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la revisi&#243;n realizada por Owen en 2003<a class="elsevierStyleCrossRef" href="#bb0035"><span class="elsevierStyleSup">7</span></a> concluy&#243; que exist&#237;a una d&#233;bil relaci&#243;n inversa entre el peso de reci&#233;n nacido y la concentraci&#243;n de colesterol total en todas las edades&#59; sin embargo&#44; algunos estudios posteriores&#44; llevados a cabo en ni&#241;os y adolescentes&#44; no han confirmado estos resultados<a class="elsevierStyleCrossRefs" href="#bb0040"><span class="elsevierStyleSup">8&#44;9</span></a>&#46; Tambi&#233;n se ha se&#241;alado que esta relaci&#243;n entre el peso de reci&#233;n nacido y el colesterol total presenta distintas caracter&#237;sticas en funci&#243;n del sexo<a class="elsevierStyleCrossRef" href="#bb0050"><span class="elsevierStyleSup">10</span></a>&#46;</p><p id="p0020" class="elsevierStylePara elsevierViewall">En cuanto a los datos referentes al resto de par&#225;metros del perfil lip&#237;dico&#44; los trabajos publicados no han mostrado resultados concordantes<a class="elsevierStyleCrossRefs" href="#bb0040"><span class="elsevierStyleSup">8&#44;9</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0055"><span class="elsevierStyleSup">11</span></a>&#46;</p><p id="p0025" class="elsevierStylePara elsevierViewall">En lo concerniente a la presi&#243;n arterial&#44; los estudios muestran una relaci&#243;n inversa entre el bajo peso de reci&#233;n nacido y la presi&#243;n arterial sist&#243;lica posterior<a class="elsevierStyleCrossRefs" href="#bb0060"><span class="elsevierStyleSup">12&#44;13</span></a>&#44; aunque la asociaci&#243;n no es muy potente<a class="elsevierStyleCrossRef" href="#bb0070"><span class="elsevierStyleSup">14</span></a>&#46; Al igual que sucede con el colesterol total&#44; para algunos autores<a class="elsevierStyleCrossRef" href="#bb0065"><span class="elsevierStyleSup">13</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0075"><span class="elsevierStyleSup">15</span></a> la relaci&#243;n puede variar en funci&#243;n de la edad de los sujetos estudiados y su sexo&#44; y sin embargo&#44; para otros<a class="elsevierStyleCrossRef" href="#bb0080"><span class="elsevierStyleSup">16</span></a> no existen diferencias en funci&#243;n del g&#233;nero&#46;</p><p id="p0030" class="elsevierStylePara elsevierViewall">Se ha se&#241;alado la conveniencia de realizar m&#225;s estudios para poder dilucidar esta cuesti&#243;n<a class="elsevierStyleCrossRef" href="#bb0050"><span class="elsevierStyleSup">10</span></a>&#46;</p><p id="p0035" class="elsevierStylePara elsevierViewall">El objetivo de este trabajo es analizar la relaci&#243;n existente entre el peso de reci&#233;n nacido y el perfil lip&#237;dico y la presi&#243;n arterial en varones y mujeres de 18 a&#241;os de Madrid&#46;</p></span><span id="s0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0060">MATERIAL Y M&#233;TODOS</span><p id="p0040" class="elsevierStylePara elsevierViewall">Se incluyeron en el estudio 740 adolescentes sanos &#40;325 varones y 415 mujeres&#41;&#44; de 18 a&#241;os de edad&#44; seleccionados&#44; de forma aleatoria&#44; entre los pertenecientes a cuatro centros educativos de educaci&#243;n secundaria obligatoria y bachillerato situados en el &#193;rea II de Atenci&#243;n Primaria de Salud de Madrid&#46; Se solicit&#243; consentimiento informado a todos los participantes&#46;</p><p id="p0045" class="elsevierStylePara elsevierViewall">Atendiendo al peso de reci&#233;n nacido &#40;PRN&#41; registrado en sus informes de nacimiento&#44; se les clasific&#243; en cinco grupos&#58; primer quintil&#44; los de menos de 3&#46;000<span class="elsevierStyleHsp" style=""></span>g&#59; segundo quintil&#44; los de 3&#46;000&#8211;3&#46;320<span class="elsevierStyleHsp" style=""></span>g&#59; tercer quintil&#44; los de 3&#46;321&#8211;3&#46;600<span class="elsevierStyleHsp" style=""></span>g&#59; cuarto quintil&#44; los de 3&#46;601&#8211;3&#46;800<span class="elsevierStyleHsp" style=""></span>g&#44; y quinto quintil&#44; los de peso mayor de 3&#46;800<span class="elsevierStyleHsp" style=""></span>g&#46;</p><p id="p0050" class="elsevierStylePara elsevierViewall">A todos ellos se les realiz&#243; una exploraci&#243;n f&#237;sica que inclu&#237;a peso&#44; talla&#44; medida del pliegue tricipital y toma de tensi&#243;n arterial y una extracci&#243;n de sangre venosa tras al menos 10<span class="elsevierStyleHsp" style=""></span>h de ayuno&#46;</p><p id="p0055" class="elsevierStylePara elsevierViewall">La toma de la presi&#243;n arterial se realiz&#243; por el procedimiento auscultatorio&#44; en condiciones normales&#58; tras 5<span class="elsevierStyleHsp" style=""></span>min de reposo con el paciente sentado y el brazo a la altura del coraz&#243;n&#46; Se utiliz&#243; un esfigmoman&#243;metro de mercurio con manguito que cubr&#237;a al menos los dos tercios de la longitud del brazo&#46; Consideramos presi&#243;n sist&#243;lica la cifra correspondiente al primer ruido de Korotkow y presi&#243;n diast&#243;lica la del quinto ruido&#46;</p><span id="s0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0065">Procedimientos de laboratorio</span><p id="p0060" class="elsevierStylePara elsevierViewall">Se determin&#243; el colesterol total &#40;CT&#41;&#44; colesterol de las lipoprote&#237;nas de alta densidad &#40;c-HDL&#41;&#44; colesterol de las lipoprote&#237;nas de baja densidad &#40;c-LDL&#41;&#44; apolipoprote&#237;na A &#40;apo-A&#41;&#44; apolipoprote&#237;na B &#40;apo-B&#41; y triglic&#233;ridos&#46; El CT y los triglic&#233;ridos fueron medidos mediante un m&#233;todo enzim&#225;tico con un kit comercial &#40;Boehringer Mannheim&#41;<a class="elsevierStyleCrossRef" href="#bb0080"><span class="elsevierStyleSup">16</span></a>&#46; El c-HDL se determin&#243; en el sobrenadante obtenido tras la precipitaci&#243;n del colesterol de las lipoprote&#237;nas de muy baja densidad &#40;VLDL&#41; y del c-LDL con &#225;cido fosfot&#250;ngstico y cloruro de magnesio<a class="elsevierStyleCrossRef" href="#bb0085"><span class="elsevierStyleSup">17</span></a>&#46; El c-LDL se calcul&#243; mediante la f&#243;rmula de Friedewald<a class="elsevierStyleCrossRefs" href="#bb0090"><span class="elsevierStyleSup">18&#44;19</span></a>&#46; La determinaci&#243;n de las apolipoprote&#237;nas se llev&#243; a cabo por nefelometr&#237;a cin&#233;tica con los correspondientes anticuerpos &#40;Array Protein System Becjam Instrument Inc&#46;&#41;&#46;</p></span><span id="s0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0070">An&#225;lisis estad&#237;stico</span><p id="p0065" class="elsevierStylePara elsevierViewall">Los datos fueron analizados en un PC compatible mediante el programa comercial SPSS versi&#243;n 9&#46;0&#46; Se compararon las medias mediante la t de Student&#44; tras comprobar que ten&#237;an una distribuci&#243;n normal mediante es test de Kolmogorov-Smirnov&#44; salvo los cocientes en que se aplic&#243; el test de Mann&#8211;Whitney&#46;</p></span></span><span id="s0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0075">RESULTADOS</span><p id="p0070" class="elsevierStylePara elsevierViewall">La distribuci&#243;n de los adolescentes seg&#250;n el g&#233;nero y los quintiles de PRN mostr&#243; los siguientes resultados&#58; 68 varones y 78 mujeres pertenec&#237;an al primer quintil &#40;PRN &#60; 3&#46;000<span class="elsevierStyleHsp" style=""></span>g&#41;&#46; Al segundo quintil &#40;PRN&#58; 3&#46;000-3&#46;320<span class="elsevierStyleHsp" style=""></span>g&#41;&#44; 60 varones y 75 mujeres&#46; Al tercero &#40;PRN&#58; 3&#46;321-3&#46;600<span class="elsevierStyleHsp" style=""></span>g&#41;&#44; 64 chicos y 85 chicas&#46; Al cuarto &#40;PRN&#58; 3&#46;601-3&#46;800<span class="elsevierStyleHsp" style=""></span>g&#41;&#44; 62 varones y 82 mujeres&#46; Y&#44; por &#250;ltimo&#44; al quinto &#40;PRN &#62; 3&#46;800<span class="elsevierStyleHsp" style=""></span>g&#41;&#44; 71 chicos y 95 chicas&#46; Un total de 27 &#40;15 mujeres y 12 hombres&#41; hab&#237;an tenido un PRN inferior a 2&#46;500<span class="elsevierStyleHsp" style=""></span>g&#46;</p><p id="p0075" class="elsevierStylePara elsevierViewall">No encontramos diferencias estad&#237;sticamente significativas entre las medidas antropom&#233;tricas actuales &#40;peso&#44; talla y pliegue tricipital&#41; de los adolescentes pertenecientes a los quintiles extremos de PRN&#44; por lo que consideramos esta muestra homog&#233;nea a este respecto&#46;</p><p id="p0080" class="elsevierStylePara elsevierViewall">La talla media de los varones del primer quintil era de 172&#44;7<span class="elsevierStyleHsp" style=""></span>cm &#40;desviaci&#243;n est&#225;ndar &#91;DE&#93;&#58; 7&#41;&#44; y la de los del quinto quintil 173&#44;6<span class="elsevierStyleHsp" style=""></span>cm &#40;DE&#58; 7&#41;&#46; En las mujeres estos valores fueron de 163&#44;3<span class="elsevierStyleHsp" style=""></span>cm &#40;DE&#58; 8&#41; y 164&#44;9<span class="elsevierStyleHsp" style=""></span>cm &#40;DE&#58; 7&#41;&#44; respectivamente&#46;</p><p id="p0085" class="elsevierStylePara elsevierViewall">El peso medio de los varones fue de 67&#44;1<span class="elsevierStyleHsp" style=""></span>kg &#40;DE&#58; 14&#41; en el primer quintil y de 70&#44;2<span class="elsevierStyleHsp" style=""></span>kg &#40;DE&#58; 9&#41; en el quinto&#46; En las mujeres fue de 54&#44;7<span class="elsevierStyleHsp" style=""></span>kg &#40;DE&#58; 6&#41; en el primero y de 58&#44;7<span class="elsevierStyleHsp" style=""></span>kg &#40;DE&#58; 11&#41; en el quinto&#46;</p><p id="p0090" class="elsevierStylePara elsevierViewall">El pliegue tricipital medio de los varones del primer quintil fue de 11&#44;5<span class="elsevierStyleHsp" style=""></span>mm &#40;DE&#58; 4&#41; y de los del quinto de 11&#44;2<span class="elsevierStyleHsp" style=""></span>mm &#40;DE&#58; 5&#41;&#46; En las mujeres&#44; el pliegue medio en el primer quintil fue de 18&#44;5<span class="elsevierStyleHsp" style=""></span>mm &#40;DE&#58; 4&#41; y en el quinto de 17&#44;9<span class="elsevierStyleHsp" style=""></span>mm &#40;DE&#58; 7&#41;&#46;</p><p id="p0095" class="elsevierStylePara elsevierViewall">Los datos correspondientes al perfil lip&#237;dico de las mujeres seg&#250;n los quintiles de PRN se exponen en la <a class="elsevierStyleCrossRef" href="#t0005">tabla 1</a>&#46; Solamente encontramos diferencias estad&#237;sticamente significativas entre el primer y quinto quintil en el CT &#40;167&#44;05<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el primer quintil y 160&#44;5<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el quinto&#44; p &#60; 0&#44;00001&#41; y en el c-LDL &#40;93&#44;1<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el primer quintil y 88&#44;2<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el quinto&#44; p &#61; 