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elaborado por el Internacional Council of Scientific Unions y que recoge los procedimientos esenciales para el estudio biol&#243;gico de las poblaciones humanas<a class="elsevierStyleCrossRefs" href="#bib25"><span class="elsevierStyleSup">25&#44;26</span></a>&#46; Para medir la dinamometr&#237;a&#44; en concreto&#44; se utiliz&#243; un dinam&#243;metro digital &#40;Takei Ltd&#46;&#41; con precisi&#243;n de 100<span class="elsevierStyleHsp" style=""></span>g y ajustable al tama&#241;o de la mano&#46; El sujeto con el brazo extendido y paralelo al tronco&#44; sujetaba el aparato y ejerc&#237;a la fuerza m&#225;xima&#46; Tras un intento de prueba y un tiempo de recuperaci&#243;n de un minuto&#44; la maniobra se repiti&#243; 2 veces alternando la mano derecha y la mano izquierda&#46; Como medida v&#225;lida se anot&#243; el mejor de los 2 intentos efectuados con cada extremidad&#46; Asimismo&#44; se apunt&#243; si el sujeto era diestro o zurdo a fin de conocer cu&#225;l era su mano dominante&#59; en el 96&#37; de los casos result&#243; ser la mano derecha&#46;</p><p class="elsevierStylePara elsevierViewall">Como variable derivada se calcul&#243; el &#237;ndice de masa corporal &#40;IMC&#41; &#40;peso &#91;kg&#93;&#47;talla<span class="elsevierStyleSup">2</span> &#91;m<span class="elsevierStyleSup">2</span>&#93;&#41;&#46; Tambi&#233;n se estim&#243; la densidad&#44; el peso magro &#40;PM&#41;&#44; o libre de grasa&#44; y el porcentaje de grasa corporal &#40;&#37;G&#41; empleando las ecuaciones de Durnin y Womersley<a class="elsevierStyleCrossRef" href="#bib27"><span class="elsevierStyleSup">27</span></a> y Siri<a class="elsevierStyleCrossRef" href="#bib28"><span class="elsevierStyleSup">28</span></a>&#44; cuyas expresiones matem&#225;ticas completas se encuentran en un art&#237;culo precedente que los autores publicaron en esta revista<a class="elsevierStyleCrossRef" href="#bib29"><span class="elsevierStyleSup">29</span></a>&#46; Para calcular la composici&#243;n corporal en la zona mesobraquial se aplicaron las expresiones de Gurney y Jellife<a class="elsevierStyleCrossRef" href="#bib30"><span class="elsevierStyleSup">30</span></a>&#58; <ul class="elsevierStyleList"><li class="elsevierStyleListItem"><p class="elsevierStylePara elsevierViewall">&#193;rea total del brazo &#40;ATB&#41; &#61; C<span class="elsevierStyleSup">2</span>&#47;&#40;4<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#960;</span>&#41;</p></li><li class="elsevierStyleListItem"><p class="elsevierStylePara elsevierViewall">&#193;rea muscular del brazo &#40;AMB&#41; &#61; &#91;C&#8211;&#40;Ts<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#960;</span>&#41;&#93;<span class="elsevierStyleSup">2</span>&#47;&#40;4<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#960;</span>&#41;</p></li><li class="elsevierStyleListItem"><p class="elsevierStylePara elsevierViewall">&#193;rea grasa del brazo &#40;AGB&#41; &#61; ATB&#8722;AMB</p></li><li class="elsevierStyleListItem"><p class="elsevierStylePara elsevierViewall">Donde C es el per&#237;metro del brazo en extensi&#243;n &#40;cm&#41; y Ts es el pliegue tricipital &#40;cm&#41;&#46;</p></li></ul></p><p class="elsevierStylePara elsevierViewall">El an&#225;lisis estad&#237;stico se llev&#243; a cabo con el programa SPSS 14&#46;0&#46; Para analizar la variabilidad ontog&#233;nica y sexual se efectuaron previamente pruebas de normalidad mediante los test de Kolmogorov-Smirnov y Shapiro-Wilk&#44; y con posteridad se aplicaron los test de la U de Mann-Whitney&#46; Las curvas se suavizaron mediante el m&#233;todo de la m&#237;nima mediana de los cuadrados&#44; y los est&#225;ndares para varones y mujeres se construyeron aportando el valor de la media y la desviaci&#243;n est&#225;ndar &#40;DE&#41; as&#237; como la distribuci&#243;n percentilar por clase de edad &#40;a&#241;os cumplidos&#41;&#46; El grado de asociaci&#243;n entre la dinamometr&#237;a de la mano&#44; el IMC y las medidas de tama&#241;o y composici&#243;n corporal se analiz&#243; mediante el coeficiente de correlaci&#243;n de Spearman&#46;</p></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Resultados y discusi&#243;n</span><p class="elsevierStylePara elsevierViewall">Como se refleja en las <a class="elsevierStyleCrossRefs" href="#fig1">figuras 1 y 2</a>&#44; durante el per&#237;odo estudiado la fuerza de presi&#243;n de ambas manos fue aumentando