37 results on '"Gianluca Nardone"'
Search Results
2. On the relationships among durum wheat yields and weather conditions: evidence from Apulia region, Southern Italy
- Author
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Marco Tappi, Gianluca Nardone, and Fabio Gaetano Santeramo
- Subjects
climate change ,farming system ,phenological phase ,risk ,weather insurance ,Aquaculture. Fisheries. Angling ,SH1-691 ,Forestry ,SD1-669.5 - Abstract
The weather index-based insurances may help farmers to cope with climate risks overcoming the most common issues of traditional insurances. However, the weather index-based insurances present the limit of the basis risk: a significant yield loss may occur although the weather index does not trigger the indemnification, or a compensation may be granted even if there has not been a yield loss. Our investigation, conducted on Apulia region (Southern Italy), aimed at deepening the knowledge on the linkages between durum wheat yields and weather events, i.e., the working principles of weather index-based insurances, occurring in susceptible phenological phases. We found several connections among weather and yields and highlight the need to collect more refined data to catch further relationships. We conclude opening a reflection on how the stakeholders may make use of publicly available data to design effective weather crop insurances.
- Published
- 2022
- Full Text
- View/download PDF
3. Parents’ trust in food safety and healthiness of children’s diets: A TPB model explaining the role of retailers and government
- Author
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Biagia De Devitiis, Rosaria Viscecchia, Valentina Carfora, Carla Cavallo, Gianni Cicia, Teresa Del Giudice, Concetta Menna, Gianluca Nardone, and Antonio Seccia
- Subjects
childhood diet ,attitudes ,dietary patterns ,nutrition education ,parents ,Agriculture - Abstract
This study started from the assumption that children’s healthy diets are primarily determined by their parents and their intentions towards serving fruit and vegetables. Although it is widely known that a significant share in fruits and vegetables in children’s diets has several advantages, there are some safety issues that can act as barriers in promoting fruit and vegetable consumption. Therefore, we investigated parents’ determinants in giving fruits and vegetables to their children taking into account that the trust in actors who minimize the presence of risks could be instrumental to understand the whole story. Due to the incidence of childhood obesity, Southern Italy is a suitable case study. An extended Theory of Planned Behavior (tpb) model including trust towards government and retailers has been set up. Results suggested that parental intention to give to their children fruits and vegetables in primarily determined by their perceived behavioral control, then by their attitude and by subjective norm. Trust has been proved to influence parents’ intentions, but only related to retailers and not to government. Furthermore, the model positively explained childrens’ behavior reported by parents.
- Published
- 2021
- Full Text
- View/download PDF
4. The benefits of country-specific non-tariff measures in world wine trade
- Author
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Fabio Gaetano Santeramo, Emilia Lamonaca, Gianluca Nardone, and Antonio Seccia
- Subjects
Agricultural industries ,HD9000-9495 - Abstract
During the last decades, significant changes in trade regulations are modifying the global trade of wine. The number of non-tariff measures (NTMs) implemented in the wine sector is relevant: a large number of country-specific NTMs, set in the occasion of trade agreements, have been adopted. The impact of these policy instruments on trade is not always clear, nor quantified at global scale. We investigate the effects that country-specific NTMs are showing on global imports of wine. In particular, we estimate a gravity model to explain how and to what extent country-specific NTMs influence wine trade, and we disentangle these effects for different segments of the international market of wine.Our results suggest that country-specific NTMs tend to favour imports of wine. Differences emerge across market segments and types of regulations. In particular, the Technical Barriers to Trade favour (friction) bottled (bulk) wine; pre-shipment inspections enhance imports of bottled wine; the Sanitary and Phytosanitary Standards and the export-related measures are the most trade-enhancing NTMs, regardless of the market segment. JEL Classification codes: Q17, Q18, F13, Keywords: Global trade, NTM, Policy, SPS, TBT
- Published
- 2019
- Full Text
- View/download PDF
5. On the relevance of the Region-Of-Origin in consumers studies
- Author
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Fabio Gaetano Santeramo, Emilia Lamonaca, Domenico Carlucci, Biagia De Devitiis, Antonio Seccia, Rosaria Viscecchia, and Gianluca Nardone
- Subjects
Agri-food ,Consumer ,Meta-analysis ,Region-of-origin ,Systematic review ,Aquaculture. Fisheries. Angling ,SH1-691 ,Forestry ,SD1-669.5 - Abstract
The existing literature on the consumers’ attitude toward region-of-origin (RoO) provides numerous and varying evidence on the relative importance of this extrinsic attribute as compared to other product characteristics. The article aims at characterising the heterogeneity in the relative importance of RoO. We systematically review the literature on RoO and build an ad hoc indicator to measure the relative importance of RoO as compared to other attributes of agri-food products under investigation. We then explain, through a meta-analytical approach, how the relative importance of RoO varies according to factors related to publication process, methodological issues, and characteristics of articles. Findings reveal the limited influence of publication process and methodological issues on the relative importance of RoO. In contrast, we find a strong effect of characteristics of articles, with the relative importance of RoO being highly dependent on products and origins under investigation. The results also highlight that RoO is an effective differentiation instrument in the agri-food markets only if supported by geographical indication labels. Managerial implications are also provided.
- Published
- 2020
- Full Text
- View/download PDF
6. A Hedonic Analysis of Processed Tomato Prices Using Italian Regional Markets Data
- Author
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Emilio De Meo, Gianluca Nardone, Francesco Bimbo, and Domenico Carlucci
- Subjects
processed tomato ,price variability ,hedonic price model ,implicit prices ,Chemical technology ,TP1-1185 - Abstract
The Italian market of processed tomatoes (whole peeled and unpeeled tomatoes, chopped tomato pulp, tomato purée, and concentrated tomato paste) rose, thanks to the Italian tradition of using such products in many recipes of cuisine, until early 2000; since then, it has declined to date. Moreover, such products are traditionally considered low-price products, and their market is characterized by intense price competition. Thus, recently, producers have started to differentiate their products as a way to achieve higher margins, and escape from competition in price. By using the sales data of Italian processed tomatoes sold in several retail stores and a hedonic price model, we estimated the implicit prices associated with several attributes that are currently available in processed tomato products on the market. We find that a protected designation of origin, organic certification, and flavoring, as well as the indication of tomato variety, are the most valuable features of processed tomato products sold in the Italian market. This implies that product differentiation strategies that could be suggested to producers as the most effective are those aimed at enhancing the territorial link of the product, the environmental sustainability of the production process, and organoleptic product features, as well as its convenience.
