
Five-km daily walk, half-plate meal can reverse nonalcoholic fatty liver disease: Study
While NAFLD, a major precursor of serious diseases like liver cancer and cirrhosis, has emerged a leading public health problem in the country over the recent years, the study has challenged the growing dependence on medications for its treatment.
Led by eminent gastroenterologist and former head of gastroenterology department at SCB MCH, Cuttack, Prof SP Singh, the team of researchers from various medical institutes in the country have demonstrated that a very simple combination of reduced diet and increased physical activity, particularly walking, can reverse NAFLD substantially.
Conducted at the Kalinga Gastroenterology Foundation, the study followed 565 NAFLD patients over a one-year period. Majority of them were from rural areas and consumed high calorific diet. Around one-fifth of them had pre-existing type 2 diabetes and hypertension. The advice of the study team was simple: reduce dietary intake by 50 per cent and walk 5 km per day. The patients were followed up monthly and contacted weekly to ensure compliance.
At the end of the year, the results were striking. As high as 85.2 per cent of the participants had lost weight with mean BMI reducing from 26.08 to 25.06. Liver stiffness decreased in nearly 68 per cent of the patients. A two-point reduction in liver stiffness was marked in 52 per cent, while one-stage reversal in liver fibrosis was observed in 40.5 per cent. Around 16.4 per cent of the patients also marked complete resolution of fatty liver. Improvements were also seen in fasting glucose, cholesterol levels, liver enzymes and insulin resistance.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Time of India
an hour ago
- Time of India
Top US doctor says one does not need liver detox, eating these vegetables daily does the job
Dr. Joseph Salhab highlights the importance of diet for liver health, recommending cruciferous vegetables like broccoli and leafy greens such as collard greens. These vegetables naturally boost Phase II detox enzymes, aiding the liver's detoxification process. Incorporating these foods, along with regular exercise, supports optimal liver function without needing detox supplements. The liver is not just the largest organ in the human body, it performs over 500 vital functions, including the digestion of proteins, mineral storage, bile production, and blood filtration. The liver really keeps your body running smoothly behind the scenes, and yet most of us barely give it a second thought until something goes wrong. Liver disease is on the rise, with many being diagnosed with non-alcoholic fatty liver disease (NAFLD). But taking care of liver health does not really require fancy supplements or extreme detox. What you eat can significantly impact your liver health. Dr. Joseph Salhab, a Florida-based gastroenterologist, has now shared a list of vegetables he eats to keep his liver in the best shape possible. 'You don't need a 'liver detox' or cleanse,' Dr. Salhab said in a video shared on Instagram. He shared a list of vegetables he eats and added, 'These veggies naturally boost Phase II detox enzymes within your liver. Your liver already detoxifies your body, and good nutrition helps it work at its best. It's because they're high in compounds like sulforaphane, which help induce Phase II enzymes' Cruciferous vegetables Cruciferous vegetables such as broccoli, broccoli sprouts, Brussels sprouts, kale, and cabbage can help improve liver function. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Upto 15% Discount for Salaried Individuals ICICI Pru Life Insurance Plan Get Quote Undo These vegetables contain sulforaphane, a compound that boosts Phase II enzymes. This compound has anti-cancer and anti-inflammatory properties. Eating these vegetables can provide a protective effect on the liver. A 2007 study also confirmed that consuming Brassica vegetables like cabbage increased the activity of phase II detoxification enzymes in the liver. You can incorporate these veggies several times a week for maximum benefit. Leafy greens (All Images Courtesy: istock) Eat your greens, especially leafy greens, if you want to boost liver health naturally. The gastroenterologist noted that leafy greens like collard greens, mustard greens, and turnip greens are excellent choices to improve liver function. These greens contain detox-active compounds that enhance liver efficiency. Swiss chard, which is lower in sulforaphane, however, contains other detox-supporting nutrients. He also suggests adding arugula and watercress, which can contribute to liver health by supporting enzyme activity. You can add watercress in salads, smoothies, or even eat it lightly sautéed. You can eat most of these vegetables raw or lightly cook them to preserve their nutrients. Avoid overcooking. You can add healthy fats like olive oil for better nutrient absorption. Along with a balanced diet, regular exercise has also been shown to improve liver function.


Time of India
14 hours ago
- Time of India
Non-alcoholic liver disease gets Centre's scan guidelines
Panaji: Health services will now follow the guidelines issued by the Centre for screening patients susceptible to Non-Alcoholic Fatty Liver Disease (NAFLD). The guidelines which were issued last month, a health officer said, will help doctors examine more patients. The officer said that 48,000 patients had been screened before the guidelines came into force. 'NAFLD was recently recognised as a major non-communicable disease and included under the National Programme for the Prevention of Non-Communicable Diseases,' the officer said. 'The programme began in Sep 2023, but the screening criteria guidelines were not prescribed by the Union health ministry.' Operational guidelines emphasise screening criteria based on non-invasive risk scores, as stipulated by the Community Based Assessment Checklist. This approach will help health workers segregate people from high-risk populations. Individuals susceptible to NAFLD will undergo further investigations and treatment. Since there is no known cure for NAFLD, individuals are educated about maintaining their blood sugar levels and other healthy practices. 'Four medical professionals will be nominated from each state and sent for a one-day training session to Delhi,' the officer said. 'They will later train medical officers, auxiliary nurses, midwives, and chief health officers to make the optimum use of tools to identify the at-risk individuals.'


