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circunfer&#234;ncia da cintura &#40;CC&#41; e rela&#231;&#227;o cintura estatura &#40;RCEst&#41; apresentam vantagens na pr&#225;tica cl&#237;nica di&#225;ria&#44; por serem de simples execu&#231;&#227;o e f&#225;cil reprodu&#231;&#227;o<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;10</span></a>&#46; O objetivo do trabalho foi avaliar a correla&#231;&#227;o do perfil lip&#237;dico e glic&#237;dico com par&#226;metros antropom&#233;tricos de obesidade total e central&#44; a fim de definir&#44; entre os m&#233;todos antropom&#233;tricos comumente utilizados na pr&#225;tica cl&#237;nica e em estudos epidemiol&#243;gicos&#44; quais os melhores preditores de altera&#231;&#245;es no perfil lip&#237;dico e glic&#237;dico&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="par0025" class="elsevierStylePara elsevierViewall">Estudo transversal realizado em ambulat&#243;rios de atendimento geral de nutri&#231;&#227;o nos hospitais Bar&#227;o de Lucena &#40;HBL&#41; e Hospital das Cl&#237;nicas &#40;HC&#41;&#44; pertencentes &#224; rede p&#250;blica de sa&#250;de da cidade do Recife&#44; Nordeste do Brasil&#44; no per&#237;odo de janeiro a dezembro de 2009&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Foram estudados 550 pacientes de ambos os sexos&#44; na faixa et&#225;ria superior a 19 anos&#44; admitidos para orienta&#231;&#227;o nutricional nos referidos ambulat&#243;rios&#46; Foram exclu&#237;dos pacientes gestantes&#44; portadores de doen&#231;as consumptivas &#40;c&#226;ncer&#44; aids&#41;&#44; pacientes que tenham utilizado medicamentos para dislipidemia&#44; hiperglicemia e perda de peso nos &#250;ltimos 6 meses ou que tenham realizado cirurgias pl&#225;sticas&#44; tipo abdominoplastia&#44; ou portadores de patologia que pudessem modificar a distribui&#231;&#227;o da gordura corporal&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">S&#227;o necess&#225;rias algumas considera&#231;&#245;es sobre o processo de amostragem&#46; Como se trata de um levantamento visando a identifica&#231;&#227;o da correla&#231;&#227;o de &#237;ndices antropom&#233;tricos com o perfil lip&#237;dico e glic&#237;dico de pacientes de ambulat&#243;rio&#44; numa fase anterior ao tratamento cl&#237;nico-nutricional&#44; s&#243; foram selecionados os indiv&#237;duos que n&#227;o haviam&#44; at&#233; o momento da consulta&#44; recebido orienta&#231;&#227;o profissional para perda ponderal&#44; dislipidemia e hiperglicemia&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Dados sociodemogr&#225;ficos e antropom&#233;tricos &#40;idade&#44; grau de instru&#231;&#227;o&#44; sexo&#44; peso&#44; altura e circunfer&#234;ncia da cintura&#41; foram recolhidos pelos 2 profissionais respons&#225;veis pelos referidos ambulat&#243;rios e transcritos para question&#225;rio criado para esse estudo&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Para a determina&#231;&#227;o do peso corporal e estatura dos pacientes&#44; os 2 ambulat&#243;rios seguem as t&#233;cnicas preconizadas por Lohman<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a>&#44; sendo utilizada balan&#231;a tipo plataforma&#44; capacidade 150<span class="elsevierStyleHsp" style=""></span>kg com divis&#227;o de 100<span class="elsevierStyleHsp" style=""></span>g e estadi&#244;metro acoplado com precis&#227;o de 1<span class="elsevierStyleHsp" style=""></span>mm&#46; Tanto o peso quanto a altura serviram de base para o c&#225;lculo do IMC&#44; sendo que a classifica&#231;&#227;o utilizada foi a proposta pela Organiza&#231;&#227;o Mundial de Sa&#250;de &#40;OMS&#44; 1995&#41;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a>&#46; A CC foi aferida com uma fita m&#233;trica n&#227;o extens&#237;vel de acordo com as normas e os pontos de corte recomendados pela OMS &#40;1998&#41;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a>&#46; A RCEst foi determinada atrav&#233;s da rela&#231;&#227;o entre a CC &#40;cm&#41; e a altura &#40;cm&#41;&#44; sendo utilizado como ponto de corte o valor de 0&#44;5<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a>&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">As avalia&#231;&#245;es bioqu&#237;micas envolveram a glicemia de jejum&#44; colesterol total &#40;CT&#41;&#44; triglicer&#237;deos &#40;TG&#41;&#44; LDL colesterol &#40;LDL-c&#41; e HDL colesterol &#40;HDL-c&#41;&#46; As an&#225;lises bioqu&#237;micas foram realizadas nos laborat&#243;rios dos 2 hospitais mediante o uso de equipamentos automatizados&#44; COBAS integra 400 plus da empresa ROCHE e m&#233;todo autom&#225;tico ARCHITECT para o perfil lip&#237;dico no HBL e HC&#44; respectivamente&#46; Para an&#225;lise da glicemia de jejum&#44; o HBL&#47;SES-PE utiliza o m&#233;todo enzim&#225;tico colorim&#233;trico e o HC&#47;UFPE o m&#233;todo Diasys autom&#225;tico ARCHITECT&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Considerou-se como refer&#234;ncia os valores para lip&#237;deos apresentados na IV Diretriz Brasileira de Dislipidemia e Preven&#231;&#227;o da Aterosclerose &#40;Sociedade Brasileira De Cardiologia&#44; 2007&#41;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#46; Como ponto de corte para a glicemia foram utilizados os crit&#233;rios recomendados pela <span class="elsevierStyleItalic">American Diabetics Association</span> &#40;ADA&#44; 2008&#41;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> considerando-se que valores entre 100 e 125<span class="elsevierStyleHsp" style=""></span>mg&#47;dL correspondem a indiv&#237;duos com intoler&#226;ncia &#224; glicose e sendo valores superiores a 126<span class="elsevierStyleHsp" style=""></span>mg&#47;dL indicativos de diabetes <span class="elsevierStyleItalic">mellitus</span>&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">A constru&#231;&#227;o do banco de dados foi realizada no programa Epi info vers&#227;o 6&#44;04 com dupla entrada e utiliza&#231;&#227;o do m&#243;dulo VALIDATE para averiguar eventuais inconsist&#234;ncias na digita&#231;&#227;o&#46; As vari&#225;veis cont&#237;nuas&#44; utilizadas no estudo de correla&#231;&#227;o&#44; foram testadas quanto &#224; normalidade da distribui&#231;&#227;o&#44; pelo teste de Kolmogorov- Smirnov&#44; e&#44; como nenhuma apresentou distribui&#231;&#227;o normal&#44; foram convertidas para o seu logaritmo natural e testadas novamente&#44; sendo verificada a normalidade de todas as vari&#225;veis antropom&#233;tricas e do perfil lip&#237;dico&#44; com exce&#231;&#227;o do CT e GJ&#46; Desse modo&#44; para avalia&#231;&#227;o da correla&#231;&#227;o das vari&#225;veis do perfil lip&#237;dico e glic&#237;dico com as vari&#225;veis antropom&#233;tricas&#44; foi utilizado o coeficiente de correla&#231;&#227;o de Pearson com ajuste para potenciais vari&#225;veis confundidoras&#44; como a idade e o estado nutricional&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">O protocolo de pesquisa foi aprovado pelo Comit&#234; de &#201;tica em Pesquisa do Centro de Ci&#234;ncias da Sa&#250;de da Universidade Federal de Pernambuco&#44; sob o registo CEP&#47;CCS&#47;UFPE n&#46;<span class="elsevierStyleSup">o</span> 106&#47;11&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Resultados</span><p id="par0070" class="elsevierStylePara elsevierViewall">Foram avaliados 550 pacientes de ambos os sexos &#40;76&#44;4&#37; de mulheres&#41; com idade mediana de 51 anos &#40;P<span class="elsevierStyleInf">25</span> 41 anos e P<span class="elsevierStyleInf">75</span> 59 anos&#41;&#44; 67&#44;6&#37; com menos de 8 anos de estudo e que procuravam atendimento nutricional com o objetivo principal de perda de peso&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Segundo o IMC&#44; em ambos os sexos&#44; a preval&#234;ncia de excesso de peso apresentou-se elevada&#44; acima de 80&#37;&#44; n&#227;o sendo evidenciado diferencial estatisticamente significante na compara&#231;&#227;o entre os sexos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;171&#41;&#46; Resultado similar foi evidenciado quando utilizado o &#237;ndice RCEst&#44; em que mais de 90&#37; da popula&#231;&#227;o estudada apresentou valores alterados&#44; tamb&#233;m sem varia&#231;&#227;o entre os sexos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;899&#41;&#46; Por outro lado&#44; 80&#44;9&#37; das mulheres contra 52&#44;1&#37; dos homens apresentou CC na faixa de risco muito elevado &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;000&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Tabela 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">Quanto aos par&#226;metros laboratoriais avaliados &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Tabela 1</a>&#41;&#44; foi evidenciada altera&#231;&#227;o para CT&#44; TG&#44; LDL-c&#44; HDL-c e glicemia em mais de 40&#37; da amostra&#46; No entanto&#44; s&#243; foi encontrado diferencial estatisticamente significante entre os sexos para o LDL-c&#44; com 66&#44;7 e 42&#44;4&#37; dos homens e mulheres respetivamente&#44; apresentando valores alterados &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;004&#41;&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">De acordo com os valores de refer&#234;ncia para classifica&#231;&#227;o do IMC&#44; CC e RCEst&#44; tanto os homens quanto as mulheres apresentaram-se&#44; em termos de mediana&#44; na condi&#231;&#227;o de risco&#44; com o IMC na faixa de obesidade leve e a CC na faixa de risco muito elevado&#46; Quanto ao perfil lip&#237;dico e glic&#237;dico com exce&#231;&#227;o do HDL-c nas mulheres&#44; os valores de mediana encontrados para todos os outros par&#226;metros foram classificados na faixa de risco &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Tabela 1</a>&#41;&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">As an&#225;lises de correla&#231;&#245;es entre as vari&#225;veis antropom&#233;tricas com o perfil lip&#237;dico e glic&#237;dico para o sexo masculino e feminino