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o feto adapta seu desenvolvimento para maximizar suas chances de sobreviv&#234;ncia&#44; h&#225; redefini&#231;&#227;o da homeostase metab&#243;lica&#44; end&#243;crina e do crescimento&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">4</span></a> O fen&#243;tipo&#44; alterado ao nascimento&#44; confirma a teoria que doen&#231;as cr&#244;nicas apresentam ra&#237;zes ainda mais precocemente&#44; na fase fetal&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">4</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">O desenvolvimento do tecido adiposo faz&#8208;se essencialmente no per&#237;odo intrauterino&#46; Os mecanismos epigen&#233;ticos s&#227;o fatores fundamentais para essa programa&#231;&#227;o no pr&#233;&#8208;natal&#46; Assim&#44; modifica&#231;&#245;es reprogramam o metabolismo desse tecido&#44; alteram sua distribui&#231;&#227;o corporal e definem adipog&#234;nese&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">5</span></a> O tecido adiposo&#44; principalmente o visceral&#44; &#233; relacionado a altera&#231;&#245;es no metabolismo da glicose&#44; bem como na sensibilidade &#224; insulina&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">6</span></a> Nessa homeostase&#44; o tecido subcut&#226;neo &#233; considerado um armazenador&#44; por&#233;m os mecanismos biol&#243;gicos dessas associa&#231;&#245;es n&#227;o s&#227;o claros&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">7</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">A adiposidade visceral &#40;intra&#8208;abdominal&#41; apresenta maior impacto sobre as altera&#231;&#245;es metab&#243;licas devido &#224; deteriora&#231;&#227;o da sensibilidade &#224; insulina&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">8</span></a> Neonatos com maior deposi&#231;&#227;o de gordura visceral apresentaram maior chance de desenvolver resist&#234;ncia insul&#237;nica &#40;RI&#41;&#44; preditor independente do aumento da adiposidade na primeira semana de vida&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">9</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Um perfil metab&#243;lico materno adverso e a intera&#231;&#227;o significativa desse perfil na segunda metade da gravidez com o estado nutricional pr&#233;&#8208;gestacional s&#227;o fatores que podem estar associados &#224; adiposidade fetal e neonatal&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">10</span></a> No entanto&#44; n&#227;o est&#227;o claros quais fatores metab&#243;licos maternos t&#234;m impacto significativo sobre o crescimento&#44; composi&#231;&#227;o corporal&#44; adiposidade fetal e em que fase da gravidez s&#227;o mais relevantes&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Estudos sugerem que a adiposidade do concepto encontra&#8208;se associada ao estado nutricional materno no in&#237;cio da gravidez&#44; ao ganho de peso gestacional &#40;GPG&#41; e que a adiposidade visceral materna se correlaciona positivamente com a biometria fetal avaliada por ultrassonografia&#46;<a class="elsevierStyleCrossRefs" href="#bib0205"><span class="elsevierStyleSup">11&#44;12</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">O objetivo do presente estudo foi identificar fatores maternos e da biometria fetal associados &#224; adiposidade visceral fetal&#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">Desenho do estudo</span><p id="par0050" class="elsevierStylePara elsevierViewall">An&#225;lise secund&#225;ria de dados de coorte que envolveu 172 pares &#40;gestantes&#47;fetos&#41;&#46; Estudo feito no Instituto Paraibano de Pesquisa Professor Joaquim Amorim Neto &#40;IPESQ&#41;&#44; Campina Grande&#44; Para&#237;ba&#44; de setembro&#47;2014 a dezembro&#47;2015&#44; iniciado ap&#243;s aprova&#231;&#227;o pelo Comit&#234; de &#201;tica em Pesquisa do Hospital Universit&#225;rio Alcides Carneiro da Universidade Federal da Para&#237;ba &#40;HUAC&#47;UFPB&#41; &#40;CAAE&#58; 79559817&#46;2&#46;0000&#46;5182&#41;&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Amostra</span><p id="par0055" class="elsevierStylePara elsevierViewall">O c&#225;lculo do tamanho amostral foi feito com o programa estat&#237;stico de dom&#237;nio p&#250;blico Open Epi&#44; vers&#227;o 2&#46;3 &#40;Atlanta&#44; GA&#41;&#44; assumiu&#8208;se uma frequ&#234;ncia de 22&#44;8&#37; de circunfer&#234;ncia abdominal &#40;CA&#41; materna aumentada no p&#243;s&#8208;parto imediato&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">13</span></a> Para um poder de 85&#37; e um n&#237;vel de confian&#231;a de 95&#37;&#44; seriam necess&#225;rias 148 gestantes&#46; A amostra foi aumentada em 30&#37;&#44; previram&#8208;se eventuais perdas de acompanhamento&#44; total de 200 gestantes&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Crit&#233;rios de elegibilidade</span><p id="par0060" class="elsevierStylePara elsevierViewall">Foram inclu&#237;das gestantes com feto vivo&#44; idade gestacional &#40;IG&#41; menor ou igual a 16 semanas&#44; em acompanhamento pr&#233;&#8208;natal no munic&#237;pio de Campina Grande&#8208;PB&#46; Foram exclu&#237;das gestantes portadoras de doen&#231;as psiqui&#225;tricas&#44; doen&#231;as cr&#244;nicas &#40;diabetes <span class="elsevierStyleItalic">mellitus</span>&#44; hipertens&#227;o arterial sist&#234;mica&#44; cardiopatias&#44; nefropatias epilepsia e insufici&#234;ncia renal&#41;&#44; gesta&#231;&#227;o m&#250;ltipla&#44; adolescentes na aus&#234;ncia de representante legal e casos de malforma&#231;&#245;es cong&#234;nitas&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">As gestantes foram captadas nas unidades p&#250;blicas de sa&#250;de&#44; encaminhadas ao IPESQ&#44; foi feita ultrassonografia &#40;USG&#41; obst&#233;trica para confirmar a IG &#40;at&#233; a 16<span class="elsevierStyleSup">a</span> semana&#41; e afastar malforma&#231;&#245;es fetais&#46; Foram explicados os objetivos e somente foram inclu&#237;das caso concordassem e assinassem o termo de consentimento livre e esclarecido&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Foram estudadas vari&#225;veis maternas&#58; idade &#40;anos&#41;&#59; peso pr&#233;&#8208;gestacional e peso atual &#40;quilograma&#41;&#59; altura &#40;metros&#41;&#59; &#237;ndice de massa corp&#243;rea &#40;IMC&#41; &#40;kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#59; n&#250;mero de gesta&#231;&#245;es e consultas&#59; intervalo intergestacional&#59; escolaridade &#40;anos completos&#41;&#59; paridade&#59; h&#225;bitos de vida &#40;&#225;lcool&#44; tabagismo e drogas il&#237;citas&#41;&#59; estado nutricional &#40;obesidade&#44; sobrepeso&#44; eutrofia e baixo peso&#41;&#59; GPG &#40;28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana&#41;&#59; classifica&#231;&#227;o do GPG &#40;insuficiente&#44; adequado e excessivo&#41;&#59; adiposidade visceral e subcut&#226;nea&#59; circunfer&#234;ncia da coxa&#59; circunfer&#234;ncia do bra&#231;o&#59; dobras cut&#226;neas &#40;suprail&#237;aca e triciptal&#41;&#59; glicemia de jejum&#59; teste oral de toler&#226;ncia &#224; glicose &#40;TOTG&#41;&#59; insulina de jejum&#59; colesterol total&#59; colesterol lipoprote&#237;na de alta densidade &#40;HDL&#8208;c&#41;&#59; colesterol lipoprote&#237;na de baixa densidade &#40;LDL&#8208;c&#41;&#59; triglicer&#237;deos&#59; &#237;ndice de RI &#40;HOMA&#8208;IR&#41; e hemoglobina glicada &#40;HbA1c&#41;&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">As vari&#225;veis fetais avaliadas foram&#58; peso fetal estimado &#40;PFE&#41;&#59; CA e cef&#225;lica&#59; comprimento do f&#234;mur&#59; circunfer&#234;ncia da coxa fetal &#40;CCF&#41;&#44; &#225;rea e espessura da coxa&#59; adiposidade visceral e subcut&#226;nea&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Coleta de dados</span><p id="par0080" class="elsevierStylePara elsevierViewall">As pacientes foram avaliadas na 16<span class="elsevierStyleSup">a</span> &#40;primeira visita&#41;&#44; na 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana &#40;mais ou menos uma semana&#41;&#44; n&#227;o foi calculada a IG precisa no dia da coleta de dados&#46; A USG foi feita por um &#250;nico observador&#44; especialista em medicina fetal&#46; A adiposidade visceral e subcut&#226;nea materna foi mensurada apenas na 16<span class="elsevierStyleSup">a</span> semana&#44; segundo a t&#233;cnica descrita por Armellini et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">14</span></a> com o aparelho Voluson 730 expert &#40;GE&#41;&#44; com transdutor linear de 2&#8208;7<span class="elsevierStyleHsp" style=""></span>MHz colocado a um cent&#237;metro da cicatriz umbilical&#44; a espessura da gordura visceral foi medida&#44; em cent&#237;metros &#40;cm&#41;&#44; a partir da borda interna do m&#250;sculo reto abdominal&#44; no n&#237;vel da linha alba&#44; at&#233; a parede anterior da aorta abdominal&#46; A gordura subcut&#226;nea foi medida a partir da dist&#226;ncia m&#237;nima da gordura subcut&#226;nea a linha alba&#44; foi considerado o menor valor a essa altura&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Para avaliar as medidas fetais foi usado o mesmo aparelho com a sonda convexa&#44; de 2&#8208;5<span class="elsevierStyleHsp" style=""></span>MHz&#44; geralmente adotada como padr&#227;o para USG obst&#233;trica&#46; A mensura&#231;&#227;o do tecido visceral foi feita na 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana de gesta&#231;&#227;o&#44; obteve&#8208;se um corte ultrassonogr&#225;fico em sec&#231;&#227;o transversa da CA fetal a um cent&#237;metro da inser&#231;&#227;o do cord&#227;o umbilical&#46; A imagem foi ampliada e fixada&#44; a medida do tecido visceral abdominal foi mensurada em mil&#237;metros &#40;mm&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">14</span></a> Os calipers foram cuidadosamente colocados na borda exterior da pele e na margem interior da parede abdominal anterior&#44; para mensura&#231;&#227;o do tecido subcut&#226;neo abdominal&#44; mensurado apenas na 36<span class="elsevierStyleSup">a</span> semana&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">O ac&#250;mulo de tecido adiposo tamb&#233;m foi aferido na coxa fetal&#44; obteve&#8208;se um corte ultrassonogr&#225;fico em sec&#231;&#227;o transversal na metade da coxa&#46; A imagem foi fixada&#44; ampliada e mensurada&#44; em mm&#44; correspondeu &#224; dist&#226;ncia do exterior do f&#234;mur para a borda interna da pele&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">14</span></a> O c&#225;lculo do PFE foi avaliado atrav&#233;s da equa&#231;&#227;o de Hadlock&#46;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">15</span></a></p><p id="par0095" class="elsevierStylePara elsevierViewall">Na 16<span class="elsevierStyleSup">a</span>&#44; 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana as gestantes foram submetidas &#224; avalia&#231;&#227;o antropom&#233;trica de peso&#44; altura e foi calculado o IMC&#46; O IMC pr&#233;&#8208;gestacional foi determinado segundo o peso e altura antes da gravidez&#44; informados pela gestante na 16<span class="elsevierStyleSup">a</span> semana&#44; classificou&#8208;se em&#58; baixo peso &#40;IMC &#8804; 18&#44;5<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#44; eutrofia &#40;18&#44;5 &#60;<span class="elsevierStyleHsp" style=""></span>IMC &#60;<span class="elsevierStyleHsp" style=""></span>25<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#44; sobrepeso &#40;25 &#8804; IMC &#60;<span class="elsevierStyleHsp" style=""></span>30<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41; e obesidade &#40;IMC &#8805; 30<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">16</span></a> As gestantes foram classificadas quanto ao estado nutricional segundo a IG&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a> O GPG foi obtido atrav&#233;s da diferen&#231;a entre o peso na semana avaliada e o peso pr&#233;&#8208;gestacional&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Foram mensuradas na gestante&#58; circunfer&#234;ncia do bra&#231;o&#44; no ponto m&#233;dio do bra&#231;o entre o acr&#244;mio e o ol&#233;crano&#59; circunfer&#234;ncia da coxa&#44; na metade da dist&#226;ncia entre a linha inguinal e a borda superior da patela&#59; e as pregas cut&#226;neas na regi&#227;o do tr&#237;ceps e suprail&#237;aca&#44; com o plic&#244;metro de Lange&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a> As adiposidades visceral e subcut&#226;nea nas gestantes s&#243; foram mensuradas na 16<span class="elsevierStyleSup">a</span> semana&#44; nos demais trimestres houve dificuldade t&#233;cnica para aferi&#231;&#227;o&#44; quando h&#225; compress&#227;o do tecido adiposo pelo &#250;tero grav&#237;dico&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">19</span></a></p><p id="par0105" class="elsevierStylePara elsevierViewall">A an&#225;lise bioqu&#237;mica feita na 16<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana gestacional incluiu colesterol total&#44; HDL&#8208;c&#44; LDL&#8208;c&#44; triglicer&#237;deos&#44; HbA1c&#44; insulina&#44; glicemia de jejum e RI&#46; Foi considerado diagn&#243;stico de diabetes <span class="elsevierStyleItalic">mellitus</span> gestacional &#40;DMG&#41; a medida de glicose de jejum igual ou superior a 92<span class="elsevierStyleHsp" style=""></span>mg&#47;dL ou HbA1c igual ou superior a 6&#44;5&#37; na 16<span class="elsevierStyleSup">a</span> semana&#44; al&#233;m do TOTG com sobrecarga de 75<span class="elsevierStyleHsp" style=""></span>g de glicose anidra que apresentasse um ou mais valores alterados&#44; feito entre a 24<span class="elsevierStyleSup">a</span> e 28<span class="elsevierStyleSup">a</span> semana&#46; Foram considerados alterados valores da glicemia de jejum&#44; com uma hora e duas horas ap&#243;s a sobrecarga de glicose&#44; maiores que ou iguais a 92<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#44; 180<span class="elsevierStyleHsp" style=""></span>mg&#47;dL e 153<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#44; respectivamente&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">20</span></a></p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">An&#225;lise dos dados</span><p id="par0110" class="elsevierStylePara elsevierViewall">Para an&#225;lise estat&#237;stica&#44; usou&#8208;se o programa Medcalc v&#46;18&#46;6&#46; &#40;Medical Software&#44; USA&#41;&#44; R Core Team &#40;2017&#41; e o programa de dom&#237;nio p&#250;blico Epi&#8208;Info v&#46;7&#46;2&#46;2&#46;6 &#40;Atlanta&#44; GA&#41;&#46; Foram constru&#237;das tabelas de distribui&#231;&#227;o de frequ&#234;ncia para vari&#225;veis categ&#243;ricas&#44; calcularam&#8208;se medidas de tend&#234;ncia central &#40;m&#233;dia ou mediana&#41; e de dispers&#227;o &#40;desvio&#8208;padr&#227;o ou intervalo interquartil&#41; para as vari&#225;veis quantitativas&#46; Houve normalidade nos res&#237;duos com 36 semanas&#44; no entanto n&#227;o houve normalidade nos res&#237;duos do modelo ajustado&#44; para 28 semanas&#44; ent&#227;o ajustaram&#8208;se modelos lineares generalizados e a distribui&#231;&#227;o mais adequada foi normal inversa com fun&#231;&#227;o de liga&#231;&#227;o identidade&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Foram avaliados fatores maternos pr&#233;&#8208;gestacionais&#58; peso &#40;vari&#225;vel cont&#237;nua&#44; em quilogramas&#41;&#59; IMC &#40;cont&#237;nua&#44; em kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#59; h&#225;bitos e hist&#243;rico gestacional&#46; Para vari&#225;veis gestacionais &#40;na 16<span class="elsevierStyleSup">a</span>&#44; 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana&#41; foram inclu&#237;das&#58; idade &#40;vari&#225;vel num&#233;rica&#44; em anos completos&#41;&#59; peso &#40;cont&#237;nua&#44; em quilogramas e sua fra&#231;&#227;o em gramas&#41;&#59; IMC&#59; GPG &#40;cont&#237;nua&#44; em quilograma&#44; a partir do peso pr&#233;&#8208;gestacional informado ou coletado do cart&#227;o e o peso na 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana&#41;&#59; gordura visceral e subcut&#226;nea &#40;vari&#225;veis cont&#237;nuas&#44; em cent&#237;metros&#41;&#59; circunfer&#234;ncia do bra&#231;o e da coxa &#40;cont&#237;nuas&#44; em cent&#237;metros&#44; por fita inel&#225;stica&#41;&#59; dobras cut&#226;neas suprail&#237;aca e tricipital &#40;cont&#237;nuas&#44; em mil&#237;metros&#44; atrav&#233;s do plic&#244;metro&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Para vari&#225;veis laboratoriais foram inclu&#237;dos n&#237;veis de&#58; colesterol total&#44; HDL&#8208;c&#44; LDL&#8208;c&#44; triglicer&#237;deos e glicemia de jejum &#40;vari&#225;veis cont&#237;nuas&#44; em miligramas por decilitro &#8208; mg&#47;dl&#41;&#59; insulinemia &#40;cont&#237;nua&#44; em micromol por mililitros &#8208; &#956;UI&#47;mL&#41; e RI &#40;&#91;HOMA&#8208;IR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#188; &#189; glicose de jejum &#40;nmol&#47;L&#41; x insulina em jejum &#40;IU&#47;mL&#41;&#47;22&#44;5&#93;&#44; normal&#44; se inferior a 2&#44;15&#41;&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">No feto foram avaliados&#58; PFE &#40;cont&#237;nua&#44; em gramas&#41;&#59; adiposidade visceral&#44; subcut&#226;nea&#44; circunfer&#234;ncia cef&#225;lica&#44; CA&#44; comprimento do f&#234;mur&#44; &#225;rea da coxa&#44; CCF e espessura da coxa &#40;vari&#225;veis cont&#237;nuas&#44; em mil&#237;metros&#41;&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Para determinar a correla&#231;&#227;o entre as vari&#225;veis dependentes &#40;adiposidade visceral fetal na 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana de gesta&#231;&#227;o&#41; e as demais vari&#225;veis&#44; usou&#8208;se o coeficiente de correla&#231;&#227;o de Pearson&#44; considerou&#8208;se o n&#237;vel de signific&#226;ncia de 5&#37;&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Para identifica&#231;&#227;o dos fatores associados &#224; adiposidade visceral fetal&#44; foi feita an&#225;lise de regress&#227;o linear m&#250;ltipla <span class="elsevierStyleItalic">stepwise</span>&#44; inclusive vari&#225;veis que tiveram um n&#237;vel de signific&#226;ncia de 20&#37; na an&#225;lise bivariada&#46; Para o modelo final as vari&#225;veis selecionadas foram aquelas que persistiram associadas ao desfecho ao n&#237;vel de signific&#226;ncia de 5&#37;&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Resultados</span><p id="par0140" class="elsevierStylePara elsevierViewall">Foram encaminhadas ao IPESQ 255 mulheres&#44; 200 foram inclu&#237;das e concordaram em participar&#46; Houve 28 perdas&#58; duas por perda do contato&#44; uma por &#243;bito fetal e 25 recusaram&#8208;se a voltar ou faltaram em duas etapas da coleta&#44; total de 172 pares &#40;m&#227;es&#47;conceptos&#41;&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">A m&#233;dia de idade das gestantes foi de 26&#44;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>5&#44;8 anos&#44; a m&#233;dia de peso na 16<span class="elsevierStyleSup">a</span> semana foi 62&#44;7<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>11&#44;5 quilogramas&#44; a m&#233;dia de adiposidade visceral foi 5&#44;2<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>1&#44;3<span class="elsevierStyleHsp" style=""></span>cm e subcut&#226;nea 2&#44;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>0&#44;8<span class="elsevierStyleHsp" style=""></span>cm&#46; De acordo com o IMC pr&#233;&#8208;gestacional 47&#44;0&#37; foi eutr&#243;fica e pela classifica&#231;&#227;o do GPG na 36<span class="elsevierStyleSup">a</span> semana&#44; 44&#44;1&#37; tiveram ganho insuficiente&#44; 32&#44;5&#37; adequado e 23&#44;3&#37; excessivo&#46; A frequ&#234;ncia de DMG foi de 2&#44;8&#37;&#46; A m&#233;dia de adiposidade visceral fetal na 28<span class="elsevierStyleSup">a</span> semana foi de 4&#44;4<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>0&#44;5<span class="elsevierStyleHsp" style=""></span>cm e na 36<span class="elsevierStyleSup">a</span> semana 6&#44;1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>0&#44;6<span class="elsevierStyleHsp" style=""></span>cm &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0150" class="elsevierStylePara elsevierViewall">Houve correla&#231;&#227;o positiva da adiposidade visceral fetal na 28<span class="elsevierStyleSup">a</span> semana com o n&#250;mero de gesta&#231;&#245;es &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;16&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;31 a &#8722;0&#44;00&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;03&#41; e n&#237;veis de triglicer&#237;deos na 16<span class="elsevierStyleSup">a</span> semana &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;19&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;33 a &#8722;0&#44;02&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;02&#41;&#46; A adiposidade visceral fetal na 36<span class="elsevierStyleSup">a</span> semana apresentou correla&#231;&#227;o com vari&#225;veis maternas&#58; intervalo intergestacional &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;21&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;38 a 0&#44;02&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;03&#41;&#44; IMC pr&#233;&#8208;gestacional &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;15&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;00 a 0&#44;30&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#44; peso &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;15&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;00 a 0&#44;30&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;04&#41; e IMC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;21&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;05 a 0&#44;35&#59; p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41; na 16<span class="elsevierStyleSup">a</span>&#59; com peso &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;19&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;03 a 0&#44;34&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#44; IMC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;24&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;08 a 0&#44;38&#59; p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41; e GPG &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;21&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;05 a 0&#44;36&#59; p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41; na 28<span class="elsevierStyleSup">a</span>&#59; com peso &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;22&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;07 a 0&#44;37&#59; p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41;&#44; IMC &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;26&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;10 a 0&#44;40&#59; p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41; e GPG &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;21&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;05 a 0&#44;36&#59; p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41; e LDL&#8208;c &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;19&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;35 a 0&#44;02&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;02&#41; na 36<span class="elsevierStyleSup">a</span> semana &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0155" class="elsevierStylePara elsevierViewall">A adiposidade visceral fetal na 28<span class="elsevierStyleSup">a</span> semana apresentou correla&#231;&#227;o com vari&#225;veis fetais nessa semana&#58; PFE &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;22&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;07 a 0&#44;36&#59; p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41;&#44; circunfer&#234;ncia cef&#225;lica &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;28&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;13 a 0&#44;41&#59; p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41; e &#225;rea da coxa &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;39&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;25 a 0&#44;50&#59; p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41;&#59; na 36<span class="elsevierStyleSup">a</span> semana com PFE &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;19&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;02 a 0&#44;33&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;02&#41;&#44; circunfer&#234;ncia cef&#225;lica &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;21&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;04 a 0&#44;35&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41; e CA &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;18&#59; IC95&#37;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;02 a 0&#44;33&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;03&#41;&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">A adiposidade visceral fetal na 36<span class="elsevierStyleSup">a</span> semana apresentou correla&#231;&#227;o com&#58; PFE &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;21&#59; r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;46&#41;&#44; CA fetal &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;20&#59; r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;50&#41;&#44; comprimento do f&#234;mur &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;17&#59; r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;25&#41;&#44; &#225;rea da coxa &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;26&#59; r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;35&#41; e CCF &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;23&#59; r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;35&#41; na 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana&#44; respectivamente &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0165" class="elsevierStylePara elsevierViewall">Ap&#243;s a an&#225;lise de regress&#227;o m&#250;ltipla permaneceram associados &#224; adiposidade visceral fetal na 28<span class="elsevierStyleSup">a</span> semana&#58; &#225;rea da coxa &#40;p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41;&#44; CA fetal &#40;p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41; e CCF &#40;p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001<span class="elsevierStyleItalic">&#41;</span> nessa semana e com circunfer&#234;ncia cef&#225;lica &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41; na 36<span class="elsevierStyleSup">a</span> semana&#46; Permaneceram associadas &#224; adiposidade visceral fetal na 36<span class="elsevierStyleSup">a</span> semana a CA fetal na 28<span class="elsevierStyleSup">a</span> &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;02&#41; e 36<span class="elsevierStyleSup">a</span> semana &#40;p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">tabela 4</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Discuss&#227;o</span><p id="par0170" class="elsevierStylePara elsevierViewall">As medidas fetais neste estudo estiveram dentro da m&#233;dia esperada para popula&#231;&#227;o e de acordo com a IG&#44; a m&#233;dia da CA na 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana permaneceu abaixo do percentil 90&#44; segundo a classifica&#231;&#227;o proposta por Hadlock&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a> Durante o crescimento fetal&#44; a adiposidade pode sofrer altera&#231;&#245;es decorrentes de h&#225;bitos maternos&#44; existem poucas evid&#234;ncias sobre fatores associados no meio intrauterino&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">21</span></a></p><p id="par0175" class="elsevierStylePara elsevierViewall">No presente estudo&#44; apenas a adiposidade visceral fetal na 36<span class="elsevierStyleSup">a</span> semana apresentou correla&#231;&#227;o positiva com fatores maternos&#58; peso&#44; IMC na 16<span class="elsevierStyleSup">a</span>&#44; 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana e GPG na 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana&#46; Essa correla&#231;&#227;o significativa entre o estado nutricional e o GPG com a adiposidade visceral em neonatos &#233; consistente com resultados de outros estudos&#46;<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">3&#44;22</span></a> Contudo&#44; al&#233;m de n&#227;o ter sido encontrado estudo que correlacione a adiposidade visceral fetal com esses fatores maternos&#44; resultados contradit&#243;rios do efeito da obesidade materna sobre a adiposidade nos filhos s&#227;o observados&#46;<a class="elsevierStyleCrossRefs" href="#bib0265"><span class="elsevierStyleSup">23&#44;24</span></a></p><p id="par0180" class="elsevierStylePara elsevierViewall">Em estudo que avaliou adiposidade visceral em neonatos e m&#227;es com DMG&#44; obesas e n&#227;o obesas&#44; n&#227;o se encontrou diferen&#231;a&#46;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">23</span></a> No entanto&#44; uma rela&#231;&#227;o positiva entre o IMC materno e a adiposidade abdominal em neonatos foi observada&#44; apesar de n&#227;o ter sido discriminada se subcut&#226;nea&#44; ou visceral&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">24</span></a></p><p id="par0185" class="elsevierStylePara elsevierViewall">O peso materno e a homeostase da glicose foram sugeridos como os mais importantes determinantes do crescimento fetal&#44; pode a hiperglicemia influenciar na transfer&#234;ncia de lip&#237;dios para o feto ou esses lip&#237;dios podem alterar as vias de transfer&#234;ncia de glicose na placenta&#46;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">25</span></a> Apesar de mais de um ter&#231;o dessa amostra estar com excesso de peso&#44; houve reduzida frequ&#234;ncia de DMG&#44; pode&#8208;se justificar a n&#227;o perman&#234;ncia da associa&#231;&#227;o dos fatores maternos com a adiposidade visceral fetal&#44; ficaram no modelo final apenas vari&#225;veis fetais&#46; Outros dois estudos tamb&#233;m n&#227;o observaram exposi&#231;&#227;o fetal &#224; hiperinsulinemia em gestantes sem DMG&#44; apesar de obesas&#46;<a class="elsevierStyleCrossRefs" href="#bib0280"><span class="elsevierStyleSup">26&#44;27</span></a></p><p id="par0190" class="elsevierStylePara elsevierViewall">Houve correla&#231;&#227;o da adiposidade visceral fetal na 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana com medidas fetais&#58; peso fetal estimado&#44; medidas da coxa e CA&#46; Nesse sentido&#44; em coorte prospectiva por USG na 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana&#44; o volume da coxa fetal na 28<span class="elsevierStyleSup">a</span> semana rendeu um modelo mais preciso para predi&#231;&#227;o de porcentagem de gordura corporal neonatal&#44; superou os modelos que usavam a CA e o PFE&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">28</span></a></p><p id="par0195" class="elsevierStylePara elsevierViewall">Cumpre destacar que nesse estudo na an&#225;lise de regress&#227;o linear m&#250;ltipla para controle dos fatores confundidores permaneceram associados &#224; adiposidade visceral fetal na 28<span class="elsevierStyleSup">a</span> semana a CA a circunfer&#234;ncia cef&#225;lica&#44; a &#225;rea e a CCF&#46; Essa rela&#231;&#227;o se justifica porque a