运动在代谢相关脂肪性肝病管理中的作用:美国运动医学会和澳大利亚运动与体育科学学会国际专家共识解读OA
The Role of Exercise in the Management of Metabolic-associated Fatty Liver Disease:Interpretation of the International Expert Consensus of ACSM and ESSA
运动是代谢相关脂肪性肝病(MAFLD)管理的基石,也是逆转肝脂肪变性、降低心血管疾病风险的核心手段.目前尚无监管机构批准的有效治疗药物,因此 MAFLD 患者需要更精准的运动处方指导.然而,目前针对MAFLD 患者的运动指南相对较少.近两年美国运动医学会(ACSM)和澳大利亚运动与体育科学学会(ESSA)分别发布了关于 MAFLD 患者运动指导建议的专家共识——《ACSM 国际多学科圆桌会议关于体育活动和非酒精性脂肪肝的报告》和《运动在成年人代谢相关脂肪性肝病(MAFLD)管理中的作用:ESSA 的立场声明》,从运动改善肝脂肪变性的机制、不同运动类型对MAFLD的影响、运动对MAFLD患者的益处、运动处方制定等角度全面提出了指导意见.本文对专家共识的主要内容进行解读,旨在为国内MAFLD患者提供更科学的运动指导.
Exercise is the cornerstone of metabolic-associated fatty liver disease(MAFLD)management and a core approach to reversing hepatic steatosis and reducing cardiovascular risk.Currently,there are no effective therapeutic drugs approved by regulatory authorities for MAFLD,thus patients with MAFLD need more precise exercise prescription guidance.However,there are relatively few exercise guidelines specifically for MAFLD patients at present.With the continuous exploration of this field by experts and scholars,in the past two years,American College of Sports Medicine(ACSM)and Exercise and Sport Science Australia(ESSA)respectively released expert consensuses on exercise guidance recommendations for patients with MAFLD:American College of Sports Medicine(ACSM)International Multidisciplinary Roundtable Report on Physical Activity and Nonalcoholic Fatty Liver Disease and Exercise in the Management of Metabolic-associated Fatty Liver Disease(MAFLD)in Adults:a Position Statement from Exercise and Sport Science Australia.These two expert consensuses comprehensively put forward guiding opinions from the perspectives of the mechanism by which exercise improves hepatic steatosis,the impact of different types of exercise on MAFLD,the benefits of exercise for MAFLD patients,and the formulation of exercise prescriptions.This article interpreted the main contents of the expert consensus,aiming to provide more scientific exercise guidance for domestic MAFLD patients.
许坤;程经纬;王聪帅;王银浩;胡俊鹏;李弯月;柳杨青;席艳
475000 河南省开封市,河南大学体育学院475000 河南省开封市,河南大学体育学院475000 河南省开封市,河南大学体育学院475000 河南省开封市,河南大学体育学院450003 河南省郑州市,河南省中医院 河南中医药大学第二附属医院内分泌科450003 河南省郑州市,河南省人民医院 郑州大学人民医院康复科450003 河南省郑州市,河南省人民医院 郑州大学人民医院编辑部475000 河南省开封市,河南大学基础医学院
医药卫生
代谢相关脂肪性肝病身体活动运动处方美国运动医学会澳大利亚运动与体育科学学会指南解读
Metabolic-associated fatty liver diseasePhysical activityExercise prescriptionsAmerican College of Sports MedicineExercise and Sport Science AustraliaGuideline interpretation
《中国全科医学》 2026 (23)
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