Estatísticas

 array:24 [
  "pii" => "S2255553616300544"
  "issn" => "22555536"
  "doi" => "10.1016/j.jpedp.2016.05.017"
  "estado" => "S300"
  "fechaPublicacion" => "2016-11-01"
  "aid" => "394"
  "copyrightAnyo" => "2016"
  "documento" => "article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "J Pediatr (Rio J). 2016;92:588-94"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1207
    "formatos" => array:3 [
      "EPUB" => 84
      "HTML" => 780
      "PDF" => 343
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S0021755716300420"
      "issn" => "00217557"
      "doi" => "10.1016/j.jped.2016.02.011"
      "estado" => "S300"
      "fechaPublicacion" => "2016-11-01"
      "aid" => "394"
      "copyright" => "Sociedade Brasileira de Pediatria"
      "documento" => "article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "fla"
      "cita" => "J Pediatr (Rio J). 2016;92:588-94"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1117
        "formatos" => array:3 [
          "EPUB" => 122
          "HTML" => 670
          "PDF" => 325
        ]
      ]
      "en" => array:12 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
        "titulo" => "Influence of breastfeeding in the first months of life on blood pressure levels of preschool children"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => array:2 [
          0 => "en"
          1 => "pt"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "588"
            "paginaFinal" => "594"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "pt" => array:1 [
            "titulo" => "Influ&#234;ncia do aleitamento materno nos primeiros meses de vida na press&#227;o arterial de pr&#233;-escolares"
          ]
        ]
        "contieneResumen" => array:2 [
          "en" => true
          "pt" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Luciana Neri Nobre, Angelina do Carmo Lessa"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "Luciana Neri"
                "apellidos" => "Nobre"
              ]
              1 => array:2 [
                "nombre" => "Angelina do Carmo"
                "apellidos" => "Lessa"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "pt" => array:9 [
          "pii" => "S2255553616300544"
          "doi" => "10.1016/j.jpedp.2016.05.017"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "pt"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2255553616300544?idApp=UINPBA000049"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0021755716300420?idApp=UINPBA000049"
      "url" => "/00217557/0000009200000006/v1_201611170050/S0021755716300420/v1_201611170050/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2255553616301070"
    "issn" => "22555536"
    "doi" => "10.1016/j.jpedp.2016.08.011"
    "estado" => "S300"
    "fechaPublicacion" => "2016-11-01"
    "aid" => "427"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "J Pediatr &#40;Rio J&#41;. 2016;92:595-601"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1930
      "formatos" => array:3 [
        "EPUB" => 92
        "HTML" => 1371
        "PDF" => 467
      ]
    ]
    "pt" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original</span>"
      "titulo" => "Prenatal&#44; perinatal and postnatal factors associated with autism spectrum disorder"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "595"
          "paginaFinal" => "601"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Fatores pr&#233;&#8208;natais&#44; perinatais e p&#243;s&#8208;natais associados ao transtorno do espectro do autismo"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1054
              "Ancho" => 1583
              "Tamanyo" => 74449
            ]
          ]
          "descripcion" => array:1 [
            "pt" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Distribui&#231;&#227;o de fatores pr&#233;&#8208;natais&#44; perinatais e p&#243;s&#8208;natais de acordo com a gravidade do TEA &#40;50 casos no total&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Imen Hadjkacem, H&#233;la Ayadi, Mariem Turki, Sourour Yaich, Khaoula Khemekhem, Adel Walha, Leila Cherif, Yousr Moalla, Farhat Ghribi"
          "autores" => array:9 [
            0 => array:2 [
              "nombre" => "Imen"
              "apellidos" => "Hadjkacem"
            ]
            1 => array:2 [
              "nombre" => "H&#233;la"
              "apellidos" => "Ayadi"
            ]
            2 => array:2 [
              "nombre" => "Mariem"
              "apellidos" => "Turki"
            ]
            3 => array:2 [
              "nombre" => "Sourour"
              "apellidos" => "Yaich"
            ]
            4 => array:2 [
              "nombre" => "Khaoula"
              "apellidos" => "Khemekhem"
            ]
            5 => array:2 [
              "nombre" => "Adel"
              "apellidos" => "Walha"
            ]
            6 => array:2 [
              "nombre" => "Leila"
              "apellidos" => "Cherif"
            ]
            7 => array:2 [
              "nombre" => "Yousr"
              "apellidos" => "Moalla"
            ]
            8 => array:2 [
              "nombre" => "Farhat"
              "apellidos" => "Ghribi"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0021755716301024"
        "doi" => "10.1016/j.jped.2016.01.012"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0021755716301024?idApp=UINPBA000049"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2255553616301070?idApp=UINPBA000049"
    "url" => "/22555536/0000009200000006/v1_201611170056/S2255553616301070/v1_201611170056/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2255553616301100"
    "issn" => "22555536"
    "doi" => "10.1016/j.jpedp.2016.08.014"
    "estado" => "S300"
    "fechaPublicacion" => "2016-11-01"
    "aid" => "431"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "J Pediatr &#40;Rio J&#41;. 2016;92:581-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1057
      "formatos" => array:3 [
        "EPUB" => 110
        "HTML" => 671
        "PDF" => 276
      ]
    ]
    "pt" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original</span>"
      "titulo" => "Parameters indicative of persistence of valvular pathology at initial diagnosis in acute rheumatic carditis&#58; the role of albumin and CD19 expression"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "581"
          "paginaFinal" => "587"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Par&#226;metros indicativos de persist&#234;ncia de patologia valvular no diagn&#243;stico inicial de cardite reum&#225;tica aguda&#58; o papel da albumina e da express&#227;o de CD19"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Taliha Oner, Rahmi Ozdemir, Dildar Bahar Genc, Mehmet Kucuk, Cem Karadeniz, Savas Demirpence, Murat Muhtar Yilmazer, Timur Mese, Vedide Tavli, Ferah Genel"
          "autores" => array:10 [
            0 => array:2 [
              "nombre" => "Taliha"
              "apellidos" => "Oner"
            ]
            1 => array:2 [
              "nombre" => "Rahmi"
              "apellidos" => "Ozdemir"
            ]
            2 => array:2 [
              "nombre" => "Dildar Bahar"
              "apellidos" => "Genc"
            ]
            3 => array:2 [
              "nombre" => "Mehmet"
              "apellidos" => "Kucuk"
            ]
            4 => array:2 [
              "nombre" => "Cem"
              "apellidos" => "Karadeniz"
            ]
            5 => array:2 [
              "nombre" => "Savas"
              "apellidos" => "Demirpence"
            ]
            6 => array:2 [
              "nombre" => "Murat Muhtar"
              "apellidos" => "Yilmazer"
            ]
            7 => array:2 [
              "nombre" => "Timur"
              "apellidos" => "Mese"
            ]
            8 => array:2 [
              "nombre" => "Vedide"
              "apellidos" => "Tavli"
            ]
            9 => array:2 [
              "nombre" => "Ferah"
              "apellidos" => "Genel"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0021755716301085"
        "doi" => "10.1016/j.jped.2016.01.013"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0021755716301085?idApp=UINPBA000049"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2255553616301100?idApp=UINPBA000049"
    "url" => "/22555536/0000009200000006/v1_201611170056/S2255553616301100/v1_201611170056/pt/main.assets"
  ]
  "pt" => array:19 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Artigo original</span>"
    "titulo" => "Influence of breastfeeding in the first months of life on blood pressure levels of preschool children"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "588"
        "paginaFinal" => "594"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Luciana Neri Nobre, Angelina do Carmo Lessa"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "Luciana Neri"
            "apellidos" => "Nobre"
            "email" => array:1 [
              0 => "lunerinobre&#64;yahoo&#46;com&#46;br"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Angelina do Carmo"
            "apellidos" => "Lessa"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Universidade Federal dos Vales do Jequitinhonha e Mucuri &#40;UFVJM&#41;&#44; Faculdade de Ci&#234;ncias Biol&#243;gicas e da Sa&#250;de&#44; Departamento de Nutri&#231;&#227;o&#44; Diamantina&#44; MG&#44; Brasil"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Autor para correspond&#234;ncia&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Influ&#234;ncia do aleitamento materno nos primeiros meses de vida na press&#227;o arterial de pr&#233;&#8208;escolares"
      ]
    ]
