People with psoriasis or psoriatic arthritis have a higher proportion of dangerous belly fat compared to safe fat under the skin, even when their overall weight is similar to healthy people.
Scientific Claim
The ratio of visceral to subcutaneous adipose tissue is 13.6% higher in psoriatic disease patients compared to BMI-matched controls (p < 0.01).
Original Statement
“MRI segmentation revealed that the PsD group had a 5.9% greater whole-body VAT volume and a 13.6% greater VAT/SAT ratio compared to BMI/ethnicity-matched controls (P < 0.01)”
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 is observational and cross-sectional, so it can describe group differences but not causation. The verb 'higher' is appropriate for a descriptive comparison between groups.
Evidence from Studies
Supporting (1)
More than skin-deep: visceral fat is strongly associated with disease activity, function and metabolic indices in psoriatic disease