Original article
Influence of breastfeeding in the first months of life on blood pressure levels of preschool children
Influência do aleitamento materno nos primeiros meses de vida na pressão arterial de pré-escolares
Luciana Neri Nobre
, Angelina do Carmo Lessa
Corresponding author
Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Faculdade de Ciências Biológicas e da Saúde, Departamento de Nutrição, Diamantina, MG, Brazil
Read
3308
Timeswas read the article
1448
Total PDF
1860
Total HTML
Share statistics
array:25 [ "pii" => "S0021755716300420" "issn" => "00217557" "doi" => "10.1016/j.jped.2016.02.011" "estado" => "S300" "fechaPublicacion" => "2016-11-01" "aid" => "394" "copyright" => "Sociedade Brasileira de Pediatria" "copyrightAnyo" => "2016" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "J Pediatr (Rio J). 2016;92:588-94" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1117 "formatos" => array:3 [ "EPUB" => 122 "HTML" => 670 "PDF" => 325 ] ] "Traduccion" => array:1 [ "pt" => array:19 [ "pii" => "S2255553616300544" "issn" => "22555536" "doi" => "10.1016/j.jpedp.2016.05.017" "estado" => "S300" "fechaPublicacion" => "2016-11-01" "aid" => "394" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "J Pediatr (Rio J). 2016;92:588-94" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1207 "formatos" => array:3 [ "EPUB" => 84 "HTML" => 780 "PDF" => 343 ] ] "pt" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo original</span>" "titulo" => "Influence of breastfeeding in the first months of life on blood pressure levels of preschool children" "tienePdf" => "pt" "tieneTextoCompleto" => "pt" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "588" "paginaFinal" => "594" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Influência do aleitamento materno nos primeiros meses de vida na pressão arterial de pré‐escolares" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contieneTextoCompleto" => array:1 [ "pt" => true ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Luciana Neri Nobre, Angelina do Carmo Lessa" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Luciana Neri" "apellidos" => "Nobre" ] 1 => array:2 [ "nombre" => "Angelina do Carmo" "apellidos" => "Lessa" ] ] ] ] ] "idiomaDefecto" => "pt" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0021755716300420" "doi" => "10.1016/j.jped.2016.02.011" "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/S0021755716300420?idApp=UINPBA000049" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2255553616300544?idApp=UINPBA000049" "url" => "/22555536/0000009200000006/v1_201611170056/S2255553616300544/v1_201611170056/pt/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S0021755716301024" "issn" => "00217557" "doi" => "10.1016/j.jped.2016.01.012" "estado" => "S300" "fechaPublicacion" => "2016-11-01" "aid" => "427" "copyright" => "Sociedade Brasileira de Pediatria" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "J Pediatr (Rio J). 2016;92:595-601" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1925 "formatos" => array:3 [ "EPUB" => 102 "HTML" => 1301 "PDF" => 522 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Prenatal, perinatal and postnatal factors associated with autism spectrum disorder" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "595" "paginaFinal" => "601" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Fatores pré-natais, perinatais e pós-natais associados ao transtorno do espectro do autismo" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1054 "Ancho" => 1583 "Tamanyo" => 67363 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Distribution of prenatal, perinatal, and postnatal factors according to the severity of ASD (a total of 50 cases).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Imen Hadjkacem, Héla Ayadi, Mariem Turki, Sourour Yaich, Khaoula Khemekhem, Adel Walha, Leila Cherif, Yousr Moalla, Farhat Ghribi" "autores" => array:9 [ 0 => array:2 [ "nombre" => "Imen" "apellidos" => "Hadjkacem" ] 1 => array:2 [ "nombre" => "Héla" "apellidos" => "Ayadi" ] 2 => array:2 [ "nombre" => "Mariem" "apellidos" => "Turki" ] 3 => array:2 [ "nombre" => "Sourour" "apellidos" => "Yaich" ] 4 => array:2 [ "nombre" => "Khaoula" "apellidos" => "Khemekhem" ] 5 => array:2 [ "nombre" => "Adel" "apellidos" => "Walha" ] 6 => array:2 [ "nombre" => "Leila" "apellidos" => "Cherif" ] 7 => array:2 [ "nombre" => "Yousr" "apellidos" => "Moalla" ] 8 => array:2 [ "nombre" => "Farhat" "apellidos" => "Ghribi" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S2255553616301070" "doi" => "10.1016/j.jpedp.2016.08.011" "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/S2255553616301070?idApp=UINPBA000049" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0021755716301024?idApp=UINPBA000049" "url" => "/00217557/0000009200000006/v1_201611170050/S0021755716301024/v1_201611170050/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0021755716301085" "issn" => "00217557" "doi" => "10.1016/j.jped.2016.01.013" "estado" => "S300" "fechaPublicacion" => "2016-11-01" "aid" => "431" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "J Pediatr (Rio J). 2016;92:581-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1117 "formatos" => array:3 [ "EPUB" => 100 "HTML" => 661 "PDF" => 356 ] ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Parameters indicative of persistence of valvular pathology at initial diagnosis in acute rheumatic carditis: the role of albumin and CD19 expression" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "581" "paginaFinal" => "587" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Parâmetros indicativos de persistência de patologia valvular no diagnóstico inicial de cardite reumática aguda: o papel da albumina e da expressão de CD19" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Taliha Oner, Rahmi Ozdemir, Dildar Bahar Genc, Mehmet Kucuk, Cem Karadeniz, Savas Demirpence, Murat Muhtar Yilmazer, Timur Mese, Vedide Tavli, Ferah Genel" "autores" => array:10 [ 0 => array:2 [ "nombre" => "Taliha" "apellidos" => "Oner" ] 1 => array:2 [ "nombre" => "Rahmi" "apellidos" => "Ozdemir" ] 2 => array:2 [ "nombre" => "Dildar Bahar" "apellidos" => "Genc" ] 3 => array:2 [ "nombre" => "Mehmet" "apellidos" => "Kucuk" ] 4 => array:2 [ "nombre" => "Cem" "apellidos" => "Karadeniz" ] 5 => array:2 [ "nombre" => "Savas" "apellidos" => "Demirpence" ] 6 => array:2 [ "nombre" => "Murat Muhtar" "apellidos" => "Yilmazer" ] 7 => array:2 [ "nombre" => "Timur" "apellidos" => "Mese" ] 8 => array:2 [ "nombre" => "Vedide" "apellidos" => "Tavli" ] 9 => array:2 [ "nombre" => "Ferah" "apellidos" => "Genel" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S2255553616301100" "doi" => "10.1016/j.jpedp.2016.08.014" "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/S2255553616301100?idApp=UINPBA000049" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0021755716301085?idApp=UINPBA000049" "url" => "/00217557/0000009200000006/v1_201611170050/S0021755716301085/v1_201611170050/en/main.assets" ] "en" => array:19 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Influence of breastfeeding in the first months of life on blood pressure levels of preschool children" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "588" "paginaFinal" => "594" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luciana Neri Nobre, Angelina do Carmo Lessa" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Luciana Neri" "apellidos" => "Nobre" "email" => array:1 [ 0 => "lunerinobre@yahoo.com.br" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Angelina do Carmo" "apellidos" => "Lessa" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Faculdade de Ciências Biológicas e da Saúde, Departamento de Nutrição, Diamantina, MG, Brazil" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Influência do aleitamento materno nos primeiros meses de vida na pressão arterial de pré-escolares" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Some diseases that are usually observed in adults have been affecting children at an alarming rate; among them, excess weight and high blood pressure (BP) should be highlighted. Excess weight – overweight/obesity – has been considered a worldwide epidemic. The Household Budget Survey 2008–2009<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">1</span></a> disclosed that this problem affected approximately 33.5% of Brazilian children aged 5–9 years. According to Friedman et al.,<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">2</span></a> excess weight often accompanies an increase in BP.</p><p id="par0010" class="elsevierStylePara elsevierViewall">High BP levels in childhood increase the chance of systemic arterial hypertension (SAH) in adults, and also contribute to cardiovascular disease.<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">2</span></a> Thus, the identification and early treatment of hypertension in childhood can prevent future adverse outcomes.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The Brazilian Society of Cardiology<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">3</span></a> recommends that BP should be measured after three years of age, annually, or before that, when there are risk factors. However, the complex methodology established to verify BP in children makes many professionals exclude it from the routine examination or incorrectly interpret the measured values, which may result in underdiagnosis and undesirable consequences for these individuals.