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          "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Preval&#234;ncias de risco elevado de obesidade geral &#40;IMC &#62; 23&#44;5&#41; e abdominal &#40;CC &#62; 80&#44;1&#41; e de press&#227;o arterial elevada &#40;percentil&#62;95&#41; em estudantes&#44; de ambos os g&#234;neros&#44; do Ensino M&#233;dio da Rede P&#250;blica Estadual de Pernambuco&#44; Brasil&#44; 2014&#46;</p> <p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">&#42; p &#60; 0&#44;05&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introdu&#231;&#227;o</span><p id="par0005" class="elsevierStylePara elsevierViewall">A press&#227;o arterial elevada &#40;PAE&#41; &#233; considerada o principal fator de risco para doen&#231;as cardiovasculares&#44; tanto para adultos como para crian&#231;as e adolescentes&#46;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">1&#44;2</span></a> O seu diagn&#243;stico e tratamento precoces podem evitar a ocorr&#234;ncia de eventos cardiovasculares adversos futuros&#44; visto que a PAE na inf&#226;ncia &#233; fator preditor de hipertens&#227;o arterial na vida adulta&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">3</span></a> No Brasil a preval&#234;ncia de PAE na popula&#231;&#227;o pedi&#225;trica varia entre 2&#44;5&#37;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">4</span></a> e 44&#44;7&#37;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">5</span></a> e&#44; por ser assintom&#225;tica&#44; o conhecimento e o tratamento da PAE s&#227;o muitas vezes negligenciados&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">6</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Consensualmente&#44; considera&#8208;se a obesidade geral e abdominal como fatores predisponentes para o surgimento da PAE&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">7</span></a> Al&#233;m disso&#44; o ac&#250;mulo excessivo de gordura corporal nas fases iniciais da vida est&#225; associado ao aparecimento de doen&#231;as cardiovasculares e metab&#243;licas na vida adulta&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">8</span></a> Entretanto&#44; evid&#234;ncias ressaltam que a distribui&#231;&#227;o da gordura corporal &#233; mais importante do que a obesidade por si s&#243;&#46;<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">9&#44;10</span></a> Nesse sentido&#44; tem sido visto que o ac&#250;mulo de gordura na regi&#227;o abdominal apresenta estreita rela&#231;&#227;o com a hipertens&#227;o arterial&#44; &#233; considerado a grande respons&#225;vel pelas complica&#231;&#245;es metab&#243;licas da popula&#231;&#227;o obesa&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">11</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Outro fator que pode influenciar nos valores press&#243;ricos &#233; a diferen&#231;a entre os sexos&#46;<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">12&#44;13</span></a> Corroborando tais achados&#44; pesquisas ratificam que os rapazes t&#234;m a PA mais alta do que as mo&#231;as&#46;<a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">14&#8211;16</span></a> No entanto&#44; pesquisas comumente analisam a associa&#231;&#227;o entre a obesidade e a PAE&#44; mas n&#227;o testam a intera&#231;&#227;o em rela&#231;&#227;o ao g&#234;nero&#44; pode esse fator deturpar os resultados encontrados&#46;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">1&#44;16</span></a> Assim&#44; o objetivo do presente estudo foi analisar a associa&#231;&#227;o entre obesidade geral e abdominal com a PAE em adolescentes da rede de ensino p&#250;blico&#44; respeitando a diferen&#231;a entre g&#234;neros&#46;<span class="elsevierStyleVsp" style="height:0.5px"></span></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><p id="par0020" class="elsevierStylePara elsevierViewall">Estudo descritivo com abordagem quantitativa que integra o levantamento epidemiol&#243;gico transversal de base escolar e abrang&#234;ncia municipal e cuja amostra foi constitu&#237;da por estudantes entre 14 e 19 anos&#44; de ambos os sexos&#44; regularmente matriculados em escolas da rede p&#250;blica estadual de ensino m&#233;dio do munic&#237;pio de Caruaru&#44; Pernambuco&#44; estimados em 8&#46;833 jovens distribu&#237;dos nas 15 escolas&#44; segundo dados da Secretaria da Educa&#231;&#227;o e Cultura do Estado&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Para c&#225;lculo do tamanho amostral foram adotados os seguintes par&#226;metros&#58; intervalo de confian&#231;a de 95&#37;&#59; erro m&#225;ximo toler&#225;vel de 2 pontos percentuais&#59; efeito do desenho &#40;deff&#41; &#61; 2&#59; e&#44; por se tratar de estudo que abrange a an&#225;lise de m&#250;ltiplos comportamentos de risco e com diferentes frequ&#234;ncias de ocorr&#234;ncia&#44; definiu&#8208;se a preval&#234;ncia estimada em 50&#37;&#46; Adicionalmente&#44; para atenuar as limita&#231;&#245;es impostas por eventuais perdas na aplica&#231;&#227;o e&#47;ou preenchimento inadequado dos question&#225;rios&#44; decidiu&#8208;se por acrescer em 20&#37; o tamanho da amostra&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Para sele&#231;&#227;o da amostra requerida&#44; recorreu&#8208;se a um procedimento de amostragem por conglomerados em dois est&#225;gios&#46; A &#8220;escola&#8221; e a &#8220;turma&#8221; representaram&#44; respectivamente&#44; as unidades amostrais no primeiro e no segundo