الفهرس 
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Abstract
The aim of the present study is to educate the patients suffering from hepatitis C virus about the right diet for their health and show how such education affect the treatment of the patients of both sexes. Forty healthy volunteers were taken as controls, nearly matching with the patients with regard to socioeconomic status and age range 40-50 years old. Patients were selected from those attending the out patients clinic in Port Said Tropical Medicine Hospital, Ministry of Health. Twenty patients of each group were examined. This examination included clinical, biochemical and dietary recall. Before and after blood samples were taken from each subject to determine AST, ALT, bilirubin, serum proteins, Hb, PCV, RBCS, TG, LDL, HDL and TC. Before and after nutritional education, amounts of the food items consumed were calculated by using the food composition table. Biochemical results revealed that AST, ALT, BIL, globulin, TC were decreased significantly, but TG was slightly decreased after Treatment and nutritional education in all patient subjects. Hemoglobin, PCV, HDL and RBCS were increased significantly in all patient subjects, whereas LDL was slightly increased in female patients as well as significantly in male patients. Food consumption of calories, carbohydrates, animal protein, total iron, sodium and vitamins (B6, B12, D, E and niacin) were slightly differ before and after treatment and nutritional education in both patient subjects. Zinc, and vitamins (A and folate) were increased significantly in male subjects after treatment and nutritional education, whereas, Ca and vitamins (B1, B2 and C) were decreased significantly. Female patients consumption of total protein, fat (animal and total), Zn, P, Ca, animal iron and vitamin A significantly decreased before and after treatment. As a result of these advice and the follow up certain improvement was recorded as indicated in the means values of calorie and nutrients intake four months after the nutritional education. The changes were statistically significant in most cases. The important point in this respect was the increase awareness of patients about the importance of diet for the quality of their life. With regard to blood analysis for liver functions some improvements as indicated by the results of liver enzymes probably this improvement is due to medical therapy and the adhering to the dietary advice.
Based on these results, the study recommends that the expansion of nutritional education programs for patients suffering from HCV with medical treatment is very important in order to reach higher rates of recovery.