Not drinking alcohol will also have fatty liver weight loss, exercise helps improve-Instant News-Free Health Network

Jian Shijie, a physician at Chengda Hospital, pointed out that according to research, one in every four people in China suffers from non-alcoholic fatty liver disease. (Provided by Chengda Hospital)

[Reporter Wang Junzhong/Tainan Report]According to research, about 1 in 4 people in China has “non-alcoholic fatty liver disease (MAFLD)”, which is a patient who does not drink alcohol but has fatty liver. According to the recent changes of the International Society of Liver Medicine, the physicians of Chengda Hospital refer to the fact that as long as the patient has fatty liver and is associated with abnormal conditions related to metabolic syndrome, such as obesity, diabetes, hyperlipidemia or hypertension, regardless of whether there are other reasons such as alcohol consumption or viral hepatitis , will be diagnosed as “metabolic fatty liver”.

Physician Jian Shijie of Cheng Yi explained that metabolic disorder fatty liver is the manifestation of metabolic syndrome in the liver, and the impact on the body is systemic, not only limited to the liver. The most common complications of MAFLD patients are not liver-related diseases, but cardiovascular diseases and Cancer; in addition, fatty liver patients have a higher risk of chronic kidney disease, including proteinuria, than the general population. As for the most common types of cancer, men are colorectal cancer and women are breast cancer. Although liver cancer is not the most common cancer in MAFLD patients, its incidence is 16.73 times that of the general population.

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The degree of liver fibrosis in MALFD patients is the most important factor in determining the prognosis of patients. When patients develop significant liver fibrosis or even cirrhosis, the mortality rate increases significantly, and the risk of liver-related complications, including liver failure and liver replacement due to liver failure, also increases.

Jian Shijie, a physician at Chengda Hospital, pointed out that weight loss is the best way to treat fatty liver. (Provided by Chengda Hospital)

Jian Shijie said that weight loss is the best way to improve fatty liver. The simple accumulation of liver fat without inflammation or fibrosis, the weight loss target is 3% of body weight; if liver inflammation or cirrhosis is combined, it is recommended to lose weight 7-10 %above. According to statistics, when weight loss exceeds 10%, about 60% chance of liver cirrhosis will improve and soften, however, only about 1/10 patients can achieve weight loss of more than 10%.

For weight loss, through diet adjustment and exercise, first reduce the caloric intake of food, only ingest 1200-1500 calories per day, or reduce the intake of 500-1000 calories per day; then implement the Mediterranean diet, reduce the accumulation of fat in the liver and improve the body’s insulin resistance It is especially important to reduce the intake of starch and meat, increase the ratio of vegetables and fruits, and avoid meat products that have been roasted at high temperature, such as fried chicken, sausages, etc., and foods containing saturated fatty acids, and reduce the intake of red meat. is to reduce sugar-sweetened beverages, especially beverages with added industrial fructose.

Exercise has a very high correlation with liver-related mortality in MAFLD patients. Dr. Jian said that if daily exercise is increased, it can reduce the accumulation of fat in the liver and the index of liver inflammation, thereby reducing the risk of death. Some studies have found that exercise can significantly reduce the accumulation of intrahepatic fat by 69%, and significantly reduce the liver index ALT. Whether it is aerobic exercise or weight training, it can effectively improve the liver index and the accumulation of intrahepatic fat.

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