    "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">Algumas doen&#231;as usualmente frequentes em adultos t&#234;m atingido crian&#231;as de forma preocupante&#59; dentre elas podem ser citadas o excesso de peso e press&#227;o arterial elevada&#46; O excesso de peso &#8211; sobrepeso&#47;obesidade &#8211; tem sido considerado uma epidemia mundial&#46; A Pesquisa de Or&#231;amento Familiar de 2008&#8208;2009<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">1</span></a> revelou que esse problema tem atingindo aproximadamente 33&#44;5&#37; das crian&#231;as brasileiras entre cinco e nove anos&#46; De acordo com Friedman et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">2</span></a> o excesso de peso geralmente acompanha aumento da press&#227;o arterial&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">N&#237;veis press&#243;ricos elevados na inf&#226;ncia aumentam a chance de hipertens&#227;o arterial sist&#234;mica &#40;HAS&#41; no adulto e contribuem ainda para doen&#231;as cardiovasculares&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">2</span></a> Desse modo&#44; a identifica&#231;&#227;o e o tratamento precoce da hipertens&#227;o na inf&#226;ncia podem prevenir desfechos adversos futuros&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">A Sociedade Brasileira de Cardiologia<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">3</span></a> recomenda que seja aferida a press&#227;o arterial &#40;PA&#41; a partir dos tr&#234;s anos&#44; anualmente&#44; ou antes disso&#44; quando houver fatores de risco&#46; No entanto&#44; a metodologia complexa estabelecida para verifica&#231;&#227;o da PA em crian&#231;as faz com que muitos profissionais a excluam de sua rotina ou interpretem os valores aferidos de forma incorreta&#44; o que pode resultar em subdiagn&#243;stico e consequ&#234;ncias indesej&#225;veis para esses indiv&#237;duos&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">4</span></a> Assim&#44; provavelmente&#44; devido a esses fatores&#44; a preval&#234;ncia de press&#227;o arterial elevada no grupo infanto&#8208;juvenil foi durante muito tempo considerada insignificante&#46; No entanto&#44; diversas pesquisas identificaram que esse problema tem sido comum nessa fase da vida&#46;<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">5&#8211;11</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Tal como acontece com a maioria das doen&#231;as cr&#244;nicas n&#227;o transmiss&#237;veis&#44; a hipertens&#227;o tem como fatores de risco componentes gen&#233;ticos&#44; estilo de vida<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">3&#44;12</span></a> e pr&#225;ticas alimentares inadequadas&#46;<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">3&#44;10</span></a> Alguns estudos t&#234;m sugerido que a amamenta&#231;&#227;o pode tamb&#233;m ser um importante fator protetor contra doen&#231;as cardiovasculares&#44; hipertens&#227;o arterial&#44; dislipidemia e obesidade durante a inf&#226;ncia&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">13</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">No entanto&#44; o efeito protetor do aleitamento materno contra n&#237;veis press&#243;ricos elevados ainda &#233; controverso&#46; Apesar de algumas pesquisas terem identificado esse efeito&#44;<a class="elsevierStyleCrossRefs" href="#bib0205"><span class="elsevierStyleSup">11&#44;14</span></a> outras n&#227;o observaram&#46;<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">9&#44;15</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Para Balaban e Silva&#44;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">16</span></a> as experi&#234;ncias nutricionais nos primeiros meses de vida do indiv&#237;duo podem afetar sua suscetibilidade para doen&#231;as cr&#244;nicas na idade adulta&#44; o que tem sido chamado de <span class="elsevierStyleItalic">imprinting</span> metab&#243;lico&#44; termo que descreve um fen&#244;meno pelo qual uma experi&#234;ncia nutricional precoce atuaria durante um per&#237;odo cr&#237;tico e espec&#237;fico de desenvolvimento e poderia levar a uma programa&#231;&#227;o de mecanismos regulat&#243;rios&#44; por exemplo&#44; de regula&#231;&#227;o da press&#227;o arterial ao longo da vida&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Nesse sentido&#44; Horta et al&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a> citam que diferentes mecanismos biol&#243;gicos podem atuar nessa programa&#231;&#227;o&#44; dentre os quais a grande concentra&#231;&#227;o de &#225;cidos graxos poliinsaturados de cadeia longa&#44; que s&#227;o componentes estruturais importantes das membranas celulares&#44; inclusive do endot&#233;lio vascular&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Considerando os aspectos apresentados acima&#44; este estudo tem como objetivo verificar se o aleitamento materno nos primeiros meses de vida tem influ&#234;ncia na press&#227;o arterial de pr&#233;&#8208;escolares&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Sujeitos e local de estudo</span><p id="par0045" class="elsevierStylePara elsevierViewall">Trata&#8208;se de um estudo transversal aninhado numa coorte de nascimento da cidade de Diamantina&#44; Minas Gerais&#44; Brasil&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a> Detalhes da forma&#231;&#227;o da coorte e do estudo transversal foram descritos em outra publica&#231;&#227;o&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">19</span></a> Na presente pesquisa as crian&#231;as da coorte supracitada estavam com cinco anos&#44; com varia&#231;&#227;o de quatro meses para mais ou para menos&#44; e foram submetidas a avalia&#231;&#245;es antropom&#233;tricas&#44; socioecon&#244;micas e de press&#227;o arterial&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Diamantina fica no Vale do Jequitinhonha&#44; em Minas Gerais&#44; Brasil&#46; Tem uma taxa de alfabetiza&#231;&#227;o de 83&#44;4&#37; e &#237;ndice de desenvolvimento humano de 0&#44;748&#46; Entre os domic&#237;lios&#44; 90&#44;76&#37; s&#227;o abastecidos com &#225;gua tratada&#44; 70&#44;7&#37; com sistema de esgoto e 69&#44;67&#37; com coleta de lixo&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">20</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">Os dados desta pesquisa foram coletados entre 2004 e 2005 e entre 2009 e 2010&#46; No primeiro per&#237;odo foram coletados por uma nutricionista e discentes do Curso de Nutri&#231;&#227;o da Universidade Federal dos Vales do Jequitinhonha e Mucuri &#40;UFVJM&#41; e no segundo per&#237;odo por quatro nutricionistas e uma discente do Curso de Nutri&#231;&#227;o da referida Universidade&#46; Antes do in&#237;cio do estudo&#44; as pesquisadoras foram treinadas para padroniza&#231;&#227;o das medidas&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Cada crian&#231;a foi visitada em seu domic&#237;lio em ambos os per&#237;odos de estudo&#46; No primeiro todas as vari&#225;veis foram avaliadas no domic&#237;lio e no segundo foi feita uma visita domiciliar no qual foi aplicado um question&#225;rio ao respons&#225;vel pela crian&#231;a e em seguida foram agendados dia e hor&#225;rio para aferi&#231;&#227;o de medidas antropom&#233;tricas e de press&#227;o arterial das crian&#231;as e de suas m&#227;es&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Vari&#225;veis estudadas</span><p id="par0065" class="elsevierStylePara elsevierViewall">Dentre as vari&#225;veis avaliadas&#44; as usadas neste estudo s&#227;o o &#237;ndice de massa corporal &#40;IMC&#41;&#44; a circunfer&#234;ncia da cintura &#40;CC&#41;&#44; a renda familiar&#44; o n&#250;mero de moradores no domic&#237;lio e a press&#227;o arterial das crian&#231;as aos cinco anos e de suas m&#227;es&#46; Al&#233;m disso&#44; foram usadas informa&#231;&#245;es sobre peso corporal ao nascimento e tempo de aleitamento materno nos primeiros meses de vida&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">O peso das crian&#231;as foi aferido com balan&#231;a Kratos<span class="elsevierStyleSup">&#174;</span> port&#225;til &#40;Kratos&#174;&#44; SP&#44; Brasil&#41;&#44; eletr&#244;nica e digital&#44; com capacidade m&#225;xima de 150<span class="elsevierStyleHsp" style=""></span>kg e divis&#245;es de 50<span class="elsevierStyleHsp" style=""></span>g&#59; e a altura&#44; em estadi&#244;metro Altura Exata<span class="elsevierStyleSup">&#174;</span> &#40;Alturexata&#174;&#44; MG&#44; Brasil&#41; com escala de precis&#227;o de 0&#44;1<span class="elsevierStyleHsp" style=""></span>cm&#46; A medida da CC foi feita com fita m&#233;trica inextens&#237;vel no ponto m&#233;dio entre a crista il&#237;aca e a &#250;ltima costela&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">21</span></a> Essas medidas foram aferidas segundo protocolos recomendados por Jelliffe&#44;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">22</span></a> nas depend&#234;ncias da UFVJM&#44; no per&#237;odo matutino&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">O ponto de corte &#8805; 1 escore Z identificou crian&#231;as com excesso de peso de acordo com o IMC&#47;idade&#46;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">23</span></a> Os <span class="elsevierStyleItalic">softwares</span> WHO Anthro 2005 vers&#227;o 2&#46;0&#46;1 e WHO Anthro Plus 2009 vers&#227;o 3 foram usados para identifica&#231;&#227;o dos escores Z das crian&#231;as&#46; Vale destacar que foram usados os dois <span class="elsevierStyleItalic">softwares</span> tendo em vista que a idade das crian&#231;as durante a coleta de dados foi cinco anos com varia&#231;&#227;o de quatro meses para mais ou para menos&#46; Para an&#225;lise da vari&#225;vel CC definiram&#8208;se como categoria de risco valores acima do percentil 75&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">A renda familiar <span class="elsevierStyleItalic">per capita</span> da crian&#231;a foi calculada a partir de informa&#231;&#245;es sobre a renda familiar total e n&#250;mero de moradores no domic&#237;lio&#46; No per&#237;odo da pesquisa o sal&#225;rio m&#237;nimo vigente era de R&#36; 540&#46; Essas informa&#231;&#245;es foram obtidas por meio de um question&#225;rio estruturado aplicado &#224; m&#227;e ou ao respons&#225;vel pela crian&#231;a no domic&#237;lio&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">A press&#227;o arterial foi aferida numa &#250;nica ocasi&#227;o&#44; com tr&#234;s medidas num intervalo de 5 minutos cada&#44; precedidos por 10 minutos de descanso&#46; A m&#233;dia das tr&#234;s medidas foi usada para a an&#225;lise&#46; Foram usados monitores autom&#225;ticos de bra&#231;o modelo Omron<span class="elsevierStyleSup">&#174;</span> &#40;Omron&#174;&#44; Pa&#237;ses Baixos&#41; HEM&#8208;714INT e 781INT para avaliar PA dos pr&#233;&#8208;escolares e de suas m&#227;es&#44; respectivamente&#46; Essa medida ocorreu segundo orienta&#231;&#245;es dos fabricantes dos aparelhos&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">A classifica&#231;&#227;o da press&#227;o arterial seguiu crit&#233;rios da VI Diretrizes de Hipertens&#227;o Arterial&#44;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">3</span></a> as quais consideram para crian&#231;as e adolescentes valores de PA de acordo com os percentis de estatura para ambos os sexos abaixo do percentil 90 como <span class="elsevierStyleItalic">normotens&#227;o</span>&#44; desde que inferiores a 120&#47;80<span class="elsevierStyleHsp" style=""></span>mmHg&#59; entre os percentis 90 e 95&#44; como <span class="elsevierStyleItalic">lim&#237;trofe</span>&#44; e igual ou superior ao percentil 95&#44; como <span class="elsevierStyleItalic">hipertens&#227;o arterial</span>&#46; Neste estudo&#44; para os pr&#233;&#8208;escolares&#44; foram considerados &#8220;PA elevada&#8221; valores acima do percentil 90 e para as m&#227;es&#44; valores maiores ou igual a 140<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>90<span class="elsevierStyleHsp" style=""></span>mmHg&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">O aleitamento materno foi definido de acordo com as recomenda&#231;&#245;es da Organiza&#231;&#227;o Mundial de Sa&#250;de&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">24</span></a> Assim&#44; as