This study was conducted in the Tafresh area of Iran to assess the dietary patterns, time allocation, and nutritional status of rural women in relation to their participation in mixed farming activities. We selected 75 women from 40 villages by applying a stratified random-sampling technique. Cereals and grains were the major source of energy intake. According to the recommended dietary allowance (RDA) tables of India, the United States, the United Kingdom, and the Food and Agriculture Organization (FAO), the respondents seemed to have no micronutrient and energy deficiencies during the spring season. They spent most of their time and energy on household, animal husbandry, and crop farming activities. According to measurements of body mass index (BMI), the respondents were well nourished. However, despite the high level of BMI, analysis suggested a negative energy balance. Nevertheless, analysis indicated that rural women with negative energy balance spent more time and energy in mixed farming and had a higher level of participation in related activities. Hence, it is evident from the results that the physical contribution of rural women in mixed farming activities has a detrimental effect on their nutritional status, at least during some parts of the year (e.g., spring or summer). Therefore, there is a need to adjust nutritional interventions to improve the sustainability of their food intake and to develop appropriate technologies in mixed farming to alleviate their work burdens.