Air Pollution from Global Health to Individual Risk Factor-Is It Time for Enviropathies in Everyday Clinical Practice?

While the link between cardiovascular and respiratory conditions and air pollution is well-known, recent studies provided a growing body of evidence that polluted air, particularly air with high levels of particulate matter with a diameter smaller than 2.5 micrometers (PM 2.5), can have a range of negative impacts on health, both in terms of mortality and morbidity. It is time to emphasize the role of environmental factors as contributory factors or determinants of both global and individual health levels, and to consider them together as a health priority, as enviropathies (meant as pathologies caused, triggered or worsened by environmental exposure). Bringing attention to harmful air pollution exposure has fostered population studies, which developed accurate quantification of environmental exposure in polluted regions, aiding our understanding of the dose-response relationship between pollutants and diseases. Those efforts have influenced local and global health policy strategies. Now we face the challenge of controlling environmental pollution and limiting individual exposure to prevent or avoid serious health risks. Is it time for enviropathies in everyday clinical practice?

Dietary Patterns at the Individual Level through a Nutritional and Environmental Approach: The Case Study of a School Canteen.

The public catering sector has important responsibilities in seeking a change toward more sustainable choices for many aspects related to the environmental impacts of their services. The environmental impact of production processes can be studied through life cycle assessment (LCA), which allows a greater awareness of choices and has rarely been applied to catering. In this work, we studied the impacts of two dishes (braised meat and cauliflower meatballs) in a school canteen, their impacts were studied using the daily energy requirement (expressed in kcal) as a functional unit. Global warming potential (GWP) and nonrenewable energy (NRE) were calculated starting from the supply of raw materials up to distribution. Electricity and the act of cooking the meatballs accounted for more than 60% of the measured impact in terms of GWP, whereas, less markedly, they dominated in terms of nonrenewable energy used. In the case of braised meat, the total impact was, however, attributable to the life cycle of the meat (between 60% and 76%) and the consumption of electricity (between 19% and 27%), whereas for all other factors, the contribution was never particularly high. Additionally, a discussion on the correct functional unit to be used proposed the environmental impact of different recipes as an additional criterion for nutritionists during the composition of the menu. An integrated system appears important for changing policies and behaviors and the application of LCA can be a tool capable of contributing to the construction of a holistic instrument of sustainability.

Post-harvest Industrial Processes of Almond (Prunus dulcis L. Mill) in Sicily Influence the Nutraceutical Properties of By-Products at Harvest and During Storage.

Almond cultivation in Sicily is experiencing a phase of great interest which is mainly concentrated in the development of specialized orchards, with irrigation and by adopting cultivars with high qualitative and quantitative performances. These are mostly Mediterranean genotypes with high fat content and hard or semi-hard shell, extremely different from the varieties of Californian diffusion. The development of the sector comprises the primary production of almonds but also a series of secondary products which often represent a burden for the company. From these considerations several researches have been developed with the aim of giving a value to these by-products through circular economy paths. One of the by-products widely produced, besides the shell, is the skin which covers the seed and is produced during the peeling phase. It is well-known that tegument is an important component of almond because it contains important bioactive substances (phenols and aromas) which are usually dispersed during peeling. This paper examined three different Italian cultivars widely spread in Sicily, two of Apulian origin, (Genco and Tuono), and one locally cultivated variety (Vinci a tutti). These three cultivars occupy an increasingly large area and are very popular with consumers and industry. The production of secondary products, therefore, evidences significant quantities and the possibility to give them an added value becomes a need for the sector. Therefore, the content of phenols and proanthocyanins in the skin at harvest and during storage was analyzed, adopting two different separation methods, with and without water. During the analysis it was possible to observe the different behavior of the three cultivars due to genetic and industrial factors. Skin separated without using hot water showed a higher total phenolic presence with average increases of about 20%, and with even higher increases, between 28 and 32%, for proanthocyanins. Vinci a tutti evidenced the highest total phenolic content after 8 months of storing while roasting has revealed to be a more effective skin separation approach.

First Multi-Target Application of Exclusion Net in Nectarine Orchards: Effectiveness against Pests and Impact on Beneficial Arthropods, Postharvest Rots and Fruit Quality.

