BACKGROUND: Nonalcoholic fatty liver disease (NAFLD) is the most prevalent chronic liver condition that is associated with sedentary lifestyle and inappropriate feeding habits. The main purpose of this study was to evaluate the effect of 12 weeks of combined training with dietary approaches to stop hypertension (DASH) diet on alanine transaminase (ALT) enzyme levels, liver fat, and anthropometric indices in patients with NAFLD. METHODS: This was an interventional, double-blind randomized clinical trial study with two arms, DASH diet and DASH diet with combined exercise. Patients in both groups received the relevant diet under the supervision of a specialist, and patients in group 2 performed the selected combination exercise according to the schedule. Variables were measured at specific times. FINDINGS: The consumption of DASH diet and combined exercise significantly reduced the mean liver fat, weight and waist to hip index (WHR) in both groups. ALT enzyme showed a significant decrease in exercise group (p < 0.050). CONCLUSION: According to the findings, consumption of DASH diet and combined exercise can improve some indicators in patients with fatty liver.

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