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Original article
Prevalence rates of chronic kidney disease and its association with cardiometabolic factors and cardiovascular diseases. SIMETAP-CKD study
Tasas de prevalencia de enfermedad renal crónica y su asociación con factores cardiometabólicos y enfermedades cardiovasculares. Estudio SIMETAP-ERC
Antonio Ruiz-Garciaa,1,
Corresponding author
antoniodoctor@gmail.com

Corresponding author.
, Ezequiel Arranz-Martínezb,1, Nerea Iturmendi-Martínezc, Teresa Fernández-Vicented, Montserrat Rivera-Teijidoe, Juan Carlos García-Álvareze
a Lipids and Cardiovascular Prevention Unit, Centro de Salud Universitario Pinto, Pinto, Madrid, Spain
b Centro de Salud San Blas, Parla, Madrid, Spain
c Centro de Salud Argüelles, Madrid, Spain
d Centro de Salud Torrejón de la Calzada, Torrejón de la Calzada, Madrid, Spain
e Centro de Salud Universitario Dr. Mendiguchía-Carriche, Leganés, Madrid, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Chronic kidney disease &#40;CKD&#41; is characterised by a gradual deterioration of the body&#8217;s filtering function&#44; removal of toxins&#44; and volume control&#44; which can lead to the development of cardiovascular problems such as heart failure and arteriosclerotic cardiovascular disease &#40;ACVD&#41;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">CKD is a major public health problem with an increasing global burden of disease and is linked to serious health outcomes&#44; poor quality of life&#44; and high healthcare costs&#44; most notably those derived from the renal replacement therapy that individuals with end-stage renal disease &#40;ESRD&#41; require&#46; Therefore&#44; there is a need to redirect the strategy toward early detection and early treatment so as to improve health outcomes and reduce the need for renal replacement therapy<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;3</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">In and of itself&#44; CKD constitutes a cardiovascular risk factor &#40;CVRF&#41;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#46; Whether or not patients with CKD have other associated CVRFs&#44; they are more likely to suffer from cardiovascular and all-cause mortality<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46; Death rates increase exponentially as kidney function worsens&#44; mainly due to cardiovascular causes<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46; There is a strong correlation between clinical prognosis&#44; albuminuria&#44; and reduced estimated glomerular filtration rate &#40;eGFR&#41; &#40;&#60;60&#8239;mL&#47;min&#47;1&#46;73&#8239;m<span class="elsevierStyleSup">2</span>&#41;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;5</span></a>&#46; Meta-analyses conducted by the Chronic Kidney Disease &#40;CKD&#41; Prognosis Consortium<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6&#44;7</span></a> have documented the association of decreased eGFR and the presence of albuminuria with an increased risk of overall mortality&#44; cardiovascular mortality&#44; renal failure&#44; acute renal failure&#44; and progression of CKD in both the general population and in populations at high cardiovascular risk &#40;CVR&#41;&#44; irrespective of other CVRFs&#46; People with CKD are 5&#8211;10 times more likely to die prematurely than to progress to ESRD&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Between 8&#8211;16&#37; of the world&#8217;s population has CKD&#44; albeit data differ significantly across countries and regions in the world<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;8&#8211;10</span></a>&#46; During recent decades&#44; the prevalence of CKD has risen in response to the growing prevalence of hypertension &#40;HTA&#41;&#44; obesity and diabetes &#40;DM&#41;&#44; as well as the increasing longevity of the population<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;10</span></a>&#46; DM and HTA are the leading causes of CKD in countries with high socio-demographic indices and in most countries with low indices<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46; Despite the fact that it has been well established that proper management and treatment of DM&#44; HTA&#44; and dyslipidaemia are effective in slowing the progression of CKD<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">11&#8211;13</span></a>&#44; the incidence of major adverse cardiovascular and renal events remains high among CKD patients&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The KDIGO &#40;Kidney Disease&#58; Improving Global Outcomes&#41; conference&#44; entitled <span class="elsevierStyleItalic">Early Identification and Intervention in CKD</span><a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a>&#44; identified strategies for early and optimal detection&#44; screening&#44; risk stratification&#44; and treatment of CKD&#44; such as encouraging healthy lifestyles and managing key CVRFs&#44; so as to slow or delay the progression&#44; lessen complications&#44; and lighten the burden of disease&#46; Participants agreed that these measures should be implemented immediately for those individuals at high risk and that&#44; ideally&#44; this should occur in the primary care setting&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The objectives of the SIMETAP-ERC study were to determine crude and age- and sex-adjusted prevalence rates of CKD in the adult population in accordance with KDIGO<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#44; by quantifying albuminuria and eGFR on the basis of the Chronic Kidney Disease EPIdemiology collaboration equation &#40;CKD-EPI&#41;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> and to examine the associations between CKD and cardiometabolic factors and cardiovascular disease&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material and methods</span><p id="par0035" class="elsevierStylePara elsevierViewall">SIMETAP-ERC is a cross-sectional&#44; observational study&#44; authorised by the Health Service of the Community of Madrid &#40;SERMAS&#41;&#44; in which 121 competitively-selected family doctors participated until the required sample size was reached&#59; these physicians belonged to 64 primary care centres &#40;25&#37; of the SERMAS health centres&#41;&#46; A simple random sampling of 5&#46;45&#37; of the entire target population aged 18 years or older &#40;194&#44;073 adults&#41; assigned to the SERMAS primary care physicians participating in the study was conducted using random number tables extracted using the Excel RANDOM&#46;BETWEEN&#40;lower&#44; upper&#41; function&#46; Information concerning the material and methods of the SIMETAP study has been reported in detail in an earlier publication<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a>&#46; As per protocol&#44; we excluded terminally ill&#44; institutionalised&#44; cognitively impaired&#44; and pregnant subject&#44; or those for whom information on biochemical variables was not available&#46; Informed consent was obtained from all study participants&#44; with a response rate of 65&#46;8&#37; and enrolment of 6588 study subjects with sufficient clinical and laboratory data to be evaluated&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The following variables were taken into account&#58; body mass index &#40;BMI&#41;&#58; weight&#47;height<span class="elsevierStyleSup">2</span> &#40;kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#59; overweight&#58; BMI 25&#8211;29&#46;9&#8239;kg&#47;m<span class="elsevierStyleSup">2</span>&#59; obese&#58; BMI&#8239;&#8805;&#8239;30&#8239;kg&#47;m<span class="elsevierStyleSup">2</span>&#59; adiposity or body fat index CUN-BAE &#40;Cl&#237;nica Universitaria de Navarra-Body Adiposity Estimator&#41;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> &#40;&#8722;44&#46;988&#8239;&#43;&#8239;&#91;0&#46;503&#8239;&#215;&#8239;age&#93;&#8239;&#43;&#8239;&#91;10&#46;689&#8239;&#215;&#8239;sex&#93;&#8239;&#43;&#8239;&#91;3&#46;172&#8239;&#215;&#8239;BMI&#93;&#8239;&#8722;&#8239;&#91;0&#44; 026&#8239;&#215;&#8239;BMI2&#93;&#8239;&#43;&#8239;&#91;0&#46;181&#8239;&#215;&#8239;BMI&#8239;&#215;&#8239;sex&#93;&#8239;&#8722;&#8239;&#91;0&#46;2&#8239;&#215;&#8239;BMI&#8239;&#215;&#8239;age&#93;&#8239;&#8722;&#8239;&#91;0&#46;05&#8239;&#215;&#8239;BMI2&#8239;&#215;&#8239;sex&#93;&#8239;&#43;&#8239;&#91;0&#46;0021&#8239;&#215;&#8239;BMI2&#8239;&#215;&#8239;age&#93;&#41; sex &#40;male&#8239;&#61;&#8239;0&#44; female&#8239;&#61;&#8239;1&#41;&#59; CUN-BAE-obesity &#40;&#62;25&#37; &#91;male&#93;&#59; &#62;35&#37; &#91;female&#93;&#41;&#59; abdominal obesity&#58; increased abdominal circumference &#40;&#8805;102&#8239;cm &#91;men&#93;&#59; &#8805;88&#8239;cm &#91;women&#93;&#41;&#59; waist-to-height ratio &#40;WHI&#41;&#58; abdominal circumference&#47;height&#59; increased WHI&#58; WHI&#8239;&#8805;&#8239;0&#46;55&#59; HTA&#58; systolic blood pressure &#40;SBP&#41;&#8239;&#8805;&#8239;140&#8239;mmHg and&#47; or diastolic blood pressure &#40;DBP&#41;&#8239;&#8805;&#8239;90&#8239;mmHg&#44; or being on antihypertensive treatment&#59; hypercholesterolaemia&#58; total