<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">4</span></a> Thus, likely due to these factors, the prevalence of high BP in the pediatric group has long been considered irrelevant. However, several studies have identified that this condition has been common at this stage of life.<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">5–11</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">As with most chronic, noncommunicable diseases, the risk factors for hypertension include genetic components, lifestyle,<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">3,12</span></a> and inadequate feeding practices.<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">3,10</span></a> Some studies have suggested that breastfeeding may also be an important protective factor against cardiovascular diseases, hypertension, dyslipidemia, and obesity during childhood.<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">13</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">However, the protective effect of breastfeeding against high BP is still controversial; while some studies have identified this effect,<a class="elsevierStyleCrossRefs" href="#bib0205"><span class="elsevierStyleSup">11,14</span></a> others have not.<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">9,15</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">For Balaban and Silva,<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">16</span></a> nutritional experiences occurring during infants’ first months of life can affect their susceptibility to chronic diseases in adulthood; this has been called metabolic imprinting, a term that describes a phenomenon by which an early nutritional experience that acts during a critical and specific period of development, which could lead to regulatory mechanism programming, such as BP regulation throughout life.<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">In this sense, Horta et al.<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a> mention that different biological mechanisms can have an effect on this programming, among them the high concentration of long-chain polyunsaturated fatty acids, which are important structural components of cell membrane including the vascular endothelium.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Considering the abovementioned aspects, this study aimed to determine whether breastfeeding in the first months of life influences the BP of preschoolers.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Study subjects and setting</span><p id="par0045" class="elsevierStylePara elsevierViewall">This was a cross-sectional study nested in a cohort of individuals born in the municipality of Diamantina, state of Minas Gerais, Brazil.<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a> Details about the cohort formation and of the cross-sectional study were previously reported in another publication.<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">19</span></a> In the present study, the children from the aforementioned cohort were 5 years old, ranging from 4 months older or younger, and were submitted to anthropometric, socioeconomic, and BP assessments.</p><p id="par0050" class="elsevierStylePara elsevierViewall">Diamantina is a municipality located in Vale do Jequitinhonha, in Minas Gerais, Brazil. It has a literacy rate of 83.4% and a human development index of 0.748. Among households, 90.76% are supplied with treated water, 70.7% have a sewage system, and 69.67% have garbage collection services.<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">20</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">The data collection for this study took place between 2004 and 2005 and between 2009 and 2010. In the first period, data were collected by a nutritionist and students of the Nutrition Course of Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), and in the second period, by four nutritionists and one student of the aforementioned University Nutrition Course. Before the start of the study, the researchers were trained to standardize the measures.</p><p id="par0060" class="elsevierStylePara elsevierViewall">The children were visited at their homes in both study periods; in the first period all variables were assessed at home, while in the second stage of the study a home visit was conducted in which a questionnaire was applied to the child's parent or guardian, followed by a scheduled day and time for anthropometric and BP measurements of the children and their mothers.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Assessed variables</span><p id="par0065" class="elsevierStylePara elsevierViewall">Among the assessed variables, the ones used in this study include the following: body mass index (BMI), waist circumference (WC), household income, number of household members, and BP of the children at the age of 5, as well as of their mothers. Additionally, information on body weight at birth and duration of breastfeeding in the first months of life was also collected.</p><p id="par0070" class="elsevierStylePara elsevierViewall">The children's weight was measured using a portable electronic Kratos<span class="elsevierStyleSup">®</span> digital scale (Kratos<span class="elsevierStyleSup">®</span>, SP, Brazil), with a maximum capacity of 150<span class="elsevierStyleHsp" style=""></span>kg and precision of 50<span class="elsevierStyleHsp" style=""></span>g; as for the height, it was measured using an Altura Exata<span class="elsevierStyleSup">®</span> stadiometer (Alturexata<span class="elsevierStyleSup">®</span>, MG, Brazil) with precision of 0.1<span class="elsevierStyleHsp" style=""></span>cm. WC measurement was carried out with a measuring tape at midpoint between the iliac crest and the last rib.<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">21</span></a> These measures were taken according to protocols recommended by Jelliffe,<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">22</span></a> on the premises of UFVJM, in the morning.</p><p id="par0075" class="elsevierStylePara elsevierViewall">The cutoff point >1 <span class="elsevierStyleItalic">z</span>-score identified children with excess weight according to BMI/age.<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">23</span></a> The World Health Organization's (WHO) Anthro 2005 version 2.0.1 and Anthro 2009 Plus version 3 were used to identify the children's <span class="elsevierStyleItalic">z</span>-scores. It is worth mentioning that the two software programs were used, considering that the children's age during data collection was 5 years, ranging from 4 months older to 4 months younger. For analysis of the variable WC, the risk category values were defined as those above the 75th percentile.</p><p id="par0080" class="elsevierStylePara elsevierViewall">The <span class="elsevierStyleItalic">per capita</span> income of the child's family was calculated based on information about total family income and number of household members. During the study period, the minimum wage was R$ 540.00 in Brazil. This information was obtained through a structured questionnaire administered to the child's mother or guardian during the household interview.</p><p id="par0085" class="elsevierStylePara elsevierViewall">BP was measured on a single occasion, with three measurements made with a 5-min interval between them, preceded by 10<span class="elsevierStyleHsp" style=""></span>min of rest. The average of the three measurements was used for the analysis. Automatic HEM-arm Omron<span class="elsevierStyleSup">®</span> 714INT and 781INT (Omron<span class="elsevierStyleSup">®</span>, Netherlands) monitors were used to assess the BP of preschool children and their mothers, respectively. These measurements were obtained according to the manufacturer's recommendations.</p><p id="par0090" class="elsevierStylePara elsevierViewall">BP classification followed the criteria of the VI Guidelines on Arterial Hypertension,<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">3</span></a> which considers BP values for children and adolescents according to the percentiles of height for both genders below the 90th percentile as normotensive, as long as they are <120/80<span class="elsevierStyleHsp" style=""></span>mmHg; between 90th and 95th percentiles as borderline, and greater than or equal to the 95th percentile, as hypertension. In this study, for preschool children, “high BP” values were considered when >the 90th percentile, and for the mothers, values greater than or equal to 140/90<span class="elsevierStyleHsp" style=""></span>mmHg.</p><p id="par0095" class="elsevierStylePara elsevierViewall">Maternal breastfeeding was defined according to the recommendations of the WHO.<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">24</span></a> Thus, children who were breastfed up to six months, regardless of the introduction of other foods, were considered as receiving breastfeeding. Data on breastfeeding were obtained prospectively from the cohort study, when the children were visited, as well as at home, on a monthly basis.