Not drinking alcohol will also lose weight fatty liver, exercise helps to heal-Instant News-Free Health Network

[Adroddiad yr Gohebydd Wang Junzhong / Tainan]According to research, about 1 in 4 people in China have “non-alcoholic fatty liver disease (MAFLD)”, which is a patient who does not drink alcohol but has a fatty liver. According to the recent changes of the International Society of Liver Medicine, Chengda Hospital doctors 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 , is diagnosed as “metabolic fatty liver”.

Doctor Jian Shijie of Cheng Yi explained that fatty liver metabolic disorder is a manifestation of metabolic syndrome in the liver, and the effect on the body is systemic, not only limited to the liver. The most common complications of MAFLD patients are not associated with the liver. 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. In terms of the most common types of cancer, colorectal cancer is men and breast cancer is women, Although liver cancer is not the most common cancer among MAFLD patients, it is 16.73 times more common than the general population general.

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The degree of liver fibrosis in MALFD patients is the most important factor in determining patient prognosis. 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 transplant liver due to liver failure, also increases.

Jian Shijie said that losing weight is the best way to cure 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, weight loss of 7-10% above is recommended. According to statistics, when weight loss is more than 10%, about 60% chance of liver cirrhosis will be cured and softened, however, only about 1/10 patients can lose more than 10% weight .

For weight loss, by adjusting diet 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 particularly important to reduce the intake of starch and meat, increase the ratio of vegetables and fruit, and avoid meat products which have been roasted at a high temperature, such as fried chicken, sausages, etc., and foods containing saturated fatty acids, and to reduce the intake of red meat is to reduce sugar sweetened drinks , especially drinks 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 liver inflammation index, and 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 improve the liver index and intrahepatic fat accumulation effectively.

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