scholarly journals Perceptions of Tailored Dietary Advice to Improve the Nutrient Adequacy of the Diet in French Pregnant Women

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 85
Author(s):  
Clélia M. Bianchi ◽  
François Mariotti ◽  
Elodie Reulet ◽  
Gaëlle Le Goff ◽  
Anne Lluch ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Qualitative Data ◽  
Dietary Habits ◽  
Well Being ◽  
Perceived Barriers ◽  
Dietary Advice ◽  
Focus Group Study ◽  
Dietary Practices ◽  
Dietary Counseling ◽  
Dietary Changes

Tailored dietary counseling could be specifically efficient during pregnancy, a period accompanied by a rise in nutrition awareness, but little is known about the expectations of pregnant women in this regard. We studied these expectations regarding tailored dietary advice in French women during their pregnancy, as well as their motivations and the perceived barriers and enablers. In French pregnant women, we evaluated the perceptions of tailored dietary advice provided by stepwise dietary counseling based on three types of dietary changes, consisting of: (1) a modification of the amounts consumed, (2) substitutions within the food subgroups, and (3) substitutions between food subgroups. A sequential explanatory mixed-method approach was designed. Using qualitative data from a focus group study (n = 40), we intended to explore in depth the women’s expectations regarding dietary advice and adherence to a tailored approach. These were combined with quantitative and qualitative data from a 6-week online longitudinal study (n = 115), using questionnaires designed to assess the modifications of dietary habits during pregnancy and to evaluate each type of dietary change. Both studies confirmed that most women in our samples did indeed intend to institute changes regarding healthier dietary practices during pregnancy. The principal motivation behind changes to their habits was to ensure the health and well-being of both their babies and themselves. The proposal of dietary advice that is tailored to both the current diet and the specific needs of pregnant women, but that is also positive and credible, was perceived as enabling implementing healthier dietary practices during pregnancy. Regarding the implementation of the dietary changes proposed, the enablers and barriers identified differed between modifications of the amounts consumed and substitutions. The women displayed interest in all types of dietary changes. This gave relevance to combining different types of changes in order to propose dietary counseling during pregnancy. Tailored dietary counseling was identified by French pregnant women in our samples as enabling them to adopt a healthier diet. However, perceived barriers might limit the implementation of dietary changes, especially when they involved marked modifications to their usual diet.

scholarly journals Changing the Irish dietary guidelines to incorporate the principles of the Mediterranean diet: proposing the MedÉire diet

2018 ◽  
Vol 22 (2) ◽  
pp. 375-381 ◽  
Author(s):  
Audrey C Tierney ◽  
Ioannis Zabetakis
Keyword(s):  
Mediterranean Diet ◽  
Dietary Habits ◽  
Scientific Evidence ◽  
Well Being ◽  
Dietary Guidelines ◽  
Perceived Barriers ◽  
Low Fat Diet ◽  
Mediterranean Countries ◽  
Food Pyramid ◽  
Health And Well Being

AbstractObjectiveIn Ireland, the major causes of death are CVD. The current Irish healthy eating guidelines and food pyramid primarily advocate a low-fat diet. However, there is overwhelming scientific evidence for the benefits of a Mediterranean diet (Med Diet) in the prevention and management of metabolic disease as well as improving overall health and well-being. In the current commentary, the rationale to incorporate the principles of the Med Diet into the Irish dietary guidelines is presented.DesignPerspectives of authors.SettingLocal and international.SubjectsPopulations in Europe, North America and Australia.ResultsAdopting components of the Med Diet presents a more evidence-based approach to updating the current Irish dietary guidelines. Experience and lessons from other non-Mediterranean countries show that it could be a feasible and effective solution to improving the dietary habits of the Irish population to prevent and mange chronic diseases.ConclusionsPolicies and programmes to address perceived barriers to the Med Diet’s implementation and uptake in non-Mediterranean countries should be promoted.

scholarly journals Dietary practices and associated factors among pregnant women in West Gojjam Zone, Northwest Ethiopia

