ABSTRACT Livestock systems at Region Aysén del General Carlos Ibáñez del Campo depend on forage conservation during the spring-summer season, generally with low nutritional quality to animal requirements. To reduce nutrient loss, additives are commonly used, being spent brewery yeast a potential additive. Therefore, a study was carried out with the inclusion of two spent brewer’s yeast (Lager and Ale) as an additive in pasture mini silos compared to two commercial additives (SiloSolve MC™ and Josilac grass™) and mini silo without additive. It was observed that spent brewer’s yeast has a negative effect on crude protein and metabolizable energy, contents that decreased to 9.8% and 2.5%, respectively, compared to control. However, Ale yeast declined faster and maintained lower pH levels below 4.1. Spent brewer’s yeast do not improve nutritional quality, however decreased pH levels of pasture silage. Therefore, it should be noted that the effect of spent brewer’s yeasts has been insufficiently evaluated. Thus, is still a lack of trials within large scale of silage conservation and its effects on animal feed performance.

Abstract The relevance of this study is determined by the urgent importance of the issues of training musicians in the context of qualitative nurturing of their abilities for music interpretation in accordance with the author's main ideas. The purpose of this study lies in the analysis of the main features of the problem of interpretation of musical works by different composers, in terms of the development of the performing skills of musicians, as a major constituent of qualitative perception of a musical piece. The main methodological approach explored in this paper combines a systematic analysis of the performance practice of musical works with a consideration of the development of musicians' performance skills, taking into account their individual characteristics and level of skill. The study also analyzes the process of developing performance skills in musicians studying in modern educational institutions, such as music schools, and secondary and higher music schools. The results of this study indicate the high importance of qualitative interpretation of musical works by performers for the perception of listeners, as well as the low level of research on this range of issues, which necessitates further research in this area. The results and conclusions of this study are important both for teachers of music schools who train future musicians and for musicians themselves. The main idea is that in the process of performing musical works, it is important to convey the author's intention or design, which is expressed in the musical nuances of the work. The authors of the study show that understanding this intention and the ability to reproduce it with performance techniques are important for musicians. The study indicates that musicians should constantly improve their skills and abilities to reproduce the meaning of musical works in order to give them a deeper expression. author s ideas composers piece skill institutions listeners area themselves design work expression

Resumo A relevância deste estudo é determinada pela importância urgente das questões da formação dos músicos no contexto do desenvolvimento qualitativo das suas capacidades de interpretação musical, de acordo com as ideias principais do autor. O objetivo deste estudo consiste na análise das principais características do problema da interpretação de obras musicais de diferentes compositores, em termos do desenvolvimento das competências performativas dos músicos, como um dos principais constituintes da perceção qualitativa de uma obra musical. A principal abordagem metodológica a considerar no âmbito da investigação combina uma abordagem sistemática ao estudo das características da interpretação de diferentes obras da cultura musical, em função das suas características individuais e do nível de competências de execução, com o estudo analítico do desenvolvimento das competências de execução dos intérpretes individuais, no contexto da sua formação em instituições educativas modernas do ensino básico, secundário e superior de música. Os resultados deste estudo indicam a elevada importância da interpretação qualitativa de obras musicais por parte dos intérpretes para a perceção dos ouvintes, bem como o baixo nível de investigação sobre esta gama de questões, o que torna necessária mais investigação nesta área. Os resultados e conclusões deste estudo são essenciais para os professores das instituições de ensino que formam os futuros músicos, bem como para os próprios músicos, que pela natureza das suas actividades profissionais se deparam com a necessidade urgente de refletir nas obras musicais que executam a intenção do autor expressa na paleta entoacional da obra musical e de aperfeiçoar a sua performance para expandir a sua capacidade de refletir os significados de uma obra musical. compositores básico música ouvintes área

