Non-alcoholic fatty liver disease (NAFLD)

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Incidence of non-alcoholic fatty liver

Non-alcoholic fatty liver is a civilising disease, increasingly diagnosed by gastroenterologists and hepatologists. Its prevalence is increasing in parallel with obesity. It is also often associated with type 2 diabetes, hypertension and elevated blood lipids.

Treatment of non-alcoholic fatty liver

The most important way to treat fatty liver is to lose weight, which should be achieved through diet and regular exercise. Eat a low intake of calories, fat and carbohydrates and plenty of plant fibre. Exercise should be aerobic and should last for 30-40 minutes at least three times a week. In the case of high blood lipids, current professional guidelines in gastroenterology and hepatology recommend the use of statins and fibrates. Metformin may be recommended in the case of impaired glucose metabolism, but is not recommended by the professional associations in gastroenterology and hepatology. Vitamin E, silybin, S-adenosylmethionine with antioxidant activity may also be given.