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Prevalencia de obesidad y diabetes en adultos españoles, 1987-2012
Prevalence of obesity and diabetes in Spanish adults 1987-2012
Francisco Javier Basterra-Gortaria,b, Maira Bes-Rastrollob,c, Miguel Ruiz-Canelab,c, Alfredo Geab,c, Miguel Ángel Martinez-Gonzalezb,c,
Autor para correspondencia
mamartinez@unav.es

Autor para correspondencia.
a Departamento de Medicina Interna (Endocrinología), Hospital Reina Sofía, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Servicio Navarro de Salud-Osasunbidea, Tudela, Navarra, España
b Universidad de Navarra, Departamento de Medicina Preventiva y Salud Pública, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, España
c Centro de Investigación Biomédica en Red de la Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, España
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introducci&#243;n</span><p id="par0005" class="elsevierStylePara elsevierViewall">El exceso de peso corporal es un factor de riesgo clave para el desarrollo de diabetes mellitus &#40;DM&#41; tipo 2<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">1&#44;2</span></a>&#46; Adem&#225;s&#44; tanto el sobrepeso como la obesidad y la DM se asocian a una mayor morbimortalidad<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">2&#8211;4</span></a>&#46; Por estas razones y por el incremento a nivel mundial de la obesidad<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">5</span></a> y la DM<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">6</span></a> ambas afecciones se han convertido en problemas prioritarios para la salud p&#250;blica&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">En Espa&#241;a se han realizado recientemente 2 estudios transversales con datos medidos para evaluar el sobrepeso y la obesidad&#46; El estudio ENRICA &#40;&#8805;<span class="elsevierStyleHsp" style=""></span>18 a&#241;os&#41; puso de manifiesto una prevalencia de obesidad &#40;&#237;ndice de masa corporal &#91;IMC&#93;<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>30<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41; del 22&#44;9&#37;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">7</span></a>&#46; Posteriormente&#44; el estudio ENPE &#40;25-64 a&#241;os&#41; encontr&#243; una frecuencia de obesidad del 21&#44;6&#37;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">8</span></a>&#46; Adem&#225;s&#44; se ha observado una tendencia creciente de la prevalencia de sobrepeso&#44; obesidad y obesidad m&#243;rbida en Espa&#241;a usando los datos declarados de la Encuesta Nacional de Salud &#40;ENS&#41;<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">9&#8211;11</span></a>&#46; Sin embargo&#44; otro trabajo con datos obtenidos entre el a&#241;o 2000 y el 2010 encontr&#243; un descenso de la obesidad en mujeres mayores de 60 a&#241;os<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">12</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Por otro lado&#44; en el estudio transversal Di&#64;bet&#46;es se observ&#243; una frecuencia de DM del 13&#44;8&#37; en espa&#241;oles mayores de 18 a&#241;os<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">13</span></a>&#46; A esto se a&#241;ade que se ha encontrado en algunos trabajos un aumento de la prevalencia de DM en Espa&#241;a en los &#250;ltimos a&#241;os<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">10&#44;14</span></a>&#46; Pero tal y como ocurre con la obesidad&#44; estos estudios tienen la limitaci&#243;n de evaluar per&#237;odos de tiempo no muy largos y de no aportar datos de los a&#241;os m&#225;s recientes&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Dado que las ENS contienen datos representativos de la poblaci&#243;n espa&#241;ola y se realizan con una metodolog&#237;a similar a lo largo del tiempo&#44; constituyen una buena fuente de informaci&#243;n para evaluar la tendencia temporal del exceso de peso corporal y la DM&#44; a pesar de usar datos declarados&#46; El objetivo de este trabajo es conocer&#44; a trav&#233;s de la informaci&#243;n contenida en las ENS&#44; la tendencia temporal de la prevalencia obesidad y DM entre 1987 y 2012 en Espa&#241;a&#44; tanto en el conjunto de la poblaci&#243;n como en estratos de sexo y edad&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material y m&#233;todos</span><p id="par0025" class="elsevierStylePara elsevierViewall">Las ENS son estudios transversales representativos de la poblaci&#243;n espa&#241;ola que se realizan peri&#243;dicamente&#46; En este estudio&#44; se utilizaron las ENS de los a&#241;os 1987&#44; 1993&#44; 1995&#44; 1997&#44; 2001&#44; 2003&#44; 2006-2007 &#40;2006&#47;7&#41; y 2011-2012 &#40;2011&#47;2&#41;&#46; Las ENS hasta el a&#241;o 2001 fueron realizadas por el Centro de Investigaciones Sociol&#243;gicas&#59; la ENS del 2003 y posteriores se llevaron a cabo por el Instituto Nacional de Estad&#237;stica<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">15</span></a>&#46; Las muestras de las ENS de adultos est&#225;n compuestas por adultos no institucionalizados de 16 a&#241;os o m&#225;s&#44; salvo la ENS de 2011&#47;2 en la que adem&#225;s hab&#237;a j&#243;venes de 15 a&#241;os&#44; que no se incluyeron en este trabajo&#46; Los participantes en las ENS de 1987 a 2001 se seleccionaron mediante un muestreo poliet&#225;pico&#44; estratificado por conglomerados&#44; con selecci&#243;n de las unidades primarias de muestreo &#40;municipios&#41; y de la unidades secundarias &#40;secciones&#41; de forma aleatoria proporcional&#44; y de las unidades &#250;ltimas &#40;individuos&#41; por rutas aleatorias y cuotas de sexo y edad&#46; Los participantes a partir de la ENS de 2003 se seleccionaron mediante un muestreo poliet&#225;pico estratificado&#46; Las unidades de primera etapa fueron las secciones censales&#46; Las unidades de segunda etapa fueron las viviendas familiares principales&#46; Dentro de cada vivienda se seleccion&#243; a un adulto&#46; El n&#250;mero total de participantes adultos en el conjunto de las encuestas de los que se dispone de&#44; al menos&#44; su IMC o de la presencia de DM es de 156&#46;440&#46; En las ENS de los a&#241;os 1995 y 1997 los sujetos no est&#225;n ponderados&#46; En el resto de las ENS los participantes tienen un coeficiente de ponderaci&#243;n para asegurar la representatividad poblacional<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">15</span></a>&#46; La edad media de los participantes en el conjunto de las ENS es de 44&#44;8 a&#241;os &#40;DE 18&#44;6&#41; y el 51&#44;5&#37; son mujeres&#46; Las caracter&#237;sticas de los participantes de las diferentes ENS se muestran en <a class="elsevierStyleCrossRef" href="#sec0035">el anexo &#40;tabla complementaria disponible <span class="elsevierStyleItalic">online</span>&#41;</a>&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Para el estudio del sobrepeso&#44; la obesidad y la obesidad m&#243;rbida se utilizaron datos de peso y talla declarados obtenidos mediante las siguientes preguntas&#58; &#171;&#191;podr&#237;a decirme cu&#225;nto pesa&#44; aproximadamente&#44; sin zapatos ni ropa&#63;&#187; y &#171;&#191;podr&#237;a decirme cu&#225;nto mide&#44; aproximadamente&#44; sin zapatos&#63;&#187;&#46; Los datos de peso y talla declarados de la ENS han sido previamente validados<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">16</span></a>&#46; Se calcul&#243; el IMC dividiendo el peso &#40;kilos&#41; entre el cuadrado de la altura &#40;metros&#41;&#46; Los participantes se agruparon seg&#250;n su IMC en sobrepeso &#40;25&#44;0 a 29&#44;9<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#44; obesidad &#40;&#8805;<span class="elsevierStyleHsp" style=""></span>30<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41; y obesidad m&#243;rbida &#40;IMC<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>40<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a>&#46; Los sujetos con obesidad m&#243;rbida est&#225;n tambi&#233;n incluidos en la categor&#237;a de obesidad&#46; Dado que en la ENS de 1987 el peso se recog&#237;a con solo 2 d&#237;gitos&#44; no utilizamos esa ENS para el estudio de la prevalencia de obesidad m&#243;rbida&#46; Los participantes con peso inferior a 30<span class="elsevierStyleHsp" style=""></span>kg &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>54&#41; o talla inferior a 100<span class="elsevierStyleHsp" style=""></span>cm &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>31&#41; fueron eliminados para el estudio del sobrepeso&#44; la obesidad o la obesidad m&#243;rbida&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Para el estudio de la DM se consider&#243; que un participante presentaba dicha enfermedad si refer&#237;a que un m&#233;dico le hab&#237;a dicho que padec&#237;a DM&#46; Los datos declarados de DM en la ENS han sido previamente validados<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a>&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Las estimaciones de prevalencia se muestran en porcentajes&#46; Para presentar datos por estratos de edad&#44; esta se categoriz&#243; en 3 grupos&#58; de 16 a 39 a&#241;os&#44; de 40 a 59 a&#241;os y 60 o m&#225;s a&#241;os&#46; Las prevalencias de los distintos a&#241;os ajustadas por edad se estandarizaron por el m&#233;todo directo usando como poblaci&#243;n de referencia la ENS del a&#241;o 2003 y utilizando las 3 categor&#237;as de edad descritas anteriormente&#46; Para evaluar la tendencia temporal del sobrepeso&#44; la obesidad y de la DM se realizaron modelos de regresi&#243;n log&#237;stica&#46; En estos modelos la variable dependiente era el suceso que se quer&#237;a estudiar&#44; como por ejemplo&#44; la obesidad&#46; Las variables independientes inclu&#237;an la edad &#40;3 categor&#237;as&#41;&#44; el sexo y el a&#241;o de la encuesta &#40;continua&#41;&#46; Las <span class="elsevierStyleItalic">odds ratios</span> &#40;OR&#41; expresan el incremento por un a&#241;o de calendario&#46; Para evaluar la tendencia temporal de la obesidad m&#243;rbida &#40;variable dependiente&#41;&#44; se ajust&#243; un modelo de regresi&#243;n de Poisson dado que el episodio estudiado era muy poco frecuente&#46; Las variables independientes de este modelo fueron las mismas que las de los modelos de regresi&#243;n log&#237;stica&#46; Se realizaron adem&#225;s regresiones en ambos sexos y en los 3 estratos de edad para evaluar la tendencia temporal en estos subgrupos&#46; Por otro lado&#44; con el objetivo de valorar si la tendencia temporal fue diferente en hombres y mujeres se cre&#243; un t&#233;rmino de interacci&#243;n entre el a&#241;o de la encuesta y el sexo a&#241;adiendo esta nueva variable independiente en el modelo ajustado&#46; Finalmente&#44; con el fin de estudiar si la tendencia temporal era o no lineal se introdujo en los modelos el a&#241;o de la encuesta al cuadrado como una nueva variable independiente&#46; Los an&#225;lisis estad&#237;sticos se realizaron con STATA versi&#243;n 12&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Resultados</span><p id="par0045" class="elsevierStylePara elsevierViewall">Seg&#250;n los datos de la ENS&#44; la prevalencia bruta de sobrepeso &#40;IMC 25&#44;0-29&#44;9&#41;&#44; obesidad y obesidad m&#243;rbida en adultos espa&#241;oles era en 2011&#47;2 del 36&#44;1&#37; &#40;IC 95&#37; 35&#44;3-37&#44;0&#41;&#44; el 16&#44;7&#37; &#40;IC 95&#37; 16&#44;1-17&#44;3&#41; y el 0&#44;89&#37; &#40;IC 95&#37; 0&#44;71-1&#44;06&#41;&#44; respectivamente&#46; En la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a> y la <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a> se muestra c&#243;mo desde 1987 a 2012 se