s&#227;o apresentadas nas <a class="elsevierStyleCrossRefs" href="#tbl0010">Tabelas 2 e 3</a>&#46; No sexo masculino&#44; n&#227;o foi evidenciada nenhuma correla&#231;&#227;o entre as vari&#225;veis antropom&#233;tricas e o perfil metab&#243;lico &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Tabela 2</a>&#41;&#46; Para as mulheres&#44; o HDL-c apresentou correla&#231;&#227;o negativa com o IMC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;36&#41;&#44; CC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;40&#41; e RCEst &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;42&#41;&#46; O triglicer&#237;deo apresentou correla&#231;&#227;o positiva com o IMC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;21&#41;&#44; CC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;24&#41; e RCEst &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;24&#41; e a GJ com a CC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;16&#41; e RCEst &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;17&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Tabela 3</a>&#41;&#46; Na an&#225;lise ajustada para idade e estado nutricional&#44; as correla&#231;&#245;es permaneceram significativas apenas entre HDL-c e os &#237;ndices antropom&#233;tricos &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">Tabela 4</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Discuss&#227;o</span><p id="par0095" class="elsevierStylePara elsevierViewall">Os dados aqui apresentados demonstram uma certa especificidade pelo fato de terem sido obtidos a partir de uma amostra de indiv&#237;duos que procuraram atendimento nutricional principalmente para perda ponderal&#44; o que explica a ocorr&#234;ncia de mais de 80&#37; de excesso de peso&#46; Alguns foram encaminhados ao ambulat&#243;rio apenas para perda ponderal e outros por problemas associados ao excesso de peso&#44; tais como altera&#231;&#227;o da press&#227;o arterial&#44; do perfil lip&#237;dico e glic&#237;dico&#44; al&#233;m de patologias reumatol&#243;gicas e ortop&#233;dicas&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">A predomin&#226;ncia do sexo feminino nesta casu&#237;stica &#40;76&#44;4&#37;&#41; provavelmente est&#225; relacionada com a maior preocupa&#231;&#227;o das mulheres com a sa&#250;de&#44; fato este que torna a procura aos servi&#231;os de sa&#250;de maior neste g&#234;nero<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">16&#44;17</span></a>&#46; O principal fator de risco n&#227;o modific&#225;vel para a DCV &#233; a idade&#46; A partir da 3&#46;<span class="elsevierStyleSup">a</span> d&#233;cada de vida&#44; as les&#245;es do endot&#233;lio vascular tornam-se mais evidentes e as suas consequ&#234;ncias cl&#237;nicas surgem por volta dos 40 anos<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;19</span></a>&#46; Nesta casu&#237;stica&#44; a mediana de idade dos pacientes que iniciaram atendimento cl&#237;nico-nutricional foi de 51 anos&#44; o que dificulta a preven&#231;&#227;o prim&#225;ria para DCV&#44; tendo em vista que a mesma deve ser iniciada mais precocemente&#46; Estudos mostram que&#44; ainda na inf&#226;ncia&#44; as estrias gordurosas&#44; precursoras da placa ateroscler&#243;tica&#44; come&#231;am a sua forma&#231;&#227;o<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a>&#44; podendo ser encontradas&#44; numa fase mais tardia&#44; na aorta abdominal e coron&#225;rias de adolescentes&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">A baixa escolaridade em ambos os sexos observada nesta amostra sugere uma situa&#231;&#227;o desfavor&#225;vel &#224; compreens&#227;o dos males ocasionados pela obesidade&#46; A elevada frequ&#234;ncia de indiv&#237;duos procurando atendimento para perda ponderal &#233; um reflexo da &#171;epidemia&#187; de excesso de peso que vem acometendo a popula&#231;&#227;o adulta brasileira&#46; A Pesquisa de Or&#231;amento Familiar &#40;POF&#41; de 2008-2009<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">21</span></a> revelou que 50&#44;1&#37; dos homens e 48&#37; das mulheres no Brasil apresenta excesso de peso&#44; o que demonstra a import&#226;ncia da interven&#231;&#227;o nutricional&#44; principalmente por se tratar de um fator de risco modific&#225;vel para DCV&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">A elevada preval&#234;ncia da CC muito alterada desta amostra&#44; principalmente entre as mulheres&#44; pode ser explicada pelo risco 7 vezes maior que o sexo feminino apresenta de desenvolver a obesidade abdominal<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a>&#46; O estudo de Pischon et al&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a> revela que a cada 5<span class="elsevierStyleHsp" style=""></span>cm de CC acima dos valores de refer&#234;ncia aumentam em 13&#37; e 17&#37; o risco cardiovascular nas mulheres e homens&#44; respetivamente&#46; Por outro lado&#44; S&#225;nchez et al&#46;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a> conclu&#237;ram no seu estudo que&#44; de uma maneira geral&#44; as mulheres acumulam mais gordura subcut&#226;nea na regi&#227;o abdominal e nos homens ocorre mais tecido adiposo visceral&#44; o que possibilita um maior risco para as doen&#231;as cr&#244;nicas n&#227;o transmiss&#237;veis entre eles&#44; visto que a gordura visceral tem mais caracter&#237;sticas pr&#243;-inflamat&#243;rias quando comparada com a gordura subcut&#226;nea<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a>&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Na presente investiga&#231;&#227;o&#44; observou-se uma preval&#234;ncia de mais de 40&#37; da amostra com altera&#231;&#227;o em todos os componentes do perfil lip&#237;dico e glic&#237;dico&#44; sem apresentar diferencial estatisticamente significante entre os sexos&#44; exceto em rela&#231;&#227;o ao LDL-c&#44; com valores alterados em maior frequ&#234;ncia nos homens&#46; Estes dados tamb&#233;m refletem o que est&#225; ocorrendo com a popula&#231;&#227;o adulta&#44; ou seja&#44; segundo a III Pesquisa Estadual de Sa&#250;de e Nutri&#231;&#227;o &#40;III PESN&#41;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a> realizada em 2006&#44; mais de 30&#37; dos indiv&#237;duos acima de 25 anos apresentava CT e TG alterados&#59; esse percentual para glicemia ficou em torno de 16&#37;&#46; Um fato preocupante evidenciado na III PESN<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a> &#233; que pouco mais de metade das pessoas entrevistadas j&#225; se havia submetido a exames laboratoriais para determina&#231;&#227;o do perfil lip&#237;dico e glic&#237;dico&#44; o que demonstra a necessidade de diagn&#243;sticos mais precoces visando o risco das DCV&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Diversos estudos t&#234;m procurado mostrar qual o melhor par&#226;metro antropom&#233;trico para identificar risco cardiovascular elevado<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">27&#44;28</span></a>&#59; no entanto&#44; poucos s&#227;o os estudos que o tenham avaliado em pacientes atendidos em ambulat&#243;rio<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">29&#44;30</span></a>&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">No geral&#44; nesta pesquisa&#44; n&#227;o foram encontradas fortes correla&#231;&#245;es entre as vari&#225;veis antropom&#233;tricas de excesso de peso global e central e as vari&#225;veis lip&#237;dicas e glic&#237;dicas&#44; fato condizente com outros estudos<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">31&#44;32</span></a>&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">A aus&#234;ncia de correla&#231;&#227;o no sexo masculino entre o perfil metab&#243;lico e as vari&#225;veis antropom&#233;tricas foi um achado inesperado&#44; considerando que os homens tendem a acumular maior teor de gordura visceral do que as mulheres&#46; Ou seja&#44; como o ac&#250;mulo de gordura na regi&#227;o abdominal de mulheres &#233; predominantemente de tecido subcut&#226;neo &#40;menor risco&#41;&#44; seria de se esperar que a correla&#231;&#227;o existisse e fosse mais forte nos homens&#44; cujo ac&#250;mulo &#233; predominantemente de tecido adiposo visceral &#40;maior risco&#41;&#46; Por outro lado&#44; 65&#44;7&#37; das mulheres avaliadas tinha mais de 45 anos&#44; o que inclui mulheres na pr&#233;-menopausa&#44; na fase de transi&#231;&#227;o de pr&#233; para p&#243;s-menopausa e na p&#243;s-menopausa&#46; Sabe-se que a perda da fun&#231;&#227;o ovariana nas mulheres pode ser um fator determinante na eleva&#231;&#227;o dos lip&#237;dios sangu&#237;neos<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">33&#44;34</span></a>&#46; Estudos evidenciam que os n&#237;veis s&#233;ricos de CT&#44; LDL-c e TG podem aumentar at&#233; 19&#37; da pr&#233;-menopausa para a p&#243;s-menopausa<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">33&#44;35</span></a> e que esse aumento pode estar relacionado as altera&#231;&#245;es no IMC e na composi&#231;&#227;o corporal ocorridas com o advento do climat&#233;rio e do envelhecimento<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">36</span></a>&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Ap&#243;s ajuste para idade e estado nutricional&#44; apenas as correla&#231;&#245;es entre o HDL-c e as vari&#225;veis antropom&#233;tricas se mantiveram significantes&#46; Desse modo&#44; diante da reconhecida atua&#231;&#227;o do HDL-c contra a forma&#231;&#227;o de placas ateromatosas e&#44; consequentemente&#44; eventos cardiovasculares&#44; estes resultados podem sugerir a utiliza&#231;&#227;o dos &#237;ndices antropom&#233;tricos de obesidade global e central como preditores de altera&#231;&#245;es nessa fra&#231;&#227;o do CT&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conclus&#227;o</span><p id="par0140" class="elsevierStylePara elsevierViewall">Entre as mulheres&#44; os &#237;ndices antropom&#233;tricos CC&#44; RCEst e IMC mostraram-se