crian&#231;as que permaneceram em aleitamento materno at&#233; os seis meses&#44; independentemente da introdu&#231;&#227;o de outros alimentos&#44; foram consideradas em aleitamento materno&#46; Os dados sobre a pr&#225;tica de aleitamento materno foram obtidos prospectivamente&#44; a partir do estudo de coorte&#44; quando as crian&#231;as foram visitadas&#44; tamb&#233;m no domic&#237;lio&#44; com periodicidade mensal&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">O presente estudo usou dados de dois estudos maiores intitulados &#8220;Alimenta&#231;&#227;o e crescimento no primeiro ano de vida&#58; um estudo de coorte&#8221;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a> e &#8220;Determinantes do estado nutricional de crian&#231;as aos cinco anos de idade do munic&#237;pio de Diamantina&#58; estudo de uma coorte avaliada no primeiro ano de vida&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">25</span></a> Ambos foram aprovados pelos Comit&#234;s de &#201;tica da UFVJM&#44; cujos n&#250;meros de protocolos s&#227;o 011&#47;05 e 039&#47;08&#44; respectivamente&#46; Para participar do estudo&#44; os pais ou respons&#225;veis pelas crian&#231;as assinaram um termo de consentimento livre e esclarecido&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">An&#225;lise estat&#237;stica</span><p id="par0105" class="elsevierStylePara elsevierViewall">A an&#225;lise de regress&#227;o log&#237;stica foi usada para determinar a influ&#234;ncia do aleitamento materno na presen&#231;a de press&#227;o arterial elevada nos pr&#233;&#8208;escolares&#46; Inicialmente&#44; fez&#8208;se a an&#225;lise bivariada&#44; aquelas vari&#225;veis que apresentaram valor de p menor do que 20&#37; foram selecionadas para a an&#225;lise multivariada&#46; O n&#237;vel de signific&#226;ncia definido para rejei&#231;&#227;o da hip&#243;tese de nulidade foi de 95&#37;&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">O poder da amostra foi calculado a <span class="elsevierStyleItalic">posteriori</span> com o <span class="elsevierStyleItalic">software</span> estat&#237;stico G&#42;Power&#46;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">26</span></a> Para essa an&#225;lise os par&#226;metros usados foram raz&#227;o de chances &#40;OR&#41; de 2&#44;6 para press&#227;o arterial elevada &#40;PAS&#47;PAD&#41; segundo o per&#237;odo de aleitamento materno obtido na an&#225;lise de regress&#227;o log&#237;stica n&#227;o ajustada e probabilidade m&#225;xima de erro de 5&#37;&#46; O poder identificado foi de 99 e foi considerado amostra adequada&#46;</p></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Resultados</span><p id="par0115" class="elsevierStylePara elsevierViewall">Este estudo &#233; um transversal aninhado numa coorte de nascimento e como dito anteriormente a forma&#231;&#227;o da coorte e do acompanhamento das crian&#231;as foi anteriormente publicada&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">19</span></a> Assim na busca das crian&#231;as para este estudo optou&#8208;se por estudar os pr&#233;&#8208;escolares eleg&#237;veis para a coorte&#44; e n&#227;o apenas os que foram acompanhados no primeiro ano de vida para evitar perdas significativas e que invalidasse o presente estudo&#44; j&#225; que houve perda de algumas crian&#231;as durante o seguimento&#46; Assim sendo&#44; neste estudo tivemos uma perda de 49 pr&#233;&#8208;escolares&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Foram avaliadas 230 crian&#231;as&#44; das quais 19 &#40;8&#44;2&#37;&#41; foram classificadas como com press&#227;o arterial elevada&#44; ou seja&#44; com valores de PAS&#47;PAD superiores ao percentil 90&#59; 6&#44;5&#37; e 3&#44;9&#37; com PAS e PAD elevadas&#44; respectivamente&#46; A preval&#234;ncia de aleitamento materno no sexto m&#234;s de vida foi de aproximadamente 74&#37; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0125" class="elsevierStylePara elsevierViewall">Os resultados da an&#225;lise bivariada das vari&#225;veis associadas &#224; press&#227;o arterial sist&#243;lica&#44; diast&#243;lica elevadas e ambas encontram&#8208;se na <a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#46; Observa&#8208;se que o peso ao nascimento e o tempo de aleitamento materno foram associados aos valores de PAS&#46; Nenhuma vari&#225;vel foi associada &#224; PAD&#59; no entanto&#44; o peso ao nascimento e tempo de aleitamento materno associaram&#8208;se aos valores de PAS&#47;PAD &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">No modelo ajustado&#44; o peso ao nascimento e o tempo de aleitamento materno permaneceram associados &#224; PAS elevada e o tempo de aleitamento materno &#224; PAS&#47;PAD elevadas &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Discuss&#227;o</span><p id="par0135" class="elsevierStylePara elsevierViewall">Entre os pr&#233;&#8208;escolares estudados a preval&#234;ncia de press&#227;o arterial elevada encontra&#8208;se dentro das estat&#237;sticas nacionais&#46; Nossos achados apontam que as crian&#231;as que nasceram com baixo peso e aquelas que amamentaram por per&#237;odo inferior a seis meses apresentaram maior chance de estar com press&#227;o arterial sist&#243;lica elevada aos cinco anos&#46; A PAD elevada n&#227;o se associou a alguma vari&#225;vel avaliada e as crian&#231;as que foram amamentadas por per&#237;odo inferior a seis meses&#44; quando comparadas com as que amamentaram por per&#237;odo superior&#44; apresentarem maiores valores de PAS&#47;PAD&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">No Brasil n&#227;o h&#225; estat&#237;stica nacional sobre preval&#234;ncia de press&#227;o elevada no grupo infanto&#8208;juvenil&#44; o que dificulta o conhecimento do real problema enfrentado pelas nossas crian&#231;as&#46; Al&#233;m disso&#44; acredita&#8208;se que a press&#227;o arterial elevada na inf&#226;ncia seja rara e sua incid&#234;ncia acaba subestimada pela dificuldade de diagn&#243;stico&#44; que requer t&#233;cnica&#44; material e ambiente adequados para aferi&#231;&#227;o da press&#227;o&#46;<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">4&#44;27</span></a> Ademais&#44; por ser considerada pouco prevalente&#44; n&#227;o &#233; conduta rotineira a aferi&#231;&#227;o da press&#227;o arterial em consultas de rotina desse grupo&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">No entanto&#44; vale destacar que as pesquisas citadas neste estudo<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">5&#8211;11&#44;28</span></a> que avaliaram press&#227;o arterial elevada em crian&#231;as e&#47;ou adolescentes identificaram preval&#234;ncias de 1&#44;7 a 19&#44;9&#37;&#46; Nenhuma dessas pesquisas citou o hor&#225;rio em que foi medida a press&#227;o e houve tamb&#233;m varia&#231;&#227;o na metodologia de aferi&#231;&#227;o&#44; ou seja&#44; os aparelhos usados variaram de autom&#225;tico a esfigmoman&#244;metro aneroide&#44; e tamb&#233;m o n&#250;mero de medidas e intervalo entre as medidas&#59; essas varia&#231;&#245;es podem explicar diferen&#231;as nessas estat&#237;sticas&#46; Al&#233;m disso&#44; os pontos de corte usados para classifica&#231;&#227;o de press&#227;o arterial elevada variaram entre acima dos percentis 90 ou 95&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Um aspecto importante que deve ser citado &#233; a possibilidade de a medida da press&#227;o ser resultante da s&#237;ndrome do avental branco&#44; uma vez que nesta pesquisa a press&#227;o foi aferida em uma &#250;nica ocasi&#227;o e para a maioria das crian&#231;as era a primeira vez que a press&#227;o arterial era medida&#46; Esse dificultador&#44; no entanto&#44; deve ser compartilhado pela maioria das pesquisas de cunho transversal&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Vale destacar&#44; todavia&#44; que o cuidado no cumprimento da metodologia de aferi&#231;&#227;o pode ter minimizado esse problema&#46; Nesta pesquisa a PA foi avaliada no per&#237;odo matutino&#44; tr&#234;s medidas de press&#227;o foram feitas com intervalo de cinco minutos cada e a m&#233;dia foi usada para an&#225;lise&#46; Al&#233;m disso&#44; o aparelho usado para essa medida disp&#245;e de um sistema autom&#225;tico que detecta arritmia e sensor de movimento do corpo&#44; dispositivos que orientaram as pesquisadoras sobre a possibilidade dessa s&#237;ndrome&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">Sobre a rela&#231;&#227;o entre tempo de aleitamento materno e press&#227;o arterial&#44; nossos achados corroboram outras pesquisas&#44; que tamb&#233;m identificaram associa&#231;&#227;o entre menor tempo de aleitamento materno e aumento da press&#227;o arterial na inf&#226;ncia&#46;<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">9&#44;11&#44;14&#44;28&#44;29</span></a> No presente estudo as crian&#231;as que amamentaram por per&#237;odo inferior a seis meses apresentaram um risco 4 vezes maior de PAS elevada e 3 vezes maior de PAS&#47;PAD elevadas quando comparadas com foram amamentadas por per&#237;odo superior&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">&#201; importante ressaltar que o presente estudo &#233; transversal aninhado numa coorte e isso confere maior consist&#234;ncia aos achados&#44; tendo em vista que a coleta dos dados de aleitamento materno foi prospectiva&#44; ou seja&#44; ela foi avaliada mensalmente no primeiro ano de vida das crian&#231;as&#44; e isso reduziu um importante vi&#233;s&#44; que &#233; o de mem&#243;ria das m&#227;es sobre a pr&#225;tica alimentar de seus filhos&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Assim como neste estudo&#44; Amorin et al&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">11</span></a> e Naghettini et al&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">28</span></a> observaram m&#233;dia de press&#227;o arterial sist&#243;lica maior entre as crian&#231;as com menor tempo de aleitamento materno quando comparadas com aquelas com maior tempo&#46; Martin et al&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">14</span></a> tamb&#233;m observaram resultado similar numa coorte de crian&#231;as do Reino Unido&#46; Esses pesquisadores observaram que aos sete anos e meio as crian&#231;as que foram amamentadas apresentaram press&#227;o arterial sist&#243;lica 1&#44;2<span class="elsevierStyleHsp" style=""></span>mmHg e diast&#243;lica de 0&#44;9<span class="elsevierStyleHsp" style=""></span>mmHg menor quando comparadas com aquelas que nunca amamentaram&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">No estudo de Lawlor et al&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">29</span></a> com estudantes entre 9 e 15 anos&#44; os pesquisadores identificaram associa&#231;&#227;o significativa entre per&#237;odo de amamenta&#231;&#227;o e press&#227;o arterial&#44; com efeito dose&#8208;resposta&#44; ou seja&#44; maiores redu&#231;&#245;es