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estudos no Brasil que tenham investigado a rela&#231;&#227;o entre percep&#231;&#227;o do peso corporal e comportamentos relacionados ao controle de peso ainda s&#227;o escassos&#46; O que se encontra&#44; em n&#237;vel nacional&#44; s&#227;o investiga&#231;&#245;es sobre a percep&#231;&#227;o do peso corporal<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">13&#44;14</span></a> e h&#225;bitos de controle de peso corporal&#44;<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">15&#44;16</span></a> analisadas isoladamente&#46; Para al&#233;m disso&#44; na literatura pesquisada&#44; tanto nacional quanto internacional&#44; n&#227;o foram encontradas associa&#231;&#245;es especificamente da percep&#231;&#227;o do peso corporal abaixo do esperado com comportamentos para controle de peso&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Considerando os riscos que a maneira como o indiv&#237;duo percebe seu peso corporal pode provocar &#224; sa&#250;de&#44; sobretudo em rela&#231;&#227;o ao envolvimento em comportamentos de controle de peso&#44; &#233; necess&#225;rio identificar e monitorar as condutas para que n&#227;o haja preju&#237;zos &#224; sa&#250;de dos adolescentes e que ocorra maior aten&#231;&#227;o dos profissionais da &#225;rea da sa&#250;de para com essa faixa et&#225;ria&#46; Consentindo essa necessidade&#44; o objetivo deste estudo foi verificar a associa&#231;&#227;o entre a percep&#231;&#227;o do peso corporal &#40;acima ou abaixo do esperado&#41; e os comportamentos para controle de peso corporal em adolescentes&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material e m&#233;todo</span><p id="par0025" class="elsevierStylePara elsevierViewall">O presente estudo&#44; de delineamento transversal&#44; faz parte do macroprojeto Guia Brasileiro de Avalia&#231;&#227;o da Aptid&#227;o F&#237;sica Relacionada &#224; Sa&#250;de e H&#225;bitos de Vida &#8211; Etapa I&#44; aprovado pelo Comit&#234; de &#201;tica em Pesquisa com Seres Humanos da Universidade Federal de Santa Catarina &#40;protocolo n&#176; 746&#46;536&#47;2014&#41;&#44; feito em 2014&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">A popula&#231;&#227;o do estudo consistiu em adolescentes estudantes do ensino m&#233;dio&#44; regularmente matriculados em escolas p&#250;blicas estaduais do munic&#237;pio de S&#227;o Jos&#233;&#8208;SC&#46; No per&#237;odo da pesquisa estavam matriculados no ensino m&#233;dio da rede p&#250;blica do mun&#237;cipio 5&#46;182 estudantes<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">17</span></a>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Para o c&#225;lculo do tamanho da amostra recorreu&#8208;se &#224; equa&#231;&#227;o proposta por Luiz e Magnanini&#44;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">18</span></a> adotou&#8208;se n&#237;vel de confian&#231;a de 1&#44;96 &#40;intervalo de confian&#231;a de 95&#37;&#41;&#44; erro toler&#225;vel de cinco pontos percentuais&#44; preval&#234;ncia de 50&#37; &#40;desfecho n&#227;o conhecido&#41; e efeito de delineamento de 1&#44;5&#46; Para minimizar as eventuais perdas relacionadas &#224;s poss&#237;veis recusas em participar do estudo&#44; foram acrescentados 20&#37; e mais 20&#37; para o controle de vari&#225;veis de confus&#227;o&#46; Dessa forma&#44; o tamanho amostral m&#237;nimo seria de 751 estudantes&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">O processo de sele&#231;&#227;o da amostra foi determinado em dois est&#225;gios&#58; estratificado por escolas p&#250;blicas estaduais de ensino m&#233;dio e por conglomerado de turmas &#40;considerando o turno de estudo e o ano escolar&#41;&#44; em que todos os que estavam presentes em sala de aula no dia da coleta de dados foram convidados a participar&#46; Com exce&#231;&#227;o das escolas estaduais com Educa&#231;&#227;o de Jovens e Adultos &#40;EJA&#41; e que atendiam alunos com algum tipo de defici&#234;ncia intelectual&#44; as demais foram consideradas eleg&#237;veis para participa&#231;&#227;o no estudo&#46; No primeiro est&#225;gio a densidade da escola &#40;tamanho&#58; pequenas&#44; com menos de 200 alunos&#59; m&#233;dias&#44; com 200 a 499 alunos&#59; e grandes&#44; com 500 estudantes ou mais&#41; foi adotada como crit&#233;rio de estratifica&#231;&#227;o&#46; No segundo est&#225;gio foram considerados o turno de estudo &#40;manh&#227;&#44; tarde&#44; noite e integral&#41; e o ano escolar &#40;primeiro&#44; segundo e terceiro ano&#41;&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">As coletas de dados foram conduzidas no segundo semestre de 2014&#44; nas depend&#234;ncias das escolas sorteadas e que aceitaram participar da pesquisa&#44; em dias e hor&#225;rios agendados com os respons&#225;veis&#46; Inicialmente&#44; os pesquisadores fizeram contato com os estudantes das turmas sorteadas para explicar os objetivos e a import&#226;ncia do estudo e convid&#225;&#8208;los a participar&#46; Nesse momento&#44; os estudantes receberam o Termo de Consentimento Livre e Esclarecido &#40;TCLE&#41;&#44; o qual deveria ser levado para casa&#44; para ser apresentado aos seus respons&#225;veis e assinado &#40;para estudantes com idade inferior a 18 anos&#41;&#46; Aqueles que tinham 18 anos ou mais poderiam assinar seu pr&#243;prio TCLE&#46; Al&#233;m disso&#44; todos os estudantes &#40;independentemente da idade&#41; receberam o Termo de Assentimento para ser assinado por eles pr&#243;prios&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Em um segundo momento&#44; os pesquisadores retornaram &#224;s escolas para aplica&#231;&#227;o dos question&#225;rios e aferi&#231;&#227;o das medidas de massa corporal e estatura&#46; Fizeram essa etapa os estudantes que desejaram participar voluntariamente e entregaram todos os documentos necess&#225;rios devidamente assinados&#46; Gestantes e indiv&#237;duos com alguma defici&#234;ncia f&#237;sica n&#227;o foram inclu&#237;dos e receberam esclarecimentos sobre o porqu&#234; de tal decis&#227;o&#46; Os question&#225;rios foram autopreenchidos pelos participantes&#44; na presen&#231;a dos pesquisadores que estavam dispon&#237;veis para responder a eventuais d&#250;vidas&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">A vari&#225;vel dependente deste estudo foi a percep&#231;&#227;o do peso corporal&#44; investigada a partir da pergunta&#58; &#8220;Como voc&#234; descreve o seu peso corporal&#63;&#8221; As cinco op&#231;&#245;es de respostas foram agrupadas em tr&#234;s categorias&#58; abaixo do peso esperado &#40;muito abaixo do que eu espero &#43; um pouco abaixo do que eu espero&#41;&#59; no peso esperado&#59; acima do peso esperado &#40;um pouco acima do que eu espero &#43; muito acima do que eu espero&#41;&#44; assim como empregado em outros estudos que investigaram essa tem&#225;tica&#46;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">4&#44;7&#44;10</span></a> Essa pergunta &#233; proveniente do question&#225;rio YRBS &#40;<span class="elsevierStyleItalic">Youth Risk Behavior Survey</span>&#44; vers&#227;o 2007&#41;&#44; traduzida e adaptada por Lopes&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">19</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">Como vari&#225;veis independentes&#44; foram investigados os comportamentos de controle de peso adotados&#44; por meio das perguntas do question&#225;rio YRBS&#58;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">19</span></a><ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">a&#41;</span><p id="par0065" class="elsevierStylePara elsevierViewall">&#8220;Voc&#234; tentou alguma iniciativa para mudan&#231;a de peso&#63;&#8221; &#40;op&#231;&#245;es&#58; perder peso corporal&#59; ganhar peso corporal&#59; manter peso corporal&#59; eu n&#227;o tomei iniciativa&#41;&#59;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">b&#41;</span><p id="par0070" class="elsevierStylePara elsevierViewall">&#8220;Durante os &#250;ltimos 30 dias voc&#234; fez algum tipo de exerc&#237;cio para perder ou para n&#227;o aumentar o seu peso corporal&#63;&#8221; &#40;op&#231;&#245;es&#58; sim&#59; n&#227;o&#41;&#59;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">c&#41;</span><p id="par0075" class="elsevierStylePara elsevierViewall">&#8220;Durante os &#250;ltimos 30 dias voc&#234; comeu menos&#44; cortou calorias ou evitou alimentos gordurosos para perder ou para n&#227;o aumentar o seu peso corporal&#63;&#8221; &#40;op&#231;&#245;es&#58; sim&#59; n&#227;o&#41;&#59;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">d&#41;</span><p id="par0080" class="elsevierStylePara elsevierViewall">&#8220;Durante os &#250;ltimos 30 dias voc&#234; ficou sem comer por 24 horas ou mais para perder ou para n&#227;o aumentar o seu peso corporal&#63;&#8221; &#40;op&#231;&#245;es&#58; sim&#59; n&#227;o&#41;&#59;</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">e&#41;</span><p id="par0085" class="elsevierStylePara elsevierViewall">&#8220;Durante os &#250;ltimos 30 dias voc&#234; tomou algum rem&#233;dio&#44; p&#243; ou liquido sem indica&#231;&#227;o m&#233;dica para perder ou para n&#227;o aumentar o seu peso corporal&#63;&#8221; &#40;op&#231;&#245;es&#58; sim&#59; n&#227;o&#41;&#59;</p></li><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">f&#41;</span><p id="par0090" class="elsevierStylePara elsevierViewall">&#8220;Durante os &#250;ltimos 30 dias voc&#234; vomitou ou tomou laxantes para perder ou para n&#227;o aumentar o seu peso corporal&#63;&#8221; &#40;op&#231;&#245;es&#58; sim&#59; n&#227;o&#41;&#46;</p></li></ul></p><p id="par0095" class="elsevierStylePara elsevierViewall">Para ajuste das vari&#225;veis nas an&#225;lises