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Cu re

N째08 December


Autorizzazione N. 1962/75/2011

m a g a z i n e

02 Editorial 03 Letter from the President 05 Health in Philately 06 Four Questions to Prof. W.A. Zoghbi

08 Tell us about it.. 10 Alimentary Pyramid Presentation part 2 12 Life according to... Vito 13 Prevention from early infancy

14 Curiosities from the World of Science 15 Health and the Commonplace of Medicine


ed it or ial Welcome Back! Editorial by Dr. Giovanni Michele Zangoli


n ounce of prevention is worth a pound of cure. Food for thought in the words of a luminary of Cardiology, Dall’Olmo Charles , president of the Michigan Vascular Center. Be your own physician is

an abiding and all the while valid prescription and options to put it in practice abound. In this regard, there are initiatives beyond our borders where the culture of prevention begins at school age.


uch as, how to bring the youngest children to use instruments to measure pressure. It ‘s just an example but you get the idea. Just press a button and the minimum and maximum appear on a display, even

the heart beat. A no-brainer, and American teenagers, children of modern technology, welcome it with the enthusiasm and curiosity one experiences with a new game.


earning by playing is easier! Testing dad’s, mom’s, siblings’ and classmates’ pressure becomes an engrossing and even fun game. Hence the health concept is expanding spontaneously in environments

that should be, par excellence, education gymnasia bringing awareness to these issues: the school and the family. Why shouldn’t these experiences already designed elsewhere make inroads in our communities, in addition to the canonical information campaigns so commendable for their purposes? Our children, who excel at pressing buttons on the playstation, would certainly not be outdone. It would suffice to involve them!

The editorial staff wish you all a happy Christmas 2


from the


Association Cuore-Vita Dr. Giovanni Iwanejko Dear readers, Another year has passed, but the enthusiasm and determination of my whole group has remained practically unchanged, creating a synergy that only a diverse and close-knit group can do. I extend a special greeting to all the members of the Scientific Committee who have inspired, helped and supported me in continuing to pursue this wonderful experience that is the Heart – Life/ Cuore-Vita Magazine, that rich in content and contacts has grown in recent years; greetings also to those who have continued to manage our website with much professionalism. The site has constantly increased access, a sure sign of appreciation of its content. We got to the eighth issue of this magazine and I think it is essential to draw some conclusions: since we started this adventure, fundamentally we set one goal: to produce an interesting and professionally produced magazine, and thanks to you it’s proved a great success. The hope is to continue to grow and improve. In the last editorial of the year it’s a habit, not a very original but unavoidable habit, to proceed to some sort of account, in our case positive, of activities and initiatives that the Association took part in during the year that is about to end: • 15 February: a plasticised poster of a Food Pyramid that suits our diet (Mediterranean diet) was delivered to schools, to health centres, pharmacies, shopping malls and gymnasia of our Republic. The poster was realised with the collaboration of some members of the Scientific Committee. • 13 March: The Board of Directors decided to sponsor transport for children from the Middle Schools from the Cities of Fiorentino and Serravalle for meetings that the Heart Project, Association of Cardiologists San Marino, organizes together with the State Hospital within emergency call out number118 on 02nd, 9th, and 16th March. The meetings delivered a moment of education on emergency treatment and practical education on the use of semi-automatic defibrillators. • 16 March: Our Association partnered with Active Mind and other Voluntary Associations, under the auspices of the Secretary of State for Education and Culture and the Secretary of Health and Social Security, at a public meeting entitled, “European Disability Forum”. • 28 May: On the invitation of the State of San Marino Medium Schools to give health prevention education to students, Dr. Giovanni Iwanejko gave his expertise on topics related to lifestyles and for a better quality of life.


