The same HIV patients with belly fat who responded to tesamorelin also saw their under-the-skin fat become denser by 3.5 points on CT scans after 26 weeks, regardless of fat amount changes, indicating healthier fat tissue.
Scientific Claim
In people living with HIV (PLWH) with central adiposity who responded to tesamorelin treatment (visceral adipose tissue decrease ≥8%), 26 weeks of tesamorelin therapy increased subcutaneous adipose tissue (SAT) density by 3.5 Hounsfield Units (95% confidence interval 2.3-4.7) compared to placebo after adjusting for baseline SAT density, baseline SAT area, and changes in SAT area (p<0.001).
Original Statement
“SAT density (95% CI) 3.5 (2.3, 4.7) <0.001 (Table 2).”
Evidence Quality Assessment
Claim Status
appropriately stated
Study Design Support
Design supports claim
Appropriate Language Strength
definitive
Can make definitive causal claims
Assessment Explanation
The RCT design allows causal inference. The verb 'increased' appropriately reflects the observed effect.
Evidence from Studies
Supporting (1)
Tesamorelin improves fat quality independent of changes in fat quantity