Padrões dietéticos de pacientes com psoríase em instituição pública de saúde do Brasil | Anais Brasileiros de Dermatologia (Portuguese)

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Quantitative variables were categorized according to the tertile of the distributions. DM, diabetes mellitus; BMI, body mass index; WTH, waist-to-hip ratio; AH, arterial hypertension. Standardized scores for P1 and P2 ranged from −3 to +3 according to adherence to each dietary pattern." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Tatiana Cristina Figueira Polo, José Eduardo Corrente, Luciane Donida Bartoli Miot, Silvia Justina Papini, Hélio Amante Miot" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Tatiana Cristina Figueira" "apellidos" => "Polo" ] 1 => array:2 [ "nombre" => "José Eduardo" "apellidos" => "Corrente" ] 2 => array:2 [ "nombre" => "Luciane Donida Bartoli" "apellidos" => "Miot" ] 3 => array:2 [ "nombre" => "Silvia Justina" "apellidos" => "Papini" ] 4 => array:2 [ "nombre" => "Hélio Amante" "apellidos" => "Miot" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S2666275220302046" "doi" => "10.1016/j.abdp.2020.02.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220302046?idApp=UINPBA00008Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620301240?idApp=UINPBA00008Z" "url" => "/03650596/0000009500000004/v3_202008041755/S0365059620301240/v3_202008041755/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2666275220302149" "issn" => "26662752" "doi" => "10.1016/j.abdp.2020.05.016" "estado" => "S300" "fechaPublicacion" => "2020-07-01" "aid" => "200" "copyright" => "Sociedade Brasileira de Dermatologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by/4.0/" "subdocumento" => "fla" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "pt" => array:12 [ "idiomaDefecto" => true "cabecera" => "Investigação" "titulo" => "Identificação de espécies de Leishmania por dissociação de DNA em alta resolução (HRM) em casos de leishmaniose tegumentar americana" "tienePdf" => "pt" "tieneTextoCompleto" => "pt" "tieneResumen" => "pt" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "459" "paginaFinal" => "468" ] ] "contieneResumen" => array:1 [ "pt" => true ] "contieneTextoCompleto" => array:1 [ "pt" => true ] "contienePdf" => array:1 [ "pt" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1122 "Ancho" => 1255 "Tamanyo" => 169638 ] ] "descripcion" => array:1 [ "pt" => "Exemplos dos pacientes com lesões clínicas cujas pesquisas PCR‐HRM não detectaram Leishmania sp. (A), paciente 17, com úlcera em membro superior; (B), paciente 21, com úlcera em membro inferior cuja biópsia evidenciou presença de amastigotas no tecido; (C), paciente 21 com úlcera em membro inferior." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "John Verrinder Veasey, Ricardo Andrade Zampieri, Rute Facchini Lellis, Thaís Helena Proença de Freitas, Lucile Maria Floeter Winter" "autores" => array:5 [ 0 => array:2 [ "nombre" => "John Verrinder" "apellidos" => "Veasey" ] 1 => array:2 [ "nombre" => "Ricardo Andrade" "apellidos" => "Zampieri" ] 2 => array:2 [ "nombre" => "Rute Facchini" "apellidos" => "Lellis" ] 3 => array:2 [ "nombre" => "Thaís Helena Proença de" "apellidos" => "Freitas" ] 4 => array:2 [ "nombre" => "Lucile Maria Floeter" "apellidos" => "Winter" ] ] ] ] ] "idiomaDefecto" => "pt" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0365059620301288" "doi" => "10.1016/j.abd.2020.02.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ 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"autoresLista" => "Tatiana Cristina Figueira Polo, José Eduardo Corrente, Luciane Donida Bartoli Miot, Silvia Justina Papini, Hélio Amante Miot" "autores" => array:5 [ 0 => array:3 [ "nombre" => "Tatiana Cristina Figueira" "apellidos" => "Polo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "José Eduardo" "apellidos" => "Corrente" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Luciane Donida Bartoli" "apellidos" => "Miot" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Silvia Justina" "apellidos" => "Papini" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "d" "identificador" => "aff0020" ] ] ] 4 => array:4 [ "nombre" => "Hélio Amante" "apellidos" => "Miot" "email" => array:1 [ 0 => "heliomiot@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Departamento de Patologia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brasil" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Bioestatística, Instituto de Biociências de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brasil" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Departamento de Dermatologia e Radioterapia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brasil" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Departamento de Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brasil" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondência." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 992 "Ancho" => 1500 "Tamanyo" => 113600 ] ] "descripcion" => array:1 [ "pt" => "Mapa perceptual das principais variáveis demográficas, clínicas, antropométricas e de adesão aos padrões alimentares em 94 pacientes com psoríase. As variáveis quantitativas foram categorizadas de acordo com o tercil das distribuições. DM, diabetes mellitus; HA, hipertensão arterial; IMC, índice de massa corporal; RCQ, relação circunferência quadril. Escores padronizados de P1 e P2: variaram de ‐3 a+3 de acordo com a adesão a cada padrão alimentar." ] ] ] "textoCompleto" => "IntroduçãoA psoríase é uma doença inflamatória crônica, de base genética e imunologicamente mediada. Apresenta repercussão sistêmica e associação com comorbidades, como síndrome metabólica (SM), hipertensão arterial (HA), dislipidemias, diabetes mellitus (DM), doença cardiovascular, neoplasias malignas e transtornos afetivos.<a class="elsevierStyleCrossRefs" href="#bib0240">1,2</a> Afeta 1,31% da população brasileira e, apesar de não contagiosa e de curso benigno, inflige importante impacto econômico e na qualidade de vida de seus portadores.<a class="elsevierStyleCrossRef" href="#bib0250">3</a>A psoríase desencadeia uma liberação anormal de citocinas envolvidas no processo inflamatório. Entre elas, destacam‐se o IFN‐γ, a IL‐1, IL‐6, IL‐17, IL‐8 e o TNF‐α, que promovem um estado inflamatório crônico sistêmico, favorecem o desenvolvimento de comorbidades.<a class="elsevierStyleCrossRef" href="#bib0255">4</a>Há maior prevalência de obesidade (34%) entre paciente com psoríase em comparação com a população geral (18%). Além disso, quanto maior o índice de massa corporal (IMC), maior o risco de desenvolver psoríase.<a class="elsevierStyleCrossRef" href="#bib0260">5</a> Do mesmo modo, existe associação entre o aumento dos valores de circunferência abdominal (CA), circunferência do quadril (CQ) e o surgimento de psoríase, o que corrobora sua associação com SM. A SM compreende um conjunto de fatores de risco para doenças cardiovasculares e também está relacionada à inflamação sistêmica.<a class="elsevierStyleCrossRefs" href="#bib0265">6,7</a>Além do tratamento medicamentoso, a alteração do comportamento alimentar e a prática de atividade física emergem como potenciais estratégias para o tratamento adjuvante da psoríase com vistas a reduzir as comorbidades.<a class="elsevierStyleCrossRefs" href="#bib0275">8,9</a> A dieta é um fator ambiental de alto interesse para os pacientes, visto que má nutrição, peso corporal inadequado e doenças metabólicas, além do risco direto à saúde, prejudicam o tratamento da psoríase.<a class="elsevierStyleCrossRefs" href="#bib0285">10,11</a>Devido à falta de consenso e diretrizes que estabeleçam uma dieta específica para esses pacientes e como existem poucos estudos que avaliaram o consumo alimentar de pacientes com psoríase, torna‐se necessário, inicialmente, caracterizar seu perfil nutricional e padrões alimentares para traçar estratégias dietéticas, com vistas à melhoria da qualidade da dieta em paralelo com o tratamento da doença.Este estudo tem como objetivo primário avaliar os padrões de consumo alimentar; secundariamente, correlacionar o consumo alimentar com os aspectos antropométricos, clínicos e fatores relacionados com a SM em pacientes com psoríase atendidos em ambulatório público de dermatologia.MétodosEstudo transversal que envolveu portadores de psoríase atendidos no Ambulatório de Dermatologia da Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu (SP), de fevereiro a agosto de 2019.Os diagnósticos de psoríase foram estabelecidos por dermatologista titulado (LDBM). Foram incluídos adultos (> 18 anos) de ambos os sexos, de todos os tipos clínicos e todos os estágios de gravidade.A amostragem foi feita por conveniência, com pacientes consecutivos, concordantes, durante suas consultas médicas, na instituição. Não foram avaliados pacientes com dietas específicas como celíacos, portadores de síndromes disabsortivas ou com limitações que impossibilitem a caracterização dietética ou antropométrica.Todos os convidados concordaram em participar da pesquisa e assinaram o termo de consentimento livre e esclarecido. O projeto foi aprovação pelo Comitê de Ética em Pesquisa da instituição (protocolo n° 3.317.869).Variáveis do estudoFoi aplicado questionário de frequência alimentar (QFA) adaptado para avaliar o consumo alimentar. Os pacientes foram interrogados sobre o consumo de 76 tipos de alimentos. Essa avaliação permitiu identificar o consumo desses alimentos no período de um ano, em porções diárias, semanais, mensais e anuais.<a class="elsevierStyleCrossRef" href="#bib0295">12</a>Foram obtidos dados demográficos, socioeconômicos e tempo de tratamento da psoríase no momento da avaliação antropométrica e dietética.Para a avaliação antropométrica foram aferidos peso corporal e altura, com posterior cálculo do IMC (em kg/m<a class="elsevierStyleCrossRef" href="#bib0245">2</a>), seguiu‐se a seguinte estratificação para diagnóstico: desnutrição (˂ 18,5); eutrofia (18,5‐24,9); sobrepeso (25‐29,9) e obesidade (≥ 30).<a class="elsevierStyleCrossRef" href="#bib0300">13</a>A circunferência abdominal foi aferida no ponto médio entre a última costela e a crista ilíaca com fita métrica. Também foi aferida a circunferência do quadril para estabelecer a RCQ=cintura (cm)/quadril (cm), possibilitou‐se a avaliação dos parâmetros de obesidade androide e o risco para doença cardiovascular de acordo com as classificações por sexo e idade.<a class="elsevierStyleCrossRef" href="#bib0305">14</a>As avaliações de consumo alimentar (QFA) e antropométricas foram feitas por nutricionista (TCFP), após o atendimento médico de rotina no ambulatório de dermatologia.Como todos os pacientes se encontravam em tratamento, escores clinimétricos mais detalhados (como PASI) sofreram efeito do tratamento; portanto, a atividade da doença foi estimada pela presença/ausência de lesões cutâneas e articulares na visita.<a class="elsevierStyleCrossRefs" href="#bib0310">15,16</a>Os exames clínicos feitos na rotina do ambulatório foram usados para verificar a presença de SM e foram considerados os critérios da NCEP ATP III (National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults) para avaliar os componentes envolvidos na síndrome metabólica: presença de DM ou glicemia em jejum ≥ 100mg/dL; circunferência abdominal ˃ 102cm para homens e 88cm para mulheres; triglicerídeos ≥ 150mg/dL; HDL<40mg/dL para homens e<50mg/dL para mulheres e pressão arterial ≥ 130/85mmHg ou tratamento para HA.<a class="elsevierStyleCrossRef" href="#bib0320">17</a>Análise estatísticaDados qualitativos foram descritos pelos valores absolutos e percentuais. Dados quantitativos foram representados pela média e desvio‐padrão, ou mediana e quartis (p25‐p75) se a normalidade não for observada pelo teste de Shapiro‐Wilk.<a class="elsevierStyleCrossRef" href="#bib0325">18</a>Os dados dietéticos (QFA) foram tabulados e convertidos em consumo diário dos alimentos, depois submetidos a uma análise fatorial exploratória para a determinação dos padrões alimentares e os escores individuais padronizados de adesão a cada padrão alimentar (variaram de ‐3 a+3). Foram incluídos na análise os alimentos referidos por, no mínimo, 30% da amostra e mantidos no modelo fatorial apenas os que apresentaram carga fatorial>0,3. Para a extração dos padrões alimentares, aplicou‐se o método de componentes principais, avaliado pelo teste KMO (Kaiser‐Meyer‐Oklin), com rotação varimax.<a class="elsevierStyleCrossRef" href="#bib0330">19</a>Para explicar as variações nos escores de adesão a cada padrão de dieta, foi ajustado um modelo linear generalizado (distribuição gama, função de ligação log). Usaram‐se como preditoras as variáveis antropométricas, demográficas e aquelas ligadas à psoríase (doença articular e atividade cutânea). A dimensão do efeito da associação foi estimada pelo coeficiente β da regressão.<a class="elsevierStyleCrossRef" href="#bib0335">20</a>Posteriormente, as variáveis foram analisadas de maneira multivariada a partir da análise de correspondência múltipla de duas dimensões e dispostas no mapa perceptual. A dimensão do efeito foi estimada pela inércia em cada dimensão e as associações entre as variáveis foram representadas por suas proximidades geométricas.<a class="elsevierStyleCrossRef" href="#bib0340">21</a> As variáveis contínuas foram categorizadas por seus tercis.A amostra foi calculada a fim de representar variáveis presentes em até 10% de uma população de até 300 pacientes portadores de psoríase, com erro‐padrão de até 5%.<a class="elsevierStyleCrossRef" href="#bib0345">22</a> Considerou‐se significativo p ≤ 0,05, bicaudal. As análises foram feitas nos programas SAS for Windows, v.9.4 e IBM SPSS 25.ResultadosForam avaliados 94 portadores de psoríase. Os principais dados clínicos e demográficos estão apresentados na <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>. Destacam‐se baixa escolaridade, assim como renda familiar, grande prevalência de comorbidades (especialmente SM), obesidade e elevado risco para desenvolvimento de doença cardiovascular de acordo com a RCQ. Todos os pacientes encontravam‐se em tratamento; o PASI variou de 0 a 17,6; 84% apresentavam lesões cutâneas no dia da entrevista.<elsevierMultimedia ident="tbl0005"></elsevierMultimedia>Entre os tratamentos sistêmicos, 32% dos pacientes usavam metotrexato, 23% acitretina e 45% imunobiológicos (12% infliximabe, 11% adalimumabe, 10% secuquinumabe, 8% etanercepte, 4% ustequinumabe). Não houve usuários de ciclosporina nessa amostra.Não houve uma dieta exclusiva dos pacientes com psoríase; todos relataram certa variabilidade de alimentos consumidos. A partir da análise fatorial do relato do consumo alimentar da amostra, foram identificados dois padrões alimentares (<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>). O Padrão 1 (dieta processada) foi composto por alimentos industrializados, ricos em gorduras saturadas, açúcar e sódio, ou seja, uma dieta com alta densidade calórica e baixa qualidade nutricional. O Padrão 2 (dieta in natura) se caracterizou por consumo de frutas, legumes e verduras, fontes de vitaminas, minerais, fibras e compostos bioativos, além de oferecer alto aporte nutricional em termos qualitativos.<elsevierMultimedia ident="tbl0010"></elsevierMultimedia>Os escores de adesão a cada padrão alimentar (<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>) foram avaliados segundo variáveis antropométricas, demográficas e clínicas (articular e atividade cutânea). O Padrão 1 se associou com psoríase mais recente. O sexo feminino apresentou maior adesão ao Padrão 2, assim como os pacientes com maior idade e renda. Houve associação inversa da RCQ com a adesão ao Padrão 2, assim como atividade cutânea (placas).<elsevierMultimedia ident="tbl0015"></elsevierMultimedia>A análise de correspondência multivariada (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>) revelou proximidade entre a menor adesão à dieta processada e maior adesão à dieta in natura, assim como com o sexo feminino, ausência de alterações lipídicas e da pressão arterial, além de menor RCQ e eutrofia. A presença de psoríase articular se aproximou dos pacientes com obesidade.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>DiscussãoForam identificados dois padrões de consumo alimentar em pacientes com psoríase, que se associaram a elementos clínicos, antropométricos e componentes da SM.Nutrição é um fenômeno complexo. Já que alimentos ou nutrientes isolados geralmente não são considerados prejudiciais à saúde, a avaliação do efeito cumulativo da dieta na saúde com o uso de padrões alimentares pode contribuir para determinar quais são os mais favoráveis para uma população e fornecem uma representação mais próxima dos hábitos alimentares.<a class="elsevierStyleCrossRef" href="#bib0350">23</a>O padrão alimentar está em transição no mundo e sofre influência de diversos fatores, como renda, custo dos alimentos, preferências alimentares individuais, crenças, tradições culturais, aspectos geográficos, comportamentais e socioeconômicos.<a class="elsevierStyleCrossRef" href="#bib0355">24</a>Segundo a POF (Pesquisa de Orçamento Familiar: 2018/2019), no Brasil, nas últimas décadas, observou‐se aumento no consumo de alimentos com menor densidade nutricional, maior concentração de energia, lipídios totais, açúcar e sódio.<a class="elsevierStyleCrossRefs" href="#bib0360">25,26</a> As mudanças mais importantes nesse aspecto foram a redução do consumo de feijão (31%), raízes e tubérculos (32%) e ovos (84%) e o aumento do consumo de biscoitos (400%), refrigerantes (400%), carnes (50%) e leite (36%) – ou seja, um aumento de dietas ricas em alimentos processados e ultraprocessados, caracteriza a chamada dieta ocidental, que é associada ao aumento da obesidade, SM, neoplasias e doenças inflamatórias.<a class="elsevierStyleCrossRefs" href="#bib0370">27,28</a>O padrão “dieta ocidental” tem composto a dieta moderna, em que há busca por praticidade, alimentos de fácil acesso, industrializados e com baixo teor nutricional.<a class="elsevierStyleCrossRef" href="#bib0275">8</a> No presente estudo, a adesão ao padrão ocidental (Padrão 1) se associou a sobrepeso e elementos da SM. Todos os componentes da SM são fatores de risco modificáveis – mudanças no estilo de vida, dieta e exercício podem impactar favoravelmente a ocorrência de doenças.