Director of the Centre: Prof. Antonino Zichichi Directors of the Course: Prof. Mario Barbagallo (University of Palermo, Italy) Lodovico Balducci (University of South Florida, Tampa, FL, USA) Mario Belvedere (University of Palermo, Italy) Roberto Bernabei (University of Rome, Italy) Luigi Ferrucci (NIH LBSA, Baltimore, MD, USA) Sponsored by: Italian ministry of health Italian ministry of education Italian ministry of university and scientific research Italian society of gerontology and Geriatrics international association of gerontology sicilian regional government RELATORI E MODERATORI FACULTY Pasquale Abete (University of Naples, Italy) Tamara Harris (NIA, Bethesda, MD, USA) Umberto Alecci (Messina, Italy) Giancarlo Isaia (University of Turin, Italy) Dawn Alley (University of Pennsylvania, Philadelphia, PA, USA ) Giuseppe Licata (University of Palermo, Italy) Raffaele Antonelli Incalzi (Campus Bio-Medico, Univer- Domenico Lio (University of Palermo, Italy) sity of Rome, Italy) Stefania Maggi (Padua, Italy) Maurizio Averna (University of Palermo, Italy) Mariano Malaguarnera (University of Catania, Italy) Lodovico Balducci (University of South Florida, Tampa, FL, USA) Niccolò Marchionni (University of Florence, Italy) Stefania Bandinelli (INRCA, Florence, Italy) Domenico Maugeri (University of Catania, Italy) Carlo M.Barbagallo (University of Palermo, Italy) Patrizia Mecocci (University of Perugia, Italy) Mario Barbagallo (University of Palermo, Italy) Vito Milazzo (Trapani, Italy) Giuseppe Barbagallo (Nicosia, Italy) Letterio Morgante (University of Messina, Italy) Jean-Pierre Baeyens (University of Oostende, Belgium) John E. Morley (University of Saint Louis, MO, USA) Claudia Beghè (VA, Tampa, FL, USA) Anne Newman (University of Pittsburgh, PA, USA) Vincenzo Bellia (University of Palermo, Italy) Vittorio Nicita-Mauro (University of Messina, Italy) Mario Belvedere (University of Palermo, Italy) Alberto Notarbartolo (University of Palermo, Italy) Roberto Bernabei (University of Rome, Italy) Salvatore Novo (University of Palermo, Italy) Maurizio Bevilacqua (Osp. Sacco, Milan, Italy) Patrizio Odetti (University of Genoa, Italy) Sante Branca (Catania, Italy) Gioacchino Oddo (Palermo, Italy) Giuseppina Candore (University of Palermo, Italy) Michele Pagano (Palermo, Italy) Carlo Cannella (University of Rome, Italy) Marco Pahor (University of Florida, Gainesville, FL, USA) Calogero Caruso (University of Palermo, Italy) Giuseppe Paolisso (Second University of Naples-SUN, Italy ) Pierpaolo Ceda (University of Parma, Italy) Mario Passeri (University of Parma, Italy) Antonio Cherubini (University of Perugia, Italy) Ian Philp (University of Sheffield, UK) Giuseppina Colonna-Romano (University of Palermo, Italy) Ernesto Putignano (University of Palermo, Italy) Francesco Corica (University of Messina, Italy) Suresh Rattan (University of Aarhus, Denmark) Giuseppe Costanza (University of Palermo, Italy) Franco Rengo (University of Naples, Italy) Domenico Cucinotta (Osp. Villa Laura, Bologna, Italy) Giovam Battista Rini (University of Palermo, Italy) Ligia J. Dominguez (University of Palermo, Italy) Giuseppe Rotolo (University of Palermo, Italy) Lorenzo M Donini (University of Rome, Italy) Michelangelo Sapienza (Palermo, Italy) William J Evans (University of Arkansas, AK, USA) Giovanni Savettieri (University of Palermo, Italy) Nicola Ferrara (University of Molise, Italy) Roberto Sega (University of Milan, Italy) Luigi Ferrucci (NIH LBSA, Baltimore, MD, USA) Luigi Spicola (Palermo, Italy) Giovanni Fradà (University of Palermo, Italy) Stephanie Studenski (University of