- Published
- 2022
- Full Text
- View/download PDF
7. Drivers of grain price volatility: a cursory critical review
- Author
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Fabio Gaetano Santeramo, Emilia Lamonaca, Francesco Contò, Gianluca Nardone, and Antonio Stasi
- Subjects
arbitrage ,commodity ,risk ,storage ,trade ,uncertainty ,Agriculture - Abstract
Understanding the determinants of price volatility is a key step to prevent the potential negative consequences of the uncertainty faced by farmers. The presented critical review provides a novel categorization of grain price volatility drivers. The authors distinguish the endogenous and exogenous causes and conclude on the potential effects that each of the identified factors may generate on the price dynamics. In particular, there is deepened the contribution of endogenous factors, such as the spatial and temporal arbitrage, as well as the drivers of shocks of demand and supply.
- Published
- 2018
- Full Text
- View/download PDF
8. The synergies of the Italian wine and tourism sectors
- Author
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Fabio Gaetano Santeramo, Antonio Seccia, and Gianluca Nardone
- Subjects
Italy ,Gravity model ,Food Tourism ,Agricultural industries ,HD9000-9495 - Abstract
Italy is a worldwide known destination for tourism. In the Italian food industry, wine is a major sector. We analyse the synergic relations between the domestic tourism in Italy and wine industry exploring data on flows of domestic tourism among the Italian regions and key indicators for the wine industry. The region of origin of tourists is a determining factor in the choice of destination; we also highlight the role of customer loyalty. The political implications are relevant: institutions and political actors could exploit the synergies between the tourism and the wine industries by promoting excellence in wine.
- Published
- 2017
- Full Text
- View/download PDF
9. Water as a factor of differentiation in the food industry
- Author
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Gianluca Nardone and Giacomo Zanni
- Subjects
water ,differentiation ,advertisement ,competitive advantage ,Agriculture ,Plant culture ,SB1-1110 - Abstract
To foster their competitive advantage, food firms pay an increasing attention to strategies that tend to distinguish their products from the one supplied by their competitors, dedicating to this task most of their resources, knowledge and creativity. In such a framework, also the resource “water”, often seen as an homogenous product, is more and more utilized in the advertisement as an element that increase the quality of the final good. This paper aims to build a model that can explain the observed behavior in the different food industries and that can give some insights about the future perspectives of the utilization of the water as a differentiation factor. To reach this goal, first we present a survey of the commercials of specific food industries (beverages, pasta, bread, fresh produce) in which it is shown the contribute of water on the product. On the base of the empirical evidence, we argue that the propensity to use the water as an element of differentiation is greater when greater are the degree of technological knowledge, the consumers’ perceptions, and the importance of the differentiation strategy in that specific industry. Since we expect that these three factors will increase over time, we also conclude that it is rational to experiment a generalized increase of the utilization of the water in the commercials of the food products. We also recommend to extend the analysis testing the results using a quantitative approach.
- Published
- 2010
- Full Text
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10. Models of vertical coordination consistent with the development of bio-energetics
- Author
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Gianluca Nardone, Emilio De Meo, Antonio Seccia, and Rosaria Viscecchia
- Subjects
biomasses ,vertical coordination ,contracts ,hold-up. ,Agriculture ,Plant culture ,SB1-1110 - Abstract
To foster the development of the biomasses for solid fuel it is fundamental to build up a strategy at a local level in which co-exists farms as well as industrial farms. To such aim, it is necessary to implement an effective vertical coordination between the stakeholders with the definition of a contract that prevents opportunistic behaviors and guarantees the industrial investments of constant supplies over the time. Starting from a project that foresees a biomasses power plant in the south of Italy, this study reflects on the payments to fix in an eventual contract in such a way to maintain the fidelity of the farmers. These one have a greater flexibility since they can choose the most convenient crop. Therefore, their fidelity can be obtained tying the contractual payments to the price of the main alternative crop to the energetic one. The results of the study seem to indicate the opportunity to fix a purchase price of the raw materials linked to the one of durum wheat that is the most widespread crop in the territory and the one that depends more on a volatile market. Using the data of the District 12 of the province of Foggia Water Consortium with an area of 11.300 hectares (instead of the 20.000 demanded in the proposal), it has been possible to organize approximately 600 enterprises in five cluster, each of them identified by a representative farm. With a model of linear programming, we have run different simulations taking into account the possibility to grow sorghum in different ways. Through an aggregation process, it has been calculated that farmers may find it convenient to supply the energetic crop at a price of 50 €/t when the price of durum wheat is 150 €/t. Anyway, this price is lower than the one offered by firm that is planning to build the power plant. Moreover, it has been identified a strong correlation between the price of the durum wheat and the price that makes convenient for the farmers to grow the sorghum. When the price of wheat goes up to 400 €/t then the price that must be paid to the farmers for the energetic crop is 70 €/t. Even though these results offer no definitive indications about the economic convenience of industrial firms to pay greater prices for the biomasses, they represent an important step towards the definition of contractual clauses that may prevent phenomena of hold-up and moral hazard.
- Published
- 2009
11. The benefits of country-specific non-tariff measures in world wine trade
- Author
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Gianluca Nardone, Emilia Lamonaca, Antonio Seccia, and Fabio Gaetano Santeramo
- Subjects
Wine ,International market ,Tariff ,lcsh:HD9000-9495 ,Technical barriers to trade ,International economics ,language.human_language ,Market segmentation ,Gravity model of trade ,Scale (social sciences) ,Food policy ,language ,lcsh:Agricultural industries ,Business ,General Economics, Econometrics and Finance - Abstract
During the last decades, significant changes in trade regulations are modifying the global trade of wine. The number of non-tariff measures (NTMs) implemented in the wine sector is relevant: a large number of country-specific NTMs, set in the occasion of trade agreements, have been adopted. The impact of these policy instruments on trade is not always clear, nor quantified at global scale. We investigate the effects that country-specific NTMs are showing on global imports of wine. In particular, we estimate a gravity model to explain how and to what extent country-specific NTMs influence wine trade, and we disentangle these effects for different segments of the international market of wine.Our results suggest that country-specific NTMs tend to favour imports of wine. Differences emerge across market segments and types of regulations. In particular, the Technical Barriers to Trade favour (friction) bottled (bulk) wine; pre-shipment inspections enhance imports of bottled wine; the Sanitary and Phytosanitary Standards and the export-related measures are the most trade-enhancing NTMs, regardless of the market segment. JEL Classification codes: Q17, Q18, F13, Keywords: Global trade, NTM, Policy, SPS, TBT
- Published
- 2019
- Full Text
- View/download PDF
12. Parents' trust in food safety and healthiness of children's diets: A tpb model explaining the role of retailers and government
- Author
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Antonio Seccia, Biagia De Devitiis, Valentina Carfora, Rosaria Viscecchia, Concetta Menna, Gianni Cicia, Gianluca Nardone, Teresa Del Giudice, Carla Cavallo, De Devitiis, B., Viscecchia, R., Carfora, V., Cavallo, C., Cicia, G., Del Giudice, T., Menna, C., Nardone, G., and Seccia, A.