</p><p id="par0100" class="elsevierStylePara elsevierViewall">This study used data from two larger studies entitled “Food and growth in the first year of life: a cohort study”<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a> and “Determinants of nutritional status of children at five years of age in the city of Diamantina: study of a cohort assessed in the first year of life.”<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">25</span></a> Both studies were approved by the Research Ethics Committees of UFVJM, with protocol numbers 011/05 and 039/08, respectively. The children's parents or guardians signed the informed consent to participate in the study.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Statistical analysis</span><p id="par0105" class="elsevierStylePara elsevierViewall">Logistic regression analysis was used to determine the influence of breastfeeding on the presence of high BP in preschoolers. Initially, a bivariate analysis was performed and those variables with <span class="elsevierStyleItalic">p</span>-value <20% were selected for the multivariate analysis. The level of significance set to reject the null hypothesis was 95%.</p><p id="par0110" class="elsevierStylePara elsevierViewall">The power of the sample was calculated retrospectively using the statistical software G* Power.<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">26</span></a> For this analysis, the parameters used were the odds ratio (OR) of 2.6 for high BP (SBP/DBP) according to the breastfeeding duration obtained at the unadjusted logistic regression analysis, with a maximum probability of error of 5%. The power identified was 99, with the sample being considered adequate.</p></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Results</span><p id="par0115" class="elsevierStylePara elsevierViewall">This was a cross-sectional study nested in a birth cohort and, as previously mentioned, the cohort formation and the children's follow-up have been previously published.<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">19</span></a> Thus, in search of children for this study, it was decided to study the eligible preschoolers for the cohort and not only those who were followed in the first year of life, in order to avoid significant losses that would invalidate the present study, as there was loss of some children during the follow-up. Therefore, there was a loss of 49 preschoolers in this study.</p><p id="par0120" class="elsevierStylePara elsevierViewall">A total of 230 children were evaluated, of whom 19 (8.2%) were classified as having high BP, <span class="elsevierStyleItalic">i.e.</span>, SBP/DBP >the 90th percentile, with 6.5% and 3.9% showing elevated SBP and DBP, respectively. The prevalence of breastfeeding in the sixth month of life was approximately 74% (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>).</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0125" class="elsevierStylePara elsevierViewall">The results of the bivariate analysis of variables associated with elevated systolic and diastolic BP; both are shown in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>. It can be observed that birth weight and duration of breastfeeding were associated with SBP levels. No variable was associated with DBP; however, birth weight and duration of breastfeeding were associated with SBP/DBP (<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>).</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">In the adjusted model, birth weight and duration of breastfeeding remained associated with elevated SBP and time of breastfeeding with SBP/DBP (<a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>).</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Discussion</span><p id="par0135" class="elsevierStylePara elsevierViewall">Among the assessed preschoolers, the prevalence of high BP was within the national statistics. The findings indicate that children with low birth weight and those who were breastfed for less than six months were more likely to have elevated systolic BP at 5 years of age. Elevated SBP was not associated with any measured variable, and children who were breastfed for less than six months, when compared to those breastfed for longer periods, had higher SBP/DBP.</p><p id="par0140" class="elsevierStylePara elsevierViewall">In Brazil, there are no national statistics on the prevalence of high BP in the pediatric population, which hinders the knowledge of the real problem faced by children. Furthermore, it is believed that high BP is rare in childhood and, thus, its incidence ends up being underestimated due to the difficulty of diagnosis, which requires adequate technique, material, and an appropriate environment for BP measurement.<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">4,27</span></a> In addition to being considered as having low prevalence, the measurement of BP is not performed during routine consultations in the pediatric group.</p><p id="par0145" class="elsevierStylePara elsevierViewall">However, it is worth mentioning that the aforementioned studies<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">5–11,28</span></a> that assessed high BP in children and/or adolescents identified prevalence rates ranging from 1.7% to 19.9%. None of these studies mentioned the time when the BP was measured, and there was also variation regarding the measurement method, <span class="elsevierStyleItalic">i.e.</span>, the equipment used ranged from automatic devices to aneroid sphygmomanometers and the number of measurements and time between the measurements also varied; therefore, these variations may explain differences in these statistics. Additionally, the cutoff points used for high BP classification ranged from values above the 90th or 95th percentiles.</p><p id="par0150" class="elsevierStylePara elsevierViewall">An important aspect that should be mentioned is the possibility that the BP measurement may be the result of white coat syndrome, as in this research BP was measured on a single occasion and, for most children, it was the first time that BP was being measured. This complicating factor, however, must be shared by most of the cross-sectional studies.</p><p id="par0155" class="elsevierStylePara elsevierViewall">It is worth mentioning, however, that careful adherence to the measurement methodology may have minimized this problem. In this research the BP was measured in the morning; three pressure measurements were performed with a 5-min interval between each and the average was used for the analysis. Moreover, the device used for this measurement has an automatic system that detects arrhythmia and a body motion sensor that warns the researchers about the possibility of this syndrome.</p><p id="par0160" class="elsevierStylePara elsevierViewall">Regarding the association between duration of breastfeeding and BP levels, the findings corroborate other studies that have identified an association between shorter duration of breastfeeding and increased BP in childhood.<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">9,11,14,28,29</span></a> In the present study, the children who were breastfed for less than six months showed a four-fold increased risk of high SBP, and three-fold higher risk of elevated SBP/DBP ratio, when compared with those who were breastfed for longer periods.</p><p id="par0165" class="elsevierStylePara elsevierViewall">It is worth mentioning that this was cross-sectional study nested in a cohort and, thus, this fact gives greater consistency to the findings, considering that the breastfeeding data collection was performed prospectively, <span class="elsevierStyleItalic">i.e.</span>, it was assessed monthly in the first year of life of the children, reducing an important bias, which is the mothers’ recall of their children's eating habits.</p><p id="par0170" class="elsevierStylePara elsevierViewall">As in the present study, Amorin et al.<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">11</span></a> and Naghettini et al.<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">28</span></a> observed a higher mean SBP in children with shorter breastfeeding duration when compared to those with longer periods. Martin et al.<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">14</span></a> also observed similar results in a cohort of children from the United Kingdom. These researchers observed that at 7.5 years of age, children who were breastfed showed 1.2<span class="elsevierStyleHsp" style=""></span>mmHg-lower systolic and 0.9<span class="elsevierStyleHsp" style=""></span>mmHg-lower diastolic BP when compared with those who were never breastfed.</p><p id="par0175" class="elsevierStylePara elsevierViewall">In the study by Lawlor et al.<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">29</span></a> with students aged 9–15 years, researchers identified a significant association between time of breastfeeding and BP, with a dose-response effect, <span class="elsevierStyleItalic">i.e.</span>, greater reductions in BP occurred among those with longer exclusive breastfeeding time.