HIV patients with belly fat who responded to tesamorelin had bigger rectus and psoas muscles (0.44 and 0.46 cm² larger) compared to placebo after 26 weeks.
Scientific Claim
Among HIV-positive adults with abdominal obesity who responded to tesamorelin treatment (≥8% visceral adipose tissue reduction), tesamorelin was associated with a 0.44 cm² greater increase in rectus muscle total area and 0.46 cm² greater increase in psoas muscle total area compared to placebo after 26 weeks.
Original Statement
“Significant increases were also seen in total area of the rectus and psoas muscles (0.44 and 0.46 centimeters2; p<0.005)”
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 study design (RCT) supports causal claims within the specific population, but the recommended verb strength is association to reflect the specific responder subgroup and avoid overgeneralization. The claim uses 'associated with' appropriately.
Evidence from Studies
Supporting (1)
The Growth Hormone Releasing Hormone Analogue, Tesamorelin, Decreases Muscle Fat and Increases Muscle Area in Adults with HIV