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Meeting Nutrient Needs of Hepatitis C Clients at Oasis Program, Ottawa

This project by Carol Holland at Ottawa Hospital explores nutrient needs, food insecurity, and recommendations for Hepatitis C clients at Oasis Program in Ottawa. The study includes procedures, results, and discussions on nutrient intake, food security, and limitations faced. It delves into the prevalence of Hepatitis C, individualized nutrition therapy goals, and Canadian guidelines for healthcare providers. The study highlights the challenges of food insecurity among clients and recommends strategies like supplementation, providing free multivitamins, healthy snacks, and new partnerships to address the issue.

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Meeting Nutrient Needs of Hepatitis C Clients at Oasis Program, Ottawa

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  1. do clients with hepatitis C at the oasis program in ottawa meet their nutrient needs? by carol holland the ottawa hospital dietetic internship july 17, 2008

  2. outline • introduction of the project • procedures and methods • results & discussion • nutrients and food • food insecurity • limitations to the project • recommendations for action

  3. hepatitis C • 250,000 canadians live with HCV • injection drug use • 50%-85% of infections become chronic • 50% of HCV patients restrict their diet after diagnosis • evidence does not suggest a need for restriction • nutrition therapy goals are individualized • DC: Hepatitis C Nutrition Care: Canadian Guidelines for Health Care Providers

  4. the oasis program: sandy hill CHC • clients living with or at risk of HIV or HCV • medical and social services • nutrition services: vitamins, counselling, presentations, cooking workshops

  5. food insecurity • definition: “limited or uncertain availability of nutritionally adequate and safe foods; or, limited or uncertain ability to acquire acceptable foods in socially acceptable ways.” www.blog.americanfeast.com

  6. inclusion criteria exclusion criteria • diagnosis of hepatitis C by HCV antibody and HCV RNA test • clients with medical records at the oasis program • ability to come to the clinic for an interview • no diagnosis of HCV • no previous medical examination • co-infection with HIV recruitment

  7. procedures and methods • chart review • individual interviews • consideration of supplementation • Household Food Insecurity Access Scale • qualitative questions • nutrient analysis • one-sample t-tests

  8. requirements met requirements not met • energy (kcal) • CHO • vitamins • K (female) • C • thiamine (female) • niacin • B6 • minerals • Mg (female) • Zn (female) • Fe (male) • protein • fibre • vitamins • A (female) • E • folic acid • minerals • Mg (male) • Ca (19-50) • Zn (male) • Fe (female) results

  9. number of recommended servings from CFG food groups compared to subjects’ intake

  10. accepted serum nutrient ranges compared to subjects’ serum levels

  11. HFIAS • category: • 11 subject • 2 1 subject • 3  2 subjects • 4  8 subjects • 67% reported severe food insecurity www.active.com/donate/acrescuemission/cumc

  12. additional qualitative questions • where do you get your food? • do you cook your own food? • if not, who cooks for you? • where do you usually eat? • where do you live? • have you ever taken herbal medicines for HCV? • if yes, what were they and who recommended them to you?

  13. limitations • incomplete medical charts • addictions • nutrient analysis software • honorarium required for participation • socially disadvantaged population • n=12 • 24 hour diet recall

  14. future research • larger population • wider range of social demographics • “healthy” HCV populations • nutritional implications of long-term HCV infection and food insecurity • evaluate link between food security & housing

  15. conclusions recommendations • DC guidelines not met • CFG recommendations not met • serum levels within range • food insecurity a major problem • consider supplementation • free multivitamins • healthy “to go” snacks • new strategies & partnerships to address food insecurity summary

  16. questions? www.hepcandme.org

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