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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">Comportamentos n&#227;o saud&#225;veis&#44; como uso de tabaco&#44; m&#225; alimenta&#231;&#227;o&#44; inatividade f&#237;sica e tempo de sedentarismo&#44; est&#227;o associados &#224; morbidez e mortalidade&#46;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">1</span></a> Esses comportamentos s&#227;o estabelecidos com mais frequ&#234;ncia durante a inf&#226;ncia e a adolesc&#234;ncia e mantidos at&#233; a idade adulta&#46;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">1</span></a> A disponibilidade cada vez maior da tecnologia faz com que as pessoas passem mais tempo sentadas e a quantidade de horas nesse tipo de atividade provavelmente continuar&#225; a aumentar nos pr&#243;ximos anos&#46;<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">2</span></a> Na &#250;ltima d&#233;cada&#44; houve um aumento do n&#250;mero de estudos que relatam as consequ&#234;ncias relacionadas &#224; sa&#250;de do tempo excessivo de sedentarismo&#44;<a class="elsevierStyleCrossRefs" href="#bib0375"><span class="elsevierStyleSup">3&#44;4</span></a> principalmente tempo em frente &#224;s telas&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">5</span></a> Entre os adolescentes&#44; os n&#237;veis mais elevados de tempo de tela foram associados a fatores de risco cardiometab&#243;lico agrupados&#44; menor aptid&#227;o f&#237;sica&#44; conduta comportamental desfavor&#225;vel&#44; baixa autoestima e pior estado de sa&#250;de mental&#46;<a class="elsevierStyleCrossRefs" href="#bib0390"><span class="elsevierStyleSup">6&#44;7</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Atualmente&#44; o comportamento sedent&#225;rio &#233; caracterizado como as atividades com baixos n&#237;veis de gasto de energia &#40;&#8804; 1&#44;5 MET&#41; em uma posi&#231;&#227;o sentada ou reclinada e &#233; um consenso que o comportamento sedent&#225;rio n&#227;o &#233; simplesmente falta de atividade f&#237;sica&#46;<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">8</span></a> Essa defini&#231;&#227;o inclui atividades como entretenimento sentado&#44; deitado e baseado em tela&#46;<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">9</span></a> Entre adolescentes&#44; assistir &#224; TV &#233; o comportamento sedent&#225;rio mais estudado&#46;<a class="elsevierStyleCrossRef" href="#bib0410"><span class="elsevierStyleSup">10</span></a> Considerando as implica&#231;&#245;es mencionadas&#44; a Academia Americana de Pediatria recomenda que as crian&#231;as e os adolescentes limitem o tempo total de entretenimento baseado em tela a no m&#225;ximo duas horas por dia&#46;<a class="elsevierStyleCrossRef" href="#bib0415"><span class="elsevierStyleSup">11</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Apesar de n&#227;o indicar o tempo total sedent&#225;rio por dia&#44; o entretenimento baseado em tela &#233; considerado a forma mais prevalente de comportamento sedent&#225;rio<a class="elsevierStyleCrossRef" href="#bib0420"><span class="elsevierStyleSup">12</span></a> e &#233; prejudicial para a sa&#250;de geral&#46;<a class="elsevierStyleCrossRef" href="#bib0425"><span class="elsevierStyleSup">13</span></a> No Brasil&#44; as estimativas nacionais recentes mostraram uma preval&#234;ncia de 51&#44;8&#37; no tempo de tela entre os adolescentes&#46;<a class="elsevierStyleCrossRef" href="#bib0430"><span class="elsevierStyleSup">14</span></a> Os dados da Pesquisa Nacional de Sa&#250;de do Escolar &#40;PeNSE&#41; mostraram que a preval&#234;ncia de adolescentes expostos a no m&#237;nimo duas horas por dia assistindo &#224; TV &#233; alta em todo o pa&#237;s &#40;78&#44;0&#37;&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0435"><span class="elsevierStyleSup">15</span></a> Contudo&#44; esses estudos usaram diferentes defini&#231;&#245;es&#44; pontos de corte e componentes de tempo de tela para avaliar o comportamento sedent&#225;rio&#44; que dificulta as compara&#231;&#245;es e pesquisa nessa &#225;rea&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Recentemente&#44; foram publicadas duas an&#225;lises sistem&#225;ticas sobre o comportamento sedent&#225;rio entre adolescentes brasileiros&#46;<a class="elsevierStyleCrossRefs" href="#bib0440"><span class="elsevierStyleSup">16&#44;17</span></a> Uma delas focou nas caracter&#237;sticas metodol&#243;gicas dos estudos selecionados e avaliados com rela&#231;&#227;o aos fatores do tempo de sedentarismo&#46;<a class="elsevierStyleCrossRef" href="#bib0440"><span class="elsevierStyleSup">16</span></a> A outra an&#225;lise visou a resumir os estudos que relataram a preval&#234;ncia do tempo de sedentarismo baseado em tela&#59; contudo&#44; somente uma s&#237;ntese qualitativa foi feita&#46;<a class="elsevierStyleCrossRef" href="#bib0445"><span class="elsevierStyleSup">17</span></a> Considerando a import&#226;ncia do comportamento sedent&#225;rio baseado em tela entre os adolescentes&#44; este estudo visa a investigar a preval&#234;ncia de tempo excessivo de tela e assistir &#224; TV entre os adolescentes brasileiros por meio de uma an&#225;lise sistem&#225;tica e metan&#225;lise&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><p id="par0025" class="elsevierStylePara elsevierViewall">Este estudo foi registrado no Registro Prospectivo Internacional da Base de Dados de An&#225;lises Sistem&#225;ticas &#40;Prospero&#8208;CRD 2017 CRD42017074432&#41; e relatado de acordo com os Itens Preferenciais para Relato em Revis&#245;es Sistem&#225;ticas &#40;Prisma&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0450"><span class="elsevierStyleSup">18</span></a></p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Estrat&#233;gia de busca</span><p id="par0030" class="elsevierStylePara elsevierViewall">Foi feita uma busca abrangente na literatura para identificar os artigos que contivessem informa&#231;&#245;es sobre a preval&#234;ncia do tempo excessivo de tela em adolescentes brasileiros&#46; Dois analistas fizeram uma busca de maneira independente nas bases de dados eletr&#244;nicas &#40;Medline&#47;PubMed&#44; Lilacs&#44; SciELO e Adolec&#41; por estudos publicados entre janeiro de 1980 e julho de 2017&#46; As estrat&#233;gias de busca inclu&#237;ram termos m&#233;dicos para &#8220;Tempo de tela&#8221;&#44; &#8220;Brasil&#8221; e seus estados e &#8220;Preval&#234;ncia&#8221;&#46; As estrat&#233;gias de busca usadas em todas as bases de dados s&#227;o apresentadas no <span class="elsevierStyleItalic">Arquivo Complementar 1</span>&#46; Al&#233;m disso&#44; as refer&#234;ncias dos estudos publicados tamb&#233;m foram pesquisadas manualmente&#46; Os relatos duplicados foram exclu&#237;dos na primeira etapa de sele&#231;&#227;o dos artigos&#46; Todos os estudos potencialmente eleg&#237;veis foram considerados para an&#225;lise&#46; A vers&#227;o X7 do <span class="elsevierStyleItalic">software</span> EndNote &#40;Thomson Reuters&#44; NY&#44; EUA&#41; foi usada para gest&#227;o de sele&#231;&#227;o de refer&#234;ncias&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Sele&#231;&#227;o do estudo</span><p id="par0035" class="elsevierStylePara elsevierViewall">Inclu&#237;mos estudos observacionais &#40;coorte e transversais&#41; nos quais a amostra consistiu em adolescentes entre 10 e 19 anos e que relatassem a preval&#234;ncia de comportamento sedent&#225;rio baseado em tela&#46; Foram identificados dois padr&#245;es de avalia&#231;&#227;o de tempo de tela&#58; estudos que investigaram assistir &#224; TV somente ou aqueles que avaliaram o tempo em frente a v&#225;rias telas &#40;por exemplo&#44; assistir &#224; TV<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>uso de computador<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>jogar videogame&#41; e que seguiram os pontos de corte recomendados pela Academia Americana de Pediatria&#44;<a class="elsevierStyleCrossRef" href="#bib0415"><span class="elsevierStyleSup">11</span></a> que sugere um limite de tempo total de entretenimento baseado em tela de no m&#225;ximo duas horas por dia para os jovens&#46; Nenhuma restri&#231;&#227;o foi aplicada aos idiomas&#59; contudo&#44; foram exclu&#237;dos os estudos nos quais o tamanho da amostra inclu&#237;da foi inferior a 300 adolescentes&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Extra&#231;&#227;o de dados</span><p id="par0040" class="elsevierStylePara elsevierViewall">Os t&#237;tulos e os resumos de todos os artigos identificados na estrat&#233;gia de busca foram avaliados duas vezes por investigadores independentes para inclus&#227;o posterior de poss&#237;veis estudos para an&#225;lise dos textos completos&#46; Todos os resumos que forneceram informa&#231;&#245;es suficientes sobre os crit&#233;rios de inclus&#227;o e exclus&#227;o foram selecionados para avalia&#231;&#227;o dos textos completos&#46; Na segunda fase&#44; os mesmos investigadores avaliaram os artigos com textos completos de maneira independente e fizeram sua sele&#231;&#227;o de acordo com os crit&#233;rios de elegibilidade&#46; Qualquer discord&#226;ncia entre os entrevistadores foi debatida at&#233; haver um consenso&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Os dados foram extra&#237;dos de maneira independente por dois analistas&#44; com uma planilha padronizada com base na lista de verifica&#231;&#227;o &#40;<span class="elsevierStyleItalic">checklist</span>&#41; Fortalecendo o Relato de Estudos Observacionais em Epidemiologia &#40;Strobe&#41;&#44;<a class="elsevierStyleCrossRefs" href="#bib0455"><span class="elsevierStyleSup">19&#44;20</span></a> que abrangeu caracter&#237;sticas metodol&#243;gicas&#44; descreveu estudos e as principais perguntas de pesquisa&#59; e as discord&#226;ncias foram resolvidas por consenso&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Avalia&#231;&#227;o da qualidade do estudo</span><p id="par0050" class="elsevierStylePara elsevierViewall">O risco de vi&#233;s de cada estudo selecionado foi avaliado com uma ferramenta de 10 itens&#44; desenvolvida especificamente para estudos de preval&#234;ncia&#46;<a class="elsevierStyleCrossRef" href="#bib0465"><span class="elsevierStyleSup">21</span></a> O instrumento foi estruturado em dois grupos&#58; um dom&#237;nio de validade externa com quatro itens e um dom&#237;nio de validade interna com seis itens&#46; Uma avalia&#231;&#227;o resumida considerou um estudo risco de vi&#233;s baixo&#44; moderado ou alto&#46; Para esta an&#225;lise&#44; um estudo foi considerado alto risco de vi&#233;s se a estrutura de amostras n&#227;o representasse fielmente a popula&#231;&#227;o e a sele&#231;&#227;o n&#227;o aleat&#243;ria tivesse sido usada e considerado risco moderado se a sele&#231;&#227;o n&#227;o aleat&#243;ria tivesse sido usada ou se o estudo apresentasse mais de um risco m&#237;nimo de vi&#233;s de n&#227;o reposta&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">An&#225;lise de dados</span><p id="par0055" class="elsevierStylePara elsevierViewall">Os estudos selecionados foram analisados de acordo com a categoria de tempo de sedentarismo baseado em tela da seguinte forma&#58; &#40;TV&#44; computador&#44; videogame ou combina&#231;&#227;o dos dois&#41; ou somente assistir &#224; TV&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Os modelos de efeito aleat&#243;rio foram usados para calcular todas as estimativas e seu intervalo de confian&#231;a de 95&#37; &#40;IC de 95&#37;&#41;&#44; bem como para estimar a preval&#234;ncia de tempo excessivo de tela e assistir &#224; TV entre os adolescentes brasileiros&#46; As an&#225;lises de sensibilidade foram feitas por sexo&#44; faixa et&#225;ria&#44; regi&#227;o&#44; ano de estudo e pontos de corte para tempo de tela&#47;assistir &#224; TV em cada estudo&#46; A transforma&#231;&#227;o arco seno foi usada para abordar a assimetria de distribui&#231;&#227;o com rela&#231;&#227;o &#224;s diferentes medidas de preval&#234;ncia&#46;<a class="elsevierStyleCrossRef" href="#bib0470"><span class="elsevierStyleSup">22</span></a> A corre&#231;&#227;o de continuidade foi usada para ajuste quando uma distribui&#231;&#227;o discreta foi aproximada por uma distribui&#231;&#227;o cont&#237;nua&#46; A preval&#234;ncia foi ponderada pela varia&#231;&#227;o inversa dos valores transformados&#46; Os valores agrupados foram ent&#227;o convertidos para preval&#234;ncia para tornar os resultados interpret&#225;veis&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">A heterogeneidade estat&#237;stica entre os resultados sobre a preval&#234;ncia de tempo excessivo de tela e assistir &#224; TV dos estudos foi avaliada pelo teste qui&#8208;quadrado de Cochrane&#44; com n&#237;vel de signific&#226;ncia de 0&#44;1&#44; e pelo teste I<span class="elsevierStyleSup">2</span>&#44; no qual os valores acima de 50&#37; foram considerados indica&#231;&#227;o de alta heterogeneidade&#46;<a class="elsevierStyleCrossRef" href="#bib0475"><span class="elsevierStyleSup">23</span></a> As an&#225;lises estat&#237;sticas foram feitas com a vers&#227;o 14 do <span class="elsevierStyleItalic">software</span> Stata &#40;StataCorp LP&#44; College Station&#44; TX&#41; e o MetaXL &#40;EpiGear International&#44; Sunrise Beach&#44; Austr&#225;lia&#41;&#44; um programa abrangente em Excel para metan&#225;lise&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Resultados</span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Descri&#231;&#227;o dos estudos</span><p id="par0070" class="elsevierStylePara elsevierViewall">O fluxograma da sele&#231;&#227;o dos estudos &#233; apresentado na <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>&#46; Foram identificados 777 estudos com a estrat&#233;gia de busca adotada&#44; dos quais 28 artigos atenderam a todos os crit&#233;rios de inclus&#227;o&#46; Um trabalho avaliou o tempo de tela e assistir &#224; TV em dois momentos &#40;2001 e 2011&#41;<a class="elsevierStyleCrossRef" href="#bib0480"><span class="elsevierStyleSup">24</span></a> e por isso foi inclu&#237;do duas vezes na an&#225;lise&#46; Foram inclu&#237;dos 21 estudos<a class="elsevierStyleCrossRefs" href="#bib0380"><span class="elsevierStyleSup">4&#44;14&#44;24&#8211;41</span></a> na an&#225;lise de tempo de tela e 10<a class="elsevierStyleCrossRefs" href="#bib0480"><span class="elsevierStyleSup">24&#44;42&#8211;49</span></a> na an&#225;lise de assistir &#224; TV &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">A idade dos participantes inclu&#237;dos nos estudos selecionados variou de 10 a 19 anos&#46; Foram inclu&#237;dos 30 estudos com modelo transversal e um estudo de coorte&#44; representaram 307&#46;485 adolescentes &#40;151&#46;767 meninas e 143&#46;560 meninos&#41;&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">As caracter&#237;sticas dos estudos s&#227;o apresentadas na <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#46; A maior parte dos estudos foi das regi&#245;es Sul &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>17&#41; e Nordeste e Sudeste &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5 cada&#41; do Brasil e um estudo da regi&#227;o Centro&#8208;Oeste&#46; Al&#233;m disso&#44; tr&#234;s estudos mostraram estimativas nacionais de tempo excessivo de tela ou assistir &#224; TV&#46; Vinte