Pittsburg, PA, USA) Claudio Franceschi (University of Bologna, Italy) Eva Topinkova (University of Prague, CZ) Luigi Galvano (Palermo, Italy) Marco Trabucchi (University of Rome/Brescia, Italy) Giovanni Gambassi (University of Rome, Italy) Marjolen Visser (VU University Med. Ctr, Amsterdam, NL) Fernando Gomez (University of Caldas, Manizales, Colombia) Mauro Zamboni (University of Verona, Italy) Jack Guralnik (NIH, Bethesda, MD, USA) Mario Zappia (University of Catania, Italy) October 23 (Tuesday) Morning Genetics and Biology of Aging - Genetica e Biologia dell’Invecchiamento First Session Chairmen Mario Barbagallo (University of Palermo, Italy) Calogero Caruso (University of Palermo, Italy) 09.30 a.m. Claudio Franceschi (University of Bologna, Italy) An evolutionary approach to longevity Un approccio evoluzionistico alla longevità 10.00 a.m. Calogero Caruso (University of Palermo, Italy) Genetics of cardiovascular disesase and longevity Genetica delle malattie cardiovascolari e longevità 10.30 a.m. Suresh Rattan (University of Aarhus, Denmark) Hormesis and longevity Ormesi e longevità 11.00- 11.15 a.m. Coffee Break Second Session Chairmen Giovanni Fradà (University of Palermo, Italy) Calogero Caruso (University of Palermo, Italy) 11.15 a.m. Giuseppina Candore (University of Palermo, Italy) Inflammation, aging and longevity Infiammazione, invecchiamento e longevità 11.30 a.m. Giuseppina Colonna-Romano (University of Palermo, Italy) Immunity, aging and longevity Immunità, invecchiamento e longevità 11.45 a.m. Domenico Lio (University of Palermo, Italy) Identification of a risk profile for unsuccessful aging Identificazione di un profilo di rischio per un invecchiamento “non” di successo 12.00 a.m. General Discussion Lunch October 23 (Tuesday) Afternoon 16.30 p.m. Opening Ceremony and Welcoming Addresses Inaugurazione e Saluto dei Direttori del Corso e delle Autorità Plenary Lectures Roberto Bernabei (University of Rome, Italy) Third generation geriatric assessment L’Assessment geriatrico di terza generazione Lodovico Balducci (University of South Florida, Tampa, FL, USA) Cancer and aging Neoplasie e invecchiamento Adjourn October 24 (Wednesday) Morning The lifetime roots of sarcopenic obesity Le radici della obesità sarcopenica nel corso della vita First Session Chairmen Luigi Ferrucci (NIH LBSA, Baltimore, MD, USA) Mario Barbagallo (University of Palermo, Italy) 09.00 a.m. William J Evans (University of Arkansas, AK, USA) Is fatness a risk factor for bad health outcomes if it is not associated with sarcopenia? L’obesità è un fattore di rischio se non è associata a sarcopenia? 09.30 a.m. Tamara Harris (National Institute on Aging, Bethesda, MD, USA) Which is more closely related to disability and death in old age-current weight or weight earlier in life? Cosa è maggiormente correlato alla disabilità ed alla morte in tarda età- il peso attuale o il peso nelle età precedenti della vita? 10.00 a.m. Dawn Alley (University of Pennsylvania, Philadelphia, PA, USA ) Which trajectories of weight change over the lifetime are associated with health outcomes? Quali traiettorie delle modificazioni del peso nel corso della vita sono maggiormente associate con gli outcomes di salute? 10.30 a.m. Coffee Break Second Session 11.00 a.m. Luigi Ferrucci (NIH LBSA, Baltimore, MD, USA) Do obesity in young and the body composition changes of aging have the same metabolic and functional correlates and consequences? La obesità nei giovani e le modificazioni della composizione corporea con l’età hanno le stesse conseguenze metaboliche e funzionali? 