cholesterol&#8239;&#8805;&#8239;200&#8239;mg&#47;dL&#59; hypertriglyceridemia&#58; triglycerides&#8239;&#8805;&#8239;150&#8239;mg&#47;dL&#59; cholesterol bound to high-density lipoprotein &#40;c-HDL&#41;&#59; low c-HDL&#58; c-HDL&#8239;&#60;&#8239;40&#8239;mg&#47;dL &#40;males&#41;&#44; &#60;&#8239;50&#8239;mg&#47;dL &#40;females&#41;&#59; cholesterol not bound to HDL &#40;c-non-HDL&#41;&#59; cholesterol bound to low-density lipoproteins &#40;c-LDL&#41;&#59; cholesterol bound to very low-density lipoproteins and remnants &#40;c-VLDL&#41;&#59; plasma atherogenic index&#58; log &#40;TG&#47;c-HDL&#41;&#46; Triglyceride-glucose index &#40;TyG&#41;&#58; Ln &#91;TGxGPA&#47;2&#93;&#59; atherogenic dyslipidaemia&#58; HTG and low c-HDL&#59; DM in accordance with the criteria of the American Diabetes Association &#40;ADA&#41;18&#58; fasting plasma glucose &#40;FPG&#41;&#8239;&#8805;&#8239;126&#8239;mg&#47;dL or glycated haemoglobin A1c &#40;HbA1c&#41;&#8239;&#8805;&#8239;6&#46;5&#37; as ascertained by standardised methods &#40;ADA&#41;&#44; 5&#37; as measured by standardised methods &#40;National Glycohemoglobin Standardization Program&#41; according to the DCCT &#40;Diabetes Control and Complications Trial&#41; or determination of plasma glucose&#8239;&#8805;&#8239;200&#8239;mg&#47;dL at any time or by means of an oral glucose tolerance test&#59; prediabetes in individuals without DM based on ADA<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a> &#40;GPA between 100 and 125&#8239;mg&#47;dL or HbA1c between 5&#46;7 and 6&#46;4&#37;&#41; and according to the Spanish Diabetes Society &#40;SED&#41;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a> &#40;GPA between 110 and 125&#8239;mg&#47;dL or HbA1c between 6 and 6&#46;4&#37;&#41;&#59; metabolic syndrome&#58; according to harmonised IDF&#47;NHLBI&#47;AHA&#47;WHF&#47;IAS&#47;IASO consensus<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a>&#59; CVD&#58; coronary heart disease &#40;CHD&#41;&#44; cerebrovascular disease &#40;stroke&#41;&#44; peripheral arterial disease &#40;PAD&#41;&#59; CHD&#58; ischaemic heart disease&#44; acute myocardial infarction&#44; acute coronary syndrome&#44; coronary revascularisation&#59; stroke&#58; cerebral ischaemia&#44; intracranial haemorrhage&#44; transient ischaemic attack&#59; PAD&#58; intermittent claudication&#44; ankle-brachial index &#8804;0&#46;9&#59; CVR categories &#40;low&#44; moderate&#44; high&#44; and very high&#41; according to SCORE21 and SCORE-OP<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a> for low-risk countries&#59; eGFR according to the CKD-EPI equation<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a>&#59; eGFR categories as per KDIGO&#58;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> G1 &#40;&#8805;90&#8239;mL&#47;min&#47;1&#46;73&#8239;m<span class="elsevierStyleSup">2</span>&#41;&#44; G2 &#40;60&#8722;89&#8239;mL&#47;min&#47;1&#46;73&#8239;m<span class="elsevierStyleSup">2</span>&#41;&#44; G3a &#40;45&#8722;59&#8239;mL&#47;min&#47;1&#46;73&#8239;m<span class="elsevierStyleSup">2</span>&#41;&#44; G3b &#40;30&#8722;44&#8239;mL&#47;min&#47;1&#46;73&#8239;m<span class="elsevierStyleSup">2</span>&#41;&#44; G4 &#40;15&#8722;29&#8239;mL&#47;min&#47;1&#46;7&#8239;m<span class="elsevierStyleSup">2</span>&#41;&#44; and G5 &#40;&#60;15&#8239;mL&#47;min&#47;1&#46;73&#8239;m<span class="elsevierStyleSup">2</span>&#41;&#59; reduced eGFR&#58; GFR&#8239;&#60;&#8239;60&#8239;mL&#47;min&#47;1&#46;73&#8239;m<span class="elsevierStyleSup">2</span>&#59; urine albumin-to-creatinine ratio &#40;ACR&#41; categories according to KDIGO<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#58; A1 &#40;&#60;30&#8239;mg&#47;g&#41;&#59; A2 &#40;30&#8722;300&#8239;mg&#47;g&#41;&#59; A3 &#40;&#62;300&#8239;mg&#47;g&#41;&#59; albuminuria&#58; ACR&#8239;&#8805;&#8239;30&#8239;mg&#47;g&#46; CKD<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#58; reduced eGFR and&#47; or albuminuria&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Statistical analysis was performed with the Statistical Package for the Social Sciences&#46; Qualitative variables were analysed using percentages&#44; chi-square test&#44; and odds ratios &#40;OR&#41; with 95&#37; confidence interval &#40;95&#37; CI&#41;&#46; Continuous variables were assessed using mean with standard deviation &#40;&#177;SD&#41; and Student&#8217;s <span class="elsevierStyleItalic">t</span>-test or analysis of variance&#46; Medians and interquartile ranges &#40;IQR&#41; were determined for age and renal parameters&#46; Crude and age- and sex-adjusted prevalence rates were determined by direct method&#44; using standardised ten-year age groups of the Spanish population in January 2015 reported by the National Institute of Statistics<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a>&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">To assess the individual effect of comorbidities and CVRFs on the dependent variable CKD&#44; a multivariate logistic regression analysis was carried out using the backward stepwise method&#44; initially introducing all the variables that showed an association in the univariate analysis up to a value of <span class="elsevierStyleItalic">p</span>&#8239;&#60;&#8239;0&#46;10 into the model&#44; except for the CUN-BAE variables obesity<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> and metabolic syndrome<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a>&#44; as these are complex variables whose defining criteria were already included in the analysis&#44; and erectile dysfunction&#44; as it only affects men&#46; Subsequently&#44; the variable that contributed least to the fit of the analysis was eliminated at each step&#46; All tests were regarded as statistically significant if the 2-tailed p-value was less than 0&#46;5&#46; A bibliographic search was performed in PubMed&#44; Medline&#44; Embase&#44; Google Scholar&#44; and Web of Science to compare the CKD prevalence rates of the present study with other similar studies published since 2001&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Study population</span><p id="par0055" class="elsevierStylePara elsevierViewall">The study population comprised 6588 adults between the ages of 18 and 102&#46;8 years&#44; with a mean &#40;&#177;SD&#41; age of 55&#46;1 &#40;&#177;17&#46;5&#41; years and a median &#40;IQR&#41; age of 54&#46;69 &#40;41&#46;68&#8211;68&#46;09&#41; years&#46; The percentage difference between men &#40;44&#46;1&#37; &#91;95&#37;CI&#58; 42&#46;9&#8211;45&#46;3 &#37;&#93;&#41; and women &#40;55&#46;9&#37; &#91;95&#37;CI&#58; 54&#46;7&#8211;57&#46;1 &#37;&#93;&#41; was significant &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#60;&#8239;0&#46;01&#41;&#46; The median &#40;IQR&#41; ages of the male and female populations were 55&#46;0 &#40;42&#46;4&#8211;67&#46;5&#41; years and 54&#46;5 &#40;41&#46;0&#8211;68&#46;8&#41; years&#44; respectively&#44; with the difference in mean &#91;&#177;SD&#93; ages between men &#40;55&#46;3 &#91;&#177;16&#46;9&#93; years&#41; and women &#40;55&#46;0 &#91;&#177;18&#46;0&#93; years&#41; being non-significant &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#61;&#8239;0&#46;634&#41;&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Chronic kidney disease prevalence rates</span><p id="par0060" class="elsevierStylePara elsevierViewall">The crude prevalence rate of CKD was 11&#46;48&#37; &#40;95&#37; CI&#58; 10&#46;72&#8211;12&#46;27&#37;&#41;&#59; the difference was not significant &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#61;&#8239;0&#46;711&#41; among males &#40;11&#46;64&#37; &#91;95&#37; CI&#58; 10&#46;49&#8211;12&#46;86&#37;&#93;&#41; and females &#40;11&#46;35&#37; &#91;95&#37; CI&#58; 10&#46;34&#8211;12&#46;41&#37;&#93;&#41;&#46; When adjusted for age and sex&#44; the prevalence rate of CKD was 9&#46;16&#37; &#40;8&#46;61&#37; among men&#59; 9&#46;69&#37; among women&#41;&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">The distribution of decadal age-group-specific rates of CKD prevalence increased precisely with age &#40;R<span class="elsevierStyleSup">2</span>&#8239;&#61;&#8239;0&#46;999&#41; according to the polynomial function and&#8239;&#61;&#8239;0&#46;044x<span class="elsevierStyleSup">3</span>&#8239;&#8722;&#8239;0&#46;319x<span class="elsevierStyleSup">2</span>&#8239;&#43;&#8239;0&#46;761x&#8239;&#8722;&#8239;0&#46;313&#44; with no significant differences detected between sexes &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; The age- and sex-adjusted prevalence of CKD in the &#8805;60-year-old population was 23&#46;75&#37; &#40;23&#46;49&#37; in men&#59; 24&#37; in women&#41;&#44; with no significant difference &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#61;&#8239;0&#46;923&#41; between the crude prevalence rates of CKD in males &#40;23&#46;39&#37; &#91;95&#37; CI&#58; 20&#46;99&#8211;25&#46;93 &#37;&#93;&#41; and females &#40;23&#46;23&#37; &#91;95&#37; CI&#58; 21&#46;11&#8211;25&#46;45 &#37;&#93;&#41;&#46; In the &#8805;70-year-old population&#44; the age- and sex-adjusted prevalence rate of CKD was 33&#46;56&#37; &#40;34&#46;09&#37; for men&#59; 33&#46;27&#37; for women&#41;&#44; with no significant