• 10 to 21 June: At the invitation of the CONS “Sports Campus” Dr. Marina Corsi, Dr. Marco Benedettini and Dr. Giovanni Iwanejko, participated this year again in providing educational meetings on topics related to healthy lifestyles such as physical activity accompanied by a healthy diet, for pupils between the ages of 8 and 14 years. • 21 to 22 September: At the invitation of the President of the CONS, the Cuore-Vita Association was a guest at the exhibition “Sport in Fair“ that was held at the Multieventi exhibition space at Serravalle. Cuore-Vita had a booth for information on the prevention of cardio-vascular diseases. On the morning of 21st September, some doctors of the Scientific Committee of Cuore-Vita met pupils from the Medium Schools of our Republic for short meetings on health education, the importance of culture in the health of the body; they gave out information materials on a proper healthy lifestyle, on healthy eating, regular physical activity, on better management of leisure time. • 29 September: Cuore-Vita Association honoured the occasion of World Heart Day with a commemorative poster and a special issue of a postal mark and a themed stamp issued by the State Philatelic and Numismatic Company on April 3 in our Republic, with great impact on the prevention of cardio-vascular diseases, the main cause of death in the world today. The poster was realised by our cardiologists, members of the Scientific Committee, Dr. Francesca Nicolini and Dr. Emidio Trojans, sponsored by the Secretariat for Health and Social Security and sponsored by Banca Agricola Commerciale. The poster was exhibited at the hospital, health centres, schools and shopping malls. The postmark, bearing the logo of Cuore-VIta and the words, World Heart Day, September 29, 2013, was sponsored by the Secretary of State for Health and Social Security. It was realised ​​by Dr. Stefania Ragoni and in consultation with our members, Mr. Joseph Macina and Dr. Daniel Cesaretti; the stamp was inspired by Dr. Carlo Dall’Olmo, President of the Michigan Vascular Center (USA). Given the involvement of the Secretary of State for Health and Social Security on the occasion, a member of Cuore-Vita Association staff was invited to an audience by Their Excellencies the Captains Regent of the Republic of San Marino, during which the President of Cuore-Vita paid homage to the World Heart Day anniversary, recalling the commitment of Cuore-Vita in recent years, to the dissemination of the culture of prevention in the medical field throughout the territory of the Republic, and the belief that its motivation and high investment yielded veryOne high efficiency and zero risk. Further, the Part president expressed hope of continued work for prevention and health of our citizens.

Therhy eating I wish you all, Dear Readers, a Merry Christmas and a fruitful 2014 especially full of health and in our company, supporting us also with your subscription to our Association, as best you can. (minimum annual Euro 15,00). Bank details Voluntary Association Cuore-Vita: Banca CIS: SM 72 L0353009807 000010107241 Banca di San Marino: SM 98 G0854009801 000010142731 Cassa di Risparmio: SM 23 K0606709808 000080106123

Happy reading and check up on your heart.


Philately and Health In the Republic of San Marino By Dr. Daniele Cesaretti

By issuing a stamp of value ITL 320 on 30th May 1978, on the highly topical theme, then as now, of arterial hypertension, the State Philatelic Company, showed particular forward thinking vision in raising public awareness. Many are its causes including dietary excess, overweight, overuse of salt. This disease is also known as the silent killer insofar as hypertension may remain silent until it manifests damage in target organs: heart, brain and kidneys. Hence the need for regular blood pressure checks. The image presented, with the symbol of the WHO next to it, was chosen to clearly indicate the characteristics of hypertension: a feather that changed colour from blue to red to symbolize the delicate balance of blood pressure. Design and printing of the Swiss company, Hèlio Courvoisier, in gravure sheets of 50 of specimens. Sassone catalogue no. 1004