na press&#227;o arterial ocorreu entre os com maior tempo de aleitamento materno exclusivo&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Na presente pesquisa a preval&#234;ncia de PAD elevada foi menor do que PAS elevada&#44; o que justifica a aus&#234;ncia de associa&#231;&#227;o com as vari&#225;veis estudadas&#46; Esse resultado era esperado&#44; j&#225; que o grupo estudado &#233; de crian&#231;as em idade pr&#233;&#8208;escolar e sem diagn&#243;stico de alguma doen&#231;a que poderia afetar o sistema circulat&#243;rio&#46; E considerando que a medida de press&#227;o arterial avalia a contra&#231;&#227;o card&#237;aca &#40;PAS&#41; e o subsequente impulso sangu&#237;neo &#224;s partes corporais extracard&#237;acas &#40;PAD&#41;&#44; o qual &#233; um indicativo da for&#231;a do fluxo nas art&#233;rias&#44; n&#227;o &#233; comum verificar esse tipo de altera&#231;&#227;o em crian&#231;as consideradas h&#237;gidas&#44; como nesta pesquisa&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">Na perspectiva dos mecanismos propostos j&#225; citados neste estudo sobre o efeito do leite materno sobre a press&#227;o arterial&#44;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">16</span></a> Forsyth et al&#46;<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">30</span></a> desenvolveram pesquisa na qual beb&#234;s foram alimentados no per&#237;odo neonatal com f&#243;rmula l&#225;ctea suplementada com &#225;cidos graxos poli&#8208;insaturados de cadeia longa&#46; Esses pesquisadores observaram que no fim da inf&#226;ncia essas crian&#231;as apresentaram uma redu&#231;&#227;o de 3<span class="elsevierStyleHsp" style=""></span>mmHg na press&#227;o arterial&#44; quando comparadas com crian&#231;as que receberam f&#243;rmula sem a suplementa&#231;&#227;o com esses &#225;cidos graxos&#46;</p><p id="par0190" class="elsevierStylePara elsevierViewall">Embora pesquisa desenvolvida por Yi et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">8</span></a> com crian&#231;as chinesas&#44; tenha identificado que hist&#243;ria familiar de hipertens&#227;o arterial&#44; valores de circunfer&#234;ncia da cintura e &#237;ndice de massa corporal foram associados com press&#227;o arterial das crian&#231;as avaliadas&#44; neste estudo essas vari&#225;veis n&#227;o foram associadas com PA dos pr&#233;&#8208;escolares estudados&#46; No presente estudo&#44; foram vari&#225;veis de controle da rela&#231;&#227;o principal investigada&#46;</p><p id="par0195" class="elsevierStylePara elsevierViewall">Uma limita&#231;&#227;o do presente estudo &#233; a sua transversalidade&#44; o que dificulta identificar rela&#231;&#227;o causal&#46; Os ensaios cl&#237;nicos randomizados e estudo de coorte s&#227;o mais apropriados para identifica&#231;&#227;o de causalidade&#46; Al&#233;m disso&#44; outras vari&#225;veis como alimenta&#231;&#227;o e hipertens&#227;o paterna n&#227;o foram estudadas e podem exercer efeito de confundimento na associa&#231;&#227;o observada&#46;</p><p id="par0200" class="elsevierStylePara elsevierViewall">Os resultados desta pesquisa apontam que os pr&#233;&#8208;escolares amamentados por um per&#237;odo inferior a seis meses&#44; quando comparados com os que amamentaram por um per&#237;odo superior&#44; apresentaram maior chance de estar com press&#227;o arterial elevada&#44; o que sugere efeito protetor do aleitamento materno contra eleva&#231;&#227;o da press&#227;o arterial na popula&#231;&#227;o estudada&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Financiamento</span><p id="par0205" class="elsevierStylePara elsevierViewall">Funda&#231;&#227;o de Amparo &#224; Pesquisa do Estado de Minas Gerais &#40;Fapemig&#41;&#44; processo APQ&#8208;00428&#8208;08&#41;&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Conflitos de interesse</span><p id="par0210" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:11 [
        0 => array:3 [
          "identificador" => "xres758999"
          "titulo" => "Abstract"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abst0005"
              "titulo" => "Objective"
            ]
            1 => array:2 [
              "identificador" => "abst0010"
              "titulo" => "Methods"
            ]
            2 => array:2 [
              "identificador" => "abst0015"
              "titulo" => "Results"
            ]
            3 => array:2 [
              "identificador" => "abst0020"
              "titulo" => "Conclusion"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec760953"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres759000"
          "titulo" => "Resumo"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abst0025"
              "titulo" => "Objetivo"
            ]
            1 => array:2 [
              "identificador" => "abst0030"
              "titulo" => "M&#233;todos"
            ]
            2 => array:2 [
              "identificador" => "abst0035"
              "titulo" => "Resultados"
            ]
            3 => array:2 [
              "identificador" => "abst0040"
              "titulo" => "Conclus&#227;o"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec760952"
          "titulo" => "Palavras&#8208;chave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introdu&#231;&#227;o"
        ]
        5 => array:3 [
          "identificador" => "sec0010"
          "titulo" => "M&#233;todos"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0015"
              "titulo" => "Sujeitos e local de estudo"
            ]
            1 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "Vari&#225;veis estudadas"
            ]
            2 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "An&#225;lise estat&#237;stica"
            ]
          ]
        ]
        6 => array:2 [
          "identificador" => "sec0030"
          "titulo" => "Resultados"
        ]
        7 => array:2 [
          "identificador" => "sec0035"
          "titulo" => "Discuss&#227;o"
        ]
        8 => array:2 [
          "identificador" => "sec0040"
          "titulo" => "Financiamento"
        ]
        9 => array:2 [
          "identificador" => "sec0045"
          "titulo" => "Conflitos de interesse"
        ]
        10 => array:1 [
          "titulo" => "Refer&#234;ncias"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2015-09-10"
    "fechaAceptado" => "2016-01-26"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec760953"
          "palabras" => array:3 [
            0 => "Child"
            1 => "Breastfeeding"
            2 => "Blood pressure"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras&#8208;chave"
          "identificador" => "xpalclavsec760952"
          "palabras" => array:3 [
            0 => "Crian&#231;a"
            1 => "Aleitamento materno"
            2 => "Press&#227;o arterial"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To investigate whether breastfeeding in early life affects blood pressure of preschoolers&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cross&#8208;sectional study nested in a cohort from a municipality in the state of Minas Gerais&#44; Brazil&#46; All children in the cohort were invited for this study&#46; Thus&#44; between 2009 and 2010&#44; blood pressure of 230 preschool children and their mothers&#44; in addition to anthropometric variables&#44; previous history&#44; and socioeconomic status were evaluated&#46; Blood pressure measurement was assessed in the morning&#44; using automatic Omron<span class="elsevierStyleSup">&#174;</span> HEM&#8208;714INT and HEM&#8208;781INT devices to measure the blood pressure of preschool children and their mothers&#44; respectively&#46; Logistic regression was used to study the association between breastfeeding and blood pressure&#46; The significance level was set at 5&#37;&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0915" class="elsevierStyleSimplePara elsevierViewall">This study identified 19 &#40;8&#46;26&#37;&#41; preschool children with high blood pressure &#40;values above the 90th percentile&#41;&#46; High systolic blood pressure was associated with low birth weight &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#46;41&#59; 95&#37; CI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;45&#8211;20&#46;23&#41; and total breastfeeding duration of less than six months &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#46;14&#59; 95&#37; CI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;40&#8211;11&#46;95&#41;&#46; High diastolic blood pressure was not associated with any variable&#44; whereas high systolic blood pressure&#47;diastolic blood pressure ratio was associated with breastfeeding duration of less than six months &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#46;48&#59; 95&#37; CI<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;34&#8211;9&#46;1&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The results of this study indicate that preschoolers breastfed for a period of less than six months were more likely to have high blood pressure when compared to those breastfed for a longer period&#44; suggesting a protective effect of breastfeeding against high blood pressure in this population&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Objective"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Methods"
          ]
          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Results"
          ]
          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusion"
          ]
        ]
      ]
      "pt" => array:3 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Investigar se aleitamento nos primeiros meses de vida tem influ&#234;ncia sobre a press&#227;o arterial de pr&#233;&#8208;escolares&#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 transversal aninhado numa coorte de nascidos num munic&#237;pio mineiro&#46; Foram convidadas todas as crian&#231;as da coorte&#46; Entre 2009 e 2010&#44; foram avaliados press&#227;o arterial &#40;PA&#41; de 230 pr&#233;&#8208;escolares e de suas m&#227;es&#44; al&#233;m de vari&#225;veis antropom&#233;tricas e pregressas e condi&#231;&#227;o socioecon&#244;mica&#46; A medida da PA foi feita de manh&#227;&#44; com os monitores autom&#225;ticos de bra&#231;o Omron<span class="elsevierStyleSup">&#174;</span> modelo HEM&#8208;714INT e HEM&#8208;781INT para medir a press&#227;o arterial dos pr&#233;&#8208;escolares e de suas m&#227;es&#44; respectivamente&#46; Para o estudo da rela&#231;&#227;o entre aleitamento materno e press&#227;o arterial usou&#8208;se a regress&#227;o log&#237;stica&#46; O n&#237;vel de signific&#226;ncia adotado foi 5&#37;&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Foram identificados 19 &#40;8&#44;26&#37;&#41; pr&#233;&#8208;escolares com press&#227;o arterial elevada &#40;valores acima do percentil 90&#41;&#46; A press&#227;o arterial sist&#243;lica &#40;PAS&#41; elevada se associou ao baixo peso ao nascimento &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#44;41&#59; IC 95&#37;&#61; 1&#44;45&#8208;20&#44;23&#41; e ao per&#237;odo total de aleitamento materno inferior a seis meses &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#44;14&#59; IC 95&#37;&#61; 1&#44;40&#8208;11&#44;95&#41;&#46; Elevada press&#227;o arterial diast&#243;lica &#40;PAD&#41; n&#227;o se associou a qualquer vari&#225;vel e a PAS&#47;PAD elevadas se associaram ao per&#237;odo de aleitamento materno inferior a seis meses &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#44;48&#59; IC 95&#37;&#61; 1&#44;34&#8208;9&#44;1&#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">Os pr&#233;&#8208;escolares amamentados por um per&#237;odo inferior a seis meses&#44; quando comparados com os que amamentaram por um per&#237;odo superior&#44; apresentaram maior chance de estar com press&#227;o arterial elevada&#44; o que sugere efeito protetor do aleitamento materno contra eleva&#231;&#227;o da press&#227;o arterial na popula&#231;&#227;o estudada&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Objetivo"