- Subjects
Parents ,Economics and Econometrics ,Nutrition Education ,Control (management) ,Childhood obesity ,Environmental health ,medicine ,Set (psychology) ,Government ,business.industry ,Dietary Patterns ,Theory of planned behavior ,food and beverages ,Agriculture ,Food safety ,medicine.disease ,Agricultural and Biological Sciences (miscellaneous) ,Settore M-PSI/05 - PSICOLOGIA SOCIALE ,Attitude ,Attitudes ,Fruits and vegetables ,Dietary Pattern ,Psychology ,business ,Agronomy and Crop Science ,Childhood diet - Abstract
This study started from the assumption that children's healthy diets are primarily determined by their parents and their intentions towards serving fruit and vegetables. Although it is widely known that a significant share in fruits and vegetables in children's diets has several advantages, there are some safety issues that can act as barriers in promoting fruit and vegetable consumption.Therefore, we investigated parents' determinants in giving fruits and vegetables to their children taking into account that the trust in actors who minimize the presence of risks could be instrumental to understand the whole story. Due to the incidence of childhood obesity, Southern Italy is a suitable case study. An extended Theory of Planned Behavior (tpb) model including trust towards government and retailers has been set up.Results suggested that parental intention to give to their children fruits and vegetables in primarily determined by their perceived behavioral control, then by their attitude and by subjective norm.Trust has been proved to influence parents' intentions, but only related to retailers and not to government. Furthermore, the model positively explained childrens' behavior reported by parents.
- Published
- 2021
13. Drivers of grain price volatility: a cursory critical review
- Author
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Emilia Lamonaca, Gianluca Nardone, Fabio Gaetano Santeramo, Antonio Stasi, and Francesco Contò
- Subjects
Endogenous Factors ,Financial economics ,04 agricultural and veterinary sciences ,Monetary economics ,040401 food science ,Agricultural and Biological Sciences (miscellaneous) ,Deflation ,language.human_language ,Supply and demand ,0404 agricultural biotechnology ,040103 agronomy & agriculture ,Economics ,Food policy ,language ,Volatility smile ,0401 agriculture, forestry, and fisheries ,Arbitrage ,Volatility (finance) ,General Economics, Econometrics and Finance ,Agribusiness - Abstract
Understanding the determinants of price volatility is a key step to prevent potential negative consequences of to the uncertainty faced by farmers. Our critical provides a novel categorization of grain price volatility drivers. We distinguish endogenous and exogenous causes and conclude on the potential effects that each of identified factors may generate on price dynamics. In particular, we deepen on the contribution of endogenous factors such as spatial and temporal arbitrage, as well as drivers of shocks of demand and supply.
- Published
- 2018
- Full Text
- View/download PDF
14. Insights for the Development of a Functional Fish Product : Drivers and Barriers, Acceptance, and Communication of Health Benefits
- Author
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Rosaria Viscecchia, Gianluca Nardone, Biagia De Devitiis, Domenico Carlucci, Giuseppe Nocella, and Francesco Bimbo
- Subjects
0301 basic medicine ,Bedrijfseconomie ,Aquatic Science ,Health benefits ,03 medical and health sciences ,0404 agricultural biotechnology ,Health claims on food labels ,Business Economics ,health claims ,Product (category theory) ,Marketing ,consumer acceptance ,030109 nutrition & dietetics ,business.industry ,04 agricultural and veterinary sciences ,Fish consumption ,Fish products ,040401 food science ,Focus group ,New product development ,%22">Fish ,Functional fish ,focus group ,omega-3 ,business ,Food Science - Abstract
This study aims to explore consumer acceptance of a new functional fish burger using a qualitative approach based on four focus group discussions conducted in selected major Italian cities. Results show that the development of functional fish products may bypass fish consumption barriers, combining convenience and health benefits delivered by functional ingredients. The acceptance of new functional fish products seems to be influenced positively by the enrichment of functional ingredients naturally present in fish, particularly omega-3 fatty acids. Consumer acceptance of this new product is also influenced by the use of different nutritional and health claims. Implications for marketers and policy makers and insights for further research are discussed in the conclusions.
- Published
- 2018
- Full Text
- View/download PDF
15. The synergies of the Italian wine and tourism sectors
- Author
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Antonio Seccia, Gianluca Nardone, and Fabio Gaetano Santeramo
- Subjects
Wine ,Exploit ,Gravity model ,media_common.quotation_subject ,Tourism geography ,05 social sciences ,Domestic tourism ,lcsh:HD9000-9495 ,Loyalty business model ,Politics ,Food Tourism ,Geography ,Economy ,Italy ,Excellence ,0502 economics and business ,ddc:330 ,lcsh:Agricultural industries ,050211 marketing ,Economic geography ,General Economics, Econometrics and Finance ,050212 sport, leisure & tourism ,Tourism ,media_common - Abstract
Italy is a worldwide known destination for tourism. In the Italian food industry, wine is a major sector. We analyse the synergic relations between the domestic tourism in Italy and wine industry exploring data on flows of domestic tourism among the Italian regions and key indicators for the wine industry. The region of origin of tourists is a determining factor in the choice of destination; we also highlight the role of customer loyalty. The political implications are relevant: institutions and political actors could exploit the synergies between the tourism and the wine industries by promoting excellence in wine.
- Published
- 2017
16. On the effects of bilateral agreements in world wine trade
- Author
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Antonio Seccia, Gianluca Nardone, Fabio Gaetano Santeramo, and Emilia Lamonaca
- Subjects
Wine ,International market ,050208 finance ,Environmental Engineering ,lcsh:QP1-981 ,05 social sciences ,lcsh:QR1-502 ,Technical barriers to trade ,International economics ,Industrial and Manufacturing Engineering ,lcsh:Microbiology ,lcsh:Physiology ,Bilateral trade ,Market segmentation ,Gravity model of trade ,Scale (social sciences) ,0502 economics and business ,lcsh:Zoology ,050202 agricultural economics & policy ,lcsh:QL1-991 - Abstract
During the last decades there have been significant changes in trade regulations that are modifying the global trade of wine. The number of non-tariff measures (NTMs) adopted in the wine sector is relevant. Similarly, a large number of bilateral trade agreements have been adopted. Despite the regulation is heavy, the impact of these policy instruments on trade is not always clear, nor quantified at global scale. We investigate the effects that bilateral NTMs are showing on global imports of wine. In particular, we estimate a gravity model to explain how bilateral NTMs influence wine trade, and we disentangle these effects for different segments of the international market of wine. Our results suggest that bilateral NTMs tend to favour imports of wine. Differences emerge across market segments and types of regulations. In particular, the Technical Barriers to Trade favour (friction) bottled (bulk) wine; pre-shipment inspections enhance imports of bottled wine; the Sanitary and Phytosanitary Standards are the most trade-enhancing NTMs, regardless of the market segment.