0&#44;03&#41;&#46;</p><elsevierMultimedia ident="t0005"></elsevierMultimedia><p id="p0100" class="elsevierStylePara elsevierViewall">Los varones tambi&#233;n mostraron una relaci&#243;n inversa entre el PRN y los valores de colesterol total &#40;168&#44;2<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el primer quintil&#44; el de menor PRN&#44; y 155&#44;7<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el quinto&#44; el de PRN &#62; 3&#46;800<span class="elsevierStyleHsp" style=""></span>g&#59; p &#60; 0&#44;00001&#41; y de c-LDL &#40;99&#44;2<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el primer quintil y 90&#44;2<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el quinto&#44; p &#61; 0&#44;0005&#41; y presentaron&#44; adem&#225;s&#44; diferencias estad&#237;sticamente significativas en las cifras de apolipoprote&#237;na B &#40;76&#44;3<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el primer quintil y 64&#44;5<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el quinto&#44; p &#60; 0&#44;00001&#41; y en los cocientes CT&#47;HDL y LDL&#47;HDL &#40;<a class="elsevierStyleCrossRef" href="#t0010">tabla 2</a>&#41;&#46;</p><elsevierMultimedia ident="t0010"></elsevierMultimedia><p id="p0105" class="elsevierStylePara elsevierViewall">En lo que respecta a la presi&#243;n arterial&#44; solamente hallamos relaci&#243;n con el PRN en el caso de la presi&#243;n arterial diast&#243;lica de los varones entre los quintiles extremos&#44; que fue significativamente mayor en los de peso inferior a 3&#46;000<span class="elsevierStyleHsp" style=""></span>g &#40;<a class="elsevierStyleCrossRef" href="#t0015">tabla 3</a>&#41;&#46;</p><elsevierMultimedia ident="t0015"></elsevierMultimedia><p id="p0110" class="elsevierStylePara elsevierViewall">En la <a class="elsevierStyleCrossRef" href="#t0020">tabla 4</a> se muestran los coeficientes de correlaci&#243;n lineal encontrados&#46; Aplicados los c&#225;lculos de regresi&#243;n lineal&#44; obtuvimos que por cada incremento de 1<span class="elsevierStyleHsp" style=""></span>kg de PRN&#44; la presi&#243;n arterial diast&#243;lica &#40;PAD&#41; disminu&#237;a 3&#44;310<span class="elsevierStyleHsp" style=""></span>mmHg&#44; el CT disminu&#237;a en 5&#44;304<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#44; el c-LDL disminu&#237;a en 4&#44;782<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#44; la apo-B descend&#237;a en 5&#44;06<span class="elsevierStyleHsp" style=""></span>mg&#47;dl y el c-HDL se incrementaba en 3&#44;72<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#46;</p><elsevierMultimedia ident="t0020"></elsevierMultimedia><p id="p0115" class="elsevierStylePara elsevierViewall">La <a class="elsevierStyleCrossRef" href="#t0025">tabla 5</a> recoge los valores del perfil lip&#237;dico y de la tensi&#243;n arterial de los que hab&#237;an tenido un PRN inferior a 2&#46;500<span class="elsevierStyleHsp" style=""></span>g&#44; separados por sexo&#46; En ella se observa la misma tendencia que en an&#225;lisis por quintiles&#44; pero no se han realizado comparaciones estad&#237;sticas dado el reducido tama&#241;o de la muestra&#46;</p><elsevierMultimedia ident="t0025"></elsevierMultimedia></span><span id="s0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0080">DISCUSI&#218;N</span><p id="p0120" class="elsevierStylePara elsevierViewall">Nuestros resultados muestran una relaci&#243;n inversa entre el PRN y los valores de CT&#44; c-LDL y apo-B en varones de 18 a&#241;os de edad&#46; En las mujeres&#44; la relaci&#243;n s&#243;lo fue estad&#237;sticamente significativa con respecto al CT y el c-LDL&#46;</p><p id="p0125" class="elsevierStylePara elsevierViewall">La relaci&#243;n entre el peso de reci&#233;n nacido y el perfil lip&#237;dico ha sido muy analizada en la literatura cient&#237;fica&#46; El metaan&#225;lisis realizado por Owen et al en 2003<a class="elsevierStyleCrossRef" href="#bb0035"><span class="elsevierStyleSup">7</span></a> concluy&#243; que existe una d&#233;bil asociaci&#243;n inversa entre el PRN y las cifras de colesterol total en todas las edades y en ambos sexos&#46; Sin embargo&#44; estas afirmaciones no han sido confirmadas completamente desde entonces&#46;</p><p id="p0130" class="elsevierStylePara elsevierViewall">Con respecto a la edad&#44; aunque estudios posteriores a 2003&#44; llevados a cabo en adultos&#44; han encontrado igual relaci&#243;n<a class="elsevierStyleCrossRefs" href="#bb0100"><span class="elsevierStyleSup">20&#8211;22</span></a>&#44; algunos trabajos recientes en ni&#241;os&#44; como el de Daly et al<a class="elsevierStyleCrossRef" href="#bb0040"><span class="elsevierStyleSup">8</span></a> en sujetos de 11a 13 a&#241;os y el de Kaneshi et al<a class="elsevierStyleCrossRef" href="#bb0045"><span class="elsevierStyleSup">9</span></a> en ni&#241;os de 7 a 12 a&#241;os&#44; no la han constatado&#46;</p><p id="p0135" class="elsevierStylePara elsevierViewall">En lo que se refiere al g&#233;nero&#44; Skidmore et al<a class="elsevierStyleCrossRef" href="#bb0100"><span class="elsevierStyleSup">20</span></a> y Davies et al<a class="elsevierStyleCrossRef" href="#bb0115"><span class="elsevierStyleSup">23</span></a> refieren diferencias en la relaci&#243;n del PRN y a concentraciones de colesterol total entre ambos sexos&#44; resultados que concuerdan con los de un reciente metaan&#225;lisis<a class="elsevierStyleCrossRef" href="#bb0050"><span class="elsevierStyleSup">10</span></a>&#46; Para Skidmore et al<a class="elsevierStyleCrossRef" href="#bb0100"><span class="elsevierStyleSup">20</span></a> en los varones existe una constante relaci&#243;n inversa entre el peso de reci&#233;n nacido y el colesterol total&#44; mientras que en las mujeres esta relaci&#243;n s&#243;lo se hace evidente tras la menopausia&#46; En el trabajo de Davies et al<a class="elsevierStyleCrossRef" href="#bb0115"><span class="elsevierStyleSup">23</span></a> los varones vuelven a presentar esta relaci&#243;n&#44; pero las mujeres no la presentan a ninguna edad&#46; Este diferente comportamiento podr&#237;a tener su explicaci&#243;n en el distinto patr&#243;n de crecimiento fetal que presentan varones y mujeres<a class="elsevierStyleCrossRefs" href="#bb0120"><span class="elsevierStyleSup">24&#44;25</span></a>&#46; Los fetos masculinos presentan un crecimiento medio m&#225;s r&#225;pido que los femeninos&#44; y son&#44; por ello&#44; m&#225;s vulnerables a cualquier alteraci&#243;n nutricional que pudiera producirse en el ambiente intrauterino&#46; Asumiendo que este d&#233;ficit nutricional sea la causa subya cente a las alteraciones del perfil lip&#237;dico en la vida posnatal&#44; dichas alteraciones ser&#225;n m&#225;s frecuentes en los varones&#44; que son los que se afectan antes&#46;</p><p id="p0140" class="elsevierStylePara elsevierViewall">La relaci&#243;n inversa entre el PRN y el resto de par&#225;metros del perfil lip&#237;dico ha mostrado resultados no concluyentes en estudios previos&#46; Con respecto a las concentraciones de apo-B&#44; la relaci&#243;n que hallamos en nuestro estudio es similar a la comunicada previamente por otros autores<a class="elsevierStyleCrossRef" href="#bb0055"><span class="elsevierStyleSup">11</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a> pero discordante con otros trabajos<a class="elsevierStyleCrossRef" href="#bb0045"><span class="elsevierStyleSup">9</span></a>&#46;</p><p id="p0145" class="elsevierStylePara elsevierViewall">En las concentraciones de triglic&#233;ridos&#44; nosotros no encontramos diferencias estad&#237;sticamente significativas entre los quintiles extremos de ning&#250;n sexo&#44; lo que difiere de datos previamente publicados<a class="elsevierStyleCrossRefs" href="#bb0135"><span class="elsevierStyleSup">27&#44;28</span></a> pero concuerda con otros<a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a>&#46;</p><p id="p0150" class="elsevierStylePara elsevierViewall">Con respecto al c-HDL&#44; algunos investigadores no han encontrado ninguna asociaci&#243;n con el prn<a class="elsevierStyleCrossRef" href="#bb0040"><span class="elsevierStyleSup">8</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0100"><span class="elsevierStyleSup">20</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0110"><span class="elsevierStyleSup">22</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a>&#46; Sin embargo&#44; para otros<a class="elsevierStyleCrossRef" href="#bb0045"><span class="elsevierStyleSup">9</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0135"><span class="elsevierStyleSup">27</span></a> s&#237; existe dicha relaci&#243;n&#44; aunque sea una asociaci&#243;n d&#233;bil&#44; evidente s&#243;lo tras ajustar al &#237;ndice de masa corporal<a class="elsevierStyleCrossRef" href="#bb0045"><span class="elsevierStyleSup">9</span></a>&#46;</p><p id="p0155" class="elsevierStylePara elsevierViewall">Al igual que Barker et al<a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a>&#44; en nuestro estudio no encontramos relaci&#243;n entre el PRN y los valores de apo-A1&#46; Sin embargo&#44; otros autores<a class="elsevierStyleCrossRef" href="#bb0055"><span class="elsevierStyleSup">11</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0145"><span class="elsevierStyleSup">29</span></a> han demostrado que se dan concentraciones inferiores de A1 cuanto menor es el PRN y Antal et al<a class="elsevierStyleCrossRef" href="#bb0150"><span class="elsevierStyleSup">30</span></a> halla valores algo superiores de A1 en adolescentes que nacieron con bajo peso&#46;</p><p id="p0160" class="elsevierStylePara elsevierViewall">Por lo que se refiere a la relaci&#243;n entre el PRN y la presi&#243;n arterial&#44; s&#243;lo encontramos diferencias estad&#237;sticamente significativas entre los valores de PAD de los varones con PRN de quintiles extremos&#46; Las cifras de presi&#243;n arterial sist&#243;lica &#40;PAS&#41; fueron similares en todos los grupos&#44; al igual que los valores de PAD de las ni&#241;as&#46;</p><p id="p0165" class="elsevierStylePara elsevierViewall">Estos datos sobre la presi&#243;n arterial difieren de la literatura cient&#237;fica general&#46; La mayor&#237;a de los trabajos publicados se&#241;alan una relaci&#243;n inversa entre el PRN y la PAS en todas las edades&#44; aunque de intensidad leve durante la adolescencia<a class="elsevierStyleCrossRef" href="#bb0060"><span class="elsevierStyleSup">12</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0155"><span class="elsevierStyleSup">31</span></a>&#46; No obstante&#44; para otros autores se produce una &#8220;amplificaci&#243;n&#8221; de esta relaci&#243;n con el paso del tiempo<a class="elsevierStyleCrossRefs" href="#bb0160"><span class="elsevierStyleSup">32&#44;33</span></a>&#44; que podr&#237;a explicarse en funci&#243;n de que el PRN induce&#44; adem&#225;s&#44; a una mayor variabilidad de la presi&#243;n arterial<a