<a class="elsevierStyleCrossRefs" href="#bib0360">25,29</a>Em contraste, o Padrão 2 se caracterizou pelo consumo de alimentos in natura (frutas, legumes e verduras), que são fontes de vitaminas, minerais, fibras e compostos bioativos, além de oferecer alto aporte nutricional. São alimentos que possibilitam agregar equilíbrio dos micronutrientes. Nutrientes como fibras, vitaminas, minerais, ácidos graxos mono e poli‐insaturados, presentes principalmente em alimentos in natura, apresentam efeitos antioxidantes, podem reduzir o tônus inflamatório sistêmico, com potencial de interferir no quadro clínico da psoríase e doenças metabólicas.<a class="elsevierStyleCrossRefs" href="#bib0280">9,11,27</a>Estudos transversais demonstraram que um padrão chamado “saudável” está associado a menor prevalência de SM, enquanto o ocidental/não saudável está associado a risco aumentado de SM.<a class="elsevierStyleCrossRef" href="#bib0385">30</a> Nesta amostra, o padrão in natura foi associado à ausência de alterações lipídicas e da pressão arterial, além de menor RCQ, enfatizou que dietas com alto teor de frutas e vegetais podem atenuar o efeito causado pela inflamação e SM.<a class="elsevierStyleCrossRef" href="#bib0390">31</a>Uma pesquisa feita na Croácia com 82 pacientes internados verificou melhoria das placas de psoríase e redução do colesterol total, triglicérides e LDL após quatro semanas de adesão a uma dieta de baixa densidade energética.<a class="elsevierStyleCrossRef" href="#bib0395">32</a>Um estudo italiano acompanhou 61 pacientes por 24 semanas e resultou em redução de peso, CA, além de diminuir o PASI e níveis séricos de proteína C‐reativa, após associação de uma dieta com redução calórica e tratamento com baixa dosagem de ciclosporina.<a class="elsevierStyleCrossRef" href="#bib0400">33</a>Outro estudo clínico randomizado feito na Dinamarca com 60 pacientes com psoríase e sobrepeso submetidos a uma dieta hipocalórica por oito semanas demonstrou melhoria do PASI e do índice de qualidade de vida, quando comparado com o grupo controle.<a class="elsevierStyleCrossRef" href="#bib0405">34</a>Na Suécia, um estudo com 51 pacientes encontrou influência da dieta mediterrânea (rica em peixes, azeite de oliva e vegetais). Após três meses de intervenção, os indivíduos apresentaram melhoria na atividade da doença e na qualidade de vida.<a class="elsevierStyleCrossRef" href="#bib0410">35</a> Esses achados corroboram os resultados de um estudo feito no Havaí com cinco pacientes que apresentaram melhoria de 47,8% no PASI quando submetidos por 10 dias a uma dieta rica em peixes, alimentos integrais, frutas, vegetais, oleaginosas e chás de ervas.<a class="elsevierStyleCrossRef" href="#bib0415">36</a>No presente estudo identificou‐se prevalência de 48% de indivíduos obesos. A obesidade apresenta um crescente desafio à saúde pública e é mais prevalente entre indivíduos com psoríase (34%) do que na população em geral. No Brasil, mais da metade da população (55,7%) tem excesso de peso e 19,8% apresentam obesidade (23% em mulheres e 20% em homens).<a class="elsevierStyleCrossRefs" href="#bib0420">37–39</a>Estudos longitudinais de base populacional sugerem um papel causal da obesidade na psoríase, refratariedade ao tratamento e que a obesidade gera maior gravidade da doença. O aumento das taxas de obesidade e adesão à dieta ocidental, além de longevidade e mais acesso ao diagnóstico, pode subsidiar uma das razões para o aumento na incidência de psoríase.<a class="elsevierStyleCrossRefs" href="#bib0435">40–42</a>O controle de peso pode ainda melhorar o prognóstico da psoríase e a qualidade de vida. Além disso, o controle calórico oferece melhorias significativas nas lesões cutâneas e no status inflamatório sistêmico. Portanto, dietas com baixa densidade calórica podem ser consideradas importante fator de auxílio na prevenção e no tratamento da psoríase, além de manutenção no peso, redução de marcadores inflamatórios e melhoria do perfil lipídico, glicídico e diminuição do risco de doenças associadas.<a class="elsevierStyleCrossRefs" href="#bib0450">43,44</a>Uma dieta vegetariana, desde que bem planejada e estruturada, pode ser adequada em termos nutricionais, e com potenciais benefícios para a saúde, inclusive para indivíduos com psoríase.<a class="elsevierStyleCrossRefs" href="#bib0395">32,43</a> Uma nova linha de pesquisa intitulada Plant Based prioriza o consumo de alimentos de origem vegetal os mais naturais e mais perto de sua forma original possível; alimentos em sua forma mais íntegra, livres de qualquer refinamento, processamentos e aditivos artificiais. Parece possível que uma dieta Plant Based seja capaz de influenciar na resposta imunológica e metabólica a partir de mudanças principalmente no estado microbiano intestinal.<a class="elsevierStyleCrossRef" href="#bib0460">45</a> Entretanto, essas intervenções carecem de estudos com desenhos apropriados para esclarecer a relação com a psoríase.<a class="elsevierStyleCrossRefs" href="#bib0465">46,47</a>Estratégias nutricionais devem ser estimuladas aos pacientes com psoríase, com o intuito de orientar dieta hipocalórica, com ajuste de macro e micronutrientes e incentivo à ingestão de alimentos in natura, com controle de alimentos processados e álcool. Intervenções dietéticas favorecem o controle das comorbidades e a resposta ao tratamento clínico e podem agir na prevenção de agravos.<a class="elsevierStyleCrossRef" href="#bib0470">47</a>As análises multivariadas reforçaram a correlação inversa entre os marcadores de SM e a adesão ao Padrão 1 nesta amostra. Além disso, a associação entre dieta, gênero, renda e duração da doença deve ser explorada em estudos posteriores com desenhos adequados.Como limitações do estudo, destacamos o fato de ser monocêntrico, não randomizado, de pacientes de instituição pública, e a avaliação por meio do QFA, dependente da memória alimentar recente.O cuidado multiprofissional dos pacientes com psoríase possibilita uma assistência mais ampla e voltada à redução das comorbidades em paralelo com o tratamento clínico. Nossos resultados subsidiam as necessidades e os cuidados nutricionais específicos para psoríase, com vistas à possível melhoria na atividade da doença e a redução dos riscos gerados pelo estado inflamatório crônico e comorbidades.ConclusãoForam identificados dois padrões dietéticos em uma amostra de pacientes com psoríase de uma instituição pública. A prevalência de obesidade e SM foi significativamente maior que na população adulta brasileira. A adesão à dieta in natura foi associada a menores indicadores de síndrome metabólica.Suporte financeiroNenhum.Contribuição dos autoresTatiana Cristina Figueira Polo: Análise estatística; aprovação da versão final do manuscrito; concepção e planejamento do estudo; elaboração e redação do manuscrito; obtenção, análise e interpretação dos dados; participação efetiva na orientação da pesquisa; participação intelectual em conduta propedêutica e/ou terapêutica de casos estudados; revisão crítica da literatura; revisão crítica do manuscrito.José Eduardo Corrente: Análise estatística; obtenção, análise e interpretação dos dados; revisão crítica do manuscrito.Luciane Donida Bartoli Miot: Aprovação da versão final do manuscrito; concepção e planejamento do estudo; elaboração e redação do manuscrito; obtenção, análise e interpretação dos dados; participação intelectual em conduta propedêutica e/ou terapêutica de casos estudados; revisão crítica do manuscrito.Silvia Justina Papini: Aprovação da versão final do manuscrito; concepção e planejamento do estudo; obtenção, análise e interpretação dos dados; participação efetiva na orientação da pesquisa; revisão crítica do manuscrito.Hélio Amante Miot: Análise estatística; aprovação da versão final do manuscrito; concepção e planejamento do estudo; elaboração e redação do manuscrito; obtenção, análise e interpretação dos dados; participação efetiva na orientação da pesquisa; participação intelectual em conduta propedêutica e/ou terapêutica de casos estudados; revisão crítica da literatura; revisão crítica do manuscrito.Conflitos de interesseNenhum." "textoCompletoSecciones" => array:1 [ "secciones" => array:11 [ 0 => array:3 [ "identificador" => "xres1371261" "titulo" => "Resumo" "secciones" => array:6 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Fundamentos" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Objetivos" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Métodos" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Resultados" ] 4 => array:2 [ "identificador" => "abst0025" "titulo" => "Limitações do estudo" ] 5 => array:2 [ "identificador" => "abst0030" "titulo" => "Conclusão" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1260269" "titulo" => "Palavras‐chave" ] 2 => array:2 [ "identificador" => "sec0005" "titulo" => "Introdução" ] 3 => array:3 [ "identificador" => "sec0010" "titulo" => "Métodos" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0015" "titulo" => "Variáveis do estudo" ] 1 => array:2 [ "identificador" => "sec0020" "titulo" => "Análise estatística" ] ] ] 4 => array:2 [ "identificador" => "sec0025" "titulo" => "Resultados" ] 5 => array:2 [ "identificador" => "sec0030" "titulo" => "Discussão" ] 6 => array:2 [ "identificador" => "sec0035" "titulo" => "Conclusão" ] 7 => array:2 [ "identificador" => "sec0040" "titulo" => "Suporte financeiro" ] 8 => array:2 [ "identificador" => "sec0045" "titulo" => "Contribuição dos autores" ] 9 => array:2 [ "identificador" => "sec0050" "titulo" => "Conflitos de interesse" ] 10 => array:1 [ "titulo" => "Referências" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-10-23" "fechaAceptado" => "2020-02-03" "PalabrasClave" => array:1 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras‐chave" "identificador" => "xpalclavsec1260269" "palabras" => array:3 [ 0 => "Consumo de alimentos" 1 => "Comportamento alimentar" 2 => "Psoríase" ] ] ] ] "tieneResumen" => true "resumen" => array:1 [ "pt" => array:3 [ "titulo" => "Resumo" "resumen" => "FundamentosPsoríase é uma doença inflamatória crônica, com repercussão sistêmica e associada a comorbidades, como síndrome metabólica, doença cardiovascular e obesidade. Há maior prevalência de obesos em comparação com a população geral. A dieta é um fator ambiental relevante, visto que má nutrição, peso corporal inadequado e doenças metabólicas, além do risco direto à saúde, prejudicam o tratamento da psoríase. ObjetivosAvaliar os padrões de consumo alimentar, aspectos antropométricos e aspectos relacionados à síndrome metabólica em pacientes com psoríase. MétodosEstudo transversal por meio da avaliação antropométrica e questionário de frequência alimentar. Os itens do questionário de frequência alimentar foram avaliados por análise fatorial exploratória; os padrões alimentares identificados foram analisados por métodos multivariados. ResultadosForam avaliados 94 pacientes, 57% do sexo feminino, média de 54,9 anos. A prevalência de obesidade foi de 48% e de síndrome metabólica, de 50%. A análise fatorial do questionário de frequência alimentar identificou dois padrões alimentares: Padrão 1 – predomínio de alimentos processados; Padrão 2 – predomínio de alimentos in natura. A análise multivariada revelou que os Padrões 1 e 2 apresentaram comportamentos inversos e a maior adesão à dieta 2 associou‐se ao sexo feminino, indivíduos eutróficos, ausência de alterações lipídicas e da pressão arterial, além de relação cintura‐quadril e atividade de doença cutânea menores. Limitações do estudoEstudo monocêntrico feito em instituição pública, dependente da memória alimentar. ConclusãoIdentificaram‐se dois padrões dietéticos em uma amostra brasileira de pacientes com psoríase. A prevalência de obesidade e síndrome metabólica foi maior do que na população adulta brasileira. A dieta in natura associou‐se a menores indicadores de síndrome metabólica." "secciones" => array:6 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Fundamentos" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Objetivos" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Métodos" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Resultados" ] 4 => array:2 [ "identificador" => "abst0025" "titulo" => "Limitações do estudo" ] 5 => array:2 [ "identificador" => "abst0030" "titulo" => "Conclusão" ] ] ] ] "NotaPie" => array:2 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Como citar este artigo: Polo TCF, Corrente JE, Miot LDB, Papini SJ, Miot HA. Dietary patterns of patients with psoriasis at a public healthcare institution in Brazil. An Bras Dermatol. 2020;95:452–8." ] 1 => array:2 [ "etiqueta" => "☆☆" "nota" => "Trabalho realizado no Departamento de Dermatologia, Faculdade de Medicina, Universidade Estadual Paulista, Botucatu, SP, Brasil." ] ] "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 992 "Ancho" => 1500 "Tamanyo" => 113600 ] ] "descripcion" => array:1 [ "pt" => "Mapa perceptual das principais variáveis demográficas, clínicas, antropométricas e de adesão aos padrões alimentares em 94 pacientes com psoríase. As variáveis quantitativas foram categorizadas de acordo com o tercil das distribuições. DM, diabetes mellitus; HA, hipertensão arterial; IMC, índice de massa corporal; RCQ, relação circunferência quadril. Escores padronizados de P1 e P2: variaram de ‐3 a+3 de acordo com a adesão a cada padrão alimentar." ] ] 1 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Tabela 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Tabela " "rol" => "short" ] ] "tabla" => array:3 [ "leyenda" => "cm, centímetros; DM, diabetes mellitus; IMC, índice de massa corporal; kg, quilogramas; m2, metros quadrados; mg/dL, miligramas por decilitros; mmHg, milímetros de mercúrio; RCQ, relação circunferência quadril." "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="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Variáveis \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Resultados \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Sexo<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Feminino \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">54 (57) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Masculino \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">40 (43) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Idade (anos)<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">54,9 (12,8) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"></td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Escolaridade<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Analfabeto \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 (3) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Ensino Fundamental \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">51 (54) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Ensino Médio \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">31 (33) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Ensino Superior \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9 (10) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"></td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Renda familiar (salário mínimo)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">17 (18) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">44 (47) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">≥ 3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">33 (35) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"></td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Perfil antropométrico</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Peso (kg)<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">84,8 (17,1) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Altura (cm)<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1,7 (0,1) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">IMC (kg/m<a class="elsevierStyleCrossRef" href="#bib0245">2</a>)<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">31,1 (6,2) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Eutrófico (18,5–24,9)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11 (12) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Sobrepeso (25 – 29,9)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">38 (40) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Obesidade (>30)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">45 (48) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Circunferência abdominal (cm)<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">109,0 (13,7) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Circunferência do quadril (cm)<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">104,2 (14,7) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">RCQ (cm)<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1,06 (0,15) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"></td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Dados clínicos</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tempo de doença (anos)<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">15,7 (12,1) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Atividade da doença cutânea (placas)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">75 (84) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Psoríase articular<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11 (12) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">PASI<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5,3 (4,8) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"></td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Comorbidades<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Triglicérides (mg/dL) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">43 (49) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Colesterol (mg/dL) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">39 (43) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hipertensão (mmHg) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">42 (47) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Glicemia alterada ou DM (mg/dL) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">34 (38) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Síndrome metabólica \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">47 (50) \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2354853.png" ] ] ] "notaPie" => array:2 [ 0 => array:3 [ "identificador" => "tblfn0005" "etiqueta" => "a" "nota" => "n (%)." ] 1 => array:3 [ "identificador" => "tblfn0010" "etiqueta" => "b" "nota" => "Média (DP)." ] ] ] "descripcion" => array:1 [ "pt" => "Características demográficas, socioeconômicas, antropométricas e clínicas dos pacientes com psoríase entrevistados no ambulatório de dermatologia (n = 94)" ] ] 2 => array:8 [ "identificador" => "tbl0010" "etiqueta" => "Tabela 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at2" "detalle" => "Tabela " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "CF, carga fatorial; teste KMO = 0,65." "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="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Padrão 1 (dieta processada) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">CF \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Padrão 2 (dieta in natura) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">CF \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Pizza \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,79 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Verduras cruas \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,73 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Salgado frito \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,74 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Legumes cozidos \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,73 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Biscoito recheado \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,69 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tomate \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,70 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Embutidos \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,69 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Verduras cozidas \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,68 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Queijos \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,67 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Brócolis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,62 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Sanduóches \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,66 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Cenoura \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,59 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Refrigerante \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,64 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Alface \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,57 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Farinhas \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,53 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Laranja \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,50 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hambúrguer \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,52 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Sal \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,42 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Maionese \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,45 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Maçã \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,42 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Salgado assado \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,38 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Azeite/óleo \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,39 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Pães \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,38 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Banana \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,38 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Sobremesas \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,37 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Melão \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,38 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Linguiça \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,35 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Mamão \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,38 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Suco industrializado \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,32 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Batata \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,31 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Manteiga \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,32 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2354851.png" ] ] ] ] "descripcion" => array:1 [ "pt" => "Padrões alimentares e cargas fatoriais dos alimentos que compõem cada padrão, identificados pela análise do questionário de frequência alimentar da amostra" ] ] 3 => array:8 [ "identificador" => "tbl0015" "etiqueta" => "Tabela 3" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at3" "detalle" => "Tabela " "rol" => "short" ] ] "tabla" => array:3 [ "leyenda" => "IMC, índice de massa corporal; RCQ, relação cintura/quadril." "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-with-role" title="\n \t\t\t\t\ttable-head\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col">Variável \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " colspan="2" align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Padrão 1 ‐ Processada</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " colspan="2" align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Padrão 2 – in natura</th></tr><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Coeficiente β \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p‐valor<a class="elsevierStyleCrossRef" href="#tblfn0015">a</a> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Coeficiente β \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p‐valor<a class="elsevierStyleCrossRef" href="#tblfn0015">a</a> \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Sexo feminino \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,027 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,748 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,268 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,006 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Idade \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,01 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,123 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,05 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,045 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="5" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Escolaridade</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Superior \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,042 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,760 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,183 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,329 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Médio \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,090 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,278 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,069 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,547 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Analfabeto + fundamental \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(‐) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Renda (salários mínimos) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,020 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,327 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,099 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,003 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">IMC \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,009 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,076 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,009 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,492 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">RCQ \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,230 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,362 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,340 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,054 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tempo de doença \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,005 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,034 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,005 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,154 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Atividade cutânea \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,110 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,233 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,353 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,001 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Acometimento articular \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,145 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,096 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,014 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,427 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hipertensão arterial \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,074 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,256 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,037 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,852 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Diabetes mellitus \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,092 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,208 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,176 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,142 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hipertrigliceridemia \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,084 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,333 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,117 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,938 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hipercolesterolemia \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,187 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,057 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">‐0,063 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0,526 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2354852.png" ] ] ] "notaPie" => array:1 [ 0 => array:3 [ "identificador" => "tblfn0015" "etiqueta" => "a" "nota" => "p‐valor ajustado." ] ] ] "descripcion" => array:1 [ "pt" => "Comparação multivariada dos escores dos padrões alimentares com variáveis antropométricas, demográficas e relacionadas à psoríase (n=94)" ] ] ] "bibliografia" => array:2 [ "titulo" => "Referências" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:47 [ 0 => array:3 [ "identificador" => "bib0240" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Metabolic syndrome and psoriatic arthritis among patients with psoriasis vulgaris: Quality of life and prevalence" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C.S. Souza" 1 => "C.C.S. de Castro" 2 => "F.R.O. Carneiro" 3 => "J.M.N. Pinto" 4 => "L.H.Z. Fabricio" 5 => "L. Azulay-Abulafia" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/1346-8138.14706" "Revista" => array:6 [ "tituloSerie" => "J Dermatol." "fecha" => "2019" "volumen" => "46" "paginaInicial" => "3" "paginaFinal" => "10" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30474868" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0245" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence of metabolic syndrome in patients with psoriasis: a hospital‐based cross‐sectional study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D. Milčić" 1 => "S. Janković" 2 => "S. Vesić" 3 => "M. Milinković" 4 => "J. Marinković" 5 => "A. Ćirković" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1590/abd1806-4841.20175178" "Revista" => array:6 [ "tituloSerie" => "An Bras Dermatol." "fecha" => "2017" "volumen" => "92" "paginaInicial" => "46" "paginaFinal" => "51" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28225956" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0250" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence of psoriasis in Brazil ‐ a geographical survey" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Romiti" 1 => "M. Amone" 2 => "A. Menter" 3 => "H.A. Miot" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/ijd.13604" "Revista" => array:6 [ "tituloSerie" => "Int J Dermatol." "fecha" => "2017" "volumen" => "56" "paginaInicial" => "e167" "paginaFinal" => "e168" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28345141" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0255" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The association between psoriasis and health‐related quality of life, work productivity, and healthcare resource use in Brazil" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. DiBonaventura" 1 => "A.V.E. Carvalho" 2 => "C.D.S. Souza" 3 => "H.B. Squiassi" 4 => "C.N. Ferreira" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1590/abd1806-4841.20186069" "Revista" => array:6 [ "tituloSerie" => "An Bras Dermatol." "fecha" => "2018" "volumen" => "93" "paginaInicial" => "197" "paginaFinal" => "204" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29723361" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0260" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Obesity and Fatty Acids" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Kunz" 1 => "J.C. Simon" 2 => "A. Saalbach" 3 => "Psoriasis:" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3389/fimmu.2019.01807" "Revista" => array:5 [ "tituloSerie" => "Front Immunol." "fecha" => "2019" "volumen" => "10" "paginaInicial" => "1807" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31417571" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0265" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Obesidad y psoriasis: naturaleza inflamatoria de la obesidad, relación entre psoriasis y obesidad e implicaciones terapéuticas" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.M. Carrascosa" 1 => "V. Rocamora" 2 => "R.M. Fernandez-Torres" 3 => "R. Jimenez-Puya" 4 => "J.C. Moreno" 5 => "N. Coll-Puigserver" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Actas Dermoifiliogr." "fecha" => "2014" "volumen" => "105" "paginaInicial" => "31" "paginaFinal" => "44" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0270" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Psoriasis and Obesity" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P. Jensen" 1 => "L. Skov" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1159/000455840" "Revista" => array:6 [ "tituloSerie" => "Dermatology." "fecha" => "2016" "volumen" => "232" "paginaInicial" => "633" "paginaFinal" => "639" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28226326" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0275" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Trends in Obesity Among Adults in the United States, 2005 to 2014" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "K.M. Flegal" 1 => "D. Kruszon-Moran" 2 => "M.D. Carroll" 3 => "C.D. Fryar" 4 => "C.L. Ogden" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/jama.2016.6458" "Revista" => array:6 [ "tituloSerie" => "JAMA." "fecha" => "2016" "volumen" => "315" "paginaInicial" => "2284" "paginaFinal" => "2291" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27272580" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0280" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "How lifestyle factors and their associated pathogenetic mechanisms impact psoriasis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S.K. Madden" 1 => "K.L. Flanagan" 2 => "G. Jones" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Clin Nutr." "fecha" => "2019" "volumen" => "2" "paginaInicial" => "171" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0285" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effects of Weight Loss on Psoriasis: A Review of Clinical Trials" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H.A. Alotaibi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.7759/cureus.3491" "Revista" => array:5 [ "tituloSerie" => "Cureus." "fecha" => "2018" "volumen" => "10" "paginaInicial" => "e3491" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30648033" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0290" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nutritional strategies for psoriasis: current scientific evidence in clinical trials" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Zuccotti" 1 => "M. Oliveri" 2 => "C. Girometta" 3 => "D. Ratto" 4 => "C. Di Iorio" 5 => "A. Occhinegro" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Eur Rev Med Pharmacol Sci." "fecha" => "2018" "volumen" => "23" "paginaInicial" => "8537" "paginaFinal" => "8551" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0295" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Brazilian Longitudinal Study of Adult Health (ELSA‐Brazil): Objectives and Design" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E.M. Aquino" 1 => "S.M. Barreto" 2 => "I.M. Bensenor" 3 => "M.S. Carvalho" 4 => "D. Chor" 5 => "B.B. Duncan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Epidemiol." "fecha" => "2012" "volumen" => "4" "paginaInicial" => "315" "paginaFinal" => "324" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0300" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "World Health Organization Expert Committee. Physical status: the use and interpretation of anthropometry: report of a WHO Expert Committee. WHO Tech Rep Ser. 1995;854:1‐452." ] ] ] 13 => array:3 [ "identificador" => "bib0305" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Harmonizing the Metabolic Syndrome: A Joint Interim Statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K.G. Alberti" 1 => "R.H. Eckel" 2 => "S.M. Grundy" 3 => "P.Z. Zimmet" 4 => "J.I. Cleeman" 5 => "K.A. Donato" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1161/CIRCULATIONAHA.109.192644" "Revista" => array:6 [ "tituloSerie" => "Circulation." "fecha" => "2009" "volumen" => "120" "paginaInicial" => "1640" "paginaFinal" => "1645" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19805654" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0310" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical evaluation of a more rapid and sensitive Psoriasis Assessment Severity Score (PASS), and its comparison with the classic method of Psoriasis Area and Severity Index (PASI), before and after climatotherapy at the Dead‐Sea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Harari" 1 => "J. Shani" 2 => "E. Hristakieva" 3 => "A. Stanimirovic" 4 => "W. Seidl" 5 => "A. Burdo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1046/j.1365-4362.2000.00017.x" "Revista" => array:6 [ "tituloSerie" => "Int J Dermatol." "fecha" => "2000" "volumen" => "39" "paginaInicial" => "913" "paginaFinal" => "918" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11168660" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0315" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Relationship between psoriasis severity, clinical symptoms, quality of life and work productivity among patients in the USA" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "N.J. Korman" 1 => "Y. Zhao" 2 => "J. Pike" 3 => "J. Roberts" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/ced.12841" "Revista" => array:6 [ "tituloSerie" => "Clin Exp Dermatol." "fecha" => "2016" "volumen" => "41" "paginaInicial" => "514" "paginaFinal" => "521" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27061102" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0320" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report. Circulation. 