11.30 a.m. Stephanie Studenski (University of Pittsburgh, PA, USA) Wich is more important - the amount of muscle or strength - if women have more disability, why do men have more sarcopenia? Cosa è più importante - la massa muscolare o la forza - se le donne hanno più disabilità, perchè gli uomini hanno più sarcopenia? 12.00 a.m. John E. Morley (University of Saint Louis, MO, USA) Which are the critical periods for selected hormones and cytokines in old age? Quali sono i periodi critici per ormoni e citochine nelle età avanzate? 12.30 p.m. General Discussion 1.00p.m to 3.00 p.m. Lunch October 24 (Wednesday) Afternoon First Session Chairmen Luigi Ferrucci (NIH LBSA, Baltimore, MD, USA) John E. Morley (University of Saint Louis, MO, USA) 03.00 p.m. Stefania Bandinelli (INRCA, Florence, Italy) Do osteoporosis and sarcopenia have similar or different roots and consequences? Osteoporosi e sarcopenia hanno radici e conseguenze simili o differenti? 03.30 p.m. Anne Newman (University of Pittsburgh, PA, USA) What interventions have been effective in addressing optimal body composition in old age? Is there a critical role for movement? Quali interventi sono maggiormente efficaci per ottenere una composizione corporea ottimale nelle età avanzate? Il movimento ha un ruolo cruciale? 04.00 p.m. Marjolen Visser (VU University Med. Ctr, Amsterdam, NL) How (changes in) physical activity may influence both body composition and health outcomes in old age. Is sarcopenic obesity just an indicator of physical inactivity? Come la attività fisica può influenzare sia la composizione corporea che gli outcomes di salute nelle età avanzate. La obesità sarcopenica è solo un indicatore di inattività fisica? 04.25 p.m. Mauro Zamboni (University of Verona, Italy) Is there any difference in the activity of adipocytes between older and younger subjects? Which is the contribution of adipokines to age-related metabolic disorders and to sarcopenia? C’e differenza nella attività degli adipociti tra soggetti giovani ed anziani? Quale è il contributo delle adipochine alle alterazioni metaboliche età-correlate ed alla sarcopenia? 04.45 p.m. Coffee Break Second Session Anemia in the Elderly - Anemia nell’Anziano Chairmen Luigi Ferrucci (NIH LBSA, Baltimore, MD, USA) Lodovico Balducci (University of South Florida, Tampa, FL, USA) 05.00 p.m. Lodovico Balducci (University of South Florida, Tampa, FL, USA) A systematic approach to anemia of the erderly Un approccio sistematico alla anemia nell’anziano 05.30 p.m. Jack Guralnik (NIH, Bethesda, MD, USA) Functional consequences of the anemia of the Elderly Conseguenze funzionali della anemia nell’anziano General Discussion Adjourn October 25 (Thursday) Morning Round Table on Geriatric Assistance as a Planetary Emergency Assistenza Geriatrica come Emergenza Planetaria First Session Chairmen Ian Philp (University of Sheffield, UK) Mario Barbagallo (University of Palermo, Italy) 09.00 a.m. Ian Philp (University of Sheffield, UK) A recipe for care Una ricetta per la cura 09.30 a.m. Eva Topinkova (University of Prague, CZ) How to promote geriatrics and incorporate it into the clinical practice, research and health care systems Come promuovere la geriatria nella pratica clinica, nella ricerca e nei sistemi sanitari 10.00 a.m. Jean-Pierre Baeyens (Oostende, Belgium) The present and future of geriatrics in Europe Il presente ed il futuro della geriatria in Europa 10.30 a.m. Coffee Break Second Session 11.00 a.m. Fernando Gomez (University of Caldas, Manizales, Colombia) Geriatric assistance in South America Assistenza geriatrica in Sud America 11.30 a.m. Claudia Beghè (VA, Tampa, FL, USA) Geriatric