2019 ◽  
Author(s):  
Yeshalem Mulugeta ◽  
Getu Degu Alem ◽  
Tefera Belachew
Keyword(s):  
Focus Group ◽  
Pregnant Women ◽  
Qualitative Data ◽  
Group Discussion ◽  
Northwest Ethiopia ◽  
Group Discussions ◽  
Dietary Practices ◽  
Key Informant ◽  
West Gojjam ◽  
West Gojjam Zone

Abstract Background: Optimal dietary practice is a critical requisite for maternal nutrition. However, the majority of Ethiopian pregnant women have inadequate nutrient intakes. These may be due to their poor dietary habits. Identifying factors affecting the dietary practices of pregnant women is crucial to design appropriate interventions. In this country, the dietary practices of pregnant women and determinants are not well studied. Therefore, the purpose of this study was to assess the dietary practices and associated factors among pregnant women in West Gojjam Zone, Northwest Ethiopia. Methods: A community-based cross-sectional study was carried out among 712 pregnant women from May to August 2018. Quantitative data complemented with a qualitative method. Pregnant women were selected using a cluster sampling technique. Structured questionnaires were utilized for data collection. Data were entered into Epi-Info version 7.2.2 and exported to SPSS version 23 software for analysis. Data were described using frequencies and mean. A logistic regression analysis was done. For the qualitative data, three focus group discussions and 17 key-informant interviews were conducted. Focus group discussion participants were mothers, husbands and health professionals. Typical case and homogeneous sampling techniques were used for the key-informant interviews and focus group discussions, respectively. Qualitative data were collected using interview and focus group discussion guides. Thematic analysis was used for the qualitative data. Results: Only 19.9% of respondents had appropriate dietary practices. On the multivariable logistic regression analyses, being food secure [AOR=2.25, 95% CI: (1.1, 4.5)], having high edible crop production [AOR=2.00, 95% CI: (1.2, 3.2)] and favorable attitude [AOR=1.69, 95% CI: (1.1, 2.6)] were significantly associated with the appropriate dietary practices of pregnant women. In the qualitative study lack of knowledge on maternal diet, cultural prohibition and knowledge gap of professionals were barriers that interfere with dietary practices during pregnancy. Conclusion: Pregnant women in the study area are found to have suboptimal dietary practices. Therefore, health professionals should give regular nutrition counseling using cards and role models for promoting diversified food production and consumption to meet the nutrient requirements during pregnancy.

scholarly journals 3rd TRIMESTER OF PREGNANCY;

2014 ◽  
Vol 21 (06) ◽  
pp. 1113-1116
Author(s):  
Nasira Naseem ◽  
Ijaz-Ul-Haque Taseer ◽  
Sohail Safdar
Keyword(s):  
Blood Transfusion ◽  
Pregnant Women ◽  
Low Income ◽  
Dietary Habits ◽  
Multiple Pregnancy ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
History Of

Objective: To see the frequency of anemia in pregnant ladies and its possible outcomes. Study design: Descriptive cross sectional study. Setting: Fatima Jinnah Women Hospital, Multan. Duration of study: Six months. Material and method: This prospective cross sectional study was conducted at Gynae and Obst. OPD at Fatima Jinnah Women Hospital, Multan. Non probability convenient sampling technique was used. All the pregnant women between 20-35 years irrespective of gestational age or any concurrent illness having parity upto 5 were registered for the study after getting written consent for participation. The pregnant ladies were evaluated by asking history of blood loss, parity, multiple pregnancy, worm infestation, use of NSAIDS and blood transfusion. They were especially asked about dietary habits which were rated as good, average and poor. Their socio economic status was assessed and was placed into high, middle and low income groups. Blood samples were drawn for blood counts and hemoglobin estimation in all the women presenting at hospital. Reflotron photometer, Roche Diagnostic was used for the blood testing. A cut off value of< 11 g/dl irrespective of duration of pregnancy was used for anemia. Peripheral blood film was examined for RBC morphology. Mean corpuscular volume (MCV) was used to categorize into micorcytic (< 76fl), macrocytic (>98fl) and normocytic (78-98fl). Fetal well being was evaluated by serial abdominal ultrasounds. Results: Three hundred pregnant women attending Gyne and Obst. OPD, Fatima Jinnah Women Hospital, Multan, were registered according to the study protocol. The duration of the study was 6 months. Maternal age was between 25-35 years. 86 % women were multiparous, 79% women presented during 3rd trimester, 15% during the 2nd trimester and 6% during 1st trimester. Thirty eight percent women had hemoglobin 8-9.9 g/dl, 48% had from 7-7.9 g/dl and 10%were falling between 5-7 g/dl. Eighty eight percent had microcytic hypochromic anemia, 12% with dimorphic picture and 4% were having low MCV and MCH but normal MCHC and these were referred for hemoglobin electrophoresis. Fifty eight percent had monthly income 2-4 thousands rupees and only 10% were earning 4-10 thousands per month. Seventy eight percent had poor diet and 22% had an average and no women were fit into the criteria for good diet. History of breast feeding was positive in 92% of the women. History of use of iron supplement was also asked, 28% had used various preparations of iron and folate for a variable period from 1-4 months, 72% never used hematinic supplements. History of previous blood transfusion during pregnancy and labour was present in 16% of the women. Three percent had fetal growth retardation. Conclusions: Prevalence of anemia during 3rd trimester of pregnancy in is high our society. It can have significant effects on maternal and fetal out come. It is a preventable cause which can be treated easily. Poverty and lack of education are the most important causes of anemia during pregnancy.

