{"id":38312,"date":"2018-03-09T09:37:49","date_gmt":"2018-03-09T09:37:49","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-del-balance-energetico-y-metabolico-en-recien-nacidos-prematuros-extremos-con-nutricion-enteral\/"},"modified":"2018-03-09T09:37:49","modified_gmt":"2018-03-09T09:37:49","slug":"estudio-del-balance-energetico-y-metabolico-en-recien-nacidos-prematuros-extremos-con-nutricion-enteral","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-del-balance-energetico-y-metabolico-en-recien-nacidos-prematuros-extremos-con-nutricion-enteral\/","title":{"rendered":"Estudio del balance energetico y metabolico en recien nacidos prematuros extremos con nutrici\u00f3n enteral."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Gerardo Romera Modamio <\/strong><\/h2>\n<p>Como hip\u00f3tesis principal se ha planteado que la utilizaci\u00f3n de suplementos cal\u00f3ricos en la alimentaci\u00f3n del lactante prematuro extremo, fundamentalmente en forma de triglic\u00e9ridos de cadena media (tcm) en proporci\u00f3n elevada (con aportes entre el 40 y el 50% de la ingesta diaria de grasas), resulta bien tolerado, mejora la retenci\u00f3n cal\u00f3rica y de nutrientes y permite una mayor retenci\u00f3n nitrogenada y un adecuado e incluso superior crecimiento corporal.  se dise\u00f1aron cuatro tipos de dietas, utilizadas durante diez d\u00edas sobre cuatro grupos de lactantes prematuros extremos sanos, en crecimiento y alimentados por sonda g\u00e1strica. Tres dietas fueron de \u00abalto aporte cal\u00f3rico\u00bb (146 kcal\/kg\/d\u00eda, grupos a, b y c), en base a tres proporciones distintas de tcm y dextrinomaltosa (dxm) como suplemento cal\u00f3rico, y una dieta de \u00abaporte cal\u00f3rico est\u00e1ndar\u00bb (123 kcal\/kg\/d\u00eda, grupo d). Para la medici\u00f3n delintercambio gaseoso se ha utilizado un sistema de calorimetr\u00eda indirecta ventilatoria por circuito abierto. Al conocer la cantidad de los tres principales nutrientes exretados (heces y orina), junto a los aportados y oxidados, se pudo determinar su almacenamiento (balance energ\u00e9tico y de nutrientes) durante el balance (24 horas). Tras el an\u00e1lisis de los resultados obtenidos no se ha observado ventaja alguna en la utilizaci\u00f3n de estos suplementos cal\u00f3ricos, ni sobre el balance energ\u00e9tico ni sobre la retenci\u00f3n proteica o nitrogenada en ninguna de las tres combinaciones de tcm y de dxm utilizadas, condicionado \u00e9stos \u00fanicamente una mayor ganancia de peso a expensas de su componente graso. Los prematuros estudiados han mostrado perfiles de crecimiento m\u00e1s similares al de un lactante a t\u00e9rmino enlos tres o cuatro primeros meses de vida que al de los fetos de igual peso y edad gestacional.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio del balance energetico y metabolico en recien nacidos prematuros extremos con nutrici\u00f3n enteral.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio del balance energetico y metabolico en recien nacidos prematuros extremos con nutrici\u00f3n enteral. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Gerardo Romera Modamio <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/06\/1998<\/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>Rafael Jimenez Gonzalez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ram\u00f3n Segura cardona <\/li>\n<li>xavier Pastor dur\u00e1n (vocal)<\/li>\n<li>alfredo Gallart catala (vocal)<\/li>\n<li>jordi Salas i salvado (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gerardo Romera Modamio Como hip\u00f3tesis principal se ha planteado que la utilizaci\u00f3n de suplementos cal\u00f3ricos en 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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