observ&#243; un ligero incremento de la prevalencia ajustada de sobrepeso que pas&#243; del 34&#44;0&#37; &#40;IC 95&#37; 33&#44;2-34&#44;8&#41; al 35&#44;8&#37; &#40;IC 95&#37; 35&#44;0-36&#44;6&#41;&#46; Al evaluar en ambos sexos esta tendencia temporal ajustada&#44; se observ&#243; un aumento estad&#237;sticamente significativo en hombres pero no en mujeres &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46; En ese mismo per&#237;odo se encontr&#243; un aumento importante de la prevalencia ajustada de obesidad&#44; desde el 8&#44;0&#37; &#40;IC 95&#37; 7&#44;5-8&#44;5&#41; al 16&#44;5&#37; &#40;IC 95&#37; 15&#44;8-17&#44;1&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#59; <a class="elsevierStyleCrossRef" href="#fig0010">fig&#46; 2</a>&#41;&#46; La OR ajustada por cada a&#241;o de calendario de tener obesidad fue de 1&#44;04 &#40;IC 95&#37; 1&#44;03-1&#44;04&#41; para el conjunto de la poblaci&#243;n adulta espa&#241;ola &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46; Esta OR equivale a un incremento absoluto &#40;ajustado&#41; anual de aproximadamente 0&#44;3 puntos porcentuales en la prevalencia de obesidad&#46; La prevalencia de obesidad ajustada aument&#243; en ambos sexos y en todos los estratos de edad &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46; Al calcular la prevalencia ajustada de sobrepeso y obesidad de forma combinada &#40;IMC<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>25&#41; se observ&#243; un aumento desde el 42&#44;0&#37; &#40;IC 95&#37; 41&#44;2-42&#44;8&#41; al 52&#44;2&#37; &#40;IC 95&#37; 51&#44;4-53&#44;1&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46; Tambi&#233;n se observ&#243; una tendencia creciente de la prevalencia ajustada de obesidad m&#243;rbida entre 1993 y 2012&#44; que pas&#243; del 0&#44;20&#37; &#40;IC 95&#37; 0&#44;13-0&#44;27&#41; al 0&#44;88&#37; &#40;IC 95&#37; 0&#44;70-1&#44;05&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#59; <a class="elsevierStyleCrossRef" href="#fig0015">fig&#46; 3</a>&#41;&#46; Utilizando como referencia la ENS de 1993&#44; la raz&#243;n de prevalencias de obesidad m&#243;rbida ajustada por cada a&#241;o de calendario fue de 1&#44;06 &#40;IC 95&#37; 1&#44;04-1&#44;08&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46; Esto supone&#44; aproximadamente&#44; un aumento absoluto &#40;ajustado&#41; de la prevalencia de obesidad m&#243;rbida de 0&#44;03 puntos porcentuales anualmente&#46; El incremento fue significativo en ambos sexos&#46; Al evaluar la tendencia temporal por estratos de edad y sexo se observ&#243; un crecimiento significativo en todos los estratos&#44; excepto en mujeres de 40 a 59 a&#241;os &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0050" class="elsevierStylePara elsevierViewall">Se observ&#243; una peor evoluci&#243;n en varones que en mujeres de la prevalencia de sobrepeso &#40;p de interacci&#243;n<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; obesidad &#40;p de interacci&#243;n<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; y obesidad m&#243;rbida &#40;p de interacci&#243;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;005&#41; en los modelos ajustados&#46; Por otro lado&#44; se encontr&#243; que se ha atenuado la velocidad del crecimiento del sobrepeso &#40;p del modelo cuadr&#225;tico<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; y la obesidad &#40;p del modelo cuadr&#225;tico<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; pero no la de la obesidad m&#243;rbida &#40;p del modelo cuadr&#225;tico<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;14&#41; en los modelos ajustados durante el per&#237;odo estudiado&#46; Al evaluar la velocidad del incremento por sexo&#44; se observ&#243; que el crecimiento del sobrepeso encontrado en hombres se atenuaba durante el per&#237;odo estudiado &#40;p del modelo cuadr&#225;tico<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; en el modelo ajustado&#46; En el caso de la obesidad&#44; el crecimiento se atenuaba en mujeres &#40;p del modelo cuadr&#225;tico<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; pero no en hombres &#40;p del modelo cuadr&#225;tico<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;20&#41; en los modelos ajustados&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">La prevalencia bruta de DM seg&#250;n la ENS de 2011&#47;2 fue del 7&#44;4&#37;&#46; En la <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a> y la <a class="elsevierStyleCrossRef" href="#fig0010">figura 2</a> se muestra c&#243;mo la prevalencia ajustada aument&#243; en Espa&#241;a entre el a&#241;o 1987 y el 2012 desde el 4&#44;2&#37; &#40;IC 95&#37; 3&#44;9-4&#44;5&#41; hasta el 7&#44;1&#37; &#40;IC 95&#37; 6&#44;7-7&#44;4&#41;&#46; Utilizando como referencia la ENS de 1987&#44; la OR ajustada por cada a&#241;o de calendario de presentar DM era de 1&#44;02 &#40;IC 95&#37; 1&#44;02-1&#44;03&#41; para el conjunto de la poblaci&#243;n adulta &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46; Esta OR supone un incremento absoluto &#40;ajustado&#41; aproximado de la prevalencia de DM de 0&#44;1 puntos porcentuales anualmente&#46; La prevalencia ajustada de DM aument&#243; en ambos sexos &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46; Al estratificar&#44; este incremento fue significativo en hombres y en mujeres a partir de los 60 a&#241;os &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46; Se observ&#243; un crecimiento m&#225;s r&#225;pido de la prevalencia de DM en varones que en mujeres &#40;p de interacci&#243;n<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; en el modelo ajustado&#46; Por otro lado&#44; no se observ&#243; que la velocidad de incremento de la prevalencia de DM se haya modificado durante el per&#237;odo estudiado &#40;p del modelo cuadr&#225;tico<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;60&#41; en los modelos ajustados&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discusi&#243;n</span><p id="par0060" class="elsevierStylePara elsevierViewall">En este estudio se ha encontrado un incremento de la prevalencia de sobrepeso en varones y de obesidad y obesidad m&#243;rbida en ambos sexos en Espa&#241;a entre 1987 y 2012&#46; Seg&#250;n los datos de la ENS 2011&#47;2&#44; la prevalencia de sobrepeso &#40;IMC 25&#44;0-29&#44;9<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41; era del 36&#44;1&#37; y la de obesidad &#40;IMC<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>30&#44;0<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41; era del 16&#44;7&#37; en adultos espa&#241;oles de 16 o m&#225;s a&#241;os&#46; Estas prevalencias son algo inferiores a las encontradas en estudios que usan datos medidos en vez de declarados&#44; como el estudio transversal ENRICA&#44; realizado entre 2008 y 2010 en una muestra representativa de la poblaci&#243;n no institucionalizada de 18 o m&#225;s a&#241;os&#44; que encontr&#243; una prevalencia de sobrepeso &#40;IMC 25&#44;0-29&#44;9<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41; del 39&#44;4&#37; y de obesidad &#40;IMC<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>30&#44;0<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41; del 22&#44;9&#37;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">7</span></a>&#46; Posteriormente&#44; el estudio transversal ENPE observ&#243; una prevalencia de sobrepeso &#40;IMC 25&#44;0-29&#44;9<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41; del 39&#44;3&#37; y de obesidad &#40;IMC<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>30&#44;0<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41; del 21&#44;6&#37;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">8</span></a>&#46; El estudio ENPE se llev&#243; a cabo en 2014-2015 en una muestra representativa de la poblaci&#243;n no institucionalizada de 25 a 64 a&#241;os con mediciones antropom&#233;tricas en domicilios&#46; La menor prevalencia encontrada en las ENS probablemente se deba al uso de datos declarados que infraestiman el IMC<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">16</span></a>&#46; Adem&#225;s&#44; el rango de edad de los participantes de los 3 estudios difiere&#44; lo que tambi&#233;n puede explicar en parte las diferencias&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Por otro lado&#44; la prevalencia de sobrepeso y obesidad de los estudios ENPE y ENRICA es superior a la del estudio DORICA<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">19</span></a>&#46; El estudio DORICA se realiz&#243; entre el a&#241;o 1990 y 2000&#44; con mediciones objetivas&#44; en muestras representativas de adultos &#40;25-60 a&#241;os&#41; de 9 comunidades aut&#243;nomas y encontr&#243; una prevalencia de obesidad del 15&#44;5&#37; y de sobrepeso &#40;IMC 25&#44;0-29&#44;9<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#41; del 39&#44;2&#37;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">19</span></a>&#44; lo que apoya la tendencia creciente encontrada con la ENS&#46; Adem&#225;s&#44; esta tendencia creciente obtenida en Espa&#241;a coincide con lo observado a nivel mundial<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">5</span></a>&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Al evaluar las tendencias de la prevalencia por sexo se observ&#243; un crecimiento del sobrepeso solo en hombres y un incremento de la obesidad y la obesidad m&#243;rbida en ambos sexos&#44; pero m&#225;s r&#225;pido en varones&#46; Adem&#225;s&#44; al observar las prevalencias por sexo&#44; la de sobrepeso es superior en los hombres en todas las ENS&#46; Todo lo contrario ocurre al evaluar la prevalencia de obesidad m&#243;rbida&#44; que es superior en las mujeres en todas las ENS&#46; En el caso de la obesidad&#44; el mayor incremento en varones propici&#243; que la prevalencia fuera superior en mujeres en las primeras ENS estudiadas pero inferior a la de los hombres en las &#250;ltimas ENS &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46; Los recientes estudios ENRICA<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">7</span></a> y ENPE<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">8</span></a> encontraron una mayor prevalencia de sobrepeso y de obesidad en varones&#44; lo que coincide con lo encontrado en las &#250;ltimas ENS&#46; En cambio&#44; el estudio DORICA<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">19</span></a> &#40;1990-2000&#41; observ&#243; una prevalencia mayor de sobrepeso pero menor de obesidad en varones&#44; lo que confirma lo encontrado en la ENS&#46; Aunque los varones tienen en las &#250;ltimas ENS una mayor prevalencia de obesidad&#44; esto no ocurre en el estrato de 60 o m&#225;s a&#241;os&#44; lo que tambi&#233;n se public&#243; en el estudio ENRICA<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">7</span></a>&#44; donde en el estrato de 65 o m&#225;s a&#241;os las mujeres siguen teniendo una mayor prevalencia de obesidad que los hombres&#46; La mejor evoluci&#243;n de la prevalencia de obesidad en mujeres respecto a los hombres en los &#250;ltimos a&#241;os tambi&#233;n se ha observado en Catalu&#241;a<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">20</span></a>&#46; Por &#250;ltimo&#44; hay que se&#241;alar que se hall&#243; una mayor prevalencia de sobrepeso y obesidad en las personas de m&#225;s edad&#44; como se ha comunicado en otros trabajos<a class="elsevierStyleCrossRefs" href="#bib0185"><span class="elsevierStyleSup">7&#44;8&#44;19</span></a>&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">La tendencia creciente de la prevalencia de obesidad m&#243;rbida observada est&#225; en l&#237;nea con lo encontrado en otros pa&#237;ses