Hepatitis C: Nutrition Care
Canadian Guidelines for Health Care Providers

References and Resources
Resources - Organizations and General Useful Resources

Organizations

• American Liver Foundation
• Canadian Association of Hepatology Nurses
• Canadian Association for the Study of the Liver
• Canadian Hemophilia Society
• Canadian Liver Foundation
• Dietitians of Canada
• Health Canada - Hepatitis C information
• Hepatitis C Society of Canada
• Hepatitis Foundation International
• HepNet - The Hepatitis Information Network (Canadian)
• HepCNet - Hepatitis C Resources and Support
• NIH - National Institute of Diabetes & Digestive & Kidney Diseases (Chronic Hepatitis C: Current Disease Management)
• NIH - National Center for Complementary and Alternative Medicine
• US Centers for Disease Control and Prevention, National Center for Infectious Diseases

General Useful Resources

Client handouts <www.dieteticsatwork.com> or <www.dietitians.ca/resources/index.html>

• Helping You Feel Your Best: Nutrition Tips for People with Hepatitis C
• Dealing with Discomforts: Nutrition Tips for People with Hepatitis C

How to locate a registered dietitian - <www.dietitians.ca>

• search "Find a Nutrition Professional"
• Call the local public health department, hospital or community health centre.
• Call the Consulting Dietitians Network at 1-888-901-7776.

Health Canada resources

Canada's Food Guide to Healthy Eating
<www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/food_guide_rainbow_e.html>

Using the Food Guide
<www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/using_food_guide_intro_e.html>

Food Guide Facts: Background for Educators and Communicators
<www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/food_guide_background_intro_e.html>

Canada's Physical Activity Guide to Healthy Active Living
<www.paguide.com> or 1-888-334-9769

The VITALITY Approach - A Guide for Leaders

Health Canada: nutrition labelling education resources (includes toolkit for educators)
<www.healthcanada.ca/nutritionlabelling>

Other key hepatitis C resources

Canadian Nurses Association: Hepatitis C: A Nursing Guide, CNA, 2002
<www.cna-aiic.ca/pages/education/hep_c_workshop/hep c - 2002.pdf>

Dietitians of Canada: Needs Assessment of Nutritional Guidelines for Persons Infected with the Hepatitis C Virus. Feedback from health care professionals, associations, and persons infected with HCV. Health Canada, March 2000 Everson GT, Weinberg H: Living with Hepatitis C: A Survivor's Guide, New York: Hatherleigh Press, 1999 Heathcote J, Yim C, Thai Q et al: Hepatitis C: Everything You Need to Know, Canadian Medical Association, 2001 National Institutes of Health: Consensus Development Conference Statement

Management of Hepatitis C: 2002, NIH: June 10-12, 2002 (Final Statement September 12, 2002) <odp.od.nih.gov/consensus/cons/116/116cdc_intro.htm> or <consensus.nih.gov/cons/116/Hepc091202.pdf>

Wendland BE: Nutritional guidelines for persons infected with the hepatitis C virus: a review of the literature. [Review] Can J Diet Pract Res 2001; 62(1):7-15

Nutrient databases

Health Canada Canadian Nutrient Database: Nutrient Value of Some Common Foods <www.hc-sc.gc.ca/food-aliment/ns-sc/nr-rn/surveillance/e_nutrient_value_of_some_common_.html> USDA: Search the USDA National Nutrient Database for Standard Reference <www.nal.usda.gov/fnic/cgi-bin/nut_search.pl>

Evaluating internet-based health information

National Center for Complementary and Alternative Medicine: 10 Things to Know About Evaluating Medical Resources on the Web, NIH <nccam.nih.gov/health/webresources/>

Introduction Resources

Population health model and its application to nutritional well-being

• Federal, Provincial and Territorial Advisory Committee on Population Health: Strategies for Population Health: Investing in the Health of Canadians. Cat. No. H39-316/1994E. Ottawa: Minister of Supply and Services Canada, 1994

• Joint Steering Committee Responsible for the Development of a National Nutrition Plan for Canada. Nutrition for Health: An Agenda for Action. Ottawa: Joint Steering Committee, 1996
  <www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/nutrition_health_agenda_e.html>

Needs assessment

• Dietitians of Canada: Needs Assessment of Nutritional Guidelines for Persons Infected with the Hepatitis C Virus. Feedback from health care professionals, associations, and persons infected with HCV. Health Canada, March 2000

• Wendland BE: Nutritional guidelines for persons infected with the hepatitis C virus: a review of the literature. [Review] Can J Diet Pract Res 2001; 62(1):7-15

Key resources and guidelines consulted for advice on developing the framework

• Brauer P, Alaverdy H, Basualdo-Hammond C et al: Proposed Framework for Dietetic Practice Guidelines: Key Elements and Rationale. Dietitians of Canada, Practice Guidelines Task Group, 2002