ABSTRACT The aim of this study was to update the epidemiological information of brucellosis in the province of Formosa, Argentina, based on records from the Research and Transfer Centre during the 2018-2021 period. In total, 151 218 samples of bovine sera from 1953 establishments in the province of Formosa were serologically analysed. Data analysis was done using logistic regression. The presence of spatial association clusters for populations with heterogeneous distribution was evaluated by scanning a data group less than 50% of the population at risk. The distribution of herds positive for brucellosis was assumed as a Bernoulli distribution. The prevalence of bovine brucellosis was 0.88%, while that of herds positive for brucellosis was 17.1%. The intra-herd prevalence was 5.73% (95% CI 0.34-24.18%). In 2018, a prevalence of 0.44% was observed with increases in 2019 (1.77%) and 2021 (0.52%). The spatial analysis identified four significant clusters, two of them with a higher risk of developing the disease and two with a lower risk, presenting Relative Risk (RR) values of 3.92, 30.13, 0.02 and 0.014, respectively. The disease continues to be present in the province with high prevalence, concentrating in the central and eastern areas of the province of Formosa.

RESUMEN El objetivo del trabajo fue actualizar la información epidemiológica de la brucelosis en la provincia de Formosa, Argentina, con base de registros provenientes del Centro de Investigaciones y Transferencia durante el periodo 2018-2021. Se analizaron serológicamente 151 218 muestras de sueros bovinos provenientes de 1953 establecimientos de provincia de Formosa. El análisis de los datos se hizo mediante una regresión logística. Se evaluó la presencia de clústeres de asociación espacial para poblaciones con distribución heterogénea escaneando un grupo de datos menor al 50% de la población bajo riesgo. La distribución de rodeos positivos a brucelosis fue asumida como una distribución Bernoulli. La prevalencia de brucelosis bovina fue de 0.88%, mientras que la de rodeos positivos a brucelosis fue de 17.1%. La prevalencia intra-rodeo fue de 5.73% (IC95% 0.34-24.18%). En 2018 se observó una prevalencia de 0.44% con incrementos en 2019 (1.77%) y 2021 (0.52%). El análisis espacial identificó cuatro clústeres significativos, dos de ellos de mayor riesgo de presentar la enfermedad y dos de menor riesgo, presentando valores de Riesgo Relativo (RR) de 3.92, 30.13, 0.02 y 0.014, respectivamente. La enfermedad continua presente en la provincia con prevalencias elevadas, concentrándose en las zonas centro y este de la provincia de Formosa.

ABSTRACT The citrus red mite, Panonychus citri (McGregor, 1916), is considered a very important pest in most citrus-growing countries. The developmental periods, reproduction rates, and population growth parameters of P. citri were evaluated using the fruit peel under experimental conditions (25 ± 1 °C, 50 ± 5% RH and 14:10 h photoperiod) on five Citrus species: Mexican lime (C. ×aurantiifolia (Christm.) Swingle), grapefruit (C. ×paradisi Macfad.), sweet orange (C. ×sinensis (L.) Osbeck), mandarin (C. reticulata Blanco), and tangelo fruit (C. ×tangelo J.W. Ingram & H.E. Moore). The developmental period of the immature stages of P. citri averaged 26.64, 25.93 and 25.75 d for sweet orange, mandarin, and tangelo fruit, respectively. The adult stage was not achieved in Mexican lime and grapefruit. Immature survival was less than 50% in mandarin and tangelo fruit, in contrast, in sweet orange it was 57%. On average, oviposition was 3.55, 4.95 and 5.00 eggs female-1, on sweet orange, mandarin, and tangelo fruit, respectively. The intrinsic natural growth rate (rm), net reproduction rate (R0), generation time (T), and finite growth rate (λ) of P. citri showed significant differences among the tested species (p < 0.05). The rm and R0 values were 0.005 and 1.209 for sweet orange, 0.026 and 2.474 for mandarin and 0.020 and 2.000 for tangelo fruit. The results indicated that mandarin was the most suitable species for the P. citri population growth, whereas sweet orange was less suitable to proliferate. These differences are important in the integrated management of P. citri on citrus.

