LA STORIA AFFASCINANTE DELLA DIETA...

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ANTONIO CAPURSOOrdinario di Geriatria e Gerontologia,

Università degli Studi di BariCoordinatore Comitato Scientifico

Fondazione “Dieta Mediterranea” Ostuni

ALBEROBELLO E LA DIETA MEDITERRANEA:PATRIMONI UNESCO

Alberobello, 14 Settembre 2019

LA STORIA AFFASCINANTE DELLA DIETA MEDITERRANEA

Il 16 Nov. 2010 la Dieta Mediterranea è stata inclusa dall’UNESCO nella “Representative List of the

Intangible Cultural Heritage of Humanity”

DISTRIBUZIONE DEGLI ULIVINELLE REGIONI DEL MEDITERRANEO

SORIA

KORONE

CILENTO

CHEFCHAOUEN

LO SCENARIO STORICO DELLA DIETA MEDITERRANEALa civiltà Greco-Romana

Il modello “Classico”

Pane

Olio

Vino

LA TRIADE ALIMENTARE GRECO-ROMANA

Relatore
Note di presentazione
An outline of the major metabolic pathways by which chylomicron remnants and low-density lipoprotein (LDL) are formed from chylomicrons and very-low-density lipoprotein (VLDL), respectively, and subsequently catabolised. High-density lipoprotein (HDL) is secreted by the gut and liver and receives additional components during the metabolism of triglyceride-rich lipoproteins. IDL, intermediate-density lipoprotein; apo, apolipoprotein; TG, triglyceride; CE, cholesteryl ester; CETP, cholesteryl ester transfer protein; SR, scavenger receptor; LCAT, lecithin: cholesterol acyltransferase. Adapted with permission from Durrington PN. Hyperlipidaemia: Diagnosis and Management. 2nd edition. London: Butterworth-Heinemann; 1995.

(708 A.C.)

Eoli

Ioni

Dori

Achei Micenei

MAGNA GRECIA

LA TOMBA DELL’ATLETA

Nel corso degli scavi per le fondazioni di un nuovo palazzo, gli operai si imbatterono in un “ambiente” sotterraneo, buio. Era un vano quadrangolare con al centro un sarcofago in pietra, ed ai quattro lati quattro anfore. Il sarcofago conteneva lo scheletro di un uomo alto, circa 1.70 m, robusto, circa 77 kg. Era un atleta vissuto nel V secolo a.C., morto all’età di circa 35 anni

Taranto, 9 Dicembre 1959 - via Genova 9

THE TOMB OF THE ATHLETE, TARANTO

Relatore
Note di presentazione
An outline of the major metabolic pathways by which chylomicron remnants and low-density lipoprotein (LDL) are formed from chylomicrons and very-low-density lipoprotein (VLDL), respectively, and subsequently catabolised. High-density lipoprotein (HDL) is secreted by the gut and liver and receives additional components during the metabolism of triglyceride-rich lipoproteins. IDL, intermediate-density lipoprotein; apo, apolipoprotein; TG, triglyceride; CE, cholesteryl ester; CETP, cholesteryl ester transfer protein; SR, scavenger receptor; LCAT, lecithin: cholesterol acyltransferase. Adapted with permission from Durrington PN. Hyperlipidaemia: Diagnosis and Management. 2nd edition. London: Butterworth-Heinemann; 1995.

Sarcophagous of «Taranto» athlete

PANATHENEAN AMPHORA: THROWING THE DISCUS

Relatore
Note di presentazione
An outline of the major metabolic pathways by which chylomicron remnants and low-density lipoprotein (LDL) are formed from chylomicrons and very-low-density lipoprotein (VLDL), respectively, and subsequently catabolised. High-density lipoprotein (HDL) is secreted by the gut and liver and receives additional components during the metabolism of triglyceride-rich lipoproteins. IDL, intermediate-density lipoprotein; apo, apolipoprotein; TG, triglyceride; CE, cholesteryl ester; CETP, cholesteryl ester transfer protein; SR, scavenger receptor; LCAT, lecithin: cholesterol acyltransferase. Adapted with permission from Durrington PN. Hyperlipidaemia: Diagnosis and Management. 2nd edition. London: Butterworth-Heinemann; 1995.

PANATHENEAN AMPHORA: BOXING SCENE

Relatore
Note di presentazione
An outline of the major metabolic pathways by which chylomicron remnants and low-density lipoprotein (LDL) are formed from chylomicrons and very-low-density lipoprotein (VLDL), respectively, and subsequently catabolised. High-density lipoprotein (HDL) is secreted by the gut and liver and receives additional components during the metabolism of triglyceride-rich lipoproteins. IDL, intermediate-density lipoprotein; apo, apolipoprotein; TG, triglyceride; CE, cholesteryl ester; CETP, cholesteryl ester transfer protein; SR, scavenger receptor; LCAT, lecithin: cholesterol acyltransferase. Adapted with permission from Durrington PN. Hyperlipidaemia: Diagnosis and Management. 2nd edition. London: Butterworth-Heinemann; 1995.

