{"id":54466,"date":"2006-07-09T00:00:00","date_gmt":"2006-07-09T00:00:00","guid":{"rendered":""},"modified":"2006-07-09T00:00:00","modified_gmt":"2006-07-09T00:00:00","slug":"prevalencia-de-osteoporosis-y-perdedoras-rapidas-de-masa-osea-en-mujeres-postmenopausicas-recientes-del-area-de-salud-de-albacete-valor-de-los-marcadores-bioquimicos-la-prediccion-de-la-masa-osea","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/prevalencia-de-osteoporosis-y-perdedoras-rapidas-de-masa-osea-en-mujeres-postmenopausicas-recientes-del-area-de-salud-de-albacete-valor-de-los-marcadores-bioquimicos-la-prediccion-de-la-masa-osea\/","title":{"rendered":"PreValencia de osteoporosis y perdedoras rapidas de masa osea en mujeres postmenopausicas recientes del area de salud de albacete. valor de los marcadores bioquimicos la prediccion de la masa osea"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Antonio Blazquez Cabrera <\/strong><\/h2>\n<p>Objetivos     estimar la preValencia de osteoporosis, osteopenia y perdedoras r\u00e1pidas de masa \u00f3sea en mujeres postmenop\u00e1usicas recientes. estudiar la utilidad de los marcadores bioqu\u00edmicos del remodelado \u00f3seo en la predicci\u00f3n de la p\u00e9rdida \u00f3sea.  metodolog\u00eda     seleccionamos al azar 183 mujeres del \u00e1rea de albacete con menopausia natural de 6 a 36 meses, sin enfermedades ni tratamientos con repercusi\u00f3n sobre el metabolismo \u00f3seo (edad 52,68 +- 1,60 a\u00f1os). Realizamos un cuestionario, marcadores en suero (fosfatasa alcalina \u00f3sea, osteocalcina, c-telop\u00e9ptido), en orina (calcio\/creatinina, deoxipiridinolina, n-telop\u00e9ptido), dxa basal l2-l4 y dxa de control a los dos a\u00f1os.  resultados     la preValencia de osteoporosis fue 9,8% (6,1-15,3%) y la de osteopenia 38,3% (31,2-45,7%). El cambio anual en la dmo fue -1,83 +- 1,83%, con una preValencia de perdedoras r\u00e1pidas de 28,7% (22,0-36,3%). los marcadores correlacionaron con la dmo (ctx, r) -0,741, p menor 0,001) y permitieron discriminar entre osteoporosis, osteopenai y masa \u00f3sea normal, principalmente oc y ctx (p menor 0,001). En las curvas roc, osteocalcina y ctx obtuvieron los mejores resultados: \u00e1rea bajo la curva 0,863 y 0,840, sensibilidad (se) 77,8% y 83,3% y especificidad (sp) 80,6% y 74,5% respectivamente. Referente a la relaci\u00f3n con la p\u00e9rdida \u00f3sea, solo ctx mostr\u00f3 diferencia entre los cuartiles extremos (p=0,042). en el modelo de regresi\u00f3n log\u00edstica para la predicci\u00f3n de osteoporosis, la combinaci\u00f3n de las variables paridad, lactaci\u00f3n, imc, dolor musculoesquel\u00e9tico, ca\u00eddas y ctx tiene se=94,1% y sp=76,7%. Para la predicci\u00f3n de perdedoras r\u00e1pidas, la combinaci\u00f3n de peso, tiempo de menopausia y oc tiene se)69,7% y sp= 53,3%.  conclusiones     la preValencia de osteoporosis es similar a otras series. Cerca del 30% de las mujeres son perdedoras r\u00e1pidas de masa \u00f3sea. osteocalcina y ctx tienen utilidad para el diagn\u00f3stico de osteoporosis, mientras que respecto a la<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>PreValencia de osteoporosis y perdedoras rapidas de masa osea en mujeres postmenopausicas recientes del area de salud de albacete. valor de los marcadores bioquimicos la prediccion de la masa osea<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 PreValencia de osteoporosis y perdedoras rapidas de masa osea en mujeres postmenopausicas recientes del area de salud de albacete. valor de los marcadores bioquimicos la prediccion de la masa osea <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Antonio Blazquez Cabrera <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Salamanca<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 07\/09\/2006<\/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>JavierDel Pino Montes<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Lozano tonkin <\/li>\n<li>ram\u00f3n Querol prieto (vocal)<\/li>\n<li>Luis Miguel del Rio barquero (vocal)<\/li>\n<li> Solera santos Jos\u00e9 Javier (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Antonio Blazquez Cabrera Objetivos estimar la preValencia de osteoporosis, osteopenia y perdedoras r\u00e1pidas de masa \u00f3sea [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1086,139,213,9386],"tags":[120314,25752,120313,100472,120315,120316],"class_list":["post-54466","post","type-post","status-publish","format-standard","hentry","category-epidemiologia","category-medicina-interna","category-osteopatologia","category-salamanca","tag-carlos-lozano-tonkin","tag-javierdel-pino-montes","tag-jose-antonio-blazquez-cabrera","tag-luis-miguel-del-rio-barquero","tag-ramon-querol-prieto","tag-solera-santos-jose-javier"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/54466","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=54466"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/54466\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=54466"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=54466"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=54466"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}