Time of India
a day ago
- Time of India
How fatty liver worsens diabetes—and vice versa
You've probably heard of diabetes. And chances are, you've also heard of fatty liver disease. But what if we told you these two chronic conditions—often treated as separate issues—are deeply connected wreaking havoc together behind the scenes? Yes, fatty liver and diabetes don't just show up at the same party—they feed off each other, quite literally. And the scariest part? Millions of people are dealing with both without even realizing it. Let's break down how this dangerous duo works—and why tackling them together might just be the key to better health. Fatty liver, or more formally Non-Alcoholic Fatty Liver Disease (NAFLD), is exactly what it sounds like—fat building up in your liver. It's not just caused by drinking, but also by too much sugar, processed carbs, and a sedentary lifestyle. Your liver's job is to process everything you eat, filter toxins, and manage energy storage. But when it's overloaded—especially with excess calories and sugars—it starts stashing away fat like a hoarder. Over time, this buildup can lead to inflammation, scarring (fibrosis), and even cirrhosis, which is irreversible. The early stages often have no symptoms at all, which is why it is called the silent liver disease. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Why seniors are rushing to get this Internet box – here's why! Techno Mag Learn More Undo Type 2 diabetes is a condition where your body either doesn't produce enough insulin or becomes resistant to it. Insulin is like a key that helps sugar (glucose) get from your blood into your cells. When this system breaks down, sugar builds up in your bloodstream instead—leading to fatigue, frequent urination, weight gain, and long-term damage to organs like the heart, kidneys, and yes, the liver. Here's the kicker: insulin resistance is the common thread that ties diabetes and fatty liver together. How fatty liver and diabetes fuel each other So, how do these two conditions make each other worse? It's all about the liver's role in sugar and fat metabolism. Fatty liver increases insulin resistance When your liver becomes stuffed with fat, it starts behaving unhealthy manner. It doesn't respond to insulin the way it should—meaning your pancreas has to pump out more and more insulin to get the job done. Over time, this leads to insulin resistance, a hallmark of Type 2 diabetes. High blood sugar feeds liver fat It goes both ways. If you already have diabetes, your blood is loaded with sugar your body can't use properly. That excess sugar? The liver turns it into more fat. Over time, this worsens fatty liver disease, which in turn worsens insulin resistance, which makes diabetes harder to control. That's the toxic loop. One makes the other worse—and the longer the loop runs, the harder it is to break. A growing body of research shows that up to 70% of people with Type 2 diabetes also have fatty liver . And nearly half of those might not even know it. It's no longer considered a coincidence—it's now seen as part of a broader metabolic condition doctors call MASLD (Metabolic dysfunction-associated steatotic liver disease), a new term replacing NAFLD. Studies have shown that having fatty liver doubles your risk of developing diabetes , even if you're not overweight. And once you have both, the risk of heart disease, kidney damage, and stroke rises significantly. 'When your blood sugar is high over a long time, it can damage your internal organs, including your liver. Similarly, NAFLD and NASH increase the risk of developing prediabetes or type 2 diabetes. A buildup of fat and damage in your liver can increase your blood sugar levels. NAFLD and type 2 diabetes share many of the same risk factors. These include overweight or obesity, high blood pressure, and high cholesterol. Researchers are seeing increasing numbers of people with both type 2 diabetes and liver disease. In fact, up to 70% of people with type 2 diabetes also have NAFLD,' the US CDC explains. Here's the frustrating part: fatty liver often goes undiagnosed in people with diabetes—even though the two are so closely linked. Routine diabetes checkups usually include blood tests for glucose and HbA1c, but liver enzyme tests or ultrasounds aren't always ordered unless something obvious shows up. This means a huge number of patients are managing diabetes without realizing they also need to treat their liver. And that's a big miss. Can you fix one by fixing the other? Here's the good news: Yes, you can. Fatty liver and Type 2 diabetes might fuel each other, but they also respond to the same remedies: Weight loss (even 5–10%) can significantly reduce liver fat and improve insulin sensitivity Cutting refined carbs and sugar (especially fructose) helps both blood sugar and liver health Intermittent fasting or time-restricted eating shows promise in managing both Exercise, especially brisk walking and resistance training, improves insulin action and reduces liver fat Sleep and stress management also play underrated but critical roles in metabolic health Why this matters—more than ever With lifestyle diseases on the rise it's becoming clear that we can't treat diabetes in isolation anymore. We need to think of it as part of a bigger picture—one where the liver, gut, pancreas, and fat cells are all in a complicated dance. Ignoring fatty liver while treating diabetes is like fixing a leak in one room while the whole house is flooding. The problem doesn't go away—it just shows up somewhere else.