Effects of Long-term Regular Exercise Intervention on NAFLD-related Parameters: A Meta-analysis
DOI:
https://doi.org/10.61173/nsqmf895Keywords:
Meta-analysis, exercise, non- alcoholic fatty liver diseaseAbstract
Nonalcoholic fatty liver disease (NAFLD) is one of the most prevalent forms of chronic liver disease across the globe, affecting a significant portion of the population. Long-term regular exercise therapy can improve the relevant clinical indicators of NAFLD patients, and is one of the effective means to treat the disease. This study conducted a meta-analysis of relevant literature published in PubMed up to September 2024 to assess the effects of exercise on various clinical markers in NAFLD patients. A total of nine articles were included, involving 254 patients, with intervention duration ranging from 8 to 26 weeks. Analysis results showed that long-term adherence to exercise significantly reduced ALT(MD=-5.98 , 95% CI [-7.99,-3.97]),AST(MD=-2.92, 95% CI [-5.30,-0.53]),LDL-C(MD=-5.38 , 95% CI [-7.70,-3.06]) levels and increased HDL-C(MD=3.78 , 95% CI [0.4,7.15]) levels in NAFLD patients. However, there was little effect on HbA1c(MD=-0.13 , 95% CI [-0.28,0.02]) levels in NAFLD patients. To sum up, consistent physical activity is a potent means of enhancing the well-being of individuals suffering from NAFLD.
References
[1] ESTES C, ANSTEE Q M, ARIAS-LOSTE M T, et al. 2018. Modeling NAFLD disease burden in China, France, Germany, Italy, Japan, Spain, United Kingdom, and United States for the period 2016–2030. Journal of Hepatology [J], 69: 896-904.
[2] CHEN H T, HUANG H L, LI Y Q, et al. 2020. Therapeutic advances in non-alcoholic fatty liver disease: A microbiotacentered view. World J Gastroenterol [J], 26: 1901-1911.
[3] SLENTZ C A, BATEMAN L A, WILLIS L H, et al. 2011. Effects of aerobic vs. resistance training on visceral and liver fat stores, liver enzymes, and insulin resistance by HOMA in overweight adults from STRRIDE AT/RT. Am J Physiol Endocrinol Metab [J], 301: E1033-1039.
[4] CHEN S M, LIU C Y, LI S R, et al. 2008. Effects of therapeutic lifestyle program on ultrasound-diagnosed nonalcoholic fatty liver disease. J Chin Med Assoc [J], 71: 551- 558.
[5] HALLSWORTH K, FATTAKHOVA G, HOLLINGSWORTH K G, et al. 2011. Resistance exercise reduces liver fat and its mediators in non-alcoholic fatty liver disease independent of weight loss. Gut [J], 60: 1278-1283.
[6] ECKARD C, COLE R, LOCKWOOD J, et al. 2013. Prospective histopathologic evaluation of lifestyle modification in nonalcoholic fatty liver disease: a randomized trial. Therap Adv Gastroenterol [J], 6: 249-259.
[7] SHAMSODDINI A, SOBHANI V, GHAMAR CHEHREH M E, et al. 2015. Effect of Aerobic and Resistance Exercise Training on Liver Enzymes and Hepatic Fat in Iranian Men With Nonalcoholic Fatty Liver Disease. Hepat Mon [J], 15: e31434. Dean&Francis ISSN 2959-409X
[8] GHAMARCHEHREH M E, SHAMSODDINI A, ALAVIAN S M 2019. Investigating the impact of eight weeks of aerobic and resistance training on blood lipid profile in elderly with non-alcoholic fatty liver disease: a randomized clinical trial. Gastroenterol Hepatol Bed Bench [J], 12: 190-196.
[9] ABDELBASSET W K, TANTAWY S A, KAMEL D M, et al. 2020. Effects of high-intensity interval and moderateintensity continuous aerobic exercise on diabetic obese patients with nonalcoholic fatty liver disease: A comparative randomized controlled trial. Medicine (Baltimore) [J], 99: e19471.
[10] RELJIC D, KONTUREK P C, HERRMANN H J, et al. 2021. Very low-volume interval training improves nonalcoholic fatty liver disease fibrosis score and cardiometabolic health in adults with obesity and metabolic syndrome. J Physiol Pharmacol [J], 72.
[11] BABU A F, CSADER S, MäNNISTö V, et al. 2022. Effects of exercise on NAFLD using non-targeted metabolomics in adipose tissue, plasma, urine, and stool. Sci Rep [J], 12: 6485.
[12] HASSABI M, SADEGHI A, ABEDY YEKTA A H, et al. 2023. The role of moderate- and high-intensity supervised aerobic training in reducing steatosis and hepatic fibrosis in patients with non-alcoholic fatty liver disease; a randomized controlled trial. Gastroenterol Hepatol Bed Bench [J], 16: 509- 519.
[13] GAO Y, LU J, LIU X, et al. 2021. Effect of Long-Term Exercise on Liver Lipid Metabolism in Chinese Patients With NAFLD: A Systematic Review and Meta-Analysis. Front Physiol [J], 12: 748517.
[14] BABU A F, CSADER S, LOK J, et al. 2021. Positive Effects of Exercise Intervention without Weight Loss and Dietary Changes in NAFLD-Related Clinical Parameters: A Systematic Review and Meta-Analysis. Nutrients [J], 13.
[15] BIANCHI A, MARCHETTI L, HALL Z, et al. 2021. Moderate Exercise Inhibits Age-Related Inflammation, Liver Steatosis, Senescence, and Tumorigenesis. J Immunol [J], 206: 904-916.
[16] BYRNE C D, TARGHER G 2015. NAFLD: a multisystem disease. J Hepatol [J], 62: S47-64.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 by the authors.

This work is licensed under a Creative Commons Attribution 4.0 International License.
