Estatísticas

 array:25 [
  "pii" => "S0870255117301300"
  "issn" => "08702551"
  "doi" => "10.1016/j.repc.2017.07.012"
  "estado" => "S300"
  "fechaPublicacion" => "2018-05-01"
  "aid" => "1188"
  "copyrightAnyo" => "2018"
  "documento" => "article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "Rev Port Cardiol. 2018;37:425-32"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2159
    "formatos" => array:3 [
      "EPUB" => 129
      "HTML" => 1654
      "PDF" => 376
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S2174204918301181"
      "issn" => "21742049"
      "doi" => "10.1016/j.repce.2017.07.003"
      "estado" => "S300"
      "fechaPublicacion" => "2018-05-01"
      "aid" => "1188"
      "documento" => "article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "fla"
      "cita" => "Rev Port Cardiol. 2018;37:425-32"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1646
        "formatos" => array:3 [
          "EPUB" => 117
          "HTML" => 1223
          "PDF" => 306
        ]
      ]
      "en" => array:12 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>"
        "titulo" => "Blood pressure is associated with body adiposity indicators in children aged 4 to 7 years"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => array:2 [
          0 => "en"
          1 => "pt"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "425"
            "paginaFinal" => "432"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "pt" => array:1 [
            "titulo" => "A press&#227;o arterial est&#225; associada a indicadores de adiposidade corporal em crian&#231;as de quatro a sete anos"
          ]
        ]
        "contieneResumen" => array:2 [
          "en" => true
          "pt" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Sarah Aparecida Vieira, Poliana Cristina de Almeida Fonseca, Cristiana Santos Andreoli, Patr&#237;cia Feliciano Pereira, Helen Hermana Miranda Hermsdorff, Andr&#233;ia Queiroz Ribeiro, Silvia Eloiza Priore, Sylvia do Carmo Castro Franceschini"
            "autores" => array:8 [
              0 => array:2 [
                "nombre" => "Sarah Aparecida"
                "apellidos" => "Vieira"
              ]
              1 => array:2 [
                "nombre" => "Poliana Cristina de Almeida"
                "apellidos" => "Fonseca"
              ]
              2 => array:2 [
                "nombre" => "Cristiana Santos"
                "apellidos" => "Andreoli"
              ]
              3 => array:2 [
                "nombre" => "Patr&#237;cia Feliciano"
                "apellidos" => "Pereira"
              ]
              4 => array:2 [
                "nombre" => "Helen Hermana Miranda"
                "apellidos" => "Hermsdorff"
              ]
              5 => array:2 [
                "nombre" => "Andr&#233;ia Queiroz"
                "apellidos" => "Ribeiro"
              ]
              6 => array:2 [
                "nombre" => "Silvia Eloiza"
                "apellidos" => "Priore"
              ]
              7 => array:2 [
                "nombre" => "Sylvia do Carmo Castro"
                "apellidos" => "Franceschini"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "pt" => array:9 [
          "pii" => "S0870255117301300"
          "doi" => "10.1016/j.repc.2017.07.012"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "pt"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255117301300?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918301181?idApp=UINPBA00004E"
      "url" => "/21742049/0000003700000005/v1_201806100418/S2174204918301181/v1_201806100418/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S0870255118302841"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2018.04.006"
    "estado" => "S300"
    "fechaPublicacion" => "2018-05-01"
    "aid" => "1208"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "dis"
    "cita" => "Rev Port Cardiol. 2018;37:433-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1314
      "formatos" => array:3 [
        "EPUB" => 109
        "HTML" => 868
        "PDF" => 337
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial comment</span>"
      "titulo" => "Obesity and hypertension in children&#58; A worldwide problem"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "433"
          "paginaFinal" => "434"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Obesidade e hipertens&#227;o arterial nas crian&#231;as&#58; um problema &#224; escala mundial"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Sofia Ferreira"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Sofia"
              "apellidos" => "Ferreira"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2174204918301673"
        "doi" => "10.1016/j.repce.2018.05.007"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918301673?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255118302841?idApp=UINPBA00004E"
    "url" => "/08702551/0000003700000005/v1_201805250945/S0870255118302841/v1_201805250945/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S0870255118302336"
    "issn" => "08702551"
    "doi" => "10.1016/j.repc.2018.04.002"
    "estado" => "S300"
    "fechaPublicacion" => "2018-05-01"
    "aid" => "1195"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "dis"
    "cita" => "Rev Port Cardiol. 2018;37:423-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1218
      "formatos" => array:3 [
        "EPUB" => 120
        "HTML" => 818
        "PDF" => 280
      ]
    ]
    "pt" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Coment&#225;rio editorial</span>"
      "titulo" => "Identificar preditores de demora do doente para a reperfus&#227;o no enfarte do mioc&#225;rdio&#58; algum valor&#63;"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "423"
          "paginaFinal" => "424"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Identifying predictors of patient delay for reperfusion in myocardial infarction&#58; Does it matter&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jorge Ferreira"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Jorge"
              "apellidos" => "Ferreira"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2174204918301193"
        "doi" => "10.1016/j.repce.2018.04.006"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918301193?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255118302336?idApp=UINPBA00004E"
    "url" => "/08702551/0000003700000005/v1_201805250945/S0870255118302336/v1_201805250945/pt/main.assets"
  ]
  "asociados" => array:1 [
    0 => array:20 [
      "pii" => "S0870255118302841"
      "issn" => "08702551"
      "doi" => "10.1016/j.repc.2018.04.006"
      "estado" => "S300"
      "fechaPublicacion" => "2018-05-01"
      "aid" => "1208"
      "copyright" => "Sociedade Portuguesa de Cardiologia"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "dis"
      "cita" => "Rev Port Cardiol. 2018;37:433-4"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1314
        "formatos" => array:3 [
          "EPUB" => 109
          "HTML" => 868
          "PDF" => 337
        ]
      ]
      "en" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Editorial comment</span>"
        "titulo" => "Obesity and hypertension in children&#58; A worldwide problem"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "433"
            "paginaFinal" => "434"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "pt" => array:1 [
            "titulo" => "Obesidade e hipertens&#227;o arterial nas crian&#231;as&#58; um problema &#224; escala mundial"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Sofia Ferreira"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "Sofia"
                "apellidos" => "Ferreira"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2174204918301673"
          "doi" => "10.1016/j.repce.2018.05.007"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918301673?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255118302841?idApp=UINPBA00004E"
      "url" => "/08702551/0000003700000005/v1_201805250945/S0870255118302841/v1_201805250945/en/main.assets"
    ]
  ]
  "pt" => array:19 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original</span>"
    "titulo" => "A press&#227;o arterial est&#225; associada a indicadores de adiposidade corporal em crian&#231;as de quatro a sete anos"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "425"
        "paginaFinal" => "432"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Sarah Aparecida Vieira, Poliana Cristina de Almeida Fonseca, Cristiana Santos Andreoli, Patr&#237;cia Feliciano Pereira, Helen Hermana Miranda Hermsdorff, Andr&#233;ia Queiroz Ribeiro, Silvia Eloiza Priore, Sylvia do Carmo Castro Franceschini"
        "autores" => array:8 [
          0 => array:4 [
            "nombre" => "Sarah Aparecida"
            "apellidos" => "Vieira"
            "email" => array:1 [
              0 => "sarahvieiraufv&#64;gmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Poliana Cristina de Almeida"
            "apellidos" => "Fonseca"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Cristiana Santos"
            "apellidos" => "Andreoli"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Patr&#237;cia Feliciano"
            "apellidos" => "Pereira"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Helen Hermana Miranda"
            "apellidos" => "Hermsdorff"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Andr&#233;ia Queiroz"
            "apellidos" => "Ribeiro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Silvia Eloiza"
            "apellidos" => "Priore"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Sylvia do Carmo Castro"
            "apellidos" => "Franceschini"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Departamento de Nutri&#231;&#227;o&#44; Universidade Federal de Vi&#231;osa&#44; Vi&#231;osa&#44; MG&#44; Brasil"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Departamento de Tecnologia em Gastronomia&#44; Instituto Federal de Minas Gerais&#44; Ouro Preto&#44; MG&#44; Brasil"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Autor para correspond&#234;ncia&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Blood pressure is associated with body adiposity indicators in children aged 4 to 7 years"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introdu&#231;&#227;o</span><p id="par0080" class="elsevierStylePara elsevierViewall">A hipertens&#227;o arterial sist&#234;mica &#40;HAS&#41; &#233; um fator de risco independente&#44; linear e cont&#237;nuo para a doen&#231;a cardiovascular&#44; al&#233;m de poder levar a diversas outras complica&#231;&#245;es&#44; como doen&#231;a cerebrovascular&#44; doen&#231;a arterial coronariana&#44; insufici&#234;ncia card&#237;aca&#44; insufici&#234;ncia renal cr&#244;nica e doen&#231;a vascular perif&#233;rica<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">1</span></a>&#46; Segundo dados publicados pela Organiza&#231;&#227;o Mundial da Sa&#250;de &#40;OMS&#41; em 2012&#44; h&#225; cerca de 600 milh&#245;es de hipertensos em todo o mundo&#44; as preval&#234;ncias s&#227;o semelhantes nos pa&#237;ses desenvolvidos e nos em desenvolvimento<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">2</span></a>&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Estudos t&#234;m mostrado que a HAS pode ter origem em fases precoces da vida e que valores elevados de press&#227;o arterial na inf&#226;ncia s&#227;o preditores de HAS na idade adulta&#44; esse fen&#244;meno &#233; denominado <span class="elsevierStyleItalic">tracking</span><a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">3&#44;4</span></a>&#46; A preval&#234;ncia de press&#227;o arterial elevada em crian&#231;as e adolescentes em todo mundo&#44; segundo revis&#227;o sistem&#225;tica&#44; variou de 0&#44;46 a 