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National Publications

The following publications used ISAAC data from Italy:

  • Anonymous. Asthma and respiratory symptoms in 6-7 yr old Italian children: gender, latitude, urbanization and socioeconomic factors. SIDRIA (Italian Studies on Respiratory Disorders in Childhood and the Environment). Eur Respir J 1997; 10(8): 1780-6.
  • Anonymous. Frequency of childhood asthma in various Italian regions.Results from ISAAC. Collaborating group of ISRDCE (Italian Studies of Respiration Disorders in Childhood and the Environment).[in Italian]. Epidemiol Prev.1997; 21(4): 235-42.[Italian]
  • Ciccone G, Forastiere F, Agabiti N, Biggeri A, Bisanti L, Chellini E, Corbo G, Dell'Orco V, Dalmasso P, Volante TF, Galassi C, Piffer S, Renzoni E, Rusconi F, Sestini P, Viegi G. Road traffic and adverse respiratory effects in children. SIDRIA Collaborative Group. Occup Environ Med.1998 Nov;55(11):771-8.
  • Rusconi F, Galassi C, Corbo GM, Forastiere F, Biggeri A, Ciccone G, Renzoni E. Risk factors for early, persistent, and late-onset wheezing in young children. SIDRIA Collaborative Group. Am J Respir Crit Care Med.1999 Nov;160(5 Pt1):1617-22.
  • Renzoni E, Forastiere F, Biggeri A, Viegi G, Bisanti L, Chellini E, Ciccone G, Corbo G, Galassi C, Rusconi F, Sestini P. Differences in parental- and self-report of asthma, rhinitis and eczema among Italian adolescents. SIDRIA collaborative group.Studi Italiani sui Disordini Respiratori dell' Infanzia e l'Ambiente. Eur Respir J.1999 Sep;14(3):597-604.
  • Agabiti N, Mallone S, Forastiere F, Corbo GM, Ferro S, Renzoni E, Sestini P, Rusconi F, Ciccone G, Viegi G, Chellini E, Piffer S. The impact of parental smoking on asthma and wheezing. SIDRIA Collaborative Group.Studi Italiani sui Disturbi Respiratori nell'Infanzia e l'Ambiente. Epidemiology.1999 Nov;10(6):692-8.
  • Fuso L, de Rosa M, Corbo GM, Valente S, Forastiere F, Agabiti N, Pistelli R. Repeatability of the ISAAC video questionnaire and its accuracy against a clinical diagnosis of asthma. Respir Med.2000 Apr;94(4):397-403.
  • Forastiere F, Pistelli R, Sestini P, Fortes C, Renzoni E, Rusconi F, Dell'Orco V, Ciccone G, Bisanti L. Consumption of fresh fruit rich in vitamin C and wheezing symptoms in children. SIDRIA Collaborative Group, Italy (Italian Studies on Respiratory Disorders in Children and the Environment). Thorax 2000 Apr;55(4):283-8.
  • Farchi S, Forastiere F, Agabiti N, Corbo G, Pistelli R, Fortes C, Dell'Orco V, Perucci CA. Dietary factors associated with wheezing and allergic rhinitis in children. Eur Respir J.2003 Nov;22(5):772-80.
  • Sestini P, De Sario M, Bugiani M, Bisanti L, Giannella G, Kaisermann D, Frasca G, Lombardi E, Petronio MG, Dell'Orco V, Indinnimeo L, Brunetti L, La Grutta S, Gruppo Collaborativo SIDRIA-2. [Frequency of asthma and allergies in Italian children and adolescents: results from SIDRIA-2]. Epidemiol Prev.2005 Mar-Apr;29(2 Suppl):24-31.[Italian]
  • Chellini E, Talassi F, Ciccone G, Bisanti L, Rusconi F, Piffer S, Biggeri A, Petronio MG, Sestini P, Forastiere F, De Sario M, Pistelli R, Corbo G, Viegi G; Gruppo Collaborativo SIDRIA-2. Changes in social characteristics and risk factors for asthma and allergies among children and adolescents in Italy. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):80-5. [Italian]
  • De Sario M, Galassi C, Biggeri A, Bisanti L, Ciccone G, Piffer S, Chellini E, Petronio MG, Sestini P, Rusconi F, Pistelli R, Corbo G, Viegi G, Forastiere F; Gruppo Collaborativo SIDRIA-2. Trends in the frequency of asthma and allergies. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):86-90. [Italian]
