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se ha presentado un incremento en la proporci&#243;n de ni&#241;os con sobrepeso y obesidad en Latinoam&#233;rica&#44; debido al fen&#243;meno de la transici&#243;n nutricional y del estilo de vida<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46; La obesidad en la ni&#241;ez es un factor de riesgo para diabetes mellitus tipo<span class="elsevierStyleHsp" style=""></span>2 y diferentes enfermedades cr&#243;nicas de la vida adulta&#44; como enfermedad cardiovascular&#44; c&#225;ncer y osteoartrosis<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;8</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Algunos estudios han reportado una disminuci&#243;n en la capacidad f&#237;sica y en el acondicionamiento f&#237;sico en ni&#241;os con sobrepeso y obesidad relacionados con la salud<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a>&#46; En los individuos obesos se ha observado una disminuci&#243;n en el consumo m&#225;ximo de ox&#237;geno &#40;VO<span class="elsevierStyleInf">2</span> m&#225;ximo&#41;&#44; el cual se relaciona con un deterioro en la capacidad funcional y una mayor morbimortalidad por causas cardiovasculares<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a>&#46; Sin embargo&#44; mantener el acondicionamiento f&#237;sico relacionado con la salud&#44; a partir de la participaci&#243;n en programas de actividad f&#237;sica y ejercicio&#44; disminuye el riesgo de enfermedad y lesi&#243;n<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a>&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Diferentes investigaciones demostraron que en ni&#241;os escolares la fuerza muscular&#44; la condici&#243;n cardiorrespiratoria y la velocidad de movimiento han disminuido en las &#250;ltimas 2 d&#233;cadas<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">12&#44;13</span></a>&#46; Con el incremento en el sobrepeso y la obesidad&#44; adem&#225;s de una reducci&#243;n en el acondicionamiento f&#237;sico&#44; se plantea la posibilidad de una asociaci&#243;n entre el estado nutricional y la condici&#243;n f&#237;sica relacionada con la salud en los ni&#241;os&#46; Algunos estudios previos reportaron la relaci&#243;n entre la obesidad y la condici&#243;n f&#237;sica en ni&#241;os en diferentes grupos poblacionales<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">14&#44;15</span></a>&#59; sin embargo&#44; hay diferencias sociales&#44; &#233;tnicas y en la composici&#243;n corporal que no permiten extrapolar los resultados&#46; Pocas investigaciones que eval&#250;en dicha relaci&#243;n han sido realizadas en poblaciones latinoamericanas&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Debido a que la desnutrici&#243;n es a&#250;n un problema de salud p&#250;blica en Colombia&#44; la cual se encuentra en transici&#243;n nutricional&#44; es importante evaluar la asociaci&#243;n entre el estado nutricional&#44; en particular la desnutrici&#243;n y la condici&#243;n f&#237;sica&#44; m&#225;s all&#225; de la obesidad&#46; Actualmente la informaci&#243;n es limitada&#44; y no hay datos provenientes de muestras poblacionales de ni&#241;os latinoamericanos y colombianos pertenecientes a programas de actividad f&#237;sica&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Por tal raz&#243;n&#44; el objetivo de este estudio fue evaluar si existe una asociaci&#243;n entre el estado nutricional y las capacidades f&#237;sicas en ni&#241;os entre 6 y 18<span class="elsevierStyleHsp" style=""></span>a&#241;os de edad pertenecientes a las Escuelas Populares del Deporte &#40;EPD&#41; del Instituto de Deportes y Recreaci&#243;n &#40;INDER&#41; de Medell&#237;n &#40;Colombia&#41;&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Materiales y m&#233;todos</span><p id="par0040" class="elsevierStylePara elsevierViewall">Se realiz&#243; un estudio transversal en 2008 que incluy&#243; 12&#46;872 ni&#241;os y ni&#241;as&#44; con edades entre 6 y 18<span class="elsevierStyleHsp" style=""></span>a&#241;os&#44; que participan en programas de actividad f&#237;sica&#44; deporte y recreaci&#243;n en forma regular&#44; adscritos a las 48<span class="elsevierStyleHsp" style=""></span>EPD del INDER Medell&#237;n &#40;Colombia&#41; y provenientes de un estrato socioecon&#243;mico bajo y medio&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">La evaluaci&#243;n de los ni&#241;os fue hecha por m&#233;dicos especialistas en medicina del deporte&#44; nutricionistas&#44; fisioterapeutas y educadores f&#237;sicos luego de un entrenamiento para la estandarizaci&#243;n de la t&#233;cnica&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">La historia cl&#237;nica y el examen f&#237;sico fueron realizados teniendo en cuenta las recomendaciones del Colegio Americano de Medicina Deportiva<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">16&#44;17</span></a>&#46; La informaci&#243;n fue suministrada por los padres y el coordinador de la respectiva EPD&#46; La edad se estratific&#243; en 3<span class="elsevierStyleHsp" style=""></span>grupos seg&#250;n la clasificaci&#243;n de las EPD&#58; iniciaci&#243;n &#40;6 a 7&#44;9<span class="elsevierStyleHsp" style=""></span>a&#241;os&#41;&#44; formaci&#243;n &#40;8 a 9&#44;9<span class="elsevierStyleHsp" style=""></span>a&#241;os&#41; y &#233;nfasis &#40;10 a<span class="elsevierStyleHsp" style=""></span>17&#44;9 a&#241;os&#41;&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">La medici&#243;n del peso se hizo con b&#225;sculas electr&#243;nicas port&#225;tiles marca Tanita<span class="elsevierStyleSup">&#174;</span>&#44; referencia BF-679<span class="elsevierStyleHsp" style=""></span>W&#44; y de la estatura&#44; con un tall&#237;metro port&#225;til marca Seca<span class="elsevierStyleSup">&#174;</span>&#44; referencia C-234&#46; Se sigui&#243; la t&#233;cnica recomendada por la Sociedad Canadiense para la Fisiolog&#237;a del Ejercicio<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a>&#46; La medici&#243;n de los pliegues cut&#225;neos &#40;subescapular y tricipital&#41; se hizo en los sitios previamente determinados por la Sociedad Internacional para el Avance de la Cineantropometr&#237;a &#40;ISAK&#41; con un adip&#243;metro calibrado marca Slim-Guide<span class="elsevierStyleSup">&#174;</span><a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;19</span></a>&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Se evalu&#243; el estado nutricional a partir de los indicadores sugeridos por la Organizaci&#243;n Mundial de la Salud &#40;OMS&#41;&#46; Se utilizaron como patr&#243;n de referencia las tablas del Centro para el Control de las Enfermedades &#40;CDC&#41; de EstadosUnidos de 2000&#44; para el c&#225;lculo de los valores z y los percentiles de los indicadores nutricionales<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a>&#46; El procedimiento se hizo por medio del programa NutStat contenido en Epi<span class="elsevierStyleHsp" style=""></span>Info<span class="elsevierStyleHsp" style=""></span>2000&#46; Los indicadores de peso para la edad y sexo&#44; y de estatura para la edad y sexo&#44; se consideraron como normales si estaban entre &#177;<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>DE seg&#250;n la puntuaci&#243;n z&#46; Seg&#250;n el indicador peso para la edad y sexo&#44; se defini&#243; la falta de peso por debajo de &#8211;2<span class="elsevierStyleHsp" style=""></span>DE y un peso alto por encima de &#43;2<span class="elsevierStyleHsp" style=""></span>DE&#46; Seg&#250;n el indicador estatura para la edad y sexo&#44; se defini&#243; un retraso en el crecimiento por debajo de &#8211;2<span class="elsevierStyleHsp" style=""></span>DE y como alto por encima de &#43;2<span class="elsevierStyleHsp" style=""></span>DE&#46; El indicador &#237;ndice de masa corporal &#40;IMC&#41; para la edad y el sexo se consider&#243; como muy bajo o delgadez si se encontraba por debajo del percentil 5&#44; bajo entre el percentil 5 y menor del 25&#44; adecuado entre el percentil 25 y menor del 85&#44; en riesgo de sobrepeso entre el 85 y menor del 95 y presencia de obesidad por encima del percentil 95&#46; Para la calificaci&#243;n del porcentaje de grasa se utiliz&#243; la metodolog&#237;a propuesta por Lohman<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;21</span></a>&#46; Para el sexo masculino se defini&#243; un porcentaje de grasa bajo si era menor del 8&#37;&#44; &#243;ptimo entre 8&#37; y &#60;<span class="elsevierStyleHsp" style=""></span>13&#37;&#44; moderado-alto entre 13&#37; y &#60;<span class="elsevierStyleHsp" style=""></span>16&#37;&#44; alto entre 16&#37; y &#60;<span class="elsevierStyleHsp" style=""></span>20&#37; y muy alto &#62;<span class="elsevierStyleHsp" style=""></span>20&#37;&#46; Para el sexo femenino se defini&#243; un porcentaje de grasa bajo si era menor del 12&#37;&#44; &#243;ptimo entre 12&#37; y &#60;<span class="elsevierStyleHsp" style=""></span>18&#37;&#44; moderado alto entre 18&#37; y &#60;<span class="elsevierStyleHsp" style=""></span>21&#44;6&#37;&#44; alto entre 21&#44;6&#37; y &#60;<span class="elsevierStyleHsp" style=""></span>26&#44;4&#37; y muy alto &#62;<span class="elsevierStyleHsp" style=""></span>26&#44;4&#37;&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Para la evaluaci&#243;n de la maduraci&#243;n sexual se emplearon gr&#225;ficos de los diferentes estadios de maduraci&#243;n sexual para la autocalificaci&#243;n por parte de cada ni&#241;o&#46; Para evitar la supra e infravaloraci&#243;n&#44; se hizo valoraci&#243;n de los caracteres sexuales terciarios por parte de un m&#233;dico<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a>&#46; La postura y la flexibilidad fueron evaluadas teniendo en cuenta las variaciones anat&#243;micas y fisiol&#243;gicas&#44; seg&#250;n la edad y el sexo<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a>&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">La potencia aer&#243;bica se midi&#243; con el test de Luc Leger<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a>&#46; La velocidad en 20<span class="elsevierStyleHsp" style=""></span>m y la agilidad se obtuvieron mediante un protocolo estandarizado&#44; con un cron&#243;metro y conos&#44; para identificar la distancia a recorrer en el menor tiempo posible<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;24</span></a>&#46; La agilidad fue valorada a partir de la posici&#243;n en dec&#250;bito supino y se determin&#243; el tiempo para recorrer una distancia de 5<span class="elsevierStyleHsp" style=""></span>m<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;24</span></a>&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">La cuantificaci&#243;n de la fuerza explosiva se hizo a partir de la medici&#243;n de un salto horizontal sin impulso<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a>&#46; La resistencia a la fuerza se evalu&#243; a partir del mayor n&#250;mero de flexiones de codo y abdominales alcanzado por el ni&#241;o en 30<span class="elsevierStyleHsp" style=""></span>s en mayores de 10<span class="elsevierStyleHsp" style=""></span>a&#241;os<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a>&#46; Para evaluar el equilibrio se utiliz&#243; el test de Romberg&#59; se utiliz&#243; un protocolo estandarizado&#44; y el ni&#241;o recibi&#243; las instrucciones para adoptar la posici&#243;n adecuada<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a>&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">En esta investigaci&#243;n se tuvieron en cuenta los principios de la declaraci&#243;n de Helsinki en su &#250;ltima revisi&#243;n<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a>&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">An&#225;lisis estad&#237;stico</span><p id="par0085" class="elsevierStylePara elsevierViewall">Se utiliz&#243; la prueba de Kolmogorov-Smirnov para evaluar si los datos proven&#237;an de una poblaci&#243;n con distribuci&#243;n normal&#46; Para la descripci&#243;n de las variables cuantitativas se utiliz&#243; el promedio y la desviaci&#243;n est&#225;ndar&#46; Se calcul&#243; la proporci&#243;n de individuos con alteraciones nutricionales seg&#250;n los diferentes indicadores y se evalu&#243; la asociaci&#243;n con los grupos de edad por medio de la prueba &#967;<span class="elsevierStyleSup">2</span> de Pearson&#46; Se hizo un an&#225;lisis de varianza &#40;ANOVA&#41; para comparar las capacidades f&#237;sicas y el estadio de maduraci&#243;n sexual seg&#250;n el sexo y se utiliz&#243; un contraste polin&#243;mico de orden lineal ponderado para evaluar la tendencia&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Para establecer si exist&#237;an diferencias en las capacidades f&#237;sicas&#44; entre