est&#225;gio&#46; Todas as escolas da rede p&#250;blica estadual em Caruaru foram consideradas eleg&#237;veis para inclus&#227;o no estudo&#46; No primeiro est&#225;gio&#44; adotou&#8208;se como crit&#233;rio de estratifica&#231;&#227;o a densidade de escolas em cada microrregi&#227;o da cidade &#40;Ger&#234;ncia Regional de Educa&#231;&#227;o &#8211; Gere&#41;&#44; segundo porte &#40;tamanho&#41;&#46; No segundo est&#225;gio&#44; considerou&#8208;se a densidade de turmas nas escolas sorteadas por per&#237;odo &#40;diurno e noturno&#41; como crit&#233;rio para sorteio daquelas nas quais os question&#225;rios seriam aplicados&#46; Todos os estudantes das turmas sorteadas foram convidados a participar do estudo&#44; independentemente da idade deles&#46; Ap&#243;s a aplica&#231;&#227;o&#44; os question&#225;rios respondidos por alunos com idade superior ao estabelecido &#40;19 anos&#41; foram exclu&#237;dos&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">A coleta dos dados foi feita de junho a novembro de 2014&#46; A aplica&#231;&#227;o dos question&#225;rios foi efetuada em sala de aula&#44; na forma de entrevista coletiva&#44; sem a presen&#231;a dos professores&#46; Os alunos foram continuamente assistidos por cinco pesquisadores &#40;dois professores e tr&#234;s alunos de gradua&#231;&#227;o&#41;&#44; para esclarecer d&#250;vidas durante o preenchimento dos question&#225;rios&#46; O estudo foi aprovado pelo Comit&#234; de &#201;tica em Pesquisa com seres humanos da Faculdade Asces &#40;CAAE&#8208;22210913&#46;8&#46;0000&#46;5203&#47;CEP&#8208;ASCES&#58;072403&#47;2013&#41;&#46; A participa&#231;&#227;o dos sujeitos foi volunt&#225;ria e an&#244;nima&#44; adotou&#8208;se o uso de termo negativo de consentimento &#40;<span class="elsevierStyleItalic">parental passive consent form</span>&#41;&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">As informa&#231;&#245;es pessoais&#44; vari&#225;veis socioecon&#244;micas e sociodemogr&#225;ficas foram adquiridas por meio da vers&#227;o traduzida e adaptada do Global School&#8208;based Student Health Survey &#40;GSHS&#41;&#44; proposto pela Organiza&#231;&#227;o Mundial da Sa&#250;de &#40;OMS&#41;&#46; Nas avalia&#231;&#245;es antropom&#233;tricas&#44; todos os adolescentes trajavam roupas leves e permaneciam descal&#231;os&#46; A massa corporal foi avaliada por meio de uma balan&#231;a eletr&#244;nica da marca Beurer &#40;Beurer GmbH&#44; Ulm&#44; Alemanha&#41; com capacidade m&#225;xima de 150 kg e precis&#227;o de 100 g&#46; A estatura foi aferida por meio de um estadi&#244;metro port&#225;til &#40;Wiso&#44; SC&#44; Brasil&#41; com precis&#227;o de 0&#44;5 cm&#46; Foi calculado o &#237;ndice de massa corporal &#40;IMC&#41; dividindo&#8208;se a massa corporal&#44; em quilogramas&#44; pelo quadrado da estatura&#44; em metros&#46; A CC &#40;Circunfer&#234;ncia de Cintura&#41; foi determinada como a m&#237;nima circunfer&#234;ncia entre a crista il&#237;aca e a &#250;ltima costela&#46; Para tanto&#44; foi usada uma fita inextens&#237;vel &#40;Sanny&#44; SP&#44; Brasil&#41; graduada em mil&#237;metros&#46; Ap&#243;s os c&#225;lculos do &#237;ndice de massa corporal e da circunfer&#234;ncia da cintura&#44; os dados foram categorizados em quartis conforme usado em estudo pr&#233;vio feito com adolescentes&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Na avalia&#231;&#227;o da Press&#227;o Arterial &#40;PA&#41; foi usado um aparelho oscilom&#233;trico autom&#225;tico &#40;Omron HEM&#8208;742&#44; Omrom Healthcare&#44; INC&#44; EUA&#41; o qual foi calibrado e previamente validado para adolescentes&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a> O ajuste dos manguitos seguiu as recomenda&#231;&#245;es da American Heart Association&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">19</span></a> Foram tomadas tr&#234;s medidas da press&#227;o arterial&#44; separadas por um intervalo de um minuto&#44; seguindo criteriosamente os protocolos recomendados pelas VI Diretrizes Brasileiras de Hipertens&#227;o&#44;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">20</span></a> bem como em rela&#231;&#227;o ao posicionamento do bra&#231;o e do corpo&#44; repouso pr&#233;vio&#44; calibra&#231;&#227;o do aparelho&#44; dimens&#227;o do manguito do esfigmoman&#244;metro&#44; quantidade de medidas tomadas e a escolha do valor usado para determinar a preval&#234;ncia&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Em rela&#231;&#227;o ao valor da PA usado&#44; foi descartada a primeira medida e usada a m&#233;dia das duas &#250;ltimas&#44; tanto para a PA sist&#243;lica como para a diast&#243;lica&#46; Os crit&#233;rios adotados para classificar os sujeitos foram os estabelecidos pelo National High Blood Pressure Education Program&#44;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">21</span></a> de modo que para o grupo et&#225;rio de 14 a 17 anos considerou&#8208;se hipertens&#227;o arterial quando a press&#227;o arterial sist&#243;lica &#40;PAS&#41; ou press&#227;o arterial diast&#243;lica &#40;PAD&#41; foi igual ou maior do que o percentil P95 das tabelas de refer&#234;ncia do Task Force Report High Blood Pressure in Children and Adolescents&#44; de 1996&#44; para idade e sexo correspondentes&#44; ajustado para o percentil de altura do avaliado&#46; Para os alunos entre 18 e 19 anos foram considerados&#44; como par&#226;metro&#44; os valores admitidos para adultos jovens&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">A