estudos relataram a preval&#234;ncia de tempo de tela e oito a preval&#234;ncia de somente assistir &#224; TV&#46; Todos os estudos avaliaram o tempo de tela por question&#225;rios&#46; Cinco estudos relataram a distribui&#231;&#227;o do tempo de tela como uma vari&#225;vel cont&#237;nua e a mediana observada foi 3&#44;6 horas por dia&#46; Al&#233;m disso&#44; a preval&#234;ncia de tempo excessivo de tela acima de 50&#37; foi observada em 90&#37; e 67&#37; dos estudos que avaliaram o tempo de tela e assistir &#224; TV&#44; respectivamente&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Risco de avalia&#231;&#227;o de vi&#233;s</span><p id="par0085" class="elsevierStylePara elsevierViewall">A qualidade metodol&#243;gica dos estudos &#233; apresentada no <span class="elsevierStyleItalic">Arquivo Complementar 2</span>&#46; Oito estudos foram classificados como risco moderado de vi&#233;s &#40;25&#44;8&#37;&#41; e tr&#234;s como alto risco de vi&#233;s &#40;9&#44;7&#37;&#41;&#59; 12 estudos &#40;38&#44;7&#37;&#41; mostraram alto risco para medi&#231;&#227;o confi&#225;vel e v&#225;lida do par&#226;metro de interesse&#44; sete &#40;22&#44;6&#37;&#41; mostraram risco m&#237;nimo de vi&#233;s de n&#227;o resposta&#44; cinco &#40;16&#44;1&#37;&#41; n&#227;o relataram a sele&#231;&#227;o aleat&#243;ria usada&#44; tr&#234;s &#40;9&#44;7&#37;&#41; apresentaram uma estrutura de amostra que n&#227;o representou fielmente a popula&#231;&#227;o&#8208;alvo e um &#40;3&#44;2&#37;&#41; n&#227;o representou a popula&#231;&#227;o nacional&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">S&#237;ntese de dados</span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Resultados do tempo de tela</span><p id="par0090" class="elsevierStylePara elsevierViewall">A metan&#225;lise dos estudos que relataram a preval&#234;ncia de tempo excessivo de tela &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>21&#41; &#233; apresentada na <a class="elsevierStyleCrossRef" href="#fig0010">figura 2</a>&#46; A preval&#234;ncia de tempo de tela entre os adolescentes brasileiros foi alta &#40;70&#44;9&#37;&#44; IC de 95&#37;&#58; 65&#44;5&#37;&#8208;76&#44;1&#37;&#41;&#44; sem diferen&#231;a entre meninos e meninas &#40;<a class="elsevierStyleCrossRef" href="#fig0015">fig&#46; 3</a> &#8211; painel A&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0095" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a> mostra os resultados das metan&#225;lises dos subgrupos pr&#233;&#8208;definidos&#46; A preval&#234;ncia de tempo excessivo de tela tendeu a ser maior entre os adolescentes mais velhos &#40;15 a 19 anos&#41;&#44; em compara&#231;&#227;o com os mais novos &#40;10 a 14 anos&#41;&#46; Com rela&#231;&#227;o &#224; regi&#227;o&#44; a menor preval&#234;ncia de tempo excessivo de tela foi observada na regi&#227;o Nordeste&#59; contudo&#44; a heterogeneidade foi alta nessa an&#225;lise&#46; A metan&#225;lise dos estudos que usaram dados de estimativas nacionais &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#41; mostrou menor preval&#234;ncia de tempo excessivo de tela do que os estudos que usaram dados de uma cidade ou regi&#227;o separadamente&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">N&#227;o houve diferen&#231;a na preval&#234;ncia de tempo de tela considerando o ano da coleta de dados&#46; Conforme esperado&#44; os estudos que adotaram os pontos de corte &#8805; 2<span class="elsevierStyleHsp" style=""></span>h&#47;dia mostraram maior preval&#234;ncia de tempo excessivo de tela do que os estudos que usaram os pontos de corte<span class="elsevierStyleHsp" style=""></span>&#62; 2<span class="elsevierStyleHsp" style=""></span>h&#47;dia &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Resultados de assistir &#224; TV</span><p id="par0105" class="elsevierStylePara elsevierViewall">Dez estudos relataram dados de assistir &#224; TV em excesso somente e a metan&#225;lise mostrou uma preval&#234;ncia de 58&#44;8&#37; &#40;IC de 95&#37;&#58; 49&#44;4&#37;&#8208;68&#44;0&#37;&#41; entre os adolescentes brasileiros &#40;<a class="elsevierStyleCrossRef" href="#fig0020">fig&#46; 4</a>&#41;&#46; Na metan&#225;lise por sexo&#44; a preval&#234;ncia de assistir &#224; TV em excesso entre meninos foi ligeiramente menor &#40;59&#44;2&#37;&#44; IC de 95&#37;&#58; 52&#44;2&#37;&#8208;66&#44;1&#37;&#41; em compara&#231;&#227;o com as meninas &#40;66&#44;3&#37;&#44; IC de 95&#37;&#58; 58&#44;2&#37;&#8208;73&#44;9&#37;&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0015">fig&#46; 3</a> &#8211; painel B&#41;&#46;</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a> mostra a metan&#225;lise dos subgrupos para assistir &#224; TV em excesso&#46; Para esse resultado&#44; somente os dados das regi&#245;es Nordeste e Sul estavam dispon&#237;veis e nenhuma diferen&#231;a na preval&#234;ncia de tempo excessivo de tela foi observada entre as regi&#245;es&#46; Al&#233;m disso&#44; a an&#225;lise de tend&#234;ncias que comparou os estudos feitos at&#233; 2007 ou posteriormente mostrou uma preval&#234;ncia semelhante de assistir &#224; TV em excesso&#46; Os estudos que adotaram o ponto de corte &#8805; 2<span class="elsevierStyleHsp" style=""></span>h&#47;dia&#44; em vez de<span class="elsevierStyleHsp" style=""></span>&#62; 2<span class="elsevierStyleHsp" style=""></span>h&#47;dia&#44; mostraram uma maior preval&#234;ncia de assistir &#224; TV em excesso&#46; Foi identificada alta heterogeneidade estat&#237;stica em todas as an&#225;lises&#46;</p></span></span></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Discuss&#227;o</span><p id="par0115" class="elsevierStylePara elsevierViewall">O presente estudo mostrou ampla abrang&#234;ncia e alta preval&#234;ncia de tempo excessivo de tela e de TV entre adolescentes brasileiros&#46; Na metan&#225;lise dos subgrupos&#44; investigamos a preval&#234;ncia de tempo excessivo de tela e assistir &#224; TV por sexo&#44; regi&#227;o&#44; idade e ponto de corte&#59; contudo&#44; isso n&#227;o foi suficiente para explicar a heterogeneidade observada&#46; Al&#233;m disso&#44; a maior parte dos estudos inclu&#237;dos mostrou baixo risco de vi&#233;s&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Em todas as an&#225;lises&#44; observamos alta preval&#234;ncia de tempo excessivo de tela e assistir &#224; TV&#46; A maior parte dos adolescentes brasileiros gasta mais de duas horas por dia em frente &#224;s telas&#46; Da mesma forma&#44; 59&#44;2&#37; dos adolescentes espanh&#243;is<a class="elsevierStyleCrossRef" href="#bib0610"><span class="elsevierStyleSup">50</span></a> e 80&#44;6&#37; dos adolescentes canadenses<a class="elsevierStyleCrossRef" href="#bib0615"><span class="elsevierStyleSup">51</span></a> gastam mais de duas horas por dia em frente &#224;s telas&#46; Os dados dos Estados Unidos mostraram um aumento na preval&#234;ncia de assistir &#224; TV de 1999 a 2013 &#40;43&#37; em compara&#231;&#227;o com 32&#37;&#41;&#46; Por outro lado&#44; a preval&#234;ncia de adolescentes que gastam mais de duas horas por dia no videogame ou no computador no tempo de lazer aumentou de 2003 a 2013 &#40;22&#37; em compara&#231;&#227;o com 41&#37;&#41; nos Estados Unidos&#46;<a class="elsevierStyleCrossRef" href="#bib0620"><span class="elsevierStyleSup">52</span></a> Da mesma forma&#44; houve uma queda na preval&#234;ncia de assistir &#224; TV e aumento no uso de computador e videogame durante dez anos entre os adolescentes brasileiros&#46;<a class="elsevierStyleCrossRef" href="#bib0480"><span class="elsevierStyleSup">24</span></a></p><p id="par0125" class="elsevierStylePara elsevierViewall">A preval&#234;ncia de tempo