{"id":76849,"date":"2018-03-09T23:22:15","date_gmt":"2018-03-09T23:22:15","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/influencia-de-la-obesidad-sobre-las-nefropatias-proteinuricas-cronicas\/"},"modified":"2018-03-09T23:22:15","modified_gmt":"2018-03-09T23:22:15","slug":"influencia-de-la-obesidad-sobre-las-nefropatias-proteinuricas-cronicas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/influencia-de-la-obesidad-sobre-las-nefropatias-proteinuricas-cronicas\/","title":{"rendered":"Influencia de la obesidad sobre las nefropatias proteinuricas cronicas"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Enrique Morales Ruiz <\/strong><\/h2>\n<p>En la mayor\u00eda de los pa\u00edses desarrollados la obesidad esta alcanzando proporciones epid\u00e9micas. Estudios recientes muestran que la nefropat\u00eda asociada a obesidad es un diagn\u00f3stico cada vez m\u00e1s frecuente. En los estudios realizados hemos podido demostrar las siguientes conclusiones:     1,- las variaciones amplias del peso corporal (superiores o inferiores al 10%) inducen cambios dr\u00e1sticos en la cuant\u00eda de la proteinuria.     2,- los pacientes con glomeruloesclerosis sementar\u00eda y focal asociada a obesidad presentan unas caracter\u00edsticas cl\u00ednico-anal\u00edticas (proteinuria de menor cuant\u00eda que la glomeruloesclerosis idiop\u00e1tica, ausencia de edema y de s\u00edndrome nefr\u00f3tico bioqu\u00edmico incluso en presencia de proteinuria masiva) e histol\u00f3gicas (glomerulomegalia) que permiten su diferenciaci\u00f3n con las formas idiop\u00e1ticas. El pron\u00f3stico de la glomeruloesclerosis asociada a obesidad dista de ser benigno, pues casi la mitad de los pacientes evolucionaron hacia la insuficiencia renal avanzada. La presencia de insuficiencia renal al inicio del seguimiento fue el \u00fanico par\u00e1metro que predijo la progresi\u00f3n del fallo renal, lo que refuerza la necesidad de un diagn\u00f3stico precoz.     3,- aunque la mayor\u00eda de los pacientes sometidos a nefrectom\u00eda unilateral mantienen una funci\u00f3n renal normal, una minor\u00eda desarrolla proteinuria e incluso insuficiencia renal de manera muy lentamente progresiva. La obesidad juega un papel determinante en la aparici\u00f3n de proteinuria e insuficiencia renal tras la uninefrectom\u00eda, siendo el \u00fanico par\u00e1metro cl\u00ednico o anal\u00edtico que se asoci\u00f3 estad\u00edsticamente con el riesgo de desarrollar estas complicaciones. Por tanto, los sujetos obesos sometidos a nefrectom\u00eda unilateral soberan\u00eda ser peri\u00f3dicamente revisados.     4,- aquellos pacientes con sobrepeso que padecen una nefropat\u00eda protein\u00farica cr\u00f3nica de cualquier etiolog\u00eda, una p\u00e9rdida de peso moderada conseguida mediante dieta hipocal\u00f3rica normoproteica induce un des<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Influencia de la obesidad sobre las nefropatias proteinuricas cronicas<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Influencia de la obesidad sobre las nefropatias proteinuricas cronicas <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Enrique Morales Ruiz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/10\/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>Manuel Praga Terente<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rafael Enr\u00edquez de salamanca lorente <\/li>\n<li>Carlos Quereda rodriguez -navarro (vocal)<\/li>\n<li>Jes\u00fas Egido de los rios (vocal)<\/li>\n<li>alejandro Martin malo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Enrique Morales Ruiz En la mayor\u00eda de los pa\u00edses desarrollados la obesidad esta alcanzando proporciones epid\u00e9micas. Estudios [&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":[1],"tags":[72049,15546,165685,5119,106263,7556],"class_list":["post-76849","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-alejandro-martin-malo","tag-carlos-quereda-rodriguez-navarro","tag-enrique-morales-ruiz","tag-jesus-egido-de-los-rios","tag-manuel-praga-terente","tag-rafael-enriquez-de-salamanca-lorente"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/76849","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=76849"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/76849\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=76849"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=76849"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=76849"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}