  • Perucci CA. Public health implications. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):92-3. [Italian]
  • Pearce N. SIDRIA in the international context. Epidemiol Prev 2005 Mar-Apr;29(2 Suppl):94-6. [Italian]
  • Galassi C, Biggeri A, Ciccone G, Forastiere F, SIDRIA Phase 1 Collaborative Group. Environment and respiratory diseases in childhood: the Italian experience. Int J Occup Environ Health.2005 Jan-Mar;11(1):103-6.
  • Simoni M, Lombardi E, Berti G, Rusconi F, La Grutta S, Piffer S, Petronio MG, Galassi C, Forastiere F, Viegi G, SIDRIA-2 Collaborative Group. Mould/dampness exposure at home is associated with respiratory disorders in Italian children and adolescents: the SIDRIA-2 Study. Occup Environ Med.2005 Sep;62(9):616-22.
  • Galassi C, Forastiere F, Biggeri A, Gabellini C, De Sario M, Ciccone G, Biocca M, Bisanti L. SIDRIA second phase: objectives, study design and methods. Epidemiol Prev 2005; 29(2 Suppl):9-13. [Italian]
  • Anonymous. Italian Studies on Respiratory Disorders in Children and the Environment. Second phase. Summary. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):6-8. [Italian]
  • Chellini E, Talassi F, Corbo G, Berti G, De Sario M, Rusconi F, Piffer S, Caranci N, Petronio MG, Sestini P, Dell'Orco V, Bonci E, Armenio L, La Grutta S; Gruppo Collaborativo SIDRIA-2. Environmental, social and demographic characteristics of children and adolescents, resident in different Italian areas. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):14-23. [Italian]
  • Bisanti L, Russo A, Migliore E, Galassi C, Caranci N, Mirabelli D, Agabiti N, Dell'Orco V, Armenio L; Gruppo Collaborativo SIDRIA-2. Respiratory and allergic disorders in children: differences in socio-economic status. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):32-5. [Italian]
  • Migliore E, Bugiani M, Berti G, Ciccone G, Russo A, Galassi C, Talassi F, Pistelli R; Gruppo Collaborativo SIDRIA-2. Prevalence of asthma and allergies among migrant children and adolescents in Italy. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):36-41. [Italian]
  • Corbo GM, Forastiere F, Rusconi F, De Sario M, Biggeri A, Russo A, Chellini E, Brunetti L; Gruppo Collaborativo SIDRIA-2. Dietary habits, life styles and respiratory symptoms in childhood. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):42-6. [Italian]
  • Rusconi F, Galassi C, Bellasio M, Piffer S, Lombardi E, Bonci E, Armenio L; Gruppo Collaborativo SIDRIA-2. Risk factors in the pre-, perinatal and early life (first year) for wheezing in young children. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):47-51. [Italian]
  • De Sario M, Forastiere F, Viegi G, Simoni M, Chellini E, Piccioni P, Indinnimeo L, Brunetti L; Gruppo Collaborativo SIDRIA-2. Parental smoking and respiratory disorders in childhood. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):52-6. [Italian]
  • Simoni M, Lombardi E, Berti G, Rusconi F, La Grutta S, Piffer S, Petronio MG, Galassi C, Forastiere F, Viegi G; Gruppo Collaborativo SIDRIA-2. Effects of indoor exposures on respiratory and allergic disorders. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):57-61. [Italian]
  • Berti G, Migliore E, Cadum E, Ciccone G, Bugiani M, Galassi C, Biggeri A, Viegi G; Gruppo Collaborativo SIDRIA-2. Outdoor risk factors and adverse effects on respiratory health in childhood. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):62-6. [Italian]