progresiva y significativamente con la edad&#44; aunque con distinto ritmo en cada uno de los sexos &#40;especialmente desde las edades peripuberales&#41;&#46; A pesar de que el car&#225;cter transversal del estudio implica ciertas limitaciones con relaci&#243;n al c&#225;lculo de ritmos o tasas de variaci&#243;n respecto al tiempo&#44; el tama&#241;o muestral con el que se trabaj&#243; permiti&#243; obtener resultados coherentes&#46; De esta forma&#44; puede observarse que los mayores incrementos se produjeron entre los 9 y los 11<span class="elsevierStyleHsp" style=""></span>a&#241;os en las ni&#241;as y m&#225;s tarde&#44; entre los 13 y los 14 a&#241;os&#44; en los varones&#44; en los que se aprecia con gran claridad el &#171;pico&#187; de m&#225;xima aceleraci&#243;n del estir&#243;n prepuberal&#46; La velocidad de crecimiento sigue en ambas manos una pauta semejante al modelo general propio de la estatura y las dimensiones longitudinales en su conjunto<a class="elsevierStyleCrossRefs" href="#bib31"><span class="elsevierStyleSup">31&#44;32</span></a>&#46; Como consecuencia de los mayores incrementos anuales en la serie masculina&#44; el dimorfismo sexual comienza a ser estad&#237;sticamente significativo a partir de los 12<span class="elsevierStyleHsp" style=""></span>a&#241;os &#40;test de la U de Mann-Whitney&#59; p &#60; 0&#44;05&#41;&#44; cuando las diferencias entre los promedios masculino y femenino se acent&#250;an&#44; y alcanza el m&#225;ximo en las 5 &#250;ltimas clases de edad &#40;p &#60; 0&#44;001&#41;&#46; En l&#237;neas generales y para los tramos de edad que han podido compararse&#44; ya que no se han encontrado investigaciones que abarquen la totalidad del per&#237;odo&#44; el patr&#243;n descrito coincide con lo observado en ni&#241;os estadounidenses&#44; belgas y cubanos<a class="elsevierStyleCrossRefs" href="#bib33"><span class="elsevierStyleSup">33&#8211;35</span></a>&#46;</p><elsevierMultimedia ident="fig1"></elsevierMultimedia><elsevierMultimedia ident="fig2"></elsevierMultimedia><p class="elsevierStylePara elsevierViewall">Los est&#225;ndares de dinamometr&#237;a para ambos sexos y manos se muestran en las <a class="elsevierStyleCrossRefs" href="#tbl1">tablas 1 y 2</a>&#44; e incluyen para cada categor&#237;a de edad el valor de la media&#44; de la DE y la distribuci&#243;n del percentil &#40;P5&#44; P25&#44; P50&#44; P75&#44; P90 y P99&#41;&#46; Cabe precisar que en los patrones confeccionados para adultos se suele incorporar el valor del 85&#37; de la media como l&#237;mite de la normalidad<a class="elsevierStyleCrossRefs" href="#bib36"><span class="elsevierStyleSup">36&#8211;38</span></a>&#46; En realidad&#44; como se ha comprobado al revisar la bibliograf&#237;a&#44; tal punto de corte resulta objetivo s&#243;lo para la predicci&#243;n de complicaciones derivadas de intervenciones quir&#250;rgicas<a class="elsevierStyleCrossRef" href="#bib39"><span class="elsevierStyleSup">39</span></a> y&#44; en cualquier caso&#44; no tiene utilidad demostrada en ni&#241;os o en adolescentes&#46; Por esto no se ha considerado oportuno incluir aqu&#237; este par&#225;metro y s&#237; seguir las recomendaciones de las normas construidas para uso pedi&#225;trico&#44; que abogan por el habitual tratamiento de la distribuci&#243;n en percentiles como los aqu&#237; establecidos<span class="elsevierStyleSup">24&#44;</span><a class="elsevierStyleCrossRef" href="#bib35"><span class="elsevierStyleSup">35</span></a>&#46;</p><elsevierMultimedia ident="tbl1"></elsevierMultimedia><elsevierMultimedia ident="tbl2"></elsevierMultimedia><p class="elsevierStylePara elsevierViewall">Los valores que reportan los est&#225;ndares permiten comprobar con mayor detalle las caracter&#237;sticas del modelo de desarrollo que corresponde a la dinamometr&#237;a de presi&#243;n manual en la poblaci&#243;n objeto de estudio&#46; Tanto la variabilidad interindividual&#44; que se refleja en las cifras de la DE&#44; como las diferencias entre manos tienden a incrementarse ligeramente en chicos y chicas a lo largo del per&#237;odo analizado&#44; lo que reflejar&#237;a preferentemente el efecto del entrenamiento o la mejor coordinaci&#243;n muscular resultante de la lateralidad o la dominancia<a class="elsevierStyleCrossRef" href="#bib40"><span class="elsevierStyleSup">40</span></a>&#46; Cabe precisar que en la &#250;ltima clase de edad&#44; la diferencia entre la fuerza de la mano derecha e izquierda