excessivo de tela entre os adolescentes brasileiros variou de 35&#37;<a class="elsevierStyleCrossRef" href="#bib0530"><span class="elsevierStyleSup">34</span></a> a 90&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0480"><span class="elsevierStyleSup">24</span></a> Os dois estudos avaliaram adolescentes de cidades na regi&#227;o Sul do Brasil&#44; apesar de Rech et al&#46;<a class="elsevierStyleCrossRef" href="#bib0530"><span class="elsevierStyleSup">34</span></a> terem avaliado adolescentes mais novos &#40;11 a 14 anos&#41; e o ponto de corte ter sido<span class="elsevierStyleHsp" style=""></span>&#62; 2 horas&#47;dia e Silva et al&#46;<a class="elsevierStyleCrossRef" href="#bib0480"><span class="elsevierStyleSup">24</span></a> avaliaram adolescentes mais velhos &#40;15 a 19 anos&#41; e o ponto de corte foi &#8805; 2 horas&#47;dia&#46; As diretrizes<a class="elsevierStyleCrossRefs" href="#bib0625"><span class="elsevierStyleSup">53&#44;54</span></a> recomendam no m&#225;ximo duas horas por dia de tempo de tela recreativo entre crian&#231;as e adolescentes&#46; H&#225; uma discuss&#227;o se esse ponto de corte &#233; muito baixo&#44; pois&#44; atualmente&#44; devido &#224; alta disponibilidade da tecnologia&#44; os adolescentes gastam muito mais tempo em frente &#224;s telas estudando ou por entretenimento&#46; Dois estudos<a class="elsevierStyleCrossRefs" href="#bib0380"><span class="elsevierStyleSup">4&#44;55</span></a> inclu&#237;dos na presente an&#225;lise foram feitos na mesma cidade e com uma amostra de mesma faixa et&#225;ria&#44; mostraram quase 25&#37; &#40;71&#44;7&#37; em compara&#231;&#227;o a 89&#44;9&#37;&#41; de diferen&#231;a na preval&#234;ncia de tempo excessivo de tela devido &#224;s diferen&#231;as nos pontos de corte entre eles&#46; H&#225; um desafio para os pesquisadores que dificulta a comparabilidade entre os estudos&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Entre os adultos&#44; a recomenda&#231;&#227;o da <span class="elsevierStyleItalic">American Heart Association</span> &#233; &#8220;Sente&#8208;se menos&#44; mova&#8208;se mais&#8221;&#44; pois h&#225; comprova&#231;&#227;o insuficiente com rela&#231;&#227;o ao tempo adequado de comportamento sedent&#225;rio necess&#225;rio para maximizar os benef&#237;cios para a sa&#250;de cardiovascular&#46;<a class="elsevierStyleCrossRef" href="#bib0640"><span class="elsevierStyleSup">56</span></a> Ekelund et al&#46; mostraram que uma hora de atividade f&#237;sica moderada a intensa por dia pode eliminar os efeitos prejudiciais de oito horas de tempo sentado em homens e mulheres&#46;<a class="elsevierStyleCrossRef" href="#bib0645"><span class="elsevierStyleSup">57</span></a> Entre crian&#231;as e adolescentes&#44; o tempo de tela seria mais prejudicial do que entre adultos&#63; O fato de as crian&#231;as serem mais ativas fisicamente &#233; suficiente para compensar os poss&#237;veis do comportamento sedent&#225;rio sobre a sa&#250;de&#63; H&#225; muitas perguntas que ainda precisam ser respondidas para ter a melhor recomenda&#231;&#227;o sobre a quantidade de tempo de tela que &#233; prejudicial e perigosa nessa popula&#231;&#227;o&#46; Por outro lado&#44; os avan&#231;os tecnol&#243;gicos fornecem acesso a informa&#231;&#245;es para mais pessoas&#44; melhoram a equidade em sa&#250;de&#46;<a class="elsevierStyleCrossRef" href="#bib0650"><span class="elsevierStyleSup">58</span></a></p><p id="par0135" class="elsevierStylePara elsevierViewall">N&#227;o foi observada diferen&#231;a estat&#237;stica por sexo na preval&#234;ncia de tempo excessivo de tela e assistir &#224; TV na presente an&#225;lise&#46; Guerra et al&#46;<a class="elsevierStyleCrossRef" href="#bib0440"><span class="elsevierStyleSup">16</span></a> tamb&#233;m n&#227;o encontraram associa&#231;&#227;o entre sexo e n&#237;veis elevados de tempo de sedentarismo baseado em tela entre os adolescentes brasileiros&#46; Isso est&#225; em linha com o observado entre os adolescentes americanos&#46;<a class="elsevierStyleCrossRef" href="#bib0655"><span class="elsevierStyleSup">59</span></a> Contudo&#44; Mielgo&#8208;Ayuso et al&#46;<a class="elsevierStyleCrossRef" href="#bib0610"><span class="elsevierStyleSup">50</span></a> mostraram que os meninos espanh&#243;is gastam mais tempo no videogame e nos jogos de computador&#44; principalmente nos fins de semana&#44; em compara&#231;&#227;o com as meninas&#46; Essas informa&#231;&#245;es refor&#231;am que a preval&#234;ncia do comportamento sedent&#225;rio pode variar de acordo com o dom&#237;nio &#40;tempo sentado&#44; tempo de tela&#44; assistir &#224; TV&#41; e dias de semana ou fins de semana&#46; Esses aspectos do comportamento sedent&#225;rio devem ser investigados ainda mais em uma pesquisa futura&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">N&#227;o encontramos diferen&#231;a na preval&#234;ncia de tempo excessivo de tela ou assistir &#224; TV de acordo com as faixas et&#225;rias&#46; Em contrapartida&#44; Gebremariam et al&#46;<a class="elsevierStyleCrossRef" href="#bib0660"><span class="elsevierStyleSup">60</span></a> avaliaram as crian&#231;as norueguesas na transi&#231;&#227;o entre a inf&#226;ncia e a adolesc&#234;ncia e observaram que o uso de TV&#44; computador e jogos eletr&#244;nicos aumentou com a idade em dois anos&#46; Na mesma linha&#44; os adolescentes espanh&#243;is mais velhos &#40;14 a 16 anos&#41; foram mais propensos a usar computador&#44; videogame e telefone celular do que os adolescentes mais novos &#40;12 a 13 anos&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0665"><span class="elsevierStyleSup">61</span></a></p><p id="par0145" class="elsevierStylePara elsevierViewall">Na an&#225;lise por regi&#227;o&#44; a preval&#234;ncia de tempo excessivo de tela nas regi&#245;es Sul e Sudeste &#233; ligeiramente maior do que na regi&#227;o Nordeste&#44; por&#233;m n&#227;o foi observada diferen&#231;a na preval&#234;ncia de assistir &#224; TV em excesso&#46; Um estudo recente<a class="elsevierStyleCrossRef" href="#bib0670"><span class="elsevierStyleSup">62</span></a> relatou que 65&#37; e 60&#37; dos adolescentes brasileiros gastam mais de duas horas por dia em frente &#224;s telas nas regi&#245;es Sudeste e Sul&#44; respectivamente&#44; em compara&#231;&#227;o com 44&#44;6&#37; na regi&#227;o Norte&#46; No Brasil&#44; h&#225; uma grande desigualdade socioecon&#244;mica entre as regi&#245;es&#44; nas quais os cinco principais estados que contribuem para cerca de 65&#37; do Produto Interno Bruto &#40;PIB&#41; nacional est&#227;o localizados nas regi&#245;es Sudeste e Sul&#46;<a class="elsevierStyleCrossRef" href="#bib0675"><span class="elsevierStyleSup">63</span></a> Essas desigualdades podem afetar o acesso da fam&#237;lia &#224; tecnologia e&#44; consequentemente&#44; o tempo gasto em frente &#224;s telas&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Neste estudo&#44; a preval&#234;ncia de tempo excessivo de tela foi mantida est&#225;vel durante o per&#237;odo analisado&#59; contudo&#44; o tempo diante da TV apresentou queda no mesmo per&#237;odo entre os adolescentes brasileiros&#46; Ao mesmo tempo&#44; estudos anteriores<a class="elsevierStyleCrossRefs" href="#bib0680"><span class="elsevierStyleSup">64&#44;65</span></a> tamb&#233;m encontraram uma redu&#231;&#227;o ou estabiliza&#231;&#227;o na preval&#234;ncia de assistir &#224; TV em excesso nos &#250;ltimos anos&#46; Por outro lado&#44; h&#225; estudos que mostram um aumento no tempo gasto em frente ao computador e&#47;ou videogames entre os adolescentes&#44; no Brasil ou no exterior&#46;<a class="elsevierStyleCrossRefs" href="#bib0480"><span