  • Forastiere F, Galassi C, Biggeri A, Richiardi L, Baussano I, Simoni M, Viegi G; Gruppo Collaborativo SIDRIA-2. The proportion of respiratory disorders in childhood attributable to preventable and not preventable risk factors. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):67-9. [Italian]
  • Bellasio M, Pistelli R, Rusconi F, Caranci N, Frasca G, De Sario M, Rana M, La Grutta S, Galassi C; Gruppo Collaborativo SIDRIA-2. Access to health care for asthma in Italian children and adolescents. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):70-6. [Italian]
  • Sestini P, Ciarleglio G, Forastiere F, Giannella G, Battisti L, Gentilini M, Dell'Orco V, La Grutta S; Gruppo Collaborativo SIDRIA-2. Asthma attacks at school in Italian adolescents. Epidemiol Prev. 2005 Mar-Apr;29(2 Suppl):77-9. [Italian]
  • Galassi C, De Sario M, Biggeri A, Bisanti L, Chellini E, Ciccone G, Grazia Petronio M, Piffer S, Sestini P, Rusconi F, Viegi G, Forastiere F. Changes in prevalence of asthma and allergies among children and adolescents in Italy, 1994-2002. Pediatrics 2006; 117(1):34-42.
  • De Sario M, Di Domenicantonio R, Corbo G, Forastiere F, Pistelli R, Rusconi F,Sammarro S, Serra MG, Compagnucci P, Perucci CA. Characteristics of early transient, persistent, and late onset wheezers at 9 to 11 years of age. J Asthma.2006 Oct;43(8):633-8.
  • Migliore E, Pearce N, Bugiani M, Galletti G, Biggeri A, Bisanti L, Caranci N, Dell'Orco V, De Sario M, Sestini P, Piffer S, Viegi G, Forastiere F, Galassi C, Ciccone G, SIDRIA-2 Collaborative Group. Prevalence of respiratory symptoms in migrant children to Italy: the results of SIDRIA-2 study. Allergy 2007 Mar; 62(3):293-300.
  • Rusconi F, Galassi C, Forastiere F, Bellasio M, De Sario M, Ciccone G, Brunetti L, Chellini E, Corbo G, La Grutta S, Lombardi E, Piffer S, Talassi F, Biggeri A, Pearce N. Maternal complications and procedures in pregnancy and at birth and wheezing phenotypes in children. Am J Respir Crit Care Med.2007 Jan1;175(1):16-21.Epub Sep 2006.
  • Corbo GM, Forastiere F, De Sario M, Brunetti L, Bonci E, Bugiani M, Chellini E, La Grutta S, Migliore E, Pistelli R, Rusconi F, Russo A, Simoni M, Talassi F, Galassi C, Sidria-2 Collaborative Group. Wheeze and asthma in children: associations with body mass index, sports, television viewing, and diet. Epidemiology.2008 Sep;19(5):747-55.
  • Migliore E, Berti G, Galassi C, Pearce N, Forastiere F, Calabrese R, Armenio L, Biggeri A, Bisanti L, Bugiani M, Cadum E, Chellini E, Dell'Orco V, Giannella G, Sestini P, Corbo G, Pistelli R, Viegi G, Ciccone G, Sidria- Collaborative Grp. Respiratory symptoms in children living near busy roads and their relationship to vehicular traffic: results of an Italian multicenter study (SIDRIA 2). Environ Health 2009 Jun 18; 8:27.
  • Lombardi E, Simoni M, La Grutta S, Viegi G, Bisanti L, Chellini E, Dell'Orco V, Migliore E, Petronio MG, Pistelli R, Rusconi F, Sestini P, Forastiere F, Galassi C and the SIDRIA-2 Collaborative Group. Effects of pet exposure in the first year of life on respiratory and allergic symptoms in 7-yr-old children.The SIDRIA-2 study. Pediatr Allergy Immunol 2010; 21(2): 268 - 276. Epub 2 July 2009.
  • Rusconi F, Gagliardi L, Galassi C, Forastiere F, Brunetti L, La Grutta S, Piffer S, Talassi F; the SIDRIA-2 Collaborative Group. Paracetamol and antibiotics in childhood and subsequent development of wheezing/asthma: association or causation? Int J Epidemiol 2011; 40(3): 662-667
  • Gorini G, Carreras G, Cortini B, Verdi S, Grazia Petronio M, Sestini P and Chellini E. Impact of National Smoke-Free Legislation on Educational Disparities in Smoke-Free Homes: Findings from the SIDRIAT Longitudinal Study Int J Environ Res Public Health 2015;12: 8705-8716

