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ELISA LODI

Ricercatore t.d. art. 24 c. 3 lett. A
Dipartimento Chirurgico, Medico, Odontoiatrico e di Scienze Morfologiche con interesse Trapiantologico, Oncologico e di Medicina Rigenerativa

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Pubblicazioni

2023 - 50 SHADES OF LOCKDOWN:SEX WORKERS? HIDDEN WORLD DURING COVID PANDEMIC [Articolo su rivista]
Lodi, Elisa; Donati, Federica; Rodighiero, Eleonora; Gasparini, PAOLO ALBERTO; Modena, Maria Grazia
abstract

2023 - Echocardiographic screening in pediatric asymptomatic or paucisymptomatic coronavirus disease 2019 outpatients: is it a useful test or an excess of zeal? [Articolo su rivista]
Gasparini, PAOLO ALBERTO; Lodi, Elisa; Rodighiero, Eleonora; Rosero Morales, Jonathan Jose; Fantini, Giuseppe; Modena, Maria Grazia
abstract

2023 - Echocardiography in the preparticipation screening: an old topic revisited [Articolo su rivista]
Donati, F.; Guicciardi, C.; Lodi, E.; Fernando, F.; Palermi, S.; Modena, M. G.; Biffi, A.
abstract

BackgroundPreparticipation screenings have been conceived for the potential to prevent sudden cardiac death in young athletes by early identification of hidden cardiac diseases. Commonly used protocols include family history collection, physical examination, and resting electrocardiogram. Transthoracic echocardiography has been hypothesized to have a primary role in the preparticipation screening.AimsThe present study aimed to evaluate the additional role of echocardiogram in identifying cardiovascular abnormalities that might be undetected by commonly used preparticipation screening.MethodsWe retrospectively reviewed Ferrari Formula Benessere, a corporate wellness program database, and analyzed data recorded from 2017 to 2022 to compare two medical models: a 'standard' preparticipation screening including medical history, physical examination, electrocardiogram and exercise stress testing versus an 'advanced' preparticipation screening comprising history, physical examination, electrocardiogram, exercise stress testing and echocardiography.ResultsFrom an initial sample size of 7500 patients, we included 500 patients (420 male, 33.69 ± 7.9 mean age) enrolled for the first time in the corporate wellness program between 2017 and 2022. Three hundred and thirty-nine (67.8%) patients had no abnormal findings at 'standard' preparticipation screening and, even if they would have not required further evaluation, we performed echocardiography anyway ('advanced' preparticipation screening): 31 (9.1%) showed some abnormal cardiovascular findings at echocardiography, such as patent foramen ovalis, bicuspid aortic valve, aortic root ectasia or mitral valve prolapse.ConclusionsScreening echocardiogram showed an additional value (about 10% more) in detecting patients with cardiovascular abnormalities, otherwise undiagnosed with the 'standard' preparticipation screening protocol.

2023 - Information and Training on the Use of Telemedicine in Pediatric Population: Consensus Document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP), and of the Syndicate of Family Pediatrician Doctors (SIMPeF) [Articolo su rivista]
Esposito, S.; Rosafio, C.; Antodaro, F.; Argentiero, A.; Bassi, M.; Becherucci, P.; Bonsanto, F.; Cagliero, A.; Cannata, G.; Capello, F.; Cardinale, F.; Chiriaco, T.; Consolaro, A.; Dessi, A.; Di Mauro, G.; Fainardi, V.; Fanos, V.; Guarino, A.; Li Calzi, G.; Lodi, E.; Maghnie, M.; Manfredini, L.; Malorgio, E.; Minuto, N.; Modena, M. G.; Montori, R.; Moscatelli, A.; Patrone, E.; Pescio, E.; Poeta, M.; Ravelli, A.; Spelta, M.; Suppiej, A.; Vai, S.; Villa, L.; Zanini, R.; Botti, R.; Gaddi, A. V.
abstract