Over the past few years, there has been an increasing interest in the development of alternative pest control strategies to reduce environmental impact. In this contest, exclusion nets have been evaluated as a sustainable alternative to pesticides. In this study, the use of a photoselective exclusion net was investigated in semi-field conditions as a potential strategy to protect nectarine orchards from different pests (i.e., fruit moths, Halyomorpha halys and Drosophila suzukii) in NW Italy. The presence and abundance of pest populations inside and outside the net, as well as the damage they caused on fruits, were evaluated. Moreover, any possible effects of the net on beneficial arthropods, postharvest rots and fruit quality and nutraceutical parameters were considered. The exclusion net significantly reduced pest populations. At harvest, fruit damage caused by Grapholita molesta and H. halys in netted plots was reduced up to 90% and to 78%, respectively, compared with insecticide-treated plots. The exclusion net allowed the production of healthier fruits with a strong reduction of insecticide treatments (up to seven less) and of their related costs without any negative impact on postharvest rots, neither fruit quality nor nutraceutical properties.

Community Garden Initiatives Addressing Health and Well-Being Outcomes: A Systematic Review of Infodemiology Aspects, Outcomes, and Target Populations.

Previous research has suggested that activities such as community gardens could offer a wide range of health benefits. The aim of the article is to systematically review the available literature to analyse the magnitude of the phenomenon, the geographical distribution, and the main characteristics in terms of health outcomes and target populations. The search addresses the question whether the activity in community gardens improves health and well-being outcomes of individuals. From the total amount of 7226, 84 selected articles showed that:(1) up to 50% are published by U.S. universities or institutions; (2) up to 44% of the studies considered "community gardens" as the main activity of the research focus; (3) one-third of the studies included adults; (4) almost 25% of the studies used "general health" as the main outcome when investigating the benefits of community gardens; (5) the percentage of studies that achieved their outcomes was heterogeneous among the different health dimensions. In conclusion, while a certain degree of heterogeneity in the used definition and outcome still exist, community gardens may be a viable strategy for well-being promotion in terms of psychological, social, and physical health and may be considered as an innovative urban strategy to promote urban public health.

Modelling strawberry quality in a longitudinal study under the marketing concept of branding.

BACKGROUND: Marketing strategies, such as branding, redefine how consumers perceive quality and create new requirements related to season length and quality homogeneity, among others. For short-day (SD) strawberry cultivar brands, the commercial season is short due to a dependency on temperature and photoperiod. A plausible strategy to extend the commercialization period is to use different varieties within a single brand; however, this has led to inconsistent quality in other fruit crops. A form of quality assessment to evaluate the impact of a multi-varietal brand on sensory quality is a critical longitudinal study with several sources of variability, such as the inherent variation among assessors and fruit replicates that can affect the reliability of the results. Therefore, this study aimed to develop a methodology to assess the sensorial and physicochemical quality of strawberry brands in two contexts: a short-term season composed of two SD cultivars and a long-term season with one SD and one day-neutral (DN) cultivar. RESULTS: New statistical models are proposed in this study. An ANOVA mixed model with assessors and replicates as random terms and a multiple factor analysis highlighted a lack of homogeneity with regard to texture parameters and sourness, while partial least square models identified aroma and sweetness as the best quality indicators. CONCLUSIONS: This work has successfully illustrated a methodology that is capable of handling critical aspects of longitudinal studies by using univariate models that account for different sources of variability and constrained multivariate models to relate parameters with overall liking. A long-term brand is a viable solution to valorise strawberries, as parameter heterogeneity did not affect overall quality.

Is air pollution affecting the disease activity in patients with systemic lupus erythematosus? State of the art and a systematic literature review.