- Published
- 2019
17. New Technologies and Sustainability in The Italian Wine Industry
- Author
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Gianluca Nardone, Antonio Seccia, Alessandro Muscio, and Antonio Stasi
- Subjects
Shared knowledge ,Emerging technologies ,05 social sciences ,0211 other engineering and technologies ,021107 urban & regional planning ,02 engineering and technology ,General Medicine ,Competition (economics) ,Econometric model ,Absorptive capacity ,0502 economics and business ,Sustainability ,Business ,Marketing ,050203 business & management ,Wine industry - Abstract
The new shape of competition is pushing wine firms to invest into new technologies. Given the growing interests in this area, we provide evidence on the determinants of the adoption of the new technologies industry. On the basis of a survey on Italian companies, the main investments in innovations and their key drivers are investigated. We tested whether firm characteristics impact the adoption as well as absorptive capacity, networking and shared knowledge among firms and research institutions and demand factors. Drivers are explored throughout an econometric model. Results lead to policy implications that could be useful to develop supportive actions to innovation.
- Published
- 2016
- Full Text
- View/download PDF
18. Emerging trends in European food, diets and food industry
- Author
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Domenico Carlucci, Antonio Stasi, B. De Devitiis, Fabio Gaetano Santeramo, Gianluca Nardone, Antonio Seccia, and Rosaria Viscecchia
- Subjects
0301 basic medicine ,Meat ,Food industry ,Agricultural economics ,Food Supply ,03 medical and health sciences ,0404 agricultural biotechnology ,Functional food ,Functional Food ,Food supply ,Vegetables ,Animals ,Food Industry ,Humans ,030109 nutrition & dietetics ,Food security ,Public economics ,business.industry ,04 agricultural and veterinary sciences ,Feeding Behavior ,Consumer Behavior ,Food safety ,040401 food science ,language.human_language ,Europe ,Seafood ,Fruit ,Food policy ,language ,Food systems ,Research questions ,Business ,Diet, Healthy ,Nutritive Value ,Food Science - Abstract
Understanding how an adequate food security may be determined, how nutritional intakes evolve over time and are influenced by global dynamics are few of the questions scholars are trying to answer. In addition, a great interest is devoted to the changes in consumers' preferences and expectations as well as to the analysis of food innovations and their impact on the global market. We review the recent and emerging trends in food supply chains of selected sectors (fruits and vegetables, meat, and seafood), and deepen on emerging trends in the food industry. By presenting the evidence provided by the literature and emphasizing the unresolved research questions, we offer a critical view of future directions that should be followed by research agenda.
- Published
- 2017
19. Crescita nei consumi di IV gamma. Un'applicazione del modello AIDS alla domanda italiana di ortofrutta
- Author
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Andrea Marchini, Francesco Diotallevi, Antonio Stasi, Antonio Baselice, and Gianluca Nardone
- Subjects
Economics and Econometrics ,Engineering ,business.industry ,Agricultural and Biological Sciences (miscellaneous) ,Private label ,Product (business) ,Agricultural science ,Order (exchange) ,Market stability ,Substitution effect ,Food preparation ,Price war ,Marketing ,Market share ,business ,Agronomy and Crop Science ,health care economics and organizations - Abstract
Fresh-cut and ready to eat products are gaining market shares over fruits and vegetables. Dining habits and cooking time are changing over time and life styles are modifying the food preparation and the time used for eating. In the meanwhile, prices could be playing an important role in the substitution between fresh products and ready-to-eat alternatives. Therefore, the present paper tests the following hypotheses: - measuring the direct price effect on ready-to-eat and fresh cut product in order to verify market stability and price war probability; - measuring the substitution effect between fresh and ready-to-eat categories; The hypotheses have been verified throughout the estimation of a la/aids model that considers a system of 10 equations. The data used for the analysis have been collected by iri-Infoscan and represent the total Italian grocery sales for the years 2008-2010. Results provide evidence that the market is price sensitive and that substitution effect is negligible. Therefore, past, present and future evolutions of fresh-cut and ready-to-eat products should be attributed to price wars. Promotional activities, private label strategies and other price reduction strategies could be winning strategies in order to gain market shares within fruits and vegetable market.
- Published
- 2014
- Full Text
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20. L'effetto della 'filiera corta' sul livello di obesità in Italia
- Author
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Francesco Bimbo, Rosaria Viscecchia, and Gianluca Nardone
- Subjects
Estimation ,Economics and Econometrics ,education.field_of_study ,Population ,Food habits ,Overweight ,medicine.disease ,Agricultural and Biological Sciences (miscellaneous) ,Obesity ,Agricultural science ,Geography ,Economy ,Order (exchange) ,medicine ,Profitability index ,Endogeneity ,medicine.symptom ,education ,Agronomy and Crop Science - Abstract
Obesity rate worldwide have more than doubled since the 1980s, reachingunprecedented level, it has exceeded 30% in the U.S. while in some EuropeanCountries the population being overweight and obese has reached 50% (oecd, 2010).In Italy about 1 over 10 adults are obese, below the oecd average of 1 over 6, butthese data come from-self reported individuals weight and height and could alreadybe severely underestimated (Hansstein et al., 2009; oecd, 2010). Lastly, Italy is thethird largest spender among the eu-15 in terms of direct health-care and indirect costdue to the obesity, around its € 4.7 billion (Fry and Finley, 2005).Our study aims to evaluate the impact of local food retail systems such asfarmers’ market and farmers who sell directly from farm, on adult obesity level inItaly since preliminary evidence demonstrated that buying local food in farmers’markets has positive influence both on food habits both on health (Pascucci S. et al.,2011).We use a cross-section of individual-level data on bmi and others individualcharacteristics, from the Multipurpose Survey of Households: Aspect of Daily Lifeof the Italian National Institute of Statistics (istat), year 2009, matched withregional-level data on food outlets density such as farmers’ market, and farmers whosell directly from farm (Fondazione campagna amica - Coldiretti, OsservatorioNazionale del Commercio, 2009). Food store location endogeneity was accounted foradopting an IV estimation method exploiting variation in supply-side factorsimpacting the location decision of different food retailers.The study shows the evidence that the having access to local food is associated toa reduction in obesity rate. In particular, we found that the having access to farmers’market and farmers who sell directly from farm reduce the bmi of "0.55 and "0.12respectively. These evidences confirm the importance to promote "direct saleformat" in order to improve not only farmers’ profitability but also consumers’ wellbeingwith consequent reduction of obesity health-care costs.
