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Sustained High-Intensity Physical Activity Reduces Midlife Risk of Nonalcoholic Fatty Liver Disease

New Study Highlights the Importance of Lifelong Vigorous Physical Activity in NAFLD Prevention

A recent study examining the long-term physical activity patterns of young adults has shown that those who engage in sustained high-intensity physical activity (VPA) from early adulthood to midlife have a significantly lower risk of developing Nonalcoholic Fatty Liver Disease (NAFLD). The study, conducted on 2833 participants over a 25-year period, suggests that promoting lifelong participation in vigorous-intensity activities can be a key factor in lowering NAFLD risk.

Study Findings

The research, carried out as part of the Coronary Artery Risk Development in Young Adults (CARDIA) cohort study, found that individuals in a high decreasing vigorous-intensity physical activity trajectory had a 41% lower risk of NAFLD compared to those following a low stable VPA over the 25-year period. Notably, no associations were found between moderate-intensity physical activity trajectories and NAFLD.

Importance of the Study

Nonalcoholic Fatty Liver Disease is the most common cause of chronic liver disease worldwide, with approximately 31% of adults in the United States affected. This study’s findings highlight the need for individuals to engage in high-intensity physical activities consistently from young adulthood to middle age to reduce the risk of NAFLD. These results could potentially influence the development of more effective prevention programs targeting NAFLD.

Implications for Clinical Practice

The study supports existing guidelines that recommend a minimum of 150 minutes of moderate-intensity physical activity per week and suggests that higher intensity activities may offer additional benefits. Clinicians are encouraged to consider the significance of lifelong physical activity habits when advising patients, particularly those at risk of NAFLD.

Further Research and Health Equity

It is important to acknowledge the limitations of the study, including the reliance on self-reported physical activity data and the lack of representation of various racial and ethnic groups. Future research should consider a more diverse population to ensure equitable access to NAFLD prevention and treatment.

In conclusion, the study underscores the vital role of sustained high-intensity physical activity in reducing the risk of NAFLD. It provides valuable insights for public health initiatives and clinical recommendations, emphasizing the importance of adopting vigorous-intensity activities as part of a lifelong approach to liver health.

Source: JAMA Network Open Journal