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NEMO
Mental health and wellbeing
Nutrition Support Action Plan (NSAP) for case managers/key workers-
hepatitis C
What is hepatitis C? 5. Undertake regular physical activity.
Hepatitis C is a blood borne virus that 6. Maintain a healthy weight.
causes liver inflammation (swelling and 7. Limit intake of fat, sugar and salt.
pain). Almost three quarters of people In the later stages of liver disease,
with the virus will develop chronic additional dietary changes may be
hepatitis C within 6 months. Less than a required.
quarter of these people will develop
cirrhosis (severe liver scarring). This may Caffeine and hepatitis C
take 20 to 40 years or more to develop. There is no evidence that tea, coffee or
Pharmaceutical treatments are available caffeine-containing products should be
to manage the virus; this is a very avoided by people with hepatitis C, if they
involved process. are consumed in moderation.
Should a person with hepatitis C Alcohol and hepatitis C
follow a special diet? It is ideal for consumers with hepatitis C
Strict restrictions are not usually required, not to drink any alcohol at all. The risk of
although people should be wary of developing cirrhosis or liver cancer for
alternative therapies and supplements, those with chronic hepatitis C is much
which may cause further liver damage. higher in those that drink heavily (those
To help stay well, people can: that drink more than 5 standard drinks a
1. Eat a healthy, balanced diet. day or do not have 2 alcohol free days a
2. Eat a variety of foods from the five week). Alcohol may also make hepatitis
food groups. treatment less effective.
3. Eat plenty of plant-based foods;
moderate amounts of animal foods
and small amounts of extra foods,
margarines and oils.
4. Drink plenty of water.
This is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.
Disclaimer: www.health.qld.gov.au/global/disclaimer Developed: November 2016
Copyright: www.health.qld.gov.au/global/copyright-statement Due for review: November 2018
References: https://www.health.qld.gov.au/nutrition/nemo_mhref
Alcohol recommendations: Actions for case manager/key worker
• If a consumer drinks, then they should 1. Does your consumer follow a healthy
have a minimum of THREE alcohol diet? Check with ‘NSAP Assessing
free days a week. your consumer’s diet’.
• Both women and men should have no 2. Does your consumer attend
more than ONE standard drink a day. appointments with a medical specialist
/ GP regularly?
Body weight and hepatitis C 3. Does your consumer have nausea,
People with hepatitis C should maintain a reduced appetite, nutritional
healthy body weight (BMI: 18.5 to 25 deficiencies and/or unplanned weight
2 change? Refer to an Accredited
kg/m ). If overweight, a small reduction in
body weight (5-10%) may improve Practising Dietitian (www.daa.asn.au
markers of liver disease progression and and search ‘Find a Dietitian’).
improve treatment efficacy. 4. Does your consumer need to lose
weight? If so, refer to an Accredited
Overweight clients should be advised to Practising Dietitian (www.daa.asn.au
decrease their weight by increasing and search ‘Find a Dietitian’).
My 5. Does your consumer find it difficult to
physical activity and reducing kilojoule My
Nutrition
manage their alcohol intake? If so,
Nutrition
intake. Avoid rapid weight loss as this can
damage the liver link in with your local Alcohol and
Drug information service
Need more information?
www.daa.asn.au or visit
www.hepqld.asn.au/
This is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.
Disclaimer: www.health.qld.gov.au/global/disclaimer Developed: November 2016
Copyright: www.health.qld.gov.au/global/copyright-statement Due for review: November 2018
References: https://www.health.qld.gov.au/nutrition/nemo_mhref
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