de regress&#227;o log&#237;stica multinomial&#44; usou&#8208;se o status do peso&#44; obtido por meio do c&#225;lculo do IMC &#40;massa corporal&#47;estatura<span class="elsevierStyleSup">2</span>&#41;&#46; A massa corporal foi aferida por meio de balan&#231;a digital &#40;G Tech Pro&#174;&#44; Pacific Palisades&#44; CA&#44; EUA&#41;&#44; com capacidade de at&#233; 150<span class="elsevierStyleHsp" style=""></span>kg e resolu&#231;&#227;o de 100<span class="elsevierStyleHsp" style=""></span>g&#46; A estatura foi aferida por meio de estadi&#244;metro &#40;Sanny&#174;&#44; S&#227;o Paulo&#44; Brasil&#41; com resolu&#231;&#227;o de 0&#44;1<span class="elsevierStyleHsp" style=""></span>cm&#46; Para ambas as medidas&#44; foram seguidos os procedimentos da <span class="elsevierStyleItalic">International Standards for Anthropometry Assesment</span> &#40;ISAK&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">20</span></a> O status do peso&#44; conforme o IMC&#44; foi classificado a partir dos pontos de corte para adolescentes&#44; de acordo com sexo e idade&#46;<a class="elsevierStyleCrossRefs" href="#bib0240"><span class="elsevierStyleSup">21&#44;22</span></a> Devido ao baixo n&#250;mero de participantes que apresentaram baixo peso &#40;n &#61; 73&#41; e obesidade &#40;n &#61; 61&#41;&#44; foram agrupados aos de peso normal e sobrepeso&#44; respectivamente&#44; formaram as categorias &#8220;peso normal&#8221; e &#8220;excesso de peso&#8221;&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Para an&#225;lise dos dados deste estudo&#44; foram inclu&#237;dos somente os adolescentes da faixa de 15 a 19 anos&#46; Usou&#8208;se a estat&#237;stica descritiva &#40;m&#233;dia&#44; desvios padr&#227;o e distribui&#231;&#227;o de frequ&#234;ncias&#41; e inferencial &#40;teste <span class="elsevierStyleItalic">t</span> para amostras independentes&#44; qui&#8208;quadrado e regress&#227;o log&#237;stica multinomial&#41;&#46; A normalidade dos dados foi verificada por meio do teste de Kolmogorov&#8208;Smirnov&#46; Nos testes de associa&#231;&#227;o da percep&#231;&#227;o do peso corporal com as demais vari&#225;veis independentes de controle de peso foi usada a regress&#227;o multinominal&#44; em virtude de a vari&#225;vel dependente apresentar tr&#234;s categorias&#46; A categoria &#8220;no peso esperado&#8221; foi usada como refer&#234;ncia da percep&#231;&#227;o do peso corporal&#46; As vari&#225;veis independentes que apresentam p &#60; 0&#44;20 nas an&#225;lises brutas foram adicionadas junto ao status do peso no modelo ajustado&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">23</span></a> A vari&#225;vel &#8220;iniciativa para mudan&#231;a de peso&#8221; n&#227;o foi adicionada nas an&#225;lises ajustadas devido a sua colinearidade com as demais vari&#225;veis&#46; Foi adotado o n&#237;vel de signific&#226;ncia de 5&#37;&#46; Todas as an&#225;lises foram feitas no <span class="elsevierStyleItalic">software</span> IBM SPSS &#40;IBM SPSS Statistics para Windows&#44; Vers&#227;o 20&#46;0&#46; NY&#44; USA&#41;&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Resultados</span><p id="par0105" class="elsevierStylePara elsevierViewall">Participaram do macroprojeto 1&#46;148 estudantes&#44; dos quais 97 foram exclu&#237;dos das an&#225;lises deste estudo &#40;15 por n&#227;o responder &#224; vari&#225;vel dependente e 82 por apresentar idade inferior a 15 anos ou superior a 19&#41;&#46; Dessa forma&#44; a amostra final foi composta por 1&#46;051 adolescentes &#40;mo&#231;as &#61; 53&#44;9&#37;&#41; com m&#233;dia de 16&#44;29 anos &#40;dp &#61; 1&#44;04&#41;&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Quanto &#224;s caracter&#237;sticas da amostra&#44; destaca&#8208;se que as mo&#231;as&#44; em compara&#231;&#227;o com os rapazes&#44; se perceberam com maior frequ&#234;ncia acima do peso corporal esperado &#40;49&#44;9&#37;&#41;&#44; tiveram mais iniciativas para perder peso &#40;46&#44;5&#37;&#41;&#44; evitaram comer calorias e alimentos gordurosos &#40;41&#44;5&#37;&#41; e ficaram 24<span class="elsevierStyleHsp" style=""></span>h ou mais sem comer &#40;10&#44;9&#37;&#41;&#46; N&#227;o houve diferen&#231;a entre os sexos para fazer exerc&#237;cios f&#237;sicos para perder peso ou n&#227;o aumentar o peso&#44; tomar medicamentos &#40;p&#243; ou l&#237;quido&#41; e vomitar ou tomar laxantes &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">Os rapazes que se percebiam abaixo do peso corporal esperado tiveram 4&#44;23 &#40;IC95&#37;&#58; 2&#44;48&#8208;7&#44;21&#41; vezes mais chances de ter iniciativas para aumentar o peso corporal&#44; enquanto aqueles que se percebiam acima do peso esperado tiveram 12&#44;19 &#40;IC95&#37;&#58; 6&#44;31&#8208;23&#44;57&#41; vezes mais chances de apresentar iniciativas para perder peso&#46; Da mesma forma&#44; as mo&#231;as que se percebiam abaixo do peso tiveram 5&#44;85 &#40;IC95&#37;&#58; 3&#44;08&#8208;11&#44;12&#41; vezes mais chances de apresentar iniciativas para aumentar o peso corporal e aquelas com percep&#231;&#227;o acima do peso esperado 12&#44;38 &#40;IC95&#37;&#58; 6&#44;70&#8208;22&#44;88&#41; vezes mais iniciativas para perder peso &#40;dados n&#227;o contidos nas tabelas&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Nas tabelas 2 e 3 s&#227;o apresentadas as associa&#231;&#245;es da percep&#231;&#227;o do peso corporal com as vari&#225;veis de comportamentos para controle de peso para o sexo masculino e feminino&#44; respectivamente&#46; Os rapazes que n&#227;o tomavam medicamentos &#40;OR &#61; 8&#44;12&#59; IC95&#37;&#58; 1&#44;96&#8208;33&#44;59&#41; e que faziam exerc&#237;cio f&#237;sico tiveram maior &#40;OR &#61; 2&#44;00&#59; IC95&#37;&#58; 1&#44;11&#8208;3&#44;62&#41; chance de se perceberem acima do peso esperado &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0125" class="elsevierStylePara elsevierViewall">As mo&#231;as que se percebiam acima do peso corporal esperado tiveram mais chances &#40;OR &#61; 3&#44;39&#59; IC95&#37; 1&#44;95&#8208;5&#44;88&#41; de comer menos ou evitar a ingest&#227;o de alimentos gordurosos&#46; Aquelas que faziam exerc&#237;cio f&#237;sico para perder peso apresentaram maior chance &#40;OR &#61;1&#44;93&#59; IC95&#37;&#58; 1&#44;09&#8208;3&#44;40&#41; de se perceber acima do peso esperado &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discuss&#227;o</span><p id="par0130" class="elsevierStylePara elsevierViewall">Os resultados do presente estudo demonstraram que&#44; dentre os comportamentos espec&#237;ficos para controle de peso&#44; n&#227;o tomar medicamento &#40;p&#243; ou l&#237;quido&#41; associou&#8208;se &#224; percep&#231;&#227;o do peso acima do esperado nos rapazes&#44; enquanto comer menos&#44; cortar calorias ou evitar alimentos gordurosos para perder ou para n&#227;o aumentar o peso corporal estiveram associados a esse desfecho nas mo&#231;as&#46; Os adolescentes&#44; de ambos os sexos&#44; que faziam exerc&#237;cio f&#237;sico para perder ou para n&#227;o aumentar o peso tiveram maior chance de se perceber acima do peso corporal esperado&#46; N&#227;o foram verificadas associa&#231;&#245;es dos comportamentos para controle de peso com a percep&#231;&#227;o do peso corporal abaixo do esperado&#44; em nenhum dos sexos&#46; Apesar disso&#44; o fato de ter alguma iniciativa&#44; de modo geral&#44; para o controle de peso &#40;perder&#44; ganhar ou manter o peso corporal&#41; esteve associado &#224; percep&#231;&#227;o do peso corporal tanto abaixo quanto acima do esperado&#44; em ambos os sexos&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Em rela&#231;&#227;o a tais iniciativas de mudan&#231;a de peso&#44; entende&#8208;se que os adolescentes que se percebiam acima ou abaixo do peso corporal esperado n&#227;o desejavam permanecer com o seu peso atual&#44; apresentaram interesse em perder ou ganhar peso&#44; respectivamente&#44; para alcan&#231;ar o que acreditam ser o adequado&#46; Resultados semelhantes&#44; no que concerne &#224; percep&#231;&#227;o do peso acima do esperado&#44; foram verificados por Yost et al&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">5</span></a> em adolescentes do sexo feminino e por Oellingrath&#44; Hestetun e Svendsen<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">7</span></a> em adolescentes de ambos os sexos&#46; Ademais&#44; no estudo de Lee et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">11</span></a> os adolescentes que se percebiam com excesso de peso foram os mais interessados em participar de um programa escolar para gerenciamento do peso&#44; em compara&#231;&#227;o com os que se percebiam no peso normal ou abaixo do peso&#46; Assim&#44; parece que a percep&#231;&#227;o do peso corporal tem influ&#234;ncia nos comportamentos adotados pelos adolescentes e especialmente aqueles que se percebem acima do peso esperado t&#234;m maior preocupa&#231;&#227;o de se envolver em estrat&#233;gias para o controle do peso&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Quanto &#224;s associa&#231;&#245;es entre a percep&#231;&#227;o do peso corporal e os comportamentos espec&#237;ficos para controle de peso&#44; observou&#8208;se que os rapazes que se percebiam acima do peso esperado tiveram maior chance de n&#227;o usar medicamentos para perder ou n&#227;o aumentar o peso&#44; comparados com os que se percebiam no peso esperado&#46; Achados divergentes foram verificados por Ursoniu&#44; Putnoky&#44; Vlaicu&#44;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">2</span></a> em que os adolescentes romenos que se percebiam com excesso de peso tinham mais chances de tomar p&#237;lulas de dieta&#44; p&#243;s ou ch&#225; para perder ou manter o