What are the recommended lifestyle modifications for patients diagnosed with non-alcoholic fatty liver disease (NAFLD)?

Advise patients with NAFLD to undertake gradual, sustained weight loss, aiming for a 5-10% reduction over 6 months with a calorie deficit of about 600 kcal/day ¹.

Recommend a Mediterranean diet, which can reduce liver fat even without weight loss ¹.

Encourage water consumption rather than sugar-sweetened beverages ¹.

Advise at least 150-200 minutes of moderate-intensity aerobic exercise per week, spread over 3-5 sessions, as exercise reduces liver fat content ¹.

Offer lifestyle advice on diet and physical activity regardless of BMI, emphasizing the benefits of exercise and healthy eating ¹.

Advise moderation in alcohol intake within national recommended limits, noting that drinking alcohol in moderation might be protective against NAFLD ¹.

Ensure management of associated conditions such as hypertension, hyperlipidaemia, and type 2 diabetes mellitus, as these influence NAFLD progression ¹.