          ]
          1 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "M&#233;todos"
          ]
          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Resultados"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclus&#227;o"
          ]
        ]
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0050">Como citar este artigo&#58; Nobre LN&#44; Lessa AC&#46; Influence of breastfeeding in the first months of life on blood pressure levels of preschool children&#46; J Pediatr &#40;Rio J&#41;&#46; 2016&#59;92&#58;588&#8211;94&#46;</p>"
      ]
    ]
    "multimedia" => array:3 [
      0 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Tabela 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at1"
            "detalle" => "Tabela "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar1070" class="elsevierStyleSimplePara elsevierViewall">SM&#44; sal&#225;rio m&#237;nimo&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " rowspan="2" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis avaliadas</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Pr&#233;&#8208;escolares estudados &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>230&#41;</th></tr><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">n</span>&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">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Sexo</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Feminino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">141&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">61&#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>Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">38&#44;7&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="left" valign="top"><span class="elsevierStyleItalic">Peso ao nascimento &#40;quilos&#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>&#8805;2&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">213&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">82&#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;2&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&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;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="left" valign="top"><span class="elsevierStyleItalic">Aleitamento materno &#40;meses&#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>&#8805;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">169&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;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>&#60;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">61&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;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="left" valign="top"><span class="elsevierStyleItalic">Excesso de peso atual &#40;IMC&#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>N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">190&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">82&#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="char" valign="top">40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&#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="left" valign="top"><span class="elsevierStyleItalic">Circunfer&#234;ncia da cintura</span><a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">213&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">92&#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>&#8805;p75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&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;0&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="left" valign="top"><span class="elsevierStyleItalic">PAS da crian&#231;a &#40;mmHg&#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>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">215&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;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>Elevada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&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;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="left" valign="top"><span class="elsevierStyleItalic">PAD da crian&#231;a &#40;mmHg&#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>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">221&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">96&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Elevada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&#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="left" valign="top"><span class="elsevierStyleItalic">PAS&#47;PAD da crian&#231;a &#40;mmHg&#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>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">211&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">91&#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>Elevada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#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="left" valign="top"><span class="elsevierStyleItalic">PAS&#47;PAD da m&#227;e &#40;mmHg&#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>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">191&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;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>Elevada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">35&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;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="left" valign="top"><span class="elsevierStyleItalic">Renda per capita mensal &#40;R&#36;&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60;&#189; SM&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">198&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">85&#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>&#8805;&#189; SM&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">34&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1254132.png"
              ]
            ]
          ]
          "notaPie" => array:2 [
            0 => array:3 [
              "identificador" => "tblfn0005"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Definiu&#8208;se como categoria de risco valores de CC acima do percentil 75&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0010"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Sal&#225;rio m&#237;nimo vigente na &#233;poca da pesquisa R&#36; 540&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Caracter&#237;sticas socioecon&#244;micas&#44; materna&#44; pregressas e atuais dos pr&#233;&#8208;escolares&#46; Diamantina&#44; MG&#8208;2010</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "tbl0010"
        "etiqueta" => "Tabela 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at2"
            "detalle" => "Tabela "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " rowspan="2" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis</th><th class="td" title="table-head  " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">PAS<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">d</span></a></th><th class="td" title="table-head  " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">PAD<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">d</span></a></th><th class="td" title="table-head  " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">PAS&#47;PAD<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">d</span></a></th></tr><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">OR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">IC 95&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span>&#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">OR bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">IC 95&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span>&#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">OR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">IC 95&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span>&#8208;valor&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="10" align="left" valign="top"><span class="elsevierStyleItalic">Sexo</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">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="left" 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="left" 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></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Feminino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;7&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;2&#8208;2&#44;2&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;51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;2&#8208;2&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;72&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;7&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;3&#8208;1&#44;7&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&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="10" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="10" align="left" valign="top"><span class="elsevierStyleItalic">Peso ao nascer &#40;kg&#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>&#8805;2&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">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="left" 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="left" 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></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;2&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;6&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;6&#8208;20&#44;2&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;008&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;7&#8208;20&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#44;6&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;7&#8208;10&#44;1&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;16&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="10" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="10" align="left" valign="top"><span