peso&#46; Acredita&#8208;se que os resultados do estudo de Ursoniu&#44; Putnoky&#44; Vlaicu<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">2</span></a> sejam mais comuns de ser esperados em pesquisas sobre a tem&#225;tica&#44; por&#233;m sugere&#8208;se que no presente estudo os adolescentes que se percebiam no peso esperado foram os que apresentaram maior uso de medicamentos para controle de peso&#44; possivelmente por interesse em manter o peso atual&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">No sexo feminino&#44; comer menos&#44; cortar calorias ou evitar alimentos gordurosos foram comportamentos para controle de peso associados &#224; percep&#231;&#227;o do peso acima do esperado&#46; Em adolescentes&#44; pesquisas identificaram que os indiv&#237;duos que se percebiam acima do peso tendiam a ter mais chance de apresentar comportamentos de restri&#231;&#227;o cal&#243;rica&#46;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">2&#44;8</span></a> Ainda&#44; as evid&#234;ncias t&#234;m apontado que adotar comportamentos alimentares restritivos para atingir o ideal de corpo &#233; um h&#225;bito mais comum no sexo feminino&#44; j&#225; que a menor ingest&#227;o de calorias proveniente dos alimentos pode evitar o aumento do peso corporal&#46;<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">8&#44;11&#44;24&#8211;26</span></a></p><p id="par0150" class="elsevierStylePara elsevierViewall">Ademais&#44; quanto &#224;s associa&#231;&#245;es do exerc&#237;cio f&#237;sico com a percep&#231;&#227;o do peso corporal&#44; evid&#234;ncias na literatura tamb&#233;m verificaram a associa&#231;&#227;o entre essas vari&#225;veis&#46;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">2&#44;8</span></a> No presente estudo&#44; os adolescentes de ambos os sexos que faziam exerc&#237;cio f&#237;sico tiveram maior chance de se perceber acima do peso esperado&#46; Esse resultado por ser explicado&#44; por exemplo&#44; a partir dos achados de Guedes&#44; Legnani e Legnani&#44;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">27</span></a> em que adolescentes e jovens com sobrepeso e obesidade relataram a possibilidade de controle do peso e a melhoria da apar&#234;ncia f&#237;sica como principais motivos para a pr&#225;tica do exerc&#237;cio f&#237;sico&#46; Dessa forma&#44; pode&#8208;se supor que os adolescentes do presente estudo reconhecem os benef&#237;cios do exerc&#237;cio f&#237;sico para o controle do peso e se envolvem em tais pr&#225;ticas para atingir o peso corporal esperado&#46; Ressalta&#8208;se que dentre os comportamentos para controle de peso avaliados neste estudo o exerc&#237;cio f&#237;sico &#233; um comportamento saud&#225;vel&#44; que deve ser incentivado &#40;em frequ&#234;ncia e intensidade adequadas&#41; para a popula&#231;&#227;o jovem&#44; aliado a uma alimenta&#231;&#227;o equilibrada&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Destaca&#8208;se que os resultados do presente estudo devem ser interpretados com as seguintes limita&#231;&#245;es&#58; as perguntas em rela&#231;&#227;o aos comportamentos espec&#237;ficos de controle de peso foram relativas &#224; inten&#231;&#227;o de reduzir o peso corporal&#44; ou para n&#227;o aument&#225;&#8208;lo&#44; n&#227;o foram feitas perguntas sobre comportamentos intencionados ao ganho de peso&#46; Al&#233;m disso&#44; os adolescentes poderiam ter dificuldade de lembrar &#40;vi&#233;s de mem&#243;ria&#41; se adotaram algum comportamento de controle do peso&#44; pois deveriam se recordar dos fatos ocorridos por um per&#237;odo consider&#225;vel &#40;&#250;ltimos 30 dias&#41;&#46; Contudo&#44; o presente estudo refor&#231;a a necessidade de compreens&#227;o do quanto os adolescentes assumem comportamentos de controle de peso&#44; por meio de uma amostragem probabil&#237;stica e que carece de informa&#231;&#245;es na popula&#231;&#227;o nacional de adolescentes&#46; Tamb&#233;m poder&#225; proporcionar um panorama de informa&#231;&#245;es a respeito da influ&#234;ncia que a percep&#231;&#227;o do peso corporal e a imagem corporal t&#234;m em rela&#231;&#227;o aos comportamentos de controle de peso e consequentemente um cuidado maior em rela&#231;&#227;o &#224; sa&#250;de desses adolescentes&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">Como conclus&#245;es&#44; verifica&#8208;se que a percep&#231;&#227;o do peso corporal esteve associada aos comportamentos de controle de peso&#46; As iniciativas para mudar ou manter o peso estiveram associadas&#44; em ambos os sexos&#44; tanto &#224; percep&#231;&#227;o do peso abaixo do esperado quanto acima&#46; Tomar medicamento &#40;p&#243; ou l&#237;quido&#41; se associou de forma negativa nos rapazes que se percebiam acima do peso esperado e comer menos calorias&#59; j&#225; cortar calorias ou evitar alimentos gordurosos para perder ou para n&#227;o aumentar o peso corporal foi positivamente associado nas mo&#231;as que se percebiam acima do peso esperado&#46; Os adolescentes de ambos os sexos que faziam exerc&#237;cio tiveram maior chance de se perceber acima do peso esperado&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Como sabemos da dificuldade para mudan&#231;a dos comportamentos dos adolescentes&#44; verifica&#8208;se que s&#227;o necess&#225;rias discuss&#245;es na escola em rela&#231;&#227;o &#224;s formas menos agressivas para o adolescente chegar ao formato do corpo que espera&#44; por meio&#44; por exemplo&#44; de pr&#225;ticas planejadas de exerc&#237;cio f&#237;sico e nutricional com profissional habilitado&#46; A promo&#231;&#227;o de programas voltados para a sa&#250;de do adolescente tamb&#233;m poderia ser algo mais presente no cotidiano desses indiv&#237;duos&#44; contribuir para a diminui&#231;&#227;o de condutas inadequadas de controle de peso e outros comportamentos de risco&#46; Sugere&#8208;se ainda que estudos futuros sobre a tem&#225;tica investiguem se a percep&#231;&#227;o do peso corporal dos adolescentes&#44; de acordo ou n&#227;o com o que eles esperam&#44; est&#225; relacionada a fatores est&#233;ticos ou de sa&#250;de&#44; pois diferentes motiva&#231;&#245;es para a forma como o indiv&#237;duo se percebe podem ter implica&#231;&#245;es distintas para sua sa&#250;de f&#237;sica e mental&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Financiamento</span><p id="par0170" class="elsevierStylePara elsevierViewall">Conselho Nacional de Desenvolvimento Cient&#237;fico e Tecnol&#243;gico &#40;CNPq&#41;&#44; edital Universal &#40;n&#176; 472763&#47;2013&#8208;0&#41;&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conflitos de interesse</span><p id="par0175" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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            0 => "Body weight changes"
            1 => "Weight gain"
            2 => "Weight loss"
            3 => "Weight reduction programs"
            4 => "Health behavior"
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            1 => "Ganho de peso"
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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 association between the perception of body weight &#40;as above or below the desired&#41; and behaviors for body weight control in 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 that included 1051 adolescents &#40;aged 15&#8211;19 years&#41; who were high school students attending public schools&#46; The authors collected information on the perception of body weight &#40;dependent variable&#41;&#44; weight control behaviors &#40;initiative to change the weight&#44; physical exercise&#44; eating less or cutting calories&#44; fasting for 24<span class="elsevierStyleHsp" style=""></span>h&#44; taking medications&#44; vomiting&#44; or taking laxatives&#41;&#44; and measured body weight and height to calculate the body mass index and then classify the weight status&#46; Associations were tested by multinomial logistic regression analysis&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Adolescents of both sexes who perceived their body weight as below the expected weight took more initiatives to gain weight&#44; and those who perceived themselves as overweight made more efforts to lose weight&#46; In adolescents who perceived themselves as overweight&#44; the behavior of not taking medication was associated with the outcome only in boys &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#46;12&#41;&#44; whereas in girls&#44; an association was observed with the variables eating less&#44; cutting calories&#44; or avoiding fatty foods aiming to lose or avoid increasing body weight &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#46;39&#41;&#46; Adolescents of both sexes who practiced exercises were more likely to perceive themselves as overweight &#40;male OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;00&#59; OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;93 female&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The perception of the body weight as above and below one&#39;s expected weight was associated with weight control behaviors&#44; which were more likely to result in initiatives to lose and gain weight&#44; respectively&#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">Verificar a associa&#231;&#227;o da percep&#231;&#227;o &#40;acima ou abaixo&#41; do peso corporal esperado com os comportamentos para controle de peso em 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&#44; feito com 1&#46;051 adolescentes &#40;15 a 19 anos&#41; do ensino m&#233;dio de escolas p&#250;blicas estaduais&#46; Foram coletadas informa&#231;&#245;es sobre a percep&#231;&#227;o do peso corporal &#40;vari&#225;vel