occidentales<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">21</span></a>&#46; Adem&#225;s&#44; observamos un incremento mayor en t&#233;rminos relativos de la obesidad m&#243;rbida que de la obesidad&#46; Esta evoluci&#243;n m&#225;s desfavorable de las formas m&#225;s graves de obesidad coincide con otras publicaciones<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">21</span></a>&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Seg&#250;n los datos de la ENS&#44; la tendencia de la obesidad ha seguido creciendo&#44; pero la velocidad de su crecimiento se ha atenuado ligeramente&#46; No obstante&#44; no tenemos datos que confirmen que se haya estabilizado&#44; a diferencia de lo hallado en EE&#46; UU&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">22</span></a> o en un trabajo con participantes mayores de 60 a&#241;os en Espa&#241;a<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">12</span></a>&#46; Este aumento de la prevalencia de obesidad probablemente sea de origen multifactorial&#46; En primer lugar&#44; por la adopci&#243;n de un patr&#243;n alimentario &#171;occidentalizado&#187;&#44; pobre en fibra y con alta densidad energ&#233;tica&#44; y por la p&#233;rdida del patr&#243;n diet&#233;tico mediterr&#225;neo rico en frutas&#44; verduras&#44; legumbres&#44; pescado y aceite de oliva<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">23</span></a>&#46; El aumento del consumo de determinados alimentos&#44; como patatas fritas&#44; refrescos azucarados o carnes rojas o procesadas&#44; puede contribuir especialmente a este aumento de la obesidad<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">24</span></a>&#46; El aumento del sedentarismo<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">24</span></a>&#44; el cambio de la microbiota o la presencia de disruptores endocrinos tambi&#233;n pueden estar involucrados&#46; Aunque nuestro objetivo no es investigar las causas de esta epidemia&#44; los resultados de este trabajo&#44; mostrando un r&#225;pido aumento de la obesidad en 25 a&#241;os&#44; apoyan que el cambio en los factores de riesgo ha ocurrido en un per&#237;odo de tiempo corto&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Por otro lado&#44; la ENS 2011&#47;2 estim&#243; la prevalencia de DM en el 7&#44;4&#37;&#46; Este dato es inferior al 13&#44;8&#37; observado en el estudio transversal Di&#64;bet&#46;es realizado en 2009-2010 en una muestra representativa de la poblaci&#243;n espa&#241;ola de 18 o m&#225;s a&#241;os&#44; y en el que se realiz&#243; una sobrecarga oral de glucosa a los participantes<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">13</span></a>&#46; Sin embargo&#44; se acerca bastante al 7&#44;8&#37; de DM conocida que se comunic&#243;&#46; En un estudio transversal realizado en Catalu&#241;a en 2009 con un registro de datos cl&#237;nicos electr&#243;nicos&#44; obtenidos de forma retrospectiva&#44; se estim&#243; una prevalencia de DM tipo 2 en adultos de 31 a 90 a&#241;os del 7&#44;6&#37;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">25</span></a>&#46; Teniendo en cuenta que en la ENS se ha encontrado un 7&#44;4&#37; en adultos de 16 o m&#225;s a&#241;os&#44; las estimaciones de la ENS se aproximan bastante a los porcentajes de DM conocida observada en estos 2 trabajos&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Se ha visto una tendencia creciente de la prevalencia de DM&#44; en l&#237;nea con otros trabajos espa&#241;oles<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">14</span></a> y de otros pa&#237;ses occidentales<a class="elsevierStyleCrossRefs" href="#bib0280"><span class="elsevierStyleSup">26&#44;27</span></a>&#46; En la ENS 2011&#47;2 observamos una mayor prevalencia de DM en varones&#44; hallazgo que tambi&#233;n se public&#243; en el estudio Di&#64;bet&#46;es<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">13</span></a>&#46; Hay que destacar que en las ENS previas a 2006 las mujeres presentaban una mayor prevalencia de DM que los hombres&#44; pero en las ENS 2006&#47;7 y 2011&#47;2 se invirti&#243; la prevalencia&#44; de forma similar a lo que hemos encontrado al estudiar la prevalencia de obesidad&#46; Era esperable un mayor incremento de la prevalencia de DM en hombres que en mujeres si tenemos en cuenta que el sobrepeso&#44; la obesidad y la obesidad m&#243;rbida han aumentado m&#225;s en varones y la asociaci&#243;n que hay entre obesidad y DM es muy fuerte<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">1&#44;2</span></a>&#46; Esta asociaci&#243;n se ha confirmado tambi&#233;n en otros pa&#237;ses donde la prevalencia de obesidad y DM ha evolucionado de forma paralela<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">26</span></a>&#46; Hay que destacar que en mujeres de 40 a 59 a&#241;os la prevalencia de DM permaneci&#243; estable &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#44; hallazgo que probablemente est&#233; en relaci&#243;n con el descenso de la prevalencia de sobrepeso en mujeres de esa edad y a que el aumento de la prevalencia de obesidad en ese subgrupo ha sido de escasa magnitud &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46; En mujeres por debajo de los 40 a&#241;os tampoco se ha observado un cambio significativo de la prevalencia de DM&#44; aunque a esa edad la DM tipo 2 es menos prevalente&#44; y ese dato&#44; por tanto&#44; est&#225; muy influido por la prevalencia de otros tipos de DM&#46; Se hall&#243; una mayor prevalencia de diabetes en las personas de m&#225;s edad&#44; como en publicaciones previas<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">13&#44;26</span></a>&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">La principal limitaci&#243;n de este estudio es el uso de datos referidos&#46; Dado que los participantes infraestiman el peso y sobreestiman la altura&#44; el IMC calculado con los datos declarados es inferior al real<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">16</span></a>&#46; Esto hace que la prevalencia de sobrepeso&#44; obesidad y obesidad m&#243;rbida sea infravalorada&#44; pero no invalida el estudio de las tendencias temporales ya que la metodolog&#237;a usada en las diferentes ENS es similar&#46; El uso de datos declarados tambi&#233;n infraestima la verdadera prevalencia de DM<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a>&#59; sin embargo&#44; tampoco pensamos que impida el estudio de la tendencia temporal&#46; Adem&#225;s&#44; los datos de la ENS 2011&#47;2 son bastante parecidos a la prevalencia de DM conocida encontrada en el estudio Di&#64;bet&#46;es<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">13</span></a> y a los datos de DM diagnosticada en Catalu&#241;a<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">25</span></a>&#46; Por otro lado&#44; un estudio realizado en EE&#46; UU&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">28</span></a> usando datos del NHANES encontr&#243; un aumento de la DM conocida entre 1988-1994 a 2005-2006&#44; pero no de la DM no diagnosticada en el per&#237;odo estudiado&#44; lo que apoyar&#237;a la utilidad de la ENS para conocer los cambios en la prevalencia de DM&#46; Otra limitaci&#243;n de este trabajo es el cambio de los criterios diagn&#243;sticos de DM en 1997&#44; cuando se disminuy&#243; de<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>140<span class="elsevierStyleHsp" style=""></span>mg&#47;dl a<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>126<span class="elsevierStyleHsp" style=""></span>mg&#47;dl la glucemia basal a partir de la cual se diagnostica la DM<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">29</span></a>&#46; Dado que la prevalencia de DM ya hab&#237;a aumentado seg&#250;n los datos de la ENS antes de 1997 y que lo ha hecho tambi&#233;n en los &#250;ltimos a&#241;os&#44; no creemos que este cambio&#44; por s&#237; solo&#44; explique el incremento encontrado&#46; La inclusi&#243;n de la hemoglobina glucosilada como criterio diagn&#243;stico de DM en 2010 ha podido influir en la prevalencia de DM en la ENS 2011&#47;2<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">30</span></a>&#46; Una limitaci&#243;n adicional es la imposibilidad de distinguir entre los distintos tipos de DM&#46; Por &#250;ltimo&#44; no se puede descartar que alg&#250;n sesgo haya podido cambiar a lo largo de los a&#241;os e influir en los resultados&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Sin embargo&#44; este trabajo tiene importantes puntos fuertes&#44; como es el uso de datos representativos de la poblaci&#243;n espa&#241;ola durante 25 a&#241;os o el gran tama&#241;o muestral&#46; El uso de medidas ajustadas permite evaluar mejor las tendencias de las diversas enfermedades&#44; controlando confusores como el envejecimiento de la poblaci&#243;n&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">En conclusi&#243;n&#44; entre 1987 y 2012 se ha observado en Espa&#241;a una tendencia creciente de la prevalencia de sobrepeso en varones y de obesidad y obesidad m&#243;rbida en ambos sexos&#44; pero especialmente en varones&#46; Tambi&#233;n se ha observado un aumento de la prevalencia de DM que no ha afectado a las mujeres menores de 60 a&#241;os&#46; Finalmente&#44; en los &#250;ltimos a&#241;os la velocidad a la que aumenta el sobrepeso y la obesidad se ha atenuado&#44; pero no la de la obesidad m&#243;rbida ni la de la DM&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Conflicto de intereses</span><p id="par0110" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Antecedentes y objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La prevalencia de obesidad y diabetes mellitus &#40;DM&#41; ha aumentado a nivel mundial&#46; El objetivo de este trabajo es conocer la tendencia de la prevalencia de sobrepeso&#44; obesidad&#44; obesidad m&#243;rbida y DM en Espa&#241;a entre 1987 y 2012&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Participantes y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se utilizaron 8 encuestas nacionales de salud&#44; que son estudios transversales representativos de la poblaci&#243;n adulta espa&#241;ola&#46; Se incluyeron datos declarados de 156&#46;440 adultos &#40;&#8805;<span class="elsevierStyleHsp" style=""></span>16 a&#241;os&#41; desde 1987 a 2012&#46; El &#237;ndice de masa corporal &#40;IMC&#41; se calcul&#243; a partir de los datos autorreferidos de peso y talla&#46; Se defini&#243; sobrepeso como un IMC entre 25&#44;0-29&#44;9<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#44; obesidad como IMC<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>30<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span> y obesidad m&#243;rbida como IMC<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>40<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#46; Se consider&#243; que un participante presentaba DM si refer&#237;a haber sido diagnosticado&#46; Se calcul&#243; la prevalencia ajustada por edad por el m&#233;todo directo de estandarizaci&#243;n&#44; usando como referencia la poblaci&#243;n de la encuesta de 2003&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La prevalencia de sobrepeso ajustada por edad aument&#243; del 34&#44;0&#37; &#40;intervalo de confianza del 95&#37; &#91;IC 95&#37;&#93; 33&#44;2-34&#44;8&#41; en 1987 al 35&#44;8&#37; &#40;IC 95&#37; 35&#44;0-36&#44;6&#41; en 2012&#44; la de obesidad&#44; del 8&#44;0&#37; &#40;IC 95&#37; 7&#44;5-8&#44;5&#41; al 16&#44;5&#37; &#40;IC 95&#37; 15&#44;7-17&#44;1&#41; y la de DM&#44; del 4&#44;2&#37; &#40;IC 95&#37; 3&#44;9-4&#44;5&#37;&#41; al 7&#44;1&#37; &#40;IC 95&#37; 6&#44;7-7&#44;4&#37;&#41;&#46; La obesidad m&#243;rbida aument&#243; del 0&#44;20&#37; &#40;IC 