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morbimortalidade por DCV&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">A aterosclerose &#233; o substrato fisiopatol&#243;gico para as DCV e se inicia na inf&#226;ncia e se desenvolve ao longo dos anos&#46;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">1&#44;6</span></a> As estrias gordurosas&#44; precursoras das placas ateroscler&#243;ticas&#44; aparecem na camada &#237;ntima da aorta aos 3 anos e nas coron&#225;rias durante a adolesc&#234;ncia&#44; t&#234;m como um marcador de risco tradicional desse processo a dislipidemia&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">7</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Evid&#234;ncias at&#233; o momento atribuem o aumento da preval&#234;ncia de excesso de peso e dislipidemias &#224; intera&#231;&#227;o entre fatores gen&#233;ticos e ambientais&#46; No que diz respeito &#224; dieta&#44; o consumo de energia e macronutrientes tem sido amplamente investigado&#46; No entanto&#44; os modelos etiol&#243;gicos alimentares existentes n&#227;o podem explicar totalmente o desenvolvimento desses fatores de risco para as DCV&#58; os comportamentos alimentares tamb&#233;m precisam ser investigados&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">8</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Dentre as vari&#225;veis relacionadas a esses comportamentos&#44; um efeito protetor de maiores frequ&#234;ncias de refei&#231;&#245;es di&#225;rias para sobrepeso e obesidade tem sido detectado em crian&#231;as e adolescentes&#46;<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">9&#8211;11</span></a> Al&#233;m disso&#44; embora esse efeito tenha sido observado principalmente com rela&#231;&#227;o &#224; massa corporal total&#44; tamb&#233;m tem sido observado para as altera&#231;&#245;es delet&#233;rias de lip&#237;dios s&#233;ricos&#46;<a class="elsevierStyleCrossRefs" href="#bib0205"><span class="elsevierStyleSup">11&#44;12</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Segundo alguns autores&#44; a omiss&#227;o de refei&#231;&#245;es contribui para inadequa&#231;&#227;o diet&#233;tica e aumento do peso corporal&#44; uma vez que os alimentos comumente consumidos em determinadas refei&#231;&#245;es dificilmente ser&#227;o ingeridos em outros hor&#225;rios ao longo do dia&#44; podem at&#233; ser substitu&#237;dos por alimentos n&#227;o saud&#225;veis&#46;<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">13&#44;14</span></a> Al&#233;m desse efeito&#44; que poderia ser mediado por altera&#231;&#245;es na ingest&#227;o alimentar&#44; tamb&#233;m t&#234;m sido sugeridas mudan&#231;as no gasto energ&#233;tico p&#243;s&#8208;prandial que podem predispor ao ganho de peso em longo prazo<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">15</span></a> e aumento do colesterol s&#233;rico consequente de maiores concentra&#231;&#245;es m&#233;dias nos picos de insulina plasm&#225;tica e maior &#225;rea sobre a curva de respostas &#224; insulina&#44; em padr&#245;es alimentares irregulares&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Uma vez que comportamentos alimentares&#44; como a frequ&#234;ncia de refei&#231;&#245;es&#44; podem contribuir para inadequa&#231;&#227;o diet&#233;tica e para a preven&#231;&#227;o do aumento de peso corporal e perfis saud&#225;veis de lip&#237;dios s&#233;ricos em indiv&#237;duos e popula&#231;&#245;es&#44; o objetivo deste estudo &#233; investigar a distribui&#231;&#227;o da frequ&#234;ncia de refei&#231;&#245;es di&#225;rias e sua rela&#231;&#227;o com fatores demogr&#225;ficos&#44; socioecon&#244;micos&#44; comportamentais&#44; antropom&#233;tricos e bioqu&#237;micos em crian&#231;as e adolescentes&#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">Popula&#231;&#227;o do estudo e processo de amostragem</span><p id="par0040" class="elsevierStylePara elsevierViewall">Este estudo epidemiol&#243;gico de delineamento transversal foi feito em 2012 com uma amostra representativa de 708 crian&#231;as e adolescentes de 7 a 14 anos e de ambos os sexos&#44; estudantes de escolas do ensino fundamental da rede p&#250;blica e privada da &#225;rea urbana de Juiz de Fora &#40;MG&#41;&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">A defini&#231;&#227;o do tamanho da amostra &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>708&#41; baseou&#8208;se nos seguintes crit&#233;rios&#58; determina&#231;&#227;o de n&#237;veis desej&#225;veis de precis&#227;o e signific&#226;ncia de respectivamente 2&#37; e 5&#37;&#44; estabelecimento de uma preval&#234;ncia de 8&#37; de obesidade na faixa et&#225;ria estudada<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">16</span></a> e 20&#37; de perdas &#40;n&#227;o autoriza&#231;&#227;o do pais ou dos estudantes para participar do estudo&#41;&#46; Foram exclu&#237;dos 26 estudantes por n&#227;o preenchimento adequado das quest&#245;es referentes &#224; frequ&#234;ncia de refei&#231;&#245;es&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">O processo amostral se deu em tr&#234;s fases&#44; na seguinte ordem&#58; amostragem por conglomerado&#44; as escolas foram selecionadas aleatoriamente dentro de cada regi&#227;o da cidade&#59; estratificada proporcional&#44; na qual o n&#250;mero de indiv&#237;duos amostrado em cada s&#233;rie escolar foi proporcional ao total de alunos existentes em cada&#59; e amostragem aleat&#243;ria simples&#44; em que a sele&#231;&#227;o dos alunos por escola e s&#233;rie foi feita por sorteio aleat&#243;rio at&#233; completar o n&#250;mero de alunos necess&#225;rio por escola&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Instrumentos de coleta de dados</span><p id="par0055" class="elsevierStylePara elsevierViewall">A frequ&#234;ncia de refei&#231;&#245;es foi obtida por meio de aplica&#231;&#227;o de question&#225;rio estruturado&#44; com as seguintes op&#231;&#245;es de refei&#231;&#245;es&#58; caf&#233; da manh&#227;&#44; lanche da manh&#227;&#44; almo&#231;o&#44; lanche da tarde&#44; jantar e lanche da noite&#46; Foi solicitado aos participantes que assinalassem as refei&#231;&#245;es que eram habitualmente feitas&#46; As frequ&#234;ncias