Should I do aerobic exercise for fatty liver?

Patients with fatty liver usually need to do aerobic exercise, which can help improve liver metabolism and reduce fat accumulation. Aerobic exercise such as brisk walking, swimming, cycling, etc. can promote fat consumption, but the intensity needs to be adjusted according to the condition. When aerobic exercise is performed in patients with fatty liver, low to moderate intensity should be the main approach to avoid increasing physical burden with vigorous exercise. Fast walking, jogging and other exercises can be done 3-5 times a week, each lasting 30-60 minutes, with heart rate controlled within the range of 50% -70% of maximum heart rate. This type of exercise can effectively enhance the liver's ability to metabolize fat and reduce fat deposition in liver cells. At the same time, it is necessary to pay attention to sufficient warm-up and stretching before and after exercise to prevent muscle damage. For patients with combined obesity and fatty liver, it is recommended to control the exercise weight loss rate at 0.5-1 kg per week to avoid rapid weight loss leading to abnormal liver function. For patients with moderate to severe fatty liver or other comorbidities, exercise plans should be developed under the guidance of a doctor. If there is a significant increase in transaminase levels or cirrhosis, high-intensity aerobic exercise should be avoided and replaced with gentle stretching exercises or rehabilitation training under medical supervision. Special situations such as fatty liver during pregnancy and acute hepatitis require suspension of aerobic exercise, and priority treatment should be given to underlying diseases. If symptoms such as liver pain, nausea, and vomiting occur during exercise, exercise should be stopped immediately and medical examination should be sought. In addition to aerobic exercise, patients with fatty liver also need to adjust their diet and maintain a regular daily routine. It is recommended to reduce the intake of high-fat and high sugar foods, increase high-quality protein and dietary fiber, and ensure 7-8 hours of sleep per day. Regularly review liver function, liver ultrasound and other examinations, and dynamically evaluate exercise effectiveness. If there is no improvement in fatty liver after 3-6 months of exercise, timely medical attention should be sought to adjust the treatment plan.