mensura&#231;&#227;o da adiposidade visceral inclui os dep&#243;sitos de tecido adiposo no retroperit&#244;nio&#44; que influencia particularmente na CA fetal&#46; Essa medida se mostrou em estudo pr&#233;vio positivamente relacionada com a percentagem de gordura na metade da coxa &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;22&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;029&#41; e com a adiposidade subcut&#226;nea abdominal &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;27&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;004&#41;&#44; ap&#243;s ajuste para a &#225;rea de deposi&#231;&#227;o de gordura&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">29</span></a></p><p id="par0200" class="elsevierStylePara elsevierViewall">Um estudo de coorte acompanhou por USG 109 gestantes de baixo risco&#44; avaliou a adiposidade fetal na 12<span class="elsevierStyleSup">a</span>&#44; 20<span class="elsevierStyleSup">a</span> e 30<span class="elsevierStyleSup">a</span> semana&#44; observou que na 30<span class="elsevierStyleSup">a</span> semana pode constituir um melhor preditor de adiposidade do que o PFE pela biometria convencional&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">28</span></a> Reafirma&#8208;se que a t&#233;cnica &#40;USG&#41; usada neste estudo &#233; validada para avaliar adiposidade visceral fetal&#44; aumenta a confiabilidade de nossos resultados&#44; apesar de mais dif&#237;cil devido ao tamanho do feto&#44; &#233; uma limita&#231;&#227;o do estudo&#46;</p><p id="par0205" class="elsevierStylePara elsevierViewall">A adiposidade visceral fetal na 36<span class="elsevierStyleSup">a</span> semana permaneceu associada&#44; ap&#243;s an&#225;lise de regress&#227;o linear m&#250;ltipla&#44; com a CA fetal na 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana&#46; Um risco aumentado para adiposidade abdominal &#233; observado&#46; A CA&#44; avaliada por USG&#44; mostrou um maior crescimento no &#250;ltimo trimestre&#44; capaz de estimar o aumento do crescimento dos tecidos fetais insulino&#8208;dependentes com mais exatid&#227;o do que o di&#226;metro biparietal&#46;<a class="elsevierStyleCrossRefs" href="#bib0260"><span class="elsevierStyleSup">22&#44;30</span></a></p><p id="par0210" class="elsevierStylePara elsevierViewall">N&#227;o foi observada associa&#231;&#227;o entre a adiposidade visceral fetal e o perfil metab&#243;lico das gestantes nesse estudo&#44; resultado atribu&#237;do ao bom perfil metab&#243;lico das gestantes&#44; justificado com a baixa preval&#234;ncia de DMG&#46;</p><p id="par0215" class="elsevierStylePara elsevierViewall">A distribui&#231;&#227;o central da adiposidade&#44; na regi&#227;o abdominal&#44; zona de deposi&#231;&#227;o de tecido visceral&#44; est&#225; associada a fatores de risco cardiometab&#243;licos&#44; RI&#44; dislipidemia&#44; s&#237;ndrome metab&#243;lica e outras doen&#231;as em longo prazo&#46;<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">30</span></a> Portanto&#44; a adiposidade visceral fetal pode ser um indicador precoce de risco metab&#243;lico&#44; sua avalia&#231;&#227;o &#233; capaz de permitir melhor compreens&#227;o da ontogenia da deposi&#231;&#227;o de gordura&#44; justifica a a&#231;&#227;o nos determinantes e o desenvolvimento de interven&#231;&#245;es potenciais nesse per&#237;odo&#46;</p><p id="par0220" class="elsevierStylePara elsevierViewall">Essa coorte prospectiva abrange tr&#234;s trimestres gestacionais&#44; o que &#233; uma de suas vantagens&#44; pois&#44; al&#233;m de avaliar medidas longitudinais da biometria fetal e a adiposidade no bin&#244;mio &#40;m&#227;e&#47;feto&#41; por USG&#44; avalia a rela&#231;&#227;o dessas medidas com biomarcadores metab&#243;licos e antropom&#233;tricos&#44; tema pouco explorado no Brasil&#46;</p><p id="par0225" class="elsevierStylePara elsevierViewall">A USG &#233; uma t&#233;cnica &#250;til na avalia&#231;&#227;o dos dep&#243;sitos de gordura intra&#8208;abdominal&#44; tem correla&#231;&#227;o estatisticamente significante com a tomografia computadorizada&#46; Como limita&#231;&#227;o est&#225; a dificuldade t&#233;cnica da aferi&#231;&#227;o no terceiro trimestre&#44; h&#225; compress&#227;o do tecido adiposo pelo &#250;tero grav&#237;dico&#44; pode resultar em aferi&#231;&#245;es subestimadas ou superestimadas&#46;</p><p id="par0230" class="elsevierStylePara elsevierViewall">A homogeneidade da amostra&#44; o seguimento da gesta&#231;&#227;o e a inclus&#227;o de mulheres saud&#225;veis foram pontos fortes do estudo&#46; Estimativas ultrassonogr&#225;ficas da biometria fetal s&#227;o preditoras da sa&#250;de metab&#243;lica e embora sejam mais fidedignas no fim da gravidez&#44; nesse per&#237;odo a interven&#231;&#227;o pode ser menos efetiva&#44; justifica a necessidade de identificar preditores mais precocemente&#46;</p><p id="par0235" class="elsevierStylePara elsevierViewall">A adiposidade visceral fetal apresentou&#8208;se positivamente associada com a CA fetal&#44; medida de adiposidade de distribui&#231;&#227;o central&#44; de maior risco metab&#243;lico&#46; Este estudo &#233; um dos poucos a avaliar essa adiposidade&#44; s&#227;o necess&#225;rios estudos longitudinais para estabelecer as vias que atuam nos fatores maternos&#46; O real papel do IMC e do GPG materno&#44; por serem fatores de risco modific&#225;veis&#44; potencialmente preven&#237;veis&#44; persiste por ser elucidado em estudos futuros&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Financiamento</span><p id="par0240" class="elsevierStylePara elsevierViewall">Conselho Nacional de Desenvolvimento Cient&#237;fico e Tecnol&#243;gico &#40;CNPq&#41;&#44; Edital n&#176; 14&#47;2012 &#8211; aprovado em Novembro&#47;2012&#46; A fonte de &#64257;nanciamento n&#227;o teve outra participa&#231;&#227;o nas etapas do estudo&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Conflitos de interesse</span><p id="par0245" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To assess fetal visceral adiposity and associated factors during pregnancy&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Secondary analysis of prospective cohort data with 172 pairs &#40;pregnant woman&#47;fetus&#41; treated at public health units&#46; Anthropometric data&#44; metabolic &#40;glucose&#44; glycated hemoglobin&#44; insulin&#44; insulin resistance&#44; total cholesterol and fractions&#44; triglycerides&#41; measures&#44; fetal biometry&#44; and visceral and subcutaneous adiposity in the binomial &#40;pregnant woman&#47;fetus&#41; were evaluated at the 16<span class="elsevierStyleSup">th</span>&#44; 28<span class="elsevierStyleSup">th</span> and 36<span class="elsevierStyleSup">th</span> gestational weeks by ultrasonography&#46; Pearson&#39;s correlation coefficient and multiple linear regression were used&#44; with a significance level of 5&#37;&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">At the 16<span class="elsevierStyleSup">th</span> week&#44; the mean age of the pregnant women was 26&#46;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>5&#46;8 years and mean weight was 62&#46;7<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>11&#46;5<span class="elsevierStyleHsp" style=""></span>kg&#59; 47&#46;0&#37; had normal weight&#44; 28&#46;3&#37; were overweight&#44; 13&#46;3&#37; were underweight&#44; and 11&#46;2&#37; were obese&#46; At 36 weeks&#44; 44&#46;1&#37; had inadequate gestational weight gain&#44; 32&#46;5&#37; had adequate gestational weight gain&#44; and 23&#46;3&#37; had excessive gestational weight gain&#46; Fetal visceral adiposity at week 36 showed a positive correlation with maternal variables&#58; weight &#40;<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;15&#41; and body mass index &#40;<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;21&#41; at the 16<span class="elsevierStyleSup">th</span>&#59; with weight &#40;<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;19&#41;&#44; body mass index &#40;<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;24&#41;&#44; and gestational weight gain &#40;<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;21&#41; at the 28<span class="elsevierStyleSup">th</span>&#59; and with weight &#40;<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;22&#41;&#44; body mass index &#40;<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;26&#41;&#44; and gestational weight gain &#40;<span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;21&#41; at the 36<span class="elsevierStyleSup">th</span> week&#46; After multiple linear regression&#44; adiposity at the 28<span class="elsevierStyleSup">th</span> week remained associated with fetal variables&#58; abdominal circumference &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;0001&#41;&#44; head circumference &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;01&#41;&#44; area &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;0001&#41;&#44; and thigh circumference &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; At the 36<span class="elsevierStyleSup">th</span> week&#44; adiposity remained associated with the abdominal circumference of the 28<span class="elsevierStyleSup">th</span> &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;02&#41; and 36<span class="elsevierStyleSup">th</span> weeks &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Adiposity was positively correlated with the measurements of the pregnant woman&#46; After the multivariate analysis&#44; the persistence of the association occurred with the abdominal circumference&#44; a central adiposity measurement with a higher metabolic risk&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Avaliar a adiposidade visceral fetal e fatores associados na gesta&#231;&#227;o&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">An&#225;lise secund&#225;ria de dados de coorte prospectiva com 172 pares &#40;gestantes&#47;fetos&#41; atendidas em unidades p&#250;blicas de sa&#250;de&#46; Foram avaliadas nas gestantes na 16<span class="elsevierStyleSup">a</span>&#44; 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semana gestacional&#58; medidas antropom&#233;tricas&#44; metab&#243;licas &#40;glicose&#44; hemoglobina glicada&#44; insulina&#44; resist&#234;ncia &#224; insulina&#44; colesterol total e fra&#231;&#245;es&#44; triglicer&#237;deos&#41;&#44; biometria fetal e adiposidade visceral e subcut&#226;nea no bin&#244;mio &#40;gestantes&#47;feto&#41; por ultrassonografia&#46; Utilizamos o coeficiente de correla&#231;&#227;o de Pearson e regress&#227;o linear m&#250;ltipla&#44; com n&#237;vel de signific&#226;ncia de 5&#37;&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Na 16&#170; semana a m&#233;dia de idade das gestantes foi de 26&#44;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>5&#44;8 anos e peso 62&#44;7<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>11&#44;5 quilogramas&#44; 47&#44;0&#37; eram eutr&#243;ficas&#44; 28&#44;3&#37; sobrepeso&#44; 13&#44;3&#37; baixo peso e 11&#44;2&#37; obesas&#46; Na 36<span class="elsevierStyleSup">a</span> semana&#44; 44&#44;1&#37; tiveram ganho ponderal gestacional insuficiente&#44; 32&#44;5&#37; adequado e 23&#44;3&#37; excessivo&#46; A adiposidade visceral fetal na 36<span class="elsevierStyleSup">a</span> semana apresentou correla&#231;&#227;o positiva com vari&#225;veis maternas&#58; peso &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;15&#41; e &#237;ndice de massa corp&#243;rea &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;21&#41; na 16<span class="elsevierStyleSup">a</span>&#59; com peso &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;19&#41;&#44; &#237;ndice de massa corp&#243;rea &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;24&#41; e ganho ponderal gestacional &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;21&#41; na 28<span class="elsevierStyleSup">a</span>&#59; com peso &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;22&#41;&#44; &#237;ndice de massa corp&#243;rea &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;26&#41; e ganho ponderal gestacional &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;21&#41; na 36<span class="elsevierStyleSup">a</span> semana&#46; Ap&#243;s regress&#227;o linear m&#250;ltipla a adiposidade na 28<span class="elsevierStyleSup">a</span> semana permaneceu associada com vari&#225;veis fetais&#58; circunfer&#234;ncia abdominal &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41;&#44; circunfer&#234;ncia cef&#225;lica &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#44; &#225;rea &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41; e circunfer&#234;ncia da coxa &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; Na 36<span class="elsevierStyleSup">a</span> semana com circunfer&#234;ncia abdominal da 28<span class="elsevierStyleSup">a</span> &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;02&#41; e 36<span class="elsevierStyleSup">a</span> semana &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#227;o</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A adiposidade foi positivamente correlacionada com medidas da gestante&#44; ap&#243;s an&#225;lise multivariada a persist&#234;ncia da associa&#231;&#227;o deu&#8208;se com a circunfer&#234;ncia abdominal&#44; medida de adiposidade central&#44; de maior risco metab&#243;lico&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0035">Como citar este artigo&#58; Sena AS&#44; Souza AS&#44; Barros VO&#44; Lima MC&#44; Melo AS&#44; Amorim MM&#46; Prenatal factors associated with fetal visceral adiposity&#46; J Pediatr &#40;Rio J&#41;&#46; 2020&#59;96&#58;341&#8211;9&#46;</p>"
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                  \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">Idade&#44; anos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#44;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>5&#44;8&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">Escolaridade&#44; anos &#40;Md&#44; IQR&#124;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;0 &#40;0&#44;8&#8208;15&#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">Intervalo intergestacional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;5<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>3&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\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">N&#250;mero de gesta&#231;&#245;es &#40;Md&#44; IQR&#124;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;0&#8208;10&#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">Paridade &#40;Md&#44; IQR&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#8208;1&#44;5&#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">Dobra suprail&#237;aca&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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&#44;0<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\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">Dobra triciptal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&#44;5<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>6&#44;0&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">Adiposidade visceral&#44; cent&#237;metros&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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&#44;2<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>1&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\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">Adiposidade subcut&#226;nea&#44; cent&#237;metros&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>0&#44;8&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">IMC &#40;Kg&#47;m<span class="elsevierStyleSup">2</span>&#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&#44;0<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>4&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2305283.png"
              ]
            ]
            1 => 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">Classifica&#231;&#227;o de acordo com IMC&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 &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-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">Baixo 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">24 &#40;13&#44;0&#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">Eutr&#243;ficas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">92 &#40;48&#44;7&#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">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">71 &#40;38&#44;7&#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">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">187 &#40;100&#44;0&#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">Ganho ponderal&#44; quilograma&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2305289.png"
              ]
            ]
            2 => 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">Classifica&#231;&#227;o do ganho de peso &#40;36<span class="elsevierStyleSup">a</span> semana&#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 &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-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">Insuficiente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">72 &#40;44&#44;1&#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">Adequado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">53 &#40;32&#44;5&#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">Excessivo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38 &#40;23&#44;3&#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">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">163 &#40;100&#44;0&#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">Diabetes gestacional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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 &#40;2&#44;8&#37;&#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">Etilistas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19 &#40;9&#44;5&#37;&#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">Tabagistas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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 &#40;6&#37;&#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">Uso de drogas il&#237;citas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">01 &#40;0&#44;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2305285.png"
              ]
            ]
            3 => 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">Exames laboratoriais&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">X&#175;&#46; <span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>DP&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">Colesterol total&#44; mg&#47;dl&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">169&#44;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>30&#44;8&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">HDL colesterol&#44; mg&#47;dl&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&#44;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>11&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\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">LDL colesterol&#44; mg&#47;dl&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">97&#44;2<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>24&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">Triglicer&#237;deos&#44; mg&#47;dl&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</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>4&#44;1&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">18&#44;5<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>14&#44;2&nbsp;\t\t\t\t\t\t\n
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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
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">r&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">IC 95&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\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">r&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">IC 95&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&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">Idade&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;04&nbsp;\t\t\t\t\t\t\n
                  \t\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;19 a 0&#44;10&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;21 a 0&#44;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;42&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">Escolaridade&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;04&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8722;0&#44;10 a 0&#44;19&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;58&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;10 a 0&#44;20&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;09&nbsp;\t\t\t\t\t\t\n
                  \t\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;05 a 0&#44;24&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;19&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;01&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">&#8722;0&#44;16 a 0&#44;14&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">0&#44;89&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">Tabagismo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;05&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8722;0&#44;20 a 0&#44;09&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;49&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;00&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">&#8722;0&#44;16 a 0&#44;15&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 ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">N&#176; de gesta&#231;&#245;es&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;16&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">&#8722;0&#44;31 a &#8722;0&#44;00&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">0&#44;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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 a 0&#44;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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&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">Intervalo intergestacional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;02&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;20 a 0&#44;16&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">0&#44;81&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">N&#176; de consultas pr&#233;&#8208;natal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;03&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;18 a 0&#44;12&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">0&#44;69&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">0&#44;05&nbsp;\t\t\t\t\t\t\n
                  \t\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;10 a 0&#44;21&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">0&#44;48&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">Paridade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;11&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;26 a 0&#44;04&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;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="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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 a 0&#44;12&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">0&#44;63&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">Altura&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;03&nbsp;\t\t\t\t\t\t\n
                  \t\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;11 a 0&#44;18&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;07&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;22 a 0&#44;08&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">0&#44;36&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">Peso pr&#233;&#8208;gestacional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;02&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;73&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;14&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;01 a 0&#44;29&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">0&#44;07&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">IMC pr&#233;&#8208;gestacional&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">0&#44;01&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;13 a 0&#44;16&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;86&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;15&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;05&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">16</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">a</span></span><span class="elsevierStyleItalic">semana</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Adiposidade visceral&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Peso&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;00&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="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;14 a 0&#44;15&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">0&#44;92&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;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="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IMC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;12 a 0&#44;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;05 a 0&#44;35&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">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ganho ponderal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;01&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IMC&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">&#8722;0&#44;12 a 0&#44;17&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ganho ponderal&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="char" valign="\n
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                  \t\t\t\t">0&#44;05 a 0&#44;36&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Glicemia&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="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;07&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8722;0&#44;25 a 0&#44;11&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;08&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">&#8722;0&#44;26 a 0&#44;10&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">0&#44;40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="7" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="7" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">36</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">a</span></span><span class="elsevierStyleItalic">semana</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Peso&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="char" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IMC&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;10 a 0&#44;40&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ganho ponderal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;04 a 0&#44;27&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Colesterol total&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;17 a 0&#44;15&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;87&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8722;0&#44;12&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8722;0&#44;28 a 0&#44;03&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>LDL&#8208;c&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;06&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8722;0&#44;22 a 0&#44;10&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;47&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;19&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">&#8722;0&#44;35 a 0&#44;02&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>HDL&#8208;c&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;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="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;02 a 0&#44;30&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="left" valign="\n
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                  \t\t\t\t">0&#44;08&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="char" valign="\n
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                  \t\t\t\t">0&#44;13&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;02 a 0&#44;29&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Triglicer&#237;deos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;0&#44;07&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="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;23 a 0&#44;09&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Circunfer&#234;ncia cef&#225;lica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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 a 0&#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">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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 a 0&#44;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&#44;25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Circunfer&#234;ncia abdominal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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 a 0&#44;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;94&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;04 a 0&#44;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#193;rea coxa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;25 a 0&#44;50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;11 a 0&#44;40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Circunfer&#234;ncia da coxa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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 a 0&#44;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">0&#44;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;07 a 0&#44;37&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Espessura da coxa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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 a 0&#44;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;01 a 0&#44;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Comprimento do f&#234;mur&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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 a 0&#44;13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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 a 0&#44;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="7" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">36</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">a</span></span><span class="elsevierStyleItalic">semana</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Peso fetal estimado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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 a 0&#44;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;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">0&#44;32 a 0&#44;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Adiposidade visceral&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;02 a 0&#44;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Adiposidade subcut&#226;nea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;29 a 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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;07 a 0&#44;25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Circunfer&#234;ncia cef&#225;lica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\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;04 a 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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;01&nbsp;\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"><span class="elsevierStyleHsp" style=""></span>Circunfer&#234;ncia abdominal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;37 a 0&#44;60&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#193;rea coxa&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;20 a 0&#44;48&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&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\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Circunfer&#234;ncia da coxa&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;0&#44;04 a 0&#44;27&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">0&#44;15&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;35&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">0&#44;19 a 0&#44;47&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Espessura da coxa&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8722;0&#44;10 a 0&#44;20&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Comprimento do f&#234;mur&nbsp;\t\t\t\t\t\t\n
