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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">Atualmente&#44; a obesidade &#233; respons&#225;vel por cerca de 5&#37; de todas as mortes no mundo&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">1</span></a> Se essa preval&#234;ncia persistir em sua trajet&#243;ria atual&#44; quase metade da popula&#231;&#227;o mundial adulta ter&#225; sobrepeso ou obesidade at&#233; 2030&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">1</span></a> A obesidade &#233; uma das tr&#234;s principais cargas sociais globais geradas pelos seres humanos&#44; junto com tabagismo e viol&#234;ncia armada&#44;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">2</span></a> e tem enormes custos pessoais&#44; sociais e econ&#244;micos para a sociedade e todos os sistemas de sa&#250;de&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">3</span></a> A preval&#234;ncia de sobrepeso e obesidade na inf&#226;ncia aumentou substancialmente em todo o mundo em menos de uma gera&#231;&#227;o&#46; Alguns pa&#237;ses de baixa e m&#233;dia renda relataram aumentos semelhantes ou mais r&#225;pidos na obesidade infantil do que os pa&#237;ses de alta renda&#44; apesar dos altos n&#237;veis cont&#237;nuos de desnutri&#231;&#227;o&#46;<a class="elsevierStyleCrossRefs" href="#bib0275"><span class="elsevierStyleSup">4&#8211;6</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">A preval&#234;ncia global de obesidade padronizada por idade aumentou de 0&#44;7&#37; em 1975 para 5&#44;6&#37; em 2016 em meninas e de 0&#44;9&#37; em 1975 para 7&#44;8&#37; em 2016 em meninos&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">7</span></a> Essa preval&#234;ncia crescente de obesidade infantil est&#225; associada a um aumento da incid&#234;ncia de fatores de risco cardiovasculares&#44; obesidade em adultos e comorbidades relacionadas &#224; obesidade&#46;<a class="elsevierStyleCrossRefs" href="#bib0295"><span class="elsevierStyleSup">8&#44;9</span></a> H&#225; uma necessidade urgente de identificar interven&#231;&#245;es preventivas e terap&#234;uticas eficazes que possam ser direcionadas a crian&#231;as&#44; fam&#237;lias&#44; toda a popula&#231;&#227;o e no ambiente obesog&#234;nico&#46;<a class="elsevierStyleCrossRef" href="#bib0305"><span class="elsevierStyleSup">10</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">A fim de esclarecer as evid&#234;ncias cient&#237;ficas dispon&#237;veis sobre preven&#231;&#227;o e tratamento da obesidade em crian&#231;as e adolescentes&#44; fizemos uma avalia&#231;&#227;o de qualidade de todas as revis&#245;es sistem&#225;ticas com meta&#8208;an&#225;lise publicadas at&#233; o momento e resumimos os resultados&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Estrat&#233;gia de busca</span><p id="par0020" class="elsevierStylePara elsevierViewall">A busca foi feita nas seguintes bases de dados eletr&#244;nicas&#58; Medline via Pubmed&#44; Web of Science&#44; Scopus&#44; Lilacs&#44; The Cochrane Library e Clinical Trials&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">A sele&#231;&#227;o dos descritores usados foi feita mediante consulta no MeSH &#40;<span class="elsevierStyleItalic">Pubmed&#39;s Medical Subject Headings</span>&#41;&#46; A busca foi feita em ingl&#234;s&#44; at&#233; 26 de outubro de 2017&#44; e usou tr&#234;s blocos de conceitos&#58; o primeiro&#44; com termos relacionados &#224; obesidade e aos tratamentos n&#227;o farmacol&#243;gicos para obesidade&#59; o segundo&#44; com termos relacionados ao tipo de desenho do estudo &#40;ensaio&#44; randomizado&#42;&#41;&#59; e o terceiro&#44; termos relacionados &#224; faixa et&#225;ria de interesse &#40;adolescente&#42;&#44; crian&#231;a&#42;&#44; pr&#233;&#8208;escolar&#42;&#44; escolar&#42;&#41; &#40;<a class="elsevierStyleCrossRef" href="#sec0085">tabela suplementar S1</a>&#41;&#46; Os limites de pesquisa de data ou tamanho da amostra n&#227;o foram usados&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">O modelo Pico padronizado &#233; mostrado abaixo&#58;</p><p id="par0035" class="elsevierStylePara elsevierViewall">P &#8211; Obesidade ou sobrepeso&#44; crian&#231;as e adolescentes</p><p id="par0040" class="elsevierStylePara elsevierViewall">I &#8211; Qualquer interven&#231;&#227;o&#44; exceto tratamento farmacol&#243;gico</p><p id="par0045" class="elsevierStylePara elsevierViewall">C &#8211; Sem interven&#231;&#227;o</p><p id="par0050" class="elsevierStylePara elsevierViewall">O &#8211; &#205;ndice de massa corporal &#40;IMC&#41;&#44; peso&#44; circunfer&#234;ncia da cintura e fatores de risco cardiovascular</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Crit&#233;rios de elegibilidade e extra&#231;&#227;o de dados</span><p id="par0055" class="elsevierStylePara elsevierViewall">Os crit&#233;rios para inclus&#227;o dos artigos foram os seguintes&#58; &#40;a&#41; estudos que avaliaram interven&#231;&#245;es n&#227;o farmacol&#243;gicas para perda de peso ou preven&#231;&#227;o da obesidade em crian&#231;as ou adolescentes com sobrepeso ou sobrepeso&#47;obesidade&#59; &#40;b&#41; revis&#227;o sistem&#225;tica com meta&#8208;an&#225;lise&#46; Os crit&#233;rios de exclus&#227;o foram estudos que n&#227;o fizeram meta&#8208;an&#225;lise dos resultados&#46; Os artigos foram selecionados por dois revisores &#40;GAA e LAB&#41;&#44; inicialmente com base na leitura dos t&#237;tulos&#44; depois na leitura dos resumos e&#44; posteriormente&#44; dos artigos completos&#46; Em caso de desacordo entre os dois revisores&#44; um terceiro revisor tomou a decis&#227;o final sobre a inclus&#227;o &#40;LB&#41;&#46; As refer&#234;ncias bibliogr&#225;ficas dos estudos encontrados nessas bases de dados tamb&#233;m foram revisadas&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Os autores seguiram as recomenda&#231;&#245;es e a lista de verifica&#231;&#227;o Prisma &#40;<span class="elsevierStyleItalic">Preferred Reporting Items for Systematic Reviews and Metanalyses</span>&#41; na elabora&#231;&#227;o desta revis&#227;o sistem&#225;tica&#46;<a class="elsevierStyleCrossRef" href="#bib0310"><span class="elsevierStyleSup">11</span></a></p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Avalia&#231;&#227;o de qualidade e risco de vi&#233;s</span><p id="par0065" class="elsevierStylePara elsevierViewall">A ferramenta Amstar 2 &#40;<span class="elsevierStyleItalic">A Measurement Tool to Assess Systematic Reviews</span>&#41; foi usada para avaliar a qualidade das evid&#234;ncias&#44; por ter sido amplamente aceita e usada por institui&#231;&#245;es profissionais de sa&#250;de e ser bem conhecida por sua confiabilidade e reprodutibilidade &#40;<a class="elsevierStyleCrossRef" href="#sec0085">tabela suplementar S2</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0315"><span class="elsevierStyleSup">12</span></a> A ferramenta Amstar 2 consiste em 16 itens no total e avalia o grau de confian&#231;a nos resultados das revis&#245;es sistem&#225;ticas&#46; A ferramenta n&#227;o gera um escore de qualidade&#44; mas uma recomenda&#231;&#227;o de um n&#237;vel de confian&#231;a maior ou menor nos resultados&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Os artigos foram avaliados por dois revisores &#40;CWS e KS&#41;&#59; em caso de discord&#226;ncia entre os dois&#44; um terceiro tomou a decis&#227;o final &#40;LB&#41;&#46;</p></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Resultados</span><p id="par0075" class="elsevierStylePara elsevierViewall">No geral&#44; identificamos 4&#46;574 registros e&#44; ap&#243;s a exclus&#227;o de duplicatas e t&#237;tulos n&#227;o eleg&#237;veis&#44; 24 revis&#245;es sistem&#225;ticas foram inclu&#237;das&#46; Seis revis&#245;es n&#227;o meta&#8208;analisaram seus resultados e foram exclu&#237;das&#46;<a class="elsevierStyleCrossRefs" href="#bib0320"><span class="elsevierStyleSup">13&#8211;18</span></a> O fluxograma detalhado do processo de sele&#231;&#227;o dos estudos &#233; apresentado na <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>&#46; As revis&#245;es foram classificadas com base na abordagem preventiva ou de tratamento e os resultados s&#227;o apresentados considerando essa classifica&#231;&#227;o&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">As principais caracter&#237;sticas dos 24 estudos inclu&#237;dos est&#227;o descritas nas <a class="elsevierStyleCrossRefs" href="#tbl0005">tabelas 1&#8208;5</a>&#46; Apenas quatro &#40;16&#44;7&#37;&#41; estudos foram classificados como de alta qualidade&#44; quase 80&#37; &#40;n &#61; 19&#41; dos estudos inclu&#237;dos foram considerados como uma revis&#227;o de baixa qualidade extrema &#40;n &#61; 7&#41; ou revis&#227;o de baixa qualidade &#40;n &#61; 12&#41;&#46; As respostas para as perguntas do Amstar 2 de cada estudo est&#227;o dispon&#237;veis como suplemento &#40;<a class="elsevierStyleCrossRef" href="#sec0085">tabela suplementar S2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">Das 24 revis&#245;es&#44; seis eram sobre preven&#231;&#227;o da obesidade&#44; 17 sobre tratamento da obesidade e uma revis&#227;o incluiu interven&#231;&#245;es mistas&#44; para preven&#231;&#227;o e tratamento da obesidade &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46; Onze &#40;46&#37;&#41; dos estudos inclu&#237;dos foram publicados nos &#250;ltimos cinco anos&#46; A maioria das revis&#245;es incluiu crian&#231;as e adolescentes at&#233; 18 anos&#59; cinco &#40;21&#37;&#41; consideraram apenas crian&#231;as&#46; O tipo de interven&#231;&#227;o e ambiente do estudo foi altamente diversificado e a dura&#231;&#227;o da interven&#231;&#227;o variou de 2&#44;5 a 72 meses&#46; Os desfechos descritos foram peso&#44; IMC&#44; Z&#8208;escore do IMC&#44; conte&#250;do de gordura&#44; distribui&#231;&#227;o de gordura&#44; medidas antropom&#233;tricas &#40;circunfer&#234;ncia da cintura&#44; rela&#231;&#227;o cintura&#8208;quadril&#44; espessura da dobra tricipital&#44; espessura da dobra subescapular&#41;&#44; comportamento alimentar&#44; comportamento sedent&#225;rio&#44; comportamento de atividade f&#237;sica e fatores de risco cardiovascular &#40;press&#227;o arterial&#44; lip&#237;dios&#44; glicemia&#41;&#46;</p><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Preven&#231;&#227;o da obesidade</span><p id="par0090" class="elsevierStylePara elsevierViewall">Sete revis&#245;es sistem&#225;ticas com meta&#8208;an&#225;lise abordaram as interven&#231;&#245;es para preven&#231;&#227;o da obesidade na inf&#226;ncia e adolesc&#234;ncia&#46;<a class="elsevierStyleCrossRefs" href="#bib0350"><span class="elsevierStyleSup">19&#8211;25</span></a> Os principais resultados s&#227;o apresentados nas <a class="elsevierStyleCrossRefs" href="#tbl0010">tabelas 2 e 3</a>&#46; O n&#250;mero de estudos inclu&#237;dos em cada revis&#227;o variou de oito a 68&#46; Duas dessas revis&#245;es foram baseadas em programas educativos&#44;<a class="elsevierStyleCrossRefs" href="#bib0350"><span class="elsevierStyleSup">19&#44;24</span></a> uma em interven&#231;&#227;o de atividade f&#237;sica baseada no esporte<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">25</span></a> e as quatro ofereceram interven&#231;&#245;es mistas para preven&#231;&#227;o&#44; inclusive mudan&#231;as nutricionais&#44; est&#237;mulo &#224; atividade f&#237;sica e redu&#231;&#227;o do comportamento sedent&#225;rio&#46;<a class="elsevierStyleCrossRefs" href="#bib0355"><span class="elsevierStyleSup">20&#8211;23</span></a></p><p id="par0100" class="elsevierStylePara elsevierViewall">Tr&#234;s revis&#245;es que abordaram mudan&#231;as de comportamento no estilo de vida &#40;nutri&#231;&#227;o&#44; atividade f&#237;sica ou ambos&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">20</span></a> interven&#231;&#245;es educativas<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">24</span></a> e programas de preven&#231;&#227;o da obesidade infantil com base escolar<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">19</span></a> n&#227;o mostraram efeito significativo sobre o IMC em compara&#231;&#227;o com o controle&#46; Entretanto&#44; tr&#234;s revis&#245;es<a class="elsevierStyleCrossRefs" href="#bib0360"><span class="elsevierStyleSup">21&#8211;23</span></a> mostraram que as interven&#231;&#245;es produziram redu&#231;&#227;o de peso significativa&#44; embora modesta&#44; em curto prazo&#58; duas mostraram esses resultados para educa&#231;&#227;o nutricional&#44; redu&#231;&#227;o do tempo de TV e atividade f&#237;sica&#44; isoladamente ou em combina&#231;&#227;o com o envolvimento de um dos pais ou membro da fam&#237;lia&#44;<a class="elsevierStyleCrossRefs" href="#bib0360"><span class="elsevierStyleSup">21&#44;23</span></a> e uma mostrou resultados positivos para atividade f&#237;sica&#44; dieta ou modifica&#231;&#227;o do estilo de vida no ambiente escolar&#44; familiar ou na comunidade&#46;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">22</span></a></p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Tratamento da obesidade</span><p id="par0105" class="elsevierStylePara elsevierViewall">Dezoito revis&#245;es sistem&#225;ticas com meta&#8208;an&#225;lise abordaram as interven&#231;&#245;es para o tratamento da obesidade na inf&#226;ncia e adolesc&#234;ncia&#46; Os principais resultados s&#227;o apresentados nas <a class="elsevierStyleCrossRefs" href="#tbl0020">tabelas 4 e 5</a>&#46; O n&#250;mero de estudos inclu&#237;dos em cada revis&#227;o variou de cinco a 61&#46; Dessas revis&#245;es&#44; dez<a class="elsevierStyleCrossRefs" href="#bib0385"><span class="elsevierStyleSup">26&#8211;35</span></a> mostraram que interven&#231;&#245;es como dieta&#44; comportamento familiar&#44; promo&#231;&#227;o da atividade f&#237;sica&#44; exerc&#237;cio supervisionado&#44; interven&#231;&#245;es no estilo de vida ou de multicomponentes&#44; educa&#231;&#227;o com base escolar e dieta pobre em carboidratos<a class="elsevierStyleCrossRefs" href="#bib0385"><span class="elsevierStyleSup">26&#8211;34</span></a> foram associadas &#224; redu&#231;&#227;o nos principais desfechos&#46; Entretanto&#44; 11<a class="elsevierStyleCrossRefs" href="#bib0375"><span class="elsevierStyleSup">24&#44;28&#44;29&#44;32&#44;33&#44;36&#8211;40</span></a> n&#227;o mostraram associa&#231;&#227;o entre as interven&#231;&#245;es &#40;interven&#231;&#227;o diet&#233;tica&#44; promo&#231;&#227;o da atividade f&#237;sica&#44; treinamento resistido&#44; redu&#231;&#227;o do comportamento sedent&#225;rio&#44; interven&#231;&#227;o no estilo de vida ou educativa&#44; educa&#231;&#227;o nutricional&#44; dieta rica em prote&#237;nas&#41; e a redu&#231;&#227;o nos principais desfechos&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">As interven&#231;&#245;es foram baseadas em altera&#231;&#245;es nutricionais&#44; est&#237;mulo &#224; atividade f&#237;sica&#44; redu&#231;&#227;o do comportamento sedent&#225;rio&#44; interven&#231;&#245;es educativas&#44; isoladamente ou em combina&#231;&#227;o&#44; como mostradas a seguir&#46;</p><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Revis&#245;es que inclu&#237;ram interven&#231;&#245;es mistas para tratamento da obesidade</span><p id="par0115" class="elsevierStylePara elsevierViewall">Van Hoek et al&#46;<a class="elsevierStyleCrossRef" href="#bib0420"><span class="elsevierStyleSup">33</span></a> mostraram melhoria significativa no escore&#8208;Z do IMC com interven&#231;&#227;o multicomponente associada &#224; diminui&#231;&#227;o dos fatores de risco cardiovascular e resist&#234;ncia &#224; insulina em crian&#231;as&#46; Ao mesmo tempo&#44; Liao et al&#46;<a class="elsevierStyleCrossRef" href="#bib0445"><span class="elsevierStyleSup">38</span></a> n&#227;o conseguiram demonstrar que as interven&#231;&#245;es multicomponentes foram mais eficazes na redu&#231;&#227;o do IMC do que as interven&#231;&#245;es baseadas apenas no comportamento sedent&#225;rio&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Friedrich et al&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">28</span></a> mostraram que apenas as interven&#231;&#245;es que combinam atividade f&#237;sica e educa&#231;&#227;o nutricional tiveram efeitos positivos na redu&#231;&#227;o do IMC&#44; quando comparadas com as interven&#231;&#245;es aplicadas separadamente&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Kanekar et al&#46;<a class="elsevierStyleCrossRef" href="#bib0460"><span class="elsevierStyleSup">41</span></a> analisaram apenas estudos feitos nos Estados Unidos e no Reino Unido e mostraram que as interven&#231;&#245;es com base escolar n&#227;o est&#227;o associadas a altera&#231;&#245;es no IMC&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Snethen et al&#46;<a class="elsevierStyleCrossRef" href="#bib0465"><span class="elsevierStyleSup">42</span></a> examinaram a efic&#225;cia de 14 diferentes combina&#231;&#245;es de interven&#231;&#245;es &#40;dieta&#44; atividade f&#237;sica&#44; mudan&#231;a de comportamento e envolvimento dos pais&#41; e mostraram que o tamanho do efeito para perda de peso era pequeno&#46; No entanto&#44; programas de interven&#231;&#227;o mais longos produziram melhores resultados&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Revis&#245;es que inclu&#237;ram interven&#231;&#245;es diet&#233;ticas para tratamento da obesidade</span><p id="par0135" class="elsevierStylePara elsevierViewall">Duas meta&#8208;an&#225;lises<a class="elsevierStyleCrossRefs" href="#bib0385"><span class="elsevierStyleSup">26&#44;40</span></a> avaliaram apenas a efetividade das interven&#231;&#245;es diet&#233;ticas no tratamento de crian&#231;as e adolescentes obesos e demonstraram algum efeito na perda de peso&#44; embora detalhes sobre a interven&#231;&#227;o diet&#233;tica ou ingest&#227;o alimentar dos participantes tenham sido raramente descritos nos estudos&#59; portanto&#44; n&#227;o foi poss&#237;vel avaliar qual interven&#231;&#227;o diet&#233;tica em particular foi a mais efetiva&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Um estudo<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">29</span></a> avaliou a efetividade de dietas com varia&#231;&#227;o na distribui&#231;&#227;o de macronutrientes como parte de uma interven&#231;&#227;o de controle de peso em crian&#231;as e adolescentes com sobrepeso ou obesidade&#46; Uma melhoria na condi&#231;&#227;o do peso corporal foi alcan&#231;ada&#44; independentemente da distribui&#231;&#227;o de macronutrientes de uma dieta com energia reduzida&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Em estudos que mediram os resultados cardiometab&#243;licos&#44; foram relatadas melhorias nos n&#237;veis de lip&#237;dios e glicose no sangue&#44; resist&#234;ncia &#224; insulina e press&#227;o arterial&#46;<a class="elsevierStyleCrossRefs" href="#bib0400"><span class="elsevierStyleSup">29&#44;30</span></a></p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Revis&#245;es que inclu&#237;ram interven&#231;&#245;es de atividade f&#237;sica para tratamento da obesidade</span><p id="par0150" class="elsevierStylePara elsevierViewall">Apenas uma meta&#8208;an&#225;lise avaliou o impacto da atividade f&#237;sica isolada no tratamento da obesidade<a class="elsevierStyleCrossRef" href="#bib0435"><span class="elsevierStyleSup">36</span></a> e n&#227;o foi capaz de demonstrar qualquer efeito do exerc&#237;cio isolado sobre o peso corporal&#44; IMC ou obesidade central&#46; Apenas uma diminui&#231;&#227;o moderada no percentual de gordura foi observada com a interven&#231;&#227;o da atividade f&#237;sica&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Revis&#245;es que inclu&#237;ram interven&#231;&#245;es educativas para tratamento da obesidade</span><p id="par0155" class="elsevierStylePara elsevierViewall">Sbruzzi et al&#46;<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">24</span></a> mostraram que as interven&#231;&#245;es educativas por pelo menos seis meses foram associadas a uma redu&#231;&#227;o significativa na circunfer&#234;ncia da cintura&#44; IMC e press&#227;o arterial diast&#243;lica&#46;</p></span></span></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Discuss&#227;o</span><p id="par0160" class="elsevierStylePara elsevierViewall">O objetivo desta revis&#227;o foi ajudar os leitores de revis&#245;es sistem&#225;ticas a avaliar de maneira cr&#237;tica as informa&#231;&#245;es cient&#237;ficas dispon&#237;veis sobre a preven&#231;&#227;o e o tratamento n&#227;o farmacol&#243;gico de sobrepeso e obesidade na inf&#226;ncia e adolesc&#234;ncia&#46; Esta an&#225;lise mostrou que 19 &#40;80&#37;&#41; eram de baixa ou muito baixa qualidade&#44; de acordo com os crit&#233;rios da ferramenta Amstar 2&#44; ou seja&#44; os estudos apresentam baixo grau de confian&#231;a nos resultados&#46; No entanto&#44; quase todos os autores chamaram a aten&#231;&#227;o para a heterogeneidade dos estudos inclu&#237;dos em suas revis&#245;es sistem&#225;ticas e a baixa qualidade de muitos estudos prim&#225;rios&#44; o que compromete sua tradu&#231;&#227;o em recomenda&#231;&#245;es definitivas em qualquer contexto&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Os estudos de preven&#231;&#227;o demonstraram efeitos pequenos e de curto prazo ou nenhum efeito sobre o peso corporal&#46;<a class="elsevierStyleCrossRefs" href="#bib0350"><span class="elsevierStyleSup">19&#8211;23</span></a> O envolvimento dos pais e a redu&#231;&#227;o do tempo de televis&#227;o foram as interven&#231;&#245;es associadas aos maiores benef&#237;cios&#46;<a class="elsevierStyleCrossRefs" href="#bib0335"><span class="elsevierStyleSup">16&#44;19&#44;22&#8211;24&#44;34&#44;38</span></a></p><p id="par0170" class="elsevierStylePara elsevierViewall">Considerando que os estudos se concentravam no tratamento da obesidade na inf&#226;ncia e adolesc&#234;ncia&#44; a grande maioria deles n&#227;o apresentou efeitos significativos na redu&#231;&#227;o e manuten&#231;&#227;o do peso com in&#250;meras interven&#231;&#245;es bem conhecidas&#46; Alguns resultados positivos foram relatados em interven&#231;&#245;es de curto prazo e multicomponentes&#44; mas nenhuma recomenda&#231;&#227;o definitiva pode ser feita sobre o tipo ou a dura&#231;&#227;o da interven&#231;&#227;o necess&#225;rios para alcan&#231;ar o sucesso em longo prazo&#46; Esses resultados est&#227;o de acordo com o que j&#225; &#233; conhecido&#44; considerando o tratamento n&#227;o farmacol&#243;gico da obesidade em adultos&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Apesar da pequena melhoria no peso corporal e na adiposidade em crian&#231;as derivadas do aumento da atividade f&#237;sica nos estudos revisados&#44;<a class="elsevierStyleCrossRefs" href="#bib0355"><span class="elsevierStyleSup">20&#44;21&#44;28&#44;32&#44;33&#44;36&#8211;38&#44;40</span></a> programas estruturados de atividade f&#237;sica podem levar a outros benef&#237;cios&#44; como melhor coordena&#231;&#227;o motora&#44; sa&#250;de esquel&#233;tica&#44; flexibilidade e capacidade aer&#243;bica&#44; maior autoconfian&#231;a&#44; participa&#231;&#227;o em equipe e inclus&#227;o social&#46; At&#233; o momento&#44; nenhuma conclus&#227;o definitiva pode ser feita sobre a efic&#225;cia da atividade f&#237;sica em prevenir ou reduzir a obesidade em crian&#231;as e adolescentes&#44; mas a import&#226;ncia de desenvolver a&#231;&#245;es e programas para promover estilos de vida ativos deve ser o alvo&#46; Al&#233;m disso&#44; a pr&#225;tica de atividade f&#237;sica regular&#44; a partir do in&#237;cio da inf&#226;ncia ou adolesc&#234;ncia&#44; pode prevenir os estilos de vida sedent&#225;rios na vida adulta&#46;<a class="elsevierStyleCrossRef" href="#bib0470"><span class="elsevierStyleSup">43</span></a></p><p id="par0180" class="elsevierStylePara elsevierViewall">Estudos que avaliaram diferentes abordagens diet&#233;ticas n&#227;o foram capazes de reconhecer os benef&#237;cios de um tipo particular de composi&#231;&#227;o de dieta ou macronutrientes&#44;<a class="elsevierStyleCrossRefs" href="#bib0355"><span class="elsevierStyleSup">20&#44;26&#44;27&#44;29&#44;30&#44;37&#44;38&#44;40</span></a> talvez porque os detalhes sobre a interven&#231;&#227;o diet&#233;tica ou a ingest&#227;o de alimentos pelos participantes raramente foram descritos nos estudos e houve uma alta heterogeneidade de desenhos e medidas de desfecho&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">A an&#225;lise atual mostrou muitas limita&#231;&#245;es nas revis&#245;es publicadas at&#233; agora&#44; como a heterogeneidade dos estudos prim&#225;rios&#44; inclusive a dura&#231;&#227;o da interven&#231;&#227;o&#44; envolvimento dos pais ou n&#227;o&#44; metas de nutri&#231;&#227;o&#44; programas de atividade f&#237;sica&#44; metas educacionais&#44; o que tamb&#233;m resulta em grande dificuldade para um &#250;nico estudo de meta&#8208;an&#225;lise concluir sobre a melhor interven&#231;&#227;o&#46;</p><p id="par0190" class="elsevierStylePara elsevierViewall">Um aspecto desafiador para estrat&#233;gias de promo&#231;&#227;o de peso saud&#225;vel &#233; a ades&#227;o fora das escolas&#46; A alimenta&#231;&#227;o saud&#225;vel &#233; negativamente afetada pela ind&#250;stria de alimentos atrav&#233;s de an&#250;ncios e outras estrat&#233;gias de marketing para estimular o consumo de alimentos e bebidas com alto teor de calorias&#46;<a class="elsevierStyleCrossRef" href="#bib0475"><span class="elsevierStyleSup">44</span></a> Dispositivos tecnol&#243;gicos como videogames e computadores atraem as crian&#231;as para um estilo de vida com pouca atividade f&#237;sica e aumento do consumo de calorias&#46;<a class="elsevierStyleCrossRef" href="#bib0480"><span class="elsevierStyleSup">45</span></a> As interven&#231;&#245;es t&#234;m melhores resultados quando a estrat&#233;gia inclui um componente familiar&#44; pois as crian&#231;as s&#227;o fortemente influenciadas pelos h&#225;bitos dos pais&#46;<a class="elsevierStyleCrossRef" href="#bib0485"><span class="elsevierStyleSup">46</span></a> Portanto&#44; as recomenda&#231;&#245;es introduzidas nas escolas devem ser seguidas em casa&#44; atrav&#233;s do exemplo positivo dos pais para seus filhos&#44; atrav&#233;s de uma nutri&#231;&#227;o saud&#225;vel e da pr&#225;tica regular de atividade f&#237;sica&#46;<a class="elsevierStyleCrossRef" href="#bib0490"><span class="elsevierStyleSup">47</span></a></p><p id="par0195" class="elsevierStylePara elsevierViewall">V&#225;rios fatores contribuem para a obesidade&#44; inclusive gen&#233;ticos&#44; ambientais&#44; metab&#243;licos&#44; bioqu&#237;micos&#44; psicol&#243;gicos e fisiol&#243;gicos&#46;<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">23</span></a> Essas rela&#231;&#245;es causais complexas tornam improv&#225;vel que qualquer interven&#231;&#227;o &#250;nica seja bem&#8208;sucedida na preven&#231;&#227;o ou no tratamento da obesidade&#46; No entanto&#44; embora haja um consider&#225;vel n&#250;mero de pesquisas acad&#234;micas em andamento que avaliam abordagens preventivas e terap&#234;uticas para a obesidade infantil&#44; h&#225; uma falta de evid&#234;ncias s&#243;lidas em estrat&#233;gias abrangentes para reverter as tend&#234;ncias alarmantes de obesidade&#46;</p><p id="par0200" class="elsevierStylePara elsevierViewall">Profissionais de sa&#250;de&#44; pol&#237;ticos e v&#225;rias partes interessadas provavelmente precisar&#227;o combinar diferentes abordagens direcionadas a escolas&#44; comunidades&#44; cl&#237;nicas&#44; locais de trabalho&#44; resid&#234;ncias&#44; projetos urbanos&#44; regulamenta&#231;&#227;o de venda de alimentos e tributa&#231;&#227;o para controlar a epidemia de obesidade de maneira efetiva&#46; Existe um consenso crescente de que grandes mudan&#231;as nos n&#237;veis populacionais de atividade f&#237;sica e comportamentos alimentares seriam necess&#225;rias para controlar a epidemia de obesidade&#44; exigem grandes modifica&#231;&#245;es nos ambientes constru&#237;dos e alimentar e pol&#237;ticas&#46;<a class="elsevierStyleCrossRef" href="#bib0495"><span class="elsevierStyleSup">48</span></a></p><p id="par0205" class="elsevierStylePara elsevierViewall">Mudan&#231;as ambientais ou interven&#231;&#245;es multin&#237;veis em toda a comunidade &#40;atributos do ambiente constru&#237;do&#44; como recrea&#231;&#227;o e objetivo de transporte&#41; recentemente mostraram efeitos positivos sobre a atividade f&#237;sica e a obesidade em crian&#231;as&#46;<a class="elsevierStyleCrossRefs" href="#bib0500"><span class="elsevierStyleSup">49&#44;50</span></a> Al&#233;m disso&#44; minorias &#233;tnicas e comunidades de baixa renda est&#227;o em desvantagem no acesso a instala&#231;&#245;es recreativas&#44; est&#233;tica positiva e prote&#231;&#227;o contra o tr&#225;fego&#46;<a class="elsevierStyleCrossRef" href="#bib0495"><span class="elsevierStyleSup">48</span></a> Al&#233;m disso&#44; o envolvimento dos formadores de pol&#237;ticas no processo de modifica&#231;&#227;o do ambiente alimentar e avalia&#231;&#227;o dos custos e benef&#237;cios de programas e pol&#237;ticas elaborados para essas modifica&#231;&#245;es antes de sua implanta&#231;&#227;o tamb&#233;m s&#227;o muito importantez&#46;<a class="elsevierStyleCrossRef" href="#bib0510"><span class="elsevierStyleSup">51</span></a> Ademais&#44; as a&#231;&#245;es regulat&#243;rias nos mercados devem ser consideradas nesse contexto&#46; Acreditamos que somente quando uma s&#233;rie de estrat&#233;gias for alinhada com a coopera&#231;&#227;o global poderemos razoavelmente esperar ver melhorias significativas no cen&#225;rio da obesidade&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Conclus&#227;o</span><p id="par0210" class="elsevierStylePara elsevierViewall">As evid&#234;ncias cient&#237;ficas dispon&#237;veis sobre os efeitos de interven&#231;&#245;es cl&#237;nicas e comportamentais para reduzir a obesidade s&#227;o de baixa qualidade&#44; muito heterog&#234;neas e n&#227;o conclusivas&#46; Com base nas evid&#234;ncias existentes&#44; qualquer interven&#231;&#227;o de componente &#250;nico para preven&#231;&#227;o ou tratamento da obesidade em crian&#231;as e adolescentes provavelmente produzir&#225; efeitos menores e n&#227;o duradouros no peso corporal&#44; adiposidade e desfechos cardiometab&#243;licos&#46; O envolvimento de toda a sociedade e do governo&#44; n&#227;o apenas dos profissionais de sa&#250;de&#44; &#233; necess&#225;rio para alcan&#231;ar melhores resultados na preven&#231;&#227;o e tratamento dessa perigosa epidemia de obesidade infantil&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Financiamento</span><p id="par0215" class="elsevierStylePara elsevierViewall">LB&#44; GAA e LAB receberam bolsas de pesquisa do Instituto de Avalia&#231;&#227;o de Tecnologia em Sa&#250;de &#40;IATS&#41;&#46;</p></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Conflitos de interesse</span><p id="par0220" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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              "titulo" => "Preven&#231;&#227;o da obesidade"
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                  "identificador" => "sec0055"