Telemedicine has entered the daily lives of doctors, although the digital skills of healthcare professionals still remain a goal to be achieved. For the purpose of a large-scale development of telemedicine, it is necessary to create trust in the services it can offer and to favor their acceptance by healthcare professionals and patients. In this context, information for the patient regarding the use of telemedicine, the benefits that can be derived from it, and the training of healthcare professionals and patients for the use of new technologies are fundamental aspects. This consensus document is a commentary that has the aim of defining the information on and training aspects of telemedicine for pediatric patients and their caregivers, as well as pediatricians and other health professionals who deal with minors. For the present and the future of digital healthcare, there is a need for a growth in the skills of professionals and a lifelong learning approach throughout the professional life. Therefore, information and training actions are important to guarantee the necessary professionalism and knowledge of the tools, as well as a good understanding of the interactive context in which they are used. Furthermore, medical skills can also be integrated with the skills of various professionals (engineers, physicists, statisticians, and mathematicians) to birth a new category of health professionals responsible for building new semiotics, identifying criteria for predictive models to be integrated into clinical practice, standardizing clinical and research databases, and defining the boundaries of social networks and new communication technologies within health services.

2023 - Un’aritmia sommersa… e una nuotatrice riemersa. Un caso di tachicardia sopraventricolare da rientro nodale in una giovane nuotatrice in riemersione dall’apnea dinamica [A submerged arrhythmia... and a surfaced swimmer. A case of nodal reentrant supraventricular tachycardia in a young swimmer resurfacing from dynamic apnea] [Articolo su rivista]
Lodi, E; Donati, F; Lodi, G; Contrafatto, I; Modena, Mg
abstract

The irrefutable benefits of physical activity as a tool for the prevention and treatment of several clinical conditions, including cardiovascular diseases, are nowadays widely recognized. However, physical exercise may trigger adverse events in subjects with underlying heart disease, often undiagnosed and asymptom-atic. It is fundamental to consider that various sports disciplines have peculiar and specific physiological and metabolic adaptations, and it is essential to consider the individual profile of the subject, including gender. We report the case of an agonistic female swimmer with a history of tachycardia heartbeat when resurfacing from dynamic apnea, in whom a diagnosis of atrioventricular nodal reentrant tachycardia was made. This case report provides practical evidence of the importance of a personalized approach, in both individual sex-and sport-specific terms, to optimize the diagnostic and therapeutic pathways.

2023 - Use of Telemedicine Healthcare Systems in Children and Adolescents with Chronic Disease or in Transition Stages of Life: Consensus Document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP) and of the Syndicate of Family Pediatrician Doctors (SIMPeF) [Articolo su rivista]
Esposito, S.; Rosafio, C.; Antodaro, F.; Argentiero, A.; Bassi, M.; Becherucci, P.; Bonsanto, F.; Cagliero, A.; Cannata, G.; Capello, F.; Cardinale, F.; Chiriaco, T.; Consolaro, A.; Dessi, A.; Di Mauro, G.; Fainardi, V.; Fanos, V.; Guarino, A.; Li Calzi, G.; Lodi, E.; Maghnie, M.; Manfredini, L.; Malorgio, E.; Minuto, N.; Modena, M. G.; Montori, R.; Moscatelli, A.; Patrone, E.; Pescio, E.; Poeta, M.; Ravelli, A.; Spelta, M.; Suppiej, A.; Vai, S.; Villa, L.; Zanini, R.; Botti, R.; Gaddi, A. V.
abstract

Telemedicine is considered an excellent tool to support the daily and traditional practice of the health profession, especially when referring to the care and management of chronic patients. In a panorama in which chronic pathologies with childhood onset are constantly increasing and the improvement of treatments has allowed survival for them into adulthood, telemedicine and remote assistance are today considered effective and convenient solutions both for the chronic patient, who thus receives personalized and timely assistance, and for the doctors, who reduce the need for direct intervention, hospitalizations and consequent management costs. This Consensus document, written by the main Italian Scientific Societies involved in the use of telemedicine in pediatrics, has the objectives to propose an organizational model based on the relationships between the actors who participate in the provision of a telemedicine service aimed at minors with chronic pathologies, identifying specific project links between the areas of telemedicine in the developmental age from the first 1000 days of life to the age adult. The future scenario will have to be able to integrate digital innovation in order to offer the best care to patients and citizens. It will have to be able to provide the involvement of patients from the very beginning of the design of any care pathway, increasing where possible the proximity of the health service to citizens.