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          "pt" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Correla&#231;&#227;o das medidas fetais com a adiposidade visceral fetal na 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semanas</p>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Adiposidade visceral &#40;28<span class="elsevierStyleSup">a</span> semana&#41;</th></tr><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Adiposidade visceral &#40;36<span class="elsevierStyleSup">a</span> semana&#41;</th></tr><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis fetais&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Coeficiente&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Erro&#8208;padr&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&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
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Circunfer&#234;ncia abdominal &#40;28<span class="elsevierStyleSup">a</span> semana&#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="char" valign="\n
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                  \t\t\t\t">0&#44;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="char" valign="\n
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                  \t\t\t\t">0&#44;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;02&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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Circunfer&#234;ncia abdominal &#40;36<span class="elsevierStyleSup">a</span> semana&#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="char" valign="\n
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                  \t\t\t\t">0&#44;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="char" valign="\n
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                  \t\t\t\t">0&#44;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&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">CONSTANTE&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#8722;3&#44;54&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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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
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Regress&#227;o linear m&#250;ltipla <span class="elsevierStyleItalic">Stepwise</span>&#46;</p> <p class="elsevierStyleNotepara" id="npar0010">&#40;Equa&#231;&#227;o<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#61;</span><span class="elsevierStyleHsp" style=""></span>adiposidade visceral 28 semanas<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;3&#44;84<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&#225;rea da coxa 28<span class="elsevierStyleSup">a</span> semana &#8722;0&#44;14<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>0&#44;03&#41;&#46;</p> <p class="elsevierStyleNotepara" id="npar0015">&#40;Equa&#231;&#227;o<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#61;</span><span class="elsevierStyleHsp" style=""></span>adiposidade visceral 28 semanas<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;3&#44;84<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>circunfer&#234;ncia abdominal 28<span class="elsevierStyleSup">a</span> semana 0&#44;16<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>0&#44;03&#41;&#46;</p> <p class="elsevierStyleNotepara" id="npar0020">&#40;Equa&#231;&#227;o<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#61;</span><span class="elsevierStyleHsp" style=""></span>adiposidade visceral 28 semanas<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;3&#44;84<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>circunfer&#234;ncia da coxa 36<span class="elsevierStyleSup">a</span> semana 0&#44;12<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46;</p> <p class="elsevierStyleNotepara" id="npar0025">&#40;Equa&#231;&#227;o<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#61;</span><span class="elsevierStyleHsp" style=""></span>adiposidade visceral 28 semanas<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;3&#44;84<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>circunfer&#234;ncia cef&#225;lica 36<span class="elsevierStyleSup">a</span> semana 0&#44;15<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46;</p> <p class="elsevierStyleNotepara" id="npar0030">&#40;Equa&#231;&#227;o<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#61;</span><span class="elsevierStyleHsp" style=""></span>adiposidade visceral 36 semanas<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;3&#44;54<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>circunfer&#234;ncia abdominal 28<span class="elsevierStyleSup">a</span> semana 0&#44;11<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>circunfer&#234;ncia abdominal 36<span class="elsevierStyleSup">a</span> semana 0&#44;18<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46;</p>"
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        "descripcion" => array:1 [
          "pt" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Modelo final dos fatores associados com a adiposidade visceral na 28<span class="elsevierStyleSup">a</span> e 36<span class="elsevierStyleSup">a</span> semanas de idade gestacional</p>"
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        0 => array:2 [
          "identificador" => "bibs0015"
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            0 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Weight gain during pregnancy&#58; reexamining the guidelines"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Institute of Medicine &#40;US&#41; and National Research Council &#40;US&#41; Committee to Reexamine IOM Pregnancy Weight Guidelines"
                            1 => "K&#46;M&#46; Rasmussen"
                            2 => "A&#46;L&#46; Yaktine"
                          ]
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                    ]
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                    0 => array:1 [
                      "Libro" => array:3 [
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                        "editorialLocalizacion" => "Washington&#44; DC"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0160"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "National&#44; regional&#44; and global trends in body&#8208;mass index since 1980&#58; systematic analysis of health examination surveys and epidemiological studies with 960 country&#8208;years and 9&#46;1 million participants"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;M&#46; Finucane"
                            1 => "G&#46;A&#46; Stevens"
                            2 => "M&#46;J&#46; Cowan"
                            3 => "G&#46; Danaei"
                            4 => "J&#46;K&#46; Lin"
                            5 => "C&#46;J&#46; Paciorek"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "2011"
                        "volumen" => "377"
                        "paginaInicial" => "557"
                        "paginaFinal" => "567"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0165"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Associations of maternal weight status prior and during pregnancy with neonatal cardio&#8208;metabolic markers at birth&#58; the Healthy Start Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;J&#46; Lemas"
                            1 => "J&#46;T&#46; Brinton"
                            2 => "A&#46;L&#46; Shapiro"
                            3 => "D&#46;H&#46; Glueck"
                            4 => "J&#46;E&#46; Friedman"
                            5 => "D&#46; Dabelea"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Int J Obes &#40;Lond&#41;"
                        "fecha" => "2015"
                        "volumen" => "39"
                        "paginaInicial" => "1437"
                        "paginaFinal" => "1442"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0170"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The early origins of chronic heart failure&#58; impaired placental growth and initiation of insulin resistance in childhood"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "D&#46;J&#46; Barker"
                            1 => "J&#46; Gelow"
                            2 => "K&#46; Thornburg"
                            3 => "C&#46; Osmond"
                            4 => "E&#46; Kajantie"
                            5 => "J&#46;G&#46; Eriksson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/eurjhf/hfq069"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Heart Fail"
                        "fecha" => "2010"
                        "volumen" => "12"
                        "paginaInicial" => "819"
                        "paginaFinal" => "825"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20504866"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0175"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nutritional manipulations in the perinatal period program adipose tissue in offspring"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Lukaszewski"
                            1 => "D&#46; Eberle"
                            2 => "D&#46; Vieau"
                            3 => "C&#46; Breton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1152/ajpendo.00231.2013"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Physiol Endocrinol Metab"
                        "fecha" => "2013"
                        "volumen" => "305"
                        "paginaInicial" => "E1195"
                        "paginaFinal" => "E1207"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24045869"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0180"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Metabolic syndrome pathophysiology&#58; the role of adipose tissue"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Laclaustra"
                            1 => "D&#46; Corella"
                            2 => "J&#46;M&#46; Ordovas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.numecd.2006.10.005"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nutr Metab Cardiovasc Dis"
                        "fecha" => "2007"
                        "volumen" => "17"
                        "paginaInicial" => "125"
                        "paginaFinal" => "139"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17270403"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0185"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Regional impact of adipose tissue morphology on the metabolic pro&#64257;le in morbid obesity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Hoffstedt"
                            1 => "E&#46; Arner"
                            2 => "H&#46; Wahrenberg"
                            3 => "D&#46;P&#46; Andersson"
                            4 => "V&#46; Qvisth"
                            5 => "P&#46; L&#246;fgren"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00125-010-1889-3"
                      "Revista" => array:6 [
                        "tituloSerie" => "Diabetologia"
                        "fecha" => "2010"
                        "volumen" => "53"
                        "paginaInicial" => "2496"
                        "paginaFinal" => "2503"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20830466"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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              "etiqueta" => "8"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Catch&#8208;up growth and catch&#8208;up fat in children born small for gestational age"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
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                            1 => "B&#46; Suh"
                          ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3345/kjp.2016.59.1.1"
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                        "tituloSerie" => "Korean J Pediatr"
                        "fecha" => "2016"
                        "volumen" => "59"
                        "paginaInicial" => "1"
                        "paginaFinal" => "7"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26893597"
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                          ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of maternal obesity with and without gestational diabetes on offspring subcutaneous and preperitoneal adipose tissue development from birth up to year&#8208;1"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "K&#46; Uebel"
                            1 => "K&#46; Pusch"
                            2 => "K&#46; Gedrich"
                            3 => "K&#46;M&#46; Schneider"
                            4 => "H&#46; Hauner"
                            5 => "B&#46;L&#46; Bader"
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "BMC Pregn Childbirth"
                        "fecha" => "2014"
                        "volumen" => "14"
                        "paginaInicial" => "138"
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                    ]
                  ]
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              "identificador" => "bib0200"
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                    0 => array:2 [
                      "titulo" => "Plasma lipids and lipoproteins during pregnancy and related pregnancy outcomes"
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                            0 => "T&#46; Emet"
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                            2 => "S&#46;G&#46; G&#252;ven"
                            3 => "G&#46; Bal&#305;k"
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                            5 => "Y&#46;B&#46; Tekin"
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                      "doi" => "10.1007/s00404-013-2750-y"
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                        "tituloSerie" => "Arch Gynecol Obstet"
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                0 => array:2 [
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                      "titulo" => "Maternal weight gain in different periods of pregnancy and childhood cardio&#8208;metabolic outcomes&#46; The Generation R Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46; Gaillard"
                            1 => "E&#46;A&#46; Steegers"
                            2 => "O&#46;H&#46; Franco"
                            3 => "A&#46; Hofman"
                            4 => "V&#46;W&#46; Jaddoe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Int J Obes"
                        "fecha" => "2015"
                        "volumen" => "39"
                        "paginaInicial" => "677"
                        "paginaFinal" => "685"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0210"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Correlation between pre&#8208;pregnancy body mass index and maternal visceral adiposity with fetal biometry during the second trimester"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46;R&#46; Lopes"
                            1 => "A&#46;S&#46; Souza"
                            2 => "J&#46;N&#46; Figueiroa"
                            3 => "J&#46;G&#46; Alves"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/ijgo.12202"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Gynaecol Obstet"
                        "fecha" => "2017"
                        "volumen" => "138"
                        "paginaInicial" => "133"
                        "paginaFinal" => "137"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28485827"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0215"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prepregnancy body mass index and prenatal fasting glucose are effective predictors of early postpartum metabolic syndrome in Spanish mothers with gestational diabetes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "B&#46; Barquiel"
                            1 => "L&#46; Herranz"
                            2 => "N&#46; Hillman"
                            3 => "M&#46;A&#46; Burgos"
                            4 => "L&#46;F&#46; Pallardo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1089/met.2013.0153"
                      "Revista" => array:6 [
                        "tituloSerie" => "Metab Syndr Relat Disord"
                        "fecha" => "2014"
                        "volumen" => "12"
                        "paginaInicial" => "457"
                        "paginaFinal" => "463"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25099226"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0220"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The contribution of sonography to the measurement of intra&#8208;abdominal fat"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "F&#46; Armellini"
                            1 => "M&#46; Zamboni"
                            2 => "L&#46; Rigo"
                            3 => "T&#46; Todesco"
                            4 => "I&#46;A&#46; Bergamo-Andreis"
                            5 => "C&#46; Procacci"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/jcu.1870180707"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Ultrasound"
                        "fecha" => "1990"
                        "volumen" => "18"
                        "paginaInicial" => "563"
                        "paginaFinal" => "567"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2170455"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0225"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "<span class="elsevierStyleItalic">In utero</span> analysis of fetal growth&#58; a sonographic weight standard"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46;P&#46; Hadlock"
                            1 => "R&#46;B&#46; Harrist"
                            2 => "J&#46; Martinez-Poyer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.181.1.1887021"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1991"
                        "volumen" => "181"
                        "paginaInicial" => "129"
                        "paginaFinal" => "133"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1887021"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0230"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Obesity&#58; preventing and managing the global epidemic&#46; Report of a WHO Consultation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "World Health Organization &#40;WHO&#41;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2000"
                        "editorial" => "WHO"
                        "editorialLocalizacion" => "Geneva"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0235"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Propuesta de um nuevo est&#225;ndar de evaluaci&#243;n nutricional em embarazadas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Atalah"
                            1 => "C&#46; Castillo"
                            2 => "R&#46; Castro"
                            3 => "A&#46; Aldea"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Med Chile"
                        "fecha" => "1997"
                        "volumen" => "125"
                        "paginaInicial" => "1429"
                        "paginaFinal" => "1436"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9609018"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0240"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Generalized equations for predicting body density of men"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;S&#46; Jackson"
                            1 => "M&#46;L&#46; Pollock"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1079/bjn19780152"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Nutr"
                        "fecha" => "1978"
                        "volumen" => "40"
                        "paginaInicial" => "497"
                        "paginaFinal" => "504"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/718832"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0245"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Maternal leptin and body composition in the first trimester of pregnancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46; Fattah"
                            1 => "S&#46; Barry"
                            2 => "N&#46; O&#8217;Connor"
                            3 => "N&#46; Farah"
                            4 => "B&#46; Stuart"
                            5 => "M&#46;J&#46; Turner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3109/09513590.2010.491167"
                      "Revista" => array:6 [
                        "tituloSerie" => "Gynecol Endocrinol"
                        "fecha" => "2011"
                        "volumen" => "27"
                        "paginaInicial" => "263"
                        "paginaFinal" => "266"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20528571"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0250"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Standards of medical care in diabetes &#8211; 2017"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "American Diabetes Association"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Diabetes Care"
                        "fecha" => "2017"
                        "volumen" => "40"
                        "numero" => "Suppl&#46; 1"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0255"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Obesidade"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;G&#46; Alves"
                          ]
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:6 [
                        "editores" => "J&#46;G&#46;Alves, F&#46;Figueira"
                        "titulo" => "Doen&#231;as do adulto com ra&#237;zes na inf&#226;ncia"
                        "paginaInicial" => "91"
                        "paginaFinal" => "99"
                        "edicion" => "2nd ed&#46;"
                        "serieFecha" => "2010"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0260"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effects of suboptimal or excessive gestational weight gain on childhood overweight and abdominal adiposity&#58; results from a retrospective cohort study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46; Ensenauer"
                            1 => "A&#46; Chmitorz"
                            2 => "C&#46; Riedel"
                            3 => "N&#46; Fenske"
                            4 => "H&#46; Hauner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Int J Obes &#40;Lond&#41;"
                        "fecha" => "2013"
                        "volumen" => "37"
                        "paginaInicial" => "505"
                        "paginaFinal" => "512"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0265"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intrahepatic fat is increased in the neonatal offspring of obese women with gestational diabetes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;E&#46; Brumbaugh"
                            1 => "P&#46; Tearse"
                            2 => "M&#46; Cree-Green"
                            3 => "L&#46;Z&#46; Fenton"
                            4 => "M&#46; Brown"
                            5 => "A&#46; Scherzinger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Pediatr"
                        "fecha" => "2013"
                        "volumen" => "162"
                        "paginaInicial" => "930"
                        "paginaFinal" => "936"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0270"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The influence of maternal body mass index on infant adiposity and hepatic lipid content"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "N&#46; Modi"
                            1 => "D&#46; Murgasova"
                            2 => "R&#46; Ruager-Martin"
                            3 => "E&#46;L&#46; Thomas"
                            4 => "M&#46;J&#46; Hyde"
                            5 => "C&#46; Gale"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1203/PDR.0b013e318225f9b1"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Res"
                        "fecha" => "2011"
                        "volumen" => "70"
                        "paginaInicial" => "287"
                        "paginaFinal" => "291"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21629154"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0275"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fetal links to chronic disease&#58; the role of gestational diabetes mellitus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46; Durnwald"
                            1 => "M&#46; Landon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-0032-1324707"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Perinatol"
                        "fecha" => "2013"
                        "volumen" => "30"
                        "paginaInicial" => "343"
                        "paginaFinal" => "346"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22893552"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0280"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Defective insulin signaling in placenta from pregnancies complicated by gestational diabetes mellitus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Colomiere"
                            1 => "M&#46; Permezel"
                            2 => "C&#46; Riley"
                            3 => "G&#46; Desoye"
                            4 => "M&#46; Lappas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1530/EJE-09-0031"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Endocrinol"
                        "fecha" => "2009"
                        "volumen" => "160"
                        "paginaInicial" => "567"
                        "paginaFinal" => "578"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19179458"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0285"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Characterization of the insulin&#8208;like growth factor axis in term pregnancies complicated by maternal obesity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "Z&#46;M&#46; Ferraro"
                            1 => "Q&#46; Qiu"
                            2 => "A&#46; Gruslin"
                            3 => "K&#46;B&#46; Adamo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Hum Reprod"
                        "fecha" => "2012"
                        "volumen" => "27"
                        "paginaInicial" => "2467"
                        "paginaFinal" => "2475"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0290"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Can fetal limb soft tissue measurements in the third trimester predict neonatal adiposity&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46;S&#46; Moore"
                            1 => "A&#46;A&#46; Allshouse"
                            2 => "B&#46;M&#46; Fisher"
                            3 => "B&#46;F&#46; Kahn"
                            4 => "T&#46;L&#46; Hernandez"
                            5 => "M&#46;S&#46; Reece"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.7863/ultra.15.06028"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Ultrasound Med"
                        "fecha" => "2016"
                        "volumen" => "35"
                        "paginaInicial" => "1915"
                        "paginaFinal" => "1924"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27417735"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dietary balance during pregnancy is associated with fetal adiposity and fat distribution"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46;L&#46; Blumfield"
                            1 => "A&#46;J&#46; Hure"
                            2 => "L&#46;K&#46; MacDonald-Wicks"
                            3 => "R&#46; Smith"
                            4 => "S&#46;J&#46; Simpson"
                            5 => "W&#46;B&#46; Giles"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3945/ajcn.111.033241"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Clin Nutr"
                        "fecha" => "2012"
                        "volumen" => "96"
                        "paginaInicial" => "1032"
                        "paginaFinal" => "1041"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23034964"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0300"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of the diagnostic criteria of gestational metabolic syndrome and analysis of the risk factors"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;M&#46; Niu"
                            1 => "Q&#46; Lei"
                            2 => "L&#46;J&#46; L&#252;"
                            3 => "J&#46;Y&#46; Wen"
                            4 => "X&#46;H&#46; Lin"
                            5 => "D&#46;M&#46; Duan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Zhonghua Fu Chan Ke Za Zhi"
                        "fecha" => "2013"
                        "volumen" => "48"
                        "paginaInicial" => "92"
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Vol. 96. Núm. 3.
Páginas 341-349 (maio - junho 2020)
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Vol. 96. Núm. 3.
Páginas 341-349 (maio - junho 2020)
Artigo Original
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Prenatal factors associated with fetal visceral adiposity
Fatores pré‐natais associados à adiposidade visceral fetal
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Aline Silva Santos Senaa,
Autor para correspondência
ft.alinesena@hotmail.com

