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influence of friends in adolescents&#8217; physical activity practice&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">4</span></a> In addition&#44; the parents&#8217; current physical activity has also been shown to be a model for children&#39;s physical activity levels&#46;<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">5&#8211;7</span></a> For example&#44; a longitudinal study including 13&#44;000 students observed that parents&#8217; physical activity was associated with children&#39;s physical activity&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">8</span></a> Other investigators<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">9</span></a> have also reported associations between parents and children&#39;s physical activity&#46; However&#44; this is not a universal finding&#44;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">10</span></a> which can be explained by the different social and cultural contexts of the studies&#46; Thereby&#44; studies in different countries are needed to understand the modeling of parents on their offspring&#39;s physical activity levels&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Modeling parent physical activity has been explained by several factors&#44; including the examples observed by their children in adopting physical activity habits&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">5</span></a> In addition&#44; factors that are independent of parents&#8217; current physical activity levels&#44; such as encouraging children to be physically active and providing transportation to physical activity practices&#44;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">5</span></a> have also been proposed to explain the associations between the physical activity of parents and children&#46; Thus&#44; it is plausible that parents who practiced sports in childhood and adolescence are more likely to provide this social support&#44; 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therefore&#44; present a profile of students that represents the entire city&#46; Sample size was estimated with a prevalence of 50&#37; of physical activity&#44; a confidence interval of 95&#37;&#44; a maximum error of 4&#37;&#44; and a design effect &#40;deff&#41; of 1&#46;5&#44; adding 20&#37; due to possible losses &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1044 subjects&#41;&#46; The schools participating in this study served approximate 4850 students &#40;data provided by the departments of schools&#41;&#44; of whom 1495 students initially agreed to participate in the study&#46; Those who agreed took home to their parents both an informed consent and a questionnaire on lifestyle habits&#46; However&#44; only 1267 returned with the consent form signed by parents&#46; The final sample consisted of 1231 young people&#44; since 36 did not return the questionnaires completed by one or both parents&#46; If the adolescent had a guardian instead of parents&#44; they were allowed to participate in the study&#46; The parents who agreed to participate filled in a questionnaire at their home with socio-demographic and physical activity information&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The students answered their own questionnaires in school and participated in anthropometric measurements&#46; Details of the collected variables are presented below&#46; Informed consent was obtained from all students and permission for students to participate in this study was provided by their parents or guardians&#46; This study was approved by the Ethics Committee of the Universidade Estadual de Londrina &#40;process No&#46;&#58; 203&#47;10&#41;&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Physical activity and anthropometric measures</span><p id="par0035" class="elsevierStylePara elsevierViewall">Parents&#8217; self-reported weight and height were obtained&#44; and body mass index &#40;BMI&#41; was calculated by dividing weight by the square of height&#46; Parents with a BMI<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>24&#46;99<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span> were considered overweight&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Current physical activity of parents was obtained using the Baecke&#39;s questionnaire&#44;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">11</span></a> previously validated for the Brazilian adult population&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">12</span></a> This questionnaire assesses current physical activity according to three different domains&#58; work&#44; leisure time&#44; and practice of sports&#46; In the present study&#44; only leisure time and practice of sports were considered&#46; Parents classified in the highest quartile for physical activity &#40;Q4&#41; were considered sufficiently active&#44; while those in the lower quartiles &#40;Q1&#44; Q2&#44; and Q3&#41; were considered insufficiently active&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Previous physical activity practice of parents was determined by two questions<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">13</span></a>&#58; &#8220;When you were 7 to 10 years old&#44; did you engage in any supervised sports activity for at least one uninterrupted year out of school &#40;considering the holiday periods in the middle and end of the year&#41;&#63;&#8221; and &#8220;When you were 11 to 17 years old&#44; did you engage in any supervised sports activity for at least one uninterrupted year of school &#40;considering the holiday periods in the middle and end of the year&#41;&#63;&#8221; School physical education classes were excluded&#44; but participation in training teams in school was considered&#46; The possible answers for each question were &#8216;yes&#8217; or &#8216;no&#46;&#8217;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Adolescent&#39;s physical activity was assessed by the Baecke&#39;s questionnaire&#44;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">11</span></a> validated for Brazilian adolescents&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">14</span></a> After calculating the Baecke score&#44; the adolescents were divided into quartiles&#46; Those situated in the highest quartile &#40;Q4&#41; were considered sufficiently active&#46; Adolescents ranked in the lower quartiles &#40;Q1&#44; Q2&#44; and Q3&#41; were classified as insufficiently active&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Weight was measured using an electronic scale &#40;Plenna&#174;&#44; Acqua model&#44; S&#227;o Paulo&#44; SP&#44; Brazil&#41; with an accuracy of 0&#46;1<span class="elsevierStyleHsp" style=""></span>kg and maximum capacity of 150<span class="elsevierStyleHsp" style=""></span>kg&#46; The adolescents were bare footed&#44; and stood in the center of the scale platform wearing light clothing&#46; Height was measured using a portable stadiometer with an accuracy of 0&#46;1<span class="elsevierStyleHsp" style=""></span>cm&#44; and maximum length of 2<span class="elsevierStyleHsp" style=""></span>m&#46; Using the values of body weight and height&#44; the BMI was calculated and&#44; according to criteria for sex and age proposed in the literature&#44;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">15</span></a> adolescents were classified overweight or eutrophic&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Socioeconomic level</span><p id="par0060" class="elsevierStylePara elsevierViewall">The Economic Classification Criteria of Brazil<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">16</span></a> was used to define the economic status classification of the families into classes A1&#44; A2&#44; B1&#44; B2&#44; C1&#44; C2&#44; D&#44; and E&#46; The families were further divided into&#58; high economic class &#40;A1&#44; A2&#44; and B1&#41;&#44; middle economic class &#40;B2 and C1&#41;&#44; and low socioeconomic class &#40;C2&#44; D&#44; and E&#41;&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Reproducibility</span><p id="par0065" class="elsevierStylePara elsevierViewall">The reproducibility of the questionnaires was obtained in a pilot study with 30 adolescents and their parents of both genders&#46; The questionnaire was answered twice with an interval of two weeks between the first and second assessment&#46; The reproducibility of the questionnaire was evaluated by the intraclass correlation coefficient &#40;ICC&#41; for continuous variables and Kappa coefficient for the categorical variables&#46; In the analysis&#44; the minimum values obtained were 0&#46;83 and 0&#46;85 for the ICC and Kappa&#44; respectively&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Statistical analyses</span><p id="par0070" class="elsevierStylePara elsevierViewall">The Kolmogorov&#8211;Smirnov test was performed to verify the normality of the data&#46; Descriptive statistics were presented as median and interquartile range&#46; The comparison of the sample characteristics among physically active and insufficiently active adolescents was performed using the Mann&#8211;Whitney test&#46; The associations between parents&#47;guardians physical activity &#40;main independent variables&#41; and adolescent&#39;s physical activity were obtained using the chi-squared test and binary logistic regression analyses were preformed adjusting for adolescent&#39;s sex&#44; age&#44; socioeconomic level&#44; and parents&#8217; educational level&#46; Interactions between the main independent variables with sex and age groups of the adolescents were tested adding interaction terms to the models&#59; however&#44; no results presented statistical significance and these were therefore excluded from the models&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Results</span><p