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Marwan El Ghoch

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Marwan El Ghoch

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Nutrition & Dietetics

Google Scholar Citations: 2006

H-Index: 24

m.ghoch@bau.edu.lb

01 300110 Ex: 2332

Beirut

Marwan El Ghoch

Clinical Professor - Head of Nutrition & Dietetics Department

Professor in Clinical Nutrition 

Head of the Department of Nutrition & Dietetics Degree in Medicine and Surgery from the University of Bologna, Italy, followed by 4 years postgraduate studies in Clinical Nutrition from the University of Modena and Reggio Emilia, Italy. He is considered an expert in obesity and eating disorders treatments, and gained an international leadership in the study of the two-component model of body composition (DXA scan). Author of nearly 100 papers published in high-ranking peer-review journals in the field of  medicine, clinical nutrition and dietetics. Currently covers the role of Co-Editor-In-Chief of Journal of Population Therapeutics & Clinical Pharmacology - Codon publications - Australia  (Indexed in PubMed/MedLine/Scopus), and Editorial Board Member of several journals published by MDPI, and Cambridge University Press. 

 

 

Education

  • Doctorate in Medicine and Surgery MD at the University of Bologna - Italy, with a thesis in endocrinology and metabolic disorders, 104/110 (1999-2005) - Professor Giulio Marchesini.
  • Four years post-graduate studies in clinical nutrition at the University of Modena and Reggio Emilia - Italy with a thesis in diabetology, 110/110L (2005-2009) - Professor Nino Carlo Battestini.
  • CREDO six months training in Enhanced Cognitive Behavioural Therapy (CBT-E) for Eating Disorders - The Centre for Research on Dissemination at University of Oxford - UK  – 2015 – Professor Christopher Fairburn.
  • International Association for the Study of Obesity (IASO) SCOPE Summer school – 2012 - University of Cambridge - UK - Professor Philips James and Professor Nick Finer.
  • International Association for the Study of Obesity (IASO) SCOPE Summer school – 2010 – University of Cambridge - UK  - Professor Philips James and Professor Nick Finer.

