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 NICE CKS.
Recommend a Mediterranean diet, which can reduce liver fat even without weight loss NICE CKS.
Encourage water consumption rather than sugar-sweetened beverages NICE CKS.
Advise at least 150-200 minutes of moderate-intensity aerobic exercise per week, spread over 3-5 sessions, as exercise reduces liver fat content NICE CKS.
Offer lifestyle advice on diet and physical activity regardless of BMI, emphasizing the benefits of exercise and healthy eating NICE CKS.
Advise moderation in alcohol intake within national recommended limits, noting that drinking alcohol in moderation might be protective against NAFLD NICE CKS.
Ensure management of associated conditions such as hypertension, hyperlipidaemia, and type 2 diabetes mellitus, as these influence NAFLD progression NICE CKS.