{"id":22116,"date":"2018-03-09T09:12:10","date_gmt":"2018-03-09T09:12:10","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/disfuncion-endotelial-y-resistencia-a-la-insulina-analisis-con-otros-factores-de-riesgo-cardiovascular-estudio-longitudinal-en-una-cohorte-de-jovenes-varones\/"},"modified":"2018-03-09T09:12:10","modified_gmt":"2018-03-09T09:12:10","slug":"disfuncion-endotelial-y-resistencia-a-la-insulina-analisis-con-otros-factores-de-riesgo-cardiovascular-estudio-longitudinal-en-una-cohorte-de-jovenes-varones","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/zaragoza\/disfuncion-endotelial-y-resistencia-a-la-insulina-analisis-con-otros-factores-de-riesgo-cardiovascular-estudio-longitudinal-en-una-cohorte-de-jovenes-varones\/","title":{"rendered":"Disfunci\u00f3n endotelial y resistencia a la insulina. an\u00e1lisis con otros factores de riesgo cardiovascular. estudio longitudinal en una cohorte de j\u00f3venes varones"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mart\u00edn Laclaustra Gimeno <\/strong><\/h2>\n<p>Las relaciones fisiopatol\u00f3gicas y epidemiol\u00f3gicas entre funci\u00f3n endotelial y grado de sensibilidad a la insulina no est\u00e1n bien definidas. El s\u00edndrome metab\u00f3lico, se ha estudiado siempre en el extremo de poblaci\u00f3n que presenta menor sensibilidad a la insulina, descuidando el an\u00e1lisis de la influencia que \u00e9sta puede tener sobre los factores de riesgo y salud cardiovascular en otro rango de valores. Se desconoce la influencia posterior sobre el endotelio de los factores de riesgo cardiovascular exhibidos precozmente.  tras 15 a\u00f1os, se revisa una cohorte de j\u00f3venes varones militares. A los 20 a\u00f1os de edad, se obtuvieron sus factores de riesgo cardiovascular. A sus 35 a\u00f1os, se repiten las exploraciones iniciales y se estudian adem\u00e1s la sensibilidad a la insulina y la funci\u00f3n endotelial. Se utiliza una prueba de vasodilataci\u00f3n mediada por flujo (fmd), la determinaci\u00f3n de albuminuria tras ergometr\u00eda y rehidrataci\u00f3n, y el \u00edndice quicki, derivado del modelo de homeostasis de la insulina. Se ha desarrollado, conjuntamente con un equipo de ingenieros, un programa de an\u00e1lisis automatizado de im\u00e1genes ecogr\u00e1ficas que mejora la oferta previa para el seguimiento del di\u00e1metro de la arteria humeral.  observamos que la funci\u00f3n endotelial (fmd) se ve deteriorada en el adulto joven con niveles de presi\u00f3n arterial elevados, c-ldl elevado, c-hdl disminuido, sensibilidad a la insulina disminuida o un c\u00f3mputo conjunto de riesgo cardiovascular desfavorable. Entre los individuos con presi\u00f3n arterial en niveles bajos (&lt;120\/80) existe una mayor proporci\u00f3n de sujetos con fmd deteriorada que puede interpretarse como un posible comportamiento irregular de esta prueba en dicho rango de presi\u00f3n arterial.  el \u00edndice de masa corporal elevado, la sensibilidad a la insulina baja, el c-hdl bajo y los triglic\u00e9ridos elevados, as\u00ed como el riesgo cardiovascular en su conjunto se asocian con arterias de di\u00e1metro mayor, que podr\u00eda corresponder<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Disfunci\u00f3n endotelial y resistencia a la insulina. an\u00e1lisis con otros factores de riesgo cardiovascular. estudio longitudinal en una cohorte de j\u00f3venes varones<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Disfunci\u00f3n endotelial y resistencia a la insulina. an\u00e1lisis con otros factores de riesgo cardiovascular. estudio longitudinal en una cohorte de j\u00f3venes varones <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mart\u00edn Laclaustra Gimeno <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/03\/2003<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Pedro Cia Gomez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Ferreira montero ignacio j. <\/li>\n<li>gabriel Guill\u00e9n mart\u00ednez (vocal)<\/li>\n<li>Jaime Merino sanchez (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mart\u00edn Laclaustra Gimeno Las relaciones fisiopatol\u00f3gicas y epidemiol\u00f3gicas entre funci\u00f3n endotelial y grado de sensibilidad a la [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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