Publications

  1. How valuable is cardiopulmonary exercise testing in patients with severe obesity undergoing bariatric surgery? Itani L, El Masri D, Kreidieh D, Tannir H, El Ghoch M. Intern Emerg Med. 2020
  2. Association between reduced daily steps and sarcopenic obesity in treatment-seeking adults with obesity. Kreidieh D, Itani L, El Masri D, Tannir H, El Ghoch M. Front. Endocrinol. 2020
  3. The Impact of Sarcopenic Obesity on Health-Related Quality of Life in Treatment-Seeking Patients with Obesity. Itani L, Kreidieh D, El Masri D, Tannir H, El Ghoch M. Curr Diabetes Rev. 2020
  4. Association Between Sarcopenic Obesity and Metabolic Syndrome in Adults: A Systematic Review and Meta-Analysis. Khadra D, Itani L, Chebaro Y, Obeid M, Jaber M, Ghanem R, Ayton A, Kreidieh D, El Masri D, Kimura A, Tannir H, El Ghoch M. Curr Cardiol Rev. 2020
  5. Sarcopenic Obesity Predicts Early Attrition in Treatment-Seeking Patients with Obesity: A Longitudinal Pilot Study. Kreidieh D, Itani L, Tannir H, El Masri D, El Ghoch M. J Cardiovasc Dev Dis. 2020 Jan 27;7(1).
  6. Validation of predictive equations for resting energy expenditure in treatment-seeking adults with overweight and obesity: Measured versus estimated. Itani L, Tannir H, Kreidieh D, El Masri D, El Ghoch M. J Popul Ther Clin Pharmacol. 2020 Jan 18;27(1):e32-e47.
  7. Understanding sarcopenic obesity in terms of definition and health consequences: a clinical review. Nezameddin R, Itani L, Kreidieh D, El Masri D, Tannir H, El Ghoch M. Curr Diabetes Rev. 2020
  8. Predictive Equations based on Body Composition for Resting Energy Expenditure estimation in adults with obesity. El Masri D, Itani L, Kreidieh D, Tannir H, El Ghoch M. Curr Diabetes Rev. 2019
  9. Reduction of Resting Energy Expenditure and Sarcopenic Obesity in Adults with Overweight and Obesity: A Brief Report. Tannir H, Kreidieh D, Itani L, El Masri D, El Ghoch M. Curr Diabetes Rev. 2019
  10. Is body fat percentage a good predictor of menstrual recovery in females with Anorexia Nervosa after weight restoration? A systematic review and exprolatory and selective meta-analysis. Traboulsi S, Itani L, Tannir H, Kreidieh D, El Masri D, El Ghoch M. J Popul Ther Clin Pharmacol. 2019
  11. Challenges and new directions in obesity management: Lifestyle modification programmes, pharmacotherapy and bariatric surgery. El Ghoch M, Fakhoury R. J Popul Ther Clin Pharmacol. 2019
  12. Association Between Smoking Hookahs (Shishas) and Higher Risk of Obesity: A Systematic Review of Population-Based Studies. Baalbaki R, Itani L, El Kebbi L, Dehni R, Abbas N, Farsakouri R, Awad D, Tannir H, Kreidieh D, El Masri D, El Ghoch M. J. Cardiovasc. Dev. Dis. 2019, 6, 23.
  13. Association between sarcopenic obesity and higher risk of type 2 diabetes in adults: A systematic review and meta-analysis. Khadra D, Itani L, Tannir H, Kreidieh D, El Masri D, El Ghoch M.  World Journal of Diabetes 2019.
  14. Challenges and New Directions in Obesity Management: Lifestyle modification programs, pharmacotherapy and Bariatric surgery. El Ghoch M, Fakhoury R. journal of Population Therapeutics and Clinical Pharmacology 2019.
  15. Body composition in adolescents and young adults with anorexia nervosa: A clinical review.Tannir H, Itani L, Kreidieh D, El Masri D, Traboulsi S, El Ghoch M. Curr Rheumatol Rev. 2019
  16. Nutritional Knowledge and Dietary Practice in Elite 24-Hour Ultramarathon Runners: A Brief Report. Citarella R, Itani L, Intini V, Zucchinali G, Scevaroli S, Kreidieh D, Tannir H, El Masri D, El Ghoch M. Sports (Basel). 2019, 16;7(2).
  17. Lifestyle modification in Rheumatoid Arthritis: Dietary and physical activity recommendations based on evidence. Chehade L, Jaafar ZA, El Masri D, Zmerly H, Kreidieh D, Tannir H, Itani L, El Ghoch M. Curr Rheumatol Rev. 2018. 
  18. Reduced lean body mass and cardiometabolic diseases in adult males with overweight and obesity: a pilot study. Khazem S, Itani L, Kreidieh D, El Masri D, Tannir H, Citarella R, El Ghoch M. International Journal of Environmental Research and Public Health 2018