es pr&#225;cticamente id&#233;ntica en ambos sexos&#58; 1&#44;99<span class="elsevierStyleHsp" style=""></span>kg para la serie masculina y 2&#44;01 kg para la serie femenina&#46; El mismo fen&#243;meno se reporta en los est&#225;ndares que en el 2008 se han publicado para la poblaci&#243;n brasile&#241;a a partir de un amplio estudio poblacional con una muestra superior a los 4&#46;000 individuos y que comienza precisamente a los 20<span class="elsevierStyleHsp" style=""></span>a&#241;os<a class="elsevierStyleCrossRef" href="#bib38"><span class="elsevierStyleSup">38</span></a>&#46; Los autores reportan para los j&#243;venes brasile&#241;os de la misma edad diferencias entre una y otra mano de 1&#44;5<span class="elsevierStyleHsp" style=""></span>kg para los varones y de 1&#44;6<span class="elsevierStyleHsp" style=""></span>kg para las mujeres&#46; En t&#233;rminos generales&#44; en la poblaci&#243;n espa&#241;ola parece observarse una cierta tendencia a la disminuci&#243;n de la forma f&#237;sica que se refleja a trav&#233;s de la fuerza dinamom&#233;trica m&#225;xima cuando se comparan estudios llevados a cabo en las d&#233;cadas de 1980 y 1990<a class="elsevierStyleCrossRefs" href="#bib1"><span class="elsevierStyleSup">1&#44;23</span></a> frente a los m&#225;s recientes&#44; entre los que se incluye el presente&#46; La trascendencia de este cambio lleva a considerar en profundidad este tema en un pr&#243;ximo trabajo&#46;</p><p class="elsevierStylePara elsevierViewall">En las <a class="elsevierStyleCrossRefs" href="#tbl3">tablas 3 a 5</a> se reflejan las estad&#237;sticas descriptivas para el resto de las variables antropom&#233;tricas&#46; Por lo que respecta a la estatura&#44; peso e IMC&#44; tanto en la serie masculina como en la serie femenina&#44; los promedios obtenidos para todos los grupos de edad son muy cercanos a los publicados en el estudio transversal espa&#241;ol de crecimiento del 2008<a class="elsevierStyleCrossRef" href="#bib41"><span class="elsevierStyleSup">41</span></a>&#46; Tal situaci&#243;n refrenda que tambi&#233;n de acuerdo con el tama&#241;o corporal&#44; la muestra aqu&#237; analizada puede considerarse representativa de la poblaci&#243;n espa&#241;ola actual&#46; La superior muscularidad de los varones se refleja en los valores del PM y del AMB&#44; mientras que la mayor adiposidad relativa de las mujeres queda patente en las cifras del &#37;G total y del AGB&#46; A la vista de los resultados precedentes&#44; se evidencia la influencia de la edad y del g&#233;nero sobre la fuerza muscular de la mano en t&#233;rminos absolutos&#46; Sin embargo&#44; ya que los cambios de tama&#241;o y composici&#243;n corporal durante el crecimiento son notablemente diferentes entre varones y mujeres&#44; tiene inter&#233;s analizar la evoluci&#243;n de la dinamometr&#237;a en funci&#243;n de &#233;stos&#46;</p><elsevierMultimedia ident="tbl3"></elsevierMultimedia><elsevierMultimedia ident="tbl4"></elsevierMultimedia><elsevierMultimedia ident="tbl5"></elsevierMultimedia><p class="elsevierStylePara elsevierViewall">Con el prop&#243;sito anterior&#44; se efectu&#243; un an&#225;lisis de correlaci&#243;n m&#250;ltiple en el que&#44; junto con la dinamometr&#237;a&#44; se incluyeron en principio la edad y otras dimensiones antropom&#233;tricas directas y derivadas &#40;<a class="elsevierStyleCrossRef" href="#tbl6">tabla 6</a>&#41;&#46; Dado que los resultados obtenidos para ambas manos fueron pr&#225;cticamente id&#233;nticos&#44; los valores reflejados en esta tabla corresponden a la mano derecha&#46; El primer paso efectuado puso de manifiesto que la fuerza manual se asocia positiva y significativamente a todas las variables consideradas &#40;p &#60; 0&#44;001&#41;&#46; En ambos sexos lo hace m&#225;s fuertemente con la edad y con la estatura&#46; En segundo lugar&#44; la dinamometr&#237;a se correlaciona m&#225;s estrechamente con el PM que con el peso total o el IMC&#46; Tambi&#233;n fueron elevados los coeficientes que corresponden al per&#237;metro del brazo y a su ATB y AMB&#46; Los coeficientes de menor rango corresponden a todos los indicadores de adiposidad introducidos en la exploraci&#243;n estad&#237;stica&#58; AGB&#44; pliegue tricipital y &#37;G&#46;</p><elsevierMultimedia ident="tbl6"></elsevierMultimedia><p class="elsevierStylePara elsevierViewall">En un segundo y tercer paso&#44; se repiti&#243; el an&#225;lisis tomando como variables de control la edad