Mixed
Combining a modestly hypocaloric diet (500 kcal/day deficit) with moderate-intensity aerobic or resistance exercise (30-60 min, 3-5 days/week) is the most effective lifestyle intervention for reducing hepatic steatosis and improving NAFLD markers.
To improve your liver health, aim to lose 5-10% of your body weight. Do this by eating 500 calories less per day than your body needs, combined with 30-60 minutes of moderate exercise (like brisk walking) on 3 to 5 days a week. This combination is proven to be more effective than diet or exercise alone for reducing liver fat.
Results suggest that 5–10% weight loss using a modestly hypocaloric diet of 500 kcal less per day than calculated energy requirement, in combination with 30–60 min exercise on 3–5 days per week should be recommended.
Why this rating
Based on a systematic review of 24 RCTs, though heterogeneity in protocols exists.
Source
Efficacy of dietary and physical activity intervention in non-alcoholic fatty liver disease: a systematic review
Susan Kenneally et al. · BMJ Open Gastroenterology · 2017
DOI 10.1136/bmjgast-2017-000139
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