class="elsevierStyleCrossRef" href="#bb0170"><span class="elsevierStyleSup">34</span></a>&#46; Asimismo&#44; se ha indicado que un acelerado crecimiento posnatal tambi&#233;n puede contribuir a que los ni&#241;os con bajo PRN desarrollen mayores cifras de presi&#243;n arterial posteriormente<a class="elsevierStyleCrossRef" href="#bb0060"><span class="elsevierStyleSup">12</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRefs" href="#bb0175"><span class="elsevierStyleSup">35&#44;36</span></a>&#46;</p><p id="p0170" class="elsevierStylePara elsevierViewall">La relaci&#243;n del PRN con la PAD es menos constante en los estudios publicados&#44; algunos autores hallan una relaci&#243;n inversa clara<a class="elsevierStyleCrossRef" href="#bb0165"><span class="elsevierStyleSup">33</span></a> y para otros es d&#233;bil&#44; no existe o depende de los grupos etarios o de g&#233;nero<a class="elsevierStyleCrossRefs" href="#bb0180"><span class="elsevierStyleSup">36&#8211;38</span></a>&#46;</p><p id="p0175" class="elsevierStylePara elsevierViewall">En la revisi&#243;n realizada en 2002 por Huxley et al<a class="elsevierStyleCrossRef" href="#bb0070"><span class="elsevierStyleSup">14</span></a> sobre los trabajos publicados con respecto a la relaci&#243;n entre el PRN y la presi&#243;n arterial&#44; se sugiere que dicha relaci&#243;n podr&#237;a no ser muy relevante&#44; una vez se corrigen los factores de confusi&#243;n&#46;</p><p id="p0180" class="elsevierStylePara elsevierViewall">La evidencia cient&#237;fica actual indica la existencia de una asociaci&#243;n entre el PRN y el desarrollo de factores de riesgo cardiovascular en edades posteriores de la vida no bien comprendida hasta el momento&#46; Dicha relaci&#243;n parece tener menos fuerza que la de otros factores&#44; como el &#237;ndice de masa corporal<a class="elsevierStyleCrossRef" href="#bb0040"><span class="elsevierStyleSup">8</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0195"><span class="elsevierStyleSup">39</span></a>&#44; la altura<a class="elsevierStyleCrossRef" href="#bb0200"><span class="elsevierStyleSup">40</span></a>&#44; los patrones de crecimiento posnatal<a class="elsevierStyleCrossRef" href="#bb0060"><span class="elsevierStyleSup">12</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0115"><span class="elsevierStyleSup">23</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRefs" href="#bb0205"><span class="elsevierStyleSup">41&#44;42</span></a> o la alimentaci&#243;n<a class="elsevierStyleCrossRefs" href="#bb0215"><span class="elsevierStyleSup">43&#44;44</span></a>&#46;</p><p id="p0185" class="elsevierStylePara elsevierViewall">Varias han sido las teor&#237;as que intentan explicar esta relaci&#243;n&#46; Por un lado Barker et al<a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a> proponen que la relaci&#243;n es el resultado de mecanismos adaptativos a un ambiente intrauterino desfavorable<a class="elsevierStyleCrossRef" href="#bb0055"><span class="elsevierStyleSup">11</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRefs" href="#bb0225"><span class="elsevierStyleSup">45&#44;46</span></a>&#46; Otros han propuesto la influencia de mecanismos gen&#233;ticos<a class="elsevierStyleCrossRef" href="#bb0055"><span class="elsevierStyleSup">11</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0235"><span class="elsevierStyleSup">47</span></a>&#46; Incluso el desarrollo de cada factor de riesgo determinado podr&#237;a responder a cada una de las dos posibilidades<a class="elsevierStyleCrossRef" href="#bb0240"><span class="elsevierStyleSup">48</span></a>&#46;</p><p id="p0190" class="elsevierStylePara elsevierViewall">Los fen&#243;menos de malnutrici&#243;n intrauterina podr&#237;an alterar el crecimiento hep&#225;tico&#44; lo que conducir&#237;a a una alteraci&#243;n del metabolismo de las LDL o de sus receptores<a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a>&#46; En este contexto se ha propuesto<a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a> que la circunferencia abdominal podr&#237;a reflejar una asociaci&#243;n m&#225;s fuerte&#46; Sin embargo&#44; se ha visto que el PRN se correlaciona bien con la circunferencia abdominal y no se ha demostrado que otros indicadores de crecimiento intrauterino como la talla de reci&#233;n nacido o el &#237;ndice ponderal al nacer&#44; sean mejores que el peso de reci&#233;n nacido<a class="elsevierStyleCrossRef" href="#bb0035"><span class="elsevierStyleSup">7</span></a>&#46; Un ambiente intrauterino desfavorable explicar&#237;a adem&#225;s las diferencias sexuales encontradas en la relaci&#243;n con el colesterol total&#46;</p><p id="p0195" class="elsevierStylePara elsevierViewall">La asociaci&#243;n entre el PRN y la presi&#243;n arterial tambi&#233;n puede explicarse con un ambiente intrauterino desfavorable&#46; La elevaci&#243;n de la presi&#243;n arterial ser&#237;a un mecanismo compensatorio para aumentar el riego placentario en situaciones de malnutrici&#243;n<a class="elsevierStyleCrossRef" href="#bb0225"><span class="elsevierStyleSup">45</span></a>&#44; o bien es secundaria a alteraciones del sistema circulatorio producidas por los factores intrauterinos nocivos<a class="elsevierStyleCrossRef" href="#bb0245"><span class="elsevierStyleSup">49</span></a>&#46; Adem&#225;s&#44; se ha relacionado la presi&#243;n arterial en los adolescentes con el tipo de dieta materna durante el embarazo<a class="elsevierStyleCrossRef" href="#bb0250"><span class="elsevierStyleSup">50</span></a>&#46; Se han comunicado algunos mecanismos patog&#233;nicos que pueden explicar a la relaci&#243;n&#58; por ejemplo&#44; han sido comunicadas alteraciones en la secreci&#243;n del cortisol en los ni&#241;os con bajo PRN<a class="elsevierStyleCrossRef" href="#bb0255"><span class="elsevierStyleSup">51</span></a> y un incremento de su actividad selectiva en determinados tejidos<a class="elsevierStyleCrossRef" href="#bb0260"><span class="elsevierStyleSup">52</span></a>&#59; se ha demostrado que los ni&#241;os con menor PRN tienen menor tasa de excreci&#243;n de sodio que los de mayor PRN<a class="elsevierStyleCrossRef" href="#bb0265"><span class="elsevierStyleSup">53</span></a>&#46; Por &#250;ltimo&#44; se ha propuesto que&#44; en los ni&#241;os con bajo PRN&#44; el n&#250;mero de nefronas presentes al nacer es menor de lo normal&#44; lo que les produce glomeruloesclerosis&#46; Este hecho&#44; unido al d&#233;ficit paulatino que se produce al envejecer&#44; explicar&#237;a la elevaci&#243;n de la presi&#243;n arterial<a class="elsevierStyleCrossRef" href="#bb0270"><span class="elsevierStyleSup">54</span></a>&#46;</p><p id="p0200" class="elsevierStylePara elsevierViewall">En conclusi&#243;n&#44; en nuestro estudio hemos encontrado una relaci&#243;n inversa a los 18 a&#241;os&#44; entre el PRN y las concentraciones de colesterol total y c-LDL en ni&#241;os y ni&#241;as y entre el PRN y la apo-B en los varones&#46; S&#243;lo encontramos influencia del PRN en la PAD en varones&#46; Consideramos necesarios estudios epidemiol&#243;gicos m&#225;s detallados para completar el estudio de estas relaciones&#46;</p></span></span>"
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            0 => "Peso de reci&#233;n nacido"
            1 => "Perfil lip&#237;dico"
            2 => "Presi&#243;n arterial"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec94161"
          "palabras" => array:3 [
            0 => "Birth weight"
            1 => "Serum lipids"
            2 => "Blood pressure"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle" id="st0005">Objetivo</span><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall">Estudiar la relaci&#243;n entre el peso de reci&#233;n nacido &#40;PRN&#41; y el perfil lip&#237;dico y la presi&#243;n arterial en adolescentes de 18 a&#241;os&#46;</p> <span class="elsevierStyleSectionTitle" id="st0010">Pacientes y m&#233;todos</span><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall">Se trata de un estudio descriptivo transversal&#46; Se estudiaron 740 adolescentes de 18 a&#241;os de edad&#44; pertenecientes a cuatro centros educativos situados en el &#193;rea II de Atenci&#243;n Primaria de Salud de Madrid&#46; El peso de reci&#233;n nacido se obtuvo de los informes del nacimiento&#46; A todos los participantes se les practic&#243; una exploraci&#243;n f&#237;sica que inclu&#237;a toma de la presi&#243;n arterial y una extracci&#243;n anal&#237;tica para determinar el perfil lip&#237;dico&#44; seg&#250;n m&#233;todos estandarizados&#46;</p> <span class="elsevierStyleSectionTitle" id="st0015">Resultados</span><p id="sp0065" class="elsevierStyleSimplePara elsevierViewall">Las concentraciones de colesterol total &#40;CT&#41; y de colesterol de las lipoprote&#237;nas de baja densidad &#40;c-LDL&#41; de los ni&#241;os y ni&#241;as de PRN inferior a 3&#46;000 g fueron estad&#237;sticamente superiores a las de los pacientes con PRN de m&#225;s de 3&#46;800<span class="elsevierStyleHsp" style=""></span>g&#46; En los varones hubo&#44; asimismo&#44; diferencia en las concentraciones de la apolipoprote&#237;na B &#40;apo-B&#41;&#46; Con respecto a la presi&#243;n arterial&#44; s&#243;lo encontramos una diferencia estad&#237;sticamente significativa en los valores de presi&#243;n arterial diast&#243;lica &#40;PAD&#41; de los varones con PRN de quintiles extremos&#46;</p> <span class="elsevierStyleSectionTitle" id="st0020">Conclusiones</span><p id="sp0070" class="elsevierStyleSimplePara elsevierViewall">Existe una relaci&#243;n inversa entre el PRN y el colesterol total y el c-LDL en ni&#241;os y ni&#241;as&#46; Dicha relaci&#243;n se aprecia tambi&#233;n en las cifras de apo-B en los varones&#46; S&#243;lo encontramos influencia del PRN en la PAD de los varones&#46;</p>"
      ]
      "en" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle" id="st0025">Objective</span><p id="sp0075" class="elsevierStyleSimplePara elsevierViewall">The aim of this study is to assess the relationship between birth weight and the lipid profile and blood pressure in adolescents&#46;</p> <span class="elsevierStyleSectionTitle" id="st0030">Patients and methods</span><p id="sp0080" class="elsevierStyleSimplePara elsevierViewall">Cross sectional study&#46; We studied seven hundred and forty adolescents aged 18 who attended four different schools located in Madrid&#46; Birth weight &#40;BW&#41; data were obtained from delivery records&#46; All subjects underwent a physical examination&#44; including measurement of blood pressure&#46; Plasma lipids were determined using standardized methods after ten hour fasting&#46;</p> <span class="elsevierStyleSectionTitle" id="st0035">Results</span><p id="sp0085" class="elsevierStyleSimplePara elsevierViewall">Total cholesterol and cholesterol-LDL in males and females with BW &#60; 3&#46;000 grams were statistically greater than those from subjects with BW &#62; 3&#44;800 grams&#46; Male adolescents also showed a difference in the apolipoprotein B &#40;ApoB&#41; levels&#46; We only found a statistically significant difference in the diastolic blood pressure of male adolescents belonging to the extreme birth weight quintiles&#46;</p> <span class="elsevierStyleSectionTitle" id="st0040">Conclusions</span><p id="sp0090" class="elsevierStyleSimplePara elsevierViewall">We found an inverse relationship between birth weight and total cholesterol and cholesterol LDL levels in males and females&#46; This association was also noted in Apo B concentrations in male adolescents&#46; The only influence birth weight had on blood pressure was on the diastolic blood pressure of males&#46;</p>"
