Riciardi W., Olmetti F., Bussotti M., Gaetano C., Baiardi P., Bachetti T., Balbi M., Comini L., Lorenzoni M., Olivares A., Traversi E., Garre C., Sideri R., Clemenza F., Gentile G., Caruana G., Cuscino N., Di Gesaro G., Greco A., Loddo I., Tuzzolino F., Ucelli A., Palombo D., Spinella G., Mozzetta G., Ameri P., Zoppoli G., Finotello A., Porto I., Pratesi G., Bladini F., Spnardi L., Clerici M., Pelusi S., Bianco C., Carpani R., Periti G., Margarita S., Lanza G. A., Severino A., Pedicino D., D'Amario D., D'Aiello A., Vinci R., Bonanni A., Brecciaroli M., Filomia S., Pastorino R., Boccia S., Urbani A., Sanguinetti M., Santoliquido A., Proto L., Tarquini D., Grimaldi M. C., Leonardi S., Elia A., Currao A., Urtis M., Di Toro A., Giuliani L., Caminiti G., Marcolongo F., Sposato B., Guadagni F., Morsella V., Marziale A., and Protti G.

Abstract

Introduction Prevention of cardiovascular disease (CVD) is of key importance in reducing morbidity, disability and mortality worldwide. Observational studies suggest that digital health interventions can be an effective strategy to reduce cardiovascular (CV) risk. However, evidence from large randomised clinical trials is lacking. Methods and analysis The CV-PREVITAL study is a multicentre, prospective, randomised, controlled, open-label interventional trial designed to compare the effectiveness of an educational and motivational mobile health (mHealth) intervention versus usual care in reducing CV risk. The intervention aims at improving diet, physical activity, sleep quality, psycho-behavioural aspects, as well as promoting smoking cessation and adherence to pharmacological treatment for CV risk factors. The trial aims to enrol approximately 80 000 subjects without overt CVDs referring to general practitioners' offices, community pharmacies or clinics of Scientific Institute for Research, Hospitalization and Health Care (Italian acronym IRCCS) affiliated with the Italian Cardiology Network. All participants are evaluated at baseline and after 12 months to assess the effectiveness of the intervention on short-term endpoints, namely improvement in CV risk score and reduction of major CV risk factors. Beyond the funded life of the study, a long-term (7 years) follow-up is also planned to assess the effectiveness of the intervention on the incidence of major adverse CV events. A series of ancillary studies designed to evaluate the effect of the mHealth intervention on additional risk biomarkers are also performed. Ethics and dissemination This study received ethics approval from the ethics committee of the coordinating centre (Monzino Cardiology Center; R1256/20-CCM 1319) and from all other relevant IRBs and ethics committees. Findings are disseminated through scientific meetings and peer-reviewed journals and via social media. Partners are informed about the study's

Published
2023

3. Serum vitamin D deficiency and risk of hospitalization for heart failure: Prospective results from the Moli-sani study

Author

Iacoviello, Licia, Donati, Maria Benedetta, de Gaetano, Giovanni, Vermylen, Jos, De Paula Carrasco, Ignacio, Giampaoli, Simona, Spagnuolo, Antonio, Assanelli, Deodato, Centritto, Vincenzo, Spagnuolo, Pasquale, Staniscia, Dante, Zito, Francesco, Bonanni, Americo, Cerletti, Chiara, De Curtis, Amalia, Di Castelnuovo, Augusto, Lorenzet, Roberto, Mascioli, Antonio, Olivieri, Marco, Rotilio, Domenico, Bonaccio, Marialaura, Costanzo, Simona, Gianfagna, Francesco, Giacci, Maurizio, Padulo, Antonella, Petraroia, Dario, Grippi, Claudio, Magnacca, Sara, Marracino, Federico, Spinelli, Maria, Silvestri, Christian, De Lucia, Francesca, Izzi, Benedetta, Vohnout, Branislav, Zito, Franco, Persichillo, Mariarosaria, Verna, Angelita, Di Lillo, Maura, Di Stefano, Irene, Pampuch, Agnieszka, Pannichella, Agostino, Vizzarri, Antonio Rinaldo, Arcari, Antonella, Barbato, Daniela, Bracone, Francesca, Di Giorgio, Carmine, Panebianco, Simona, Chiovitti, Antonello, Caccamo, Sergio, Caruso, Vanesa, Rago, Livia, Cugino, Daniela, Ferri, Alessandra, Castaldi, Concetta, Mignogna, Marcella, Guszcz, Tomasz, di Giuseppe, Romina, Barisciano, Paola, Buonaccorsi, Lorena, Centritto, Floriana, Cutrone, Antonella, Fanelli, Francesca, Santimone, Iolanda, Sciarretta, Anna, Sorella, Isabella, Plescia, Emanuela, Molinaro, Alessandra, Cavone, Christiana, Galuppo, Giovanna, D'Angelo, Dolores, Ramacciato, Rosanna, Costanzo, S., De Curtis, A., Di Castelnuovo, A., Persichillo, M., Bonaccio, M., Pounis, G., Cerletti, C., Donati, M.B., de Gaetano, G., and Iacoviello, L.