bons preditores das concentra&#231;&#245;es de HDL-c&#44; evidenciando a import&#226;ncia da utiliza&#231;&#227;o desses par&#226;metros na pr&#225;tica cl&#237;nica e no rastreamento do risco cardiovascular&#46; Al&#233;m disso&#44; s&#227;o necess&#225;rios estudos prospetivos com diversos par&#226;metros de avalia&#231;&#227;o da obesidade abdominal e da sua rela&#231;&#227;o com o perfil metab&#243;lico para apoiar estes achados&#46; Por sua vez&#44; a necessidade de pesquisas com enfoque em pacientes atendidos em ambulat&#243;rios de nutri&#231;&#227;o&#44; campo prop&#237;cio para desenhos transversais e longitudinais&#44; &#233; extremamente recomend&#225;vel&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Responsabilidades &#233;ticas</span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Prote&#231;&#227;o de pessoas e animais</span><p id="par0145" class="elsevierStylePara elsevierViewall">Os autores declaram que para esta investiga&#231;&#227;o n&#227;o se realizaram experi&#234;ncias em seres humanos e&#47;ou animais&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Confidencialidade dos dados</span><p id="par0150" class="elsevierStylePara elsevierViewall">Os autores declaram ter seguido os protocolos de seu centro de trabalho acerca da publica&#231;&#227;o dos dados de pacientes e que todos os pacientes inclu&#237;dos no estudo receberam informa&#231;&#245;es suficientes e deram o seu consentimento informado por escrito para participar nesse estudo&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Direito &#224; privacidade e consentimento escrito</span><p id="par0155" class="elsevierStylePara elsevierViewall">Os autores declaram ter recebido consentimento escrito dos pacientes e&#47;ou sujeitos mencionados no artigo&#46; O autor para correspond&#234;ncia deve estar na posse deste documento&#46;</p></span></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflito de interesses</span><p id="par0160" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflito de interesses&#46;</p></span></span>"
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    "fechaRecibido" => "2012-01-03"
    "fechaAceptado" => "2012-05-09"
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
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            0 => "Dislipidemia"
            1 => "Obesidade abdominal"
            2 => "Antropometria"
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec237802"
          "palabras" => array:3 [
            0 => "Dyslipidemia"
            1 => "Abdominal obesity"
            2 => "Anthropometry"
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    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introdu&#231;&#227;o e objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A obesidade est&#225; associada a elevada frequ&#234;ncia de dislipidemias e intoler&#226;ncia &#224; glicose&#46; O objetivo desse estudo foi avaliar a correla&#231;&#227;o de &#237;ndices antropom&#233;tricos com o perfil lip&#237;dico e glic&#237;dico de pacientes ambulatoriais&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudo transversal envolvendo uma amostra de 550 indiv&#237;duos&#44; em que foram avaliados par&#226;metros antropom&#233;tricos e metab&#243;licos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A preval&#234;ncia de excesso de peso superou 80&#37;&#44; n&#227;o ocorrendo diferencial entre os sexos&#46; No entanto&#44; 80&#44;9&#37; das mulheres contra 52&#44;1&#37; dos homens apresentaram circunfer&#234;ncia da cintura na faixa de risco muito elevado &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;000&#41;&#46; Altera&#231;&#245;es lip&#237;dicas e glic&#237;dicas foram encontradas em mais de 40&#37; da amostra&#46; No sexo masculino&#44; n&#227;o foi evidenciada nenhuma correla&#231;&#227;o entre os &#237;ndices antropom&#233;tricos e o perfil metab&#243;lico&#46; Para as mulheres&#44; o HDL colesterol apresentou correla&#231;&#227;o negativa com o &#237;ndice de massa corporal&#44; circunfer&#234;ncia da cintura e rela&#231;&#227;o cintura estatura&#46; O triglicer&#237;deo apresentou correla&#231;&#227;o positiva com o &#237;ndice de massa corporal&#44; circunfer&#234;ncia da cintura e rela&#231;&#227;o cintura estatura e a glicemia de jejum com a circunfer&#234;ncia da cintura e rela&#231;&#227;o cintura estatura&#46; Na an&#225;lise ajustada para idade e estado nutricional&#44; as correla&#231;&#245;es permaneceram significativas apenas entre HDL-colesterol e os &#237;ndices antropom&#233;tricos&#46;</p> <span class="elsevierStyleSectionTitle">Conclus&#245;es</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Entre as mulheres&#44; os &#237;ndices antropom&#233;tricos circunfer&#234;ncia da cintura&#44; rela&#231;&#227;o cintura estatura e &#237;ndice de massa corporal mostraram-se bons preditores das concentra&#231;&#245;es de HDL colesterol&#44; evidenciando a import&#226;ncia da utiliza&#231;&#227;o desses par&#226;metros na pr&#225;tica cl&#237;nica e no rastreamento do risco cardiovascular&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction and objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Obesity is associated with high rates of dyslipidemia and glucose intolerance&#46; The objective of this study was to evaluate the correlation of anthropometric indices with the lipid and glucose profiles of outpatients&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We performed a cross-sectional study assessing anthropometric and metabolic parameters in a sample of 550 individuals&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The prevalence of overweight exceeded 80&#37;&#44; with no difference between the sexes&#46; However&#44; 80&#46;9&#37; of women vs&#46; 52&#46;1&#37; of men had waist circumference in the very high risk range &#40;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>000&#41;&#46; Glucose and lipid abnormalities were found in over 40&#37; of the sample&#46; In men&#44; no correlation was found between anthropometric indices and metabolic profile&#46; In women&#44; HDL cholesterol was negatively correlated with body mass index waist circumference and waist-to-height ratio&#46; Triglycerides were positively correlated with body mass index&#44; waist circumference and waist-to-height ratio and fasting plasma glucose with waist circumference and waist-to-height ratio&#46; After adjustment for age and nutritional status&#44; the correlations only remained significant between HDL cholesterol and anthropometric indices&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Among women&#44; the anthropometric indices waist circumference&#44; waist-to-height ratio and body mass index proved good predictors of HDL cholesterol&#44; showing the importance of using these parameters in clinical practice and for screening of cardiovascular risk&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">Vincula&#231;&#227;o acad&#233;mica&#58; este artigo &#233; parte da disserta&#231;&#227;o de Mestrado de Nutri&#231;&#227;o de Cl&#225;udia Mota dos Santos pelo Programa de P&#243;s-gradua&#231;&#227;o em Nutri&#231;&#227;o &#40;UFPE&#41;&#46;</p>"
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          "leyenda" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">CC<span class="elsevierStyleSup">2</span>&#58; Circunfer&#234;ncia da cintura&#59; IC&#58; intervalo de confian&#231;a&#59; IMC<span class="elsevierStyleSup">1</span>&#58; &#237;ndice de massa corporal&#59; Obs&#46;&#58; O n&#250;mero total de indiv&#237;duos em cada vari&#225;vel &#233; diferente em raz&#227;o do n&#250;mero de respondente<span class="elsevierStyleSup">&#59;</span>RCEst<span class="elsevierStyleSup">3</span>&#58; Rela&#231;&#227;o cintura estatura&#46;</p>"
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                  \t\t\t\t">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Valor de p<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">IC <span class="elsevierStyleInf">95&#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">IC <span class="elsevierStyleInf">95&#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Excesso de peso &#40;IMC</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">1</span></span><span class="elsevierStyleItalic">&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim &#40;IMC &#8805; 25&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">117&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">90&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">84&#44;0-95&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">354&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">85&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">81&#44;7-88&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;171&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o &#40;IMC<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>25&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">9&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5&#44;1-16&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">60&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;3-18&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&#44;0 kg&#47;m<span class="elsevierStyleSup">2</span> &#40;27&#44;0- 33&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&#44;0 kg&#47;m<span class="elsevierStyleSup">2</span> &#40;27&#44;0-34&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">CC</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleItalic">- risco muito elevado</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim &#40;&#9794; &#8805; 102<span class="elsevierStyleHsp" style=""></span>cm &#9792; &#8805; 88 cm&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">61&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&#44;7-61&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">293&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">80&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">76&#44;4-84&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o &#40;&#9794;<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>102<span class="elsevierStyleHsp" style=""></span>cm &#9792;<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>88cm&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38&#44;6-57&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&#44;2-23&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">102&#44;0<span class="elsevierStyleHsp" style=""></span>cm &#40;96&#44;6-113&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&#44;0<span class="elsevierStyleHsp" style=""></span>cm &#40;90&#44;4-110&#44;9&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">RCEst</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">3</span></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alterado &#40;RCEst<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">109&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">94&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">87&#44;5-97&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">335&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">93&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">89&#44;8-95&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;899&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Normal &#40;RCEst &#8804; 0&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;7-12&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;6-10&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;60 &#40;0&#44;60-0&#44;70&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;60 &#40;0&#44;60-0&#44;70&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Colesterol total &#40;CT&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alterado &#40;CT &#8805; 200 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31&#44;9-55&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">143&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">48&#44;5-60&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;104&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Normal &#40;CT<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>200 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44&#44;7-68&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">118&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39&#44;1-51&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">196&#44;0 &#40;160&#44;0-220&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">206&#44;0 &#40;176&#44;0-232&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Triglicer&#237;deo &#40;TG&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alterado &#40;TG &#8805; 150 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">48&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">36&#44;4-60&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">110&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">41&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35&#44;8-48&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;391&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Normal &#40;TG<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>150 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39&#44;1-63&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">153&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&#44;9-64&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">158&#44;0 &#40;115&#44;5-248&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">130&#44;0 &#40;92&#44;0-190&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">LDL- colesterol &#40;LDL-c&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alterado &#40;LDL-c &#8805; 160 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">66&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&#44;5-79&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35&#44;7-49&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;004&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Normal &#40;LDL-c<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>160 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;8-48&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">121&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">57&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&#44;6-64&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">112&#44;5 &#40;91&#44;0-142&#44;5&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">120&#44;0 &#40;96&#44;0-147&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">HDL-colesterol &#40;HDL-c&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alterado &#40;&#9794;<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>50 mg&#47;dL &#9792;<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>4 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38&#44;9-66&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">108&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39&#44;0-51&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;403&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Normal &#40;&#9794; &#8805;50 mg&#47;dL &#9792; &#8805;40 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&#44;8-61&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">130&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">48&#44;1-61&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38&#44;0 &#40;33&#44;0-49&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&#44;0 &#40;43&#44;0-63&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Glicemia de jejum &#40;GJ&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alterada &#40;GJ &#8805; 100 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">46&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">62&#44;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;239&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">37&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#44;0-49&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">127&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">46&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&#44;4-52&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="3" align="center" valign="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HDL-colesterol&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;03&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;83&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;02&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;92&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Glicemia de jejum&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;61&nbsp;\t\t\t\t\t\t\n
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          "pt" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Correla&#231;&#245;es entre as vari&#225;veis antropom&#233;tricas com o perfil metab&#243;lico de pacientes do sexo masculino atendidos em ambulat&#243;rios de nutri&#231;&#227;o&#46; Recife&#47;Nordeste do Brasil&#44; 2009</p>"
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Glicemia de jejum&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">&#8805;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">60 anos</span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>HDL-colesterol&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Triglicer&#237;deos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Glicemia de jejum&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>HDL-colesterol&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Glicemia de jejum&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>HDL-colesterol&nbsp;\t\t\t\t\t\t\n
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Artigo Original
Perfil lipídico e glicídico de pacientes atendidos em ambulatório e sua correlação com índices antropométricos
Lipid and glucose profiles in outpatients and their correlation with anthropometric indices
Cláudia Mota dos Santosa,
Autor para correspondência
nutri_claudia@yahoo.com.br

Autor para correspondência.
, Claudileide Sá Silvaa, Edvânia César de Araújob, Ilma Kruze Grande de Arrudaa, Alcides da Silva Diniza, Poliana Coelho Cabrala
a Departamento de Nutrição, Universidade Federal de Pernambuco, Recife, Pernambuco, Brasil
b Secretaria Estadual de Saúde, Hospital Barão de Lucena, Centro de Estudos, Recife, Pernambuco, Brasil
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podendo surgir o quadro de dislipidemia&#44; o qual potencializa os eventos cl&#237;nicos das DCV<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46; Neste quadro&#44; em particular&#44; temos as altera&#231;&#245;es na lipoprote&#237;na de baixa densidade &#40;LDL-c&#41;&#44; fator causal e independente de aterosclerose<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#44; bem como as modifica&#231;&#245;es na estrutura da permeabilidade vascular provenientes das altera&#231;&#245;es no metabolismo da glicose<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Diferentes m&#233;todos s&#227;o utilizados para avaliar a gordura corporal&#44; a sua distribui&#231;&#227;o e a poss&#237;vel rela&#231;&#227;o com as DCV&#46; Os m&#233;todos antropom&#233;tricos de &#237;ndice de massa corporal &#40;IMC&#41;&#44; circunfer&#234;ncia da cintura &#40;CC&#41; e rela&#231;&#227;o cintura estatura &#40;RCEst&#41; apresentam vantagens na pr&#225;tica cl&#237;nica di&#225;ria&#44; por serem de simples execu&#231;&#227;o e f&#225;cil reprodu&#231;&#227;o<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;10</span></a>&#46; O objetivo do trabalho foi avaliar a correla&#231;&#227;o do perfil lip&#237;dico e glic&#237;dico com par&#226;metros antropom&#233;tricos de obesidade total e central&#44; a fim de definir&#44; entre os m&#233;todos antropom&#233;tricos comumente utilizados na pr&#225;tica cl&#237;nica e em estudos epidemiol&#243;gicos&#44; quais os melhores preditores de altera&#231;&#245;es no perfil lip&#237;dico e