PANATHENEAN AMPHORA: THE QUADRIGA RACING

La storia narrata da questi vasi Panatenaici testimonia il ruolo centrale dell’olio di oliva nella civiltà Greco-Romana, non soltanto in ambito alimentare ma anche in ambito economico e commerciale

POMPEI – ERUZIONE DEL VESUVIO 79 D.C.

LA NUBE PIROCLASTICA

IL TERMOPOLIUM DI VETUZIUM PLACIDUM, A POMPEI

IL TERMOPOLIUM DI VETUZIUM PLACIDUM

IL TERMOPOLIUM DI VETUZIUM PLACIDUM

IL TERMOPOLIUM DI VETUZIUM PLACIDUM

Relatore
Note di presentazione
An outline of the major metabolic pathways by which chylomicron remnants and low-density lipoprotein (LDL) are formed from chylomicrons and very-low-density lipoprotein (VLDL), respectively, and subsequently catabolised. High-density lipoprotein (HDL) is secreted by the gut and liver and receives additional components during the metabolism of triglyceride-rich lipoproteins. IDL, intermediate-density lipoprotein; apo, apolipoprotein; TG, triglyceride; CE, cholesteryl ester; CETP, cholesteryl ester transfer protein; SR, scavenger receptor; LCAT, lecithin: cholesterol acyltransferase. Adapted with permission from Durrington PN. Hyperlipidaemia: Diagnosis and Management. 2nd edition. London: Butterworth-Heinemann; 1995.

TERMOPOLIUM DI VETUZIUM PLACIDUMPANE, FOCACCE, OLIVE,

PULTEM (farro, orzo, miglio)

LEGUMI - piselli, ceci, fave, lupini, lenticchie. (Riso)

VERDURE - asparagi, carciofi, cavoli, cicorie, cime di rapa, cardi, lattughe, cetrioli, indivia, carote, cipolle, porri, aglio, basilico. Funghi, tartufi

FRUTTA SECCA - mandorle, noci, nocciole, pistacchi, pinoli, datteri

CARNE - Spiedini di carni, salsicce, cacciagione

PESCE - Sardine. Orate, triglie, sogliole, dentici, murene, trote, aragoste, polpi, datteri di mare, gamberi, ostriche.

FRUTTA FRESCA - mele, pere, uva, fichi, prugne, melone, mele-cotogne, ciliegie, pesche, albicocche, more di rovo, gelsi, melegrane

BEVANDE - Vino, idromele, tisane Birra (Egitto, nord-Europa)

IL PANE DI POMPEI (79 D.C.)

LE OLIVE DI POMPEI (79 D.C.)

I FICHI DI POMPEI (79 D.C.)

NOCI

Nei secoli successivi i numerosi e drammatici eventi storici cambiarono profondamente la vita e le abitudini delle popolazioni Mediterranee

476 D.C.Caduta dell’impero Romano

d’occidente

LO SCONTRO DELLA CIVILTÀ BARBARICA CON LA CIVILTÀ GRECO-ROMANA

LE INVASIONI BARBARICHE

A partire dal 166 D.C. la crescente pressione delle popolazioni Barbariche sui confini dell’Impero Romano contribuì in misura determinante al progressivo “collasso” della civiltà Romana e del suo Impero.

Il periodo fra il 400 e l’800 D.C. fu poi caratterizzato da grandi migrazioni di intere popolazioni in Europa.

Relatore
Note di presentazione
An outline of the major metabolic pathways by which chylomicron remnants and low-density lipoprotein (LDL) are formed from chylomicrons and very-low-density lipoprotein (VLDL), respectively, and subsequently catabolised. High-density lipoprotein (HDL) is secreted by the gut and liver and receives additional components during the metabolism of triglyceride-rich lipoproteins. IDL, intermediate-density lipoprotein; apo, apolipoprotein; TG, triglyceride; CE, cholesteryl ester; CETP, cholesteryl ester transfer protein; SR, scavenger receptor; LCAT, lecithin: cholesterol acyltransferase. Adapted with permission from Durrington PN. Hyperlipidaemia: Diagnosis and Management. 2nd edition. London: Butterworth-Heinemann; 1995.

LE DUE TRIADI ALIMENTARI A CONFRONTO

Il modello “Barbarico”

Polente

Grassi animali

Birra

Il modello “Classico”

Pane

Olio

Vino

LO SCENARIO STORICO DELLA DIETA MEDITERRANEA

La civiltà “barbarica” Celtica e Germanica

Le popolazioni “barbariche” Celtiche e Germaniche avevano uno stile di vita semi-nomadico, con una economia silvo-pastorale basata sullo sfruttamento dei luoghi incolti, della caccia, della pesca e dell’allevamento di animali selvatici, (maiali e cinghiali). In tale contesto “barbarico”, i cereali avevano un ruolo molto marginale, non destinati al pane ma principalmente alla produzione di birra, una bevanda che sostituì il vino la dove la civiltà “barbarica” si insediò.