- Published
- 2013
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21. Explaining Price Variability in the Italian Yogurt Market: A Hedonic Analysis
- Author
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Gianluca Nardone, Antonio Seccia, Domenico Carlucci, and Antonio Stasi
- Subjects
Consumption (economics) ,Economics and Econometrics ,media_common.quotation_subject ,Geography, Planning and Development ,Hedonic pricing ,Competitive pressure ,Popularity ,Agricultural economics ,EconLit ,Economics ,Animal Science and Zoology ,Quality (business) ,Marketing ,Agronomy and Crop Science ,Food Science ,media_common - Abstract
Today yogurt is produced and consumed worldwide, and its popularity has increased in recent years. In Italy, yogurt consumption grew by 43% in the period 2004–2008. This study is focused on the analysis of yogurt retail prices that show a great variability in the Italian market. In fact, our survey, carried out in a selected area of Italy during the last months of 2010, showed that yogurt retail prices range from 0.9 Euro/kg to 9.6 Euro/kg. We deemed the hedonic price model to be the most appropriate analytical tool for this investigation because it allows explaining how the price of yogurt varies depending on its main quality attributes. The study's results may be useful in better understanding the evolutionary dynamics of an important market, such as yogurt in Italy, and, second, in addressing the marketing strategies of yogurt manufacturers facing an expanding market that is also characterized by an increasing competitive pressure and a rapid change in consumer preferences. [EconLit Citations: Q110, D400, L660].
- Published
- 2013
- Full Text
- View/download PDF
22. On the effects of search attributes on price variability: An empirical investigation on quality wines
- Author
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Gianluca Nardone, Tiziana Sarnari, Antonio Seccia, Domenico Carlucci, and Fabio Gaetano Santeramo
- Subjects
0301 basic medicine ,Environmental Engineering ,media_common.quotation_subject ,lcsh:QR1-502 ,Sample (statistics) ,Industrial and Manufacturing Engineering ,lcsh:Microbiology ,lcsh:Physiology ,03 medical and health sciences ,0404 agricultural biotechnology ,Market segmentation ,lcsh:Zoology ,Economics ,Production (economics) ,Quality (business) ,lcsh:QL1-991 ,Marketing ,Market value ,media_common ,Consumption (economics) ,Wine ,030109 nutrition & dietetics ,lcsh:QP1-981 ,04 agricultural and veterinary sciences ,040401 food science ,Geographical indication - Abstract
The choice of a bottle of wine is affected by the presence of attributes that are searched by consumers and can be evaluated before the purchase. The aim of the paper is to analyze the effect of some search attributes on wine price variability applying the Hedonic Price Model. It allows explaining how the price of wine varies depending on its main quality attributes. The analysis has been based on a sample of wines made in Puglia, Italian region characterized by a tradition in wine production and consumption. Data have been collected from a wine guidebook considering the years 2008–2013. The study provided a measure of the market value of some search attributes for wines produced in Puglia. Attributes as alcoholic content, age and score given by experts, influence price variability allowing wines to obtain a premium price, such as the most known Protected Designation of Origin (PDO) and some Protected Geographical Indication (PGI). The name of the variety seems not to have high influence with the exception of less known and locally grown varieties. Results may be of interest for marketers and policy makers of wine industry. Managerial implications could refer to the importance of differentiation strategies aimed to market segmentation and to the pricing strategy. Policymakers could also find interesting hints about the influence of the different appellations and the importance of minor autochthonous grape varieties.
- Published
- 2017
23. Consumers' acceptance and preferences for nutrition-modified and functional dairy products: A systematic review
- Author
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Gianluca Nardone, Francesco Bimbo, Rosaria Viscecchia, Biagia De Devitiis, Domenico Carlucci, Alessandro Bonanno, and Giuseppe Nocella
- Subjects
0301 basic medicine ,Adult ,Male ,Health Knowledge, Attitudes, Practice ,General interest ,Bedrijfseconomie ,Perceived healthiness ,03 medical and health sciences ,Food Preferences ,0404 agricultural biotechnology ,Business Economics ,Consumers’ acceptance and preferences ,Functional Food ,Medicine ,Humans ,Marketing ,General Psychology ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,General function ,Health related ,04 agricultural and veterinary sciences ,Consumer Behavior ,040401 food science ,Preference ,Self Efficacy ,Systematic review ,Attitudes ,Female ,Dairy Products ,Nutrition-modified and functional dairy products ,business - Abstract
This systematic literature review collects and summarizes research on consumer acceptance and preferences for nutrition-modified and functional dairy products, to reconcile, and expand upon, the findings of previous studies. We find that female consumers show high acceptance for some functional dairy products, such as yogurt enriched with calcium, fiber and probiotics. Acceptance for functional dairy products increases among consumers with higher diet/health related knowledge, as well as with aging. General interest in health, food-neophobia and perceived self-efficacy seem also to contribute shaping the acceptance for functional dairy products. Furthermore, products with “natural” matches between carriers and ingredients have the highest level of acceptance among consumers. Last, we find that brand familiarity drives consumers with low interest in health to increase their acceptance and preference for health-enhanced dairy products, such as probiotic yogurts, or those with a general function claim.
- Published
- 2016
24. Modeling the bio-refinery industry in rural areas: A participatory approach for policy options comparison
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Maurizio Prosperi, Roberta Sisto, Antonio Stasi, Gianluca Nardone, and Antonio Lopolito
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Economics and Econometrics ,Public economics ,media_common.quotation_subject ,Context (language use) ,Subsidy ,Environmental economics ,Human capital ,Scarcity ,Promotion (rank) ,Incentive ,Economics ,Profitability index ,Rural area ,General Environmental Science ,media_common - Abstract
The development of bio-refineries has become a relevant topic in the EU's agenda. However, the promotion of a new industry in rural areas is typically hindered by the scarcity of human capital, lack of information, infrastructures, and competing interests. In this context, public support is unavoidable to assist promotion of this innovative sector. The various policy options reveal some strengths and drawbacks, posing the problem of finding the best trade-off to public decision makers. In this paper we aim at developing a methodology to support policy decision making within the biorefinery framework, with the purpose of determining a way to identify the most suitable policy option given the actual uncertainty in developing the bio-refinery industry in rural areas. The empirical experiment, based on a simulation of the enforcement of four identified policy instruments, highlights that, although subsidies and incentives to profitability of dedicated crops appear to have the greatest effects on the development of bio-refinery, the best performances are exhibited by technological innovation and information options.