Published
2018
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4. Fish intake is associated with lower cardiovascular risk in a Mediterranean population: Prospective results from the Moli-sani study

Author

Iacoviello, L., Donati, M.B., de Gaetano, G., Vermylen, J., De Paula Carrasco, I., Giampaoli, S., Spagnuolo, A., Assanelli, D., Centritto, V., Spagnuolo, P., Staniscia, D., Zito, F., Bonanni, A., Cerletti, C., De Curtis, A., Di Castelnuovo, A., Lorenzet, R., Mascioli, A., Olivieri, M., Rotilio, D., Bonaccio, M., Costanzo, S., Gianfagna, F., Giacci, M., Padulo, A., Petraroia, D., Magnacca, S., Marracino, F., Spinelli, M., Silvestri, C., dell’Elba, G., Grippi, C., De Lucia, F., Vohnout, B., Persichillo, M., Verna, A., Di Lillo, M., Di Stefano, I., Pampuch, A., Pannichella, A., Vizzarri, A.R., Arcari, A., Barbato, D., Bracone, F., Di Giorgio, C., Panebianco, S., Chiovitti, A., Caccamo, S., Caruso, V., Rago, L., Cugino, D., Ferri, A., Castaldi, C., Mignogna, M., Guszcz, T., di Giuseppe, R., Barisciano, P., Buonaccorsi, L., Centritto, F., Cutrone, A., Fanelli, F., Santimone, I., Sciarretta, A., Sorella, I., Plescia, E., Molinaro, A., Cavone, C., Galuppo, G., D'Angelo, D., Ramacciato, R., and Ruggiero, E.

Published
2017
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7. Dietary factors and risk of SARS-CoV-2 infection in the Moli-sani Study Cohort

Author

Bonaccio M, Castelnuovo A, Costanzo S, Persichillo M, Curtis A, Francesco Gianfagna, Donati M, de Gaetano G, Cerletti C, and Iacoviello L

Subjects
Public Health, Environmental and Occupational Health
Abstract

Background A healthy diet plays a major role in supporting the immune system which is critical to protect the host from pathogenic organisms. To date, evidence on the relationship between dietary habits and the risk of SARS-CoV-2 infection is still scarce. Methods Analyses on 1,096 participants from the Moli-sani Study (2005-2010) who were re-examined in 2017-2020, and in January-September 2021. Food intake was assessed in 2017-2020 using a 188-item FFQ. Adherence to Mediterranean diet (MD) was evaluated using the Mediterranean Diet Score (MDS) ranging from 0 to 9. Multivariable logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (95%CI) for incident SARS-CoV-2 infection in association with dietary factors. Results Out of 1,096 participants, 90 either reported to have tested positive for COVID-19 or were positive for anti-SARS-CoV-2 antibodies before receiving any COVID-19 vaccine. In a multivariable-adjusted model controlled for known risk factors, a 1-point increase in MDS was associated, though not significantly, with lower risk of SARS-CoV-2 infection (OR = 0.90; 95%CI 0.78-1.04). Among individual dietary components, a high consumption of vegetables or fruits and nuts was associated with lower odds of SARS-CoV-2 infection (OR = 0.57; 0.34-0.96 and OR = 0.61; 0.37-1.00, respectively). High fish intake was otherwise linked to increased risk of infection (OR = 2.05; 1.25-3.36). Nutritional factors associated with reduced risk of infection were dietary fibre (OR = 0.50; 0.27-0.93 for 10 g/d increase), vegetable proteins (OR = 0.56; 0.33-0.94 for 10 g/d increase) and vitamin C (OR = 0.94; 0.89-0.99 for 10 g/d increase). Conclusions Adherence to MD was suggestive of a lower risk of SARS-CoV-2 infection. In particular, large amounts of fruit and vegetables were associated with reduced odds of being infected, as well as diets rich in fibre, vegetable proteins and Vitamin C. Key messages

Published
2022
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12. Tissue Plasminogen Activator Levels and Risk of Breast Cancer in a Case-Cohort Study on Italian Women: Results from the Moli-sani Study

Author

Costanzo, S, Parisi, R, De Curtis, A, Gamba, S, Russo, L, Persichillo, M, Panzera, T, Marchetti, M, Cerletti, C, De Gaetano, G, Falanga, A, Donati, M, Iacoviello, L, Costanzo S., Parisi R., De Curtis A., Gamba S., Russo L., Persichillo M., Panzera T., Marchetti M., Cerletti C., De Gaetano G., Falanga A., Donati M. B., Iacoviello L., Costanzo, S, Parisi, R, De Curtis, A, Gamba, S, Russo, L, Persichillo, M, Panzera, T, Marchetti, M, Cerletti, C, De Gaetano, G, Falanga, A, Donati, M, Iacoviello, L, Costanzo S., Parisi R., De Curtis A., Gamba S., Russo L., Persichillo M., Panzera T., Marchetti M., Cerletti C., De Gaetano G., Falanga A., Donati M. B., and Iacoviello L.

