Exercise frequency to reduce liver fat in obese adults

Examining the Optimal Exercise Frequency for Alleviating Liver Fat in Centrally Obese Adults With Non-Alcoholic Fatty Liver Disease (NAFLD): A Comparative Randomized Controlled Trial

Not applicable Interventional The University of Hong Kong · NCT05741957

This study is testing whether exercising once a week or three times a week can help reduce liver fat in obese adults with non-alcoholic fatty liver disease.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment300 (estimated)
Ages18 Years to 69 Years
SexAll
SponsorThe University of Hong Kong Academic / other
Locations1 site (Hong Kong)
Trial IDNCT05741957 on ClinicalTrials.gov

What this trial studies

This study examines the effectiveness of different exercise frequencies, specifically once-a-week versus thrice-a-week, in reducing liver fat among centrally obese adults with non-alcoholic fatty liver disease (NAFLD). Participants will be randomly assigned to one of three groups: once-a-week exercise, thrice-a-week exercise, or a usual care control group that receives general health education. The interventions will last for four months, with outcome measures assessed at baseline, after the intervention, and at a six-month follow-up. The study aims to align exercise volumes with World Health Organization recommendations for physical activity.

Who should consider this trial

Good fit: Ideal candidates for this study are centrally obese adults aged 18-69 who are diagnosed with non-alcoholic fatty liver disease.

Not a fit: Patients with regular exercise habits, significant medical histories affecting exercise, or those with alcohol dependency may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide insights into optimal exercise regimens for reducing liver fat, potentially improving health outcomes for patients with NAFLD.

How similar studies have performed: Other studies have shown promising results with exercise interventions for NAFLD, but this specific comparison of exercise frequency is novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Cantonese, Mandarin, or English speaking Chinese;
2. Aged 18-69;
3. Male or female;
4. Centrally obese according to the Asian-specific cut-off (waist circumference ≥90 cm for males; ≥80 cm for females) and with BMI ≥23;
5. With NAFLD (defined as \>5% intrahepatic triglycerides assessed by 1H-MRS);
6. Willing to participate in exercise training to improve NAFLD.

Exclusion Criteria:

1. Regular exercise training (\>3 sessions of \>60 min of moderate-intensity exercise training weekly) in the past 6 months;
2. Medical history of cardiovascular disease, chronic pulmonary or kidney disease, heart failure, cancer, and/or liver disease except NAFLD;
3. Somatic conditions that limit exercise participation (e.g., limb loss);
4. Impaired mobility due to chronic disease (e.g., chronic arthritis/osteoarthritis, neurological, musculoskeletal, and autoimmune diseases);
5. Daily smoking habit;
6. Excess alcohol consumption (daily ≥20 g of alcohol for men and ≥10 g for women) in the past 1 year;
7. Consumption of certain drugs (e.g., tamoxifen and estrogen) known to be secondary causes of steatosis;
8. Surgery, therapy, or medication for obesity or weight loss in the past 6 months (e.g., gastric bypass, gastric band, sleeve gastrectomy, gastric reduction duodenal switch, or dietitian-prescribed dietary program);
9. Physical changes that considerably affect body composition and weight (e.g., anorexia nervosa, bulimia nervosa, prolonged gastrointestinal and digestive disorders) during the study period.

Where this trial is running

Hong Kong

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Non-Alcoholic Fatty Liver DiseaseObesityOverweightCentral ObesityAdultsAerobic ExerciseExercise Frequency
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.