class="elsevierStyleItalic">Aleitamento total &#40;meses&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">a</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" 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="left" 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="left" 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></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;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;7&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;6&#8208;13&#44;8&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;005&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;6&#8208;8&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;5&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;3&#8208;9&#44;0&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;001&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="10" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="10" align="left" valign="top"><span class="elsevierStyleItalic">Excesso de peso &#40;Kg&#47;m</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></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>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">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="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" 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></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">1&#44;2&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;3&#8208;4&#44;5&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;78&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;9&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;2&#8208;3&#44;2&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;85&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="10" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="10" align="left" valign="top"><span class="elsevierStyleItalic">CC &#40;cm&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">b</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" 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="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" 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></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>&#8805;p75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#44;0&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;4&#8208;9&#44;9&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;37&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;5&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;3&#8208;7&#44;3&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;58&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="10" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="10" align="left" valign="top"><span class="elsevierStyleItalic">PAS&#47;PAD da m&#227;e &#40;mmHg&#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>Normal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" 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="left" 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="left" 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></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>Elevada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;4&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;4&#8208;5&#44;2&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;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;3&#8208;8&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;5&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;5&#8208;4&#44;9&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;48&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="10" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="10" align="left" valign="top"><span class="elsevierStyleItalic">Renda per capita &#40;R&#36;&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">c</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;&#189; SM&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" 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="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" 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></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;&#189; SM&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;7&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;2&#8208;2&#44;5&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;55&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleBold">&#8208;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;9&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;2&#8208;3&#44;3&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;89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1254133.png"
              ]
            ]
          ]
          "notaPie" => array:4 [
            0 => array:3 [
              "identificador" => "tblfn0015"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Valor refere ao tempo total de aleitamento materno&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0020"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">Refere&#8208;se &#224; circunfer&#234;ncia da cintura&#46;</p>"
            ]
            2 => array:3 [
              "identificador" => "tblfn0025"
              "etiqueta" => "c"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0025">Valor refere a um sal&#225;rio m&#237;nimo &#40;SM&#41; de R&#36; 540&#46;</p>"
            ]
            3 => array:3 [
              "identificador" => "tblfn0030"
              "etiqueta" => "d"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0030">Valores elevados foram aqueles superiores ao percentil 90 isoladamente &#40;press&#227;o arterial sist&#243;lica &#8211; PA ou diast&#243;lica &#8211; PAD&#41; ou de ambas &#40;PAS&#47;PAD&#41;&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Odds ratio</span> bruta &#40;OR&#41; e seus respectivos intervalos de confian&#231;a &#40;IC&#41; da an&#225;lise das vari&#225;veis associadas &#224; press&#227;o arterial dos pr&#233;&#8208;escolares&#46; Diamantina&#44; MG&#8208;2010</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "tbl0015"
        "etiqueta" => "Tabela 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at3"
            "detalle" => "Tabela "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">N&#237;vel de signific&#226;ncia adotado 5&#37; de probabilidade&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " rowspan="2" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis</th><th class="td" title="table-head  " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">PAS<a class="elsevierStyleCrossRef" href="#tblfn0035"><span class="elsevierStyleSup">a</span></a></th><th class="td" title="table-head  " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">PAS&#47;PAD<a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">b</span></a></th></tr><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">OR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">IC 95&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span>&#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">OR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">IC 95&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span>&#8208;valor&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="7" align="left" valign="top"><span class="elsevierStyleItalic">Peso ao nascer &#40;kg&#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>&#8805;2&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">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="left" 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></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;2&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;0&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;5&#8208;23&#44;3&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="left" valign="top">2&#44;6&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;6&#8208;10&#44;5&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;171&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="7" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="7" align="left" valign="top"><span class="elsevierStyleItalic">Aleitamento total &#40;meses&#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>&#8805;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" 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="left" 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></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;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;9&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;6&#8208;14&#44;9&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;005&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;5&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;3&#8208;9&#44;1&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></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1254131.png"
              ]
            ]
          ]
          "notaPie" => array:2 [
            0 => array:3 [
              "identificador" => "tblfn0035"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0035">Press&#227;o arterial sist&#243;lica &#40;PAS&#41; &#8211; An&#225;lise ajustada para tempo de aleitamento materno e peso ao nascimento&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0040"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0040">Press&#227;o arterial sist&#243;lica &#40;PAS&#41; e press&#227;o arterial diast&#243;lica &#40;PAD&#41; &#8211; An&#225;lise ajustada para tempo de aleitamento materno e peso ao nascimento&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Odds ratio</span> ajustada &#40;OR&#41; e seus respectivos intervalos de confian&#231;a &#40;IC&#41; da an&#225;lise das vari&#225;veis associadas &#224; press&#227;o arterial de pr&#233;&#8208;escolares&#46; Diamantina&#44; MG&#8208;2010</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Refer&#234;ncias"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:30 [
            0 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pesquisa de or&#231;amentos familiares 2008&#8208;2009&#58; antropometria e estado nutricional de crian&#231;as&#44; adolescentes e adultos no Brasil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Instituto Brasileiro de Geografia e Estat&#237;stica &#40;IBGE&#41;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2010"
                        "editorial" => "IBGE"
                        "editorialLocalizacion" => "Rio de Janeiro"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0160"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cardiovascular disease risk in healthy children and its association with body mass index&#58; systematic review and meta&#8208;analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46; Friedemann"