dependente&#41;&#44; comportamentos de controle de peso &#40;iniciativa para mudar o peso&#44; pr&#225;tica de exerc&#237;cios f&#237;sicos&#44; comer menos ou cortar calorias&#44; ficar 24<span class="elsevierStyleHsp" style=""></span>h sem comer&#44; tomar medicamentos&#44; vomitar ou tomar laxantes&#41; e aferidas as medidas de massa corporal e estatura para c&#225;lculo do &#237;ndice de massa corporal e classifica&#231;&#227;o do status do peso&#46; As associa&#231;&#245;es foram testadas por meio da regress&#227;o log&#237;stica multinomial&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Adolescentes de ambos os sexos com percep&#231;&#227;o do peso corporal abaixo do peso esperado apresentaram mais iniciativas para ganhar peso e aqueles que se percebiam acima do peso tiveram mais iniciativas para perder peso&#46; Nos adolescentes que se percebiam acima do peso&#44; o comportamento de n&#227;o tomar medicamento esteve associado ao desfecho apenas nos rapazes &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#44;12&#41;&#44; enquanto nas mo&#231;as observou&#8208;se associa&#231;&#227;o com comer menos&#44; cortar calorias ou evitar alimentos gordurosos para perder ou para n&#227;o aumentar o peso corporal &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#44;39&#41;&#46; Adolescentes de ambos os sexos que faziam exerc&#237;cio f&#237;sico tiveram maior chance de se perceber acima do peso &#40;masculino OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;00&#59; feminino OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;93&#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">A percep&#231;&#227;o do peso acima e abaixo do peso esperado esteve associada aos comportamentos de controle de peso&#44; nos quais&#44; respectivamente&#44; tinham mais chances de tomar iniciativas para perder e para ganhar peso&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0035">Como citar este artigo&#58; Frank R&#44; Claumann GS&#44; Felden &#201;P&#44; Silva DA&#44; Pelegrini A&#46; Body weight perception and body weight control behaviors in adolescents&#46; J Pediatr &#40;Rio J&#41;&#46; 2018&#59;94&#58;40&#8211;7&#46;</p>"
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                  \t\t\t\t">731 &#40;77&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">352 &#40;79&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">379 &#40;76&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;175<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Excesso de peso&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">210 &#40;22&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">90 &#40;20&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">120 &#40;24&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Percep&#231;&#227;o do peso corporal&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Abaixo do peso esperado&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">308 &#40;29&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">167 &#40;34&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">141 &#40;24&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#60; 0&#44;001<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No peso esperado&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">327 &#40;31&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">184 &#40;38&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">143 &#40;25&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Acima do peso esperado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">416 &#40;39&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">133 &#40;27&#44;5&#41;&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="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Iniciativa para controle de peso&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Perder peso corporal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">389 &#40;37&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">127 &#40;26&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">262 &#40;46&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60; 0&#44;001<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ganhar peso corporal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">280 &#40;26&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">147 &#40;30&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">133 &#40;23&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Manter o peso corporal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">139 &#40;13&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">73 &#40;15&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">66 &#40;11&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o tomou iniciativa&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Exerc&#237;cio f&#237;sico&#44; n &#40;&#37;</span>&#41;</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">455 &#40;43&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">241 &#40;42&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;452<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">584 &#40;56&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">261 &#40;54&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">323 &#40;57&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Comeu menos calorias e alimentos gordurosos&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">688 &#40;65&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">330 &#40;58&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60; 0&#44;001<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">61 &#40;10&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">An&#225;lise bruta OR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">An&#225;lise ajustada OR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8208;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Vomitou ou tomou laxantes</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">An&#225;lise bruta OR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                      "titulo" => "Sentidos da imagem corporal de adolescentes no ensino fundamental"
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Artigo original
Body weight perception and body weight control behaviors in adolescents
Percepção do peso corporal e comportamentos para controle de peso em adolescentes
Robson Franka,
Autor para correspondência
robson_frank_91@hotmail.com

Autor para correspondência.
, Gaia S. Claumanna, Érico P.G. Feldena, Diego A.S. Silvab, Andreia Pelegrinia
a Universidade do Estado de Santa Catarina (Udesc), Programa de Pós‐Graduação em Ciências do Movimento Humano, Florianópolis, SC, Brasil
b Universidade Federal de Santa Catarina (UFSC), Programa de Pós‐Graduação em Educação Física, Florianópolis, SC, Brasil
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introdu&#231;&#227;o</span><p id="par0005" class="elsevierStylePara elsevierViewall">A preocupa&#231;&#227;o de alcan&#231;ar o formato corporal mais pr&#243;ximo dos padr&#245;es estabelecidos pela sociedade &#233; frequente entre os adolescentes&#44; os quais almejam uma apar&#234;ncia considerada adequada&#44; com caracter&#237;sticas espec&#237;ficas para cada sexo&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">1</span></a> Ao buscar o corpo t&#227;o desejado&#44; &#233; comum que indiv&#237;duos dessa faixa et&#225;ria se envolvam em comportamentos para o controle do peso&#44; os quais na maioria das vezes s&#227;o inadequados e podem causar preju&#237;zos &#224; sa&#250;de&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">2</span></a> Estudos identificaram que os comportamentos de controle do peso est&#227;o associados &#224; percep&#231;&#227;o do peso corporal&#46;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">2&#8211;4</span></a> Essa percep&#231;&#227;o do peso corporal tem sido definida como a maneira com que a pessoa percebe o pr&#243;prio corpo em rela&#231;&#227;o ao status ou &#224; condi&#231;&#227;o de peso&#44; pode se perceber acima&#44; abaixo ou no peso esperado&#46;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">4&#8211;6</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Nesse sentido&#44; pesquisas apontaram que dentre os principais comportamentos de controle de peso relacionados &#224; percep&#231;&#227;o do peso corporal em adolescentes est&#227;o o jejum&#44; a dieta&#44; o uso de laxantes&#44; o exerc&#237;cio f&#237;sico e a automedica&#231;&#227;o com p&#237;lulas de dieta&#46;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">2&#44;7</span></a> Al&#233;m disso&#44; observa&#8208;se a associa&#231;&#227;o de alguns comportamentos&#44; como &#8220;pular refei&#231;&#245;es&#8221;&#44; substituir alimentos&#44; vomitar&#44; fumar mais cigarros e fazer dietas extremas&#44; especificamente com a percep&#231;&#227;o do peso acima do esperado ou percep&#231;&#227;o de excesso de peso&#46;<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">3&#44;8</span></a> Ademais&#44; h&#225; evid&#234;ncias que sugerem que a percep&#231;&#227;o de excesso de peso est&#225; associada &#224; feitura de dietas para controle de peso&#44; independentemente da real condi&#231;&#227;o de peso&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">9</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Destaca&#8208;se que as informa&#231;&#245;es a respeito das rela&#231;&#245;es entre a percep&#231;&#227;o do peso corporal e os comportamentos para controle de peso em adolescentes s&#227;o provenientes&#44; em sua maioria&#44; de estudos desenvolvidos em pa&#237;ses asi&#225;ticos&#44;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">4&#44;6&#44;8&#44;10&#44;11</span></a> europeus<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">2&#44;3&#44;7</span></a> e