                  "titulo" => "Revis&#245;es que inclu&#237;ram interven&#231;&#245;es de atividade f&#237;sica para tratamento da obesidade"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">This study aimed to assess the quality of systematic reviews on prevention and non&#8208;pharmacological treatment of overweight and obesity in children and adolescents&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Data source</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A search was done in electronic databases &#40;Medline <span class="elsevierStyleItalic">via</span> PubMed&#44; Web of Science&#44; Scopus&#44; LILACS&#44; the Cochrane Library&#44; and Clinical Trials&#41;&#44; including only systematic reviews with meta&#8208;analysis&#46; Reviews were selected by two researchers&#44; and a third one solved the divergences&#46; PRISMA statement and checklist were followed&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Summary of data</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A total of 4574 records were retrieved&#44; including 24 after selection&#46; Six reviews were on obesity prevention&#44; 17 on obesity treatment&#44; and one on mixed interventions for prevention and treatment of obesity&#46; The interventions were very heterogeneous and showed little or no effects on weight or body mass index&#46; Mixed interventions that included dieting&#44; exercise&#44; actions to reduce sedentary behavior&#44; and programs involving the school or families showed some short&#8208;term positive effects&#46; Reviews that analyzed cardiovascular risk factors demonstrated significant improvements in the short&#8208;term&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The systematic reviews of interventions to prevent or reduce obesity in children and adolescents generally showed little or no effects on weight or body mass index&#44; although cardiovascular profile can be improved&#46; Mixed interventions demonstrated better effects&#44; but the long&#8208;term impact of obesity treatments of children and adolescents remains unclear&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Este estudo teve como objetivo avaliar a qualidade das revis&#245;es sistem&#225;ticas sobre preven&#231;&#227;o e tratamento n&#227;o farmacol&#243;gico do sobrepeso e da obesidade em crian&#231;as e adolescentes&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Fontes de dados</span><p id="spar0185" class="elsevierStyleSimplePara elsevierViewall">Foi realizada uma busca em bases de dados eletr&#244;nicas &#40;Medline <span class="elsevierStyleItalic">via</span> Pubmed&#44; Web of Science&#44; Scopus&#44; LILACS&#44; The Cochrane Library e Ensaios Cl&#237;nicos&#41;&#44; incluindo apenas revis&#245;es sistem&#225;ticas com meta-an&#225;lise&#46; As revis&#245;es foram selecionadas por dois pesquisadores e um terceiro resolveu as diverg&#234;ncias&#46; A lista de recomenda&#231;&#245;es do PRISMA foi seguida&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">S&#237;ntese dos dados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Foram identificados 4&#46;574 publica&#231;&#245;es&#44; e 24 foram inclu&#237;das ap&#243;s sele&#231;&#227;o&#46; Seis publica&#231;&#245;es eram sobre preven&#231;&#227;o da obesidade&#44; 17 sobre tratamento da obesidade e 1 sobre interven&#231;&#245;es mistas para preven&#231;&#227;o e tratamento da obesidade&#46; As interven&#231;&#245;es eram muito heterog&#234;neas e mostraram pouco ou nenhum efeito sobre o peso ou &#237;ndice de massa corporal&#46; Interven&#231;&#245;es mistas que inclu&#237;am dieta&#44; exerc&#237;cios&#44; a&#231;&#245;es para reduzir o comportamento sedent&#225;rio e programas que envolviam a escola ou as fam&#237;lias mostraram alguns efeitos positivos de curto prazo&#46; Revis&#245;es que analisaram fatores de risco cardiovascular demonstraram melhoras significativas em curto prazo&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#227;o</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">As revis&#245;es sistem&#225;ticas de interven&#231;&#245;es para prevenir ou reduzir a obesidade em crian&#231;as e adolescentes geralmente mostraram pouco ou nenhum efeito sobre o peso ou &#237;ndice de massa corporal&#44; embora o perfil cardiovascular possa ter melhorado&#46; Interven&#231;&#245;es mistas demonstraram melhores efeitos&#44; mas o impacto em longo prazo dos tratamentos da obesidade de crian&#231;as e adolescentes ainda n&#227;o est&#225; claro&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0030">Como citar este artigo&#58; Bahia L&#44; Schaan CW&#44; Sparrenberger K&#44; Abreu GA&#44; Barufaldi LA&#44; Coutinho W&#44; et al&#46; Overview of meta&#8208;analysis on prevention and treatment of childhood obesity&#46; J Pediatr &#40;Rio J&#41;&#46; 2019&#59;95&#58;385&#8211;400&#46;</p>"
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            "titulo" => "Material suplementar"
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          "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">IMC&#44; &#237;ndice de massa corporal&#59; DXA&#44; absorciometria de raios X de dupla energia&#59; BIA&#44; an&#225;lise de imped&#226;ncia bioel&#233;trica&#46;</p>"
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                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="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Autor&#47;data&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Data avaliada at&#233;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Popula&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Interven&#231;&#245;es&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Compara&#231;&#227;o de interven&#231;&#245;es&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Desfechos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">O&#8208;Meara et al&#46;&#44; 1998<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">18</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Jan 1997&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Crian&#231;as e adultos<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#245;es diet&#233;ticas&#44; comportamentais e de exerc&#237;cios&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Peso&#44; conte&#250;do de gordura e distribui&#231;&#227;o de gordura&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Snethen et al&#46;&#44; 2006<a class="elsevierStyleCrossRef" href="#bib0465"><span class="elsevierStyleSup">42</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1980 a 2002&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade&#40;6&#8208;16a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Qualquer interven&#231;&#227;o com atividade&#44; instru&#231;&#227;o&#44; treinamento ou programa implantado com a finalidade de ajudar a crian&#231;a com excesso de peso a perder peso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nenhuma interven&#231;&#227;o ou controle de lista de espera&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Peso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atlantis et al&#46;&#44; 2006<a class="elsevierStyleCrossRef" href="#bib0325"><span class="elsevierStyleSup">14</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2004&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;&#60; 18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Pelo menos um bra&#231;o de tratamento com exerc&#237;cio ou atividade f&#237;sica foi investigado isoladamente ou como um complemento a um tratamento alternativo simultaneamente prescrito para o grupo controle&#47;de compara&#231;&#227;o &#40;por exemplo&#44; exerc&#237;cio mais ingest&#227;o cal&#243;rica de 1000<span class="elsevierStyleHsp" style=""></span>kcal &#47; dia vs&#46; ingest&#227;o cal&#243;rica de 1000<span class="elsevierStyleHsp" style=""></span>kcal &#47; dia&#41;&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem exerc&#237;cio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Percentagem de gordura corporal&#44; peso corporal&#44; obesidade central&#44; circunfer&#234;ncia da cintura&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Collins et al&#46;&#44; 2006<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">26</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1975 a 2003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;&#60; 18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o diet&#233;tica sozinha ou em combina&#231;&#227;o com modifica&#231;&#245;es no estilo de vida e &#47; ou terapias psicol&#243;gicas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Peso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Young et al&#46;&#44; 2007<a class="elsevierStyleCrossRef" href="#bib0425"><span class="elsevierStyleSup">34</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Obesidade&#40;5 &#8208;12a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">T&#233;cnicas comportamentais ou cognitivas&#8208;comportamentais com envolvimento familiar&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Porcentagem de sobrepeso&#44; peso&#44; IMC ou escore&#8208;Z do IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">McGovern et al&#46;&#44; 2008<a class="elsevierStyleCrossRef" href="#bib0455"><span class="elsevierStyleSup">40</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Feb 2006&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;2&#8211;18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o farmacol&#243;gica &#40;Sibutramina&#44; Orlistat&#44; Metformina&#41;&#44; interven&#231;&#227;o diet&#233;tica apenas&#44; interven&#231;&#227;o com atividade f&#237;sica apenas&#44; interven&#231;&#227;o diet&#233;tica e interven&#231;&#227;o com atividade f&#237;sica&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&#44; porcentagem de excesso de peso&#44; porcentagem de massa livre de gordura e adiposidade visceral&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Kamath et al&#46;&#44; 2008<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">20</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Fev&#46; 2006&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Crian&#231;as e adolescentes&#40;2 &#8208;18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Aumento da atividade f&#237;sica ou diminui&#231;&#227;o da atividade sedent&#225;ria ou aumento do comportamento diet&#233;tico saud&#225;vel ou redu&#231;&#227;o do comportamento diet&#233;tico n&#227;o saud&#225;vel&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Comportamento diet&#233;tico e IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Katz et al&#46;&#44; 2008<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">21</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1966 aOut&#46; 2004&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;3 &#8208;18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o em nutri&#231;&#227;o e atividade f&#237;sica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Harris et al&#46;&#44; 2009<a class="elsevierStyleCrossRef" href="#bib0435"><span class="elsevierStyleSup">36</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Jan 1966 a Set 2008&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Peso normal&#44; sobrepeso e obesidade&#40;5 &#8208;18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica com base escolar&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC e medidas antropom&#233;tricas &#40;porcentagem de gordura corporal&#44; circunfer&#234;ncia da cintura&#44; rela&#231;&#227;o cintura&#8208;quadril&#44; espessura da dobra cut&#226;nea tricipital e da dobra cut&#226;nea subescapular&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Kanekar et al&#46;&#44; 2008<a class="elsevierStyleCrossRef" href="#bib0460"><span class="elsevierStyleSup">41</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2000 a 2007&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;&#60; 18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#245;es escolares na obesidade infantil&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nenhuma interven&#231;&#227;o ou atividade escolar usual ou materiais escritos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">BMI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Kesten et al&#46;&#44; 2011<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">22</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1990 a Fev&#46; 2010&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Meninas com sobrepeso&#47;obesidade&#40;7 &#8208;11a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica&#44; dieta ou modifica&#231;&#227;o do estilo de vida dentro do ambiente da escola&#44; da fam&#237;lia ou da comunidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC e atividade f&#237;sica e comportamento nutricional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Luckner et al&#46;&#44; 2012<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">23</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nov&#46; 2008&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#40;&#8804; 18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica&#44; educa&#231;&#227;o&#44; nutri&#231;&#227;o ou redu&#231;&#227;o do tempo de TV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Lavelle et al&#46;&#44; 2012<a class="elsevierStyleCrossRef" href="#bib0410"><span class="elsevierStyleSup">31</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Fev&#46; 2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;&#8804; 18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica e &#47; ou nutri&#231;&#227;o e &#47; ou comportamento sedent&#225;rio no ambiente escolar&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Friedrich et al&#46;&#44; 2012<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">28</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1998 a Ago&#46; 2010&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Crian&#231;as e adolescentes &#40;4 a 19a&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica e&#47;ou educa&#231;&#227;o nutricional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ho et al&#46;&#44; 2012<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">30</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1975 a 2010&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;&#8804; 18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Programas de interven&#231;&#227;o no estilo de vida incorporando um componente nutricional ou diet&#233;tico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem tratamento ou controle de lista de espera&#44; cuidados habituais ou aconselhamento m&#237;nimo ou materiais educacionais escritos sobre dieta e sobre atividade f&#237;sica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&#44; escore&#8208;Z do IMC&#44; lip&#237;deos&#44; glicemia&#44; insulina e press&#227;o arterial&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sbruzzi et al&#46;&#44; 2013<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">24</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Maio 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Peso normal&#44; sobrepeso ou obesidade&#40;6&#8208;12a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#245;es educativas &#40;estrat&#233;gia de interven&#231;&#227;o feita na escola e &#47; ou fam&#237;lia&#41; durante pelo menos 6 meses&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cuidados habituais ou nenhuma interven&#231;&#227;o para preven&#231;&#227;o ou tratamento da obesidade infantil&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&#44; escore&#8208;Z do IMC&#44; peso&#44; circunfer&#234;ncia da cintura &#40;cm&#41;&#44; press&#227;o arterial&#44; colesterol total e lipoprote&#237;na de alta densidade&#8208;colesterol&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ho et al&#46;&#44; 2013<a class="elsevierStyleCrossRef" href="#bib0440"><span class="elsevierStyleSup">37</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1975 a 2010&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;&#8804; 18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Programas de interven&#231;&#227;o diet&#233;tica&#44; dieta mais exerc&#237;cio ou interven&#231;&#227;o somente com exerc&#237;cio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dieta apenas vs&#46; dieta mais interven&#231;&#227;o com exerc&#237;cio&#59; dieta apenas vs&#46; interven&#231;&#227;o apenas com exerc&#237;cio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&#44; porcentagem de gordura corporal&#44; massa magra corporal&#44; lipoprote&#237;na de alta densidade&#8208;colesterol&#44; lipoprote&#237;na de baixa densidade&#8208;colesterol&#44; triglic&#233;rides&#44; glicemia e insulina&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ajie et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#bib0320"><span class="elsevierStyleSup">13</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Jan 2002 a Ago 2013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Adolescentes&#40;12&#8208;18a&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Educa&#231;&#227;o baseada na Internet ou interven&#231;&#227;o comportamental atrav&#233;s de um computador pessoal ou laptop&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Composi&#231;&#227;o da dieta&#44; conhecimento nutricional&#44; IMC&#44; escore&#8208;Z do IMC&#44; peso e comportamento sedent&#225;rio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Gow et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">29</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1975 a 2013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;&#8804; 18y&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#245;es diet&#233;ticas com diferentes conte&#250;dos de macronutrientes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dieta pobre em carboidratos vs&#46; dieta pobre em gordura&#59; Dieta com aumento de conte&#250;do proteico vs&#46; dieta proteica padr&#227;o&#59; dieta rica em gordura vs&#46; dieta com conte&#250;do de gordura padr&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&#44; escore&#8208;Z do IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">van Hoek et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#bib0420"><span class="elsevierStyleSup">33</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15 de Abril de 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;3 &#8208;8a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Programa de tratamento multicomponente&#44; incluindo educa&#231;&#227;o diet&#233;tica e atividade f&#237;sica e terapia comportamental ou programas de tratamento com educa&#231;&#227;o combinada diet&#233;tica e de atividade f&#237;sica somente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Alguns estudos com grupos controle &#40;sem interven&#231;&#227;o&#41; e outros sem grupos controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Escore&#8208;Z do IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Kelishadi et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#bib0335"><span class="elsevierStyleSup">16</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2000 a 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;2&#8208;18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#245;es na comunidade&#44; na fam&#237;lia&#44; na escola e na cl&#237;nica ou uma combina&#231;&#227;o delas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Peso&#44; IMC&#44; escore&#8208;Z do IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Liao et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#bib0445"><span class="elsevierStyleSup">38</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Julho 2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Peso normal&#44; Sobrepeso&#47;obesidade&#40;&#8804; 18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Reduzir o comportamento sedent&#225;rio &#40;redu&#231;&#227;o de TV &#47; DVD &#47; VCR&#44; jogar v&#237;deo &#47; jogos de computador sedent&#225;rios e tempo sentado em geral&#41; e &#47; ou aumentar a atividade f&#237;sica e &#47; ou melhorar os h&#225;bitos diet&#233;ticos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Controle&#58; algumas informa&#231;&#245;es relacionadas &#224; preven&#231;&#227;o de n&#227;o obesidade&#59; programa&#231;&#227;o usual&#59; somente avalia&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Martin et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#bib0450"><span class="elsevierStyleSup">39</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Maio de 2013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;3&#8208;18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#245;es de estilo de vida&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cuidado padr&#227;o&#44; controle de lista de espera&#44; nenhum tratamento ou controle de aten&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Desempenho escolar&#44; IMC&#44; escore&#8208;Z do IMC e DP do IMC e medidas de gordura corporal por DXA e BIA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ruotsalainen et al&#46;&#44; 2015<a class="elsevierStyleCrossRef" href="#bib0415"><span class="elsevierStyleSup">32</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Jan 1950 a Ago 2013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;&#8804; 18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica ou exerc&#237;cio junto com aconselhamento ou pr&#225;ticas diet&#233;ticas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Controle com tratamento padr&#227;o &#8208; nenhum tratamento relacionado &#224; atividade f&#237;sica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&#237;vel de atividade f&#237;sica&#44; IMC ou sintomas psicol&#243;gicos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Hung et al&#46;&#44; 2015<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">19</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Crian&#231;as e adolescentes&#40;6&#8208;18 a&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Programas de preven&#231;&#227;o da obesidade infantil com base escolar &#40;componente nutricional e &#47; ou componente da atividade f&#237;sica e &#47; ou envolvimento dos pais e &#47; ou envolvimento de especialista&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC e espessura das dobras cut&#226;neas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Foster et al&#46;&#44; 2015<a class="elsevierStyleCrossRef" href="#bib0330"><span class="elsevierStyleSup">15</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Julho 1948 a Julho 2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;0&#8208;6a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Aconselhamento diet&#233;tico&#44; atividades f&#237;sicas&#44; gest&#227;o comportamental&#44; e uma entrevista motivacional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sess&#245;es educacionais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&#44; percentil do IMC ou alguma itera&#231;&#227;o de porcentagem&#44; sobrepeso ou obesidade utilizando altura&#44; peso e circunfer&#234;ncia da cintura&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ling et al&#46;&#44; 2016<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">17</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1966 a Fev 2015&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Pr&#233;&#8208;escolares &#40;2&#8211;5a&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o no estilo de vida &#40;qualquer interven&#231;&#227;o que vise melhorar comportamentos&#44; incluindo tempo de tela&#44; atividade sedent&#225;ria&#44; atividade f&#237;sica&#44; dieta e &#47; ou sono&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30 minutos de atividade f&#237;sica estruturada por dia&#59; Cuidados usuais&#59; lista de espera&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&#44; circunfer&#234;ncia da cintura&#44; dobras cut&#226;neas&#44; gordura corporal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Colquitt et al&#46;&#44; 2016<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">27</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Mar 2015&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;0&#8208;6a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dieta&#44; atividade f&#237;sica e interven&#231;&#245;es comportamentais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nenhuma interven&#231;&#227;o ou cuidados habituais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC&#44; escore&#8208;Z do IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Murray et al&#46;&#44; 2017<a class="elsevierStyleCrossRef" href="#bib0430"><span class="elsevierStyleSup">35</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dez 2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobrepeso&#47;obesidade &#40;10&#8208;19a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#245;es de manejo de peso com m&#250;ltiplos componentes &#40;componentes comportamentais&#44; diet&#233;ticos e atividade f&#237;sica&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem controle de tratamento&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Autoestima e escore&#8208;Z do IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Kim et al&#46;&#44; 2017<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">25</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Abril 2015&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Crian&#231;as e adolescentes&#40;6&#8208;18a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o baseada em esportes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Peso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "pt" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Caracter&#237;sticas de todas as revis&#245;es inclu&#237;das</p>"
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          "leyenda" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Os dados s&#227;o expressos como diferen&#231;a m&#233;dia padronizada &#8208; DMP&#46; ND&#44; n&#227;o dispon&#237;vel&#46;</p><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Kamath et al&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">20</span></a>&#58; Interven&#231;&#245;es combinadas de estilo de vida &#61; interven&#231;&#245;es que incluem mudan&#231;as diet&#233;ticas e interven&#231;&#245;es com atividade f&#237;sica&#46;</p><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Luckner et al&#46;<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">23</span></a>&#58; Atividade f&#237;sica &#61; exerc&#237;cio regular&#59; Educa&#231;&#227;o &#61; informa&#231;&#227;o ou ensino sobre comportamento saud&#225;vel geral ou especificamente relacionado &#224; nutri&#231;&#227;o&#44; atividade f&#237;sica ou comportamento sedent&#225;rio&#59; Nutri&#231;&#227;o &#61; interven&#231;&#227;o consistiu na mudan&#231;a de pelo menos uma refei&#231;&#227;o di&#225;ria principal&#59; redu&#231;&#227;o do comportamento sedent&#225;rio &#61; visa reduzir o tempo assistindo a TV &#40;TV&#41;&#44; independentemente de outros componentes envolvidos&#46;</p>"
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                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-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Estudos de preven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Dura&#231;&#227;o da interven&#231;&#227;o &#40;meses&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Participantes &#40;Idade&#47;N&#250;mero&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">N&#250;mero de estudos inclu&#237;dos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="4" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Resultados</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">IMCDMP &#40;CI95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Z&#8208;escore do IMCDMP &#40;CI95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">PesoDMP &#40;CI95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">IMCPercentil&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Kamath et al&#46;&#44; 2008</span><a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">20</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8805; 6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#8208;18 a &#40;ND&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;01 &#40;&#8722;0&#44;06&#59; 0&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dieta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;04 &#40;&#8722;0&#44;16&#59; 0&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Estilo de vida combinado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;03 &#40;&#8722;0&#44;07&#59; 0&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Katz et al&#46;&#44; 2008</span><a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">21</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#8208;18a &#40;13&#46;029&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Grupo controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;29 &#40;&#8722;0&#44;45&#59; &#8722;0&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Educa&#231;&#227;o nutricional vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Redu&#231;&#227;o de TV vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;87&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Envolvimento familiar &#43; educa&#231;&#227;o nutricional &#43; atividade f&#237;sica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;20 &#40;&#8722;0&#44;41&#59; 0&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Envolvimento familiar &#43; componente ambiental &#43; educa&#231;&#227;o nutricional &#43; atividade f&#237;sica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;16 &#40;&#8722;0&#44;32&#59; 0&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Somente meninas&#58; atividade f&#237;sica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;38 &#40;&#8722;0&#44;74&#59; &#8722;0&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Somente meninas&#58; educa&#231;&#227;o nutricional &#43; atividade f&#237;sica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;53 &#40;&#8722;1&#44;37&#59; 0&#44;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Somente meninos&#58; educa&#231;&#227;o nutricional &#43; atividade f&#237;sica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;22 &#40;&#8722;0&#44;32&#59; &#8722;0&#44;12&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Somente meninas&#58; atividade f&#237;sica vs&#46; educa&#231;&#227;o nutricional &#43; atividade f&#237;sica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;53 &#40;&#8722;1&#44;37&#59; 0&#44;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Somente meninos&#58; atividade f&#237;sica vs&#46; educa&#231;&#227;o nutricional &#43; atividade f&#237;sica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;14 &#40;&#8722;0&#44;17&#59; 0&#44;44&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Luckner et al&#46;&#44; 2012</span><a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">23</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#8208;18a &#40;ND&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;15 &#40;&#8722;0&#44;33&#59; &#8722;0&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;7 &#40;&#8722;1&#44;05&#59; &#8722;0&#44;31&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Educa&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;15 &#40;&#8722;0&#44;24&#59; &#8722;0&#44;07&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;13 &#40;&#8722;0&#44;04&#59; 0&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nutri&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;14 &#40;&#8722;0&#44;55&#59; &#8722;0&#44;27&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica &#43; educa&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;19 &#40;&#8722;0&#44;37&#59; &#8722;0&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;1&#44;07 &#40;&#8722;2&#44;27&#59; 0&#44;13&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica &#43; educa&#231;&#227;o &#43; nutri&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;1 &#40;&#8722;0&#44;77&#59; &#8722;0&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;78 &#40;&#8722;0&#44;29&#59; 1&#44;86&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Redu&#231;&#227;o do comportamento sedent&#225;rio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;27 &#40;&#8722;0&#44;4&#59; &#8722;0&#44;13&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;08 &#40;&#8722;0&#44;68&#59; 0&#44;84&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Sbruzzi et al&#46;&#44; 2013</span><a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">24</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8805; 6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#8208;12a &#40;23&#46;617&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o educativa vs&#46; cuidados habituais ou sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;86 &#40;&#8722;1&#44;59&#59; &#8722;0&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;06 &#40;&#8722;0&#44;16&#59; 0&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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          "pt" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Resultados das revis&#245;es sobre preven&#231;&#227;o da obesidade &#40;diferen&#231;a m&#233;dia padronizada&#41;</p>"
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          "leyenda" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Os dados s&#227;o expressos como tamanho do efeito&#46;</p><p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">ND&#44; n&#227;o dispon&#237;vel&#59; IC&#44; intervalo de confian&#231;a&#59; IMC&#44; &#237;ndice de massa corporal&#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="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Estudos de preven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Dura&#231;&#227;o da interven&#231;&#227;o &#40;meses&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Participantes&#40;Idade&#47;N&#250;mero&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N&#250;mero de estudos inclu&#237;dos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Desfechos&#47;Resultados&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Kesten et al&#46;&#44; 2011</span><a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">22</span></a>Atividade f&#237;sica&#44; dieta ou modifica&#231;&#227;o do estilo de vida dentro do ambiente da escola&#44; fam&#237;lia ou comunidade com um m&#233;todo de abordagem qualitativa&#44; quantitativa ou mista&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#8208;11a &#40;ND&#41;Meninas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade F&#237;sica&#44; Nutri&#231;&#227;o&#44; Conhecimento e atitudes&#44; Medidas f&#237;sicas &#40;IMC&#44; peso&#41;Tamanhos de efeito variaram de 0&#44;01 a 1&#44;4566 menor que 0&#44;2&#44; 56 baixo &#40;0&#44;2&#41;&#44; 16 m&#233;dio &#40;0&#44;5&#41; e dois alto &#40;0&#44;8&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Hung et al&#46;&#44; 2015</span><a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">19</span></a>Programas de preven&#231;&#227;o da obesidade infantil de base escolar&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 12 ou &#8805; 12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#8208;18 a &#40;26&#46;114&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMCResumo do tamanho do efeito&#58; 0&#44;039 &#40;IC95&#37; &#8722;0&#44;013 a 0&#44;092&#44; p &#61; 0&#44;145&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Kim et al&#46;&#44; 2017</span><a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">25</span></a>Interven&#231;&#227;o com atividade f&#237;sica baseada em esportes no peso corporal de crian&#231;as e adolescentes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 3&#59; 3&#8211;6 ou &#62; 6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#8208;18a &#40;1&#46;777&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Peso corporalTamanhos do efeito&#58; 0&#44;52 &#40;IC95&#37;&#58; 0&#44;08 a 0&#44;95&#44; p &#61; 0&#44;021&#41;&nbsp;\t\t\t\t\t\t\n