de refei&#231;&#245;es foram categorizadas de acordo com o valor m&#233;dio dessa vari&#225;vel na popula&#231;&#227;o estudada como risco &#40;&#60; 4 refei&#231;&#245;es&#41; e n&#227;o risco &#40;&#8805; 4 refei&#231;&#245;es&#41;&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Como instrumentos na avalia&#231;&#227;o do consumo alimentar foram usados&#44; para cada sujeito da pesquisa&#44; um recordat&#243;rio alimentar de 24 horas aplicado pelo pesquisador com aux&#237;lio de &#225;lbum fotogr&#225;fico e um registro alimentar de tr&#234;s dias&#46; Esse foi entregue aos escolares ou respons&#225;veis para preenchimento no domic&#237;lio e devolu&#231;&#227;o em data previamente agendada e eles foram orientados a aplic&#225;&#8208;lo em dias alternados&#44; com a inclus&#227;o de um dia de fim de semana&#46; Posteriormente&#44; os dados obtidos foram inseridos no programa Dietwin<span class="elsevierStyleSup">&#174;</span> &#40;Dietwin&#174;&#44; Nutrition Software&#44; vers&#227;o 2008&#59; Brasil&#41; para an&#225;lise do consumo energ&#233;tico di&#225;rio&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Para a estimativa da ingest&#227;o m&#233;dia habitual na amostra total&#44; foi usado o programa <span class="elsevierStyleItalic">Multiple Source Method</span> &#40;<span class="elsevierStyleItalic">Department of Epidemiology of the German Institute of Human Nutrition Potsdam&#8208;Rehbrucke</span>&#44; Alemanha&#41;&#44; capaz de estimar a ingest&#227;o habitual de cada indiv&#237;duo por meio de ajustes a partir de recordat&#243;rios alimentares de 24<span class="elsevierStyleHsp" style=""></span>horas<span class="elsevierStyleHsp" style=""></span>da amostra total mais tr&#234;s registros alimentares de uma subamostra&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Assistir a TV por duas ou mais horas diariamente foi categorizado como &#8220;risco&#8221; a partir de orienta&#231;&#245;es do <span class="elsevierStyleItalic">Expert Committee Recommendations Regarding the Prevention&#44; Assessment&#44; and Treatment of Child and Adolescent Overweight and Obesity</span>&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a> Com rela&#231;&#227;o ao tempo total de atividade f&#237;sica &#40;TAF&#41;&#44; as crian&#231;as e os adolescentes foram classificados como ativos quando fizeram&#44; semanalmente&#44; 300 minutos ou mais de atividade f&#237;sica moderada ou vigorosa e inativos quando fizeram menos de 300 minutos&#44; conforme classifica&#231;&#227;o usada na Pesquisa Nacional de Sa&#250;de do Escolar &#40;PeNSE 2012&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall">O peso foi aferido na balan&#231;a da marca Tanita&#174;&#44; modelo Ironmen BC&#8208;553 &#40;<span class="elsevierStyleItalic">Tanita Corporation of America</span>&#44; Arlington Heights&#44; EUA&#41;&#44; com capacidade m&#225;xima de 136 Kg e precis&#227;o de 0&#44;5 Kg&#46; Os indiv&#237;duos foram pesados de p&#233;&#44; descal&#231;os e com roupas leves&#46; A estatura foi aferida por meio do estadi&#244;metro de campo Alturexata<span class="elsevierStyleSup">&#174;</span> &#40;Alturexata&#44; Brasil&#41;&#46; A partir dos valores obtidos&#44; o &#237;ndice de massa corporal &#40;IMC&#41; foi calculado e as crian&#231;as e os adolescentes&#44; classificados como portadores de excesso de peso &#40;sobrepeso ou obesidade&#41; a partir do IMC por idade &#8805; escore Z<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>1&#44; segundo os limites propostos pela WHO&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">19</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">As amostras de sangue foram coletadas dos indiv&#237;duos ap&#243;s 12 horas de jejum&#46; Foram feitas dosagens bioqu&#237;micas de colesterol total&#44; fra&#231;&#245;es &#40;HDL e LDL&#41;&#44; triglic&#233;rides e glicose&#46; As altera&#231;&#245;es dos lip&#237;deos s&#233;ricos e glicemia foram analisadas de acordo com a V Diretriz Brasileira de Dislipidemias e Preven&#231;&#227;o da Aterosclerose<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">20</span></a> e segundo crit&#233;rios do <span class="elsevierStyleItalic">National Diabetes Education Program</span> &#40;NDEP&#41;&#44; respectivamente&#46; Foram considerados de risco os valores lim&#237;trofes para os lip&#237;dios s&#233;ricos e para a glicemia de jejum &#8805; 100<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Analises estat&#237;sticas</span><p id="par0085" class="elsevierStylePara elsevierViewall">A normalidade dos dados foi verificada pelo teste de Kolmogorov&#8208;Smirnov&#46; Posteriormente&#44; foi feita an&#225;lise descritiva estratificada por faixa et&#225;ria e o teste de Mann&#8208;Whitney foi usado para verificar diferen&#231;as significativas entre os valores das medidas de tend&#234;ncia central&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Para analisar as associa&#231;&#245;es entre frequ&#234;ncia de refei&#231;&#245;es e as vari&#225;veis de interesse&#44; usou&#8208;se regress&#227;o de Poisson bruta e regress&#227;o de Poisson ajustada com ajuste robusto da vari&#226;ncia e controle para efeito do delineamento&#46; As vari&#225;veis com n&#237;vel de signific&#226;ncia &#8804; 0&#44;20 ou que poderiam ser potenciais fatores de confus&#227;o foram inclu&#237;das nos modelos&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Diferen&#231;as entre os valores foram consideradas estatisticamente significativas para valor de p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#46; As an&#225;lises estat&#237;sticas foram feitas nos <span class="elsevierStyleItalic">softwares Statistical Package for the Social Sciences</span> &#40;SPSS<span class="elsevierStyleSup">&#174;</span>&#44; vers&#227;o 13&#46;0&#44; EUA&#41; e Stata &#40;Stata&#44; vers&#227;o 10&#46;1&#44; EUA&#41;&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Aspectos &#233;ticos</span><p id="par0100" class="elsevierStylePara elsevierViewall">O projeto foi aprovado pelo Comit&#234; de &#201;tica da Universidade Federal de Juiz de Fora &#40;parecer 09&#47;2010&#59; CAAE 0018&#46;0&#46;180&#8208;10&#41;&#46; O termo de consentimento livre e