id="par0075" class="elsevierStylePara elsevierViewall">A total of 1231 &#40;515 boys and 716 girls&#41; adolescents participated in the present study&#46; The sample included 1202 mothers and 871 fathers&#46; Of the 1231 families who participated&#44; 802 provided answers from both parents&#46; Active adolescents were heavier and taller than insufficiently active adolescents&#46; Currently physically active fathers or mothers had a lower BMI compared to those who were insufficiently active &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">The prevalence of active adolescents whose neither parent was currently active was 18&#46;5&#37;&#44; and 30&#46;9&#37; among those who had at least one parent who was currently active&#46; The results of the multivariate analysis showed that adolescents whose both parents were currently active were twice &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;91 &#91;1&#46;37&#8211;2&#46;36&#93;&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; as likely to present similar behavior when compared with adolescents whose parents were insufficiently active&#44; controlling for sex&#46; These odds increased when both parents reported current physical activity practice &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#46;53 &#91;1&#46;96&#8211;6&#46;35&#93;&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">When fathers were currently active&#44; 34&#46;3&#37; of the adolescents reported the same behavior&#44; compared with 21&#46;7&#37; of adolescents with fathers that were currently insufficiently active &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; When mothers were currently active&#44; 37&#46;7&#37; of adolescents reported the same behavior&#44; compared with 20&#46;6&#37; of adolescents with mothers that were currently insufficiently active &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; When both parents were currently active&#44; the prevalence of active adolescents increased to 40&#46;8&#37; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#59; Panel A&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">Physical activity through sports practice in childhood and adolescence reported by parents was also associated with current physical activity by their adolescent offspring&#46; The prevalence of active adolescents was higher when fathers had practiced sports during their adolescence &#40;31&#46;8&#37;&#41; when compared with adolescents whose fathers did not report this practice &#40;17&#46;9&#37;&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; A similar relationship was found for adolescents whose mothers had practiced sports during their adolescence &#40;32&#46;2&#37; <span class="elsevierStyleItalic">versus</span> 22&#46;1&#37; &#91;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#93;&#59; <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#44; Panel B&#41;&#46; When both parents reported practicing sports in adolescence&#44; 37&#46;7&#37; of adolescents reported physical activity&#44; <span class="elsevierStyleItalic">versus</span> 16&#46;0&#37; of adolescents of whose neither parent reported this practice &#91;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#93;&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Adolescents whose fathers reported practicing sports activities in childhood were as active as adolescents whose fathers did not report this practice &#40;28&#46;3&#37; <span class="elsevierStyleItalic">versus</span> 23&#46;2&#37; &#91;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;113&#93;&#41;&#46; Adolescents whose mothers reported practicing sports activities in childhood were more active when compared with adolescents whose mothers did not report this practice &#40;32&#46;7&#37; <span class="elsevierStyleItalic">versus</span> 22&#46;7&#37; &#91;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#93;&#59; <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#44; Panel C&#41;&#46; When both parents reported playing sports in childhood&#44; 35&#46;6&#37; of adolescents were active&#44; <span class="elsevierStyleItalic">versus</span> 23&#46;1&#37; of adolescents whose neither parent reported this practice &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;007&#41;&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> shows the information considering the previous practice of sports by fathers &#40;childhood and adolescence&#41; and its relationship with adolescents&#8217; physical activity&#46; Adolescents whose fathers had practiced sports in adolescence &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; or adolescence and childhood &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;002&#41; were more likely to be physically active when compared with adolescents whose fathers did not practice sports during childhood&#46; Adolescents whose mothers reported having practiced sports in childhood &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;014&#41;&#44; adolescence &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; or both &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;003&#41; were more likely to be physically active when compared with adolescents whose mothers did not report this practice&#46; These associations remained after controlling for confounding variables such as gender&#44; age&#44; socioeconomic level&#44; and parents&#8217; education level&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">The prevalence of active adolescents according to the number of periods in which parents remained practicing physical activity &#40;practice of sports in childhood&#44; adolescence&#44; and current physical activity&#41; is presented in <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#46; For both parents&#44; a higher number of physical activity periods were associated with a higher prevalence of active adolescents &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; Adolescents whose fathers practiced physical activity in two &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;004&#41; or three periods &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;002&#41; during their life were more likely to be active&#46; Adolescents whose mothers practiced physical activity in one &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; two &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; or three periods &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; during their life were more likely to be active&#46; Moreover&#44; adolescents whose both parents practiced physical activity in one&#44; two or&#44; three periods during their life were more likely to be active &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#59; <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Discussion</span><p id="par0110" class="elsevierStylePara elsevierViewall">The main results of this study were&#58; &#40;i&#41; both current and previous parental physical activity were associated with adolescents&#8217; physical activity levels&#59; &#40;ii&#41; adolescents whose parents had practiced sports in both childhood and adolescence were more likely to be physically active&#59; and &#40;iii&#41; the prevalence of active adolescents was greater when both parents were currently active and&#47;or active in the past&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">The association between parents&#8217; current physical activity practice and adolescents&#8217; physical activity has also been observed in other studies&#46;<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">8&#44;9</span></a> This association has been explained by adolescents replication of parent&#39;s behavior and by parents&#8217; stimulus and support for their children to practice physical activity&#44; including financial support &#40;for example&#44; providing sports equipment or paying for different sports classes&#41;&#44; encouragement &#40;motivating adolescents through verbal or other incentives&#41;&#44; transportation &#40;for young people to go to places to practice of physical activity&#41;&#44; practicing physical activity together&#44; and accompanying the children in sports competitions&#46;<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">6&#44;17&#8211;19</span></a> Another aspect to be considered is that physically active parents could contribute to a higher socialization of their children through sports&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">20</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">The novelty of this study is the analysis of the association between parents&#8217; physical activity in both childhood and adolescence with their adolescent offspring&#39;s physical activity&#46; The results showed a positive relationship after adjustment for confounding variables such as gender and educational level of parents&#46; Interestingly&#44; this association remained significant after adjustment for parents&#8217; current physical activity&#46; A possible explanation for this result is that parents who practiced sports in childhood and adolescence have positive thoughts about this experience and encourage their children to have active behaviors&#44; stimulating them to practice physical activity&#44; even if they are no longer physically active themselves&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Another important finding is that adolescents whose parents practiced physical activity in a larger number of periods &#40;childhood&#44; adolescence&#44; and currently&#41; were more likely to be physically active&#46; This result highlights the importance of previous and current physical activity of parents for the physical activity of their children&#44; indicating that the maintenance of physical activity from childhood to adulthood can provide beneficial effects