HIV patients with belly fat and high liver enzymes who lost at least 8% visceral fat were more likely to have their ALT levels return to normal after 6 months than those who didn't lose that much fat.
Scientific Claim
In HIV-infected patients with abdominal obesity and elevated baseline transaminases, those with ≥8% VAT reduction had a higher rate of ALT normalization (≤30 U/L) at 26 weeks compared to nonresponders (35% vs. 18%, P = 0.007).
Original Statement
“Among tesamorelin-treated subjects with elevated baseline transaminases, 35% of VAT responders compared to 18% of VAT nonresponders had normalization of ALT at week 26 (responders vs. nonresponders, P = 0.007).”
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 uses 'had a higher rate' which correctly reflects the observed association without implying causation, consistent with the study's design.
Evidence from Studies
Supporting (1)
Visceral fat reduction with tesamorelin is associated with improved liver enzymes in HIV