2023 - Use of Telemedicine Healthcare Systems in Pediatric Assistance at Territorial Level: Consensus Document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP) and of the Syndicate of Family Pediatrician Doctors (SIMPeF) [Articolo su rivista]
Esposito, Susanna; Rosafio, Cristiano; Antodaro, Francesco; Argentiero, Alberto; Bassi, Marta; Becherucci, Paolo; Bonsanto, Fabio; Cagliero, Andrea; Cannata, Giulia; Capello, Fabio; Cardinale, Fabio; Chiriaco, Tiziana; Consolaro, Alessandro; Dessì, Angelica; Mauro, Giuseppe Di; Fainardi, Valentina; Fanos, Vassilios; Guarino, Alfredo; Calzi, Giada Li; Lodi, Elisa; Maghnie, Mohamad; Manfredini, Luca; Malorgio, Emanuela; Minuto, Nicola; Modena, Maria Grazia; Montori, Rossano; Moscatelli, Andrea; Patrone, Elisa; Pescio, Elena; Poeta, Marco; Ravelli, Angelo; Spelta, Maddalena; Suppiej, Agnese; Vai, Sergio; Villa, Luca; Zanini, Rinaldo; Botti, Renato; Gaddi, Antonio Vittorino
abstract

2022 - DIFFERENCE IN ACCESS TO SPORT DURING COVID-19 PANDEMIA [Articolo su rivista]
Brusini, A; Lodi, E; Chiossi, M; Savino, G
abstract

2022 - Gender gap in risk factor control of coronary patients: Impossible to close? [Articolo su rivista]
Lodi, E.; Reggianini, L.; Modena, M. G.
abstract

This editorial refers to 'Gender gap in risk factor control of coronary patients far from closing: results from the European Society of Cardiology EUROASPIRE V Registry' by P. Vynckier et al.

2022 - Hypertrophic-phenotype cardiopathy… the great simulator [Articolo su rivista]
Lodi, Elisa; D'Antonio, Lucio; Fiocchi, Federica; Letizia, Reggianini; Modena, Maria Grazia
abstract

We describe the case of an incidental finding of left ventricular hypertrophy and high blood pressure values in a patient with irrelevant medical history, who was hospitalized for a vehicle accident. After discharge, he was sent to our center, where the etiological diagnosis was pursued. After achieving blood pressure control, left ventricle reverse remodeling is observed at a 6-month follow-up.

2022 - LA QUESTIONE GENERE IN MEDICINA E CARDIOLOGIA [Articolo su rivista]
Lodi, E; Donati, F; Modena, Mg
abstract

2022 - PANDEMIA. IL VIRUS CHE NON VORREI [Articolo su rivista]
Gaddi, Av; Lodi, E; Modena, Mg
abstract

2022 - TELECARDIOLOGIA TERRITORIALE PER LA FRAGILITA' [Articolo su rivista]
Gaddi, Av; Modena, Mg; Lodi, E
abstract

2022 - The occurrence of drug-induced side effects in women and men with arterial hypertension and comorbidities [Articolo su rivista]
Modena, M. G.; Lodi, E.
abstract

2021 - Attività sportiva e COVID-19: cosa c'è di nuovo? [Articolo su rivista]
Lodi, Elisa; Lodi, Giovanni; Reggianini, Letizia; Savino, Gustavo; Modena, Maria Grazia
abstract

Growing evidence about COVID-19 and its possible cardiopulmonary complications have raised concerns about a potential subclinical heart damage even in asymptomatic patients. Many countries worldwide provided recommendations for a safe return to play and sports activity for athletes with previous COVID-19 disease. Italy was among the first nations to deal with the problem of protecting athletes’ health. In this regard, after an initial version released on April 2020, on December 11, 2020 the Italian Sports Medicine Federation (FMSI) updated the recommendations for the return play of non-professional athletes. The purpose of this article is to analyze and deepen the contents of the new FMSI recommendations, integrating and comparing them with the previous ones. Further updates may occur if new scientific and epidemiological evidence will rise regarding COVID-19.