Autor para correspondência.
, Alex Sandro Rolland de Souzab,c,d, Vivianne de Oliveira Barrosa,b, Maria do Carmo Pinto Limaa,b, Adriana Suely Oliveira Meloa,b, Melania Maria Ramos de Amorima,b,e
a Instituto de Pesquisa Professor Joaquim Amorim Neto (IPESq), Campina Grande, PB, Brasil
b Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Programa de Pós‐graduação em Saúde Materno Infantil, Recife, PE, Brasil
c Universidade Federal Pernambuco (UFPE), Departamento de Saúde Materno‐Infantil, Recife, PE, Brasil
d Universidade Católica de Pernambuco (Unicap), Centro de Ciências Biológicas e Saúde, Recife, PE, Brasil
e Universidade Federal de Campina Grande (UFCG), Departamento de Ginecologia e Obstetrícia, Campina Grande, PB, Brasil
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Tabelas (4)
Tabela 1. Características biológicas, sociodemográficas, antropométricas, metabólicas e bioquímicas maternas na 16a semana gestacional
Tabela 2. Correlação das características biológicas, antropométricas, sociodemográficas, metabólicas e hemodinâmicas maternas com a adiposidade visceral fetal na 28a e 36a semanas
Tabela 3. Correlação das medidas fetais com a adiposidade visceral fetal na 28a e 36a semanas
Tabela 4. Modelo final dos fatores associados com a adiposidade visceral na 28a e 36a semanas de idade gestacional
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Abstract
Objective

