In people with HIV and belly fat, having more visceral fat was linked to higher levels of a liver enzyme called ALT, which suggests a connection between belly fat and liver health.

For people with HIV and belly fat who have high liver enzyme levels, those who lose at least 8% of their visceral fat see a bigger drop in ALT levels than those who don't lose that much fat.

In HIV patients with belly fat, higher amounts of visceral fat were linked to higher liver enzyme levels at the start of the study.

In people with HIV and belly fat, higher amounts of visceral fat were linked to higher liver enzyme levels even when accounting for other factors like sex and hepatitis.

In people with HIV and belly fat, higher amounts of visceral fat at the start were linked to higher liver enzyme levels.

HIV patients with belly fat and high liver enzymes had more visceral fat (191 vs. 167 cm²) than those with normal liver enzymes, showing a clear link.