tabula&#231;&#227;o final dos dados foi efetuada com o programa EpiData vers&#227;o 3&#46;1 &#40;Epidata Association&#44; Odense&#44; Dinamarca&#41;&#44; um sistema de dom&#237;nio p&#250;blico&#44; com o qual tamb&#233;m foram feitos os procedimentos eletr&#244;nicos de controle de entrada de dados por meio da fun&#231;&#227;o check &#40;controles&#41;&#46; A fim de detectar erros&#44; a entrada de dados foi repetida e por meio da fun&#231;&#227;o de compara&#231;&#227;o de arquivos duplicados os erros de digita&#231;&#227;o foram detectados e corrigidos&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">A an&#225;lise dos dados foi feita com o SPSS &#40;SPSS Inc&#46; Statistics para Windows&#44; vers&#227;o 10&#46;0&#46; IL&#44; EUA&#41;&#46; Na an&#225;lise descritiva foi observada distribui&#231;&#227;o de frequ&#234;ncias&#46; Na an&#225;lise inferencial&#44; foi usado o teste de qui&#8208;quadrado de Pearson &#40;&#967;<span class="elsevierStyleSup">2</span>&#41;&#44; a fim de analisar a associa&#231;&#227;o isolada entre a PAE e a obesidade geral e abdominal&#44; a diferen&#231;a entre a PA dos rapazes e mo&#231;as&#44; a obesidade geral e abdominal entre rapazes e mo&#231;as&#44; al&#233;m de analisar as vari&#225;veis que entraram no modelo&#44; explorar os poss&#237;veis fatores de confus&#227;o e identificar a necessidade de ajustamento estat&#237;stico das an&#225;lises&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Na an&#225;lise multivari&#225;vel&#44; recorreu&#8208;se &#224; regress&#227;o log&#237;stica bin&#225;ria&#44; por meio da estimativa da raz&#227;o de chances &#40;<span class="elsevierStyleItalic">odds ratio</span> &#61; OR&#41; e intervalos de confian&#231;a de 95&#37;&#44; para expressar o grau de associa&#231;&#227;o entre as vari&#225;veis independentes &#40;obesidade geral e abdominal&#41; e a vari&#225;vel dependente &#40;PAE&#41;&#44; recorrendo&#8208;se ao ajustamento pela idade&#44; conforme feito em outros estudos&#46;<a class="elsevierStyleCrossRefs" href="#bib0260"><span class="elsevierStyleSup">22&#44;23</span></a> Al&#233;m da plausibilidade biol&#243;gica&#44; a vari&#225;vel idade obteve&#44; em rela&#231;&#227;o &#224; PA&#44; um n&#237;vel de signific&#226;ncia estat&#237;stica menor do que 0&#44;20 &#40;p &#60; 0&#44;20&#41;&#44; crit&#233;rio usado para a entrada no modelo estat&#237;stico&#44; com o m&#233;todo Backward&#44;&#46; Ap&#243;s a obten&#231;&#227;o das vari&#225;veis preditivas do modelo final&#44; testou&#8208;se a ocorr&#234;ncia de intera&#231;&#227;o&#46; Para todos os testes o n&#237;vel de signific&#226;ncia adotado foi p &#60; 0&#44;05&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">A cor de pele&#44; escolaridade da m&#227;e&#44; ocupa&#231;&#227;o e local de resid&#234;ncia n&#227;o entraram no modelo estat&#237;stico por obter um n&#237;vel de signific&#226;ncia estat&#237;stico menor do que 0&#44;20 em rela&#231;&#227;o a PAE&#44; foram encontrados p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;764&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;884&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;259 e p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;526 respectivamente&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Resultados</span><p id="par0075" class="elsevierStylePara elsevierViewall">Foram visitadas nove escolas da rede p&#250;blica estadual do ensino m&#233;dio localizadas na cidade de Caruaru &#40;PE&#41;&#46; Dos 569 alunos que estavam em sala de aula no dia da coleta&#44; 31 se recusaram a participar e 26 n&#227;o foram autorizados a participar pelos pais ou respons&#225;veis&#44; totalizando 57 recusas&#46; Foram coletados 512 adolescentes&#46; Entretanto&#44; a amostra final&#44; correspondente a alunos entre 14 e 19 anos&#44; foi de 481&#44; dos quais 54&#44;1&#37; eram do sexo feminino&#46; As caracter&#237;sticas dos adolescentes est&#227;o presentes na <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">A preval&#234;ncia de PAE foi de 6&#44;4&#37;&#44; maior entre os rapazes &#40;9&#37; <span class="elsevierStyleItalic">vs</span>&#46; 4&#44;7&#37;&#44; p &#60; 0&#44;05&#41;&#46; N&#227;o foi observada diferen&#231;a significativa entre a obesidade geral &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;903&#41; e abdominal &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;157&#41; quando comparados os g&#234;neros&#44; conforme a <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">Ap&#243;s o juste pela idade&#44; conforme a <a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#44; a press&#227;o arterial elevada foi associada com a obesidade geral &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#44;44&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; e abdominal &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#44;97&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; apenas entre os rapazes&#44; quando comparado o quarto quartil com o primeiro quartil do &#237;ndice de massa corporal &#40;&#60;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>18&#44;6<span class="elsevierStyleHsp" style=""></span>Kg&#47;m<span class="elsevierStyleSup">2</span>&#41; <span class="elsevierStyleItalic">vs</span>&#46; &#62;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>23&#44;5<span class="elsevierStyleHsp" style=""></span>Kg&#47;m<span class="elsevierStyleSup">2</span>&#41; e da circunfer&#234;ncia