2002;106:3143‐421." ] ] ] 17 => array:3 [ "identificador" => "bib0325" "etiqueta" => "18" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Assessing normality of data in clinical and experimental trials" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H.A. Miot" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1590/1677-5449.041117" "Revista" => array:6 [ "tituloSerie" => "J Vasc Bras." "fecha" => "2017" "volumen" => "16" "paginaInicial" => "88" "paginaFinal" => "91" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29930631" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0330" "etiqueta" => "19" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Visão além do alcance: uma introdução à análise fatorial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D.B. Figueiredo Filho" 1 => "J.A. Silva Júnior" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Opinião Pública." "fecha" => "2010" "volumen" => "16" "paginaInicial" => "160" "paginaFinal" => "185" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0335" "etiqueta" => "20" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Biostatistics: The Bare Essentials" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "G.R. Norman" 1 => "D.L. Streiner" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "edicion" => "4th ed." "fecha" => "2014" "editorial" => "People's Medical Publishing House" "editorialLocalizacion" => "Connecticut" ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0340" "etiqueta" => "21" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Correspondence analysis is a useful tool to uncover the relationships among categorical variables" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "N. Sourial" 1 => "C. Wolfson" 2 => "B. Zhu" 3 => "J. Quail" 4 => "J. Fletcher" 5 => "S. Karunananthan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jclinepi.2009.08.008" "Revista" => array:6 [ "tituloSerie" => "J Clin Epidemiol." "fecha" => "2010" "volumen" => "63" "paginaInicial" => "638" "paginaFinal" => "646" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19896800" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0345" "etiqueta" => "22" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tamanho da amostra em estudos clínicos e experimentais" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H.A. Miot" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Vasc Bras." "fecha" => "2011" "volumen" => "10" "paginaInicial" => "275" "paginaFinal" => "278" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0350" "etiqueta" => "23" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dietary Patterns and Metabolic Syndrome in Adult Subjects: A Systematic Review and Meta‐Analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R. Fabiani" 1 => "G. Naldini" 2 => "M. Chiavarini" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3390/nu11092056" "Revista" => array:5 [ "tituloSerie" => "Nutrients." "fecha" => "2019" "volumen" => "11" "paginaInicial" => "E2056" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31480732" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0355" "etiqueta" => "24" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reducing the global burden of type 2 diabetes by improving the quality of staple foods: The Global Nutrition and Epidemiologic Transition Initiative" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Mattei" 1 => "V. Malik" 2 => "N.M. Wedick" 3 => "F.B. Hu" 4 => "D. Spiegelman" 5 => "W.C. Willett" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/s12992-015-0109-9" "Revista" => array:5 [ "tituloSerie" => "Global Health." "fecha" => "2015" "volumen" => "11" "paginaInicial" => "23" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26040275" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0360" "etiqueta" => "25" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Obesity and the food system transformation in Latin America" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B.M. Popkin" 1 => "T. Reardon" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/obr.12694" "Revista" => array:6 [ "tituloSerie" => "Obes Rev." "fecha" => "2018" "volumen" => "19" "paginaInicial" => "1028" "paginaFinal" => "1064" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29691969" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0365" "etiqueta" => "26" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "IBGE. Pesquisa de Orçamentos Familiares 2008‐2009 – Despesas, Rendimentos e Condições de Vida. Rio de Janeiro: IBGE; 2010." ] ] ] 26 => array:3 [ "identificador" => "bib0370" "etiqueta" => "27" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Longitudinal association of metabolic syndrome and dietary patterns: A 13‐year prospective population‐based cohort study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. Hassannejad" 1 => "I. Kazemi" 2 => "M. Sadeghi" 3 => "N. Mohammadifard" 4 => "H. Roohafza" 5 => "N. Sarrafzadegan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Nutr Metab Cardiovasc Dis." "fecha" => "2018" "volumen" => "4" "paginaInicial" => "352" "paginaFinal" => "360" ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib0375" "etiqueta" => "28" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The Science of Obesity Management: An Endocrine Society Scientific Statement" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G.A. Bray" 1 => "W.E. Heisel" 2 => "A. Afshin" 3 => "M.D. Jensen" 4 => "W.H. Dietz" 5 => "M. Long" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Endocr Rev." "fecha" => "2018" "volumen" => "2" "paginaInicial" => "79" "paginaFinal" => "132" ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib0380" "etiqueta" => "29" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight. Cochrane Developmental, Psychosocial and Learning Problems Group, editor" "etal" => false "autores" => array:6 [ 0 => "A. Martin" 1 => "J.N. Booth" 2 => "Y. Laird" 3 => "J. Sproule" 4 => "J.J. Reilly" 5 => "D.H. Saunders" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "Cochrane Database Syst Rev." "fecha" => "2018" "volumen" => "2018" ] ] ] ] ] ] 29 => array:3 [ "identificador" => "bib0385" "etiqueta" => "30" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Long‐term effects of weight reduction on the severity of psoriasis in a cohort derived from a randomized trial: a prospective observational follow‐up study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Jensen" 1 => "R. Christensen" 2 => "C. Zachariae" 3 => "N.R. Geiker" 4 => "B.K. Schaadt" 5 => "S. Stender" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Clin Nutr." "fecha" => "2016" "volumen" => "104" "paginaInicial" => "259" "paginaFinal" => "265" ] ] ] ] ] ] 30 => array:3 [ "identificador" => "bib0390" "etiqueta" => "31" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Investigation of dietary supplements prevalence as complementary therapy: Comparison between hospitalized psoriasis patients and non‐psoriasis patients, correlation with disease severity and quality of life" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "H. Yousefzadeh" 1 => "M. Mahmoudi" 2 => "M. Banihashemi" 3 => "M. Rastin" 4 => "F.J. Azad" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ctim.2017.06.005" "Revista" => array:6 [ "tituloSerie" => "Complement Ther Med." "fecha" => "2017" "volumen" => "33" "paginaInicial" => "65" "paginaFinal" => "71" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28735828" "web" => "Medline" ] ] ] ] ] ] ] ] 31 => array:3 [ "identificador" => "bib0395" "etiqueta" => "32" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The role of the low energy diet in psoriasis vulgaris treatment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "I. Rucević" 1 => "A. Perl" 2 => "V. Barisić-Drusko" 3 => "M. Adam-Perl" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Coll antropol." "fecha" => "2003" "volumen" => "27" "numero" => "Suppl 1" "paginaInicial" => "41" "paginaFinal" => "48" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12955890" "web" => "Medline" ] ] ] ] ] ] ] ] 32 => array:3 [ "identificador" => "bib0400" "etiqueta" => "33" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Weight loss improves the response of obese patients with moderate‐to‐severe chronic plaque psoriasis to low‐dose cyclosporine therapy: a randomized, controlled, investigator‐blinded clinical trial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P. Gisondi" 1 => "M. Del Giglio" 2 => "V. Di Francesco" 3 => "M. Zamboni" 4 => "G. Girolomoni" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3945/ajcn.2008.26427" "Revista" => array:6 [ "tituloSerie" => "Am J Clin Nutr." "fecha" => "2008" "volumen" => "88" "paginaInicial" => "1242" "paginaFinal" => "1247" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18996858" "web" => "Medline" ] ] ] ] ] ] ] ] 33 => array:3 [ "identificador" => "bib0405" "etiqueta" => "34" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effect of Weight Loss on the Severity of Psoriasis: A Randomized Clinical Study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Jensen" 1 => "C. Zachariae" 2 => "R. Christensen" 3 => "N.R. Geiker" 4 => "B.K. Schaadt" 5 => "S. Stender" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "JAMA Dermatol." "fecha" => "2013" "volumen" => "7" "paginaInicial" => "795" "paginaFinal" => "801" ] ] ] ] ] ] 34 => array:3 [ "identificador" => "bib0410" "etiqueta" => "35" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An experimental study of a Mediterranean diet intervention for patients with rheumatoid arthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L. Sköldstam" 1 => "L. Hagfors" 2 => "G. Johansson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/ard.62.3.208" "Revista" => array:6 [ "tituloSerie" => "Ann Rheum Dis." "fecha" => "2003" "volumen" => "62" "paginaInicial" => "208" "paginaFinal" => "214" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12594104" "web" => "Medline" ] ] ] ] ] ] ] ] 35 => array:3 [ "identificador" => "bib0415" "etiqueta" => "36" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Medical nutrition therapy as a potential complementary treatment for psoriasis ‐ five case reports" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A.C. Brown" 1 => "M. Hairfield" 2 => "D.G. Richards" 3 => "D.L. McMillin" 4 => "E.A. Mein" 5 => "C.D. Nelson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Altern Med Rev." "fecha" => "2004" "volumen" => "3" "paginaInicial" => "297" "paginaFinal" => "307" ] ] ] ] ] ] 36 => array:3 [ "identificador" => "bib0420" "etiqueta" => "37" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The association between the neighbourhood social environment and obesity in Brazil: a cross‐sectional analysis of the ELSA‐Brasil study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.P. Chaparro" 1 => "M.F. Pina" 2 => "L. de Oliveira Cardoso" 3 => "S.M. Santos" 4 => "S.M. Barreto" 5 => "L. Giatti Gonçalves" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bmjopen-2019-033614" "Revista" => array:4 [ "tituloSerie" => "BMJ Open." "fecha" => "2019" "volumen" => "9" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31888940" "web" => "Medline" ] ] ] ] ] ] ] ] 37 => array:3 [ "identificador" => "bib0425" "etiqueta" => "38" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Time trends in morbid obesity prevalence in the Brazilian adult population from 2006 to 2017" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D.C. Malta" 1 => "A.G. Silva" 2 => "L.A.B. Tonaco" 3 => "M.I.F. Freitas" 4 => "G. Velasquez-Melendez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Cad Saúde Pública." "fecha" => "2019" "volumen" => "35" "paginaInicial" => "223" "paginaFinal" => "518" ] ] ] ] ] ] 38 => array:3 [ "identificador" => "bib0430" "etiqueta" => "39" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence of obesity in rural and urban areas in Brazil: National Health Survey, 2013" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "T. Martins-Silva" 1 => "J.S. Vaz" 2 => "C.L. de Mola" 3 => "M.C.F. Assunção" 4 => "L. Tovo-Rodrigues" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Rev Bras Epidemiol." "fecha" => "2019" "volumen" => "22" "paginaInicial" => "190049" ] ] ] ] ] ] 39 => array:3 [ "identificador" => "bib0435" "etiqueta" => "40" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Does weight loss reduce the severity and incidence of psoriasis or psoriatic arthritis?.. A Critically Appraised Topic" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.K. Mahil" 1 => "S.M. McSweeney" 2 => "E. Kloczko" 3 => "B. McGowan" 4 => "J.N. Barker" 5 => "C.H. Smith" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/bjd.17741" "Revista" => array:6 [ "tituloSerie" => "Br J Dermatol." "fecha" => "2019" "volumen" => "181" "paginaInicial" => "946" "paginaFinal" => "953" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30729517" "web" => "Medline" ] ] ] ] ] ] ] ] 40 => array:3 [ "identificador" => "bib0440" "etiqueta" => "41" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Trends in the Prevalence and Incidence of Psoriasis and Psoriatic Arthritis in Ontario, Canada: A Population-Based Study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. Eder" 1 => "J. Widdifield" 2 => "C.F. Rosen" 3 => "R. Cook" 4 => "K.A. Lee" 5 => "R. Alhusayen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arthritis Care Res (Honoken)." "fecha" => "2019" "volumen" => "71" "paginaInicial" => "1084" "paginaFinal" => "1091" ] ] ] ] ] ] 41 => array:3 [ "identificador" => "bib0445" "etiqueta" => "42" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence of psoriasis in Spain in the age of biologics" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C. Ferrándiz" 1 => "J.M. Carrascosa" 2 => "M. Toro" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Actas Dermosifiliogr." "fecha" => "2014" "volumen" => "5" "paginaInicial" => "504" "paginaFinal" => "509" ] ] ] ] ] ] 42 => array:3 [ "identificador" => "bib0450" "etiqueta" => "43" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Psoriasis and vegetarian diets: A role for cortisol and potassium?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R. Rastmanesh" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Med Hypotheses." "fecha" => "2009" "volumen" => "3" "paginaInicial" => "368" ] ] ] ] ] ] 43 => array:3 [ "identificador" => "bib0455" "etiqueta" => "44" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dairy Fat Consumption and the Risk of Metabolic Syndrome: An Examination of the Saturated Fatty Acids in Dairy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.L. Unger" 1 => "M. Torres-Gonzalez" 2 => "J. Kraft" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3390/nu12082200" "Revista" => array:6 [ "tituloSerie" => "Nutrients." "fecha" => "2019" "volumen" => "12" "numero" => "pii" "paginaInicial" => "E2200" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32718098" "web" => "Medline" ] ] ] ] ] ] ] ] 44 => array:3 [ "identificador" => "bib0460" "etiqueta" => "45" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The effects of plant‐based diets on the body and the brain: a systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "E. Medawar" 1 => "S. Huhn" 2 => "A. Villringer" 3 => "A.V. Witte" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Transl Psychiatry." "fecha" => "2019" "volumen" => "1" "paginaInicial" => "226" ] ] ] ] ] ] 45 => array:3 [ "identificador" => "bib0465" "etiqueta" => "46" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lifestyle changes for treating psoriasis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C.C. Chi" 1 => "S.H. Ko" 2 => "M.L. Yeh" 3 => "S.H. Wang" 4 => "Y.S. Tsai" 5 => "M.Y. Hsu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/14651858.CD011360.pub2" "Revista" => array:4 [ "tituloSerie" => "Cochrane Database Syst Rev." "fecha" => "2015" "volumen" => "11" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27886368" "web" => "Medline" ] ] ] ] ] ] ] ] 46 => array:3 [ "identificador" => "bib0470" "etiqueta" => "47" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "You are what you eat: diet, health and the gut microbiota" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "N. Zmora" 1 => "J. Suez" 2 => "E. Elinav" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1038/s41575-018-0061-2" "Revista" => array:6 [ "tituloSerie" => "Nat Rev Gastroenterol Hepatol." "fecha" => "2019" "volumen" => "16" "paginaInicial" => "35" "paginaFinal" => "56" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30262901" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/26662752/0000009500000004/v2_202008070652/S2666275220302046/v2_202008070652/pt/main.assets" "Apartado" => array:4 [ "identificador" => "81728" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Investigação" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/26662752/0000009500000004/v2_202008070652/S2666275220302046/v2_202008070652/pt/main.pdf?idApp=UINPBA00008Z&text.app=https://clinics.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220302046?idApp=UINPBA00008Z"]