      ]
    ]
    "multimedia" => array:5 [
      0 => array:7 [
        "identificador" => "t0005"
        "etiqueta" => "Tabla 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:3 [
          "leyenda" => "<p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">apo-A&#58; apolipoprote&#237;na A&#59; apo-B&#58; apolipoprote&#237;na B&#59; c-HDL&#58; colesterol de las lipoprote&#237;nas de alta densidad&#59; c-LDL&#58; colesterol de las lipoprote&#237;nas de baja densidad&#59; CT&#58; colesterol total&#59; DE&#58; desviaci&#243;n est&#225;ndar&#59; NS&#58; no significativo&#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
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black"></td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">1&#46;<span class="elsevierStyleSup">er</span> quintil&#60; 3&#46;000<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">2&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil3&#46;000&#8211;3&#46;320<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">3&#46;<span class="elsevierStyleSup">er</span> quintil3&#46;321&#8211;3&#46;600<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">4&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil3&#46;601&#8211;3&#46;800<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">5&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil&#62; 3&#46;800<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="center" valign="middle" style="border-bottom: 2px solid black">Significaci&#243;n<a class="elsevierStyleCrossRef" href="#tf0005">&#42;</a></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Colesterol total &#40;mg&#47;dl&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">167&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">163&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">163&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">160&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">p &#60; 0&#44;00001&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Triglic&#233;ridos &#40;mg&#47;dl&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\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">55&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">53&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\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">52&#44;36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">c-LDL &#40;mg&#47;dl&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">93&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">91&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">91&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">90&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">88&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">p &#61; 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  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">c-HDL &#40;mg&#47;dl&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">61&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab192729.png"
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          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tf0005"
              "etiqueta" => "&#42;"
              "nota" => "<p class="elsevierStyleNotepara" id="np0005">La significaci&#243;n es entre el 1&#46;<span class="elsevierStyleSup">er</span> y 5&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil&#46;</p>"
            ]
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        "descripcion" => array:1 [
          "es" => "<p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Perfil lip&#237;dico de las mujeres de los quintiles primero a quinto peso de reci&#233;n nacido</p>"
        ]
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      1 => array:7 [
        "identificador" => "t0010"
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        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
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        "tabla" => array:3 [
          "leyenda" => "<p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">apo-A&#58; apolipoprote&#237;na A&#59; apo-B&#58; apolipoprote&#237;na B&#59; c-HDL&#58; colesterol de las lipoprote&#237;nas de alta densidad&#59; c-LDL&#58; colesterol de las lipoprote&#237;nas de baja densidad&#59; CT&#58; colesterol total&#59; DE&#58; desviaci&#243;n est&#225;ndar&#59; NS&#58; no significativo&#46;</p>"
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                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black"></td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">1&#46;<span class="elsevierStyleSup">er</span> quintil&#60; 3&#46;000<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">2&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil3&#46;000&#8211;3&#46;320<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">3&#46;<span class="elsevierStyleSup">er</span> quintil3&#46;321&#8211;3&#46;600<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">4&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil3&#46;601&#8211;3&#46;800<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">5&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil&#62; 3&#46;800<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="center" valign="middle" style="border-bottom: 2px solid black">Significaci&#243;n<a class="elsevierStyleCrossRef" href="#tf0010">&#42;</a></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Colesterol total &#40;mg&#47;dl&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">168&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">167&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">162&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">160&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">155&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">p &#60; 0&#44;00001&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Triglic&#233;ridos &#40;mg&#47;dl&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">60&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\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">58&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">c-LDL &#40;mg&#47;dl&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">98&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">97&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">93&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">90&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">p &#61; 0&#44;0005&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">c-HDL &#40;mg&#47;dl&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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">54&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">apo-A &#40;mg&#47;dl&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">120&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">120&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">121&#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="right" valign="\n
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                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t">apo-B &#40;mg&#47;dl&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">CT&#47;c-HDL&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">c-LDL&#47;c-HDL&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">p &#61; 0&#44;01&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">apo-B&#47;apo-A&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="right" valign="\n
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                  \t\t\t\t">0&#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
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                  \t\t\t\t">0&#44;53&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#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="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab192730.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tf0010"
              "etiqueta" => "&#42;"
              "nota" => "<p class="elsevierStyleNotepara" id="np0010">La significaci&#243;n es entre el 1&#46;<span class="elsevierStyleSup">er</span> y 5&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Perfil lip&#237;dico de los varones de los quintiles primero a quinto de peso de reci&#233;n nacido</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "t0015"
        "etiqueta" => "Tabla 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:3 [
          "leyenda" => "<p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">PAD&#58; presi&#243;n arterial diast&#243;lica&#59; PAS&#58; presi&#243;n arterial sist&#243;lica&#59; DE&#58; desviaci&#243;n est&#225;ndar&#59; NS&#58; no significativo&#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
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black"></td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">1&#46;<span class="elsevierStyleSup">er</span> quintil&#60; 3&#46;000<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">2&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil3&#46;000&#8211;3&#46;320<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">3&#46;<span class="elsevierStyleSup">er</span> quintil3&#46;321&#8211;3&#46;600<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">4&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil3&#46;601&#8211;3&#46;800<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">5&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil&#62; 3&#46;800<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="center" valign="middle" style="border-bottom: 2px solid black">Significaci&#243;n<a class="elsevierStyleCrossRef" href="#tf0015">&#42;</a></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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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Influencia del peso de recién nacido en el perfil lipídico y la presión arterial en adolescentes de Madrid
Influence of birth weight on the lipid profile and blood pressure in madrid adolescents
M.aA. Arias Álvareza,
Autor para correspondencia
mariaariasalvarez@yahoo.es

Dra. M.aA. Arias Álvarez. Centro de Salud Santa Hortensia. Santa Hortensia, 14. 28002 Madrid. España.