</p><p id="par0180" class="elsevierStylePara elsevierViewall">In the present study, the prevalence of elevated DBP was lower than elevated SBP, which explains the lack of association with the studied variables. This result was expected, as the studied group consists of preschool children, without any diagnosis of diseases that could affect the circulatory system. And considering that BP measurement evaluates cardiac contraction (SBP) and subsequent blood flow to extra-cardiac body parts (DBP), which is indicative of the strength of blood flow in the arteries, it is not common to find this type of alteration in children considered otherwise healthy, as in this research.</p><p id="par0185" class="elsevierStylePara elsevierViewall">From the perspective of the aforementioned mechanisms proposed in this study about the effect of breastfeeding on BP,<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">16</span></a> Forsyth et al.<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">30</span></a> developed a study in which babies were fed in the neonatal period with milk formula supplemented with long-chain polyunsaturated fatty acids. These researchers observed that at the end of childhood, these children had a 3<span class="elsevierStyleHsp" style=""></span>mmHg decrease in BP when compared with children who received formula without fatty-acid supplementation.</p><p id="par0190" class="elsevierStylePara elsevierViewall">Although the study developed by Yi et al.,<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">8</span></a> with Chinese children, identified that a family history of high BP, waist circumference values, and body mass index were associated with BP of the assessed children, in this study these variables were not associated with BP of the studied preschool children. In the present study, these variables were control variables for the main investigated association.</p><p id="par0195" class="elsevierStylePara elsevierViewall">One limitation of this study is its cross-sectional design, making it difficult to identify a causal association. Randomized clinical trials and cohort studies are more appropriate for causal identification. Additionally, other variables such as diet and paternal hypertension were not studied; these can have a confounding effect on the observed association.</p><p id="par0200" class="elsevierStylePara elsevierViewall">The results of this research show that preschool children who were breastfed for less than six months, when compared to those breastfed for a longer period, were more likely to have with high BP, suggesting a protective effect of breastfeeding against high BP in the studied population.</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Funding</span><p id="par0205" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleGrantSponsor" id="gs1">Fundação de Amparo à Pesquisa do Estado de Minas Gerais – Fapemig</span> (Process n.: <span class="elsevierStyleGrantNumber" refid="gs1">APQ-00428-08</span>).</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Conflicts of interest</span><p id="par0210" class="elsevierStylePara elsevierViewall">The authors declare no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:11 [ 0 => array:3 [ "identificador" => "xres758931" "titulo" => "Abstract" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusion" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec760901" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres758932" "titulo" => "Resumo" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusão" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec760900" "titulo" => "Palavras-chave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:3 [ "identificador" => "sec0010" "titulo" => "Methods" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0015" "titulo" => "Study subjects and setting" ] 1 => array:2 [ "identificador" => "sec0020" "titulo" => "Assessed variables" ] 2 => array:2 [ "identificador" => "sec0025" "titulo" => "Statistical analysis" ] ] ] 6 => array:2 [ "identificador" => "sec0030" "titulo" => "Results" ] 7 => array:2 [ "identificador" => "sec0035" "titulo" => "Discussion" ] 8 => array:2 [ "identificador" => "sec0040" "titulo" => "Funding" ] 9 => array:2 [ "identificador" => "sec0045" "titulo" => "Conflicts of interest" ] 10 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2015-09-10" "fechaAceptado" => "2016-01-26" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec760901" "palabras" => array:3 [ 0 => "Child" 1 => "Breastfeeding" 2 => "Blood pressure" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec760900" "palabras" => array:3 [ 0 => "Criança" 1 => "Aleitamento materno" 2 => "Pressão arterial" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To investigate whether breastfeeding in early life affects blood pressure of preschoolers.</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cross-sectional study nested in a cohort from a municipality in the state of Minas Gerais, Brazil. All children in the cohort were invited for this study. Thus, between 2009 and 2010, blood pressure of 230 preschool children and their mothers, in addition to anthropometric variables, previous history, and socioeconomic status were evaluated. Blood pressure measurement was assessed in the morning, using automatic Omron<span class="elsevierStyleSup">®</span> HEM-714INT and HEM-781INT devices to measure the blood pressure of preschool children and their mothers, respectively. Logistic regression was used to study the association between breastfeeding and blood pressure. The significance level was set at 5%.</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">This study identified 19 (8.26%) preschool children with high blood pressure (values above the 90th percentile). High systolic blood pressure was associated with low birth weight (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>5.41; 95% CI<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1.45–20.23) and total breastfeeding duration of less than six months (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4.14; 95% CI<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1.40–11.95). High diastolic blood pressure was not associated with any variable, whereas high systolic blood pressure/diastolic blood pressure ratio was associated with breastfeeding duration of less than six months (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>3.48; 95% CI<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1.34–9.1).</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The results of this study indicate that preschoolers breastfed for a period of less than six months were more likely to have high blood pressure when compared to those breastfed for a longer period, suggesting a protective effect of breastfeeding against high blood pressure in this population.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusion" ] ] ] "pt" => array:3 [ "titulo" => "Resumo" "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Investigar se aleitamento nos primeiros meses de vida tem influência sobre a pressão arterial de pré-escolares.</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudo transversal aninhado numa coorte de nascidos num município mineiro. Foram convidadas para este estudo todas as crianças da coorte. Desse modo, entre 2009 e 2010, foram avaliados pressão arterial (PA) de 230 pré-escolares e de suas mães, além de variáveis antropométricas e pregressas e condição socioeconômica. A medida da PA foi feita de manhã, com os monitores automáticos de braço Omron<span class="elsevierStyleSup">®</span> modelo HEM-714INT e HEM-781INT para medir a pressão arterial dos pré-escolares e de suas mães, respectivamente. Para o estudo da relação entre aleitamento materno e pressão arterial usou-se a regressão logística. O nível de significância adotado foi 5%.</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Foram identificados 19 (8,26%) pré-escolares com pressão arterial elevada (valores acima do percentil 90). A pressão arterial sistólica (PAS) elevada se associou ao baixo peso ao nascimento (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>5,41; IC 95%= 1,45-20,23) e ao período total de aleitamento materno inferior a seis meses (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4,14; IC 95%= 1,40-11,95). Elevada pressão arterial diastólica (PAD) não se associou a qualquer variável e a PAS/PAD elevadas se associaram ao período de aleitamento materno inferior a seis meses (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>3,48; IC 95%= 1,34-9,1).</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusão</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Os pré-escolares amamentados por um período inferior a seis meses, quando comparados com os que amamentaram por um período superior, apresentaram maior chance de estar com pressão arterial elevada, o que sugere efeito protetor do aleitamento materno contra elevação da pressão arterial na população estudada.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusão" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0045">Please cite this article as: Nobre LN, Lessa AC. Influence of breastfeeding in the first months of life on blood pressure levels of preschool children. J Pediatr (Rio J). 2016;92:588–94.</p>" ] ] "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:3 [ "leyenda" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">MW, minimum wage.