Estatísticas

Investigação

Padrões dietéticos de pacientes com psoríase em instituição pública de saúde do Brasil

Tatiana Cristina Figueira Poloa, José Eduardo Correnteb, Luciane Donida Bartoli Miotc, Silvia Justina Papinid, Hélio Amante Miotc,

Autor para correspondência

heliomiot@gmail.com

Autor para correspondência.

a Departamento de Patologia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brasil

b Departamento de Bioestatística, Instituto de Biociências de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brasil

c Departamento de Dermatologia e Radioterapia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brasil

d Departamento de Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brasil

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Entre elas&#44; destacam&#8208;se o IFN&#8208;&#947;&#44; a IL&#8208;1&#44; IL&#8208;6&#44; IL&#8208;17&#44; IL&#8208;8 e o TNF&#8208;&#945;&#44; que promovem um estado inflamat&#243;rio cr&#244;nico sist&#234;mico&#44; favorecem o desenvolvimento de comorbidades&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">H&#225; maior preval&#234;ncia de obesidade &#40;34&#37;&#41; entre paciente com psor&#237;ase em compara&#231;&#227;o com a popula&#231;&#227;o geral &#40;18&#37;&#41;&#46; Al&#233;m disso&#44; quanto maior o &#237;ndice de massa corporal &#40;IMC&#41;&#44; maior o risco de desenvolver psor&#237;ase&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">5</span></a> Do mesmo modo&#44; existe associa&#231;&#227;o entre o aumento dos valores de circunfer&#234;ncia abdominal &#40;CA&#41;&#44; circunfer&#234;ncia do quadril &#40;CQ&#41; e o surgimento de psor&#237;ase&#44; o que corrobora sua associa&#231;&#227;o com SM&#46; A SM compreende um conjunto de fatores de risco para doen&#231;as cardiovasculares e tamb&#233;m est&#225; relacionada &#224; inflama&#231;&#227;o sist&#234;mica&#46;<a class="elsevierStyleCrossRefs" href="#bib0265"><span class="elsevierStyleSup">6&#44;7</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Al&#233;m do tratamento medicamentoso&#44; a altera&#231;&#227;o do comportamento alimentar e a pr&#225;tica de atividade f&#237;sica emergem como potenciais estrat&#233;gias para o tratamento adjuvante da psor&#237;ase com vistas a reduzir as comorbidades&#46;<a class="elsevierStyleCrossRefs" href="#bib0275"><span class="elsevierStyleSup">8&#44;9</span></a> A dieta &#233; um fator ambiental de alto interesse para os pacientes&#44; visto que m&#225; nutri&#231;&#227;o&#44; peso corporal inadequado e doen&#231;as metab&#243;licas&#44; al&#233;m do risco direto &#224; sa&#250;de&#44; prejudicam o tratamento da psor&#237;ase&#46;<a class="elsevierStyleCrossRefs" href="#bib0285"><span class="elsevierStyleSup">10&#44;11</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Devido &#224; falta de consenso e diretrizes que estabele&#231;am uma dieta espec&#237;fica para esses pacientes e como existem poucos estudos que avaliaram o consumo alimentar de pacientes com psor&#237;ase&#44; torna&#8208;se necess&#225;rio&#44; inicialmente&#44; caracterizar seu perfil nutricional e padr&#245;es alimentares para tra&#231;ar estrat&#233;gias diet&#233;ticas&#44; com vistas &#224; melhoria da qualidade da dieta em paralelo com o tratamento da doen&#231;a&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Este estudo tem como objetivo prim&#225;rio avaliar os padr&#245;es de consumo alimentar&#59; secundariamente&#44; correlacionar o consumo alimentar com os aspectos antropom&#233;tricos&#44; cl&#237;nicos e fatores relacionados com a SM em pacientes com psor&#237;ase atendidos em ambulat&#243;rio p&#250;blico de dermatologia&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">M&#233;todos</span><p id="par0035" class="elsevierStylePara elsevierViewall">Estudo transversal que envolveu portadores de psor&#237;ase atendidos no Ambulat&#243;rio de Dermatologia da Faculdade de Medicina de Botucatu&#44; Universidade Estadual Paulista&#44; Botucatu &#40;SP&#41;&#44; de fevereiro a agosto de 2019&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Os diagn&#243;sticos de psor&#237;ase foram estabelecidos por dermatologista titulado &#40;LDBM&#41;&#46; Foram inclu&#237;dos adultos &#40;&#62; 18 anos&#41; de ambos os sexos&#44; de todos os tipos cl&#237;nicos e todos os est&#225;gios de gravidade&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">A amostragem foi feita por conveni&#234;ncia&#44; com pacientes consecutivos&#44; concordantes&#44; durante suas consultas m&#233;dicas&#44; na institui&#231;&#227;o&#46; N&#227;o foram avaliados pacientes com dietas espec&#237;ficas como cel&#237;acos&#44; portadores de s&#237;ndromes disabsortivas ou com limita&#231;&#245;es que impossibilitem a caracteriza&#231;&#227;o diet&#233;tica ou antropom&#233;trica&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Todos os convidados concordaram em participar da pesquisa e assinaram o termo de consentimento livre e esclarecido&#46; O projeto foi aprova&#231;&#227;o pelo Comit&#234; de &#201;tica em Pesquisa da institui&#231;&#227;o &#40;protocolo n&#176; 3&#46;317&#46;869&#41;&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Vari&#225;veis do estudo</span><p id="par0055" class="elsevierStylePara elsevierViewall">Foi aplicado question&#225;rio de frequ&#234;ncia alimentar &#40;QFA&#41; adaptado para avaliar o consumo alimentar&#46; Os pacientes foram interrogados sobre o consumo de 76 tipos de alimentos&#46; Essa avalia&#231;&#227;o permitiu identificar o consumo desses alimentos no per&#237;odo de um ano&#44; em por&#231;&#245;es di&#225;rias&#44; semanais&#44; mensais e anuais&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">12</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">Foram obtidos dados demogr&#225;ficos&#44; socioecon&#244;micos e tempo de tratamento da psor&#237;ase no momento da avalia&#231;&#227;o antropom&#233;trica e diet&#233;tica&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Para a avalia&#231;&#227;o antropom&#233;trica foram aferidos peso corporal e altura&#44; com posterior c&#225;lculo do IMC &#40;em kg&#47;m<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">2</span></a>&#41;&#44; seguiu&#8208;se a seguinte estratifica&#231;&#227;o para diagn&#243;stico&#58; desnutri&#231;&#227;o &#40;&#706; 18&#44;5&#41;&#59; eutrofia &#40;18&#44;5&#8208;24&#44;9&#41;&#59; sobrepeso &#40;25&#8208;29&#44;9&#41; e obesidade &#40;&#8805; 30&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">13</span></a></p><p id="par0070" class="elsevierStylePara elsevierViewall">A circunfer&#234;ncia abdominal foi aferida no ponto m&#233;dio entre a &#250;ltima costela e a crista il&#237;aca com fita m&#233;trica&#46; Tamb&#233;m foi aferida a circunfer&#234;ncia do quadril para estabelecer a RCQ<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>cintura &#40;cm&#41;&#47;quadril &#40;cm&#41;&#44; possibilitou&#8208;se a avalia&#231;&#227;o dos par&#226;metros de obesidade androide e o risco para doen&#231;a cardiovascular de acordo com as classifica&#231;&#245;es por sexo e idade&#46;<a class="elsevierStyleCrossRef" href="#bib0305"><span class="elsevierStyleSup">14</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall">As avalia&#231;&#245;es de consumo alimentar &#40;QFA&#41; e antropom&#233;tricas foram feitas por nutricionista &#40;TCFP&#41;&#44; ap&#243;s o atendimento m&#233;dico de rotina no ambulat&#243;rio de dermatologia&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Como todos os pacientes se encontravam em tratamento&#44; escores clinim&#233;tricos mais detalhados &#40;como PASI&#41; sofreram efeito do tratamento&#59; portanto&#44; a atividade da doen&#231;a foi estimada pela presen&#231;a&#47;aus&#234;ncia de les&#245;es cut&#226;neas e articulares na visita&#46;<a class="elsevierStyleCrossRefs" href="#bib0310"><span class="elsevierStyleSup">15&#44;16</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">Os exames cl&#237;nicos feitos na rotina do ambulat&#243;rio foram usados para verificar a presen&#231;a de SM e foram considerados os crit&#233;rios da NCEP ATP III &#40;<span class="elsevierStyleItalic">National Cholesterol Education Program Expert Panel on Detection&#44; Evaluation&#44; and Treatment of High Blood Cholesterol in Adults</span>&#41; para avaliar os componentes envolvidos na s&#237;ndrome metab&#243;lica&#58; presen&#231;a de DM ou glicemia em jejum &#8805; 100<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#59; circunfer&#234;ncia abdominal &#707; 102<span class="elsevierStyleHsp" style=""></span>cm para homens e 88<span class="elsevierStyleHsp" style=""></span>cm para mulheres&#59; triglicer&#237;deos &#8805; 150<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#59; HDL<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>40<span class="elsevierStyleHsp" style=""></span>mg&#47;dL para homens e<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>50<span class="elsevierStyleHsp" style=""></span>mg&#47;dL para mulheres e press&#227;o arterial &#8805; 130&#47;85<span class="elsevierStyleHsp" style=""></span>mmHg ou tratamento para HA&#46;<a class="elsevierStyleCrossRef" href="#bib0320"><span class="elsevierStyleSup">17</span></a></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">An&#225;lise estat&#237;stica</span><p id="par0090" class="elsevierStylePara elsevierViewall">Dados qualitativos foram descritos pelos valores absolutos e percentuais&#46; Dados quantitativos foram representados pela m&#233;dia e desvio&#8208;padr&#227;o&#44; ou mediana e quartis &#40;p25&#8208;p75&#41; se a normalidade n&#227;o for observada pelo teste de Shapiro&#8208;Wilk&#46;<a class="elsevierStyleCrossRef" href="#bib0325"><span class="elsevierStyleSup">18</span></a></p><p id="par0095" class="elsevierStylePara elsevierViewall">Os dados diet&#233;ticos &#40;QFA&#41; foram tabulados e convertidos em consumo di&#225;rio dos alimentos&#44; depois submetidos a uma an&#225;lise fatorial explorat&#243;ria para a determina&#231;&#227;o dos padr&#245;es alimentares e os escores individuais padronizados de ades&#227;o a cada padr&#227;o alimentar &#40;variaram de &#8208;3 a<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>3&#41;&#46; Foram inclu&#237;dos na an&#225;lise os alimentos referidos por&#44; no m&#237;nimo&#44; 30&#37; da amostra e mantidos no modelo fatorial apenas os que apresentaram carga fatorial<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#44;3&#46; Para a extra&#231;&#227;o dos padr&#245;es alimentares&#44; aplicou&#8208;se o m&#233;todo de componentes principais&#44; avaliado pelo teste KMO &#40;Kaiser&#8208;Meyer&#8208;Oklin&#41;&#44; com rota&#231;&#227;o <span class="elsevierStyleItalic">varimax</span>&#46;<a class="elsevierStyleCrossRef" href="#bib0330"><span class="elsevierStyleSup">19</span></a></p><p id="par0100" class="elsevierStylePara elsevierViewall">Para explicar as varia&#231;&#245;es nos escores de ades&#227;o a cada padr&#227;o de dieta&#44; foi ajustado um modelo linear generalizado &#40;distribui&#231;&#227;o gama&#44; fun&#231;&#227;o de liga&#231;&#227;o log&#41;&#46; Usaram&#8208;se como preditoras as vari&#225;veis antropom&#233;tricas&#44; demogr&#225;ficas e aquelas ligadas &#224; psor&#237;ase &#40;doen&#231;a articular e atividade cut&#226;nea&#41;&#46; A dimens&#227;o do efeito da associa&#231;&#227;o foi estimada pelo coeficiente &#946; da regress&#227;o&#46;<a class="elsevierStyleCrossRef" href="#bib0335"><span class="elsevierStyleSup">20</span></a></p><p id="par0105" class="elsevierStylePara elsevierViewall">Posteriormente&#44; as vari&#225;veis foram analisadas de maneira multivariada a partir da an&#225;lise de correspond&#234;ncia m&#250;ltipla de duas dimens&#245;es e dispostas no mapa perceptual&#46; A dimens&#227;o do efeito foi estimada pela in&#233;rcia em cada dimens&#227;o e as associa&#231;&#245;es entre as vari&#225;veis foram representadas por suas proximidades geom&#233;tricas&#46;<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">21</span></a> As vari&#225;veis cont&#237;nuas foram categorizadas por seus tercis&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">A amostra foi calculada a fim de representar vari&#225;veis presentes em at&#233; 10&#37; de uma popula&#231;&#227;o de at&#233; 300 pacientes portadores de psor&#237;ase&#44; com erro&#8208;padr&#227;o de at&#233; 5&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">22</span></a> Considerou&#8208;se significativo p &#8804; 0&#44;05&#44; bicaudal&#46; As an&#225;lises foram feitas nos programas SAS for Windows&#44; v&#46;9&#46;4 e IBM SPSS 25&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Resultados</span><p id="par0115" class="elsevierStylePara elsevierViewall">Foram avaliados 94 portadores de psor&#237;ase&#46; Os principais dados cl&#237;nicos e demogr&#225;ficos est&#227;o apresentados na <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#46; Destacam&#8208;se baixa escolaridade&#44; assim como renda familiar&#44; grande preval&#234;ncia de comorbidades &#40;especialmente SM&#41;&#44; obesidade e elevado risco para desenvolvimento de doen&#231;a cardiovascular de acordo com a RCQ&#46; Todos os pacientes encontravam&#8208;se em tratamento&#59; o PASI variou de 0 a 17&#44;6&#59; 84&#37; apresentavam les&#245;es cut&#226;neas no dia da entrevista&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0120" class="elsevierStylePara elsevierViewall">Entre os tratamentos sist&#234;micos&#44; 32&#37; dos pacientes usavam metotrexato&#44; 23&#37; acitretina e 45&#37; imunobiol&#243;gicos &#40;12&#37; infliximabe&#44; 11&#37; adalimumabe&#44; 10&#37; secuquinumabe&#44; 8&#37; etanercepte&#44; 4&#37; ustequinumabe&#41;&#46; N&#227;o houve usu&#225;rios de ciclosporina nessa amostra&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">N&#227;o houve uma dieta exclusiva dos pacientes com psor&#237;ase&#59; todos relataram certa variabilidade de alimentos consumidos&#46; A partir da an&#225;lise fatorial do relato do consumo alimentar da amostra&#44; foram identificados dois padr&#245;es alimentares &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46; O Padr&#227;o 1 &#40;dieta processada&#41; foi composto por alimentos industrializados&#44; ricos em gorduras saturadas&#44; a&#231;&#250;car e s&#243;dio&#44; ou seja&#44; uma dieta com alta densidade cal&#243;rica e baixa qualidade nutricional&#46; O Padr&#227;o 2 &#40;dieta <span class="elsevierStyleItalic">in natura</span>&#41; se caracterizou por consumo de frutas&#44; legumes e verduras&#44; fontes de vitaminas&#44; minerais&#44; fibras e compostos bioativos&#44; al&#233;m de oferecer alto aporte nutricional em termos qualitativos&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">Os escores de ades&#227;o a cada padr&#227;o alimentar &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41; foram avaliados segundo vari&#225;veis antropom&#233;tricas&#44; demogr&#225;ficas e cl&#237;nicas &#40;articular e atividade cut&#226;nea&#41;&#46; O Padr&#227;o 1 se associou com psor&#237;ase mais recente&#46; O sexo feminino apresentou maior ades&#227;o ao Padr&#227;o 2&#44; assim como os pacientes com maior idade e renda&#46; Houve associa&#231;&#227;o inversa da RCQ com a ades&#227;o ao Padr&#227;o 2&#44; assim como atividade cut&#226;nea &#40;placas&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0135" class="elsevierStylePara elsevierViewall">A an&#225;lise de correspond&#234;ncia multivariada &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41; revelou proximidade entre a menor ades&#227;o &#224; dieta processada e maior ades&#227;o &#224; dieta <span class="elsevierStyleItalic">in natura</span>&#44; assim como com o sexo feminino&#44; aus&#234;ncia de altera&#231;&#245;es lip&#237;dicas e da press&#227;o arterial&#44; al&#233;m de menor RCQ e eutrofia&#46; A presen&#231;a de psor&#237;ase articular se aproximou dos pacientes com obesidade&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Discuss&#227;o</span><p id="par0140" class="elsevierStylePara elsevierViewall">Foram identificados dois padr&#245;es de consumo alimentar em pacientes com psor&#237;ase&#44; que se associaram a elementos cl&#237;nicos&#44; antropom&#233;tricos e componentes da SM&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Nutri&#231;&#227;o &#233; um fen&#244;meno complexo&#46; J&#225; que alimentos ou nutrientes isolados geralmente n&#227;o s&#227;o considerados prejudiciais &#224; sa&#250;de&#44; a avalia&#231;&#227;o do efeito cumulativo da dieta na sa&#250;de com o uso de padr&#245;es alimentares pode contribuir para determinar quais s&#227;o os mais favor&#225;veis para uma popula&#231;&#227;o e fornecem uma representa&#231;&#227;o mais pr&#243;xima dos h&#225;bitos alimentares&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">23</span></a></p><p id="par0150" class="elsevierStylePara elsevierViewall">O padr&#227;o alimentar est&#225; em transi&#231;&#227;o no mundo e sofre influ&#234;ncia de diversos fatores&#44; como renda&#44; custo dos alimentos&#44; prefer&#234;ncias alimentares individuais&#44; cren&#231;as&#44; tradi&#231;&#245;es culturais&#44; aspectos geogr&#225;ficos&#44; comportamentais e socioecon&#244;micos&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">24</span></a></p><p id="par0155" class="elsevierStylePara elsevierViewall">Segundo a POF &#40;Pesquisa de Or&#231;amento Familiar&#58; 2018&#47;2019&#41;&#44; no Brasil&#44; nas &#250;ltimas d&#233;cadas&#44; observou&#8208;se aumento no consumo de alimentos com menor densidade nutricional&#44; maior concentra&#231;&#227;o de energia&#44; lip&#237;dios totais&#44; a&#231;&#250;car e s&#243;dio&#46;<a class="elsevierStyleCrossRefs" href="#bib0360"><span class="elsevierStyleSup">25&#44;26</span></a> As mudan&#231;as mais importantes nesse aspecto foram a redu&#231;&#227;o do consumo de feij&#227;o &#40;31&#37;&#41;&#44; ra&#237;zes e tub&#233;rculos &#40;32&#37;&#41; e ovos &#40;84&#37;&#41; e o aumento do consumo de biscoitos &#40;400&#37;&#41;&#44; refrigerantes &#40;400&#37;&#41;&#44; carnes &#40;50&#37;&#41; e leite &#40;36&#37;&#41; &#8211; ou seja&#44; um aumento de dietas ricas em alimentos processados e ultraprocessados&#44; caracteriza a chamada dieta ocidental&#44; que &#233; associada ao aumento da obesidade&#44; SM&#44; neoplasias e doen&#231;as inflamat&#243;rias&#46;<a class="elsevierStyleCrossRefs" href="#bib0370"><span class="elsevierStyleSup">27&#44;28</span></a></p><p id="par0160" class="elsevierStylePara elsevierViewall">O padr&#227;o &#8220;dieta ocidental&#8221; tem composto a dieta moderna&#44; em que h&#225; busca por praticidade&#44; alimentos de f&#225;cil acesso&#44; industrializados e com baixo teor nutricional&#46;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">8</span></a> No presente estudo&#44; a ades&#227;o ao padr&#227;o ocidental &#40;Padr&#227;o 1&#41; se associou a sobrepeso e elementos da SM&#46; Todos os componentes da SM s&#227;o fatores de risco modific&#225;veis &#8211; mudan&#231;as no estilo de vida&#44; dieta e exerc&#237;cio podem impactar favoravelmente a ocorr&#234;ncia de doen&#231;as&#46;<a class="elsevierStyleCrossRefs" href="#bib0360"><span