{"id":78908,"date":"2006-02-03T00:00:00","date_gmt":"2006-02-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/disfuncion-muscular-en-malalts-amb-malaltia-pulmonar-obstructiva-cra%c2%b2nica-mpoc\/"},"modified":"2006-02-03T00:00:00","modified_gmt":"2006-02-03T00:00:00","slug":"disfuncion-muscular-en-malalts-amb-malaltia-pulmonar-obstructiva-cra%c2%b2nica-mpoc","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/disfuncion-muscular-en-malalts-amb-malaltia-pulmonar-obstructiva-cra%c2%b2nica-mpoc\/","title":{"rendered":"Disfunci\u00f3n muscular en malalts amb malaltia pulmonar obstructiva cr\u00f3nica (mpoc)"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Coronell Coronell Carlos Gustavo <\/strong><\/h2>\n<p>Disfunci\u00f3 muscular en malalts amb malaltia pulmonar obstructiva cr\u00ed\u00b2nica  resumen: la enfermedad pulmonar obstructiva rr\u00f3nica (epoc) presenta disfunci\u00f3n muscular. Esta alteraci\u00f3n muscular afecta las actividades de la vida diaria, la tolerancia al ejercicio, limita la calidad de vida y disminuye la expectativa de vida de estos pacientes.  una de las posibles causas de disfunci\u00f3n muscular en los pacientes con epoc puede ser la p\u00e9rdida de masa muscular; por eso nos dedicamos a evaluar, los datos antropom\u00e9tricos de los pacientes con epoc que asistieron durante 2 a\u00f1os a nuestro centro. La preValencia de bajo peso en pacientes con epoc en un hospital con predominante poblaci\u00f3n mediterr\u00e1nea con, \u00edndice de masa corporal (imc) por debajo de 20 kg\/m2, fue de tan s\u00f3lo 6,6%, cifra que se reduc\u00eda al 3,1% si el dintel escogido era de 18 kg\/m2. Estas cifras van claramente en oposici\u00f3n a la preValencia referida en el mundo anglosaj\u00f3n y del norte-centro europeo, que muestra una preValencia de bajo peso en pacientes con epoc que oscila entre el 25 y el 35%.  como la escasa preValencia de bajo peso no explica la alta preValencia de disfunci\u00f3n muscular en los pacientes con epoc. Por ello evaluamos variables de funci\u00f3n muscular espec\u00edficamente del m\u00fasculo cu\u00e1driceps y encontramos que los pacientes con epoc ten\u00edan una disminuci\u00f3n tanto de la fuerza muscular (43%), como de la resistencia muscular (77%), al compararlos con controles del mismo grupo et\u00e1reo.  posteriormente realizamos otro estudio donde evaluamos el da\u00f1o sarcopl\u00e1smico y sarcom\u00e9rico mediante inmunohistoqu\u00edmica y microscop\u00eda electr\u00f3nica. Este trabajo demostr\u00f3 por primera vez que los pacientes con epoc presentan mayor da\u00f1o a nivel del m\u00fasculo cu\u00e1driceps que los controles sanos.  debido a que en la epoc los m\u00fasculos de las extremidades inferiores, pudieran estar afectados por el sedentarismo, decidimos estudiar otras causas de disfunci\u00f3n muscular en un grupo de m<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Disfunci\u00f3n muscular en malalts amb malaltia pulmonar obstructiva cr\u00f3nica (mpoc)<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Disfunci\u00f3n muscular en malalts amb malaltia pulmonar obstructiva cr\u00f3nica (mpoc) <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Coronell Coronell Carlos Gustavo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pompeu fabra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/03\/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>Joaquin Gea Guiral<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Lopez botet arbona <\/li>\n<li>josep Morera prat (vocal)<\/li>\n<li>josep Roca torrrent (vocal)<\/li>\n<li>pere Casan clar\u00ed\u00a0 (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Coronell Coronell Carlos Gustavo Disfunci\u00f3 muscular en malalts amb malaltia pulmonar obstructiva cr\u00ed\u00b2nica resumen: la enfermedad pulmonar [&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":[9,69,139,18712],"tags":[169504,29460,13938,169505,6524,169506],"class_list":["post-78908","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-enfermedades-pulmonares","category-medicina-interna","category-pompeu-fabra","tag-coronell-coronell-carlos-gustavo","tag-joaquin-gea-guiral","tag-josep-morera-prat","tag-josep-roca-torrrent","tag-miguel-lopez-botet-arbona","tag-pere-casan-clari"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/78908","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=78908"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/78908\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=78908"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=78908"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=78908"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}