  19. Clinical Management of Medial Patellar Plica Syndrome: Mini Review from Diagnosis to Treatment. Zmerly H, Akkawi I, Citarella R, El Ghoch M. Curr Rheumatol Rev. 2018
  20. Personalized Lifestyle Modification Programme Based on Cognitive Behavioural Therapy for Obesity (CBT-OB) in Arab Countries: A Case Report. El Masri D, Kreidieh D, Itani L, Tannir H, El Ghoch M. J Reports (MDPI). 2018
  21. Association between sarcopenic obesity, type 2 diabetes and hypertension in treatment-seeking adult females with overweight and obesity. Kreidieh D, Itani L, El Masri D, Tannir H, Citarella R, El Ghoch M. J. Cardiovasc. Dev. Dis. 2018
  22. Sarcopenic Obesity: Definition, Health Consequences and Clinical Management. El Ghoch, M., Calugi, S., Dalle Grave, R. The Open Nutrition Journal, 2018.
  23. Validity and reliability of the Eating Problem Checklist (EPCL). Dalle Grave, R., Sartirana, M., Milanese, C., El Ghoch. M.,  Brocco, C.  Pellicone, C., Calugi, S. Eating Disorders. 2018
  24. Personalized group cognitive behavioural therapy for obesity: A longitudinal study in a real-world clinical setting. Dalle Grave, R.,  Calugi, S., Bosco, G., Valerio, L., Valenti,C ., El Ghoch, M., Zini, D. Eating and Weight Disorders. 2018
  25. DSM-5 severity specifiers for anorexia nervosa and treatment outcomes in adult females. Dalle Grave, R., Sartirana, M., El Ghoch, M., & Calugi, S. Eating Behaviors, 31, 18-23. 2018
  26. The association between weight maintenance and session-by-session diet adherence, weight loss and weight-loss satisfaction.  Calugi S, Marchesini G, El Ghoch M, Gavasso I,  Dalle Grave R. Eating and Weight Disorders. 2018
  27. Physical performance measures in screening for reduced lean body mass in adult females with obesity. El Ghoch M, Rossi AP, Calugi S, Rubele S, Soave F, Zamboni M, Chignola E, Mazzali G, Bazzani PV, Dalle Grave R. Metabolism & Cardiovascular Diseases 2018.
  28. Adipose-Derived Mesenchymal Stem Cells in the Treatment of Obesity: A Systematic Review of longitudinal studides on Preclinical Evidence. Saleh F, Itani L, Calugi S, Dalle Grave R, El Ghoch M. Current Stem Cell Research & Therapy 2018 (in press).
  29. Weight-loss cognitive-behavioural treatment and essential amino acid supplementation in a patient with spinal muscular atrophy and obesity. El Ghoch M, Bazzani P, Calugi S, Dalle Grave R. Case Reports in Medicine 2018 (In press).
  30. Starvation symptoms in patients with anorexia nervosa: a longitudinal study. Calugi S, Chignola E, El Ghoch M, Dalle Grave, R. Eating Disorders: The Journal of Treatment & Prevention 2018.
  31. Preoccupation with shape or weight, fear of weight gain, feeling fat and treatment outcomes in patients with anorexia nervosa: A longitudinal study. Calugi S, El Ghoch M, Conti M, Dalle Grave R. Behav Res Ther. 2018 Apr 13;105:63-68.
  32. The Dilemma of Weight Cycling in Obesity: Is It Really a Health Risk Factor? El Ghoch M, Calugi S, Dalle Grave R. The Open Nutrition Journal, 2018, 12: 1-2.
  33. The Association between Body Mass Index and Health-Related Quality of Life in Treatment-Seeking Arab Adults with Obesity. Itani L, Calugi S, Dalle Grave R, Kreidieh D, El Kassas G, El Masri D, Tannir H, Harfoush A, El Ghoch M. Med Sci (Basel). 2018 Mar 13;6(1).
  34. Validation of an Arabic Version of the Obesity-Related Wellbeing (ORWELL 97) Questionnaire in Adults with Obesity. Itani L, Calugi S, Kreidieh D, El Kassas G, El Masri D, Tannir H, Dalle Grave R, Harfoush A, El Ghoch M. Current Diabetes Reviews 2017.
  35. The Clinical Impairment Assessment Questionnaire: validation in Italian patients with eating disorders. Calugi, S., Sartirana, M., Milanese, C., El Ghoch, M., Riolfi, F., Dalle Grave. R. Eating and Weight Disorders 2017 (In press).