20&#44;3&#37;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">5</span></a>&#46; A HAS prim&#225;ria na inf&#226;ncia&#44; aquela sem causa detect&#225;vel&#44; pode ser resultado da intera&#231;&#227;o entre fatores gen&#233;ticos e ambientais&#44; como hipertens&#227;o familiar&#44; condi&#231;&#245;es de nascimento&#44; estado nutricional&#44; h&#225;bito alimentar e estilo de vida<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">6&#8211;8</span></a>&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">As mudan&#231;as significativas nos padr&#245;es diet&#233;ticos e nutricionais da popula&#231;&#227;o t&#234;m sido analisadas como parte de um processo chamado de transi&#231;&#227;o nutricional<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">2&#44;9</span></a>&#46; Nesse contexto&#44; a elevada preval&#234;ncia do excesso de peso e adiposidade nas crian&#231;as tem rela&#231;&#227;o direta com o aumento da preval&#234;ncia de HAS prim&#225;ria na inf&#226;ncia<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">6&#44;10</span></a>&#46; Alguns mecanismos que explicam a rela&#231;&#227;o entre o excesso de peso e a hipertens&#227;o s&#227;o as altera&#231;&#245;es no metabolismo da insulina&#44; aumento do t&#244;nus simp&#225;tico&#44; altera&#231;&#245;es vasculares estruturais e funcionais&#44; aumento da agrega&#231;&#227;o plaquet&#225;ria e do estresse oxidativo&#44; al&#233;m da ocorr&#234;ncia de dist&#250;rbios do sono<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">11</span></a>&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">O uso de indicadores antropom&#233;tricos na avalia&#231;&#227;o do estado nutricional tem se tornado&#44; embora com limita&#231;&#245;es&#44; a forma mais pr&#225;tica e de menor custo para avalia&#231;&#227;o de indiv&#237;duos e popula&#231;&#245;es&#44; seja em a&#231;&#245;es cl&#237;nicas&#44; de triagem ou mesmo em monitora&#231;&#227;o de tend&#234;ncias<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">12</span></a>&#46; O &#237;ndice de massa corporal &#40;IMC&#41; e o per&#237;metro da cintura&#44; bem como os &#237;ndices dele derivados &#40;como a rela&#231;&#227;o cintura&#8208;estatura &#91;RCE&#93;&#41;&#44; s&#227;o os par&#226;metros mais usados nos estudos para avalia&#231;&#227;o do estado nutricional e adiposidade&#44; eles s&#227;o associados a diversos fatores de risco cardiovascular&#44; como a press&#227;o arterial elevada<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">6&#44;13&#44;14</span></a>&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Ainda s&#227;o escassos estudos que avaliaram a rela&#231;&#227;o de indicadores de adiposidade corporal de f&#225;cil aferi&#231;&#227;o e baixo custo&#44; como o IMC e a RCE&#44; com a press&#227;o arterial na inf&#226;ncia&#44; visto que a maioria dos trabalhos publicados apresenta amostras com faixas et&#225;rias amplas&#44; inclusive os adolescentes&#44; o que dificulta a avalia&#231;&#227;o e interpreta&#231;&#227;o dessa rela&#231;&#227;o em crian&#231;as<a class="elsevierStyleCrossRefs" href="#bib0205"><span class="elsevierStyleSup">8&#44;13&#44;15</span></a>&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Diante do exposto&#44; o objetivo deste estudo foi avaliar a associa&#231;&#227;o entre indicadores de adiposidade corporal e a press&#227;o arterial em crian&#231;as&#44; controlada por vari&#225;veis de nascimento&#44; sociodemogr&#225;ficas&#44; de estilo de vida e diet&#233;ticas&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><p id="par0110" class="elsevierStylePara elsevierViewall">Estudo transversal&#44; com crian&#231;as pertencentes a uma coorte retrospectiva de nascimento no &#250;nico hospital maternidade de Vi&#231;osa&#44; Minas Gerais&#44; Brasil&#46; As crian&#231;as foram acompanhadas pelo Programa de Apoio &#224; Lacta&#231;&#227;o &#40;Prolac&#41; no primeiro ano de vida e reavaliados aos quatro a sete anos&#46; O Prolac &#233; um Programa de Extens&#227;o da Universidade Federal de Vi&#231;osa &#40;UFV&#41; em parceria com o Hospital S&#227;o Sebasti&#227;o e o Banco de Leite Humano do munic&#237;pio&#46; Tem como principais atividades orienta&#231;&#245;es para as m&#227;es no per&#237;odo p&#243;s&#8208;parto com vistas &#224; promo&#231;&#227;o do aleitamento materno e atendimento nutricional a nutrizes e crian&#231;as no seu primeiro ano de vida&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Para inclus&#227;o das crian&#231;as no estudo foram adotados os seguintes crit&#233;rios&#58; presen&#231;a de dados de identifica&#231;&#227;o nos prontu&#225;rios de atendimento do Prolac que permitisse a localiza&#231;&#227;o&#59; data de nascimento compat&#237;vel com a idade entre quatro e sete anos no momento do estudo&#59; e consentimento escrito dos pais ou respons&#225;vel para participa&#231;&#227;o na pesquisa&#46; Como crit&#233;rio de exclus&#227;o&#44; considerou&#8208;se a presen&#231;a de altera&#231;&#245;es de sa&#250;de e o uso de medicamentos que pudessem influenciar a composi&#231;&#227;o corporal ou press&#227;o arterial das crian&#231;as&#46; Considerando esses crit&#233;rios e ap&#243;s&#44; pelo menos&#44; tr&#234;s tentativas de contato domiciliar com os respons&#225;veis&#44; a amostra final foi constitu&#237;da por 399 crian&#231;as&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">O poder do estudo foi calculado com as m&#233;dias e os desvios&#8208;padr&#227;o da press&#227;o arterial sist&#243;lica no grupo de crian&#231;as sem excesso de peso &#40;94&#44;92 &#177; 8&#44;03<span class="elsevierStyleHsp" style=""></span>mmHg&#41; e com excesso de peso &#40;101&#44;14 &#177; 9&#44;58<span class="elsevierStyleHsp" style=""></span>mmHg&#41;&#44; para um n&#237;vel de signific&#226;ncia de 5&#37; o estudo apresentou poder igual a 100&#37;&#46; Para esse c&#225;lculo&#44; usou&#8208;se o <span class="elsevierStyleItalic">software</span> OpenEpi online&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Todas as avali&#231;&#245;es foram feitas no setor de nutri&#231;&#227;o da Divis&#227;o de Sa&#250;de da UFV&#46; A press&#227;o arterial sist&#243;lica &#40;PAS&#41; e a diast&#243;lica &#40;PAD&#41; das crian&#231;as foram aferidas de acordo com protocolo estabelecido pela VII Diretriz Brasileira de Hipertens&#227;o Arterial<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">16</span></a>&#44; com o uso de monitor de press&#227;o sangu&#237;nea de sufla&#231;&#227;o autom&#225;tica &#40;Omron<span class="elsevierStyleSup">&#174;</span> Model HEM&#8208;741 CINT&#41;&#44; preconizado pela Sociedade Brasileira de Cardiologia&#46; Fizeram&#8208;se tr&#234;s aferi&#231;&#245;es com intervalo de pelo menos um minuto entre elas&#44; adotou&#8208;se para as an&#225;lises a m&#233;dia das duas &#250;ltimas medidas&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Na avalia&#231;&#227;o do estado nutricional consideraram&#8208;se as medidas de peso&#44; estatura e per&#237;metro da cintura das crian&#231;as&#46; O peso foi obtido em balan&#231;a digital eletr&#244;nica com capacidade de 150<span class="elsevierStyleHsp" style=""></span>kg e precis&#227;o de 10<span class="elsevierStyleHsp" style=""></span>g&#46; A estatura foi aferida com o uso de um estadi&#244;metro vertical acoplado &#224; parede&#44; com extens&#227;o de dois metros&#44; dividido em cent&#237;metros e subdividido em mil&#237;metros&#46; As aferi&#231;&#245;es foram feitas de acordo com t&#233;cnicas preconizadas<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">17</span></a>&#46; O excesso de peso foi classificado pelo IMC&#47;I segundo o sexo&#44; adotou&#8208;se como ponto de corte o escore&#8208;z <span class="elsevierStyleUnderline">&#62;</span> 1<span class="elsevierStyleHsp" style=""></span>da Organiza&#231;&#227;o Mundial da Sa&#250;de<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">18</span></a>&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">O per&#237;metro da cintura foi aferido com o uso de fita m&#233;trica com extens&#227;o de dois metros&#44; flex&#237;vel e inel&#225;stica&#44; dividida em cent&#237;metros e subdivida em mil&#237;metros&#44; no n&#237;vel da cicatriz umbilical<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">19</span></a>&#46; As medidas foram tomadas em triplicata&#44; adotaram&#8208;se as duas mais pr&#243;ximas para o c&#225;lculo da m&#233;dia&#46; Procedeu&#8208;se ao c&#225;lculo da rela&#231;&#227;o cintura&#8208;estatura &#40;RCE&#41; pela raz&#227;o da medida do per&#237;metro cintura &#40;cm&#41; e a estatura &#40;cm&#41;&#44; consideraram&#8208;se como risco cardiometab&#243;lico valores &#62; 0&#44;5<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">20</span></a>&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">As vari&#225;veis peso ao nascer e tempo de aleitamento materno foram obtidas nos prontu&#225;rios de atendimento do Prolac&#46; Avaliou&#8208;se a pr&#225;tica do aleitamento materno exclusivo &#40;sim&#47;n&#227;o&#41; nos primeiros quatro meses de vida&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Aplicou&#8208;se um question&#225;rio semiestruturado ao respons&#225;vel pela crian&#231;a para obten&#231;&#227;o de informa&#231;&#245;es sociodemogr&#225;ficas&#58; sexo&#44; idade&#44; escolaridade materna e renda <span class="elsevierStyleItalic">per capita</span>&#46; A escolaridade materna foi categorizada de forma dicot&#244;mica &#40;&#60; 8 anos e &#62; 8 anos&#41; e a renda em tercil&#46; O respons&#225;vel pela crian&#231;a tamb&#233;m foi perguntado quanto &#224; presen&#231;a de hist&#243;rico familiar &#40;pai e&#47;ou m&#227;e&#41; de hipertens&#227;o arterial&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">As informa&#231;&#245;es sobre h&#225;bitos de vida foram obtidas por meio da aplica&#231;&#227;o de um question&#225;rio adaptado de Andaki et al<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">21</span></a>&#46; As vari&#225;veis de h&#225;bitos de vida avaliadas foram&#58; tempo di&#225;rio ao assistir a televis&#227;o &#40;&#60; 2<span class="elsevierStyleHsp" style=""></span>h e <span class="elsevierStyleUnderline">&#62;</span> 2<span class="elsevierStyleHsp" style=""></span>h&#41;&#59; tempo di&#225;rio em brincadeiras sedent&#225;rias &#40;jogos de computador e <span class="elsevierStyleItalic">v&#237;deo game</span>&#44; brincadeiras com carrinhos e bonecas&#44; atividades escolares&#44; entre outras&#41; e em brincadeiras ativas &#40;andar de bicicleta&#44; jogar bola&#44; correr&#44; entre outras&#41;&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Os respons&#225;veis tamb&#233;m foram perguntados quanto &#224; frequ&#234;ncia semanal em que as crian&#231;as habitualmente consumiam alimentos do grupo das frutas e das hortali&#231;as&#46; Para an&#225;lises&#44; o consumo desses grupos de alimentos foi categorizado de acordo com a mediana da frequ&#234;ncia de consumo &#40;frutas&#58; cinco vezes&#47;semana&#59; hortali&#231;as&#58; seis vezes&#47;semana&#41;&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">A distribui&#231;&#227;o das vari&#225;veis foi avaliada por meio do teste de normalidade de Shapiro&#8208;<span class="elsevierStyleItalic">Wilk</span> e an&#225;lises de histogramas&#44; assumiu&#8208;se simetria dos dados quando o teste de normalidade n&#227;o foi significante e o coeficiente de assimetria &#40;<span class="elsevierStyleItalic">skweness</span>&#41; ficou entre &#8208;0&#44;5 e<span class="elsevierStyleHsp" style=""></span>&#43;0&#44;5<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">22</span></a>&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">A an&#225;lise descritiva foi feita por meio de medidas de distribui&#231;&#227;o de frequ&#234;ncias&#44; de tend&#234;ncia central e de dispers&#227;o &#40;mediana&#44; valores m&#237;nimo e m&#225;ximo&#41;&#46; Aplicaram&#8208;se os testes de Mann&#8208;Whitney e Kruskal&#8208;Wallis para identificar a diferen&#231;a das medianas de press&#227;o arterial sist&#243;lica e diast&#243;lica entre as categorias das vari&#225;veis explicativas e o teste de correla&#231;&#227;o de Spearman para avaliar a correla&#231;&#227;o do IMC e RCE com a press&#227;o arterial&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Na an&#225;lise bivariada&#44; estimou&#8208;se o coeficiente de regress&#227;o e o intervalo de confian&#231;a por meio da regress&#227;o linear&#44; as vari&#225;veis com valor de p &#60; 0&#44;20 foram inclu&#237;das no modelo m&#250;ltiplo&#46; As vari&#225;veis dependentes &#40;press&#227;o arterial sist&#243;lica e diast&#243;lica&#41; foram submetidas &#224; transforma&#231;&#227;o logar&#237;tmica para as an&#225;lises de regress&#227;o linear&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Para verificar a adequa&#231;&#227;o e o ajuste do modelo de regress&#227;o linear avaliou&#8208;se a normalidade da distribui&#231;&#227;o dos res&#237;duos&#44; que devem ser normalmente distribu&#237;dos&#44; e a presen&#231;a de heterocedasticidade foi verificada pelo m&#233;todo de <span class="elsevierStyleItalic">White</span>&#46; Como indicador de multicolinearidade usou&#8208;se nas an&#225;lises de regress&#227;o m&#250;ltipla o fator de infla&#231;&#227;o da vari&#226;ncia&#46; As an&#225;lises foram feitas no <span class="elsevierStyleItalic">software</span> Stata vers&#227;o 13&#46;0&#46; A signific&#226;ncia estat&#237;stica considerada foi &#945; &#61; 0&#44;05&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">O estudo foi aprovado pelo Comit&#234; de &#201;tica em Pesquisa com Seres Humanos da Universidade Federal de Vi&#231;osa &#40;Of&#46; Ref&#46; N&#176; 892476&#47;2014&#41;&#46; As crian&#231;as s&#243; foram inclu&#237;das no estudo mediante a assinatura do Termo de Consentimento Livre e Esclarecido pelos pais ou respons&#225;vel&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Resultados</span><p id="par0185" class="elsevierStylePara elsevierViewall">Das 399 crian&#231;as avaliadas&#44; 54&#44;6&#37; eram do sexo masculino&#44; com m&#233;dia de 5&#44;99 &#40;&#177;0&#44;99&#41; anos&#46; A maioria das crian&#231;as apresentou peso ao nascer <span class="elsevierStyleUnderline">&#62;</span> 3&#46;000<span class="elsevierStyleHsp" style=""></span>g &#40;69&#37;&#41; e foi amamentada exclusivamente at&#233; o 4&#46;&#176; m&#234;s de vida &#40;60&#44;7&#37;&#41;&#46; Quanto &#224;s m&#227;es&#44; 65&#44;1&#37; apresentaram n&#237;vel de escolaridade superior a oito anos e 34&#44;3&#37; tinham a renda <span class="elsevierStyleItalic">per capita</span> inferior a R&#36; 255&#44;00&#46; A preval&#234;ncia de excesso de peso entre as crian&#231;as foi de 25&#44;8&#37; e de altera&#231;&#227;o na RCE de 23&#44;7&#37;&#46; O consumo de frutas cinco ou mais vezes por semana foi de 53&#44;3&#37; e hortali&#231;as seis ou mais vezes por semana de 53&#44;1&#37; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Tabela 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0190" class="elsevierStylePara elsevierViewall">As crian&#231;as entre seis e sete anos &#40;p &#61; 0&#44;001&#41;&#44; com excesso de peso &#40;p &#60; 0&#44;001&#41; e altera&#231;&#227;o da RCE &#40;p &#60; 0&#44;001&#41; apresentaram maior mediana de press&#227;o arterial sist&#243;lica e diast&#243;lica&#44; em compara&#231;&#227;o com os seus cong&#234;neres&#46; As crian&#231;as com maiores medianas da press&#227;o arterial diast&#243;lica foram as com maior idade &#40;p &#61; 0&#44;002&#41;&#44; com excesso de peso &#40;p &#60; 0&#44;001&#41;&#44; com altera&#231;&#227;o da RCE &#40;p &#60; 0&#44;001&#41;&#44; que brincavam menos de uma hora por dia com atividades ativas &#40;p &#61; 0&#44;011&#41; e que consumiam hortali&#231;as menos de seis vezes por semana &#40;p &#61; 0&#44;007&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Tabela 1</a>&#41;&#46; Observou&#8208;se correla&#231;&#227;o positiva entre o IMC e RCE com a press&#227;o arterial sist&#243;lica e diast&#243;lica &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Tabela 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0195" class="elsevierStylePara elsevierViewall">Crian&#231;as com seis e sete anos&#44; maiores valores de IMC e RCE e menor frequ&#234;ncia semanal de consumo de hortali&#231;as apresentaram valores mais elevados de press&#227;o arterial sist&#243;lica e diast&#243;lica&#46; Al&#233;m disso&#44; o menor tempo di&#225;rio em atividades ativas &#40;&#60; 1 hora&#41; aumentou os valores de press&#227;o arterial diast&#243;lica &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0200" class="elsevierStylePara elsevierViewall">Ap&#243;s as an&#225;lises de regress&#227;o linear m&#250;ltipla&#44; no modelo 1 &#40;IMC como vari&#225;vel explicativa principal&#41;&#44; os maiores valores de IMC mantiveram&#8208;se independentemente associados ao aumento da press&#227;o arterial&#46; O mesmo foi observado para o modelo 2 &#40;RCE como vari&#225;vel explicativa principal&#41;&#44; em que valores alterados de RCE explicaram o aumento da press&#227;o arterial sist&#243;lica e diast&#243;lica &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">Tabela 4</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discuss&#227;o</span><p id="par0205" class="elsevierStylePara elsevierViewall">A aferi&#231;&#227;o da press&#227;o arterial de crian&#231;as &#233; pouco comum&#44; por&#233;m observamos neste estudo que o aumento nos valores de indicadores de adiposidade &#40;IMC e RCE&#41; elevou a press&#227;o arterial sist&#243;lica e diast&#243;lica de crian&#231;as&#44; mesmo ap&#243;s o ajuste por outras vari&#225;veis tamb&#233;m associadas &#224; press&#227;o arterial&#46; Esses achados concordam com outros estudos<a class="elsevierStyleCrossRefs" href="#bib0230"><span class="elsevierStyleSup">13&#44;14</span></a> e refor&#231;am a import&#226;ncia da avalia&#231;&#227;o da adiposidade corporal na pr&#225;tica cl&#237;nica como preditora do risco de hipertens&#227;o arterial em crian&#231;as&#46;</p><p id="par0210" class="elsevierStylePara elsevierViewall">Em estudo caso&#8208;controle pareado com crian&#231;as chinesas em idade escolar&#44; os autores observaram que a diferen&#231;a m&#233;dia entre os pares foi em torno de 5<span class="elsevierStyleHsp" style=""></span>mmHg na press&#227;o sist&#243;lica e 4<span class="elsevierStyleHsp" style=""></span>mmHg na diast&#243;lica&#44; os n&#237;veis mais elevados foram apresentados pelas crian&#231;as com excesso de peso&#46; Entre essas&#44; 19&#44;4&#37; apresentaram n&#237;veis press&#243;ricos acima do percentil 95&#44; enquanto que entre as crian&#231;as com IMC adequado esse percentual foi de 7&#37;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">23</span></a>&#46; Resultado contr&#225;rio foi observado no estudo de Sarni et al&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">24</span></a> com pr&#233;&#8208;escolares em S&#227;o Paulo&#44; em que apesar de identificarem forte correla&#231;&#227;o entre IMC&#44; per&#237;metro da cintura e outros par&#226;metros antropom&#233;tricos&#44; n&#227;o houve associa&#231;&#227;o entre a HAS e o excesso de peso&#46; Os autores justificaram esse resultado em fun&#231;&#227;o da faixa et&#225;ria precoce e do limitado tamanho da amostra&#46; Embora com faixa et&#225;ria precoce&#44; de quatro a sete anos&#44; observamos nesse estudo que as crian&#231;as com maiores valores de IMC e RCE j&#225; apresentaram valores mais elevados de press&#227;o arterial&#46;</p><p id="par0215" class="elsevierStylePara elsevierViewall">A preval&#234;ncia de excesso de peso entre as crian&#231;as do presente estudo foi de 25&#44;8&#37;&#44; superior &#224; encontrada em outros trabalhos feitos com a popula&#231;&#227;o pedi&#225;trica<a class="elsevierStyleCrossRefs" href="#bib0205"><span class="elsevierStyleSup">8&#44;25</span></a>&#46; De acordo com a Pesquisa de Or&#231;amentos Familiares &#40;POF&#41;&#44; 2008&#8208;2009&#44; no Brasil o excesso de peso atinge 33&#44;5&#37; das crian&#231;as de cinco a nove anos&#44; 16&#44;6&#37; do total de meninos tamb&#233;m s&#227;o obesos e entre as meninas a obesidade apareceu em 11&#44;8&#37;&#46; Por outro lado&#44; o d&#233;ficit de peso apontado por essa pesquisa entre as crian&#231;as na mesma faixa et&#225;ria foi menor em todas as regi&#245;es&#44; oscilou ao redor da m&#233;dia nacional&#44; que foi de 4&#37;&#46; Tal resultado evidencia o processo de transi&#231;&#227;o nutricional que tem ocorrido no pa&#237;s&#44; inclusive na popula&#231;&#227;o infantil<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">9</span></a>&#46;</p><p id="par0220" class="elsevierStylePara elsevierViewall">O excesso de gordura corporal pode ser distribu&#237;do de forma generalizada e&#47;ou localizada&#46; Por isso&#44; para seu diagn&#243;stico &#233; necess&#225;rio n&#227;o s&#243; considerar a quantidade total de gordura corporal&#44; mas tamb&#233;m sua distribui&#231;&#227;o<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">20</span></a>&#46; O ac&#250;mulo de gordura abdominal reflete a deposi&#231;&#227;o de gordura visceral&#44; o que leva ao aumento da atividade lipol&#237;tica celular&#44; ocorre maior libera&#231;&#227;o dos &#225;cidos graxos livres na corrente sangu&#237;nea e aumento do risco para doen&#231;a ateroscler&#243;tica&#46; Esse tipo de dep&#243;sito de gordura tamb&#233;m contribui para o desenvolvimento de dislipidemia&#44; resist&#234;ncia &#224; insulina&#44; intoler&#226;ncia &#224; glicose e hipertens&#227;o arterial&#44; o que caracteriza a s&#237;ndrome metab&#243;lica<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">1</span></a>&#46; Assim&#44; indicadores de adiposidade abdominal&#44; como a RCE&#44; permitem a avalia&#231;&#227;o do risco cardiometab&#243;lico&#44; independentemente do peso corporal&#46;</p><p id="par0225" class="elsevierStylePara elsevierViewall">Nas an&#225;lises de regress&#227;o linear&#44; o IMC foi inclu&#237;do como vari&#225;vel cont&#237;nua&#44; manteve a associa&#231;&#227;o com o aumento da press&#227;o arterial sist&#243;lica e diast&#243;lica&#44; esse resultado foi semelhante ao observado em outros estudos&#44; que reportaram que o aumento do IMC&#44; e n&#227;o apenas o excesso de peso&#44; estava relacionado com o aumento da press&#227;o arterial&#46; Tais achados sugerem que o IMC deve ser avaliado como uma vari&#225;vel cont&#237;nua&#44; para melhor refletir o risco de aumento na press&#227;o arterial<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">26</span></a>&#46;</p><p id="par0230" class="elsevierStylePara elsevierViewall">Nas an&#225;lises de regress&#227;o linear simples&#44; o tempo di&#225;rio inferior a uma hora dedicado &#224; pr&#225;tica de atividades ativas associou&#8208;se positivamente com a press&#227;o arterial diast&#243;lica &#40;p &#61; 0&#44;021&#41;&#44; mas&#44; ap&#243;s ajuste por outras vari&#225;veis no modelo m&#250;ltiplo&#44; essa associa&#231;&#227;o n&#227;o foi mantida&#46; Nas &#250;ltimas d&#233;cadas&#44; os avan&#231;os tecnol&#243;gicos t&#234;m incentivado as crian&#231;as a tornarem&#8208;se menos ativas&#46; Essa inatividade caracterizada pelo comportamento sedent&#225;rio&#44; como o tempo gasto no computador e ao assistir a televis&#227;o&#44; tem rela&#231;&#227;o positiva com a adiposidade corporal e doen&#231;as associadas na inf&#226;ncia<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">27</span></a>&#46;</p><p id="par0235" class="elsevierStylePara elsevierViewall">Ap&#243;s as an&#225;lises m&#250;ltiplas&#44; os indicadores