assistance in the USA Assistenza geriatrica negli USA 12.00 a.m. General Discussion 1.00 p.m Lunch - FREE afternoon October 26 (Friday) Morning First Session Nutritional Problems and Health -Mediterranean Diet and Physical Activity Problemi Nutrizionali e Salute - Alimentazione Mediterranea e Attività Fisica Chairmen Carlo Cannella (University of Rome, Italy) Mario Barbagallo (University of Palermo, Italy) 09.00 a.m. Lorenzo M Donini (University of Rome, Italy) Nutritional problems in the elderly Problemi nutrizionali nell’anziano 9.30 a.m. Carlo Cannella (University of Rome, Italy) Diet and health in the elderly Alimentazione e salute nell’anziano 10.00 a.m. Marco Pahor (University of Florida, Gainesville, FL, USA) Physical activity to preserve independence in older adults Attività fisica e mantenimento della indipendenza nell’anziano 10.30 a.m. Ligia J. Dominguez (University of Palermo, Italy) Mediterranean diet and longevity: Role of extravirgin olive oil Dieta mediterranea e longevità: Ruolo dell’olio extravergine di oliva 11.00 a.m. Coffee Break Second Session Diabetes and Cardiometabolic Syndrome in the Elderly Diabete e Sindrome Metabolica nell’Anziano Chairmen Giuseppe Licata (University of Palermo, Italy) Maurizio Averna (University of Palermo, Italy) Ernesto Putignano (University of Palermo, Italy) 11.30 a.m. Giuseppe Paolisso (Second University of Naples-SUN, Italy ) Diabetes in the elderly - Il diabete nell’anziano 12.00 a.m. Nicola Ferrara (University of Molise, Italy) Hypertension and antihypertensive therapy: Risk factors for diabetes? Ipertensione e terapia antipertensiva: fattori di rischio di diabete? 12.30 p.m. General Discussion 1.00 p.m to 3.00 p.m. Lunch October 26 (Friday) Afternoon First Session Chairmen Alberto Notarbartolo (University of Palermo, Italy) Ernesto Putignano (University of Palermo, Italy) Carlo M. Barbagallo (University of Palermo, Italy) 03.30 p.m. Patrizio Odetti (University of Genoa, Italy) Metabolic syndrome and cognitive decline in the elderly Sindrome metabolica e declino cognitivo nell’anziano 04.00 p.m. Pierpaolo Ceda (University of Parma, Italy) Hormonal dysregulation in the elderly: possible clinical impact Disregolazione ormonale nell’anziano: possibile impatto clinico 04.30 p.m. Coffee Break Second Session Chairmen Vincenzo Bellia (University of Palermo, Italy) Giuseppe Costanza (University of Palermo, Italy) 04.45 p.m. Raffaele Antonelli Incalzi (Campus Bio-Medico, University of Rome, Italy) COPD in the elderly: a systemic disease La BPCO nell’anziano: una malattia sistemica 05.15 p.m. Antonio Cherubini (University of Perugia, Italy) Depression in the elderly. The Dafne study Depressione nell’anziano. Lo studio Dafne 05.45 pm Domenico Cucinotta (Ospedale Villa Laura, Bologna ) Antiaging: charlatanry or science? Antiinvechiamento: cialtroneria o scienza? General Discussion Adjourn October 27 (Saturday) Morning First Session Cardiovascular Diseases in the Elderly Malattie Cardiovascolari nell’Anziano Chairmen Franco Rengo (University of Naples, Italy) Salvatore Novo (University of Palermo, Italy) 09.00 a.m. Roberto Sega (University of Milan, Italy) Organ damage and cardiovascular risk in the metabolic syndrome. Data from the PAMELA study Danno d’organo e rischio cardiovascolare nella sindrome metabolica. Dati dello Studio PAMELA 09.30 a.m. Pasquale Abete (University of Naples, Italy) Lifestyle and cardiovascular prevention in the elderly Stile di vita e prevenzione cardiovascolare nell’anziano 10.00 a.m. Franco Rengo (University of Naples, Italy) Cardiac failure in the elderly Lo scompenso cardiaco nell’anziano 10.30 a.m. Niccolò Marchionni (University of Florence, Italy) Acute coronary syndromes in the elderly. Conservative or invasive approach? Sindromi coronariche acute nell’anziano. Approccio conservativo o interventistico? 