Resumo Este estudo objetivou avaliar a associação de fatores sociodemográficos e estilo de vida com consumo de alimentos in natura ou minimamente processados (INMP), ultraprocessados (AUP) e frutas e hortaliças. Trata-se de estudo transversal com 403 crianças de 4 a 7 anos de uma coorte retrospectiva. Variáveis sociodemográficas e estilo de vida foram investigadas através do questionário sociodemográfico. O consumo alimentar foi avaliado por três registros alimentares. Empregaram-se análises de regressão linear bivariadas e multivariadas para analisar as associações. Crianças com menor renda apresentaram maior consumo de alimentos INMP e menor consumo de AUP. Menor tempo de permanência na escola associou-se ao menor consumo de alimentos INMP e maior consumo de AUP. Crianças com maior tempo de tela e com pais de menor escolaridade, consumiram menos frutas e hortaliças. Fatores sociodemográficos desfavoráveis se associaram ao melhor perfil de consumo de alimentos segundo o nível de processamento, exceto para frutas e hortaliças. O maior tempo de permanência na escola e menor tempo de tela contribuíram para uma alimentação mais saudável.

Abstract The present study aimed to evaluate the association of sociodemographic factors and lifestyle with the consumption of in natura or minimally processed (INMP) foods, ultra-processed foods (UPFs), and fruits and vegetables. This was a cross-sectional study conducted with 403 children, aged 4 to 7 years, from a retrospective cohort. Sociodemographic and lifestyle variables were investigated using a sociodemographic questionnaire. Food consumption was assessed by three food records. Bivariate and multivariate linear regression analyses were used to analyze associations. Children with lower income had a higher consumption of INMP foods and a lower consumption of UPFs. A shorter time spent at school was associated with a lower consumption of INMP foods and a higher consumption of UPFs. Children with more screen time and less educated parents consumed less fruits and vegetables. Unfavorable sociodemographic factors were associated with a better profile of food consumption according to the level of processing, except for fruits and vegetables. The longer time spent at school and a shorter screen time contributed to a healthier diet.

Resumo Este estudo objetivou avaliar a associação de fatores sociodemográficos e estilo de vida com consumo de alimentos in natura ou minimamente processados (INMP), ultraprocessados (AUP) e frutas e hortaliças. Trata-se de estudo transversal com 403 crianças de 4 a 7 anos de uma coorte retrospectiva. Variáveis sociodemográficas e estilo de vida foram investigadas através do questionário sociodemográfico. O consumo alimentar foi avaliado por três registros alimentares. Empregaram-se análises de regressão linear bivariadas e multivariadas para analisar as associações. Crianças com menor renda apresentaram maior consumo de alimentos INMP e menor consumo de AUP. Menor tempo de permanência na escola associou-se ao menor consumo de alimentos INMP e maior consumo de AUP. Crianças com maior tempo de tela e com pais de menor escolaridade, consumiram menos frutas e hortaliças. Fatores sociodemográficos desfavoráveis se associaram ao melhor perfil de consumo de alimentos segundo o nível de processamento, exceto para frutas e hortaliças. O maior tempo de permanência na escola e menor tempo de tela contribuíram para uma alimentação mais saudável.

Abstract The present study aimed to evaluate the association of sociodemographic factors and lifestyle with the consumption of in natura or minimally processed (INMP) foods, ultra-processed foods (UPFs), and fruits and vegetables. This was a cross-sectional study conducted with 403 children, aged 4 to 7 years, from a retrospective cohort. Sociodemographic and lifestyle variables were investigated using a sociodemographic questionnaire. Food consumption was assessed by three food records. Bivariate and multivariate linear regression analyses were used to analyze associations. Children with lower income had a higher consumption of INMP foods and a lower consumption of UPFs. A shorter time spent at school was associated with a lower consumption of INMP foods and a higher consumption of UPFs. Children with more screen time and less educated parents consumed less fruits and vegetables. Unfavorable sociodemographic factors were associated with a better profile of food consumption according to the level of processing, except for fruits and vegetables. The longer time spent at school and a shorter screen time contributed to a healthier diet.

