Research Article

Handgrip Strength and Vitamin D as Predictors of Liver Fibrosis and Malnutrition in Chronic Hepatitis C Patients

Table 5

Stepwise multiple regression analysis for malnutrition predicted by adiposity, liver fibrosis, muscle mass scores (MAC, MAMC, and TSF), HGS, SGA malnutrition scores, and vitamin D deficiency in CHC patients with significant fibrosis and cirrhosis.

VariablesSignificant fibrosis (F2-F3)Significant cirrhosis (F4)
95% CI 95% CI

Adiposity (BMI)4.6 (0.35)89 (75–100)5.9 (0.38)86 (75–98)
Vitamin D deficiency23.8 (0.42)92 (82–98)16.9 (0.62)81 (68–96)
Ca and vitamin D intake5.6 (0.53)75 (65–89)6.3 (0.47)90 (88–100)
MAC2.8 (0.28)84 (72–92)4.3 (0.32)94 (88–100)
MAMC3.6 (0.22)65 (55–90)5.3 (0.32)78 (88–100)
TSF1.6 (0.29)76 (65–89)4.6 (0.37)84 (88–100)
SGA3.7 (0.33)79 (68–92)5.8 (0.48)91 (82–100)
HGS4.1 (0.53)89 (65–89)6.8 (0.51)96 (88–100)
HYP (lg/mL)2.6 (0.33)91 (80–100)3.9 (0.25)97 (88–100)
HA (ng/mL)3.6 (0.31)95 (80–100)4.9 (0.31)89 (88–100)
FN (ng/mL)1.6 (0.21)91 (86–100)3.9 (0.38)95 (88–100)
APRI2.6 (0.35)98 (86–100)4.5 (0.41)98 (85–100)
Hyp index4.2 (0.41)87 (76–98)5.9 (0.46)90 (85–100)
FNPRI index3.2 (0.52)89 (72–96)4.9 (0.39)89 (82–100)
HAPRI2.9 (0.61)93 (76–96)5.6 (0.68)96 (82–100)
(%)70.5 (0.38)96 (76–96)89.6 (0.39)98 (88–100)

and . of cumulative values of relating to studied variables. CI: confidence interval; BMI: body mass index; MAC: midarm circumference in cm; TSF: triceps skin fold thickness in mm; MAMC: midarm muscle circumference in mm; CHC patients: chronic hepatitis C patients; SGA: subjective global assessment; HYP: hydroxyproline; HA: hyaluronic acid; FN: fibronectin; APRI: AST to platelet ratio index; Hyp index: hydroxyproline to platelet ratio index; HAPRI: HA to platelet ratio index; FNPRI: FN to platelet ratio index.