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Understanding Metabolic Dysfunction Fatty Liver Disease (MAFLD) and the Role of Yoga in its Management

Recent research conducted by the University of Hyderabad has shed light on the increasing prevalence of Fatty Liver Disease among working professionals, particularly in the IT industry. Fatty Liver occurs when more than 5% of fat accumulates in the liver due to various behavioral and metabolic factors. Previously referred to as Non-Alcoholic Fatty Liver Disease (NAFLD), further research has demonstrated that alcohol is not the sole contributor to this condition. Instead, metabolic dysfunction plays a crucial role in its development.

Health Siren, a wellness initiative based in Pune, has been actively addressing this issue and has successfully helped many individuals recover from Fatty Liver. It is now essential to explore the root causes, pathophysiology, and the role of Yoga and Yogic diet in managing and reversing MAFLD.

Understanding Metabolic Dysfunction

Metabolic dysfunction disrupts the body’s ability to efficiently convert food into energy, leading to excessive fat storage in organs or under the skin. This condition results from long-term hyperacidity or insulin resistance, which inhibits glycolysis (the process that breaks down glucose for energy). Increased stomach acidity contributes to higher fatty acid levels in the body, further impairing insulin-stimulated glucose transport.

Studies have found that individuals with high insulin resistance (even if not diabetic), high total body fat percentage (even if not overweight or obese), and chronic hyperacidity exhibit decreased mitochondrial function. While some mitochondrial abnormalities may have genetic roots, many cases stem from the deregulation of lipid metabolism.

An essential enzyme in this process is AMP-activated protein kinase (AMPK), which regulates mitochondrial and cellular functions. AMPK is activated during exercise and caloric deprivation, helping to inhibit enzymes involved in insulin resistance. However, during inflammation, oxidative stress reduces AMPK activity, further worsening metabolic dysfunction.

Pathophysiology of Fatty Liver Disease

Fatty Liver Disease is a progressive condition that ranges from simple fat accumulation (steatosis) to severe liver fibrosis. Insulin resistance leads to increased plasma insulin and glucose levels, triggering de novo lipogenesis (fat synthesis) in the liver. This process results in elevated free fatty acid levels. When these fatty acids are esterified, triglycerides accumulate in the liver, leading to steatosis.

Excessive dietary fat intake also contributes to this condition, further accelerating liver triglyceride buildup. Studies show that 33% of individuals with NAFLD exhibit all components of metabolic syndrome, while 90% have at least one component. Additionally, steatosis is 3.4 times more prevalent in obese individuals than in those with normal body weight.

Health Conditions Associated with Metabolic Dysfunction

Metabolic dysfunction is linked to various serious health issues, including:

  1. Polycystic Ovarian Syndrome (PCOS)
  2. Cancer
  3. Distal Symmetric Polyneuropathy
  4. Alzheimer’s Disease
  5. Erectile Dysfunction
  6. Cushing’s Syndrome

Common Factors Contributing to MAFLD

Several lifestyle and dietary habits contribute to the development of MAFLD, including:

  • Prolonged sitting hours at work
  • High work-related stress
  • Inadequate sleep
  • Shift work disrupting circadian rhythm
  • Consumption of acidic, high-calorie, and unhealthy foods
  • Emotional eating and poor eating habits
  • Excessive intake of sugar and sweetened beverages
  • Lack of physical activity

The Role of Yoga in Managing MAFLD

Scientific studies have demonstrated that practicing Yoga increases AMPK levels in skeletal muscles, improving overall metabolism and insulin sensitivity. Yoga, which includes Asanas (postures), Pranayama (breath control), Pratyahara (withdrawal of senses), Dharana (concentration), and Dhyana (meditation), provides a holistic approach to managing metabolic disorders. Regular Yoga practice can help:

  • Enhance metabolism
  • Improve insulin resistance
  • Regulate emotional balance
  • Reduce stress and anxiety
  • Promote overall well-being

The Significance of Yogic Diet in MAFLD Management

A well-balanced Yogic diet plays a critical role in preventing and managing MAFLD. The focus is on consuming alkaline foods, nutrient-dense meals with fewer calories, and adopting mindful eating habits. Key aspects of the Yogic diet include:

  • Incorporating fresh fruits, vegetables, and whole grains
  • Avoiding processed and high-fat foods
  • Reducing sugar and refined carbohydrates
  • Eating at the right times and chewing food properly to aid digestion

Conclusion

Metabolic dysfunction and Fatty Liver Disease are growing health concerns, particularly among professionals with sedentary lifestyles. Understanding the root causes and pathophysiology of MAFLD allows for better prevention and management strategies. Yoga and a well-planned Yogic diet offer a natural, holistic approach to reversing metabolic dysfunction, restoring liver health, and promoting overall wellness. By incorporating Yoga and mindful dietary choices into daily life, individuals can significantly reduce the risk of developing MAFLD and enhance their quality of life.

Health Siren

Pic Credit: freepik.com

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