  36. Are personality characteristics measured by the Temperament and Character Inventory (TCI) associated with obesity treatment outcomes? A systematic review. Dalle Grave, R., Calugi, S., El Ghoch, M. Current Obesity Report. 2017 (In press)
  37. Peripheral Endocannabinoid Responses to Hedonic Eating in Binge Eating Disorder. Monteleone, A.M., Piscitelli, F., Dalle Grave, R., El Ghoch, M., Di Marzo, V., Maj, M., Monteleone, P. Nutrients 2017
  38. Weight cycling in adults with severe obesity: a longitudinal study. El Ghoch, M., Calugi, S., Dalle Grave, R. Nutrition & Dietetics. 2017
  39. Anorexia nervosa and childhood sexual abuse: Treatment outcomes of intensive enhanced cognitive behavioural therapy. Calugi, S., Franchini C., Pivari S., Conti M., El Ghoch M., Dalle Grave, R. Psychiatry Research 2017.
  40. The Starvation Symptom Inventory: Development and Psychometric Properties. Calugi, S., Miniati, M., Milanese, C., Sartirana, M., El Ghoch, M., Dalle Grave, R.  Nutrients 9 (9):967. 2017
  41. Long-term lifestyle modification programs for overweight and obesity managment in Arab countries: Systematic review and meta-analysis. Kreideh, D., Itani, L., El Kassas, G., El Masri, D., Calugi, S., Dalle Grave, R., El Ghoch, M.  Current Diabetes Reviews. 2017
  42. Vitamin D levels strongly influence bone mineral density and bone turnover markers during weight gain in female patients with anorexia nervosa. Giollo, A., Caimmi, C., Fassio, A., Bertoldo, F., Dalle Grave, R., El Ghoch, M., Calugi, S., Bazzani, PV., Viapiana, O., Rossini, M., Gatti, D. Int J Eat Disord. 2017
  43. Personalised multistep cognitive behavioural therapy for obesity. Dalle Grave, R., Sartirana, M., El Ghoch, M., Calugi, S. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 2017
  44. Body composition in men with anorexia nervosa: a longitudinal study. El Ghoch, M., Calugi, S., Milanese, C., Bazzani, P. V., Dalle Grave, R.  International Journal of Eating Disorders. 2017
  45. Body checking behaviors in anorexia nervosa. Calugi S, El Ghoch M, Dalle Grave R. Int J Eat Disord. 2017
  46. Intensive enhanced cognitive behavioural therapy for severe and enduring anorexia nervosa: A longitudinal outcome study. Calugi, S., El Ghoch, M., Dalle Grave, R. Behaviour Research and Therapy; 89:41-48. 2017
  47. The association between weight gain/restoration and bone mineral density in adolescents with anorexia nervosa: A systematic review. El Ghoch, M., Gatti, D., Calugi, S., Viapiana, O., Bazzani, V. P., Dalle Grave, R.Nutrients, 8(12). 2016
  48. Physical activity, body weight, and resumption of menses in anorexia nervosa. El Ghoch M, Calugi S, Pellegrini M,  Chignola E, Dalle Grave R. Psychiatry Research. 2016
  49. Bone metabolism in patients with anorexia nervosa and amenorrhea. Gatti D, Idolazzi L, El Ghoch M, Viapiana O, Calugi S, Rossini M, Caimmi C, Braga V, Radetti G, Adami S, Dalle Grave R. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity. 2016
  50. The Influence of Weight-Loss Expectations on Weight Loss and of Weight-Loss Satisfaction on Weight Maintenance in Severe Obesity. Calugi  S, Marchesini G, El Ghoch M, Gavasso I, Dalle Grave R. Journal of the Academy of Nutrition and Dietetics. 2016
  51. Management of severe rhabdomyolysis and exercise-associated hyponatremia in a female with anorexia nervosa and excessive compulsive exercising: a case report El Ghoch M, Calugi S, and Dalle Grave R. Case Reports in Medicine. 2016
  52. The effects of low-carbohydrate diets on psychosocial outcomes in subjects with overweight and obesity: A systematic review of randomized controlled studies. El Ghoch M, Calugi S, Dalle Grave R. Nutrients. 2016
  53. Sleep patterns before and after weight restoration in females with anorexia nervosa: a longitudinal controlla study. El Ghoch M, Calugi S, Bernabé J, Pellegrini M, Milanese C, Chignola E, Dalle Grave R. European Eating Disorders Review. 2016