95&#37; 0&#44;13-0&#44;27&#41; en 1993 al 0&#44;88&#37; &#40;IC 95&#37; 0&#44;70-1&#44;05&#41; en 2012&#46; El incremento fue mayor en varones&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se ha observado un aumento de la prevalencia de sobrepeso&#44; obesidad&#44; obesidad m&#243;rbida y DM en Espa&#241;a entre 1987 y 2012&#44; especialmente en varones&#46;</p></span>"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Background and objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The prevalence of obesity and diabetes mellitus &#40;DM&#41; has increased worldwide&#46; Our objective was to examine trends in the prevalence of overweight&#44; obesity&#44; morbid obesity and DM in Spain from 1987 to 2012&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Participants and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Data were obtained from 8 waves of the national health surveys which are cross-sectional studies conducted in representative samples of the Spanish adult population&#46; Self-reported data of 156&#44;440 adults &#40;&#8805;<span class="elsevierStyleHsp" style=""></span>16 years&#41; from 1987 to 2012 were used&#46; Body mass index &#40;BMI&#41; was calculated from self-reported weight and height&#46; Overweight was defined as a BMI of 25&#46;0 to 29&#46;9<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#44; obesity as a BMI<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>30<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span> and morbid obesity as a BMI<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>40<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#46; DM was considered present if the participant reported having been diagnosed&#46; Age-adjusted prevalence was adjusted by the direct standardisation method to the 2003 survey population&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">From 1987 to 2012 age-adjusted prevalence of overweight increased from 34&#46;0&#37; &#40;95&#37; confidence interval &#91;95&#37; CI&#93; 33&#46;2-34&#46;8&#41; to 35&#46;8&#37; &#40;95&#37; CI 35&#46;0-36&#46;6&#41;&#44; prevalence of obesity from 8&#46;0&#37; &#40;95&#37; CI 7&#46;5-8&#46;5&#41; to 16&#46;5&#37; &#40;95&#37; CI 15&#46;7-17&#46;1&#37;&#41; and DM prevalence from 4&#46;2&#37; &#40;95&#37; CI 3&#46;9-4&#46;5&#41; to 7&#46;1&#37; &#40;95&#37; CI 6&#46;7-7&#46;4&#37;&#41;&#46; Morbid obesity increased from 0&#46;20&#37; &#40;95&#37; CI 0&#46;13-0&#46;27&#41; in 1993 to 0&#46;88&#37; &#40;95&#37; CI 0&#46;70-1&#46;05&#41; in 2012&#46; The growth rate was greater among males&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">An increasing trend of the prevalence of overweight&#44; obesity&#44; morbid obesity and DM was found in Spain from 1987 to 2012&#44; particularly in males&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Background and objective"
          ]
          1 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "Participants and methods"
          ]
          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Results"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclusions"
          ]
        ]
      ]
    ]
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0120" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>"
            "etiqueta" => "Anexo A"
            "titulo" => "Material suplementario"
            "identificador" => "sec0035"
          ]
        ]
      ]
    ]
    "multimedia" => array:7 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1134
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            "Tamanyo" => 86199
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        "descripcion" => array:1 [
          "es" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Prevalencia ajustada &#40;&#37;&#41; de sobrepeso &#40;IMC 25&#44;0-29&#44;9&#41; y sobrepeso y obesidad combinados &#40;IMC<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>25&#44;0&#41; e intervalos de confianza al 95&#37; en las encuestas nacionales de salud &#40;ENS&#41;&#46;</p> <p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Ajustada por edad con el m&#233;todo directo&#44; usando la distribuci&#243;n por grupos de edad de los participantes en la ENS 2003&#58; 16-39 a&#241;os&#44; 40-59 a&#241;os y<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figura 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1134
            "Ancho" => 1637
            "Tamanyo" => 78132
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        "descripcion" => array:1 [
          "es" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Prevalencia ajustada &#40;&#37;&#41; de obesidad y diabetes e intervalos de confianza al 95&#37; en las encuestas nacionales de salud &#40;ENS&#41;&#46;</p> <p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Ajustada por edad con el m&#233;todo directo&#44; usando la distribuci&#243;n por grupos de edad de los participantes en la ENS 2003&#58; 16-39 a&#241;os&#44; 40-59 a&#241;os y<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figura 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1157
            "Ancho" => 1631
            "Tamanyo" => 62796
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Prevalencia ajustada &#40;&#37;&#41; de obesidad m&#243;rbida e intervalos de confianza al 95&#37; en las encuestas nacionales de salud &#40;ENS&#41;&#46;</p> <p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Ajustada por edad con el m&#233;todo directo&#44; usando la distribuci&#243;n por grupos de edad de los participantes en la ENS 2003&#58; 16-39 a&#241;os&#44; 40-59 a&#241;os y<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&#46;</p>"
        ]
      ]
      3 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Tabla 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at1"
            "detalle" => "Tabla "
            "rol" => "short"
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        "tabla" => array:3 [
          "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">ENS&#58; Encuesta Nacional de Salud&#59; IMC&#58; &#237;ndice de masa corporal&#59; Nd&#58; no disponible&#59; No obs&#58; ninguna observaci&#243;n&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="8" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">A&#241;o ENS</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1987&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1993&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1995&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1997&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2006&#47;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2011&#47;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleBold">Sobrepeso &#40;IMC 25&#44;0-29&#44;9</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">kg&#47;m</span><span class="elsevierStyleSup"><span class="elsevierStyleBold">2</span></span><span class="elsevierStyleBold">&#41;</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Total participantes</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">31&#44;3<br>&#40;30&#44;5-32&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">35&#44;3<br>&#40;34&#44;5-36&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">34&#44;9<br>&#40;33&#44;6-36&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">34&#44;5<br>&#40;33&#44;3-35&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&#44;3<br>&#40;35&#44;5-37&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&#44;0<br>&#40;35&#44;2-36&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&#44;7<br>&#40;35&#44;9-37&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&#44;1<br>&#40;35&#44;3-37&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia ajustada<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="table-entry  " align="left" valign="top">34&#44;0<br>&#40;33&#44;2-34&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">37&#44;1<br>&#40;36&#44;3-37&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&#44;5<br>&#40;35&#44;3-37&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&#44;1<br>&#40;34&#44;8-37&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">37&#44;0<br>&#40;36&#44;3-37&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&#44;0<br>&#40;35&#44;2-36&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&#44;8<br>&#40;36&#44;0-37&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">35&#44;8<br>&#40;35&#44;0-36&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Hombres</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&#44;9<br>&#40;35&#44;8-38&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">42&#44;4<br>&#40;41&#44;2-43&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">42&#44;1<br>&#40;40&#44;2-43&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">41&#44;3<br>&#40;39&#44;5-43&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">44&#44;1<br>&#40;43&#44;0-45&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">44&#44;3<br>&#40;43&#44;0-45&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">44&#44;1<br>&#40;42&#44;8-45&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">44&#44;4<br>&#40;43&#44;2-45&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia ajustada<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="table-entry  " align="left" valign="top">38&#44;9<br>&#40;37&#44;8-40&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">43&#44;7<br>&#40;42&#44;6-44&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">43&#44;3<br>&#40;41&#44;5-45&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">42&#44;8<br>&#40;41&#44;0-44&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">44&#44;9<br>&#40;43&#44;8-46&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">44&#44;6<br>&#40;43&#44;4-45&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">44&#44;3<br>&#40;43&#44;0-45&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">44&#44;2<br>&#40;42&#44;9-45&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>16-39 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">25&#44;7<br>&#40;24&#44;2-27&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&#44;1<br>&#40;31&#44;6-34&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&#44;5<br>&#40;31&#44;0-35&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">31&#44;8<br>&#40;29&#44;4-34&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">34&#44;4<br>&#40;32&#44;8-35&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">35&#44;0<br>&#40;33&#44;1-37&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">35&#44;0<br>&#40;33&#44;0-37&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">35&#44;9<br>&#40;33&#44;9-38&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>40-59 