On 19 June 2006, the Philatelic Company issued a stamp of â‚Ź2.20 value, in joint issue with the Magistral Post of the Sovereign Order of Malta, dedicated to the common vocation of assistance, charity and love for those who suffer. The stamp depicts a doctor in the act of auscultation of a young patient and in the background the Statue of Liberty, the Public Palace and the modern State Hospital. Combined on the right of it as an appendix, is the Maltese stamp, with no postal value which reproduces a child surrounded by the loving care of a doctor and a nurse who wears the mantle with the eight-pointed cross, the symbol of the Order. In the background the entrance of the Magliana in Rome is shown, where the modern San Giovanni Battista Hospital is located. Offset printing in mini-sheets of 10 (with 10 appendices) . Sassone catalogue no. 2112


Four Question to William A. Zoghbi

By Dr. Giovanni Michele Zangoli


Immediate past president, The American College of Cardiology Professor of Cardiology The Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA.

1 - Why does heart disease continue to be the leading cause of death worldwide despite great strides in research and in the treatment of these diseases? Heart disease is still the leading cause of death, accounting for about 30% of death worldwide. Heart disease is usually the result of many risks that bring about blockage of the coronary arteries and weakening of the heart muscle. These include high blood pressure, smoking, high blood cholesterol, diabetes, physical inactivity and family history. So, although research and treatment for coronary artery disease, heart attacks and heart failure with either drugs or interventions have decreased the mortality from heart disease, the prevalence of the risk factors that bring about heart disease is still quite high, and is variable among countries. For example, in the USA, mortality from heart disease has decreased by more than 40% over the past 50 years, but is still high compared to other diseases such as cancer or lung disease. What is alarming is that trends for heart disease worldwide are projected to increase because of poor control of risk factors, particularly smoking, high blood pressure and lack of access to medications or health care. This health threat is finally taking centre stage globally as the World Health Organization and the UN have made non-communicable diseases (NCD)-- of which heart disease is the major contributor—a priority. WHO has adopted a major goal: to decrease premature death from NCDs by 25% by the year 2025; the so called “25 by 25”. Achieving this laudable goal will need targeting risk factors in the population through education, motivation, advocacy, and access to health care and medications. 2 - How important is a patient’s access to health information? What tools can be provided to a patient to be more involved in her/his own health care? Patient education is essential in affecting health outcome. However, it may not be sufficient by itself. It takes patient engagement to incorporate knowledge into action, be it adherence to healthy lifestyle or compliance with needed medications. The American College of Cardiology has recently rolled out a website, to inform and engage patients with their heart health, and live well with heart disease. This provides tools for education, compliance, controlling risks, and engaging in heart healthy lifestyles, with reward mechanisms. In the US, we also provide a service of free texting to help individuals stop smoking, and give reminders of health tips or compliance with medications. Lastly, with smartphones being more ubiquitous, there are several apps for the general public on healthy diets, blood pressure, exercise fitness that can help patients be more motivated and compliant towards heart health.


3 - After a heart attack, can a person return to the same life as before? How much does rehabilitation affect the complete recovery of the patient? The outcome after a heart attack is largely determined by the extent of the damage to the heart muscle. This can be quite variable. If it is minimal, usually the heart function is preserved and patients can go back to their usual level of activity after a period of convalescence and rehabilitation. On the other hand, if the heart attack is very large, and it was not salvaged by medications to dissolve the blood clot or by a stent to open the blocked artery, the patient may end up with significant heart failure and symptoms of shortness of breath and inability to carry out usual activity. There is obviously a wide range between these two extremes. Cardiac rehabilitation is important to gradually build back the efficiency and energy of the body and the heart, as well as the confidence of a patient after a heart attack. It has been shown to improve outcome after a heart attack and is highly recommended. 4 - What is the best prevention to avoid (or minimize) the risk of heart disease? The best prevention is knowledge armed with action. First, one needs to know where they stand in relation to the risk factors of heart disease, by checking periodically with their health care professional. Second, if one or more risks are identified, action is needed to reduce the risk consistently, with lifestyle changes and medications if required. Prevention necessitates near normalization of risk to be effective, coupled with physical activity, exercise, and a healthy lifestyle. All known risk factors nowadays can be addressed and improved with the exception of family history or genetics. Even in the latter, there may be some identifiable risk that could be modified, as the previous generation may not have been as aggressive or cautious in attending to cardiac risk factors. Reducing cardiac risk is not only good for the heart and vessels, it also minimizes the risk for strokes and mental illness, cancer, lung disease and diabetes, thus improving total health and wellbeing.