las categor&#237;as del estado nutricional seg&#250;n el IMC para la edad y el sexo&#44; se utiliz&#243; un an&#225;lisis multivariado de covarianza &#40;ANCOVA&#41;&#46; La edad se incluy&#243; como covariable&#46; Adem&#225;s&#44; se tuvo en cuenta la variable sexo como otro factor y se realiz&#243; la correcci&#243;n de Bonferroni para las m&#250;ltiples comparaciones&#46; En toda la muestra&#44; y discriminadas por sexo&#44; se compararon las capacidades f&#237;sicas entre las siguientes categor&#237;as del IMC&#58; adecuado y muy bajo o delgadez&#59; adecuado&#44; y obesidad&#46; Se estimaron las medias marginales y las diferencias de medias con sus respectivos intervalos de confianza al 95&#37;&#46; Para todos los an&#225;lisis se utiliz&#243; un nivel de significaci&#243;n estad&#237;stica del 5&#37; y se realizaron con el programa SPSS&#44; versi&#243;n 21&#46;0&#46;</p></span></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Resultados</span><p id="par0095" class="elsevierStylePara elsevierViewall">Para el an&#225;lisis se incluyeron 12&#46;872 ni&#241;os&#44; de los cuales el 88&#44;5&#37; pertenec&#237;an a EPD del &#225;rea urbana y el 65&#44;2&#37; fueron de sexo masculino&#46; El promedio del IMC fue 18<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#44;8<span class="elsevierStyleHsp" style=""></span>DE&#44; grasa corporal 18&#44;3&#37;<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>6&#44;8<span class="elsevierStyleHsp" style=""></span>DE y edad 11&#44;7 a&#241;os<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#44;8<span class="elsevierStyleHsp" style=""></span>DE&#46; Seg&#250;n la clasificaci&#243;n por rangos de edad&#44; 1&#46;167 ni&#241;os &#40;9&#37;&#41; pertenec&#237;an al grupo de iniciaci&#243;n&#44; 2&#46;597 &#40;20&#44;2&#37;&#41; al grupo de formaci&#243;n y 9&#46;108 &#40;70&#44;8&#37;&#41; al grupo de &#233;nfasis&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Con relaci&#243;n al estadio de maduraci&#243;n sexual comparativo&#44; el 66&#37; de los ni&#241;os ten&#237;an un Tanner entre 1 y 2&#46; Seg&#250;n el estado nutricional&#44; el 7&#44;7&#37; de los ni&#241;os present&#243; falta de peso&#44; el 11&#44;2&#37; ten&#237;an un retardo en el crecimiento&#44; el 6&#37; ten&#237;an un IMC para la edad y sexo calificado como muy bajo o delgadez&#44; el 12&#44;2&#37; estaban en riesgo de sobrepeso y obesidad y el 40&#44;5&#37; presentaban un porcentaje de grasa corporal calificado como alto o muy alto&#46; Se observ&#243; asociaci&#243;n entre los diferentes indicadores del estado nutricional y los grupos de edad &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">Se present&#243; una mejor&#237;a en la mayor&#237;a de las capacidades f&#237;sicas en la medida que aumenta el estadio de maduraci&#243;n sexual tanto en el sexo masculino como femenino &#40;p de tendencia &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; a excepci&#243;n de la agilidad y las flexiones de codo en el sexo femenino &#40;p de tendencia 0&#44;703 y 0&#44;797&#44; respectivamente&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">Luego de hacer el an&#225;lisis multivariado&#44; en el IMC para la edad y sexo se observaron diferencias entre las categor&#237;as adecuado y obesidad en la potencia aer&#243;bica &#40;en 2&#44;72<span class="elsevierStyleHsp" style=""></span>ml O<span class="elsevierStyleInf">2</span> kg<span class="elsevierStyleSup">&#8722;1</span>&#183;min<span class="elsevierStyleSup">&#8722;1</span>&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 1&#44;89-3&#44;56&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en la velocidad en 20<span class="elsevierStyleHsp" style=""></span>m &#40;0&#44;14<span class="elsevierStyleHsp" style=""></span>m&#183;s&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;06-0&#44;22&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en la agilidad &#40;&#8211;0&#44;31<span class="elsevierStyleHsp" style=""></span>s&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; &#8211;0&#44;38 a &#8211;0&#44;24&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en el salto horizontal &#40;0&#44;10<span class="elsevierStyleHsp" style=""></span>m&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;06-0&#44;13&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en las flexiones de codo &#40;2&#44;55&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;72-4&#44;37&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en abdominales &#40;1&#44;49&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;07-2&#44;92&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;033&#41; y en equilibrio &#40;2&#44;58<span class="elsevierStyleHsp" style=""></span>s&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 1&#44;02-4&#44;14&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; a favor del subgrupo clasificado como adecuado &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">Al comparar el subgrupo clasificado como adecuado con el denominado como muy bajo o delgadez&#44; hay diferencias en la velocidad en 20<span class="elsevierStyleHsp" style=""></span>m &#40;0&#44;13<span class="elsevierStyleHsp" style=""></span>m&#183;s&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;06-0&#44;20&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en salto horizontal &#40;0&#44;04<span class="elsevierStyleHsp" style=""></span>m&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;01-0&#44;07&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;004&#41; y en abdominales &#40;1&#44;32&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;29-2&#44;35&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;003&#41; a favor tambi&#233;n del subgrupo clasificado como adecuado &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Tambi&#233;n&#44; en la comparaci&#243;n de las capacidades f&#237;sicas seg&#250;n el estado nutricional a partir del IMC y discriminada por sexo&#44; se observaron diferencias entre los sujetos masculinos y femeninos&#46; La asociaci&#243;n entre las capacidades f&#237;sicas y la obesidad permanece para ambos sexos en la potencia aer&#243;bica&#44; velocidad en 20<span class="elsevierStyleHsp" style=""></span>m&#44; agilidad y salto horizontal&#59; pero solo para el sexo masculino en flexiones de codo y solo para el sexo femenino en el equlibrio &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46; La asociaci&#243;n entre las capacidades f&#237;sicas y la categor&#237;a del IMC muy bajo o delgadez se mantuvo solo para el sexo masculino en la velocidad en 20<span class="elsevierStyleHsp" style=""></span>m&#44; salto horizontal&#44; flexiones de codo y abdominales &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Discusi&#243;n</span><p id="par0125" class="elsevierStylePara elsevierViewall">La muestra de ni&#241;os y ni&#241;as incluidos en este estudio estuvo conformada principalmente por pre-p&#250;beres y adolescentes f&#237;sicamente activos&#46; La proporci&#243;n de ni&#241;os con un peso bajo para la edad y una estatura baja para la edad fue alta&#44; comparada con lo reportado en los estudios demogr&#225;ficos poblacionales de Am&#233;rica Latina<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#44;6</span></a>&#46; Por el contrario&#44; la obesidad fue m&#225;s frecuente en los ni&#241;os de menor edad&#44; pero m&#225;s baja que los porcentajes reportados en otros estudios&#44; los cuales se aproximan a una tercera parte de la poblaci&#243;n<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6&#44;8&#44;27</span></a>&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Las capacidades f&#237;sicas se incrementan con la edad&#59; el aumento fue mayor en los ni&#241;os con relaci&#243;n a las ni&#241;as&#44; y este hallazgo es m&#225;s notorio cuando se tiene en cuenta el estadio de maduraci&#243;n de caracteres sexuales propuesto por Tanner&#44; lo cual est&#225; de acuerdo con estudios cl&#225;sicos de Astrand<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a> y Malina<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">29</span></a> y con investigaciones m&#225;s recientes&#44; como las de Armstrong<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">30&#44;31</span></a>&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Seg&#250;n Astrand<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a>&#44; los ni&#241;os mejoran sus capacidades f&#237;sicas tanto aer&#243;bicas como las de fuerza&#44; con el crecimiento y la maduraci&#243;n&#59; sin embargo&#44; el desarrollo f&#237;sico tambi&#233;n afecta la progresi&#243;n del acondicionamiento cardiorrespiratorio y osteomuscular&#44; y estas a su vez est&#225;n condicionadas por el estado nutricional y el sexo<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">30</span></a>&#46; En un estudio&#44; que incluy&#243; ni&#241;os y ni&#241;as de 12<span class="elsevierStyleHsp" style=""></span>a&#241;os de edad&#44; el sexo y el estadio de maduraci&#243;n por Tanner&#44; mostraron una fuerte asociaci&#243;n con el VO<span class="elsevierStyleInf">2</span> m&#225;ximo&#44; incluso mayor que el peso corporal<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a>&#46; Los resultados obtenidos en este estudio&#44; tanto en el componente de potencia aer&#243;bica como en los de fuerza&#44; muestran un aumento en el desempe&#241;o en la medida que incrementa el estadio de maduraci&#243;n de Tanner&#44; el cual fue m&#225;s notorio en los hombres que en las mujeres&#44; similar a los hallazgos de otros autores<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">30-32</span></a>&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Al evaluar la relaci&#243;n entre las capacidades f&#237;sicas y el estado nutricional&#44; se encontr&#243; una disminuci&#243;n en la potencia aer&#243;bica &#40;VO<span class="elsevierStyleInf">2</span> m&#225;ximo&#41; en la categor&#237;a de obesidad&#44; seg&#250;n el indicador de IMC para la edad y sexo&#46; Estos hallazgos son similares a lo reportado por algunos autores en m&#250;ltiples pa&#237;ses&#44; quienes han registrado un menor VO<span class="elsevierStyleInf">2</span> m&#225;ximo y desempe&#241;o f&#237;sico en los ni&#241;os con un peso alto para la edad y el sexo&#44; y en aquellos con obesidad seg&#250;n el IMC<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;33&#44;34</span></a>&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Es importante tener en cuenta que el VO<span class="elsevierStyleInf">2</span> m&#225;ximo&#44; el cual se encuentra disminuido en los ni&#241;os obesos&#44; se relaciona con un deterioro en la capacidad funcional y una mayor morbimortalidad por causas cardiovasculares<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a>&#46; Por tal raz&#243;n&#44; el sedentarismo&#44; la obesidad y la baja condici&#243;n f&#237;sica en la ni&#241;ez podr&#237;an ser el inicio de la presencia de m&#250;ltiples factores de riesgo cardiovascular en la vida adulta y de un peor pron&#243;stico&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Con relaci&#243;n a las capacidades f&#237;sicas inherentes a la velocidad&#44; fuerza y coordinaci&#243;n&#44; la informaci&#243;n existente es escasa y en general poco concluyente<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;35</span></a>&#46; Contrario a esta evidencia&#44; los resultados obtenidos en el presente estudio mostraron que los ni&#241;os obesos tambi&#233;n tuvieron una menor velocidad&#44; agilidad&#44; fuerza explosiva&#44; resistencia a la fuerza y equilibrio&#46; Igualmente se encontr&#243; que los ni&#241;os con un IMC clasificado como muy bajo o delgadez ten&#237;an un menor desempe&#241;o en la velocidad&#44; fuerza explosiva y resistencia a la fuerza&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Es necesario resaltar que los ni&#241;os incluidos en este estudio ten&#237;an una buena condici&#243;n de salud en general&#44; seg&#250;n los datos de la valoraci&#243;n m&#233;dica&#59; adem&#225;s&#44; son ni&#241;os activos&#44; ya que se encuentran adscritos a un programa de deporte formativo&#44; realizan varias sesiones de ejercicio por semana y en un mayor porcentaje pertenec&#237;an al grupo de edad de &#233;nfasis&#44; que son ni&#241;os con edades entre 10 y 17&#44;9<span class="elsevierStyleHsp" style=""></span>a&#241;os&#46; Por lo tanto&#44; es menos probable la presencia de deficiencias nutricionales graves como la desnutrici&#243;n infantil&#44; en su forma aguda y cr&#243;nica&#44; en un programa de deporte formativo en comparaci&#243;n con la poblaci&#243;n general&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">Teniendo en cuenta la anterior premisa&#44; era menos factible encontrar ni&#241;os