RESUMO Objetivo: Analisar a ocorrência de desigualdade racial e regional na tendência temporal das prevalências de déficit de estatura e excesso de peso de crianças brasileiras menores de cinco anos ao longo dos anos de 2008–2018. Métodos: Estudo ecológico de série temporal com dados do Sistema de Vigilância Alimentar e Nutricional das prevalências de déficit de estatura e excesso de peso em crianças menores de 5 anos de acordo com raça/cor, região e ano. Para avaliar diferenças entre prevalências medianas por ano dos desfechos, realizou-se teste de Kruskal-Wallis. Análises de regressão linear foram propostas para avaliar tendências das prevalências dos desfechos ao longo dos anos. Resultados: No Brasil, as crianças pretas apresentaram tendência de crescimento do excesso de peso (β=4,611; p=0,042). Entre as crianças pretas, houve aumento ao longo dos anos do déficit de estatura no Sudeste (β=3,960; p=0,014) e queda no Sul (β=-4,654; p=0,022). No Brasil e na maioria das regiões, a prevalência mediana do déficit de estatura foi maior nas crianças pretas do que nas brancas (12,86 vs. 11,54%, p<0,001). No Sudeste e Sul, as crianças pretas também apresentaram as maiores prevalências de excesso de peso (15,48 e 15,99%, respectivamente). Conclusão: Crianças de regiões menos desenvolvidas do Brasil e pretas apresentaram maior vulnerabilidade para dupla carga de má nutrição.

ABSTRACT Objective: To analyze the occurrence of racial and regional inequality in the temporal trend of the prevalence of stunting and overweight in Brazilian children under five years of age over the years 2008–2018. Methods: An ecological time-series study with data from the Food and Nutrition Surveillance System on the prevalence of stunting and overweight in children under five years old according to race/skin color, region, and year. To assess differences between median prevalence per year of outcomes, the Kruskal-Wallis test was performed. Linear regression analyses were proposed to assess trends in the prevalence of outcomes over the years. Results: In Brazil, black children tended to be overweight (β=4.611; p=0.042). Among black children, there was an increase over the years in stunting in the Southeast (β=3.960; p=0.014) and a decrease in the South (β=-4.654; p=0.022). In Brazil and in most regions, the median prevalence of stunting was higher in black children than in white ones (12.86 vs. 11.54%, p<0.001). In the Southeast and South, black children also had the highest prevalence of overweight (15.48 and 15.99%, respectively). Conclusion: Children from less developed regions of Brazil and of black skin color/race were more vulnerable to a double burden of malnutrition.

RESUMO OBJETIVO Analisar a associação entre o peso ao nascer e a densidade mineral óssea (DMO) na adolescência. MÉTODOS Estudo de coorte de nascimentos em São Luís, Maranhão, utilizando dados de dois momentos: ao nascimento e aos 18–19 anos. A exposição foi o peso ao nascer em gramas, analisado de forma contínua. O desfecho foi a DMO, utilizando o índice Z-escore (corpo inteiro) medido pela densitometria por dupla emissão de raios X (DEXA). Foi construído modelo teórico em gráficos acíclicos direcionados para identificar o conjunto mínimo de variáveis de ajuste – renda familiar, a mãe saber ler e escrever à época do nascimento, realização de pré-natal, tabagismo durante a gestação e paridade – para avaliar a associação entre o peso ao nascer e a densidade mineral óssea na adolescência. Utilizou-se regressão linear múltipla no software Stata 14.0. O nível de significância adotado foi de 5%. RESULTADOS Dos 2.112 adolescentes, 8,2% apresentaram baixo peso ao nascer e 2,8% apresentaram DMO considerada baixa para a idade. O Z-escore médio de corpo inteiro foi de 0,19 (± 1,00). O maior peso ao nascer foi associado de forma linear e direta aos valores de DMO na adolescência (Coef.: 0,10; IC95% 0,02–0,18), mesmo após ajuste para as variáveis renda familiar (Coef.: -0,33; IC95% -0,66–0,33) e a mãe saber ler e escrever (Coef.: 0,23; IC95% 0,03–0,43). CONCLUSÕES Apesar de a associação ter sido atenuada após ajuste das variáveis, o peso ao nascer está associado de forma positiva e linear à DMO na adolescência.

