{"id":68165,"date":"2018-03-09T22:56:37","date_gmt":"2018-03-09T22:56:37","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/el-impacto-de-la-diabetes-gestacional-sobre-el-desarrollo-fetal-mas-alla-de-la-glucemia\/"},"modified":"2018-03-09T22:56:37","modified_gmt":"2018-03-09T22:56:37","slug":"el-impacto-de-la-diabetes-gestacional-sobre-el-desarrollo-fetal-mas-alla-de-la-glucemia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/embriologia-humana\/el-impacto-de-la-diabetes-gestacional-sobre-el-desarrollo-fetal-mas-alla-de-la-glucemia\/","title":{"rendered":"El impacto de la diabetes  gestacional sobre el desarrollo fetal: m\u00e1s all\u00e1 de la glucemia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Wifredo Ricart Engel <\/strong><\/h2>\n<p>La diabetes gestacional (dg) es una entidad que se ha relacionado con un mayor riesgo de complicaciones gestacionales. Los objetivos de este estudio fueron determinar el impacto de la hiperglucemia leve, evaluar las asociaciones entre las complicaciones gestacionales y el grado de tolerancia a la glucosa, obesidad materna pregestacional y otras variables predictivas, conocer el rol del sexo fetal y finalmente conocer la preValencia de la dg seg\u00fan los diferentes criterios diagn\u00f3sticos. Se realiz\u00f3 un estudio prospectivo, multic\u00e9ntrico, observacional que incluy\u00f3 a 9.270 mujeres gestantes con feto \u00fanico y sin diabetes pregestacional conocida que dio lugar a 4.793 reci\u00e9n nacidos de sexo masculino y 4.477 de sexo femenino. Las mujeres gestantes fueron categorizadas seg\u00fan el grado de tolerancia a la glucosa y seg\u00fan el imc pregestacional. Se evalu\u00f3 el riesgo de macrosomia, tasa de ces\u00e1reas y de otras 7 complicaciones gestacionales mediante modelos de regresi\u00f3n log\u00edstica m\u00faltiple y se calcul\u00f3 el porcentaje de riesgo atribuible a la poblaci\u00f3n. El estudio demostr\u00f3: 1. Las mujeres con hiperglucemia leve presentaron una asociaci\u00f3n con la presencia de complicaciones similar al grupo control, por lo que no se aconseja un cambio en los criterios diagn\u00f3sticos. 2. En t\u00e9rminos de riesgo absoluto y en t\u00e9rminos de frecuencia de riesgo atribuible en la poblaci\u00f3n la contribuci\u00f3n de la intolerancia a laglucosa en las complicaciones gestacionales fue inferior a la presentada por la obesidad materna. 3. Se demostr\u00f3 un dimorfismo sexual en la frecuencia de complicaciones gestacionales y la presencia de dg s\u00f3lo se relacion\u00f3 con un aumento de la morbilidad fetal exclusivamente en el sexo masculino. La preValencia de dg fue del 8,8% con los criterios de la national diabetes data group y del 11,6% con los criterios de carpenter y coustan.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>El impacto de la diabetes  gestacional sobre el desarrollo fetal: m\u00e1s all\u00e1 de la glucemia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 El impacto de la diabetes  gestacional sobre el desarrollo fetal: m\u00e1s all\u00e1 de la glucemia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Wifredo Ricart Engel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/11\/2008<\/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>Juan Soler Ram\u00f3n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Bolumar montrull <\/li>\n<li>Juan  Jos\u00e9 Vendrell ortega (vocal)<\/li>\n<li>anna Sanmart\u00ed  sala (vocal)<\/li>\n<li>conxa Castell abat (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Wifredo Ricart Engel La diabetes gestacional (dg) es una entidad que se ha relacionado con un mayor [&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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