• Health Canada: Nutrition for a Healthy Pregnancy: National Guidelines for the Childbearing Years, 1999
  <www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/national_guidelines_int_e.html>

• American Dietetic Association: Chronic Kidney Disease Medical Nutrition Therapy Protocol, 2002

• American Society for Enteral and Parenteral Nutrition: Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. J Parenter Enteral Nutr 2002; 26(1 suppl)
  <www.nutritioncare.org/publications/2002guidelines.pdf>

• Brown JP, Josse RG, The Scientific Advisory Council of the Osteoporosis Society of Canada: 2002 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada. Can Med Assoc J 2002; 167 (10 suppl)
  <www.cmaj.ca/cgi/content/full/167/10_suppl/s1>

Chapter 1 Resources

American Liver Foundation: Diet & Your Liver <64.227.163.135/cgi-bin/dbs/articles.cgi?db=articles&uid;=default&ID;=1022&view;_records=1>

Canadian Liver Foundation National Hepatitis C Education Program: Hepatitis C: medical information update. Can J Public Health 2000; 91(suppl 1):S4-S9

College of Family Physicians of Canada: Primary Care Management of Hep C (Physician Desk Reference), 2002

Everson GT, Weinberg H: Living with Hepatitis C: A Survivor's Guide. New York: Hatherleigh Press, 1999

Health Canada: Hepatitis C Information for Health Professionals

Health Canada: Hepatitis C: Get the Facts

Heathcote J, Yim C, Thai Q et al: Hepatitis C: Everything You Need to Know. Canadian Medical Association, 2001

National Institute of Diabetes & Digestive & Kidney Diseases: Chronic Hepatitis C: Current Disease Management. NIH, September 2002 <www.niddk.nih.gov/health/digest/pubs/chrnhepc/chrnhepc.htm>

National Institutes of Health: Consensus Development Conference Statement Management of Hepatitis C: 2002, NIH: June 10-12, 2002 (Final Statement September 12, 2002)

US Centers for Disease Control and Prevention: Hepatitis C: What Clinicians and Other Health Professionals Need to Know [online course based on recommendations for prevention and control of hepatitis C virus (HCV) infection and HCV-related chronic disease. MMWR 1998; 47:1-39  
<www.cdc.gov/ncidod/diseases/hepatitis/C_Training/edu/default.htm>

Chapter 2 Resources

Healthy Eating

Appendix A: Healthy Eating Checklist, modified for persons with hepatitis C

Appendix B: Canada's Food Guide Principles

Dietitians of Canada: factsheets on Healthy Eating: The Basics <www.dietitians.ca/english/factsheets/basics.html>  

• Especially useful: Fast Facts about Nutrition; 5 Tips for Healthy Eating; and Make Your Move to Healthier Eating (tips to deal with common challenges to eating well)

Dietitians of Canada: Eat Well, Live Well section <www.dietitians.ca/eatwell>

• Includes Your Nutrition Profile, Meal Planner and Virtual Kitchen tour, nutrition information and tools to compare food choices to recommendations, and personalized advice for making improvements.

Everson GT, Weinberg H: Living with Hepatitis C: A Survivor's Guide. New York: Hatherleigh Press, 1999

Health Canada: Canada's Food Guide to Healthy Eating. Ottawa, 1992 <www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/food_guide_rainbow_e.html>

Health Canada: Using the Food Guide <www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/using_food_guide_intro_e.html>

Health Canada: Food Guide Facts: Background for Educators and Communicators. Ottawa: Minister of Supply and Services Canada, 1992
<www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/food_guide_background_intro_e.html>

• A series of useful fact sheets for health professionals who use the food guide for counselling and educational programs. Provides practical information and real-life examples that help communicate the key concepts and features of the food guide.

U.S. Food and Drug Administration, Center for Food Safety and Applied Nutrition: Tips for the Savvy Supplement User: Making Informed Decisions and Evaluating Information, January 2002  
<www.cfsan.fda.gov/~dms/ds-savvy.html>

Vegetarian Information and Food Guides

American Dietetic Association, Dietitians of Canada: Manual of Clinical Dietetics, 6th ed. ADA and DC, October 2000 (Table 10.3: Daily Food Guide for Vegetarians, p.161; and Table 10.7: Vegetarian Diet Meal Planning Guidelines, p.172)

American Dietetic Association: Vegetarian Nutrition Fact Sheets. Vegetarian Nutrition Dietetic Practice Group of the American Dietetic Association  
<www.vegetariannutrition.net/fact_sheets.htm>

Dietitians of Canada: three factsheets on vegetarian eating <www.dietitians.ca/english/factsheets/vegetarian.html>

Melina V, Davis B, Harrison V: Becoming Vegetarian: The Complete Guide to Adopting a Healthy Vegetarian Diet. Summertown, TN: The Book Publishing Co., 1995

Healthy Body Weight and Active Living

Appendix C: Summary of Physical Activity Considerations

Dietitians of Canada: Healthy Body Quiz <www.dietitians.ca/english/healthy/bod_index.html>

• Includes a Body Mass Index calculator, physical activity quiz and personalized tips for active living.