To assess fetal visceral adiposity and associated factors during pregnancy.

Methods

Secondary analysis of prospective cohort data with 172 pairs (pregnant woman/fetus) treated at public health units. Anthropometric data, metabolic (glucose, glycated hemoglobin, insulin, insulin resistance, total cholesterol and fractions, triglycerides) measures, fetal biometry, and visceral and subcutaneous adiposity in the binomial (pregnant woman/fetus) were evaluated at the 16th, 28th and 36th gestational weeks by ultrasonography. Pearson's correlation coefficient and multiple linear regression were used, with a significance level of 5%.

Results

At the 16th week, the mean age of the pregnant women was 26.6±5.8 years and mean weight was 62.7±11.5kg; 47.0% had normal weight, 28.3% were overweight, 13.3% were underweight, and 11.2% were obese. At 36 weeks, 44.1% had inadequate gestational weight gain, 32.5% had adequate gestational weight gain, and 23.3% had excessive gestational weight gain. Fetal visceral adiposity at week 36 showed a positive correlation with maternal variables: weight (r=0.15) and body mass index (r=0.21) at the 16th; with weight (r=0.19), body mass index (r=0.24), and gestational weight gain (r=0.21) at the 28th; and with weight (r=0.22), body mass index (r=0.26), and gestational weight gain (r=0.21) at the 36th week. After multiple linear regression, adiposity at the 28th week remained associated with fetal variables: abdominal circumference (p<0.0001), head circumference (p=0.01), area (p<0.0001), and thigh circumference (p<0.001). At the 36th week, adiposity remained associated with the abdominal circumference of the 28th (p=0.02) and 36th weeks (p<0.001).

Conclusion

Adiposity was positively correlated with the measurements of the pregnant woman. After the multivariate analysis, the persistence of the association occurred with the abdominal circumference, a central adiposity measurement with a higher metabolic risk.

Keywords:
Adiposity
Weight gain
Pregnancy
Subcutaneous fat
Ultrasonography
Resumo
Objetivo

Avaliar a adiposidade visceral fetal e fatores associados na gestação.