class="elsevierStyleSup">24&#44;66&#44;67</span></a> Essas observa&#231;&#245;es contradit&#243;rias podem ser explicadas&#44; em parte&#44; pela mudan&#231;a de comportamento &#40;assistir &#224; TV ao uso de computadores&#47;videogames&#41; e pelas estrat&#233;gias metodol&#243;gicas adotadas pela maior parte dos estudos inclu&#237;dos nesta an&#225;lise&#44; que avaliaram o tempo de tela total &#40;combina&#231;&#245;es&#41; e n&#227;o avaliaram os dom&#237;nios espec&#237;ficos separadamente&#46; De fato&#44; quando combinamos o tempo em frente &#224; TV&#44; computador e videogame&#44; as diferen&#231;as nos padr&#245;es de uso podem ser amenizadas&#46; Al&#233;m disso&#44; as an&#225;lises de tend&#234;ncias podem ser afetadas&#44; pois os estudos que envolvem comportamento sedent&#225;rio e tempo de tela s&#227;o mais recentes&#44; limitam essas an&#225;lises&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Todos os estudos nesta an&#225;lise sistem&#225;tica usaram um question&#225;rio para avaliar o tempo de tela e assistir &#224; TV&#46; A precis&#227;o dos autorrelatos &#233; influenciada pela capacidade de o entrevistado lembrar precisamente o que &#233; perguntado&#44; de forma retroativa&#46; Portanto&#44; os m&#233;todos indiretos est&#227;o sujeitos ao vi&#233;s de mem&#243;ria&#46;<a class="elsevierStyleCrossRef" href="#bib0700"><span class="elsevierStyleSup">68</span></a> Um estudo anterior<a class="elsevierStyleCrossRef" href="#bib0440"><span class="elsevierStyleSup">16</span></a> observou que um dos quatro estudos sobre comportamento sedent&#225;rio n&#227;o relatou informa&#231;&#245;es sobre a validade do instrumento usado para avaliar o tempo de sedentarismo&#46; Ademais&#44; al&#233;m da melhoria dos question&#225;rios&#44; combinar m&#233;todos de autorrelato com medidas objetivas pode fornecer uma melhor medi&#231;&#227;o e controle do vi&#233;s de mem&#243;ria&#46;<a class="elsevierStyleCrossRef" href="#bib0705"><span class="elsevierStyleSup">69</span></a> Al&#233;m disso&#44; apesar do amplo uso de question&#225;rios para avaliar o comportamento sedent&#225;rio que envolve crian&#231;as e adolescentes&#44; Lubans et al&#46;&#44; em sua an&#225;lise sistem&#225;tica&#44; mostraram poucos estudos que relatam a confiabilidade e a validade das medidas usadas&#44; recomendaram que os pesquisadores selecionem instrumentos relatados anteriormente e com confiabilidade e validade aceit&#225;veis&#46;<a class="elsevierStyleCrossRef" href="#bib0710"><span class="elsevierStyleSup">70</span></a></p><p id="par0160" class="elsevierStylePara elsevierViewall">Nos &#250;ltimos anos&#44; houve um aumento nos estudos que relatam estrat&#233;gias para reduzir a exposi&#231;&#227;o ao tempo de tela&#46; Buchanan et al&#46;<a class="elsevierStyleCrossRef" href="#bib0715"><span class="elsevierStyleSup">71</span></a> mostraram&#44; em sua an&#225;lise sistem&#225;tica&#44; forte comprova&#231;&#227;o de que as interven&#231;&#245;es que visaram a reduzir o tempo de tela recreativo e aumentar o n&#237;vel de atividade f&#237;sica ou adotar uma alimenta&#231;&#227;o saud&#225;vel foram eficazes na melhoria ou manuten&#231;&#227;o do status do peso entre crian&#231;as &#8804; 13 anos&#46; Por outro lado&#44; Biddle et al&#46;<a class="elsevierStyleCrossRef" href="#bib0720"><span class="elsevierStyleSup">72</span></a> observaram um pequeno efeito entre as interven&#231;&#245;es nas quais o objetivo foi reduzir o comportamento sedent&#225;rio e conclu&#237;ram que os estudos futuros devem envolver crian&#231;as e fam&#237;lias na estrat&#233;gia com vistas a reduzir o comportamento sedent&#225;rio&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Limita&#231;&#245;es</span><p id="par0165" class="elsevierStylePara elsevierViewall">O presente estudo tem algumas limita&#231;&#245;es&#46; Primeira&#44; os diferentes dom&#237;nios de tempo de tela avaliados por meio dos estudos e a alta heterogeneidade na metan&#225;lise limitam a interpreta&#231;&#227;o dos resultados&#44; principalmente para o tempo total de tela&#46; Todos os estudos avaliaram assistir &#224; TV e tempo de tela por question&#225;rio e quase 40&#37; n&#227;o relatou a valida&#231;&#227;o do instrumento usado&#46; Al&#233;m disso&#44; h&#225; uma diferen&#231;a entre os estudos na interpreta&#231;&#227;o das recomenda&#231;&#245;es da Academia Americana de Pediatria&#44; que destaca que os jovens devem limitar o tempo de tela a no m&#225;ximo duas horas por dia&#46;</p></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Conclus&#227;o</span><p id="par0170" class="elsevierStylePara elsevierViewall">Apesar da alta heterogeneidade&#44; esta an&#225;lise sistem&#225;tica com metan&#225;lise mostrou alta preval&#234;ncia de tempo excessivo de tela e de TV entre os adolescentes brasileiros&#46; O presente estudo refor&#231;a a necessidade de unificar a medi&#231;&#227;o do tempo de tela com question&#225;rios padronizados para monitorar e identificar os grupos de risco de forma precisa&#46; Al&#233;m disso&#44; s&#227;o necess&#225;rios estudos de interven&#231;&#227;o projetados para prevenir e reduzir o tempo excessivo de tela&#46;</p></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">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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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Purpose</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To evaluate the prevalence of excessive screen&#8208;based behaviors among Brazilian adolescents through a systematic review with meta&#8208;analysis&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Data source</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Systematic review and meta&#8208;analysis were recorded in the International Prospective Register of Ongoing Systematic Reviews &#40;PROSPERO&#8208;CRD 2017 CRD42017074432&#41;&#46; This review included observational studies &#40;cohort or cross&#8208;sectional&#41; that evaluated the prevalence of excessive screen time &#40;i&#46;e&#46; combinations involving different screen&#8208;based behaviors&#41; or TV viewing &#40;&#8805;2<span class="elsevierStyleHsp" style=""></span>h&#47;day or<span class="elsevierStyleHsp" style=""></span>&#62;2<span class="elsevierStyleHsp" style=""></span>h&#47;day in front of screen&#41; through indirect or direct methods in adolescents aged between 10 and 19 years&#46; The research strategy included the following databases&#58; MEDLINE&#44; LILACS&#44; SciELO and ADOLEC&#46; The search strategy included terms for &#8220;screen time&#8221;&#44; &#8220;Brazil&#8221;&#44; and &#8220;prevalence&#8221;&#46; Random effect models were used to estimate the prevalence of excessive screen time in different categories&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Data summary</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Twenty&#8208;eight out of 775 studies identified in the search met the inclusion criteria&#46; The prevalence of excessive screen time and TV viewing was 70&#46;9&#37; &#40;95&#37; CI&#58; 65&#46;5&#8211;76&#46;1&#41; and 58&#46;8&#37; &#40;95&#37; CI&#58; 49&#46;4&#8211;68&#46;0&#41;&#44; respectively&#46; There was no difference between sexes in both analyses&#46; The majority of studies included showed a low risk of bias&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The prevalence of excessive screen time and TV viewing was high among Brazilian adolescents&#46; Intervention are needed to reduce the excessive screen time among adolescents&#46;</p></span>"