difference &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#61;&#8239;0&#46;470&#41; between the crude prevalence rates of CKD among males &#40;34&#46;33&#37; &#91;95&#37; CI&#58; 30&#46;54&#8211;38&#46;29&#37;&#93;&#41; and females &#40;32&#46;52&#37; &#91;95&#37; CI&#58; 29&#46;40&#8211;35&#46;76&#37;&#93;&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0070" class="elsevierStylePara elsevierViewall">The prevalence rates of the different types of CKD depending on eGFR and albuminuria categories according to KDIGO5 were as follows&#58; G1 and G2 with albuminuria &#40;ACR&#8239;&#8805;&#8239;30&#8239;mg&#47;g&#41;&#58; 3&#46;54&#37; &#40;95&#37; CI&#58; 3&#46;09&#8211;3&#46;98&#41;&#59; G3a with&#47;without albuminuria&#58; 5&#46;48&#37; &#40;95&#37; CI&#58; 4&#46;93&#8211;6&#46;03&#41;&#59; G3b with&#47; without albuminuria&#58; 1&#46;82&#37; &#40;95&#37; CI&#58; 1&#46;50&#8211;2&#46;14&#41;&#59; G4 with&#47; without albuminuria&#58; 0&#46;49&#37; &#40;95&#37; CI&#58; 0&#46;32&#8722;0&#46;65&#41;&#59; G5 with&#47;without albuminuria&#58; 0&#46;15&#37; &#40;95&#37; CI&#58; 0&#46;6&#8722;0&#46;25&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; There were no significant differences between sexes in the CKD categories according to eGFR&#44; except in the G2 category&#44; which was significantly higher &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#61;&#8239;0&#46;12&#41; in men &#40;39&#46;36&#37; &#91;95&#37; CI&#58; 37&#46;58&#8211;41&#46;16&#93;&#41; than in women &#40;36&#46;35&#37; &#91;95&#37; CI&#58; 34&#46;79&#8211;37&#46;92&#93;&#41;&#46; The percentage of study subjects with a lower eGFR &#40;&#60;60&#8239;mL&#47;min&#47;1&#46;73&#8239;m<span class="elsevierStyleSup">2</span>&#41; was 7&#46;95&#37; &#40;95&#37; CI&#58; 7&#46;30&#8211;8&#46;61&#41;&#44; with no significant difference &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#61;&#8239;0&#46;169&#41; between men &#40;7&#46;44&#37; &#91;95&#37; CI&#58; 6&#46;48&#8211;8&#46;39&#93;&#41; and women &#40;8&#46;36&#37; &#91;95&#37; CI&#58; 7&#46;47&#8211;9&#46;25&#93;&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">The prevalence of albuminuria &#40;ACR&#8239;&#8805;&#8239;30&#8239;mg&#47;g&#41; in men &#40;7&#46;37&#37; &#91;95&#37; CI&#58; 6&#46;42&#8211;8&#46;32&#93;&#41; was significantly higher &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#60;&#8239;0&#46;01&#41; than in women &#40;4&#46;89&#37; &#91;95&#37; CI&#58; 4&#46;19&#8211;5&#46;58&#93;&#41;&#46; The percentage of stage A1 albuminuria was significantly higher &#40;p&#8239;&#60;&#8239;0&#46;01&#41; in females than in males&#46; The percentages of stages A2 and A3 albuminuria were significantly higher &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#60;&#8239;0&#46;01&#41; in men than in women &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Analyses of the populations with and without CKD</span><p id="par0080" class="elsevierStylePara elsevierViewall">The median &#40;IQR&#41; ages of the populations with and without CKD were 77&#46;33 &#40;65&#46;22&#8211;83&#46;38&#41; years and 52&#46;42 &#40;40&#46;33&#8211;65&#46;18&#41; years&#44; respectively&#44; with the difference in mean ages being significant &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#60;&#8239;0&#46;01&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#41;&#46; There was no significant difference &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#61;&#8239;0&#46;711&#41; in the percentage of males and females between the two populations &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a>&#41;&#46; All quantitative clinical variables were significantly higher in the CKD population than in the non-CKD population&#44; except TC&#44; c-HDL&#44; c-LDL&#44; c-No-HDL&#44; alanine aminotransferase&#44; and eGFR concentrations&#44; which were higher in the non-CKD population&#44; and DBP&#44; aspartate aminotransferase concentrations&#44; and total cholesterol&#47;c-HDL and c-No-HDL&#47;c-HDL indices&#44; the differences of which were not significant &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#41;&#46; The median &#40;IQR&#41; creatinine&#44; eGFR&#44; and ACC of the CKD population were 1&#46;09 &#40;0&#46;91&#8211;1&#46;30&#41; mg&#47;dL&#44; 55&#46;6 &#40;46&#46;5&#8211;73&#46;3&#41; mL&#47;min&#47;1&#46;73&#8239;m<span class="elsevierStyleSup">2</span>&#44; and 36&#46;1 &#40;5&#46;1&#8211;100&#46;9&#41; mg&#47;g&#44; respectively&#46; The median &#40;IQR&#41; creatinine&#44; eGFR&#44; and ACC for the population without CKD were 0&#46;80 &#40;0&#46;68&#8722;0&#46;90&#41; mg&#47;dL&#44; 94&#46;2 &#40;82&#46;7&#8211;106&#46;0&#41; mL&#47;min&#47;1&#46;73&#8239;m<span class="elsevierStyleSup">2</span>&#44; and 5&#46;3 &#40;3&#46;0&#8211;8&#46;7&#41; mg&#47;g&#44; respectively&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">All ORs for CVRFs and comorbidities between the populations with and without CKD displayed correlations with CKD&#44; except for current smoking status&#44; which revealed an association with subjects without CKD&#44; and being overweight&#44; for which the OR was not significant &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a>&#41;&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">According to CVR assessment by SCORE<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">21</span></a> and SCORE-OP<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a> for low-risk countries&#44; 22&#46;49&#37; &#40;95&#37; CI&#58; 19&#46;56&#8211;25&#46;63&#41; of the CKD population had a high level of CVR and 77&#46;51&#37; &#40;95&#37; CI&#58; 74&#46;54&#8211;80&#46;49&#41; had a very high level of CVR&#46; The comparison between study groups of subjects with and without CKD&#44; the OR for high CVR was 1&#46;7 &#40;95&#37; CI 1&#46;4&#8211;2&#46;0&#41; and the OR for very high CVR was 10&#46;4 &#40;95&#37; CI 8&#46;7&#8211;12&#46;4&#41;&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Multivariate analysis revealed that the CVRFs and comorbidities that were independently associated with CKD were AHT&#44; DM&#44; pre-diabetes according to ADA criteria&#44; increased WHtR&#44; heart failure&#44; atrial fibrillation&#44; PAD&#44; CHD&#44; and stroke &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">Table 5</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Discussion</span><p id="par0100" class="elsevierStylePara elsevierViewall">The surveys conducted in high-income countries have indicated similar CKD prevalence rates &#40;11&#46;3&#37; in the USA<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a>&#44; 12&#46;5&#37; in Canada<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a>&#44; and 11&#46;1&#37; in Norway<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a>&#41;&#46; According to the 2019 GKHA &#40;Global Kidney Health Atlas&#41;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> report by the International Society of Nephrology &#40;ISN&#41;&#44; which is based on two surveys carried out in 2017 and 2019&#44; the average prevalence rate of CKD in 21 Western European countries was 10&#46;1&#37;&#44; and in Spain&#44; it was 9&#46;6&#37;&#46; The ISN-KDDC<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">27</span></a> study&#44; conducted in 12 developing countries with non-random convenience sampling&#44; whose selection bias may have overestimated prevalence&#44; yielded a CKD prevalence rate of 14&#46;3&#37;&#44; with considerable variability and even significant differences in comparison with other studies undertaken in their respective countries&#46; While the ISN-KDDC study<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">27</span></a> demonstrated prevalence rates in India and China of 16&#46;8&#37; and 29&#46;9&#37;&#44; respectively&#44; other studies<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">28&#44;29</span></a> performed with random sampling in these same countries have reported much lower prevalence rates &#40;7&#46;5&#37; and 16&#46;8&#37;&#44; respectively&#41;&#46; This bias was also evidenced in the USA between the KEEP programme<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">30</span></a> with actively referred study subjects and the National Health and Nutrition Examination Survey &#40;NHANES&#41;&#44; with different CKD prevalence rates &#40;28&#46;7&#37; and 13&#46;1&#37;&#44; respectively&#41;&#46; The adjusted prevalence of the present SIMETAP-ERC study &#40;9&#46;2&#37;&#41; was somewhat lower than that of the Hill et al&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> meta-analysis &#40;13&#46;4&#37;&#41;&#44; and very much in line with that of the GBD-CKD Collaboration<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> meta-analysis &#40;9&#46;1&#37;&#41;&#59; both meta-analyses exhibited substantial heterogeneity among the studies analysed&#46; The prevalence of ESRD in the SIMETAP-ERC study &#40;0&#46;15&#37;&#41; was comparable to that of the ISN GKHA report<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>&#44; which ranged from 0&#46;1&#37; in upper middle-income countries to 0&#46;2&#37; in high-income countries&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">In