Métodos

Análise secundária de dados de coorte prospectiva com 172 pares (gestantes/fetos) atendidas em unidades públicas de saúde. Foram avaliadas nas gestantes na 16a, 28a e 36a semana gestacional: medidas antropométricas, metabólicas (glicose, hemoglobina glicada, insulina, resistência à insulina, colesterol total e frações, triglicerídeos), biometria fetal e adiposidade visceral e subcutânea no binômio (gestantes/feto) por ultrassonografia. Utilizamos o coeficiente de correlação de Pearson e regressão linear múltipla, com nível de significância de 5%.

Resultados

Na 16ª semana a média de idade das gestantes foi de 26,6±5,8 anos e peso 62,7±11,5 quilogramas, 47,0% eram eutróficas, 28,3% sobrepeso, 13,3% baixo peso e 11,2% obesas. Na 36a semana, 44,1% tiveram ganho ponderal gestacional insuficiente, 32,5% adequado e 23,3% excessivo. A adiposidade visceral fetal na 36a semana apresentou correlação positiva com variáveis maternas: peso (r=0,15) e índice de massa corpórea (r=0,21) na 16a; com peso (r=0,19), índice de massa corpórea (r=0,24) e ganho ponderal gestacional (r=0,21) na 28a; com peso (r=0,22), índice de massa corpórea (r=0,26) e ganho ponderal gestacional (r=0,21) na 36a semana. Após regressão linear múltipla a adiposidade na 28a semana permaneceu associada com variáveis fetais: circunferência abdominal (p<0,0001), circunferência cefálica (p=0,01), área (p<0,0001) e circunferência da coxa (p<0,001). Na 36a semana com circunferência abdominal da 28a (p=0,02) e 36a semana (p<0,001).

Conclusão

A adiposidade foi positivamente correlacionada com medidas da gestante, após análise multivariada a persistência da associação deu‐se com a circunferência abdominal, medida de adiposidade central, de maior risco metabólico.

Palavras‐chave:
Adiposidade
Ganho de peso
Gestação
Gordura subcutânea
Ultrassonografia
Texto Completo
Introdução

O excesso de peso no período gestacional, considerado um problema de saúde pública, tem sido mais estudado com a finalidade de elucidar os mecanismos das alterações metabólicas nos filhos, no início da vida e em longo prazo.1,2 Associação do estado nutricional materno com marcadores cardiometabólicos ao nascer sugere que a adiposidade nos filhos pode ser prevenida no período intrauterino.3

Em resposta ao ambiente intrauterino adverso, o feto adapta seu desenvolvimento para maximizar suas chances de sobrevivência, há redefinição da homeostase metabólica, endócrina e do crescimento.4 O fenótipo, alterado ao nascimento, confirma a teoria que doenças crônicas apresentam raízes ainda mais precocemente, na fase fetal.4

O desenvolvimento do tecido adiposo faz‐se essencialmente no período intrauterino. Os mecanismos epigenéticos são fatores fundamentais para essa programação no pré‐natal. Assim, modificações reprogramam o metabolismo desse tecido, alteram sua distribuição corporal e definem adipogênese.5 O tecido adiposo, principalmente o visceral, é relacionado a alterações no metabolismo da glicose, bem como na sensibilidade à insulina.6 Nessa homeostase, o tecido subcutâneo é considerado um armazenador, porém os mecanismos biológicos dessas associações não são claros.7

A adiposidade visceral (intra‐abdominal) apresenta maior impacto sobre as alterações metabólicas devido à deterioração da sensibilidade à insulina.8 Neonatos com maior deposição de gordura visceral apresentaram maior chance de desenvolver resistência insulínica (RI), preditor independente do aumento da adiposidade na primeira semana de vida.9

Um perfil metabólico materno adverso e a interação significativa desse perfil na segunda metade da gravidez com o estado nutricional pré‐gestacional são fatores que podem estar associados à adiposidade fetal e neonatal.10 No entanto, não estão claros quais fatores metabólicos maternos têm impacto significativo sobre o crescimento, composição corporal, adiposidade fetal e em que fase da gravidez são mais relevantes.

Estudos sugerem que a adiposidade do concepto encontra‐se associada ao estado nutricional materno no início da gravidez, ao ganho de peso gestacional (GPG) e que a adiposidade visceral materna se correlaciona positivamente com a biometria fetal avaliada por ultrassonografia.11,12

O objetivo do presente estudo foi identificar fatores maternos e da biometria fetal associados à adiposidade visceral fetal.

MétodosDesenho do estudo

Análise secundária de dados de coorte que envolveu 172 pares (gestantes/fetos). Estudo feito no Instituto Paraibano de Pesquisa Professor Joaquim Amorim Neto (IPESQ), Campina Grande, Paraíba, de setembro/2014 a dezembro/2015, iniciado após aprovação pelo Comitê de Ética em Pesquisa do Hospital Universitário Alcides Carneiro da Universidade Federal da Paraíba (HUAC/UFPB) (CAAE: 79559817.2.0000.5182).

Amostra

O cálculo do tamanho amostral foi feito com o programa estatístico de domínio público Open Epi, versão 2.3 (Atlanta, GA), assumiu‐se uma frequência de 22,8% de circunferência abdominal (CA) materna aumentada no pós‐parto imediato.13 Para um poder de 85% e um nível de confiança de 95%, seriam necessárias 148 gestantes. A amostra foi aumentada em 30%, previram‐se eventuais perdas de acompanhamento, total de 200 gestantes.

Critérios de elegibilidade

Foram incluídas gestantes com feto vivo, idade gestacional (IG) menor ou igual a 16 semanas, em acompanhamento pré‐natal no município de Campina Grande‐PB. Foram excluídas gestantes portadoras de doenças psiquiátricas, doenças crônicas (diabetes mellitus, hipertensão arterial sistêmica, cardiopatias, nefropatias epilepsia e insuficiência renal), gestação múltipla, adolescentes na ausência de representante legal e casos de malformações congênitas.

As gestantes foram captadas nas unidades públicas de saúde, encaminhadas ao IPESQ, foi feita ultrassonografia (USG) obstétrica para confirmar a IG (até a 16a semana) e afastar malformações fetais. Foram explicados os objetivos e somente foram incluídas caso concordassem e assinassem o termo de consentimento livre e esclarecido.

Foram estudadas variáveis maternas: idade (anos); peso pré‐gestacional e peso atual (quilograma); altura (metros); índice de massa corpórea (IMC) (kg/m2); número de gestações e consultas; intervalo intergestacional; escolaridade (anos completos); paridade; hábitos de vida (álcool, tabagismo e drogas ilícitas); estado nutricional (obesidade, sobrepeso, eutrofia e baixo peso); GPG (28a e 36a semana); classificação do GPG (insuficiente, adequado e excessivo); adiposidade visceral e subcutânea; circunferência da coxa; circunferência do braço; dobras cutâneas (suprailíaca e triciptal); glicemia de jejum; teste oral de tolerância à glicose (TOTG); insulina de jejum; colesterol total; colesterol lipoproteína de alta densidade (HDL‐c); colesterol lipoproteína de baixa densidade (LDL‐c); triglicerídeos; índice de RI (HOMA‐IR) e hemoglobina glicada (HbA1c).

As variáveis fetais avaliadas foram: peso fetal estimado (PFE); CA e cefálica; comprimento do fêmur; circunferência da coxa fetal (CCF), área e espessura da coxa; adiposidade visceral e subcutânea.

Coleta de dados

As pacientes foram avaliadas na 16a (primeira visita), na 28a e 36a semana (mais ou menos uma semana), não foi calculada a IG precisa no dia da coleta de dados. A USG foi feita por um único observador, especialista em medicina fetal. A adiposidade visceral e subcutânea materna foi mensurada apenas na 16a semana, segundo a técnica descrita por Armellini et al.,14 com o aparelho Voluson 730 expert (GE), com transdutor linear de 2‐7MHz colocado a um centímetro da cicatriz umbilical, a espessura da gordura visceral foi medida, em centímetros (cm), a partir da borda interna do músculo reto abdominal, no nível da linha alba, até a parede anterior da aorta abdominal. A gordura subcutânea foi medida a partir da distância mínima da gordura subcutânea a linha alba, foi considerado o menor valor a essa altura.

Para avaliar as medidas fetais foi usado o mesmo aparelho com a sonda convexa, de 2‐5MHz, geralmente adotada como padrão para USG obstétrica. A mensuração do tecido visceral foi feita na 28a e 36a semana de gestação, obteve‐se um corte ultrassonográfico em secção transversa da CA fetal a um centímetro da inserção do cordão umbilical. A imagem foi ampliada e fixada, a medida do tecido visceral abdominal foi mensurada em milímetros (mm).14 Os calipers foram cuidadosamente colocados na borda exterior da pele e na margem interior da parede abdominal anterior, para mensuração do tecido subcutâneo abdominal, mensurado apenas na 36a semana.

O acúmulo de tecido adiposo também foi aferido na coxa fetal, obteve‐se um corte ultrassonográfico em secção transversal na metade da coxa. A imagem foi fixada, ampliada e mensurada, em mm, correspondeu à distância do exterior do fêmur para a borda interna da pele.14 O cálculo do PFE foi avaliado através da equação de Hadlock.15

Na 16a, 28a e 36a semana as gestantes foram submetidas à avaliação antropométrica de peso, altura e foi calculado o IMC. O IMC pré‐gestacional foi determinado segundo o peso e altura antes da gravidez, informados pela gestante na 16a semana, classificou‐se em: baixo peso (IMC ≤ 18,5kg/m2), eutrofia (18,5 <IMC <25kg/m2), sobrepeso (25 ≤ IMC <30kg/m2) e obesidade (IMC ≥ 30kg/m2).16 As gestantes foram classificadas quanto ao estado nutricional segundo a IG.17 O GPG foi obtido através da diferença entre o peso na semana avaliada e o peso pré‐gestacional.

Foram mensuradas na gestante: circunferência do braço, no ponto médio do braço entre o acrômio e o olécrano; circunferência da coxa, na metade da distância entre a linha inguinal e a borda superior da patela; e as pregas cutâneas na região do tríceps e suprailíaca, com o plicômetro de Lange.18 As adiposidades visceral e subcutânea nas gestantes só foram mensuradas na 16a semana, nos demais trimestres houve dificuldade técnica para aferição, quando há compressão do tecido adiposo pelo útero gravídico.19

A análise bioquímica feita na 16a e 36a semana gestacional incluiu colesterol total, HDL‐c, LDL‐c, triglicerídeos, HbA1c, insulina, glicemia de jejum e RI. Foi considerado diagnóstico de diabetes mellitus gestacional (DMG) a medida de glicose de jejum igual ou superior a 92mg/dL ou HbA1c igual ou superior a 6,5% na 16a semana, além do TOTG com sobrecarga de 75g de glicose anidra que apresentasse um ou mais valores alterados, feito entre a 24a e 28a semana. Foram considerados alterados valores da glicemia de jejum, com uma hora e duas horas após a sobrecarga de glicose, maiores que ou iguais a 92mg/dL, 180mg/dL e 153mg/dL, respectivamente.20

Análise dos dados

Para análise estatística, usou‐se o programa Medcalc v.18.6. (Medical Software, USA), R Core Team (2017) e o programa de domínio público Epi‐Info v.7.2.2.6 (Atlanta, GA). Foram construídas tabelas de distribuição de frequência para variáveis categóricas, calcularam‐se medidas de tendência central (média ou mediana) e de dispersão (desvio‐padrão ou intervalo interquartil) para as variáveis quantitativas. Houve normalidade nos resíduos com 36 semanas, no entanto não houve normalidade nos resíduos do modelo ajustado, para 28 semanas, então ajustaram‐se modelos lineares generalizados e a distribuição mais adequada foi normal inversa com função de ligação identidade.

Foram avaliados fatores maternos pré‐gestacionais: peso (variável contínua, em quilogramas); IMC (contínua, em kg/m2); hábitos e histórico gestacional. Para variáveis gestacionais (na 16a, 28a e 36a semana) foram incluídas: idade (variável numérica, em anos completos); peso (contínua, em quilogramas e sua fração em gramas); IMC; GPG (contínua, em quilograma, a partir do peso pré‐gestacional informado ou coletado do cartão e o peso na 28a e 36a semana); gordura visceral e subcutânea (variáveis contínuas, em centímetros); circunferência do braço e da coxa (contínuas, em centímetros, por fita inelástica); dobras cutâneas suprailíaca e tricipital (contínuas, em milímetros, através do plicômetro).

Para variáveis laboratoriais foram incluídos níveis de: colesterol total, HDL‐c, LDL‐c, triglicerídeos e glicemia de jejum (variáveis contínuas, em miligramas por decilitro ‐ mg/dl); insulinemia (contínua, em micromol por mililitros ‐ μUI/mL) e RI ([HOMA‐IR=¼ ½ glicose de jejum (nmol/L) x insulina em jejum (IU/mL)/22,5], normal, se inferior a 2,15).

No feto foram avaliados: PFE (contínua, em gramas); adiposidade visceral, subcutânea, circunferência cefálica, CA, comprimento do fêmur, área da coxa, CCF e espessura da coxa (variáveis contínuas, em milímetros).

Para determinar a correlação entre as variáveis dependentes (adiposidade visceral fetal na 28a e 36a semana de gestação) e as demais variáveis, usou‐se o coeficiente de correlação de Pearson, considerou‐se o nível de significância de 5%.

Para identificação dos fatores associados à adiposidade visceral fetal, foi feita análise de regressão linear múltipla stepwise, inclusive variáveis que tiveram um nível de significância de 20% na análise bivariada. Para o modelo final as variáveis selecionadas foram aquelas que persistiram associadas ao desfecho ao nível de significância de 5%.

Resultados

Foram encaminhadas ao IPESQ 255 mulheres, 200 foram incluídas e concordaram em participar. Houve 28 perdas: duas por perda do contato, uma por óbito fetal e 25 recusaram‐se a voltar ou faltaram em duas etapas da coleta, total de 172 pares (mães/conceptos).