da cintura &#40;&#60;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>69<span class="elsevierStyleHsp" style=""></span>cm <span class="elsevierStyleItalic">vs</span>&#46; &#62;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>80&#44;1<span class="elsevierStyleHsp" style=""></span>cm&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discuss&#227;o</span><p id="par0090" class="elsevierStylePara elsevierViewall">O objetivo deste estudo foi analisar a associa&#231;&#227;o entre obesidade geral e abdominal com a PAE em adolescentes de ambos os g&#234;neros&#46; Os principais resultados foram&#58; &#40;i&#41; A preval&#234;ncia de PAE foi maior entre os rapazes&#59; &#40;ii&#41; N&#227;o foi observada diferen&#231;a significativa entre a obesidade geral e abdominal quando comparados os g&#234;neros&#59; &#40;iii&#41; A PAE foi associada com a obesidade geral e abdominal apenas entre os rapazes&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">A preval&#234;ncia de PAE observada no presente estudo foi de 6&#44;4&#37;&#44; valor inferior ao encontrado em outros estudos com adolescentes que usaram como crit&#233;rio para o diagn&#243;stico da PA elevada o percentile &#62; 95&#46;<a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">14&#44;15&#44;24&#8211;26</span></a> Contudo&#44; diferen&#231;as metodol&#243;gicas&#44; n&#250;mero de medidas feitas e os diferentes crit&#233;rios de refer&#234;ncia s&#227;o as principais causas da grande variabilidade nas preval&#234;ncias de press&#227;o arterial elevada entre as investiga&#231;&#245;es&#46; No presente estudo&#44; optou&#8208;se por maior rigorosidade ao diagnosticar a PAE&#44; considerando que uma maior rigorosidade metodol&#243;gica baseada da diretriz de hipertens&#227;o pode resultar em uma menor preval&#234;ncia de PAE encontrada&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">27</span></a></p><p id="par0100" class="elsevierStylePara elsevierViewall">Assim como em outros estudos&#44;<a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">14&#8211;16</span></a> os rapazes tiveram a PA mais alta do que as mo&#231;as&#46; Nesse sentido&#44; pesquisa que usou t&#233;cnicas de monitora&#231;&#227;o ambulatorial da press&#227;o arterial em crian&#231;as revelou que com o aumento da idade ocorre uma eleva&#231;&#227;o na press&#227;o arterial tanto em meninos como em meninas&#46; Entretanto&#44; ap&#243;s o in&#237;cio da puberdade a press&#227;o arterial dos meninos &#233; mais alta do que a das meninas da mesma idade&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">28</span></a> Corroborando esses achados&#44; pesquisa longitudinal feita com 1&#46;267 adolescentes observou que adolescentes do sexo masculino s&#227;o mais propensos a desenvolver PAE com o passar dos anos&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">12</span></a></p><p id="par0105" class="elsevierStylePara elsevierViewall">Um dos principais fatores de risco para hipertens&#227;o arterial &#233; a obesidade geral&#46;<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">2&#44;16</span></a> Em uma revis&#227;o sistem&#225;tica com metan&#225;lise observou&#8208;se que as crian&#231;as obesas apresentavam n&#237;veis press&#243;ricos aproximadamente 40&#37; maiores do que as crian&#231;as com peso normal&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">2</span></a> Em rela&#231;&#227;o &#224; localiza&#231;&#227;o da gordura corporal&#44; foi encontrada em estudo feito com adolescentes uma associa&#231;&#227;o entre obesidade geral e abdominal com a PAE&#44; por meio do IMC e CC&#46; Entretanto&#44; para a an&#225;lise n&#227;o foi feita a estratifica&#231;&#227;o da amostra pelo g&#234;nero e n&#227;o foi testada a intera&#231;&#227;o entre as vari&#225;veis&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">24</span></a></p><p id="par0110" class="elsevierStylePara elsevierViewall">Comumente correlaciona&#8208;se um poss&#237;vel aumento da press&#227;o arterial entre os rapazes a maior predomin&#226;ncia do acumulo de gordura na regi&#227;o abdominal&#44; mas curiosamente&#44; mesmo n&#227;o havendo diferen&#231;a entre a obesidade geral e abdominal quando comparados os g&#234;neros&#44; foi observado que a PAE foi associada com a obesidade geral e abdominal apenas entre os rapazes&#46; Resultados pr&#243;ximos dos observados por Payeb et al&#46; &#40;2014&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">23</span></a> que em seu estudo no Ir&#227; com 13&#46;486 adolescentes encontraram um percentual de obesidade abdominal maior entre as mo&#231;as&#46; Contudo&#44; os valores referentes a PAE foram maiores entre os rapazes&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Uma poss&#237;vel explica&#231;&#227;o para a maior PA entre os rapazes &#233; que os horm&#244;nios sexuais desempenham um papel importante na regula&#231;&#227;o da PA&#44;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">29</span></a> pode ocorrer&#44; durante a inf&#226;ncia e a adolesc&#234;ncia&#44; um aumento nos n&#237;veis de horm&#244;nios gonadais e esses podem modificar a s&#237;ntese&#44; libera&#231;&#227;o e bioatividade desses fatores e induzir o relaxamento vascular e consequentemente influenciar na PA&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">13</span></a> Ademais&#44; Landazuri et al&#46;<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">30</span></a> analisaram que a concentra&#231;&#227;o