  54. Residential cognitive behavioral weight-loss intervention for obesity with and without Binge-Eating Disorder: A prospective case-control study with five-year follow-up. Calugi S, Ruocco A, El Ghoch M, Coppini A, Geccherle E, Sartori F, Dalle Grave R . Int J Eat Disord. 2016
  55. The Eating Disorder Examination Questionnaire: Reliability and Validity of the Italian Version. Calugi S, Milanese C, Sartirana M, El Ghoch M, Sartori F, Geccherle E, Coppini A, Franchini C, Dalle Grave R. Eating and Weight Disorders. 2016
  56. Solitary Rectal Ulcer Syndrome in a patient with Anorexia Nervosa: A Case Report. El Ghoch M, Benini L, Sgarbi D, Dalle Grave R. Int J Eat Disord. 2016
  57. Body fat and menstrual resumption in adult females with anorexia nervosa: a one-year longitudinal study. El Ghoch M, Calugi S, Chignola E, Bazzani PV, Dalle Grave R. J Hum Nutr Diet. 2016
  58. Responses of peripheral endocannabinoids and endocannabinoid-related compounds to hedonic eating in obesity. Monteleone AM, Di Marzo V, Aveta T, Piscitelli F, Dalle Grave R, Volpe U, El Ghoch M, Calugi S, Monteleone P, Maj M. European Journal of Nutrition. 2016  
  59. Long-term weight loss maintenance for obesity: a multidisciplinary approach. Montesi L, El Ghoch M,  Brodosi L, Calugi S, Marchesini G, Dalle Grave R. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 2016 
  60. Ghrelin response to hedonic eating in underweight and short-term weight restored patients with Anorexia Nervosa. Monteleone AM, Monteleone  P, Dalle Grave R, El Ghoch M, Calugi S, Cimino M, Maj M. Psychiatry Research 2015
  61. Changes in lean and skeletal muscle body mass in adult females with anorexia nervosa before and after weight restoration. El Ghoch M, Pourhassan M, Milanese C, J Müller JM, Calugi S, Bazzani PV, Dalle Grave R. Clinical Nutrition. 2015
  62. Body mass index, body fat, and risk factor of relapse in anorexia nervosa. El Ghoch M, Calugi S, Chignola E, Bazzani PV, Dalle Grave R. European Journal of Clinical Nutrition .2015.
  63. Cognitive Behavioral Therapy for AnorexiaNervosa: An Update. Dalle Grave R, El Ghoch M, Sartirana M, Calugi S. Current Psychiatric Report 2015
  64. Personality attrition and weight loss in treatment seeking women with obesity. Dalle Grave R , Calugi S, Compare A, El Ghoch M, Petroni M. L, Colombari S, Minniti A, Marchesini G. Clinical Obesity. 2015
  65. Neuroendocrine Responses to Hedonic Eating in Obese Patients with and Without Binge Eating. Nigro, M., Monteleone, A. M., Di Marzo, V., Dalle Grave, R., El Ghoch, M., Cimino, M., Monteleone, P.. European Psychiatry, 30, Supplement 1, 1351. 2015
  66. Weight loss expectations and attrition in treatment seeking obese women. Dalle Grave R, Calugi S, Compare A,  El Ghoch M,  Petroni ML, Tomasi F, Mazzali G, Marchesini G.  Obesity Facts. 2015
  67. Strong relationship between vitamin D status and bone mineral density in anorexia nervosa. Gatti D, El Ghoch M, Viapiana O, Ruocco A, Chignola E, Rossini M, Giollo A, Idolazzi L, Adami S, Dalle Grave Riccardo. Bone. 2015
  68. The eating disorder examination: reliability and validity of the Italian version. Calugi S, Ricca V, Castellini G, Sauro CL, Ruocco A, Chignola E, El Ghoch M, Dalle Grave R. Eat Weight Disord. 2015
  69. Deranged endocannabinoid responses to hedonic eating in underweight and recently weight-restored patients with anorexia nervosa. Monteleone AM, Di Marzo V, Aveta T, Piscitelli F, Dalle Grave R, Scognamiglio P, El Ghoch M, Calugi S, Monteleone P, Maj M. American Journal of Clinical Nutrition. 2015
  70. Regional Fat Distribution in Adolescent and Adult Females with Anorexia Nervosa: A Longitudinal Study. El Ghoch M, Milanese C, Calugi S, Müller MJ, Pourhassan M, Ruocco A, Dalle Grave R. Clinical Nutrition  2014.
  71. Management of Ischiopubic stress fracture in patients with Anorexia Nervosa and Excessive Compulsive Exercising. El Ghoch M, Bazzani P, Dalle Grave R. BMJ Case Reports. 2014
  72. Anorexia Nervosa and Body Fat Distribution: A Systematic Review. El Ghoch M, Calugi S, Lamburghini S, Dalle Grave R. Nutrients. 2014 Sep 23;6(9):3895-3912.