Abstract

Background Elevated levels of key enzymes of the fibrinolytic system, such as tissue plasminogen activator (tPA), are reported as predictors of poor outcome in cancer patients. Limited information is available about their potential predictive value for breast cancer (BC) risk in the general population. Aim We examined the association of tPA levels with BC risk in a case-cohort study including women from the prospective Moli-sani cohort. Methods A sample of 710 women (mean age: 54.6 ± 12.1 years) was selected as a subcohort and compared with 84 BC cases, in a median follow-up of 4.2 years. Incident cases of BC were validated through medical records. tPA plasma levels were measured using an enzyme-linked immunosorbent assay kit. Hazard ratio (HR) and 95% confidence interval (CI), adjusted for relevant covariates, were estimated by a Cox regression model using the Prentice method. Results Compared with the lowest quartile (<4.9 ng/mL), women in the highest quartile of tPA (>11.2 ng/mL) had increased risk of BC (HR IVvsI: 2.20, 95% CI: 1.13-4.28) after adjusted for age, smoking, education, menopause, and residence. Further adjustment for biochemical markers did not modify this association. The risk of BC increased by 34% for each increase in 1 standard deviation of log-transformed tPA levels (p = 0.046). Elevated levels of tPA were associated mainly with estrogen-receptor-positive BC (2.08, 95% CI: 1.18-3.66). Conclusion Higher levels of tPA, reported to predict cardiovascular risk, are a potential biomarker for BC risk, supporting the hypothesis of a common soil linking the pathogenic mechanisms of hormone-dependent tumors and cardiovascular disease.

Published
2021

14. Flavonoid and lignan intake in a mediterranean population: proposal for a holistic approach in polyphenol dietary analysis, the Moli-sani study

Author

Pounis, G., Castelnuovo, A. Di, Bonaccio, M., Costanzo, S., Persichillo, M., Krogh, V., Donati, M.B., de Gaetano, G., and Iacoviello, L.

Subjects
Flavonoids -- Health aspects, Lignin -- Health aspects, Polyphenols -- Health aspects, Food/cooking/nutrition, Health
Abstract

BACKGROUND/OBJECTIVES: The objective of this study is to extract and assess data on the dietary intake of flavonoids and lignans in a healthy free-living Mediterranean population, using newly updated harmonized European Union food composition data. This work also aimed at analyzing in a holistic way the total content of the diet in major classes of polyphenols. SUBJECTS/METHODS: Six thousand nine hundred and eighty-one men and 7 048 women (aged [greater than or equal to] 35years) of the Moli-sani cohort, randomly recruited from the general population, were analyzed. The European Prospective Investigation into Cancer (EPIC) and Nutrition-Food Frequency Questionnaire was used for dietary assessment. The polyphenol content of each food group was evaluated using Eurofir BioActive Substances in Food Information System and the United States Department of Agriculture food composition tables (FCTs), when data were missing. Flavonol, flavone, flavanone, flavanol, anthocyanin, isoflavone and lignan intakes were calculated and polyphenol antioxidant content (PAC) score (-28, 28) constructed, to assess the total content of the diet in these nutrients. RESULTS: Seasonal and citrus fruits, leafy, grain, pod and root vegetables, and onions and garlic accounted for different proportions (11-70%) of the total intake of different polyphenols. Within the Moli-sani population, men or older, or no/former smokers, or physically active or obese/overweight individuals presented higher consumption of flavonoids, lignans and PAC score (P for all < 0.01). Multiple regression analysis showed that PAC score and its seven components were positively associated with Mediterranean diet (MeD) adherence in both genders ([beta]-coefficient >0, P < 0.001). In addition, 1 unit increase in PAC score was associated with 7.1-7.8% increase in the likelihood of high MeD adherence (P < 0.001). CONCLUSIONS: The intake of flavonoids and lignans in an European Union population was calculated using harmonized European Union FCT data. In addition, a holistic approach in dietary analysis of polyphenol intake was proposed. European Journal of Clinical Nutrition (2016) 70, 338-345; doi: 10.1038/ejcn.2015.178; published online 4 November 2015, INTRODUCTION According to a crude chemical definition, polyphenols are secondary metabolites of plants and are generally involved in the defense against ultraviolet radiation or aggression by pathogens. (1) Dietary polyphenols [...]

