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The objectives of this study were to evaluate nutritional status, food consumption and to identify the most prevalent pathologies of adult seen in Family Health Strategies (FHS). Was carried out a cross-sectional, observational and quantitative approach. The research instruments were anthropometric evaluation (weight, height and waist circumference) and the application of two questionnaires, one about socioeconomic and clinical data and another one about food consumption. The data were analyzed using SPSS software version 25.0 and the variables were related through the Pearson Chi-square test. We evaluated 180 patients of both sexes, of these 29.4% were overweight and 42.8% were obese, there was a prevalence of chronic diseases, mainly systemic arterial hypertension (SAH) and a high tendency to consume sweet foods. There was a Tamiris Gottlieb, Claudia Winter | Estado nutricional de adultos atendidos em Estratégias de Saúde da Família de um município do Vale do Paranhana – RS R. Assoc. bras. Nutr. 2021; 12 (1): 88-103 ISSN 2357-7894 89 significant association among the nutritional diagnosis of obesity and systemic arterial hypertension, diabetes mellitus, dyslipidemia, depression, abdominal adiposity and use of medications. There was no significant association among dietary intake and nutritional status. The study showed high prevalence of overweight and obesity and chronic non-communicable diseases and consumption of sweet ultra-processed foods, being necessary strategies to coping these comorbidities.