de adiposidade corporal mantiveram a associa&#231;&#227;o independente com a press&#227;o arterial sist&#243;lica e diast&#243;lica&#46; Os modelos com o IMC e a RCE&#44; para os n&#237;veis press&#243;ricos sist&#243;lico e diast&#243;lico&#44; apresentaram valores de coeficiente de determina&#231;&#227;o &#40;R<span class="elsevierStyleSup">2</span> ajustado&#41; pr&#243;ximos&#44; mostraram que esses indicadores explicam de forma semelhante as varia&#231;&#245;es nos valores da press&#227;o arterial das crian&#231;as do estudo&#46; Considerando que a RCE e o IMC s&#227;o &#237;ndices de f&#225;cil avalia&#231;&#227;o e interpreta&#231;&#227;o&#44; sugerimos seu uso em estudos epidemiol&#243;gicos e na pr&#225;tica cl&#237;nica para triagem de crian&#231;as com risco para altera&#231;&#245;es cardiometab&#243;licas&#44; como a HAS&#46;</p><p id="par0240" class="elsevierStylePara elsevierViewall">Vale ressaltar que apesar da proposta de uso do ponto de corte de 0&#44;5 para a RCE independentemente da idade&#44; outros estudos t&#234;m encontrado valores menores para esse &#237;ndice associados &#224; predi&#231;&#227;o de altera&#231;&#245;es cardiometab&#243;licas&#44; a maioria inferior a 0&#44;5<a class="elsevierStyleCrossRefs" href="#bib0305"><span class="elsevierStyleSup">28&#44;29</span></a>&#46; Em estudo feito com crian&#231;as e adolescentes no Ir&#227;&#44; foram identificados pontos de corte de 0&#44;40 para os meninos e 0&#44;42 para as meninas<a class="elsevierStyleCrossRef" href="#bib0315"><span class="elsevierStyleSup">30</span></a>&#46; Neste estudo&#44; usamos o ponto de corte de risco acima de 0&#44;5 para a RCE e as crian&#231;as apresentaram maiores medianas de press&#227;o arterial&#44; comparadas com aquelas com menores valores do &#237;ndice&#46; S&#227;o necess&#225;rios estudos com crian&#231;as brasileiras para avaliar se esse &#233; o melhor ponto de corte ou se o percentual de crian&#231;as em risco tem sido subestimado&#46;</p><p id="par0245" class="elsevierStylePara elsevierViewall">Apesar de n&#227;o ser objetivo do estudo&#44; observou&#8208;se na an&#225;lise m&#250;ltipla que crian&#231;as com frequ&#234;ncia de consumo de hortali&#231;as inferior a seis vezes&#47;semana apresentaram maiores valores de press&#227;o arterial sist&#243;lica e diast&#243;lica&#46; Estudos epidemiol&#243;gicos t&#234;m mostrado a import&#226;ncia do consumo de frutas e hortali&#231;as na promo&#231;&#227;o da sa&#250;de e preven&#231;&#227;o de doen&#231;as cr&#244;nicas n&#227;o transmiss&#237;veis<a class="elsevierStyleCrossRefs" href="#bib0320"><span class="elsevierStyleSup">31&#44;32</span></a>&#46; O incentivo &#224;s crian&#231;as para ado&#231;&#227;o do consumo desses alimentos considerados marcadores de uma alimenta&#231;&#227;o saud&#225;vel torna&#8208;se essencial&#44; uma vez que h&#225;bitos alimentares estabelecidos na inf&#226;ncia tendem a se manter na vida adulta&#46;</p><p id="par0250" class="elsevierStylePara elsevierViewall">O processo ateroscler&#243;tico pode ter in&#237;cio na inf&#226;ncia e progride com a idade&#44; mostra gravidade diretamente proporcional ao n&#250;mero de fatores de risco apresentados pelo indiv&#237;duo&#46; Assim&#44; a preven&#231;&#227;o prim&#225;ria de altera&#231;&#245;es cardiometab&#243;licas&#44; como a HAS&#44; deve iniciar em idades precoces&#46; Apesar da recomenda&#231;&#227;o de aferi&#231;&#227;o da press&#227;o arterial a partir dos tr&#234;s anos nos atendimentos ambulatoriais<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">1</span></a>&#44; observa&#8208;se baixa frequ&#234;ncia de aferi&#231;&#227;o dessa medida em crian&#231;as e adolescentes&#44; o que demonstra que esse procedimento ainda n&#227;o foi incorporado &#224; pr&#225;tica cl&#237;nica<a class="elsevierStyleCrossRef" href="#bib0330"><span class="elsevierStyleSup">33</span></a>&#46;</p><p id="par0255" class="elsevierStylePara elsevierViewall">Por tratar&#8208;se de um estudo transversal&#44; n&#227;o foi poss&#237;vel estabelecer a rela&#231;&#227;o causal entre adiposidade corporal e o aumento da press&#227;o arterial&#46; Outra limita&#231;&#227;o do estudo foi a aus&#234;ncia de informa&#231;&#245;es sobre o consumo de outros alimentos que demonstram associa&#231;&#227;o com a press&#227;o arterial&#44; como os ultraprocessados&#44; al&#233;m do sal de adi&#231;&#227;o&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Conclus&#227;o</span><p id="par0260" class="elsevierStylePara elsevierViewall">O aumento da adiposidade corporal&#44; avaliada pelo IMC e pela RCE&#44; associou&#8208;se ao aumento da press&#227;o arterial sist&#243;lica e diast&#243;lica entre as crian&#231;as avaliadas&#44; mesmo ap&#243;s ajuste por outras vari&#225;veis&#46; Sugere&#8208;se o uso de indicadores de adiposidade&#44; como o IMC e a RCE&#44; para triagem de crian&#231;as com risco de altera&#231;&#245;es na press&#227;o arterial e outras altera&#231;&#245;es metab&#243;licas&#46;</p><p id="par0265" class="elsevierStylePara elsevierViewall">Ademais&#44; refor&#231;amos a import&#226;ncia da manuten&#231;&#227;o do estado nutricional adequado e estilo de vida saud&#225;vel desde a inf&#226;ncia&#44; pois s&#227;o estrat&#233;gias fundamentais para redu&#231;&#227;o da preval&#234;ncia de fatores de risco cardiometab&#243;lico ao longo da vida&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Financiamento</span><p id="par0270" class="elsevierStylePara elsevierViewall">Funda&#231;&#227;o de Amparo &#224; Pesquisa do Estado de Minas Gerais &#40;Fapemig&#41;&#46; N&#250;mero do processo&#58; 02055&#8208;13&#46; Conselho Nacional de Desenvolvimento Cient&#237;fico e Tecnol&#243;gico &#40;CNPq&#41;&#46; N&#250;mero do processo&#58; 485124&#47;2011&#8208;4&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Conflitos de interesse</span><p id="par0275" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:13 [
        0 => array:3 [
          "identificador" => "xres1029748"
          "titulo" => "Resumo"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abst0005"
              "titulo" => "Introdu&#231;&#227;o e objetivo"
            ]
            1 => array:2 [
              "identificador" => "abst0010"
              "titulo" => "M&#233;todos"
            ]
            2 => array:2 [
              "identificador" => "abst0015"
              "titulo" => "Resultados"
            ]
            3 => array:2 [
              "identificador" => "abst0020"
              "titulo" => "Conclus&#227;o"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec987189"
          "titulo" => "Palavras&#8208;chave"
        ]
        2 => array:3 [
          "identificador" => "xres1029747"
          "titulo" => "Abstract"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abst0025"
              "titulo" => "Introduction and Objective"
            ]
            1 => array:2 [
              "identificador" => "abst0030"
              "titulo" => "Methods"
            ]
            2 => array:2 [
              "identificador" => "abst0035"
              "titulo" => "Results"
            ]
            3 => array:2 [
              "identificador" => "abst0040"
              "titulo" => "Conclusion"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec987188"
          "titulo" => "Keywords"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introdu&#231;&#227;o"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "M&#233;todos"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Resultados"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Discuss&#227;o"
        ]
        8 => array:2 [
          "identificador" => "sec0025"
          "titulo" => "Conclus&#227;o"
        ]
        9 => array:2 [
          "identificador" => "sec0030"
          "titulo" => "Financiamento"
        ]
        10 => array:2 [
          "identificador" => "sec0035"
          "titulo" => "Conflitos de interesse"
        ]
        11 => array:2 [
          "identificador" => "xack347820"
          "titulo" => "Agradecimentos"
        ]
        12 => array:1 [
          "titulo" => "Bibliografia"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2017-02-14"
    "fechaAceptado" => "2017-07-24"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras&#8208;chave"
          "identificador" => "xpalclavsec987189"
          "palabras" => array:3 [
            0 => "Press&#227;o arterial"
            1 => "Adiposidade"
            2 => "Crian&#231;a"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec987188"
          "palabras" => array:3 [
            0 => "Blood pressure"
            1 => "Adiposity"
            2 => "Child"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:3 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introdu&#231;&#227;o e objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estudos feitos com adultos t&#234;m demonstrado associa&#231;&#227;o entre aumento da adiposidade corporal e hipertens&#227;o arterial&#44; mas ainda s&#227;o escassos estudos que avaliaram essa associa&#231;&#227;o na inf&#226;ncia&#46; O objetivo deste estudo foi investigar a associa&#231;&#227;o entre press&#227;o arterial e indicadores de adiposidade corporal em crian&#231;as&#44; controlada por vari&#225;veis de nascimento&#44; sociodemogr&#225;ficas&#44; de estilo de vida e diet&#233;ticas&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudo transversal com amostra de 399 crian&#231;as de quatro a sete anos&#46; A vari&#225;vel dependente foi a press&#227;o arterial&#44; aferida de acordo com protocolo estabelecido pela VII Diretriz Brasileira de Hipertens&#227;o Arterial&#46; As vari&#225;veis explicativas do estudo foram os &#237;ndices rela&#231;&#227;o cintura&#8208;estatura &#40;RCE&#41; e &#237;ndice de massa corporal &#40;IMC&#41;&#46; A regress&#227;o linear m&#250;ltipla foi usada para avaliar a associa&#231;&#227;o independente entre indicadores de adiposidade e press&#227;o arterial&#44; ajustada por vari&#225;veis de nascimento&#44; sociodemogr&#225;ficas&#44; estilo de vida e alimenta&#231;&#227;o das crian&#231;as&#46; Considerou&#8208;se como signific&#226;ncia estat&#237;stica &#945;<span class="elsevierStyleHsp" style=""></span>&#61; 5&#37;&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">O IMC&#47;I e a RCE correlacionaram&#8208;se positivamente com a press&#227;o arterial sist&#243;lica e diast&#243;lica&#46; Ap&#243;s as an&#225;lises m&#250;ltiplas&#44; os maiores valores de IMC &#40;modelo 1&#41; e RCE &#40;modelo 2&#41; se associaram ao aumento da press&#227;o arterial sist&#243;lica e diast&#243;lica&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclus&#227;o</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">O aumento da adiposidade corporal&#44; avaliada pelo IMC e pela RCE&#44; associou&#8208;se ao aumento da press&#227;o arterial sist&#243;lica e diast&#243;lica entre as crian&#231;as avaliadas&#46; Assim&#44; sugere&#8208;se o uso do IMC e da RCE na avalia&#231;&#227;o nutricional de crian&#231;as&#44; para <span class="elsevierStyleItalic">screening</span> de altera&#231;&#245;es na press&#227;o arterial e outros fatores de risco cardiometab&#243;lico nessa popula&#231;&#227;o&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Introdu&#231;&#227;o e objetivo"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "M&#233;todos"
          ]
          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Resultados"
          ]
          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclus&#227;o"
          ]
        ]
      ]