Published
2016
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15. Egg consumption and risk of all-cause and cause-specific mortality in an Italian adult population

Author

Ruggiero, E, Di Castelnuovo, A, Costanzo, S, Persichillo, M, De Curtis, A, Cerletti, C, Donati, Mb, de Gaetano, G, Iacoviello, L, Bonaccio, M, Moli-sani Study Investigators: Licia Iacoviello, Giovanni de Gaetano, Maria Benedetta Donati, Marialaura, Bonaccio, Americo, Bonanni, Chiara, Cerletti, Simona, Costanzo, Amalia De Curtis, Augusto Di Castelnuovo, Francesco, Gianfagna, Mariarosaria, Persichillo, Teresa Di Prospero, Jos, Vermylen, Ignacio De Paula Carrasco, Antonio, Spagnuolo, Deodato, Assanelli, Vincenzo, Centritto, Marco, Olivieri, Teresa, Panzera, Marialaura Bonaccio Simona Costanzo Simona Esposito, Gialluisi, A, Emilia, Ruggiero, Sara, Magnacca, Benedetta, Izzi, Annalisa, Marotta, Fabrizia, Noro, Roberta, Parisi, Alfonsina, Tirozzi, Francesca, Bracone, Francesca De Lucia, Cristiana, Mignogna, and Livia, Rago

Subjects
Adult, Male, Mediterranean diet, Eggs, Medicine (miscellaneous), Physiology, Blood lipids, Disease, 030204 cardiovascular system & hematology, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Cause of Death, Humans, Medicine, Prospective Studies, 030212 general & internal medicine, Prospective cohort study, Mortality risk, Cause of death, Nutrition and Dietetics, business.industry, Hazard ratio, Original Contribution, Dietary cholesterol, Diet, Italy, Cardiovascular Diseases, Cohort, Female, business, Cohort study
Abstract

Purpose Dietary guidelines recommend to limit egg consumption to 4 servings per week but the relation between egg intake and health outcomes is still controversial. To evaluate the association of egg consumption and mortality risk in Italian adults and to investigate nutritional factors and serum lipids as potentially explaining such associations. Methods Longitudinal analysis on 20,562 men and women aged ≥ 35y, free from cardiovascular disease (CVD) and cancer belonging to the Moli-sani Study cohort (enrolled 2005–2010) followed up for a median of 8.2 years. Results In multivariable-adjusted analysis as compared to low intake (> 0 ≤ 1 egg/week), eating > 4 eggs/week led to an increased risk of all-cause (Hazard ratio [HR] = 1.50; 95%CI 1.13–1.99), CVD (HR = 1.75; 1.07–2.87) and cancer mortality (HR = 1.52; 0.99–2.33). Similarly, an intake of 2–4 eggs/week was associated with higher all-cause (HR = 1.22; 1.01–1.46) and CVD mortality risk (HR = 1.43; 1.03–1.97). An increase of 1 egg per week was associated with higher mortality risk among high-risk individuals, such as those with hypertension and hyperlipidaemia. Dietary cholesterol explained about 43.0% and 39.3% (p values e.g., total cholesterol) accounted for a small proportion of egg-mortality relation. Conclusions Among Italian adults, high egg consumption leads to an increased risk of all-cause and CVD mortality, with the risk being evident even at the recommended intake of 2–4 eggs per week. A substantial part of this association was likely due to the egg contribution to dietary cholesterol. Our findings suggest limiting the consumption of eggs in the diet and these results should be considered in the development of dietary guidelines and updates.

Published
2021
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19. The role of the vineyards on shallow landslides

Author

Bordoni, M, primary, Persichillo, M, additional, Meisina, C, additional, Chersich, S, additional, Vercesi, A, additional, Bischetti, G, additional, Chiaradia, E, additional, Cislaghi, A, additional, Vergani, C, additional, Valentino, R, additional, Bittelli, M, additional, and Comolli, R, additional

Published
2016
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20. Economic hardship from the great recession and long-term changes in depression and quality of life

Author

Bonaccio, Marialaura, Costanzo, S., Di Castelnuovo, A., Gialluisi, A., Bracone, F., Persichillo, M., Cerletti, C., Donati, M. B., Gaetano, G., and Licia Iacoviello

