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    NUTRITION AND SUCCESSFUL AGING

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    Dieta ed attività fisica rappresentano i principali strumenti di prevenzione delle patologie cardio-vascolari. L’editoriale fa il punto sul ruolo chiave dei fitochimici, sostanze in grado di esplicare effetti positivi nel controllo dei fattori di rischio cardio-vascolare attraverso una azione anti-infiammatoria, anti-ossidante e di modulazione dell’espressione genica. Riteniamo, pertanto, utile l’impiego di queste sostanze non solo a scopo preventivo, ma anche nel trattamento dei principali fattori di rischio cardio-vascolare, purchè associati ad una dieta sana ed allo svolgimento regolare dell’attività fisicaDiet and physical activity are the main tools for prevention of cardiovascular diseases. The editorial presents the phytochemicals, substances that exert positive effects in the control of cardiovascular risk factors. We propose to use these substances not only for prevention, but also in the treatment of the main cardiovascular risk factors, in association with a healthy diet and physical activity

    Mozart effect and Its clinicall applications. a review

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    Recent research efforts examining the effects on the brain of listening to music have discovered that music, with specific characteristics, is able to improve cognitive and learning capacity. Recent studies have demonstrated that music, in particular some musical compositions (such as those of W. A. Mozart and J. S. Bach), has a notable role not only in cognitive disturbances, but also in the treatment of several syndromes and diseases, either by rehabilitating or by stimulating cerebral synaptic plasticity. The Mozart Effect was described for the first time in 1993. Subsequently, other studies with similar designs were made. This review summarizes the recent scientific literature on the Mozart Effect. More studies are needed, in order to define specific protocols in which music helps clinicians in recuperating patients and in improving their quality of life

    An exoskeleton in the rehabilitation of institutionalized elderly patients at high risk of falls. a pilot study

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    The aim of this study was to evaluate the effects of a physical training with the HBP on gait and balance in the institutionalized elderly at severe risk of falls (Tinetti score <19), evaluated by (1) Tinetti balance and gait evaluation scale (28-point scale: <19 indicates a high risk of falls; 19–24 indicates a moderate risk of falls; (2) short physical performance battery (SPPB), a tool for evaluating lower extremity functioning in the elderly by measuring balance (SPPB balance score), gait speed (SPPB gait score), lower limb strength and endurance (SPPB chair score) [each component was scored from 0 (not possible) to 4 (best performance); total score ranging from 0 to 12]

    Malnutrition in elderly patient: case report

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    An 83-year old woman was admitted to our hospital following the onset of asthenia and anorexia from approximately the last 20 days. Blood chemistry analysis and physical examination showed a condition of protein-calorie malnutrition. During the clinical course the patient showed markedly depressed mood and refusing food orally. Was set, therefore, a treatment with olanzapine and parenteral nutrition followed, after 14 days of treatment, a high-calorie diet supplemented with dietary supplements

    Relationship between vitamin D and body fat distribution evaluated by DXA in postmenopausal women

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    Objective: The aim of this study was to explore the relationship between 25-hydroxyvitamin D (25 [OH]D) serum concentrations and body fat distribution in a sample of postmenopausal women. Methods: We enrolled sixty-two postmenopausal women; 25(OH)D serum concentrations, serum intact parathyroid hormone, blood analyses, and anthropometric measurements were carried out. Body fat composition was evaluated by dual-energy X-ray absorptiometry. Insulin resistance was estimated by homeostatic model assessment of insulin resistance (HOMA-IR) calculation. Results: Low levels of vitamin D (<30 ng/mL) were found in 77.4% of the population studied. There was a correlation (P < 0.0001) between 25(OH)D and waist circumference (r1⁄40.543), android fat to gynoid fat (A/G) ratio (r 1⁄4 0.554), high-density lipoprotein cholesterol (r 1⁄4 0.498), and HOMAIR (r 1⁄4 0.520). A/G fat ratio (B 1⁄4 34.90; 95% confidence interval [55.30, 14.1]; P 1⁄4 0.019), HOMA-IR (B 1⁄4 3.17; 95% confidence interval [5.99, 0.351]; P 1⁄4 0.028), and high-density lipoprotein cholesterol (B 1⁄4 0.361; 95% confidence interval [0.033, 0.698]; P 1⁄4 0.032), were found to be independent predictors of lower 25(OH)D by multilogistic regression analysis. Except for waist circumference, both these results were maintained when correlations were adjusted for age, onset of menopause, serum intact parathyroid hormone, and medications, and when body mass index was added as covariate. Conclusions: Vitamin D deficiency and insufficiency are common conditions. A/G ratio appeared to be associated with 25(OH)D concentrations and it is well-known that the android disposition of body fat is more closely associated with the onset of metabolic syndrome. Longitudinal studies are needed to better characterize the direction and the causal links of this associatio
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