Tell us About it... Edited by Sports Medical Doctor, Dr. Marco M. Benedettini and by Nutritionist, Dr. Marina Corsi

I am the mother of Martina, a 10 year-old girl, who has been learning to dance for the last 3 years. Starting this year, my daughter began to take lessons five days per week, each lesson lasting two hours. I am a bit worried about her health, her growth and the way in which I should feed her. Could you give me some useful information? Thank you

to complete the development of bone, while the appearance of the first menses will result in loss of iron, an element to be reinstated in order to avoid periods of anaemia often frequent among athletes. A diet rich in folic acid, found in tomatoes, beans, oranges and offal, which are important for many processes that occur in our bodies, not least of which is the absorption of the iron itself. Even the calorie intake must be balanced according to your daughter’s physiological needs and energy expenditure caused by hours spent dancing (dancing estimated energy expenditure in an adult: 250Kcal / h). In this regard, we must take into account the peak metabolic that young girls usually have alongside the onset of the first menstrual cycle. Meals will be distributed properly throughout the day without skipping snacks and proper timings of the same to avoid digestive difficulties at the time of the lessons. It will also be important not to forget the aspect of

The Nutritionist ‘s view From the nutritional point of view dear mother and above all, I advise you to have your daughter supervised by an experienced person who can monitor the status and allround health of your daughter. As is indicated by the sports doctor, if physical activity in general is good, practicing competitive sports is always a stress for the body even more so if you start early, when the growth process has not been completed. How then to reconcile the desires of your daughter and your legitimate concerns? Surely by paying particular attention to food for the young athlete! In these few lines I can only give you some essential indications, for the task will fall to the specialist to deal with the in-depth diagnostic and clinical nutritional status of your daughter and her needs in relation to her state of growth and physical activity carried out by her. The first area on which I dwell is related to the particular needs of your daughter being in prepubertal age that requires different nutrients than adult individuals: she will need greater amounts of calcium and vitamin D for example

sand your quastion to:


hydration especially during the hottest days!

children were laden with heavy workouts early on but not respecting the physiological recovery and this led many of our young people to develop overloads that determine short-and long-term serious problems affecting growth structures. We remind you also that sport is nevertheless a stress to the body (even if it’s positive) and that when combined with the stress of school and life in general can, in certain predisposed individuals, cause impact on social life and to relationships. Ultimately it would be appropriate to respect the physiological rhythms of growth of every individual, appropriate workloads relative to age and especially the correct recovery times for a healthy sporting activity and without undue risk to health. Dr. Marco M. Benedettini Manager of Sports Medicine Services

The consumption of carbohydrates and proteins will have a daily value not to mention vitamins and minerals that are rich in fruits and vegetables, trying whenever possible to avoid making widespread use of supplements. With these few lines and indications I hope to have been of some help, especially in the initial message: to rely on experienced and qualified personnel who know how to deal with the aspects related to clinical nutrition, avoiding to fall to the deception of some trainers, who while well known in their discipline, have no authority in absolute terms of nutritional aspects. The latter consideration refers to each sport in which our children can delight. Dr. Marina Corsi Pharmacist - Nutritionist The sports physician’s view Sport for a 10-year-old child is certainly healthy and dance is a great discipline. There are no contraindications for particular sports activities that engage our children daily, except for not forgetting to study. It is however best to highlight that such intense activity must presume a very regular lifestyle with abundant hours of sleep. A discussion apart should be regarding the problem of early specialization linked to the common necessity to create “small champions” in a short space of time, thus skipping the normal stages of growth of the individual. This bad habit on the part of managers and technicians over the years has meant that