Subjects
Public Health, Environmental and Occupational Health
Abstract

Background Economic downturns may have detrimental effects on mental health. We investigated whether economic hardship resulting from the late 2000s great recession is associated with long-term changes in mental health over 12.8 years of follow up. Methods We analysed data on 2,001 participants from the CASSIOPEA Study, a sub-cohort of the larger Moli-sani study (2005-2010, Italy), who were re-examined between 2017-2020 (mean age at baseline 53±9 y; 55% women). Economic hardship possibly experienced since participants' first visit was assessed retrospectively by a questionnaire scoring the following domains: 1) change in employment status; 2) financial hardship and 3) financial hardship for health expenditures. An Economic Hardship Score (EHS) was computed (range 0-14), with highest values indicating higher economic hardship. Mental health was reflected by measurements of depression (Patients' Health Questionnaire; PHQ-2; higher values indicating more depressive symptoms) and mental quality of life assessed by the 36-Item Short Form Health Survey (increased values indicating improved quality of life). In this analysis, the exposure was economic hardship and the outcomes were changes in depression and mental quality of life measured after a 12.8-y period. Multivariable linear regression analysis (95%CI) was used. Results Mean PHQ-2 and SF36 changes over 12.8 years were -0.08 (±1.28) and 0.47 (±9.90), respectively. In a multivariable-adjusted analysis including duration of follow-up, relevant sociodemographic factors, lifestyles, clinical factors and related life course changes, 1-point increment in EHS was associated with increased depression (β = 0.041; 95%CI 0.022, 0.060) and lower mental quality of life (β=-0.037; 95%CI -0.052, -0.021). Conclusions Economic hardship resulting from the great recession in late 2000s was associated with a deterioration of mental health, as reflected by increased depression levels and reduced mental quality of life. Key messages Economic hardship resulting from the recession in late 2000s is associated with a deterioration of mental health. These findings support the notion that economic downturns may have detrimental effects on mental health and support the need for adequate strategies for more vulnerable groups.

Published
2021
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23. An upward trajectory in adherence to Mediterranean diet is associated with favourable changes in inflammation biomarkers

Author

Bonaccio, M., primary, Costanzo, S., additional, Di Castelnuovo, A., additional, Gialluisi, A., additional, De Curtis, A., additional, Persichillo, M., additional, Ruggiero, E., additional, Tabolacci, C., additional, Facchiano, F., additional, Cerletti, C., additional, Donati, M.B., additional, De Gaetano, G., additional, and Iacoviello, L., additional

Published
2021
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24. Association of a traditional Mediterranean diet and non-Mediterranean dietary patterns with biological age: cross-sectional findings from the Moli-sani Study cohort

Author

Esposito, S., primary, Gialluisi, A., additional, Costanzo, S., additional, Di Castelnuovo, A., additional, Ruggiero, E., additional, De Curtis, A., additional, Persichillo, M., additional, Cerletti, C., additional, Donati, M.B., additional, De Gaetano, G., additional, Iacoviello, L., additional, and Bonaccio, M., additional

Published
2021
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25. Highly processed foods intake is positively associated with pro-inflammatory potential of diet: cross-sectional analysis from the Moli-sani Study

Author

Mignogna, C., primary, Costanzo, S., additional, Ruggiero, E., additional, Shivappa, N., additional, Hebert, J.R., additional, Esposito, S., additional, Di Castelnuovo, A., additional, Persichillo, M., additional, Cerletti, C., additional, Donati, M.B., additional, De Gaetano, G., additional, Iacoviello, L., additional, and Bonaccio, M., additional

Published
2021
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27. Changes in ultra-processed food consumption during the first Italian lockdown following the COVID-19 pandemic and major correlates: results from two population-based cohorts

Author

Esposito, S., primary, Costanzo, S., additional, Ruggiero, E., additional, Persichillo, M., additional, Olivieri, M., additional, Di Castelnuovo, A., additional, Cerletti, C., additional, Donati, M.B., additional, De Gaetano, G., additional, Iacoviello, L., additional, and Bonaccio, M., additional

Published
2021
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28. Consumption of healthy foods at different content of antioxidant vitamins and phytochemicals and metabolic risk factors for cardiovascular disease in men and women of the Moli-sani study

Author

Pounis, G., Costanzo, S., di Giuseppe, R., de Lucia, F., Santimone, I., Sciarretta, A., Barisciano, P., Persichillo, M., de Curtis, A., Zito, F., Di Castelnuovo, A.F., Sieri, S., Donati, M. Benedetta, de Gaetano, G., and Iacoviello, L.

Subjects
Vitamins -- Physiological aspects -- Health aspects, Metabolism -- Physiological aspects -- Health aspects, Food consumption -- Physiological aspects -- Health aspects, Antioxidants -- Physiological aspects -- Health aspects, Phytochemicals -- Physiological aspects -- Health aspects, Cardiovascular diseases -- Physiological aspects -- Risk factors, Food/cooking/nutrition, Health
Abstract