class="elsevierStyleSup">25&#44;29</span></a></p><p id="par0165" class="elsevierStylePara elsevierViewall">Em contraste&#44; o Padr&#227;o 2 se caracterizou pelo consumo de alimentos <span class="elsevierStyleItalic">in natura</span> &#40;frutas&#44; legumes e verduras&#41;&#44; que s&#227;o fontes de vitaminas&#44; minerais&#44; fibras e compostos bioativos&#44; al&#233;m de oferecer alto aporte nutricional&#46; S&#227;o alimentos que possibilitam agregar equil&#237;brio dos micronutrientes&#46; Nutrientes como fibras&#44; vitaminas&#44; minerais&#44; &#225;cidos graxos mono e poli&#8208;insaturados&#44; presentes principalmente em alimentos <span class="elsevierStyleItalic">in natura</span>&#44; apresentam efeitos antioxidantes&#44; podem reduzir o t&#244;nus inflamat&#243;rio sist&#234;mico&#44; com potencial de interferir no quadro cl&#237;nico da psor&#237;ase e doen&#231;as metab&#243;licas&#46;<a class="elsevierStyleCrossRefs" href="#bib0280"><span class="elsevierStyleSup">9&#44;11&#44;27</span></a></p><p id="par0170" class="elsevierStylePara elsevierViewall">Estudos transversais demonstraram que um padr&#227;o chamado &#8220;saud&#225;vel&#8221; est&#225; associado a menor preval&#234;ncia de SM&#44; enquanto o ocidental&#47;n&#227;o saud&#225;vel est&#225; associado a risco aumentado de SM&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">30</span></a> Nesta amostra&#44; o padr&#227;o <span class="elsevierStyleItalic">in natura</span> foi associado &#224; aus&#234;ncia de altera&#231;&#245;es lip&#237;dicas e da press&#227;o arterial&#44; al&#233;m de menor RCQ&#44; enfatizou que dietas com alto teor de frutas e vegetais podem atenuar o efeito causado pela inflama&#231;&#227;o e SM&#46;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">31</span></a></p><p id="par0175" class="elsevierStylePara elsevierViewall">Uma pesquisa feita na Cro&#225;cia com 82 pacientes internados verificou melhoria das placas de psor&#237;ase e redu&#231;&#227;o do colesterol total&#44; triglic&#233;rides e LDL ap&#243;s quatro semanas de ades&#227;o a uma dieta de baixa densidade energ&#233;tica&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">32</span></a></p><p id="par0180" class="elsevierStylePara elsevierViewall">Um estudo italiano acompanhou 61 pacientes por 24 semanas e resultou em redu&#231;&#227;o de peso&#44; CA&#44; al&#233;m de diminuir o PASI e n&#237;veis s&#233;ricos de prote&#237;na C&#8208;reativa&#44; ap&#243;s associa&#231;&#227;o de uma dieta com redu&#231;&#227;o cal&#243;rica e tratamento com baixa dosagem de ciclosporina&#46;<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">33</span></a></p><p id="par0185" class="elsevierStylePara elsevierViewall">Outro estudo cl&#237;nico randomizado feito na Dinamarca com 60 pacientes com psor&#237;ase e sobrepeso submetidos a uma dieta hipocal&#243;rica por oito semanas demonstrou melhoria do PASI e do &#237;ndice de qualidade de vida&#44; quando comparado com o grupo controle&#46;<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">34</span></a></p><p id="par0190" class="elsevierStylePara elsevierViewall">Na Su&#233;cia&#44; um estudo com 51 pacientes encontrou influ&#234;ncia da dieta mediterr&#226;nea &#40;rica em peixes&#44; azeite de oliva e vegetais&#41;&#46; Ap&#243;s tr&#234;s meses de interven&#231;&#227;o&#44; os indiv&#237;duos apresentaram melhoria na atividade da doen&#231;a e na qualidade de vida&#46;<a class="elsevierStyleCrossRef" href="#bib0410"><span class="elsevierStyleSup">35</span></a> Esses achados corroboram os resultados de um estudo feito no Hava&#237; com cinco pacientes que apresentaram melhoria de 47&#44;8&#37; no PASI quando submetidos por 10 dias a uma dieta rica em peixes&#44; alimentos integrais&#44; frutas&#44; vegetais&#44; oleaginosas e ch&#225;s de ervas&#46;<a class="elsevierStyleCrossRef" href="#bib0415"><span class="elsevierStyleSup">36</span></a></p><p id="par0195" class="elsevierStylePara elsevierViewall">No presente estudo identificou&#8208;se preval&#234;ncia de 48&#37; de indiv&#237;duos obesos&#46; A obesidade apresenta um crescente desafio &#224; sa&#250;de p&#250;blica e &#233; mais prevalente entre indiv&#237;duos com psor&#237;ase &#40;34&#37;&#41; do que na popula&#231;&#227;o em geral&#46; No Brasil&#44; mais da metade da popula&#231;&#227;o &#40;55&#44;7&#37;&#41; tem excesso de peso e 19&#44;8&#37; apresentam obesidade &#40;23&#37; em mulheres e 20&#37; em homens&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0420"><span class="elsevierStyleSup">37&#8211;39</span></a></p><p id="par0200" class="elsevierStylePara elsevierViewall">Estudos longitudinais de base populacional sugerem um papel causal da obesidade na psor&#237;ase&#44; refratariedade ao tratamento e que a obesidade gera maior gravidade da doen&#231;a&#46; O aumento das taxas de obesidade e ades&#227;o &#224; dieta ocidental&#44; al&#233;m de longevidade e mais acesso ao diagn&#243;stico&#44; pode subsidiar uma das raz&#245;es para o aumento na incid&#234;ncia de psor&#237;ase&#46;<a class="elsevierStyleCrossRefs" href="#bib0435"><span class="elsevierStyleSup">40&#8211;42</span></a></p><p id="par0205" class="elsevierStylePara elsevierViewall">O controle de peso pode ainda melhorar o progn&#243;stico da psor&#237;ase e a qualidade de vida&#46; Al&#233;m disso&#44; o controle cal&#243;rico oferece melhorias significativas nas les&#245;es cut&#226;neas e no <span class="elsevierStyleItalic">status</span> inflamat&#243;rio sist&#234;mico&#46; Portanto&#44; dietas com baixa densidade cal&#243;rica podem ser consideradas importante fator de aux&#237;lio na preven&#231;&#227;o e no tratamento da psor&#237;ase&#44; al&#233;m de manuten&#231;&#227;o no peso&#44; redu&#231;&#227;o de marcadores inflamat&#243;rios e melhoria do perfil lip&#237;dico&#44; glic&#237;dico e diminui&#231;&#227;o do risco de doen&#231;as associadas&#46;<a class="elsevierStyleCrossRefs" href="#bib0450"><span class="elsevierStyleSup">43&#44;44</span></a></p><p id="par0210" class="elsevierStylePara elsevierViewall">Uma dieta vegetariana&#44; desde que bem planejada e estruturada&#44; pode ser adequada em termos nutricionais&#44; e com potenciais benef&#237;cios para a sa&#250;de&#44; inclusive para indiv&#237;duos com psor&#237;ase&#46;<a class="elsevierStyleCrossRefs" href="#bib0395"><span class="elsevierStyleSup">32&#44;43</span></a> Uma nova linha de pesquisa intitulada <span class="elsevierStyleItalic">Plant Based</span> prioriza o consumo de alimentos de origem vegetal os mais naturais e mais perto de sua forma original poss&#237;vel&#59; alimentos em sua forma mais &#237;ntegra&#44; livres de qualquer refinamento&#44; processamentos e aditivos artificiais&#46; Parece poss&#237;vel que uma dieta <span class="elsevierStyleItalic">Plant Based</span> seja capaz de influenciar na resposta imunol&#243;gica e metab&#243;lica a partir de mudan&#231;as principalmente no estado microbiano intestinal&#46;<a class="elsevierStyleCrossRef" href="#bib0460"><span class="elsevierStyleSup">45</span></a> Entretanto&#44; essas interven&#231;&#245;es carecem de estudos com desenhos apropriados para esclarecer a rela&#231;&#227;o com a psor&#237;ase&#46;<a class="elsevierStyleCrossRefs" href="#bib0465"><span class="elsevierStyleSup">46&#44;47</span></a></p><p id="par0215" class="elsevierStylePara elsevierViewall">Estrat&#233;gias nutricionais devem ser estimuladas aos pacientes com psor&#237;ase&#44; com o intuito de orientar dieta hipocal&#243;rica&#44; com ajuste de macro e micronutrientes e incentivo &#224; ingest&#227;o de alimentos <span class="elsevierStyleItalic">in natura</span>&#44; com controle de alimentos processados e &#225;lcool&#46; Interven&#231;&#245;es diet&#233;ticas favorecem o controle das comorbidades e a resposta ao tratamento cl&#237;nico e podem agir na preven&#231;&#227;o de agravos&#46;<a class="elsevierStyleCrossRef" href="#bib0470"><span class="elsevierStyleSup">47</span></a></p><p id="par0220" class="elsevierStylePara elsevierViewall">As an&#225;lises multivariadas refor&#231;aram a correla&#231;&#227;o inversa entre os marcadores de SM e a ades&#227;o ao Padr&#227;o 1 nesta amostra&#46; Al&#233;m disso&#44; a associa&#231;&#227;o entre dieta&#44; g&#234;nero&#44; renda e dura&#231;&#227;o da doen&#231;a deve ser explorada em estudos posteriores com desenhos adequados&#46;</p><p id="par0225" class="elsevierStylePara elsevierViewall">Como limita&#231;&#245;es do estudo&#44; destacamos o fato de ser monoc&#234;ntrico&#44; n&#227;o randomizado&#44; de pacientes de institui&#231;&#227;o p&#250;blica&#44; e a avalia&#231;&#227;o por meio do QFA&#44; dependente da mem&#243;ria alimentar recente&#46;</p><p id="par0230" class="elsevierStylePara elsevierViewall">O cuidado multiprofissional dos pacientes com psor&#237;ase possibilita uma assist&#234;ncia mais ampla e voltada &#224; redu&#231;&#227;o das comorbidades em paralelo com o tratamento cl&#237;nico&#46; Nossos resultados subsidiam as necessidades e os cuidados nutricionais espec&#237;ficos para psor&#237;ase&#44; com vistas &#224; poss&#237;vel melhoria na atividade da doen&#231;a e a redu&#231;&#227;o dos riscos gerados pelo estado inflamat&#243;rio cr&#244;nico e comorbidades&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Conclus&#227;o</span><p id="par0235" class="elsevierStylePara elsevierViewall">Foram identificados dois padr&#245;es diet&#233;ticos em uma amostra de pacientes com psor&#237;ase de uma institui&#231;&#227;o p&#250;blica&#46; A preval&#234;ncia de obesidade e SM foi significativamente maior que na popula&#231;&#227;o adulta brasileira&#46; A ades&#227;o &#224; dieta <span class="elsevierStyleItalic">in natura</span> foi associada a menores indicadores de s&#237;ndrome metab&#243;lica&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Suporte financeiro</span><p id="par0240" class="elsevierStylePara elsevierViewall">Nenhum&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Contribui&#231;&#227;o dos autores</span><p id="par0245" class="elsevierStylePara elsevierViewall">Tatiana Cristina Figueira Polo&#58; An&#225;lise estat&#237;stica&#59; aprova&#231;&#227;o da vers&#227;o final do manuscrito&#59; concep&#231;&#227;o e planejamento do estudo&#59; elabora&#231;&#227;o e reda&#231;&#227;o do manuscrito&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; participa&#231;&#227;o intelectual em conduta proped&#234;utica e&#47;ou terap&#234;utica de casos estudados&#59; revis&#227;o cr&#237;tica da literatura&#59; revis&#227;o cr&#237;tica do manuscrito&#46;</p><p id="par0250" class="elsevierStylePara elsevierViewall">Jos&#233; Eduardo Corrente&#58; An&#225;lise estat&#237;stica&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; revis&#227;o cr&#237;tica do manuscrito&#46;</p><p id="par0255" class="elsevierStylePara elsevierViewall">Luciane Donida Bartoli Miot&#58; Aprova&#231;&#227;o da vers&#227;o final do manuscrito&#59; concep&#231;&#227;o e planejamento do estudo&#59; elabora&#231;&#227;o e reda&#231;&#227;o do manuscrito&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; participa&#231;&#227;o intelectual em conduta proped&#234;utica e&#47;ou terap&#234;utica de casos estudados&#59; revis&#227;o cr&#237;tica do manuscrito&#46;</p><p id="par0260" class="elsevierStylePara elsevierViewall">Silvia Justina Papini&#58; Aprova&#231;&#227;o da vers&#227;o final do manuscrito&#59; concep&#231;&#227;o e planejamento do estudo&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; revis&#227;o cr&#237;tica do manuscrito&#46;</p><p id="par0265" class="elsevierStylePara elsevierViewall">H&#233;lio Amante Miot&#58; An&#225;lise estat&#237;stica&#59; aprova&#231;&#227;o da vers&#227;o final do manuscrito&#59; concep&#231;&#227;o e planejamento do estudo&#59; elabora&#231;&#227;o e reda&#231;&#227;o do manuscrito&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; participa&#231;&#227;o intelectual em conduta proped&#234;utica e&#47;ou terap&#234;utica de casos estudados&#59; revis&#227;o cr&#237;tica da literatura&#59; revis&#227;o cr&#237;tica do manuscrito&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conflitos de interesse</span><p id="par0270" class="elsevierStylePara elsevierViewall">Nenhum&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Fundamentos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Psor&#237;ase &#233; uma doen&#231;a inflamat&#243;ria cr&#244;nica&#44; com repercuss&#227;o sist&#234;mica e associada a comorbidades&#44; como s&#237;ndrome metab&#243;lica&#44; doen&#231;a cardiovascular e obesidade&#46; H&#225; maior preval&#234;ncia de obesos em compara&#231;&#227;o com a popula&#231;&#227;o geral&#46; A dieta &#233; um fator ambiental relevante&#44; visto que m&#225; nutri&#231;&#227;o&#44; peso corporal inadequado e doen&#231;as metab&#243;licas&#44; al&#233;m do risco direto &#224; sa&#250;de&#44; prejudicam o tratamento da psor&#237;ase&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Avaliar os padr&#245;es de consumo alimentar&#44; aspectos antropom&#233;tricos e aspectos relacionados &#224; s&#237;ndrome metab&#243;lica em pacientes com psor&#237;ase&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">M&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudo transversal por meio da avalia&#231;&#227;o antropom&#233;trica e question&#225;rio de frequ&#234;ncia alimentar&#46; Os itens do question&#225;rio de frequ&#234;ncia alimentar foram avaliados por an&#225;lise fatorial explorat&#243;ria&#59; os padr&#245;es alimentares identificados foram analisados por m&#233;todos multivariados&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Foram avaliados 94 pacientes&#44; 57&#37; do sexo feminino&#44; m&#233;dia de 54&#44;9 anos&#46; A preval&#234;ncia de obesidade foi de 48&#37; e de s&#237;ndrome metab&#243;lica&#44; de 50&#37;&#46; A an&#225;lise fatorial do question&#225;rio de frequ&#234;ncia alimentar identificou dois padr&#245;es alimentares&#58; Padr&#227;o 1 &#8211; predom&#237;nio de alimentos processados&#59; Padr&#227;o 2 &#8211; predom&#237;nio de alimentos <span class="elsevierStyleItalic">in natura</span>&#46; A an&#225;lise multivariada revelou que os Padr&#245;es 1 e 2 apresentaram comportamentos inversos e a maior ades&#227;o &#224; dieta 2 associou&#8208;se ao sexo feminino&#44; indiv&#237;duos eutr&#243;ficos&#44; aus&#234;ncia de altera&#231;&#245;es lip&#237;dicas e da press&#227;o arterial&#44; al&#233;m de rela&#231;&#227;o cintura&#8208;quadril e atividade de doen&#231;a cut&#226;nea menores&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Limita&#231;&#245;es do estudo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Estudo monoc&#234;ntrico feito em institui&#231;&#227;o p&#250;blica&#44; dependente da mem&#243;ria alimentar&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Conclus&#227;o</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Identificaram&#8208;se dois padr&#245;es diet&#233;ticos em uma amostra brasileira de pacientes com psor&#237;ase&#46; A preval&#234;ncia de obesidade e s&#237;ndrome metab&#243;lica foi maior do que na popula&#231;&#227;o adulta brasileira&#46; A dieta <span class="elsevierStyleItalic">in natura</span> associou&#8208;se a menores indicadores de s&#237;ndrome metab&#243;lica&#46;</p></span>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Resultados&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Sexo</span><a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Feminino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54 &#40;57&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40 &#40;43&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Idade &#40;anos&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&#44;9 &#40;12&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Escolaridade</span><a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Analfabeto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ensino Fundamental&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51 &#40;54&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ensino M&#233;dio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31 &#40;33&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ensino Superior&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9 &#40;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Renda familiar &#40;sal&#225;rio m&#237;nimo&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17 &#40;18&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44 &#40;47&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8805; 3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33 &#40;35&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Perfil antropom&#233;trico</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Peso &#40;kg&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">84&#44;8 &#40;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-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Altura &#40;cm&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;7 &#40;0&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IMC &#40;kg&#47;m<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">2</span></a>&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31&#44;1 &#40;6&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Eutr&#243;fico &#40;18&#44;5&#8211;24&#44;9&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11 &#40;12&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sobrepeso &#40;25 &#8211; 29&#44;9&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38 &#40;40&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Obesidade &#40;&#62;30&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45 &#40;48&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Circunfer&#234;ncia abdominal &#40;cm&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">109&#44;0 &#40;13&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Circunfer&#234;ncia do quadril &#40;cm&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">104&#44;2 &#40;14&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>RCQ &#40;cm&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;06 &#40;0&#44;15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Dados cl&#237;nicos</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tempo de doen&#231;a &#40;anos&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&#44;7 &#40;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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Atividade da doen&#231;a cut&#226;nea &#40;placas&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">75 &#40;84&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Psor&#237;ase articular<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11 &#40;12&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>PASI<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;3 &#40;4&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Comorbidades</span><a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Triglic&#233;rides &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43 &#40;49&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Colesterol &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39 &#40;43&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hipertens&#227;o &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42 &#40;47&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Glicemia alterada ou DM &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34 &#40;38&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>S&#237;ndrome metab&#243;lica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Padr&#227;o 1 &#40;dieta processada&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">CF&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Padr&#227;o 2 &#40;dieta <span class="elsevierStyleItalic">in natura</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">CF&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Pizza&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;79&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Verduras cruas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;73&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Salgado frito&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Legumes cozidos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;73&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Biscoito recheado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Tomate&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Embutidos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Verduras cozidas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Queijos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Br&#243;colis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sandu&#243;ches&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cenoura&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Refrigerante&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Alface&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Farinhas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Laranja&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Hamb&#250;rguer&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Maionese&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ma&#231;&#227;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Salgado assado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Azeite&#47;&#243;leo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">P&#227;es&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Banana&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sobremesas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;37&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Mel&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Lingui&#231;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Mam&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">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="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Suco industrializado&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Batata&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;31&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Manteiga&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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              "imagenFichero" => array:1 [
                0 => "xTab2354851.png"
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        "descripcion" => array:1 [
          "pt" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Padr&#245;es alimentares e cargas fatoriais dos alimentos que comp&#245;em cada padr&#227;o&#44; identificados pela an&#225;lise do question&#225;rio de frequ&#234;ncia alimentar da amostra</p>"
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                  \t\t\t\t" scope="col">Vari&#225;vel&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Padr&#227;o 1 &#8208; Processada</th><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Padr&#227;o 2 &#8211; <span class="elsevierStyleItalic">in natura</span></th></tr><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Coeficiente &#946;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Coeficiente &#946;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&#8208;valor<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;045&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>M&#233;dio&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Analfabeto <span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span> fundamental&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Renda &#40;sal&#225;rios m&#237;nimos&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IMC&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>RCQ&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tempo de doen&#231;a&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8208;0&#44;005&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;034&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8208;0&#44;005&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;154&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Atividade cut&#226;nea&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8208;0&#44;110&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;233&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8208;0&#44;353&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Acometimento articular&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;096&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8208;0&#44;014&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hipertens&#227;o arterial&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8208;0&#44;037&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diabetes <span class="elsevierStyleItalic">mellitus</span>&nbsp;\t\t\t\t\t\t\n
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                            3 => "J&#46;M&#46;N&#46; Pinto"
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                            3 => "M&#46; Milinkovi&#263;"
                            4 => "J&#46; Marinkovi&#263;"
                            5 => "A&#46; &#262;irkovi&#263;"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "How lifestyle factors and their associated pathogenetic mechanisms impact psoriasis"
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                          "autores" => array:3 [
                            0 => "S&#46;K&#46; Madden"
                            1 => "K&#46;L&#46; Flanagan"
                            2 => "G&#46; Jones"
                          ]
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                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Clin Nutr&#46;"
                        "fecha" => "2019"
                        "volumen" => "2"
                        "paginaInicial" => "171"
                      ]
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                    0 => array:2 [
                      "titulo" => "Effects of Weight Loss on Psoriasis&#58; A Review of Clinical Trials"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "H&#46;A&#46; Alotaibi"
                          ]
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                    0 => array:2 [
                      "doi" => "10.7759/cureus.3491"
                      "Revista" => array:5 [
                        "tituloSerie" => "Cureus&#46;"
                        "fecha" => "2018"
                        "volumen" => "10"
                        "paginaInicial" => "e3491"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30648033"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0290"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nutritional strategies for psoriasis&#58; current scientific evidence in clinical trials"
                      "autores" => array:1 [
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "E&#46; Zuccotti"
                            1 => "M&#46; Oliveri"
                            2 => "C&#46; Girometta"
                            3 => "D&#46; Ratto"
                            4 => "C&#46; Di Iorio"
                            5 => "A&#46; Occhinegro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur Rev Med Pharmacol Sci&#46;"
                        "fecha" => "2018"
                        "volumen" => "23"
                        "paginaInicial" => "8537"
                        "paginaFinal" => "8551"
                      ]
                    ]
                  ]
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              ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Brazilian Longitudinal Study of Adult Health &#40;ELSA&#8208;Brazil&#41;&#58; Objectives and Design"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E&#46;M&#46; Aquino"
                            1 => "S&#46;M&#46; Barreto"
                            2 => "I&#46;M&#46; Bensenor"
                            3 => "M&#46;S&#46; Carvalho"
                            4 => "D&#46; Chor"
                            5 => "B&#46;B&#46; Duncan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Am J Epidemiol&#46;"
                        "fecha" => "2012"
                        "volumen" => "4"
                        "paginaInicial" => "315"
                        "paginaFinal" => "324"
                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0300"
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                0 => array:1 [
                  "referenciaCompleta" => "World Health Organization Expert Committee&#46; Physical status&#58; the use and interpretation of anthropometry&#58; report of a WHO Expert Committee&#46; WHO Tech Rep Ser&#46; 1995&#59;854&#58;1&#8208;452&#46;"
                ]
              ]
            ]
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                0 => array:2 [
                  "contribucion" => array:1 [
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                      "titulo" => "Harmonizing the Metabolic Syndrome&#58; A Joint Interim Statement of the International Diabetes Federation Task Force on Epidemiology and Prevention&#59; National Heart&#44; Lung&#44; and Blood Institute&#59; American Heart Association&#59; World Heart Federation&#59; International Atherosclerosis Society&#59; and International Association for the Study of Obesity"
                      "autores" => array:1 [
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "K&#46;G&#46; Alberti"
                            1 => "R&#46;H&#46; Eckel"
                            2 => "S&#46;M&#46; Grundy"
                            3 => "P&#46;Z&#46; Zimmet"
                            4 => "J&#46;I&#46; Cleeman"
                            5 => "K&#46;A&#46; Donato"
                          ]
                        ]
                      ]
                    ]
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                    0 => array:2 [
                      "doi" => "10.1161/CIRCULATIONAHA.109.192644"
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                        "tituloSerie" => "Circulation&#46;"
                        "fecha" => "2009"
                        "volumen" => "120"
                        "paginaInicial" => "1640"
                        "paginaFinal" => "1645"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19805654"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0310"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical evaluation of a more rapid and sensitive Psoriasis Assessment Severity Score &#40;PASS&#41;&#44; and its comparison with the classic method of Psoriasis Area and Severity Index &#40;PASI&#41;&#44; before and after climatotherapy at the Dead&#8208;Sea"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Harari"
                            1 => "J&#46; Shani"
                            2 => "E&#46; Hristakieva"
                            3 => "A&#46; Stanimirovic"
                            4 => "W&#46; Seidl"
                            5 => "A&#46; Burdo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1046/j.1365-4362.2000.00017.x"
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                        "tituloSerie" => "Int J Dermatol&#46;"
                        "fecha" => "2000"
                        "volumen" => "39"
                        "paginaInicial" => "913"
                        "paginaFinal" => "918"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11168660"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Relationship between psoriasis severity&#44; clinical symptoms&#44; quality of life and work productivity among patients in the USA"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46;J&#46; Korman"
                            1 => "Y&#46; Zhao"
                            2 => "J&#46; Pike"
                            3 => "J&#46; Roberts"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/ced.12841"
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                        "tituloSerie" => "Clin Exp Dermatol&#46;"
                        "fecha" => "2016"
                        "volumen" => "41"
                        "paginaInicial" => "514"
                        "paginaFinal" => "521"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27061102"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0320"
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                0 => array:1 [
                  "referenciaCompleta" => "National Cholesterol Education Program &#40;NCEP&#41; Expert Panel on Detection&#44; Evaluation&#44; and Treatment of High Blood Cholesterol in Adults &#40;Adult Treatment Panel III&#41;&#46; Third Report of the National Cholesterol Education Program &#40;NCEP&#41; Expert Panel on Detection&#44; Evaluation&#44; and Treatment of High Blood Cholesterol in Adults &#40;Adult Treatment Panel III&#41; Final Report&#46; Circulation&#46; 2002&#59;106&#58;3143&#8208;421&#46;"
                ]
              ]
            ]
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              "identificador" => "bib0325"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessing normality of data in clinical and experimental trials"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "H&#46;A&#46; Miot"
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                    ]
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                  "host" => array:1 [
                    0 => array:2 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "J Vasc Bras&#46;"
                        "fecha" => "2017"
                        "volumen" => "16"
                        "paginaInicial" => "88"
                        "paginaFinal" => "91"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29930631"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0330"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vis&#227;o al&#233;m do alcance&#58; uma introdu&#231;&#227;o &#224; an&#225;lise fatorial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;B&#46; Figueiredo Filho"
                            1 => "J&#46;A&#46; Silva J&#250;nior"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Opini&#227;o P&#250;blica&#46;"
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                        "paginaInicial" => "160"
                        "paginaFinal" => "185"
                      ]
                    ]
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                ]
              ]
            ]
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              "identificador" => "bib0335"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Biostatistics&#58; The Bare Essentials"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "G&#46;R&#46; Norman"
                            1 => "D&#46;L&#46; Streiner"
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                        ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "edicion" => "4th ed&#46;"
                        "fecha" => "2014"
                        "editorial" => "People&#39;s Medical Publishing House"
                        "editorialLocalizacion" => "Connecticut"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0340"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Correspondence analysis is a useful tool to uncover the relationships among categorical variables"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "N&#46; Sourial"
                            1 => "C&#46; Wolfson"
                            2 => "B&#46; Zhu"
                            3 => "J&#46; Quail"
                            4 => "J&#46; Fletcher"
                            5 => "S&#46; Karunananthan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jclinepi.2009.08.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol&#46;"
                        "fecha" => "2010"
                        "volumen" => "63"
                        "paginaInicial" => "638"
                        "paginaFinal" => "646"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19896800"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0345"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tamanho da amostra em estudos cl&#237;nicos e experimentais"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "H&#46;A&#46; Miot"
                          ]
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Vasc Bras&#46;"
                        "fecha" => "2011"
                        "volumen" => "10"
                        "paginaInicial" => "275"
                        "paginaFinal" => "278"
                      ]
                    ]
                  ]
                ]
              ]
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            22 => array:3 [
              "identificador" => "bib0350"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dietary Patterns and Metabolic Syndrome in Adult Subjects&#58; A Systematic Review and Meta&#8208;Analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Fabiani"
                            1 => "G&#46; Naldini"
                            2 => "M&#46; Chiavarini"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3390/nu11092056"
                      "Revista" => array:5 [
                        "tituloSerie" => "Nutrients&#46;"
                        "fecha" => "2019"
                        "volumen" => "11"
                        "paginaInicial" => "E2056"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31480732"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0355"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reducing the global burden of type 2 diabetes by improving the quality of staple foods&#58; The Global Nutrition and Epidemiologic Transition Initiative"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Mattei"
                            1 => "V&#46; Malik"
                            2 => "N&#46;M&#46; Wedick"
                            3 => "F&#46;B&#46; Hu"
                            4 => "D&#46; Spiegelman"
                            5 => "W&#46;C&#46; Willett"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/s12992-015-0109-9"
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                        "tituloSerie" => "Global Health&#46;"
                        "fecha" => "2015"
                        "volumen" => "11"