esclarecido foi obtido dos pais ou respons&#225;veis legais ap&#243;s serem informados sobre os objetivos da pesquisa&#44; o protocolo e os procedimentos&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Resultados</span><p id="par0105" class="elsevierStylePara elsevierViewall">Dentre os 708 escolares de 7 a 14 anos&#44; 682 responderam corretamente as quest&#245;es referentes ao n&#250;mero de refei&#231;&#245;es e s&#227;o&#44; dessa maneira&#44; a subamostra desse artigo&#46; Desses&#44; 1&#44;68&#37; era estudante de escola privada e 98&#44;32&#37; eram estudantes de escola p&#250;blica&#59; 47&#44;66&#37; eram meninos e 52&#44;34&#37; meninas&#44; com m&#233;dia de 10&#44;82<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#44;14 anos&#59; n&#227;o houve diferen&#231;a na idade m&#233;dia segundo o sexo &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;981&#41;&#46; Na amostra&#44; 35&#44;5&#37; das crian&#231;as e 31&#44;5&#37; dos adolescentes apresentaram excesso de peso&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Os valores de IMC&#44; glicemia de jejum e TAF foram significativamente maiores entre os adolescentes&#46; No entanto&#44; as crian&#231;as apresentaram maiores valores de CT&#44; LDL e maior n&#250;mero de refei&#231;&#245;es&#44; o consumo energ&#233;tico n&#227;o variou de forma significativa segundo a faixa et&#225;ria &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">Fazer quatro ou mais refei&#231;&#245;es foi significativamente mais prevalente entre as crian&#231;as &#40;80&#44;1&#37;&#41; do que entre os adolescentes &#40;68&#44;8&#37;&#41; &#40;p &#61; 0&#44;003&#41; e mais prevalente entre o sexo masculino &#40;77&#44;9&#37;&#41; em compara&#231;&#227;o com o feminino &#40;66&#44;6&#37;&#41; &#40;p &#61; 0&#44;001&#41; &#40;dados n&#227;o mostrados&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Entre os adolescentes&#44; as meninas que fizeram menos de quatro refei&#231;&#245;es apresentaram 1&#44;53 vez &#40;RP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;53&#59; IC 95&#37;&#58; 1&#44;06&#8208;2&#44;22&#59; p &#61; 0&#44;022&#41; mais risco de excesso de peso em compara&#231;&#227;o com as que tiveram um padr&#227;o mais frequente de refei&#231;&#245;es&#46; N&#227;o foram verificadas diferen&#231;as significativas na raz&#227;o de preval&#234;ncia de excesso de peso para os diferentes padr&#245;es de refei&#231;&#245;es nos adolescentes do sexo masculino e crian&#231;as de ambos os sexos &#40;dados n&#227;o mostrados&#41;&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">O TAF e a mediana de ingest&#227;o cal&#243;rica n&#227;o variaram significativamente entre crian&#231;as que consumiram menos de quatro refei&#231;&#245;es ou maior ou igual a quatro&#46; Nos adolescentes tamb&#233;m n&#227;o foi verificada diferen&#231;as no TAF segundo a frequ&#234;ncia de refei&#231;&#245;es&#46; No entanto&#44; entre os adolescentes&#44; o consumo mediano de energia foi maior &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; entre os indiv&#237;duos que consumiram quatro ou mais refei&#231;&#245;es do que entre os indiv&#237;duos que consumiram menos de quatro &#40;dados n&#227;o mostrados&#41;&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Dentre os indiv&#237;duos que fizeram menos de quatro refei&#231;&#245;es ao dia&#44; a ceia foi a refei&#231;&#227;o mais omitida pelas crian&#231;as &#40;66&#37;&#41; e pelos adolescentes &#40;77&#44;3&#37;&#41;&#46; Em seguida temos&#58; a cola&#231;&#227;o&#44; que foi omitida por 60&#37; das crian&#231;as e 61&#37; dos adolescentes&#44; e o caf&#233; da manh&#227;&#44; por 32&#37; das crian&#231;as e 34&#44;8&#37; dos adolescentes &#40;dados n&#227;o mostrados&#41;&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">N&#227;o foram observadas diferen&#231;as significativas entre as omiss&#245;es das diferentes refei&#231;&#245;es em crian&#231;as&#44; segundo o sexo&#46; No entanto&#44; entre os adolescentes&#44; as meninas omitiram mais o caf&#233; da manh&#227; &#40;34&#44;9&#37; <span class="elsevierStyleItalic">vs</span>&#46; 23&#44;3&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;009&#41; e o almo&#231;o &#40;11&#44;2&#37; <span class="elsevierStyleItalic">vs</span>&#46; 5&#44;6&#59; p &#61; 0&#44;050&#41; em compara&#231;&#227;o com os meninos&#46; J&#225; a cola&#231;&#227;o foi mais omitida entre o sexo masculino do que entre o feminino &#40;60&#44;3&#37; <span class="elsevierStyleItalic">vs</span>&#46; 49&#44;1&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;034&#41; &#40;dados n&#227;o mostrados&#41;&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Na <a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a> temos a an&#225;lise de regress&#227;o de Poisson n&#227;o ajustada em crian&#231;as&#46; Verificou&#8208;se que a preval&#234;ncia do padr&#227;o<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>4 ref&#46;&#47;dia foi maior entre os indiv&#237;duos com menor renda familiar &#40;RP &#61; 3&#44;63&#59; IC 95&#37;&#58; 1&#44;13&#8208;11&#44;59&#59; p &#61; 0&#44;030&#41; e esse padr&#227;o se associou a maiores preval&#234;ncias de LDL aumentado &#40;RP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;48&#59; IC 95&#37;&#58; 1&#44;02&#8208;2&#44;13&#59; p &#61; 0&#44;037&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0145" class="elsevierStylePara elsevierViewall">Nos adolescentes &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#44; o padr&#227;o<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>4 ref&#46;&#47;dia foi mais prevalente entre o sexo feminino &#40;RP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;54&#59; IC 95&#37;&#58; 1&#44;17&#8208;2&#44;04&#59; p &#61; 0&#44;002&#41; e entre as fam&#237;lias com n&#250;mero de filhos<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>2 &#40;RP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;56&#59; IC 95&#37;&#58; 1&#44;13&#8208;2&#44;14&#59; p &#61; 0&#44;007&#41;&#46; Por sua vez&#44; esse padr&#227;o de refei&#231;&#245;es tamb&#233;m foi diretamente associado ao aumento do IMC &#40;RP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;31&#59; IC 95&#37;&#58; 