BACKGROUND/OBJECTIVES: To categorize healthy food groups into categories of low-antioxidant (LAC) or high-antioxidant vitamins and phytochemicals content (HAC) and comparatively associate them with metabolic risk factors for cardiovascular disease (CVD). SUBJECTS/METHODS: A total of 6879 women (55 ± 12 years) and 6892 men (56 ± 12 years) were analyzed from the Moli-sani cohort, randomly recruited from the general population. The European Prospective Investigation into Cancer and Nutrition Food Frequency Questionnaire was used for dietary assessment. The antioxidant content of each food group was evaluated using Istituto Nazionale di Ricerca per gli Alimenti e la Nutrizione and United States Department of Agriculture (USDA) food composition tables. Healthy foods, according to a Mediterranean dietary pattern, were categorized into HAC or LAC; total food antioxidant content (FAC) score was constructed for a comparative evaluation of the consumption of these two groups. RESULTS: In men, an increase in FAC score, which represents an increased consumption of HAC with respect to LAC foods, was associated with a decrease in systolic blood pressure, diastolic blood pressure and C-reactive protein (CRP) (β = -0.5, P = 0.02, β = -0.3, P = 0.02 and β = -0.03, P = 0.03, respectively). Logistic regression analyses showed that in men 15% (30 units) increase in FAC score was associated with 6% decrease in the likelihood of having hypertension (odds ratio (OR) = 0.94, 95% confidence interval (CI) 0.91-0.98) and 3% decrease in the likelihood of having a high CRP risk level (OR = 0.97, 95% CI 0.94-0.99). No significant associations were observed in women. CONCLUSIONS: A possible greater protective role of healthy HAC as compared with healthy LAC foods on hypertension and inflammation was detected in men. These results stress the importance of studying healthy foods according to their content in antioxidant vitamins and phytochemicals, in primary prevention of CVD. doi:10.1038/ejcn.2012.201; published online 19 December 2012 Keywords: antioxidants; vitamins; phytochemicals; cardiovascular disease; inflammation, INTRODUCTION The content in antioxidant vitamins and phytochemicals of a healthy diet such as the Mediterranean diet has long been recognized as beneficial for inflammation-related illnesses. (1,2) Atherosclerosis progression is [...]

Published
2013
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29. PO-27 Tissue plasminogen activator and risk of breast cancer in a cas–cohort study from Italian women of a general population: results from the Moli-sani study

Author

Costanzo, S., primary, De Curtis, A., additional, Di Castelnuovo, A., additional, Panzera, T., additional, Persichillo, M., additional, Falanga, A., additional, Gamba, S., additional, Russo, L., additional, Marchetti, M., additional, de Gaetano, G., additional, Donati, M.B., additional, and Iacoviello, L., additional

Published
2021
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30. PO-26 Fibrinogen levels and risk of colorectal cancer in a case–cohort study from the Italian general adult population: results from the Moli-sani study

Author

Costanzo, S., primary, De Curtis, A., additional, Di Castelnuovo, A., additional, Panzera, T., additional, Persichillo, M., additional, Falanga, A., additional, Gamba, S., additional, Russo, L., additional, Marchetti, M., additional, de Gaetano, G., additional, Donati, M.B., additional, and Iacoviello, L., additional

Published
2021
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31. Association of a traditional Mediterranean diet and non-Mediterranean dietary scores with all-cause and cause-specific mortality: prospective findings from the Moli-sani Study

Author

Bonaccio, M., Di Castelnuovo, A., Costanzo, S., De Curtis, A., Persichillo, M., Cerletti, C., Donati, M. B., de Gaetano, G., Iacoviello, L., Bonanni, A., Decurtis, A., Dicastelnuovo, A., Diprospero, T., Vermylen, J., DePaula Carrasco, I., Giampaoli, S., Spagnuolo, A., Assanelli, D., Centritto, V., Olivieri, M., Gialluisi, A., Gianfagna, F., Ruggiero, E., Magnacca, S., Izzi, B., Marotta, A., Noro, F., Delucia, F., Bracone, F., Dudiez, S., Rago, L., and Panzera, T.

Subjects
0301 basic medicine, Adult, Male, Mediterranean diet, DASH diet, Population, Medicine (miscellaneous), 030209 endocrinology & metabolism, Lower risk, Diet, Mediterranean, 03 medical and health sciences, 0302 clinical medicine, Palaeolithic diet, Risk Factors, Cause of Death, CVD risk factors, Inflammation, Mortality, Nordic diet, Dash, Risk of mortality, Medicine, Humans, Prospective Studies, education, education.field_of_study, 030109 nutrition & dietetics, Nutrition and Dietetics, Proportional hazards model, business.industry, Hazard ratio, Italy, Cardiovascular Diseases, Female, business, Demography
Abstract

To evaluate in an Italian general population, the association with mortality of a traditional Mediterranean diet (MD) and non-Mediterranean dietary (non-MD) patterns, and their combined effect, and to test some biomarkers of cardiovascular (CVD) risk as potential mediators of such associations. Longitudinal analysis on 22,849 men and women aged ≥ 35 years, recruited in the Moli-sani Study (2005–2010), followed up for 8.2 years (median). The MD was assessed by the Mediterranean diet score (MDS). The Dietary Approaches to Stop Hypertension (DASH), the Palaeolithic diet, and the Nordic diet were chosen as reportedly healthy non-MD patterns. Hazard ratios (HR) with 95% confidence intervals (95% CI) were calculated by multivariable Cox regression. Participants reaching higher MDS or DASH diet score experienced lower risk of both all-cause (HR 0.77; 95% CI 0.66–0.90 and 0.81; 0.69–0.96, respectively, highest vs lowest quartile) and CVD (0.77; 0.59–1.00 and 0.81; 0.69–0.96, respectively) death risk; risk reduction associated with the Palaeolithic diet was limited to total and other cause death, whereas the Nordic diet did not alter risk of mortality. Increasing adherence to MD was associated with higher survival in each stratum of non-MD diets. Biomarkers of glucose metabolism accounted for 7% and 21.6% of the association between either MDS or DASH diet, respectively, with total mortality risk. Both the traditional MD and DASH diet may reduce risk of all-cause mortality among Italians, as well as risk of dying from cardiovascular causes. The Palaeolithic diet did not appear to reduce cardiovascular risk, while the Nordic eating pattern was unlikely to be associated with any substantial health advantage.