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Maioria dos resultados n&#227;o conseguiu produzir tamanhos de efeito m&#233;dios a grandes&#46;</p>"
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          "pt" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Resultados de revis&#245;es sobre preven&#231;&#227;o de obesidade &#40;tamanho de efeito&#41;</p>"
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          "leyenda" => "<p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">Dados s&#227;o expressos como diferen&#231;a m&#233;dia padronizada &#8208; DMP&#46;</p><p id="spar0105" class="elsevierStyleSimplePara elsevierViewall">ND&#44; n&#227;o dispon&#237;vel&#46;</p><p id="spar0110" class="elsevierStyleSimplePara elsevierViewall">Collins et al&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">26</span></a>&#58; o grupo controle recebeu cuidados usuais ou nenhuma interven&#231;&#227;o&#46;</p><p id="spar0115" class="elsevierStyleSimplePara elsevierViewall">Young et al&#46;<a class="elsevierStyleCrossRef" href="#bib0425"><span class="elsevierStyleSup">34</span></a>&#58; Comportamental familiar &#61; uso de pelo menos uma t&#233;cnica comportamental ou cognitivo&#8208;comportamental para estimular a crian&#231;a a buscar e manter h&#225;bitos f&#237;sicos e &#47; ou alimentares saud&#225;veis&#59; Outros tratamentos &#61; tratamentos comportamentais an&#225;logos aos grupos comportamentais&#8208;familiar sem o envolvimento direto dos pais&#44; Grupo controle &#61; n&#227;o definido&#46;</p><p id="spar0120" class="elsevierStyleSimplePara elsevierViewall">McGovern et al&#46;<a class="elsevierStyleCrossRef" href="#bib0455"><span class="elsevierStyleSup">40</span></a>&#58; Interven&#231;&#245;es diet&#233;ticas &#61; dieta com carga glic&#234;mica reduzida&#44; dieta modificada com economia de prote&#237;na&#44; dieta pobre em carboidratos&#44; dieta rica em prote&#237;nas e dieta hipocal&#243;rica&#59; combina&#231;&#227;o de interven&#231;&#245;es de estilo de vida &#61; atividade f&#237;sica e modifica&#231;&#227;o da dieta&#46;</p><p id="spar0125" class="elsevierStyleSimplePara elsevierViewall">Harris et al&#46;<a class="elsevierStyleCrossRef" href="#bib0435"><span class="elsevierStyleSup">36</span></a>&#58; Atividade f&#237;sica&#58; a interven&#231;&#227;o ocorreu durante o hor&#225;rio de aula regular&#59; Grupo controle &#61; continuou com o curr&#237;culo de educa&#231;&#227;o f&#237;sica existente na escola&#46;</p><p id="spar0130" class="elsevierStyleSimplePara elsevierViewall">Ho et al&#46;<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">30</span></a>&#58; A &#61; no &#250;ltimo ponto de seguimento&#44; B &#61; no final do tratamento ativo&#46; C &#61; no seguimento&#46; Interven&#231;&#227;o no estilo de vida &#61; programa que incorpora um componente nutricional ou diet&#233;tico&#59; controle &#61; sem tratamento&#59; cuidado usual &#61; aconselhamento m&#237;nimo&#59; educa&#231;&#227;o escrita &#61; dieta escrita e materiais de educa&#231;&#227;o em atividade f&#237;sica&#46;</p><p id="spar0135" class="elsevierStyleSimplePara elsevierViewall">Lavelle et al&#46;<a class="elsevierStyleCrossRef" href="#bib0410"><span class="elsevierStyleSup">31</span></a>&#58; Educa&#231;&#227;o com base escolar &#61; promo&#231;&#227;o de atividade f&#237;sica e &#47; ou redu&#231;&#227;o do comportamento sedent&#225;rio e &#47; ou educa&#231;&#227;o nutricional&#46;</p><p id="spar0140" class="elsevierStyleSimplePara elsevierViewall">Ho et al&#46;<a class="elsevierStyleCrossRef" href="#bib0440"><span class="elsevierStyleSup">37</span></a>&#58; Interven&#231;&#245;es diet&#233;ticas &#61; abordagem de restri&#231;&#227;o cal&#243;rica&#44; com n&#237;veis de energia variando de 900 a 1800<span class="elsevierStyleHsp" style=""></span>kcal &#47; dia e com combina&#231;&#245;es variadas de macronutrientes&#46; Outros utilizaram a Dieta Sem&#225;foro&#44; visando limitar o consumo de a&#231;&#250;car adicionado e aumentar a ingest&#227;o de fibra alimentar ou fornecer conselhos diet&#233;ticos gerais&#46;</p><p id="spar0145" class="elsevierStyleSimplePara elsevierViewall">Sbruzzi et al&#46;<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">24</span></a>&#58; Interven&#231;&#227;o educativa &#61; programa com base escolar definido como uma estrat&#233;gia de interven&#231;&#227;o feita na escola e &#47; ou programa de base familiar&#46;</p><p id="spar0150" class="elsevierStyleSimplePara elsevierViewall">Gow et al&#46;<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">29</span></a>&#58; A &#61; fim da interven&#231;&#227;o&#59; B &#61; acompanhamento de 2 anos&#59;&#46; Van Hoek et al&#46;<a class="elsevierStyleCrossRef" href="#bib0420"><span class="elsevierStyleSup">33</span></a>&#58; interven&#231;&#227;o multicomponente &#61; dieta&#44; educa&#231;&#227;o f&#237;sica e terapia comportamental&#59; A intensidade do tratamento &#40;dura&#231;&#227;o ao longo do per&#237;odo de interven&#231;&#227;o&#41; foi categorizada como muito baixa &#40;&#60; 10 horas&#41;&#44; baixa &#40;10&#8211;25 horas&#41;&#44; moderada &#40;26&#8211;75 horas&#41; ou alta &#40;&#62; 75 horas&#41;&#46;</p><p id="spar0155" class="elsevierStyleSimplePara elsevierViewall">Liao et al&#46;<a class="elsevierStyleCrossRef" href="#bib0445"><span class="elsevierStyleSup">38</span></a>&#58; Comportamentos sedent&#225;rios &#61; assistir TV &#47; DVD &#47; videocassete&#44; jogar videogames &#47; jogos de computador sedent&#225;rios e tempo sentado em geral&#59;&#46; Martin et al&#46;<a class="elsevierStyleCrossRef" href="#bib0450"><span class="elsevierStyleSup">39</span></a>&#58;Martin&#58; interven&#231;&#227;o no estilo de vida &#40;promo&#231;&#227;o da atividade f&#237;sica&#44; redu&#231;&#227;o do comportamento sedent&#225;rio&#44; educa&#231;&#227;o nutricional&#44; interven&#231;&#245;es psicol&#243;gicas&#41;&#46;</p><p id="spar0160" class="elsevierStyleSimplePara elsevierViewall">Colquitt et al&#46;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">27</span></a>&#58; interven&#231;&#227;o com multicomponente &#40;nutricional&#44; atividade f&#237;sica e interven&#231;&#245;es comportamentais&#41;&#59; A &#61; fim da interven&#231;&#227;o &#40;6&#8208;12 meses&#41;&#59; B &#61; 12&#8208;18 meses de seguimento &#40;6&#8208;8 meses ap&#243;s a interven&#231;&#227;o&#41;&#59;</p><p id="spar0165" class="elsevierStyleSimplePara elsevierViewall">Ruotsalainen et al&#46;<a class="elsevierStyleCrossRef" href="#bib0415"><span class="elsevierStyleSup">32</span></a>&#58; controle &#61; cuidado padr&#227;o&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Estudos de tratamento&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Dura&#231;&#227;o da interven&#231;&#227;o &#40;meses&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Participantes &#40;Idade&#47;N&#250;mero&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">N&#250;mero de estudos inclu&#237;dos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="4" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Resultados</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">IMCDMP &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">IMC Z&#8208;escoreDMP &#40;CI95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">PesoDMP &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">IMCPercentil&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Collins et al&#46;&#44; 2006</span><a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">26</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8804; 18a &#40;2&#46;262&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o diet&#233;tica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;1&#44;82 &#40;&#8722;2&#44;40&#59; &#8722;1&#44;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o diet&#233;tica vs&#46; controle no seguimento&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;64 &#40;&#8722;0&#44;89&#59; &#8722;0&#44;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Young et al&#46;&#44; 2007</span><a class="elsevierStyleCrossRef" href="#bib0425"><span class="elsevierStyleSup">34</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8805; 2&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#8208;12a &#40;666&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Comportamental familiar&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;62 &#40;&#8722;0&#44;79&#59; &#8722;0&#44;44&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outros tratamentos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;52 &#40;&#8722;1&#44;49&#59; 0&#44;44&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Grupo controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;18 &#40;&#8722;0&#44;75&#59; &#8722;0&#44;38&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">McGovern et al&#46;&#44; 2008</span><a class="elsevierStyleCrossRef" href="#bib0455"><span class="elsevierStyleSup">40</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#8208;18a &#40;ND&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">61&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o diet&#233;tica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;22 &#40;&#8722;0&#44;56&#59; 0&#44;11&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o com atividade f&#237;sica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;02 &#40;&#8722;0&#44;21&#59; 0&#44;18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Redu&#231;&#227;o do comportamento sedent&#225;rio vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;02 &#40;&#8722;0&#44;35&#59; 0&#44;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#245;es combinadas de estilo de vida vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;17 &#40;&#8722;0&#44;40&#59; 0&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Harris et al&#46;&#44; 2009</span><a class="elsevierStyleCrossRef" href="#bib0435"><span class="elsevierStyleSup">36</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8805; 6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#8208;18a &#40;18&#46;141&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;05 &#40;&#8722;0&#44;19&#59; 0&#44;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Friedrich et al&#46;&#44; 2012</span><a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">28</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8805; 3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8804; 19a &#40;9&#46;997&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;02 &#40;&#8722;0&#44;08&#59; 0&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Educa&#231;&#227;o nutricional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;03 &#40;&#8722;0&#44;10&#59; 0&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica &#43; educa&#231;&#227;o nutricional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;37 &#40;&#8722;0&#44;63&#59; &#8722;0&#44;12&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Ho et al&#46;&#44; 2012</span><a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">30</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#8208;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8804; 18a &#40;ND&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o de estilo de vida vs&#46; controle &#40;A&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;1&#44;25 &#40;&#8722;2&#44;18&#59; &#8722;0&#44;32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;10 &#40;&#8722;0&#44;18&#59; &#8722;0&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o de estilo de vida vs&#46; cuidados usuais &#40;B&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;1&#44;30 &#40;&#8722;1&#44;58&#59; &#8722;1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o de estilo de vida vs&#46; cuidados usuais &#40;C&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;92 &#40;&#8722;1&#44;31&#59; &#8722;0&#44;54&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o de estilo de vida vs&#46; educa&#231;&#227;o por escrito &#40;B&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;2&#44;52 &#40;&#8722;5&#44;95&#59; 0&#44;91&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;06 &#40;&#8722;0&#44;10&#59; &#8722;0&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Lavelle et al&#46;&#44; 2012</span><a class="elsevierStyleCrossRef" href="#bib0410"><span class="elsevierStyleSup">31</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8805; 6&#8208;72&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8804; 18a &#40;36&#46;579&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Educa&#231;&#227;o de base escolar vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;17 &#40;&#8722;0&#44;26&#59; &#8722;0&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Somente meninas&#58; educa&#231;&#227;o de escolar vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;28 &#40;&#8722;0&#44;50&#59; &#8722;0&#44;06&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Somente meninos&#58; educa&#231;&#227;o de base escolar vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;17 &#40;&#8722;0&#44;26&#59; &#8722;0&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Promo&#231;&#227;o de atividade f&#237;sica na escola vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;13 &#40;&#8722;0&#44;22&#59; &#8722;0&#44;44&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Educa&#231;&#227;o nutricional &#43; promo&#231;&#227;o de atividade f&#237;sica na escola vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;17 &#40;&#8722;0&#44;29&#59; &#8722;0&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Ho et al&#46;&#44; 2013</span><a class="elsevierStyleCrossRef" href="#bib0440"><span class="elsevierStyleSup"><span class="elsevierStyleBold">37</span></span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 sem&#8208;6m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8804; 18a &#40;ND&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#245;es diet&#233;ticas &#43; exerc&#237;cio vs&#46; dieta apenas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;24 &#40;&#8722;0&#44;62&#59; 0&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Treinamento resistido&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;40 &#40;0&#44;08&#59; 0&#44;71&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Treinamento resistido &#43; treinamento aer&#243;bico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;10 &#40;&#8722;0&#44;45&#59; 0&#44;26&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Sbruzzi et al&#46;&#44; 2013</span><a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">24</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8805; 6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#8208;12a &#40;23&#46;617&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#245;es educativas vs&#46; cuidados usuais ou nenhuma interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;86 &#40;&#8722;1&#44;59&#59; &#8722;0&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;06 &#40;&#8722;0&#44;16&#59; 0&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Gow et al&#46;&#44; 2014</span><a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">29</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8805; 2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8804; 18y&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dieta com baixo teor de carboidratos vs&#46; dieta padr&#227;o com baixo teor de gordura &#40;A&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;46 &#40;&#8722;2&#44;48&#59; &#8722;0&#44;44&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;25 &#40;&#8722;0&#44;44&#59; &#8722;0&#44;06&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dieta com baixo teor de carboidratos vs&#46; dieta padr&#227;o com baixo teor de gordura &#40;B&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;57 &#40;&#8722;1&#44;44&#59; 2&#44;58&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dieta com aumento de prote&#237;na vs&#46; dieta padr&#227;o de prote&#237;na &#40;A&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;18 &#40;&#8722;0&#44;78&#59; 0&#44;42&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;01 &#40;&#8722;0&#44;06&#59; 0&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dieta com aumento de prote&#237;na vs&#46; dieta padr&#227;o de prote&#237;na &#40;B&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;06 &#40;&#8722;0&#44;15&#59; 0&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">van Hoek et al&#46;&#44; 2014</span><a class="elsevierStyleCrossRef" href="#bib0420"><span class="elsevierStyleSup">33</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8805; 6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#8208;8y &#40;1015&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o multicomponente de intensidade muito baixa vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;08 &#40;&#8722;0&#44;15&#59; 0&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o multicomponente de intensidade moderada ou alta vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;46 &#40;&#8722;0&#44;53&#59; &#8722;0&#44;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Educa&#231;&#227;o nutricional combinada com terapia comportamental ou educa&#231;&#227;o de atividade f&#237;sica &#8208; intensidade muito baixa vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;31 &#40;&#8722;0&#44;51&#59; 0&#44;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Educa&#231;&#227;o nutricional de intensidade muito baixa vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;46 &#40;&#8722;0&#44;94&#59; 0&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Educa&#231;&#227;o de atividade f&#237;sica de alta intensidade vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;31 &#40;&#8722;0&#44;88&#59; 0&#44;27&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Liao et al&#46;&#44; 2014</span><a class="elsevierStyleCrossRef" href="#bib0445"><span class="elsevierStyleSup">38</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8804; 18y &#40;NA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade f&#237;sica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;15 &#40;&#8722;0&#44;35&#59; 0&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade F&#237;sica &#43; Redu&#231;&#227;o do comportamento sedent&#225;rio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;08 &#40;&#8722;0&#44;20&#59; 0&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atividade F&#237;sica &#43; Redu&#231;&#227;o do comportamento sedent&#225;rio &#43; dieta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;06 &#40;&#8722;0&#44;15&#59; 0&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Martin et al&#46;&#44; 2014</span><a class="elsevierStyleCrossRef" href="#bib0450"><span class="elsevierStyleSup">39</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#8208;18y &#40;792&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#245;es no estilo de vida vs&#46; cuidados padr&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;03 &#40;&#8722;0&#44;15&#59; 0&#44;21&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Colquitt et al&#46;&#44; 2016</span><a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">27</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#8208;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#8208;6y &#40;923&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o multicomponente vs&#46; controle &#40;A&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;26 &#40;&#8722;0&#44;37&#59; &#8722;0&#44;16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;1&#44;18 &#40;&#8722;1&#44;91&#59; &#8722;0&#44;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;1&#44;54 &#40;&#8722;2&#44;82&#59; &#8722;0&#44;26&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Interven&#231;&#227;o multicomponente vs&#46; controle &#40;B&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;38 &#40;&#8722;0&#44;58&#59; &#8722;0&#44;19&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;2&#44;81 &#40;&#8722;4&#44;39&#59; &#8722;1&#44;22&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;3&#44;47 &#40;&#8722;5&#44;11&#59; &#8722;1&#44;82&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Ruotsalainen et al&#46;&#44; 2015</span><a class="elsevierStyleCrossRef" href="#bib0415"><span class="elsevierStyleSup">32</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#8208;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#8208;18y &#40;NA&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Exerc&#237;cio supervisionado vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;36 &#40;&#8722;0&#44;64&#59; &#8722;0&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Promo&#231;&#227;o de atividade f&#237;sica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;10 &#40;&#8722;0&#44;24&#59; 0&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Exerc&#237;cio supervisionado &#43; promo&#231;&#227;o de atividade f&#237;sica vs&#46; controle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;18 &#40;&#8722;0&#44;40&#59; 0&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "pt" => "<p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">Resultados de revis&#245;es sobre tratamento de obesidade &#40;diferen&#231;a m&#233;dia padronizada&#41;</p>"
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          0 => array:3 [
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        "tabla" => array:3 [
          "leyenda" => "<p id="spar0175" class="elsevierStyleSimplePara elsevierViewall">Os dados s&#227;o expressos como tamanho de efeito&#46;</p><p id="spar0180" class="elsevierStyleSimplePara elsevierViewall">ND&#44; n&#227;o dispon&#237;vel&#59; IMC&#44; &#237;ndice de massa corporal&#59; IC&#44; intervalo de confian&#231;a&#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="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Estudos de tratamento&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Dura&#231;&#227;o da interven&#231;&#227;o &#40;meses&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Participantes&#40;Idade&#47;N&#250;mero&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N&#250;mero de estudos inclu&#237;dos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Desfechos&#47;Resultados&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Snethen et al&#46;&#44; 2006</span><a class="elsevierStyleCrossRef" href="#bib0465"><span class="elsevierStyleSup"><span class="elsevierStyleBold">42</span></span></a>Alguma forma da interven&#231;&#227;o para perda de peso&#58; dieta&#44; atividade f&#237;sica&#44; mudan&#231;as comportamentais e envolvimento dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#8208; 16aCrian&#231;as e adolescentes com sobrepeso &#47; obesidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Perda de pesoEm sete estudos&#44; houve 14 interven&#231;&#245;es<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">a</span></a> com tamanho de efeitod &#61; 0&#44;95 &#40;IC 95&#37;&#58; 0&#44;79 a 1&#44;11&#41;Em quatro estudos&#44; houve 7 interven&#231;&#245;es<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">a</span></a> com tamanho de efeito d &#61; 1&#44;70 &#40;0&#44;74 a 3&#44;33&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">Kanekar et al&#46;&#44; 2008</span><a class="elsevierStyleCrossRef" href="#bib0460"><span class="elsevierStyleSup"><span class="elsevierStyleBold">41</span></span></a>Interven&#231;&#245;es de base escolar na obesidade infantil<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Escolares&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">Redu&#231;&#227;o do IMCEstimativa combinada &#8208; Tamanho do efeito&#58; 0&#44;0649 &#40;IC 95&#37;&#58; &#8722;0&#44;29 a 0&#44;16&#41;Modelo de efeitos aleat&#243;rios &#8208; Tamanho do efeito&#58; 0&#44;179 &#40;IC 95&#37;&#58; &#8722;0&#44;38 a 0&#44;72&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">Murray et al&#46;&#44; 2017</span><a class="elsevierStyleCrossRef" href="#bib0430"><span class="elsevierStyleSup"><span class="elsevierStyleBold">35</span></span></a>Interven&#231;&#245;es multicomponentes<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">c</span></a> para controle de peso na autoestima&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">2&#44;2 a 6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">10&#8208;19a &#40;217&#41;Adolescentes com sobrepeso &#47; obesidade&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">IMC Z&#8208;escoreTamanho de efeito&#58; &#8722;0&#44;17 &#40;IC95&#37;&#58; &#8722;0&#44;22 a &#8722;0&#44;11&#41;&nbsp;\t\t\t\t\t\t\n
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Global burden of obesity in 2005 and projections to 2030"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Kelly"
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                            2 => "C&#46;S&#46; Chen"
                            3 => "K&#46; Reynolds"
                            4 => "J&#46; He"
                          ]
                        ]
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                    0 => array:1 [
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                        "tituloSerie" => "Int J Obes &#40;Lond&#41;"
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                        "paginaFinal" => "1437"
                      ]
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                    0 => array:2 [
                      "titulo" => "WHO methods and data sources for Global Burden of Disease estimates 2000&#8211;2011"
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                          "etal" => false
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                    0 => array:2 [
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
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                            2 => "J&#46;W&#46; Cohen"
                            3 => "W&#46; Dietz"
                          ]
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                    0 => array:1 [
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                        "tituloSerie" => "Health Aff &#40;Millwood&#41;"
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                      ]
                    ]
                  ]
                ]
              ]
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                      "titulo" => "Nutrition transition and double burden of undernutrition and excess of weight in Brazil"
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "W&#46;L&#46; Conde"
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                          ]
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                        "tituloSerie" => "Am J Clin Nutr"
                        "fecha" => "2014"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Child and adolescent obesity&#58; part of a bigger picture"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Lobstein"
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                            2 => "M&#46;L&#46; Moodie"
                            3 => "K&#46;D&#46; Hall"
                            4 => "S&#46;L&#46; Gortmaker"
                            5 => "B&#46;A&#46; Swinburn"
                          ]
                        ]
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                    ]
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                    0 => array:2 [
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                        "tituloSerie" => "Lancet"
                        "fecha" => "2015"
                        "volumen" => "385"
                        "paginaInicial" => "2510"
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                      "titulo" => "ERICA&#58; prevalences of hypertension and obesity in Brazilian adolescents"
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                          "autores" => array:6 [
                            0 => "K&#46;V&#46; Bloch"
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                            3 => "M&#46;C&#46; Kuschnir"
                            4 => "G&#46;A&#46; Abreu"
                            5 => "L&#46;A&#46; Barufaldi"
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                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
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                        "fecha" => "2016"
                        "volumen" => "50"
                        "paginaInicial" => "9s"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0290"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Worldwide trends in body&#8208;mass index&#44; underweight&#44; overweight&#44; and obesity from 1975 to 2016&#58; a pooled analysis of 2416 population&#8208;based measurement studies in 128&#46;9 million children&#44; adolescents&#44; and adults"
                      "autores" => array:1 [
                        0 => array:2 [
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                          "autores" => array:6 [
                            0 => "M&#46; Ezzati"
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                            2 => "M&#46; Di Cesare"
                            3 => "V&#46; Bilano"
                            4 => "H&#46; Bixby"
                            5 => "B&#46; Zhou"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1016/S0140-6736(17)32129-3"
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                        "fecha" => "2017"
                        "volumen" => "390"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29029897"
                            "web" => "Medline"
                          ]
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                    ]
                  ]
                ]
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                    0 => array:2 [
                      "titulo" => "Childhood adiposity&#44; adult adiposity&#44; and cardiovascular risk factors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Juonala"
                            1 => "C&#46;G&#46; Magnussen"
                            2 => "G&#46;S&#46; Berenson"
                            3 => "A&#46; Venn"
                            4 => "T&#46;L&#46; Burns"
                            5 => "M&#46;A&#46; Sabin"
                          ]
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2011"
                        "volumen" => "365"
                        "paginaInicial" => "1876"
                        "paginaFinal" => "1885"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0300"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "ERICA&#58; prevalence of metabolic syndrome in Brazilian adolescents"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;C&#46; Kuschnir"
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                            2 => "M&#46; Szklo"
                            3 => "C&#46;H&#46; Klein"
                            4 => "L&#46;A&#46; Barufaldi"
                            5 => "G&#46;A&#46; Abreu"
                          ]
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                      ]
                    ]
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                    0 => array:2 [
                      "doi" => "10.1590/S1518-8787.2016050006120"
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Saude Publica"
                        "fecha" => "2016"
                        "volumen" => "50"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27982376"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0305"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Treatment of obese children with and without their mothers&#58; changes in weight and blood pressure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46;D&#46; Brownell"
                            1 => "J&#46;H&#46; Kelman"
                            2 => "A&#46;J&#46; Stunkard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "1983"
                        "volumen" => "71"
                        "paginaInicial" => "515"
                        "paginaFinal" => "523"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0310"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Preferred reporting items for systematic reviews and metanalyses&#58; the PRISMA statement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46; Moher"
                            1 => "A&#46; Liberati"
                            2 => "J&#46; Tetzlaff"