for their children&#46; A possible explanation is that when parents practiced physical activity during childhood&#47;adolescence&#44; they are aware of more specific activities for each age group&#44; directing their children to more appropriate physical activities&#46; This association probably becomes stronger when parents are still active&#44; since not only they provide incentive&#44; but they are also an example&#46; Another factor is that parents&#8217; physical activity in childhood and adolescence could contribute to the maintenance of a healthy lifestyle in adulthood&#44;<a class="elsevierStyleCrossRefs" href="#bib0245"><span class="elsevierStyleSup">21&#44;22</span></a> and that these habits would be more easily transferred to their adolescents&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">The influence of parent&#39;s gender on children&#39;s physical activity levels is controversial in the literature&#46; In the present study&#44; both fathers and mothers influenced their children&#39;s physical activity&#46; In turn&#44; a study with 887 young Americans found that only current father&#39;s physical activity was associated with adolescents&#8217; physical activity&#44;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">23</span></a> while another reported that only mother&#39;s current physical activities were related to those of Australian male children&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">24</span></a> Considering the relationships between gender of the parents and gender of the children is also necessary&#46; A study revealed strong relationships between mothers and both daughters and sons&#44; but mainly for daughters&#44;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">25</span></a> which could be explained by the longer time mothers stay with their children&#46; However&#44; Craig et al&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">26</span></a> observed positive relationships between fathers and children&#44; fathers and daughters&#44; and mothers and children&#39;s physical activity&#44; but not between mothers and daughters&#46; Future studies designed to study these relationships should consider a sample size large enough to detect associations&#44; taking into account both the genders of parents and their children&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Furthermore&#44; this controversy could be explained by the different methodological procedures employed&#46; It is also possible that the influence of fathers and mothers on the physical activity levels of their children differ between countries due to socio-cultural factors&#44; which could be addressed in future studies&#46; Another hypothesis is that physically active parents have greater interest in completing the questionnaire&#44; which could have contributed to the results found in the present study&#46; Moreover&#44; parents answered the questionnaire in their homes&#44; while the students answered face to face&#46; However&#44; this was an alternative chosen to avoid possible biases if adolescents answered questions about their parents&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Another novelty of this study is that&#44; when both parents reported sufficient physical activity practice&#44; the chance of adolescents reporting the same behavior was higher&#46; Interestingly&#44; this association was evident for both parents&#8217; current and past physical activity practice&#46; In fact&#44; when both parents reported the practice of physical activity in the three periods&#44; their adolescent offspring were six times more likely to be physically active when compared with adolescents whose parents did not report physical activity practice at any time&#46; Studies have shown that when at least one parent practices physical activity&#44; healthy behaviors are more likely to be adopted by their children&#46;<a class="elsevierStyleCrossRefs" href="#bib0275"><span class="elsevierStyleSup">27&#44;28</span></a> Both parents perhaps more significantly influence the practice of physical activity among adolescents&#44; especially outside school and on weekends&#44; considering that the instrument used to measure physical activity in this study also considered the sports activities of locomotion&#44; <span class="elsevierStyleItalic">e&#46;g</span>&#46;&#44; cycling&#46; These results show that both parents served as models and different types of physical activity could be facilitated in family environments&#46;<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">8&#44;9</span></a></p><p id="par0145" class="elsevierStylePara elsevierViewall">In practical terms&#44; the results of this study bring some points to be considered in future public health actions&#46; First&#44; it is important to engage parents in physical activity programs in order to increase their influence on the physical activity levels of their children&#44; and this effect will probably be greater if both parents participate&#46; Second&#44; as adolescents whose parents did not practice physical activity in their childhood are more likely to be inactive&#44; more intense strategies to stimulate physical activity in this sub-group are needed&#46; Finally&#44; as a long-term target&#44; incentive to exercise should be conducted at early ages in order to be passed to future generations&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">The assessment of self-reported physical activity is clearly a limitation of this study&#46; Another limitation is the assessment of previous physical activity by parents&#44; given no scale has been previously validated for this purpose&#46; Thus&#44; simple questions were asked&#44; in order to reduce recall bias&#46; The cross-sectional design of this study also limits the establishment of causal relationships&#44; so it was not possible to evaluate whether an increase in physical activity by parents over time would increase physical activity in adolescents&#46; Furthermore&#44; a non-probabilistic sample was selected&#44; although the schools chosen for the study receive students from all regions of the city&#46; The strengths of the study were the relatively large sample&#44; the assessment of physical activity in different periods of the life of the parents&#44; and the detailed investigation of this practice in relation to their adolescents&#8217; physical activity&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">In summary&#44; the present study observed that there was a relationship between physical activity between parents and adolescents&#46; Adolescents whose parents had practiced physical activity during childhood and adolescence were more likely to be physically active&#46; In this sense&#44; the promotion of physical activity should consider the family unit and not just the adolescents in isolation&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflicts of interest</span><p id="par0160" class="elsevierStylePara elsevierViewall">The authors declare no conflicts of interest&#46;</p></span></span>"
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          "titulo" => "Conflicts of interest"
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        9 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2016-09-11"
    "fechaAceptado" => "2017-01-18"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1284279"
          "palabras" => array:6 [
            0 => "Current physical activity"
            1 => "Previous physical activity"
            2 => "Parents"
            3 => "Adolescents"
            4 => "Social support"
            5 => "Modeling"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec1284280"
          "palabras" => array:6 [
            0 => "Atividade f&#237;sica atual"
            1 => "Atividade f&#237;sica anterior"
            2 => "Pais"
            3 => "Adolescentes"
            4 => "Apoio social"
            5 => "Modelo"
          ]
        ]
      ]
    ]
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    "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">The purpose of this study was to determine whether parents&#8217; current and previous physical activity practice is associated with adolescents&#8217; physical activity&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The sample was composed of 1231 adolescents &#40;14&#8211;17 years&#41;&#44; and 1202 mothers and 871 fathers were interviewed&#46; Weight and height of the adolescents were measured&#46; Self-reported parents&#8217; weight and height were obtained&#46; The current and previous physical activity levels &#40;Baecke&#39;s questionnaire&#41; of parents &#40;during childhood and adolescence&#41; and adolescents&#8217; physical activity levels were obtained using a questionnaire&#46; The magnitude of the associations between parent and adolescent physical activity levels was determined by binary logistic regression &#40;adjusted by sex&#44; age&#44; and socioeconomic level of adolescents and education level of parents&#41;&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The current physical activity practice by parents was associated with adolescents&#8217; physical activity &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; The physical activities reported by parents in their childhood and adolescence were also associated with higher physical activity levels among adolescents&#46; Adolescents whose parents were both physically active in the past and present were six times &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#46;67 &#91;CI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;94&#8211;22&#46;79&#93;&#41; more likely to be physically active compared to adolescents with no parents who were physically active in the past&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The current and previous physical activities of parents were associated with higher levels of physical activity in adolescents&#44; even after controlling for confounding factors&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Objective"
