title: Targeting Lifestyle Behavior Change in Adults with NAFLD During a 20-min Consultation: Summary of the Dietary and Exercise Literature.
abstract: Non-alcoholic fatty liver disease (NAFLD) is largely linked to poor diet, lack of physical activity/exercise, and being overweight. In the absence of approved pharmaceutical agents, lifestyle modification, encompassing dietary change and increased physical activity/exercise to initiate weight loss, is the recommended therapy for NAFLD. Despite this, the use of lifestyle therapy within clinical settings is lacking with limited guidance available about what it should involve, how it should be delivered, and whether it can be feasibly delivered as part of standard care. This paper highlights the evidence for the use of lifestyle modification in NAFLD. While there is evidence to support use of behavioral strategies to support lifestyle behavior change in other clinical populations, these are yet to be assessed in people with NAFLD. However, there is sufficient evidence to suggest that behavioral intervention targeting diet and physical activity to promote weight loss in general is effective and a number of practical strategies are presented on how this could be achieved.
authors.affiliation: Institute of Cellular Medicine, Newcastle University, MoveLab, 4th Floor William Leech Building, Newcastle upon Tyne, NE2 4HH, UK. kate.hallsworth@ncl.ac.uk.
authors.forename: Kate
authors.initials: K
authors.lastname: Hallsworth
authors.affiliation: Institute of Cellular Medicine, Newcastle University, MoveLab, 4th Floor William Leech Building, Newcastle upon Tyne, NE2 4HH, UK.
authors.forename: Leah
authors.initials: L
authors.lastname: Avery
authors.affiliation: Institute of Cellular Medicine, Newcastle University, MoveLab, 4th Floor William Leech Building, Newcastle upon Tyne, NE2 4HH, UK.
authors.forename: Michael I
authors.initials: MI
authors.lastname: Trenell
mesh_terms: D004038:Diet, Reducing; D015444:Exercise; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D065626:Non-alcoholic Fatty Liver Disease / Q000628:therapy*; D010353:Patient Education as Topic / Q000379:methods*; D015431:Weight Loss
keywords: Behavior change; Diet; Exercise; Non-alcoholic fatty liver disease (NAFLD); Physical activity; Weight loss