OBJECTIVE: It has been documented that several major components of air pollution, including trace elements and polycyclic aromatic hydrocarbons, are associated with the prevalence of systemic lupus erythematosus (SLE). However, the impact of air pollution on the SLE disease activity is still elusive. In this paper, we review the current evidence investigating the link between air pollution, especially when measured as PM2.5, and SLE severity and activity. METHODS: A detailed literature search was applied a priori to the Ovid MEDLINE In-Process and Other Non-Indexed Citation 1986 to present. Presented abstracts from the European League Against Rheumatism and American College of Rheumatology (ACR)/Association for Rheumatology Health Professionals (ARHP) Annual Meetings (2011-2018) were also screened. RESULTS: Out of a total of 1354 papers retrieved from search and references list for detailed evaluation, data from 652 patients with SLE from three studies were analyzed. Two studies had an observational longitudinal design, counting for 348 patients with a follow-up of 24 months and 79 months. Retrieved studies differed for disease activity assessment and air pollution quantifications. CONCLUSION: Current evidence suggests that variations in air pollution may influence the disease activity in patients with SLE. However, the sample size, methodological biases, and differences across the studies make further research mandatory. Understanding the increased burden of SLE and its complications, not only from a medical, but also from a socio-demographic perspective, including an exposure to pollutants, should have implications for resource allocation and access to subspecialty care.

Consumer Attitudes and Preference Exploration towards Fresh-Cut Salads Using Best-Worst Scaling and Latent Class Analysis.

This research explored the preferences and buying habits of a sample of 620 consumers of fresh-cut, ready-to-eat salads. A best-worst scaling approach was used to measure the level of preference stated by individuals regarding 12 attributes for quality (intrinsic, extrinsic and credence) of fresh-cut salads. The experiment was carried out through direct interviews at several large-scale retail outlets in the Turin metropolitan area (north-west of Italy). Out of the total number of questioned consumers, 35% said they did not consume fresh-cut salads. On the contrary, the rest of the involved sample expressed the highest degree of preference towards the freshness/appearance attribute, followed by the expiration date and the brand. On the contrary, attributes such as price, organic certification and food safety did not emerge as discriminating factors in consumer choices. Additionally, five clusters of consumers were identified, whose preferences are related both to purchasing styles and socio-demographic variables. In conclusion, this research has highlighted the positive attitude of consumers towards quality products backed by a brand, providing ideas for companies to improve within this sector and implement strategies to answer the needs of a new segment of consumers, by determining market opportunities that aim to strengthen local brands.

A New Sensory Approach Combined with a Text-Mining Tool to Create a Sensory Lexicon and Profile of Monovarietal Apple Juices.

Single-cultivar juices may be a valuable way to introduce different versions of a product to the market and obtain price discrimination. To communicate a product's value, complex characteristics incorporated by each cultivar must be identified. New sensory methods rely on the assessor's ability to recall attributes; however, the use of objective vocabularies may improve the sensory profiling. This work aimed to profile monovarietal apple juices by using projective mapping (PM) combined with ultra-flash profiling (UFP) supported by a sensory wheel built with a text-mining tool. Samples were also analyzed for physicochemical parameters to provide more information to the assessment. The assessor coordinates from PM were used in multiple factor analysis with confidence ellipses to assess differences among samples. A goodness-of-fit test was applied to select the most meaningful descriptors generated through the UFP test by calculating the expected frequency of choosing a descriptor from the sensory wheel and comparing it with the observed values. The methodology provided a more accurate sensory profile compared to previous research on fresh apples and juices. Elstar, Jonagold, and Pinova were considered as sweet juices, and Gravensteiner was described as sour and astringent, with green-apple notes. Rubinette was described as having a strong taste and cloudy aspect.

Consumer Preference Heterogeneity Evaluation in Fruit and Vegetable Purchasing Decisions Using the Best-Worst Approach.

This study assesses consumer preferences during fruit and vegetable (FV) sales, considering the sociodemographic variables of individuals together with their choice of point of purchase. A choice experiment was conducted in two metropolitan areas in Northwest Italy. A total of 1170 consumers were interviewed at different FV purchase points (mass retail chains and open-air markets) using a paper questionnaire. The relative importance assigned by consumers to 12 fruit and vegetable product attributes, including both intrinsic and extrinsic quality cues, was assessed by using the best-worst scaling (BWS) methodology. The BWS results showed that "origin", "seasonality", and "freshness" were the most preferred attributes that Italian consumers took into account for purchases, while no importance was given to "organic certification", "variety", or "brand". Additionally, a latent class analysis was employed to divide the total sample into five different clusters of consumers, characterized by the same preferences related to FV attributes. Each group of individuals is described on the basis of sociodemographic variables and by the declared fruit and vegetable point of purchase. This research demonstrates that age, average annual income, and families with children are all discriminating factors that influence consumer preference and behavior, in addition to affecting which point of purchase the consumer prefers to acquire FV products from.