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">50&#44;6<br>&#40;48&#44;5-52&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">53&#44;9<br>&#40;51&#44;8-56&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">50&#44;9<br>&#40;47&#44;4-54&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">51&#44;8<br>&#40;48&#44;3-55&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">53&#44;3<br>&#40;51&#44;3-55&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">51&#44;0<br>&#40;48&#44;7-53&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">50&#44;2<br>&#40;48&#44;1-52&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">49&#44;2<br>&#40;47&#44;2-51&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">47&#44;3<br>&#40;44&#44;6-50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">49&#44;4<br>&#40;46&#44;8-52&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">50&#44;9<br>&#40;46&#44;9-55&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">50&#44;8<br>&#40;46&#44;9-54&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">52&#44;6<br>&#40;50&#44;2-54&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">53&#44;2<br>&#40;50&#44;8-55&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">52&#44;8<br>&#40;50&#44;5-55&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">52&#44;1<br>&#40;49&#44;8-54&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Mujeres</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">24&#44;9<br>&#40;23&#44;8-25&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#44;8<br>&#40;26&#44;8-28&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#44;2<br>&#40;25&#44;4-28&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#44;2<br>&#40;25&#44;5-28&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">28&#44;4<br>&#40;27&#44;4-29&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">28&#44;1<br>&#40;27&#44;1-29&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29&#44;2<br>&#40;28&#44;3-30&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#44;8<br>&#40;26&#44;7-28&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia ajustada<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="table-entry  " align="left" valign="top">28&#44;4<br>&#40;27&#44;3-29&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">30&#44;1<br>&#40;29&#44;0-31&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29&#44;3<br>&#40;27&#44;5-31&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">28&#44;8<br>&#40;27&#44;1-30&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29&#44;0<br>&#40;28&#44;0-30&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#44;7<br>&#40;26&#44;7-28&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29&#44;2<br>&#40;28&#44;2-30&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#44;3<br>&#40;26&#44;2-28&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>16-39 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&#44;0<br>&#40;10&#44;9-13&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;9<br>&#40;12&#44;7-15&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#44;4<br>&#40;13&#44;5-17&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;4<br>&#40;11&#44;5-15&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#44;3<br>&#40;15&#44;1-17&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#44;5<br>&#40;14&#44;1-16&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">18&#44;6<br>&#40;17&#44;2-20&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">18&#44;1<br>&#40;16&#44;5-19&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>40-59 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">39&#44;9<br>&#40;37&#44;7-42&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">39&#44;4<br>&#40;37&#44;3-41&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">37&#44;2<br>&#40;33&#44;7-40&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">40&#44;2<br>&#40;36&#44;7-43&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">35&#44;0<br>&#40;33&#44;1-37&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">32&#44;3<br>&#40;30&#44;3-34&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">32&#44;8<br>&#40;31&#44;1-34&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">29&#44;5<br>&#40;27&#44;7-31&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">42&#44;5<br>&#40;39&#44;7-45&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">46&#44;3<br>&#40;43&#44;7-48&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">43&#44;1<br>&#40;38&#44;9-47&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">41&#44;2<br>&#40;37&#44;2-45&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">43&#44;3<br>&#40;41&#44;0-45&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">42&#44;7<br>&#40;40&#44;7-44&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">42&#44;8<br>&#40;40&#44;9-44&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">40&#44;1<br>&#40;38&#44;1-42&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleBold">Obesidad &#40;IMC</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">&#8805;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">30</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">kg&#47;m</span><span class="elsevierStyleSup"><span class="elsevierStyleBold">2</span></span><span class="elsevierStyleBold">&#41;</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Total participantes</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#44;0<br>&#40;6&#44;6-7&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9&#44;1<br>&#40;8&#44;6-9&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#44;5<br>&#40;9&#44;7-11&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#44;9<br>&#40;11&#44;1-12&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&#44;8<br>&#40;12&#44;2-13&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;3<br>&#40;12&#44;7-13&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#44;0<br>&#40;14&#44;4-15&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#44;7<br>&#40;16&#44;1-17&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia ajustada<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="table-entry  " align="left" valign="top">8&#44;0<br>&#40;7&#44;5-8&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#44;0<br>&#40;9&#44;5-10&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#44;4<br>&#40;10&#44;5-12&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&#44;8<br>&#40;11&#44;9-13&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;3<br>&#40;12&#44;7-13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;3<br>&#40;12&#44;7-13&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#44;1<br>&#40;14&#44;5-15&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#44;5<br>&#40;15&#44;8-17&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Hombres</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;5<br>&#40;6&#44;0-7&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8&#44;7<br>&#40;8&#44;0-9&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#44;1<br>&#40;9&#44;0-11&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#44;3<br>&#40;10&#44;2-12&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#44;9<br>&#40;11&#44;2-12&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;0<br>&#40;12&#44;2-13&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#44;2<br>&#40;14&#44;3-16&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#44;6<br>&#40;16&#44;7-18&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia ajustada<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="table-entry  " align="left" valign="top">7&#44;1<br>&#40;6&#44;5-7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9&#44;4<br>&#40;8&#44;7-10&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#44;7<br>&#40;9&#44;5-11&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&#44;1<br>&#40;10&#44;9-13&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&#44;4<br>&#40;11&#44;6-13&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;2<br>&#40;12&#44;4-14&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#44;3<br>&#40;14&#44;4-16&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#44;4<br>&#40;16&#44;5-18&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>16-39 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;6<br>&#40;3&#44;0-4&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;6<br>&#40;4&#44;0-5&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;3<br>&#40;5&#44;0-7&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;2<br>&#40;4&#44;9-7&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#44;6<br>&#40;6&#44;7-8&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#44;8<br>&#40;6&#44;7-8&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8&#44;8<br>&#40;7&#44;7-10&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#44;8<br>&#40;9&#44;6-12&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>40-59 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9&#44;3<br>&#40;8&#44;2-10&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#44;6<br>&#40;10&#44;3-13&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&#44;9<br>&#40;10&#44;6-15&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#44;0<br>&#40;13&#44;4-18&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#44;7<br>&#40;13&#44;3-16&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#44;7<br>&#40;14&#44;1-17&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">19&#44;8<br>&#40;18&#44;1-21&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">21&#44;2<br>&#40;19&#44;6-22&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#44;6<br>&#40;8&#44;8-12&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#44;9<br>&#40;13&#44;0-16&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#44;6<br>&#40;12&#44;7-18&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#44;4<br>&#40;14&#44;4-20&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#44;7<br>&#40;15&#44;9-19-5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">19&#44;5<br>&#40;17&#44;6-21&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">20&#44;9<br>&#40;19&#44;0-22&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">24&#44;1<br>&#40;22&#44;1-26&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Mujeres</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#44;5<br>&#40;6&#44;9-8&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9&#44;6<br>&#40;8&#44;9-10&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#44;9<br>&#40;9&#44;7-12&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&#44;6<br>&#40;11&#44;3-13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;6<br>&#40;12&#44;9-14&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;5<br>&#40;12&#44;7-14&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#44;8<br>&#40;14&#44;1-15&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#44;7<br>&#40;14&#44;9-16&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia ajustada<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="table-entry  " align="left" valign="top">9&#44;1<br>&#40;8&#44;4-9&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#44;6<br>&#40;9&#44;8-11&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&#44;2<br>&#40;10&#44;9-13&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;6<br>&#40;12&#44;3-14&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#44;1<br>&#40;13&#44;3-14&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;3<br>&#40;12&#44;5-14&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#44;8<br>&#40;14&#44;1-15&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#44;4<br>&#40;14&#44;5-16&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>16-39 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#44;2<br>&#40;1&#44;6-2&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;0<br>&#40;2&#44;4-3&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;7<br>&#40;2&#44;7-4&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;2<br>&#40;3&#44;1-5&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;6<br>&#40;3&#44;9-5&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;2<br>&#40;4&#44;3-6&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#44;3<br>&#40;6&#44;4-8&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8&#44;6<br>&#40;7&#44;3-9&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>40-59 