Italy, Western Europe

Centres:Phase:PI:Age Groups
Ascoli Piceno1 Professor Sergio Bonini 13-14
Cosenza1 Dr Enea Bonci 13-14
Cremona1 Mr Franca Rusconi 13-14, 6-7
Emilia-Romagna1 Dr Marco Biocca 13-14, 6-7
Empoli1 Ms Lucia Chetoni 13-14, 6-7
Firenze1 Dr Elisabetta Chellini 13-14, 6-7
Frosinone1 Mr Roberto Ronchetti 13-14
Milano1 Dr Luigi Bisanti 13-14, 6-7
Roma1 Dr Francesco Forastiere 13-14, 6-7
Siena1 Ms Elisabetta Renzoni 13-14
Torino1 Dr Giovannino Ciccone 13-14, 6-7
Trento1 Dr Silvano Piffer 13-14
Verona1 Professor Attilio Boner 13-14, 6-7
Viterbo1 Mr Guiseppe Corbo 6-7
Roma2 Dr Francesco Forastiere 9-11
Bari3 Dr Lucio Armenio 13-14, 6-7
Colleferro-Tivoli3 Dr Valerio Dell'Orco 13-14, 6-7
Cosenza3 Dr Enea Bonci 13-14
Emilia-Romagna3 Dr Claudia Galassi 13-14, 6-7
Empoli3 Dr M G Petronio 13-14, 6-7
Firenze3 Dr Elisabetta Chellini 13-14, 6-7
Mantova3 Dr Gabriele Giannella 13-14, 6-7
Milano3 Dr Luigi Bisanti 13-14, 6-7
Palermo3 Dr Stefania La Grutta 13-14
Roma3 Dr Francesco Forastiere 13-14, 6-7
Siena3 Dr Piersante Sestini 13-14
Torino3 Dr Giovannino Ciccone 13-14, 6-7
Trento3 Dr Silvano Piffer 13-14, 6-7

National Coordinator:

Roles:

  • ISAAC Steering Committee
  • National Coordinator for Italy
  • Phase One Principal Investigator for Roma
  • Phase Two Principal Investigator for Roma
  • Phase Three Principal Investigator for Roma

Dr Francesco Forastiere

Dr Francesco Forastiere

Department of Epidemiology
Rome E Health Authority 00198 Roma
Via Santa Costanza 53

Italy

The Italian extension of the International Study of Asthma and Allergies in childhood (ISAAC) in Italy has been the SIDRIA project (Studi italiani sui disturbi respiratori nell'infanzia e l'ambiente- Italian Studies on Respiratory Disorders in Children and the Environment). Phase I and Phase III have been conducted and SIDRIA largely extended the original objectives of ISAAC, since from the first phase it was also aimed at evaluating the prevalence and the role of several potential environmental risk factors for children respiratory health. ISAAC phase II was conducted in one centre, Rome, and it included lung function measurements and prick tests to 9-11 years children.

Francesco Forastiere from the Department of Epidemiology (Lazio Region) in Rome was the coordinator of SIDRIA phase 1 and ISAAC phase II whereas Claudia Galassi from the Center of Cancer Prevention in Turin was the coordinator of SIDRIA phase II.

SIDRIA is a large multicentre, population based cross-sectional survey, conducted in two phases. Most of the centres that participated in ISAAC were included in the SIDRIA project. The first phase was carried out between October 1994 and March 1995, in 10 centers of Northern and Central Italy, varying in size, latitude, climate and level of urbanization (Torino, Milano, Cremona, Trento, Emilia-Romagna, Firenze, Empoli, Siena, Viterbo,Roma). The second phase was carried out between January and May 2002 in 13 Italian centers, including 3 centers from Southern Italy (Torino, Milano, Mantova, Trento, Emilia-Romagna, Firenze/Prato, Empoli, Siena, Roma, Colleferro/Tivoli, Cosenza, Bari e Palermo).

In each phase, the study population consisted of a random sample of children aged 6-7 years attending the first and second grade of primary schools and adolescents aged 13-14 years attending the last grade of middle school. Standardized self-administered questionnaires were used. They included the ISAAC core questions regarding the frequency of wheezing, symptoms of allergic rhinitis and atopic eczema in the 12 months prior to the survey (defined as current symptoms), and the lifetime frequency of the diseases. In addition, the health section of the SIDRIA questionnaires included questions on medical diagnosis and access to health care for asthma, occurrence of respiratory symptoms other than asthma, medical history on episodes of respiratory diseases that occurred during the first two years of life. The questionnaires also included other sections aimed at investigating children’s exposure to many known or suspected risk factors for respiratory diseases, including exposure to passive smoking, housing factors (as moulds and dampness), and traffic in the area of residence.

A questionnaire was distributed to the children and adolescents at school and filled in at home by their parents; a shorter questionnaire, mainly on current respiratory symptoms and on personal smoking habits, was filled in directly by adolescents at school. The protocols of both phases were approved by Ethics Committee of the Catholic University in Rome.

The results of the SIDRIA project have been extensively published. (see right)

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