Impact of a nutrition/educational program in a group of type 2 diabetes patients, already involved in a wider “Group Care” plan and not achieving complete target: an observational study

Type 2 diabetes is one of the most frequent chronic degenerative diseases in the world (5.4% in Italy); it has many chronic consequences with a significant impact either on expectation or quality of life. About 80-90% of type 2 diabetes patients is either overweight or obese, condition that can cause many more negative consequences than in individuals in the same conditions but with normal weight. The aim of the research is to assess if diabetic people who cannot reach the goals of glycemic control, good eating habits and weight loss can eventually obtain, with an individualized care plan, long lasting improvements. This study involved a little group of diabetic patients who did not achieve an optimal therapeutic target. These patients have been individually followed by a dietician for six months through a program of dietetic counseling and regular controls and at the end we compare the results of another group of diabetic people, involved in the Group Care Plan (but without the support of the dietitian). The nutrition educational program determined a significant weight loss (- 4.62 kg vs + 3.46 kg; p<0.05), a reduction of waist circumference (-5.34 cm vs + 4.15 cm; p<0.05), an improvement of glycemic control (Hb1Ac: - 0.67 % vs + 0.57%; p<0.05), lipidic profile (total cholesterol: - 1 mg/dl vs + 12.85 mg/dl; p<0.05) and perceived quality of life (Test Att 19: 0 subjects vs 6 subjects). An individualized nutrition educational program in patients with type 2 diabetes not achieving a therapeutic target can optimize global care of the disease.

Nutrition, obesity and hormones

Obesity is a chronic pathological condition with a multifactorial aetiology, characterised by an excessive body fat accumulation with multiple organ-specific consequences. Emerging evidence highlights that obesity appears to be associated with multiple alterations in the endocrine system. However, the mechanisms underlying the interactions between obesity and this system remain still controversial. This review discusses the impact of obesity on various endocrine systems and, in particular, would provide a general overview on the biochemical changes that may occur in each of these axes in association with obesity

Attention rhythmically samples multi-feature objects in working memory

Attention allows us to selectively enhance processing of specific locations or features in our external environment while filtering out irrelevant information. It is currently hypothesized that this is achieved through boosting of relevant sensory signals which biases the competition between neural representations. Recent neurophysiological and behavioral studies revealed that attention is a fundamentally rhythmic process, tightly linked to neural oscillations in frontoparietal networks. Instead of continuously highlighting a single object or location, attention rhythmically alternates between multiple relevant representations at a frequency of 3–8 Hz. However, attention cannot only be directed towards the external world but also towards internal visual working memory (VWM) representations, e.g. when selecting one of several search templates to find corresponding objects in the external world. Two recent studies demonstrate that single-feature objects in VWM are attended in a similar rhythmic fashion as perceived objects. Here we add to the literature by showing that non-spatial retro-cues initiate comparable theta-rhythmic sampling of multi-feature objects in VWM. Our findings add to the converging body of evidence that external and internal visual representations are accessed by similar rhythmic attentional mechanisms and present a potential solution to the binding problem in working memory

A chemical survey of exoplanets with ARIEL

Thousands of exoplanets have now been discovered with a huge range of masses, sizes and orbits: from rocky Earth-like planets to large gas giants grazing the surface of their host star. However, the essential nature of these exoplanets remains largely mysterious: there is no known, discernible pattern linking the presence, size, or orbital parameters of a planet to the nature of its parent star. We have little idea whether the chemistry of a planet is linked to its formation environment, or whether the type of host star drives the physics and chemistry of the planet’s birth, and evolution. ARIEL was conceived to observe a large number (~1000) of transiting planets for statistical understanding, including gas giants, Neptunes, super-Earths and Earth-size planets around a range of host star types using transit spectroscopy in the 1.25–7.8 μm spectral range and multiple narrow-band photometry in the optical. ARIEL will focus on warm and hot planets to take advantage of their well-mixed atmospheres which should show minimal condensation and sequestration of high-Z materials compared to their colder Solar System siblings. Said warm and hot atmospheres are expected to be more representative of the planetary bulk composition. Observations of these warm/hot exoplanets, and in particular of their elemental composition (especially C, O, N, S, Si), will allow the understanding of the early stages of planetary and atmospheric formation during the nebular phase and the following few million years. ARIEL will thus provide a representative picture of the chemical nature of the exoplanets and relate this directly to the type and chemical environment of the host star. ARIEL is designed as a dedicated survey mission for combined-light spectroscopy, capable of observing a large and well-defined planet sample within its 4-year mission lifetime. Transit, eclipse and phase-curve spectroscopy methods, whereby the signal from the star and planet are differentiated using knowledge of the planetary ephemerides, allow us to measure atmospheric signals from the planet at levels of 10–100 part per million (ppm) relative to the star and, given the bright nature of targets, also allows more sophisticated techniques, such as eclipse mapping, to give a deeper insight into the nature of the atmosphere. These types of observations require a stable payload and satellite platform with broad, instantaneous wavelength coverage to detect many molecular species, probe the thermal structure, identify clouds and monitor the stellar activity. The wavelength range proposed covers all the expected major atmospheric gases from e.g. H2O, CO2, CH4 NH3, HCN, H2S through to the more exotic metallic compounds, such as TiO, VO, and condensed species. Simulations of ARIEL performance in conducting exoplanet surveys have been performed – using conservative estimates of mission performance and a full model of all significant noise sources in the measurement – using a list of potential ARIEL targets that incorporates the latest available exoplanet statistics. The conclusion at the end of the Phase A study, is that ARIEL – in line with the stated mission objectives – will be able to observe about 1000 exoplanets depending on the details of the adopted survey strategy, thus confirming the feasibility of the main science objectives.Peer reviewedFinal Published versio