scholarly journals Dietary Practices of Health Professionals during Working Hours in a Tertiary Referral Teaching Hospital In Ghana: A Neglected Vulnerable Group

2021 ◽  
pp. 82-97
Author(s):  
Christiana Naa Atsreh Nsiah-Asamoah ◽  
Deborah Amoasi ◽  
Jacob Setorglo
Keyword(s):  
Teaching Hospital ◽  
Health Professionals ◽  
Dietary Habits ◽  
Working Hours ◽  
Well Being ◽  
Nutritional Knowledge ◽  
Dietary Practices ◽  
Carbonated Beverages ◽  
Fried Foods ◽  
Baked Foods

Aim: Generally, it is assumed that health professionals are knowledgeable about healthy eating and as such studies aimed at assessing their dietary practices and the factors that influence these practices have been largely neglected. These studies are important because the dietary habits of healthcare professionals (HCPs) can have an impact on their well-being, health status and even their work output. Largely, there is a dearth of information about the dietary practices of HCPs during working hours. This study was aimed at assessing the dietary practices of HCPs during working hours at a referral teaching hospital in Ghana. Study Design: This was a cross-sectional study in which a questionnaire was administered to 320 HCPs. Methodology: A questionnaire was administered to the HCPs in the hospital after obtaining informed consent (written) from the HCPs. The questionnaire solicited information about their socio-demographics, dietary practices and nutritional knowledge. Descriptive statistics were summarized as frequencies and proportions. Results: Approximately 13.1%, 47.5% and 39.4% were underweight, normal weight and overweight respectively. Carbonated beverages, baked foods and fried foods were consumed four (4) or more times in a week by more than half of the HCPs because they were regarded as convenience foods which could be eaten while working. About 76.9%, 52.8% and 58.4% skipped their breakfast, lunch and supper meal respectively at least once in the past one (1) week before the study. Conclusions: The findings reveal concerns about the unhealthy dietary habits and basic nutrition knowledge gaps among the surveyed HCPs. Most HCPs skipped breakfast and ate a lot of unhealthy foods such as carbonated beverages, baked foods and fried foods frequently during working hours. Recommendations made include the need for hospital management to provide canteens that serve healthy meals for HCPs at their job sites. There is also the need for management to organize the work-schedules of HCPs in order to manage their workloads in a manner that enables them have adequate breaktimes to access and eat healthy foods while at work.

