American College of Sports Medicine (ACSM) International Multidisciplinary Roundtable report on physical activity and nonalcoholic fatty liver disease.
Author
Stine, Jonathan GLong, Michelle T
Corey, Kathleen E
Sallis, Robert E
Allen, Alina M
Armstrong, Matthew J
Conroy, David E
Cuthbertson, Daniel J
Duarte-Rojo, Andres
Hallsworth, Kate
Hickman, Ingrid J
Kappus, Matthew R
Keating, Shelley E
Pugh, Christopher J A
Rotman, Yaron
Simon, Tracey G
Vilar-Gomez, Eduardo
Wong Vincent Wai-Sun
Schmitz, Kathryn H
Publication date
2023-03-30
Metadata
Show full item recordAbstract
Background and aims: We present findings from the inaugural American College of Sports Medicine (ACSM) International Multidisciplinary Roundtable, which was convened to evaluate the evidence for physical activity as a means of preventing or modifying the course of NAFLD. Approach and results: A scoping review was conducted to map the scientific literature and identify key concepts, research gaps, and evidence available to inform clinical practice, policymaking, and research. The scientific evidence demonstrated regular physical activity is associated with decreased risk of NAFLD development. Low physical activity is associated with a greater risk for disease progression and extrahepatic cancer. During routine health care visits, all patients with NAFLD should be screened for and counseled about physical activity benefits, including reduction in liver fat and improvement in body composition, fitness, and quality of life. While most physical activity benefits occur without clinically significant weight loss, evidence remains limited regarding the association between physical activity and liver fibrosis. At least 150 min/wk of moderate or 75 min/wk of vigorous-intensity physical activity are recommended for all patients with NAFLD. If a formal exercise training program is prescribed, aerobic exercise with the addition of resistance training is preferred. Conclusions: The panel found consistent and compelling evidence that regular physical activity plays an important role in preventing NAFLD and improving intermediate clinical outcomes. Health care, fitness, and public health professionals are strongly encouraged to disseminate the information in this report. Future research should prioritize determining optimal strategies for promoting physical activity among individuals at risk and in those already diagnosed with NAFLD.Citation
Stine JG, Long MT, Corey KE, Sallis RE, Allen AM, Armstrong MJ, Conroy DE, Cuthbertson DJ, Duarte-Rojo A, Hallsworth K, Hickman IJ, Kappus MR, Keating SE, Pugh CJA, Rotman Y, Simon TG, Vilar-Gomez E, Wong VW, Schmitz KH. American College of Sports Medicine (ACSM) International Multidisciplinary Roundtable report on physical activity and nonalcoholic fatty liver disease. Hepatol Commun. 2023 Mar 30;7(4):e0108. doi: 10.1097/HC9.0000000000000108. PMID: 36995998; PMCID: PMC10069861.Type
ArticleAdditional Links
https://journals.lww.com/hepcomm/pages/default.aspxPMID
36995998Journal
Hepatology CommunicationsPublisher
Lippincott, Williams & Wilkinsae974a485f413a2113503eed53cd6c53
10.1097/HC9.0000000000000108