A média de idade das gestantes foi de 26,6±5,8 anos, a média de peso na 16a semana foi 62,7±11,5 quilogramas, a média de adiposidade visceral foi 5,2±1,3cm e subcutânea 2,3±0,8cm. De acordo com o IMC pré‐gestacional 47,0% foi eutrófica e pela classificação do GPG na 36a semana, 44,1% tiveram ganho insuficiente, 32,5% adequado e 23,3% excessivo. A frequência de DMG foi de 2,8%. A média de adiposidade visceral fetal na 28a semana foi de 4,4±0,5cm e na 36a semana 6,1±0,6cm (tabela 1).

Tabela 1.

Características biológicas, sociodemográficas, antropométricas, metabólicas e bioquímicas maternas na 16a semana gestacional

Variáveis maternas  X¯ ±DP 
Idade, anos  26,6±5,8 
Escolaridade, anos (Md, IQR|)  3,0 (0,8‐15) 
Intervalo intergestacional  3,5±3,2 
Número de gestações (Md, IQR|)  2 (0‐10) 
Paridade (Md, IQR)  1 (0‐1,5) 
Dobra suprailíaca  23,0±9,2 
Dobra triciptal  21,5±6,0 
Adiposidade visceral, centímetros  5,2±1,3 
Adiposidade subcutânea, centímetros  2,3±0,8 
IMC (Kg/m225,0±4,3 
Classificação de acordo com IMC  N (%) 
Baixo peso  24 (13,0) 
Eutróficas  92 (48,7) 
Sobrepeso/Obesidade  71 (38,7) 
Total  187 (100,0) 
Ganho ponderal, quilograma  1,1±2,9 
Classificação do ganho de peso (36a semana)  N (%) 
Insuficiente  72 (44,1) 
Adequado  53 (32,5) 
Excessivo  38 (23,3) 
Total  163 (100,0) 
Diabetes gestacional  5 (2,8%) 
Etilistas  19 (9,5%) 
Tabagistas  11 (6%) 
Uso de drogas ilícitas  01 (0,5%) 
Exames laboratoriais  X¯. ±DP 
Colesterol total, mg/dl  169,6±30,8 
HDL colesterol, mg/dl  50,3±11,1 
LDL colesterol, mg/dl  97,2±24,0 
Triglicerídeos, mg/dl  112,4±56,7 
Glicemia de jejum, mg/dl  70,1±15,2 
Insulina de jejum  5,8±4,1 
HOMA‐IR  18,5±14,2 
Variáveis fetais  ±DP 
Adiposidade visceral fetal, milímetros (28a semana)  4,4±0,5 
Adiposidade visceral fetal, milímetros (36a semana)  6,1±0,6 
Adiposidade subcutânea fetal, milímetros (36a semana)  4,4±1,6 

X¯, média; DP, desvio‐padrão; HDL‐c, colesterol lipoproteína de baixa densidade; HOMA‐IR, Homeostatic model assessment insulin resistance; IMC, índice de massa corporal; IQR, intervalo interquartil; LDL‐c, colesterol lipoproteína de alta densidade; Md, mediana.;

Houve correlação positiva da adiposidade visceral fetal na 28a semana com o número de gestações (r=−0,16; IC95%=−0,31 a −0,00; p=0,03) e níveis de triglicerídeos na 16a semana (r=−0,19; IC95%=−0,33 a −0,02; p=0,02). A adiposidade visceral fetal na 36a semana apresentou correlação com variáveis maternas: intervalo intergestacional (r=−0,21; IC95%=−0,38 a 0,02; p=0,03), IMC pré‐gestacional (r=0,15; IC95%=−0,00 a 0,30; p=0,05), peso (r=0,15; IC95%=0,00 a 0,30; p=0,04) e IMC (r=0,21; IC95%=0,05 a 0,35; p <0,0001) na 16a; com peso (r=0,19; IC95%=0,03 a 0,34; p=0,01), IMC (r=0,24; IC95%=0,08 a 0,38; p <0,0001) e GPG (r=0,21; IC95%=0,05 a 0,36; p <0,0001) na 28a; com peso (r=0,22; IC95%=0,07 a 0,37; p <0,0001), IMC (r=0,26; IC95%=0,10 a 0,40; p <0,0001) e GPG (r=0,21; IC95%=0,05 a 0,36; p <0,0001) e LDL‐c (r=−0,19; IC95%=−0,35 a 0,02; p=0,02) na 36a semana (tabela 2).

Tabela 2.

Correlação das características biológicas, antropométricas, sociodemográficas, metabólicas e hemodinâmicas maternas com a adiposidade visceral fetal na 28a e 36a semanas

Variáveis maternas  Adiposidade visceral fetal(28a semana)Adiposidade visceral fetal(36a semana)
  IC 95%  IC 95% 
Idade  −0,04  −0,19 a 0,10  0,53  −0,06  −0,21 a 0,09  0,42 
Escolaridade  0,04  −0,10 a 0,19  0,58  0,05  −0,10 a 0,20  0,52 
Renda per capita  0,09  −0,05 a 0,24  0,19  −0,01  −0,16 a 0,14  0,89 
Tabagismo  −0,05  −0,20 a 0,09  0,49  −0,00  −0,16 a 0,15  0,93 
N° de gestações  −0,16  −0,31 a −0,00  0,03  −0,06  −0,22 a 0,09  0,40 
Intervalo intergestacional  −0,02  −0,20 a 0,16  0,81  −0,21  −0,38 a 0,02  0,03 
N° de consultas pré‐natal  −0,03  −0,18 a 0,12  0,69  0,05  −0,10 a 0,21  0,48 
Paridade  −0,11  −0,26 a 0,04  0,14  −0,03  −0,20 a 0,12  0,63 
Altura  0,03  −0,11 a 0,18  0,66  −0,07  −0,22 a 0,08  0,36 
Peso pré‐gestacional  0,02  −0,12 a 0,17  0,73  0,14  −0,01 a 0,29  0,07 
IMC pré‐gestacional  0,01  −0,13 a 0,16  0,86  0,15  −0,00 a 0,30  0,05 
16asemana
Adiposidade visceral  0,00  −0,14 a 0,15  0,96  0,02  −0,14 a 0,17  0,83 
Peso  0,00  −0,14 a 0,15  0,92  0,15  0,00 a 0,30  0,04 
IMC  0,02  −0,12 a 0,17  0,75  0,21  0,05 a 0,35  <0,0001 
Ganho ponderal  −0,00  −0,15 a 0,14  0,92  0,08  −0,07 a 0,23  0,29 
Colesterol total  0,03  −0,12 a 0,19  0,66  0,07  −0,09 a 0,24  0,38 
LDL‐c  0,09  −0,07 a 0,24  0,27  0,06  −0,10 a 0,23  0,45 
HDL‐c  0,07  −0,08 a 0,23  0,34  0,15  −0,01 a 0,31  0,08 
Triglicerídeos  −0,19  −0,33 a −0,02  0,02  0,10  −0,07 a 0,27  0,25 
Glicemia  −0,05  −0,20 a 0,11  0,55  0,05  −0,11 a 0,22  0,49 
Insulina  −0,10  −0,26 a 0,06  0,23  0,07  −0,10 a 0,24  0,41 
HOMA‐IR  −0,09  −0,25 a 0,07  0,26  0,08  −0,09 a 0,25  0,34 
HgbA1‐c  0,01  −0,17 a 0,20  0,84  0,04  −0,15 a 0,25  0,64 
28asemana
Peso  0,03  −0,12 a 0,17  0,69  0,19  0,03 a 0,34  0,01 
IMC  0,02  −0,12 a 0,17  0,70  0,24  0,08 a 0,38  <0,0001 
Ganho ponderal  0,11  −0,03 a 0,26  0,14  0,21  0,05 a 0,36  <0,0001 
Glicemia  −0,07  −0,25 a 0,11  0,46  −0,08  −0,26 a 0,10  0,40 
36asemana
Peso  0,11  −0,04 a 0,26  0,16  0,22  0,07 a 0,37  <0,0001 
IMC  0,11  −0,05 a 0,26  0,17  0,26  0,10 a 0,40  <0,0001 
Ganho ponderal  0,11  −0,04 a 0,27  0,15  0,21  0,05 a 0,36  <0,0001 
Colesterol total  −0,01  −0,17 a 0,15  0,87  −0,12  −0,28 a 0,03  0,12 
LDL‐c  −0,06  −0,22 a 0,10  0,47  −0,19  −0,35 a 0,02  0,02 
HDL‐c  0,15  −0,02 a 0,30  0,08  0,13  −0,02 a 0,29  0,09 
Triglicerídeos  −0,07  −0,23 a 0,09  0,38  −0,01  −0,17 a 0,15  0,86 
Glicemia  −0,08  −0,23 a 0,09  0,37  0,09  −0,07 a 0,25  0,26 
Insulina  −0,15  −0,31 a 0,02  0,10  0,12  −0,05 a 0,29  0,17 
HOMA‐IR  −0,05  −0,19 a 0,10  0,54  0,03  −0,12 a 0,18  0,69 
HgbA1‐c  −0,00  −0,17 a 0,16  0,95  0,14  −0,02 a 0,30  0,09 

HDL‐c, colesterol lipoproteína de baixa densidade; HgbA1‐c, Hemoglobina glicada; HOMA‐IR, Homeostatic model assessment insulin resistance;IC, intervalo de confiança; IMC, índice de massa corporal; LDL‐c, colesterol lipoproteína de alta densidade; N°, número; p, nível de significância; r, coeficiente de correlação de Pearson.

A adiposidade visceral fetal na 28a semana apresentou correlação com variáveis fetais nessa semana: PFE (r=0,22; IC95%=0,07 a 0,36; p <0,0001), circunferência cefálica (r=0,28; IC95%=0,13 a 0,41; p <0,0001) e área da coxa (r=0,39; IC95%=0,25 a 0,50; p <0,0001); na 36a semana com PFE (r=0,19; IC95%=0,02 a 0,33; p=0,02), circunferência cefálica (r=0,21; IC95%=0,04 a 0,35; p=0,01) e CA (r=0,18; IC95%=0,02 a 0,33; p=0,03).

A adiposidade visceral fetal na 36a semana apresentou correlação com: PFE (r=0,21; r=0,46), CA fetal (r=0,20; r=0,50), comprimento do fêmur (r=0,17; r=0,25), área da coxa (r=0,26; r=0,35) e CCF (r=0,23; r=0,35) na 28a e 36a semana, respectivamente (tabela 3).

Tabela 3.

Correlação das medidas fetais com a adiposidade visceral fetal na 28a e 36a semanas

Variáveis fetais  Adiposidade visceral fetal(28a semana)Adiposidade visceral fetal(36a semana)
  IC 95%  IC 95% 
Sexo  0,04  −0,11 a 0,18  0,62  −0,03  −0,18 a 0,12  0,72 
28asemana
Peso fetal estimado  0,22  0,07 a 0,36  <0,0001  0,21  0,04 a 0,35  0,01 
Adiposidade visceral  ‐  ‐  ‐  0,14  −0,02 a 0,29  0,09 
Circunferência cefálica  0,28  0,13 a 0,41  <0,0001  0,09  −0,06 a 0,24  0,25 
Circunferência abdominal  0,01  −0,14 a 0,15  0,94  0,20  0,04 a 0,34  0,01 
Área coxa  0,39  0,25 a 0,50  <0,0001  0,26  0,11 a 0,40  <0,0001 
Circunferência da coxa  0,13  −0,02 a 0,27  0,10  0,23  0,07 a 0,37  <0,0001 
Espessura da coxa  −0,05  −0,20 a 0,09  0,48  0,14  −0,01 a 0,29  0,08 
Comprimento do fêmur  −0,01  −0,16 a 0,13  0,85  0,17  0,01 a 0,32  0,03 
36asemana
Peso fetal estimado  0,19  0,02 a 0,33  0,02  0,46  0,32 a 0,57  <0,0001 
Adiposidade visceral  0,14  −0,02 a 0,29  0,09  ‐  ‐  ‐ 
Adiposidade subcutânea  −0,14  −0,29 a 0,02  0,11  0,09  −0,07 a 0,25  0,27 
Circunferência cefálica  0,21  0,04 a 0,35  0,01  0,15  −0,00 a 0,30  0,06 
Circunferência abdominal  0,18  0,02 a 0,33  0,03  0,50  0,37 a 0,60  <0,0001 
Área coxa  0,10  −0,06 a 0,25  0,24  0,35  0,20 a 0,48  <0,0001 
Circunferência da coxa  0,12  −0,04 a 0,27  0,15  0,35  0,19 a 0,47  <0,0001 
Espessura da coxa  0,12  −0,04 a 0,27  0,16  0,05  −0,10 a 0,20  0,50 
Comprimento do fêmur  0,06  −0,10 a 0,22  0,47  0,25  0,09 a 0,39  <0,0001 

IC, intervalo de confiança; p, nível de significância; r, coeficiente de correlação de Pearson.

Após a análise de regressão múltipla permaneceram associados à adiposidade visceral fetal na 28a semana: área da coxa (p <0,0001), CA fetal (p <0,0001) e CCF (p <0,0001) nessa semana e com circunferência cefálica (p=0,01) na 36a semana. Permaneceram associadas à adiposidade visceral fetal na 36a semana a CA fetal na 28a (p=0,02) e 36a semana (p <0,0001) (tabela 4).

Tabela 4.

Modelo final dos fatores associados com a adiposidade visceral na 28a e 36a semanas de idade gestacional

Adiposidade visceral (28a semana)
Variáveis fetais  Coeficiente  Erro‐padrão  pa 
Área da coxa (28a semana)  −0,14  0,03  <0,0001 
Circunferência abdominal (28a semana)  0,16  0,03  <0,0001 
CCF (28a semana)  0,15  0,05  <0,0001 
Circunferência cefálica (36a semana)  0,12  0,05  0,01 
CONSTANTE  −3,84     
Adiposidade visceral (36a semana)
Variáveis fetais  Coeficiente  Erro‐padrão  pa 
Circunferência abdominal (28a semana)  0,11  0,05  0,02 
Circunferência abdominal (36a semana)  0,18  0,05  <0,0001 
CONSTANTE  −3,54     

CCF, circunferência da coxa fetal.

a

Regressão linear múltipla Stepwise.

(Equação=adiposidade visceral 28 semanas=−3,84+área da coxa 28a semana −0,14+0,03).

(Equação=adiposidade visceral 28 semanas=−3,84+circunferência abdominal 28a semana 0,16+0,03).