Published
2020

35. Estimation of the susceptibility of a road network to shallow landslides with the integration of the sediment connectivity

Author

Bordoni, Massimiliano, Persichillo, M. Giuseppina, Meisina, Claudia, Crema, Stefano, Cavalli, Marco, Bartelletti, Carlotta, Galanti, Yuri, Barsanti, Michele, Giannecchini, Roberto, D&apos, and Amato Avanzi, Giacomo

Subjects
shallow landslides, 010504 meteorology & atmospheric sciences, Population, 0211 other engineering and technologies, 02 engineering and technology, Land cover, 01 natural sciences, lcsh:TD1-1066, Statistics, lcsh:Environmental technology. Sanitary engineering, education, lcsh:Environmental sciences, Sediment connectivity, 0105 earth and related environmental sciences, lcsh:GE1-350, 021110 strategic, defence & security studies, education.field_of_study, Land use, Model selection, lcsh:QE1-996.5, lcsh:Geography. Anthropology. Recreation, Landslide, roads, shallow landslides, susceptibility, Regression, Roads, lcsh:Geology, Variable (computer science), Identification (information), lcsh:G, Susceptibility, General Earth and Planetary Sciences, Environmental science
Abstract

Landslides cause severe damage to the road network of the hit zone, in terms of both direct (partial or complete destruction of a road or blockages) and indirect (traffic restriction or the cut-off of a certain area) costs. Thus, the identification of the parts of the road network that are more susceptible to landslides is fundamental to reduce the risk to the population potentially exposed and the financial expense caused by the damage. For these reasons, this paper aimed to develop and test a data-driven model for the identification of road sectors that are susceptible to being hit by shallow landslides triggered in slopes upstream from the infrastructure. This model was based on the Generalized Additive Method, where the function relating predictors and response variable is an empirically fitted smooth function that allows fitting the data in the more likely functional form, considering also non-linear relations. This work also analyzed the importance, on the estimation of the susceptibility, of considering or not the sediment connectivity, which influences the path and the travel distance of the materials mobilized by a slope failure until hitting a potential barrier such as a road. The study was carried out in a catchment of northeastern Oltrepò Pavese (northern Italy), where several shallow landslides affected roads in the last 8 years. The most significant explanatory variables were selected by a random partition of the available dataset in two parts (training and test subsets), 100 times according to a bootstrap procedure. These variables (selected 80 times by the bootstrap procedure) were used to build the final susceptibility model, the accuracy of which was estimated through a 100-fold repetition of the holdout method for regression, based on the training and test sets created through the 100 bootstrap model selection. The presented methodology allows the identification, in a robust and reliable way, of the most susceptible road sectors that could be hit by sediments delivered by landslides. The best predictive capability was obtained using a model in which the index of connectivity was also calculated according to a linear relationship, was considered. Most susceptible road traits resulted to be located below steep slopes with a limited height (lower than 50 m), where sediment connectivity is high. Different land use scenarios were considered in order to estimate possible changes in road susceptibility. Land use classes of the study area were characterized by similar connectivity features. As a consequence, variations on the susceptibility of the road network according to different scenarios of distribution of land cover were limited. The results of this research demonstrate the ability of the developed methodology in the assessment of susceptible roads. This could give the managers of infrastructure information about the criticality of the different road traits, thereby allowing attention and economic budgets to be shifted towards the most critical assets, where structural and non-structural mitigation measures could be implemented.

Published
2018
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36. Effects of the type of inventory on landslides susceptibility estimated by data-driven methods

Author

Bordoni, M., Persichillo, M. G., Meisina, C., Bartelletti, C., Giannecchini, R., D’Amato Avanzi, G., Galanti, Y., Barsanti, M., Cevasco, A., Brandolini, P., Cavalli, M., Crema, S., and Galve, J. P.

Subjects
data-driven methods, landslide inventories, landslide inventories, landslide susceptibility analysis, data-driven methods, landslide susceptibility analysis
Published
2018

37. Integrating sediment connectivity into the assessment of landslides susceptibility for road network

Author

Bordoni M., Persichillo M. G., Cavalli M., Crema S., Meisina C., Bartelletti C., Galanti Y., Barsanti M., Giannecchini R., and D'Amato Avanzi G.