con estados de desnutrici&#243;n graves que pudieran afectar negativamente los resultados de las pruebas f&#237;sicas&#46; Incluso&#44; en general&#44; podr&#237;a ser adecuado describirlos en algunos casos como ni&#241;os sanos con unas condiciones gen&#233;ticas y ambientales que los predisponen a una estatura baja y contextura delgada&#44; cuando son evaluados y comparados con patrones de referencia provenientes de ni&#241;os &#233;tnicamente con una mayor estatura y peso corporal&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Sin embargo&#44; a pesar de dichos planteamientos&#44; tambi&#233;n encontramos unos valores m&#225;s bajos en los resultados de los test f&#237;sicos en los ni&#241;os clasificados en el grupo de muy bajo o delgadez en comparaci&#243;n con la categor&#237;a de adecuado para el IMC seg&#250;n la edad y el sexo&#59; adem&#225;s&#44; observamos cambios en la asociaci&#243;n al discriminar por sexo&#44; posiblemente por variabilidad de los resultados obtenidos y diferencias gen&#233;ticas y hormonales&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">En m&#250;ltiples trabajos&#44; los ni&#241;os con menor estatura y menor peso&#44; para la edad y el sexo&#44; presentan una menor capacidad aer&#243;bica y de los componentes de la fuerza&#44; especialmente si pertenecen a estratos socioecon&#243;micos bajos<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">32</span></a>&#46; Esta relaci&#243;n puede mantenerse incluso si hay otros factores medioambientales sobrea&#241;adidos&#46; En 2 estudios que incluyeron ni&#241;os bolivianos&#44; las diferencias en las capacidades f&#237;sicas permanec&#237;an seg&#250;n la estatura para la edad&#44; luego de hacer las comparaciones teniendo en cuenta el estrato socioecon&#243;mico y el lugar de vivienda a grandes alturas<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">36&#44;37</span></a>&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">La evaluaci&#243;n de las capacidades f&#237;sicas es una forma sencilla y eficiente de estudio del efecto de la obesidad sobre la salud de un ni&#241;o&#46; Un bajo rendimiento f&#237;sico puede se&#241;alar la diferencia entre una constituci&#243;n &#171;gruesa&#187; y un estilo de vida poco saludable&#44; el cual se hace evidente no solo por el exceso de peso&#44; sino tambi&#233;n por el detrimento en el acondicionamiento f&#237;sico&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">A partir de nuestros hallazgos y seg&#250;n algunos reportes en la literatura<a class="elsevierStyleCrossRefs" href="#bib0190"><span class="elsevierStyleSup">38-40</span></a>&#44; podr&#237;amos pensar que el deterioro en las capacidades f&#237;sicas en los ni&#241;os puede ser un marcador temprano del compromiso cardiovascular y osteomuscular o una condici&#243;n que cambia de forma simult&#225;nea en el tiempo con otras variables metab&#243;licas e inflamatorias&#46; Estas hip&#243;tesis abren las puertas para futuras investigaciones&#44; que permitan comparar las capacidades f&#237;sicas con diferentes par&#225;metros cl&#237;nicos y de laboratorio en ni&#241;os sanos&#44; desnutridos y obesos&#44; y evaluar el valor predictivo de la capacidad f&#237;sica en la ni&#241;ez en la morbimortalidad cardiovascular en la vida adulta&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Conclusiones</span><p id="par0185" class="elsevierStylePara elsevierViewall">En los ni&#241;os incluidos en este estudio hay asociaci&#243;n entre el estado nutricional y las capacidades f&#237;sicas&#46; Los ni&#241;os con riesgo de sobrepeso y obesidad presentaron los peores resultados en las pruebas f&#237;sicas&#44; y los ni&#241;os con desnutrici&#243;n tuvieron una disminuci&#243;n en la velocidad&#44; en la fuerza explosiva y en la resistencia a la fuerza&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Financiaci&#243;n</span><p id="par0190" class="elsevierStylePara elsevierViewall">Esta investigaci&#243;n fue realizada con recursos del Instituto de Deportes y Recreaci&#243;n INDER&#44; Medell&#237;n&#44; en el Contrato Inter-administrativo con la Universidad de Antioquia N&#46;&#176; C-0340 de 2008&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflicto de intereses</span><p id="par0195" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Agradecimientos</span><p id="par0200" class="elsevierStylePara elsevierViewall">Nuestros sinceros agradecimientos a las directivas y coordinadores de los diferentes grupos&#44; del Instituto de Deportes y Recreaci&#243;n INDER&#44; Medell&#237;n&#59; a todos los ni&#241;os y sus familias que accedieron a ser evaluados e hicieron posible estos hallazgos&#46;</p><p id="par0205" class="elsevierStylePara elsevierViewall">Reconocemos la excelente labor a todas las personas que participaron en la recolecci&#243;n de la informaci&#243;n&#44; y en especial a los docentes y compa&#241;eros del Posgrado de Medicina Aplicada a la Actividad F&#237;sica y el Deporte de la Universidad de Antioquia&#46;</p></span></span>"
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        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0010">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las alteraciones nutricionales en la ni&#241;ez pueden producir un deterioro en las capacidades f&#237;sicas y una mayor morbimortalidad en la vida adulta&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0015">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Evaluar la asociaci&#243;n entre el estado nutricional y las capacidades f&#237;sicas</p> <span class="elsevierStyleSectionTitle" id="sect0020">Materiales y m&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal que incluy&#243; 12&#46;872 ni&#241;os&#44; con edades entre 6 y 18<span class="elsevierStyleHsp" style=""></span>a&#241;os&#44; a quienes se les realiz&#243; una evaluaci&#243;n cl&#237;nica y diferentes pruebas f&#237;sicas&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0025">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Entre los ni&#241;os incluidos&#44; el 66&#37; ten&#237;an un estadio de maduraci&#243;n Tanner<span class="elsevierStyleHsp" style=""></span>1 y 2&#44; el 6&#37; present&#243; desnutrici&#243;n y 12&#44;2&#37; estaban en riesgo de sobrepeso y obesidad&#46; Los ni&#241;os con obesidad presentaron una disminuci&#243;n en la potencia aer&#243;bica &#40;en 2&#44;72<span class="elsevierStyleHsp" style=""></span>ml<span class="elsevierStyleHsp" style=""></span>O<span class="elsevierStyleInf">2</span> kg<span class="elsevierStyleSup">&#8211;1</span>&#183;min<span class="elsevierStyleSup">&#8211;1</span>&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 1&#44;89-3&#44;56&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; velocidad &#40;0&#44;14<span class="elsevierStyleHsp" style=""></span>m&#183;s&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;06-0&#44;22&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; fuerza explosiva &#40;0&#44;10<span class="elsevierStyleHsp" style=""></span>m&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;06-0&#44;13&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; agilidad&#44; resistencia a la fuerza y equilibrio&#46; Los ni&#241;os con desnutrici&#243;n presentaron disminuci&#243;n en la velocidad &#40;0&#44;13<span class="elsevierStyleHsp" style=""></span>m&#183;s&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;06-0&#44;20&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; fuerza explosiva &#40;0&#44;04<span class="elsevierStyleHsp" style=""></span>m&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;01-0&#44;07&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;004&#41; y resistencia a la fuerza&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0030">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Se observ&#243; una asociaci&#243;n entre el estado nutricional y las capacidades f&#237;sicas&#46; Los ni&#241;os con obesidad presentaron los peores resultados en las pruebas f&#237;sicas&#44; mientras que aquellos con desnutrici&#243;n tuvieron una disminuci&#243;n en la velocidad&#44; en la fuerza explosiva y en la resistencia a la fuerza&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0040">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Nutritional disorders in childhood may cause a decline in motor abilities and increased morbidity and mortality in adulthood&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0045">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To assess the association between nutritional status and motor abilities&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0050">Materials and methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional study was performed that included 12&#44;872 children aged between 6 and 18<span class="elsevierStyleHsp" style=""></span>years who underwent a clinical evaluation and various physical tests&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0055">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Among the children&#44; 66&#37; had a Tanner maturation stage<span class="elsevierStyleHsp" style=""></span>1 and 2&#44; 6&#37; were under-nourished&#44; and 12&#46;2&#37; were at risk of overweight and obesity&#46; The obese children had a decrease in aerobic power &#40;in 2&#46;72<span class="elsevierStyleHsp" style=""></span>mL O2 kg<span class="elsevierStyleSup">&#8211;1</span>&#183;min<span class="elsevierStyleSup">&#8211;1</span>&#59; 95&#37;<span class="elsevierStyleHsp" style=""></span>CI&#58; 1&#46;89 to 3&#46;56&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#44; speed &#40;0&#46;14<span class="elsevierStyleHsp" style=""></span>m&#183;sec&#59; 95&#37;<span class="elsevierStyleHsp" style=""></span>CI&#58; 0&#46;06 to 0&#46;22&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#44; explosive strength &#40;0&#46;10<span class="elsevierStyleHsp" style=""></span>m&#59; 95&#37;<span class="elsevierStyleHsp" style=""></span>CI&#58; 0&#46;06 to 0&#46;13&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#44; agility&#44; strength endurance and balance&#46; Under-nourished children showed a decrease in speed &#40;0&#46;13<span class="elsevierStyleHsp" style=""></span>m&#183;sec&#59; 95&#37;<span class="elsevierStyleHsp" style=""></span>CI&#58; 0&#46;06 to 0&#46;20&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#44; explosive strength &#40;0&#46;04<span class="elsevierStyleHsp" style=""></span>m&#59; 95&#37;<span class="elsevierStyleHsp" style=""></span>CI&#58; 0&#46;01 to 0 07&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;004&#41;&#44; and strength endurance&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0060">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">There was an association between nutritional status and motor abilities in the children included in this study&#46; Obese children showed the worst results in physical tests&#44; and the under-nourished ones showed a decrease in speed&#44; explosive strength and strength endurance&#46;</p>"
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        "etiqueta" => "Figura 1"
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          "es" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Gr&#225;fico de perfil derivado del an&#225;lisis de covarianza &#40;ANCOVA&#41; de toda la muestra &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>12&#46;872&#41; donde se identifican las medias marginales estimadas de las capacidades f&#237;sicas seg&#250;n la clasificaci&#243;n del estado nutricional por el &#237;ndice de masa corporal ajustadas por edad y sexo de los ni&#241;os de las Escuelas Populares del Deporte del Instituto de Deportes y Recreaci&#243;n Medell&#237;n &#40;Colombia&#41;&#46;</p>"
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                  \t\t\t\t\tvoid\n
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                  \t\t\t\t">Clasificaci&#243;n del estado nutricional&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Valor de p<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&#201;nfasis &#40;&#37;&#41; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#46;108&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&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