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      "pt" => array:3 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Avaliar a preval&#234;ncia de tempo excessivo de tela e de TV em adolescentes brasileiros atrav&#233;s de revis&#227;o sistem&#225;tica com metan&#225;lise&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Fontes de dados</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A revis&#227;o sistem&#225;tica e a metan&#225;lise foram registradas no Registro Prospectivo Internacional da Base de Dados de An&#225;lises Sistem&#225;ticas &#40;Prospero-CRD 2017 CRD 42017074432&#41;&#46; Esta an&#225;lise incluiu estudos observacionais &#40;coorte ou transversais&#41; que avaliaram a preval&#234;ncia de tempo excessivo de tela &#40;ou seja&#44; combina&#231;&#245;es que envolvem diferentes comportamentos baseados em tempo de tela&#41; ou tempo em frente &#224; TV &#40;&#8805; 2 horas&#47;dia ou<span class="elsevierStyleHsp" style=""></span>&#62; 2 horas&#47;dia em frente &#224; tela&#41; por avalia&#231;&#227;o direta ou indireta em adolescentes com idades entre 10 a 19 anos&#46; A estrat&#233;gia de pesquisa incluiu as seguintes bases de dados&#58; MEDLINE&#44; LILACS&#44; SciELO e ADOLEC&#46; A estrat&#233;gia de busca incluiu termos como &#8220;tempo de tela&#8221;&#44; &#8220;Brasil&#8221; e &#8220;preval&#234;ncia&#8221;&#46; Os modelos de efeito aleat&#243;rio foram utilizados para estimar a preval&#234;ncia de tempo excessivo de tela em diferentes categorias&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resumo de dados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Dos 775 estudos identificados na busca 28 atenderam aos crit&#233;rios de inclus&#227;o&#46; A preval&#234;ncia de tempo excessivo de tela e tempo de TV foi 70&#44;9&#37; &#40;IC de 95&#37;&#58; 65&#44;5 a 76&#44;1&#41; e 58&#44;8&#37; &#40;IC de 95&#37;&#58; 49&#44;4 a 68&#44;0&#41;&#44; respectivamente&#46; N&#227;o houve diferen&#231;a entre os sexos nas duas an&#225;lises&#46; A maior parte dos estudos inclu&#237;dos mostrou baixo risco de vi&#233;s&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#245;es</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A preval&#234;ncia de tempo excessivo de tela e tempo de TV foi alta entre os adolescentes brasileiros&#46; S&#227;o necess&#225;rias interven&#231;&#245;es para reduzir o tempo excessivo de tela entre os adolescentes&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Objetivo"
          ]
          1 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "Fontes de dados"
          ]
          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Resumo de dados"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclus&#245;es"
          ]
        ]
      ]
    ]
    "NotaPie" => array:2 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Como citar este artigo&#58; Schaan CW&#44; Cureau FV&#44; Sbaraini M&#44; Sparrenberger K&#44; Kohl III HW&#44; Schaan BD&#46; Prevalence of excessive screen time and TV viewing among Brazilian adolescents&#58; a systematic review and meta&#8208;analysis&#46; J Pediatr &#40;Rio J&#41;&#46; 2019&#59;95&#58;157&#8211;67&#46;</p>"
      ]
      1 => array:2 [
        "etiqueta" => "&#9734;&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0020">Este manuscrito foi parte da tese de doutorado do primeiro autor no Programa de P&#243;s&#8208;Gradua&#231;&#227;o em Endocrinologia&#44; Universidade Federal do Rio Grande do Sul&#44; Porto Alegre&#44; RS&#44; Brasil&#46;</p>"
      ]
    ]
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0185" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix B"
            "titulo" => "Material suplementar"
            "identificador" => "sec0095"
          ]
        ]
      ]
    ]
    "multimedia" => array:8 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1482
            "Ancho" => 2132
            "Tamanyo" => 214340
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Fluxograma dos estudos&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figura 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1976
            "Ancho" => 2427
            "Tamanyo" => 297689
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        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Metan&#225;lise dos estudos de tempo excessivo de tela em adolescentes brasileiros&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figura 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1824
            "Ancho" => 3334
            "Tamanyo" => 436961
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Painel A&#58; Metan&#225;lise dos estudos de tempo excessivo de tela em adolescentes brasileiros por sexo&#46; Painel B&#58; Metan&#225;lise dos estudos de assistir &#224; TV em excesso em adolescentes brasileiros por sexo&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "fig0020"
        "etiqueta" => "Figura 4"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr4.jpeg"
            "Alto" => 1177
            "Ancho" => 2442
            "Tamanyo" => 176714
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        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Metan&#225;lise dos estudos de assistir &#224; TV em excesso em adolescentes brasileiros&#46;</p>"
        ]
      ]
      4 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Tabela 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at1"
            "detalle" => "Tabela "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">AL&#44; Alagoas&#59; Erica&#44; Estudo de Riscos Cardiovasculares em Adolescentes&#59; TV&#44; televis&#227;o&#59; MG&#44; Minas Gerais&#59; MT&#44; Mato Grosso&#59; NR&#44; n&#227;o relatado&#59; PB&#44; Para&#237;ba&#59; PE&#44; Pernambuco&#59; PeNSE&#44; Pesquisa Nacional de Sa&#250;de do Escolar&#59; PR&#44; Paran&#225;&#59; RS&#44; Rio Grande do Sul&#59; SC&#44; Santa Catarina&#59; SE&#44; Sergipe&#59; SP&#44; S&#227;o Paulo&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Estudo por regi&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Ano do estudo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Cidade&#47;Estado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Modelo do estudo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Amostra&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Idade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Componentes de comportamento sedent&#225;rio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Ponto de corte &#40;horas por dia&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="8" align="left" valign="top"><span class="elsevierStyleItalic">Nordeste</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Rivera et al&#46;&#44; 2010<a class="elsevierStyleCrossRef" href="#bib0595"><span class="elsevierStyleSup">47</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Macei&#243;&#44; AL&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;004&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#8208;17a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ten&#243;rio et al&#46;&#44; 2010<a class="elsevierStyleCrossRef" href="#bib0605"><span class="elsevierStyleSup">49</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2006&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pernambuco&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#46;210&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#8208;19a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Silva et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#bib0600"><span class="elsevierStyleSup">48</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Aracaju&#44; SE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;174&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#8208;18a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8805;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>de