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- 2011
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25. Models of vertical coordination consistent with the development of bio-energetics
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Emilio De Meo, Antonio Seccia, Gianluca Nardone, and Rosaria Viscecchia
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Flexibility (engineering) ,Power station ,biomasses ,Process (engineering) ,business.industry ,Natural resource economics ,Moral hazard ,vertical coordination ,biomasses, vertical coordination, contracts, hold-up ,media_common.quotation_subject ,Tying ,lcsh:S ,Fidelity ,lcsh:Plant culture ,Payment ,Biotechnology ,hold-up ,lcsh:Agriculture ,contracts ,lcsh:SB1-1110 ,Business ,Agronomy and Crop Science ,Hectare ,media_common - Abstract
To foster the development of the biomasses for solid fuel it is fundamental to build up a strategy at a local level in which co-exists farms as well as industrial farms. To such aim, it is necessary to implement an effective vertical coordination between the stakeholders with the definition of a contract that prevents opportunistic behaviors and guarantees the industrial investments of constant supplies over the time. Starting from a project that foresees a biomasses power plant in the south of Italy, this study reflects on the payments to fix in an eventual contract in such a way to maintain the fidelity of the farmers. These one have a greater flexibility since they can choose the most convenient crop. Therefore, their fidelity can be obtained tying the contractual payments to the price of the main alternative crop to the energetic one. The results of the study seem to indicate the opportunity to fix a purchase price of the raw materials linked to the one of durum wheat that is the most widespread crop in the territory and the one that depends more on a volatile market. Using the data of the District 12 of the province of Foggia Water Consortium with an area of 11.300 hectares (instead of the 20.000 demanded in the proposal), it has been possible to organize approximately 600 enterprises in five cluster, each of them identified by a representative farm. With a model of linear programming, we have run different simulations taking into account the possibility to grow sorghum in different ways. Through an aggregation process, it has been calculated that farmers may find it convenient to supply the energetic crop at a price of 50 €/t when the price of durum wheat is 150 €/t. Anyway, this price is lower than the one offered by firm that is planning to build the power plant. Moreover, it has been identified a strong correlation between the price of the durum wheat and the price that makes convenient for the farmers to grow the sorghum. When the price of wheat goes up to 400 €/t then the price that must be paid to the farmers for the energetic crop is 70 €/t. Even though these results offer no definitive indications about the economic convenience of industrial firms to pay greater prices for the biomasses, they represent an important step towards the definition of contractual clauses that may prevent phenomena of hold-up and moral hazard.
- Published
- 2011
26. Table grapes as functional food: Consumer preferences for health and environmental attributes
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Antonio Seccia, Gianluca Nardone, and Rosaria Viscecchia
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0106 biological sciences ,medicine.medical_specialty ,Environmental Engineering ,lcsh:QR1-502 ,Distribution (economics) ,Computer-assisted web interviewing ,01 natural sciences ,lcsh:Microbiology ,lcsh:Physiology ,Industrial and Manufacturing Engineering ,0404 agricultural biotechnology ,Willingness to pay ,lcsh:Zoology ,medicine ,Production (economics) ,lcsh:QL1-991 ,Marketing ,lcsh:QP1-981 ,business.industry ,Public health ,04 agricultural and veterinary sciences ,040401 food science ,Product (business) ,Sustainability ,Table (database) ,business ,010606 plant biology & botany - Abstract
Consumers' interest towards food with healthy and sustainable characteristics is growing and companies try to address such trend through the supply of products with characteristics for which consumers show willingness to pay a premium price. Table grapes could be considered a product with functional characteristics since offer a wealth of health benefits due to their high nutrient and antioxidant contents. Moreover, its production and distribution are increasingly affected by sustainability concerns. On the basis of these considerations, the objective of this paper is to evaluate the consumer preferences for health and environmental attributes of table grapes. For this purpose, a nationwide survey was conducted in Italy using the Computer Assisted Web Interviewing (CAWI) method and the Best- Worst Scaling Method (BWS) for data analysis. The survey is divided into sections which consider, besides the socio-demographic characteristics of respondents, questions about their preferences related to specific attributes of table grapes (variety, color, seedless, organic or conventional production, origin) and to nutritional and sustainable characteristics reported on the label. Results could be of interest for companies which can focus their marketing strategies on specific characteristics of the product, and for policy makers who are asked to take decisions for public health.
- Published
- 2019
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27. Understanding demand for innovation in the food industry
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Antonio Dottore, Gianluca Nardone, and Alessandro Muscio
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Organizational Behavior and Human Resource Management ,Food industry ,Order (exchange) ,business.industry ,Economics ,Marketing ,business ,General Business, Management and Accounting ,Focus group - Abstract
PurposeThis paper aims to focus on understanding how demand for innovation is articulated in low‐tech industries, dominated by SMEs, where innovation is often based on informal processes and uncodified knowledge, relying on intangible assets.Design/methodology/approachThe authors hypothesize that the problems found in the innovation area are exacerbated in a traditional industry. SMEs might have difficulty understanding what their requirements might be, let alone finding the optimal provider of technologies. The authors therefore expect to find three main forms of demand: real, latent, and potential. The specific case is the food industry in Apulia, Italy. First, focus groups identified general business and technology needs. Then in‐depth interviews were conducted with 87 firms, stratified in order to be representative of food firms in Apulia.FindingsThe authors detected 285 different needs requiring an innovative solution. In most cases, firms understand the areas to be improved, but do not have a technological solution in mind. Demand for innovation is mostly latent.Research limitations/implicationsThe study is narrow in geographic and industry scope. This limits generalizability, but the methodology is transferable and the results comparable. The authors studied the demand side, whereas interaction between supply and demand needs to be understood. Future studies into regional public research organizations (PROs) and intermediaries can therefore be useful.Practical implicationsThe findings can be used to understand how PROs can engage with SMEs and what policymakers can do to facilitate the interaction.Originality/valueThis study applies thinking typically used in high‐tech sectors to a traditional sector, hence testing and extending the theoretical boundaries.