Subjects
Susceptibility, Shallow landslides, data-driven models, Sediment connectivity, Roads
Abstract

Landslides provoke significant direct and indirect economic losses to infrastructures, in particular along road networks. Thus, it is fundamental identifying the route sectors that could be affected by landslides, in order to reduce the risk level for the population and the economic cost of road damaging. Moreover, several researches conducted in different contexts stressed that the exposure of road networks to slope instabilities could increase because of ongoing climate change and as a consequence of growing economy in several countries. For these reasons, the present work aims to develop and test a data-driven model, based on Genetic Algorithm Method (GAM), for the identification of the sectors road network sectors that are susceptible to be affected by landslides triggered upstream the infrastructure. This work quantifies, also, the impact of sediment connectivity on the susceptibility evaluation in the case studies. The study area corresponds to the north-eastern area of Oltrepò Pavese (northern Italy), a zone very prone to shallow landslides causing severe damages to the road networks. This work shows that the effectiveness of the model in the identification of the most susceptible routes increases including sediment connectivity in the predisposing factors. This parameter, indeed, characterizes runout and the travel distance of a slope instability, improving the ability in identifying the road sectors hit by landslides. The modeled susceptible roads are, then, mapped correctly by the methodology, furnishing an important tool for land use planning and for implementing tools able to reduce the risk for the infrastructures.

Published
2018

49. Estimation of the susceptibility of a road network to shallow landslides with the integration of the sediment connectivity

Author

Bordoni, Massimiliano, primary, Persichillo, M. Giuseppina, additional, Meisina, Claudia, additional, Crema, Stefano, additional, Cavalli, Marco, additional, Bartelletti, Carlotta, additional, Galanti, Yuri, additional, Barsanti, Michele, additional, Giannecchini, Roberto, additional, and D'Amato Avanzi, Giacomo, additional

Published
2018
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50. Serum vitamin D deficiency and risk of hospitalization for heart failure: Prospective results from the Moli-sani study

Author

Costanzo, S., primary, De Curtis, A., additional, Di Castelnuovo, A., additional, Persichillo, M., additional, Bonaccio, M., additional, Pounis, G., additional, Cerletti, C., additional, Donati, M.B., additional, de Gaetano, G., additional, Iacoviello, L., additional, Iacoviello, Licia, additional, Donati, Maria Benedetta, additional, de Gaetano, Giovanni, additional, Vermylen, Jos, additional, De Paula Carrasco, Ignacio, additional, Giampaoli, Simona, additional, Spagnuolo, Antonio, additional, Assanelli, Deodato, additional, Centritto, Vincenzo, additional, Spagnuolo, Pasquale, additional, Staniscia, Dante, additional, Zito, Francesco, additional, Bonanni, Americo, additional, Cerletti, Chiara, additional, De Curtis, Amalia, additional, Di Castelnuovo, Augusto, additional, Lorenzet, Roberto, additional, Mascioli, Antonio, additional, Olivieri, Marco, additional, Rotilio, Domenico, additional, Bonaccio, Marialaura, additional, Costanzo, Simona, additional, Gianfagna, Francesco, additional, Giacci, Maurizio, additional, Padulo, Antonella, additional, Petraroia, Dario, additional, Grippi, Claudio, additional, Magnacca, Sara, additional, Marracino, Federico, additional, Spinelli, Maria, additional, Silvestri, Christian, additional, De Lucia, Francesca, additional, Izzi, Benedetta, additional, Vohnout, Branislav, additional, Zito, Franco, additional, Persichillo, Mariarosaria, additional, Verna, Angelita, additional, Di Lillo, Maura, additional, Di Stefano, Irene, additional, Pampuch, Agnieszka, additional, Pannichella, Agostino, additional, Vizzarri, Antonio Rinaldo, additional, Arcari, Antonella, additional, Barbato, Daniela, additional, Bracone, Francesca, additional, Di Giorgio, Carmine, additional, Panebianco, Simona, additional, Chiovitti, Antonello, additional, Caccamo, Sergio, additional, Caruso, Vanesa, additional, Rago, Livia, additional, Cugino, Daniela, additional, Ferri, Alessandra, additional, Castaldi, Concetta, additional, Mignogna, Marcella, additional, Guszcz, Tomasz, additional, di Giuseppe, Romina, additional, Barisciano, Paola, additional, Buonaccorsi, Lorena, additional, Centritto, Floriana, additional, Cutrone, Antonella, additional, Fanelli, Francesca, additional, Santimone, Iolanda, additional, Sciarretta, Anna, additional, Sorella, Isabella, additional, Plescia, Emanuela, additional, Molinaro, Alessandra, additional, Cavone, Christiana, additional, Galuppo, Giovanna, additional, D'Angelo, Dolores, additional, and Ramacciato, Rosanna, additional

Published
2018
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