, M. Sánchez Bayleb
a Centro de Salud Santa Hortensia. Hospital Niño Jesús. Madrid. España
b Unidad de Epidemiología. Hospital Niño Jesús. Madrid. España
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la revisi&#243;n realizada por Owen en 2003<a class="elsevierStyleCrossRef" href="#bb0035"><span class="elsevierStyleSup">7</span></a> concluy&#243; que exist&#237;a una d&#233;bil relaci&#243;n inversa entre el peso de reci&#233;n nacido y la concentraci&#243;n de colesterol total en todas las edades&#59; sin embargo&#44; algunos estudios posteriores&#44; llevados a cabo en ni&#241;os y adolescentes&#44; no han confirmado estos resultados<a class="elsevierStyleCrossRefs" href="#bb0040"><span class="elsevierStyleSup">8&#44;9</span></a>&#46; Tambi&#233;n se ha se&#241;alado que esta relaci&#243;n entre el peso de reci&#233;n nacido y el colesterol total presenta distintas caracter&#237;sticas en funci&#243;n del sexo<a class="elsevierStyleCrossRef" href="#bb0050"><span class="elsevierStyleSup">10</span></a>&#46;</p><p id="p0020" class="elsevierStylePara elsevierViewall">En cuanto a los datos referentes al resto de par&#225;metros del perfil lip&#237;dico&#44; los trabajos publicados no han mostrado resultados concordantes<a class="elsevierStyleCrossRefs" href="#bb0040"><span class="elsevierStyleSup">8&#44;9</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0055"><span class="elsevierStyleSup">11</span></a>&#46;</p><p id="p0025" class="elsevierStylePara elsevierViewall">En lo concerniente a la presi&#243;n arterial&#44; los estudios muestran una relaci&#243;n inversa entre el bajo peso de reci&#233;n nacido y la presi&#243;n arterial sist&#243;lica posterior<a class="elsevierStyleCrossRefs" href="#bb0060"><span class="elsevierStyleSup">12&#44;13</span></a>&#44; aunque la asociaci&#243;n no es muy potente<a class="elsevierStyleCrossRef" href="#bb0070"><span class="elsevierStyleSup">14</span></a>&#46; Al igual que sucede con el colesterol total&#44; para algunos autores<a class="elsevierStyleCrossRef" href="#bb0065"><span class="elsevierStyleSup">13</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0075"><span class="elsevierStyleSup">15</span></a> la relaci&#243;n puede variar en funci&#243;n de la edad de los sujetos estudiados y su sexo&#44; y sin embargo&#44; para otros<a class="elsevierStyleCrossRef" href="#bb0080"><span class="elsevierStyleSup">16</span></a> no existen diferencias en funci&#243;n del g&#233;nero&#46;</p><p id="p0030" class="elsevierStylePara elsevierViewall">Se ha se&#241;alado la conveniencia de realizar m&#225;s estudios para poder dilucidar esta cuesti&#243;n<a class="elsevierStyleCrossRef" href="#bb0050"><span class="elsevierStyleSup">10</span></a>&#46;</p><p id="p0035" class="elsevierStylePara elsevierViewall">El objetivo de este trabajo es analizar la relaci&#243;n existente entre el peso de reci&#233;n nacido y el perfil lip&#237;dico y la presi&#243;n arterial en varones y mujeres de 18 a&#241;os de Madrid&#46;</p></span><span id="s0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0060">MATERIAL Y M&#233;TODOS</span><p id="p0040" class="elsevierStylePara elsevierViewall">Se incluyeron en el estudio 740 adolescentes sanos &#40;325 varones y 415 mujeres&#41;&#44; de 18 a&#241;os de edad&#44; seleccionados&#44; de forma aleatoria&#44; entre los pertenecientes a cuatro centros educativos de educaci&#243;n secundaria obligatoria y bachillerato situados en el &#193;rea II de Atenci&#243;n Primaria de Salud de Madrid&#46; Se solicit&#243; consentimiento informado a todos los participantes&#46;</p><p id="p0045" class="elsevierStylePara elsevierViewall">Atendiendo al peso de reci&#233;n nacido &#40;PRN&#41; registrado en sus informes de nacimiento&#44; se les clasific&#243; en cinco grupos&#58; primer quintil&#44; los de menos de 3&#46;000<span class="elsevierStyleHsp" style=""></span>g&#59; segundo quintil&#44; los de 3&#46;000&#8211;3&#46;320<span class="elsevierStyleHsp" style=""></span>g&#59; tercer quintil&#44; los de 3&#46;321&#8211;3&#46;600<span class="elsevierStyleHsp" style=""></span>g&#59; cuarto quintil&#44; los de 3&#46;601&#8211;3&#46;800<span class="elsevierStyleHsp" style=""></span>g&#44; y quinto quintil&#44; los de peso mayor de 3&#46;800<span class="elsevierStyleHsp" style=""></span>g&#46;</p><p id="p0050" class="elsevierStylePara elsevierViewall">A todos ellos se les realiz&#243; una exploraci&#243;n f&#237;sica que inclu&#237;a peso&#44; talla&#44; medida del pliegue tricipital y toma de tensi&#243;n arterial y una extracci&#243;n de sangre venosa tras al menos 10<span class="elsevierStyleHsp" style=""></span>h de ayuno&#46;</p><p id="p0055" class="elsevierStylePara elsevierViewall">La toma de la presi&#243;n arterial se realiz&#243; por el procedimiento auscultatorio&#44; en condiciones normales&#58; tras 5<span class="elsevierStyleHsp" style=""></span>min de reposo con el paciente sentado y el brazo a la altura del coraz&#243;n&#46; Se utiliz&#243; un esfigmoman&#243;metro de mercurio con manguito que cubr&#237;a al menos los dos tercios de la longitud del brazo&#46; Consideramos presi&#243;n sist&#243;lica la cifra correspondiente al primer ruido de Korotkow y presi&#243;n diast&#243;lica la del quinto ruido&#46;</p><span id="s0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0065">Procedimientos de laboratorio</span><p id="p0060" class="elsevierStylePara elsevierViewall">Se determin&#243; el colesterol total &#40;CT&#41;&#44; colesterol de las lipoprote&#237;nas de alta densidad &#40;c-HDL&#41;&#44; colesterol de las lipoprote&#237;nas de baja densidad &#40;c-LDL&#41;&#44; apolipoprote&#237;na A &#40;apo-A&#41;&#44; apolipoprote&#237;na B &#40;apo-B&#41; y triglic&#233;ridos&#46; El CT y los triglic&#233;ridos fueron medidos mediante un m&#233;todo enzim&#225;tico con un kit comercial &#40;Boehringer Mannheim&#41;<a class="elsevierStyleCrossRef" href="#bb0080"><span class="elsevierStyleSup">16</span></a>&#46; El c-HDL se determin&#243; en el sobrenadante obtenido tras la precipitaci&#243;n del colesterol de las lipoprote&#237;nas de muy baja densidad &#40;VLDL&#41; y del c-LDL con &#225;cido fosfot&#250;ngstico y cloruro de magnesio<a class="elsevierStyleCrossRef" href="#bb0085"><span class="elsevierStyleSup">17</span></a>&#46; El c-LDL se calcul&#243; mediante la f&#243;rmula de Friedewald<a class="elsevierStyleCrossRefs" href="#bb0090"><span class="elsevierStyleSup">18&#44;19</span></a>&#46; La determinaci&#243;n de las apolipoprote&#237;nas se llev&#243; a cabo por nefelometr&#237;a cin&#233;tica con los correspondientes anticuerpos &#40;Array Protein System Becjam Instrument Inc&#46;&#41;&#46;</p></span><span id="s0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0070">An&#225;lisis estad&#237;stico</span><p id="p0065" class="elsevierStylePara elsevierViewall">Los datos fueron analizados en un PC compatible mediante el programa comercial SPSS versi&#243;n 9&#46;0&#46; Se compararon las medias mediante la t de Student&#44; tras comprobar que ten&#237;an una distribuci&#243;n normal mediante es test de Kolmogorov-Smirnov&#44; salvo los cocientes en que se aplic&#243; el test de Mann&#8211;Whitney&#46;</p></span></span><span id="s0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0075">RESULTADOS</span><p id="p0070" class="elsevierStylePara elsevierViewall">La distribuci&#243;n de los adolescentes seg&#250;n el g&#233;nero y los quintiles de PRN mostr&#243; los siguientes resultados&#58; 68 varones y 78 mujeres pertenec&#237;an al primer quintil &#40;PRN &#60; 3&#46;000<span class="elsevierStyleHsp" style=""></span>g&#41;&#46; Al segundo quintil &#40;PRN&#58; 3&#46;000-3&#46;320<span class="elsevierStyleHsp" style=""></span>g&#41;&#44; 60 varones y 75 mujeres&#46; Al tercero &#40;PRN&#58; 3&#46;321-3&#46;600<span class="elsevierStyleHsp" style=""></span>g&#41;&#44; 64 chicos y 85 chicas&#46; Al cuarto &#40;PRN&#58; 3&#46;601-3&#46;800<span class="elsevierStyleHsp" style=""></span>g&#41;&#44; 62 varones y 82 mujeres&#46; Y&#44; por &#250;ltimo&#44; al quinto &#40;PRN &#62; 3&#46;800<span class="elsevierStyleHsp" style=""></span>g&#41;&#44; 71 chicos y 95 chicas&#46; Un total de 27 &#40;15 mujeres y 12 hombres&#41; hab&#237;an tenido un PRN inferior a 2&#46;500<span class="elsevierStyleHsp" style=""></span>g&#46;</p><p id="p0075" class="elsevierStylePara elsevierViewall">No encontramos diferencias estad&#237;sticamente significativas entre las medidas antropom&#233;tricas actuales &#40;peso&#44; talla y pliegue tricipital&#41; de los adolescentes pertenecientes a los quintiles extremos de PRN&#44; por lo que consideramos esta muestra homog&#233;nea a este respecto&#46;</p><p id="p0080" class="elsevierStylePara elsevierViewall">La talla media de los varones del primer quintil era de 172&#44;7<span class="elsevierStyleHsp" style=""></span>cm &#40;desviaci&#243;n est&#225;ndar &#91;DE&#93;&#58; 7&#41;&#44; y la de los del quinto quintil 173&#44;6<span class="elsevierStyleHsp" style=""></span>cm &#40;DE&#58; 7&#41;&#46; En las mujeres estos valores fueron de 163&#44;3<span class="elsevierStyleHsp" style=""></span>cm &#40;DE&#58; 8&#41; y 164&#44;9<span class="elsevierStyleHsp" style=""></span>cm &#40;DE&#58; 7&#41;&#44; respectivamente&#46;</p><p id="p0085" class="elsevierStylePara elsevierViewall">El peso medio de los varones fue de 67&#44;1<span class="elsevierStyleHsp" style=""></span>kg &#40;DE&#58; 14&#41; en el primer quintil y de 70&#44;2<span class="elsevierStyleHsp" style=""></span>kg &#40;DE&#58; 9&#41; en el quinto&#46; En las mujeres fue de 54&#44;7<span class="elsevierStyleHsp" style=""></span>kg &#40;DE&#58; 6&#41; en el primero y de 58&#44;7<span class="elsevierStyleHsp" style=""></span>kg &#40;DE&#58; 11&#41; en el quinto&#46;</p><p id="p0090" class="elsevierStylePara elsevierViewall">El pliegue tricipital medio de los varones del primer quintil fue de 11&#44;5<span class="elsevierStyleHsp" style=""></span>mm &#40;DE&#58; 4&#41; y de los del quinto de 11&#44;2<span class="elsevierStyleHsp" style=""></span>mm &#40;DE&#58; 5&#41;&#46; En las mujeres&#44; el pliegue medio en el primer quintil fue de 18&#44;5<span class="elsevierStyleHsp" style=""></span>mm &#40;DE&#58; 4&#41; y en el quinto de 17&#44;9<span class="elsevierStyleHsp" style=""></span>mm &#40;DE&#58; 7&#41;&#46;</p><p id="p0095" class="elsevierStylePara elsevierViewall">Los datos correspondientes al perfil lip&#237;dico de las mujeres seg&#250;n los quintiles de PRN se exponen en la <a class="elsevierStyleCrossRef" href="#t0005">tabla 1</a>&#46; Solamente encontramos diferencias estad&#237;sticamente significativas entre el primer y quinto quintil en el CT &#40;167&#44;05<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el