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          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Methods"
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          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Results"
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          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusions"
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      "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">A finalidade deste estudo foi determinar se a pr&#225;tica de atividade f&#237;sica atual e anterior dos pais est&#225; associada &#224; atividade f&#237;sica dos adolescentes&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A mostra foi composta por 1&#46;231 adolescentes &#40;14-17 anos&#41;&#44; e foram entrevistados 1&#46;202 m&#227;es e 871 pais&#46; Foram medidos o peso e a altura dos adolescentes&#46; Foram obtidos o peso e a altura autorrelatados dos pais&#46; Os n&#237;veis de atividade f&#237;sica atual e anterior &#40;question&#225;rio de Baecke&#41; dos pais &#40;durante a inf&#226;ncia e adolesc&#234;ncia&#41; e os n&#237;veis de atividade f&#237;sica dos adolescentes foram obtidos utilizando um question&#225;rio&#46; A magnitude das associa&#231;&#245;es entre os n&#237;veis de atividade f&#237;sica dos pais e adolescentes foi determinada por regress&#227;o log&#237;stica bin&#225;ria &#40;ajustada por sexo&#44; idade e n&#237;vel socioecon&#244;mico dos adolescentes e n&#237;vel de escolaridade dos pais&#41;&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A pr&#225;tica atual de atividade f&#237;sica pelos pais foi associada &#224; pr&#225;tica de atividade dos adolescentes &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; As atividades f&#237;sicas relatadas pelos pais em sua inf&#226;ncia e adolesc&#234;ncia tamb&#233;m foram associadas aos maiores n&#237;veis de atividade f&#237;sica entre os adolescentes&#46; Os adolescentes cujos pais eram fisicamente ativos no passado e atualmente foram seis vezes &#40;RC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#44;67 &#91;IC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;94-22&#44;79&#93;&#41; mais propensos a ser fisicamente ativos em compara&#231;&#227;o aos adolescentes cujos pais n&#227;o eram fisicamente ativos no passado&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#245;es</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">As atividades f&#237;sicas atuais e anteriores dos pais foram associadas aos maiores n&#237;veis de atividade f&#237;sica nos adolescentes&#44; mesmo ap&#243;s o controle de fatores de confus&#227;o&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Objetivo"
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          1 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "M&#233;todos"
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          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Resultados"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclus&#245;es"
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    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Please cite this article as&#58; Christofaro DG&#44; Andersen LB&#44; Andrade SM&#44; Barros MV&#44; Saraiva BT&#44; Fernandes RA&#44; et al&#46; Adolescents&#8217; physical activity is associated with previous and current physical activity practice by their parents&#46; J Pediatr &#40;Rio J&#41;&#46; 2018&#59;94&#58;48&#8211;55&#46;</p>"
      ]
    ]
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        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Prevalence of current physical activity of adolescents according to parents&#8217; physical activity in different periods of life&#46;</p>"
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          "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">IQR&#44; interquartile range&#46;</p>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Median &#40;IQR&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">16&#46;00 &#40;2&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">16&#46;00 &#40;1&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;138&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Weight&#44; kg&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">63&#46;00 &#40;17&#46;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">56&#46;05 &#40;14&#46;55&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#46;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">171&#46;00 &#40;12&#46;50&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">164&#46;50 &#40;11&#46;50&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>BMI&#44; kg&#47;m<span class="elsevierStyleSup">2</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">20&#46;61 &#40;4&#46;41&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;014&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="4" align="left" valign="\n
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                  \t\t\t\t">45&#46;00 &#40;9&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">45&#46;00 &#40;9&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;987&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">80&#46;00 &#40;16&#46;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">80&#46;00 &#40;17&#46;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;273&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Height&#44; cm&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">173&#46;00 &#40;9&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">172&#46;00 &#40;10&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;149&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>BMI&#44; kg&#47;m<span class="elsevierStyleSup">2</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;51 &#40;4&#46;49&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;87 &#40;5&#46;40&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;047&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Mothers</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Age&#44; years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43&#46;00 &#40;9&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&#46;00 &#40;9&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;177&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Weight&#44; kg&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">65&#46;00 &#40;14&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">67&#46;00 &#40;17&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;018&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Height&#44; cm&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">162&#46;00 &#40;10&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&#46;00 &#40;8&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;357&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>BMI&#44; kg&#47;m<span class="elsevierStyleSup">2</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&#46;77 &#40;5&#46;26&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&#46;48 &#40;6&#46;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;004&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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        "tipo" => "MULTIMEDIATABLA"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Unadjusted</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Adjusted<a class="elsevierStyleCrossRef" href="#tblfn2005"><span class="elsevierStyleSup">a</span></a></th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col"><span class="elsevierStyleItalic">p</span>-Value&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">95&#37; CI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">95&#37; CI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Fathers</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>None&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Childhood&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;93&#8211;1&#46;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;91&#8211;1&#46;80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;113&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Adolescence&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;52&#8211;3&#46;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;49&#8211;3&#46;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8804;0&#46;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Childhood or adolescence&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;95&#8211;2&#46;40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;92&#8211;2&#46;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Both&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;30&#8211;2&#46;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;95&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;28&#8211;2&#46;99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;002&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Mothers</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>None&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">1&#46;00&nbsp;\t\t\t\t\t\t\n
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                  """
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Original article
Adolescents’ physical activity is associated with previous and current physical activity practice by their parents
A atividade física de adolescentes está associada à prática de atividade física anterior e atual por seus pais
Diego Giulliano Destro Christofaroa,
Corresponding author
diegochristofaro@yahoo.com.br

Corresponding author.