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction and Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Studies in adults have shown an association between increased adiposity and hypertension&#44; but few studies have analyzed this association in childhood&#46; The aim of this study was to investigate the association between blood pressure &#40;BP&#41; and body adiposity indicators in children&#44; controlling for the variables of birth conditions&#44; sociodemographics&#44; lifestyle and diet&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Methods</span><p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">In this cross&#8208;sectional study of 399 children aged 4 to 7 years&#44; the dependent variable was BP&#44; measured according to the protocol established by the 7th Brazilian Guidelines on Hypertension&#46; The explanatory variables of the study were waist&#8208;to&#8208;height ratio &#40;WHtR&#41; and body mass index &#40;BMI&#41;&#46; Multiple linear regression was used to assess the independent association between adiposity and BP indicators adjusted for the variables of birth conditions&#44; sociodemographics&#44; lifestyle and diet&#46; Statistical significance was set as &#945;&#61;5&#37;&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">BMI for age and WHtR correlated positively with systolic &#40;SBP&#41; and diastolic blood pressure &#40;DBP&#41;&#46; After multivariate analysis&#44; higher values of BMI &#40;model 1&#41; and WHtR &#40;model 2&#41; were associated with increased SBP and DBP&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusion</span><p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">Increased body adiposity&#44; as assessed by BMI and WHtR&#44; was associated with increased SBP and DBP among the children studied&#46; Thus&#44; we suggest the use of BMI and WHtR in the nutritional assessment of children to detect changes in BP and other cardiometabolic risk factors in this population&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Introduction and Objective"
          ]
          1 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "Methods"
          ]
          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Results"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclusion"
          ]
        ]
      ]
    ]
    "multimedia" => array:4 [
      0 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Tabela 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at1"
            "detalle" => "Tabela "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">AME&#44; aleitamento materno exclusivo&#59; HA&#44; hipertens&#227;o arterial&#59; IMC&#44; &#237;ndice de massa corporal&#59; PAD&#44; press&#227;o arterial diast&#243;lica&#59; PAS&#44; press&#227;o arterial sist&#243;lica&#59; RCE&#44; rela&#231;&#227;o cintura&#8208;estatura&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Teste de Mann&#8208;Whitney ou teste de Kruskal&#8208;Wallis&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">PAS<br>Mediana &#40;m&#237;n&#8208;m&#225;x&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">PAD<br>Mediana &#40;m&#237;n&#8208;m&#225;x&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Sexo</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">218 &#40;54&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">96&#44;5 &#40;76&#8208;113&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&#44;0 &#40;41&#8208;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Feminino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">181 &#40;45&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">94&#44;5 &#40;78&#8208;114&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">60&#44;0 &#40;40&#8208;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">218 &#40;54&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">96&#44;5 &#40;76&#8208;113&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&#44;0 &#40;41&#8208;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Idade &#40;anos&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>4&#8208;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">176 &#40;44&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">94&#44;0 &#40;76&#8208;114&#44;8&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">58&#44;5 &#40;40&#8208;77&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>6&#8208;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">223 &#40;55&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">97&#44;0 &#40;79&#8208;113&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">60&#44;0 &#40;45&#8208;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Peso ao nascer</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 3&#46;000g&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">274 &#40;69&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95&#44;5 &#40;76&#44;5&#8208;114&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&#44;7 &#40;40&#8208;80&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 3&#46;000g&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">123 &#40;31&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">97&#44;0 &#40;78&#44;5&#8208;113&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&#44;5 &#40;41&#8208;73&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">AME 4 meses</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">238 &#40;60&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95&#44;5 &#40;76&#44;5&#8208;114&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">58&#44;5 &#40;40&#8208;77&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">154 &#40;39&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">97&#44;2 &#40;78&#44;5&#8208;111&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">60&#44;5 &#40;44&#44;5&#8208;80&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Escolaridade maternal</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#62; 8 anos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">257 &#40;65&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95&#44;5 &#40;77&#44;5&#8208;114&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59 &#40;40&#8208;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#60;</span> 8 anos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">138 &#40;34&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">97&#44;0 &#40;76&#8208;112&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">61&#44;0 &#40;41&#8208;73&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Tercis renda per capita &#40;reais&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 255&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">135 &#40;34&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">96&#44;5 &#40;78&#44;5&#8208;114&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">61&#44;0 &#40;40&#8208;73&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>255&#8208;475&#44;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">128 &#40;32&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">96&#44;2 &#40;78&#44;5&#8208;112&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&#44;7 &#40;44&#44;5&#8208;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 475&#44;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">131 &#40;33&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95 &#40;76&#8208;112&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">58&#44;5 &#40;41&#8208;73&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">IMC&#47;</span>I</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Eutrofia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">296 &#40;74&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95&#44;5 &#40;76&#44;5&#8208;114&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">57&#44;5 &#40;40&#8208;73&#44;5&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Excesso de peso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">103 &#40;25&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">100&#44;5 &#40;85&#44;5&#8208;113&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">64&#44;0 &#40;49&#8208;73&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">RCE</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 0&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">303 &#40;76&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95 &#40;77&#44;5&#8208;113&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">58&#44;0 &#40;40&#8208;73&#44;5&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 0&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">94 &#40;23&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&#44;5 &#40;76&#8208;161&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">62&#44;25 &#40;41&#8208;115&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Tempo TV</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 2h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">201 &#40;50&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">96 &#40;77&#44;5&#8208;112&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&#44;0 &#40;40&#8208;73&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 2h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">197 &#40;49&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">96 &#40;76&#8208;114&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">60&#44;0 &#40;41&#8208;93&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Tempo atividades ativas</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 1h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">237 &#40;59&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95&#44;5 &#40;76&#8208;114&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">58&#44;5 &#40;40&#8208;77&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 1h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">159 &#40;40&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">97 &#40;78&#44;5&#8208;112&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">61 &#40;44&#44;5&#8208;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Tempo atividades sedent&#225;rias</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#60;</span> 1h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">148 &#40;37&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95&#44;5 &#40;76&#8208;113&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&#44;0 &#40;40&#8208;73&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#62; 1h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">250 &#40;62&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">96 &#40;78&#8208;114&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">60&#44;0 &#40;45&#8208;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Frequ&#234;ncia consumo frutas</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 5x&#47;semana&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">207 &#40;53&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95&#44;5 &#40;78&#8208;112&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59 &#40;41&#8208;73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 5x&#47;semana&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">189 &#40;47&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">96&#44;5 &#40;76&#44;5&#8208;116&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">60 &#40;40&#8208;93&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Frequ&#234;ncia consumo hortali&#231;as</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 6x&#47;semana&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">211 &#40;53&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95&#44;5 &#40;76&#8208;112&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">58&#44;5 &#40;41&#8208;73&#44;5&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 6x&#47;semana&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">186 &#40;46&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">97&#44;0 &#40;78&#44;5&#8208;114&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">61&#44;0 &#40;40&#8208;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Hist&#243;rico familiar de HA</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">311 &#40;77&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">95&#44;0 &#40;76&#44;5&#8208;113&#44;0&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">58&#44;5 &#40;41&#44;0&#8208;80&#44;0&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">88 &#40;22&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">99&#44;2 &#40;85&#44;0&#8208;114&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">63&#44;0 &#40;40&#44;0&#8208;77&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1752701.png"