HADES RV Programme with HARPS-N at TNG. XIII. A sub-Neptune around the M dwarf GJ 720 A

Context. The high number of super-Earth and Earth-like planets in the habitable zone detected around M-dwarf stars in recent years has revealed these stellar objects to be the key to planetary radial velocity (RV) searches. Aims: Using the HARPS-N spectrograph within The HArps-n red Dwarf Exoplanet Survey (HADES) we have reached the precision needed to detect small planets with a few Earth masses using the spectroscopic radial velocity technique. HADES is mainly focused on the M-dwarf population of the northern hemisphere. Methods: We obtained 138 HARPS-N RV measurements between 2013 May and 2020 September of GJ 720 A, classified as an M0.5 V star located at a distance of 15.56 pc. To characterize the stellar variability and to distinguish the periodic variation due to the Keplerian signals from those related to stellar activity, the HARPS-N spectroscopic activity indicators and the simultaneous photometric observations with the APACHE and EXORAP transit surveys were analyzed. We also took advantage of TESS, MEarth, and SuperWASP photometric surveys. The combined analysis of HARPS-N RVs and activity indicators let us address the nature of the periodic signals. The final model and the orbital planetary parameters were obtained by simultaneously fitting the stellar variability and the Keplerian signal using a Gaussian process regression and following a Bayesian criterion. Results: The HARPS-N RV periodic signals around 40 days and 100 days have counterparts at the same frequencies in HARPS-N activity indicators and photometric light curves. We thus attribute these periodicities to stellar activity; the first period is likely associated with the stellar rotation. GJ 720 A shows the most significant signal at 19.466 ± 0.005 days with no counterparts in any stellar activity indices. We hence ascribe this RV signal, having a semi-amplitude of 4.72 ± 0.27 m s−1, to the presence of a sub-Neptune mass planet. The planet GJ 720 Ab has a minimum mass of 13.64 ± 0.79 M⊕, it is in circular orbit at 0.119 ± 0.002 AU from its parent star, and lies inside the inner boundary of the habitable zone around its parent star. Based on observations collected at the Italian Telescopio Nazionale Galileo (TNG), operated on the island of La Palma by the Fundación Galileo Galilei of the INAF (Istituto Nazionale di Astrofisica) at the Spanish Observatorio del Roque de los Muchachos of the Instituto de Astrofísica de Canarias, in the framework of the HArps-n red Dwarf Exoplanet Survey (HADES)

HADES RV Programme with HARPS-N at TNG. IV. Time resolved analysis of the Ca II H&K and Hα chromospheric emission of low-activity early-type M dwarfs

Context. M dwarfs are prime targets for current and future planet search programs, particularly those focused on the detection and characterization of rocky planets in the habitable zone. In this context, understanding their magnetic activity is important for two main reasons: it affects our ability to detect small planets and it plays a key role in the characterization of the stellar environment. Aims: We analyze observations of the Ca II H&K and Hα lines as diagnostics of chromospheric activity for low-activity early-type M dwarfs. Methods: We analyze the time series of spectra of 71 early-type M dwarfs collected in the framework of the HADES project for planet search purposes. The HARPS-N spectra simultaneously provide the Ca II H&K doublet and the Hα line. We develop a reduction scheme able to correct the HARPS-N spectra for instrumental and atmospheric effects, and also to provide flux-calibrated spectra in units of flux at the stellar surface. The Ca II H&K and Hα fluxes are then compared with each other, and their time variability is analyzed. Results: We find that the Ca II H and K flux excesses are strongly correlated with each other, while the Hα flux excess is generally less correlated with the Ca II H&K doublet. We also find that Hα emission does not increase monotonically with the Ca II H&K line flux, showing some absorption before being filled in by chromospheric emission when Ca II H&K activity increases. Analyzing the time variability of the emission fluxes, we derive a tentative estimate of the rotation period (on the order of a few tens of days) for some of the program stars, and the typical lifetime of chromospheric active regions (on the order of a few stellar rotations). Conclusions: Our results are in good agreement with similar previous studies. In particular, we find evidence that the chromospheres of early-type M dwarfs could be characterized by different filament coverage, affecting the formation mechanism of the Hα line. We also show that chromospheric structure is likely related to spectral type

