HIV patients with belly fat and high liver enzymes had more visceral fat and less fat under the skin than those with normal liver enzymes.
Scientific Claim
In HIV-infected individuals with abdominal obesity, elevated ALT and AST levels were associated with higher VAT (191 ± 83 vs. 167 ± 83 cm², P < 0.0001) and lower subcutaneous adipose tissue (214 ± 112 vs. 263 ± 136 cm², P < 0.0001) compared to those with normal transaminases.
Original Statement
“Individuals with increased ALT or AST had greater VAT (191 ± 83 vs. 167 ± 83 cm2, P < 0.0001), lower abdominal SAT (214 ± 112 vs. 263 ± 136 cm2, P < 0.0001), and lower limb fat (6.6 ± 3.9 vs. 8.7 ± 5.1 kg, P < 0.0001).”
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 observed associations without causal language, consistent with the study's observational baseline analysis.
Evidence from Studies
Supporting (1)
Visceral fat reduction with tesamorelin is associated with improved liver enzymes in HIV