              ]
            ]
          ]
          "notaPie" => array:2 [
            0 => array:3 [
              "identificador" => "tblfn0005"
              "etiqueta" => "&#42;"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">p &#60; 0&#44;05&#59;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0010"
              "etiqueta" => "&#42;&#42;"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">p &#60; 0&#44;001&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Mediana&#44; m&#237;nimo e m&#225;ximo da press&#227;o arterial sist&#243;lica e diast&#243;lica em crian&#231;as&#44; segundo vari&#225;veis sociodemogr&#225;ficas&#44; de nascimento&#44; antropom&#233;tricas e estilo de vida</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "tbl0010"
        "etiqueta" => "Tabela 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at2"
            "detalle" => "Tabela "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">IMC&#44; &#237;ndice de massa corporal&#59; PAD&#44; press&#227;o arterial diast&#243;lica&#59; PAS&#44; press&#227;o arterial sist&#243;lica&#59; RCE&#44; rela&#231;&#227;o cintura&#8208;estatura&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="table-head ; entry_with_role_rowhead " align="left" valign="top" scope="col">Indicador de adiposidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">PAS</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">PAD</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">r&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Valor p<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">r&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Valor p<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">IMC &#40;escore&#8208;z&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;289&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;251&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">RCE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;174&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;219&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1752702.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tblfn0015"
              "etiqueta" => "&#42;"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Correla&#231;&#227;o de Spearman&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Correla&#231;&#227;o entre indicadores de adiposidade corporal e press&#227;o arterial sist&#243;lica e diast&#243;lica em crian&#231;as</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "tbl0015"
        "etiqueta" => "Tabela 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at3"
            "detalle" => "Tabela "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">AME&#44; aleitamento materno exclusivo&#59; HA&#44; hipertens&#227;o arterial&#59; IMC&#44; &#237;ndice de massa corporal&#59; PAD&#44; press&#227;o arterial diast&#243;lica&#59; PAS&#44; press&#227;o arterial sist&#243;lica&#59; RCE&#44; rela&#231;&#227;o cintura&#8208;estatura&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="table-head ; entry_with_role_rowhead " align="left" valign="top" scope="col">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">PAS</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">PAD</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#946;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">IC 95&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#946;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">IC 95&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Sexo</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Feminino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;1&#44;50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;3&#44;25&#8211;0&#44;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;93&#8211;2&#44;23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Idade &#40;anos&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;90&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;04&#8211;2&#44;76<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;45&#8211;2&#44;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Peso ao nascer &#40;g&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;001&#8211;0&#44;002&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;01&#8211;0&#44;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">AME 4 meses</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;86&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;93&#8211;2&#44;67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;9&#8211;2&#44;34&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Escolaridade materna</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;36&#8211;0&#44;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;36&#8211;0&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Renda per capita</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;02&#8211;0&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;01&#8211;0&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">IMC &#40;escore&#8208;z&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#44;42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;76&#8211;3&#44;08<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;36&#8211;2&#44;57<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">RCE</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 0&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 0&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#44;17&#8211;6&#44;22<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#44;32&#8211;5&#44;96<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Tempo TV</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 2h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 2h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;1&#44;33&#8211;2&#44;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;5&#8211;2&#44;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Tempo atividades sedent&#225;rias</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#60;</span> 1h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#62; 1h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;87&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;93&#8211;2&#44;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;92&#8211;2&#44;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Tempo atividades ativas</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 1h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 1h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;66&#8211;2&#44;92&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;83&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;27&#8211;3&#44;39<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Frequ&#234;ncia consumo frutas</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 5x&#47;semana&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 5x&#47;semana&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;58&#8211;2&#44;92&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;13&#8211;3&#44;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Frequ&#234;ncia consumo hortali&#231;as</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleUnderline">&#62;</span> 6x&#47;semana&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 6x&#47;semana&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;90&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;15&#8211;3&#44;65<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#44;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;62&#8211;3&#44;76<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Hist&#243;rico familiar de HA</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;83&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;76&#8211;5&#44;91<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;50&#8211;5&#44;25<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">&#42;&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1752704.png"
              ]
            ]
          ]
          "notaPie" => array:2 [
            0 => array:3 [
              "identificador" => "tblfn0020"
              "etiqueta" => "&#42;"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">p &#60; 0&#44;05&#59;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0025"
              "etiqueta" => "&#42;&#42;"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0025">p &#60; 0&#44;001&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Coeficientes de regress&#227;o linear simples e respetivos intervalos de confian&#231;a para a associa&#231;&#227;o da press&#227;o arterial sist&#243;lica e diast&#243;lica com vari&#225;veis sociodemogr&#225;ficas&#44; de nascimento&#44; antropom&#233;tricas e estilo de vida em crian&#231;as</p>"
        ]
      ]
      3 => array:8 [
        "identificador" => "tbl0020"
        "etiqueta" => "Tabela 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at4"
            "detalle" => "Tabela "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">IMC&#44; &#237;ndice de massa corporal&#59; PAD&#44; press&#227;o arterial diast&#243;lica&#59; PAS&#44; press&#227;o arterial sist&#243;lica&#59; RCE&#44; rela&#231;&#227;o cintura&#8208;estatura&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Modelos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#946;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">IC 95&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Valor p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">R<span class="elsevierStyleSup">2</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top">PAS<a class="elsevierStyleCrossRefs" href="#tblfn0030"><span class="elsevierStyleSup">a&#44;c</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>IMC &#40;escore&#8208;z&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;25&#8211;2&#44;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;185&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top">PAS<a class="elsevierStyleCrossRefs" href="#tblfn0035"><span class="elsevierStyleSup">b&#44;c</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>RCE <span class="elsevierStyleUnderline">&#62;</span> 0&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;98&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#44;04&#8211;5&#44;92&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;150&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top">PAD<a class="elsevierStyleCrossRefs" href="#tblfn0030"><span class="elsevierStyleSup">a&#44;d</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>IMC &#40;escore&#8208;z&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;04&#8211;2&#44;27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;132&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top">PAD<a class="elsevierStyleCrossRefs" href="#tblfn0035"><span class="elsevierStyleSup">b&#44;d</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>RCE <span class="elsevierStyleUnderline">&#62;</span> 0&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#44;05&#8211;5&#44;60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;113&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1752703.png"
              ]
            ]
          ]
          "notaPie" => array:4 [
            0 => array:3 [