One-year follow-up of the nutritional status of celiac people on a gluten-free diet

2021 ◽  
Author(s):  
Gesala Perez-Junkera ◽  
Maialen Vazquez-Polo ◽  
Francisco Jose Eizagirre ◽  
Laura Benjumea ◽  
Carlos Tutau ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Dietary Habits ◽  
Clinical Investigation ◽  
Gastrointestinal Symptoms ◽  
Gluten Free Diet ◽  
Dietary Advice ◽  
Gluten Free ◽  
Dietary Counseling ◽  
One Year

Abstract Background The gluten-free diet (GFD), the only effective treatment for celiac disease, is usually nutritionally imbalanced. The present work aimed to analyze the evolution of the nutritional status, dietary profile, and symptoms present among celiac people over one year on a GFD while receiving individualized dietary advice. Methods Twenty-seven adults and thirty-one celiac children/adolescents participated in the cohort study. They were followed by 3 visits, at diagnosis (vt0) and after 3 and 12 months (vt3;vt12). Participants filled out dietary and gastrointestinal symptoms questionnaires and received a personalized form from dietitians containing dietary advice and anthropometric and biochemical data evolution. Results Most patients presented normal BMI, fat and muscle mass, and biochemical parameters at diagnosis and vt12. By contrast, all participants consumed protein and lipids in excess and carbohydrates in defect, in both vt0 and vt12. Low intakes of cereals, fruits and vegetables and high of meat were observed, these also remain-ing unchanged after dietary counseling. Symptoms present decreased after vt3 but rebounded in vt12. Conclusions Few changes in dietary pattern and symptom elimination suggested that the intervention was not effective enough. More research is necessary to evaluate whether closer follow up and face-to-face dietary advice improve dietary habits of celiac people. Trial registration: Code PI2016069, Ethical Comitee of the Clinical Investigation of the Basque Country. Registered on 15 July 2016.

scholarly journals Dietary practices and associated factors among pregnant women in West Gojjam Zone, Northwest Ethiopia

2019 ◽  
Author(s):  
Yeshalem Mulugeta ◽  
Getu Degu Alem ◽  
Tefera Belachew
Keyword(s):  
Focus Group ◽  
Pregnant Women ◽  
Qualitative Data ◽  
Northwest Ethiopia ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Dietary Practices ◽  
Key Informant ◽  
West Gojjam ◽  
West Gojjam Zone

Abstract Background: The optimal dietary practice is a critical requisite for maternal nutrition. However, the majority of Ethiopian pregnant women have inadequate nutrient intakes. These may be due to their poor dietary habits. Identifying factors affecting the dietary practices of pregnant women is crucial to design appropriate interventions. In this country, the dietary practices of pregnant women and determinants are not well studied. Therefore, the purpose of this study was to assess the dietary practices and associated factors among pregnant women in West Gojjam Zone, Northwest Ethiopia. Methods: A community-based cross-sectional study was carried out among 712 pregnant women from May to August 2018. Quantitative data complemented with a qualitative method. Pregnant women were selected using a cluster sampling technique. Structured questionnaires were utilized for data collection. Data were entered into Epi-Info version 7.2.2 and exported to SPSS version 23 software for analysis. Data were described using frequencies and mean. A logistic regression analysis was done. Three focus group discussions and 17 key-informant interviews were conducted for the qualitative data. Focus group discussion participants were mothers, husbands, and health professionals. Typical case and homogeneous sampling techniques were used for the key-informant interviews and focus group discussions, respectively. Thematic analysis was used for the qualitative data. Results: Only 19.9% of respondents had appropriate dietary practices. On the multivariable logistic regression analyses, being food secure [AOR=2.25, 95% CI: (1.1, 4.5)], having high edible crop production [AOR=2.00, 95% CI: (1.2, 3.2)] and a favorable attitude [AOR=1.69, 95% CI: (1.1, 2.6)] were significantly associated with the appropriate dietary practices of pregnant women. In the qualitative study, lack of knowledge on maternal diet, cultural prohibition, and knowledge gap of the professionals were barriers that interfere with dietary practices during pregnancy. Conclusion: Pregnant women in the study area are found to have suboptimal dietary practices. Therefore, health professionals should give regular nutrition counseling using cards and role models for promoting diversified food production and consumption. Keywords: Pregnant women, dietary practice, dietary diversity, food variety score

scholarly journals Psychiatric morbidity and dietary habits during COVID-19 pandemic: a cross-sectional study among Egyptian Youth (14–24 years)

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Roa Gamal Alamrawy ◽  
Noha Fadl ◽  
Asmaa Khaled
Keyword(s):  
Online Survey ◽  
Dietary Habits ◽  
Psychiatric Morbidity ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Dietary Changes ◽  
Coping Methods ◽  
And Coping

