Even after accounting for belly fat loss, tesamorelin still increased paraspinal muscle density by 1.58 units in people with HIV and belly fat, showing a direct muscle effect.
Scientific Claim
After adjusting for visceral adipose tissue changes, tesamorelin treatment in adults with HIV and abdominal obesity was associated with a 1.58 Hounsfield unit increase in paraspinal muscle density, indicating a direct effect beyond VAT reduction.
Original Statement
“After adjusting for changes in VAT, changes in total muscle density of both the rectus and paraspinal muscles remained significant, while other total and lean muscle groups were attenuated and no longer significant.”
Evidence Quality Assessment
Claim Status
appropriately stated
Study Design Support
Design supports claim
Appropriate Language Strength
association
Can only show association/correlation
Assessment Explanation
The claim correctly describes the adjusted effect size and significance using 'associated with' and 'direct effect beyond VAT reduction' as supported by data.
Evidence from Studies
Supporting (1)
The Growth Hormone Releasing Hormone Analogue, Tesamorelin, Decreases Muscle Fat and Increases Muscle Area in Adults with HIV