Fatty liver disease occurs when excess fat accumulates in the liver, exceeding 5% of its weight. In grade one, fat accounts for approximately 5-10%, typically without noticeable liver damage. This stage is reversible with proper management. However, if unhealthy lifestyle choices persist, fat accumulation increases, progressing to grades two and three. At these stages, fat can exceed 30% of the liver's weight, causing inflammation and tissue damage. This increases the risk of chronic hepatitis, cirrhosis, and liver cancer.

Doctor Doan Vinh Binh, from the Medical Information Center at Tam Anh General Hospital in TP HCM, suggests lifestyle and habit modifications can help reduce further fat accumulation and control symptoms.

Maintaining a healthy weight is crucial in preventing the progression of fatty liver disease. For individuals who are overweight or obese, gradual and steady weight loss of 5-10% can reduce fat buildup and improve liver function. Conversely, rapid or extreme weight loss methods can harm the liver and increase the risk of severe liver damage.

A diet rich in green vegetables helps reduce fatty liver disease. Photo: Dinh Dieu

A diet rich in green vegetables helps reduce fatty liver disease. Photo: Dinh Dieu

A healthy diet plays a vital role in managing fatty liver disease. Patients should minimize consumption of fatty foods, sugary drinks and snacks, refined carbohydrates, and alcohol, as these contribute to fat accumulation in the liver. Instead, focus on green vegetables, fatty fish rich in omega-3s like salmon and mackerel, whole grains, and antioxidant-rich foods like green tea, turmeric, and garlic to help reduce inflammation.

Regular moderate-intensity exercise for at least 150 minutes per week enhances fat metabolism. Activities like brisk walking, swimming, cycling, or yoga can contribute to reducing liver fat. Office workers should incorporate short periods of light exercise every one to two hours for liver health.

Dr. Binh emphasizes the importance of managing underlying conditions like diabetes, lipid disorders, and hypertension, as these can accelerate the progression of fatty liver disease. Patients should avoid using unprescribed medications or supplements from unknown sources, as some can cause liver damage with prolonged incorrect usage.

According to Dr. Binh, using herbal remedies can support liver protection due to their safety and long-term efficacy. Herbs like jiaogulan, phyllanthus, or solanum procumbens, especially wasabia and s.marianum, can enhance detoxification and protect the liver by controlling overactive kupffer cells, supporting liver enzyme reduction, and restoring liver function. However, patients should consult healthcare professionals before use to avoid interactions with other medications.

To prevent the progression of grade one fatty liver disease, regular health check-ups, including liver ultrasounds and liver enzyme tests at least every 6 months, are essential. These help detect abnormalities early for timely intervention. Proper monitoring and liver care can prevent disease progression and reduce the risk of complications.

Dinh Dieu