da ECA atingiu n&#237;veis elevados em meninos de 11 a 17 anos&#44; enquanto diminuiu em meninas dessa mesma faixa et&#225;ria&#46; A ECA &#233; a principal enzima do sistema renina&#8208;angiotensina&#44; que por sua vez desempenha um papel importante na regula&#231;&#227;o da fun&#231;&#227;o card&#237;aca e da PA&#46; A redu&#231;&#227;o significativa na atividade da ECA observada nas meninas&#44; mas n&#227;o nos meninos&#44; indica que o estradiol e a testosterona podem influenciar de maneira diversa na atividade da enzima conversora da angiotensina &#40;ECA&#41; em seres humanos&#44; principalmente com rela&#231;&#227;o &#224; PAE&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">O estudo tem pontos fortes e fracos&#46; A pesquisa tem limita&#231;&#245;es que merecem men&#231;&#227;o&#46; O delineamento transversal e a natureza correlativa dos dados nos impedem de estabelecer uma rela&#231;&#227;o causal entre a PAE e a obesidade&#46; Al&#233;m disso&#44; n&#227;o foi avaliada a idade maturacional do adolescente&#44; ponto que pode estar relacionado &#224; libera&#231;&#227;o hormonal&#46; Entre os pontos fortes&#44; destaca&#8208;se a amostra representativa&#44; os procedimentos de amostragem estabelecidos para garantir que a amostra fosse composta por estudantes adolescentes que frequentassem as escolas em seus diferentes turnos e a rigorosidade metodol&#243;gica na coleta da PA&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">De acordo com os dados obtidos durante a pesquisa foi poss&#237;vel observar que mesmo n&#227;o havendo diferen&#231;a entre a disposi&#231;&#227;o de gordura entre os g&#234;neros&#44; a obesidade geral e abdominal est&#225; associada com a PAE apenas entre os rapazes&#44; independentemente da idade&#46; Os resultados encontrados demonstram a necessidade de se estratificar a amostra por g&#234;nero&#44; quando se aspira a avaliar a PA em adolescentes&#46; Al&#233;m disso&#44; observou&#8208;se que os n&#237;veis press&#243;ricos elevados entre os rapazes podem n&#227;o estar relacionados &#224; predomin&#226;ncia de ac&#250;mulo de gordura geral e abdominal&#46; Nesse sentido&#44; recomendam&#8208;se pesquisas que usem o delineamento longitudinal e investiguem a influ&#234;ncia dos horm&#244;nios sexuais na PA em adolescentes&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Financiamento</span><p id="par0130" class="elsevierStylePara elsevierViewall">Programa de Inicia&#231;&#227;o Cient&#237;fica Asces da Faculdade Aasces&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conflitos de interesse</span><p id="par0135" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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            1 => "Adolescent"
            2 => "Prevalence"
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          "titulo" => "Palavras&#8208;chave"
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            0 => "Hipertens&#227;o"
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    "resumen" => array:2 [
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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">To assess the association between general and abdominal obesity with high blood pressure in adolescents of both genders from the public school system&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This was an epidemiological&#44; descriptive&#44; exploratory study&#44; with a quantitative approach and local scope whose sample consisted of 481 high school students &#40;aged 14&#8211;19&#41;&#44; selected by using a random cluster sampling strategy&#46; Blood pressure was measured through the use of automated monitor and was considered high when the pressure values were at or above the 95th percentile&#46; The analyses were performed using the chi&#8208;squared test and binary logistic regression&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The prevalence of high blood pressure was 6&#46;4&#37;&#44; and it was higher among boys &#40;9&#46;0&#37; <span class="elsevierStyleItalic">vs</span>&#46; 4&#46;7&#37;&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; There was no significant difference between general &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;903&#41; and abdominal obesity &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;157&#41; when genders were compared&#46; After adjusting for age&#44; high blood pressure was associated with general &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#46;4&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; and abdominal obesity &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>7&#46;0&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; only among boys&#44; when comparing the fourth quartile with the first quartile of body mass index &#40;&#8804;18&#46;6<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span><span class="elsevierStyleItalic">vs</span>&#46; &#8805;23&#46;5<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41; and waist circumference &#40;&#8804;69<span class="elsevierStyleHsp" style=""></span>cm <span class="elsevierStyleItalic">vs</span>&#46; &#8805;80&#46;1<span class="elsevierStyleHsp" style=""></span>cm&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">It was observed that general and abdominal obesity are associated with high blood pressure only in boys&#44; regardless of age&#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">Analisar a