Introduction
Non-Alcoholic Fatty Liver Disease (NAFLD) is currently the most common form of liver disease worldwide affecting all ages and ethnic groups and it has become a consistent threat even in ...young people. Our aim was to estimate the effect of a Low Glycemic Index Mediterranean Diet (LGIMD) on the NAFLD score as measured by a Liver Ultrasonography (LUS).
Design
NUTRIzione in EPAtologia (NUTRIEPA) is a population-based Double-Blind RCT. Data were collected in 2011 and analyzed in 2013-14.
Setting/participants
98 men and women coming from Putignano (Puglia, Southern Italy) were drawn from a previous randomly sampled population-based study and identified as having moderate or severe NAFLD.
Intervention
The intervention strategy was the assignment of a LGIMD or a control diet.
Outcome measures
The main outcome measure was NAFLD score, defined by LUS.
Results
After randomization, 50 subjects were assigned to a LGIMD and 48 to a control diet. The study lasted six months and all participants were subject to monthly controls/checks. Adherence to the LGIMD as measured by Mediterranean Adequacy Index (MAI) showed a median of 10.1. A negative interaction between time and LGIMD on the NAFLD score (-4.14, 95% CI -6.78,-1.49) was observed, and became more evident at the sixth month (-4.43, 95%CI -7.15, -1.71). A positive effect of the interaction among LGIMD, time and age (Third month: 0.07, 95% CI 0.02, 0.12; Sixth month: 0.08, 95% CI 0.03,0.13) was also observed.
Conclusions
LGIMD was found to decrease the NAFLD score in a relatively short time. Encouraging those subjects who do not seek medical attention but still have NAFLD to follow a LGIMD and other life-style interventions, may reduce the degree of severity of the disease. Dietary intervention of this kind, could also form the cornerstone of primary prevention of Type 2 Diabetes Mellitus (T2DM) and cardiovascular disease.
Background
Higher Dietary Inflammatory Index (DII®) scores are associated with increased morbidity and mortality. However, little is known about the effects of DII on mortality in Mediterranean ...countries. Therefore, in the present study, we aimed to investigate the potential association between DII scores and overall, cancer and cardiovascular disease (CVD) mortality in people living in a Mediterranean area.
Methods
DII scores were calculated using a validated food‐frequency questionnaire. DII scores were then categorised into tertiles. Mortality was ascertained via death certificates. The association between DII scores with overall and cause‐specific mortality was assessed via a multivariable Cox's regression analysis and reported as hazard ratios (HRs) with their 95% confidence intervals (CIs).
Results
The study included 1565 participants (mean age 65.5 years; females 44.7%). After a median follow‐up of 12 years (2005–2017), 366 (23.4%) participants died. After adjusting for 17 potential confounders, people with higher DII scores had an increased risk of death compared to those in the lowest (most anti‐inflammatory) tertile (HR = 1.38; 95% CI = 1.04–1.82 for the second tertile; HR = 1.38; 95% CI = 1.03–1.86 for the third tertile). Each 1 SD increase in DII score increased the risk of death by 13%. No association was found between DII scores and cancer or CVD death when considered separately.
Conclusions
Higher DII scores were associated with a significantly higher mortality risk, whereas the association with cause‐specific mortality was less clear. These findings highlight the potential importance of diet in modulating inflammation and preventing death.
Abstract Background and aim We evaluated the incidence of myocardial infarction (MI) in a population of Southern Italy and the relationship of dietary macronutrients with incident MI. Methods and ...results The ONCONUT cohort included 5632 subjects followed-up, over 50 years, recruited in 1992. At baseline, they completed a validated semi-quantitative food frequency questionnaire and gave details of their medical history. After 5years they were traced by their family physician, who found 108 incident MI. Ninety-seven of them and 194 controls, sampled from the noncases at baseline and paired for diabetes to the cases, entered this nested case-control study. MI rate per 1000 person-years was 9.6 in males and 3.7 in females. In non-diabetics, saturated fat were associated with MI directly (odds ratio (OR): tertile 2 vs. 1 = 2.32, tertile 3 vs. 1 = 2.82; chi-square for trend, p = 0.03) and polyunsaturated fats inversely (OR: tertile 2 vs. 1 = 0.80, tertile 3 vs. 1 = 0.37; chi-square for trend, p = 0.05), while in diabetics, starchy carbohydrates (OR: tertile 2 vs. 1 = 1.51, tertile 3 vs. 1 = 6.73; chi-square for trend, p = 0.01) and glycaemic index (OR: tertile 2 vs. 1 = 2.74, tertile 3 vs. 1 = 5.34; chi-square for trend, p = 0.01) were associated directly with MI. Conclusions MI incidence in this population was lower than that found in northern countries. In non-diabetics, saturated fats were associated directly and polyunsaturated fat inversely with MI; in diabetics, starchy carbohydrates and high-glycaemic-index foods were associated directly with MI.