</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">Assessed variables \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">Assessed preschoolers (<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>230)</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \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"><span class="elsevierStyleItalic">n</span> \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">% \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="3" align="left" valign="top"><span class="elsevierStyleItalic">Gender</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>Female \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">141 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">61.3 \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>Male \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">89 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">38.7 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="3" 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="3" align="left" valign="top"><span class="elsevierStyleItalic">Birth weight (kg)</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>≥2.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">213 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">82.6 \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><2.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">17 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7.4 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="3" 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="3" align="left" valign="top"><span class="elsevierStyleItalic">Maternal breastfeeding (months)</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>≥6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">169 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">73.5 \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 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">61 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">26.5 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="3" 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="3" align="left" valign="top"><span class="elsevierStyleItalic">Current excess weight (BMI)</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>No \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">190 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">82.6 \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>Yes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">40 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">17.4 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="3" 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="3" align="left" valign="top"><span class="elsevierStyleItalic">Waist circumference</span><a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</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> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">213 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">92.6 \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>≥p75 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">17 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">73.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="3" 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="3" align="left" valign="top"><span class="elsevierStyleItalic">Child's SBP (mmHg)</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>Normal \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">215 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">93.5 \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>Elevated \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.5 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="3" 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="3" align="left" valign="top"><span class="elsevierStyleItalic">Child's DBP (mmHg)</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>Normal \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">221 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">96.1 \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>Elevated \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3.9 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="3" 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="3" align="left" valign="top"><span class="elsevierStyleItalic">Child's SBP/DBP (mmHg)</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>Normal \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">211 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">91.7 \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>Elevated \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">19 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8.3 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="3" 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="3" align="left" valign="top"><span class="elsevierStyleItalic">Maternal SBP/DBP (mmHg)</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>Normal \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">191 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">84.5 \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>Elevated \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">35 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15.5 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="3" 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="3" align="left" valign="top"><span class="elsevierStyleItalic">Monthly per capita income (R$)</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><½ MW \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">198 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">85.2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>≥½ MW \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">34 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">14.8 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1254022.png" ] ] ] "notaPie" => array:2 [ 0 => array:3 [ "identificador" => "tblfn0005" "etiqueta" => "a" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Risk category was defined as WC values >75th percentile.</p>" ] 1 => array:3 [ "identificador" => "tblfn0010" "etiqueta" => "b" "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Minimum wage at the time of the study: R$ 540.00.</p>" ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Socioeconomic, maternal, and current and former characteristics of preschoolers. Diamantina, MG-2010.</p>" ] ] 1 => array:8 [ "identificador" => "tbl0010" "etiqueta" => "Table 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at2" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "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">Variables \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">SBP<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">d</span></a></th><th class="td" title="table-head " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">DBP<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">d</span></a></th><th class="td" title="table-head " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">SBP/DBP<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">d</span></a></th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \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">OR \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">95% CI \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"><span class="elsevierStyleItalic">p</span>-Value \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">Crude OR \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">95% CI \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"><span class="elsevierStyleItalic">p</span>-Value \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">OR \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">95% CI \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"><span class="elsevierStyleItalic">p</span>-Value \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="10" align="left" valign="top"><span class="elsevierStyleItalic">Gender</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>Male \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \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>Female \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.2–2.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.51 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.2–2.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.72 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.3–1.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.42 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="10" 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="10" align="left" valign="top"><span class="elsevierStyleItalic">Birth weight (kg)</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>≥2.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \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><2.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.6–20.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.008 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.7–20.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.7–10.