Abstract Background The coronavirus disease 2019 (COVID-19) is influencing all segments of society, including youth. Although the physical complaints in the time of COVID-19 are broadly-studied, a paucity of research targeted psychological ones on the precious youth population. This study aimed to describe the real-time state of Egyptian youth’s psychiatric morbidity, dietary changes, and coping methods during this pandemic and explore probable factors influencing them. A descriptive cross-sectional study was conducted using an online survey among 447 Egyptian participants aged 14–24 years. Sociodemographic data, dietary habits, and coping methods during COVID-19 were collected. The Arabic versions of the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder Scale (GAD-7), and the Insomnia Severity Index (ISI) were used to assess depression, anxiety and insomnia, respectively. Results Overall, 80.5%, 74.0%, and 73.8% of the participants had different grades of depression, anxiety, and insomnia symptoms. 37.4% gained weight. Emotional and night eating emerged as new habits during the pandemic among 17.9% and 29.3% of the participants, respectively. Each of depression, anxiety, and insomnia was significantly associated with each other, female gender and having a COVID-19 infected relative. Adolescents had significantly higher scores of depression and anxiety. Those with a history of physical illness had significantly higher scores of anxiety and insomnia. Bodyweight and dietary changes were significantly associated with depression, anxiety, and insomnia. Participants reported various positive and negative coping methods. Conclusion Psychiatric morbidity and dietary changes are evident in young people during COVID-19 pandemic. Psychological well-being and dietary habits are important but often overlooked components of youth well-being especially in challenging times. Depression, anxiety, and insomnia were almost always present and dietary changes were significantly associated with the presence of them.

scholarly journals Irregular Dietary Habits with a High Intake of Cereals and Sweets Are Associated with More Severe Gastrointestinal Symptoms in IBS Patients

Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1279 ◽  
Author(s):  
Clara Nilholm ◽  
Ewa Larsson ◽  
Bodil Roth ◽  
Rita Gustafsson ◽  
Bodil Ohlsson
Keyword(s):  
Irritable Bowel Syndrome ◽  
Dietary Habits ◽  
Eating Habits ◽  
Gastrointestinal Symptoms ◽  
Well Being ◽  
Irritable Bowel Syndrome Symptom ◽  
Dietary Advice ◽  
Blood Levels ◽  
Gi Symptoms ◽  
Irritable Bowel

Dietary advice constitutes one of the first choices of treatment for irritable bowel syndrome (IBS). We have recognized an increased prevalence of sucrase-isomaltase (SI) gene variants in IBS patients, possibly rendering starch- and sucrose-intolerance. The aims were to examine participants’ dietary habits at baseline, to correlate habits with gastrointestinal (GI) symptoms and blood levels of minerals and vitamins, and to examine the effect of a starch- and sucrose-reduced diet (SSRD) on GI symptoms. In the study 105 IBS patients (82 women, 46.06 ± 13.11 years), irritable bowel syndrome-symptom severity scale (IBS-SSS)>175, were randomized to SSRD for 2 weeks or continued ordinary eating habits. Blood samples, visual analog scale for irritable bowel syndrome (VAS-IBS), IBS-SSS, and 4-day food diaries were collected at baseline and after 2 weeks. Patients with irregular dietary habits exhibited higher IBS-SSS than patients with regular habits (p = 0.029). Women already on a diet had lower ferritin levels than others (p = 0.029). The intervention led to 66.3% of patients being responders, with differences in the change of IBS-SSS (p < 0.001), abdominal pain (p = 0.001), diarrhea (p = 0.002), bloating and flatulence (p = 0.005), psychological well-being (p = 0.048), and intestinal symptoms’ influence on daily life (p < 0.001), compared to controls. Decreased intake of cereals and sweets/soft drinks correlated with decreased scores.

scholarly journals A Survey Among Italian Pregnant Women and New-mothers During the COVID-19 Pandemic Lockdown.