(Equação=adiposidade visceral 28 semanas=−3,84+circunferência da coxa 36a semana 0,12+0,05).

(Equação=adiposidade visceral 28 semanas=−3,84+circunferência cefálica 36a semana 0,15+0,05).

(Equação=adiposidade visceral 36 semanas=−3,54+circunferência abdominal 28a semana 0,11+circunferência abdominal 36a semana 0,18+0,05).

Discussão

As medidas fetais neste estudo estiveram dentro da média esperada para população e de acordo com a IG, a média da CA na 28a e 36a semana permaneceu abaixo do percentil 90, segundo a classificação proposta por Hadlock.18 Durante o crescimento fetal, a adiposidade pode sofrer alterações decorrentes de hábitos maternos, existem poucas evidências sobre fatores associados no meio intrauterino.21

No presente estudo, apenas a adiposidade visceral fetal na 36a semana apresentou correlação positiva com fatores maternos: peso, IMC na 16a, 28a e 36a semana e GPG na 28a e 36a semana. Essa correlação significativa entre o estado nutricional e o GPG com a adiposidade visceral em neonatos é consistente com resultados de outros estudos.3,22 Contudo, além de não ter sido encontrado estudo que correlacione a adiposidade visceral fetal com esses fatores maternos, resultados contraditórios do efeito da obesidade materna sobre a adiposidade nos filhos são observados.23,24

Em estudo que avaliou adiposidade visceral em neonatos e mães com DMG, obesas e não obesas, não se encontrou diferença.23 No entanto, uma relação positiva entre o IMC materno e a adiposidade abdominal em neonatos foi observada, apesar de não ter sido discriminada se subcutânea, ou visceral.24

O peso materno e a homeostase da glicose foram sugeridos como os mais importantes determinantes do crescimento fetal, pode a hiperglicemia influenciar na transferência de lipídios para o feto ou esses lipídios podem alterar as vias de transferência de glicose na placenta.25 Apesar de mais de um terço dessa amostra estar com excesso de peso, houve reduzida frequência de DMG, pode‐se justificar a não permanência da associação dos fatores maternos com a adiposidade visceral fetal, ficaram no modelo final apenas variáveis fetais. Outros dois estudos também não observaram exposição fetal à hiperinsulinemia em gestantes sem DMG, apesar de obesas.26,27

Houve correlação da adiposidade visceral fetal na 28a e 36a semana com medidas fetais: peso fetal estimado, medidas da coxa e CA. Nesse sentido, em coorte prospectiva por USG na 28a e 36a semana, o volume da coxa fetal na 28a semana rendeu um modelo mais preciso para predição de porcentagem de gordura corporal neonatal, superou os modelos que usavam a CA e o PFE.28

Cumpre destacar que nesse estudo na análise de regressão linear múltipla para controle dos fatores confundidores permaneceram associados à adiposidade visceral fetal na 28a semana a CA a circunferência cefálica, a área e a CCF. Essa relação se justifica porque a mensuração da adiposidade visceral inclui os depósitos de tecido adiposo no retroperitônio, que influencia particularmente na CA fetal. Essa medida se mostrou em estudo prévio positivamente relacionada com a percentagem de gordura na metade da coxa (r=0,22; p=0,029) e com a adiposidade subcutânea abdominal (r=0,27; p=0,004), após ajuste para a área de deposição de gordura.29

Um estudo de coorte acompanhou por USG 109 gestantes de baixo risco, avaliou a adiposidade fetal na 12a, 20a e 30a semana, observou que na 30a semana pode constituir um melhor preditor de adiposidade do que o PFE pela biometria convencional.28 Reafirma‐se que a técnica (USG) usada neste estudo é validada para avaliar adiposidade visceral fetal, aumenta a confiabilidade de nossos resultados, apesar de mais difícil devido ao tamanho do feto, é uma limitação do estudo.

A adiposidade visceral fetal na 36a semana permaneceu associada, após análise de regressão linear múltipla, com a CA fetal na 28a e 36a semana. Um risco aumentado para adiposidade abdominal é observado. A CA, avaliada por USG, mostrou um maior crescimento no último trimestre, capaz de estimar o aumento do crescimento dos tecidos fetais insulino‐dependentes com mais exatidão do que o diâmetro biparietal.22,30

Não foi observada associação entre a adiposidade visceral fetal e o perfil metabólico das gestantes nesse estudo, resultado atribuído ao bom perfil metabólico das gestantes, justificado com a baixa prevalência de DMG.

A distribuição central da adiposidade, na região abdominal, zona de deposição de tecido visceral, está associada a fatores de risco cardiometabólicos, RI, dislipidemia, síndrome metabólica e outras doenças em longo prazo.30 Portanto, a adiposidade visceral fetal pode ser um indicador precoce de risco metabólico, sua avaliação é capaz de permitir melhor compreensão da ontogenia da deposição de gordura, justifica a ação nos determinantes e o desenvolvimento de intervenções potenciais nesse período.

Essa coorte prospectiva abrange três trimestres gestacionais, o que é uma de suas vantagens, pois, além de avaliar medidas longitudinais da biometria fetal e a adiposidade no binômio (mãe/feto) por USG, avalia a relação dessas medidas com biomarcadores metabólicos e antropométricos, tema pouco explorado no Brasil.

A USG é uma técnica útil na avaliação dos depósitos de gordura intra‐abdominal, tem correlação estatisticamente significante com a tomografia computadorizada. Como limitação está a dificuldade técnica da aferição no terceiro trimestre, há compressão do tecido adiposo pelo útero gravídico, pode resultar em aferições subestimadas ou superestimadas.

A homogeneidade da amostra, o seguimento da gestação e a inclusão de mulheres saudáveis foram pontos fortes do estudo. Estimativas ultrassonográficas da biometria fetal são preditoras da saúde metabólica e embora sejam mais fidedignas no fim da gravidez, nesse período a intervenção pode ser menos efetiva, justifica a necessidade de identificar preditores mais precocemente.

A adiposidade visceral fetal apresentou‐se positivamente associada com a CA fetal, medida de adiposidade de distribuição central, de maior risco metabólico. Este estudo é um dos poucos a avaliar essa adiposidade, são necessários estudos longitudinais para estabelecer as vias que atuam nos fatores maternos. O real papel do IMC e do GPG materno, por serem fatores de risco modificáveis, potencialmente preveníveis, persiste por ser elucidado em estudos futuros.

Financiamento

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Edital n° 14/2012 – aprovado em Novembro/2012. A fonte de financiamento não teve outra participação nas etapas do estudo.

Conflitos de interesse

Os autores declaram não haver conflitos de interesse.

Agradecimentos

Ao Instituto de Pesquisa Professor Joaquim Amorim Neto (IPESq) por ser sede da coleta de dados.

Referências
[1]
Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines, K.M. Rasmussen, A.L. Yaktine.
Weight gain during pregnancy: reexamining the guidelines.
National Academies Press, (2009),
[2]
M.M. Finucane, G.A. Stevens, M.J. Cowan, G. Danaei, J.K. Lin, C.J. Paciorek, et al.
National, regional, and global trends in body‐mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country‐years and 9.1 million participants.
Lancet, 377 (2011), pp. 557-567
[3]
D.J. Lemas, J.T. Brinton, A.L. Shapiro, D.H. Glueck, J.E. Friedman, D. Dabelea, et al.
Associations of maternal weight status prior and during pregnancy with neonatal cardio‐metabolic markers at birth: the Healthy Start Study.
Int J Obes (Lond), 39 (2015), pp. 1437-1442
[4]
D.J. Barker, J. Gelow, K. Thornburg, C. Osmond, E. Kajantie, J.G. Eriksson.
The early origins of chronic heart failure: impaired placental growth and initiation of insulin resistance in childhood.
Eur J Heart Fail, 12 (2010), pp. 819-825
[5]
M. Lukaszewski, D. Eberle, D. Vieau, C. Breton.
Nutritional manipulations in the perinatal period program adipose tissue in offspring.
Am J Physiol Endocrinol Metab, 305 (2013), pp. E1195-E1207
[6]
M. Laclaustra, D. Corella, J.M. Ordovas.
Metabolic syndrome pathophysiology: the role of adipose tissue.
Nutr Metab Cardiovasc Dis, 17 (2007), pp. 125-139
[7]
J. Hoffstedt, E. Arner, H. Wahrenberg, D.P. Andersson, V. Qvisth, P. Löfgren, et al.
Regional impact of adipose tissue morphology on the metabolic profile in morbid obesity.
Diabetologia, 53 (2010), pp. 2496-2503
[8]
G.K. Cho, B. Suh.
Catch‐up growth and catch‐up fat in children born small for gestational age.
Korean J Pediatr, 59 (2016), pp. 1-7
[9]
K. Uebel, K. Pusch, K. Gedrich, K.M. Schneider, H. Hauner, B.L. Bader.
Effect of maternal obesity with and without gestational diabetes on offspring subcutaneous and preperitoneal adipose tissue development from birth up to year‐1.
BMC Pregn Childbirth, 14 (2014), pp. 138
[10]
T. Emet, I. Ustüner, S.G. Güven, G. Balık, U.M. Ural, Y.B. Tekin.
Plasma lipids and lipoproteins during pregnancy and related pregnancy outcomes.
Arch Gynecol Obstet, 288 (2013), pp. 49-55
[11]
R. Gaillard, E.A. Steegers, O.H. Franco, A. Hofman, V.W. Jaddoe.
Maternal weight gain in different periods of pregnancy and childhood cardio‐metabolic outcomes. The Generation R Study.
Int J Obes, 39 (2015), pp. 677-685
[12]
K.R. Lopes, A.S. Souza, J.N. Figueiroa, J.G. Alves.
Correlation between pre‐pregnancy body mass index and maternal visceral adiposity with fetal biometry during the second trimester.
Int J Gynaecol Obstet, 138 (2017), pp. 133-137
[13]
B. Barquiel, L. Herranz, N. Hillman, M.A. Burgos, L.F. Pallardo.
Prepregnancy body mass index and prenatal fasting glucose are effective predictors of early postpartum metabolic syndrome in Spanish mothers with gestational diabetes.
Metab Syndr Relat Disord, 12 (2014), pp. 457-463
[14]
F. Armellini, M. Zamboni, L. Rigo, T. Todesco, I.A. Bergamo-Andreis, C. Procacci, et al.
The contribution of sonography to the measurement of intra‐abdominal fat.
J Clin Ultrasound, 18 (1990), pp. 563-567
[15]
F.P. Hadlock, R.B. Harrist, J. Martinez-Poyer.
In utero analysis of fetal growth: a sonographic weight standard.
Radiology, 181 (1991), pp. 129-133
[16]
World Health Organization (WHO).
Obesity: preventing and managing the global epidemic. Report of a WHO Consultation.
WHO, (2000),
[17]
E. Atalah, C. Castillo, R. Castro, A. Aldea.
Propuesta de um nuevo estándar de evaluación nutricional em embarazadas.
Rev Med Chile, 125 (1997), pp. 1429-1436
[18]
A.S. Jackson, M.L. Pollock.
Generalized equations for predicting body density of men.
Br J Nutr, 40 (1978), pp. 497-504
[19]
C. Fattah, S. Barry, N. O’Connor, N. Farah, B. Stuart, M.J. Turner.
Maternal leptin and body composition in the first trimester of pregnancy.
Gynecol Endocrinol, 27 (2011), pp. 263-266
[20]
American Diabetes Association.
Standards of medical care in diabetes – 2017.
Diabetes Care, 40 (2017),
[21]
J.G. Alves.
Obesidade.
Doenças do adulto com raízes na infância, 2nd ed., pp. 91-99
[22]
R. Ensenauer, A. Chmitorz, C. Riedel, N. Fenske, H. Hauner.
Effects of suboptimal or excessive gestational weight gain on childhood overweight and abdominal adiposity: results from a retrospective cohort study.
Int J Obes (Lond), 37 (2013), pp. 505-512
[23]
D.E. Brumbaugh, P. Tearse, M. Cree-Green, L.Z. Fenton, M. Brown, A. Scherzinger, et al.
Intrahepatic fat is increased in the neonatal offspring of obese women with gestational diabetes.
J Pediatr, 162 (2013), pp. 930-936
[24]
N. Modi, D. Murgasova, R. Ruager-Martin, E.L. Thomas, M.J. Hyde, C. Gale, et al.
The influence of maternal body mass index on infant adiposity and hepatic lipid content.
Pediatr Res, 70 (2011), pp. 287-291
[25]
C. Durnwald, M. Landon.
Fetal links to chronic disease: the role of gestational diabetes mellitus.
Am J Perinatol, 30 (2013), pp. 343-346
[26]
M. Colomiere, M. Permezel, C. Riley, G. Desoye, M. Lappas.
Defective insulin signaling in placenta from pregnancies complicated by gestational diabetes mellitus.
Eur J Endocrinol, 160 (2009), pp. 567-578
[27]
Z.M. Ferraro, Q. Qiu, A. Gruslin, K.B. Adamo.
Characterization of the insulin‐like growth factor axis in term pregnancies complicated by maternal obesity.
Hum Reprod, 27 (2012), pp. 2467-2475
[28]
G.S. Moore, A.A. Allshouse, B.M. Fisher, B.F. Kahn, T.L. Hernandez, M.S. Reece, et al.
Can fetal limb soft tissue measurements in the third trimester predict neonatal adiposity?.
J Ultrasound Med, 35 (2016), pp. 1915-1924
[29]
M.L. Blumfield, A.J. Hure, L.K. MacDonald-Wicks, R. Smith, S.J. Simpson, W.B. Giles.
Dietary balance during pregnancy is associated with fetal adiposity and fat distribution.
Am J Clin Nutr, 96 (2012), pp. 1032-1041
[30]
J.M. Niu, Q. Lei, L.J. Lü, J.Y. Wen, X.H. Lin, D.M. Duan.
Evaluation of the diagnostic criteria of gestational metabolic syndrome and analysis of the risk factors.
Zhonghua Fu Chan Ke Za Zhi, 48 (2013), pp. 92-97

Como citar este artigo: Sena AS, Souza AS, Barros VO, Lima MC, Melo AS, Amorim MM. Prenatal factors associated with fetal visceral adiposity. J Pediatr (Rio J). 2020;96:341–9.

Estudo conduzido no Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, PE, Brasil.

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