This study presents the first hydrogeochemical model of the hydrothermal systems of Turrialba and Irazú volcanoes in central Costa Rica, manifested as thermal springs, summit crater lakes, and ...fumarolic degassing at both volcanoes. Our period of observations (2007–2012) coincides with the pre- and early syn-phreatic eruption stages of Turrialba volcano that resumed volcanic unrest since 2004, after almost 140 years of quiescence. Peculiarly, the generally stable Irazú crater lake dropped its level during this reawakening of Turrialba. The isotopic composition of all the discharged fluids reveals their Caribbean meteoric origin. Four groups of thermal springs drain the northern flanks of Turrialba and Irazú volcanoes into two main rivers. Río Sucio (i.e. “dirty river”) is a major rock remover on the North flank of Irazú, mainly fed by the San Cayetano spring group. Instead, one group of thermal springs discharges towards the south of Irazú. All thermal spring waters are of SO
4
-type (i.e. steam-heated waters), none of the springs has, however, a common hydrothermal end-member. A water mass budget for thermal springs results in an estimated total output flux of 187 ± 37 L/s, with 100 ± 20 L/s accounted for by the San Cayetano springs. Thermal energy release is estimated at 110 ± 22 MW (83.9 ± 16.8 MW by San Cayetano), whereas the total rock mass removal rate by chemical leaching is ~ 3000 m
3
/year (~ 2400 m
3
/year by San Cayetano-Río Sucio). Despite Irazú being the currently less active volcano, it is a highly efficient rock remover, which, on the long term can have effects on the stability of the volcanic edifice with potentially hazardous consequences (e.g. flank collapse, landslides, phreatic eruptions). Moreover, the vapor output flux from the Turrialba fumaroles after the onset of phreatic eruptions on 5 January 2010 showed an increase of at least ~ 260 L/s above pre-eruptive background fumarolic vapor fluxes. This extra vapor loss implies that the drying of the summit hydrothermal system of Turrialba could tap deeper than previously thought, and could explain the coincidental disappearance of Irazú’s crater lake in April 2010.
Open conduit volcanoes like Stromboli can display elusive changes in activity before major eruptive events. Starting on December 2020, Stromboli volcano displayed an increasing eruptive activity, ...that on 19 May 2021 led to a crater-rim collapse, with pyroclastic density currents (PDCs) that spread along the barren NW flank, entered the sea and ran across it for more than 1 km. This episode was followed by lava flow output from the crater rim lasting a few hours, followed by another phase of lava flow in June 2021. These episodes are potentially very dangerous on island volcanoes since a landslide of hot material that turns into a pyroclastic density current and spreads on the sea surface can threaten mariners and coastal communities, as happened at Stromboli on 3 July and 28 August 2019. In addition, on entering the sea, if their volume is large enough, landslides may trigger tsunamis, as occurred at Stromboli on 30 December 2002. In this paper, we present an integration of multidisciplinary monitoring data, including thermal and visible camera images, ground deformation data gathered from GNSS, tilt, strainmeter and GBInSAR, seismicity, SO
2
plume and CO
2
ground fluxes and thermal data from the ground and satellite imagery, together with petrological analyses of the erupted products compared with samples from previous similar events. We aim at characterizing the preparatory phase of the volcano that began on December 2020 and led to the May–June 2021 eruptive activity, distinguishing this small intrusion of magma from the much greater 2019 eruptive phase, which was fed by gas-rich magma responsible for the paroxysmal explosive and effusive phases of July–August 2019. These complex eruption scenarios have important implications for hazard assessment and the lessons learned at Stromboli volcano may prove useful for other open conduit active basaltic volcanoes.
Reactive halogen chemistry in volcanic plumes Bobrowski, N.; von Glasow, R.; Aiuppa, A. ...
Journal of Geophysical Research - Atmospheres,
27 March 2007, Letnik:
112, Številka:
D6
Journal Article
Recenzirano
Bromine monoxide (BrO) and sulphur dioxide (SO2) abundances as a function of the distance from the source were measured by ground‐based scattered light Multiaxis Differential Optical Absorption ...Spectroscopy (MAX‐DOAS) in the volcanic plumes of Mt. Etna on Sicily, Italy, in August–October 2004 and May 2005 and Villarica in Chile in November 2004. BrO and SO2 spatial distributions in a cross section of Mt. Etna's plume were also determined by Imaging DOAS. We observed an increase in the BrO/SO2 ratio in the plume from below the detection limit near the vent to about 4.5 × 10−4 at 19 km (Mt. Etna) and to about 1.3 × 10−4 at 3 km (Villarica) distance, respectively. Additional attempts were undertaken to evaluate the compositions of individual vents on Mt. Etna. Furthermore, we detected the halogen species ClO and OClO. This is the first time that OClO could be detected in a volcanic plume. Using calculated thermodynamic equilibrium compositions as input data for a one‐dimensional photochemical model, we could reproduce the observed BrO and SO2 vertical columns in the plume and their ratio as function of distance from the volcano as well as vertical BrO and SO2 profiles across the plume with current knowledge of multiphase halogen chemistry, but only when we assumed the existence of an “effective source region,” where volcanic volatiles and ambient air are mixed at about 600°C (in the proportions of 60% and 40%, respectively).
