Italy is probably not the first destination you think of for paddle sports, but there is a growing trend toward taking full advantage of the miles of coast line along the sea, lakes, and rivers. You not not find the 'River Wild' in Italy but there are plenty of great adventures for those whom enjoy kayaking, canoe, rafting, and sea kayaking.
Many of the Kayak venues along the rivers are Olympic style, set up to train from organized National and World Events. Italians have done well in Olympic Kayaking in the past couple of games so there is a big interest in various regions.
Sea Kayaking is becoming a popular tourism option for Cinque Terre, Elba Island, Amalfi Coastline, and a few other areas. There are a few service providers throughout the country, and you can even sea kayak the canals of Venice.