Relatore
Note di presentazione
An outline of the major metabolic pathways by which chylomicron remnants and low-density lipoprotein (LDL) are formed from chylomicrons and very-low-density lipoprotein (VLDL), respectively, and subsequently catabolised. High-density lipoprotein (HDL) is secreted by the gut and liver and receives additional components during the metabolism of triglyceride-rich lipoproteins. IDL, intermediate-density lipoprotein; apo, apolipoprotein; TG, triglyceride; CE, cholesteryl ester; CETP, cholesteryl ester transfer protein; SR, scavenger receptor; LCAT, lecithin: cholesterol acyltransferase. Adapted with permission from Durrington PN. Hyperlipidaemia: Diagnosis and Management. 2nd edition. London: Butterworth-Heinemann; 1995.

LO SCONTRO-INCONTRO DELLE CIVILTA’ BARBARICA E GRECO-ROMANA

Alla fine, la nuova civiltà “barbarica” con le sue abitudini alimentari attecchì fondamentalmente nelle regioni del nord-Italia.

Nel sud-Italia le popolazioni contadine, molto legate alle tradizioni e assai poco ricettive ai cambiamenti, continuarono a produrre grano, orzo, olio di oliva, vino e verdure, tutti elementi centrali della dieta “classica” Greco-Romana delle popolazioni Mediterranee.

I contadini, tuttavia, impararono dai “barbari” a sfruttare gli spazi incolti, la caccia nei boschi, la pesca nei fiumi e nei laghi, e a coltivare le verdure in piccoli appezzamenti di terreno dietro casa, gli orti.

LO SCONTRO-INCONTRO DELLE CIVILTA’ BARBARICA E GRECO-ROMANA

HOW MEDITERRANEAN DIET ENRICHED IN THE TIME

100 BC -Roman Empire

400 – 800 ADBarbarian invasions

1492 ADDiscovery of America

tomatoes common beans peppers potatoes

fish and vegetables , game (boars and birds)

Bread olive oil wine

Relatore
Note di presentazione
An outline of the major metabolic pathways by which chylomicron remnants and low-density lipoprotein (LDL) are formed from chylomicrons and very-low-density lipoprotein (VLDL), respectively, and subsequently catabolised. High-density lipoprotein (HDL) is secreted by the gut and liver and receives additional components during the metabolism of triglyceride-rich lipoproteins. IDL, intermediate-density lipoprotein; apo, apolipoprotein; TG, triglyceride; CE, cholesteryl ester; CETP, cholesteryl ester transfer protein; SR, scavenger receptor; LCAT, lecithin: cholesterol acyltransferase. Adapted with permission from Durrington PN. Hyperlipidaemia: Diagnosis and Management. 2nd edition. London: Butterworth-Heinemann; 1995.
Relatore
Note di presentazione
An outline of the major metabolic pathways by which chylomicron remnants and low-density lipoprotein (LDL) are formed from chylomicrons and very-low-density lipoprotein (VLDL), respectively, and subsequently catabolised. High-density lipoprotein (HDL) is secreted by the gut and liver and receives additional components during the metabolism of triglyceride-rich lipoproteins. IDL, intermediate-density lipoprotein; apo, apolipoprotein; TG, triglyceride; CE, cholesteryl ester; CETP, cholesteryl ester transfer protein; SR, scavenger receptor; LCAT, lecithin: cholesterol acyltransferase. Adapted with permission from Durrington PN. Hyperlipidaemia: Diagnosis and Management. 2nd edition. London: Butterworth-Heinemann; 1995.

LA RISCOPERTA DELLA DIETA MEDITERRANEA

Relatore
Note di presentazione
An outline of the major metabolic pathways by which chylomicron remnants and low-density lipoprotein (LDL) are formed from chylomicrons and very-low-density lipoprotein (VLDL), respectively, and subsequently catabolised. High-density lipoprotein (HDL) is secreted by the gut and liver and receives additional components during the metabolism of triglyceride-rich lipoproteins. IDL, intermediate-density lipoprotein; apo, apolipoprotein; TG, triglyceride; CE, cholesteryl ester; CETP, cholesteryl ester transfer protein; SR, scavenger receptor; LCAT, lecithin: cholesterol acyltransferase. Adapted with permission from Durrington PN. Hyperlipidaemia: Diagnosis and Management. 2nd edition. London: Butterworth-Heinemann; 1995.
Relatore
Note di presentazione
An outline of the major metabolic pathways by which chylomicron remnants and low-density lipoprotein (LDL) are formed from chylomicrons and very-low-density lipoprotein (VLDL), respectively, and subsequently catabolised. High-density lipoprotein (HDL) is secreted by the gut and liver and receives additional components during the metabolism of triglyceride-rich lipoproteins. IDL, intermediate-density lipoprotein; apo, apolipoprotein; TG, triglyceride; CE, cholesteryl ester; CETP, cholesteryl ester transfer protein; SR, scavenger receptor; LCAT, lecithin: cholesterol acyltransferase. Adapted with permission from Durrington PN. Hyperlipidaemia: Diagnosis and Management. 2nd edition. London: Butterworth-Heinemann; 1995.

MEDITERRANEAN DIET

Cholesterol

Atherosclerosis

Myocardial infarction

Diabetes

Thrombosis

Arterial hypertension

Neurodegenerative diseases(Parkinson, Alzheimer’s)

Inflammation

Cancer