Food choices and dietary intake markers among pregnant women
ESCOLHAS ALIMENTARES E MARCADORES DE CONSUMO ALIMENTAR DE MULHERES DURANTE A GESTAÇÃO
DOI:
https://doi.org/10.66154/nmetj.v2i1.18Keywords:
Gestante, Hábitos Alimentares, Alimentos UltraprocessadosAbstract
Objective: To evaluate food intake markers in pregnant women and the factors associated with their food choices. Methods: A quantitative cross-sectional study was conducted with 32 pregnant women residing in Porto Alegre, Brazil, who were treated at Primary Health Care Units. Food intake markers and the perceived importance of various determinants of food choices were evaluated. Results: Thirty-two pregnant women from Porto Alegre participated in the study, with a mean age of 27.5 ± 6.8 years. Most had completed or partial high school education (56.3%). The factors considered most important in food choice were the baby's health and guidance from health professionals (100%), followed by economic factors (97%). Regarding consumption patterns, a high frequency of legume and sugar-sweetened beverage intake was observed. Positive correlations were identified between education level and the intake of cooked vegetables (rho = 0.389; p = 0.028$), as well as between education level and the consumption of fresh fruits (rho = 0.429; p = 0.014). Age showed a negative correlation with the consumption of instant noodles, ultra-processed snacks, or savory crackers (rho = -0.403; p = 0.022). Conclusion: The study revealed dietary behaviors that are both detailed and concerning among pregnant women. Education level and age were associated with diet quality. The results reinforce the need to strengthen food and nutrition education initiatives aimed at pregnant women, considering socioeconomic conditions as central determinants of food choices.
Keywords: Pregnant Women, Feeding Behavior, Processed Foods.
References
Schrubbe, V., Silva, D. L. F., Almeida, C. C. B., Taconeli, C. A., Elias, V. C. M., Macedo, M. de S., Franceschini, S. D. C. C., & Crispim, S. P. (2024). Ultra-processed food consumption during pregnancy and newborn weight. Revista Brasileira de Saude Materno Infantil, 24. https://doi.org/10.1590/1806-9304202400000189-en.
Morales-Suarez-Varela, M., & Rocha-Velasco, O. A. (2025). Impact of ultra-processed food consumption during pregnancy on maternal and child health outcomes: A comprehensive narrative review of the past five years. In Clinical Nutrition ESPEN (Vol. 65, pp. 288–304). Elsevier Ltd. https://doi.org/10.1016/j.clnesp.2024.12.006
Saúde Universidade De São Paulo, M. D. S. (2021). FASCÍCULO 3 PROTOCOLO DE USO DO GUIA ALIMENTAR PARA A POPULAÇÃO BRASILEIRA NA ORIENTAÇÃO ALIMENTAR DA GESTANTE Brasília-DF 2021. https://www.fsp.usp.br/nupens/
Sartorelli, D. S., Crivellenti, L. C., Zuccolotto, D. C. C., & Franco, L. J. (2019). Relationship between minimally and ultra-processed food intake during pregnancy with obesity and gestational diabetes mellitus. Cadernos de Saude Publica, 35(4). https://doi.org/10.1590/0102-311X00049318
Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Sistema de Vigilância Alimentar e Nutricional. (2022). SISVAN: Relatórios do Estado nutricional dos indivíduos acompanhados por período, fase do ciclo da vida e índice, dados de 2022.
Simmons D, Gupta Y, Hernandez TL, et al. Call to Action for a Life Course Approach. Lancet (London, England). 2024;404(10448):193-214. doi:10.1016/S0140-6736(24)00826-2.
Rocha Mariano, K., Andrade, G. C., Louzada, M. L. C., Nakamura, M. U., Araujo, E., & Souza, E. (2023). Ultra-processed foods and the nutritional quality of the diet of Brazilian pregnant women. Revista Da Associacao Medica Brasileira, 69(1), 169–174. https://doi.org/10.1590/1806-9282.20221230
Simmons D, Gupta Y, Hernandez TL, et al. Call to Action for a Life Course Approach. Lancet (London, England). 2024;404(10448):193-214. doi:10.1016/S0140-6736(24)00826-2.