associa&#231;&#227;o entre obesidade geral e abdominal com a press&#227;o arterial elevada em adolescentes de ambos os g&#234;neros da rede de ensino p&#250;blico&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudo epidemiol&#243;gico&#44; descritivo&#44; explorat&#243;rio&#44; com abordagem quantitativa e abrang&#234;ncia municipal&#44; cuja amostra foi constitu&#237;da de 481 estudantes &#40;14&#8208;19 anos&#41; do ensino m&#233;dio&#44; selecionados por meio de uma estrat&#233;gia de amostragem aleat&#243;ria de cluster&#46; A press&#227;o arterial foi medida com equipamentos autom&#225;ticos e considerada elevada quando os valores press&#243;ricos estivessem iguais ou acima do percentil 95&#46; As an&#225;lises foram feitas com os testes de qui&#8208;quadrado e da regress&#227;o log&#237;stica bin&#225;ria&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A preval&#234;ncia de press&#227;o arterial elevada foi de 6&#44;4&#37;&#44; maior entre os rapazes &#40;9&#37; <span class="elsevierStyleItalic">vs</span>&#46; 4&#44;7&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46; N&#227;o foi observada diferen&#231;a significante entre a obesidade geral &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;903&#41; e abdominal &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;157&#41; quando comparados os g&#234;neros&#46; Ap&#243;s o juste pela idade&#44; a press&#227;o arterial elevada foi associada com a obesidade geral &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#44;4&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; e abdominal &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>7&#44;0&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; apenas entre os rapazes&#44; quando comparado o quarto quartil com o primeiro quartil do &#237;ndice de massa corporal &#40;&#8804;<span class="elsevierStyleHsp" style=""></span>18&#44;6<span class="elsevierStyleHsp" style=""></span>Kg&#47;m<span class="elsevierStyleSup">2</span><span class="elsevierStyleItalic">vs</span>&#46; &#8805;23&#44;5<span class="elsevierStyleHsp" style=""></span>Kg&#47;m<span class="elsevierStyleSup">2</span>&#41; e da circunfer&#234;ncia da cintura &#40;&#8804; 69<span class="elsevierStyleHsp" style=""></span>cm <span class="elsevierStyleItalic">v</span>s&#46; &#8805;80&#44;1<span class="elsevierStyleHsp" style=""></span>cm&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#227;o</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Foi observado que a obesidade geral e abdominal est&#225; associada com a press&#227;o arterial elevada apenas entre os rapazes&#44; independentemente da idade&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Como citar este artigo&#58; Silva AO&#44; Silva MV&#44; Pereira LK&#44; Feitosa WM&#44; Ritti&#8208;Dias RM&#44; Diniz PR&#44; et al&#46; Association between general and abdominal obesity with high blood pressure&#58; difference between genders&#46; J Pediatr &#40;Rio J&#41;&#46; 2016&#59;92&#58;174&#8211;80&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Estudo vinculado &#224; Faculdade Associa&#231;&#227;o Caruaruense de Ensino Superior e T&#233;cnico &#40;ASCES&#41;&#44; Caruaru&#44; PE&#44; Brasil&#46;</p>"
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          "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Preval&#234;ncias de risco elevado de obesidade geral &#40;IMC &#62; 23&#44;5&#41; e abdominal &#40;CC &#62; 80&#44;1&#41; e de press&#227;o arterial elevada &#40;percentil&#62;95&#41; em estudantes&#44; de ambos os g&#234;neros&#44; do Ensino M&#233;dio da Rede P&#250;blica Estadual de Pernambuco&#44; Brasil&#44; 2014&#46;</p> <p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">&#42; p &#60; 0&#44;05&#46;</p>"
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Mo&#231;as&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">45&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>18&#8208;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">78&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="char" valign="top"><span class="elsevierStyleItalic">Local de resid&#234;ncia</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Urbano&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">407&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">84&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Rural&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="char" valign="top"><span class="elsevierStyleItalic">Cor de pele</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Branca&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">128&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">26&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>N&#227;o branca&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">351&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">73&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="char" valign="top"><span class="elsevierStyleItalic">Escolaridade materna</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#62; 8 anos de estudo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 8 anos de estudo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">359&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">88&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="char" valign="top"><span class="elsevierStyleItalic">Ocupa&#231;&#227;o</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Trabalha&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">122&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">25&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>N&#227;o