Review Article

Nutrition and Physical Activity in Nonalcoholic Fatty Liver Disease

Table 1

Clinical signs and symptoms and laboratory picture of NAFLD.

Frequently asymptomatic High ALT (2–4x)
Vague and unspecific symptomsHigh GGT (2–6x)
 Abdominal right upper quadrant discomfortMild elevation of AST (can be elevated in cirrhosis)
 Fatigue
 Dyspepsia
Overweight (BMI ≥ 25 kg/m2)Blood glucose > 100 mg/dL
High blood pressureTriglycerides > 150 mg/dL
Central adiposityTotal cholesterol > 200 mg/dL
Hepatomegaly (in 50%)LDL > 130 mg/dL
Splenomegaly (in 25%)HDL < 45 mg/dL

NAFLD: nonalcoholic fatty liver disease; BMI: body mass index; ALT: alanine aminotransferase; GGT: gamma-glutamyl transferase; AST: aspartate aminotransferase; LDL: low density lipoproteins; HDL: high density lipoprotein.