, Lars Bo Andersenb, Selma Maffei de Andradec, Mauro Virgílio Gomes de Barrosd, Bruna Thamyres Ciccotti Saraivaa, Rômulo Araújo Fernandesa, Raphael Mendes Ritti-Diase
a Universidade Estadual Paulista (UNESP), Departamento de Educação Física, Presidente Prudente, SP, Brazil
b Norwegian University of Applied Sciences, Faculty of Teacher Education and Sport, Campus Sogndal, Norway
c Universidade Estadual de Londrina (UEL), Departamento de Saúde Coletiva, Londrina, PR, Brazil
d Universidade de Pernambuco (UPE), Faculdade de Educação Física, Recife, PE, Brazil
e Hospital Israelita Albert Einstein, Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, SP, Brazil
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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Prevalence of current physical activity of adolescents according to parents&#8217; physical activity in different periods of life&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Physical inactivity in young people has increased in both developing and developed countries&#46; In Brazil&#44; almost 80&#37; of children and adolescents were insufficiently active&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">1</span></a> Given that physical inactivity in youth has been associated with increased cardiovascular risk&#44;<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">2&#44;3</span></a> understanding the factors associated with physical inactivity in this age group has been considered important for public health actions&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Studies have shown a modeling &#40;imitation of behavior of a person who is considered an example&#41; influence of friends in adolescents&#8217; physical activity practice&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">4</span></a> In addition&#44; the parents&#8217; current physical activity has also been shown to be a model for children&#39;s physical activity levels&#46;<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">5&#8211;7</span></a> For example&#44; a longitudinal study including 13&#44;000 students observed that parents&#8217; physical activity was associated with children&#39;s physical activity&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">8</span></a> Other investigators<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">9</span></a> have also reported associations between parents and children&#39;s physical activity&#46; However&#44; this is not a universal finding&#44;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">10</span></a> which can be explained by the different social and cultural contexts of the studies&#46; Thereby&#44; studies in different countries are needed to understand the modeling of parents on their offspring&#39;s physical activity levels&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Modeling parent physical activity has been explained by several factors&#44; including the examples observed by their children in adopting physical activity habits&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">5</span></a> In addition&#44; factors that are independent of parents&#8217; current physical activity levels&#44; such as encouraging children to be physically active and providing transportation to physical activity practices&#44;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">5</span></a> have also been proposed to explain the associations between the physical activity of parents and children&#46; Thus&#44; it is plausible that parents who practiced sports in childhood and adolescence are more likely to provide this social support&#44; even if they are not currently physically active&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Therefore&#44; the objective of this study was to determine whether previous and current physical activity practice by parents is associated with adolescent&#39;s physical activity&#46; The hypothesis was that adolescents whose parents practiced physical activity throughout their lives are more likely to be physically active&#46;</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">Sample</span><p id="par0025" class="elsevierStylePara elsevierViewall">The sample consisted of adolescents aged 14&#8211;17 years from the six largest schools in the center of the city of Londrina-PR&#44; located in southern Brazil&#44; selected by convenience&#46; These schools receive students from all regions of the city and&#44; therefore&#44; present a profile of students that represents the entire city&#46; Sample size was estimated with a prevalence of 50&#37; of physical activity&#44; a confidence interval of 95&#37;&#44; a maximum error of 4&#37;&#44; and a design effect &#40;deff&#41; of 1&#46;5&#44; adding 20&#37; due to possible losses &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1044 subjects&#41;&#46; The schools participating in this study served approximate 4850 students &#40;data provided by the departments of schools&#41;&#44; of whom 1495 students initially agreed to participate in the study&#46; Those who agreed took home to their parents both an informed consent and a questionnaire on lifestyle habits&#46; However&#44; only 1267 returned with the consent form signed by parents&#46; The final sample consisted of 1231 young people&#44; since 36 did not return the questionnaires completed by one or both parents&#46; If the adolescent had a guardian instead of parents&#44; they were allowed to participate in the study&#46; The parents who agreed to participate filled in a questionnaire at their home with socio-demographic and physical activity information&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The students answered their own questionnaires in school and participated in anthropometric measurements&#46; Details of the collected variables are presented below&#46; Informed consent was obtained from all students and permission for students to participate in this study was provided by their parents or guardians&#46; This study was approved by the Ethics Committee of the Universidade Estadual de Londrina &#40;process No&#46;&#58; 203&#47;10&#41;&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Physical activity and anthropometric measures</span><p id="par0035" class="elsevierStylePara elsevierViewall">Parents&#8217; self-reported weight and height were obtained&#44; and body mass index &#40;BMI&#41; was calculated by dividing weight by the square of height&#46; Parents with a BMI<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>24&#46;99<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span> were considered overweight&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Current physical activity of parents was obtained using the Baecke&#39;s questionnaire&#44;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">11</span></a> previously validated for the Brazilian adult population&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">12</span></a> This questionnaire assesses current physical activity according to three different domains&#58; work&#44; leisure time&#44; and practice of sports&#46; In the present study&#44; only leisure time and practice of sports were considered&#46; Parents classified in the highest quartile for physical activity &#40;Q4&#41; were considered sufficiently active&#44; while those in the lower quartiles &#40;Q1&#44; Q2&#44; and Q3&#41; were considered insufficiently active&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Previous physical activity practice of parents was determined by two questions<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">13</span></a>&#58; &#8220;When you were 7 to 10 years old&#44; did you engage in any supervised sports activity for at least one uninterrupted year out of school &#40;considering the holiday periods in the middle and end of the year&#41;&#63;&#8221; and &#8220;When you were 11 to 17 years old&#44; did you engage in any supervised sports activity for at least one uninterrupted year of school &#40;considering the holiday periods in the middle and end of the year&#41;&#63;&#8221; School physical education classes were excluded&#44; but participation in training teams in school was considered&#46; The possible answers for each question were &#8216;yes&#8217; or &#8216;no&#46;&#8217;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Adolescent&#39;s physical activity was assessed by the Baecke&#39;s questionnaire&#44;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">11</span></a> validated for Brazilian adolescents&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">14</span></a> After calculating the Baecke score&#44; the adolescents were divided into quartiles&#46; Those situated in the highest quartile &#40;Q4&#41; were considered sufficiently active&#46; Adolescents ranked in the lower quartiles &#40;Q1&#44; Q2&#44; and Q3&#41; were classified as insufficiently active&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Weight was measured using an electronic scale &#40;Plenna&#174;&#44; Acqua model&#44; S&#227;o Paulo&#44; SP&#44; Brazil&#41; with an accuracy of 0&#46;1<span class="elsevierStyleHsp" style=""></span>kg and maximum capacity of 150<span class="elsevierStyleHsp" style=""></span>kg&#46; The adolescents were bare footed&#44; and stood in the center of the scale platform wearing light clothing&#46; Height was measured using a portable stadiometer with an accuracy of 0&#46;1<span class="elsevierStyleHsp" style=""></span>cm&#44; and maximum length of 2<span class="elsevierStyleHsp" style=""></span>m&#46; Using the values of body weight and height&#44; the BMI was calculated and&#44; according to criteria for sex and age proposed in the literature&#44;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">15</span></a> adolescents were classified overweight or eutrophic&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Socioeconomic level</span><p id="par0060" class="elsevierStylePara elsevierViewall">The Economic Classification Criteria of Brazil<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">16</span></a> was used to define the economic status classification of the families into classes A1&#44; A2&#44; B1&#44; B2&#44; C1&#44; C2&#44; D&#44; and E&#46; The families were further divided into&#58; high economic class &#40;A1&#44; A2&#44; and B1&#41;&#44; middle economic class &#40;B2 and C1&#41;&#44; and low socioeconomic class &#40;C2&#44; D&#44; and E&#41;&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Reproducibility</span><p id="par0065" class="elsevierStylePara elsevierViewall">The