glic&#237;dico&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="par0025" class="elsevierStylePara elsevierViewall">Estudo transversal realizado em ambulat&#243;rios de atendimento geral de nutri&#231;&#227;o nos hospitais Bar&#227;o de Lucena &#40;HBL&#41; e Hospital das Cl&#237;nicas &#40;HC&#41;&#44; pertencentes &#224; rede p&#250;blica de sa&#250;de da cidade do Recife&#44; Nordeste do Brasil&#44; no per&#237;odo de janeiro a dezembro de 2009&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Foram estudados 550 pacientes de ambos os sexos&#44; na faixa et&#225;ria superior a 19 anos&#44; admitidos para orienta&#231;&#227;o nutricional nos referidos ambulat&#243;rios&#46; Foram exclu&#237;dos pacientes gestantes&#44; portadores de doen&#231;as consumptivas &#40;c&#226;ncer&#44; aids&#41;&#44; pacientes que tenham utilizado medicamentos para dislipidemia&#44; hiperglicemia e perda de peso nos &#250;ltimos 6 meses ou que tenham realizado cirurgias pl&#225;sticas&#44; tipo abdominoplastia&#44; ou portadores de patologia que pudessem modificar a distribui&#231;&#227;o da gordura corporal&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">S&#227;o necess&#225;rias algumas considera&#231;&#245;es sobre o processo de amostragem&#46; Como se trata de um levantamento visando a identifica&#231;&#227;o da correla&#231;&#227;o de &#237;ndices antropom&#233;tricos com o perfil lip&#237;dico e glic&#237;dico de pacientes de ambulat&#243;rio&#44; numa fase anterior ao tratamento cl&#237;nico-nutricional&#44; s&#243; foram selecionados os indiv&#237;duos que n&#227;o haviam&#44; at&#233; o momento da consulta&#44; recebido orienta&#231;&#227;o profissional para perda ponderal&#44; dislipidemia e hiperglicemia&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Dados sociodemogr&#225;ficos e antropom&#233;tricos &#40;idade&#44; grau de instru&#231;&#227;o&#44; sexo&#44; peso&#44; altura e circunfer&#234;ncia da cintura&#41; foram recolhidos pelos 2 profissionais respons&#225;veis pelos referidos ambulat&#243;rios e transcritos para question&#225;rio criado para esse estudo&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Para a determina&#231;&#227;o do peso corporal e estatura dos pacientes&#44; os 2 ambulat&#243;rios seguem as t&#233;cnicas preconizadas por Lohman<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a>&#44; sendo utilizada balan&#231;a tipo plataforma&#44; capacidade 150<span class="elsevierStyleHsp" style=""></span>kg com divis&#227;o de 100<span class="elsevierStyleHsp" style=""></span>g e estadi&#244;metro acoplado com precis&#227;o de 1<span class="elsevierStyleHsp" style=""></span>mm&#46; Tanto o peso quanto a altura serviram de base para o c&#225;lculo do IMC&#44; sendo que a classifica&#231;&#227;o utilizada foi a proposta pela Organiza&#231;&#227;o Mundial de Sa&#250;de &#40;OMS&#44; 1995&#41;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a>&#46; A CC foi aferida com uma fita m&#233;trica n&#227;o extens&#237;vel de acordo com as normas e os pontos de corte recomendados pela OMS &#40;1998&#41;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a>&#46; A RCEst foi determinada atrav&#233;s da rela&#231;&#227;o entre a CC &#40;cm&#41; e a altura &#40;cm&#41;&#44; sendo utilizado como ponto de corte o valor de 0&#44;5<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a>&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">As avalia&#231;&#245;es bioqu&#237;micas envolveram a glicemia de jejum&#44; colesterol total &#40;CT&#41;&#44; triglicer&#237;deos &#40;TG&#41;&#44; LDL colesterol &#40;LDL-c&#41; e HDL colesterol &#40;HDL-c&#41;&#46; As an&#225;lises bioqu&#237;micas foram realizadas nos laborat&#243;rios dos 2 hospitais mediante o uso de equipamentos automatizados&#44; COBAS integra 400 plus da empresa ROCHE e m&#233;todo autom&#225;tico ARCHITECT para o perfil lip&#237;dico no HBL e HC&#44; respectivamente&#46; Para an&#225;lise da glicemia de jejum&#44; o HBL&#47;SES-PE utiliza o m&#233;todo enzim&#225;tico colorim&#233;trico e o HC&#47;UFPE o m&#233;todo Diasys autom&#225;tico ARCHITECT&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Considerou-se como refer&#234;ncia os valores para lip&#237;deos apresentados na IV Diretriz Brasileira de Dislipidemia e Preven&#231;&#227;o da Aterosclerose &#40;Sociedade Brasileira De Cardiologia&#44; 2007&#41;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#46; Como ponto de corte para a glicemia foram utilizados os crit&#233;rios recomendados pela <span class="elsevierStyleItalic">American Diabetics Association</span> &#40;ADA&#44; 2008&#41;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> considerando-se que valores entre 100 e 125<span class="elsevierStyleHsp" style=""></span>mg&#47;dL correspondem a indiv&#237;duos com intoler&#226;ncia &#224; glicose e sendo valores superiores a 126<span class="elsevierStyleHsp" style=""></span>mg&#47;dL indicativos de diabetes <span class="elsevierStyleItalic">mellitus</span>&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">A constru&#231;&#227;o do banco de dados foi realizada no programa Epi info vers&#227;o 6&#44;04 com dupla entrada e utiliza&#231;&#227;o do m&#243;dulo VALIDATE para averiguar eventuais inconsist&#234;ncias na digita&#231;&#227;o&#46; As vari&#225;veis cont&#237;nuas&#44; utilizadas no estudo de correla&#231;&#227;o&#44; foram testadas quanto &#224; normalidade da distribui&#231;&#227;o&#44; pelo teste de Kolmogorov- Smirnov&#44; e&#44; como nenhuma apresentou distribui&#231;&#227;o normal&#44; foram convertidas para o seu logaritmo natural e testadas novamente&#44; sendo verificada a normalidade de todas as vari&#225;veis antropom&#233;tricas e do perfil lip&#237;dico&#44; com exce&#231;&#227;o do CT e GJ&#46; Desse modo&#44; para avalia&#231;&#227;o da correla&#231;&#227;o das vari&#225;veis do perfil lip&#237;dico e glic&#237;dico com as vari&#225;veis antropom&#233;tricas&#44; foi utilizado o coeficiente de correla&#231;&#227;o de Pearson com ajuste para potenciais vari&#225;veis confundidoras&#44; como a idade e o estado nutricional&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">O protocolo de pesquisa foi aprovado pelo Comit&#234; de &#201;tica em Pesquisa do Centro de Ci&#234;ncias da Sa&#250;de da Universidade Federal de Pernambuco&#44; sob o registo CEP&#47;CCS&#47;UFPE n&#46;<span class="elsevierStyleSup">o</span> 106&#47;11&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Resultados</span><p id="par0070" class="elsevierStylePara elsevierViewall">Foram avaliados 550 pacientes de ambos os sexos &#40;76&#44;4&#37; de mulheres&#41; com idade mediana de 51 anos &#40;P<span class="elsevierStyleInf">25</span> 41 anos e P<span class="elsevierStyleInf">75</span> 59 anos&#41;&#44; 67&#44;6&#37; com menos de 8 anos de estudo e que procuravam atendimento nutricional com o objetivo principal de perda de peso&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Segundo o IMC&#44; em ambos os sexos&#44; a preval&#234;ncia de excesso de peso apresentou-se elevada&#44; acima de 80&#37;&#44; n&#227;o sendo evidenciado diferencial estatisticamente significante na compara&#231;&#227;o entre os sexos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;171&#41;&#46; Resultado similar foi evidenciado quando utilizado o &#237;ndice RCEst&#44; em que mais de 90&#37; da popula&#231;&#227;o estudada apresentou valores alterados&#44; tamb&#233;m sem varia&#231;&#227;o entre os sexos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;899&#41;&#46; Por outro lado&#44; 80&#44;9&#37; das mulheres contra 52&#44;1&#37; dos homens apresentou CC na faixa de risco muito elevado &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;000&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Tabela 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">Quanto aos par&#226;metros laboratoriais avaliados &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Tabela 1</a>&#41;&#44; foi evidenciada altera&#231;&#227;o para CT&#44; TG&#44; LDL-c&#44; HDL-c e glicemia em mais de 40&#37; da amostra&#46; No entanto&#44; s&#243; foi encontrado diferencial estatisticamente significante entre os sexos para o LDL-c&#44; com 66&#44;7 e 42&#44;4&#37; dos homens e mulheres respetivamente&#44; apresentando valores alterados &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;004&#41;&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">De acordo com os valores de refer&#234;ncia para classifica&#231;&#227;o do IMC&#44; CC e RCEst&#44; tanto os homens quanto as mulheres apresentaram-se&#44; em termos de mediana&#44; na condi&#231;&#227;o de risco&#44; com o IMC na faixa de obesidade leve e a CC na faixa de risco muito elevado&#46; Quanto ao perfil lip&#237;dico e glic&#237;dico com exce&#231;&#227;o do HDL-c nas mulheres&#44; os valores de mediana encontrados para todos os outros par&#226;metros foram classificados na faixa de risco &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Tabela 1</a>&#41;&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">As an&#225;lises de correla&#231;&#245;es entre as vari&#225;veis antropom&#233;tricas com o perfil lip&#237;dico e glic&#237;dico para o sexo masculino e feminino s&#227;o apresentadas nas <a class="elsevierStyleCrossRefs" href="#tbl0010">Tabelas 2 e 3</a>&#46; No sexo masculino&#44; n&#227;o foi evidenciada nenhuma correla&#231;&#227;o entre as vari&#225;veis antropom&#233;tricas e o perfil metab&#243;lico &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Tabela 2</a>&#41;&#46; Para as mulheres&#44; o HDL-c apresentou correla&#231;&#227;o negativa com o IMC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;36&#41;&#44; CC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;40&#41; e RCEst &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;42&#41;&#46; O triglicer&#237;deo apresentou correla&#231;&#227;o positiva com o IMC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;21&#41;&#44; CC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;24&#41; e RCEst &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;24&#41; e a GJ com a CC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;16&#41; e RCEst &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;17&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Tabela 3</a>&#41;&#46; Na an&#225;lise ajustada para idade e estado nutricional&#44; as correla&#231;&#245;es permaneceram significativas apenas entre HDL-c e os &#237;ndices antropom&#233;tricos &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">Tabela 4</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Discuss&#227;o</span><p id="par0095" class="elsevierStylePara elsevierViewall">Os dados aqui apresentados demonstram uma certa especificidade pelo fato de terem sido obtidos a partir de uma amostra de indiv&#237;duos que procuraram atendimento nutricional principalmente para perda ponderal&#44; o que explica a ocorr&#234;ncia de mais de 80&#37; de excesso de peso&#46; Alguns foram encaminhados ao ambulat&#243;rio apenas para perda ponderal e outros por problemas associados ao excesso de peso&#44; tais como altera&#231;&#227;o da press&#227;o arterial&#44; do perfil lip&#237;dico e glic&#237;dico&#44; al&#233;m de patologias reumatol&#243;gicas e ortop&#233;dicas&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">A predomin&#226;ncia do sexo feminino nesta casu&#237;stica &#40;76&#44;4&#37;&#41; provavelmente est&#225; relacionada com a maior preocupa&#231;&#227;o das mulheres com a sa&#250;de&#44; fato este que torna a procura aos servi&#231;os de sa&#250;de maior neste g&#234;nero<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">16&#44;17</span></a>&#46; O principal fator de risco n&#227;o modific&#225;vel para a DCV &#233; a idade&#46; A partir da 3&#46;<span class="elsevierStyleSup">a</span> d&#233;cada de vida&#44; as les&#245;es do endot&#233;lio vascular tornam-se mais evidentes e as suas consequ&#234;ncias cl&#237;nicas surgem por volta dos 40 anos<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;19</span></a>&#46; Nesta casu&#237;stica&#44; a mediana de idade dos pacientes que iniciaram atendimento cl&#237;nico-nutricional foi de 51 anos&#44; o que dificulta a preven&#231;&#227;o prim&#225;ria para DCV&#44; tendo em vista que a mesma deve ser iniciada mais precocemente&#46; Estudos mostram que&#44; ainda na inf&#226;ncia&#44; as estrias gordurosas&#44; precursoras da placa ateroscler&#243;tica&#44; come&#231;am a sua forma&#231;&#227;o<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a>&#44; podendo ser encontradas&#44; numa fase mais tardia&#44; na aorta abdominal e coron&#225;rias de adolescentes&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">A baixa escolaridade em ambos os sexos observada nesta amostra sugere uma situa&#231;&#227;o desfavor&#225;vel &#224; compreens&#227;o dos males ocasionados pela obesidade&#46; A elevada frequ&#234;ncia de indiv&#237;duos procurando atendimento para perda ponderal &#233; um reflexo da &#171;epidemia&#187; de excesso de peso que vem acometendo a popula&#231;&#227;o adulta brasileira&#46; A Pesquisa de Or&#231;amento Familiar &#40;POF&#41; de 2008-2009<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">21</span></a> revelou que 50&#44;1&#37; dos homens e 48&#37; das mulheres no Brasil apresenta excesso de peso&#44; o que demonstra a import&#226;ncia da interven&#231;&#227;o nutricional&#44; principalmente por se tratar de um fator de risco modific&#225;vel para DCV&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">A elevada preval&#234;ncia da CC muito alterada desta amostra&#44; principalmente entre as mulheres&#44; pode ser explicada pelo risco 7 vezes maior que o sexo feminino apresenta de desenvolver a obesidade abdominal<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a>&#46; O estudo de Pischon et al&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a> revela que a cada 5<span class="elsevierStyleHsp" style=""></span>cm de CC acima dos valores de refer&#234;ncia aumentam em 13&#37; e 17&#37; o risco cardiovascular nas mulheres e homens&#44; respetivamente&#46; Por outro lado&#44; S&#225;nchez et al&#46;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a> conclu&#237;ram no seu estudo que&#44; de uma maneira geral&#44; as mulheres acumulam mais gordura subcut&#226;nea na regi&#227;o abdominal e nos homens ocorre mais tecido adiposo visceral&#44; o que possibilita um maior risco para as doen&#231;as cr&#244;nicas n&#227;o transmiss&#237;veis entre eles&#44; visto que a gordura visceral tem mais caracter&#237;sticas pr&#243;-inflamat&#243;rias quando comparada com a gordura subcut&#226;nea<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a>&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Na presente investiga&#231;&#227;o&#44; observou-se uma preval&#234;ncia de mais de 40&#37; da amostra com altera&#231;&#227;o em todos os componentes do perfil lip&#237;dico e glic&#237;dico&#44; sem apresentar diferencial estatisticamente significante entre os sexos&#44; exceto em rela&#231;&#227;o ao LDL-c&#44; com valores alterados em maior frequ&#234;ncia nos homens&#46; Estes dados tamb&#233;m refletem o que est&#225; ocorrendo com a popula&#231;&#227;o adulta&#44; ou seja&#44; segundo a III Pesquisa Estadual de Sa&#250;de e Nutri&#231;&#227;o &#40;III PESN&#41;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a> realizada em 2006&#44; mais de 30&#37; dos indiv&#237;duos acima de 25 anos apresentava CT e TG alterados&#59; esse percentual para glicemia ficou em torno de 16&#37;&#46; Um fato preocupante evidenciado na III PESN<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a> &#233; que pouco mais de metade das pessoas entrevistadas j&#225; se havia submetido a exames laboratoriais para determina&#231;&#227;o do perfil lip&#237;dico e glic&#237;dico&#44; o que demonstra a necessidade de diagn&#243;sticos mais precoces visando o risco das DCV&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Diversos estudos t&#234;m procurado mostrar qual o melhor par&#226;metro antropom&#233;trico para identificar risco cardiovascular elevado<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">27&#44;28</span></a>&#59; no entanto&#44; poucos s&#227;o os estudos que o tenham avaliado em pacientes atendidos em ambulat&#243;rio<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">29&#44;30</span></a>&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">No geral&#44; nesta pesquisa&#44; n&#227;o foram encontradas fortes correla&#231;&#245;es entre as vari&#225;veis antropom&#233;tricas de excesso de peso global e central e as vari&#225;veis lip&#237;dicas e glic&#237;dicas&#44; fato condizente com outros estudos<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">31&#44;32</span></a>&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">A aus&#234;ncia de correla&#231;&#227;o no sexo masculino entre o perfil metab&#243;lico e as vari&#225;veis antropom&#233;tricas foi um achado inesperado&#44; considerando que os homens tendem a acumular maior teor de gordura visceral do que as mulheres&#46; Ou seja&#44; como o ac&#250;mulo de gordura na regi&#227;o abdominal de mulheres &#233; predominantemente de tecido subcut&#226;neo &#40;menor risco&#41;&#44; seria de se esperar que a correla&#231;&#227;o existisse e fosse mais forte nos homens&#44; cujo ac&#250;mulo &#233; predominantemente de tecido adiposo visceral &#40;maior risco&#41;&#46; Por outro lado&#44; 65&#44;7&#37; das mulheres avaliadas tinha mais de 45 anos&#44; o que inclui mulheres na pr&#233;-menopausa&#44; na fase de transi&#231;&#227;o de pr&#233; para p&#243;s-menopausa e na p&#243;s-menopausa&#46; Sabe-se que a perda da fun&#231;&#227;o ovariana nas mulheres pode ser um fator determinante na eleva&#231;&#227;o dos lip&#237;dios sangu&#237;neos<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">33&#44;34</span></a>&#46; Estudos evidenciam que os n&#237;veis s&#233;ricos de CT&#44; LDL-c e TG podem aumentar at&#233; 19&#37; da pr&#233;-menopausa para a p&#243;s-menopausa<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">33&#44;35</span></a> e que esse aumento pode estar relacionado as altera&#231;&#245;es no IMC e na composi&#231;&#227;o corporal ocorridas com o advento do climat&#233;rio e do envelhecimento<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">36</span></a>&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Ap&#243;s ajuste para idade e estado nutricional&#44; apenas as correla&#231;&#245;es entre o HDL-c e as vari&#225;veis antropom&#233;tricas se mantiveram significantes&#46; Desse modo&#44; diante da reconhecida atua&#231;&#227;o do HDL-c contra a forma&#231;&#227;o de placas ateromatosas e&#44; consequentemente&#44; eventos cardiovasculares&#44; estes resultados podem sugerir a utiliza&#231;&#227;o dos &#237;ndices antropom&#233;tricos de obesidade global e central como preditores de altera&#231;&#245;es nessa fra&#231;&#227;o do CT&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conclus&#227;o</span><p id="par0140" class="elsevierStylePara elsevierViewall">Entre as mulheres&#44; os &#237;ndices antropom&#233;tricos CC&#44; RCEst e IMC mostraram-se bons preditores das concentra&#231;&#245;es de HDL-c&#44; evidenciando a import&#226;ncia da utiliza&#231;&#227;o desses par&#226;metros na pr&#225;tica cl&#237;nica e no rastreamento do risco cardiovascular&#46; Al&#233;m disso&#44; s&#227;o necess&#225;rios estudos prospetivos com diversos par&#226;metros de avalia&#231;&#227;o da obesidade abdominal e da sua rela&#231;&#227;o com o perfil metab&#243;lico para apoiar estes achados&#46; Por sua vez&#44; a necessidade de pesquisas com enfoque em pacientes atendidos em ambulat&#243;rios de nutri&#231;&#227;o&#44; campo prop&#237;cio para desenhos transversais e longitudinais&#44; &#233; extremamente recomend&#225;vel&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Responsabilidades &#233;ticas</span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Prote&#231;&#227;o de pessoas e animais</span><p id="par0145" class="elsevierStylePara elsevierViewall">Os autores declaram que para esta investiga&#231;&#227;o n&#227;o se realizaram experi&#234;ncias em seres humanos e&#47;ou animais&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Confidencialidade dos dados</span><p id="par0150" class="elsevierStylePara elsevierViewall">Os autores declaram ter seguido os protocolos de seu centro de trabalho acerca da publica&#231;&#227;o dos dados de pacientes e que todos os pacientes inclu&#237;dos no estudo receberam informa&#231;&#245;es suficientes e deram o seu consentimento informado por escrito para participar nesse estudo&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Direito &#224; privacidade e consentimento escrito</span><p id="par0155" class="elsevierStylePara elsevierViewall">Os autores declaram ter recebido consentimento escrito dos pacientes e&#47;ou sujeitos mencionados no artigo&#46; O autor para correspond&#234;ncia deve estar na posse deste documento&#46;</p></span></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflito de interesses</span><p id="par0160" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflito de interesses&#46;</p></span></span>"