2021 - COVID-19 E DIFFERENZE DI GENERE IN CLINICA [Capitolo/Saggio]
Modena, Maria Grazia; Lodi, Elisa; Reggianini, Letizia
abstract

2021 - Can sport and face masks get along? [Articolo su rivista]
Lodi, E.; Scavone, A.; Rodrigues, G. D.; D'Antonio, L.; Pergreffi, M.; Modena, M. G.
abstract

The sports world has certainly been one of the most affected by the SARS-CoV-2 pandemic. In addition to the closure of clubs and gyms, the introduction of personal protective equipment and face masks has raised many doubts about the safety of their use during physical activity. This is due to the possible onset of symptoms related to the physical barrier standing in front of the airways, resulting in greater resistance to airways flow and a bigger respiratory work. The aim of this article was to analyze the data available so far in the literature to try to answer the question: Can sport and masks get along?

2021 - DIFFERENZE DI GENERE NELLA CARDIOPATIA ISCHEMICA [Articolo su rivista]
Lodi, Elisa; Modena, Maria Grazia
abstract

2021 - Prevention Italy 2021 - An update of the 2018 Consensus document and recommendations for the prevention of cardiovascular disease in Italy [Capitolo/Saggio]
Battistoni, A.; Gallo, G.; Aragona, C. O.; Barchiesi, F.; Basolo, A.; Bellone, S.; Bellotti, P.; Bertolotti, M.; Bianco, A.; Biffi, A.; Borghi, C.; Cicero, A. F. G.; Consoli, A.; Corsini, A.; Desideri, G.; Di Giacinto, B.; Fernando, F.; Ferri, C.; Galiuto, L.; Grassi, D.; Grassi, G.; Icardi, G.; Indolfi, C.; Lodi, E.; Modena, M. G.; Muiesan, M. L.; Nati, G.; Orsi, A.; Palermi, S.; Parati, G.; Passantino, A.; Patelli, A.; Pelliccia, A.; Pengo, M.; Filardi, P. P.; Perseghin, G.; Pirro, M.; Pontremoli, R.; Rengo, G.; Ricotti, R.; Rizzoni, D.; Rocca, B.; Rotella, C.; Rubattu, S.; Salvetti, G.; Sciacqua, A.; Serdoz, A.; Sirico, F.; Squeo, M. R.; Tocci, G.; Trimarco, B.; Vigili de Kreutzenberg, S.; Volpe, R.; Volpe, M.
abstract

2021 - Telemedicine [Articolo su rivista]
Lodi, E.; Modena, M. G.
abstract

2021 - The point of view on cardiovascular prevention in women [Articolo su rivista]
Modena, M. G.; Lodi, E.
abstract

2020 - A cosa serve un Ambulatorio di Cardiologia dello Sport? [Articolo su rivista]
Tardini, L.; Lodi, E.; Aldovrandi, A.; Iadanza, M.; Ferrante, L.; Toni, G.; Savino, G.; Cappelli, S.; Patrizi, G
abstract

2020 - COVID-19: A gendered disease? Possible interpretations and knowledge limitations [Articolo su rivista]
Lodi, E.; Scavone, A.; Reggianini, L.; Modena, M. G.
abstract

Several important gender differences in susceptibility, clinical manifestation and response to treatments for a number of diseases are known since a long time, although they continue to be underestimated by a multiplicity of operators, especially men. The recent COVID-19 pandemic has provided a further evidence of the importance of gender medicine. The epidemiological analysis of COVID-19 data has highlighted the presence of multiple and important gender differences, with more unfavourable scenarios for the male gender. The mechanisms underlying these gender differences are varied (including socio-behavioral, immune and viral factors) and not yet fully clarified. A gender-based approach to clinical practice also in the context of this pandemic seems to be mandatory, as it could significantly contribute to health promotion by improving the effectiveness of diagnostic and/or therapeutic approaches and, therefore, leading to important benefits primarily for the patients but also for the sustainability of the National Health System.