                        "paginaInicial" => "23"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26040275"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0360"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Obesity and the food system transformation in Latin America"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B&#46;M&#46; Popkin"
                            1 => "T&#46; Reardon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/obr.12694"
                      "Revista" => array:6 [
                        "tituloSerie" => "Obes Rev&#46;"
                        "fecha" => "2018"
                        "volumen" => "19"
                        "paginaInicial" => "1028"
                        "paginaFinal" => "1064"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29691969"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                0 => array:1 [
                  "referenciaCompleta" => "IBGE&#46; Pesquisa de Or&#231;amentos Familiares 2008&#8208;2009 &#8211; Despesas&#44; Rendimentos e Condi&#231;&#245;es de Vida&#46; Rio de Janeiro&#58; IBGE&#59; 2010&#46;"
                ]
              ]
            ]
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              "identificador" => "bib0370"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Longitudinal association of metabolic syndrome and dietary patterns&#58; A 13&#8208;year prospective population&#8208;based cohort study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R&#46; Hassannejad"
                            1 => "I&#46; Kazemi"
                            2 => "M&#46; Sadeghi"
                            3 => "N&#46; Mohammadifard"
                            4 => "H&#46; Roohafza"
                            5 => "N&#46; Sarrafzadegan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Nutr Metab Cardiovasc Dis&#46;"
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                        "volumen" => "4"
                        "paginaInicial" => "352"
                        "paginaFinal" => "360"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0375"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The Science of Obesity Management&#58; An Endocrine Society Scientific Statement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46;A&#46; Bray"
                            1 => "W&#46;E&#46; Heisel"
                            2 => "A&#46; Afshin"
                            3 => "M&#46;D&#46; Jensen"
                            4 => "W&#46;H&#46; Dietz"
                            5 => "M&#46; Long"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Endocr Rev&#46;"
                        "fecha" => "2018"
                        "volumen" => "2"
                        "paginaInicial" => "79"
                        "paginaFinal" => "132"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0380"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "Physical activity&#44; diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight&#46; Cochrane Developmental&#44; Psychosocial and Learning Problems Group&#44; editor"
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; Martin"
                            1 => "J&#46;N&#46; Booth"
                            2 => "Y&#46; Laird"
                            3 => "J&#46; Sproule"
                            4 => "J&#46;J&#46; Reilly"
                            5 => "D&#46;H&#46; Saunders"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database Syst Rev&#46;"
                        "fecha" => "2018"
                        "volumen" => "2018"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0385"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Long&#8208;term effects of weight reduction on the severity of psoriasis in a cohort derived from a randomized trial&#58; a prospective observational follow&#8208;up study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            1 => "R&#46; Christensen"
                            2 => "C&#46; Zachariae"
                            3 => "N&#46;R&#46; Geiker"
                            4 => "B&#46;K&#46; Schaadt"
                            5 => "S&#46; Stender"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Am J Clin Nutr&#46;"
                        "fecha" => "2016"
                        "volumen" => "104"
                        "paginaInicial" => "259"
                        "paginaFinal" => "265"
                      ]
                    ]
                  ]
                ]
              ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Investigation of dietary supplements prevalence as complementary therapy&#58; Comparison between hospitalized psoriasis patients and non&#8208;psoriasis patients&#44; correlation with disease severity and quality of life"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46; Yousefzadeh"
                            1 => "M&#46; Mahmoudi"
                            2 => "M&#46; Banihashemi"
                            3 => "M&#46; Rastin"
                            4 => "F&#46;J&#46; Azad"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ctim.2017.06.005"
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                        "tituloSerie" => "Complement Ther Med&#46;"
                        "fecha" => "2017"
                        "volumen" => "33"
                        "paginaInicial" => "65"
                        "paginaFinal" => "71"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28735828"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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              "etiqueta" => "32"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The role of the low energy diet in psoriasis vulgaris treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "I&#46; Rucevi&#263;"
                            1 => "A&#46; Perl"
                            2 => "V&#46; Barisi&#263;-Drusko"
                            3 => "M&#46; Adam-Perl"
                          ]
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                  "host" => array:1 [
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                      "Revista" => array:7 [
                        "tituloSerie" => "Coll antropol&#46;"
                        "fecha" => "2003"
                        "volumen" => "27"
                        "numero" => "Suppl 1"
                        "paginaInicial" => "41"
                        "paginaFinal" => "48"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12955890"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0400"
              "etiqueta" => "33"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Weight loss improves the response of obese patients with moderate&#8208;to&#8208;severe chronic plaque psoriasis to low&#8208;dose cyclosporine therapy&#58; a randomized&#44; controlled&#44; investigator&#8208;blinded clinical trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "P&#46; Gisondi"
                            1 => "M&#46; Del Giglio"
                            2 => "V&#46; Di Francesco"
                            3 => "M&#46; Zamboni"
                            4 => "G&#46; Girolomoni"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3945/ajcn.2008.26427"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Clin Nutr&#46;"
                        "fecha" => "2008"
                        "volumen" => "88"
                        "paginaInicial" => "1242"
                        "paginaFinal" => "1247"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18996858"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "etiqueta" => "34"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of Weight Loss on the Severity of Psoriasis&#58; A Randomized Clinical Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Jensen"
                            1 => "C&#46; Zachariae"
                            2 => "R&#46; Christensen"
                            3 => "N&#46;R&#46; Geiker"
                            4 => "B&#46;K&#46; Schaadt"
                            5 => "S&#46; Stender"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "JAMA Dermatol&#46;"
                        "fecha" => "2013"
                        "volumen" => "7"
                        "paginaInicial" => "795"
                        "paginaFinal" => "801"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib0410"
              "etiqueta" => "35"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "An experimental study of a Mediterranean diet intervention for patients with rheumatoid arthritis"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46; Sk&#246;ldstam"
                            1 => "L&#46; Hagfors"
                            2 => "G&#46; Johansson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/ard.62.3.208"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Rheum Dis&#46;"
                        "fecha" => "2003"
                        "volumen" => "62"
                        "paginaInicial" => "208"
                        "paginaFinal" => "214"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12594104"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib0415"
              "etiqueta" => "36"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medical nutrition therapy as a potential complementary treatment for psoriasis &#8208; five case reports"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46;C&#46; Brown"
                            1 => "M&#46; Hairfield"
                            2 => "D&#46;G&#46; Richards"
                            3 => "D&#46;L&#46; McMillin"
                            4 => "E&#46;A&#46; Mein"
                            5 => "C&#46;D&#46; Nelson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Altern Med Rev&#46;"
                        "fecha" => "2004"
                        "volumen" => "3"
                        "paginaInicial" => "297"
                        "paginaFinal" => "307"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0420"
              "etiqueta" => "37"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The association between the neighbourhood social environment and obesity in Brazil&#58; a cross&#8208;sectional analysis of the ELSA&#8208;Brasil study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;P&#46; Chaparro"
                            1 => "M&#46;F&#46; Pina"
                            2 => "L&#46; de Oliveira Cardoso"
                            3 => "S&#46;M&#46; Santos"
                            4 => "S&#46;M&#46; Barreto"
                            5 => "L&#46; Giatti Gon&#231;alves"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/bmjopen-2019-033614"
                      "Revista" => array:4 [
                        "tituloSerie" => "BMJ Open&#46;"
                        "fecha" => "2019"
                        "volumen" => "9"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31888940"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib0425"
              "etiqueta" => "38"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Time trends in morbid obesity prevalence in the Brazilian adult population from 2006 to 2017"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46;C&#46; Malta"
                            1 => "A&#46;G&#46; Silva"
                            2 => "L&#46;A&#46;B&#46; Tonaco"
                            3 => "M&#46;I&#46;F&#46; Freitas"
                            4 => "G&#46; Velasquez-Melendez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Cad Sa&#250;de P&#250;blica&#46;"
                        "fecha" => "2019"
                        "volumen" => "35"
                        "paginaInicial" => "223"
                        "paginaFinal" => "518"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib0430"
              "etiqueta" => "39"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalence of obesity in rural and urban areas in Brazil&#58; National Health Survey&#44; 2013"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Martins-Silva"
                            1 => "J&#46;S&#46; Vaz"
                            2 => "C&#46;L&#46; de Mola"
                            3 => "M&#46;C&#46;F&#46; Assun&#231;&#227;o"
                            4 => "L&#46; Tovo-Rodrigues"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Rev Bras Epidemiol&#46;"
                        "fecha" => "2019"
                        "volumen" => "22"
                        "paginaInicial" => "190049"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0435"
              "etiqueta" => "40"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Does weight loss reduce the severity and incidence of psoriasis or psoriatic arthritis&#63;&#46;&#46; A Critically Appraised Topic"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46;K&#46; Mahil"
                            1 => "S&#46;M&#46; McSweeney"
                            2 => "E&#46; Kloczko"
                            3 => "B&#46; McGowan"
                            4 => "J&#46;N&#46; Barker"
                            5 => "C&#46;H&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/bjd.17741"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol&#46;"
                        "fecha" => "2019"
                        "volumen" => "181"
                        "paginaInicial" => "946"
                        "paginaFinal" => "953"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30729517"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib0440"
              "etiqueta" => "41"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Trends in the Prevalence and Incidence of Psoriasis and Psoriatic Arthritis in Ontario&#44; Canada&#58; A Population-Based Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46; Eder"
                            1 => "J&#46; Widdifield"
                            2 => "C&#46;F&#46; Rosen"
                            3 => "R&#46; Cook"
                            4 => "K&#46;A&#46; Lee"
                            5 => "R&#46; Alhusayen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arthritis Care Res &#40;Honoken&#41;&#46;"
                        "fecha" => "2019"
                        "volumen" => "71"
                        "paginaInicial" => "1084"
                        "paginaFinal" => "1091"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib0445"
              "etiqueta" => "42"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalence of psoriasis in Spain in the age of biologics"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Ferr&#225;ndiz"
                            1 => "J&#46;M&#46; Carrascosa"
                            2 => "M&#46; Toro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Actas Dermosifiliogr&#46;"
                        "fecha" => "2014"
                        "volumen" => "5"
                        "paginaInicial" => "504"
                        "paginaFinal" => "509"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib0450"
              "etiqueta" => "43"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Psoriasis and vegetarian diets&#58; A role for cortisol and potassium&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46; Rastmanesh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Med Hypotheses&#46;"
                        "fecha" => "2009"
                        "volumen" => "3"
                        "paginaInicial" => "368"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib0455"
              "etiqueta" => "44"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dairy Fat Consumption and the Risk of Metabolic Syndrome&#58; An Examination of the Saturated Fatty Acids in Dairy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;L&#46; Unger"
                            1 => "M&#46; Torres-Gonzalez"
                            2 => "J&#46; Kraft"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3390/nu12082200"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nutrients&#46;"
                        "fecha" => "2019"
                        "volumen" => "12"
                        "numero" => "pii"
                        "paginaInicial" => "E2200"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32718098"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            44 => array:3 [
              "identificador" => "bib0460"
              "etiqueta" => "45"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The effects of plant&#8208;based diets on the body and the brain&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Medawar"
                            1 => "S&#46; Huhn"
                            2 => "A&#46; Villringer"
                            3 => "A&#46;V&#46; Witte"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Transl Psychiatry&#46;"
                        "fecha" => "2019"
                        "volumen" => "1"
                        "paginaInicial" => "226"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            45 => array:3 [
              "identificador" => "bib0465"
              "etiqueta" => "46"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lifestyle changes for treating psoriasis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46;C&#46; Chi"
                            1 => "S&#46;H&#46; Ko"
                            2 => "M&#46;L&#46; Yeh"
                            3 => "S&#46;H&#46; Wang"
                            4 => "Y&#46;S&#46; Tsai"
                            5 => "M&#46;Y&#46; Hsu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/14651858.CD011360.pub2"
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                        "tituloSerie" => "Cochrane Database Syst Rev&#46;"
                        "fecha" => "2015"
                        "volumen" => "11"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27886368"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0470"
              "etiqueta" => "47"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "You are what you eat&#58; diet&#44; health and the gut microbiota"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "N&#46; Zmora"
                            1 => "J&#46; Suez"
                            2 => "E&#46; Elinav"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/s41575-018-0061-2"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nat Rev Gastroenterol Hepatol&#46;"
                        "fecha" => "2019"
                        "volumen" => "16"
                        "paginaInicial" => "35"
                        "paginaFinal" => "56"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30262901"
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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Informação do artigo

ISSN: 26662752
Idioma original: Português

DOI:10.1016/j.abdp.2020.02.002

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2021 Maio	69	89	158
2021 Abril	180	194	374
2021 Mar�o	109	77	186
2021 Fevereiro	24	20	44
2021 Janeiro	36	22	58
2020 Dezembro	29	14	43
2020 Novembro	26	15	41
2020 Outubro	23	9	32
2020 Setembro	30	17	47
2020 Agosto	28	16	44
2020 Julho	16	12	28
2020 Junho	11	10	21

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