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;1<br>&#40;11&#44;6-14&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#44;6<br>&#40;13&#44;0-16&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#44;5<br>&#40;14&#44;8-20&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#44;3<br>&#40;14&#44;7-20&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#44;4<br>&#40;15&#44;8-18&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#44;0<br>&#40;15&#44;3-18&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#44;0<br>&#40;15&#44;6-18&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#44;4<br>&#40;14&#44;8-17&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#44;0<br>&#40;14&#44;0-18&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">18&#44;7<br>&#40;16&#44;6-20&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">20&#44;2<br>&#40;16&#44;8-23&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">25&#44;0<br>&#40;21&#44;5-28&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">26&#44;4<br>&#40;24&#44;3-28&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">22&#44;6<br>&#40;20&#44;9-24&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">24&#44;9<br>&#40;23&#44;2-26&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">25&#44;8<br>&#40;24&#44;0-27&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleBold">Obesidad m&#243;rbida &#40;IMC</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">&#8805;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">40</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleBold">kg&#47;m</span><span class="elsevierStyleSup"><span class="elsevierStyleBold">2</span></span><span class="elsevierStyleBold">&#41;</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Total participantes</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Nd&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;18<br>&#40;0&#44;11-0&#44;24&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;41<br>&#40;0&#44;24-0&#44;58&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;47<br>&#40;0&#44;29-0&#44;65&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;53<br>&#40;0&#44;41-0&#44;65&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;60<br>&#40;0&#44;46-0&#44;74&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;61<br>&#40;0&#44;48-0&#44;74&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;89<br>&#40;0&#44;71-1&#44;06&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia ajustada<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="table-entry  " align="left" valign="top">Nd&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;20<br>&#40;0&#44;13-0&#44;27&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;44<br>&#40;0&#44;25-0&#44;62&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;50<br>&#40;0&#44;31-0&#44;69&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;55<br>&#40;0&#44;43-0&#44;67&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;60<br>&#40;0&#44;46-0&#44;74&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;60<br>&#40;0&#44;48-0&#44;73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;88<br>&#40;0&#44;70-1&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Hombres</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Nd&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;09<br>&#40;0&#44;03-0&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;25<br>&#40;0&#44;07-0&#44;44&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;14<br>&#40;0&#44;00-0&#44;27&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;28<br>&#40;0&#44;16-0&#44;41&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;37<br>&#40;0&#44;19-0&#44;55&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;54<br>&#40;0&#44;34-0&#44;74&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;69<br>&#40;0&#44;48-0&#44;91&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia ajustada<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="table-entry  " align="left" valign="top">Nd&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;09<br>&#40;0&#44;03-0&#44;15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;26<br>&#40;0&#44;06-0&#44;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;13<br>&#40;0&#44;00-0&#44;26&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;30<br>&#40;0&#44;17-0&#44;43&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;36<br>&#40;0&#44;18-0&#44;55&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;54<br>&#40;0&#44;34-0&#44;74&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;68<br>&#40;0&#44;47-0&#44;90&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>16-39 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Nd&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;09<br>&#40;0&#44;00-0&#44;17&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;21<br>&#40;0&#44;00-0&#44;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;21<br>&#40;0&#44;00-0&#44;44&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;11<br>&#40;0&#44;00-0&#44;24&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;27<br>&#40;0&#44;02-0&#44;52&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;17<br>&#40;0&#44;04-0&#44;31&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;53<br>&#40;0&#44;18-0&#44;88&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>40-59 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Nd&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;08<br>&#40;0&#44;00-0&#44;18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;25<br>&#40;0&#44;00-0&#44;60&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;13<br>&#40;0&#44;00-0&#44;37&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;43<br>&#40;0&#44;13-0&#44;72&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;60<br>&#40;0&#44;21-0&#44;98&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;94<br>&#40;0&#44;50-1&#44;37&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;85<br>&#40;0&#44;48-1&#44;22&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Nd&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;10<br>&#40;0&#44;00-0&#44;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;34<br>&#40;0&#44;00-0&#44;82&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">No obs&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;45<br>&#40;0&#44;15-0&#44;75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;24<br>&#40;0&#44;00-0&#44;56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;66<br>&#40;0&#44;13-1&#44;19&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;73<br>&#40;0&#44;33-1&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Mujeres</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Nd&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;27<br>&#40;0&#44;16-0&#44;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;58<br>&#40;0&#44;29-0&#44;87&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;82<br>&#40;0&#44;48-1&#44;16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;79<br>&#40;0&#44;58-0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;82<br>&#40;0&#44;60-1&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;68<br>&#40;0&#44;52-0&#44;84&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;08<br>&#40;0&#44;81-1&#44;35&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia ajustada<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="table-entry  " align="left" valign="top">Nd&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;31<br>&#40;0&#44;18-0&#44;44&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;63<br>&#40;0&#44;31-0&#44;96&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;89<br>&#40;0&#44;52-1&#44;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;81<br>&#40;0&#44;60-1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;80<br>&#40;0&#44;59-1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;67<br>&#40;0&#44;51-0&#44;82&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;06<br>&#40;0&#44;80-1&#44;32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>16-39 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Nd&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;05<br>&#40;0&#44;00-0&#44;12&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;15<br>&#40;0&#44;00-0&#44;36&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;23<br>&#40;0&#44;00-0&#44;49&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;40<br>&#40;0&#44;19-0&#44;60&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;39<br>&#40;0&#44;09-0&#44;69&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;29<br>&#40;0&#44;10-0&#44;48&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;61<br>&#40;0&#44;26-0&#44;95&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>40-59 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Nd&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;55<br>&#40;0&#44;22-0&#44;88&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;36<br>&#40;0&#44;52-2&#44;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;40<br>&#40;0&#44;58-2&#44;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;22<br>&#40;0&#44;74-1&#44;69&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;90<br>&#40;0&#44;52-1&#44;28&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;04<br>&#40;0&#44;69-1&#44;38&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;18<br>&#40;0&#44;64-1&#44;72&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Nd&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;46<br>&#40;0&#44;16-0&#44;75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;57<br>&#40;0&#44;00-1&#44;22&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;37<br>&#40;0&#44;43-2&#44;32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;00<br>&#40;0&#44;55-1&#44;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;39<br>&#40;0&#44;89-1&#44;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;86<br>&#40;0&#44;57-1&#44;15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;68<br>&#40;1&#44;15-2&#44;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Sobrepeso<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a></th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Obesidad<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a></th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Obesidad m&#243;rbida<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">b</span></a></th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Diabetes<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a></th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">Odds ratio</span> &#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">Odds ratio</span> &#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Raz&#243;n prevalencia &#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">Odds ratio</span> &#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Total participantes</span><a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00 &#40;1&#44;00-1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;04 &#40;1&#44;03-1&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;06 &#40;1&#44;04-1&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;02 &#40;1&#44;02-1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleItalic">Hombres</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Total<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;01 &#40;1&#44;01-1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;04 &#40;1&#44;04-1&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;10 &#40;1&#44;07-1&#44;13&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;04 &#40;1&#44;03-1&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>16-39 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;02 &#40;1&#44;01-1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;05 &#40;1&#44;04-1&#44;06&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;09 &#40;1&#44;02-1&#44;17&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;009&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;03 &#40;1&#44;00-1&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>40-59 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00 &#40;0&#44;99-1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;04 &#40;1&#44;04-1&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;10 &#40;1&#44;06-1&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;03 &#40;1&#44;02-1&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;01 &#40;1&#44;00-1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;04 &#40;1&#44;03-1&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;10 &#40;1&#44;04-1&#44;16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;05 &#40;1&#44;04-1&#44;06&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleItalic">Mujeres</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Total<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00 &#40;1&#44;00-1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;03 &#40;1&#44;02-1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;04 &#40;1&#44;02-1&#44;06&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;01 &#40;1&#44;01-1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>16-39 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;02 &#40;1&#44;02-1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;06 &#40;1&#44;05-1&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;09 &#40;1&#44;04-1&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;02 &#40;0&#44;99-1&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>40-59 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;98 &#40;0&#44;98-0&#44;98&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;01 &#40;1&#44;01-1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;02 &#40;0&#44;99-1&#44;05&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00 &#40;0&#44;99-1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;99 &#40;0&#44;99-1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;02 &#40;1&#44;02-1&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;05 &#40;1&#44;02-1&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;02 &#40;1&#44;01-1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="8" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">A&#241;o ENS</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1987&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1993&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1995&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1997&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2006&#47;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2011&#47;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleBold">Diabetes</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Total participantes</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;8<br>&#40;3&#44;5-4&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;3<br>&#40;3&#44;9-4&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;7<br>&#40;4&#44;2-5&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;0<br>&#40;4&#44;4-5&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;6<br>&#40;5&#44;3-6&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;9<br>&#40;5&#44;5-6&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;2<br>&#40;5&#44;8-6&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#44;4<br>&#40;7&#44;0-7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia ajustada<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;2<br>&#40;3&#44;9-4&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;6<br>&#40;4&#44;2-4&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;8<br>&#40;4&#44;3-5&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;1<br>&#40;4&#44;6-5&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;6<br>&#40;5&#44;3-5&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;9<br>&#40;5&#44;5-6&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;1<br>&#40;5&#44;8-6&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#44;1<br>&#40;6&#44;7-7&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Hombres</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;0<br>&#40;2&#44;6-3&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;3<br>&#40;2&#44;9-3&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;0<br>&#40;3&#44;3-4&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;1<br>&#40;3&#44;4-4&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;2<br>&#40;4&#44;7-5&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;6<br>&#40;5&#44;0-6&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;3<br>&#40;5&#44;8-6&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#44;6<br>&#40;7&#44;0-8&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia ajustada<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;5<br>&#40;3&#44;0-3&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;7<br>&#40;3&#44;3-4&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;3<br>&#40;3&#44;6-5&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;4<br>&#40;3&#44;7-5&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;6<br>&#40;5&#44;1-6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;0<br>&#40;5&#44;4-6&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;6<br>&#40;6&#44;1-7&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#44;6<br>&#40;7&#44;0-8&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>16-39 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;5<br>&#40;0&#44;3-0&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;5<br>&#40;0&#44;3-0&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;4<br>&#40;0&#44;1-0&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;5<br>&#40;0&#44;1-0&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;7<br>&#40;0&#44;4-0&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;8<br>&#40;0&#44;4-1&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;7<br>&#40;0&#44;4-1&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;9<br>&#40;0&#44;5-1&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>40-59 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;7<br>&#40;3&#44;0-4&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;3<br>&#40;3&#44;5-5&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;7<br>&#40;2&#44;4-5&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;3<br>&#40;2&#44;9-5&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;9<br>&#40;4&#44;1-5&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;7<br>&#40;3&#44;8-5&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;9<br>&#40;4&#44;9-6&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;7<br>&#40;5&#44;6-7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8&#44;2<br>&#40;6&#44;9-9&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8&#44;6<br>&#40;7&#44;2-9&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#44;8<br>&#40;9&#44;4-14&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#44;4<br>&#40;9&#44;1-13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#44;6<br>&#40;13&#44;1-16&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#44;4<br>&#40;14&#44;5-18&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#44;6<br>&#40;15&#44;9-19&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">20&#44;1<br>&#40;18&#44;4-21&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Mujeres</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia bruta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;6<br>&#40;4&#44;2-5&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;1<br>&#40;4&#44;7-5&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;4<br>&#40;4&#44;6-6&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;8<br>&#40;5&#44;0-6&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;0<br>&#40;5&#44;5-6&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;2<br>&#40;5&#44;7-6&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;1<br>&#40;5&#44;6-6&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#44;3<br>&#40;6&#44;8-7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Prevalencia ajustada<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;8<br>&#40;4&#44;4-5&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;2<br>&#40;4&#44;7-5&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;2<br>&#40;4&#44;5-6&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;7<br>&#40;5&#44;0-6&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;6<br>&#40;5&#44;2-6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;9<br>&#40;5&#44;4-6&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;6<br>&#40;5&#44;2-6&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;6<br>&#40;6&#44;1-7&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>16-39 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;0<br>&#40;0&#44;6-1&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;5<br>&#40;0&#44;3-0&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;6<br>&#40;0&#44;2-1&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;4<br>&#40;0&#44;1-0&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;6<br>&#40;0&#44;4-0&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;6<br>&#40;0&#44;3-0&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;9<br>&#40;0&#44;6-1&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;5<br>&#40;1&#44;0-2&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>40-59 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;6<br>&#40;3&#44;9-5&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;1<br>&#40;3&#44;3-4&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;6<br>&#40;3&#44;2-6&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;8<br>&#40;4&#44;2-7&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;7<br>&#40;3&#44;9-5&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;3<br>&#40;3&#44;4-5&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;1<br>&#40;3&#44;4-4&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#44;3<br>&#40;3&#44;5-5&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>60 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#44;4<br>&#40;10&#44;2-12&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#44;6<br>&#40;13&#44;1-16&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;9<br>&#40;11&#44;6-16&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#44;8<br>&#40;12&#44;5-17&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#44;3<br>&#40;13&#44;9-16&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#44;8<br>&#40;15&#44;3-18&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
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                            3 => "J&#46;A&#46; Mart&#237;nez"
                            4 => "M&#46;A&#46; Mart&#237;nez-Gonz&#225;lez"
                          ]
                        ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "An Sist Sanit Navar&#46;"
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                        "paginaInicial" => "373"
                        "paginaFinal" => "381"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18227894"
                            "web" => "Medline"
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                      "titulo" => "Clinical guidelines on the identification&#44; evaluation&#44; and treatment of overweight and obesity in adults&#58; executive summary&#58; Expert Panel on the Identification&#44; Evaluation&#44; and Treatment of Overweight in Adults"
                    ]
                  ]
                  "host" => array:1 [
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                        "tituloSerie" => "Am J Clin Nutr&#46;"
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                        "paginaInicial" => "899"
                        "paginaFinal" => "917"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9771869"
                            "web" => "Medline"