2020 - COVID-19: UN’INFEZIONE GENDER RELATED? [Abstract in Atti di Convegno]
Lodi, Elisa; Reggianini, Letizia; Scavone, Alberto; Modena, Maria Grazia
abstract

2020 - Gender differences in cardiovascular risk factors [Articolo su rivista]
Lodi, E.; Stefani, O.; Reggianini, L.; Carollo, A.; Martinotti, V.; Modena, M. G.
abstract

Cardiovascular disease (CVD) has been traditionally considered a purely male disease, and for many years it has been under-estimated and under-recognized in women. Nevertheless, CVD represents the leading cause of female mortality and disability in developing countries. The increased interest in this field allowed for the description of the differences in terms of clinical presentation, prevention, treatment, and prognosis. The recognition of the gender differences in CVD plays an essential role in CVD prevention. Just as a child cannot be considered a small adult, similarly a woman should not be considered a small man, although, at this time, CVD therapy has been studied mainly on male models, and only subsequently administered to women. We should not underestimate the biological and hormonal differences between the sexes, which can affect the various clinical pictures and drug responses. Since CVD is mostly preventable, this review aims to provide an overview on the cardiovascular risk factors in women, focusing on traditional risks, affecting both sexes, though with different relative risk and prevalence, and on the novel and unique risks in women, as this knowledge would help optimize prevention, treatment and prognosis.

2020 - Kate and leopold: The odd couple [Articolo su rivista]
Lodi, E.; Reggianini, L.; Modena, M. G.
abstract

Cardiovascular disease (CVD) was traditionally considered a purely male disease, and for many years it was underestimated and under-recognized in women. Neverthe-less, the burden of CVD in women is increasing, so much so that CVD presently represents the leading cause of female mortality and disability in developing countries. The increased interest in this field highlighted the presence of gender-spe-cific differences in terms of clinical presentation, prevention, treatment, and prognosis. Biological and hormonal differences between sexes should not be underestimated, as they can affect clinical presentation and drug responses. This report is an example of the current gender-related prac-tice in the evaluation and treatment of high-risk cardiovascular patients. A 70-year-old lady with a history of coronary disease, diabetes, hypertension, Parkinson’s, rheumatoid arthritis, and hypothyroidism attended our outpatient clin-ic for continuous chest pain, exertional dyspnea, malleolar edema. A diagnosis of heart failure with preserved ejection fraction was reached after discussing several confounding factors.

2020 - LA CARDIOLOGIA E LO SPORT: UN BINOMIO CHE FUNZIONA [Abstract in Atti di Convegno]
Lodi, Elisa; Tardini, Lucia; Savino, Gustavo; Cappelli, Stefano; Modena, Maria Grazia; Patrizi, Giampiero
abstract

2020 - LA MEDICINA SPECIALISTICA IN UN'OTTICA DI GENERE: IL CARDIOVASCOLARE [Capitolo/Saggio]
Modena, Maria Grazia; Lodi, Elisa; Reggianini, Letizia
abstract

2020 - LA PRESCRIZIONE DELL’ESERCIZIO FISICO ADATTATO COME STRUMENTO DI PREVENZIONE E TERAPIA [Abstract in Atti di Convegno]
Lodi, Elisa; Savino, Gustavo; Reggianini, Letizia; Toni, Giulio; Bernaroli, Laura; Modena, Maria Grazia
abstract

2020 - LA TELEMEDICINA PER IL CUORE: UN NUOVO STRUMENTO PER I PAZIENTI CON SCOMPENSO CARDIACO? [Abstract in Atti di Convegno]
Lodi, Elisa; Reggianini, Letizia; Scavone, Alberto; Carollo, Alberto; Modena, Maria Grazia
abstract

2020 - LE ARITMIE VENTRICOLARI NEGLI ATLETI: UN CAMPANELLO D’ALLARME? [Abstract in Atti di Convegno]
Lodi, Elisa; Tardini, Lucia; Savino, Gustavo; Cappelli, Stefano; Modena, Maria Grazia; Patrizi, Giampiero
abstract

2020 - Medici dello sport e aritmie ventricolari: una sfida antica, ma adesso abbiamo un’arma in più? [Articolo su rivista]
Tardini, L.; Lodi, E.; Aldrovandi, A.; Iadanza, M.; Ferrante, L.; Toni, G.; Savino, G.; Cappelli, S.; Patrizi, G
abstract