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.16 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="10" 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="10" align="left" valign="top"><span class="elsevierStyleItalic">Total breastfeeding (months)</span><a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">a</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>≥6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \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 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">4.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.6–13.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.005 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.6–8.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.23 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.3–9.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.001 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="10" 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="10" align="left" valign="top"><span class="elsevierStyleItalic">Excess weight (kg/m</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span><span class="elsevierStyleItalic">)</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>No \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \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>Yes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.3–4.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.78 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.2–3.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.85 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="10" 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="10" align="left" valign="top"><span class="elsevierStyleItalic">WC (cm)</span><a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">b</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> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \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>≥p75 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.4–9.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.37 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.3–7.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.58 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="10" 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="10" align="left" valign="top"><span class="elsevierStyleItalic">Maternal SBP/DBP (mmHg)</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>Normal \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \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>Elevated \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.4–5.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.62 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.3–8.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.57 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.5–4.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.48 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="10" 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="10" align="left" valign="top">Per capita income (R$)<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">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>≥½ MW \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \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><½ MW \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.2–2.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.55 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.2–3.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.89 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1254021.png" ] ] ] "notaPie" => array:4 [ 0 => array:3 [ "identificador" => "tblfn0015" "etiqueta" => "a" "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Value refers to the total breastfeeding time.</p>" ] 1 => array:3 [ "identificador" => "tblfn0020" "etiqueta" => "b" "nota" => "<p class="elsevierStyleNotepara" id="npar0020">Refers to waist circumference (WC).</p>" ] 2 => array:3 [ "identificador" => "tblfn0025" "etiqueta" => "c" "nota" => "<p class="elsevierStyleNotepara" id="npar0025">Value refers to a minimum wage (MW) of R$ 540.00.</p>" ] 3 => array:3 [ "identificador" => "tblfn0030" "etiqueta" => "d" "nota" => "<p class="elsevierStyleNotepara" id="npar0030">Elevated values were those >90th percentile alone (systolic [SBP] or diastolic [DBP] blood pressure) or both (SBP/DBP).</p>" ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Crude odds ratios (OR) and respective confidence intervals (CI) of the analysis of variables associated with blood pressure in preschoolers. Diamantina, MG-2010.</p>" ] ] 2 => array:8 [ "identificador" => "tbl0015" "etiqueta" => "Table 3" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at3" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:3 [ "leyenda" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Significance level used: 5% of probability.</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">Variables \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">SBP<a class="elsevierStyleCrossRef" href="#tblfn0035"><span class="elsevierStyleSup">a</span></a></th><th class="td" title="table-head " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">SBP/DBP<a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">b</span></a></th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \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">OR \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">95% CI \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"><span class="elsevierStyleItalic">p</span>-Value \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">OR \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">95% CI \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"><span class="elsevierStyleItalic">p</span>-Value \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="7" align="left" valign="top"><span class="elsevierStyleItalic">Birth weight (kg)</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>≥2.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \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><2.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.5–23.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.009 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.6–10.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.171 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="7" 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="7" align="left" valign="top"><span class="elsevierStyleItalic">Total breastfeeding (months)</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>≥6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \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 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">4.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.6–14.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.005 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.3–9.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.011 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1254023.png" ] ] ] "notaPie" => array:2 [ 0 => array:3 [ "identificador" => "tblfn0035" "etiqueta" => "a" "nota" => "<p class="elsevierStyleNotepara" id="npar0035">Systolic blood pressure (SBP) – analysis adjusted for time of breastfeeding and birth weight.</p>" ] 1 => array:3 [ "identificador" => "tblfn0040" "etiqueta" => "b" "nota" => "<p class="elsevierStyleNotepara" id="npar0040">Systolic (SBP) and diastolic (DBP) blood pressure – analysis adjusted for time of breastfeeding and birth weight.</p>" ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Adjusted odds ratio (OR) and respective confidence intervals (CI) of the analysis of variables associated with blood pressure in preschoolers. Diamantina, MG-2010.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib0155" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pesquisa de orçamentos familiares 2008-2009: antropometria e estado nutricional de crianças, adolescentes e adultos no Brasil" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Instituto Brasileiro de Geografia e Estatística (IBGE)" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2010" "editorial" => "IBGE" "editorialLocalizacion" => "Rio de Janeiro" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0160" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cardiovascular disease risk in healthy children and its association with body mass index: systematic review and meta-analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C. Friedemann" 1 => "C. Heneghan" 2 => "K. Mahtani" 3 => "M. Thompson" 4 => "R. Perera" 5 => "A.M. Ward" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "BMJ" "fecha" => "2012" "volumen" => "345" "paginaInicial" => "e4759" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23015032" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0165" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "VI diretrizes brasileiras de hipertensão" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Sociedade Brasileira de Cardiologia/Sociedade Brasileira de Hipertensão/Sociedade Brasileira de Nefrologia" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arq Bras