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    "fechaRecibido" => "2012-01-03"
    "fechaAceptado" => "2012-05-09"
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
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            0 => "Dislipidemia"
            1 => "Obesidade abdominal"
            2 => "Antropometria"
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec237802"
          "palabras" => array:3 [
            0 => "Dyslipidemia"
            1 => "Abdominal obesity"
            2 => "Anthropometry"
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    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introdu&#231;&#227;o e objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A obesidade est&#225; associada a elevada frequ&#234;ncia de dislipidemias e intoler&#226;ncia &#224; glicose&#46; O objetivo desse estudo foi avaliar a correla&#231;&#227;o de &#237;ndices antropom&#233;tricos com o perfil lip&#237;dico e glic&#237;dico de pacientes ambulatoriais&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudo transversal envolvendo uma amostra de 550 indiv&#237;duos&#44; em que foram avaliados par&#226;metros antropom&#233;tricos e metab&#243;licos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A preval&#234;ncia de excesso de peso superou 80&#37;&#44; n&#227;o ocorrendo diferencial entre os sexos&#46; No entanto&#44; 80&#44;9&#37; das mulheres contra 52&#44;1&#37; dos homens apresentaram circunfer&#234;ncia da cintura na faixa de risco muito elevado &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;000&#41;&#46; Altera&#231;&#245;es lip&#237;dicas e glic&#237;dicas foram encontradas em mais de 40&#37; da amostra&#46; No sexo masculino&#44; n&#227;o foi evidenciada nenhuma correla&#231;&#227;o entre os &#237;ndices antropom&#233;tricos e o perfil metab&#243;lico&#46; Para as mulheres&#44; o HDL colesterol apresentou correla&#231;&#227;o negativa com o &#237;ndice de massa corporal&#44; circunfer&#234;ncia da cintura e rela&#231;&#227;o cintura estatura&#46; O triglicer&#237;deo apresentou correla&#231;&#227;o positiva com o &#237;ndice de massa corporal&#44; circunfer&#234;ncia da cintura e rela&#231;&#227;o cintura estatura e a glicemia de jejum com a circunfer&#234;ncia da cintura e rela&#231;&#227;o cintura estatura&#46; Na an&#225;lise ajustada para idade e estado nutricional&#44; as correla&#231;&#245;es permaneceram significativas apenas entre HDL-colesterol e os &#237;ndices antropom&#233;tricos&#46;</p> <span class="elsevierStyleSectionTitle">Conclus&#245;es</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Entre as mulheres&#44; os &#237;ndices antropom&#233;tricos circunfer&#234;ncia da cintura&#44; rela&#231;&#227;o cintura estatura e &#237;ndice de massa corporal mostraram-se bons preditores das concentra&#231;&#245;es de HDL colesterol&#44; evidenciando a import&#226;ncia da utiliza&#231;&#227;o desses par&#226;metros na pr&#225;tica cl&#237;nica e no rastreamento do risco cardiovascular&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction and objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Obesity is associated with high rates of dyslipidemia and glucose intolerance&#46; The objective of this study was to evaluate the correlation of anthropometric indices with the lipid and glucose profiles of outpatients&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We performed a cross-sectional study assessing anthropometric and metabolic parameters in a sample of 550 individuals&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The prevalence of overweight exceeded 80&#37;&#44; with no difference between the sexes&#46; However&#44; 80&#46;9&#37; of women vs&#46; 52&#46;1&#37; of men had waist circumference in the very high risk range &#40;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>000&#41;&#46; Glucose and lipid abnormalities were found in over 40&#37; of the sample&#46; In men&#44; no correlation was found between anthropometric indices and metabolic profile&#46; In women&#44; HDL cholesterol was negatively correlated with body mass index waist circumference and waist-to-height ratio&#46; Triglycerides were positively correlated with body mass index&#44; waist circumference and waist-to-height ratio and fasting plasma glucose with waist circumference and waist-to-height ratio&#46; After adjustment for age and nutritional status&#44; the correlations only remained significant between HDL cholesterol and anthropometric indices&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Among women&#44; the anthropometric indices waist circumference&#44; waist-to-height ratio and body mass index proved good predictors of HDL cholesterol&#44; showing the importance of using these parameters in clinical practice and for screening of cardiovascular risk&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">Vincula&#231;&#227;o acad&#233;mica&#58; este artigo &#233; parte da disserta&#231;&#227;o de Mestrado de Nutri&#231;&#227;o de Cl&#225;udia Mota dos Santos pelo Programa de P&#243;s-gradua&#231;&#227;o em Nutri&#231;&#227;o &#40;UFPE&#41;&#46;</p>"
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          "leyenda" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">CC<span class="elsevierStyleSup">2</span>&#58; Circunfer&#234;ncia da cintura&#59; IC&#58; intervalo de confian&#231;a&#59; IMC<span class="elsevierStyleSup">1</span>&#58; &#237;ndice de massa corporal&#59; Obs&#46;&#58; O n&#250;mero total de indiv&#237;duos em cada vari&#225;vel &#233; diferente em raz&#227;o do n&#250;mero de respondente<span class="elsevierStyleSup">&#59;</span>RCEst<span class="elsevierStyleSup">3</span>&#58; Rela&#231;&#227;o cintura estatura&#46;</p>"
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                  \t\t\t\t">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Valor de p<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">IC <span class="elsevierStyleInf">95&#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">IC <span class="elsevierStyleInf">95&#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Excesso de peso &#40;IMC</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">1</span></span><span class="elsevierStyleItalic">&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim &#40;IMC &#8805; 25&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">117&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">90&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">84&#44;0-95&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">354&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">85&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">81&#44;7-88&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;171&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o &#40;IMC<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>25&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">9&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5&#44;1-16&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">60&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;3-18&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&#44;0 kg&#47;m<span class="elsevierStyleSup">2</span> &#40;27&#44;0- 33&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&#44;0 kg&#47;m<span class="elsevierStyleSup">2</span> &#40;27&#44;0-34&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">CC</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleItalic">- risco muito elevado</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim &#40;&#9794; &#8805; 102<span class="elsevierStyleHsp" style=""></span>cm &#9792; &#8805; 88 cm&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">61&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&#44;7-61&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">293&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">80&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">76&#44;4-84&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o &#40;&#9794;<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>102<span class="elsevierStyleHsp" style=""></span>cm &#9792;<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>88cm&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38&#44;6-57&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&#44;2-23&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">102&#44;0<span class="elsevierStyleHsp" style=""></span>cm &#40;96&#44;6-113&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&#44;0<span class="elsevierStyleHsp" style=""></span>cm &#40;90&#44;4-110&#44;9&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">RCEst</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">3</span></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alterado &#40;RCEst<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">109&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">94&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">87&#44;5-97&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">335&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">93&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">89&#44;8-95&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;899&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Normal &#40;RCEst &#8804; 0&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;7-12&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;6-10&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;60 &#40;0&#44;60-0&#44;70&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;60 &#40;0&#44;60-0&#44;70&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Colesterol total &#40;CT&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alterado &#40;CT &#8805; 200 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31&#44;9-55&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">143&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">48&#44;5-60&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;104&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Normal &#40;CT<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>200 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44&#44;7-68&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">118&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39&#44;1-51&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">196&#44;0 &#40;160&#44;0-220&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">206&#44;0 &#40;176&#44;0-232&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Triglicer&#237;deo &#40;TG&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alterado &#40;TG &#8805; 150 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">48&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">36&#44;4-60&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">110&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">41&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35&#44;8-48&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;391&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Normal &#40;TG<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>150 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39&#44;1-63&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">153&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&#44;9-64&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">158&#44;0 &#40;115&#44;5-248&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">130&#44;0 &#40;92&#44;0-190&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">LDL- colesterol &#40;LDL-c&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alterado &#40;LDL-c &#8805; 160 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">66&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&#44;5-79&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35&#44;7-49&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;004&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Normal &#40;LDL-c<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>160 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;8-48&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">121&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">57&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&#44;6-64&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">112&#44;5 &#40;91&#44;0-142&#44;5&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">120&#44;0 &#40;96&#44;0-147&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">HDL-colesterol &#40;HDL-c&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alterado &#40;&#9794;<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>50 mg&#47;dL &#9792;<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>4 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38&#44;9-66&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">108&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39&#44;0-51&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;403&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Normal &#40;&#9794; &#8805;50 mg&#47;dL &#9792; &#8805;40 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&#44;8-61&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">130&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">48&#44;1-61&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38&#44;0 &#40;33&#44;0-49&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&#44;0 &#40;43&#44;0-63&#44;0&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Glicemia de jejum &#40;GJ&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alterada &#40;GJ &#8805; 100 mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">46&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">62&#44;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;239&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">37&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#44;0-49&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">127&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">46&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&#44;4-52&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Md &#40;P<span class="elsevierStyleInf">25</span> e P<span class="elsevierStyleInf">75</span>&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="3" align="center" valign="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HDL-colesterol&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;03&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;83&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;02&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;92&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Glicemia de jejum&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;61&nbsp;\t\t\t\t\t\t\n
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          "pt" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Correla&#231;&#245;es entre as vari&#225;veis antropom&#233;tricas com o perfil metab&#243;lico de pacientes do sexo masculino atendidos em ambulat&#243;rios de nutri&#231;&#227;o&#46; Recife&#47;Nordeste do Brasil&#44; 2009</p>"
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Glicemia de jejum&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">&#8805;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">60 anos</span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>HDL-colesterol&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Triglicer&#237;deos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Glicemia de jejum&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>HDL-colesterol&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Glicemia de jejum&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>HDL-colesterol&nbsp;\t\t\t\t\t\t\n
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2024 Fevereiro 61 29 90
2024 Janeiro 72 38 110
2023 Dezembro 67 38 105
2023 Novembro 85 62 147
2023 Outubro 103 28 131
2023 Setembro 101 31 132
2023 Agosto 89 19 108
2023 Julho 77 16 93
2023 Junho 73 21 94
2023 Maio 136 41 177
2023 Abril 57 11 68
2023 Maro 92 30 122
2023 Fevereiro 79 37 116
2023 Janeiro 40 25 65
2022 Dezembro 45 32 77
2022 Novembro 84 27 111
2022 Outubro 51 28 79
2022 Setembro 74 49 123
2022 Agosto 73 51 124
2022 Julho 38 33 71
2022 Junho 50 54 104
2022 Maio 43 31 74
2022 Abril 52 36 88
2022 Maro 73 45 118
2022 Fevereiro 42 26 68
2022 Janeiro 60 26 86
2021 Dezembro 47 32 79
2021 Novembro 43 38 81
2021 Outubro 70 41 111
2021 Setembro 83 41 124
2021 Agosto 71 34 105
2021 Julho 42 20 62
2021 Junho 58 42 100
2021 Maio 79 52 131
2021 Abril 95 44 139
2021 Maro 98 23 121
2021 Fevereiro 71 25 96
2021 Janeiro 64 16 80
2020 Dezembro 64 10 74
2020 Novembro 41 11 52
2020 Outubro 48 12 60
2020 Setembro 64 14 78
2020 Agosto 55 9 64
2020 Julho 58 20 78
2020 Junho 81 8 89
2020 Maio 86 18 104
2020 Abril 109 29 138
2020 Maro 98 11 109
2020 Fevereiro 166 65 231
2020 Janeiro 75 20 95
2019 Dezembro 76 26 102
2019 Novembro 66 9 75
2019 Outubro 63 12 75
2019 Setembro 279 49 328
2019 Agosto 42 11 53
2019 Julho 53 19 72
2019 Junho 65 15 80
2019 Maio 65 75 140
2019 Abril 70 30 100
2019 Maro 71 37 108
2019 Fevereiro 38 25 63
2019 Janeiro 28 15 43
2018 Dezembro 58 8 66
2018 Novembro 77 13 90
2018 Outubro 226 12 238
2018 Setembro 56 13 69
2018 Agosto 33 14 47
2018 Julho 39 6 45
2018 Junho 82 7 89
2018 Maio 91 11 102
2018 Abril 167 15 182
2018 Maro 140 9 149
2018 Fevereiro 144 6 150
2018 Janeiro 118 4 122
2017 Dezembro 124 10 134
2017 Novembro 92 13 105
2017 Outubro 39 14 53
2017 Setembro 40 8 48
2017 Agosto 39 11 50
2017 Julho 36 10 46
2017 Junho 67 13 80
2017 Maio 72 14 86
2017 Abril 65 11 76
2017 Maro 47 48 95
2017 Fevereiro 60 8 68
2017 Janeiro 62 4 66
2016 Dezembro 37 10 47
2016 Novembro 22 14 36
2016 Outubro 60 8 68
2016 Setembro 102 10 112
2016 Agosto 37 10 47
2016 Julho 22 10 32
2016 Junho 26 0 26
2016 Maio 6 8 14
2016 Abril 58 1 59
2016 Maro 75 17 92
2016 Fevereiro 85 26 111
2016 Janeiro 46 15 61
2015 Dezembro 66 23 89
2015 Novembro 73 19 92
2015 Outubro 90 19 109
2015 Setembro 78 22 100
2015 Agosto 56 14 70
2015 Julho 75 15 90
2015 Junho 65 6 71
2015 Maio 78 11 89
2015 Abril 94 19 113
2015 Maro 68 18 86
2015 Fevereiro 50 8 58
2015 Janeiro 55 10 65
2014 Dezembro 67 14 81
2014 Novembro 96 11 107
2014 Outubro 79 24 103
2014 Setembro 71 12 83
2014 Agosto 55 21 76
2014 Julho 72 20 92
2014 Junho 60 16 76
2014 Maio 95 22 117
2014 Abril 70 5 75
2014 Maro 82 32 114
2014 Fevereiro 98 22 120
2014 Janeiro 97 18 115
2013 Dezembro 102 20 122
2013 Novembro 162 23 185
2013 Outubro 104 14 118
2013 Setembro 79 20 99
2013 Agosto 85 27 112
2013 Julho 83 29 112
2013 Junho 71 13 84
2013 Maio 106 24 130
2013 Abril 105 28 133
2013 Maro 82 35 117
2013 Fevereiro 77 40 117
2013 Janeiro 51 21 72
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