2020 - Return to sport after the COVID-19 pandemic. How to behave? [Articolo su rivista]
Lodi, E.; Scavone, A.; Carollo, A.; Guicciardi, C.; Reggianini, L.; Savino, G.; Modena, M. G.
abstract

Italy, and all the world, has recently faced the arduous battle against the spread of a new coronavirus: SARS-CoV-2. This unexpected pandemic dramatically upended all areas of life, leading to a profound change in priorities, both in the medical as well as the social-economic field; and sports is no exception. Not surprisingly, the COVID-19 pandemic also walloped the world of sports. Every aspect of sports has been affected, leading professional and amateur leagues to stop their activities, in order to limit the spread of the virus, a painful but mandatory choice. Even the most popular sports in the world had to deal with the massive global threat of SARS-CoV-2. The Italian Sports Medical Federation (FMSI) has recently drawn up a protocol to be implemented when teams will receive from the authorities the permission to return to competitive activities. The purpose of this paper is to deepen the FMSI indications and allow wider dissemination and understanding.

2019 - Cardiovascular health management: preventive assessment [Articolo su rivista]
Modena, Maria Grazia; Lodi, Elisa; Scavone, Alberto; Carollo, Alberto
abstract

2019 - Idoneo… fino a prova contraria: una diagnosi precoce di cardiomiopatia ipertrofica emersa dalla collaborazione tra Medico e Cardiologo dello Sport [Articolo su rivista]
Tardini, L.; Lodi, E.; Patrizi, G.
abstract

2019 - Report di un anno di attività di un Ambulatorio di Cardiologia dello Sport [Articolo su rivista]
Tardini, L.; Lodi, E.; Patrizi, G.
abstract

2018 - Hypertension and Pharmacological Therapy in Women [Articolo su rivista]
Elisa, Lodi; Carollo, Alberto; Valentina, Martinotti; Modena, Maria Grazia
abstract

Cardiovascular (CV) disease is the leading cause of morbidity and mortality for women all over the world. The role and weight of risk factors in relation to gender are not completely clarified as well as their treatment. Pathophysiology of hypertension in woman presents different aspects in relation to phase of life, with an impact on treatment. The only certainties that we have nowadays regarding hypertension therapy in women are really few and may be summarized in: how to treat or, better, what not to use in hypertension in pregnancy and how to treat acute severe hypertension in pregnancy. We have some certainties also on treatment of hypertension associated to some women’s comorbidities. Considering guidelines and analyzing what happens in the real world, we report in this review that women have similar major CV risk factors of men, although a minor CV global risk. However, there are some data that suggest that hypertension and diabetes are more important risk factors in women than in men. Blood pressure reduction and benefit by treatment appear similar in women and men, suggesting that we should aim for similar target of blood pressure, although the lower global risk profile should imply different target. Theoretically, recommended drugs are similar in women and men, but in women we must take in account CV risk profile, comorbidity, side effects, and reproductive health. Finally, registries and observational studies show that fewer women reach the target values of blood pressure and that women receive more frequently prescription of ‘‘other’’ classes of drugs than those recommended by guidelines, even after normalization by age and comorbidities

2018 - Metabolic Syndrome: Gender Differences [Articolo su rivista]
Lodi, Elisa; Carollo, Alberto; Martinotti and Maria Grazia Modena, Valentina
abstract

Metabolic syndrome is commonly defined as the association of multiple risk factors for the development of atherosclerotic disease. Despite the different definitions of diagnostic criteria, the presence of at least three of the following conditions defines the clinical presentation of the metabolic syndrome: atherogenic dyslipidemia (low levels of HDL cholesterol, high levels of triglycerides, apolipoprotein B and small and dense LDL), basically high levels of systolic and diastolic blood pressure, impaired fasting glycemia and abdominal obesity [1]. Primary pathogenic mechanisms underlying metabolic syndrome are mainly due to insulin resistance (or poor insulin sensitivity) and visceral obesity. Insulin resistance, a condition where insulin determines a lower biological effect than expected, is largely represented in patients with metabolic syndrome and it is associated with a high risk of developing type 2 diabetes in the short term. Obesity and physical inactivity represent predisposing conditions for the development of metabolic syndrome and perhaps represent the main mechanism underlying the epidemic of metabolic syndrome, as observed in recent years.