Presentation Alimentary Pyramid By Dr. Marina Corsi Pharmacist - Nutritionist Second part

choice between complex carbohydrates of which it forms part because it has no nutritional differences or caloric intake than pasta with oil or, grissini, bread sticks which accompany main dishes, some indication for its correct use is to use piadina prepared with extra virgin olive oil from olives, avoid forming charred areas during cooking, eating them with vegetables and avoid using them as a sole source of complex carbohydrates every day but rotating over the week with other foods, as shown. A vast area of the pyramid is covered by legumes, excellent source of protein which together with oily fish and white meat consumption are indicated on a weekly rotation, preferred in fact, when possible, to other protein foods. Dairy products and fats are moved more towards the summit because although they are eaten daily, their surface is smaller than the other groups in respect of the portions that are smaller. In this regard we repeat, the only fat in the

The use of graphic tools to represent the diet of a population is greatly used; just think of Chinese pagodas or the rim of the Nordic countries, or again of the Canadian rainbow. Even the pyramids to which we are accustomed and which represent an association connecting tools of communication and lifestyles and of which there are different types in the world: the vegan diet, for example. The purpose of Nutritional pyramids is to reach the observing party with an immediate visual language and for sure cannot be read as a treatise on nutrition. In general they are addressed to a healthy adult population, but there are also paediatric nutrition models for example. The pyramid that we have re-proposed is addressed to an adult population and in a good state of health and aims to promote healthy lifestyles based on the model of the Mediterranean diet to prevent cardiovascular diseases and chronic degenerative diseases. To this end, not only the daily physical activity for the whole family is shown at the base, but also emphasized is the importance of abstention from smoking, an appropriate night’s sleep and limiting stress bearing situations. And then rotating on a daily basis are areas dedicated to the consumption of water, vegetables and fruit, cereal complexes among which we highlight grain products and a typical product of our land: the flatbread called piadina. It falls into the


Mediterranean diet proposed as a dressing, is extra virgin olive oil from olives, while for yogurt, a shift is indicated towards fat free without sugars. Milk, seen as a moderate daily consumption, is to be eaten full fat, to benefit fully from the nutrients it contains. Cheese must be limited in consumption to once a week, as a main course, shifting preference towards those soft type cheeses such as ricotta. Egg noodles pasta and eggs and sweet pastries should be eaten once a week for the high fat content and in the case of sweets, sugar and calories. As for sausages, red meat, soft drinks, fruit juices and fried foods we recommend limiting consumption to a once monthly limit for several reasons: fats content, sugar and salt . Finally it should be noted that periodically SINU (Italian Society of Human Nutrition ) provides for the periodic updating of the food pyramid below:

no extreme differences with respect to the model proposed by our association. The choice that Cuore-Vita has made has been to further enhance the lifestyles and consumption of water, to increase the surface area of legumes, of vegetables and fruit while slightly decreasing the area of carbohydrates. The same principle prevailed in the case of dairy products to avoid excessive consumption of cheese. Finally, we considered it convenient to separate the protein groups to extol the virtues of certain foods such as white meat and oily fish compared to eggs and shellfish. Sources: INRAN - CNR

As can be seen in the setting out of the pyramid prepared and drafted ​​by the most senior figures involved in the area of Italian nutrition of the competent entity, there are


Life According to Vito Cartoon by: Gigi Belisardi

“Vito promises to gain health in the coming year”

“Get moving with your coat even at Christmas”