reproducibility of the questionnaires was obtained in a pilot study with 30 adolescents and their parents of both genders&#46; The questionnaire was answered twice with an interval of two weeks between the first and second assessment&#46; The reproducibility of the questionnaire was evaluated by the intraclass correlation coefficient &#40;ICC&#41; for continuous variables and Kappa coefficient for the categorical variables&#46; In the analysis&#44; the minimum values obtained were 0&#46;83 and 0&#46;85 for the ICC and Kappa&#44; respectively&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Statistical analyses</span><p id="par0070" class="elsevierStylePara elsevierViewall">The Kolmogorov&#8211;Smirnov test was performed to verify the normality of the data&#46; Descriptive statistics were presented as median and interquartile range&#46; The comparison of the sample characteristics among physically active and insufficiently active adolescents was performed using the Mann&#8211;Whitney test&#46; The associations between parents&#47;guardians physical activity &#40;main independent variables&#41; and adolescent&#39;s physical activity were obtained using the chi-squared test and binary logistic regression analyses were preformed adjusting for adolescent&#39;s sex&#44; age&#44; socioeconomic level&#44; and parents&#8217; educational level&#46; Interactions between the main independent variables with sex and age groups of the adolescents were tested adding interaction terms to the models&#59; however&#44; no results presented statistical significance and these were therefore excluded from the models&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Results</span><p id="par0075" class="elsevierStylePara elsevierViewall">A total of 1231 &#40;515 boys and 716 girls&#41; adolescents participated in the present study&#46; The sample included 1202 mothers and 871 fathers&#46; Of the 1231 families who participated&#44; 802 provided answers from both parents&#46; Active adolescents were heavier and taller than insufficiently active adolescents&#46; Currently physically active fathers or mothers had a lower BMI compared to those who were insufficiently active &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">The prevalence of active adolescents whose neither parent was currently active was 18&#46;5&#37;&#44; and 30&#46;9&#37; among those who had at least one parent who was currently active&#46; The results of the multivariate analysis showed that adolescents whose both parents were currently active were twice &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;91 &#91;1&#46;37&#8211;2&#46;36&#93;&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; as likely to present similar behavior when compared with adolescents whose parents were insufficiently active&#44; controlling for sex&#46; These odds increased when both parents reported current physical activity practice &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#46;53 &#91;1&#46;96&#8211;6&#46;35&#93;&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">When fathers were currently active&#44; 34&#46;3&#37; of the adolescents reported the same behavior&#44; compared with 21&#46;7&#37; of adolescents with fathers that were currently insufficiently active &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; When mothers were currently active&#44; 37&#46;7&#37; of adolescents reported the same behavior&#44; compared with 20&#46;6&#37; of adolescents with mothers that were currently insufficiently active &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; When both parents were currently active&#44; the prevalence of active adolescents increased to 40&#46;8&#37; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#59; Panel A&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">Physical activity through sports practice in childhood and adolescence reported by parents was also associated with current physical activity by their adolescent offspring&#46; The prevalence of active adolescents was higher when fathers had practiced sports during their adolescence &#40;31&#46;8&#37;&#41; when compared with adolescents whose fathers did not report this practice &#40;17&#46;9&#37;&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; A similar relationship was found for adolescents whose mothers had practiced sports during their adolescence &#40;32&#46;2&#37; <span class="elsevierStyleItalic">versus</span> 22&#46;1&#37; &#91;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#93;&#59; <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#44; Panel B&#41;&#46; When both parents reported practicing sports in adolescence&#44; 37&#46;7&#37; of adolescents reported physical activity&#44; <span class="elsevierStyleItalic">versus</span> 16&#46;0&#37; of adolescents of whose neither parent reported this practice &#91;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#93;&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Adolescents whose fathers reported practicing sports activities in childhood were as active as adolescents whose fathers did not report this practice &#40;28&#46;3&#37; <span class="elsevierStyleItalic">versus</span> 23&#46;2&#37; &#91;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;113&#93;&#41;&#46; Adolescents whose mothers reported practicing sports activities in childhood were more active when compared with adolescents whose mothers did not report this practice &#40;32&#46;7&#37; <span class="elsevierStyleItalic">versus</span> 22&#46;7&#37; &#91;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#93;&#59; <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#44; Panel C&#41;&#46; When both parents reported playing sports in childhood&#44; 35&#46;6&#37; of adolescents were active&#44; <span class="elsevierStyleItalic">versus</span> 23&#46;1&#37; of adolescents whose neither parent reported this practice &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;007&#41;&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> shows the information considering the previous practice of sports by fathers &#40;childhood and adolescence&#41; and its relationship with adolescents&#8217; physical activity&#46; Adolescents whose fathers had practiced sports in adolescence &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; or adolescence and childhood &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;002&#41; were more likely to be physically active when compared with adolescents whose fathers did not practice sports during childhood&#46; Adolescents whose mothers reported having practiced sports in childhood &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;014&#41;&#44; adolescence &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; or both &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;003&#41; were more likely to be physically active when compared with adolescents whose mothers did not report this practice&#46; These associations remained after controlling for confounding variables such as gender&#44; age&#44; socioeconomic level&#44; and parents&#8217; education level&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">The prevalence of active adolescents according to the number of periods in which parents remained practicing physical activity &#40;practice of sports in childhood&#44; adolescence&#44; and current physical activity&#41; is presented in <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#46; For both parents&#44; a higher number of physical activity periods were associated with a higher prevalence of active adolescents &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; Adolescents whose fathers practiced physical activity in two &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;004&#41; or three periods &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;002&#41; during their life were more likely to be active&#46; Adolescents whose mothers practiced physical activity in one &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; two &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; or three periods &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; during their life were more likely to be active&#46; Moreover&#44; adolescents whose both parents practiced physical activity in one&#44; two or&#44; three periods during their life were more likely to be active &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#59; <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Discussion</span><p id="par0110" class="elsevierStylePara elsevierViewall">The main results of this study were&#58; &#40;i&#41; both current and previous parental physical activity were associated with adolescents&#8217; physical activity levels&#59; &#40;ii&#41; adolescents whose parents had practiced sports in both childhood and adolescence were more likely to be physically active&#59; and &#40;iii&#41; the prevalence of active adolescents was greater when both parents were currently active and&#47;or active in the past&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">The association between parents&#8217; current physical activity practice and adolescents&#8217; physical activity has also been observed in other studies&#46;<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">8&#44;9</span></a> This association has been explained by adolescents replication of parent&#39;s behavior and by parents&#8217; stimulus and support for their children to practice physical activity&#44; including financial support &#40;for example&#44; providing sports equipment or paying for different sports classes&#41;&#44; encouragement &#40;motivating adolescents through verbal or other incentives&#41;&#44; transportation &#40;for young people to go to places to practice of physical activity&#41;&#44; practicing physical activity together&#44; and accompanying the children in sports competitions&#46;<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">6&#44;17&#8211;19</span></a> Another aspect to be considered is that physically active parents could contribute to a higher socialization of their children through sports&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">20</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">The novelty of this study is the analysis of the association between parents&#8217; physical activity in both childhood and adolescence with their adolescent offspring&#39;s physical activity&#46; The results showed a positive relationship after adjustment for confounding variables such as gender and educational level of