                            1 => "C&#46; Heneghan"
                            2 => "K&#46; Mahtani"
                            3 => "M&#46; Thompson"
                            4 => "R&#46; Perera"
                            5 => "A&#46;M&#46; Ward"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2012"
                        "volumen" => "345"
                        "paginaInicial" => "e4759"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23015032"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0165"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "VI Diretrizes Brasileiras de Hipertens&#227;o"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Sociedade Brasileira de Cardiologia&#47;Sociedade Brasileira de Hipertens&#227;o&#47;Sociedade Brasileira de Nefrologia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "2010"
                        "volumen" => "95"
                        "paginaInicial" => "1"
                        "paginaFinal" => "51"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21340292"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0170"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patient&#8208;&#44; provider&#8208;&#44; and clinic&#8208;level predictors of unrecognized elevated blood pressure in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46;M&#46; Brady"
                            1 => "B&#46;S&#46; Solomon"
                            2 => "A&#46;M&#46; Neu"
                            3 => "G&#46;K&#46; Siberry"
                            4 => "R&#46;S&#46; Parekh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1542/peds.2009-0555"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "2010"
                        "volumen" => "125"
                        "paginaInicial" => "e1286"
                        "paginaFinal" => "e1293"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20439598"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0175"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Aumento da press&#227;o arterial e obesidade na inf&#226;ncia&#58; uma avalia&#231;&#227;o transversal de 4&#46;609 escolares"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46;F&#46; Rosaneli"
                            1 => "C&#46;P&#46; Baena"
                            2 => "F&#46; Auler"
                            3 => "A&#46;T&#46; Nakashima"
                            4 => "E&#46;R&#46; Netto-Oliveira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "2014"
                        "volumen" => "103"
                        "paginaInicial" => "238"
                        "paginaFinal" => "244"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25076178"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0180"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association between general and abdominal obesity with high blood pressure&#58; difference between genders"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;O&#46; Silva"
                            1 => "M&#46;V&#46; Silva"
                            2 => "L&#46;K&#46; Pereira"
                            3 => "W&#46;M&#46; Feitosa"
                            4 => "R&#46;M&#46; Ritti-Dias"
                            5 => "P&#46;R&#46; Diniz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Pediatr &#40;Rio J&#41;"
                        "fecha" => "2016"
                        "volumen" => "92"
                        "paginaInicial" => "174"
                        "paginaFinal" => "180"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0185"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fast foods and physical inactivity are risk factors for obesity and hypertension among adolescent school children in east district of Sikkim&#44; India"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46; Kar"
                            1 => "B&#46; Khandelwal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4103/0976-9668.160004"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Nat Sci Biol Med"
                        "fecha" => "2015"
                        "volumen" => "6"
                        "paginaInicial" => "356"
                        "paginaFinal" => "359"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26283829"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0190"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalence and correlates of elevated blood pressure in Chinese children aged 6&#8208;13 years&#58; a nationwide school&#8208;based survey"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "Z&#46; Yi"
                            1 => "L&#46;W&#46; Rong"
                            2 => "S&#46; Chong"
                            3 => "F&#46; Qian"
                            4 => "S&#46;X&#46; Ming"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3967/bes2015.057"
                      "Revista" => array:6 [
                        "tituloSerie" => "Biomed Environ Sci"
                        "fecha" => "2015"
                        "volumen" => "28"
                        "paginaInicial" => "401"
                        "paginaFinal" => "409"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26177900"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0195"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fatores de risco associados aos n&#237;veis press&#243;ricos elevados em crian&#231;as de dois a cinco anos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46;A&#46; Crispim"
                            1 => "M&#46;R&#46; Peixoto"
                            2 => "P&#46;C&#46; Jardim"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.5935/abc.20130227"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "2014"
                        "volumen" => "102"
                        "paginaInicial" => "39"
                        "paginaFinal" => "46"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24263779"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0200"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Trends in elevated blood pressure among US children and adolescents&#58; 1999&#8208;2012"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "B&#46; Xi"
                            1 => "T&#46; Zhang"
                            2 => "M&#46; Zhan"
                            3 => "F&#46; Liu"
                            4 => "X&#46; Zong"
                            5 => "M&#46; Zhao"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/ajh/hpv091"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Hypertens"
                        "fecha" => "2016"
                        "volumen" => "29"
                        "paginaInicial" => "217"
                        "paginaFinal" => "225"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26158854"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1078143911001517"
                          "estado" => "S300"
                          "issn" => "10781439"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0205"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Is breastfeeding protective for blood pressure in schoolchildren&#63; A cohort study in northeast Brazil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;J&#46; Amorim"
                            1 => "A&#46;F&#46; Coelho"
                            2 => "P&#46;I&#46; Lira"
                            3 => "M&#46;C&#46; Lima"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1089/bfm.2013.0118"
                      "Revista" => array:6 [
                        "tituloSerie" => "Breastfeed Med"
                        "fecha" => "2014"
                        "volumen" => "9"
                        "paginaInicial" => "149"
                        "paginaFinal" => "156"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24380584"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0210"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Childhood physical&#44; environmental&#44; and genetic predictors of adult hypertension&#58; the Cardiovascular Risk in Young Finns study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Juhola"
                            1 => "M&#46; Oikonen"
                            2 => "V&#46;M&#46; Magnussen"
                            3 => "V&#46; Mikkil&#228;"
                            4 => "N&#46; Siitonen"
                            5 => "E&#46; Jokinen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/CIRCULATIONAHA.111.085977"
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "2012"
                        "volumen" => "126"
                        "paginaInicial" => "402"
                        "paginaFinal" => "409"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22718800"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0215"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The protective effects of breastfeeding on chronic non&#8208;communicable diseases in adulthood&#58; a review of evidence"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Kelishadi"
                            1 => "S&#46; Farajian"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4103/2277-9175.124629"
                      "Revista" => array:5 [
                        "tituloSerie" => "Adv Biomed Res"
                        "fecha" => "2014"
                        "volumen" => "3"
                        "paginaInicial" => "3"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24600594"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0220"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Does breast&#8208;feeding in infancy lower blood pressure in childhood&#63; The Avon Longitudinal Study of Parents and Children &#40;ALSPAC&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46;M&#46; Martin"
                            1 => "A&#46;R&#46; Ness"
                            2 => "D&#46; Gunnell"
                            3 => "P&#46; Emmett"
                            4 => "S&#46;G&#46; Davey"
                            5 => "ALSPAC Study Team"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/01.CIR.0000118468.76447.CE"
                      "Revista" => array:7 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "2004"
                        "volumen" => "109"
                        "paginaInicial" => "1259"
                        "paginaFinal" => "1266"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14993142"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0302283810001120"
                          "estado" => "S300"
                          "issn" => "03022838"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0225"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association of breast feeding and birth weight with anthropometric measures and blood pressure in children and adolescents&#58; the CASPIAN&#8208;IV study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Djalalinia"
                            1 => "M&#46; Qorbani"