1&#44;00&#8208;1&#44;71&#59; p &#61; 0&#44;043&#41; e LDL &#40;RP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;33&#59; IC 95&#37;&#58; 1&#44;00&#8208;1&#44;75&#59; p &#61; 0&#44;042&#41;&#46; As demais vari&#225;veis bioqu&#237;micas n&#227;o se relacionaram &#224; frequ&#234;ncia de refei&#231;&#245;es&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0150" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0020">tabela 4</a> ilustra a an&#225;lise de regress&#227;o de Poisson ajustada&#46; No modelo&#44; menor frequ&#234;ncia de refei&#231;&#245;es apresentou como fator associado&#44; em crian&#231;as&#44; a renda familiar abaixo de tr&#234;s sal&#225;rios m&#237;nimos &#40;RP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#44;42&#59; IC 95&#37;&#58; 1&#44;29&#8208;22&#44;77&#59; p &#61; 0&#44;021&#41; e em adolescentes&#44; o n&#250;mero de filhos<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>2 &#40;RP &#61; 1&#44;53&#59; IC 95&#37;&#58; 1&#44;11&#8208;2&#44;11&#59; p &#61; 0&#44;010&#41;&#46; Ainda na faixa de 10 a 14 anos&#44; os indiv&#237;duos com menor n&#250;mero de refei&#231;&#245;es demonstraram maior chance de apresentar IMC &#40;RP &#61; 1&#44;33&#59; IC 95&#37;&#58; 1&#44;02&#8208; 1&#44;74&#59; p &#61; 0&#44;032&#41; e LDL &#40;RP &#61; 1&#44;39&#59; IC 95&#37;&#58; 1&#44;03&#8208; 1&#44;87&#59; p &#61; 0&#44;030&#41; elevados&#44; ap&#243;s os ajustes&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Discuss&#227;o</span><p id="par0155" class="elsevierStylePara elsevierViewall">No presente trabalho foi encontrada elevada frequ&#234;ncia de excesso de peso &#40;sobrepeso ou obesidade&#41; entre as crian&#231;as e adolescentes&#44; foi detectada em 35&#44;5&#37; na faixa de 7 a 9 anos e em 31&#44;5&#37; na de 10 a 14&#46; Esses resultados foram consideravelmente inferiores aos encontrados em todo o territ&#243;rio nacional pela Pesquisa de Or&#231;amentos Familiares &#40;POF&#8208;2008&#47;2009&#41; em crian&#231;as &#40;49&#44;8&#37;&#41; e semelhantes em adolescentes &#40;30&#37;&#41; nas mesmas faixas et&#225;rias&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">16</span></a></p><p id="par0160" class="elsevierStylePara elsevierViewall">Conforme esperado&#44; a rela&#231;&#227;o entre frequ&#234;ncia de refei&#231;&#245;es e g&#234;nero foi evidenciada em nossa pesquisa assim como em outras&#46; O h&#225;bito de omitir refei&#231;&#245;es foi mais frequente no sexo feminino&#46; Entre as raz&#245;es para esse achado&#44; autores destacam a preocupa&#231;&#227;o com a imagem corporal&#44; principalmente entre as meninas&#44; o que comumente acarreta a pr&#225;tica de dietas restritivas&#44; sem orienta&#231;&#227;o especializada&#44; em que omitir refei&#231;&#245;es &#233; uma pr&#225;tica comum&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">21</span></a></p><p id="par0165" class="elsevierStylePara elsevierViewall">Outros estudos ressaltam que a omiss&#227;o de refei&#231;&#245;es tamb&#233;m &#233; um fen&#244;meno mais comum entre adolescentes do que entre as crian&#231;as&#44; o que &#233; justificado pela irregularidade alimentar comum nessa fase do desenvolvimento&#44; seja pela ades&#227;o a dietas restritivas sem acompanhamento&#44; ou seja&#44; por mudan&#231;as em seus estilos de vida&#44; como maior autonomia para fazer escolhas alimentares&#44; necessidade de praticidade&#44; influ&#234;ncia da m&#237;dia e prefer&#234;ncia por determinados sabores&#46;<a class="elsevierStyleCrossRefs" href="#bib0260"><span class="elsevierStyleSup">22&#44;23</span></a> Nesse grupo da popula&#231;&#227;o frequentemente ocorre a omiss&#227;o de refei&#231;&#245;es&#44; como o desjejum&#44;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a> ou a substitui&#231;&#227;o das grandes refei&#231;&#245;es por lanches ou refei&#231;&#245;es r&#225;pidas&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">24</span></a></p><p id="par0170" class="elsevierStylePara elsevierViewall">&#201; poss&#237;vel que a rela&#231;&#227;o encontrada entre excesso de peso e menor frequ&#234;ncia de refei&#231;&#245;es&#44; em adolescentes do sexo feminino&#44; seja devida &#224; causalidade reversa&#44; dado que a preocupa&#231;&#227;o com o peso corporal &#233; muito comum nesse grupo espec&#237;fico&#44; pode modificar o comportamento de algumas vari&#225;veis explanat&#243;rias&#44; tais como o n&#250;mero de refei&#231;&#245;es&#46; Esse &#233; um problema t&#237;pico nos estudos transversais&#44; em que a causalidade reversa pode mascarar os efeitos de algumas associa&#231;&#245;es investigadas&#46;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">25</span></a></p><p id="par0175" class="elsevierStylePara elsevierViewall">Nossos resultados sugerem ainda que os esfor&#231;os para aumentar o consumo de refei&#231;&#245;es em crian&#231;as devem priorizar fam&#237;lias de menor renda&#46; J&#225; &#233; bem estabelecido que as pr&#225;ticas alimentares est&#227;o condicionadas ao poder aquisitivo das fam&#237;lias&#44; do qual dependem a disponibilidade&#44; quantidade e qualidade dos alimentos consumidos&#46; Nesse sentido&#44; as escolas t&#234;m o potencial de fornecer op&#231;&#245;es de refei&#231;&#245;es saud&#225;veis e acess&#237;veis aos escolares provenientes de fam&#237;lias com menores rendas&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">J&#225; entre os adolescentes verificamos que o n&#250;mero total de filhos por domic&#237;lio deve ser considerado na determina&#231;&#227;o de padr&#245;es de refei&#231;&#245;es&#46; A presen&#231;a de maior n&#250;mero de filhos na fam&#237;lia aumenta a demanda por alimentos e compromete a disponibilidade deles&#46; Segundo Hoffmann&#44; a situa&#231;&#227;o de inseguran&#231;a alimentar &#233; afetada positivamente pela presen&#231;a de maior n&#250;mero de indiv&#237;duos com menos de 18 anos e pelo n&#250;mero de pessoas por domic&#237;lio&#46;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">26</span></a> Al&#233;m disso&#44; o maior n&#250;mero de filhos pode interferir&#44; ainda&#44; nos cuidados de sa&#250;de da m&#227;e com esses adolescentes&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">Mesmo