primer quintil y 160&#44;5<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el quinto&#44; p &#60; 0&#44;00001&#41; y en el c-LDL &#40;93&#44;1<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el primer quintil y 88&#44;2<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el quinto&#44; p &#61; 0&#44;03&#41;&#46;</p><elsevierMultimedia ident="t0005"></elsevierMultimedia><p id="p0100" class="elsevierStylePara elsevierViewall">Los varones tambi&#233;n mostraron una relaci&#243;n inversa entre el PRN y los valores de colesterol total &#40;168&#44;2<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el primer quintil&#44; el de menor PRN&#44; y 155&#44;7<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el quinto&#44; el de PRN &#62; 3&#46;800<span class="elsevierStyleHsp" style=""></span>g&#59; p &#60; 0&#44;00001&#41; y de c-LDL &#40;99&#44;2<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el primer quintil y 90&#44;2<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el quinto&#44; p &#61; 0&#44;0005&#41; y presentaron&#44; adem&#225;s&#44; diferencias estad&#237;sticamente significativas en las cifras de apolipoprote&#237;na B &#40;76&#44;3<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el primer quintil y 64&#44;5<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en el quinto&#44; p &#60; 0&#44;00001&#41; y en los cocientes CT&#47;HDL y LDL&#47;HDL &#40;<a class="elsevierStyleCrossRef" href="#t0010">tabla 2</a>&#41;&#46;</p><elsevierMultimedia ident="t0010"></elsevierMultimedia><p id="p0105" class="elsevierStylePara elsevierViewall">En lo que respecta a la presi&#243;n arterial&#44; solamente hallamos relaci&#243;n con el PRN en el caso de la presi&#243;n arterial diast&#243;lica de los varones entre los quintiles extremos&#44; que fue significativamente mayor en los de peso inferior a 3&#46;000<span class="elsevierStyleHsp" style=""></span>g &#40;<a class="elsevierStyleCrossRef" href="#t0015">tabla 3</a>&#41;&#46;</p><elsevierMultimedia ident="t0015"></elsevierMultimedia><p id="p0110" class="elsevierStylePara elsevierViewall">En la <a class="elsevierStyleCrossRef" href="#t0020">tabla 4</a> se muestran los coeficientes de correlaci&#243;n lineal encontrados&#46; Aplicados los c&#225;lculos de regresi&#243;n lineal&#44; obtuvimos que por cada incremento de 1<span class="elsevierStyleHsp" style=""></span>kg de PRN&#44; la presi&#243;n arterial diast&#243;lica &#40;PAD&#41; disminu&#237;a 3&#44;310<span class="elsevierStyleHsp" style=""></span>mmHg&#44; el CT disminu&#237;a en 5&#44;304<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#44; el c-LDL disminu&#237;a en 4&#44;782<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#44; la apo-B descend&#237;a en 5&#44;06<span class="elsevierStyleHsp" style=""></span>mg&#47;dl y el c-HDL se incrementaba en 3&#44;72<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#46;</p><elsevierMultimedia ident="t0020"></elsevierMultimedia><p id="p0115" class="elsevierStylePara elsevierViewall">La <a class="elsevierStyleCrossRef" href="#t0025">tabla 5</a> recoge los valores del perfil lip&#237;dico y de la tensi&#243;n arterial de los que hab&#237;an tenido un PRN inferior a 2&#46;500<span class="elsevierStyleHsp" style=""></span>g&#44; separados por sexo&#46; En ella se observa la misma tendencia que en an&#225;lisis por quintiles&#44; pero no se han realizado comparaciones estad&#237;sticas dado el reducido tama&#241;o de la muestra&#46;</p><elsevierMultimedia ident="t0025"></elsevierMultimedia></span><span id="s0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0080">DISCUSI&#218;N</span><p id="p0120" class="elsevierStylePara elsevierViewall">Nuestros resultados muestran una relaci&#243;n inversa entre el PRN y los valores de CT&#44; c-LDL y apo-B en varones de 18 a&#241;os de edad&#46; En las mujeres&#44; la relaci&#243;n s&#243;lo fue estad&#237;sticamente significativa con respecto al CT y el c-LDL&#46;</p><p id="p0125" class="elsevierStylePara elsevierViewall">La relaci&#243;n entre el peso de reci&#233;n nacido y el perfil lip&#237;dico ha sido muy analizada en la literatura cient&#237;fica&#46; El metaan&#225;lisis realizado por Owen et al en 2003<a class="elsevierStyleCrossRef" href="#bb0035"><span class="elsevierStyleSup">7</span></a> concluy&#243; que existe una d&#233;bil asociaci&#243;n inversa entre el PRN y las cifras de colesterol total en todas las edades y en ambos sexos&#46; Sin embargo&#44; estas afirmaciones no han sido confirmadas completamente desde entonces&#46;</p><p id="p0130" class="elsevierStylePara elsevierViewall">Con respecto a la edad&#44; aunque estudios posteriores a 2003&#44; llevados a cabo en adultos&#44; han encontrado igual relaci&#243;n<a class="elsevierStyleCrossRefs" href="#bb0100"><span class="elsevierStyleSup">20&#8211;22</span></a>&#44; algunos trabajos recientes en ni&#241;os&#44; como el de Daly et al<a class="elsevierStyleCrossRef" href="#bb0040"><span class="elsevierStyleSup">8</span></a> en sujetos de 11a 13 a&#241;os y el de Kaneshi et al<a class="elsevierStyleCrossRef" href="#bb0045"><span class="elsevierStyleSup">9</span></a> en ni&#241;os de 7 a 12 a&#241;os&#44; no la han constatado&#46;</p><p id="p0135" class="elsevierStylePara elsevierViewall">En lo que se refiere al g&#233;nero&#44; Skidmore et al<a class="elsevierStyleCrossRef" href="#bb0100"><span class="elsevierStyleSup">20</span></a> y Davies et al<a class="elsevierStyleCrossRef" href="#bb0115"><span class="elsevierStyleSup">23</span></a> refieren diferencias en la relaci&#243;n del PRN y a concentraciones de colesterol total entre ambos sexos&#44; resultados que concuerdan con los de un reciente metaan&#225;lisis<a class="elsevierStyleCrossRef" href="#bb0050"><span class="elsevierStyleSup">10</span></a>&#46; Para Skidmore et al<a class="elsevierStyleCrossRef" href="#bb0100"><span class="elsevierStyleSup">20</span></a> en los varones existe una constante relaci&#243;n inversa entre el peso de reci&#233;n nacido y el colesterol total&#44; mientras que en las mujeres esta relaci&#243;n s&#243;lo se hace evidente tras la menopausia&#46; En el trabajo de Davies et al<a class="elsevierStyleCrossRef" href="#bb0115"><span class="elsevierStyleSup">23</span></a> los varones vuelven a presentar esta relaci&#243;n&#44; pero las mujeres no la presentan a ninguna edad&#46; Este diferente comportamiento podr&#237;a tener su explicaci&#243;n en el distinto patr&#243;n de crecimiento fetal que presentan varones y mujeres<a class="elsevierStyleCrossRefs" href="#bb0120"><span class="elsevierStyleSup">24&#44;25</span></a>&#46; Los fetos masculinos presentan un crecimiento medio m&#225;s r&#225;pido que los femeninos&#44; y son&#44; por ello&#44; m&#225;s vulnerables a cualquier alteraci&#243;n nutricional que pudiera producirse en el ambiente intrauterino&#46; Asumiendo que este d&#233;ficit nutricional sea la causa subya cente a las alteraciones del perfil lip&#237;dico en la vida posnatal&#44; dichas alteraciones ser&#225;n m&#225;s frecuentes en los varones&#44; que son los que se afectan antes&#46;</p><p id="p0140" class="elsevierStylePara elsevierViewall">La relaci&#243;n inversa entre el PRN y el resto de par&#225;metros del perfil lip&#237;dico ha mostrado resultados no concluyentes en estudios previos&#46; Con respecto a las concentraciones de apo-B&#44; la relaci&#243;n que hallamos en nuestro estudio es similar a la comunicada previamente por otros autores<a class="elsevierStyleCrossRef" href="#bb0055"><span class="elsevierStyleSup">11</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a> pero discordante con otros trabajos<a class="elsevierStyleCrossRef" href="#bb0045"><span class="elsevierStyleSup">9</span></a>&#46;</p><p id="p0145" class="elsevierStylePara elsevierViewall">En las concentraciones de triglic&#233;ridos&#44; nosotros no encontramos diferencias estad&#237;sticamente significativas entre los quintiles extremos de ning&#250;n sexo&#44; lo que difiere de datos previamente publicados<a class="elsevierStyleCrossRefs" href="#bb0135"><span class="elsevierStyleSup">27&#44;28</span></a> pero concuerda con otros<a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a>&#46;</p><p id="p0150" class="elsevierStylePara elsevierViewall">Con respecto al c-HDL&#44; algunos investigadores no han encontrado ninguna asociaci&#243;n con el prn<a class="elsevierStyleCrossRef" href="#bb0040"><span class="elsevierStyleSup">8</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0100"><span class="elsevierStyleSup">20</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0110"><span class="elsevierStyleSup">22</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a>&#46; Sin embargo&#44; para otros<a class="elsevierStyleCrossRef" href="#bb0045"><span class="elsevierStyleSup">9</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0135"><span class="elsevierStyleSup">27</span></a> s&#237; existe dicha relaci&#243;n&#44; aunque sea una asociaci&#243;n d&#233;bil&#44; evidente s&#243;lo tras ajustar al &#237;ndice de masa corporal<a class="elsevierStyleCrossRef" href="#bb0045"><span class="elsevierStyleSup">9</span></a>&#46;</p><p id="p0155" class="elsevierStylePara elsevierViewall">Al igual que Barker et al<a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a>&#44; en nuestro estudio no encontramos relaci&#243;n entre el PRN y los valores de apo-A1&#46; Sin embargo&#44; otros autores<a class="elsevierStyleCrossRef" href="#bb0055"><span class="elsevierStyleSup">11</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0145"><span class="elsevierStyleSup">29</span></a> han demostrado que se dan concentraciones inferiores de A1 cuanto menor es el PRN y Antal et al<a class="elsevierStyleCrossRef" href="#bb0150"><span class="elsevierStyleSup">30</span></a> halla valores algo superiores de A1 en adolescentes que nacieron con bajo peso&#46;</p><p id="p0160" class="elsevierStylePara elsevierViewall">Por lo que se refiere a la relaci&#243;n entre el PRN y la presi&#243;n arterial&#44; s&#243;lo encontramos diferencias estad&#237;sticamente significativas entre los valores de PAD de los varones con PRN de quintiles extremos&#46; Las cifras de presi&#243;n arterial sist&#243;lica &#40;PAS&#41; fueron similares en todos los grupos&#44; al igual que los valores de PAD de las ni&#241;as&#46;</p><p id="p0165" class="elsevierStylePara elsevierViewall">Estos datos sobre la presi&#243;n arterial difieren de la literatura cient&#237;fica general&#46; La mayor&#237;a de los trabajos publicados se&#241;alan una relaci&#243;n inversa entre el PRN y la PAS en todas las edades&#44; aunque de intensidad leve durante la adolescencia<a class="elsevierStyleCrossRef" href="#bb0060"><span