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                  \t\t\t\t"><span class="elsevierStyleItalic">Peso&#47;edad</span></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"><span class="elsevierStyleHsp" style=""></span>Falta de peso&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">2&#44;83&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">4&#44;20&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">9&#44;34&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Normal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">94&#44;09&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">93&#44;69&nbsp;\t\t\t\t\t\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;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Peso alto&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">3&#44;08&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="5" align="char" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Estatura&#47;edad</span></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"><span class="elsevierStyleHsp" style=""></span>Retraso del crecimiento&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">5&#44;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#44;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">12&#44;85&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#60; 0&#44;001&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"><span class="elsevierStyleHsp" style=""></span>Normal&nbsp;\t\t\t\t\t\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">92&#44;03&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">90&#44;10&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">86&#44;47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;83&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">&#205;ndice de masa corporal</span></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"><span class="elsevierStyleHsp" style=""></span>Muy bajo o delgadez&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;54&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;93&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;74&nbsp;\t\t\t\t\t\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; 0&#44;001&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"><span class="elsevierStyleHsp" style=""></span>Bajo&nbsp;\t\t\t\t\t\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">13&#44;45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&#44;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23&#44;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Adecuado&nbsp;\t\t\t\t\t\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;58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">63&#44;19&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Obesidad&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">9&#44;25&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6&#44;08&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Bajo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">8&#44;60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&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"><span class="elsevierStyleHsp" style=""></span>&#211;ptimo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">38&#44;64&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">29&#44;89&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Moderado-alto&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&#44;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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23&#44;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alto&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">10&#44;40&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&#44;10&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Muy alto&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">11&#44;44&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">17&#44;80&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">24&#44;01&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">2 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#46;587&#41;</td><td class="td" title="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">3 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;331&#41;</td><td class="td" title="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">4 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;494&#41;</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Media&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" style="border-bottom: 2px solid black">DE&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" style="border-bottom: 2px solid black">Media&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" 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="left" 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="left" 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="left" 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="left" 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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&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">Consumo de ox&#237;geno &#40;ml<span class="elsevierStyleHsp" style=""></span>O<span class="elsevierStyleInf">2</span><span class="elsevierStyleHsp" style=""></span>kg<span class="elsevierStyleSup">&#8722;1</span><span class="elsevierStyleHsp" style=""></span>min<span class="elsevierStyleSup">&#8722;1</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t">Velocidad en 20 m &#40;m&#183;s&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Agilidad &#40;s&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Femenino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Salto horizontal &#40;m&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Flexiones de codo &#40;30 s&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Abdominales&#40;30 s&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">19&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#44;26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&#44;72&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#44;54&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;96&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#44;15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&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">Equilibrio &#40;s&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\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">12&#44;13&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\ttop\n
                  \t\t\t\t">10&#44;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#44;69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;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">14&#44;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&#44;39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;83&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#44;84&nbsp;\t\t\t\t\t\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; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Femenino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;93&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#44;61&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&#44;23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#44;99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;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">15&#44;15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#44;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#44;15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "es" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Capacidades f&#237;sicas seg&#250;n el estadio de maduraci&#243;n sexual de los ni&#241;os de las Escuelas Populares del Deporte del Instituto de Deportes y Recreaci&#243;n Medell&#237;n &#40;Colombia&#41;</p>"
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          "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">IMC&#58; &#237;ndice de masa corporal&#46; Categor&#237;as del &#237;ndice de masa corporal para la edad y sexo&#58; a &#40;muy bajo o delgadez&#41;&#59; b &#40;adecuado&#41;&#59; c &#40;obesidad&#41;&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Capacidad f&#237;sica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sexo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="3" align="center" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Clasificaci&#243;n del estado nutricional seg&#250;n el IMC</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Diferencia de medias &#40;b-a&#41;&nbsp;\t\t\t\t\t\t\n
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                  \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">IC 95&#37; de la diferencia &#40;b-a&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Valor de p<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Diferencia de medias &#40;b-c&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-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">IC 95&#37; de la diferencia &#40;b-c&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Valor de p<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">b</span></a>&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-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Muy bajo o delgadez &#40;a&#41; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>769&#41;&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Adecuado &#40;b&#41; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>7&#46;845&#41;&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Obesidad &#40;c&#41; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>492&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&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-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Inferior&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Superior&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Inferior&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Superior&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&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">Consumo de ox&#237;geno &#40;ml O<span class="elsevierStyleInf">2</span>&#46;kg<span class="elsevierStyleSup">&#8722;1<span class="elsevierStyleHsp" style=""></span></span>min<span class="elsevierStyleSup">&#8722;1</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\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">43&#44;54&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">44&#44;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t</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">&#8211;0&#44;17&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">1&#44;32&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;304&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;07&nbsp;\t\t\t\t\t\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">2&#44;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">4&#44;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Femenino&nbsp;\t\t\t\t\t\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">40&#44;27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&#44;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">37&#44;49&nbsp;\t\t\t\t\t\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">&#8211;0&#44;20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;1&#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="char" valign="\n
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                  \t\t\t\t">0&#44;95&nbsp;\t\t\t\t\t\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</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;83&nbsp;\t\t\t\t\t\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; 0&#44;001&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">Velocidad en 20 m &#40;m<span class="elsevierStyleHsp" style=""></span>s&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;72&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;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
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                  \t\t\t\t">0&#44;15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;15&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Femenino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t</td></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">Agilidad &#40;s&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\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  " align="char" valign="\n
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                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Femenino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Salto horizontal &#40;m&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Flexiones de codo &#40;30 s&#41;&nbsp;\t\t\t\t\t\t\n
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Asociación entre el estado nutricional y las capacidades físicas en niños de 6 a 18 años de Medellín (Colombia)
Association between nutritional status and physical abilities in children aged 6 to 18 years in Medellin (Colombia)
A. García Cruza,b, J. Figueroa Suárezc, J. Osorio Ciroa,b, N. Rodríguez Chavarroa,b, J. Gallo Villegasa,b,d,
Autor para correspondencia
jagallo2000@yahoo.com

Autor para correspondencia.
a Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
b Grupo de Investigación en Medicina Aplicada a la Actividad Física y el Deporte (GRINMADE), Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
c Universidad de Santander, Bucaramanga, Colombia
d Centro Clínico y de Investigación SICOR, Soluciones Integrales en Riesgo Cardiovascular, Medellín, Colombia
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Introducci&#243;n</span><p id="par0005" class="elsevierStylePara elsevierViewall">En los pa&#237;ses en v&#237;a de desarrollo son comunes tanto las deficiencias nutricionales<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> como la incorporaci&#243;n del estilo de vida moderno que marca la tendencia al sobrepeso y los factores de riesgo cardiovascular&#44; con sus inevitables consecuencias en la morbimortalidad<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">La malnutrici&#243;n es un fen&#243;meno frecuente&#44; y es la base fundamental de la desnutrici&#243;n y la obesidad<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>&#46; En el mundo hay 182&#44;7 millones de ni&#241;os que presentan un retraso en el crecimiento secundario a un d&#233;ficit nutricional severo<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a>&#59; dicha condici&#243;n se relaciona con una mayor mortalidad<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46; La Encuesta Nacional de la Situaci&#243;n Nutricional en Colombia &#40;ENSIN&#41; 2010 report&#243; una cifra del 10&#37; en ni&#241;os y adolescentes entre 5 y 17<span class="elsevierStyleHsp" style=""></span>a&#241;os<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Aunque la desnutrici&#243;n contin&#250;a siendo un problema de salud p&#250;blica en los pa&#237;ses en v&#237;a de desarrollo<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#44; se ha presentado un incremento en la proporci&#243;n de ni&#241;os con sobrepeso y obesidad en Latinoam&#233;rica&#44; debido al fen&#243;meno de la transici&#243;n nutricional y del estilo de vida<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46; La obesidad en la ni&#241;ez es un factor de riesgo para diabetes mellitus tipo<span class="elsevierStyleHsp" style=""></span>2 y diferentes enfermedades cr&#243;nicas de la vida adulta&#44; como enfermedad cardiovascular&#44; c&#225;ncer y osteoartrosis<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;8</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Algunos estudios han reportado una disminuci&#243;n en la capacidad f&#237;sica y en el acondicionamiento f&#237;sico en ni&#241;os con sobrepeso y obesidad relacionados con la salud<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a>&#46; En los individuos obesos se ha observado una disminuci&#243;n en el consumo m&#225;ximo de ox&#237;geno &#40;VO<span class="elsevierStyleInf">2</span> m&#225;ximo&#41;&#44; 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se plantea la posibilidad de una asociaci&#243;n entre el estado nutricional y la condici&#243;n f&#237;sica relacionada con la salud en los ni&#241;os&#46; Algunos estudios previos reportaron la relaci&#243;n entre la obesidad y la condici&#243;n f&#237;sica en ni&#241;os en diferentes grupos poblacionales<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">14&#44;15</span></a>&#59; sin embargo&#44; hay diferencias sociales&#44; &#233;tnicas y en la composici&#243;n corporal que no permiten extrapolar los resultados&#46; Pocas investigaciones que eval&#250;en dicha relaci&#243;n han sido realizadas en poblaciones latinoamericanas&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Debido a que la desnutrici&#243;n es a&#250;n un problema de salud p&#250;blica en Colombia&#44; la cual se encuentra en transici&#243;n nutricional&#44; es importante evaluar la asociaci&#243;n entre el estado nutricional&#44; en particular la desnutrici&#243;n y la condici&#243;n f&#237;sica&#44; 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La medici&#243;n de los pliegues cut&#225;neos &#40;subescapular y tricipital&#41; se hizo en los sitios previamente determinados por la Sociedad Internacional para el Avance de la Cineantropometr&#237;a &#40;ISAK&#41; con un adip&#243;metro calibrado marca Slim-Guide<span class="elsevierStyleSup">&#174;</span><a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;19</span></a>&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Se evalu&#243; el estado nutricional a partir de los indicadores sugeridos por la Organizaci&#243;n Mundial de la Salud &#40;OMS&#41;&#46; Se utilizaron como patr&#243;n de referencia las tablas del Centro para el Control de las Enfermedades &#40;CDC&#41; de EstadosUnidos de 2000&#44; para el c&#225;lculo de los valores z y los percentiles de los indicadores nutricionales<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a>&#46; El procedimiento se hizo por medio del programa NutStat contenido en Epi<span class="elsevierStyleHsp" style=""></span>Info<span class="elsevierStyleHsp" style=""></span>2000&#46; 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adecuado entre el percentil 25 y menor del 85&#44; en riesgo de sobrepeso entre el 85 y menor del 95 y presencia de obesidad por encima del percentil 95&#46; Para la calificaci&#243;n del porcentaje de grasa se utiliz&#243; la metodolog&#237;a propuesta por Lohman<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;21</span></a>&#46; Para el sexo masculino se defini&#243; un porcentaje de grasa bajo si era menor del 8&#37;&#44; &#243;ptimo entre 8&#37; y &#60;<span class="elsevierStyleHsp" style=""></span>13&#37;&#44; moderado-alto entre 13&#37; y &#60;<span class="elsevierStyleHsp" style=""></span>16&#37;&#44; alto entre 16&#37; y &#60;<span class="elsevierStyleHsp" style=""></span>20&#37; y muy alto &#62;<span class="elsevierStyleHsp" style=""></span>20&#37;&#46; Para el sexo femenino se defini&#243; un porcentaje de grasa bajo si era menor del 12&#37;&#44; &#243;ptimo entre 12&#37; y &#60;<span class="elsevierStyleHsp" style=""></span>18&#37;&#44; moderado alto entre 18&#37; y &#60;<span class="elsevierStyleHsp" style=""></span>21&#44;6&#37;&#44; alto entre 21&#44;6&#37; y &#60;<span class="elsevierStyleHsp" style=""></span>26&#44;4&#37; y muy alto &#62;<span class="elsevierStyleHsp" style=""></span>26&#44;4&#37;&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Para la evaluaci&#243;n de la maduraci&#243;n sexual se emplearon gr&#225;ficos de los diferentes estadios de maduraci&#243;n sexual para la autocalificaci&#243;n por parte de cada ni&#241;o&#46; Para evitar la supra e infravaloraci&#243;n&#44; se hizo valoraci&#243;n de los caracteres sexuales terciarios por parte de un m&#233;dico<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a>&#46; La postura y la flexibilidad fueron evaluadas teniendo en cuenta las variaciones anat&#243;micas y fisiol&#243;gicas&#44; seg&#250;n la edad y el sexo<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a>&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">La potencia aer&#243;bica se midi&#243; con el test de Luc Leger<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a>&#46; La velocidad en 20<span class="elsevierStyleHsp" style=""></span>m y la agilidad se obtuvieron mediante un protocolo estandarizado&#44; con un cron&#243;metro y conos&#44; para identificar la distancia a recorrer en el menor tiempo posible<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;24</span></a>&#46; La agilidad fue valorada a partir de la posici&#243;n en dec&#250;bito supino y se determin&#243; el tiempo para recorrer una distancia de 5<span class="elsevierStyleHsp" style=""></span>m<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;24</span></a>&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">La cuantificaci&#243;n de la fuerza explosiva se hizo a partir de la medici&#243;n de un salto horizontal sin impulso<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a>&#46; La resistencia a la fuerza se evalu&#243; a partir del mayor n&#250;mero de flexiones de codo y abdominales alcanzado por el ni&#241;o en 30<span class="elsevierStyleHsp" style=""></span>s en mayores de 10<span class="elsevierStyleHsp" style=""></span>a&#241;os<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a>&#46; Para evaluar el equilibrio se utiliz&#243; el test de Romberg&#59; se utiliz&#243; un protocolo estandarizado&#44; y el ni&#241;o recibi&#243; las instrucciones para adoptar la posici&#243;n adecuada<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a>&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">En esta investigaci&#243;n se tuvieron en cuenta los principios de la declaraci&#243;n de Helsinki en su &#250;ltima revisi&#243;n<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a>&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">An&#225;lisis estad&#237;stico</span><p id="par0085" class="elsevierStylePara elsevierViewall">Se utiliz&#243; la prueba de Kolmogorov-Smirnov para evaluar si los datos proven&#237;an de una poblaci&#243;n con distribuci&#243;n normal&#46; Para la descripci&#243;n de las variables cuantitativas se utiliz&#243; el promedio y la desviaci&#243;n est&#225;ndar&#46; Se calcul&#243; la proporci&#243;n de individuos con alteraciones nutricionales seg&#250;n los diferentes indicadores y se evalu&#243; la asociaci&#243;n con los grupos de edad por medio de la prueba &#967;<span class="elsevierStyleSup">2</span> de Pearson&#46; Se hizo un an&#225;lisis de varianza &#40;ANOVA&#41; para comparar las capacidades f&#237;sicas y el estadio de maduraci&#243;n sexual seg&#250;n el sexo y se utiliz&#243; un contraste polin&#243;mico de orden lineal ponderado para evaluar la tendencia&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Para establecer si exist&#237;an diferencias en las capacidades f&#237;sicas&#44; entre las categor&#237;as del estado nutricional seg&#250;n el IMC para la edad y el sexo&#44; se utiliz&#243; un an&#225;lisis multivariado de covarianza &#40;ANCOVA&#41;&#46; La edad se incluy&#243; como covariable&#46; Adem&#225;s&#44; se tuvo en cuenta la variable sexo como otro factor y se realiz&#243; la correcci&#243;n de Bonferroni para las m&#250;ltiples comparaciones&#46; En toda la muestra&#44; y discriminadas por sexo&#44; se compararon las capacidades f&#237;sicas entre las siguientes categor&#237;as del IMC&#58; adecuado y muy bajo o delgadez&#59; adecuado&#44; y obesidad&#46; Se estimaron las medias marginales y las diferencias de medias con sus respectivos intervalos de confianza al 95&#37;&#46; Para todos los an&#225;lisis se utiliz&#243; un nivel de significaci&#243;n estad&#237;stica del 5&#37; y se realizaron con el programa SPSS&#44; versi&#243;n 21&#46;0&#46;</p></span></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Resultados</span><p id="par0095" class="elsevierStylePara elsevierViewall">Para el an&#225;lisis se incluyeron 12&#46;872 ni&#241;os&#44; de los cuales el 88&#44;5&#37; pertenec&#237;an a EPD del &#225;rea urbana y el 65&#44;2&#37; fueron de sexo masculino&#46; El promedio del IMC fue 18<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#44;8<span class="elsevierStyleHsp" style=""></span>DE&#44; grasa corporal 18&#44;3&#37;<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>6&#44;8<span class="elsevierStyleHsp" style=""></span>DE y edad 11&#44;7 a&#241;os<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#44;8<span class="elsevierStyleHsp" style=""></span>DE&#46; Seg&#250;n la clasificaci&#243;n por rangos de edad&#44; 1&#46;167 ni&#241;os &#40;9&#37;&#41; pertenec&#237;an al grupo de iniciaci&#243;n&#44; 2&#46;597 &#40;20&#44;2&#37;&#41; al grupo de formaci&#243;n y 9&#46;108 &#40;70&#44;8&#37;&#41; al grupo de &#233;nfasis&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Con relaci&#243;n al estadio de maduraci&#243;n sexual comparativo&#44; el 66&#37; de los ni&#241;os ten&#237;an un Tanner entre 1 y 2&#46; Seg&#250;n el estado nutricional&#44; el 7&#44;7&#37; de los ni&#241;os present&#243; falta de peso&#44; el 11&#44;2&#37; ten&#237;an un retardo en el crecimiento&#44; el 6&#37; ten&#237;an un IMC para la edad y sexo calificado como muy bajo o delgadez&#44; el 12&#44;2&#37; estaban en riesgo de sobrepeso y obesidad y el 40&#44;5&#37; presentaban un porcentaje de grasa corporal calificado como alto o muy alto&#46; Se observ&#243; asociaci&#243;n entre los