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- 2010
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28. Organizzazione, innovazione e competitivitŕ nel sistema agro-alimentare: aspetti teorici ed implicazioni strategiche
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Vittoria Pilone and Gianluca Nardone
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Economics and Econometrics ,Engineering ,National government ,Scope (project management) ,business.industry ,Fordism ,Agricultural and Biological Sciences (miscellaneous) ,Incentive ,Basic knowledge ,Economy ,Systemic approach ,business ,Agronomy and Crop Science ,Industrial organization ,Production system - Abstract
Organization. Innovation and Competitiveness of the Agro-Food System: Theoretical Aspects amd Strategic Implications - This paper aims to identify which public strategies can be more effective in promoting the growth of agro-food production system’s organizational models tailored to foster innovation. It starts from the existence of a clear relation between the propensity to innovate and the competitiveness of the national firms. The theoretical framework that underlies the analysis explains the optimal level of coordination among food firms with the structure of the productive system and the characteristics of the technological regime such as the pervasivity, the sistematicity, the degree of newness, the appropriability, the cumulativeness and the basic knowledge. As a result of the analysis, it is shown the opportunity to favour the development of a structured network of food firms more than large Fordist firms. In this sense, the public incentives with a systemic approach the National Government has promoted in this last decade (such as supply-chain agreements, programmers for producer organizations, etc.) appear to be particularly useful to the scope. In the specific, we argue that a pol-icy promoting Technological Districts could be very promising to guide the development of the national agro-food system in the direction envisaged by the paper. JEL Code: Q13 Key words: organization, innovation, technological regime, technological district
- Published
- 2009
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29. Risk management in wine industry: A review of the literature
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Gianluca Nardone, Fabio Gaetano Santeramo, and Antonio Seccia
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Environmental Engineering ,media_common.quotation_subject ,lcsh:QR1-502 ,02 engineering and technology ,Wine grape ,Industrial and Manufacturing Engineering ,lcsh:Microbiology ,lcsh:Physiology ,Competition (economics) ,0502 economics and business ,lcsh:Zoology ,0202 electrical engineering, electronic engineering, information engineering ,Added value ,Economics ,Production (economics) ,Quality (business) ,lcsh:QL1-991 ,Value chain ,Industrial organization ,Risk management ,media_common ,Wine ,lcsh:QP1-981 ,business.industry ,05 social sciences ,Commerce ,020201 artificial intelligence & image processing ,050202 agricultural economics & policy ,business - Abstract
Wine industry is characterized by high added value, particularly for some segments. The quality of the final product is the result of the right combination of many variables which involve the choice of the suitable wine grape varieties to particular conditions of site location, soil, climate, landscape together with entrepreneurial right decisions in management. The globalization of the market with the increasing of competition among producers and the evidences of climate change, that has different effects on the vitivinicultural areas in the world, have led to the growth of frequency and intensity of risks that winegrowers have to cope with. Their behaviour and reactions in managing risky situations of different nature, often adopting instruments they are not familiar with, as insurance or derivatives, could result in relevant consequences on prices, costs of production, revenues and profits, in other words, on the value chain of the wine production. This paper aims to provide a general overview of the economic literature on risk management in the wine industry.
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- 2016
30. Water as a factor of differentiation in the food industry
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Giacomo Zanni and Gianluca Nardone
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advertisement ,Resource (biology) ,Food industry ,business.industry ,media_common.quotation_subject ,water ,lcsh:S ,Competitor analysis ,differentiation ,lcsh:Plant culture ,Competitive advantage ,Final good ,Product (business) ,lcsh:Agriculture ,Quality (business) ,competitive advantage ,lcsh:SB1-1110 ,Empirical evidence ,business ,Agronomy and Crop Science ,Industrial organization ,media_common - Abstract
To foster their competitive advantage, food firms pay an increasing attention to strategies that tend to distinguish their products from the one supplied by their competitors, dedicating to this task most of their resources, knowledge and creativity. In such a framework, also the resource “water”, often seen as an homogenous product, is more and more utilized in the advertisement as an element that increase the quality of the final good. This paper aims to build a model that can explain the observed behavior in the different food industries and that can give some insights about the future perspectives of the utilization of the water as a differentiation factor. To reach this goal, first we present a survey of the commercials of specific food industries (beverages, pasta, bread, fresh produce) in which it is shown the contribute of water on the product. On the base of the empirical evidence, we argue that the propensity to use the water as an element of differentiation is greater when greater are the degree of technological knowledge, the consumers’ perceptions, and the importance of the differentiation strategy in that specific industry. Since we expect that these three factors will increase over time, we also conclude that it is rational to experiment a generalized increase of the utilization of the water in the commercials of the food products. We also recommend to extend the analysis testing the results using a quantitative approach.
- Published
- 2010
31. Distribution and biology of the Blackmouth catshark Galeus melastomus in the Strait of Sicily (Central Mediterranean Sea)
- Author
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Gianluca Nardone, G. B. Giusto, D Ottonello, Salvatore Gancitano, G. Sinacori, Sergio Ragonese, RAGONESE, S, NARDONE, G, OTTONELLO, D, GANCITANO, S, GIUSTO, GB, and SINACORI, G
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lcsh:SH1-691 ,Maturity (geology) ,Settore BIO/07 - Ecologia ,Environmental Engineering ,biology ,Range (biology) ,Zoology ,Aquatic Science ,Distribution ,Oceanography ,biology.organism_classification ,lcsh:Aquaculture. Fisheries. Angling ,Catshark ,Fishery ,Biological trait ,Mediterranean sea ,Galeus melastomu ,Galeus melastomus ,Carcharhiniformes ,Mediterranean Sea ,Sexual maturity ,Bottom trawl survey ,Ecology, Evolution, Behavior and Systematics ,Sex ratio - Abstract
The Blackmouth catshark, Galeus melastomus, Rafinesque, 1810 (Carcharhiniformes; Scyliorhinidae), is a common, although at present discarded, by- catch of the bottom trawl fisheries in the Strait of Sicily. Given its ecological interest, data gathered in experimental bottom trawl surveys were analysed in order to describe its distribution and main biological traits. The Blackmouth catshark was sampled almost exclusively on the upper slope (200-800), showing the highest frequency of occurrence (69-100%), biomass (BI; 10-85 kg*km-2) and density (DI; 54-506 N*km-2) indexes in the deeper (501-800m) grounds. Individual size (total length, TL, mm) were between 70-590 and 90-510 in females and males, respectively. The sex ratio (SR) was around 0.5. The SR by size showed a gradual decrease till 450 mm class size, followed by an increase up 1 after 500 mm. Virginal/immature specimens represented the bulk of the samples in both females (77%) and males (65%); the length at 50% of sexual maturity (Lm50%) and corresponding maturity range (Lm25% - Lm75% ) was 433 (423-443) and 380 (366-394) mm, respectively.
- Published
- 2009
32. Dotazione territoriale e competitivita' del sistema agro-alimentare: unanalisi in provincia di Foggia
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Roberta Sisto and Gianluca Nardone
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- 2006
33. Partenariato locale e capitale relazionale 'potenziale' in provincia di Foggia
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Roberta Sisto, Antonio Lopolito, and Gianluca Nardone
- Published
- 2005
34. La filiera della pasta biologica in provincia di Foggia: forti potenzialita', debole integrazione
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Gianluca Nardone and Roberta Sisto
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- 2005
35. Una Strategia Territoriale per la Valorizzazione delle Produzioni Agro-Alimentari nellarea Equal Sara
- Author
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Gianluca Nardone and Roberta Sisto
- Published
- 2005
36. Nutritional state and energy balance in cirrhotic patients with or without hypermetabolism. Multicentre prospective study by the 'Nutritional Problems in Gastroenterology' Section of the Italian Society of Gastroenterology (SIGE)
- Author
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A. Losco, Geltrude Mingrone, Silvia Mazzuoli, Manuela Merli, Giorgio Zoli, Alessia Morelli, Antonio Francavilla, Gabriele Budillon, Claudia Clerici, Dario Conte, Carmine Panella, Andrea Buda, Lorenza Caregaro, Giovanni Gasbarrini, Diego Martines, Carmela Loguercio, Gianluca Nardone, Alessandro Federico, Francesco William Guglielmi, A. Guglielmi, Guglielmi, F. W., Panella, C., Buda, A., Budillon, G., Caregaro, L., Clerici, C., Conte, D., Federico, Alessandro, Gasbarrini, G., Guglielmi, A., Loguercio, Carmelina, Losco, A., Martines, D., Mazzuoli, S., Merli, M., Mingrone, G., Morelli, A., Nardone, G., Zoli, G., and Francavilla, A.