que a frequ&#234;ncia de refei&#231;&#245;es tenha sido reconhecida como uma poss&#237;vel influ&#234;ncia para excesso de peso&#44; assim como o observado entre os adolescentes no presente estudo&#44; at&#233; o momento pouco se sabe sobre os mecanismos envolvidos&#46;<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">10&#44;12</span></a> Tem sido sugerido que as concentra&#231;&#245;es plasm&#225;ticas de glicose e insulina relativamente constantes ao longo do dia&#44; como resultado do consumo frequente de pequenas refei&#231;&#245;es&#44; promovem um melhor controle do apetite&#46; Outra hip&#243;tese &#233; que ocorre aumento do gasto energ&#233;tico p&#243;s&#8208;prandial&#44; com efeito t&#233;rmico global dos alimentos aumentado em padr&#245;es de refei&#231;&#245;es regulares&#46;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">15</span></a></p><p id="par0190" class="elsevierStylePara elsevierViewall">Neste estudo&#44; menores n&#237;veis s&#233;ricos de LDL tamb&#233;m se associaram a maiores frequ&#234;ncias de refei&#231;&#245;es em adolescentes&#46; Acredita&#8208;se que um poss&#237;vel mecanismo s&#227;o as menores concentra&#231;&#245;es m&#233;dias nos picos de insulina no plasma e a menor &#225;rea sobre a curva de respostas &#224; insulina&#44; em padr&#245;es alimentares regulares&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">27</span></a> Isso faz com que ocorra a redu&#231;&#227;o hep&#225;tica da s&#237;ntese e atividade da enzima 3&#8208;hidroxi&#8208;3&#8208;metilglutaril coenzima A redutase&#46; Essa enzima diminui a secre&#231;&#227;o de lipoprote&#237;nas que cont&#234;m apolipoprote&#237;na B&#44; aumenta a s&#237;ntese de receptores de hep&#225;ticos de LDL e&#44; por conseguinte&#44; diminui seus n&#237;veis s&#233;ricos&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">28</span></a></p><p id="par0195" class="elsevierStylePara elsevierViewall">Algumas pesquisas t&#234;m indicado que&#44; embora um menor n&#250;mero de refei&#231;&#245;es esteja relacionado &#224; ingest&#227;o di&#225;ria menor de energia&#44; pode ocorrer o aumento de ingest&#227;o cal&#243;rica por refei&#231;&#227;o&#44; o que &#233; um forte indicador de perfis metab&#243;licos delet&#233;rios&#44; como intoler&#226;ncia &#224; glicose e dislipidemia&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">29</span></a> Isso pode explicar por que mesmo em indiv&#237;duos eutr&#243;ficos &#233; poss&#237;vel verificar associa&#231;&#227;o entre maiores frequ&#234;ncias de refei&#231;&#245;es e LDL s&#233;rico&#46;</p><p id="par0200" class="elsevierStylePara elsevierViewall">Al&#233;m do desenho transversal&#44; o que impede conclus&#245;es sobre rela&#231;&#245;es causais&#44; este estudo tem como limita&#231;&#245;es a dificuldade para padroniza&#231;&#227;o do que seria definido como refei&#231;&#227;o e a subnotifica&#231;&#227;o concomitante da ingest&#227;o de alimentos e frequ&#234;ncia alimentar&#46; Essa subnotifica&#231;&#227;o tem sido amplamente divulgada e &#233; particularmente evidente em indiv&#237;duos com excesso de peso e na enumera&#231;&#227;o de lanches em compara&#231;&#227;o com as principais refei&#231;&#245;es&#46;<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">30</span></a></p><p id="par0205" class="elsevierStylePara elsevierViewall">Em conclus&#227;o&#44; esta an&#225;lise indicou que o h&#225;bito de fazer quatro ou mais refei&#231;&#245;es di&#225;rias se associa a fatores demogr&#225;ficos&#44; socioecon&#244;micos&#44; antropom&#233;tricos e bioqu&#237;micos&#46; Foi verificado que maiores frequ&#234;ncias de refei&#231;&#245;es s&#227;o mais observadas em crian&#231;as em compara&#231;&#227;o com adolescentes&#44; bem como no sexo masculino em rela&#231;&#227;o ao feminino&#44; maiores valores de renda familiar e menor n&#250;mero de filhos na fam&#237;lia tamb&#233;m favorecem o aumento da frequ&#234;ncia de refei&#231;&#245;es em crian&#231;as e adolescentes&#44; respectivamente&#46; Al&#233;m disso&#44; um maior n&#250;mero de refei&#231;&#245;es pode contribuir para o controle de peso e melhor perfil de LDL s&#233;rico em adolescentes&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Financiamento</span><p id="par0210" class="elsevierStylePara elsevierViewall">Conselho Nacional de Desenvolvimento Cient&#237;fico e Tecnol&#243;gico &#40;CNPq &#8211; 476016&#47;2010&#8208;0&#41;&#44; Funda&#231;&#227;o de Amparo &#224; Pesquisa do Estado de Minas Gerais &#40;Fapemig&#41; e Universidade Federal de Juiz de Fora &#40;UFJF&#41;&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflitos de interesse</span><p id="par0215" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To investigate the frequency distribution of daily meals and its relation to demographic&#44; socioeconomic&#44; behavioral&#44; anthropometric and biochemical factors in children and adolescents&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This was a cross&#8208;sectional study with a representative sample of 708 school children aged 7&#8211;14 years&#46; Data on personal information&#44; socioeconomic status&#44; physical activity and number of meals were obtained through semi&#8208;structured questionnaire and consumption by 24&#8208;h recall and food record&#46; Weight and height measurements were also performed to calculate the body mass index&#46; Finally&#44; blood samples were collected for analysis of total cholesterol&#44; high&#8208; and low density lipoprotein&#44; triglyceride&#44; and glucose levels&#46; Descriptive statistics&#44; the Mann&#8211;Whitney test&#44; and Poisson regression were used in statistical analysis&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Meal frequency &#60;4 was associated in children&#44; family income &#60;3 Brazilian minimum wages &#40;PR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#46;42&#59; 95&#37; CI&#58; 1&#46;29&#8211;22&#46;77&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;021&#41; and adolescents&#44; the number of sons in the family &#62;2 &#40;PR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;53&#59; 95&#37; CI&#58; 