转自：生命时报微信公号 很多人认为，"脂肪肝"是胖人们应该关心的事，其实，一些体重正常甚至偏瘦的人也难以幸免。 一项研究显示，瘦人一旦确诊脂肪肝，带来的损伤会更严重。《生命时报》综合专家观点，解读为什么瘦人也会得脂肪肝，并教你如何给肝脏减脂。瘦人得 脂肪肝更危险这项由北京友谊医院、北京大学等机构联合完成的研究发现，不胖的人也会得脂肪肝，且这类体重正常的脂肪肝患者，其肝脏损伤、肝病死亡 及全因死亡风险显著高于肥胖患者。 多脂肪肝患者在肝功能衰竭和肝硬化并发症前没有任何症状，因此不能因没有症状就轻视脂肪肝。如果体重指数正常人群能做到以下五点，脂肪肝是可以逆 转的。科学控制体重北京大学第一医院感染疾病科主任医师徐京杭表示，对于瘦人的脂肪肝，推荐先进行生活方式干预，以体重减轻3%~5%为目标。虽然 这类患者本身就瘦，但如果不减重，脂肪在肝脏的堆积问题很难得到解决，最好在体重指数正常范围内（18.5~23.9）减重，比如50公斤减2.5公斤，100公斤 减5公斤。减重不能过快，一周最好控制在0.5~1公斤内，如果体内脂肪短时间分解太多，超过肝脏的代谢能力，脂肪肝反而会加重。对于体重正常人群，男 性需要把腰围控制在85厘 ...

Core Viewpoint - The theme of National Liver Day on March 18 is "Integrating Traditional Chinese and Western Medicine to Reverse Liver Cirrhosis," emphasizing the importance of liver health and the potential for reversing liver diseases like fatty liver and cirrhosis through proper management and treatment [1]. Group 1: Fatty Liver Disease - Fatty liver disease is a common chronic liver condition globally, closely related to poor dietary and lifestyle habits, but it can be reversed through scientific management [2][3]. - There is a misconception that fatty liver is only associated with obesity; however, even thin individuals can develop fatty liver due to nutritional imbalances and metabolic disorders [2]. - The latest treatment guidelines in China have redefined fatty liver as Metabolic Associated Fatty Liver Disease (MAFLD), with common causes including obesity, alcohol consumption, diabetes, and certain medications [2][3]. Group 2: Management and Reversal of Fatty Liver - Patients with mild to moderate fatty liver can manage their health through dietary adjustments, exercise, and metabolic control, which can lead to reversal of the condition [3][4]. - Dietary recommendations include limiting ultra-processed and high-saturated fat foods while increasing the intake of vegetables and whole grains [3]. - For overweight adults, a weight loss target of at least 5% can reduce liver fat, while a 7%-10% reduction can improve liver inflammation [3]. Group 3: Liver Cirrhosis Treatment - The traditional view of liver cirrhosis as irreversible is changing with the development of integrated treatment approaches combining Western and Traditional Chinese Medicine [5][7]. - A case study highlighted a patient with decompensated cirrhosis who improved significantly through a personalized treatment plan that included antiviral medication and traditional Chinese herbal remedies [5]. - Early detection and timely treatment are crucial for reversing liver cirrhosis, with the potential for patients in decompensated stages to return to compensated stages through appropriate interventions [6][7]. Group 4: Seasonal Liver Care - Spring is considered a prime time for liver care, as the liver's functions are particularly active during this season [9][10]. - Recommendations for liver health include maintaining regular sleep patterns, avoiding excessive screen time, and managing emotions to prevent liver qi stagnation [10][11]. - Dietary suggestions include consuming green foods and avoiding high-fat and high-sugar items, along with regular physical activity to support liver function [11][12].