              "identificador" => "tblfn0030"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0030">IMC como vari&#225;vel explicativa principal&#59;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0035"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0035">RCE como vari&#225;vel explicativa principal&#46; R<span class="elsevierStyleSup">2</span> &#8208; coeficiente de determina&#231;&#227;o&#46;</p>"
            ]
            2 => array:3 [
              "identificador" => "tblfn0040"
              "etiqueta" => "c"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0040">Ajustado por&#58; sexo&#44; idade&#44; estatura&#44; frequ&#234;ncia de consumo de frutas&#44; frequ&#234;ncia de consumo de hortali&#231;as e hist&#243;rico familiar de hipertens&#227;o arterial&#46;</p>"
            ]
            3 => array:3 [
              "identificador" => "tblfn0045"
              "etiqueta" => "d"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0045">Ajustado por&#58; sexo&#44; idade&#44; estatura&#44; frequ&#234;ncia consumo de frutas&#44; tempo TV&#44; tempo em atividades ativas&#44; frequ&#234;ncia de consumo de hortali&#231;as e hist&#243;rico familiar de hipertens&#227;o arterial&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Modelos finais da an&#225;lise de regress&#227;o linear m&#250;ltipla para a press&#227;o arterial sist&#243;lica e diast&#243;lica&#44; segundo &#237;ndice de massa corporal &#40;IMC&#41; e rela&#231;&#227;o cintura&#8208;estatura &#40;RCE&#41; em crian&#231;as</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliografia"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:33 [
            0 => array:3 [
              "identificador" => "bib0170"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Sociedade Brasileira de Hipertens&#227;o&#46; V Diretrizes Brasileiras de Hipertens&#227;o Arterial&#46; Arq Bras Cardiol&#44; v&#46;89&#44; n&#46;3&#44; p&#46;24&#8208;79&#44; 2007&#46;"
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0175"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "World Health Organization&#46; Organiza&#231;&#227;o Mundial da Sa&#250;de&#46; Estat&#237;sticas da Sa&#250;de Mundial 2012&#46; Geneva&#58; WHO&#59; 2012&#46;"
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0180"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Childhood risk factors for high adult blood pressure&#58; the Muscatine Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;M&#46; Lauer"
                            1 => "W&#46;R&#46; Clarke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "1989"
                        "volumen" => "84"
                        "paginaInicial" => "633"
                        "paginaFinal" => "641"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2780125"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0185"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Essential hypertension predicted by tracking of elevated blood pressure from childhood to adulthood&#58; the Bogalusa Heart Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "W&#46; Bao"
                            1 => "S&#46;A&#46; Threefoot"
                            2 => "S&#46;R&#46; Srinivasan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/0895-7061(95)00116-7"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Hypertens"
                        "fecha" => "1995"
                        "volumen" => "8"
                        "paginaInicial" => "657"
                        "paginaFinal" => "665"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7546488"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0190"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The prevalence of high arterial blood pressure in children and adolescents&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "D&#46;G&#46;D&#46; Christofaro"
                            1 => "S&#46;M&#46; Andrade"
                            2 => "R&#46;A&#46; Fernandes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev&#46; Bras&#46; Sa&#250;de Matern&#46; Infant"
                        "fecha" => "2011"
                        "volumen" => "11"
                        "paginaInicial" => "361"
                        "paginaFinal" => "367"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0195"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Weight status in childhood as a predictor of becoming overweight or hypertensive in early adulthood"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;E&#46; Field"
                            1 => "N&#46;R&#46; Cook"
                            2 => "M&#46;W&#46; Gillman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/oby.2005.21"
                      "Revista" => array:6 [
                        "tituloSerie" => "Obes Res"
                        "fecha" => "2005"
                        "volumen" => "13"
                        "paginaInicial" => "163"
                        "paginaFinal" => "169"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15761176"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0200"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Preterm birth as a risk factor for high blood pressure in children&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "A&#46;P&#46; Coeli"
                            1 => "L&#46;R&#46; Nascimento"
                            2 => "J&#46;G&#46; Mill"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cad&#46; Saude Publica"
                        "fecha" => "2011"
                        "volumen" => "27"
                        "paginaInicial" => "207"
                        "paginaFinal" => "218"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21359457"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0205"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalence of pre&#8208;hypertension and arterial hypertension and evaluation of associated factors in children and adolescents in public schools in Salvador&#44; Bahia State&#44; Brazil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "S&#46;L&#46; Pinto"
                            1 => "R&#46;C&#46;E&#46; Silva"
                            2 => "S&#46;E&#46; Priore"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cad Saude Publica"
                        "fecha" => "2011"
                        "volumen" => "27"
                        "paginaInicial" => "1065"
                        "paginaFinal" => "1075"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21710004"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0210"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pesquisa de or&#231;amentos familiares 2008&#8208;2009&#46; Antropometria e estado nutricional de crian&#231;as adolescentes e adultos no Brasil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Instituto Brasileiro de Geografia e Estat&#237;stica &#40;IBGE&#41;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2010"
                        "editorial" => "IBGE"
                        "editorialLocalizacion" => "Rio de Janeiro"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0215"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clustering of coronary heart disease risk factors among obese children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;S&#46; Freedman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Pediatr Endocrinol Metab"
                        "fecha" => "2002"
                        "volumen" => "15"
                        "paginaInicial" => "1099"
                        "paginaFinal" => "1108"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12387507"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0220"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Platelet aggregation&#44; blood viscosity and serum lipids in hypertensive and obese children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "I&#46; Haszon"
                            1 => "F&#46; Papp"
                            2 => "J&#46; Kovacs"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00431-003-1156-4"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Pediatr"
                        "fecha" => "2003"
                        "volumen" => "162"
                        "paginaInicial" => "385"
                        "paginaFinal" => "390"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12684895"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0225"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Body mass index cutoff points for evaluation of nutritional status in Brazilian children and adolescents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "W&#46;L&#46; Conde"
                            1 => "C&#46;A&#46; Monteiro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Pediatr&#46;"
                        "fecha" => "2006"
                        "volumen" => "82"
                        "paginaInicial" => "266"
                        "paginaFinal" => "272"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0230"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Body mass index&#44; waist circumference&#44; and clustering of cardiovascular disease risk factors in a biracial sample of children and adolescents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "P&#46;T&#46; Katzmarzyk"
                            1 => "S&#46;R&#46; Srinivasan"
                            2 => "W&#46; Chen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "2004"
                        "volumen" => "114"
                        "paginaInicial" => "e198"
                        "paginaFinal" => "e205"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15286257"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0235"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Blood Pressure&#58; Effect of Body Mass Index and of Waist Circumference on Adolescents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "I&#46;C&#46;B&#46; Guimar&#227;es"
                            1 => "A&#46;M&#46; Almeida"
                            2 => "A&#46;S&#46; Santos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arq Bras Cardiol&#46;"
                        "fecha" => "2008"
                        "volumen" => "90"
                        "paginaInicial" => "426"
                        "paginaFinal" => "432"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0240"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association of junk food consumption with high blood pressure and obesity in Iranian children and adolescents&#58; the Caspian&#8208;IV Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "M&#46; Payab"
                            1 => "R&#46; Kelishad"
                            2 => "M&#46; Qorbani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Pediatr&#46;"
                        "fecha" => "2015"
                        "volumen" => "91"
                        "paginaInicial" => "196"
                        "paginaFinal" => "205"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0245"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "VII Diretrizes Brasileiras de Hipertens&#227;o"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Sociedade Brasileira de Hipertens&#227;o"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Arq Bras Cardiol&#46;"
                        "fecha" => "2016"
                        "volumen" => "107"
                        "paginaInicial" => "104p"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0250"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "&#40;Who technical report series&#44; 854&#41;"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physical status&#58; the use and interpretation of anthropometry&#46;&#58; report of a WHO Expert Committee"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "World Health Organization &#40;WHO&#41;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:5 [