parents&#46; Interestingly&#44; this association remained significant after adjustment for parents&#8217; current physical activity&#46; A possible explanation for this result is that parents who practiced sports in childhood and adolescence have positive thoughts about this experience and encourage their children to have active behaviors&#44; stimulating them to practice physical activity&#44; even if they are no longer physically active themselves&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Another important finding is that adolescents whose parents practiced physical activity in a larger number of periods &#40;childhood&#44; adolescence&#44; and currently&#41; were more likely to be physically active&#46; This result highlights the importance of previous and current physical activity of parents for the physical activity of their children&#44; indicating that the maintenance of physical activity from childhood to adulthood can provide beneficial effects for their children&#46; A possible explanation is that when parents practiced physical activity during childhood&#47;adolescence&#44; they are aware of more specific activities for each age group&#44; directing their children to more appropriate physical activities&#46; This association probably becomes stronger when parents are still active&#44; since not only they provide incentive&#44; but they are also an example&#46; Another factor is that parents&#8217; physical activity in childhood and adolescence could contribute to the maintenance of a healthy lifestyle in adulthood&#44;<a class="elsevierStyleCrossRefs" href="#bib0245"><span class="elsevierStyleSup">21&#44;22</span></a> and that these habits would be more easily transferred to their adolescents&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">The influence of parent&#39;s gender on children&#39;s physical activity levels is controversial in the literature&#46; In the present study&#44; both fathers and mothers influenced their children&#39;s physical activity&#46; In turn&#44; a study with 887 young Americans found that only current father&#39;s physical activity was associated with adolescents&#8217; physical activity&#44;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">23</span></a> while another reported that only mother&#39;s current physical activities were related to those of Australian male children&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">24</span></a> Considering the relationships between gender of the parents and gender of the children is also necessary&#46; A study revealed strong relationships between mothers and both daughters and sons&#44; but mainly for daughters&#44;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">25</span></a> which could be explained by the longer time mothers stay with their children&#46; However&#44; Craig et al&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">26</span></a> observed positive relationships between fathers and children&#44; fathers and daughters&#44; and mothers and children&#39;s physical activity&#44; but not between mothers and daughters&#46; Future studies designed to study these relationships should consider a sample size large enough to detect associations&#44; taking into account both the genders of parents and their children&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Furthermore&#44; this controversy could be explained by the different methodological procedures employed&#46; It is also possible that the influence of fathers and mothers on the physical activity levels of their children differ between countries due to socio-cultural factors&#44; which could be addressed in future studies&#46; Another hypothesis is that physically active parents have greater interest in completing the questionnaire&#44; which could have contributed to the results found in the present study&#46; Moreover&#44; parents answered the questionnaire in their homes&#44; while the students answered face to face&#46; However&#44; this was an alternative chosen to avoid possible biases if adolescents answered questions about their parents&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Another novelty of this study is that&#44; when both parents reported sufficient physical activity practice&#44; the chance of adolescents reporting the same behavior was higher&#46; Interestingly&#44; this association was evident for both parents&#8217; current and past physical activity practice&#46; In fact&#44; when both parents reported the practice of physical activity in the three periods&#44; their adolescent offspring were six times more likely to be physically active when compared with adolescents whose parents did not report physical activity practice at any time&#46; Studies have shown that when at least one parent practices physical activity&#44; healthy behaviors are more likely to be adopted by their children&#46;<a class="elsevierStyleCrossRefs" href="#bib0275"><span class="elsevierStyleSup">27&#44;28</span></a> Both parents perhaps more significantly influence the practice of physical activity among adolescents&#44; especially outside school and on weekends&#44; considering that the instrument used to measure physical activity in this study also considered the sports activities of locomotion&#44; <span class="elsevierStyleItalic">e&#46;g</span>&#46;&#44; cycling&#46; These results show that both parents served as models and different types of physical activity could be facilitated in family environments&#46;<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">8&#44;9</span></a></p><p id="par0145" class="elsevierStylePara elsevierViewall">In practical terms&#44; the results of this study bring some points to be considered in future public health actions&#46; First&#44; it is important to engage parents in physical activity programs in order to increase their influence on the physical activity levels of their children&#44; and this effect will probably be greater if both parents participate&#46; Second&#44; as adolescents whose parents did not practice physical activity in their childhood are more likely to be inactive&#44; more intense strategies to stimulate physical activity in this sub-group are needed&#46; Finally&#44; as a long-term target&#44; incentive to exercise should be conducted at early ages in order to be passed to future generations&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">The assessment of self-reported physical activity is clearly a limitation of this study&#46; Another limitation is the assessment of previous physical activity by parents&#44; given no scale has been previously validated for this purpose&#46; Thus&#44; simple questions were asked&#44; in order to reduce recall bias&#46; The cross-sectional design of this study also limits the establishment of causal relationships&#44; so it was not possible to evaluate whether an increase in physical activity by parents over time would increase physical activity in adolescents&#46; Furthermore&#44; a non-probabilistic sample was selected&#44; although the schools chosen for the study receive students from all regions of the city&#46; The strengths of the study were the relatively large sample&#44; the assessment of physical activity in different periods of the life of the parents&#44; and the detailed investigation of this practice in relation to their adolescents&#8217; physical activity&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">In summary&#44; the present study observed that there was a relationship between physical activity between parents and adolescents&#46; Adolescents whose parents had practiced physical activity during childhood and adolescence were more likely to be physically active&#46; In this sense&#44; the promotion of physical activity should consider the family unit and not just the adolescents in isolation&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflicts of interest</span><p id="par0160" class="elsevierStylePara elsevierViewall">The authors declare no conflicts of interest&#46;</p></span></span>"
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            0 => "Current physical activity"
            1 => "Previous physical activity"
            2 => "Parents"
            3 => "Adolescents"
            4 => "Social support"
            5 => "Modeling"
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            0 => "Atividade f&#237;sica atual"
            1 => "Atividade f&#237;sica anterior"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The purpose of this study was to determine whether parents&#8217; current and previous physical activity practice is associated with adolescents&#8217; physical activity&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The sample was composed of 1231 adolescents &#40;14&#8211;17 years&#41;&#44; and 1202 mothers and 871 fathers were interviewed&#46; Weight and height of the adolescents were measured&#46; Self-reported parents&#8217; weight and height were obtained&#46; The current and previous physical activity levels &#40;Baecke&#39;s questionnaire&#41; of parents &#40;during childhood and adolescence&#41; and adolescents&#8217; physical activity levels were obtained using a questionnaire&#46; The magnitude of the associations between parent and adolescent physical activity levels was determined by binary logistic regression &#40;adjusted by sex&#44; age&#44; and socioeconomic level of adolescents and education level of parents&#41;&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The current physical activity practice by parents was associated with adolescents&#8217; physical activity &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; The physical activities reported by parents in their childhood and adolescence were also associated with higher physical activity levels among adolescents&#46; Adolescents whose parents were both physically active in the past and present were six times &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#46;67 &#91;CI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;94&#8211;22&#46;79&#93;&#41; more likely to be physically active compared to adolescents with no parents who were physically active in the past&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The current and previous physical activities of parents were associated with higher levels of physical activity in adolescents&#44; even after controlling for confounding factors&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A finalidade deste estudo foi determinar se a pr&#225;tica de atividade