Salatas, C., Bronnert, A., Lawrence, R., Alexander, T., Wall, C., Bloomfield, F. H., & Lin, L. (2025). Dietary Patterns and Diet Quality before and/or during Pregnancy and How These Affect Birth Outcomes: A Systematic Review and Meta-analysis. In Advances in Nutrition (Vol. 16, Issue 10). Elsevier B.V. https://doi.org/10.1016/j.advnut.2025.100490
Castro, M. B. T., de Souza, R. A. G., Vilela, A. A. F., & Kac, G. (2014). Association between sociodemographics factors and dietary patterns during pregnancy. Revista de Nutricao, 27(2), 173–181. https://doi.org/10.1590/1415-52732014000200004
Ministério da Saúde. (2008). Protocolos do Sistema de Vigilância Alimentar e Nutricional-SISVAN na assistência à saúde. www.saude.gov.br/nutricao.
Marshall, N. E., Abrams, B., Barbour, L. A., Catalano, P., Christian, P., Friedman, J. E., Hay, W. W., Hernandez, T. L., Krebs, N. F., Oken, E., Purnell, J. Q., Roberts, J. M., Soltani, H., Wallace, J., & Thornburg, K. L. (2022). The importance of nutrition in pregnancy and lactation: lifelong consequences. In American Journal of Obstetrics and Gynecology (Vol. 226, Issue 5, pp. 607–632). Elsevier Inc. https://doi.org/10.1016/j.ajog.2021.12.035
Gallegos, D. (2025). Effects of Food and Nutrition Insecurity on Global Health. New England Journal of Medicine, 392(7), 686–697. https://doi.org/10.1056/nejmra2406458
Yang, B., Ferdousi, M. S., Morris, J., Durnell, R. H., Chan, D., Rekić, N., Rideout, T. C., & Wen, X. (2023). Maternal Bean Consumption during Pregnancy: Distribution and Nutritional Outcomes. Nutrients, 15(9). https://doi.org/10.3390/nu15092234
Grdeń P, J. A. (2023). Health benefits of legume seeds. Journal of the Science of Food and Agriculture. https://doi.org/10.1002/jsfa.12585.
Carreira, N. P., de Lima, M. C., Travieso, S. G., Sartorelli, D. S., & Crivellenti, L. C. (2024). Maternal factors associated with habitual consumption of ultra-processed foods during pregnancy. Ciencia e Saude Coletiva, 29(1). https://doi.org/10.1590/1413-81232024291.16302022
Gamba, R. J., Leung, C. W., Petito, L., Abrams, B., & Laraia, B. A. (2019). Sugar sweetened beverage consumption during pregnancy is associated with lower diet quality and greater total energy intake. PLoS ONE, 14(4). https://doi.org/10.1371/journal.pone.0215686
Wang, Z., Cui, X., Yu, H., Chan, E. M., Shi, Z., Shi, S., Shen, L., Sun, Z., Song, Q., Lu, W., Ma, W., Mai, S., & Zang, J. (2024). Association of Beverage Consumption during Pregnancy with Adverse Maternal and Offspring Outcomes. Nutrients, 16(15). https://doi.org/10.3390/nu16152412
Gillman, M. W., Rifas-Shiman, S. L., Fernandez-Barres, S., Kleinman, K., Taveras, E. M., & Oken, E. (2017). Beverage Intake During Pregnancy and Childhood Adiposity. In Article PEDIATRICS (Vol. 140, Issue 2).
Beulen, Y. H., Super, S., de Vries, J. H. M., Koelen, M. A., Feskens, E. J. M., & Wagemakers, A. (2020). Dietary interventions for healthy pregnant women: A systematic review of tools to promote a healthy antenatal dietary intake. In Nutrients (Vol. 12, Issue 7, pp. 1–23). MDPI AG. https://doi.org/10.3390/nu12071981
McClinchy, J., Fallaize, R., Parsons, K., & Whiting, L. (2025). “You Want to Eat Healthy, Especially When You’re Pregnant. But Sometimes, It’s Just Not Possible”: Perceptions of Facilitators and Barriers to Healthy Food and Diet Practices During Pre-Conception and Pregnancy. Journal of Human Nutrition and Dietetics, 38(5). https://doi.org/10.1111/jhn.70122
Laraia, B. A., Siega-Riz, A. M., Gundersen, C., & Dole, N. (2006). Community and International Nutrition Psychosocial Factors and Socioeconomic Indicators Are Associated with Household Food Insecurity among Pregnant Women 1. In J. Nutr (Vol. 136).
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Nutrition and Metabolism Journal: Clinical and Experimental

This work is licensed under a Creative Commons Attribution 4.0 International License.