Lucena et al&#46;&#44; 2015<a class="elsevierStyleCrossRef" href="#bib0490"><span class="elsevierStyleSup">26</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2009&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Jo&#227;o Pessoa&#44; PB&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;879&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#8208;19a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Silva et al&#46;&#44; 2016<a class="elsevierStyleCrossRef" href="#bib0535"><span class="elsevierStyleSup">35</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sergipe&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;992&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#8208;19a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="8" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="8" align="left" valign="top"><span class="elsevierStyleItalic">Centro&#8208;Oeste</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Wendpap et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#bib0550"><span class="elsevierStyleSup">38</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2009&#47;2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Cuiab&#225;&#44; MT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;326&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#8208;14a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="8" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="8" align="left" valign="top"><span class="elsevierStyleItalic">Sudeste</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ceschini et al&#46;&#44; 2009<a class="elsevierStyleCrossRef" href="#bib0585"><span class="elsevierStyleSup">45</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2006&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">S&#227;o Paulo&#44; SP&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;021&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#8208;16a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>de Vitta et al&#46;&#44; 2011<a class="elsevierStyleCrossRef" href="#bib0495"><span class="elsevierStyleSup">27</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2007&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Bauru&#44; SP&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;236&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#8208;14a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>de Vitta et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#bib0500"><span class="elsevierStyleSup">28</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2009&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Bauru&#44; SP&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">524&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#8208;14a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>de Prado Junior et al&#46;&#44; 2015<a class="elsevierStyleCrossRef" href="#bib0505"><span class="elsevierStyleSup">29</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2010&#47;2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Vi&#231;osa&#44; MG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">676&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#8208;19a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Fernandes et al&#46;&#44; 2015<a class="elsevierStyleCrossRef" href="#bib0515"><span class="elsevierStyleSup">31</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2009&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ourinhos&#44; SP&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1461&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#8208;14a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="8" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="8" align="left" valign="top"><span class="elsevierStyleItalic">Sul</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Dutra et al&#46;&#44; 2006<a class="elsevierStyleCrossRef" href="#bib0590"><span class="elsevierStyleSup">46</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pelotas&#44; RS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">810&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#8208;19a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8805;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Silva et al&#46;&#44; 2008<a class="elsevierStyleCrossRef" href="#bib0545"><span class="elsevierStyleSup">37</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2002&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Santa Catarina&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5028&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#8208;19a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8805;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Campagnolo et al&#46;&#44; 2007<a class="elsevierStyleCrossRef" href="#bib0580"><span class="elsevierStyleSup">44</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2002&#47;2003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">S&#227;o Leopoldo&#44; RS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">722&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#8208;19a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Dumith et al&#46;&#44; 2010<a class="elsevierStyleCrossRef" href="#bib0510"><span class="elsevierStyleSup">30</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2004&#47;2005&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pelotas&#44; RS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Coorte&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#46;431&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#8208;15a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Silva et al&#46;&#44; 2011<a class="elsevierStyleCrossRef" href="#bib0540"><span class="elsevierStyleSup">36</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2007&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Caxias do Sul&#44; RS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;622&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#8208;17a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Barbosa Filho et al&#46;&#44; 2012<a class="elsevierStyleCrossRef" href="#bib0570"><span class="elsevierStyleSup">42</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Curitiba&#44; PR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;628&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#8208;18a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Rech et al&#46;&#44; 2013<a class="elsevierStyleCrossRef" href="#bib0530"><span class="elsevierStyleSup">34</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Caxias do Sul&#44; RS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1230&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#8208;14a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Silva et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a><span class="elsevierStyleSup">&#46;</span><a class="elsevierStyleCrossRef" href="#bib0480"><span class="elsevierStyleSup">24</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2001&#47;2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Santa Catarina&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#46;028&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#8208;19a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8805;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Coledam et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#bib0565"><span class="elsevierStyleSup">41</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Londrina&#44; PR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">738&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#8208;17a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Christofaro