diferentes indicadores del estado nutricional y los grupos de edad &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">Se present&#243; una mejor&#237;a en la mayor&#237;a de las capacidades f&#237;sicas en la medida que aumenta el estadio de maduraci&#243;n sexual tanto en el sexo masculino como femenino &#40;p de tendencia &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; a excepci&#243;n de la agilidad y las flexiones de codo en el sexo femenino &#40;p de tendencia 0&#44;703 y 0&#44;797&#44; respectivamente&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">Luego de hacer el an&#225;lisis multivariado&#44; en el IMC para la edad y sexo se observaron diferencias entre las categor&#237;as adecuado y obesidad en la potencia aer&#243;bica &#40;en 2&#44;72<span class="elsevierStyleHsp" style=""></span>ml O<span class="elsevierStyleInf">2</span> kg<span class="elsevierStyleSup">&#8722;1</span>&#183;min<span class="elsevierStyleSup">&#8722;1</span>&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 1&#44;89-3&#44;56&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en la velocidad en 20<span class="elsevierStyleHsp" style=""></span>m &#40;0&#44;14<span class="elsevierStyleHsp" style=""></span>m&#183;s&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;06-0&#44;22&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en la agilidad &#40;&#8211;0&#44;31<span class="elsevierStyleHsp" style=""></span>s&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; &#8211;0&#44;38 a &#8211;0&#44;24&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en el salto horizontal &#40;0&#44;10<span class="elsevierStyleHsp" style=""></span>m&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;06-0&#44;13&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en las flexiones de codo &#40;2&#44;55&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;72-4&#44;37&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en abdominales &#40;1&#44;49&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;07-2&#44;92&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;033&#41; y en equilibrio &#40;2&#44;58<span class="elsevierStyleHsp" style=""></span>s&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 1&#44;02-4&#44;14&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; a favor del subgrupo clasificado como adecuado &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">Al comparar el subgrupo clasificado como adecuado con el denominado como muy bajo o delgadez&#44; hay diferencias en la velocidad en 20<span class="elsevierStyleHsp" style=""></span>m &#40;0&#44;13<span class="elsevierStyleHsp" style=""></span>m&#183;s&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;06-0&#44;20&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en salto horizontal &#40;0&#44;04<span class="elsevierStyleHsp" style=""></span>m&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;01-0&#44;07&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;004&#41; y en abdominales &#40;1&#44;32&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;29-2&#44;35&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;003&#41; a favor tambi&#233;n del subgrupo clasificado como adecuado &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Tambi&#233;n&#44; en la comparaci&#243;n de las capacidades f&#237;sicas seg&#250;n el estado nutricional a partir del IMC y discriminada por sexo&#44; se observaron diferencias entre los sujetos masculinos y femeninos&#46; La asociaci&#243;n entre las capacidades f&#237;sicas y la obesidad permanece para ambos sexos en la potencia aer&#243;bica&#44; velocidad en 20<span class="elsevierStyleHsp" style=""></span>m&#44; agilidad y salto horizontal&#59; pero solo para el sexo masculino en flexiones de codo y solo para el sexo femenino en el equlibrio &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46; La asociaci&#243;n entre las capacidades f&#237;sicas y la categor&#237;a del IMC muy bajo o delgadez se mantuvo solo para el sexo masculino en la velocidad en 20<span class="elsevierStyleHsp" style=""></span>m&#44; salto horizontal&#44; flexiones de codo y abdominales &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Discusi&#243;n</span><p id="par0125" class="elsevierStylePara elsevierViewall">La muestra de ni&#241;os y ni&#241;as incluidos en este estudio estuvo conformada principalmente por pre-p&#250;beres y adolescentes f&#237;sicamente activos&#46; La proporci&#243;n de ni&#241;os con un peso bajo para la edad y una estatura baja para la edad fue alta&#44; comparada con lo reportado en los estudios demogr&#225;ficos poblacionales de Am&#233;rica Latina<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#44;6</span></a>&#46; Por el contrario&#44; la obesidad fue m&#225;s frecuente en los ni&#241;os de menor edad&#44; pero m&#225;s baja que los porcentajes reportados en otros estudios&#44; los cuales se aproximan a una tercera parte de la poblaci&#243;n<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6&#44;8&#44;27</span></a>&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Las capacidades f&#237;sicas se incrementan con la edad&#59; el aumento fue mayor en los ni&#241;os con relaci&#243;n a las ni&#241;as&#44; y este hallazgo es m&#225;s notorio cuando se tiene en cuenta el estadio de maduraci&#243;n de caracteres sexuales propuesto por Tanner&#44; lo cual est&#225; de acuerdo con estudios cl&#225;sicos de Astrand<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a> y Malina<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">29</span></a> y con investigaciones m&#225;s recientes&#44; como las de Armstrong<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">30&#44;31</span></a>&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Seg&#250;n Astrand<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a>&#44; los ni&#241;os mejoran sus capacidades f&#237;sicas tanto aer&#243;bicas como las de fuerza&#44; con el crecimiento y la maduraci&#243;n&#59; sin embargo&#44; el desarrollo f&#237;sico tambi&#233;n afecta la progresi&#243;n del acondicionamiento cardiorrespiratorio y osteomuscular&#44; y estas a su vez est&#225;n condicionadas por el estado nutricional y el sexo<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">30</span></a>&#46; En un estudio&#44; que incluy&#243; ni&#241;os y ni&#241;as de 12<span class="elsevierStyleHsp" style=""></span>a&#241;os de edad&#44; el sexo y el estadio de maduraci&#243;n por Tanner&#44; mostraron una fuerte asociaci&#243;n con el VO<span class="elsevierStyleInf">2</span> m&#225;ximo&#44; incluso mayor que el peso corporal<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a>&#46; Los resultados obtenidos en este estudio&#44; tanto en el componente de potencia aer&#243;bica como en los de fuerza&#44; muestran un aumento en el desempe&#241;o en la medida que incrementa el estadio de maduraci&#243;n de Tanner&#44; el cual fue m&#225;s notorio en los hombres que en las mujeres&#44; similar a los hallazgos de otros autores<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">30-32</span></a>&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Al evaluar la relaci&#243;n entre las capacidades f&#237;sicas y el estado nutricional&#44; se encontr&#243; una disminuci&#243;n en la potencia aer&#243;bica &#40;VO<span class="elsevierStyleInf">2</span> m&#225;ximo&#41; en la categor&#237;a de obesidad&#44; seg&#250;n el indicador de IMC para la edad y sexo&#46; Estos hallazgos son similares a lo reportado por algunos autores en m&#250;ltiples pa&#237;ses&#44; quienes han registrado un menor VO<span class="elsevierStyleInf">2</span> m&#225;ximo y desempe&#241;o f&#237;sico en los ni&#241;os con un peso alto para la edad y el sexo&#44; y en aquellos con obesidad seg&#250;n el IMC<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;33&#44;34</span></a>&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Es importante tener en cuenta que el VO<span class="elsevierStyleInf">2</span> m&#225;ximo&#44; el cual se encuentra disminuido en los ni&#241;os obesos&#44; se relaciona con un deterioro en la capacidad funcional y una mayor morbimortalidad por causas cardiovasculares<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a>&#46; Por tal raz&#243;n&#44; el sedentarismo&#44; la obesidad y la baja condici&#243;n f&#237;sica en la ni&#241;ez podr&#237;an ser el inicio de la presencia de m&#250;ltiples factores de riesgo cardiovascular en la vida adulta y de un peor pron&#243;stico&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Con relaci&#243;n a las capacidades f&#237;sicas inherentes a la velocidad&#44; fuerza y coordinaci&#243;n&#44; la informaci&#243;n existente es escasa y en general poco concluyente<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;35</span></a>&#46; Contrario a esta evidencia&#44; los resultados obtenidos en el presente estudio mostraron que los ni&#241;os obesos tambi&#233;n tuvieron una menor velocidad&#44; agilidad&#44; fuerza explosiva&#44; resistencia a la fuerza y equilibrio&#46; Igualmente se encontr&#243; que los ni&#241;os con un IMC clasificado como muy bajo o delgadez ten&#237;an un menor desempe&#241;o en la velocidad&#44; fuerza explosiva y resistencia a la fuerza&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Es necesario resaltar que los ni&#241;os incluidos en este estudio ten&#237;an una buena condici&#243;n de salud en general&#44; seg&#250;n los datos de la valoraci&#243;n m&#233;dica&#59; adem&#225;s&#44; son ni&#241;os activos&#44; ya que se encuentran adscritos a un programa de deporte formativo&#44; realizan varias sesiones de ejercicio por semana y en un mayor porcentaje pertenec&#237;an al grupo de edad de &#233;nfasis&#44; que son ni&#241;os con edades entre 10 y 17&#44;9<span class="elsevierStyleHsp" style=""></span>a&#241;os&#46; Por lo tanto&#44; es menos probable la presencia de deficiencias nutricionales graves como la desnutrici&#243;n infantil&#44; en su forma aguda y cr&#243;nica&#44; en un programa de deporte formativo en comparaci&#243;n con la poblaci&#243;n general&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">Teniendo en cuenta la anterior premisa&#44; era menos factible encontrar ni&#241;os con estados de desnutrici&#243;n graves que pudieran afectar negativamente los resultados de las pruebas f&#237;sicas&#46; Incluso&#44; en general&#44; podr&#237;a ser adecuado describirlos en algunos casos como ni&#241;os sanos con unas condiciones gen&#233;ticas y ambientales que los predisponen a una estatura baja y contextura delgada&#44; cuando son evaluados y comparados con patrones de referencia provenientes de ni&#241;os &#233;tnicamente con una mayor estatura y peso corporal&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Sin embargo&#44; a pesar de dichos planteamientos&#44; tambi&#233;n encontramos unos valores m&#225;s bajos en los resultados de los test f&#237;sicos en los ni&#241;os clasificados en el grupo de muy bajo o delgadez en comparaci&#243;n con la categor&#237;a de adecuado para el IMC seg&#250;n la edad y el sexo&#59; adem&#225;s&#44; observamos cambios en la asociaci&#243;n al discriminar por sexo&#44; posiblemente por variabilidad de los resultados obtenidos y diferencias gen&#233;ticas y hormonales&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">En m&#250;ltiples trabajos&#44; los ni&#241;os con menor estatura y menor peso&#44; para la edad y el sexo&#44; presentan una menor capacidad aer&#243;bica y de los componentes de la fuerza&#44; especialmente si pertenecen a estratos socioecon&#243;micos bajos<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">32</span></a>&#46; Esta relaci&#243;n puede mantenerse incluso si hay otros factores medioambientales sobrea&#241;adidos&#46; En 2 estudios que incluyeron ni&#241;os bolivianos&#44; las diferencias en las capacidades f&#237;sicas permanec&#237;an seg&#250;n la estatura para la edad&#44; luego de hacer las comparaciones teniendo en cuenta el estrato socioecon&#243;mico y el lugar de vivienda a grandes alturas<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">36&#44;37</span></a>&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">La evaluaci&#243;n de las capacidades f&#237;sicas es una forma sencilla y eficiente de estudio del efecto de la obesidad sobre la salud de un ni&#241;o&#46; Un bajo rendimiento f&#237;sico puede se&#241;alar la diferencia entre una