class="elsevierStyleSup">12</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0155"><span class="elsevierStyleSup">31</span></a>&#46; No obstante&#44; para otros autores se produce una &#8220;amplificaci&#243;n&#8221; de esta relaci&#243;n con el paso del tiempo<a class="elsevierStyleCrossRefs" href="#bb0160"><span class="elsevierStyleSup">32&#44;33</span></a>&#44; que podr&#237;a explicarse en funci&#243;n de que el PRN induce&#44; adem&#225;s&#44; a una mayor variabilidad de la presi&#243;n arterial<a class="elsevierStyleCrossRef" href="#bb0170"><span class="elsevierStyleSup">34</span></a>&#46; Asimismo&#44; se ha indicado que un acelerado crecimiento posnatal tambi&#233;n puede contribuir a que los ni&#241;os con bajo PRN desarrollen mayores cifras de presi&#243;n arterial posteriormente<a class="elsevierStyleCrossRef" href="#bb0060"><span class="elsevierStyleSup">12</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRefs" href="#bb0175"><span class="elsevierStyleSup">35&#44;36</span></a>&#46;</p><p id="p0170" class="elsevierStylePara elsevierViewall">La relaci&#243;n del PRN con la PAD es menos constante en los estudios publicados&#44; algunos autores hallan una relaci&#243;n inversa clara<a class="elsevierStyleCrossRef" href="#bb0165"><span class="elsevierStyleSup">33</span></a> y para otros es d&#233;bil&#44; no existe o depende de los grupos etarios o de g&#233;nero<a class="elsevierStyleCrossRefs" href="#bb0180"><span class="elsevierStyleSup">36&#8211;38</span></a>&#46;</p><p id="p0175" class="elsevierStylePara elsevierViewall">En la revisi&#243;n realizada en 2002 por Huxley et al<a class="elsevierStyleCrossRef" href="#bb0070"><span class="elsevierStyleSup">14</span></a> sobre los trabajos publicados con respecto a la relaci&#243;n entre el PRN y la presi&#243;n arterial&#44; se sugiere que dicha relaci&#243;n podr&#237;a no ser muy relevante&#44; una vez se corrigen los factores de confusi&#243;n&#46;</p><p id="p0180" class="elsevierStylePara elsevierViewall">La evidencia cient&#237;fica actual indica la existencia de una asociaci&#243;n entre el PRN y el desarrollo de factores de riesgo cardiovascular en edades posteriores de la vida no bien comprendida hasta el momento&#46; Dicha relaci&#243;n parece tener menos fuerza que la de otros factores&#44; como el &#237;ndice de masa corporal<a class="elsevierStyleCrossRef" href="#bb0040"><span class="elsevierStyleSup">8</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0195"><span class="elsevierStyleSup">39</span></a>&#44; la altura<a class="elsevierStyleCrossRef" href="#bb0200"><span class="elsevierStyleSup">40</span></a>&#44; los patrones de crecimiento posnatal<a class="elsevierStyleCrossRef" href="#bb0060"><span class="elsevierStyleSup">12</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0115"><span class="elsevierStyleSup">23</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRefs" href="#bb0205"><span class="elsevierStyleSup">41&#44;42</span></a> o la alimentaci&#243;n<a class="elsevierStyleCrossRefs" href="#bb0215"><span class="elsevierStyleSup">43&#44;44</span></a>&#46;</p><p id="p0185" class="elsevierStylePara elsevierViewall">Varias han sido las teor&#237;as que intentan explicar esta relaci&#243;n&#46; Por un lado Barker et al<a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a> proponen que la relaci&#243;n es el resultado de mecanismos adaptativos a un ambiente intrauterino desfavorable<a class="elsevierStyleCrossRef" href="#bb0055"><span class="elsevierStyleSup">11</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRefs" href="#bb0225"><span class="elsevierStyleSup">45&#44;46</span></a>&#46; Otros han propuesto la influencia de mecanismos gen&#233;ticos<a class="elsevierStyleCrossRef" href="#bb0055"><span class="elsevierStyleSup">11</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bb0235"><span class="elsevierStyleSup">47</span></a>&#46; Incluso el desarrollo de cada factor de riesgo determinado podr&#237;a responder a cada una de las dos posibilidades<a class="elsevierStyleCrossRef" href="#bb0240"><span class="elsevierStyleSup">48</span></a>&#46;</p><p id="p0190" class="elsevierStylePara elsevierViewall">Los fen&#243;menos de malnutrici&#243;n intrauterina podr&#237;an alterar el crecimiento hep&#225;tico&#44; lo que conducir&#237;a a una alteraci&#243;n del metabolismo de las LDL o de sus receptores<a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a>&#46; En este contexto se ha propuesto<a class="elsevierStyleCrossRef" href="#bb0130"><span class="elsevierStyleSup">26</span></a> que la circunferencia abdominal podr&#237;a reflejar una asociaci&#243;n m&#225;s fuerte&#46; Sin embargo&#44; se ha visto que el PRN se correlaciona bien con la circunferencia abdominal y no se ha demostrado que otros indicadores de crecimiento intrauterino como la talla de reci&#233;n nacido o el &#237;ndice ponderal al nacer&#44; sean mejores que el peso de reci&#233;n nacido<a class="elsevierStyleCrossRef" href="#bb0035"><span class="elsevierStyleSup">7</span></a>&#46; Un ambiente intrauterino desfavorable explicar&#237;a adem&#225;s las diferencias sexuales encontradas en la relaci&#243;n con el colesterol total&#46;</p><p id="p0195" class="elsevierStylePara elsevierViewall">La asociaci&#243;n entre el PRN y la presi&#243;n arterial tambi&#233;n puede explicarse con un ambiente intrauterino desfavorable&#46; La elevaci&#243;n de la presi&#243;n arterial ser&#237;a un mecanismo compensatorio para aumentar el riego placentario en situaciones de malnutrici&#243;n<a class="elsevierStyleCrossRef" href="#bb0225"><span class="elsevierStyleSup">45</span></a>&#44; o bien es secundaria a alteraciones del sistema circulatorio producidas por los factores intrauterinos nocivos<a class="elsevierStyleCrossRef" href="#bb0245"><span class="elsevierStyleSup">49</span></a>&#46; Adem&#225;s&#44; se ha relacionado la presi&#243;n arterial en los adolescentes con el tipo de dieta materna durante el embarazo<a class="elsevierStyleCrossRef" href="#bb0250"><span class="elsevierStyleSup">50</span></a>&#46; Se han comunicado algunos mecanismos patog&#233;nicos que pueden explicar a la relaci&#243;n&#58; por ejemplo&#44; han sido comunicadas alteraciones en la secreci&#243;n del cortisol en los ni&#241;os con bajo PRN<a class="elsevierStyleCrossRef" href="#bb0255"><span class="elsevierStyleSup">51</span></a> y un incremento de su actividad selectiva en determinados tejidos<a class="elsevierStyleCrossRef" href="#bb0260"><span class="elsevierStyleSup">52</span></a>&#59; se ha demostrado que los ni&#241;os con menor PRN tienen menor tasa de excreci&#243;n de sodio que los de mayor PRN<a class="elsevierStyleCrossRef" href="#bb0265"><span class="elsevierStyleSup">53</span></a>&#46; Por &#250;ltimo&#44; se ha propuesto que&#44; en los ni&#241;os con bajo PRN&#44; el n&#250;mero de nefronas presentes al nacer es menor de lo normal&#44; lo que les produce glomeruloesclerosis&#46; Este hecho&#44; unido al d&#233;ficit paulatino que se produce al envejecer&#44; explicar&#237;a la elevaci&#243;n de la presi&#243;n arterial<a class="elsevierStyleCrossRef" href="#bb0270"><span class="elsevierStyleSup">54</span></a>&#46;</p><p id="p0200" class="elsevierStylePara elsevierViewall">En conclusi&#243;n&#44; en nuestro estudio hemos encontrado una relaci&#243;n inversa a los 18 a&#241;os&#44; entre el PRN y las concentraciones de colesterol total y c-LDL en ni&#241;os y ni&#241;as y entre el PRN y la apo-B en los varones&#46; S&#243;lo encontramos influencia del PRN en la PAD en varones&#46; Consideramos necesarios estudios epidemiol&#243;gicos m&#225;s detallados para completar el estudio de estas relaciones&#46;</p></span></span>"
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              "identificador" => "s0020"
              "titulo" => "An&#225;lisis estad&#237;stico"
            ]
          ]
        ]
        4 => array:2 [
          "identificador" => "s0025"
          "titulo" => "RESULTADOS"
        ]
        5 => array:2 [
          "identificador" => "s0030"
          "titulo" => "DISCUSI&#218;N"
        ]
        6 => array:1 [
          "titulo" => "BIBLIOGRAF&#205;A"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2006-07-31"
    "fechaAceptado" => "2007-11-30"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec94162"
          "palabras" => array:3 [
            0 => "Peso de reci&#233;n nacido"
            1 => "Perfil lip&#237;dico"
            2 => "Presi&#243;n arterial"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec94161"
          "palabras" => array:3 [
            0 => "Birth weight"
            1 => "Serum lipids"
            2 => "Blood pressure"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle" id="st0005">Objetivo</span><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall">Estudiar la relaci&#243;n entre el peso de reci&#233;n nacido &#40;PRN&#41; y el perfil lip&#237;dico y la presi&#243;n arterial en adolescentes de 18 a&#241;os&#46;</p> <span class="elsevierStyleSectionTitle" id="st0010">Pacientes y m&#233;todos</span><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall">Se trata de un estudio descriptivo transversal&#46; Se estudiaron 740 adolescentes de 18 a&#241;os de edad&#44; pertenecientes a cuatro centros educativos situados en el &#193;rea II de Atenci&#243;n Primaria de Salud de Madrid&#46; El peso de reci&#233;n nacido se obtuvo de los informes del nacimiento&#46; A todos los participantes se les practic&#243; una exploraci&#243;n f&#237;sica que inclu&#237;a toma de la presi&#243;n arterial y una extracci&#243;n anal&#237;tica para determinar el perfil lip&#237;dico&#44; seg&#250;n m&#233;todos estandarizados&#46;</p> <span class="elsevierStyleSectionTitle" id="st0015">Resultados</span><p id="sp0065" class="elsevierStyleSimplePara elsevierViewall">Las concentraciones de colesterol total &#40;CT&#41; y de colesterol de las lipoprote&#237;nas de baja densidad &#40;c-LDL&#41; de los ni&#241;os y ni&#241;as de PRN inferior a 3&#46;000 g fueron estad&#237;sticamente superiores a las de los pacientes con PRN de m&#225;s de 3&#46;800<span class="elsevierStyleHsp" style=""></span>g&#46; En los varones hubo&#44; asimismo&#44; diferencia en las concentraciones de la apolipoprote&#237;na B &#40;apo-B&#41;&#46; Con respecto a la presi&#243;n arterial&#44; s&#243;lo encontramos una diferencia estad&#237;sticamente significativa en los valores de presi&#243;n arterial diast&#243;lica &#40;PAD&#41; de los varones con PRN de quintiles extremos&#46;</p> <span class="elsevierStyleSectionTitle" id="st0020">Conclusiones</span><p id="sp0070" class="elsevierStyleSimplePara elsevierViewall">Existe una relaci&#243;n inversa entre el PRN y el colesterol total y el c-LDL en ni&#241;os y ni&#241;as&#46; Dicha relaci&#243;n se aprecia tambi&#233;n en las cifras de apo-B en los varones&#46; S&#243;lo encontramos influencia del PRN en la PAD de los varones&#46;</p>"