et al&#46;&#44; 2015<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">4</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Londrina&#44; PR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1231&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#8208;17a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8805;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Castro et al&#46;&#44; 2016<a class="elsevierStyleCrossRef" href="#bib0485"><span class="elsevierStyleSup">25</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">S&#227;o Jos&#233;&#44; SC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">930&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#8208;19a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8805;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Gon&#231;alves et al&#46;&#44; 2016<a class="elsevierStyleCrossRef" href="#bib0525"><span class="elsevierStyleSup">33</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">S&#227;o Jos&#233;&#44; SC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">879&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#8208;19a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8805;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Bacil et al&#46;&#44; 2016<a class="elsevierStyleCrossRef" href="#bib0555"><span class="elsevierStyleSup">39</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ponta Grossa&#44; PR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">945&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#8208;18a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ferreira et al&#46;&#44; 2016<a class="elsevierStyleCrossRef" href="#bib0520"><span class="elsevierStyleSup">32</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pelotas&#44; RS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8661&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&#8208;16a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&#47;atividades sentado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8805;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="8" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="8" align="left" valign="top"><span class="elsevierStyleItalic">Estimativas nacionais</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Camelo et al&#46;&#44; 2012<a class="elsevierStyleCrossRef" href="#bib0575"><span class="elsevierStyleSup">43</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2009&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Capitais &#40;PeNSE&#44; 2009&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&#46;809&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#8208;16a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>de Rezende et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#bib0560"><span class="elsevierStyleSup">40</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Capitais &#40;PeNSE&#44; 2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">109&#46;104&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#8208;16a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Oliveira et al&#46;&#44; 2016<a class="elsevierStyleCrossRef" href="#bib0430"><span class="elsevierStyleSup">14</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2013&#47;2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Capitais e outras cidades &#40;ERICA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Transversal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">74589&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&#8208;17a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TV&#47;videogame&#47;computador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#62;2h&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Inclu&#237;do quatro vezes na an&#225;lise &#40;dados de assistir &#224; TV e tempo total de tela em 2011 e 2011&#41;&#46;</p> <p class="elsevierStyleNotepara" id="npar0010">Todos os estudos avaliaram o tempo de tela por question&#225;rio&#46;</p>"
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          "leyenda" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">I<span class="elsevierStyleSup">2</span>&#44; teste de inconsist&#234;ncia&#59; IC&#44; intervalo de confian&#231;a&#59; mais novos&#58; 10 a 14 anos&#59; mais velhos&#44; 15 a 19 anos&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">N&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Preval&#234;ncia &#40;IC de 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">I</span><span class="elsevierStyleSup">2</span><span class="elsevierStyleItalic">&#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleBold">Tempo de tela</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Faixa et&#225;ria</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8221;Mais novos&#8221;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">67&#44;9 &#40;62&#44;6&#8208;72&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8221;Mais velhos&#8221;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">75&#44;6 &#40;64&#44;0&#8208;86&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Regi&#227;o</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sul&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">74&#44;1 &#40;67&#44;0&#8208;80&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sudeste&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">70&#44;5 &#40;65&#44;9&#8208;74&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Nordeste&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">64&#44;0 &#40;28&#44;3&#8208;95&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Estimativas nacionais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">56&#44;9 &#40;46&#44;9&#8208;66&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Ano do estudo</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>At&#233; 2007&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">73&#44;7 &#40;66&#44;9&#8208;80&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>2008&#8208;2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">70&#44;0 &#40;58&#44;3&#8208;81&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ap&#243;s 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">70&#44;9 &#40;65&#44;5&#8208;76&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Ponto de corte</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#62; 2 horas&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">66&#44;5 &#40;61&#44;6&#8208;71&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805; 2 horas&#47;dia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">80&#44;9 &#40;72&#44;6&#8208;88&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleBold">Tempo de assistir &#224; TV</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Regi&#227;o</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sul&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&#44;0 &#40;46&#44;9&#8208;70&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Nordeste&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">58&#44;4 &#40;41&#44;2&#8208;75&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Ano de estudo</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>At&#233; 2007&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">61&#44;0 &#40;41&#44;7&#8208;79&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>2008&#8208;2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">55&#44;7 &#40;44&#44;7&#8208;66&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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