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ABP Live Doc Talk: How Sedentary Lifestyles Are Quietly Impacting Liver Health? Expert Explains

Long hours of sitting and low activity levels can impact liver health, increasing the risk of fatty liver disease even without obvious symptoms.

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Key points generated by AI, verified by newsroom
  • Sedentary lifestyles slow metabolism, increasing insulin resistance and fat.
  • Fat deposits in liver cells cause Metabolic Associated Fatty Liver Disease.
  • MAFLD progresses silently, potentially leading to inflammation and liver damage.
  • Regular movement and breaks combat sedentary habits for liver health.

The increasing prevalence of sedentary lifestyles, due to long hours behind desks, commutes, and evenings spent in front of screens, has created a situation where many of us are spending much more time sitting than we are moving. People are generally more comfortable with a sedentary lifestyle than they are active. As a result, many people are not aware of how much physical inactivity is contributing to their ongoing issues with their liver.

ALSO READ: ABP Live Doc Talk: Skipping Meals And Late-Night Snacking? Your Liver Could Be Paying The Price

The Link Between Sedentary Habits And Fatty Liver Risk

The liver, which is designated as the body’s detoxification organ and the metabolic powerhouse of the body, is extremely responsive to how we live our daily lives. When we are sedentary, our metabolic processes slow down. In turn, our bodies become less capable of utilizing glucose as energy, which creates insulin resistance, the inability of our cells to respond adequately to insulin; as a result, the body requires additional production of insulin by the pancreas. The elevated level of insulin in the bloodstream, combined with decreased levels of energy expenditure, causes fatty tissue to form from excessive calories consumed.

Most importantly, this type of fat does not only hang out on your stomach and beneath your skin; it also goes into your liver cells. This is known as Metabolic Associated Fatty Liver Disease (MAFLD). Unlike alcoholic fatty liver disease, there is a direct connection between how well your metabolism is functioning and the accumulation of fat in the liver (through a sedentary lifestyle). When you don't move regularly, your body cannot process and remove all the fat from your liver effectively, and fat builds up in the liver pathologically. 

The Silent Progression Of MAFLD

What's even more concerning is that MAFLD usually shows no symptoms in the early stages. You may not feel sick, may not have any type of pain, and may not see any signs that you have accumulated fat in your liver. This "silent" progression allows MAFLD to continue to advance to higher grades, sometimes without being noticed, and may become advanced degrees of metabolic associated steatohepatitis (MASH). MASH is when the fat that has accumulated in your liver becomes inflamed and has caused liver cell injury. If MASH is not treated, it can lead to fibrosis (scarring), cirrhosis (irreversible scarring that causes liver failure), and/or liver cancer, which may necessitate a higher treatment/transplant.

Not Just Obesity: The Hidden Risk Of Sedentary Living

It's a common misconception that only overweight or obese individuals are at risk, while obesity is a major risk factor, even those with a seemingly healthy body weight can develop MAFLD if their lifestyle is predominantly sedentary. "Thin on the outside, fat on the inside" is a reality for some, with inactivity playing a key role in central fat deposition and metabolic issues.

Simple Lifestyle Changes To Protect Liver Health

The good news is that this trajectory is largely preventable and, in early stages, reversible. The solution lies in consciously reintroducing movement into our daily lives. This doesn't necessarily mean hitting the gym for hours every day. Simple, consistent changes can make a profound difference:

  • Take short breaks to walk or stretch every hour if you have a desk job. 
  • Opt for stairs instead of elevators.
  • Incorporate brisk walking, jogging, cycling, or swimming into your routine for at least 30 minutes most days of the week. 
  • Engage in strength training to build muscle mass, which helps improve metabolism.

The liver does so much work for each of us every day, we need to support the liver actively through movement. One way to safeguard the liver from the progression of disease, whether visible or "silent," is through continued conscious choice to move and stay active. Furthermore, the establishment of regular physical activity is crucial not only for the management of weight but also as a way to support all the internal systems, and therefore, the long-term health of the body.

Disclaimer: The information provided in the article is shared by experts and is intended for general informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.

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Frequently Asked Questions

How does a sedentary lifestyle affect the liver?

Sedentary lifestyles slow down metabolic processes, leading to insulin resistance. This causes the body to store excess calories as fat, which can accumulate in liver cells.

What is Metabolic Associated Fatty Liver Disease (MAFLD)?

MAFLD is a condition where fat builds up in the liver due to metabolic dysfunction, often linked to a sedentary lifestyle. It's distinct from fatty liver caused by alcohol consumption.

Can people with a healthy body weight develop MAFLD?

Yes, even individuals with a seemingly healthy body weight can develop MAFLD if they lead a predominantly sedentary lifestyle. Inactivity plays a key role in fat deposition and metabolic issues.

Are there symptoms for MAFLD in its early stages?

MAFLD typically shows no symptoms in its early stages. This 'silent' progression can allow the disease to advance without being noticed.

What simple changes can help protect liver health?

Incorporating regular movement is key. This includes taking breaks to walk or stretch, choosing stairs over elevators, and aiming for at least 30 minutes of brisk activity most days.

About the author Dr. Alok Sehgal

Dr. Alok Sehgal is the Director and Chief Consultant at Premier Gastroenterology Institute, Jalandhar

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