1&#46;11&#8211;2&#46;11&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;010&#41;&#46; Even in the age group of 10&#8211;14 years&#44; &#60;4 meals was related to higher prevalence of body mass index &#40;PR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;33&#59; 95&#37; CI&#58; 1&#46;02&#8211;1&#46;74&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;032&#41; and low&#8208;density lipoprotein &#40;PR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;39&#59; 95&#37; CI&#58; 1&#46;03&#8211;1&#46;87&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;030&#41; higher after adjustments&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Lower frequency of meals was related to lower income in children and adolescents&#44; larger number of sons in the family&#44; and increased values of body mass index and low&#8208;density lipoprotein&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Investigar a distribui&#231;&#227;o da frequ&#234;ncia de refei&#231;&#245;es di&#225;rias e sua rela&#231;&#227;o com fatores demogr&#225;ficos&#44; socioecon&#244;micos&#44; comportamentais&#44; antropom&#233;tricos e bioqu&#237;micos em crian&#231;as e adolescentes&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudo transversal feito com uma amostra representativa de 708 escolares 7 e 14 anos&#46;&#160;Os dados sobre informa&#231;&#245;es pessoais&#44; n&#237;vel socioecon&#244;mico&#44; atividade f&#237;sica e n&#250;mero de refei&#231;&#245;es foram obtidos por meio de question&#225;rio semiestruturado e o consumo por meio de recordat&#243;rio de 24<span class="elsevierStyleHsp" style=""></span>horas e registro alimentar&#46; Medidas de peso e altura tamb&#233;m foram feitas para c&#225;lculo do &#237;ndice de massa corporal&#46; Por fim&#44; coletaram&#8208;se amostras de sangue para an&#225;lises de colesterol total&#44; lipoprote&#237;na de baixa e de alta densidade&#44; triglicer&#237;deos e glicemia&#46; An&#225;lises descritivas&#44; teste de Mann&#8208;Whitney e regress&#227;o de Poisson foram usados nas an&#225;lises estat&#237;sticas&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Frequ&#234;ncia de refei&#231;&#245;es &#60; 4 se associou&#44; em crian&#231;as&#44; a renda familiar &#60; 3 sal&#225;rios &#40;RP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#44;42&#59; IC 95&#37;&#58; 1&#44;29&#8208;22&#44;77&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;021&#41; e&#44; em adolescentes&#44; ao n&#250;mero de filhos na fam&#237;lia &#62; 2 &#40;RP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;53&#59; IC 95&#37;&#58; 1&#44;11&#8208;2&#44;11&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;010&#41;&#46; Ainda na faixa de 10 a 14 anos&#44; &#60; 4 refei&#231;&#245;es se relacionou a maior preval&#234;ncia de &#237;ndice de massa corporal &#40;RP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;33&#59; IC 95&#37;&#58; 1&#44;02&#8208;1&#44;74&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;032&#41; e lipoprote&#237;na de baixa densidade &#40;RP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;39&#59; IC 95&#37;&#58; 1&#44;03&#8208;1&#44;87&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;030&#41; elevados ap&#243;s ajustes&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#227;o</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Menor frequ&#234;ncia de refei&#231;&#245;es se associou a menor renda em crian&#231;as e em adolescentes a maior n&#250;mero de filhos na fam&#237;lia e valores aumentados de &#237;ndice de massa corporal e lipoprote&#237;na de baixa densidade&#46;</p></span>"
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">Escolaridade materna &#40;anos&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805; 9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20 &#40;69&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">86 &#40;60&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&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; 9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9 &#40;31&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">56 &#40;39&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;73&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;35&#8208;1&#44;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;403&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">M&#227;e trabalha fora</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">13 &#40;41&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">68 &#40;46&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&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="char" valign="top">18 &#40;58&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">77 &#40;53&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;61&#8208;2&#44;26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;617&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">Renda familiar &#40;sal&#225;rios&#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; 3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3 &#40;11&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50 &#40;36&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&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; 3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23 &#40;88&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">89 &#40;64&#44;0&#41;&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;63&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;13&#8208;11&#44;59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;030&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">N&#250;mero de filhos</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>&#8804; 2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16 &#40;51&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">90 &#40;63&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#62; 2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15 &#40;48&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">52 &#40;36&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44; 48&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&#8208;2&#44;80&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;225&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">Horas