y la estatura&#59; al eliminar el efecto de la edad&#44; se apreci&#243; con mayor claridad la influencia de la composici&#243;n corporal sobre la fuerza&#46; Aunque todos los valores del coeficiente de correlaci&#243;n de Spearman &#40;Rho de Spearman&#41; se reducen&#44; el m&#225;ximo se constata ahora entre la dinamometr&#237;a y el PM&#44; seguido del peso total y del AMB&#46; La correlaci&#243;n con los indicadores de adiposidad se hace negativa y pierde la significaci&#243;n&#46;</p><p class="elsevierStylePara elsevierViewall">Si finalmente se normaliza tambi&#233;n para la talla&#44; se advierte que el PM y el AMB son&#44; con independencia de la edad y la estatura&#44; las variables con mayor influencia sobre la fuerza de presi&#243;n m&#225;xima de la mano&#46; Aunque el modelo que se ha explicado es igual en ambos sexos&#44; la asociaci&#243;n de la dinamometr&#237;a con las variables m&#225;s informativas del tama&#241;o corporal &#40;peso y talla&#41; y de la cantidad de masa muscular &#40;AMB y PM&#41; result&#243; m&#225;s estrecha en los varones&#44; como se manifiesta por el mayor valor de los correspondientes coeficientes&#46;</p><p class="elsevierStylePara elsevierViewall">Sin duda&#44; el crecimiento &#243;seo longitudinal favorece el desarrollo de la dinamometr&#237;a&#46; Seg&#250;n explica Shepard<a class="elsevierStyleCrossRef" href="#bib42"><span class="elsevierStyleSup">42</span></a>&#44; mientras el c&#250;bito y el radio crecen&#44; las fibras musculares se alargan y se a&#241;aden unidades contr&#225;ctiles a la uni&#243;n entre m&#250;sculo y tend&#243;n&#44; lo que favorece la ganancia en fuerza de agarre o presi&#243;n&#46; Este fen&#243;meno justifica que en investigaciones precedentes se haya observado que la influencia de la estatura sobre la fuerza es especialmente buena para ambos sexos en individuos con edad inferior a los 18<span class="elsevierStyleHsp" style=""></span>a&#241;os<a class="elsevierStyleCrossRef" href="#bib43"><span class="elsevierStyleSup">43</span></a>&#46; En un estudio llevado a cabo en el Instituto Auxol&#243;gico Italiano sobre una muestra de escolares de entre 5 y 15<span class="elsevierStyleHsp" style=""></span>a&#241;os&#44; se concluy&#243; que el impacto del PM sobre los valores dinamom&#233;tricos era de mayor importancia que el del IMC<a class="elsevierStyleCrossRef" href="#bib44"><span class="elsevierStyleSup">44</span></a>&#46;</p><p class="elsevierStylePara elsevierViewall">En el presente estudio se cont&#243; con un efectivo muestral m&#225;s grande y un intervalo de edad m&#225;s amplio&#44; se corroboraron tales hip&#243;tesis y se pusieron de manifiesto que no s&#243;lo la muscularidad total sino tambi&#233;n la mesobraquial se encuentran m&#225;s asociadas a la fuerza isom&#233;trica de presi&#243;n manual que las dimensiones cl&#225;sicas de tama&#241;o&#46; As&#237; puede decirse que entre los 6 y los 18<span class="elsevierStyleHsp" style=""></span>a&#241;os y para una misma estatura&#44; la fuerza de agarre depende m&#225;s del PM o del AMB que del peso total del individuo o de su robustez&#46; Desde el punto de vista pr&#225;ctico&#44; este conocimiento es &#250;til porque aporta una mayor informaci&#243;n sobre el pron&#243;stico de la capacidad funcional durante el crecimiento&#46; En particular&#44; en el caso de los ni&#241;os y j&#243;venes con sobrepeso u obesidad donde un incremento de la masa corporal total no repercute necesariamente en una mayor capacidad dinamom&#233;trica&#46; Las ecuaciones de predicci&#243;n de la fuerza manual a partir del PM o del AMB&#44; as&#237; como los est&#225;ndares construidos en funci&#243;n de estas variables&#44; pueden ser objeto de un pr&#243;ximo trabajo&#46;</p><p class="elsevierStylePara elsevierViewall">En conclusi&#243;n&#44; la fuerza est&#225;tica de la mano evaluada por dinamometr&#237;a se incrementa con la edad y presenta un dimorfismo sexual significativo a partir de los 12<span class="elsevierStyleHsp" style=""></span>a&#241;os&#46; Se aportan tablas con valores obtenidos en ni&#241;os y j&#243;venes sanos que pueden ser utilizados como patr&#243;n de referencia para la valoraci&#243;n del desarrollo funcional o el diagn&#243;stico cl&#237;nico de la discapacidad&#46; Se corrobora el impacto del g&#233;nero y la edad sobre esta caracter&#237;stica y se comprueba que la fuerza est&#225;tica de la mano se correlaciona m&#225;s fuertemente con el