Spain&#44; the ENRICA study<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a> yielded a crude prevalence of CKD of 15&#46;1&#37;&#44; similar to the 14&#46;4&#37; in the IBERICAN study&#8217;s primary care population cohort&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">32</span></a> These results differ from the EPIRCE<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">33</span></a> study&#44; which&#44; adopting the Modification of Diet in Renal Diseases &#40;MDRD&#41;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">34</span></a> method to assess eGFR&#44; yielded a CKD prevalence of 9&#46;2&#37;&#44; the same as in the present study using the CKD-EPI equation<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a>&#46; The SIMETAP-ERC study confirmed that the prevalence of CKD increased with age&#44; doubling for every decade after the age of 40 years &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Other studies performed in Spain that used the MDRD<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">34</span></a> method to calculate the prevalence of reduced eGFR have reached disparate results&#44; such as the EPIRCE<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">33</span></a> study &#40;21&#46;4&#37;&#41; in the&#8239;&#8805;&#8239;65-year-old population and the PREV-ICTUS<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">35</span></a> study &#40;25&#46;9&#37;&#41;&#44; as well as the study by Salvador Gonz&#225;lez et al&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">36</span></a> &#40;15&#46;1&#37;&#41; in populations aged 60 years or older&#46; These studies<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">33&#44;35&#44;36</span></a> have demonstrated lower figures than others that have determined eGFR using the CKD-EPI equation<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a>&#44; such as the ENRICA study<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a>&#44; in which the crude prevalence of CKD was 37&#46;3&#37; in the population aged &#8805;65 years&#44; or the present study&#44; in which the age-adjusted prevalence rates of CKD in the &#8805;60 years and &#8805;70 years of age populations were 23&#46;8&#37; and 33&#46;6&#37;&#44; respectively&#46; The choice of the CKD-EPI<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> equation rather than the MDRD<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">34</span></a> method is in keeping with the recommendations of the KDIGO5 guidelines and the Spanish consensus for the detection and management of CKD<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">37</span></a>&#44; as it is more closely related to reduced eGFR values&#44; is more accurate for values &#62;60&#8239;mL&#47;min&#47;1&#46;73&#8239;m<span class="elsevierStyleSup">2</span>&#44; and has a greater capacity to predict overall mortality&#44; cardiovascular mortality&#44; or the risk of kidney failure<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">37</span></a>&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">All anthropometric parameters were significantly greater in the CKD population and a correlation existed with obesity&#44; adiposity&#44; abdominal obesity&#44; and increased CTI&#46; Whilst obesity has been associated with an increased risk of CKD<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">38</span></a>&#44; only increased CTI has displayed an independent correlation with CKD in the present study&#44; together with other comorbidities such as AHT&#44; DM&#44; pre-diabetes&#44; HF&#44; AF&#44; PAD&#44; CHD&#44; and stroke&#44; which have also been found to be associated in other studies<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">26&#44;31&#8211;33&#44;36</span></a>&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Despite the decline in the risk of major adverse cardiovascular events over the last few decades as a result of better control of DM&#44; HTA&#44; and dyslipidaemia&#44; the prevalence of individuals with DM2 and CKD among the adult population remains very high and the trend continues to be on the rise<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">39</span></a>&#44; which is probably due to this better control contributing to increased longevity&#44; and thus&#44; more time to for CKD to develop<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">40</span></a>&#46; The SIMETAP-DM study<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">41</span></a> found that 27&#46;6&#37; of the adult population with DM had CKD&#44; a lower prevalence than the NHANES<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">42</span></a> survey in the USA &#40;43&#46;5&#37;&#41; and similar to that of other Spanish studies&#44; such as the one by Fern&#225;ndez-Fern&#225;ndez et al&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">43</span></a> &#40;25&#46;3&#37;&#41; and PERCEDIME2<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">44</span></a> &#40;27&#46;9&#37;&#41;&#46; In the present study&#44; 37&#46;8&#37; of the population with CKD had DM&#59; 29&#46;8&#37; had pre-diabetes&#44; based on ADA 28 criteria and 11&#46;8&#37; as per SED criteria<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a>&#46; Despite the fact the ORs between populations with and without CKD according to ADA<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a> and SED<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a> prediabetes were similar &#40;1&#46;6 and 1&#46;7&#44; respectively&#41;&#44; only ADA<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a> prediabetes was independently associated with CKD&#44; the same as DM&#44; which substantiates the close relationship between alterations in glycaemic metabolism and CKD<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;11</span></a>&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">In the present study&#44; SBP was significantly higher &#40;7&#46;3&#8239;mmHg&#41; in the CKD population than in the non-CKD cohort&#44; and 79&#46;6&#37; of the CKD population had HTA&#59; this last factor was the one that was most strongly independently associated with CKD&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">The fact that all the parameters included in the CUN-BAE variables&#44; obesity<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> and metabolic syndrome<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a> were associated with CKD accounts for the fact that both variables demonstrated a very strong association with CKD &#40;OR 6&#46;3 and 4&#46;4&#44; respectively&#41;&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">On the other hand&#44; the SIMETAP-ERC study found that 25&#46;9&#37; of the CKD population had CVD &#40;CHD&#58; 14&#46;2&#37;&#59; stroke&#58; 10&#46;8&#37;&#59; PAD&#58; 8&#46;1&#37;&#41; and that both CVD taken as a whole&#44; and CHD&#44; stroke&#44; or PAD taken individually&#44; exhibited an independent association with CKD&#46; Approximately 55&#37; of patients with HF and 50&#37; of individuals with AF have some degree of renal failure and some 20&#37; of subjects with CKD have AF<a class="elsevierStyleCrossRefs" href="#bib0225"><span class="elsevierStyleSup">45&#44;46</span></a>&#46; In the present study&#44; 13&#46;5&#37; and 14&#46;9&#37; of the participants with CKD had HF and AF&#44; respectively&#44; and both conditions were identified as independent factors closely linked to CKD&#46; More than 77&#37; of the CKD population had a very high CVR according to SCORE<a class="elsevierStyleCrossRefs" href="#bib0105"><span class="elsevierStyleSup">21&#44;22</span></a>&#44; which included patients with severe CKD &#40;eGFR&#60;&#60;&#8239;30&#8239;ml&#47;min&#47;1&#46;73 m<span class="elsevierStyleSup">2</span>&#41;&#44; with DM and target organ damage or major CVRF &#40;smoking&#44; HTA&#44; or pronounced hypercholesterolaemia&#41;&#44; with clinical or imaging-documented ARVD&#44; and subjects with a score &#8805;10&#46; This high percentage is explained by the fact that the median age of the population is 77 years with a high frequency of CVAD &#40;26&#37;&#41; and cardiometabolic factors &#40;DM 38&#37;&#59; obesity&#58; 40&#37;&#59; metabolic syndrome 74&#37;&#59; HTA 77&#37;&#59; hypercholesterolaemia 78&#37;&#41;&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Limitations of the present study include the fact that it did not assess the presence of renal damage directly &#40;renal biopsy&#41; or indirectly through imaging tests&#44; the inability to determine causality&#44; the possible variability between interviewers&#44; calibration&#44; or the possible heterogeneity of the measurement and laboratory equipment&#44; in addition to the fact that it did not include pregnant women&#44; terminally ill or institutionalised patients&#44; or those with cognitive impairment&#46; Moreover&#44; the cross-sectional design of the present study did not allow us to assess the persistence of albuminuria or reduced eGFR&#44; to estimate incidence rates&#44; or to infer causal relationships between risk factors and CKD&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">The