                            3 => "D&#46;G&#46; Altman"
                            4 => "P&#46; Group"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1016/j.ijsu.2010.02.007"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Surg"
                        "fecha" => "2010"
                        "volumen" => "8"
                        "paginaInicial" => "336"
                        "paginaFinal" => "341"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20171303"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
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                ]
              ]
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              "identificador" => "bib0315"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "AMSTAR 2 a critical appraisal tool for systematic reviews that include randomised or non&#8208;randomised studies of healthcare interventions&#44; or both"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "B&#46;J&#46; Shea"
                            1 => "B&#46;C&#46; Reeves"
                            2 => "G&#46; Wells"
                            3 => "M&#46; Thuku"
                            4 => "C&#46; Hamel"
                            5 => "J&#46; Moran"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2017"
                        "volumen" => "358"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0320"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of computer&#8208;mediated&#44; obesity&#8208;related nutrition education interventions for adolescents&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "W&#46;N&#46; Ajie"
                            1 => "K&#46;M&#46; Chapman-Novakofski"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jadohealth.2013.12.019"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Adolesc Health"
                        "fecha" => "2014"
                        "volumen" => "54"
                        "paginaInicial" => "631"
                        "paginaFinal" => "645"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24534357"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0325"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Efficacy of exercise for treating overweight in children and adolescents&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46; Atlantis"
                            1 => "E&#46;H&#46; Barnes"
                            2 => "M&#46;A&#46; Singh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Int J Obes &#40;Lond&#41;"
                        "fecha" => "2006"
                        "volumen" => "30"
                        "paginaInicial" => "1027"
                        "paginaFinal" => "1040"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0330"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment interventions for early childhood obesity&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "B&#46;A&#46; Foster"
                            1 => "J&#46; Farragher"
                            2 => "P&#46; Parker"
                            3 => "E&#46;T&#46; Sosa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.acap.2015.04.037"
                      "Revista" => array:6 [
                        "tituloSerie" => "Acad Pediatr"
                        "fecha" => "2015"
                        "volumen" => "15"
                        "paginaInicial" => "353"
                        "paginaFinal" => "361"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26142067"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0335"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Controlling childhood obesity&#58; a systematic review on strategies and challenges"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Kelishadi"
                            1 => "F&#46; Azizi-Soleiman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Res Med Sci"
                        "fecha" => "2014"
                        "volumen" => "19"
                        "paginaInicial" => "993"
                        "paginaFinal" => "1008"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25538786"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0340"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Interventions to prevent and manage overweight or obesity in preschool children&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Ling"
                            1 => "L&#46;B&#46; Robbins"
                            2 => "F&#46; Wen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ijnurstu.2015.10.017"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Nurs Stud"
                        "fecha" => "2016"
                        "volumen" => "53"
                        "paginaInicial" => "270"
                        "paginaFinal" => "289"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26582470"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0345"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Systematic review of the effectiveness of interventions used in the management of obesity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; O&#8217;Meara"
                            1 => "A&#46;M&#46; Glenny"
                            2 => "T&#46; Sheldon"
                            3 => "A&#46; Melville"
                            4 => "C&#46; Wilson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Hum Nutr Diet"
                        "fecha" => "1998"
                        "volumen" => "11"
                        "paginaInicial" => "203"
                        "paginaFinal" => "206"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0350"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A metanalysis of school&#8208;based obesity prevention programs demonstrates limited efficacy of decreasing childhood obesity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L&#46;S&#46; Hung"
                            1 => "D&#46;K&#46; Tidwell"
                            2 => "M&#46;E&#46; Hall"
                            3 => "M&#46;L&#46; Lee"
                            4 => "C&#46;A&#46; Briley"
                            5 => "B&#46;P&#46; Hunt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.nutres.2015.01.002"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nutr Res"
                        "fecha" => "2015"
                        "volumen" => "35"
                        "paginaInicial" => "229"
                        "paginaFinal" => "240"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25656407"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0355"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical review&#58; behavioral interventions to prevent childhood obesity&#58; a systematic review and metaanalyses of randomized trials"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;C&#46; Kamath"
                            1 => "K&#46;S&#46; Vickers"
                            2 => "A&#46; Ehrlich"
                            3 => "L&#46; McGovern"
                            4 => "J&#46; Johnson"
                            5 => "V&#46; Singhal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1210/jc.2006-2411"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Endocrinol Metab"
                        "fecha" => "2008"
                        "volumen" => "93"
                        "paginaInicial" => "4606"
                        "paginaFinal" => "4615"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18782880"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0360"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Strategies for the prevention and control of obesity in the school setting&#58; systematic review and metanalysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46;L&#46; Katz"
                            1 => "M&#46; O&#8217;Connell"
                            2 => "V&#46;Y&#46; Njike"
                            3 => "M&#46;C&#46; Yeh"
                            4 => "H&#46; Nawaz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Int J Obes &#40;Lond&#41;"
                        "fecha" => "2008"
                        "volumen" => "32"
                        "paginaInicial" => "1780"
                        "paginaFinal" => "1789"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0365"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A systematic review to determine the effectiveness of interventions designed to prevent overweight and obesity in pre&#8208;adolescent girls"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;M&#46; Kesten"
                            1 => "P&#46;L&#46; Griffiths"
                            2 => "N&#46; Cameron"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1467-789X.2011.00919.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Obes Rev"
                        "fecha" => "2011"
                        "volumen" => "12"
                        "paginaInicial" => "997"
                        "paginaFinal" => "1021"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21848919"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0370"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effectiveness of interventions to promote healthy weight in general populations of children and adults&#58; a metanalysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46; Luckner"
                            1 => "J&#46;R&#46; Moss"
                            2 => "C&#46;A&#46; Gericke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur J Public Health"
                        "fecha" => "2012"
                        "volumen" => "22"
                        "paginaInicial" => "491"
                        "paginaFinal" => "497"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0375"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Educational interventions in childhood obesity&#58; a systematic review with metanalysis of randomized clinical trials"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Sbruzzi"
                            1 => "B&#46; Eibel"
                            2 => "S&#46;M&#46; Barbiero"
                            3 => "R&#46;O&#46; Petkowicz"
                            4 => "R&#46;A&#46; Ribeiro"
                            5 => "C&#46;C&#46; Cesa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ypmed.2013.02.024"
                      "Revista" => array:6 [
                        "tituloSerie" => "Prev Med"
                        "fecha" => "2013"
                        "volumen" => "56"
                        "paginaInicial" => "254"
                        "paginaFinal" => "264"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23454596"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0380"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sport&#8208;based physical activity intervention on body weight in children and adolescents&#58; a metanalysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "K&#46; Kim"
                            1 => "G&#46; Ok"
                            2 => "S&#46; Jeon"
                            3 => "M&#46; Kang"
                            4 => "S&#46; Lee"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Sports Sci"
                        "fecha" => "2017"
                        "volumen" => "35"
                        "paginaInicial" => "369"
                        "paginaFinal" => "376"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0385"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Measuring effectiveness of dietetic interventions in child obesity&#58; a systematic review of randomized trials"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46;E&#46; Collins"
                            1 => "J&#46; Warren"
                            2 => "M&#46; Neve"
                            3 => "P&#46; McCoy"
                            4 => "B&#46;J&#46; Stokes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archpedi.160.9.906"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Pediatr Adolesc Med"
                        "fecha" => "2006"
                        "volumen" => "160"
                        "paginaInicial" => "906"
                        "paginaFinal" => "922"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16953014"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0390"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diet&#44; physical activity&#44; and behavioural interventions for the treatment of overweight or obesity in preschool children up to the age of 6 years"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;L&#46; Colquitt"
                            1 => "E&#46; Loveman"
                            2 => "C&#46; O&#8217;Malley"
                            3 => "L&#46;B&#46; Azevedo"
                            4 => "E&#46; Mead"
                            5 => "L&#46; Al-Khudairy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database Syst Rev"
                        "fecha" => "2016"
                        "paginaInicial" => "CD012105"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0395"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of interventions on the body mass index of school&#8208;age students"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;R&#46; Friedrich"
                            1 => "I&#46; Schuch"
                            2 => "M&#46;B&#46; Wagner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/s0034-89102012005000036"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Saude Publica"
                        "fecha" => "2012"
                        "volumen" => "46"
                        "paginaInicial" => "551"
                        "paginaFinal" => "560"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22527193"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0400"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of dietary macronutrient distribution on BMI and cardiometabolic outcomes in overweight and obese children and adolescents&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;L&#46; Gow"
                            1 => "M&#46; Ho"
                            2 => "T&#46;L&#46; Burrows"
                            3 => "L&#46;A&#46; Baur"
                            4 => "L&#46; Stewart"
                            5 => "M&#46;J&#46; Hutchesson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/nure.12111"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nutr Rev"
                        "fecha" => "2014"
                        "volumen" => "72"
                        "paginaInicial" => "453"
                        "paginaFinal" => "470"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24920422"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0405"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effectiveness of lifestyle interventions in child obesity&#58; systematic review with metanalysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Ho"
                            1 => "S&#46;P&#46; Garnett"
                            2 => "L&#46; Baur"
                            3 => "T&#46; Burrows"
                            4 => "L&#46; Stewart"
                            5 => "M&#46; Neve"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1542/peds.2012-1176"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "2012"
                        "volumen" => "130"
                        "paginaInicial" => "e1647"
                        "paginaFinal" => "e1671"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23166346"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib0410"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Systematic review and metanalysis of school&#8208;based interventions to reduce body mass index"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46;V&#46; Lavelle"
                            1 => "D&#46;F&#46; Mackay"
                            2 => "J&#46;P&#46; Pell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Public Health"
                        "fecha" => "2012"
                        "volumen" => "34"
                        "paginaInicial" => "360"
                        "paginaFinal" => "369"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib0415"
              "etiqueta" => "32"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Systematic review of physical activity and exercise interventions on body mass indices&#44; subsequent physical activity and psychological symptoms in overweight and obese adolescents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "H&#46; Ruotsalainen"
                            1 => "H&#46; Kyngas"
                            2 => "T&#46; Tammelin"
                            3 => "M&#46; Kaariainen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Adv Nurs"
                        "fecha" => "2015"
                        "volumen" => "71"
                        "paginaInicial" => "2461"
                        "paginaFinal" => "2477"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib0420"
              "etiqueta" => "33"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effective interventions in overweight or obese young children&#58; systematic review and metanalysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; van Hoek"
                            1 => "E&#46;J&#46; Feskens"
                            2 => "L&#46;I&#46; Bouwman"
                            3 => "A&#46;J&#46; Janse"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1089/chi.2013.0149"
                      "Revista" => array:6 [
                        "tituloSerie" => "Child Obes"
                        "fecha" => "2014"
                        "volumen" => "10"
                        "paginaInicial" => "448"
                        "paginaFinal" => "460"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25333421"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib0425"
              "etiqueta" => "34"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A metanalysis of family&#8208;behavioral weight&#8208;loss treatments for children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "K&#46;M&#46; Young"
                            1 => "J&#46;J&#46; Northern"
                            2 => "K&#46;M&#46; Lister"
                            3 => "J&#46;A&#46; Drummond"
                            4 => "W&#46;H&#46; O&#8217;Brien"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Psychol Rev"
                        "fecha" => "2007"
                        "volumen" => "27"
                        "paginaInicial" => "240"
                        "paginaFinal" => "249"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib0430"
              "etiqueta" => "35"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Systematic review and metanalysis&#58; the impact of multicomponent weight management interventions on self&#8208;esteem in overweight and obese adolescents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Murray"
                            1 => "A&#46;L&#46; Dordevic"
                            2 => "M&#46;P&#46; Bonham"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/jpepsy/jsw101"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Pediatr Psychol"
                        "fecha" => "2017"
                        "volumen" => "42"
                        "paginaInicial" => "379"
                        "paginaFinal" => "394"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28340156"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib0435"
              "etiqueta" => "36"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of school&#8208;based physical activity interventions on body mass index in children&#58; a metanalysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46;C&#46; Harris"
                            1 => "L&#46;K&#46; Kuramoto"
                            2 => "M&#46; Schulzer"
                            3 => "J&#46;E&#46; Retallack"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1503/cmaj.080966"
                      "Revista" => array:6 [
                        "tituloSerie" => "CMAJ"
                        "fecha" => "2009"
                        "volumen" => "180"
                        "paginaInicial" => "719"
                        "paginaFinal" => "726"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19332753"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib0440"
              "etiqueta" => "37"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of dietary and exercise interventions on weight change and metabolic outcomes in obese children and adolescents&#58; a systematic review and metanalysis of randomized trials"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Ho"
                            1 => "S&#46;P&#46; Garnett"
                            2 => "L&#46;A&#46; Baur"
                            3 => "T&#46; Burrows"
                            4 => "L&#46; Stewart"
                            5 => "M&#46; Neve"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "JAMA Pediatr"
                        "fecha" => "2013"
                        "volumen" => "167"
                        "paginaInicial" => "759"
                        "paginaFinal" => "768"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib0445"
              "etiqueta" => "38"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Which type of sedentary behaviour intervention is more effective at reducing body mass index in children&#63; A metanalytic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "Y&#46; Liao"
                            1 => "J&#46; Liao"
                            2 => "C&#46;P&#46; Durand"
                            3 => "G&#46;F&#46; Dunton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Obes Rev"
                        "fecha" => "2014"
                        "volumen" => "15"
                        "paginaInicial" => "159"
                        "paginaFinal" => "168"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib0450"
              "etiqueta" => "39"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lifestyle intervention for improving school achievement in overweight or obese children and adolescents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46; Martin"
                            1 => "D&#46;H&#46; Saunders"
                            2 => "S&#46;D&#46; Shenkin"
                            3 => "J&#46; Sproule"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database Syst Rev"
                        "fecha" => "2014"
                        "paginaInicial" => "CD009728"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib0455"
              "etiqueta" => "40"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical review Treatment of pediatric obesity&#58; a systematic review and metanalysis of randomized trials"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46; McGovern"
                            1 => "J&#46;N&#46; Johnson"
                            2 => "R&#46; Paulo"
                            3 => "A&#46; Hettinger"
                            4 => "V&#46; Singhal"
                            5 => "C&#46; Kamath"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1210/jc.2006-2409"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Endocrinol Metab"
                        "fecha" => "2008"
                        "volumen" => "93"
                        "paginaInicial" => "4600"
                        "paginaFinal" => "4605"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18782881"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib0460"
              "etiqueta" => "41"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Metanalysis of school&#8208;based childhood obesity interventions in the U&#46;K&#46; and U&#46;S"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46; Kanekar"
                            1 => "M&#46; Sharma"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2190/IQ.29.3.d"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int Q Community Health Educ"
                        "fecha" => "2008"
                        "volumen" => "29"
                        "paginaInicial" => "241"
                        "paginaFinal" => "256"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19720588"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib0465"
              "etiqueta" => "42"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effective weight loss for overweight children&#58; a metanalysis of intervention studies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;A&#46; Snethen"
                            1 => "M&#46;E&#46; Broome"
                            2 => "S&#46;E&#46; Cashin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.pedn.2005.06.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Pediatr Nurs"
                        "fecha" => "2006"
                        "volumen" => "21"
                        "paginaInicial" => "45"
                        "paginaFinal" => "56"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16428013"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib0470"
              "etiqueta" => "43"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effectiveness of intervention on physical activity of children&#58; systematic review and metanalysis of controlled trials with objectively measured outcomes &#40;EarlyBird 54&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; Metcalf"
                            1 => "W&#46; Henley"
                            2 => "T&#46; Wilkin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/bmj.e5888"
                      "Revista" => array:5 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2012"
                        "volumen" => "345"
                        "paginaInicial" => "e5888"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23044984"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib0475"
              "etiqueta" => "44"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Calories and cents&#58; customer value and the fight against obesity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46; Gertner"
                            1 => "A&#46;K&#46; Gertner"
                            2 => "D&#46;V&#46; Araujo"
                            3 => "L&#46; Bahia"
                            4 => "I&#46; Bouzas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Soc Mar Q"
                        "fecha" => "2016"
                        "volumen" => "22"
                        "paginaInicial" => "325"
                        "paginaFinal" => "339"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            44 => array:3 [
              "identificador" => "bib0480"
              "etiqueta" => "45"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "ERICA&#58; use of screens and consumption of meals and snacks by Brazilian adolescents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;S&#46; Oliveira"
                            1 => "L&#46;A&#46; Barufaldi"
                            2 => "A&#46; Abreu Gde"
                            3 => "V&#46;S&#46; Leal"
                            4 => "G&#46;S&#46; Brunken"
                            5 => "S&#46;M&#46; Vasconcelos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/S1518-8787.2016050006118"
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Saude Publica"
                        "fecha" => "2016"
                        "volumen" => "50"
                        "paginaInicial" => "7s"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27982374"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            45 => array:3 [
              "identificador" => "bib0485"
              "etiqueta" => "46"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Influence of parents and friends on children&#39;s and adolescents&#8217; food intake and food selection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46;J&#46; Salvy"
                            1 => "A&#46; Elmo"
                            2 => "L&#46;A&#46; Nitecki"
                            3 => "M&#46;A&#46; Kluczynski"
                            4 => "J&#46;N&#46; Roemmich"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3945/ajcn.110.002097"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Clin Nutr"
                        "fecha" => "2011"
                        "volumen" => "93"
                        "paginaInicial" => "87"
                        "paginaFinal" => "92"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21048059"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            46 => array:3 [
              "identificador" => "bib0490"
              "etiqueta" => "47"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Parental influence on eating behavior&#58; conception to adolescence"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;S&#46; Savage"
                            1 => "J&#46;O&#46; Fisher"
                            2 => "L&#46;L&#46; Birch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1748-720X.2007.00111.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Law Med Ethics"
                        "fecha" => "2007"
                        "volumen" => "35"
                        "paginaInicial" => "22"
                        "paginaFinal" => "34"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17341215"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            47 => array:3 [
              "identificador" => "bib0495"
              "etiqueta" => "48"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Role of built environments in physical activity&#44; obesity&#44; and cardiovascular disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;F&#46; Sallis"
                            1 => "M&#46;F&#46; Floyd"
                            2 => "D&#46;A&#46; Rodriguez"
                            3 => "B&#46;E&#46; Saelens"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/CIRCULATIONAHA.110.969022"
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "2012"
                        "volumen" => "125"
                        "paginaInicial" => "729"
                        "paginaFinal" => "737"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22311885"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            48 => array:3 [
              "identificador" => "bib0500"
              "etiqueta" => "49"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Inequality in the built environment underlies key health disparities in physical activity and obesity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P&#46; Gordon-Larsen"
                            1 => "M&#46;C&#46; Nelson"
                            2 => "P&#46; Page"
                            3 => "B&#46;M&#46; Popkin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "2006"
                        "volumen" => "117"
                        "paginaInicial" => "417"
                        "paginaFinal" => "424"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            49 => array:3 [
              "identificador" => "bib0505"
              "etiqueta" => "50"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Environmental correlates of children&#39;s active transportation&#58; a systematic literature review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "K&#46; Pont"
                            1 => "J&#46; Ziviani"
                            2 => "D&#46; Wadley"
                            3 => "S&#46; Bennett"
                            4 => "R&#46; Abbott"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.healthplace.2009.02.002"
                      "Revista" => array:6 [
                        "tituloSerie" => "Health Place"
                        "fecha" => "2009"
                        "volumen" => "15"
                        "paginaInicial" => "827"
                        "paginaFinal" => "840"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19285904"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            50 => array:3 [
              "identificador" => "bib0510"
              "etiqueta" => "51"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Changing the food environment for obesity prevention&#58; key gaps and future directions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46; Anderson Steeves"
                            1 => "P&#46;A&#46; Martins"
                            2 => "J&#46; Gittelsohn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Curr Obes Rep"
                        "fecha" => "2014"
                        "volumen" => "3"
                        "paginaInicial" => "451"
                        "paginaFinal" => "458"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
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Vol. 95. Núm. 4.
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Vol. 95. Núm. 4.
Páginas 385-400 (julho - agosto 2019)
Artigo de revisão
Open Access
Overview of meta‐analysis on prevention and treatment of childhood obesity
Visão geral das meta‐análises sobre prevenção e tratamento da obesidade infantil
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4172
Luciana Bahiaa,b, Camila Wohlgemuth Schaanc, Karen Sparrenbergerc,
Autor para correspondência
sparrenberger.k@gmail.com

