{"id":87491,"date":"2018-03-10T00:12:17","date_gmt":"2018-03-10T00:12:17","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/prevencion-de-la-perdida-de-masa-osea-en-asmaticas-corticodependientes-premenopausicas\/"},"modified":"2018-03-10T00:12:17","modified_gmt":"2018-03-10T00:12:17","slug":"prevencion-de-la-perdida-de-masa-osea-en-asmaticas-corticodependientes-premenopausicas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/prevencion-de-la-perdida-de-masa-osea-en-asmaticas-corticodependientes-premenopausicas\/","title":{"rendered":"Prevencion de la p\u00e9rdida de masa \u00f3sea en asm\u00e1ticas corticodependientes premenop\u00e1usicas"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Palma Otero Miguel Angel <\/strong><\/h2>\n<p>La osteoperosis es la enfermedad metab\u00f3lica \u00f3sea m\u00e1s frecuente en el hombre. Muchos son los factores de riesgo que se relacionan con el desarrollo de osteoporosis, entre lo que destacan el empleo cr\u00f3nico de corticoides. hemos realizado un trabajo porspectivo de un a\u00f1o de duraci\u00f3n, simple ciego, controlado mediante placebo. Se evalu\u00f3 la afectaci\u00f3n \u00f3sea en pacientes asm\u00e1ticas corticodependientes premenopa\u00fasicas, los factores potencialmente relacionados con la densidad mineral \u00f3sea (dmo) en esta poblaci\u00f3n; as\u00ed como la eficacia y seguridad del tratamiento c\u00edclico con etiodronato durante un a\u00f1o en estas pacientes. Obteniendo las siguientes conclusiones:  1. En pacientes asm\u00e1ticas corticodependientes se evidencia una disminuci\u00f3n de la densidad mineral \u00f3sea(dmo) en columna lumbar y f\u00e9mur proximal, aunque esta alteraci\u00f3n es de menor intensidad que la descrita en mujeres postmenopa\u00fasicas.  2. Los factores relacionados con la dmo de estas pacientes fueron: el peso, \u00edndica de mas corporal, edad de presentaci\u00f3n de la menarquia, duraci\u00f3n del tratamiento corticoideo y la dosis acumulada de prednisona.  3. Los marcadores bioqu\u00edmicos de remodelado \u00f3seo analizados no permiten predecir los valores de densidad mineral \u00f3sea en esta poblaci\u00f3n y no son \u00fatiles para identificar los pacientes con mayor riesgo de afectaci\u00f3n \u00f3sea.  4. Las dos pautas de tratamiento evaluadas en nuestro estudio(etidronato c\u00edclico+suplementos de calcio vs. Placebo + suplementos de calcio) mostraron una tasa de abandonos significativa, aunque no se evidenciaron efectos adversos de relevancia cl\u00ednica.  5. En el seguimiento evolutivo de los marcadores de remodelado, se evidencia en ambos grupos una disminuci\u00f3n de los valores de fosfata alcalina \u00f3sea total y de la isoenzima \u00f3sea.  6. El tratamiento c\u00edclico con etidronato m\u00e1s suplementos de calcio durante un a\u00f1o previene la p\u00e9rdida de dmo en estas pacientes. No obstante, no fue posible demostra<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Prevencion de la p\u00e9rdida de masa \u00f3sea en asm\u00e1ticas corticodependientes premenop\u00e1usicas<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Prevencion de la p\u00e9rdida de masa \u00f3sea en asm\u00e1ticas corticodependientes premenop\u00e1usicas <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Palma Otero Miguel Angel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/11\/2000<\/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 Mu\u00f1oz Torres<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose De la higuera torres-puchol <\/li>\n<li>Jos\u00e9 Diaz perez de Madrid (vocal)<\/li>\n<li> P\u00e9rez blanco Francisco Jos\u00e9 (vocal)<\/li>\n<li>Jos\u00e9 Manuel Quesada gomez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Palma Otero Miguel Angel La osteoperosis es la enfermedad metab\u00f3lica \u00f3sea m\u00e1s frecuente en el hombre. Muchos [&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":[1957,155,9,135,213,156],"tags":[3915,3918,19255,3914,183093,4271],"class_list":["post-87491","post","type-post","status-publish","format-standard","hentry","category-alergias","category-ciencias-clinicas","category-ciencias-medicas","category-ginecologia","category-osteopatologia","category-patologia","tag-jose-de-la-higuera-torres-puchol","tag-jose-diaz-perez-de-madrid","tag-jose-manuel-quesada-gomez","tag-manuel-munoz-torres","tag-palma-otero-miguel-angel","tag-perez-blanco-francisco-jose"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/87491","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=87491"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/87491\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=87491"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=87491"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=87491"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}