trabalha&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">357&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">74&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="char" valign="top"><span class="elsevierStyleItalic">Press&#227;o arterial elevada</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">450&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">93&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="char" valign="top"><span class="elsevierStyleItalic">&#205;ndice de massa corporal</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Rico muito baixo &#40;&#60;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>18&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">121&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">25&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Risco baixo &#40;18&#44;7 a 20&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">120&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Risco Moderado &#40;20&#44;7 a 23&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">120&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Risco alto &#40;&#62;23&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">120&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="char" valign="top"><span class="elsevierStyleItalic">Circunfer&#234;ncia da cintura</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Rico muito baixo &#40;&#60;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>69&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">136&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">28&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Risco baixo &#40;69&#44;1 a 73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">108&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Risco Moderado &#40;73&#44;1 a 80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">123&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">25&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Risco alto &#40;&#62;80&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">114&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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          "pt" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Caracter&#237;sticas socioecon&#244;micas&#44; demogr&#225;ficas e preval&#234;ncias de press&#227;o arterial elevada e obesidade geral e abdominal de estudantes do Ensino M&#233;dio da Rede P&#250;blica Estadual de Pernambuco&#44; Brasil&#44; 2014</p>"
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          "leyenda" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">IC&#44; intervalo de confian&#231;a&#46;</p>"
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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-with-role" title="table-head ; entry_with_role_rowhead " align="left" valign="top" scope="col">&#205;ndices antropom&#233;tricos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="8" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Press&#227;o arterial elevada</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">Odds ratio</span> &#40;Bruta&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">IC95&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">p&#8208;valor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">p&#8208;valor geral&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">Odds ratio</span> &#40;ajustada<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">IC95&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">p&#8208;valor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">p&#8208;valor geral&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleBold">Rapazes</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Circunfer&#234;ncia da cintura &#40;cm&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Rico muito baixo &#40;&#60;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>69&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Risco baixo &#40;69&#44;1 a 73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;46&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;04&#8208;5&#44;26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;535&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;03&#8208;4&#44;40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;439&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Risco moderado &#40;73&#44;1 a 80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;31&#8208;10&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;526&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;22&#8208;7&#44;76&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;765&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Risco alto &#40;&#62; 80&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&#44;93&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;69&#8208;37&#44;18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;009&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#44;97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;47&#8208;33&#44;15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;015&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#205;ndice de massa corporal &#40;kg&#47;m</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleItalic">&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Rico