Lifestyle modifications to manage non-alcoholic fatty liver disease include dietary modification and physical activity.
A weight loss of 7-10% from baseline is the recommended target, and this has been shown to reverse fibrosis and reduces future risk of diabetes in a proportion of patients. Weight loss and weight management should be guided by the NICE guidance on obesity (linked below), with the primary aim to achieve an energy deficit in the diet using a range of different strategies to suit the patient.
The following website have useful resources for patients who are undergoing a weight loss intervention, following on from a consultation:
Patients who successfully lose weight and maintain their weight loss long term, demonstrate key self-monitoring and goal setting behavioural changes which help them identify their own health behaviours, identify areas for change and recognise achievements. Self-monitoring might include a healthy eating diary, physical activity diary, step count, weight or other measurements.
In some patients who are struggling with their weight, it’s important to make a referral to weight management services who can assess a patient’s needs and provide intensive pathways to support a patient to lose weight.