nos Estados Unidos&#46;<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">8&#44;12</span></a> No entanto&#44; estudos no Brasil que tenham investigado a rela&#231;&#227;o entre percep&#231;&#227;o do peso corporal e comportamentos relacionados ao controle de peso ainda s&#227;o escassos&#46; O que se encontra&#44; em n&#237;vel nacional&#44; s&#227;o investiga&#231;&#245;es sobre a percep&#231;&#227;o do peso corporal<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">13&#44;14</span></a> e h&#225;bitos de controle de peso corporal&#44;<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">15&#44;16</span></a> analisadas isoladamente&#46; Para al&#233;m disso&#44; na literatura pesquisada&#44; tanto nacional quanto internacional&#44; n&#227;o foram encontradas associa&#231;&#245;es especificamente da percep&#231;&#227;o do peso corporal abaixo do esperado com comportamentos para controle de peso&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Considerando os riscos que a maneira como o indiv&#237;duo percebe seu peso corporal pode provocar &#224; sa&#250;de&#44; sobretudo em rela&#231;&#227;o ao envolvimento em comportamentos de controle de peso&#44; &#233; necess&#225;rio identificar e monitorar as condutas para que n&#227;o haja preju&#237;zos &#224; sa&#250;de dos adolescentes e que ocorra maior aten&#231;&#227;o dos profissionais da &#225;rea da sa&#250;de para com essa faixa et&#225;ria&#46; Consentindo essa necessidade&#44; o objetivo deste estudo foi verificar a associa&#231;&#227;o entre a percep&#231;&#227;o do peso corporal &#40;acima ou abaixo do esperado&#41; e os comportamentos para controle de peso corporal em adolescentes&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material e m&#233;todo</span><p id="par0025" class="elsevierStylePara elsevierViewall">O presente estudo&#44; de delineamento transversal&#44; faz parte do macroprojeto Guia Brasileiro de Avalia&#231;&#227;o da Aptid&#227;o F&#237;sica Relacionada &#224; Sa&#250;de e H&#225;bitos de Vida &#8211; Etapa I&#44; aprovado pelo Comit&#234; de &#201;tica em Pesquisa com Seres Humanos da Universidade Federal de Santa Catarina &#40;protocolo n&#176; 746&#46;536&#47;2014&#41;&#44; feito em 2014&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">A popula&#231;&#227;o do estudo consistiu em adolescentes estudantes do ensino m&#233;dio&#44; regularmente matriculados em escolas p&#250;blicas estaduais do munic&#237;pio de S&#227;o Jos&#233;&#8208;SC&#46; No per&#237;odo da pesquisa estavam matriculados no ensino m&#233;dio da rede p&#250;blica do mun&#237;cipio 5&#46;182 estudantes<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">17</span></a>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Para o c&#225;lculo do tamanho da amostra recorreu&#8208;se &#224; equa&#231;&#227;o proposta por Luiz e Magnanini&#44;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">18</span></a> adotou&#8208;se n&#237;vel de confian&#231;a de 1&#44;96 &#40;intervalo de confian&#231;a de 95&#37;&#41;&#44; erro toler&#225;vel de cinco pontos percentuais&#44; preval&#234;ncia de 50&#37; &#40;desfecho n&#227;o conhecido&#41; e efeito de delineamento de 1&#44;5&#46; Para minimizar as eventuais perdas relacionadas &#224;s poss&#237;veis recusas em participar do estudo&#44; foram acrescentados 20&#37; e mais 20&#37; para o controle de vari&#225;veis de confus&#227;o&#46; Dessa forma&#44; o tamanho amostral m&#237;nimo seria de 751 estudantes&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">O processo de sele&#231;&#227;o da amostra foi determinado em dois est&#225;gios&#58; estratificado por escolas p&#250;blicas estaduais de ensino m&#233;dio e por conglomerado de turmas &#40;considerando o turno de estudo e o ano escolar&#41;&#44; em que todos os que estavam presentes em sala de aula no dia da coleta de dados foram convidados a participar&#46; Com exce&#231;&#227;o das escolas estaduais com Educa&#231;&#227;o de Jovens e Adultos &#40;EJA&#41; e que atendiam alunos com algum tipo de defici&#234;ncia intelectual&#44; as demais foram consideradas eleg&#237;veis para participa&#231;&#227;o no estudo&#46; No primeiro est&#225;gio a densidade da escola &#40;tamanho&#58; pequenas&#44; com menos de 200 alunos&#59; m&#233;dias&#44; com 200 a 499 alunos&#59; e grandes&#44; com 500 estudantes ou mais&#41; foi adotada como crit&#233;rio de estratifica&#231;&#227;o&#46; No segundo est&#225;gio foram considerados o turno de estudo &#40;manh&#227;&#44; tarde&#44; noite e integral&#41; e o ano escolar &#40;primeiro&#44; segundo e terceiro ano&#41;&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">As coletas de dados foram conduzidas no segundo semestre de 2014&#44; nas depend&#234;ncias das escolas sorteadas e que aceitaram participar da pesquisa&#44; em dias e hor&#225;rios agendados com os respons&#225;veis&#46; Inicialmente&#44; os pesquisadores fizeram contato com os estudantes das turmas sorteadas para explicar os objetivos e a import&#226;ncia do estudo e convid&#225;&#8208;los a participar&#46; Nesse momento&#44; os estudantes receberam o Termo de Consentimento Livre e Esclarecido &#40;TCLE&#41;&#44; o qual deveria ser levado para casa&#44; para ser apresentado aos seus respons&#225;veis e assinado &#40;para estudantes com idade inferior a 18 anos&#41;&#46; Aqueles que tinham 18 anos ou mais poderiam assinar seu pr&#243;prio TCLE&#46; Al&#233;m disso&#44; todos os estudantes &#40;independentemente da idade&#41; receberam o Termo de Assentimento para ser assinado por eles pr&#243;prios&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Em um segundo momento&#44; os pesquisadores retornaram &#224;s escolas para aplica&#231;&#227;o dos question&#225;rios e aferi&#231;&#227;o das medidas de massa corporal e estatura&#46; Fizeram essa etapa os estudantes que desejaram participar voluntariamente e entregaram todos os documentos necess&#225;rios devidamente assinados&#46; Gestantes e indiv&#237;duos com alguma defici&#234;ncia f&#237;sica n&#227;o foram inclu&#237;dos e receberam esclarecimentos sobre o porqu&#234; de tal decis&#227;o&#46; Os question&#225;rios foram autopreenchidos pelos participantes&#44; na presen&#231;a dos pesquisadores que estavam dispon&#237;veis para responder a eventuais d&#250;vidas&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">A vari&#225;vel dependente deste estudo foi a percep&#231;&#227;o do peso corporal&#44; investigada a partir da pergunta&#58; &#8220;Como voc&#234; descreve o seu peso corporal&#63;&#8221; As cinco op&#231;&#245;es de respostas foram agrupadas em tr&#234;s categorias&#58; abaixo do peso esperado &#40;muito abaixo do que eu espero &#43; um pouco abaixo do que eu espero&#41;&#59; no peso esperado&#59; acima do peso esperado &#40;um pouco acima do que eu espero &#43; muito acima do que eu espero&#41;&#44; assim como empregado em outros estudos que investigaram essa tem&#225;tica&#46;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">4&#44;7&#44;10</span></a> Essa pergunta &#233; proveniente do question&#225;rio YRBS &#40;<span class="elsevierStyleItalic">Youth Risk Behavior Survey</span>&#44; vers&#227;o 2007&#41;&#44; traduzida e adaptada por Lopes&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">19</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">Como vari&#225;veis independentes&#44; foram investigados os comportamentos de controle de peso adotados&#44; por meio das perguntas do question&#225;rio YRBS&#58;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">19</span></a><ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">a&#41;</span><p id="par0065" class="elsevierStylePara elsevierViewall">&#8220;Voc&#234; tentou alguma iniciativa para mudan&#231;a de peso&#63;&#8221; &#40;op&#231;&#245;es&#58; perder peso corporal&#59; ganhar peso corporal&#59; manter peso corporal&#59; eu n&#227;o tomei iniciativa&#41;&#59;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">b&#41;</span><p id="par0070" class="elsevierStylePara elsevierViewall">&#8220;Durante os &#250;ltimos 30 dias voc&#234; fez algum tipo de exerc&#237;cio para perder ou para n&#227;o aumentar o seu peso corporal&#63;&#8221; &#40;op&#231;&#245;es&#58; sim&#59; n&#227;o&#41;&#59;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">c&#41;</span><p id="par0075" class="elsevierStylePara elsevierViewall">&#8220;Durante os &#250;ltimos 30 dias voc&#234; comeu menos&#44; cortou calorias ou evitou alimentos gordurosos para perder ou para n&#227;o aumentar o seu peso corporal&#63;&#8221; &#40;op&#231;&#245;es&#58; sim&#59; n&#227;o&#41;&#59;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">d&#41;</span><p id="par0080" class="elsevierStylePara elsevierViewall">&#8220;Durante os &#250;ltimos 30 dias voc&#234; ficou sem comer por 24 horas ou mais para perder ou para n&#227;o aumentar o seu peso corporal&#63;&#8221; &#40;op&#231;&#245;es&#58; sim&#59; n&#227;o&#41;&#59;</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">e&#41;</span><p id="par0085" class="elsevierStylePara elsevierViewall">&#8220;Durante os &#250;ltimos 30 dias voc&#234; tomou algum rem&#233;dio&#44; p&#243; ou liquido sem indica&#231;&#227;o m&#233;dica para perder ou para n&#227;o aumentar o seu peso corporal&#63;&#8221; &#40;op&#231;&#245;es&#58; sim&#59; n&#227;o&#41;&#59;</p></li><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">f&#41;</span><p id="par0090" class="elsevierStylePara elsevierViewall">&#8220;Durante os &#250;ltimos 30 dias voc&#234; vomitou ou tomou laxantes para perder ou para n&#227;o aumentar o seu peso