Innovation strategies in a fruit growers association impacts assessment by using combined LCA and s-LCA methodologies.

In the challenging world of territorial transformations within the agriculture, there is an increasing need for an integrated methodological framework of assessment that is able to reconcile the demand for solutions that are both economically sustainable and contribute to environmental and social improvement. This study aims to assess the introduction of innovation into agro-food systems by combining an environmental life cycle (LCA) assessment and a social life cycle assessment (s-LCA) to support the decision making process of a fruit growers co-op for the adoption of mulching and covering in raspberry farming. LCA and s-LCA have been applied independently under specific consistency requirements, selecting two scenarios to compare the impact with (1) and without (2) the innovation and then combined within a cause-effect chain. The interactions between the environment and socioeconomic components were considered within a nested frameset of business and territorial features. The total emissions from raspberry production in Scenario 1, according to the Global Warming Potential (GWP) Impact Category amounted to 2.2840kg of CO2 eq. In Scenario 2, the impact of production was associated with a GWP of 0.1682kg of CO2 eq. Social repercussions analysis from Scenario 1 compared to Scenario 2 indicate more satisfaction for working conditions and the management of climate risks. The mulching and covering, implemented within a given framework of farm activity, created conditions for the preservation of a model in which raspberry production contributes to landscape protection, the business sustainability of farms and the creation of employment. The combined use of the two methods contributes to the development of a strategy planning due to its ability to deliver, as well as specific analysis at a functional level, a wider framework for assessing the consistency of the impacts related to innovation in raspberry production.

From "farm to fork" strawberry system: current realities and potential innovative scenarios from life cycle assessment of non-renewable energy use and green house gas emissions.

In this study, we analysed the environmental profile of the strawberry industry in Northern Italy. The analysis was conducted using two scenarios as reference systems: strawberry crops grown in unheated plastic tunnels using currently existing cultivation techniques, post-harvest management practices and consumption patterns (scenario 1) and the same strawberry cultivation chain in which some of the materials used were replaced with bio-based materials (scenario 2). In numerous studies, biodegradable polymers have been shown to be environmentally friendly, thus potentially reducing environmental impacts. These materials can be recycled into carbon dioxide and water through composting. Many materials, such as Mater-BI® and PLA®, are also derived from renewable resources. The methodology chosen for the environmental analysis was a life cycle assessment (LCA) based on a consequential approach developed to assess a product's overall environmental impact from the production system to its usage and disposal. In the field stage, a traditional mulching film (non-biodegradable) could be replaced with a biodegradable product. This change would result in waste production of 0 kg/ha for the bio-based product compared to 260 kg/ha of waste for polyethylene (PE). In the post-harvest stage, the issue addressed was the use and disposal of packaging materials. The innovative scenario evaluated herein pertains to the use of new packaging materials that increase the shelf life of strawberries, thereby decreasing product losses while increasing waste management efficiency at the level of a distribution platform and/or sales outlet. In the event of product deterioration or non-sale of the product, the packaging and its contents could be collected together as organic waste without any additional processes because the packaging is compostable according to EN13432. Scenario 2 would achieve reductions of 20% in the global warming potential and non-renewable energy impact categories.

A life cycle assessment of non-renewable energy use and greenhouse gas emissions associated with blueberry and raspberry production in northern Italy.

This study examined the emissions produced during the pre-farm, farm and post-farm phases of the production cycle of raspberries and giant American whortleberries (blueberries) cultivated in one of the best-adapted areas in northern Italy. The pre-farm phase included the greenhouse gas emissions from the production of plants in the nursery and the transportation of the plants to the production farms. The farm phase involved the emissions of greenhouse gases from chemical products, the water used for irrigation, the generation of waste, and the consumption of electricity and other energy. The post-farm phase comprised the transportation of the products to the distribution centre (DC) and their storage in the DC. The use phase is not included in the system, nor is transportation from the supermarket to the home of the final consumer, but the disposal of the packaging is nevertheless taken into account. Indeed, the use of traditional plastic materials during both the field phase (nursery and cultivation) and the post-harvesting phase (packaging) produced the greatest estimated impact.