Autor para correspondência.
, Gabriela de Azevedo Abreud, Laura Augusta Barufaldie, Walmir Coutinhof, Beatriz D. Schaanc,g,h
a Universidade do Estado do Rio de Janeiro (UERJ), Departamento de Medicina Interna, Rio de Janeiro, RJ, Brasil
b Instituto de Avaliação de Tecnologia em Saúde (IATS), Porto Alegre, RS, Brasil
c Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós‐Graduação em Ciências Médicas: Endocrinologia, Porto Alegre, RS, Brasil
d Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Estudos em Saúde Coletiva, Rio de Janeiro, RJ, Brasil
e Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Vigilância de Doenças e Agravos Não Transmissíveis e Promoção da Saúde, Brasília, DF, Brasil
f Pontifícia Universidade Católica do Rio de Janeiro (PUC‐Rio), Instituto Estadual de Diabetes e Endocrinologia (IEDE), Rio de Janeiro, RJ, Brasil
g Universidade Federal do Rio Grande do Sul (UFRGS), Departamento de Medicina Interna, Porto Alegre, RS, Brasil
h Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brasil
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Tabela 1. Características de todas as revisões incluídas
Tabela 2. Resultados das revisões sobre prevenção da obesidade (diferença média padronizada)
Tabela 3. Resultados de revisões sobre prevenção de obesidade (tamanho de efeito)
Tabela 4. Resultados de revisões sobre tratamento de obesidade (diferença média padronizada)
Tabela 5. Resultados de revisões sobre o tratamento da obesidade (tamanho de efeito)
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Abstract
Objectives