Cardiol" "fecha" => "2010" "volumen" => "95" "paginaInicial" => "1" "paginaFinal" => "51" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21340292" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0170" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Patient-, provider-, and clinic-level predictors of unrecognized elevated blood pressure in children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "T.M. Brady" 1 => "B.S. Solomon" 2 => "A.M. Neu" 3 => "G.K. Siberry" 4 => "R.S. Parekh" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1542/peds.2009-0555" "Revista" => array:6 [ "tituloSerie" => "Pediatrics" "fecha" => "2010" "volumen" => "125" "paginaInicial" => "e1286" "paginaFinal" => "e1293" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20439598" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0175" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Aumento da pressão arterial e obesidade na infância: uma avaliação transversal de 4.609 escolares" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C.F. Rosaneli" 1 => "C.P. Baena" 2 => "F. Auler" 3 => "A.T. Nakashima" 4 => "E.R. Netto-Oliveira" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arq Bras Cardiol" "fecha" => "2014" "volumen" => "103" "paginaInicial" => "238" "paginaFinal" => "244" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25076178" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0180" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Association between general and abdominal obesity with high blood pressure: difference between genders" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A.O. Silva" 1 => "M.V. Silva" 2 => "L.K. Pereira" 3 => "W.M. Feitosa" 4 => "R.M. Ritti-Dias" 5 => "P.R. Diniz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Pediatr (Rio J)" "fecha" => "2016" "volumen" => "92" "paginaInicial" => "174" "paginaFinal" => "180" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0185" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fast foods and physical inactivity are risk factors for obesity and hypertension among adolescent school children in east district of Sikkim, India" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S. Kar" 1 => "B. Khandelwal" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4103/0976-9668.160004" "Revista" => array:6 [ "tituloSerie" => "J Nat Sci Biol Med" "fecha" => "2015" "volumen" => "6" "paginaInicial" => "356" "paginaFinal" => "359" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26283829" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0190" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence and correlates of elevated blood pressure in Chinese children aged 6–13 years: a nationwide school-based survey" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "Z. Yi" 1 => "L.W. Rong" 2 => "S. Chong" 3 => "F. Qian" 4 => "S.X. Ming" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3967/bes2015.057" "Revista" => array:6 [ "tituloSerie" => "Biomed Environ Sci" "fecha" => "2015" "volumen" => "28" "paginaInicial" => "401" "paginaFinal" => "409" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26177900" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0195" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fatores de risco associados aos níveis pressóricos elevados em crianças de dois a cinco anos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.A. Crispim" 1 => "M.R. Peixoto" 2 => "P.C. Jardim" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5935/abc.20130227" "Revista" => array:6 [ "tituloSerie" => "Arq Bras Cardiol" "fecha" => "2014" "volumen" => "102" "paginaInicial" => "39" "paginaFinal" => "46" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24263779" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0200" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Trends in elevated blood pressure among US children and adolescents: 1999–2012" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "B. Xi" 1 => "T. Zhang" 2 => "M. Zhan" 3 => "F. Liu" 4 => "X. Zong" 5 => "M. Zhao" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/ajh/hpv091" "Revista" => array:6 [ "tituloSerie" => "Am J Hypertens" "fecha" => "2016" "volumen" => "29" "paginaInicial" => "217" "paginaFinal" => "225" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26158854" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0205" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Is breastfeeding protective for blood pressure in schoolchildren? A cohort study in northeast Brazil" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R.J. Amorim" 1 => "A.F. Coelho" 2 => "P.I. Lira" 3 => "M.C. Lima" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1089/bfm.2013.0118" "Revista" => array:6 [ "tituloSerie" => "Breastfeed Med" "fecha" => "2014" "volumen" => "9" "paginaInicial" => "149" "paginaFinal" => "156" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24380584" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0210" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Childhood physical, environmental, and genetic predictors of adult hypertension: the Cardiovascular Risk in Young Finns study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Juhola" 1 => "M. Oikonen" 2 => "V.M. Magnussen" 3 => "V. Mikkilä" 4 => "N. Siitonen" 5 => "E. Jokinen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1161/CIRCULATIONAHA.111.085977" "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "2012" "volumen" => "126" "paginaInicial" => "402" "paginaFinal" => "409" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22718800" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0215" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The protective effects of breastfeeding on chronic non-communicable diseases in adulthood: a review of evidence" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. Kelishadi" 1 => "S. Farajian" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4103/2277-9175.124629" "Revista" => array:5 [ "tituloSerie" => "Adv Biomed Res" "fecha" => "2014" "volumen" => "3" "paginaInicial" => "3" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24600594" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0220" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Does breast-feeding in infancy lower blood pressure in childhood? The Avon Longitudinal Study of Parents and Children (ALSPAC)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R.M. Martin" 1 => "A.R. Ness" 2 => "D. Gunnell" 3 => "P. Emmett" 4 => "S.G. Davey" 5 => "ALSPAC Study Team" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1161/01.CIR.0000118468.76447.CE" "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "2004" "volumen" => "109" "paginaInicial" => "1259" "paginaFinal" => "1266" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14993142" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0225" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Association of breast feeding and birth weight with anthropometric measures and blood pressure in children and adolescents: the CASPIAN-IV study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Djalalinia" 1 => "M. Qorbani" 2 => "R. Heshmat" 3 => "M.E. Motlagh" 4 => "G. Ardalan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.pedneo.2015.01.004" "Revista" => array:6 [ "tituloSerie" => "Pediatr Neonatol" "fecha" => "2015" "volumen" => "56" "paginaInicial" => "324" "paginaFinal" => "333" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25892644" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0230" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Efeito protetor do aleitamento materno contra a obesidade infantil" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "G. Balaban" 1 => "G.A. Silva" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Pediatr (Rio J)" "fecha" => "2004" "volumen" => "80" "paginaInicial" => "7" "paginaFinal" => "16" ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0235" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evidence of the long-term effects of breastfeeding: systematic reviews and meta-analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Horta" 1 => "R. Bahl" 2 => "J. Martines" 3 => "C. Victora" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2007" "editorial" => "World Health Organization Publication" "editorialLocalizacion" => "Geneva, Switzerland" ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0240" "etiqueta" => "18" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "[thesis]" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Alimentação e crescimento no primeiro ano de vida: um estudo de coorte" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A.C. Lessa" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2010" "editorial" => "Universidade Federal da Bahia" "editorialLocalizacion" => "Salvador" ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0245" "etiqueta" => "19" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Padrão alimentar de pré-escolares e fatores associados" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L.N. Nobre" 1 => "J.A. Lamounier" 2 => "S.C. Franceschini" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Pediatr (Rio J)" "fecha" => "2012" "volumen" => "88" "paginaInicial" => "129" "paginaFinal" => "136" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0250" "etiqueta" => "20" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "Available