Precautions for Exercise Therapy in Patients with Fatty Liver Disease

by loveq3u5 on 2012-02-27 18:02:34

Related Articles: Precautions for Exercise Therapy for Fatty Liver Patients

(1) The speed of weight loss should not be too fast, with a weekly weight decrease not exceeding 1.2 kg. If the weight loss is too rapid, it may instead exacerbate liver fat accumulation, and complications such as lactic acidosis may also occur.

(2) For obese individuals with an obesity degree of over 70%, initial pharmacological treatment for weight loss can be administered. Once the weight has been reduced to an obesity degree below 50%, exercise therapy can then be started.

(3) Static exercises characterized by anaerobic metabolism, as well as localized exercises for weight loss, are far less effective than aerobic exercises. Activities like weightlifting, sprinting, basketball, and soccer increase energy consumption in the body but also increase glycolysis, leading to the depletion of muscle glycogen and increased lactate production. This results in increased glucose degradation, hindered consumption of free fatty acids, and may even lead to increased appetite.

(4) For patients with diabetes, exercising 30 to 60 minutes after a meal is generally recommended. Exercising on an empty stomach in the morning or immediately after eating should be avoided. Exercising on an empty stomach can easily induce hypoglycemia. For Type 1 diabetic patients, insulin levels are low in the morning when fasting, so during exercise, there is often no increase in glucose utilization. Instead, hepatic glycogen output significantly increases, raising blood sugar levels, which can worsen the condition and even trigger ketoacidosis. Immediate post-meal exercise can affect digestion and absorption.

(5) For severe insulin-dependent diabetes mellitus (Type 1 DM), exercise can exacerbate fat breakdown, potentially triggering ketoacidosis.

(6) Diabetic nephropathy: exercise can worsen proteinuria.

(7) Diabetic retinopathy: exercise can exacerbate retinal bleeding.

(8) During the peak effect of insulin, such as at 11 AM, physical exercise is not advisable. If participating in sports, one must carefully manage temporary snacks to prevent hypoglycemic reactions. Additionally, physical activities should be avoided before meals after insulin injection to prevent hypoglycemia.