Health Canada: Canadian Guidelines for Weight Classification <www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/cg_bwc_introduction_e.html>

• includes the background document, "A Review of Weight Guidelines"

Health Canada, Canadian Society for Exercise Physiology: Canada's Physical Activity Guide to Healthy Active Living. Ottawa, 1998 <www.paguide.com> or 1-888-334-9769

Health Canada Body Mass Index (BMI) chart  
<www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/bmi_chart_e.pdf>

Health Canada: The VITALITY Approach: A Guide for Leaders <www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/vitality_approach_e.html>

Chapter 3 Resources

Appendix D: Quick Protein Check

Appendix E: Guidelines for Food Selection with Sodium Restriction

American Dietetic Association, Dietitians of Canada: Manual of Clinical Dietetics, 6th ed. ADA and DC, October 2000 (Chapter 29: Liver Disease and Chapter 41: Liver Transplant)

American Liver Foundation: Diet & Your Liver <64.227.163.135/cgi-bin/dbs/articles.cgi?db=articles&uid;=default&ID;=1022&view;_records=1>

Canadian Liver Foundation: Nutrition and the Liver. Medical Information Sheet INF-18-07-96E

Everson GT, Weinberg H: Living with Hepatitis C: A Survivor's Guide. New York: Hatherleigh Press, 1999

HepNet - The Hepatitis Information Network (Canadian): Eating Right: and Drinking Too <www.hepnet.com/charge/chap8.html>

Diet and liver disease, Making healthful food choices, Coping with common eating problems

Palmer M: Diet and Hepatitis C. American Liver Foundation, 1997

Wolever T, Barbeau M-C, Charron C et al: Guidelines for the Nutritional Management of Diabetes Mellitus in the New Millennium: A Position Statement by the Canadian Diabetes Association. Can J Diabetes Care 2000; 23(3):56-69 <www.diabetes.ca/Section_Professionals/nutriguide.asp>

Chapter 4 Resources

American Dietetic Association, Dietitians of Canada: Manual of Clinical Dietetics, 6th ed. ADA and DC, October 2000 (Chapter 1: Nutrition Assessment of Adults)
- includes Sample Subjective Global Assessment Measurement Protocol (Fig 1.4)

Health Canada Body Mass Index (BMI) chart <www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/bmi_chart_java_e.html>

Chapter 5 Resources

Appendix C: Summary of Physical Activity Considerations

Appendix F: Managing Common Discomforts and Treatment Side Effects

Everson GT, Weinberg H: Living with Hepatitis C: A Survivor's Guide. New York: Hatherleigh Press, 1999

Heathcote J, Yim C, Thai Q et al: Hepatitis C: Everything You Need to Know. Canadian Medical Association, 2001

Schering Canada Inc.: Canadian Association of Hepatology Nurses (ed): Knowledge is Power: Take Control of Hepatitis C, 2000 <www.hepnet.com/hepc/power.html>

Chapter 6 Resources

Dietitians of Canada: factsheets and resources on vitamins and supplements <www.dietitians.ca/english/factsheets/index.html>
- Includes the resource manual, A Health Professional's Guide to Antioxidants, B Vitamins, Calcium and Other Bone Health Nutrients

Everson GT, Weinberg H: Living with Hepatitis C: A Survivor's Guide. New York: Hatherleigh Press, 1999

Health Canada, Therapeutic Products Programme: Drug Product Database <www.hc-sc.gc.ca/hpfb-dgpsa/tpd-dpt/>
- Information concerning Canadian nutritive supplements

Health Canada: Canadian Adverse Drug Reaction Monitoring Program Guidelines for the Voluntary Reporting of Adverse Drug Reactions by Health Professionals <www.hc-sc.gc.ca/hpfb-dgpsa/tpd-dpt/adr_guideline_e.html>

Heathcote J, Yim C, Thai Q et al: Hepatitis C: Everything You Need to Know. Canadian Medical Association, 2001 Mayo Clinic <www.mayoclinic.com>

Natural Medicines Comprehensive Database <www.naturaldatabase.com>
- available with subscription

Tyler VE: The Honest Herbal: A Sensible Guide to the Use of Herbs and Related Remedies, 3rd ed. Binghamton, NY: Pharmaceutical Products Press, 1993

National Center for Complementary and Alternative Medicine: Hepatitis C: Treatment Alternatives, NIH, May 2000 <nccam.nih.gov/health/hepatitisc/index.htm> or <nccam.nih.gov/health/hepatitisc/hepatitisc.pdf>