11.00 a.m. - Coffee Break Second Session Dementia and Delirium in The Elderly La Demenza e il Delirium nell’Anziano Chairmen Giuseppe Barbagallo (Nicosia, Italy) Michelangelo Sapienza (Palermo, Italy) 11.30 a.m. Marco Trabucchi (University of Rome/Brescia, Italy) Delirium as a marker of the clinical condition in the elderly Il delirium come marker della condizione clinica dell’anziano” 12.00 a.m. Patrizia Mecocci (University of Perugia, Italy) Clinical and therapeutic aspects of advanced stage Alzheimer’s disease Aspetti clinici e terapeutici nella M. di Alzheimer in stato avanzato 12.30 p.m. General Discussion 1.00p.m to 3.00 p.m. Lunch October 27 (Saturday) Afternoon First Session Chairmen Sante Branca (Catania, Italy) Michele Pagano (Palermo, Italy) 03.30 p.m. Maurizio Bevilacqua (Osp. Sacco, Milan, Italy) Hypernatremia and hyponatremia in the elderly Ipernatriemia ed iponatriemia nell’anziano 04.00 p.m. Francesco Corica (University of Messina, Italy) Iatrogenic risk in the elderly patient Il rischio iatrogeno nel paziente anziano 04.30 p.m. Coffee Break Second Session Chairmen Giuseppe Rotolo (Palermo, Italy) Luigi Spicola (Palermo, Italy) 04.45 p.m. Mariano Malaguarnera (University of Catania, Italy) Cancer pain in the elderly Il Dolore da cancro nell’anziano 05.15p.m. Giovanni Gambassi (University of Rome, Italy) Pain management in the elderly Cura del dolore nell’anziano Third Session Chairmen Gioacchino Oddo (Palermo, Italy) Vito Milazzo (Trapani, Italy) 05.45 p.m. Luigi Galvano (Palermo, Italy) The General Practioner and the Geriatrician: a sinergistic relationship? Il MMG ed il Geriatra un rapporto sinergico? I nuovi LEA dell’assistenza domiciliare 06.10 p.m. Umberto Alecci (Messina, Italy) The General Practioner and the assistance to the frail elderly. Preliminary data from a regional evaluation questionnaire in Sicily Il MMG e l’assistenza all’anziano fragile. Dati preliminari sull’uso della scheda valutativa geriatrica della Regione Siciliana General Discussion Adjourn October 28 (Sunday) Morning Osteoporosis and Disability in The Elderly Osteoporosi e Disabilità nell’Anziano First Session Chairmen Mario Passeri (University of Parma, Italy) Giovam Battista Rini (University of Palermo, Italy) 09.00 a.m. Stefania Maggi (Padua, Italy) Epidemiology of osteoporosis Epidemiologia dell’osteoporosi 09.30 a.m. Domenico Maugeri (University of Catania, Italy) Osteoporosis and disability in the elderly Osteoporosi e disabilità nell’anziano 10.00 a.m. Giancarlo Isaia (University of Turin, Italy) Treatment of severe senile osteoporosis La terapia dell’osteoporosi senile severa 10.30 a.m. Coffee Break Second Session Parkinson’s Disease In The Elderly Malattia di Parkinson nell’Anziano Chairmen Mario Belvedere (University of Palermo, Italy) Giovanni Savettieri (University of Palermo, Italy) 11.00 a.m. Vittorio Nicita-Mauro (University of Messina, Italy) Parkinson, parkinsonism and aging Parkinson, parkinsonismo e invecchiamento. 11.30 a.m. Letterio Morgante (University of Messina, Italy) Treatment of advanced Parkinson’s disease in the elderly Terapia della Malattia di Parkinson avanzata nell’anziano 12.00 a.m. Mario Zappia (University of Catania, Italy) Therapy of early stage Parkinson’s Disease Terapia della Malattia di Parkinson in fase iniziale 12.30 p.m. General Discussion 01.00 p.m. Conclusion of the Course