ABSTRACT OBJECTIVE To analyze the association between birth weight and bone mineral density (BMD) in adolescence. METHODS A birth cohort study in São Luís, Maranhão, using data from two moments: at birth and at 18–19 years. Exposure was the birth weight in grams, continuously analyzed. The outcome was BMD, using the Z-score index (whole body) measured by double X-ray densitometry (Dexa). A theoretical model was constructed in acyclic graphs to identify the minimum set of adjustment variables – household income, the mother knowing how to read and write at the time of birth, prenatal care, tobacco use during pregnancy, and parity — to evaluate the association between birth weight and bone mineral density in adolescence. Multiple linear regression was used in Stata 14.0 software. A 5% significance level was adopted. RESULTS From 2,112 adolescents, 8.2% had low birth weight and 2.8% had a low BMD for their age. The mean full-body Z-score was 0.19 (± 1.00). The highest birth weight was directly and linearly associated with BMD values in adolescence (Coef.: 0.10; 95%CI: 0.02–0.18), even after adjustment for the variables household income (Coef.: -0.33; 95%CI: -0.66–0.33) and the mother knowing how to read and write (Coef.: 0.23%; 95%CI: 0.03–0.43). CONCLUSION Although after adjusting the variables the association attenuated, birth weight positively and linearly relates to BMD in adolescence.

Resumen: Los lipomas colónicos son tumores benignos poco frecuentes, extremadamente raros a nivel rectal. A pesar de ello, ocupan el segundo lugar en frecuencia detrás de los pólipos adenomatosos. Aunque la mayoría de los lipomas colorrectales son asintomáticos y se descubren incidentalmente, en ocasiones pueden ser sintomáticos y determinar complicaciones agudas que requieren tratamiento quirúrgico de urgencia. Estas formas de presentación pueden confundirse con las del cáncer colorrectal, constituyendo un desafío diagnóstico y terapéutico. Presentamos el caso de una paciente que consultó en emergencia por una gran masa dolorosa de aparición aguda a nivel del ano, resultando ser un lipoma rectal prolapsado a través del canal anal.

Abstract: Colonic lipomas are infrequent benign tumors, extremely rare at the rectum. Nevertheless, they follow in frequency polyp adenomas. Even though most colorectal lipomas are asymptomatic and incidental, they can occasionally be symptomatic and develop acute complications that require urgent surgical treatment. This form of presentation can be confounded with colorectal cancer, therefore impairing diagnosis and treatment. We present the case of a female patient who came to the emergency room with an acute painful mass through the anus, that resulted in a prolapsed rectal lipoma.

Resumo: Os lipomas colônicos são tumores benignos pouco frequentes, extremamente raros no nível retal. Apesar disso, ocupam o segundo lugar em frequência atrás dos pólipos adenomatosos. Embora a maioria dos lipomas colorretais sejam assintomáticos e descobertos incidentalmente, às vezes eles podem ser sintomáticos e levar a complicações agudas que requerem tratamento cirúrgico de emergência. Essas formas de apresentação podem ser confundidas com as do câncer colorretal, constituindo um desafio diagnóstico e terapêutico. Apresentamos o caso de um paciente que consultou na sala de emergência por uma grande massa dolorosa de início agudo ao nível do ânus, que acabou por ser um lipoma retal prolapsado pelo canal anal.

Resumen La escisión mesorrectal transanal (TaTME: transanal total mesorectal escision) es la última de una larga lista de desarrollos técnicos y tecnológicos para el tratamiento del cáncer de recto medio y bajo. Incluso para los cirujanos colorrectales experimentados, lograr una escisión mesorrectal total (emt) de calidad en cirugía oncológica no siempre es sencillo, por la dificultad de obtener un adecuado acceso a la pelvis. Los estudios realizados han mostrado resultados comparables al abordaje laparoscópico, con tasas elevadas de escisiones mesorrectales completas y bajo porcentaje de margen circunferencial radial (CRM: circumferential radial margin) y distal positivos, con un adecuado número de ganglios resecados. Como toda técnica nueva, su implementación puede traer consecuencias no intencionales. La complejidad del abordaje, la dificultad en la identificación de nuevos repères y planos anatómicos, ha llevado a complicaciones graves como la lesión uretral o la siembra tumoral pelviana. Por ello, la comunidad quirúrgica ha retrasado la implementación masiva de la técnica y desarrollado estrategias de enseñanza y monitorización de este procedimiento para su realización en centros de alto volumen. El objetivo de esta publicación es presentar el primer caso de TaTME en un centro docente universitario y difundir en nuestra comunidad científica el fundamento de la técnica, sus indicaciones, describir los principales pasos técnicos, complicaciones, resultados oncológicos y funcionales.

