Page 14 - I Have Fatty Liver：What Does It Mean and What Should I Do?

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What Can I Do If I Have Fatty Liver?

Exercise

Eslam M, et al. Hepatol Int 2020.
▪ Sedentary behaviour is an independent risk factor for NAFLD.

APASL CPG for Diagnosis and Management of MAFLD 2020

30 min/day of moderate-intensity exercise for
≥ 5 days/week or a total of ≥ 150 min/week
or
≥ 20min/day vigorous-intensity exercise on
≥ 3 days/week or a total of ≥ 75 min/week

TIPS Start slow but consistent (start with 10 minutes of brisk walk daily and
slowly increase). Consistency is more important than intensity.

▪ Resistance exercise may be more feasible than aerobic exercise for

MAFLD patients with poor fitness/arthritis problem.

Dietary Interventions
Eslam M, et al. Hepatol Int 2020.
▪ Calorie restriction is the most important factor in dietary

interventions.

▪ Weight loss results in significant reductions in liver fat and
improvement in hepatic insulin resistance.

APASL CPG for Diagnosis and Management of MAFLD 2020

Gradual Weight Loss
up to 1 kg/week
Hypocaloric Diet

500 – 1000 kcal deficit

✓ Set long term and short team goals:
▪ Long term goal: losing 10% of body weight over 6 months, if overweight or obese
▪ Short term goal: losing 0.5 – 1kg per week
TIPS ✓ Cut off sugary drink such as Teh Tarik, 3-in-1 coffee, juices, soft drinks
✓ Reduce 1/3 of your current food intake
✓ Practice healthy plate eating “Suku suku separuh”
✓ Avoid processed food and fast food