                        "fecha" => "1995"
                        "paginaInicial" => "424"
                        "paginaFinal" => "438"
                        "editorial" => "World Health Organization"
                        "editorialLocalizacion" => "Geneva"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0255"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "World Health Organization &#40;WHO&#41;&#46; The WHO Child Growth Standards&#46; Dispon&#237;vel em http&#58;&#47;&#47;www&#46;who&#46;int&#47;childgrowth&#47;en&#47; Acesso em&#58; 08 de dezembro de 2015&#46;"
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0260"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Waist&#8208;to thigh ratio can also be a better indicator associated with type 2 diabetes than traditional anthropometrical measurements in Taiwan population"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "Y&#46;C&#46; Chuang"
                            1 => "K&#46;H&#46; Hsu"
                            2 => "C&#46;J&#46; Hwang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.annepidem.2005.04.014"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Epidemiol"
                        "fecha" => "2006"
                        "volumen" => "16"
                        "paginaInicial" => "321"
                        "paginaFinal" => "331"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16168670"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0265"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Six reasons why the waist&#8208;to&#8208;height ratio is a rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message on obesity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Ashwell"
                            1 => "S&#46;D&#46; Hsieh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1080/09637480500195066"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Food Sci Nutr"
                        "fecha" => "2005"
                        "volumen" => "56"
                        "paginaInicial" => "303"
                        "paginaFinal" => "307"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16236591"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0270"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Andaki ACR&#46; Antropometria e n&#237;vel de atividade f&#237;sica na predi&#231;&#227;o de altera&#231;&#245;es metab&#243;licas em crian&#231;as de 10 anos &#91;Disserta&#231;&#227;o de Mestrado em Ci&#234;ncia da Nutri&#231;&#227;o&#93;&#58; Departamento de Nutri&#231;&#227;o e Sa&#250;de&#44; Universidade Federal de Vi&#231;osa&#59; 2010&#46;"
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0275"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Statistics Explained"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46;R&#46; Hinton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "edicion" => "3<span class="elsevierStyleSup">rd</span> ed&#46;"
                        "fecha" => "2014"
                        "editorial" => "Routledge"
                        "editorialLocalizacion" => "New York"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0280"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Blood pressure is associated with body mass index in both normal and obese children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "Q&#46; He"
                            1 => "Z&#46;Y&#46; Ding"
                            2 => "D&#46;Y&#46; Fong"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Hypertension"
                        "fecha" => "2000"
                        "volumen" => "36"
                        "paginaInicial" => "165"
                        "paginaFinal" => "170"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10948072"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0285"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rela&#231;&#227;o da cintura abdominal com a condi&#231;&#227;o nutricional&#44; perfil lip&#237;dico e press&#227;o arterial em pr&#233;&#8208;escolares de baixo estrato econ&#244;mico"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46;S&#46; Sarni"
                            1 => "F&#46;I&#46;S&#46; Souza"
                            2 => "D&#46;O&#46; Schoeps"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol&#46;"
                        "fecha" => "2006"
                        "volumen" => "87"
                        "paginaInicial" => "153"
                        "paginaFinal" => "158"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16951833"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0290"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Relationship of Obesity with High Blood Pressure in Children and Adolescents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "M&#46;G&#46;B&#46; Souza"
                            1 => "I&#46;R&#46; Rivera"
                            2 => "M&#46;A&#46;M&#46; Silva"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol&#46;"
                        "fecha" => "2010"
                        "volumen" => "94"
                        "paginaInicial" => "714"
                        "paginaFinal" => "719"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20428712"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0295"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Obesity and blood pressure &#8208; results from the examination of 2365 schoolchildren in Germany"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "A&#46; Reich"
                            1 => "G&#46; Muller"
                            2 => "G&#46; Gelbrich"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/sj.ijo.0802462"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Obes Relat Metab Disord&#46;"
                        "fecha" => "2003"
                        "volumen" => "27"
                        "paginaInicial" => "1459"
                        "paginaFinal" => "1464"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14634675"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0300"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Perfil epidemiol&#243;gico da obesidade em crian&#231;as&#58; rela&#231;&#227;o entre televis&#227;o&#44; atividade f&#237;sica e obesidade"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;P&#46;A&#46; Amaral"
                            1 => "P&#46;A&#46;P&#46; Palma"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "RBCM&#46;"
                        "fecha" => "2001"
                        "volumen" => "1"
                        "paginaInicial" => "19"
                        "paginaFinal" => "24"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0305"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Waist circumference and waist&#8208;to&#8208;height ratio of Hong Kong Chinese children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46;Y&#46; Sung"
                            1 => "H&#46;K&#46; So"
                            2 => "K&#46;C&#46; Choi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1471-2458-8-324"
                      "Revista" => array:5 [
                        "tituloSerie" => "BMC Public Health"
                        "fecha" => "2008"
                        "volumen" => "8"
                        "paginaInicial" => "324"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18808684"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0310"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anthropometric Indicators as Predictors of High Blood Pressure in Adolescents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;C&#46; Beck"
                            1 => "A&#46;S&#46; Lopes"
                            2 => "F&#46;J&#46;G&#46; Pitanga"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol&#46;"
                        "fecha" => "2011"
                        "volumen" => "96"
                        "paginaInicial" => "126"
                        "paginaFinal" => "133"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21085760"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0315"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association of anthropometric indices with cardiovascular disease risk factors among children and adolescents&#58; CASPIAN Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46; Kelishadi"
                            1 => "R&#46; Gheiratmand"
                            2 => "G&#46; Ardalan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ijcard.2006.06.012"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Cardiol&#46;"
                        "fecha" => "2007"
                        "volumen" => "117"
                        "paginaInicial" => "340"
                        "paginaFinal" => "348"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16860411"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib0320"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dietary patterns of obese adolescents and different metabolic effects"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "V&#46;R&#46;M&#46; Dishchekenian"
                            1 => "M&#46;A&#46;M&#46;S&#46; Escriv&#227;o"
                            2 => "D&#46; Palma"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Nutr&#46;"
                        "fecha" => "2011"
                        "volumen" => "24"
                        "paginaInicial" => "17"
                        "paginaFinal" => "29"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib0325"
              "etiqueta" => "32"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fruit and vegetables&#44; and cardiovascular disease&#58; a review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;R&#46; Ness"
                            1 => "J&#46;W&#46; Powles"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Epidemiol&#46;"
                        "fecha" => "1997"
                        "volumen" => "26"
                        "paginaInicial" => "1"
                        "paginaFinal" => "13"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9126498"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib0330"
              "etiqueta" => "33"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medida da press&#227;o arterial em crian&#231;as e adolescentes&#58; recomenda&#231;&#245;es das diretrizes de hipertens&#227;o arterial e pr&#225;tica m&#233;dica atual"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "M&#46;A&#46;M&#46; Silva"
                            1 => "I&#46;R&#46; Rivera"
                            2 => "M&#46;G&#46;B&#46; Souza"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol&#46;"
                        "fecha" => "2007"
                        "volumen" => "88"
                        "paginaInicial" => "491"
                        "paginaFinal" => "495"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17546283"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack347820"
        "titulo" => "Agradecimentos"
        "texto" => "<p id="par0280" class="elsevierStylePara elsevierViewall">&#192;s crian&#231;as participantes do projeto e aos seus pais&#47;respons&#225;veis&#46; &#192; Coordena&#231;&#227;o de Aperfei&#231;oamento do Pessoal de N&#237;vel Superior &#40;Capes&#41; pela bolsa de doutorado concedida&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/08702551/0000003700000005/v1_201805250945/S0870255117301300/v1_201805250945/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "29261"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Artigos Originais"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003700000005/v1_201805250945/S0870255117301300/v1_201805250945/pt/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255117301300?idApp=UINPBA00004E"
]