{"id":75259,"date":"2005-01-07T00:00:00","date_gmt":"2005-01-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-osteoporosis-en-mujeres-postmenopausicas-desde-el-ambito-de-la-atencion-primaria\/"},"modified":"2005-01-07T00:00:00","modified_gmt":"2005-01-07T00:00:00","slug":"estudio-de-la-osteoporosis-en-mujeres-postmenopausicas-desde-el-ambito-de-la-atencion-primaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-la-osteoporosis-en-mujeres-postmenopausicas-desde-el-ambito-de-la-atencion-primaria\/","title":{"rendered":"Estudio de la osteoporosis en mujeres postmenop\u00e1usicas desde el \u00e1mbito de la atenci\u00f3n primaria."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Cuenca Acevedo <\/strong><\/h2>\n<p>Objetivo principal: identificar factores de riesgo, par\u00e1metros bioqu\u00edmicos,  marcadores de remode1ado \u00f3seo, marcadores gen\u00e9ticos o conjunto de \u00e9stos que  sean \u00fatiles para seleccionar mujeres posmenop\u00e1usicas con sospecha de  osteoporosis a las que realizar dexa.Objetivo secundario: analizar el grado de  concordancia entre la ultrasonografia de calc\u00e1neo y dexa.Materia1 y m\u00e9todos:  estudio transversal en 229 mujeres posmenop\u00e1usicas. Se recogi\u00f3 un cuestionario  con los factores cl\u00ednicos de riesgo de baja masa \u00f3sea.Se determinaron las  concentraciones s\u00e9ricas:pth,250hd3,1,25 (oh)2d3 y de marcadores de remodelado.  se determinaron los polimorfismos bsmi, foki y cdx-2 del vdr, spl del colia1 y  el pvuii del gen ers. Se realiz\u00f3 ultrasonograf\u00eda de calc\u00e1neo (saharao  hologicd) midiendo los par\u00e1metros bua, sos, t-score qui y la densidad mineral  \u00f3sea estimada. Se realiz\u00f3 dexa (hologic@ qdr 1000) aplicando los criterios de  la oms para el diagn\u00f3stico de osteoporosis (t-score o -2,5) en columna y\/o  cadera.Para identificar las variables que de manera independiente se asocian a  la osteoporosis se realiz\u00f3 un an\u00e1lisis multivariab1e de regresi\u00f3n  log\u00edstica.Resultados: incrementa el riesgo de sufrir osteoporosis la edad (or:  1.10, ic 95%: 1.05-1.15) y protegen el imc (or: 0.93, ic 95 %: 0.87-0.99), los  a\u00f1os de vida f\u00e9rtil (or: 0.94, ic 95%: 0.89-0.99), la 250hd3 (or: 0.95, ic  95%: 0.92-0.99) y el po1imorfismo heterocigoto (ga) del cdx-2 del gen vdr (or:  0.41, ic 95%: 0.21-0.81). Conclusiones: la utilizaci\u00f3n de nuestro modelo que  incluye el polimorfismo cdx-2 del gen del receptor de la vitamina d, los  niveles de 250hd3, la edad, el imc y los a\u00f1os de vida f\u00e9rtil seleccionar\u00eda a  las mujeres sanas posmenop\u00e1usicas con mayor riesgo de padecer osteoporosis a  las que indicar dexa para confirmar el diagn\u00f3stico. En nuestra poblaci\u00f3n el  porcentaje de hipovitaminosis d fue elevado. Esto deber\u00eda conducir<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la osteoporosis en mujeres postmenop\u00e1usicas desde el \u00e1mbito de la atenci\u00f3n primaria.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la osteoporosis en mujeres postmenop\u00e1usicas desde el \u00e1mbito de la atenci\u00f3n primaria. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Cuenca Acevedo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/07\/2005<\/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>Jos\u00e9 Manuel Quesada Gomez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro S\u00e1nchez guijo <\/li>\n<li>ram\u00f3n P\u00e9rez cano (vocal)<\/li>\n<li>Mar\u00eda Jes\u00fas G\u00f3mez de tejada romero (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 Rafael Cuenca Acevedo Objetivo principal: identificar factores de riesgo, par\u00e1metros bioqu\u00edmicos, marcadores de remode1ado \u00f3seo, marcadores gen\u00e9ticos [&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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