constituci&#243;n &#171;gruesa&#187; y un estilo de vida poco saludable&#44; el cual se hace evidente no solo por el exceso de peso&#44; sino tambi&#233;n por el detrimento en el acondicionamiento f&#237;sico&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">A partir de nuestros hallazgos y seg&#250;n algunos reportes en la literatura<a class="elsevierStyleCrossRefs" href="#bib0190"><span class="elsevierStyleSup">38-40</span></a>&#44; podr&#237;amos pensar que el deterioro en las capacidades f&#237;sicas en los ni&#241;os puede ser un marcador temprano del compromiso cardiovascular y osteomuscular o una condici&#243;n que cambia de forma simult&#225;nea en el tiempo con otras variables metab&#243;licas e inflamatorias&#46; Estas hip&#243;tesis abren las puertas para futuras investigaciones&#44; que permitan comparar las capacidades f&#237;sicas con diferentes par&#225;metros cl&#237;nicos y de laboratorio en ni&#241;os sanos&#44; desnutridos y obesos&#44; y evaluar el valor predictivo de la capacidad f&#237;sica en la ni&#241;ez en la morbimortalidad cardiovascular en la vida adulta&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Conclusiones</span><p id="par0185" class="elsevierStylePara elsevierViewall">En los ni&#241;os incluidos en este estudio hay asociaci&#243;n entre el estado nutricional y las capacidades f&#237;sicas&#46; Los ni&#241;os con riesgo de sobrepeso y obesidad presentaron los peores resultados en las pruebas f&#237;sicas&#44; y los ni&#241;os con desnutrici&#243;n tuvieron una disminuci&#243;n en la velocidad&#44; en la fuerza explosiva y en la resistencia a la fuerza&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Financiaci&#243;n</span><p id="par0190" class="elsevierStylePara elsevierViewall">Esta investigaci&#243;n fue realizada con recursos del Instituto de Deportes y Recreaci&#243;n INDER&#44; Medell&#237;n&#44; en el Contrato Inter-administrativo con la Universidad de Antioquia N&#46;&#176; C-0340 de 2008&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflicto de intereses</span><p id="par0195" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Agradecimientos</span><p id="par0200" class="elsevierStylePara elsevierViewall">Nuestros sinceros agradecimientos a las directivas y coordinadores de los diferentes grupos&#44; del Instituto de Deportes y Recreaci&#243;n INDER&#44; Medell&#237;n&#59; a todos los ni&#241;os y sus familias que accedieron a ser evaluados e hicieron posible estos hallazgos&#46;</p><p id="par0205" class="elsevierStylePara elsevierViewall">Reconocemos la excelente labor a todas las personas que participaron en la recolecci&#243;n de la informaci&#243;n&#44; y en especial a los docentes y compa&#241;eros del Posgrado de Medicina Aplicada a la Actividad F&#237;sica y el Deporte de la Universidad de Antioquia&#46;</p></span></span>"
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          "clase" => "keyword"
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          "palabras" => array:5 [
            0 => "Physical fitness"
            1 => "Nutritional status"
            2 => "Sexual maturation"
            3 => "Under-nutrition"
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      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0010">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las alteraciones nutricionales en la ni&#241;ez pueden producir un deterioro en las capacidades f&#237;sicas y una mayor morbimortalidad en la vida adulta&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0015">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Evaluar la asociaci&#243;n entre el estado nutricional y las capacidades f&#237;sicas</p> <span class="elsevierStyleSectionTitle" id="sect0020">Materiales y m&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal que incluy&#243; 12&#46;872 ni&#241;os&#44; con edades entre 6 y 18<span class="elsevierStyleHsp" style=""></span>a&#241;os&#44; a quienes se les realiz&#243; una evaluaci&#243;n cl&#237;nica y diferentes pruebas f&#237;sicas&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0025">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Entre los ni&#241;os incluidos&#44; el 66&#37; ten&#237;an un estadio de maduraci&#243;n Tanner<span class="elsevierStyleHsp" style=""></span>1 y 2&#44; el 6&#37; present&#243; desnutrici&#243;n y 12&#44;2&#37; estaban en riesgo de sobrepeso y obesidad&#46; Los ni&#241;os con obesidad presentaron una disminuci&#243;n en la potencia aer&#243;bica &#40;en 2&#44;72<span class="elsevierStyleHsp" style=""></span>ml<span class="elsevierStyleHsp" style=""></span>O<span class="elsevierStyleInf">2</span> kg<span class="elsevierStyleSup">&#8211;1</span>&#183;min<span class="elsevierStyleSup">&#8211;1</span>&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 1&#44;89-3&#44;56&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; velocidad &#40;0&#44;14<span class="elsevierStyleHsp" style=""></span>m&#183;s&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;06-0&#44;22&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; fuerza explosiva &#40;0&#44;10<span class="elsevierStyleHsp" style=""></span>m&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;06-0&#44;13&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; agilidad&#44; resistencia a la fuerza y equilibrio&#46; Los ni&#241;os con desnutrici&#243;n presentaron disminuci&#243;n en la velocidad &#40;0&#44;13<span class="elsevierStyleHsp" style=""></span>m&#183;s&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;06-0&#44;20&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; fuerza explosiva &#40;0&#44;04<span class="elsevierStyleHsp" style=""></span>m&#59; IC<span class="elsevierStyleHsp" style=""></span>95&#37;&#58; 0&#44;01-0&#44;07&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;004&#41; y resistencia a la fuerza&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0030">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Se observ&#243; una asociaci&#243;n entre el estado nutricional y las capacidades f&#237;sicas&#46; Los ni&#241;os con obesidad presentaron los peores resultados en las pruebas f&#237;sicas&#44; mientras que aquellos con desnutrici&#243;n tuvieron una disminuci&#243;n en la velocidad&#44; en la fuerza explosiva y en la resistencia a la fuerza&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0040">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Nutritional disorders in childhood may cause a decline in motor abilities and increased morbidity and mortality in adulthood&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0045">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To assess the association between nutritional status and motor abilities&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0050">Materials and methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional study was performed that included 12&#44;872 children aged between 6 and 18<span class="elsevierStyleHsp" style=""></span>years who underwent a clinical evaluation and various physical tests&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0055">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Among the children&#44; 66&#37; had a Tanner maturation stage<span class="elsevierStyleHsp" style=""></span>1 and 2&#44; 6&#37; were under-nourished&#44; and 12&#46;2&#37; were at risk of overweight and obesity&#46; The obese children had a decrease in aerobic power &#40;in 2&#46;72<span class="elsevierStyleHsp" style=""></span>mL O2 kg<span class="elsevierStyleSup">&#8211;1</span>&#183;min<span class="elsevierStyleSup">&#8211;1</span>&#59; 95&#37;<span class="elsevierStyleHsp" style=""></span>CI&#58; 1&#46;89 to 3&#46;56&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#44; speed &#40;0&#46;14<span class="elsevierStyleHsp" style=""></span>m&#183;sec&#59; 95&#37;<span class="elsevierStyleHsp" style=""></span>CI&#58; 0&#46;06 to 0&#46;22&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#44; explosive strength &#40;0&#46;10<span class="elsevierStyleHsp" style=""></span>m&#59; 95&#37;<span class="elsevierStyleHsp" style=""></span>CI&#58; 0&#46;06 to 0&#46;13&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#44; agility&#44; strength endurance and balance&#46; Under-nourished children showed a decrease in speed &#40;0&#46;13<span class="elsevierStyleHsp" style=""></span>m&#183;sec&#59; 95&#37;<span class="elsevierStyleHsp" style=""></span>CI&#58; 0&#46;06 to 0&#46;20&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#44; explosive strength &#40;0&#46;04<span class="elsevierStyleHsp" style=""></span>m&#59; 95&#37;<span class="elsevierStyleHsp" style=""></span>CI&#58; 0&#46;01 to 0 07&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;004&#41;&#44; and strength endurance&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0060">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">There was an association between nutritional status and motor abilities in the children included in this study&#46; Obese children showed the worst results in physical tests&#44; and the under-nourished ones showed a decrease in speed&#44; explosive strength and strength endurance&#46;</p>"
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          "es" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Gr&#225;fico de perfil derivado del an&#225;lisis de covarianza &#40;ANCOVA&#41; de toda la muestra &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>12&#46;872&#41; donde se identifican las medias marginales estimadas de las capacidades f&#237;sicas seg&#250;n la clasificaci&#243;n del estado nutricional por el &#237;ndice de masa corporal ajustadas por edad y sexo de los ni&#241;os de las Escuelas Populares del Deporte del Instituto de Deportes y Recreaci&#243;n Medell&#237;n &#40;Colombia&#41;&#46;</p>"
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                  \t\t\t\t\tvoid\n
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                  \t\t\t\t">Clasificaci&#243;n del estado nutricional&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Valor de p<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Iniciaci&#243;n &#40;&#37;&#41; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;167&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Formaci&#243;n &#40;&#37;&#41; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;597&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&#201;nfasis &#40;&#37;&#41; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#46;108&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Falta de peso&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;83&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">4&#44;20&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">9&#44;34&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Normal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">94&#44;09&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Peso alto&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">3&#44;08&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;12&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;42&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Estatura&#47;edad</span></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"><span class="elsevierStyleHsp" style=""></span>Retraso del crecimiento&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">5&#44;14&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">8&#44;24&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">12&#44;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#60; 0&#44;001&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"><span class="elsevierStyleHsp" style=""></span>Normal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">92&#44;03&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">90&#44;10&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">86&#44;47&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&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"><span class="elsevierStyleHsp" style=""></span>Alto&nbsp;\t\t\t\t\t\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">2&#44;83&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#44;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">&#205;ndice de masa corporal</span></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"><span class="elsevierStyleHsp" style=""></span>Muy bajo