- Subjects
Adult ,Liver Cirrhosis ,Male ,medicine.medical_specialty ,Cirrhosis ,Nutritional status ,Hypermetabolism ,Free fat ,Nutritional state ,Physical activity ,Energy balance ,Liver cirrhosis ,Nutrient intake ,Aged ,Energy Intake ,Energy Metabolism ,Exercise ,Female ,Gastroenterology ,Humans ,Italy ,Malnutrition ,Middle Aged ,Multivariate Analysis ,Nutrition Assessment ,Outpatients ,Prospective Studies ,Regression Analysis ,Societies, Medical ,Nutritional Status ,Hepatology ,NO ,Hypermetabolism, Liver cirrhosis, Nutrient intake, Nutritional state, Physical activity ,Internal medicine ,Medical ,medicine ,Prospective cohort study ,Balance (ability) ,business.industry ,Settore MED/09 - MEDICINA INTERNA ,medicine.disease ,business ,Societies - Abstract
A total of 334 stable, compensated cirrhotic patients admitted to 10 Italian Gastroenterology Units were included in a prospective study to evaluate nutritional state and energy balance in liver cirrhosis.Nutritional state and calorie intake were examined in the total population, while adequacy of calorie intake versus measured total energy expenditure was evaluated in a comparable subpopulation and in 40 matched controls, by computing the energy balance.Our data demonstrated that: (i) malnutrition was present in 25% of the total patients and significantly correlated with the Child's group (A=16%; B=25%; C=44%); (ii) the type of malnutrition is influenced by mBEE: normometabolic patients exhibit a significant (p0.005) reduction of mid-arm fat area while both hypermetabolic and hypometabolic patients show a significant (p0.005) decline in kg of free fat mass; (iii) normometabolic and hypometabolic patients have a negative energy balance, due to a high level of physical activity (127+/-14 kJ) in the first group and a reduced energy intake/kg body weight (102+/-12 kJ) in the second; (iv) hypermetabolic patients have a positive energy balance due to decreased daily physical activity/kg body weight (108+/-28 kJ); (v) malnourished and normometabolic patients eat a significantly (p0.05) reduced percentage of protein whereas malnourished and hypermetabolic patients eat a significantly increased percentage of fat (p0.05).Although multivariate regression analysis confirms that the Child-Pugh's score is a better independent predictor of malnutrition, the measure of REE, TEE, calorie intake and energy balance need to be routinely performed in cirrhotic patients, in order to recognise hypermetabolic and hypometabolic patients (approximately 30%) in whom the nutritional and metabolic parameters are indispensable as a basis for designing and prescribing personalised nutritional strategies that can treat muscle malnutrition and thus improve the morbidity and mortality rates.
- Published
- 2005
37. Clinical nutrition practice in Italian gastroenterology units
- Author
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Geltrude Mingrone, C. Del Vecchio Blanco, Manuela Merli, Carmela Loguercio, Oliviero Riggio, Dario Conte, Antonio Francavilla, Carmine Panella, Gabriele Budillon, Giovanni Gasbarrini, Gianluca Nardone, A. Losco, Francesco William Guglielmi, Guglielmi, Fw, Panella, C, Losco, A, Budillon, G, Conte, D, DEL VECCHIO BLANCO, C, Gasbarrini, G, Loguercio, Carmelina, Merli, M, Mingrone, G, Nardone, G, Riggio, O, Francavilla, A., Loguercio, C, and Nardone, GERARDO ANTONIO PIO
- Subjects
medicine.medical_specialty ,Physician's Practice Patterns ,MEDLINE ,Nutritional Status ,Physical examination ,Clinical nutrition ,Gastroenterology ,Enteral administration ,Internal medicine ,medicine ,Humans ,Practice Patterns, Physicians' ,Intensive care medicine ,Physical Examination ,artificial nutrition ,clinical nutrition ,nutritional assessment ,Medical Audit ,Hepatology ,medicine.diagnostic_test ,Nutritional Support ,business.industry ,Incidence (epidemiology) ,Settore MED/09 - MEDICINA INTERNA ,medicine.disease ,Malnutrition ,Nutrition Assessment ,Parenteral nutrition ,Italy ,Health Care Surveys ,business ,Complication ,Delivery of Health Care ,Hospital Units - Abstract
Background. Nutritional status affects the course, ensuing complications and prognosis of virtually all diseases. Aims. To define the role of nutrition in Gastroenterology Units by means of two investigations that analyse: a) availability of devices for assessing nutritional status; b) nutritional treatment in clinical practice: incidence and frequency of indications for its use, together with type of treatment adopted. Patients and Methods. Two questionnaires were sent to Italian Academic and Hospital Gastroenterology Units, all with clinical wards. Results. Results refer to 27 Units, 22 of which took part in both parts of the analysis, enrolling 547 patients during the two-week study. The first analysis shows that scales and the altimeter are not available everywhere, while more specific tools, such as skinfold calipers are available in 54% of the Units, and caloric intake can be assessed in 22–41%. The second analysis reveals that nutritional treatment was necessary in 50% of patients in the series examined, and that this was taken into account and prescribed in almost all cases (91%). Of the patients treated, 69% received dietetic supplementation and 31% artificial nutrition (12% enteral, 88% parenteral), although supportive parenteral nutrition is often contraindicated in conditions where good bowel function provides the conditions for enteral nutrition. Conclusion. Data emerging from the investigation showed that i) artificial nutrition is commonly used in gastroenterology Units in Italy, although 23% of them never consider either enteral or parenteral nutrition as medical treatment of gastrointestinal disease; ii) malnutrition is a very frequent complication (mean 27%; range 4–55%) in Gastroenterology Unit patients albeit only 42% of malnourished patients received artificial nutrition; iii) indications for enteral and parenteral nutrition are not always respected, as there is an excessive use of parenteral nutrition and an unjustified resistance to the use of enteral nutrition; iv) nutritional treatment is often administered without adequate nutritional assessment and without a complete adherence to the standards recommended for preparation of parenteral bags, supported by suitable technology, v) only two Gastroenterology Units report admitting and following patients in a home parenteral nutrition programme; vi) this investigation probably reflects the response of those Gastroenterology Units most aware of the importance of nutritional problems. Better awareness of correct practices for nutritional support should be promoted, encouraging greater use of diagnostic and monitoring techniques and a more discerning choice of the most suitable type of artificial nutrition to be administered in gastroenterology.
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