U.S. Food and Drug Administration, Center for Food Safety and Applied Nutrition: Tips for the Savvy Supplement User: Making Informed Decisions and Evaluating Information, January 2002
<www.cfsan.fda.gov/~dms/ds-savvy.html>

US Food and Drug Administration, Center for Food Safety and Applied Nutrition: Dietary Supplements website <www.cfsan.fda.gov/~dms/supplmnt.html>

US National Academy Press: Dietary Reference Intake reports <search.nap.edu/nap-cgi/naptitle.cgi?Search=dietary+reference+intakes>

US National Institutes of Health Office of Dietary Supplements: IBIDS-International Bibliographic Information on Dietary Supplements

Chapter 7 Resources

Appendix A: Healthy Eating Checklist, modified for persons with hepatitis C

Dietitians of Canada: Healthy Eating Is Especially Important When You Are HIV-Positive <www.dietitians.ca/english/factsheets/e1997_08.html>

Everson GT, Weinberg H: Living with Hepatitis C: A Survivor's Guide. New York: Hatherleigh Press, 1999

Health Canada: Violence Issues: An Interdisciplinary Curriculum Guide for Health Professionals. Ottawa: Minister of Supply and Services, 1995

National Institute on Alcohol Abuse and Alcoholism: How to Cut Down on Your Drinking <www.niaaa.nih.gov/publications/handout.htm>

Murphy S: Healthy Eating Makes a Difference: A Food Resource Book for People Living with HIV. Canadian Hemophilia Society and Health and Welfare Canada, in conjunction with National AIDS Strategy, 1993 (rev 1996)

US Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention: Frequently Asked Questions and Answers About Coinfection with HIV and Hepatitis C Virus  
<www.cdc.gov/hiv/pubs/facts/HIV-HCV_Coinfection.htm>

Wolever T, Barbeau M-C, Charron C et al: Guidelines for the Nutritional Management of Diabetes Mellitus in the New Millennium: A Position Statement by the Canadian Diabetes Association. Can J Diabetes Care 2000; 23(3):56-69 <www.diabetes.ca/Section_Professionals/nutriguide.asp>

Aboriginal Food Guides

• Refer to local food guide if available (contact Regional Nutritionist with First Nations and Inuit Health Branch)

• Consult Canada's Food Guide to Healthy Eating modified to include more native traditional foods

Chapter 8 Resources

Appendix G: Healthy Eating - Planning Tips

Appendix H: Low-Cost Nutritious Choices

Appendix I: Standard Nutrition Facts Label

Appendix J: Tips for Safe Food Handling

Canadian Partnership for Consumer Food Safety Education: FightBAC^TM <www.canfightbac.org>
- Food safety information and materials

Consumers' Association of Canada: Shop Smart
<www.consumer.ca/food.pdf>
- Includes easy-to-read tips on how to shop smart and eat well, and information on how to store and prepare foods from each food group.

Dietitians of Canada: Healthy Eating is in Store for You <www.healthyeatingisinstore.ca> (effective May 2003)
- nutrition labelling education campaign

Dietitians of Canada: factsheets on Healthy Eating: Meal Planning <www.dietitians.ca/english/factsheets/meal_planning.html>
- Eating Value For Your $ (a factsheet on food budgeting that offers money-saving tips for planning and preparing nutritious meals)
- Handle with Care (food safety tips)

Dietitians of Canada: Senior Friendly^TM Factsheets <www.dietitians.ca/resources/senior_friendly_factsheets.htm> or <www.dietitians.ca/resources/seniorfriendly11.pdf>
- Includes fact sheets on meal planning, shopping and cooking

Health Canada: Nutrition Labelling Toolkit for Educators, 2003
<www.hc-sc.gc.ca/hpfb-dgpsa/onpp-bppn/labelling-etiquetage/education_e.html>

Heppo Recipe Exchange <www.hepcnet.net/recipes/recipeindex.html>
- Recipes submitted by other persons infected with HCV; not specifically "HepC healthy" unless noted.

National Heart, Lung, and Blood Institute: DASHing with Less Salt <www.nhlbi.nih.gov/health/public/heart/hbp/dash/dashing.htm>
- Although focused on reducing hypertension, these tips for adopting a low sodium eating pattern and sample menus and recipes may be useful for hepatitis C patients.

USDA Center for Nutrition Policy and Promotion: Recipes and Tips for Healthy, Thrifty Meals <www.pueblo.gsa.gov/cic_text/food/rec-thrifty/recipes.htm> or <www.pueblo.gsa.gov/cic_text/food/rec-thrifty/thriftym.pdf>
- Includes tips for planning meals, shopping, best buys for cost and nutrition, healthy cooking, and food safety, as well as recipes and a sample menu.

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