Socorro Island is the exposed part of an approx. 4000‐m‐high volcanic edifice rising from the oceanic floor to approx. 1000 m asl at the northern part of the Mathematician Ridge, Eastern Pacific. The ...volcano is active, with the most recent basaltic eruption in 1993. Moderate fumarolic activity and diffuse degassing with a total CO2 flux of approx. 20 total day−1 are concentrated in the summit region of the volcano composed of a group of rhyolite domes. Low‐temperature, boiling point, fumaroles discharge gas with high H2 (up to 20 mol% in dry gas) and CH4 (up to 4 mol%). Both carbon and He isotopic ratios and abundances correspond to those in MORB fluids (δ13≈−5‰; 3He/4He = 7.6 Ra, CO2/3He = (2–3) × 109, where Ra is the atmospheric ratio 3He/4He of 1.4 × 10−6). Light hydrocarbons (CH4, C2H6, C3H8, and C4H10) are characterized by a high C1/C2+ ratio of approx. 1000. Methane is enriched in 13C (δ13 from −15 to −20‰) and 2H (δ2H from −80 to −120‰), and hydrocarbons show an inverse isotopic trend in both δ13C and δ2H (ethane is isotopically lighter than methane). These isotopic and concentration features of light hydrocarbons are similar to those recently discovered in fluids from ultramafic‐hosted spreading ridge vents and may be related to the serpentinization processes: H2 generation and reduction of CO2 to CH4 within high‐temperature zone of volcano‐seawater hydrothermal system hosted in basaltic and ultramafic rocks beneath a volcano edifice. The thermodynamic analysis of this unusual composition of the Socorro fluids and the assessment of endmember compositions are complicated by the near‐surface cooling, condensation and mixing with meteoric water.
This paper documents arsenic concentrations in 157 groundwater samples from the island of Ischia and the Phlegrean Fields, two of the most active volcano-hosted hydrothermal systems from the ...Campanian Volcanic Province (Southern Italy), in an attempt to identify the environmental conditions and mineral-solution reactions governing arsenic aqueous cycling. On Ischia and in the Phlegrean Fields, groundwaters range in composition from NaCl brines, which we interpret as the surface discharge of deep reservoir fluids, to shallow-depth circulating fluids, the latter ranging from acid-sulphate steam-heated to hypothermal, cold, bicarbonate groundwaters. Arsenic concentrations range from 1.6 to 6900 μg·l
−
1
and from 2.6 to 3800 μg·l
−
1
in the Phlegrean Fields and on Ischia, respectively. They increase with increasing water temperature and chlorine contents, and in the sequence bicarbonate groundwaters
<
steam-heated groundwaters
<
NaCl brines. According to thermochemical modeling, we propose that high As concentrations in NaCl brines form after prolonged water–rock interactions at reservoir
T,
fO
2 and
fH
2S conditions, and under the buffering action of an arsenopyrite
+
pyrite
+
pyrrhotite rock assemblage. On their ascent toward the surface, NaCl brines become diluted by As-depleted meteoric-derived bicarbonate groundwaters, giving rise to hybrid water types with intermediate to low As contents. Steam-heated groundwaters give their intermediate to high As concentrations to extensive rock leaching promoted by interaction with As-bearing hydrothermal steam.
Estrogens could protect the liver from fatty degeneration, but there is little information about whether menopause is associated with the severity of alcoholic (AFL) and non-alcoholic fatty liver ...(NAFL). Our aim was to evaluate the distribution of fatty liver detected by ultrasound in pre- and post-menopausal women and the factors associated with these conditions.
In this cross-sectional study, the years from menopause were investigated through selfreported information. The degree of fatty liver was assessed through a standardized ultrasound examination (scores 0 to 6, higher values reflecting a greater severity). Liver steatosis was classified as NAFL or AFL based on a daily alcohol intake > 20g/d.
The study included 752 women in menopause and 535 in pre-menopause. The years from menopause were not associated with the severity of liver steatosis in NAFL (p for trend=0.74; Spearman correlation=0.04; 95%CI: -0.09 to 0.17), whereas all the indexes of adiposity and the number of metabolic syndrome factors were associated with a higher liver steatosis score. Taking AFL liver steatosis as the outcome, the years since menopause were not significantly associated with liver steatosis in AFL (p for trend=0.50; Spearman correlation=0.09; 95%CI: -0.17 to 0.34), whilst the association between anthropometric parameters and liver steatosis severity resulted stronger in postmenopausal compared to pre- menopausal women.
the higher prevalence of fatty liver observed in post-menopausal women is probably not due to menopause per se, but to the adiposity (particularly abdominal) typical of this age and its consequences (such as metabolic syndrome).
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