o delgadez&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">4&#44;54&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#44;93&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6&#44;74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Bajo&nbsp;\t\t\t\t\t\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">13&#44;45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">15&#44;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">23&#44;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Adecuado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">60&#44;58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">63&#44;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">60&#44;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Riesgo de sobrepeso&nbsp;\t\t\t\t\t\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">12&#44;17&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">11&#44;28&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">7&#44;07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Obesidad&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">9&#44;25&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6&#44;08&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Porcentaje de grasa corporal</span></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"><span class="elsevierStyleHsp" style=""></span>Bajo&nbsp;\t\t\t\t\t\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">8&#44;60&nbsp;\t\t\t\t\t\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">5&#44;89&nbsp;\t\t\t\t\t\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">2&#44;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">&#60; 0&#44;001&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"><span class="elsevierStyleHsp" style=""></span>&#211;ptimo&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">48&#44;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">38&#44;64&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">29&#44;89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Moderado-alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&#44;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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23&#44;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alto&nbsp;\t\t\t\t\t\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">10&#44;40&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">20&#44;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></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"><span class="elsevierStyleHsp" style=""></span>Muy alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#44;80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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            0 => array:3 [
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          "es" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Descripci&#243;n del estado nutricional seg&#250;n el grupo de edad de los ni&#241;os de las Escuelas Populares del Deporte del Instituto de Deportes y Recreaci&#243;n Medell&#237;n &#40;Colombia&#41;</p>"
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                  \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  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Capacidad f&#237;sica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sexo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="10" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Clasificaci&#243;n del estadio de maduraci&#243;n Tanner</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Valor de p<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">1 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#46;906&#41;</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 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#46;587&#41;</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 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;331&#41;</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 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;494&#41;</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 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>554&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&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-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&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="left" 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="left" 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="left" 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="left" 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="left" 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="left" 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="left" 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="left" 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="left" 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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">DE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&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">Consumo de ox&#237;geno &#40;ml<span class="elsevierStyleHsp" style=""></span>O<span class="elsevierStyleInf">2</span><span class="elsevierStyleHsp" style=""></span>kg<span class="elsevierStyleSup">&#8722;1</span><span class="elsevierStyleHsp" style=""></span>min<span class="elsevierStyleSup">&#8722;1</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\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">39&#44;97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;93&nbsp;\t\t\t\t\t\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">43&#44;08&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">46&#44;64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;92&nbsp;\t\t\t\t\t\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">50&#44;46&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#44;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&#44;64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#44;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Femenino&nbsp;\t\t\t\t\t\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">38&#44;42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39&#44;91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">41&#44;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&#44;66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">41&#44;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&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">Velocidad en 20 m &#40;m&#183;s&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;54&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#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="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t">Agilidad &#40;s&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Salto horizontal &#40;m&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Flexiones de codo &#40;30 s&#41;&nbsp;\t\t\t\t\t\t\n
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                  """
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          "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">IMC&#58; &#237;ndice de masa corporal&#46; Categor&#237;as del &#237;ndice de masa corporal para la edad y sexo&#58; a &#40;muy bajo o delgadez&#41;&#59; b &#40;adecuado&#41;&#59; c &#40;obesidad&#41;&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Capacidad f&#237;sica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sexo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Clasificaci&#243;n del estado nutricional seg&#250;n el IMC</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Diferencia de medias &#40;b-a&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-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">IC 95&#37; de la diferencia &#40;b-a&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Valor de p<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Diferencia de medias &#40;b-c&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-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">IC 95&#37; de la diferencia &#40;b-c&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Valor de p<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">b</span></a>&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-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Muy bajo o delgadez &#40;a&#41; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>769&#41;&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Adecuado &#40;b&#41; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>7&#46;845&#41;&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Obesidad &#40;c&#41; &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>492&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&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-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Media<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Inferior&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Superior&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Inferior&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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Superior&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&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">Consumo de ox&#237;geno &#40;ml O<span class="elsevierStyleInf">2</span>&#46;kg<span class="elsevierStyleSup">&#8722;1<span class="elsevierStyleHsp" style=""></span></span>min<span class="elsevierStyleSup">&#8722;1</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\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">43&#44;54&nbsp;\t\t\t\t\t\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">44&#44;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">41&#44;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;0&#44;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;304&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Femenino&nbsp;\t\t\t\t\t\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">40&#44;27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&#44;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">37&#44;49&nbsp;\t\t\t\t\t\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">&#8211;0&#44;20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8211;1&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;95&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;83&nbsp;\t\t\t\t\t\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; 0&#44;001&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">Velocidad en 20 m &#40;m<span class="elsevierStyleHsp" style=""></span>s&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;72&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#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="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;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">0&#44;15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t">Agilidad &#40;s&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Femenino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Salto horizontal &#40;m&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Flexiones de codo &#40;30 s&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\t\n
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                          "autores" => array:4 [
                            0 => "J&#46; Gustat"
                            1 => "S&#46;R&#46; Srinivasan"
                            2 => "A&#46; Elkasabany"
                            3 => "G&#46;S&#46; Berenson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "2002"
                        "volumen" => "55"
                        "paginaInicial" => "997"
                        "paginaFinal" => "1006"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12464376"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/16954033/0000008100000006/v1_201412040021/S169540331300444X/v1_201412040021/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "14282"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/16954033/0000008100000006/v1_201412040021/S169540331300444X/v1_201412040021/es/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540331300444X?idApp=UINPBA00005H"
]
Información del artículo
ISSN: 16954033
Idioma original: Español
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