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                    ]
                  ]
                ]
              ]
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              "etiqueta" => "18"
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                  "contribucion" => array:1 [
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                      "titulo" => "Validaci&#243;n de la diabetes mellitus&#44; la hipertensi&#243;n arterial y la hipercolesterolemia declaradas en la Encuesta Nacional de Salud"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
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                            1 => "L&#46; Forga"
                            2 => "M&#46; Bes-Rastrollo"
                            3 => "J&#46;A&#46; Mart&#237;nez"
                            4 => "M&#46;A&#46; Mart&#237;nez-Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Endocrinol Nutr&#46;"
                        "fecha" => "2007"
                        "volumen" => "54"
                        "paginaInicial" => "462"
                        "paginaFinal" => "466"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0245"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalencia de obesidad en Espa&#241;a"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "Grupo colaborativo SEEDO"
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Aranceta-Bartrina"
                            1 => "L&#46; Serra-Majem"
                            2 => "M&#46; Foz-Sala"
                            3 => "B&#46; Moreno-Esteban"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;&#46;"
                        "fecha" => "2005"
                        "volumen" => "125"
                        "paginaInicial" => "460"
                        "paginaFinal" => "466"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16216203"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0250"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Obesity and overweight trends in Catalonia&#44; Spain &#40;1992-2003&#41;&#58; Gender and socio-economic determinants"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Garc&#237;a-&#193;lvarez"
                            1 => "L&#46; Serra-Majem"
                            2 => "L&#46; Ribas-Barba"
                            3 => "C&#46; Castell"
                            4 => "M&#46; Foz"
                            5 => "R&#46; Uauy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1017/S1368980007000973"
                      "Revista" => array:7 [
                        "tituloSerie" => "Public Health Nutr&#46;"
                        "fecha" => "2007"
                        "volumen" => "10"
                        "paginaInicial" => "1368"
                        "paginaFinal" => "1378"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17988408"
                            "web" => "Medline"
                          ]
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              ]
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              "identificador" => "bib0255"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Morbid obesity rates continue to rise rapidly in the United States"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Sturm"
                            1 => "A&#46; Hattori"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Obes &#40;Lond&#41;&#46;"
                        "fecha" => "2013"
                        "volumen" => "37"
                        "paginaInicial" => "889"
                        "paginaFinal" => "891"
                        "itemHostRev" => array:3 [
                          "pii" => "S0886335012017609"
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                  ]
                ]
              ]
            ]
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              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalence of obesity and trends in the distribution of body mass index among US adults&#44; 1999-2010"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46;M&#46; Flegal"
                            1 => "M&#46;D&#46; Carroll"
                            2 => "B&#46;K&#46; Kit"
                            3 => "C&#46;L&#46; Ogden"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.2012.39"
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                        "tituloSerie" => "JAMA&#46;"
                        "fecha" => "2012"
                        "volumen" => "307"
                        "paginaInicial" => "491"
                        "paginaFinal" => "497"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22253363"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Predictors of weight gain in a Mediterranean cohort&#58; The Seguimiento Universidad de Navarra Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
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                            1 => "A&#46; S&#225;nchez-Villegas"
                            2 => "E&#46; G&#243;mez-Gracia"
                            3 => "J&#46;A&#46; Mart&#237;nez"
                            4 => "R&#46;M&#46; Pajares"
                            5 => "M&#46;A&#46; Mart&#237;nez-Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Clin Nutr"
                        "fecha" => "2006"
                        "volumen" => "83"
                        "paginaInicial" => "362"
                        "paginaFinal" => "370"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16469996"
                            "web" => "Medline"
                          ]
                        ]
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              ]
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              "etiqueta" => "24"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Changes in diet and lifestyle and long-term weight gain in women and men"
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                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46; Mozaffarian"
                            1 => "T&#46; Hao"
                            2 => "E&#46;B&#46; Rimm"
                            3 => "W&#46;C&#46; Willett"
                            4 => "F&#46;B&#46; Hu"
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                    ]
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                        "fecha" => "2011"
                        "volumen" => "364"
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                        "paginaFinal" => "2404"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21696306"
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                      "titulo" => "Control of glycemia and cardiovascular risk factors in patients with type 2 diabetes in primary care in Catalonia &#40;Spain&#41;"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            2 => "E&#46; Hermosilla"
                            3 => "R&#46; Morros"
                            4 => "F&#46; Fina"
                            5 => "M&#46; Rosell"
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                        ]
                      ]
                    ]
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                        "tituloSerie" => "Diabetes Care&#46;"
                        "fecha" => "2012"
                        "volumen" => "35"
                        "paginaInicial" => "774"
                        "paginaFinal" => "779"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22344609"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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                    0 => array:2 [
                      "titulo" => "Prevalence of obesity&#44; diabetes&#44; and obesity-related health risk factors&#44; 2001"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:6 [
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                            1 => "E&#46;S&#46; Ford"
                            2 => "B&#46;A&#46; Bowman"
                            3 => "W&#46;H&#46; Dietz"
                            4 => "F&#46; Vinicor"
                            5 => "V&#46;S&#46; Bales"
                          ]
                        ]
                      ]
                    ]
                  ]
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                        "paginaInicial" => "76"
                        "paginaFinal" => "79"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12503980"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "etiqueta" => "27"
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                    0 => array:2 [
                      "titulo" => "Trends in the prevalence and incidence of diabetes in the UK&#58; 1996 to 2005"
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                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46;L&#46; Mass&#243;-Gonz&#225;lez"
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                            2 => "M&#46;A&#46; Wallander"
                            3 => "L&#46;A&#46; Garc&#237;a-Rodr&#237;guez"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1136/jech.2008.080382"
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                        "tituloSerie" => "J Epidemiol Community Health&#46;"
                        "fecha" => "2009"
                        "volumen" => "63"
                        "paginaInicial" => "332"
                        "paginaFinal" => "336"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19240084"
                            "web" => "Medline"
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                    ]
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                ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Full accounting of diabetes and pre-diabetes in the U&#46; S&#46; population in 1988-1994 and 2005-2006"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            2 => "E&#46;S&#46; Ford"
                            3 => "M&#46;S&#46; Eberhardt"
                            4 => "D&#46;D&#46; Byrd-Holt"
                            5 => "C&#46; Li"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2337/dc08-1296"
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                        "tituloSerie" => "Diabetes Care&#46;"
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                        "volumen" => "32"
                        "paginaInicial" => "287"
                        "paginaFinal" => "294"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19017771"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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                    0 => array:1 [
                      "titulo" => "Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus"
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                        "tituloSerie" => "Diabetes Care&#46;"
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                        "paginaFinal" => "1197"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9203460"
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                ]
              ]
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                      "titulo" => "Standards of medical care in diabetes-2010"
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                          "colaboracion" => "American Diabetes Association"
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Información del artículo
ISSN: 00257753
Idioma original: Español
DOI:10.1016/j.medcli.2016.11.022
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