Exercise rehabilitation of fatty liver, have you studied?

    Fatty liver : refers to a lesion of excessive accumulation of fat in liver cells due to various reasons. Normal human liver total fat, about 5% of liver weight , contains phospholipids, triglycerides, fatty acids, cholesterol and cholesterol. More than 5% of fat is mild fatty liver, more than 10% is moderate fatty liver, and more than 25% is severe fatty liver. When the liver total fat exceeds 30%, check it out with the B-to, B-ultrasound was diagnosed as "fatty liver." In patients with fatty liver, the total fat can reach 40%-50% , and some of them are more than 60% , mainly triglycerides and fatty acids, while phospholipids, cholesterol and cholesterol esters increase only slightly . In general, fatty liver is a reversible disease, which can be restored to normal after early diagnosis and timely treatment.

     According to the way of metabolism of human body during exercise, exercise can be divided into two categories: aerobic exercise and anaerobic exercise. When the exercise intensity is not large and the oxygen supply is sufficient, the decomposition of glycogen is mainly aerobic decomposition, and its metabolites are CO 2 and H 2 O. When the exercise intensity is large and the oxygen supply is relatively insufficient, the anaerobic metabolism is dominant. The anaerobic metabolism causes the accumulation of lactic acid, so that the exercise of greater intensity cannot be continued ( such as short-term, high-intensity sprint is the anaerobic exercise mode ) . Therefore, the so-called aerobic exercise refers to the supply of oxygen that is inhaled during exercise and is sufficient for exercise. The intensity of this exercise is equivalent to 50%-70% ( 50%-70% VO 2 max ) of the maximum oxygen uptake or the exercise heart rate is equivalent to 70%-80% ( 70%-80% HRmax ) of the maximum heart rate .

Aerobic exercise is a kind of exercise that lasts for more than 5 minutes. This exercise intensity , which stimulates various physiological functions, is gradually overcome, respiratory and circulatory functions are improved, physical fitness, physical fitness, body oxygen demand and Dynamic balance is achieved between oxygen uptake, lactic acid accumulation does not occur in the body, heart rate, cardiac output and lung ventilation remain stable, so long duration of exercise, high safety, high fat consumption, increased oxygen uptake and anaerobic Sexual operation threshold to improve aerobic exercise capacity. After the system exercise, the same quantitative exercise can be performed. It can be seen that the heart rate and blood pressure during exercise are reduced in response to exercise, and the oxygen consumption is reduced, indicating that the energy metabolism is saved after the system is exercised, and the result is reduced cardiovascular load during exercise and improved. Activity ability.

   

Exercise rehabilitation of fatty liver : sports for non-alcoholic fatty liver patients should be based on low-intensity, long-term aerobic exercise. The dynamic activity characterized by aerobic metabolism has a better effect on reducing fat and reducing fat and promoting liver fat regression in patients with fatty liver. Therefore, choose the sports that suit you according to your own conditions:

     1 ,   Walking diet :

A ,   Ordinary walking method : Walk at slow and medium speeds, 30-60 minutes each time , 2-3 times a day. Suitable for leisure in beautiful places.

B ,   Fast walking method (recommended!): 5-7 kilometers per hour , 30-60 minutes per exercise . Heart rate is controlled below 120 beats per minute .

C ,   Quantitative walking method: including walking on flat land and slopes. For example , walking 100 meters on a 3 degree slope , gradually increasing to 15 minutes on a 5 degree slope , and then walking on the ground for 15 minutes.

D ,   Swing arm walking method: When walking, the two arms swing forward and backward rhythmically, which can improve the activity of the shoulder strap thorax and is suitable for people with respiratory diseases.

E ,   Abdomen walking method: While walking, while agitating the abdomen, it is also beneficial for people with indigestion and gastrointestinal diseases .

     2 , Tai Chi Chuan weight loss : For older patients, this method is relatively safe and simple. But the time is long, and the intensity of Tai Chi is relatively small, so it takes a long time.

3 , swimming :

(1) The energy consumed by swimming is large. This is because the resistance of the water during swimming is far greater than the resistance of the air during the movement on the ground. It is laborious to walk around in the water, and then swims in the water, which definitely consumes more heat. At the same time, the thermal conductivity of water is greater than 24 times the air , and the water temperature is generally lower than the temperature, which is also conducive to heat dissipation and heat consumption. Therefore, the energy consumed during swimming is much larger than that of running land projects, so the weight loss effect is more obvious.

(2) It can avoid sports injuries of the lower limbs and the lower back. When performing weight loss exercise on land, the obese person is very important, so that the body (especially the lower limbs and the waist) is subject to a large gravity load, which reduces exercise capacity and fatigue, and the interest in weight loss exercise is greatly reduced and can be damaged. Lower extremity joints and bones. While the swimming program is carried out in the water, a considerable part of the weight of the obese person is taken up by the buoyancy of the water, the lower limbs and the waist are thus much easier, and the risk of joint and bone damage is greatly reduced.

4 , aerobic exercise : running, cycling, skipping, aerobics and other endurance sports.

Indications and contraindications for exercise therapy

     (A), indications: It is now considered that exercise therapy is most suitable for patients with fatty liver with insulin resistance and overweight, so the excess nutrient liver caused by obesity, type II diabetes, hyperlipidemia, post-hepatitis fat Liver patients can undergo appropriate exercise therapy under the guidance of a doctor. Among these types of fatty liver treatments, exercise is less important than diet control. When diet control is simple, the body's basal metabolic rate is reduced, energy expenditure is reduced, and exercise is combined with physical exercise to increase energy consumption. The combination of the two makes the energy further negatively balanced. At the same time, it can also reduce the loss of body protein caused by simple low-calorie diet, forcing more fat to break down, making beneficial changes in the body's composition, enhancing physical fitness while losing weight, helping to reduce weight, control blood sugar, and reduce Blood lipids and blood pressure promote the regression of fat deposition in the liver. Studies have shown that changes in blood lipids produced by increasing energy expenditure and limiting energy intake are more desirable than simply limiting energy intake, because exercise has a strong impact on fat metabolism, mainly consuming body fat.

     (B), contraindications: Although exercise can have a good impact on patients with over-nutrition fatty liver, but not all patients with fatty liver are suitable for sports.

1. Overnutrition of fatty liver with severe comorbidities: At present, the indications for exercise therapy when there is comorbid fatty liver disease are still in the stage of accumulated experience, but if there is severe comorbidity in fatty liver disease, such as acute myocardial infarction time period, unstable angina, congestive heart failure, serious arrhythmia, severe hypertension, type â…° diabetes, renal failure, liver damage or significant to the development of decompensated cirrhosis and other activities should be limited in order to avoid illness Deterioration, even if it is a licensed exercise, must strictly grasp the amount of exercise, and observe closely during the exercise .

2 , due to malignant malnutrition, protein and other caloric deficiency, hyperthyroidism and tuberculosis and other systemic disease caused by fatty liver ( due to exercise to increase metabolism, excessive exercise will increase the severity of the disease ) .

3 , fatty liver patients caused by drugs, alcohol and poisons (excessive exercise may become a factor that interferes with metabolism).

4 , pregnancy, acute fatty liver, Reye syndrome should limit activities, increase the time of bed rest.

In addition, exercise therapy is only suitable for primary obesity, while secondary obesity is not suitable for exercise. Therefore, various tests should be performed before the start of exercise therapy and the respective standard weights should be set. Obese people with an obesity of more than 70% can be given a drug weight loss treatment, and exercise therapy should be started when the weight is reduced to less than 50% of the obesity .

 

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