Adherence to the 10 steps for a healthy diet in pregnant women in Southeast Brazil


  • Camila Bruneli do Prado Universidade Federal do Espírito Santo
  • Edson Theodoro Dos Santos Neto Universidade Federal do Espírito Santo (UFES)
  • Silvia das Dores Rissino Universidade Federal do Espírito Santo (UFES)
  • Daiene Rosa Gomes Universidade Federal do Oeste da Bahia (UFOB)
  • Luciane Bresciani Salaroli Universidade Federal do Espírito Santo (UFES)



Pregnant women, Prenatal Nutrition, Technology, Health Promotion


Introduction: Nutritional guidelines in prenatal care can influence the pregnant woman's eating behavior, reducing the risks for the mother-baby binomial.

Objective: To analyze adherence to the 10 steps for healthy eating during pregnancy and its association with maternal and socioeconomic factors in pregnant women in Espírito Santo, Brazil.

Methods: Data were obtained through an electronic questionnaire widely publicized on social networks. Socioeconomic, prenatal and eating behavior data were collected from 368 participants. The 10 Steps to Healthy Eating during pregnancy, adapted from the Brazilian Ministry of Health, using the Praise-Guide-Recommend System (EOR) were used as evaluation criteria. Pearson's chi-square test and Fisher's exact test were used to analyze differences between proportions. The binary logistic regression model was used to investigate the association between independent variables and steps towards healthy eating. A significance level of 5% and a confidence interval of 95% were adopted.

Results: Most pregnant women reported adherence of 3 to 5 steps (78.5%), fitting into the O-Orientation category. It was observed that receiving nutritional guidance during prenatal care increased adherence in step 4 (OR: 1.99; 95%CI: 1.26-3.15), in step 5 (OR: 2.02; 95%CI: 1 .26-3.24) and step 9 (OR: 1.66; 95%CI: 1.66-2.58).

Conclusion: The results suggest the need to strengthen prenatal actions, mainly related to guidelines on encouraging healthy and adequate eating habits.


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Author Biographies

Camila Bruneli do Prado, Universidade Federal do Espírito Santo

Postgraduate Program in Public Health. Federal University of Espírito Santo (PPGSC/UFES). Avenida Marechal Campos, 1468, Bonfim, Vitória, Espírito Santo, Brazil; email:

Edson Theodoro Dos Santos Neto, Universidade Federal do Espírito Santo (UFES)

Postgraduate Program in Public Health, Federal University of Espírito Santo (UFES), Avenida Marechal Campos, 1468, Bonfim, Vitória, Espírito Santo, Brazil; email:

Silvia das Dores Rissino, Universidade Federal do Espírito Santo (UFES)

Department of Computing and Electronics, Federal University of Espírito Santo, BR-101, km 60 - Litorâneo, 29932-540, São Mateus, Espírito Santo, Brazil; email:

Daiene Rosa Gomes, Universidade Federal do Oeste da Bahia (UFOB)

Center for Biological and Health Sciences, Federal University of Western Bahia (UFOB). Rua Professor José Seabra de Lemos, 316, Recanto dos Passáros, CEP 47808-021, Barreiras, Bahia, Brazil; e-mail:

Luciane Bresciani Salaroli, Universidade Federal do Espírito Santo (UFES)

Postgraduate Program in Public Health, Federal University of Espírito Santo (UFES), Avenida Marechal Campos, 1468, Bonfim, Vitória, Espírito Santo, Brazil; email:


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