corporal&#63;&#8221; &#40;op&#231;&#245;es&#58; sim&#59; n&#227;o&#41;&#46;</p></li></ul></p><p id="par0095" class="elsevierStylePara elsevierViewall">Para ajuste das vari&#225;veis nas an&#225;lises de regress&#227;o log&#237;stica multinomial&#44; usou&#8208;se o status do peso&#44; obtido por meio do c&#225;lculo do IMC &#40;massa corporal&#47;estatura<span class="elsevierStyleSup">2</span>&#41;&#46; A massa corporal foi aferida por meio de balan&#231;a digital &#40;G Tech Pro&#174;&#44; Pacific Palisades&#44; CA&#44; EUA&#41;&#44; com capacidade de at&#233; 150<span class="elsevierStyleHsp" style=""></span>kg e resolu&#231;&#227;o de 100<span class="elsevierStyleHsp" style=""></span>g&#46; A estatura foi aferida por meio de estadi&#244;metro &#40;Sanny&#174;&#44; S&#227;o Paulo&#44; Brasil&#41; com resolu&#231;&#227;o de 0&#44;1<span class="elsevierStyleHsp" style=""></span>cm&#46; Para ambas as medidas&#44; foram seguidos os procedimentos da <span class="elsevierStyleItalic">International Standards for Anthropometry Assesment</span> &#40;ISAK&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">20</span></a> O status do peso&#44; conforme o IMC&#44; foi classificado a partir dos pontos de corte para adolescentes&#44; de acordo com sexo e idade&#46;<a class="elsevierStyleCrossRefs" href="#bib0240"><span class="elsevierStyleSup">21&#44;22</span></a> Devido ao baixo n&#250;mero de participantes que apresentaram baixo peso &#40;n &#61; 73&#41; e obesidade &#40;n &#61; 61&#41;&#44; foram agrupados aos de peso normal e sobrepeso&#44; respectivamente&#44; formaram as categorias &#8220;peso normal&#8221; e &#8220;excesso de peso&#8221;&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Para an&#225;lise dos dados deste estudo&#44; foram inclu&#237;dos somente os adolescentes da faixa de 15 a 19 anos&#46; Usou&#8208;se a estat&#237;stica descritiva &#40;m&#233;dia&#44; desvios padr&#227;o e distribui&#231;&#227;o de frequ&#234;ncias&#41; e inferencial &#40;teste <span class="elsevierStyleItalic">t</span> para amostras independentes&#44; qui&#8208;quadrado e regress&#227;o log&#237;stica multinomial&#41;&#46; A normalidade dos dados foi verificada por meio do teste de Kolmogorov&#8208;Smirnov&#46; Nos testes de associa&#231;&#227;o da percep&#231;&#227;o do peso corporal com as demais vari&#225;veis independentes de controle de peso foi usada a regress&#227;o multinominal&#44; em virtude de a vari&#225;vel dependente apresentar tr&#234;s categorias&#46; A categoria &#8220;no peso esperado&#8221; foi usada como refer&#234;ncia da percep&#231;&#227;o do peso corporal&#46; As vari&#225;veis independentes que apresentam p &#60; 0&#44;20 nas an&#225;lises brutas foram adicionadas junto ao status do peso no modelo ajustado&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">23</span></a> A vari&#225;vel &#8220;iniciativa para mudan&#231;a de peso&#8221; n&#227;o foi adicionada nas an&#225;lises ajustadas devido a sua colinearidade com as demais vari&#225;veis&#46; Foi adotado o n&#237;vel de signific&#226;ncia de 5&#37;&#46; Todas as an&#225;lises foram feitas no <span class="elsevierStyleItalic">software</span> IBM SPSS &#40;IBM SPSS Statistics para Windows&#44; Vers&#227;o 20&#46;0&#46; NY&#44; USA&#41;&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Resultados</span><p id="par0105" class="elsevierStylePara elsevierViewall">Participaram do macroprojeto 1&#46;148 estudantes&#44; dos quais 97 foram exclu&#237;dos das an&#225;lises deste estudo &#40;15 por n&#227;o responder &#224; vari&#225;vel dependente e 82 por apresentar idade inferior a 15 anos ou superior a 19&#41;&#46; Dessa forma&#44; a amostra final foi composta por 1&#46;051 adolescentes &#40;mo&#231;as &#61; 53&#44;9&#37;&#41; com m&#233;dia de 16&#44;29 anos &#40;dp &#61; 1&#44;04&#41;&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Quanto &#224;s caracter&#237;sticas da amostra&#44; destaca&#8208;se que as mo&#231;as&#44; em compara&#231;&#227;o com os rapazes&#44; se perceberam com maior frequ&#234;ncia acima do peso corporal esperado &#40;49&#44;9&#37;&#41;&#44; tiveram mais iniciativas para perder peso &#40;46&#44;5&#37;&#41;&#44; evitaram comer calorias e alimentos gordurosos &#40;41&#44;5&#37;&#41; e ficaram 24<span class="elsevierStyleHsp" style=""></span>h ou mais sem comer &#40;10&#44;9&#37;&#41;&#46; N&#227;o houve diferen&#231;a entre os sexos para fazer exerc&#237;cios f&#237;sicos para perder peso ou n&#227;o aumentar o peso&#44; tomar medicamentos &#40;p&#243; ou l&#237;quido&#41; e vomitar ou tomar laxantes &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">Os rapazes que se percebiam abaixo do peso corporal esperado tiveram 4&#44;23 &#40;IC95&#37;&#58; 2&#44;48&#8208;7&#44;21&#41; vezes mais chances de ter iniciativas para aumentar o peso corporal&#44; enquanto aqueles que se percebiam acima do peso esperado tiveram 12&#44;19 &#40;IC95&#37;&#58; 6&#44;31&#8208;23&#44;57&#41; vezes mais chances de apresentar iniciativas para perder peso&#46; Da mesma forma&#44; as mo&#231;as que se percebiam abaixo do peso tiveram 5&#44;85 &#40;IC95&#37;&#58; 3&#44;08&#8208;11&#44;12&#41; vezes mais chances de apresentar iniciativas para aumentar o peso corporal e aquelas com percep&#231;&#227;o acima do peso esperado 12&#44;38 &#40;IC95&#37;&#58; 6&#44;70&#8208;22&#44;88&#41; vezes mais iniciativas para perder peso &#40;dados n&#227;o contidos nas tabelas&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Nas tabelas 2 e 3 s&#227;o apresentadas as associa&#231;&#245;es da percep&#231;&#227;o do peso corporal com as vari&#225;veis de comportamentos para controle de peso para o sexo masculino e feminino&#44; respectivamente&#46; Os rapazes que n&#227;o tomavam medicamentos &#40;OR &#61; 8&#44;12&#59; IC95&#37;&#58; 1&#44;96&#8208;33&#44;59&#41; e que faziam exerc&#237;cio f&#237;sico tiveram maior &#40;OR &#61; 2&#44;00&#59; IC95&#37;&#58; 1&#44;11&#8208;3&#44;62&#41; chance de se perceberem acima do peso esperado &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0125" class="elsevierStylePara elsevierViewall">As mo&#231;as que se percebiam acima do peso corporal esperado tiveram mais chances &#40;OR &#61; 3&#44;39&#59; IC95&#37; 1&#44;95&#8208;5&#44;88&#41; de comer menos ou evitar a ingest&#227;o de alimentos gordurosos&#46; Aquelas que faziam exerc&#237;cio f&#237;sico para perder peso apresentaram maior chance &#40;OR &#61;1&#44;93&#59; IC95&#37;&#58; 1&#44;09&#8208;3&#44;40&#41; de se perceber acima do peso esperado &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discuss&#227;o</span><p id="par0130" class="elsevierStylePara elsevierViewall">Os resultados do presente estudo demonstraram que&#44; dentre os comportamentos espec&#237;ficos para controle de peso&#44; n&#227;o tomar medicamento &#40;p&#243; ou l&#237;quido&#41; associou&#8208;se &#224; percep&#231;&#227;o do peso acima do esperado nos rapazes&#44; enquanto comer menos&#44; cortar calorias ou evitar alimentos gordurosos para perder ou para n&#227;o aumentar o peso corporal estiveram associados a esse desfecho nas mo&#231;as&#46; Os adolescentes&#44; de ambos os sexos&#44; que faziam exerc&#237;cio f&#237;sico para perder ou para n&#227;o aumentar o peso tiveram maior chance de se perceber acima do peso corporal esperado&#46; N&#227;o foram verificadas associa&#231;&#245;es dos comportamentos para controle de peso com a percep&#231;&#227;o do peso corporal abaixo do esperado&#44; em nenhum dos sexos&#46; Apesar disso&#44; o fato de ter alguma iniciativa&#44; de modo geral&#44; para o controle de peso &#40;perder&#44; ganhar ou manter o peso corporal&#41; esteve associado &#224; percep&#231;&#227;o do peso corporal tanto abaixo quanto acima do esperado&#44; em ambos os sexos&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Em rela&#231;&#227;o a tais iniciativas de mudan&#231;a de peso&#44; entende&#8208;se que os adolescentes que se percebiam acima ou abaixo do peso corporal esperado n&#227;o desejavam permanecer com o seu peso atual&#44; apresentaram interesse em perder ou ganhar peso&#44; respectivamente&#44; para alcan&#231;ar o que acreditam ser o adequado&#46; Resultados semelhantes&#44; no que concerne &#224; percep&#231;&#227;o do peso acima do esperado&#44; foram verificados por Yost et al&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">5</span></a> em adolescentes do sexo feminino e por Oellingrath&#44; Hestetun e Svendsen<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">7</span></a> em adolescentes de ambos os sexos&#46; Ademais&#44; no estudo de Lee et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">11</span></a> os adolescentes que se percebiam com excesso de peso foram os mais interessados em participar de um programa escolar para gerenciamento do peso&#44; em compara&#231;&#227;o com os que se percebiam no peso normal ou abaixo do peso&#46; Assim&#44; parece que a percep&#231;&#227;o do peso corporal tem influ&#234;ncia nos comportamentos adotados pelos adolescentes e especialmente aqueles que se percebem acima do peso esperado t&#234;m maior preocupa&#231;&#227;o de se envolver em estrat&#233;gias para o controle do peso&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Quanto &#224;s associa&#231;&#245;es entre a percep&#231;&#227;o do peso corporal e os comportamentos espec&#237;ficos para controle de peso&#44; observou&#8208;se que os rapazes que se percebiam acima do peso esperado tiveram maior chance de n&#227;o usar medicamentos para perder ou n&#227;o aumentar o peso&#44; comparados com os que se percebiam no peso esperado&#46; Achados divergentes foram verificados por Ursoniu&#44; Putnoky&#44; Vlaicu&#44;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">2</span></a> em que os adolescentes