HADES RV Programme with HARPS-N at TNG . III. Flux-flux and activity-rotation relationships of early-M dwarfs

Context. Understanding stellar activity in M dwarfs is crucial for the physics of stellar atmospheres and for ongoing radial velocity exoplanet programmes. Despite the increasing interest in M dwarfs, our knowledge of the chromospheres of these stars is far from being complete. Aims: We test whether the relations between activity, rotation, and stellar parameters and flux-flux relationships previously investigated for main-sequence FGK stars and for pre-main-sequence M stars also hold for early-M dwarfs on the main-sequence. Although several attempts have been made so far, here we analyse a large sample of stars undergoing relatively low activity. Methods: We analyse in a homogeneous and coherent way a well-defined sample of 71 late-K/early-M dwarfs that are currently being observed in the framework of the HArps-N red Dwarf Exoplanet Survey (HADES). Rotational velocities are derived using the cross-correlation technique, while emission flux excesses in the Ca II H & K and Balmer lines from Hα up to H∊ are obtained by using the spectral subtraction technique. The relationships between the emission excesses and the stellar parameters (projected rotational velocity, effective temperature, kinematics, and age) are studied. Relations between pairs of fluxes of different chromospheric lines (flux-flux relationships) are also studied and compared with the literature results for other samples of stars. Results: We find that the strength of the chromospheric emission in the Ca II H & K and Balmer lines is roughly constant for stars in the M0-M3 spectral range. Although our sample is likely to be biased towards inactive stars, our data suggest that a moderate but significant correlation between activity and rotation might be present, as well as a hint of kinematically selected young stars showing higher levels of emission in the calcium line and in most of the Balmer lines. We find our sample of M dwarfs to be complementary in terms of chromospheric and X-ray fluxes with those of the literature, extending the analysis of the flux-flux relationships to the very low flux domain. Conclusions: Our results agree with previous works suggesting that the activity-rotation-age relationship known to hold for solar-type stars also applies to early-M dwarfs. We also confirm previous findings that the field stars which deviate from the bulk of the empirical flux-flux relationships show evidence of youth. Based on observations made with the Italian Telescopio Nazionale Galileo (TNG), operated on the island of La Palma by the Fundación Galileo Galilei of the INAF (Istituto Nazionale di Astrofisica) at the Spanish Observatorio del Roque de los Muchachos of the Instituto de Astrofísica de Canarias

HADES RV programme with HARPS-N at TNG. XIV. A candidate super-Earth orbiting the M-dwarf GJ 9689 with a period close to half the stellar rotation period

Context. It is now well-established that small, rocky planets are common around low-mass stars. However, the detection of such planets is challenged by the short-term activity of host stars. Aims: The HARPS-N red Dwarf Exoplanet Survey programme is a long-term project at the Telescopio Nazionale Galileo aimed at monitoring nearby, early-type, M dwarfs, using the HARPS-N spectrograph to search for small, rocky planets. Methods: A total of 174 HARPS-N spectroscopic observations of the M0.5V-type star GJ 9689 taken over the past seven years have been analysed. We combined these data with photometric measurements to disentangle signals related to the stellar activity of the star from possible Keplerian signals in the radial velocity data. We ran an MCMC analysis, applying Gaussian process regression techniques to model the signals present in the data. Results: We identify two periodic signals in the radial velocity time series, with periods of 18.27 and 39.31 d. The analysis of the activity indexes, photometric data, and wavelength dependency of the signals reveals that the 39.31 d signal corresponds to the stellar rotation period. On the other hand, the 18.27 d signal shows no relation to any activity proxy or the first harmonic of the rotation period. We, therefore, identify it as a genuine Keplerian signal. The best-fit model describing the newly found planet, GJ 9689 b, corresponds to an orbital period of Pb = 18.27 ± 0.01 d and a minimum mass of MP sini = 9.65 ± 1.41 M⊕. Table A.1 is only available in electronic form at the CDS via anonymous ftp to cdsarc.u-strasbg.fr (ftp://130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/cat/J/A+A/651/A93 Based on observations made with the Italian Telescopio Nazionale Galileo (TNG) operated by the Fundación Galileo Galilei (FGG) of the Istituto Nazionale di Astrofisica (INAF) at the Observatorio del Roque de los Muchachos (La Palma, Canary Islands, Spain)