Summary Transanal total mesorectal excision (TaTME) is the last of a long list of technical and technological developments for treatment of middle and low rectal cancer. Even for skilled colorectal surgeons, achieving a good quality total mesorectal excision (TME) in oncology surgery is not always simple, due to the difficulty of obtaining optimal access to the pelvis. So far, studies have shown similar results to laparoscopic surgery, with high rates of complete mesorectal excisions and low rate of circumferential radial margin (CRM) and distal margin with an appropriate number of resected lymph nodes. Like every new technique, its implementation can bring unwanted consequences. The complexity of the approach, the difficulty in the identification of new landmarks and anatomic planes, has led to serious complications such as urethral injury or tumoral seeding. This has made slowdown the massive implementation of the technique among the surgical community, addressing the need of developing training programs and mentoring of this procedure that belongs to high volume centers. The aim of this publication is to present the first case of TaTME in a teaching tertiary center and spread, in our scientific community, the principles of the technique, its indications, main technical steps, complications and functional and oncologic results.

Resumo A excisão mesorretal transanal (TaTME: transanal total mesorectal escision) é o mais recente de uma longa linha de desenvolvimentos técnicos e tecnológicos para o tratamento do câncer retal inferior e médio. Mesmo para cirurgiões colorretais experientes, nem sempre é fácil obter uma excisão total do mesorreto (EMT) de qualidade em cirurgia de câncer, devido à dificuldade de obter acesso adequado à pelve. Os estudos realizados mostraram resultados comparáveis à abordagem laparoscópica, com altas taxas de excisões completas do mesorreto e baixo percentual de margem radial circunferencial positiva (CRM: circumferential radial margin) e distal, com número adequado de linfonodos ressecados. Como qualquer nova técnica, sua implementação pode ter consequências não intencionais. A complexidade da abordagem, a dificuldade em identificar novos repères e planos anatômicos, levou a complicações graves, como lesão uretral ou semeadura de tumor pélvico. Por esse motivo, a comunidade cirúrgica atrasou a implementação massiva da técnica e desenvolveu estratégias de ensino e acompanhamento desse procedimento para sua realização em centros de alto volume. O objetivo desta publicação é apresentar o primeiro caso de TaTME em um centro de ensino universitário e divulgar em nossa comunidade científica as bases da técnica, suas indicações, descrever as principais etapas técnicas, complicações, resultados oncológicos e funcionais.

Climate governance in Brazil is necessarily connected to the interests of three sectors: deforestation and land use change, agriculture, and energy, which, combined, represent around 90 percent of the country's emissions. While there is a significant number of studies on the first sector, few studies have looked into the bottlenecks of decarbonization in the agricultural and energy sectors. Thus, this article addresses some modulations in Brazilian climate politics and policy by analyzing the interest groups associated with low-carbon transitions in these two sectors. We particularly look into corporate and industrial interests and their dynamic relations with domestic and international policies, which so far have resulted in ‘climate coordination gaps’ that hinder deep decarbonization in these sectors. The results of the study detail actors, agendas, policies, interests, and challenges for a low-carbon transition in agriculture (family farming and agribusiness) and in the energy sector. The results corroborate the relevance of interest group analysis to understand the complexity of Brazil's domestic climate politics and policy, as well as the country’s behavior in foreign policy arenas regarding climate change.

