{"id":227154,"date":"2026-05-21T16:27:33","date_gmt":"2026-05-21T16:27:33","guid":{"rendered":"http:\/\/6a0f1fb630ce38e83e7169c1"},"modified":"2026-05-21T16:27:33","modified_gmt":"2026-05-21T16:27:33","slug":"beber-mucha-agua-no-es-suficiente-para-evitar-los-calculos-renales-sugiere-estudio","status":"publish","type":"post","link":"https:\/\/sarmiento24h.com\/?p=227154","title":{"rendered":"Beber mucha agua no es suficiente para evitar los c\u00e1lculos renales, sugiere estudio"},"content":{"rendered":"
<\/div>\n

Los c\u00e1lculos renales son una enfermedad cr\u00f3nica que provoca fuertes dolores y perturba enormemente la vida cotidiana. Afecta a<\/a> una de cada 11 personas en EE UU, y casi la mitad de ellas sufren recurrencia. Desde hace tiempo se recomienda una hidrataci\u00f3n activa para prevenir la reaparici\u00f3n de c\u00e1lculos renales.<\/p>\n

En este contexto, la Urological Stone Disease Research Network, dirigida por el Instituto de Investigaci\u00f3n Cl\u00ednica de la Universidad de Duke, llev\u00f3 a cabo un estudio de seguimiento a gran escala<\/a> para examinar la eficacia de un programa de cambio de comportamiento destinado a fomentar la ingesta adecuada de l\u00edquidos para prevenir la recurrencia de c\u00e1lculos renales. Los resultados ponen de relieve una vez m\u00e1s la dificultad de prevenir los c\u00e1lculos renales.<\/p>\n

\u00abA pesar de la importancia de mantener una ingesta elevada de l\u00edquidos para prevenir la recurrencia de c\u00e1lculos renales, descubrimos que a los pacientes les resultaba m\u00e1s dif\u00edcil de lo esperado\u00bb, explica<\/a> Charles Scales, autor principal del art\u00edculo y profesor asociado de la Facultad de Medicina de la Universidad de Duke.<\/p>\n

El mayor ensayo de cambio de comportamiento de la historia<\/h2>\n

Scales y su equipo estudiaron a adolescentes y adultos inscritos en seis centros m\u00e9dicos estadounidenses (UT Southwestern Medical Centre, St Louis Washington University, University of Pennsylvania \/ Children’s Hospital of Philadelphia, Washington University, Mayo Clinic y Cleveland Clinic). Un total de 1,658 individuos fueron asignados aleatoriamente a un grupo que recib\u00eda tratamiento est\u00e1ndar y a otro que recib\u00eda un programa de cambio de conducta para promover la hidrataci\u00f3n, y fueron seguidos durante un per\u00edodo de dos a\u00f1os con cuestionarios peri\u00f3dicos e im\u00e1genes diagn\u00f3sticas.<\/p>\n

Este \u00faltimo programa inclu\u00eda el uso de botellas inteligentes con Bluetooth que med\u00edan autom\u00e1ticamente la ingesta de l\u00edquidos, fijaban objetivos personalizados de hidrataci\u00f3n (prescripci\u00f3n de l\u00edquidos), introduc\u00edan incentivos econ\u00f3micos, recordatorios por SMS y proporcionaban orientaci\u00f3n mediante un coaching de salud. El objetivo de prescripci\u00f3n de l\u00edquidos se calcul\u00f3 comparando el volumen de orina recomendado de al menos 2.5 litros al d\u00eda con el volumen de orina habitual de los participantes.<\/p>\n

El estudio constat\u00f3 que la diuresis (el proceso mediante el cual los ri\u00f1ones filtran la sangre para producir orina) media de los pacientes que participaron en el programa de cambio de conducta aument\u00f3 moderadamente en comparaci\u00f3n con el grupo de control. Sin embargo, este aumento no se tradujo en una reducci\u00f3n significativa de la tasa de recurrencia de c\u00e1lculos renales en el conjunto del grupo.<\/p>\n

El hecho de que este nivel de apoyo no condujera a una mejora de la tasa de recurrencia ilustra lo dif\u00edcil que es mantener una ingesta elevada de l\u00edquidos en la vida diaria. Seg\u00fan Scales, es probable que la dificultad para adherirse al tratamiento sea un factor que contribuye a la elevada tasa de recurrencia de los c\u00e1lculos renales.<\/p>\n

Necesidad de estrategias de prevenci\u00f3n personalizadas<\/h2>\n

Las conclusiones de este estudio no significan en absoluto que el programa de cambio de comportamiento fuera ineficaz. La propia ingesta de l\u00edquidos aument\u00f3 y, como marco de apoyo, se observ\u00f3 un cierto nivel de eficacia. Sin embargo, la cantidad ideal de hidrataci\u00f3n var\u00eda mucho en funci\u00f3n de la edad, el f\u00edsico, el estilo de vida y el estado de salud. Por tanto, es posible que algunos pacientes no se beneficien de una fijaci\u00f3n uniforme de objetivos.<\/p>\n

\u00abEn lugar de exigir a todos los pacientes que consuman la misma cantidad de l\u00edquidos, debemos identificar un nivel objetivo del que cada individuo pueda beneficiarse\u00bb, expresa Gregory E. Theigian, ur\u00f3logo pedi\u00e1trico del Hospital Infantil de Filadelfia y profesor asociado de la Facultad de Medicina de la Universidad de Pensilvania. \u201cTenemos que entender las razones de la falta de adherencia y, a continuaci\u00f3n, desarrollar intervenciones, tanto conductuales como m\u00e9dicas, para garantizar la prevenci\u00f3n de la recurrencia de los c\u00e1lculos renales\u201d, a\u00f1ade.<\/p>\n","protected":false},"excerpt":{"rendered":"

Los c\u00e1lculos renales son una enfermedad cr\u00f3nica...<\/p>\n","protected":false},"author":1,"featured_media":227155,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[46],"tags":[],"class_list":["post-227154","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tecnologia"],"yoast_head":"\nBeber mucha agua no es suficiente para evitar los c\u00e1lculos renales, sugiere estudio - Sarmiento24h<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sarmiento24h.com\/?p=227154\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Beber mucha agua no es suficiente para evitar los c\u00e1lculos renales, sugiere estudio - 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