Prevention from early infancy By Dr. Giannina Gennari Paediatric Specialist, RSM

As emerges from the latest OECD report, the most worrying health related theme is childhood obesity. Obesity is spoken of when the weight of a child is in excess of 20% of the ideal weight (based on sex and height), overweight if it exceeds 10-20 %. Of every 100, 3rd elementary grade children, 24 are overweight and 12 are obese. Childhood obesity has a multifactorial origin: poor nutritional education, genetic predisposition, lifestyle (too sedentary), family environment and socio-economic conditions. Cases of obesity related to organic disease (hypothyroidism, adrenal dysfunction) are extremely rare. Overweight and obesity are associated with a number of chronic diseases in adults such as cardiovascular disease, type 2 diabetes and certain cancers. A child does not always become obese because they eat too much, it is often a child who “doesn’t eat well “. Therefore we cannot think of dealing with this problem with fragmentary and isolated measures. We need to promote correct eating habits from early infancy and childhood. A shared commitment is needed among all those involved in the nutrition and lifestyle of the child. The most effective weapon to prevent not only overweight and obesity, but also diabetes, hypertension, cardiovascular ischemic diseases, allergies and osteoporosis in the adult, is to use nutrition during the sensitive pre and post natal period when the infant matures the ability to adjust her metabolism in both the short and long term.

Exclusive breastfeeding in the first 6 months, no excess of protein in the first two years, regular visits to the paediatrician, do not overlook the importance of sleep, no television in the first 2 years and after that, limit the time spent in front of a screen and / or computer (max 2 hours per day). From 4 - 5 years do physical activity for at least one hour per day. Reduce the intake of high density energy foods (munchies, snacks) and prefer low density foods (vegetables, fruits and legumes) that provide greater satiety providing low calories; prefer fresh food, that compared to ready-made foods, contains nutrients and fewer preservatives and additives; encourage chewing which increases satiety, remove the use of the baby’s bottle as soon as possible.


Curiosities from the scintific world By Dr. Niksa Simetovic

Indications ASA (aspirin) for prevention of cardiovascular disease More than 100 years after its discovery, acetylsalicylic acid (ASA), is still a drug of reference in cardiovascular prevention (CV). All international guidelines recommend its use in those who have already had an incident. The intake of low-dose ASA secondary prevention, in fact, reduced by an average of one-fifth of the incidents of cardiovascular disease (myocardial infarction, non-fatal and vascular death) in patients with previous myocardial infarction, stroke, or transient ischemic attack. The evidence for the use of low-dose ASA in primary prevention is, however, less well defined. (Guide Lines CHEST and ESH / ESC).

eating habits of students, the Childhood Obesity Journal reports. Chocolate consumption associated with the lowest levels of body fat According to a study in the journal, Nutrition, teenagers who eat large amounts chocolate have lower levels of total body fat and abdominal fat. Although the type of chocolate eaten is not specified, chocolate produces “important antioxidants, antithrombotic, antihypertensive and antiinflammatories that can prevent ischemic heart disease,� says researcher Magdalena Cuenca-Garcia. Data shows that health spending depends on rising costs and not an aging population. Researchers in the Journal of the American Medical Association showed that 91% of the increase in spending is attributed to the annual price increase of drugs, medical devices and hospital care, and not to the increase in the elderly population. This study also shows that chronic diseases in patients under the age of 65 are responsible for two thirds of total health spending in the United States.

Cardiac risk associated with the increase in BMI in patients with type 2 diabetes. The data presented at the American Heart Association Scientific Sessions, noted that a high body mass index (BMI) is associated with the increase of plaques and a greater risk of heart disease in patients with type 2 diabetes. The researcher, Brent Muhlestein, says insulin sensitizer therapy as a primary strategy in the management of diabetic patients, may reduce the upward trend in BMI (body weight). Healthy food options in the school improve eating habits of pupils IIntroducing some changes to the school diet, increasing the consumption of fruits, vegetables and whole grains, provide more dietary fibre, vitamin A and C and calcium, and also improve and modify the


