Published online Aug 7, 2014. doi: 10.3748/wjg.v20.i29.10128
Revised: January 29, 2014
Accepted: April 8, 2014
Published online: August 7, 2014
Core tip: The adherence to healthy diet is usually considered as part of effective treatment by patients with nonalcoholic fatty liver disease (NAFLD), whereas motivation to habitual physical activity is more difficult to pursue. We recently developed a specific psychological support program to regular physical activity to be proposed to NAFLD patients, particularly to those who failed or refused the classical weight loss approach. In a clinical audit, we compared the preliminary results obtained by the physical activity program with the data achieved in a group treated by the standard nutritional counseling, after adjusting for propensity score. The results indicate that physical activity may be implemented in motivated patients, with good results on physical fitness, liver enzymes and liver fat.