2020 ◽  
Author(s):  
Viviana STAMPINI ◽  
Alice MONZANI ◽  
Silvia CARISTIA ◽  
Gianluigi FERRANTE ◽  
Martina GERBINO ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Exercise ◽  
Pregnant Women ◽  
Dietary Habits ◽  
Care Delivery ◽  
Well Being ◽  
New Mothers ◽  
Breastfeeding Rate ◽  
Starting Point ◽  
The Impact

Abstract In response to the COVID-19 pandemics, drastic measures for social distancing have been introduced also in Italy. The purpose of this study was to describe some aspects of lifestyle, access to health services, and mental wellness of Italian pregnant women and new-mothers during the lockdown. We carried out a web-based survey to assess how pregnant women and new-mothers were coping with the lockdown. Expected outcomes were categorized in different analysis domains: psychological well-being and support, physical exercise, dietary habits, access to care, delivery and obstetric care, neonatal care and breastfeeding.We included 742 respondents (response rate 86.2%), 603 were pregnant (81.3%) and 139 (18.7%) had delivered during lockdown. We found a high score for anxiety and depression in 62.7% of pregnant women and 61.9% of new-mothers. During the lockdown, 61.9% of pregnant women reduced their physical exercise, and 79.8% reported to eat in a healthier way. 94.2% of new-mothers reported to have breastfed their babies during hospital staying. Regarding the impact of restrictive measures on breastfeeding, no impact was reported by 56.1% of new-mothers, a negative impact by 36.7%.The higher prevalence of anxiety and depressive symptoms in pregnant women and new-mothers should be a public health issue. Clinicians might also consider to recommend and encourage “home” physical exercise. On the other hand, most women improved their approach towards healthy eating during the lockdown and a very high breastfeeding rate was reported soon after birth: these data are an interesting starting point to develop new strategies for public health.

scholarly journals Dietary practices and associated factors among pregnant women in West Gojjam Zone, Northwest Ethiopia

2019 ◽  
Author(s):  
Yeshalem Mulugeta ◽  
Getu Degu Alem ◽  
Tefera Belachew
Keyword(s):  
Focus Group ◽  
Pregnant Women ◽  
Qualitative Data ◽  
Northwest Ethiopia ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Dietary Practices ◽  
Key Informant ◽  
West Gojjam ◽  
West Gojjam Zone

Abstract Background: The optimal dietary practice is critical requisite for maternal nutrition. However, the majority of Ethiopian pregnant women have inadequate nutrient intakes. This may be due to their poor dietary habit. Identifying factors affecting dietary practices of pregnant women is crucial to design appropriate interventions. In this country, the dietary practices of pregnant women and determinants are not well studied. Therefore, the purpose of this study was to assess the dietary practices and associated factors among pregnant women in West Gojjam Zone, Northwest Ethiopia. Methods: A community-based cross-sectional study was carried out among 712 pregnant women from May to August 2018. Quantitative data complemented with qualitative method. Pregnant women were selected using a cluster sampling technique. Structured questionnaires were utilized for data collection. Data were entered into Epi-Info version 7.2.2 and exported to SPSS version 23 software for analysis. Data were described using frequencies and mean. Logistic regression analysis was done. For qualitative data, three focus group discussions and 17 key-informant interviews were conducted. . Focus group discussion participants were mother-in-lows, husbands and health professionals. Typical case and homogeneous sampling techniques were used for the key-informant interviews and focus group discussions, respectively. The tape-recorded interviews and FGDs were transcribed verbatim into Amharic language and then translated from Amharic to English. Thematic analysis was used for the qualitative data. Results: Only 19.9% of respondents had appropriate dietary practices. On the multivariable logistic regression analyses, being food secure [AOR=2.25, 95% CI: (1.1, 4.5)], having high edible crop production [AOR=2.00, 95% CI: (1.2, 3.2)] and favorable attitude [AOR=1.69, 95% CI: (1.1, 2.6)] were significantly associated with the appropriate dietary practices of pregnant women. In the qualitative study lack of knowledge on maternal diet, cultural prohibition and knowledge gap of professionals were barriers that interfere with dietary practices during pregnancy. Conclusion: Pregnant women in the study area are found to have suboptimal dietary practices. Therefore, health professionals should give regular nutrition counseling using cards and role models for promoting diversified food production and consumption to meet the nutrient requirements during pregnancy. Keywords: pregnant women, dietary practice, dietary diversity, food variety score

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