from: <a class="elsevierStyleInterRef" id="intr0005" href="http://www.diamantina.mg.gov.br/portal1/dado_geral/mumain.asp?iIdMun=100131242">http://www.diamantina.mg.gov.br/portal1/dado_geral/mumain.asp?iIdMun=100131242</a> [cited 28.08.15]" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dados Gerais" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Prefeitura de Diamantina" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2015" ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0255" "etiqueta" => "21" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anthropometric Standardization Reference Manual" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T.G. Lohman" 1 => "A.F. Roche" 2 => "R. Martorell" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:6 [ "edicion" => "Abridged Edition" "fecha" => "1991" "paginaInicial" => "39" "paginaFinal" => "54" "editorial" => "Human Kinetics Books" "editorialLocalizacion" => "Champaign, IL" ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0260" "etiqueta" => "22" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "[OMS – Série de monografias, 53]" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluación del estado de nutrición de la comunidad" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "D.B. Jelliffe" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1968" "editorial" => "Organización Mundial de la Salud" "editorialLocalizacion" => "Ginebra" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0265" "etiqueta" => "23" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "World Health Organization" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2006" "editorial" => "World Health Organization, Department of Nutrition for Health and Development" "editorialLocalizacion" => "Geneva" ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0270" "etiqueta" => "24" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Indicadores para evaluar las prácticas de alimentación del lactante y del niño pequeño: conclusiones de la reunión de consenso llevada a cabo Del 6 al 8 noviembre de 2007" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Organización Mundial de la Salud" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2009" "editorial" => "Unicef/OMS" "editorialLocalizacion" => "Washington, DC, EE.UU. Geneva" ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0275" "etiqueta" => "25" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "[thesis]" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fatores associados ao excesso de peso e dislipidemia em pré-escolares da cidade de Diamantina/MG" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L.N. Nobre" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2011" "editorial" => "Universidade Federal de Minas Gerais, Programa de Pós-Graduação em Saúde da Criança e do Adolescente" "editorialLocalizacion" => "Belo Horizonte" ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0280" "etiqueta" => "26" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Foundations of clinical research: applications to practice" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L.G. Portney" 1 => "M.P. Watkins" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "edicion" => "3 ed." "fecha" => "2008" "editorial" => "Prentice Hall" ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib0285" "etiqueta" => "27" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pediatrics" "fecha" => "2004" "volumen" => "114" "paginaInicial" => "555" "paginaFinal" => "576" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15286277" "web" => "Medline" ] ] ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib0290" "etiqueta" => "28" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Avaliação dos fatores de risco e proteção associados à elevação da pressão arterial em crianças" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A.V. Naghettini" 1 => "J.M. Belem" 2 => "C.M. Salgado" 3 => "H.M. Vasconcelos Júnior" 4 => "E.M. Seronni" 5 => "A.L. Junqueira" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arq Bras Cardiol" "fecha" => "2010" "volumen" => "94" "paginaInicial" => "486" "paginaFinal" => "491" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20379619" "web" => "Medline" ] ] ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib0295" "etiqueta" => "29" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Infant feeding and components of the metabolic syndrome: findings from the European Youth Heart study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D.A. Lawlor" 1 => "C.J. Riddoch" 2 => "A.S. Page" 3 => "L.B. Andersen" 4 => "N. Wedderkopp" 5 => "M. Harro" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/adc.2004.055335" "Revista" => array:6 [ "tituloSerie" => "Arch Dis Child" "fecha" => "2005" "volumen" => "90" "paginaInicial" => "582" "paginaFinal" => "588" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15908621" "web" => "Medline" ] ] ] ] ] ] ] ] 29 => array:3 [ "identificador" => "bib0300" "etiqueta" => "30" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Long chain polyunsaturated fatty acid supplementation in infant formula and blood pressure in later childhood: follow up of a randomised controlled trial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.S. Forsyth" 1 => "P. Willatts" 2 => "C. Agostoni" 3 => "J. Bissenden" 4 => "P. Casaer" 5 => "G. Boehm" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bmj.326.7396.953" "Revista" => array:5 [ "tituloSerie" => "BMJ" "fecha" => "2003" "volumen" => "326" "paginaInicial" => "953" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12727766" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/00217557/0000009200000006/v1_201611170050/S0021755716300420/v1_201611170050/en/main.assets" "Apartado" => array:4 [ "identificador" => "10179" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Original articles" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/00217557/0000009200000006/v1_201611170050/S0021755716300420/v1_201611170050/en/main.pdf?idApp=UINPBA000049&text.app=https://jped.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0021755716300420?idApp=UINPBA000049" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 2 | 3 |
| 2024 October | 19 | 19 | 38 |
| 2024 September | 37 | 28 | 65 |
| 2024 August | 47 | 36 | 83 |
| 2024 July | 65 | 37 | 102 |
| 2024 June | 32 | 13 | 45 |
| 2024 May | 24 | 14 | 38 |
| 2024 April | 47 | 28 | 75 |
| 2024 March | 33 | 18 | 51 |
| 2024 February | 44 | 29 | 73 |
| 2024 January | 33 | 29 | 62 |
| 2023 December | 20 | 30 | 50 |
| 2023 November | 33 | 40 | 73 |
| 2023 October | 22 | 34 | 56 |
| 2023 September | 31 | 37 | 68 |
| 2023 August | 26 | 17 | 43 |
| 2023 July | 21 | 16 | 37 |
| 2023 June | 16 | 12 | 28 |
| 2023 May | 18 | 14 | 32 |
| 2023 April | 19 | 11 | 30 |
| 2023 March | 46 | 30 | 76 |
| 2023 February | 19 | 19 | 38 |
| 2023 January | 30 | 21 | 51 |
| 2022 December | 40 | 34 | 74 |
| 2022 November | 28 | 28 | 56 |
| 2022 October | 36 | 32 | 68 |
| 2022 September | 19 | 37 | 56 |
| 2022 August | 17 | 26 | 43 |
| 2022 July | 32 | 44 | 76 |
| 2022 June | 27 | 27 | 54 |
| 2022 May | 18 | 29 | 47 |
| 2022 April | 46 | 44 | 90 |
| 2022 March | 26 | 47 | 73 |
| 2022 February | 18 | 21 | 39 |
| 2022 January | 12 | 20 | 32 |
| 2021 December | 13 | 13 | 26 |
| 2021 November | 15 | 18 | 33 |
| 2021 October | 11 | 28 | 39 |
| 2021 September | 6 | 8 | 14 |
| 2021 August | 8 | 8 | 16 |
| 2021 July | 3 | 4 | 7 |
| 2021 June | 7 | 4 | 11 |
| 2021 May | 10 | 14 | 24 |
| 2021 April | 8 | 14 | 22 |
| 2021 March | 9 | 9 | 18 |
| 2021 February | 7 | 3 | 10 |
| 2021 January | 6 | 6 | 12 |
| 2020 December | 5 | 7 | 12 |
| 2020 November | 13 | 15 | 28 |
| 2020 October | 9 | 3 | 12 |
| 2020 September | 19 | 13 | 32 |
| 2020 August | 4 | 4 | 8 |
| 2020 July | 5 | 3 | 8 |
| 2020 June | 9 | 6 | 15 |
| 2020 May | 4 | 4 | 8 |
| 2020 April | 9 | 11 | 20 |
| 2020 March | 3 | 2 | 5 |
| 2020 February | 12 | 10 | 22 |
| 2020 January | 15 | 15 | 30 |
| 2019 December | 13 | 6 | 19 |
| 2019 November | 11 | 3 | 14 |
| 2019 October | 13 | 13 | 26 |
| 2019 September | 5 | 6 | 11 |
| 2019 August | 27 | 9 | 36 |
| 2019 July | 13 | 11 | 24 |
| 2019 June | 12 | 11 | 23 |
| 2019 May | 6 | 6 | 12 |
| 2019 April | 17 | 11 | 28 |
| 2019 March | 11 | 11 | 22 |
| 2019 February | 9 | 10 | 19 |
| 2019 January | 13 | 10 | 23 |
| 2018 December | 11 | 6 | 17 |
| 2018 November | 29 | 9 | 38 |
| 2018 October | 153 | 19 | 172 |
| 2018 September | 75 | 7 | 82 |
| 2018 August | 11 | 10 | 21 |
| 2018 July | 10 | 9 | 19 |
| 2018 June | 6 | 6 | 12 |
| 2018 May | 8 | 10 | 18 |
| 2018 April | 7 | 0 | 7 |
| 2018 March | 4 | 5 | 9 |
| 2018 February | 3 | 1 | 4 |
| 2018 January | 2 | 1 | 3 |
| 2017 December | 1 | 1 | 2 |
| 2017 November | 7 | 2 | 9 |
| 2017 October | 12 | 3 | 15 |
| 2017 September | 6 | 2 | 8 |
| 2017 August | 4 | 4 | 8 |
| 2017 July | 2 | 3 | 5 |
| 2017 June | 6 | 5 | 11 |
| 2017 May | 18 | 5 | 23 |
| 2017 April | 6 | 4 | 10 |
| 2017 March | 8 | 5 | 13 |
| 2017 February | 7 | 2 | 9 |
| 2017 January | 20 | 9 | 29 |
| 2016 December | 29 | 16 | 45 |
| 2016 November | 18 | 20 | 38 |
| 2016 October | 2 | 15 | 17 |
| 2016 September | 4 | 4 | 8 |
| 2016 August | 9 | 3 | 12 |
| 2016 July | 16 | 7 | 23 |
| 2016 June | 4 | 3 | 7 |
Show all