varying sampling methodologies and eGFR determinations and the different median ages of the comparison study populations might account for the different CKD prevalence rates&#46; One strength of the present study was the large&#44; random sampling on a populational basis that included all age groups&#46; The SIMETAP-ERC study reveals that CKD is strongly influenced by age&#59; therefore&#44; age-adjusted rates are necessary to be able to compare rates with other populations&#46; Other strengths of the present study were that it evaluated the association of CKD with numerous cardiometabolic variables&#44; in addition to eGFR measurements according to CKD-EPI<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> and UACR in the entire population&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Late referral to nephrology of ESRD patients with DM or HTA is common in Spain<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">47</span></a>&#46; The most efficient strategy to lessen the burden of CKD and limit its progression is early detection by screening for reduced eGFR and albuminuria in individuals with DM&#44; HTA&#44; obesity&#44; and ASVCD&#44; thereby facilitating diagnosis and treatment in the early stages of CKD<a class="elsevierStyleCrossRefs" href="#bib0240"><span class="elsevierStyleSup">48&#8211;50</span></a>&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">The SIMETAP-ERC study indicates a progressive prevalence of CKD&#44; especially after the age of 50&#44; the health burden of which increases the risk of ESRD&#44; overall mortality&#44; and cardiovascular mortality&#46; Evaluating the epidemiological situation of CKD is extremely important to optimise available health resources&#44; plan interventions aimed at preventing this health problem&#44; and reduce the burden of the disease by implementing early detection and prevention strategies that are easy to apply in the primary care setting&#44; such as lifestyle changes and adequate control of the main risk factors associated with CKD&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Conclusions</span><p id="par0155" class="elsevierStylePara elsevierViewall">The age- and sex-adjusted prevalence of CKD in the adult population was 9&#46;2&#37; &#40;reduced eGFR&#58; 8&#37;&#59; albuminuria&#58; 6&#37;&#41;&#46; The 10-year age-specific CKD prevalence rates increased with age without significant differences between men and women&#44; doubling for every 10-year age group after the age of 40 with a prevalence rate of 24&#37; in people aged 60 years and older and 34&#37; after the age of 70 years&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">The most frequent comorbidities associated with CKD were HTN &#40;77&#37;&#41;&#44; hypercholesterolaemia &#40;77&#37;&#41;&#44; metabolic syndrome &#40;74&#37;&#41;&#44; abdominal obesity &#40;63&#37;&#41;&#44; hypertriglyceridemia &#40;42&#37;&#41;&#44; obesity &#40;40&#37;&#41;&#44; DM &#40;38&#37;&#41;&#44; low HDL-C &#40;37&#37;&#41;&#44; pre-diabetes &#40;30&#37;&#41;&#44; and CVD &#40;26&#37;&#41;&#46; Variables independently associated with CKD were HTN&#44; DM&#44; pre-diabetes&#44; increased CTI&#44; heart failure&#44; atrial fibrillation&#44; and AVCD&#46; The high cardiovascular burden of CKD &#40;77&#37; with very high CVR&#41; in an elderly population justifies the need to implement population-based measures for early detection and optimal control of associated cardiometabolic factors&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Funding</span><p id="par0165" class="elsevierStylePara elsevierViewall">Funding for the SIMETAP Study &#40;Grant code&#58; 05&#47;2010RS&#41; was approved in accordance with the provisions of Order 472&#47;2010&#44; dated 16 September&#44; of the Health Department&#44; by which the regulatory bases and the call for grants for the year 2010 of the &#8220;Pedro La&#237;n Entralgo&#8221; Agency for Training&#44; Research&#44; and Healthcare Studies of the Community of Madrid are approved&#44; for the execution of research projects in the field of health outcomes in Primary Care&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Research ethics committee</span><p id="par0170" class="elsevierStylePara elsevierViewall">Research Commission of the Deputy Management of Planning and Quality&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Primary Care Management&#46; Madrid Health Service &#40;SERMAS&#41;&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Conflict of interests</span><p id="par0180" class="elsevierStylePara elsevierViewall">The authors have no conflict of interests to declare&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Chronic kidney disease &#40;CKD&#41; is a major health problem that contributes to the development of cardiovascular disorders such as heart failure and arteriosclerotic cardiovascular disease &#40;ACVD&#41;&#46; The aims of this study were to determine the prevalence of CKD and to assess its association with ACVD and cardiometabolic risk factors&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Cross-sectional observational study conducted in primary care setting&#46; Population-based random sample&#58; 6588 people between 18 and 102 years old &#40;response rate&#58; 66&#37;&#41;&#46; Crude and sex- and age-adjusted prevalence rates of CKD according to KDIGO were determined by assessing albuminuria and estimated glomerular filtration rate &#40;eGFR&#41; according to CKD-EPI&#44; and their associations with cardiometabolic factors and ACVD were determined&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">The crude prevalence of CKD was 11&#46;48&#37; &#40;95&#37;CI&#58; 10&#46;72&#8211;12&#46;27&#37;&#41;&#44; without significant difference between men &#40;11&#46;64&#37; &#91;95&#37;CI&#58; 10&#46;49&#8211;12&#46;86&#37;&#93;&#41; and women &#40;11&#46;35&#37; &#91;95&#37;CI&#58; 10&#46;34&#8211;12&#46;41&#37;&#93;&#41;&#46; The age- and sex-adjusted prevalence rate of CKD was 9&#46;16&#37; &#40;men&#58; 8&#46;61&#37;&#59; women&#58; 9&#46;69&#37;&#41;&#46; The prevalence of low eGFR &#40;&#60;60&#8239;mL&#47;min&#47;1&#46;73 m<span class="elsevierStyleSup">2</span>&#41; and albuminuria &#40;&#8805;30&#8239;mg&#47;g&#41; were 7&#46;95&#37; &#40;95&#37;CI&#58; 7&#46;30&#8211;8&#46;61&#41; and 5&#46;98&#37; &#40;95&#37;CI&#58; 5&#46;41&#8211;6&#46;55&#41;&#44; respectively&#46;Hypertension&#44; diabetes&#44; prediabetes&#44; increased waist-to-height ratio&#44; heart failure&#44; atrial fibrillation&#44; and ACVD were independently associated with CKD &#40;<span class="elsevierStyleItalic">p</span>&#8239;&#60;&#8239;0&#46;001&#41;&#46; Very high cardiovascular risk &#40;CVR&#41; according to SCORE was found in 77&#46;51&#37; &#40;95&#37;CI 74&#46;54&#8211;80&#46;49&#41; of the population with CKD&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">The adjusted prevalence of CKD was 9&#46;2&#37; &#40;low eGFR&#58; 8&#46;0&#37;&#59; albuminuria&#58; 6&#46;0&#37;&#41;&#46; Most of the patients with CKD had very high CVR&#46; Hypertension&#44; diabetes&#44; prediabetes&#44; increased waist-to-height ratio and ACVD were independently associated with CKD&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introducci&#243;n</span><p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">La enfermedad renal cr&#243;nica &#40;ERC&#41; constituye un importante problema de salud que contribuye al desarrollo de alteraciones cardiovasculares como la insuficiencia card&#237;aca y la enfermedad cardiovascular arterioscler&#243;tica &#40;ECVA&#41;&#46; Los objetivos de este estudio fueron determinar la prevalencia de ERC y evaluar su asociaci&#243;n con factores de riesgo cardiometab&#243;licos y la ECVA&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Estudio observacional transversal realizado en el &#225;mbito de atenci&#243;n primaria&#46; Muestra aleatoria de base poblacional&#58; 6&#46;588 personas entre 18 y 102 a&#241;os &#40;tasa de respuesta&#58; 66&#37;&#41;&#46; Se determinaron las tasas de prevalencia brutas y ajustadas por sexo y edad de ERC seg&#250;n KDIGO valorando albuminuria y filtrado glomerular estimado &#40;FGe&#41; seg&#250;n CKD-EPI&#44; y sus asociaciones con factores cardiometab&#243;licos y ECVA&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">La prevalencia cruda de ERC fue 11&#44;48&#37; &#40;IC95&#37;&#58; 10&#44;72&#8211;12&#44;27&#37;&#41;&#44; sin diferencia significativa entre hombres &#40;11&#44;64&#37; &#91;IC95&#37;&#58; 10&#44;49&#8211;12&#44;86&#37;&#93;&#41; y mujeres &#40;11&#44;35&#37; &#91;IC95&#37;&#58; 10&#44;34&#8211;12&#44;41&#37;&#93;&#41;&#46; La tasa de prevalencia ajustada por edad y sexo de ERC fue 9&#44;16&#37; &#40;hombres&#58; 8&#44;61&#37;&#59; mujeres&#58; 9&#44;69&#37;&#41;&#46; La prevalencia del FGe reducido &#40;&#60;60&#8239;mL&#47;min&#47;1&#44;73 m<span class="elsevierStyleSup">2</span>&#41; y de albuminuria &#40;&#8805;30&#8239;mg&#47;g&#41; fueron 7&#44;95&#37; &#40;IC95&#37;&#58; 7&#44;30&#8211;8&#44;61&#41; y 5&#44;98&#37; &#40;IC95&#37; 5&#44;41&#8211;6&#44;55&#41;&#44; respectivamente&#46; Hipertensi&#243;n&#44; diabetes&#44; prediabetes&#44; &#237;ndice cintura-talla aumentado&#44; insuficiencia card&#237;aca&#44; fibrilaci&#243;n auricular y ECVA se asociaban independientemente con ERC &#40;p&#8239;&#60;&#8239;0&#44;001&#41;&#46; El 77&#44;51&#37; &#40;IC95&#37;&#58; 74&#44;54&#8211;80&#44;49&#41; de la poblaci&#243;n con ERC ten&#237;a un riesgo cardiovascular &#40;RCV&#41; muy alto seg&#250;n SCORE&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">La prevalencia ajustada de ERC era del 9&#44;2&#37; &#40;FGe reducido&#58; 8&#44;0&#37;&#59; albuminuria&#58; 6&#44;0&#37;&#41;&#46; La mayor&#237;a de los pacientes con ERC ten&#237;a RCV muy alto&#46; Hipertensi&#243;n&#44; diabetes&#44; prediabetes&#44; &#237;ndice cintura-talla aumentado y ECVA se asociaban independientemente con la ERC&#46;</p></span>"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CKD prevalence rates by age and sex&#46; CKD&#58; chronic kidney disease&#59; M&#58; male&#59; F&#58; female&#59; n&#58; number of cases&#59; N&#58; sample size&#59; p&#58; p-value of the difference &#40;M&#8211;F&#41;&#46;</p>"