This study aimed to assess the quality of systematic reviews on prevention and non‐pharmacological treatment of overweight and obesity in children and adolescents.

Data source

A search was done in electronic databases (Medline via PubMed, Web of Science, Scopus, LILACS, the Cochrane Library, and Clinical Trials), including only systematic reviews with meta‐analysis. Reviews were selected by two researchers, and a third one solved the divergences. PRISMA statement and checklist were followed.

Summary of data

A total of 4574 records were retrieved, including 24 after selection. Six reviews were on obesity prevention, 17 on obesity treatment, and one on mixed interventions for prevention and treatment of obesity. The interventions were very heterogeneous and showed little or no effects on weight or body mass index. Mixed interventions that included dieting, exercise, actions to reduce sedentary behavior, and programs involving the school or families showed some short‐term positive effects. Reviews that analyzed cardiovascular risk factors demonstrated significant improvements in the short‐term.

Conclusion

The systematic reviews of interventions to prevent or reduce obesity in children and adolescents generally showed little or no effects on weight or body mass index, although cardiovascular profile can be improved. Mixed interventions demonstrated better effects, but the long‐term impact of obesity treatments of children and adolescents remains unclear.

Keywords:
Child
Adolescent
Obesity
Resumo
Objetivos

Este estudo teve como objetivo avaliar a qualidade das revisões sistemáticas sobre prevenção e tratamento não farmacológico do sobrepeso e da obesidade em crianças e adolescentes.

Fontes de dados

Foi realizada uma busca em bases de dados eletrônicas (Medline via Pubmed, Web of Science, Scopus, LILACS, The Cochrane Library e Ensaios Clínicos), incluindo apenas revisões sistemáticas com meta-análise. As revisões foram selecionadas por dois pesquisadores e um terceiro resolveu as divergências. A lista de recomendações do PRISMA foi seguida.

Síntese dos dados

Foram identificados 4.574 publicações, e 24 foram incluídas após seleção. Seis publicações eram sobre prevenção da obesidade, 17 sobre tratamento da obesidade e 1 sobre intervenções mistas para prevenção e tratamento da obesidade. As intervenções eram muito heterogêneas e mostraram pouco ou nenhum efeito sobre o peso ou índice de massa corporal. Intervenções mistas que incluíam dieta, exercícios, ações para reduzir o comportamento sedentário e programas que envolviam a escola ou as famílias mostraram alguns efeitos positivos de curto prazo. Revisões que analisaram fatores de risco cardiovascular demonstraram melhoras significativas em curto prazo.

Conclusão

As revisões sistemáticas de intervenções para prevenir ou reduzir a obesidade em crianças e adolescentes geralmente mostraram pouco ou nenhum efeito sobre o peso ou índice de massa corporal, embora o perfil cardiovascular possa ter melhorado. Intervenções mistas demonstraram melhores efeitos, mas o impacto em longo prazo dos tratamentos da obesidade de crianças e adolescentes ainda não está claro.

Palavras‐chave:
Criança
Adolescente
Obesidade
Texto Completo
Introdução

Atualmente, a obesidade é responsável por cerca de 5% de todas as mortes no mundo.1 Se essa prevalência persistir em sua trajetória atual, quase metade da população mundial adulta terá sobrepeso ou obesidade até 2030.1 A obesidade é uma das três principais cargas sociais globais geradas pelos seres humanos, junto com tabagismo e violência armada,2 e tem enormes custos pessoais, sociais e econômicos para a sociedade e todos os sistemas de saúde.3 A prevalência de sobrepeso e obesidade na infância aumentou substancialmente em todo o mundo em menos de uma geração. Alguns países de baixa e média renda relataram aumentos semelhantes ou mais rápidos na obesidade infantil do que os países de alta renda, apesar dos altos níveis contínuos de desnutrição.4–6

A prevalência global de obesidade padronizada por idade aumentou de 0,7% em 1975 para 5,6% em 2016 em meninas e de 0,9% em 1975 para 7,8% em 2016 em meninos.7 Essa prevalência crescente de obesidade infantil está associada a um aumento da incidência de fatores de risco cardiovasculares, obesidade em adultos e comorbidades relacionadas à obesidade.8,9 Há uma necessidade urgente de identificar intervenções preventivas e terapêuticas eficazes que possam ser direcionadas a crianças, famílias, toda a população e no ambiente obesogênico.10

A fim de esclarecer as evidências científicas disponíveis sobre prevenção e tratamento da obesidade em crianças e adolescentes, fizemos uma avaliação de qualidade de todas as revisões sistemáticas com meta‐análise publicadas até o momento e resumimos os resultados.

MétodosEstratégia de busca

A busca foi feita nas seguintes bases de dados eletrônicas: Medline via Pubmed, Web of Science, Scopus, Lilacs, The Cochrane Library e Clinical Trials.

A seleção dos descritores usados foi feita mediante consulta no MeSH (Pubmed's Medical Subject Headings). A busca foi feita em inglês, até 26 de outubro de 2017, e usou três blocos de conceitos: o primeiro, com termos relacionados à obesidade e aos tratamentos não farmacológicos para obesidade; o segundo, com termos relacionados ao tipo de desenho do estudo (ensaio, randomizado*); e o terceiro, termos relacionados à faixa etária de interesse (adolescente*, criança*, pré‐escolar*, escolar*) (tabela suplementar S1). Os limites de pesquisa de data ou tamanho da amostra não foram usados.

O modelo Pico padronizado é mostrado abaixo:

P – Obesidade ou sobrepeso, crianças e adolescentes

I – Qualquer intervenção, exceto tratamento farmacológico

C – Sem intervenção

O – Índice de massa corporal (IMC), peso, circunferência da cintura e fatores de risco cardiovascular

Critérios de elegibilidade e extração de dados

Os critérios para inclusão dos artigos foram os seguintes: (a) estudos que avaliaram intervenções não farmacológicas para perda de peso ou prevenção da obesidade em crianças ou adolescentes com sobrepeso ou sobrepeso/obesidade; (b) revisão sistemática com meta‐análise. Os critérios de exclusão foram estudos que não fizeram meta‐análise dos resultados. Os artigos foram selecionados por dois revisores (GAA e LAB), inicialmente com base na leitura dos títulos, depois na leitura dos resumos e, posteriormente, dos artigos completos. Em caso de desacordo entre os dois revisores, um terceiro revisor tomou a decisão final sobre a inclusão (LB). As referências bibliográficas dos estudos encontrados nessas bases de dados também foram revisadas.

Os autores seguiram as recomendações e a lista de verificação Prisma (Preferred Reporting Items for Systematic Reviews and Metanalyses) na elaboração desta revisão sistemática.11

Avaliação de qualidade e risco de viés

A ferramenta Amstar 2 (A Measurement Tool to Assess Systematic Reviews) foi usada para avaliar a qualidade das evidências, por ter sido amplamente aceita e usada por instituições profissionais de saúde e ser bem conhecida por sua confiabilidade e reprodutibilidade (tabela suplementar S2).12 A ferramenta Amstar 2 consiste em 16 itens no total e avalia o grau de confiança nos resultados das revisões sistemáticas. A ferramenta não gera um escore de qualidade, mas uma recomendação de um nível de confiança maior ou menor nos resultados.

Os artigos foram avaliados por dois revisores (CWS e KS); em caso de discordância entre os dois, um terceiro tomou a decisão final (LB).

Resultados

No geral, identificamos 4.574 registros e, após a exclusão de duplicatas e títulos não elegíveis, 24 revisões sistemáticas foram incluídas. Seis revisões não meta‐analisaram seus resultados e foram excluídas.13–18 O fluxograma detalhado do processo de seleção dos estudos é apresentado na figura 1. As revisões foram classificadas com base na abordagem preventiva ou de tratamento e os resultados são apresentados considerando essa classificação.

Figura 1.

Fluxograma da seleção do estudo.

(0.2MB).

As principais características dos 24 estudos incluídos estão descritas nas tabelas 1‐5. Apenas quatro (16,7%) estudos foram classificados como de alta qualidade, quase 80% (n = 19) dos estudos incluídos foram considerados como uma revisão de baixa qualidade extrema (n = 7) ou revisão de baixa qualidade (n = 12). As respostas para as perguntas do Amstar 2 de cada estudo estão disponíveis como suplemento (tabela suplementar S2).

Tabela 1.

Características de todas as revisões incluídas

Autor/data  Data avaliada até  População  Intervenções  Comparação de intervenções  Desfechos 
O‐Meara et al., 199818  Jan 1997  Crianças e adultosa  Intervenções dietéticas, comportamentais e de exercícios.  Sem intervenção  Peso, conteúdo de gordura e distribuição de gordura 
Snethen et al., 200642  1980 a 2002  Sobrepeso/obesidade(6‐16a)  Qualquer intervenção com atividade, instrução, treinamento ou programa implantado com a finalidade de ajudar a criança com excesso de peso a perder peso  Nenhuma intervenção ou controle de lista de espera  Peso 
Atlantis et al., 200614  2004  Sobrepeso/obesidade (< 18a)  Pelo menos um braço de tratamento com exercício ou atividade física foi investigado isoladamente ou como um complemento a um tratamento alternativo simultaneamente prescrito para o grupo controle/de comparação (por exemplo, exercício mais ingestão calórica de 1000kcal / dia vs. ingestão calórica de 1000kcal / dia).  Sem exercício  Percentagem de gordura corporal, peso corporal, obesidade central, circunferência da cintura 
Collins et al., 200626  1975 a 2003  Sobrepeso/obesidade (< 18a)  Intervenção dietética sozinha ou em combinação com modificações no estilo de vida e / ou terapias psicológicas  Sem intervenção  Peso 
Young et al., 200734  ND  Obesidade(5 ‐12a)  Técnicas comportamentais ou cognitivas‐comportamentais com envolvimento familiar  Sem intervenção  Porcentagem de sobrepeso, peso, IMC ou escore‐Z do IMC 
McGovern et al., 200840  Feb 2006  Sobrepeso/obesidade (2–18a)  Intervenção farmacológica (Sibutramina, Orlistat, Metformina), intervenção dietética apenas, intervenção com atividade física apenas, intervenção dietética e intervenção com atividade física.  Sem intervenção  IMC, porcentagem de excesso de peso, porcentagem de massa livre de gordura e adiposidade visceral 
Kamath et al., 200820  Fev. 2006  Crianças e adolescentes(2 ‐18a)  Aumento da atividade física ou diminuição da atividade sedentária ou aumento do comportamento dietético saudável ou redução do comportamento dietético não saudável  Sem intervenção  Comportamento dietético e IMC 
Katz et al., 200821  1966 aOut. 2004  Sobrepeso/obesidade (3 ‐18a)  Intervenção em nutrição e atividade física  Sem intervenção  IMC 
Harris et al., 200936  Jan 1966 a Set 2008  Peso normal, sobrepeso e obesidade(5 ‐18a)  Atividade física com base escolar  Sem intervenção  IMC e medidas antropométricas (porcentagem de gordura corporal, circunferência da cintura, relação cintura‐quadril, espessura da dobra cutânea tricipital e da dobra cutânea subescapular) 
Kanekar et al., 200841  2000 a 2007  Sobrepeso/obesidade (< 18a)  Intervenções escolares na obesidade infantil  Nenhuma intervenção ou atividade escolar usual ou materiais escritos  BMI 
Kesten et al., 201122  1990 a Fev. 2010  Meninas com sobrepeso/obesidade(7 ‐11a)  Atividade física, dieta ou modificação do estilo de vida dentro do ambiente da escola, da família ou da comunidade  Sem intervenção  IMC e atividade física e comportamento nutricional 
Luckner et al., 201223  Nov. 2008  Sobrepeso(≤ 18a)  Atividade física, educação, nutrição ou redução do tempo de TV  Sem intervenção  IMC 
Lavelle et al., 201231  Fev. 2011  Sobrepeso/obesidade (≤ 18a)  Atividade física e / ou nutrição e / ou comportamento sedentário no ambiente escolar  Sem intervenção  IMC 
Friedrich et al., 201228  1998 a Ago. 2010  Crianças e adolescentes (4 a 19a)a  Atividade física e/ou educação nutricional  Sem intervenção  IMC 
Ho et al., 201230  1975 a 2010  Sobrepeso/obesidade (≤ 18a)  Programas de intervenção no estilo de vida incorporando um componente nutricional ou dietético  Sem tratamento ou controle de lista de espera, cuidados habituais ou aconselhamento mínimo ou materiais educacionais escritos sobre dieta e sobre atividade física  IMC, escore‐Z do IMC, lipídeos, glicemia, insulina e pressão arterial 
Sbruzzi et al., 201324  Maio 2012  Peso normal, sobrepeso ou obesidade(6‐12a)  Intervenções educativas (estratégia de intervenção feita na escola e / ou família) durante pelo menos 6 meses  Cuidados habituais ou nenhuma intervenção para prevenção ou tratamento da obesidade infantil  IMC, escore‐Z do IMC, peso, circunferência da cintura (cm), pressão arterial, colesterol total e lipoproteína de alta densidade‐colesterol 
Ho et al., 201337  1975 a 2010  Sobrepeso/obesidade (≤ 18a)  Programas de intervenção dietética, dieta mais exercício ou intervenção somente com exercício  Dieta apenas vs. dieta mais intervenção com exercício; dieta apenas vs. intervenção apenas com exercício  IMC, porcentagem de gordura corporal, massa magra corporal, lipoproteína de alta densidade‐colesterol, lipoproteína de baixa densidade‐colesterol, triglicérides, glicemia e insulina 
Ajie et al., 201413  Jan 2002 a Ago 2013  Adolescentes(12‐18a)a  Educação baseada na Internet ou intervenção comportamental através de um computador pessoal ou laptop  Sem intervenção  Composição da dieta, conhecimento nutricional, IMC, escore‐Z do IMC, peso e comportamento sedentário 
Gow et al., 201429  1975 a 2013  Sobrepeso/obesidade (≤ 18y)  Intervenções dietéticas com diferentes conteúdos de macronutrientes  Dieta pobre em carboidratos vs. dieta pobre em gordura; Dieta com aumento de conteúdo proteico vs. dieta proteica padrão; dieta rica em gordura vs. dieta com conteúdo de gordura padrão  IMC, escore‐Z do IMC 
van Hoek et al., 201433  15 de Abril de 2012  Sobrepeso/obesidade (3 ‐8a)  Programa de tratamento multicomponente, incluindo educação dietética e atividade física e terapia comportamental ou programas de tratamento com educação combinada dietética e de atividade física somente  Alguns estudos com grupos controle (sem intervenção) e outros sem grupos controle  Escore‐Z do IMC 
Kelishadi et al., 201416  2000 a 2012  Sobrepeso/obesidade (2‐18a)  Intervenções na comunidade, na família, na escola e na clínica ou uma combinação delas  Sem intervenção  Peso, IMC, escore‐Z do IMC 
Liao et al., 201438  Julho 2012  Peso normal, Sobrepeso/obesidade(≤ 18a)  Reduzir o comportamento sedentário (redução de TV / DVD / VCR, jogar vídeo / jogos de computador sedentários e tempo sentado em geral) e / ou aumentar a atividade física e / ou melhorar os hábitos dietéticos  Controle: algumas informações relacionadas à prevenção de não obesidade; programação usual; somente avaliação  IMC 
Martin et al., 201439  Maio de 2013  Sobrepeso/obesidade (3‐18a)  Intervenções de estilo de vida  Cuidado padrão, controle de lista de espera, nenhum tratamento ou controle de atenção  Desempenho escolar, IMC, escore‐Z do IMC e DP do IMC e medidas de gordura corporal por DXA e BIA 
Ruotsalainen et al., 201532  Jan 1950 a Ago 2013  Sobrepeso/obesidade (≤ 18a)  Atividade física ou exercício junto com aconselhamento ou práticas dietéticas  Controle com tratamento padrão ‐ nenhum tratamento relacionado à atividade física  Nível de atividade física, IMC ou sintomas psicológicos 
Hung et al., 201519  ND  Crianças e adolescentes(6‐18 a)a  Programas de prevenção da obesidade infantil com base escolar (componente nutricional e / ou componente da atividade física e / ou envolvimento dos pais e / ou envolvimento de especialista)  ND  IMC e espessura das dobras cutâneas 
Foster et al., 201515  Julho 1948 a Julho 2014  Sobrepeso/obesidade (0‐6a)  Aconselhamento dietético, atividades físicas, gestão comportamental, e uma entrevista motivacional  Sessões educacionais  IMC, percentil do IMC ou alguma iteração de porcentagem, sobrepeso ou obesidade utilizando altura, peso e circunferência da cintura 
Ling et al., 201617  1966 a Fev 2015  Pré‐escolares (2–5a)a  Intervenção no estilo de vida (qualquer intervenção que vise melhorar comportamentos, incluindo tempo de tela, atividade sedentária, atividade física, dieta e / ou sono)  30 minutos de atividade física estruturada por dia; Cuidados usuais; lista de espera  IMC, circunferência da cintura, dobras cutâneas, gordura corporal 
Colquitt et al., 201627  Mar 2015  Sobrepeso/obesidade (0‐6a)  Dieta, atividade física e intervenções comportamentais  Nenhuma intervenção ou cuidados habituais  IMC, escore‐Z do IMC 
Murray et al., 201735  Dez 2014  Sobrepeso/obesidade (10‐19a)  Intervenções de manejo de peso com múltiplos componentes (componentes comportamentais, dietéticos e atividade física)  Sem controle de tratamento  Autoestima e escore‐Z do IMC 
Kim et al., 201725  Abril 2015  Crianças e adolescentes(6‐18a)  Intervenção baseada em esportes  Controle  Peso 

IMC, índice de massa corporal; DXA, absorciometria de raios X de dupla energia; BIA, análise de impedância bioelétrica.

a

Nenhuma informação sobre o estado nutricional no início do estudo.