Abstract The TP53 3’UTR variant rs78378222 A>C has been detected in different tumor types as a somatic alteration that reduces p53 expression through modification of polyadenylation and miRNA regulation. Its prevalence is not yet known in all tumors. Herein, we examine tumor tissue prevalence of rs7837822 in Brazilian cohorts of patients from south and southeast regions diagnosed with lung adenocarcinoma (LUAD, n=586), sarcoma (SARC, n=188) and uterine leiomyoma (ULM, n=41). The minor allele (C) was identified in heterozygosity in 6/586 LUAD tumors (prevalence = 1.02 %) and none of the SARC and ULM samples. Additionally, next generation sequencing analysis revealed that all variant-positive tumors (n=4) with sample availability had additional pathogenic or likely pathogenic somatic variants in the TP53 coding regions. Among them, 3/4 (75 %) had the same pathogenic or likely pathogenic sequence variant (allele frequency <0.05 in tumor DNA) namely c.751A>C (p.Ile251Leu). Our results indicate a low somatic prevalence of rs78378222 in LUAD, ULM and SARC tumors from Brazilian patients, which suggests that no further analysis of this variant in the specific studied regions of Brazil is warranted. However, these findings should not exclude tumor molecular testing of this TP53 3’UTR functional variant for different populations.

ABSTRACT OBJECTIVE To analyze the association between birth weight and bone mineral density (BMD) in adolescence. METHODS A birth cohort study in São Luís, Maranhão, using data from two moments: at birth and at 18–19 years. Exposure was the birth weight in grams, continuously analyzed. The outcome was BMD, using the Z-score index (whole body) measured by double X-ray densitometry (Dexa). A theoretical model was constructed in acyclic graphs to identify the minimum set of adjustment variables – household income, the mother knowing how to read and write at the time of birth, prenatal care, tobacco use during pregnancy, and parity — to evaluate the association between birth weight and bone mineral density in adolescence. Multiple linear regression was used in Stata 14.0 software. A 5% significance level was adopted. RESULTS From 2,112 adolescents, 8.2% had low birth weight and 2.8% had a low BMD for their age. The mean full-body Z-score was 0.19 (± 1.00). The highest birth weight was directly and linearly associated with BMD values in adolescence (Coef.: 0.10; 95%CI: 0.02–0.18), even after adjustment for the variables household income (Coef.: -0.33; 95%CI: -0.66–0.33) and the mother knowing how to read and write (Coef.: 0.23%; 95%CI: 0.03–0.43). CONCLUSION Although after adjusting the variables the association attenuated, birth weight positively and linearly relates to BMD in adolescence.

RESUMO OBJETIVO Analisar a associação entre o peso ao nascer e a densidade mineral óssea (DMO) na adolescência. MÉTODOS Estudo de coorte de nascimentos em São Luís, Maranhão, utilizando dados de dois momentos: ao nascimento e aos 18–19 anos. A exposição foi o peso ao nascer em gramas, analisado de forma contínua. O desfecho foi a DMO, utilizando o índice Z-escore (corpo inteiro) medido pela densitometria por dupla emissão de raios X (DEXA). Foi construído modelo teórico em gráficos acíclicos direcionados para identificar o conjunto mínimo de variáveis de ajuste – renda familiar, a mãe saber ler e escrever à época do nascimento, realização de pré-natal, tabagismo durante a gestação e paridade – para avaliar a associação entre o peso ao nascer e a densidade mineral óssea na adolescência. Utilizou-se regressão linear múltipla no software Stata 14.0. O nível de significância adotado foi de 5%. RESULTADOS Dos 2.112 adolescentes, 8,2% apresentaram baixo peso ao nascer e 2,8% apresentaram DMO considerada baixa para a idade. O Z-escore médio de corpo inteiro foi de 0,19 (± 1,00). O maior peso ao nascer foi associado de forma linear e direta aos valores de DMO na adolescência (Coef.: 0,10; IC95% 0,02–0,18), mesmo após ajuste para as variáveis renda familiar (Coef.: -0,33; IC95% -0,66–0,33) e a mãe saber ler e escrever (Coef.: 0,23; IC95% 0,03–0,43). CONCLUSÕES Apesar de a associação ter sido atenuada após ajuste das variáveis, o peso ao nascer está associado de forma positiva e linear à DMO na adolescência.