PM o el AMB que con las variables directas de tama&#241;o y con el IMC&#44; situaci&#243;n a&#250;n m&#225;s evidente cuando se normaliza para la edad y la estatura&#46;</p></span><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Financiaci&#243;n</span><p class="elsevierStylePara elsevierViewall">Este trabajo est&#225; incluido en los proyectos &#171;Condici&#243;n Nutricional y Biodiversidad de las Poblaciones Humanas&#187; financiados por el Ministerio de Educaci&#243;n y Ciencia &#40;Ref&#58; GCL2004-03157 y GCL2005-03572&#41;&#46; Todos los autores pertenecen al Grupo de Investigaci&#243;n Acreditado UCM 920325 &#171;Condici&#243;n nutricional en las poblaciones humanas&#58; aplicaciones cl&#237;nicas&#44; epidemiol&#243;gicas y de promoci&#243;n de la salud&#187;&#46;</p></span></span>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">la dinamometr&#237;a es una prueba importante para evaluar el rendimiento f&#237;sico y la condici&#243;n nutricional de los sujetos&#46; El objetivo de este trabajo fue elaborar un est&#225;ndar de referencia para la fuerza muscular est&#225;tica de la mano&#44; aplicable a la poblaci&#243;n espa&#241;ola de ambos sexos de entre 6 y 18<span class="elsevierStyleHsp" style=""></span>a&#241;os&#46; Al mismo tiempo&#44; profundizar en el conocimiento de la variaci&#243;n normal de esta caracter&#237;stica en funci&#243;n de la edad&#44; el sexo&#44; el tama&#241;o y la composici&#243;n corporal&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">la muestra se compuso de 2&#46;125 sujetos de entre 6 y 18<span class="elsevierStyleHsp" style=""></span>a&#241;os &#40;1&#46;176 varones y 949 mujeres&#41;&#46; La fuerza de presi&#243;n de ambas manos se tom&#243; con un dinam&#243;metro ajustable digital&#46; Se midi&#243; el peso&#44; la talla&#44; el per&#237;metro del brazo y los pliegues adiposos subcut&#225;neos&#46; Se estim&#243; el &#237;ndice de masa corporal &#40;IMC&#41;&#44; el peso magro &#40;PM&#41;&#44; o libre de grasa&#44; el porcentaje de grasa corporal y las &#225;reas mesobraquiales&#46; Se analiz&#243; la variabilidad ontog&#233;nica y sexual&#44; y se elaboraron los correspondientes est&#225;ndares con la media&#44; la desviaci&#243;n est&#225;ndar y la distribuci&#243;n percentilar para cada mano seg&#250;n sexo y edad&#46; El an&#225;lisis de correlaci&#243;n m&#250;ltiple estableci&#243; la asociaci&#243;n entre fuerza manual&#44; IMC y variables de composici&#243;n corporal&#46;</p> <span class="elsevierStyleSectionTitle">Resultados y conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">se observ&#243; un incremento de la dinamometr&#237;a con la edad y un dimorfismo sexual significativo a partir de los 12<span class="elsevierStyleHsp" style=""></span>a&#241;os&#46; Se aportan tablas con valores obtenidos en ni&#241;os y j&#243;venes espa&#241;oles sanos para su uso como patr&#243;n de referencia&#46; Del an&#225;lisis efectuado se deduce que la fuerza est&#225;tica de la mano se correlaciona m&#225;s fuertemente con el PM y el &#225;rea muscular del brazo que con las variables directas de tama&#241;o o IMC&#46;</p>"
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      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Handgrip strength is an important test to evaluate physical fitness and nutritional status&#46; The main objective of this research is to prepare a reference standard applicable to the Spanish population of both sexes between 6 and 18 years old&#46; At the same time&#44; to extend our knowledge of normal variation of this characteristic with age&#44; gender&#44; size and body composition&#46;</p> <span class="elsevierStyleSectionTitle">Materials and methods</span><p class="elsevierStyleSimplePara elsevierViewall">The sample consisted of 2125 subjects between the 6 and 18 years &#40;1176 boys and 949 girls&#41;&#46; The handgrip strength of both hands was taken with a digital adjustable dynamometer&#46; Weight&#44; height&#44; forearm circumference and skin fold thickness were measured mass index&#44; fat free&#46; Body mass&#44; percentage of fat and total&#44; muscle and fat forearm areas were estimated&#46; Ontogenetic and sexual variability of dynamometric force was analysed and a table was produced with the mean&#44; standard deviation and percentile distribution&#44; by hand&#44; age and gender&#46; Multiple correlation analysis was applied to establish the relationship between handgrip dynamometric force&#44; body mass index and body composition variables&#46;</p> <span class="elsevierStyleSectionTitle">Results and conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">Handgrip strength increases with age and a significant sexual dimorphism from the age of 12 years is observed&#46; Growth charts with normal values obtained in healthy Spanish children and teenagers could be used as a reference pattern&#46; The correlation between hand static force and fat free mass or arm muscle area is stronger than with direct size variables or body mass index&#46;</p>"