                            2 => "R&#46; Heshmat"
                            3 => "M&#46;E&#46; Motlagh"
                            4 => "G&#46; Ardalan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.pedneo.2015.01.004"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Neonatol"
                        "fecha" => "2015"
                        "volumen" => "56"
                        "paginaInicial" => "324"
                        "paginaFinal" => "333"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25892644"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0230"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Efeito protetor do aleitamento materno contra a obesidade infantil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "G&#46; Balaban"
                            1 => "G&#46;A&#46; Silva"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Pediatr &#40;Rio J&#41;"
                        "fecha" => "2004"
                        "volumen" => "80"
                        "paginaInicial" => "7"
                        "paginaFinal" => "16"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0235"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evidence of the long&#8208;term effects of breastfeeding&#58; systematic reviews and meta&#8208;analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "B&#46; Horta"
                            1 => "R&#46; Bahl"
                            2 => "J&#46; Martines"
                            3 => "C&#46; Victora"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2007"
                        "editorial" => "World Health Organization Publication"
                        "editorialLocalizacion" => "Geneva&#44; Switzerland"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0240"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "Tese"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Alimenta&#231;&#227;o e crescimento no primeiro ano de vida&#58; um estudo de coorte"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46;C&#46; Lessa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2010"
                        "editorial" => "Universidade Federal da Bahia"
                        "editorialLocalizacion" => "Salvador"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0245"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Padr&#227;o alimentar de pr&#233;&#8208;escolares e fatores associados"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46;N&#46; Nobre"
                            1 => "J&#46;A&#46; Lamounier"
                            2 => "S&#46;C&#46; Franceschini"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Pediatr &#40;Rio J&#41;"
                        "fecha" => "2012"
                        "volumen" => "88"
                        "paginaInicial" => "129"
                        "paginaFinal" => "136"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0250"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "Dispon&#237;vel em&#58; <a class="elsevierStyleInterRef" id="intr0010" href="http://www.diamantina.mg.gov.br/portal1/dado_geral/mumain.asp?iIdMun=100131242">http&#58;&#47;&#47;www&#46;diamantina&#46;mg&#46;gov&#46;br&#47;portal1&#47;dado&#95;geral&#47;mumain&#46;asp&#63;iIdMun&#61;100131242</a> &#91;citado 28&#46;08&#46;15&#93;"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dados gerais"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Prefeitura de Diamantina"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "2015"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0255"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "Abridged Edition"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anthropometric standardization reference manual"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "T&#46;G&#46; Lohman"
                            1 => "A&#46;F&#46; Roche"
                            2 => "R&#46; Martorell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:5 [
                        "fecha" => "1991"
                        "paginaInicial" => "39"
                        "paginaFinal" => "54"
                        "editorial" => "Human Kinetics Books"
                        "editorialLocalizacion" => "Champaign&#44; IL"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0260"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "S&#233;rie de monografias&#44; 53"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluaci&#243;n del estado de nutrici&#243;n de la comunidad"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;B&#46; Jelliffe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1968"
                        "editorial" => "Organizaci&#243;n Mundial de la Salud"
                        "editorialLocalizacion" => "Ginebra"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0265"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "WHO child growth standards&#58; length&#47;height&#8208;for&#8208;age&#44; weight&#8208;for&#8208;age&#44; weight&#8208;for&#8208;length&#44; weight&#8208;for&#8208;height and body mass index&#8208;for&#8208;age&#58; methods and development"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "World Health Organization"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2006"
                        "editorial" => "World Health Organization&#44; Department of Nutrition for Health and Development"
                        "editorialLocalizacion" => "Geneva"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0270"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Indicadores para evaluar las pr&#225;cticas de alimentaci&#243;n del lactante y del ni&#241;o peque&#241;o&#58; conclusiones de la reuni&#243;n de consenso llevada a cabo Del 6 al 8 noviembre de 2007"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Organizaci&#243;n Mundial de la Salud"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2009"
                        "editorial" => "Unicef&#47;OMS"
                        "editorialLocalizacion" => "Washington&#44; DC&#44; EE&#46;UU&#46; Geneva"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0275"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "Tese"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fatores associados ao excesso de peso e dislipidemia em pr&#233;&#8208;escolares da cidade de Diamantina&#47;MG"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46;N&#46; Nobre"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2011"
                        "editorial" => "Universidade Federal de Minas Gerais&#44; Programa de P&#243;s&#8208;Gradua&#231;&#227;o em Sa&#250;de da Crian&#231;a e do Adolescente"
                        "editorialLocalizacion" => "Belo Horizonte"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0280"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Foundations of clinical research&#58; applications to practice"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46;G&#46; Portney"
                            1 => "M&#46;P&#46; Watkins"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "edicion" => "3 ed&#46;"
                        "fecha" => "2008"
                        "editorial" => "Prentice Hall"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0285"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The fourth report on the diagnosis&#44; evaluation&#44; and treatment of high blood pressure in children and adolescents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "2004"
                        "volumen" => "114"
                        "paginaInicial" => "555"
                        "paginaFinal" => "576"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15286277"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0290"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Avalia&#231;&#227;o dos fatores de risco e prote&#231;&#227;o associados &#224; eleva&#231;&#227;o da press&#227;o arterial em crian&#231;as"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;V&#46; Naghettini"
                            1 => "J&#46;M&#46; Belem"
                            2 => "C&#46;M&#46; Salgado"
                            3 => "H&#46;M&#46; Vasconcelos J&#250;nior"
                            4 => "E&#46;M&#46; Seronni"
                            5 => "A&#46;L&#46; Junqueira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "2010"
                        "volumen" => "94"
                        "paginaInicial" => "486"
                        "paginaFinal" => "491"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20379619"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0295"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Infant feeding and components of the metabolic syndrome&#58; findings from the European Youth Heart study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;A&#46; Lawlor"
                            1 => "C&#46;J&#46; Riddoch"
                            2 => "A&#46;S&#46; Page"
                            3 => "L&#46;B&#46; Andersen"
                            4 => "N&#46; Wedderkopp"
                            5 => "M&#46; Harro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/adc.2004.055335"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dis Child"
                        "fecha" => "2005"
                        "volumen" => "90"
                        "paginaInicial" => "582"
                        "paginaFinal" => "588"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15908621"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0300"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Long chain polyunsaturated fatty acid supplementation in infant formula and blood pressure in later childhood&#58; follow up of a randomised controlled trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;S&#46; Forsyth"
                            1 => "P&#46; Willatts"
                            2 => "C&#46; Agostoni"
                            3 => "J&#46; Bissenden"
                            4 => "P&#46; Casaer"
                            5 => "G&#46; Boehm"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/bmj.326.7396.953"
                      "Revista" => array:5 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2003"
                        "volumen" => "326"
                        "paginaInicial" => "953"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12727766"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/22555536/0000009200000006/v1_201611170056/S2255553616300544/v1_201611170056/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "24841"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Artigo original"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/22555536/0000009200000006/v1_201611170056/S2255553616300544/v1_201611170056/pt/main.pdf?idApp=UINPBA000049&text.app=https://jped.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2255553616300544?idApp=UINPBA000049"
]