f&#237;sica atual e anterior dos pais est&#225; associada &#224; atividade f&#237;sica dos adolescentes&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A mostra foi composta por 1&#46;231 adolescentes &#40;14-17 anos&#41;&#44; e foram entrevistados 1&#46;202 m&#227;es e 871 pais&#46; Foram medidos o peso e a altura dos adolescentes&#46; Foram obtidos o peso e a altura autorrelatados dos pais&#46; Os n&#237;veis de atividade f&#237;sica atual e anterior &#40;question&#225;rio de Baecke&#41; dos pais &#40;durante a inf&#226;ncia e adolesc&#234;ncia&#41; e os n&#237;veis de atividade f&#237;sica dos adolescentes foram obtidos utilizando um question&#225;rio&#46; A magnitude das associa&#231;&#245;es entre os n&#237;veis de atividade f&#237;sica dos pais e adolescentes foi determinada por regress&#227;o log&#237;stica bin&#225;ria &#40;ajustada por sexo&#44; idade e n&#237;vel socioecon&#244;mico dos adolescentes e n&#237;vel de escolaridade dos pais&#41;&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A pr&#225;tica atual de atividade f&#237;sica pelos pais foi associada &#224; pr&#225;tica de atividade dos adolescentes &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; As atividades f&#237;sicas relatadas pelos pais em sua inf&#226;ncia e adolesc&#234;ncia tamb&#233;m foram associadas aos maiores n&#237;veis de atividade f&#237;sica entre os adolescentes&#46; Os adolescentes cujos pais eram fisicamente ativos no passado e atualmente foram seis vezes &#40;RC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#44;67 &#91;IC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;94-22&#44;79&#93;&#41; mais propensos a ser fisicamente ativos em compara&#231;&#227;o aos adolescentes cujos pais n&#227;o eram fisicamente ativos no passado&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#245;es</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">As atividades f&#237;sicas atuais e anteriores dos pais foram associadas aos maiores n&#237;veis de atividade f&#237;sica nos adolescentes&#44; mesmo ap&#243;s o controle de fatores de confus&#227;o&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Please cite this article as&#58; Christofaro DG&#44; Andersen LB&#44; Andrade SM&#44; Barros MV&#44; Saraiva BT&#44; Fernandes RA&#44; et al&#46; Adolescents&#8217; physical activity is associated with previous and current physical activity practice by their parents&#46; J Pediatr &#40;Rio J&#41;&#46; 2018&#59;94&#58;48&#8211;55&#46;</p>"
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            0 => array:2 [
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                0 => """
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                  \t\t\t\t" scope="col">Active<a class="elsevierStyleCrossRef" href="#tblfn1005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col">Insufficiently active&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Median &#40;IQR&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Age&#44; years&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">16&#46;00 &#40;2&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&#46;00 &#40;1&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;138&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Weight&#44; kg&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">63&#46;00 &#40;17&#46;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56&#46;05 &#40;14&#46;55&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Height&#44; cm&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">171&#46;00 &#40;12&#46;50&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">164&#46;50 &#40;11&#46;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>BMI&#44; kg&#47;m<span class="elsevierStyleSup">2</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">20&#46;61 &#40;4&#46;41&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;014&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Age&#44; years&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">45&#46;00 &#40;9&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;987&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Weight&#44; kg&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">80&#46;00 &#40;16&#46;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">80&#46;00 &#40;17&#46;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;273&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Height&#44; cm&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">173&#46;00 &#40;9&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;149&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>BMI&#44; kg&#47;m<span class="elsevierStyleSup">2</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">26&#46;87 &#40;5&#46;40&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;047&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="4" align="left" valign="\n
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                  \t\t\t\t  " colspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Mothers</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Age&#44; years&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;177&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Weight&#44; kg&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;018&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Height&#44; cm&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">162&#46;00 &#40;10&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&#46;00 &#40;8&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;357&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>BMI&#44; kg&#47;m<span class="elsevierStyleSup">2</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">24&#46;77 &#40;5&#46;26&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">25&#46;48 &#40;6&#46;25&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;004&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Unadjusted</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Adjusted<a class="elsevierStyleCrossRef" href="#tblfn2005"><span class="elsevierStyleSup">a</span></a></th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col"><span class="elsevierStyleItalic">p</span>-Value&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">95&#37; CI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">95&#37; CI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Fathers</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>None&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Childhood&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;93&#8211;1&#46;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;91&#8211;1&#46;80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;113&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Adolescence&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;52&#8211;3&#46;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;49&#8211;3&#46;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8804;0&#46;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Childhood or adolescence&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;95&#8211;2&#46;40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;92&#8211;2&#46;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Both&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;30&#8211;2&#46;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;95&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;28&#8211;2&#46;99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;002&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Mothers</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>None&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Childhood&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;17&#8211;2&#46;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;49&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;08&#8211;2&#46;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Adolescence&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;25&#8211;2&#46;23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;18&#8211;2&#46;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8804;0&#46;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Childhood or adolescence&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;12&#8211;2&#46;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;11&#8211;2&#46;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Both&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;90&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;34&#8211;2&#46;69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>One&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;22&#8211;4&#46;34&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;06&#8211;4&#46;20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;033&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Two&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;09&#8211;3&#46;74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;04&#8211;3&#46;99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;037&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Three&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;30&#8211;4&#46;72&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;53&#8211;6&#46;32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;002&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Four&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;18&#8211;7&#46;78&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;83&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;89&#8211;7&#46;78&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8804;0&#46;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Five&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">2&#46;41&#8211;11&#46;60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;80&#8211;16&#46;77&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&#8804;0&#46;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Six&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">6&#46;27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">2&#46;14&#8211;18&#46;33&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6&#46;67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">1&#46;94&#8211;22&#46;79&nbsp;\t\t\t\t\t\t\n
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Article information
ISSN: 00217557
Original language: English
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Jornal de Pediatria (English Edition)
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