      ]
    ]
    "multimedia" => array:8 [
      0 => array:7 [
        "identificador" => "fig1"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2975
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        "descripcion" => array:1 [
          "es" => "<p class="elsevierStyleSimplePara elsevierViewall">Ritmo de crecimiento de la dinamometr&#237;a de presi&#243;n manual&#46; &#40;A&#41; Mano derecha&#59; &#40;B&#41; Mano izquierda&#46;</p>"
        ]
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      1 => array:7 [
        "identificador" => "fig2"
        "etiqueta" => "Figura 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
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            "Ancho" => 1618
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        "descripcion" => array:1 [
          "es" => "<p class="elsevierStyleSimplePara elsevierViewall">Evoluci&#243;n con la edad y dimorfismo sexual de la dinamometr&#237;a de presi&#243;n manual&#46; &#40;A&#41; Mano derecha&#59; &#40;B&#41; Mano izquierda&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "tbl1"
        "etiqueta" => "Tabla 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p class="elsevierStyleSimplePara elsevierViewall">DE&#58; desviaci&#243;n est&#225;ndar&#59; P&#58; percentil&#46;</p>"
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            0 => array:2 [
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                  \t\t\t\t  " colspan="2" align="" valign="\n
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                  \t\t\t\t">Varones</td><td class="td" title="\n
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                  \t\t\t\t  " colspan="8" align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Mano izquierda</td><td class="td" title="\n
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                  \t\t\t\t  " colspan="8" align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Mano derecha</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Edad&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P75&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">P75&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">P95&nbsp;\t\t\t\t\t\t\n
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                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab189909.png"
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        ]
        "descripcion" => array:1 [
          "es" => "<p class="elsevierStyleSimplePara elsevierViewall">Dinamometr&#237;a de presi&#243;n manual&#46; Varones</p>"
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      3 => array:7 [
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        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
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          "leyenda" => "<p class="elsevierStyleSimplePara elsevierViewall">DE&#58; desviaci&#243;n est&#225;ndar&#59; P&#58; percentil&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
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                0 => """
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                  \t\t\t\t\tvoid\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">P99&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" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">DE&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" style="border-bottom: 2px solid black">P5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">P25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">P75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">P95&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" style="border-bottom: 2px solid black">P99&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">66&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">7&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&#44;0&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">6&#44;0&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">6&#44;9&nbsp;\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">28&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab189914.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p class="elsevierStyleSimplePara elsevierViewall">Dinamometr&#237;a de presi&#243;n manual&#46; Mujeres</p>"