Tabela 2.

Resultados das revisões sobre prevenção da obesidade (diferença média padronizada)

Estudos de prevenção  Duração da intervenção (meses)  Participantes (Idade/Número)  Número de estudos incluídos  Resultados
        IMCDMP (CI95%)  Z‐escore do IMCDMP (CI95%)  PesoDMP (CI95%)  IMCPercentil 
Kamath et al., 200820  ≥ 6  2‐18 a (ND)  34         
Atividade física        0,01 (−0,06; 0,08)       
Dieta        −0,04 (−0,16; 0,08)       
Estilo de vida combinado        −0,03 (−0,07; 0,01)       
Katz et al., 200821  ND  3‐18a (13.029)         
Grupo controle            −0,29 (−0,45; −0,14)   
Educação nutricional vs. controle            −0,39   
Redução de TV vs. controle            −0,35   
Atividade física vs. controle            1,87   
Envolvimento familiar + educação nutricional + atividade física vs. controle            −0,20 (−0,41; 0,00)   
Envolvimento familiar + componente ambiental + educação nutricional + atividade física vs. controle            −0,16 (−0,32; 0,00)   
Somente meninas: atividade física vs. controle            −0,38 (−0,74; −0,02)   
Somente meninas: educação nutricional + atividade física vs. controle            −0,53 (−1,37; 0,30)   
Somente meninos: educação nutricional + atividade física vs. controle            −0,22 (−0,32; −0,12)   
Somente meninas: atividade física vs. educação nutricional + atividade física            −0,53 (−1,37; 0,30)   
Somente meninos: atividade física vs. educação nutricional + atividade física            −0,14 (−0,17; 0,44)   
Luckner et al., 201223  ND  0‐18a (ND)  68         
Atividade física        −0,15 (−0,33; −0,03)    −0,7 (−1,05; −0,31)   
Educação        −0,15 (−0,24; −0,07)    0,13 (−0,04; 0,3)   
Nutrição        −0,14 (−0,55; −0,27)       
Atividade física + educação        −0,19 (−0,37; −0,02)    −1,07 (−2,27; 0,13)   
Atividade física + educação + nutrição        −0,1 (−0,77; −0,04)    0,78 (−0,29; 1,86)   
Redução do comportamento sedentário        −0,27 (−0,4; −0,13)    0,08 (−0,68; 0,84)   
Sbruzzi et al., 201324  ≥ 6  6‐12a (23.617)         
Intervenção educativa vs. cuidados habituais ou sem intervenção        −0,86 (−1,59; −0,14)  −0,06 (−0,16; 0,03)     

Os dados são expressos como diferença média padronizada ‐ DMP. ND, não disponível.

Kamath et al.20: Intervenções combinadas de estilo de vida = intervenções que incluem mudanças dietéticas e intervenções com atividade física.

Luckner et al.23: Atividade física = exercício regular; Educação = informação ou ensino sobre comportamento saudável geral ou especificamente relacionado à nutrição, atividade física ou comportamento sedentário; Nutrição = intervenção consistiu na mudança de pelo menos uma refeição diária principal; redução do comportamento sedentário = visa reduzir o tempo assistindo a TV (TV), independentemente de outros componentes envolvidos.

Tabela 3.

Resultados de revisões sobre prevenção de obesidade (tamanho de efeito)

Estudos de prevenção  Duração da intervenção (meses)  Participantes(Idade/Número)  Número de estudos incluídos  Desfechos/Resultados 
Kesten et al., 201122Atividade física, dieta ou modificação do estilo de vida dentro do ambiente da escola, família ou comunidade com um método de abordagem qualitativa, quantitativa ou mista  7‐11a (ND)Meninas  30  Atividade Física, Nutrição, Conhecimento e atitudes, Medidas físicas (IMC, peso)Tamanhos de efeito variaram de 0,01 a 1,4566 menor que 0,2, 56 baixo (0,2), 16 médio (0,5) e dois alto (0,8)a 
Hung et al., 201519Programas de prevenção da obesidade infantil de base escolar  < 12 ou ≥ 12  6‐18 a (26.114)  27  IMCResumo do tamanho do efeito: 0,039 (IC95% −0,013 a 0,092, p = 0,145) 
Kim et al., 201725Intervenção com atividade física baseada em esportes no peso corporal de crianças e adolescentes  < 3; 3–6 ou > 6  6‐18a (1.777)  18  Peso corporalTamanhos do efeito: 0,52 (IC95%: 0,08 a 0,95, p = 0,021) 

Os dados são expressos como tamanho do efeito.

ND, não disponível; IC, intervalo de confiança; IMC, índice de massa corporal.

a

Maioria dos resultados não conseguiu produzir tamanhos de efeito médios a grandes.

Tabela 4.

Resultados de revisões sobre tratamento de obesidade (diferença média padronizada)

Estudos de tratamento  Duração da intervenção (meses)  Participantes (Idade/Número)  Número de estudos incluídos  Resultados
        IMCDMP (IC95%)  IMC Z‐escoreDMP (CI95%)  PesoDMP (IC95%)  IMCPercentil 
Collins et al., 200626  NA  ≤ 18a (2.262)         
Intervenção dietética vs. controle            −1,82 (−2,40; −1,23)   
Intervenção dietética vs. controle no seguimento            −0,64 (−0,89; −0,39)   
Young et al., 200734  ≥ 2,5  5‐12a (666)  16         
Comportamental familiar            −0,62 (−0,79; −0,44)   
Outros tratamentos            −0,52 (−1,49; 0,44)   
Grupo controle            −0,18 (−0,75; −0,38)   
McGovern et al., 200840  ND  2‐18a (ND)  61         
Intervenção dietética vs. controle        −0,22 (−0,56; 0,11)       
Intervenção com atividade física vs. controle        −0,02 (−0,21; 0,18)       
Redução do comportamento sedentário vs. controle        0,02 (−0,35; 0,39)       
Intervenções combinadas de estilo de vida vs. controle        −0,17 (−0,40; 0,05)       
Harris et al., 200936  ≥ 6  5‐18a (18.141)  15         
Atividade física vs. controle        −0,05 (−0,19; 0,10)       
Friedrich et al., 201228  ≥ 3  ≤ 19a (9.997)  23         
Atividade física        −0,02 (−0,08; 0,04)       
Educação nutricional        −0,03 (−0,10; 0,04)       
Atividade física + educação nutricional        −0,37 (−0,63; −0,12)       
Ho et al., 201230  1‐24  ≤ 18a (ND)  32         
Intervenção de estilo de vida vs. controle (A)        −1,25 (−2,18; −0,32)  −0,10 (−0,18; −0,02)     
Intervenção de estilo de vida vs. cuidados usuais (B)        −1,30 (−1,58; −1,03)       
Intervenção de estilo de vida vs. cuidados usuais (C)        −0,92 (−1,31; −0,54)       
Intervenção de estilo de vida vs. educação por escrito (B)        −2,52 (−5,95; 0,91)  −0,06 (−0,10; −0,02)     
Lavelle et al., 201231  ≥ 6‐72  ≤ 18a (36.579)  43         
Educação de base escolar vs. controle        −0,17 (−0,26; −0,08)       
Somente meninas: educação de escolar vs. controle        −0,28 (−0,50; −0,06)       
Somente meninos: educação de base escolar vs. controle        −0,17 (−0,26; −0,08)       
Promoção de atividade física na escola vs. controle        −0,13 (−0,22; −0,44)       
Educação nutricional + promoção de atividade física na escola vs. controle        −0,17 (−0,29; −0,08)       
Ho et al., 201337  6 sem‐6m  ≤ 18a (ND)  12         
Intervenções dietéticas + exercício vs. dieta apenas        −0,24 (−0,62; 0,14)       
Treinamento resistido        0,40 (0,08; 0,71)       
Treinamento resistido + treinamento aeróbico        −0,10 (−0,45; 0,26)       
Sbruzzi et al., 201324  ≥ 6  6‐12a (23.617)  18         
Intervenções educativas vs. cuidados usuais ou nenhuma intervenção        −0,86 (−1,59; −0,14)  −0,06 (−0,16; 0,03)     
Gow et al., 201429  ≥ 2  ≤ 18y  14         
Dieta com baixo teor de carboidratos vs. dieta padrão com baixo teor de gordura (A)        1,46 (−2,48; −0,44)  −0,25 (−0,44; −0,06)     
Dieta com baixo teor de carboidratos vs. dieta padrão com baixo teor de gordura (B)        0,57 (−1,44; 2,58)       
Dieta com aumento de proteína vs. dieta padrão de proteína (A)        −0,18 (−0,78; 0,42)  −0,01 (−0,06; 0,04)     
Dieta com aumento de proteína vs. dieta padrão de proteína (B)          −0,06 (−0,15; 0,02)     
van Hoek et al., 201433  ≥ 6  3‐8y (1015)  11         
Intervenção multicomponente de intensidade muito baixa vs. controle          −0,08 (−0,15; 0,02)     
Intervenção multicomponente de intensidade moderada ou alta vs. controle          −0,46 (−0,53; −0,39)     
Educação nutricional combinada com terapia comportamental ou educação de atividade física ‐ intensidade muito baixa vs. controle          −0,31 (−0,51; 0,02     
Educação nutricional de intensidade muito baixa vs. controle          −0,46 (−0,94; 0,02)     
Educação de atividade física de alta intensidade vs. controle          −0,31 (−0,88; 0,27)     
Liao et al., 201438  ND  ≤ 18y (NA)  25         
Atividade física vs. controle        −0,15 (−0,35; 0,04)       
Atividade Física + Redução do comportamento sedentário        −0,08 (−0,20; 0,02)       
Atividade Física + Redução do comportamento sedentário + dieta        −0,06 (−0,15; 0,03)       
Martin et al., 201439  ND  3‐18y (792)         
Intervenções no estilo de vida vs. cuidados padrão          0,03 (−0,15; 0,21)     
Colquitt et al., 201627  6‐24  0‐6y (923)         
Intervenção multicomponente vs. controle (A)          −0,26 (−0,37; −0,16)  −1,18 (−1,91; −0,45)  −1,54 (−2,82; −0,26) 
Intervenção multicomponente vs. controle (B)          −0,38 (−0,58; −0,19)  −2,81 (−4,39; −1,22)  −3,47 (−5,11; −1,82) 
Ruotsalainen et al., 201532  3‐6  12‐18y (NA)  14         
Exercício supervisionado vs. controle        −0,36 (−0,64; −0,08)       
Promoção de atividade física vs. controle        −0,10 (−0,24; 0,04)       
Exercício supervisionado + promoção de atividade física vs. controle        −0,18 (−0,40; 0,03)       

Dados são expressos como diferença média padronizada ‐ DMP.

ND, não disponível.

Collins et al.26: o grupo controle recebeu cuidados usuais ou nenhuma intervenção.

Young et al.34: Comportamental familiar = uso de pelo menos uma técnica comportamental ou cognitivo‐comportamental para estimular a criança a buscar e manter hábitos físicos e / ou alimentares saudáveis; Outros tratamentos = tratamentos comportamentais análogos aos grupos comportamentais‐familiar sem o envolvimento direto dos pais, Grupo controle = não definido.

McGovern et al.40: Intervenções dietéticas = dieta com carga glicêmica reduzida, dieta modificada com economia de proteína, dieta pobre em carboidratos, dieta rica em proteínas e dieta hipocalórica; combinação de intervenções de estilo de vida = atividade física e modificação da dieta.

Harris et al.36: Atividade física: a intervenção ocorreu durante o horário de aula regular; Grupo controle = continuou com o currículo de educação física existente na escola.

Ho et al.30: A = no último ponto de seguimento, B = no final do tratamento ativo. C = no seguimento. Intervenção no estilo de vida = programa que incorpora um componente nutricional ou dietético; controle = sem tratamento; cuidado usual = aconselhamento mínimo; educação escrita = dieta escrita e materiais de educação em atividade física.

Lavelle et al.31: Educação com base escolar = promoção de atividade física e / ou redução do comportamento sedentário e / ou educação nutricional.

Ho et al.37: Intervenções dietéticas = abordagem de restrição calórica, com níveis de energia variando de 900 a 1800kcal / dia e com combinações variadas de macronutrientes. Outros utilizaram a Dieta Semáforo, visando limitar o consumo de açúcar adicionado e aumentar a ingestão de fibra alimentar ou fornecer conselhos dietéticos gerais.

Sbruzzi et al.24: Intervenção educativa = programa com base escolar definido como uma estratégia de intervenção feita na escola e / ou programa de base familiar.

Gow et al.29: A = fim da intervenção; B = acompanhamento de 2 anos;. Van Hoek et al.33: intervenção multicomponente = dieta, educação física e terapia comportamental; A intensidade do tratamento (duração ao longo do período de intervenção) foi categorizada como muito baixa (< 10 horas), baixa (10–25 horas), moderada (26–75 horas) ou alta (> 75 horas).

Liao et al.38: Comportamentos sedentários = assistir TV / DVD / videocassete, jogar videogames / jogos de computador sedentários e tempo sentado em geral;. Martin et al.39:Martin: intervenção no estilo de vida (promoção da atividade física, redução do comportamento sedentário, educação nutricional, intervenções psicológicas).

Colquitt et al.27: intervenção com multicomponente (nutricional, atividade física e intervenções comportamentais); A = fim da intervenção (6‐12 meses); B = 12‐18 meses de seguimento (6‐8 meses após a intervenção);

Ruotsalainen et al.32: controle = cuidado padrão.

Tabela 5.

Resultados de revisões sobre o tratamento da obesidade (tamanho de efeito)

Estudos de tratamento  Duração da intervenção (meses)  Participantes(Idade/Número)  Número de estudos incluídos  Desfechos/Resultados 
Snethen et al., 200642Alguma forma da intervenção para perda de peso: dieta, atividade física, mudanças comportamentais e envolvimento dos pais  ND  6 ‐ 16aCrianças e adolescentes com sobrepeso / obesidade  Perda de pesoEm sete estudos, houve 14 intervençõesa com tamanho de efeitod = 0,95 (IC 95%: 0,79 a 1,11)Em quatro estudos, houve 7 intervençõesa com tamanho de efeito d = 1,70 (0,74 a 3,33) 
Kanekar et al., 200841Intervenções de base escolar na obesidade infantilb  ND  Escolares  Redução do IMCEstimativa combinada ‐ Tamanho do efeito: 0,0649 (IC 95%: −0,29 a 0,16)Modelo de efeitos aleatórios ‐ Tamanho do efeito: 0,179 (IC 95%: −0,38 a 0,72) 
Murray et al., 201735Intervenções multicomponentesc para controle de peso na autoestima  2,2 a 6  10‐19a (217)Adolescentes com sobrepeso / obesidade  IMC Z‐escoreTamanho de efeito: −0,17 (IC95%: −0,22 a −0,11) 

Os dados são expressos como tamanho de efeito.

ND, não disponível; IMC, índice de massa corporal; IC, intervalo de confiança.

a

Exercício, nutrição, dieta e / ou uma combinação deles.

b

Promoção de atividade física e / ou modificações dietéticas.

c

Estilo de vida, educação em saúde, nutrição, atividade física e / ou uma combinação deles.

Das 24 revisões, seis eram sobre prevenção da obesidade, 17 sobre tratamento da obesidade e uma revisão incluiu intervenções mistas, para prevenção e tratamento da obesidade (tabela 1). Onze (46%) dos estudos incluídos foram publicados nos últimos cinco anos. A maioria das revisões incluiu crianças e adolescentes até 18 anos; cinco (21%) consideraram apenas crianças. O tipo de intervenção e ambiente do estudo foi altamente diversificado e a duração da intervenção variou de 2,5 a 72 meses. Os desfechos descritos foram peso, IMC, Z‐escore do IMC, conteúdo de gordura, distribuição de gordura, medidas antropométricas (circunferência da cintura, relação cintura‐quadril, espessura da dobra tricipital, espessura da dobra subescapular), comportamento alimentar, comportamento sedentário, comportamento de atividade física e fatores de risco cardiovascular (pressão arterial, lipídios, glicemia).

Prevenção da obesidade

Sete revisões sistemáticas com meta‐análise abordaram as intervenções para prevenção da obesidade na infância e adolescência.19–25 Os principais resultados são apresentados nas tabelas 2 e 3. O número de estudos incluídos em cada revisão variou de oito a 68. Duas dessas revisões foram baseadas em programas educativos,19,24 uma em intervenção de atividade física baseada no esporte25 e as quatro ofereceram intervenções mistas para prevenção, inclusive mudanças nutricionais, estímulo à atividade física e redução do comportamento sedentário.20–23

Três revisões que abordaram mudanças de comportamento no estilo de vida (nutrição, atividade física ou ambos),20 intervenções educativas24 e programas de prevenção da obesidade infantil com base escolar19 não mostraram efeito significativo sobre o IMC em comparação com o controle. Entretanto, três revisões21–23 mostraram que as intervenções produziram redução de peso significativa, embora modesta, em curto prazo: duas mostraram esses resultados para educação nutricional, redução do tempo de TV e atividade física, isoladamente ou em combinação com o envolvimento de um dos pais ou membro da família,21,23 e uma mostrou resultados positivos para atividade física, dieta ou modificação do estilo de vida no ambiente escolar, familiar ou na comunidade.22

Tratamento da obesidade

Dezoito revisões sistemáticas com meta‐análise abordaram as intervenções para o tratamento da obesidade na infância e adolescência. Os principais resultados são apresentados nas tabelas 4 e 5. O número de estudos incluídos em cada revisão variou de cinco a 61. Dessas revisões, dez26–35 mostraram que intervenções como dieta, comportamento familiar, promoção da atividade física, exercício supervisionado, intervenções no estilo de vida ou de multicomponentes, educação com base escolar e dieta pobre em carboidratos26–34 foram associadas à redução nos principais desfechos. Entretanto, 1124,28,29,32,33,36–40 não mostraram associação entre as intervenções (intervenção dietética, promoção da atividade física, treinamento resistido, redução do comportamento sedentário, intervenção no estilo de vida ou educativa, educação nutricional, dieta rica em proteínas) e a redução nos principais desfechos.

As intervenções foram baseadas em alterações nutricionais, estímulo à atividade física, redução do comportamento sedentário, intervenções educativas, isoladamente ou em combinação, como mostradas a seguir.

Revisões que incluíram intervenções mistas para tratamento da obesidade

Van Hoek et al.33 mostraram melhoria significativa no escore‐Z do IMC com intervenção multicomponente associada à diminuição dos fatores de risco cardiovascular e resistência à insulina em crianças. Ao mesmo tempo, Liao et al.38 não conseguiram demonstrar que as intervenções multicomponentes foram mais eficazes na redução do IMC do que as intervenções baseadas apenas no comportamento sedentário.

Friedrich et al.28 mostraram que apenas as intervenções que combinam atividade física e educação nutricional tiveram efeitos positivos na redução do IMC, quando comparadas com as intervenções aplicadas separadamente.

Kanekar et al.41 analisaram apenas estudos feitos nos Estados Unidos e no Reino Unido e mostraram que as intervenções com base escolar não estão associadas a alterações no IMC.

Snethen et al.42 examinaram a eficácia de 14 diferentes combinações de intervenções (dieta, atividade física, mudança de comportamento e envolvimento dos pais) e mostraram que o tamanho do efeito para perda de peso era pequeno. No entanto, programas de intervenção mais longos produziram melhores resultados.