      ]
      "en" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle" id="st0025">Objective</span><p id="sp0075" class="elsevierStyleSimplePara elsevierViewall">The aim of this study is to assess the relationship between birth weight and the lipid profile and blood pressure in adolescents&#46;</p> <span class="elsevierStyleSectionTitle" id="st0030">Patients and methods</span><p id="sp0080" class="elsevierStyleSimplePara elsevierViewall">Cross sectional study&#46; We studied seven hundred and forty adolescents aged 18 who attended four different schools located in Madrid&#46; Birth weight &#40;BW&#41; data were obtained from delivery records&#46; All subjects underwent a physical examination&#44; including measurement of blood pressure&#46; Plasma lipids were determined using standardized methods after ten hour fasting&#46;</p> <span class="elsevierStyleSectionTitle" id="st0035">Results</span><p id="sp0085" class="elsevierStyleSimplePara elsevierViewall">Total cholesterol and cholesterol-LDL in males and females with BW &#60; 3&#46;000 grams were statistically greater than those from subjects with BW &#62; 3&#44;800 grams&#46; Male adolescents also showed a difference in the apolipoprotein B &#40;ApoB&#41; levels&#46; We only found a statistically significant difference in the diastolic blood pressure of male adolescents belonging to the extreme birth weight quintiles&#46;</p> <span class="elsevierStyleSectionTitle" id="st0040">Conclusions</span><p id="sp0090" class="elsevierStyleSimplePara elsevierViewall">We found an inverse relationship between birth weight and total cholesterol and cholesterol LDL levels in males and females&#46; This association was also noted in Apo B concentrations in male adolescents&#46; The only influence birth weight had on blood pressure was on the diastolic blood pressure of males&#46;</p>"
      ]
    ]
    "multimedia" => array:5 [
      0 => array:7 [
        "identificador" => "t0005"
        "etiqueta" => "Tabla 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:3 [
          "leyenda" => "<p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">apo-A&#58; apolipoprote&#237;na A&#59; apo-B&#58; apolipoprote&#237;na B&#59; c-HDL&#58; colesterol de las lipoprote&#237;nas de alta densidad&#59; c-LDL&#58; colesterol de las lipoprote&#237;nas de baja densidad&#59; CT&#58; colesterol total&#59; DE&#58; desviaci&#243;n est&#225;ndar&#59; NS&#58; no significativo&#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
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black"></td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">1&#46;<span class="elsevierStyleSup">er</span> quintil&#60; 3&#46;000<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">2&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil3&#46;000&#8211;3&#46;320<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">3&#46;<span class="elsevierStyleSup">er</span> quintil3&#46;321&#8211;3&#46;600<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">4&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil3&#46;601&#8211;3&#46;800<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">5&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil&#62; 3&#46;800<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="center" valign="middle" style="border-bottom: 2px solid black">Significaci&#243;n<a class="elsevierStyleCrossRef" href="#tf0005">&#42;</a></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Colesterol total &#40;mg&#47;dl&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">167&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">163&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">163&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">160&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">p &#60; 0&#44;00001&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Triglic&#233;ridos &#40;mg&#47;dl&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">55&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\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">55&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">53&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\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">52&#44;36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">c-LDL &#40;mg&#47;dl&#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
                  \t\t\t\t\ttop\n
                  \t\t\t\t">93&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">91&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">91&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">90&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">88&#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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">p &#61; 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  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab192729.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tf0005"
              "etiqueta" => "&#42;"
              "nota" => "<p class="elsevierStyleNotepara" id="np0005">La significaci&#243;n es entre el 1&#46;<span class="elsevierStyleSup">er</span> y 5&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Perfil lip&#237;dico de las mujeres de los quintiles primero a quinto peso de reci&#233;n nacido</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "t0010"
        "etiqueta" => "Tabla 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
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                  \t\t\t\t">apo-B &#40;mg&#47;dl&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">CT&#47;c-HDL&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">c-LDL&#47;c-HDL&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">p &#61; 0&#44;01&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="left" valign="\n
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                  \t\t\t\t">apo-B&#47;apo-A&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="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  " align="right" valign="\n
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                  \t\t\t\t">0&#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
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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="right" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#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="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab192730.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tf0010"
              "etiqueta" => "&#42;"
              "nota" => "<p class="elsevierStyleNotepara" id="np0010">La significaci&#243;n es entre el 1&#46;<span class="elsevierStyleSup">er</span> y 5&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Perfil lip&#237;dico de los varones de los quintiles primero a quinto de peso de reci&#233;n nacido</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "t0015"
        "etiqueta" => "Tabla 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:3 [
          "leyenda" => "<p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">PAD&#58; presi&#243;n arterial diast&#243;lica&#59; PAS&#58; presi&#243;n arterial sist&#243;lica&#59; DE&#58; desviaci&#243;n est&#225;ndar&#59; NS&#58; no significativo&#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
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black"></td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">1&#46;<span class="elsevierStyleSup">er</span> quintil&#60; 3&#46;000<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">2&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil3&#46;000&#8211;3&#46;320<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">3&#46;<span class="elsevierStyleSup">er</span> quintil3&#46;321&#8211;3&#46;600<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">4&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil3&#46;601&#8211;3&#46;800<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">5&#46;<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">o</span></span> quintil&#62; 3&#46;800<span class="elsevierStyleHsp" style=""></span>g</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="center" valign="middle" style="border-bottom: 2px solid black">Significaci&#243;n<a class="elsevierStyleCrossRef" href="#tf0015">&#42;</a></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" 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="center" 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="center" 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="center" 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="center" 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="center" 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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Información del artículo
ISSN: 16954033
Idioma original: Español
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2019 Septiembre 44 13 57
2019 Agosto 32 11 43
2019 Julio 35 10 45
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2019 Mayo 56 27 83
2019 Abril 67 28 95
2019 Marzo 36 12 48
2019 Febrero 35 18 53
2019 Enero 24 30 54
2018 Diciembre 35 16 51
2018 Noviembre 125 22 147
2018 Octubre 87 19 106
2018 Septiembre 25 10 35
2018 Agosto 1 0 1
2018 Julio 4 0 4
2018 Junio 1 0 1
2018 Mayo 10 0 10
2018 Abril 10 0 10
2018 Marzo 16 0 16
2018 Febrero 8 0 8
2018 Enero 18 0 18
2017 Diciembre 10 0 10
2017 Noviembre 10 0 10
2017 Octubre 12 0 12
2017 Septiembre 20 0 20
2017 Agosto 20 0 20
2017 Julio 22 0 22
2017 Junio 22 20 42
2017 Mayo 21 6 27
2017 Abril 13 4 17
2017 Marzo 8 34 42
2017 Febrero 6 4 10
2017 Enero 9 2 11
2016 Diciembre 36 9 45
2016 Noviembre 39 12 51
2016 Octubre 35 10 45
2016 Septiembre 40 4 44
2016 Agosto 34 3 37
2016 Julio 33 11 44
2016 Junio 1 0 1
2016 Mayo 1 0 1
2016 Abril 1 0 1
2016 Marzo 3 0 3
2016 Febrero 7 0 7
2016 Enero 3 0 3
2015 Diciembre 5 0 5
2015 Noviembre 2 0 2
2015 Octubre 1 0 1
2015 Septiembre 1 6 7
2015 Agosto 1 10 11
2015 Julio 12 7 19
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2015 Mayo 9 0 9
2015 Abril 14 3 17
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2014 Mayo 56 4 60
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2013 Agosto 30 5 35
2013 Julio 29 5 34
2013 Junio 1 3 4
2013 Mayo 5 4 9
2013 Abril 3 0 3
2013 Marzo 7 2 9
2013 Febrero 15 1 16
2013 Enero 13 0 13
2012 Diciembre 17 2 19
2012 Noviembre 7 0 7
2012 Octubre 17 1 18
2012 Septiembre 3 1 4
2012 Agosto 2 0 2
2008 Marzo 1923 0 1923
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