romenos que se percebiam com excesso de peso tinham mais chances de tomar p&#237;lulas de dieta&#44; p&#243;s ou ch&#225; para perder ou manter o peso&#46; Acredita&#8208;se que os resultados do estudo de Ursoniu&#44; Putnoky&#44; Vlaicu<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">2</span></a> sejam mais comuns de ser esperados em pesquisas sobre a tem&#225;tica&#44; por&#233;m sugere&#8208;se que no presente estudo os adolescentes que se percebiam no peso esperado foram os que apresentaram maior uso de medicamentos para controle de peso&#44; possivelmente por interesse em manter o peso atual&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">No sexo feminino&#44; comer menos&#44; cortar calorias ou evitar alimentos gordurosos foram comportamentos para controle de peso associados &#224; percep&#231;&#227;o do peso acima do esperado&#46; Em adolescentes&#44; pesquisas identificaram que os indiv&#237;duos que se percebiam acima do peso tendiam a ter mais chance de apresentar comportamentos de restri&#231;&#227;o cal&#243;rica&#46;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">2&#44;8</span></a> Ainda&#44; as evid&#234;ncias t&#234;m apontado que adotar comportamentos alimentares restritivos para atingir o ideal de corpo &#233; um h&#225;bito mais comum no sexo feminino&#44; j&#225; que a menor ingest&#227;o de calorias proveniente dos alimentos pode evitar o aumento do peso corporal&#46;<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">8&#44;11&#44;24&#8211;26</span></a></p><p id="par0150" class="elsevierStylePara elsevierViewall">Ademais&#44; quanto &#224;s associa&#231;&#245;es do exerc&#237;cio f&#237;sico com a percep&#231;&#227;o do peso corporal&#44; evid&#234;ncias na literatura tamb&#233;m verificaram a associa&#231;&#227;o entre essas vari&#225;veis&#46;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">2&#44;8</span></a> No presente estudo&#44; os adolescentes de ambos os sexos que faziam exerc&#237;cio f&#237;sico tiveram maior chance de se perceber acima do peso esperado&#46; Esse resultado por ser explicado&#44; por exemplo&#44; a partir dos achados de Guedes&#44; Legnani e Legnani&#44;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">27</span></a> em que adolescentes e jovens com sobrepeso e obesidade relataram a possibilidade de controle do peso e a melhoria da apar&#234;ncia f&#237;sica como principais motivos para a pr&#225;tica do exerc&#237;cio f&#237;sico&#46; Dessa forma&#44; pode&#8208;se supor que os adolescentes do presente estudo reconhecem os benef&#237;cios do exerc&#237;cio f&#237;sico para o controle do peso e se envolvem em tais pr&#225;ticas para atingir o peso corporal esperado&#46; Ressalta&#8208;se que dentre os comportamentos para controle de peso avaliados neste estudo o exerc&#237;cio f&#237;sico &#233; um comportamento saud&#225;vel&#44; que deve ser incentivado &#40;em frequ&#234;ncia e intensidade adequadas&#41; para a popula&#231;&#227;o jovem&#44; aliado a uma alimenta&#231;&#227;o equilibrada&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Destaca&#8208;se que os resultados do presente estudo devem ser interpretados com as seguintes limita&#231;&#245;es&#58; as perguntas em rela&#231;&#227;o aos comportamentos espec&#237;ficos de controle de peso foram relativas &#224; inten&#231;&#227;o de reduzir o peso corporal&#44; ou para n&#227;o aument&#225;&#8208;lo&#44; n&#227;o foram feitas perguntas sobre comportamentos intencionados ao ganho de peso&#46; Al&#233;m disso&#44; os adolescentes poderiam ter dificuldade de lembrar &#40;vi&#233;s de mem&#243;ria&#41; se adotaram algum comportamento de controle do peso&#44; pois deveriam se recordar dos fatos ocorridos por um per&#237;odo consider&#225;vel &#40;&#250;ltimos 30 dias&#41;&#46; Contudo&#44; o presente estudo refor&#231;a a necessidade de compreens&#227;o do quanto os adolescentes assumem comportamentos de controle de peso&#44; por meio de uma amostragem probabil&#237;stica e que carece de informa&#231;&#245;es na popula&#231;&#227;o nacional de adolescentes&#46; Tamb&#233;m poder&#225; proporcionar um panorama de informa&#231;&#245;es a respeito da influ&#234;ncia que a percep&#231;&#227;o do peso corporal e a imagem corporal t&#234;m em rela&#231;&#227;o aos comportamentos de controle de peso e consequentemente um cuidado maior em rela&#231;&#227;o &#224; sa&#250;de desses adolescentes&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">Como conclus&#245;es&#44; verifica&#8208;se que a percep&#231;&#227;o do peso corporal esteve associada aos comportamentos de controle de peso&#46; As iniciativas para mudar ou manter o peso estiveram associadas&#44; em ambos os sexos&#44; tanto &#224; percep&#231;&#227;o do peso abaixo do esperado quanto acima&#46; Tomar medicamento &#40;p&#243; ou l&#237;quido&#41; se associou de forma negativa nos rapazes que se percebiam acima do peso esperado e comer menos calorias&#59; j&#225; cortar calorias ou evitar alimentos gordurosos para perder ou para n&#227;o aumentar o peso corporal foi positivamente associado nas mo&#231;as que se percebiam acima do peso esperado&#46; Os adolescentes de ambos os sexos que faziam exerc&#237;cio tiveram maior chance de se perceber acima do peso esperado&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Como sabemos da dificuldade para mudan&#231;a dos comportamentos dos adolescentes&#44; verifica&#8208;se que s&#227;o necess&#225;rias discuss&#245;es na escola em rela&#231;&#227;o &#224;s formas menos agressivas para o adolescente chegar ao formato do corpo que espera&#44; por meio&#44; por exemplo&#44; de pr&#225;ticas planejadas de exerc&#237;cio f&#237;sico e nutricional com profissional habilitado&#46; A promo&#231;&#227;o de programas voltados para a sa&#250;de do adolescente tamb&#233;m poderia ser algo mais presente no cotidiano desses indiv&#237;duos&#44; contribuir para a diminui&#231;&#227;o de condutas inadequadas de controle de peso e outros comportamentos de risco&#46; Sugere&#8208;se ainda que estudos futuros sobre a tem&#225;tica investiguem se a percep&#231;&#227;o do peso corporal dos adolescentes&#44; de acordo ou n&#227;o com o que eles esperam&#44; est&#225; relacionada a fatores est&#233;ticos ou de sa&#250;de&#44; pois diferentes motiva&#231;&#245;es para a forma como o indiv&#237;duo se percebe podem ter implica&#231;&#245;es distintas para sua sa&#250;de f&#237;sica e mental&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Financiamento</span><p id="par0170" class="elsevierStylePara elsevierViewall">Conselho Nacional de Desenvolvimento Cient&#237;fico e Tecnol&#243;gico &#40;CNPq&#41;&#44; edital Universal &#40;n&#176; 472763&#47;2013&#8208;0&#41;&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conflitos de interesse</span><p id="par0175" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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            0 => "Body weight changes"
            1 => "Weight gain"
            2 => "Weight loss"
            3 => "Weight reduction programs"
            4 => "Health behavior"
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          "palabras" => array:5 [
            0 => "Altera&#231;&#245;es do peso corporal"
            1 => "Ganho de peso"
            2 => "Perda de peso"
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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 association between the perception of body weight &#40;as above or below the desired&#41; and behaviors for body weight control in 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 that included 1051 adolescents &#40;aged 15&#8211;19 years&#41; who were high school students attending public schools&#46; The authors collected information on the perception of body weight &#40;dependent variable&#41;&#44; weight control behaviors &#40;initiative to change the weight&#44; physical exercise&#44; eating less or cutting calories&#44; fasting for 24<span class="elsevierStyleHsp" style=""></span>h&#44; taking medications&#44; vomiting&#44; or taking laxatives&#41;&#44; and measured body weight and height to calculate the body mass index and then classify the weight status&#46; Associations were tested by multinomial logistic regression analysis&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Adolescents of both sexes who perceived their body weight as below the expected weight took more initiatives to gain weight&#44; and those who perceived themselves as overweight made more efforts to lose weight&#46; In adolescents who perceived themselves as overweight&#44; the behavior of not taking medication was associated with the outcome only in boys &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#46;12&#41;&#44; whereas in girls&#44; an association was observed with the variables eating less&#44; cutting calories&#44; or avoiding fatty foods aiming to lose or avoid increasing body weight &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#46;39&#41;&#46; Adolescents of both sexes who practiced exercises were more likely to perceive themselves as overweight &#40;male OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;00&#59; OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;93 female&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The perception of the body weight as above and below one&#39;s expected weight was associated with weight control behaviors&#44; which were more likely to result in initiatives to lose and gain weight&#44; respectively&#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">Verificar a associa&#231;&#227;o da percep&#231;&#227;o &#40;acima ou abaixo&#41; do peso corporal esperado com os comportamentos para controle de peso em 