  73. Depression and treatment outcome in anorexia nervosa. Calugi S, El Ghoch M, Conti M, Dalle Grave R. Psychiatry Res. 2014 Aug 15;218(1-2):195-200.
  74. Inpatient cognitive behavior therapy for adolescents with anorexia nervosa: immediate and longer-term effects. Dalle Grave R, Calugi S, El Ghoch M, Conti M, Fairburn CG.Front Psychiatry. 2014 Feb 12;5:14
  75. Body composition, eating disorder psychopathology, and psychological distress in anorexia nervosa: a longitudinal study. El Ghoch M, Milanese C, Calugi S, Pellegrini M, Battistini NC, Dalle Grave R. Am J Clin Nutr. 2014 Apr;99(4):771-8.
  76. Increased Risk of Colorectal Cancer After Obesity Surgery. El Ghoch M, Calugi S, Dalle Grave R. Ann Surg. 2014 Jan 2.
  77. Personality Traits in Obesity Associated with Binge Eating and/or Night Eating. Dalle Grave R, Calugi S, El Ghoch M, Marzocchi R, Marchesini G. Curr Obes Rep (2014) 3:120–126.
  78. Eating disorders, physical fitness and sport performance: a systematic review. El Ghoch M, Soave F, Calugi S, Dalle Grave R. Nutrients. 2013 Dec 16;5(12):5140-60.
  79. Major factors for facilitating change in behavioral strategies to reduce obesity. Dalle Grave R, Centis E, Marzocchi R, El Ghoch M, Marchesini G. Psychol Res Behav Manag. 2013 Oct 3;6:101-10.
  80. Lifestyle modification in the management of obesity: achievements and challenges. Dalle Grave R, Calugi S, El Ghoch M. Eat Weight Disord. 2013 Dec;18(4):339-49.
  81. Physical fitness before and after weight restoration in anorexia nervosa. Alberti M, Galvani C, Capelli C, Lanza M, El Ghoch M, Calugi S, Dalle Grave R. J Sports Med Phys Fitness. 2013 Aug;53(4):396-402.
  82. Measured physical activity in anorexia nervosa: features and treatment outcome. El Ghoch M, Calugi S, Pellegrini M, Milanese C, Busacchi M, Battistini NC, Bernabè J, Dalle Grave R. Int J Eat Disord. 2013 Nov;46(7):709-12.
  83. Assessment of physical activity in anorexia nervosa and treatment outcome. Alberti M, Galvani C, El Ghoch M, Capelli C, Lanza M, Calugi S, Dalle Grave R. Med Sci Sports Exerc. 2013 Sep;45(9):1643-8.
  84. A randomized trial of energy-restricted high-protein versus high-carbohydrate, low-fat diet in morbid obesity. Dalle Grave R, Calugi S, Gavasso I, El Ghoch M, Marchesini G.Obesity (Silver Spring). 2013 Sep;21(9):1774-81.
  85. Comparison between dual-energy X-ray absorptiometry and skinfolds thickness in assessing body fat in anorexia nervosa before and after weight restoration. El Ghoch M, Alberti M, Milanese C, Battistini NC, Pellegrini M, Capelli C, Calugi S, Dalle Grave R.Clin Nutr. 2012 Dec;31(6):911-6.
  86. Resting energy expenditure assessment in anorexia nervosa: comparison of indirect calorimetry, a multisensor monitor and the Müller equation. El Ghoch M, Alberti M, Capelli C, Calugi S, Battistini NC, Pellegrini M, Šubašić S, Lanza M, Dalle Grave R. Int J Food Sci Nutr. 2012 Nov;63(7):796-801.
  87. Resting Energy Expenditure in Anorexia Nervosa: Measured versus Estimated. El Ghoch M, Alberti M, Capelli C, Calugi S, Dalle Grave R. J Nutr Metab. 2012;2012:652932.
  88. Cognitive-behavioral strategies to increase the adherence to exercise in the management of obesity. Dalle Grave R, Calugi S, Centis E, El Ghoch M, Marchesini G. J Obes. 2011;2011:348293.
  89. Lifestyle modification in the management of the metabolic syndrome: achievements and challenges. Dalle Grave R, Calugi S, Centis E, Marzocchi R, El Ghoch M, Marchesini G. Diabetes Metab Syndr Obes. 2010 Nov 2;3:373-85.

Activities

  • Research commmitte Member - National team  IUTA Italian Ultramarathon and Trail Association, Veneto, Italy (https://www.iutaitalia.it/).

 

  • Head of Nutrition & Dietetics Program - CTR - Rehabilitation Therapy Centre - Reggio Emilia - Italy (https://www.ctr-re.it/).   

 

  • Medical Staff Member - National team  IUTA Italian Ultramarathon and Trail Association, Veneto, Italy (https://www.iutaitalia.it/).