title: Adherence of pregnant women to dietary counseling and adequacy of total gestational weight gain.
abstract: BACKGROUND
  in scientific literature there are not published researches which have used a validated assessment method of adherence to dietary counseling capable of being reproduced.
  
  
  OBJECTIVE
  to evaluate the adherence of pregnant women to dietary counseling during the prenatal period using a validated instrument according to the outcome of total gestational weight gain.
  
  
  METHODS
  two hundred and eight adult pregnant women participated in the research. The instrument for adherence classification to dietary counseling was elaborated according to four evaluation criteria: food quantity and quality, meal pattern and adjustment to weekly weight gain. We classified as poor adherence when zero-one criterion was observed, good adherence when 2-3 aspects were observed and excellent when the amount was 4 aspects.
  
  
  RESULTS
  Pregnant women with good or excellent adherence had a higher adjustment proportion of the total gestational weight gain in comparison to those who presented poor adherence in the second and fourth visits, respectively (p < 0.006; p < 0.007). Women with poor adherence to dietary counseling in the second visit presented about three times more chances of having poor adherence in the fourth visit (OR = 3.11; CI = 1.46-6.36).
  
  
  CONCLUSIONS
  Adherence of pregnant women to dietary counseling had a positive association with the adjustment of total gestational weight gain.
authors.affiliation: Departamento de Nutrição e Dietética, Instituto de Nutrição Josué de Castro, Centro de Ciências da Saúde, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil. bdellalibera@hotmail.com
authors.forename: B
authors.initials: B
authors.lastname: Della Líbera
authors.forename: M
authors.initials: M
authors.lastname: Ribeiro Baião
authors.forename: M M A
authors.initials: MM
authors.lastname: de Souza Santos
authors.forename: P
authors.initials: P
authors.lastname: Padilha
authors.forename: P
authors.initials: P
authors.lastname: Dutra Alves
authors.forename: C
authors.initials: C
authors.lastname: Saunders
mesh_terms: D000328:Adult; D001724:Birth Weight; D015992:Body Mass Index; D001938:Brazil; D003376:Counseling; D004032:Diet; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009752:Nutritional Status; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011247:Pregnancy / Q000502:physiology*; D037841:Pregnant People / Q000523:psychology*; D012959:Socioeconomic Factors; D015430:Weight Gain / Q000502:physiology*