        ]
      ]
      4 => array:7 [
        "identificador" => "tbl3"
        "etiqueta" => "Tabla 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p class="elsevierStyleSimplePara elsevierViewall">DE&#58; desviaci&#243;n est&#225;ndar&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\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  " colspan="8" align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Varones</td><td class="td" title="\n
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                  \t\t\t\t  " colspan="8" align="" valign="\n
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                  \t\t\t\t  " colspan="2" align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Estatura</td><td class="td" title="\n
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                  \t\t\t\t  " colspan="2" align="" valign="\n
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                  \t\t\t\t  " colspan="2" align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Per&#237;metro brazo</td><td class="td" title="\n
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                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Pliegue tricipital</td><td class="td" title="\n
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                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Estatura</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Peso</td><td class="td" title="\n
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                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Per&#237;metro brazo</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Pliegue tricipital</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Edad&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">122&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;78&nbsp;\t\t\t\t\t\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">19&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">122&#44;0&nbsp;\t\t\t\t\t\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">4&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&#44;4&nbsp;\t\t\t\t\t\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">3&#44;87&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;90&nbsp;\t\t\t\t\t\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">8&#44;9&nbsp;\t\t\t\t\t\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">2&#44;78&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  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">126&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#44;9&nbsp;\t\t\t\t\t\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">5&#44;80&nbsp;\t\t\t\t\t\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">19&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;4&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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;28&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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">125&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">6&#44;02&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">26&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">4&#44;95&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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  """
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          "leyenda" => "<p class="elsevierStyleSimplePara elsevierViewall">AGB&#58; &#225;rea grasa del brazo&#59; AMB&#58; &#225;rea muscular del brazo&#59; ATB&#58; &#225;rea total del brazo&#59; DE&#58; desviaci&#243;n est&#225;ndar&#59; &#37;G&#58; porcentaje de grasa corporal&#59; IMC&#58; &#237;ndice de masa corporal&#46;</p>"
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                  \t\t\t\t  " colspan="2" align="" valign="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">DE&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  " align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">DE&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" style="border-bottom: 2px solid black">Media&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  " align="" valign="\n