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&#44; feito com 1&#46;051 adolescentes &#40;15 a 19 anos&#41; do ensino m&#233;dio de escolas p&#250;blicas estaduais&#46; Foram coletadas informa&#231;&#245;es sobre a percep&#231;&#227;o do peso corporal &#40;vari&#225;vel dependente&#41;&#44; comportamentos de controle de peso &#40;iniciativa para mudar o peso&#44; pr&#225;tica de exerc&#237;cios f&#237;sicos&#44; comer menos ou cortar calorias&#44; ficar 24<span class="elsevierStyleHsp" style=""></span>h sem comer&#44; tomar medicamentos&#44; vomitar ou tomar laxantes&#41; e aferidas as medidas de massa corporal e estatura para c&#225;lculo do &#237;ndice de massa corporal e classifica&#231;&#227;o do status do peso&#46; As associa&#231;&#245;es foram testadas por meio da regress&#227;o log&#237;stica multinomial&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Adolescentes de ambos os sexos com percep&#231;&#227;o do peso corporal abaixo do peso esperado apresentaram mais iniciativas para ganhar peso e aqueles que se percebiam acima do peso tiveram mais iniciativas para perder peso&#46; Nos adolescentes que se percebiam acima do peso&#44; o comportamento de n&#227;o tomar medicamento esteve associado ao desfecho apenas nos rapazes &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#44;12&#41;&#44; enquanto nas mo&#231;as observou&#8208;se associa&#231;&#227;o com comer menos&#44; cortar calorias ou evitar alimentos gordurosos para perder ou para n&#227;o aumentar o peso corporal &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#44;39&#41;&#46; Adolescentes de ambos os sexos que faziam exerc&#237;cio f&#237;sico tiveram maior chance de se perceber acima do peso &#40;masculino OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;00&#59; feminino OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;93&#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">A percep&#231;&#227;o do peso acima e abaixo do peso esperado esteve associada aos comportamentos de controle de peso&#44; nos quais&#44; respectivamente&#44; tinham mais chances de tomar iniciativas para perder e para ganhar peso&#46;</p></span>"
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                  \t\t\t\t">0&#44;175<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60; 0&#44;001<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No peso esperado&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">143 &#40;25&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Acima do peso esperado&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">416 &#40;39&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">283 &#40;49&#44;9&#41;&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="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Perder peso corporal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#60; 0&#44;001<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ganhar peso corporal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">147 &#40;30&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">133 &#40;23&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Manter o peso corporal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">73 &#40;15&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">66 &#40;11&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o tomou iniciativa&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">133 &#40;3&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Exerc&#237;cio f&#237;sico&#44; n &#40;&#37;</span>&#41;</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Comeu menos calorias e alimentos gordurosos&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Ficou 24h ou mais sem comer&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>N&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">536 &#40;95&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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          "leyenda" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">IC95&#37;&#44; intervalo de confian&#231;a de 95&#37;&#59; OR&#44; raz&#227;o de chances&#46;</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Ajustado por todas as vari&#225;veis que apresentaram na an&#225;lise bruta p &#60; 0&#44;20 e pelo status do peso&#46;</p><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">A categoria de refer&#234;ncia para a percep&#231;&#227;o do peso foi&#58; no peso esperado&#46;</p>"
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">An&#225;lise bruta OR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">An&#225;lise ajustada OR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">An&#225;lise bruta OR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">An&#225;lise ajustada OR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Exerc&#237;cio f&#237;sico</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;90 &#40;0&#44;58&#8208;1&#44;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;99 &#40;0&#44;60&#8208;1&#44;63&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;76 &#40;1&#44;71&#8208;4&#44;34&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;00 &#40;1&#44;11&#8208;3&#44;62&#41;<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Comeu menos calorias e alimentos gordurosos</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;88 &#40;0&#44;52&#8208;1&#44;52&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;11 &#40;0&#44;60&#8208;2&#44;06&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;93 &#40;1&#44;77&#8208;4&#44;84&#41;<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;50 &#40;0&#44;76&#8208;2&#44;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Ficou 24h ou mais sem comer</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;32 &#40;0&#44;57&#8208;3&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;87 &#40;0&#44;33&#8208;2&#44;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Tomou medicamento</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;08 &#40;0&#44;77&#8208;5&#44;60&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;10 &#40;0&#44;69&#8208;6&#44;35&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;35 &#40;0&#44;94&#8208;12&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#44;12 &#40;1&#44;96&#8208;33&#44;59&#41;<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Vomitou ou tomou laxantes</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#44;09 &#40;0&#44;35&#8208;3&#44;46&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;45 &#40;0&#44;09&#8208;2&#44;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><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="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#8208;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">IC95&#37;&#44; intervalo de confian&#231;a de 95&#37;&#59; OR&#44; raz&#227;o de chances&#46;</p><p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Ajustado por todas as vari&#225;veis que apresentaram na an&#225;lise bruta p &#60; 0&#44;20 e pelo status do peso&#46;</p><p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">A categoria de refer&#234;ncia para a percep&#231;&#227;o do peso foi&#58; no peso esperado&#46;</p>"
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t" scope="col">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">An&#225;lise bruta OR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">An&#225;lise ajustada OR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">An&#225;lise bruta OR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">An&#225;lise ajustada OR &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Exerc&#237;cio f&#237;sico</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;04 &#40;0&#44;61&#8208;1&#44;77&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;01 &#40;0&#44;55&#8208;1&#44;87&#41;&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-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Comeu menos calorias e alimentos gordurosos</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;57 &#40;0&#44;32&#8208;1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;60 &#40;0&#44;32&#8208;1&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;28 &#40;2&#44;75&#8208;6&#44;66&#41;<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;39 &#40;1&#44;95&#8208;5&#44;88&#41;<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Ficou 24h ou mais sem comer</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;57 &#40;0&#44;16&#8208;2&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;53 &#40;0&#44;12&#8208;2&#44;31&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4&#44;17 &#40;1&#44;84&#8208;9&#44;47&#41;<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2&#44;49 &#40;0&#44;88&#8208;7&#44;09&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Tomou medicamento</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;39 &#40;0&#44;43&#8208;4&#44;49&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;86 &#40;0&#44;18&#8208;4&#44;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;58 &#40;0&#44;24&#8208;1&#44;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;73 &#40;0&#44;19&#8208;2&#44;93&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Vomitou ou tomou laxantes</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sim&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;60 &#40;0&#44;14&#8208;2&#44;58&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;86 &#40;0&#44;18&#8208;4&#44;20&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;12 &#40;0&#44;78&#8208;5&#44;76&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;74 &#40;0&#44;19&#8208;2&#44;93&#41;&nbsp;\t\t\t\t\t\t\n
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