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Not all fatty liver disease is suitable for exercise, and it is better to exercise less when accompanied by these diseases

author:Department of Urology, Dr. Li Kui

In today's society, fatty liver has become a common health problem, and many people have accepted a regular recommendation: increase physical activity. However, a new study has revealed a little-known fact – not all people with fatty liver are suitable for exercise.

Especially when fatty liver is accompanied by other diseases, blind exercise is not only limited in effect, but may even pose a greater threat to health.

This finding challenges our long-held beliefs and reminds us of the need for a more prudent and individualized approach to fatty liver disease.

Not all fatty liver disease is suitable for exercise, and it is better to exercise less when accompanied by these diseases

The truth about fatty liver: it's not just excess fat

Fatty liver, medically known as fatty liver disease, is a common liver disease. It occurs when the amount of fat in the liver exceeds normal levels. This condition is not only due to excess body fat, but can also be related to factors such as metabolic disorders, long-term unbalanced diet, etc. There are two types of fatty liver disease: alcoholic and non-alcoholic, of which nonalcoholic fatty liver disease is the most common type.

Exercise and fatty liver disease: why it is often recommended

Exercise is one of the effective ways to improve fatty liver. Moderate physical activity can help reduce fat accumulation in the liver by promoting fat metabolism and improving insulin sensitivity. Exercise not only directly fights fatty liver disease, but also improves some of the diseases associated with it, such as abnormal glucose metabolism (diabetes) and increased blood pressure in systemic arteries (hypertension).

Usually, the doctor will recommend the appropriate type and intensity of exercise based on the patient's specific situation. In general, aerobic exercise (e.g., brisk walking, jogging, swimming, etc.) is particularly effective in reducing fatty liver disease. However, it is important to pay attention to the frequency and duration of exercise, gradually increase the amount of exercise, and avoid sudden high-intensity exercise so as not to cause a burden on the body.

Not all fatty liver disease is suitable for exercise, and it is better to exercise less when accompanied by these diseases

Special circumstances: patients with fatty liver who are not suitable for exercise

Fatty liver is usually recommended to improve with exercise, but in some cases exercise can be counterproductive. In particular, patients should approach exercise programs with caution when the following conditions are present:

Severe impairment of liver function: If liver function indicators are abnormal, such as significantly elevated liver enzyme levels, it indicates that the liver has been severely damaged, and excessive exercise may increase the burden on the liver.

Cardiovascular disease: In patients with heart disease or elevated systemic arterial blood pressure, strenuous exercise increases the pressure on the heart, which may lead to adverse cardiovascular events.

Abnormal glucose metabolism: People with abnormal glucose metabolism, especially those with uncontrolled diabetes, exercise may cause blood sugar fluctuations, and should be carried out under the guidance of a physician.

Musculoskeletal problems: For people with arthritis or muscle disorders, exercise may worsen symptoms or cause injury.

Not all fatty liver disease is suitable for exercise, and it is better to exercise less when accompanied by these diseases

Guidelines for safe exercise: an individualized approach

Exercise regimens for patients with fatty liver should take into account individual differences:

Initial Assessment: Before starting any exercise program, a comprehensive health assessment is conducted, including heart condition, liver function tests, and a general physical examination.

Individualized plan: Develop a personalized exercise plan based on the patient's health, age, and fitness. For example, older people with fatty liver disease may be better suited for low-intensity aerobic exercise such as walking or yoga.

Physician guidance: Exercise under physician supervision, especially for patients with complications, to ensure safety and effectiveness.

Gradual intensification: The exercise plan should start at a low intensity and gradually increase the intensity and duration to avoid the risks that can result from sudden high-intensity exercise.

With this approach, people with fatty liver can use exercise more safely and effectively to improve their health while avoiding unnecessary risks.

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