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          "leyenda" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">CKD&#58; chronic kidney disease&#59; ESRD&#58; end-stage renal disease&#59; eGF&#58; estimated glomerular filtration rates according to CDK-EPI<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a>&#59; KDIGO<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#58; Kidney Disease&#58; Improving Global Outcomes&#59; &#931; &#40;A&#41;&#58; sum of percentages of categories of albuminuria&#59; &#931; &#40;G&#41;&#58; sum of percentages of categories of eGF&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">KDIGO<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> risk scales&#58; green &#40;low risk&#41;&#59; yellow &#40;moderately increased risk&#41;&#59; orange &#40;high risk&#41;&#59; red &#40;very high risk&#41;&#46;</p>"
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          "leyenda" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Adiposity&#58; body fat index CUN-BAE CUN-BAE&#59;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> AIP&#58; atherogenic index of plasma&#59; ALT&#58; alanine-aminotransferase&#59; AST&#58; aspartate-aminotransferase&#59; BMI&#58; body mass index&#59; c-HDL&#58; cholesterol bound to high-density lipoprotein&#59; c-LDL&#58; cholesterol bound to low-density lipoprotein&#59; c-VLDL&#58; cholesterol bound to very low-density lipoproteins and remnants&#59; c-non-HDL&#58; cholesterol not bound to HDL &#40;c-non-HDL&#41;&#59; CKD&#58; chronic kidney disease&#59; DBP&#58; diastolic blood pressure&#59; eGF&#58; estimated glomerular filtration rate&#44; as per CKD-EPI<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a>&#59; GGT&#58; gamma-glutamyl transferase&#59; N&#58; sample size&#59; p&#58; p-value of the difference in means&#59; SBP&#58; systolic blood pressure&#59; SD&#58; standard deviation&#59; TyG Index&#58; Triglyceride-glucose index&#59; UACR&#58; urine albumen&#47; creatinine&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"></th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">With CKD</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Without CKD</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Difference in means&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\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Mean &#40;&#177;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Mean &#40;&#177;SD&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Age &#40;years&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">756&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">72&#46;69 &#40;14&#46;97&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52&#46;87 &#40;16&#46;52&#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">19&#46;82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">BMI &#40;kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">756&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">29&#46;28 &#40;5&#46;17&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#46;28 &#40;5&#46;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Abdominal circumference &#40;cm&#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">756&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#46;49 &#40;13&#46;69&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">92&#46;56 &#40;13&#46;95&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Waist-to-height index&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">756&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;62 &#40;&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;56 &#40;&#46;9&#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">0&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Adiposity &#40;&#37;&#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">756&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38&#46;79 &#40;7&#46;97&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34&#46;22 &#40;8&#46;62&#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">4&#46;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">SBP &#40;mmHg&#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">756&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">128&#46;35 &#40;15&#46;61&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">121&#46;09 &#40;15&#46;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#46;26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">DBP &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">756&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">73&#46;75 &#40;9&#46;72&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">73&#46;28 &#40;9&#46;77&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#46;47&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">0&#46;211&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">GPA &#40;mg&#47;dL&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">756&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">109&#46;20 &#40;37&#46;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">94&#46;31 &#40;23&#46;61&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">14&#46;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="left" valign="\n
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                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HbA1c &#40;&#37;&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&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">687&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">6&#46;17 &#40;1&#46;22&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">4&#46;546&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&#46;56 &#40;0&#46;81&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">TyG Index&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">756&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">8&#46;74 &#40;0&#46;62&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">8&#46;46 &#40;0&#46;60&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total cholesterol &#40;mg&#47;dL&#41;<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">756&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">184&#46;47 &#40;40&#46;95&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">193&#46;85 &#40;39&#46;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&#8722;9&#46;38&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">c-HDL &#40;mg&#47;dL&#41;<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">c</span></a>&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">756&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">52&#46;62 &#40;15&#46;19&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">55&#46;12 &#40;14&#46;60&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;2&#46;50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">c-LDL &#40;mg&#47;dL&#41;<a class="elsevierStyleCrossRef" href="#tblfn0015"><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-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">750&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">105&#46;09 &#40;35&#46;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;776&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">115&#46;34 &#40;34&#46;21&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;10&#46;25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">c-VLDL &#40;mg&#47;dL&#41;<a class="elsevierStyleCrossRef" href="#tblfn0015"><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-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">750&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;14 &#40;13&#46;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;776&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&#46;52 &#40;12&#46;16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;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">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">c-non-HDL &#40;mg&#47;dL&#41;<a class="elsevierStyleCrossRef" href="#tblfn0015"><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-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">756&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">131&#46;86 &#40;38&#46;37&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">138&#46;72 &#40;38&#46;36&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;6&#46;86&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Triglycerides &#40;mg&#47;dL&#41;<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">756&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Uric acid &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">UACR &#40;mg&#47;g&#41;&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">91&#46;39 &#40;159&#46;07&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">6&#46;70 &#40;5&#46;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">84&#46;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">eGF &#40;mL&#47;min&#47;1&#46;73&#8239;m<span class="elsevierStyleSup">2</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">756&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">60&#46;30 &#40;23&#46;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">94&#46;47 &#40;16&#46;54&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#8722;34&#46;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Creatinine &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">756&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">1&#46;19 &#40;0&#46;62&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5&#46;832&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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            1 => array:3 [
              "identificador" => "tblfn0010"
              "etiqueta" => "b"
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              "identificador" => "tblfn0015"
              "etiqueta" => "c"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">To convert from mg&#47;dL to mmol&#47;L&#44; multiply by 0&#46;2586&#46;</p>"
            ]
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              "identificador" => "tblfn0020"
              "etiqueta" => "d"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">To convert from mg&#47;dL to mmol&#47;L&#44; multiply by 0&#46;1129&#46;</p>"
            ]
          ]
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          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Clinical characteristics of the populations with and without CKD&#46;</p>"
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          "leyenda" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">ADA&#58; prediabetes&#44; according to the American Association of Diabetes<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a>&#59; Low c-HDL&#58; cholesterol bound to high-density lipoprotein &#60;40&#8239;mg&#47;dL &#40;males&#41;&#44; &#60;50&#8239;mg&#47;dL &#40;females&#41;&#59; CUN-BAE-obesity<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a>&#58; adiposity or body fat indes &#40;Cl&#237;nica Universitaria de Navarra&#8211;Body Adiposity Estimator&#41; &#62;25&#37; &#40;males&#41;&#44; &#62;35&#37; &#40;females&#41;&#59; Atherogenic dyslipidaemia&#58; hypertriglyceridemia and low c-HDL&#59; PAD&#58; peripheral arterial disease&#59; ACVD&#58; atherosclerotic cardiovascular disease&#59; CKD&#58; chronic kidney disease&#59; CVRF&#58; cardiovascular risk factors&#59; Hypercholesterolaemia&#58; total cholesterol &#8805;200&#8239;mg&#47;dL&#59; Hypertriglyceridemia&#58; triglycerides &#8805;150&#8239;mg&#47;dL&#59; increased WHtR&#58; waist-to-height ratio &#8805;0&#46;55&#59; Lack of physical activity&#58; physical activity &#60;150&#8239;min&#47;week&#59; N&#58; sample size&#59; Obesity&#58; body mass index &#8805;30&#8239;kg&#47;m<span class="elsevierStyleSup">2</span>&#59; Abdominal obesity&#58; abdominal circumference &#8805;102&#8239;cm &#40;males&#41;&#44; &#8805;88&#8239;cm &#40;females&#41;&#59; OR&#58; odds ratio between both populations &#40;95&#37; confidence interval&#41;&#59; SED&#58; prediabetes according to the Spanish Society of Diabetes<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a>&#59; Overweight&#58; BMI 25&#46;0&#8211;29&#46;9&#8239;kg&#47;m<span class="elsevierStyleSup">2</span>&#59; Smoking&#58; cigarette or tobacco use in the past year&#46;</p>"
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">With CKD n&#46;<span class="elsevierStyleSup">o</span> of cases &#40;&#37;&#41;<span class="elsevierStyleItalic">N</span>&#8239;&#61;&#8239;756&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Without CKD&#44; n&#46;<span class="elsevierStyleSup">o</span> of cases &#40;&#37;&#41;<span class="elsevierStyleItalic">N</span>&#8239;&#61;&#8239;5&#46;832&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\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">P value&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Male sex&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">338 &#40;44&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;566 &#40;44&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;0 &#40;0&#46;9&#8211;1&#46;2&#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">0&#46;711&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Smoking&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">101 &#40;13&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;325 &#40;22&#46;7&#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">0&#46;5 &#40;0&#46;4&#8211;0&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Lack of physical activity&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">396 &#40;52&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;683 &#40;46&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;3 &#40;1&#46;1&#8211;1&#46;5&#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">0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Overweight&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">313 &#40;41&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;203 &#40;37&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;2 &#40;1&#46;0&#8211;1&#46;4&#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">0&#46;53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Obesity&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">304 &#40;40&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;529 &#40;26&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;9 &#40;1&#46;6&#8211;2&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">CUN-BAE-obesity&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">709 &#40;93&#46;8&#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">4&#46;123 &#40;70&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;3 &#40;4&#46;6&#8211;8&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Abdominal obesity&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">474 &#40;62&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;448 &#40;42&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;3 &#40;2&#46;0&#8211;2&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Increased WHtR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">602 &#40;79&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;094 &#40;53&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;5 &#40;2&#46;9&#8211;4&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Prediabetes &#40;SED&#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">89 &#40;11&#46;8&#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">434 &#40;7&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;7 &#40;1&#46;3&#8211;2&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Prediabetes &#40;ADA&#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">225 &#40;29&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;224 &#40;21&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;6 &#40;1&#46;4&#8211;1&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Diabetes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">286 &#40;37&#46;8&#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">749 &#40;12&#46;8&#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">4&#46;1 &#40;3&#46;5&#8211;4&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Hypertension&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">581 &#40;76&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;966 &#40;33&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;5 &#40;5&#46;5&#8211;7&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Hypercholesterolemia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">586 &#40;77&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;515 &#40;60&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;9 &#40;1&#46;7&#8211;2&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Low c-HDL&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">283 &#40;37&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;536 &#40;26&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;7 &#40;1&#46;4&#8211;2&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Hypertriglyceridemia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">317 &#40;41&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;630 &#40;27&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;9 &#40;1&#46;6&#8211;2&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atherogenic