muito baixo &#40;&#60;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>18&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Risco baixo &#40;18&#44;7 a 20&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;46&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;04&#8208;5&#44;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;527&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;03&#8208;4&#44;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;442&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Risco moderado &#40;20&#44;7 a 23&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;50&#8208;14&#44;59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;247&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;42&#8208;12&#44;73&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;337&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Risco alto &#40;&#62;23&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&#44;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;60&#8208;35&#44;70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#44;44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;33&#8208;31&#44;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;020&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleBold">Mo&#231;as</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Circunfer&#234;ncia da cintura &#40;cm&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Rico muito baixo &#40;&#60;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>69&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;260&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;245&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Risco baixo &#40;69&#44;1 a 73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;04&#8208;3&#44;54&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;399&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;34&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;04&#8208;3&#44;15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;343&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Risco moderado &#40;73&#44;1 a 80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;03&#8208;3&#44;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;331&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;04&#8208;3&#44;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;335&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Risco alto &#40;&#62; 80&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;60&#8208;8&#44;25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;233&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;59&#8208;8&#44;41&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;235&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#205;ndice de massa corporal &#40;kg&#47;m</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleItalic">&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Rico muito baixo &#40;&#60;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>18&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;462&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;463&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Risco baixo &#40;18&#44;7 a 20&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;03&#8208;2&#44;34&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;227&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;03&#8208;2&#44;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;210&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Risco moderado &#40;20&#44;7 a 23&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;03&#8208;2&#44;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;200&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;02&#8208;2&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;174&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Risco alto &#40;&#62; 23&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;41&#8208;5&#44;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;529&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;54&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;41&#8208;5&#44;82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;524&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "pt" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Raz&#227;o de chance &#40;<span class="elsevierStyleItalic">odds ratio</span>&#41; bruta e ajustada entre a press&#227;o arterial elevada e a obesidade geral e abdominal &#40;quartis&#41; em estudantes&#44; de ambos os g&#234;neros&#44; do Ensino M&#233;dio da Rede P&#250;blica Estadual de Pernambuco&#44; Brasil&#44; 2014</p>"
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    "bibliografia" => array:2 [
      "titulo" => "Refer&#234;ncias"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
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            0 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "1"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The prevalence of elevated blood pressure and the association of obesity in asymptomatic female adolescent offsprings of hypertensive and normotensive parents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "V&#46; Singhal"
                            1 => "P&#46; Agal"
                            2 => "N&#46; Kamath"
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Clin Diagn Res"
                        "fecha" => "2012"
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