New micropaleontological data coming from three cores collected on the meso-Adriatic continental shelf (Vasto area) are studied. Comparisons to foraminiferal assemblages and radiocarbon dates previously collected from cores in the San Benedetto del Tronto and Tremiti areas allow the correlation of patterns observed in shallow water areas with those in deeper parts of the basin. We focused on the response of benthic foraminifera during the Holocene high-stand, corresponding to the installation of the recent sedimentary and trophic system. An influence of anthropogenic impacts cannot be ruled out; its effects consist of a depletion of oxygen level with a consequent modification of the structure of benthic foraminiferal assemblages. During the glacial/post glacial cycle, three phases, characterized by a total of six foraminiferal biofacies including different species assemblages were recognized. The first phase, from 14 kyr BP to 11 kyr BP, corresponds to the Bölling/Alleröd and Younger Dryas cold event, before the Holocene sea-level rise. During this phase, the continental shelf was characterized by an infralittoral environment with productive waters owing to the proximity of the Po river delta at the edge of the Mid-Adriatic Deep. The second phase, from 11 kyr BP to 4 kyr BP, represents the Holocene sea-level rise and is characterized by a condensed sedimentation spread over the entire basin. The third phase corresponds to the Holocene high-stand, during which time the modern current system became established. During this phase, the eastern portion of the shelf underwent to the central part of the mud-belt, corresponding to the sub-recent conditions. Recent eutrophication resulting from human activities over the last few centuries is evidenced by frequency fluctuations of typically opportunistic taxa such as Nonionella turgida and Epistominella vitrea.