Health and the Commonplace of Medicie

often so driven by the striving desire to overdo it, undergo efforts for which they are not prepared. They suffer consequences such as cardiac damage (arrhythmias, heart attacks), (arthrosis , tendinitis , synovitis), muscle (rhabdomyolysis) postural, electrolyte imbalances and temperature controllers (the fearsome blow heat!). Professional sport, like each job, has its own professional pathology, generally of an orthopaedic character. The obsessive search for optimal body weight (sometimes in the order of a pound!) may be responsible for severe eating disorders (anorexia, bulimia). Whether due to pressing demands for highlevel performance of excellence and gruelling workouts, they often bring a psychological collapse, panic attacks, states of “sports depression” similar to those happening in the world of entertainment (singers , artists, actors). As for the latter many excellent athletes resort to cocaine (Maradona, Agassi, etc.). For the same reasons doping is still current in order to better tolerate the heavy workouts and shorten the recovery time of competitions that are too close to each other. In the 60s and 70s due to State doping, practiced systematically Eastern Europe, dozens of athletes died from complications arising from: hypertension, heart attack, stroke, diabetes, kidney damage. In recent years, the abuse of erythropoietin (EPO) and blood transfusion was responsible for many sudden deaths, renal blockages, of vascular occlusive disease, myocardial infarctions. It is fanaticism that comes and feeds professional sport that causes hundreds if not thousands of deaths worldwide each year. In 1969, the outcome of a football match between Honduras and El Salvador sparked a war between the two countries that lasted 4 days with a price of 5,700 dead!

By Dr. Daniele Cesaretti *

Sport is good for you. It’s true ! Man is made to move. You must move. The lack of movement - a sedentary lifestyle - is often a contributory cause of obesity, diabetes, hypertension and other pathological conditions. Sport activity, practiced rationally that is related to age and mental and physical status, is a panacea. So much so, that we often talk about sports therapy. Sporting activity strengthens the muscles, preserves joint function, prevents osteoporosis. It improves your eating habits and digestive functions. It increases baseline metabolism, burns fat, it regulates the glucose / insulin relationship. Therefore, it is recommended, with a supporting diet in the treatment of obesity and diabetes. It reduces bad cholesterol (LDL) in favour of the good (HDL). It promotes sleep and reduces stress. It lowers blood pressure, reducing the risk heart attack and stroke. It prevents atherosclerosis and promotes blood circulation. Thanks to the production of endorphins (morphine-like endogenous substances) enhances mood, sometimes to such a point to produce “sport euphoria”. It improves reflexes, neuromuscular coordination, balance, posture, attentional capacity. Sport is recommended in infarction and stroke rehabilitation. It creates team spirit and promotes social relations. In 1972, a game of ping-pong favoured cooperation between the United States and China, with the historic meeting between Nixon and Mao Tse Tung. Sport is all this and much more… Sport is bad for you. It’s true! Sport brought to excess or practiced in an irrational way, improvised and without adequate checks and doctor’s advice is often the source of many pathological conditions both acute and chronic, sometimes unlucky. Makeshift and inexperienced athletes,

Conclusions. Sport, like so many aspects of human life, has opposing truths. It’s about knowing how to juggle... *Specialist in sports medicine


Grafica: AVALON | Stampa: Seven Seas

Cuore Vita continues to invite your much appreciated support, as best you can, to enable us to deliver excellence in health education programs and facilities like defibrillators and other life saving equipment for the people of the Republic of San Marino. Every donation you make is put to immediate good use by our Association. Grazie di Cuore! (

Merry Christmas! Sponsor:

Director: Giovanni Iwanejko / Chief Editor: Gianni Michele Zangoli Editorial Committee: Niksa Simentovic – Emidio Troiani – Daniele Cesaretti Translated by Sacha G. Mullins a Moving Universe translator

Associazione Cuore Vita - Via Napoleone Bonaparte, 25 47890 Repubblica di San Marino Tel e fax: 0549 991011 -

Cuore-Vita Magazine N.8 - December 2013  

Cuore-Vita Magazine N.8 - December 2013

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