de TV</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>&#60; 2<span class="elsevierStyleHsp" style=""></span>h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">18 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">53 &#40;37&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&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; 2<span class="elsevierStyleHsp" style=""></span>h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">18 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">90 &#40;62&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44; 66&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&#8208;1&#44;18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;158&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">Atividade f&#237;sica</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>Ativo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4 &#40;10&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11 &#40;7&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&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>Inativo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">34 &#40;89&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">139 &#40;92&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;74&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;30&#8208;1&#44;80&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;503&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">IMC</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; escore Z<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24 &#40;64&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">97 &#40;63&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&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; escore Z<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13 &#40;35&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">55 &#40;36&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;60&#8208;1&#44;59&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">LDL</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 100<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8 &#40;34&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&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; 100<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr></tbody></table>
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          "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">IMC&#44; &#237;ndice de massa corporal&#59; LDL&#44; lipoprote&#237;na de baixa densidade&#59; RP&#44; raz&#227;o de preval&#234;ncia&#59; IC&#44; intervalo de confi&#226;ncia&#46;</p>"
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              "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="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Frequ&#234;ncia de refei&#231;&#245;es di&#225;rias</th><th class="td" title="table-head  " align="left" valign="top" scope="col">RP&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">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">p<a class="elsevierStyleCrossRef" href="#tblfn0050"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#60; 4<br>N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#8805; 4<a class="elsevierStyleCrossRef" href="#tblfn0035"><span class="elsevierStyleSup">a</span></a><br>N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&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="6" 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="char" valign="top">55 &#40;35&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">173 &#40;51&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Feminino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">98 &#40;64&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">165 &#40;48&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;54&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; 17&#8208;2&#44;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;002&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">Idade materna &#40;anos&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0035"><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>&#60; 40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">36 &#40;48&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">98 &#40;57&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805; 40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">39 &#40;52&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">74 &#40;43&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;28&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;88&#8208;1&#44;87&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;194&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">Escolaridade materna &#40;anos&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805; 9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">47 &#40;44&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">141 &#40;55&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">58 &#40;55&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">112 &#40;44&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;36&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;99&#8208;1&#44;89&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;060&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">M&#227;e trabalha for a</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">45 &#40;41&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">114 &#40;43&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">64 &#40;58&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">151 &#40;57&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;05&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;76&#8208;1&#44;45&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;759&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">Renda familiar &#40;sal&#225;rios&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0035"><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; 3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24 &#40;24&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">76 &#40;29&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">76 &#40;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">180 &#40;70&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;83&#8208;1&#44;84&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;294&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">N&#250;mero de filhos</span><a class="elsevierStyleCrossRef" href="#tblfn0035"><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>&#8804; 2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46 &#40;41&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">151 &#40;57&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#62; 2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">64 &#40;58&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">112 &#40;42&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;56&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;13&#8208;2&#44;14&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;007&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">Horas de TV</span><a class="elsevierStyleCrossRef" href="#tblfn0040"><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>&#8805; 2<span class="elsevierStyleHsp" style=""></span>h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">84 &#40;57&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">202 &#40;62&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 2<span class="elsevierStyleHsp" style=""></span>h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">62 &#40;42&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">122 &#40;37&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;87&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;66&#8208;1&#44;14&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;321&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="6" 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="6" align="left" valign="top"><span class="elsevierStyleItalic">Atividade f&#237;sica</span><a class="elsevierStyleCrossRef" href="#tblfn0045"><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>Ativo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23 &#40;15&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">60 &#40;18&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Inativo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">128 &#40;84&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">269 &#40;81&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;80&#8208;1&#44;69&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;430&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="6" 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="6" align="char" valign="top"><span class="elsevierStyleItalic">IMC</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; escore Z<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">94 &#40;62&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">240 &#40;71&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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          "pt" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Distribui&#231;&#227;o da frequ&#234;ncia de refei&#231;&#245;es di&#225;rias e a raz&#227;o de preval&#234;ncia bruta segundo vari&#225;veis demogr&#225;ficas&#44; socioecon&#244;micas&#44; diet&#233;ticas&#44; comportamentais&#44; antropom&#233;tricas e bioqu&#237;mica de adolescentes&#44; Juiz de Fora&#44; MG&#44; 2012</p>"
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      "titulo" => "Refer&#234;ncias"
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          "identificador" => "bibs0005"
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              "identificador" => "bib0155"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "World health statistics"
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                        0 => array:2 [
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                            0 => "World Health Organization &#40;WHO&#41;"
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                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2014"
                        "editorial" => "World Health Organization"
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            1 => array:3 [
              "identificador" => "bib0160"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Childhood obesity &#8211; 2010&#58; progress and challenges"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;H&#46; Joan"
                            1 => "A&#46;L&#46; Debbie"
                            2 => "Y&#46;S&#46; Sue"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S0140-6736(10)60171-7"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "2010"
                        "volumen" => "375"
                        "paginaInicial" => "1737"
                        "paginaFinal" => "1748"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20451244"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0165"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pediatric obesity epidemiology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;M&#46; Orsi"
                            1 => "D&#46;E&#46; Hale"
                            2 => "J&#46;L&#46; Lynch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/MED.0b013e3283423de1"
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Endocrinol Diabetes Obes"
                        "fecha" => "2011"
                        "volumen" => "18"
                        "paginaInicial" => "14"
                        "paginaFinal" => "22"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21157323"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0170"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Child and adolescent obesity&#58; part of a bigger picture"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Lobstein"
                            1 => "R&#46; Jackson-Leach"
                            2 => "M&#46;L&#46; Moodie"
                            3 => "K&#46;D&#46; Hall"
                            4 => "S&#46;L&#46; Gortmaker"
                            5 => "B&#46;A&#46; Swinburn"
                          ]
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