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                  \t\t\t\t">6&#44;02&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">19&#44;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#44;46&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">7&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#44;59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">21&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">17&#44;2&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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#44;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab189912.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p class="elsevierStyleSimplePara elsevierViewall">Par&#225;metros descriptivos de las dimensiones antropom&#233;tricas derivadas&#46; Varones</p>"
        ]
      ]
      6 => array:7 [
        "identificador" => "tbl5"
        "etiqueta" => "Tabla 5"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p class="elsevierStyleSimplePara elsevierViewall">AGB&#58; &#225;rea grasa del brazo AMB&#58; &#225;rea muscular del brazo&#59; ATB&#58; &#225;rea total del brazo&#59; DE&#58; desviaci&#243;n est&#225;ndar&#59; &#37;G&#58; porcentaje de grasa corporal&#59; IMC&#58; &#237;ndice de masa corporal&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">IMC</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Peso magro</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&#37;G</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">ATB</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">AMB</td><td class="td" title="\n
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                  \t\t\t\t  " colspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">AGB</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Edad&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;45&nbsp;\t\t\t\t\t\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">20&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;58&nbsp;\t\t\t\t\t\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">18&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;51&nbsp;\t\t\t\t\t\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">29&#44;9&nbsp;\t\t\t\t\t\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">3&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;97&nbsp;\t\t\t\t\t\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">9&#44;4&nbsp;\t\t\t\t\t\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">3&#44;67&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  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;52&nbsp;\t\t\t\t\t\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">22&#44;4&nbsp;\t\t\t\t\t\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">3&#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">18&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;80&nbsp;\t\t\t\t\t\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">31&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;62&nbsp;\t\t\t\t\t\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">10&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;93&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  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;51&nbsp;\t\t\t\t\t\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">24&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;91&nbsp;\t\t\t\t\t\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">20&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#44;64&nbsp;\t\t\t\t\t\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">35&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&#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="char" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;73&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#44;8&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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;71&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</td><td class="td" title="\n
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                  \t\t\t\t">10&#44;60&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">25&#44;2&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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