dyslipidaemia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">173 &#40;22&#46;9&#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">768 &#40;13&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;0 &#40;1&#46;6&#8211;2&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Metabolic syndrome&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">560 &#40;74&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;291 &#40;39&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;4 &#40;3&#46;7&#8211;5&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ACVD&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">196 &#40;25&#46;9&#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">419 &#40;7&#46;2&#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">4&#46;5 &#40;3&#46;7&#8211;5&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Coronary heart disease&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">107 &#40;14&#46;2&#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">214 &#40;3&#46;7&#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">4&#46;3 &#40;3&#46;4&#8211;5&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Stroke&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">82 &#40;10&#46;8&#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">168 &#40;2&#46;9&#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">4&#46;1 &#40;3&#46;1&#8211;5&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PAD&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;7 &#40;4&#46;1&#8211;7&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Erectile dysfunction<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">347 &#40;13&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Heart failure&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">102 &#40;13&#46;5&#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">82 &#40;1&#46;4&#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">10&#46;9 &#40;8&#46;1&#8211;14&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atrial fibrillation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">113 &#40;14&#46;9&#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">137 &#40;2&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#46;3 &#40;5&#46;6&#8211;9&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">CKD&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#946;<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Wald&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OR Exp&#40;&#946;&#41;<a class="elsevierStyleCrossRef" href="#tblfn0035"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span><a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Hypertension&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;17 &#40;0&#46;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">129&#46;53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;21 &#40;2&#46;63&#8211;3&#46;93&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Diabetes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;95 &#40;0&#46;11&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">76&#46;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;59 &#40;2&#46;09&#8211;3&#46;19&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Heart failure&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;18 &#40;0&#46;18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&#46;67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;26 &#40;2&#46;29&#8211;4&#46;65&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atrial fibrillation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;95 &#40;0&#46;16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">36&#46;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;59 &#40;1&#46;90&#8211;3&#46;54&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Prediabetes &#40;ADA&#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">0&#46;56 &#40;0&#46;11&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#46;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;75 &#40;1&#46;42&#8211;2&#46;15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Increased WHtR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;49 &#40;0&#46;11&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&#46;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;64 &#40;1&#46;33&#8211;2&#46;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PAD&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;66 &#40;0&#46;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#46;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;94 &#40;1&#46;32&#8211;2&#46;86&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ischaemic cardiopathy&nbsp;\t\t\t\t\t\t\n
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        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0185" class="elsevierStylePara elsevierViewall">The effort&#44; dedication&#44; and collaboration of the following physicians who have participated in the SIMETAP Study Research Group are most appreciated&#58; Abad Schilling C&#46;&#44; Adri&#225;n Sanz M&#46;&#44; Aguilera Reija P&#46;&#44; Alcaraz Bethencourt A&#46;&#44; Alonso Roca R&#46;&#44; &#193;lvarez Benedicto R&#46;&#44; Arranz Mart&#237;nez E&#46;&#44; Arribas &#193;lvaro P&#46;&#44; Baltuille Aller M&#46;C&#46;&#44; Barrios Rueda E&#46;&#44; Benito Alonso E&#46;&#44; Berbil Bautista M&#46;L&#46;&#44; Blanco Canseco J&#46;M&#46;&#44; Caballero Ram&#237;rez N&#46;&#44; Cabello Igual P&#46;&#44; Cabrera V&#233;lez R&#46;&#44; Calder&#237;n Morales M&#46;P&#46;&#44; Capit&#225;n Caldas M&#46;&#44; Casaseca Calvo T&#46;F&#46;&#44; Cique Herr&#225;inz J&#46;A&#46;&#44; Ciria de Pablo C&#46;&#44; Chao Escuer P&#46;&#44; D&#225;vila Bl&#225;zquez G&#46;&#44; de la Pe&#241;a Ant&#243;n N&#46;&#44; de Prado Prieto L&#46;&#44; del Villar Redondo M&#46;J&#46;&#44; Delgado Rodr&#237;guez S&#46;&#44; D&#237;ez P&#233;rez M&#46;C&#46;&#44; Dur&#225;n Tejada M&#46;R&#46;&#44; Escamilla Guijarro N&#46;&#44; Escriv&#225; Ferrair&#243; R&#46;A&#46;&#44; Fern&#225;ndez Vicente T&#46;&#44; Fern&#225;ndez-Pacheco Vila D&#46;&#44; Fr&#237;as Vargas M&#46;J&#46;&#44; Garc&#237;a &#193;lvarez J&#46;C&#46;&#44; Garc&#237;a Fern&#225;ndez M&#46;E&#46;&#44; Garc&#237;a Garc&#237;a Alca&#241;iz M&#46;P&#46;&#44; Garc&#237;a Granado M&#46;D&#46;&#44; Garc&#237;a Pliego R&#46;A&#46;&#44; Garc&#237;a Redondo M&#46;R&#46;&#44; Garc&#237;a Villasur M&#46;P&#46;&#44; G&#243;mez D&#237;az E&#46;&#44; G&#243;mez Fern&#225;ndez O&#46;&#44; Gonz&#225;lez Escobar P&#46;&#44; Gonz&#225;lez-Posada Delgado J&#46;A&#46;&#44; Guti&#233;rrez S&#225;nchez I&#46;&#44; Hern&#225;ndez Beltr&#225;n M&#46;I&#46;&#44; Hern&#225;ndez de Luna M&#46;C&#46;&#44; Hern&#225;ndez L&#243;pez R&#46;M&#46;&#44; Hidalgo Calleja Y&#46;&#44; Holgado Catal&#225;n M&#46;S&#46;&#44; Hombrados Gonzalo M&#46;P&#46;&#44; Hueso Quesada R&#46;&#44; Ibarra S&#225;nchez A&#46;M&#46;&#44; Iglesias Quintana J&#46;R&#46;&#44; &#205;scar Valenzuela I&#46;&#44; Iturmendi Mart&#237;nez N&#46;&#44; Javierre Miranda A&#46;P&#46;&#44; L&#243;pez Uriarte B&#46;&#44; Lorenzo Borda M&#46;S&#46;&#44; Luna Ram&#237;rez S&#46;&#44; Macho del Barrio A&#46;I&#46;&#44; Mag&#225;n Tapia P&#46;&#44; Mara&#241;&#243;n Henrich N&#46;&#44; Mari&#241;o Su&#225;rez J&#46;E&#46;&#44; Mart&#237;n Calle M&#46;C&#46;&#44; Mart&#237;n Fern&#225;ndez A&#46;I&#46;&#44; Mart&#237;nez Cid de Rivera E&#46;&#44; Mart&#237;nez Irazusta J&#46;&#44; Miguel&#225;&#241;ez Valero A&#46;&#44; Minguela Puras M&#46;E&#46;&#44; Montero Costa A&#46;&#44; Mora Casado C&#46;&#44; Morales Cobos L&#46;E&#46;&#44; Morales Chico M&#46;R&#46;&#44; Moreno Fern&#225;ndez J&#46;C&#46;&#44; Moreno Mu&#241;oz M&#46;S&#46;&#44; Palacios Mart&#237;nez D&#46;&#44; Pascual Val T&#46;&#44; P&#233;rez Fern&#225;ndez M&#46;&#44; P&#233;rez Mu&#241;oz R&#46;&#44; Plata Barajas M&#46;T&#46;&#44; Pleite Raposo R&#46;&#44; Prieto Marcos M&#46;&#44; Quintana G&#243;mez J&#46;L&#46;&#44; Redondo de Pedro S&#46;&#44; Redondo S&#225;nchez M&#46;&#44; Reguillo D&#237;az J&#46;&#44; Rem&#243;n P&#233;rez B&#46;&#44; Revilla Pascual E&#46;&#44; Rey L&#243;pez A&#46;M&#46;&#44; Ribot Catal&#225; C&#46;&#44; Rico P&#233;rez M&#46;R&#46;&#44; Rivera Teijido M&#46;&#44; Rodr&#237;guez Cabanillas R&#46;&#44; Rodr&#237;guez de Coss&#237;o A&#46;&#44; Rodr&#237;guez de Mingo E&#46;&#44; Rodr&#237;guez Rodr&#237;guez A&#46;O&#46;&#44; Rosillo Gonz&#225;lez A&#46;&#44; Rubio Villar M&#46;&#44; Ruiz D&#237;az L&#46;&#44; Ruiz Garc&#237;a A&#46;&#44; S&#225;nchez Calso A&#46;&#44; S&#225;nchez Herr&#225;iz M&#46;&#44; S&#225;nchez Ramos M&#46;C&#46;&#44; Sanchidri&#225;n Fern&#225;ndez P&#46;L&#46;&#44; Sand&#237;n de Vega E&#46;&#44; Sanz Pozo B&#46;&#44; Sanz Velasco C&#46;&#44; Sarri&#225; S&#225;nchez M&#46;T&#46;&#44; Simonaggio Stancampiano P&#46;&#44; Tello Meco I&#46;&#44; Vargas-Machuca Caba&#241;ero C&#46;&#44; Velazco Zumarr&#225;n J&#46;L&#46;&#44; Vieira Pascual M&#46;C&#46;&#44; Zafra Urango C&#46;&#44; Zamora G&#243;mez M&#46;M&#46;&#44; Zarzuelo Mart&#237;n N&#46;</p>"
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Article information
ISSN: 25299123
Original language: English
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