INS and metabolic dysfunction-associated steatotic liver disease: Lack of physical exercise are associated with metabolic syndrome and NAFLD, leading to an epidemic in disease prevalence globally.[11] Based on previous research, the effects of exercise may ameliorate NAFLD include: increasing caloric consumption and facilitating weight loss, reducing intrahepatic fat/triacylglycerol, even in the absence of weight loss, and increasing insulin sensitivity.[12] But there is no consensus on the type of exercise that should be recommended to patients with NAFLD.