Eating right to tackle fatty liver disease: a diet review

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Fatty liver disease, a growing health concern, is characterized by the accumulation of fat in the liver. It can lead to liver inflammation and, in severe cases, progress to more significant liver problems.

One powerful way to manage this condition is through dietary choices. In this review, we’ll explore diet recommendations for fatty liver disease, offering clear and practical advice for those looking to improve their liver health.

Background Information

Fatty liver disease, or hepatic steatosis, can occur for various reasons. The two primary types are alcoholic fatty liver disease (AFLD), caused by excessive alcohol consumption, and non-alcoholic fatty liver disease (NAFLD), which is not related to alcohol intake.

NAFLD is closely linked to lifestyle factors such as obesity, insulin resistance, and poor dietary choices.

Research Evidence

The Role of Diet: Diet plays a pivotal role in the development and management of fatty liver disease. Research has shown that certain dietary patterns and food choices can either exacerbate the condition or help reverse it.

Reducing Sugary Drinks: High consumption of sugary beverages, including soda and fruit juices, is associated with an increased risk of NAFLD. Reducing or eliminating these drinks from your diet is a crucial step.

Limiting Added Sugars and Refined Carbohydrates: Foods high in added sugars and refined carbohydrates, such as white bread and pastries, can lead to insulin resistance and liver fat accumulation. Replacing them with whole grains and foods rich in fiber can help.

Choosing Healthy Fats: Unsaturated fats, like those found in avocados, nuts, and olive oil, are beneficial for liver health. They can help reduce inflammation and fat accumulation in the liver.

Balancing Protein Intake: Consuming moderate amounts of lean protein, such as poultry, fish, and legumes, can support liver health. Avoid excessive intake of red and processed meats.

Moderating Alcohol Consumption: If you have AFLD or NAFLD, it’s essential to limit or eliminate alcohol consumption. Alcohol can further damage the liver and hinder recovery.

The Mediterranean Diet: Research suggests that the Mediterranean diet, characterized by high consumption of fruits, vegetables, whole grains, and healthy fats, may be particularly beneficial for fatty liver disease. Studies have shown that following this dietary pattern can reduce liver fat and inflammation.

Omega-3 Fatty Acids: The Mediterranean diet includes foods rich in omega-3 fatty acids, such as fatty fish (e.g., salmon and sardines). These fats have anti-inflammatory properties and can help improve liver health.

Antioxidant-Rich Foods: The diet also emphasizes foods high in antioxidants, like berries, nuts, and leafy greens, which can protect the liver from oxidative stress.

Weight Management: Achieving and maintaining a healthy weight is crucial for individuals with fatty liver disease, especially those with NAFLD. Losing excess weight through a combination of diet and regular physical activity can significantly reduce liver fat and improve liver function.


Diet plays a pivotal role in managing fatty liver disease, whether it’s AFLD or NAFLD. Making wise food choices can help reduce liver fat, inflammation, and the risk of progression to more severe liver conditions.

Adopting a diet that includes fewer sugary drinks, limited added sugars, and healthy fats while emphasizing whole foods like fruits, vegetables, and lean proteins can support your liver health.

The Mediterranean diet, in particular, has shown promise in improving liver function and reducing liver fat. Combined with maintaining a healthy weight and avoiding excessive alcohol consumption, dietary changes can make a substantial difference in managing fatty liver disease.

If you have fatty liver disease or are concerned about your liver health, consult with a healthcare professional or registered dietitian.

They can provide personalized guidance and help you create a dietary plan tailored to your specific needs and preferences. Remember that consistency and a long-term commitment to a healthy diet are key to improving and maintaining your liver health.

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