Revisões que incluíram intervenções dietéticas para tratamento da obesidade

Duas meta‐análises26,40 avaliaram apenas a efetividade das intervenções dietéticas no tratamento de crianças e adolescentes obesos e demonstraram algum efeito na perda de peso, embora detalhes sobre a intervenção dietética ou ingestão alimentar dos participantes tenham sido raramente descritos nos estudos; portanto, não foi possível avaliar qual intervenção dietética em particular foi a mais efetiva.

Um estudo29 avaliou a efetividade de dietas com variação na distribuição de macronutrientes como parte de uma intervenção de controle de peso em crianças e adolescentes com sobrepeso ou obesidade. Uma melhoria na condição do peso corporal foi alcançada, independentemente da distribuição de macronutrientes de uma dieta com energia reduzida.

Em estudos que mediram os resultados cardiometabólicos, foram relatadas melhorias nos níveis de lipídios e glicose no sangue, resistência à insulina e pressão arterial.29,30

Revisões que incluíram intervenções de atividade física para tratamento da obesidade

Apenas uma meta‐análise avaliou o impacto da atividade física isolada no tratamento da obesidade36 e não foi capaz de demonstrar qualquer efeito do exercício isolado sobre o peso corporal, IMC ou obesidade central. Apenas uma diminuição moderada no percentual de gordura foi observada com a intervenção da atividade física.

Revisões que incluíram intervenções educativas para tratamento da obesidade

Sbruzzi et al.24 mostraram que as intervenções educativas por pelo menos seis meses foram associadas a uma redução significativa na circunferência da cintura, IMC e pressão arterial diastólica.

Discussão

O objetivo desta revisão foi ajudar os leitores de revisões sistemáticas a avaliar de maneira crítica as informações científicas disponíveis sobre a prevenção e o tratamento não farmacológico de sobrepeso e obesidade na infância e adolescência. Esta análise mostrou que 19 (80%) eram de baixa ou muito baixa qualidade, de acordo com os critérios da ferramenta Amstar 2, ou seja, os estudos apresentam baixo grau de confiança nos resultados. No entanto, quase todos os autores chamaram a atenção para a heterogeneidade dos estudos incluídos em suas revisões sistemáticas e a baixa qualidade de muitos estudos primários, o que compromete sua tradução em recomendações definitivas em qualquer contexto.

Os estudos de prevenção demonstraram efeitos pequenos e de curto prazo ou nenhum efeito sobre o peso corporal.19–23 O envolvimento dos pais e a redução do tempo de televisão foram as intervenções associadas aos maiores benefícios.16,19,22–24,34,38

Considerando que os estudos se concentravam no tratamento da obesidade na infância e adolescência, a grande maioria deles não apresentou efeitos significativos na redução e manutenção do peso com inúmeras intervenções bem conhecidas. Alguns resultados positivos foram relatados em intervenções de curto prazo e multicomponentes, mas nenhuma recomendação definitiva pode ser feita sobre o tipo ou a duração da intervenção necessários para alcançar o sucesso em longo prazo. Esses resultados estão de acordo com o que já é conhecido, considerando o tratamento não farmacológico da obesidade em adultos.

Apesar da pequena melhoria no peso corporal e na adiposidade em crianças derivadas do aumento da atividade física nos estudos revisados,20,21,28,32,33,36–38,40 programas estruturados de atividade física podem levar a outros benefícios, como melhor coordenação motora, saúde esquelética, flexibilidade e capacidade aeróbica, maior autoconfiança, participação em equipe e inclusão social. Até o momento, nenhuma conclusão definitiva pode ser feita sobre a eficácia da atividade física em prevenir ou reduzir a obesidade em crianças e adolescentes, mas a importância de desenvolver ações e programas para promover estilos de vida ativos deve ser o alvo. Além disso, a prática de atividade física regular, a partir do início da infância ou adolescência, pode prevenir os estilos de vida sedentários na vida adulta.43

Estudos que avaliaram diferentes abordagens dietéticas não foram capazes de reconhecer os benefícios de um tipo particular de composição de dieta ou macronutrientes,20,26,27,29,30,37,38,40 talvez porque os detalhes sobre a intervenção dietética ou a ingestão de alimentos pelos participantes raramente foram descritos nos estudos e houve uma alta heterogeneidade de desenhos e medidas de desfecho.

A análise atual mostrou muitas limitações nas revisões publicadas até agora, como a heterogeneidade dos estudos primários, inclusive a duração da intervenção, envolvimento dos pais ou não, metas de nutrição, programas de atividade física, metas educacionais, o que também resulta em grande dificuldade para um único estudo de meta‐análise concluir sobre a melhor intervenção.

Um aspecto desafiador para estratégias de promoção de peso saudável é a adesão fora das escolas. A alimentação saudável é negativamente afetada pela indústria de alimentos através de anúncios e outras estratégias de marketing para estimular o consumo de alimentos e bebidas com alto teor de calorias.44 Dispositivos tecnológicos como videogames e computadores atraem as crianças para um estilo de vida com pouca atividade física e aumento do consumo de calorias.45 As intervenções têm melhores resultados quando a estratégia inclui um componente familiar, pois as crianças são fortemente influenciadas pelos hábitos dos pais.46 Portanto, as recomendações introduzidas nas escolas devem ser seguidas em casa, através do exemplo positivo dos pais para seus filhos, através de uma nutrição saudável e da prática regular de atividade física.47

Vários fatores contribuem para a obesidade, inclusive genéticos, ambientais, metabólicos, bioquímicos, psicológicos e fisiológicos.23 Essas relações causais complexas tornam improvável que qualquer intervenção única seja bem‐sucedida na prevenção ou no tratamento da obesidade. No entanto, embora haja um considerável número de pesquisas acadêmicas em andamento que avaliam abordagens preventivas e terapêuticas para a obesidade infantil, há uma falta de evidências sólidas em estratégias abrangentes para reverter as tendências alarmantes de obesidade.

Profissionais de saúde, políticos e várias partes interessadas provavelmente precisarão combinar diferentes abordagens direcionadas a escolas, comunidades, clínicas, locais de trabalho, residências, projetos urbanos, regulamentação de venda de alimentos e tributação para controlar a epidemia de obesidade de maneira efetiva. Existe um consenso crescente de que grandes mudanças nos níveis populacionais de atividade física e comportamentos alimentares seriam necessárias para controlar a epidemia de obesidade, exigem grandes modificações nos ambientes construídos e alimentar e políticas.48

Mudanças ambientais ou intervenções multiníveis em toda a comunidade (atributos do ambiente construído, como recreação e objetivo de transporte) recentemente mostraram efeitos positivos sobre a atividade física e a obesidade em crianças.49,50 Além disso, minorias étnicas e comunidades de baixa renda estão em desvantagem no acesso a instalações recreativas, estética positiva e proteção contra o tráfego.48 Além disso, o envolvimento dos formadores de políticas no processo de modificação do ambiente alimentar e avaliação dos custos e benefícios de programas e políticas elaborados para essas modificações antes de sua implantação também são muito importantez.51 Ademais, as ações regulatórias nos mercados devem ser consideradas nesse contexto. Acreditamos que somente quando uma série de estratégias for alinhada com a cooperação global poderemos razoavelmente esperar ver melhorias significativas no cenário da obesidade.

Conclusão

As evidências científicas disponíveis sobre os efeitos de intervenções clínicas e comportamentais para reduzir a obesidade são de baixa qualidade, muito heterogêneas e não conclusivas. Com base nas evidências existentes, qualquer intervenção de componente único para prevenção ou tratamento da obesidade em crianças e adolescentes provavelmente produzirá efeitos menores e não duradouros no peso corporal, adiposidade e desfechos cardiometabólicos. O envolvimento de toda a sociedade e do governo, não apenas dos profissionais de saúde, é necessário para alcançar melhores resultados na prevenção e tratamento dessa perigosa epidemia de obesidade infantil.

Financiamento

LB, GAA e LAB receberam bolsas de pesquisa do Instituto de Avaliação de Tecnologia em Saúde (IATS).

Conflitos de interesse

Os autores declaram não haver conflitos de interesse.

Referências
[1]
T. Kelly, W. Yang, C.S. Chen, K. Reynolds, J. He.
Global burden of obesity in 2005 and projections to 2030.
Int J Obes (Lond), 32 (2008), pp. 1431-1437
[2]
World Health Organization (WHO), Department of Health Statistics and Information Systems.
WHO methods and data sources for Global Burden of Disease estimates 2000–2011.
WHO, (2013),
[3]
E.A. Finkelstein, J.G. Trogdon, J.W. Cohen, W. Dietz.
Annual medical spending attributable to obesity: payer‐and service‐specific estimates.
Health Aff (Millwood), 28 (2009),
[4]
W.L. Conde, C.A. Monteiro.
Nutrition transition and double burden of undernutrition and excess of weight in Brazil.
Am J Clin Nutr, 100 (2014), pp. 1617S-1622S
[5]
T. Lobstein, R. Jackson-Leach, M.L. Moodie, K.D. Hall, S.L. Gortmaker, B.A. Swinburn, et al.
Child and adolescent obesity: part of a bigger picture.
Lancet, 385 (2015), pp. 2510-2520
[6]
K.V. Bloch, C.H. Klein, M. Szklo, M.C. Kuschnir, G.A. Abreu, L.A. Barufaldi, et al.
ERICA: prevalences of hypertension and obesity in Brazilian adolescents.
Rev Saude Publica, 50 (2016), pp. 9s
[7]
M. Ezzati, J. Brantham, M. Di Cesare, V. Bilano, H. Bixby, B. Zhou, et al.
Worldwide trends in body‐mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population‐based measurement studies in 128.9 million children, adolescents, and adults.
Lancet, 390 (2017), pp. 2627-2642
[8]
M. Juonala, C.G. Magnussen, G.S. Berenson, A. Venn, T.L. Burns, M.A. Sabin, et al.
Childhood adiposity, adult adiposity, and cardiovascular risk factors.
N Engl J Med, 365 (2011), pp. 1876-1885
[9]
M.C. Kuschnir, K.V. Bloch, M. Szklo, C.H. Klein, L.A. Barufaldi, G.A. Abreu, et al.
ERICA: prevalence of metabolic syndrome in Brazilian adolescents.
Rev Saude Publica, 50 (2016), pp. 11s
[10]
K.D. Brownell, J.H. Kelman, A.J. Stunkard.
Treatment of obese children with and without their mothers: changes in weight and blood pressure.
Pediatrics, 71 (1983), pp. 515-523
[11]
D. Moher, A. Liberati, J. Tetzlaff, D.G. Altman, P. Group.
Preferred reporting items for systematic reviews and metanalyses: the PRISMA statement.
Int J Surg, 8 (2010), pp. 336-341
[12]
B.J. Shea, B.C. Reeves, G. Wells, M. Thuku, C. Hamel, J. Moran, et al.
AMSTAR 2 a critical appraisal tool for systematic reviews that include randomised or non‐randomised studies of healthcare interventions, or both.
BMJ, 358 (2017),
[13]
W.N. Ajie, K.M. Chapman-Novakofski.
Impact of computer‐mediated, obesity‐related nutrition education interventions for adolescents: a systematic review.
J Adolesc Health, 54 (2014), pp. 631-645
[14]
E. Atlantis, E.H. Barnes, M.A. Singh.
Efficacy of exercise for treating overweight in children and adolescents: a systematic review.
Int J Obes (Lond), 30 (2006), pp. 1027-1040
[15]
B.A. Foster, J. Farragher, P. Parker, E.T. Sosa.
Treatment interventions for early childhood obesity: a systematic review.
Acad Pediatr, 15 (2015), pp. 353-361
[16]
R. Kelishadi, F. Azizi-Soleiman.
Controlling childhood obesity: a systematic review on strategies and challenges.
J Res Med Sci, 19 (2014), pp. 993-1008
[17]
J. Ling, L.B. Robbins, F. Wen.
Interventions to prevent and manage overweight or obesity in preschool children: a systematic review.
Int J Nurs Stud, 53 (2016), pp. 270-289
[18]
S. O’Meara, A.M. Glenny, T. Sheldon, A. Melville, C. Wilson.
Systematic review of the effectiveness of interventions used in the management of obesity.
J Hum Nutr Diet, 11 (1998), pp. 203-206
[19]
L.S. Hung, D.K. Tidwell, M.E. Hall, M.L. Lee, C.A. Briley, B.P. Hunt.
A metanalysis of school‐based obesity prevention programs demonstrates limited efficacy of decreasing childhood obesity.
Nutr Res, 35 (2015), pp. 229-240
[20]
C.C. Kamath, K.S. Vickers, A. Ehrlich, L. McGovern, J. Johnson, V. Singhal, et al.
Clinical review: behavioral interventions to prevent childhood obesity: a systematic review and metaanalyses of randomized trials.
J Clin Endocrinol Metab, 93 (2008), pp. 4606-4615
[21]
D.L. Katz, M. O’Connell, V.Y. Njike, M.C. Yeh, H. Nawaz.
Strategies for the prevention and control of obesity in the school setting: systematic review and metanalysis.
Int J Obes (Lond), 32 (2008), pp. 1780-1789
[22]
J.M. Kesten, P.L. Griffiths, N. Cameron.
A systematic review to determine the effectiveness of interventions designed to prevent overweight and obesity in pre‐adolescent girls.
[23]
H. Luckner, J.R. Moss, C.A. Gericke.
Effectiveness of interventions to promote healthy weight in general populations of children and adults: a metanalysis.
Eur J Public Health, 22 (2012), pp. 491-497
[24]
G. Sbruzzi, B. Eibel, S.M. Barbiero, R.O. Petkowicz, R.A. Ribeiro, C.C. Cesa, et al.
Educational interventions in childhood obesity: a systematic review with metanalysis of randomized clinical trials.
Prev Med, 56 (2013), pp. 254-264
[25]
K. Kim, G. Ok, S. Jeon, M. Kang, S. Lee.
Sport‐based physical activity intervention on body weight in children and adolescents: a metanalysis.
J Sports Sci, 35 (2017), pp. 369-376
[26]
C.E. Collins, J. Warren, M. Neve, P. McCoy, B.J. Stokes.
Measuring effectiveness of dietetic interventions in child obesity: a systematic review of randomized trials.
Arch Pediatr Adolesc Med, 160 (2006), pp. 906-922
[27]
J.L. Colquitt, E. Loveman, C. O’Malley, L.B. Azevedo, E. Mead, L. Al-Khudairy, et al.
Diet, physical activity, and behavioural interventions for the treatment of overweight or obesity in preschool children up to the age of 6 years.
Cochrane Database Syst Rev, (2016), pp. CD012105
[28]
R.R. Friedrich, I. Schuch, M.B. Wagner.
Effect of interventions on the body mass index of school‐age students.
Rev Saude Publica, 46 (2012), pp. 551-560
[29]
M.L. Gow, M. Ho, T.L. Burrows, L.A. Baur, L. Stewart, M.J. Hutchesson, et al.
Impact of dietary macronutrient distribution on BMI and cardiometabolic outcomes in overweight and obese children and adolescents: a systematic review.
Nutr Rev, 72 (2014), pp. 453-470
[30]
M. Ho, S.P. Garnett, L. Baur, T. Burrows, L. Stewart, M. Neve, et al.
Effectiveness of lifestyle interventions in child obesity: systematic review with metanalysis.
Pediatrics, 130 (2012), pp. e1647-e1671
[31]
H.V. Lavelle, D.F. Mackay, J.P. Pell.
Systematic review and metanalysis of school‐based interventions to reduce body mass index.
J Public Health, 34 (2012), pp. 360-369
[32]
H. Ruotsalainen, H. Kyngas, T. Tammelin, M. Kaariainen.
Systematic review of physical activity and exercise interventions on body mass indices, subsequent physical activity and psychological symptoms in overweight and obese adolescents.
J Adv Nurs, 71 (2015), pp. 2461-2477
[33]
E. van Hoek, E.J. Feskens, L.I. Bouwman, A.J. Janse.
Effective interventions in overweight or obese young children: systematic review and metanalysis.
Child Obes, 10 (2014), pp. 448-460
[34]
K.M. Young, J.J. Northern, K.M. Lister, J.A. Drummond, W.H. O’Brien.
A metanalysis of family‐behavioral weight‐loss treatments for children.
Clin Psychol Rev, 27 (2007), pp. 240-249
[35]
M. Murray, A.L. Dordevic, M.P. Bonham.
Systematic review and metanalysis: the impact of multicomponent weight management interventions on self‐esteem in overweight and obese adolescents.
J Pediatr Psychol, 42 (2017), pp. 379-394
[36]
K.C. Harris, L.K. Kuramoto, M. Schulzer, J.E. Retallack.
Effect of school‐based physical activity interventions on body mass index in children: a metanalysis.
CMAJ, 180 (2009), pp. 719-726
[37]
M. Ho, S.P. Garnett, L.A. Baur, T. Burrows, L. Stewart, M. Neve, et al.
Impact of dietary and exercise interventions on weight change and metabolic outcomes in obese children and adolescents: a systematic review and metanalysis of randomized trials.
JAMA Pediatr, 167 (2013), pp. 759-768
[38]
Y. Liao, J. Liao, C.P. Durand, G.F. Dunton.
Which type of sedentary behaviour intervention is more effective at reducing body mass index in children? A metanalytic review.
Obes Rev, 15 (2014), pp. 159-168
[39]
A. Martin, D.H. Saunders, S.D. Shenkin, J. Sproule.
Lifestyle intervention for improving school achievement in overweight or obese children and adolescents.
Cochrane Database Syst Rev, (2014), pp. CD009728
[40]
L. McGovern, J.N. Johnson, R. Paulo, A. Hettinger, V. Singhal, C. Kamath, et al.
Clinical review Treatment of pediatric obesity: a systematic review and metanalysis of randomized trials.
J Clin Endocrinol Metab, 93 (2008), pp. 4600-4605
[41]
A. Kanekar, M. Sharma.
Metanalysis of school‐based childhood obesity interventions in the U.K. and U.S.
Int Q Community Health Educ, 29 (2008), pp. 241-256
[42]
J.A. Snethen, M.E. Broome, S.E. Cashin.
Effective weight loss for overweight children: a metanalysis of intervention studies.
J Pediatr Nurs, 21 (2006), pp. 45-56
[43]
B. Metcalf, W. Henley, T. Wilkin.
Effectiveness of intervention on physical activity of children: systematic review and metanalysis of controlled trials with objectively measured outcomes (EarlyBird 54).
BMJ, 345 (2012), pp. e5888
[44]
D. Gertner, A.K. Gertner, D.V. Araujo, L. Bahia, I. Bouzas.
Calories and cents: customer value and the fight against obesity.
Soc Mar Q, 22 (2016), pp. 325-339
[45]
J.S. Oliveira, L.A. Barufaldi, A. Abreu Gde, V.S. Leal, G.S. Brunken, S.M. Vasconcelos, et al.
ERICA: use of screens and consumption of meals and snacks by Brazilian adolescents.
Rev Saude Publica, 50 (2016), pp. 7s
[46]
S.J. Salvy, A. Elmo, L.A. Nitecki, M.A. Kluczynski, J.N. Roemmich.
Influence of parents and friends on children's and adolescents’ food intake and food selection.
Am J Clin Nutr, 93 (2011), pp. 87-92
[47]
J.S. Savage, J.O. Fisher, L.L. Birch.
Parental influence on eating behavior: conception to adolescence.
J Law Med Ethics, 35 (2007), pp. 22-34
[48]
J.F. Sallis, M.F. Floyd, D.A. Rodriguez, B.E. Saelens.
Role of built environments in physical activity, obesity, and cardiovascular disease.
Circulation, 125 (2012), pp. 729-737
[49]
P. Gordon-Larsen, M.C. Nelson, P. Page, B.M. Popkin.
Inequality in the built environment underlies key health disparities in physical activity and obesity.
Pediatrics, 117 (2006), pp. 417-424
[50]
K. Pont, J. Ziviani, D. Wadley, S. Bennett, R. Abbott.
Environmental correlates of children's active transportation: a systematic literature review.
Health Place, 15 (2009), pp. 827-840
[51]
E. Anderson Steeves, P.A. Martins, J. Gittelsohn.
Changing the food environment for obesity prevention: key gaps and future directions.
Curr Obes Rep, 3 (2014), pp. 451-458

Como citar este artigo: Bahia L, Schaan CW, Sparrenberger K, Abreu GA, Barufaldi LA, Coutinho W, et al. Overview of meta‐analysis on prevention and treatment of childhood obesity. J Pediatr (Rio J). 2019;95:385–400.

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