Alcohol Is Not the Only Cause

Fatty liver disease is not caused only by alcohol.

Many indians who never drink still develop Non-Alcoholic Fatty Liver Disease (NAFLD).

Liver health depends on metabolism, diet, genetics, and activity levels.

Genetic Differences in Alcohol Metabolism

Europeans generally have higher activity of alcohol-breaking enzymes: alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH).

These enzymes help clear alcohol toxins faster from the body.

In many Asian populations, these enzymes may work less efficiently.

Slower toxin breakdown can increase liver stress when alcohol is consumed.

However, genetics alone does not guarantee a healthy or unhealthy liver.

Dietary Patterns Matter More Than Alcohol Alone

Traditional european diets often include:

Complex carbohydrates

Olive oil and healthy fats

Fish and seafood

Adequate protein

These foods support better metabolic health.

Many modern indian diets are high in:

Refined carbohydrates (white rice, maida products)

Sugar and processed snacks

Low protein intake

High carb and sugar intake increases fat storage in the liver.

Physical Activity Levels Differ

Regular walking (5–6 km daily) and structured exercise improve liver fat metabolism.

A sedentary lifestyle increases insulin resistance.

Urban indian lifestyles often involve long sitting hours and limited exercise.

Physical inactivity is a major driver of fatty liver disease.

Metabolic Syndrome Is the Hidden Factor

Obesity, diabetes, high triglycerides, and insulin resistance are common in India.

Indians are genetically prone to central obesity (“thin-fat” body type).

Even normal-weight individuals may have high internal fat deposits.

Balanced lifestyle Is the Real Protector

Moderate alcohol plus a good diet and exercise may show fewer liver changes.

No alcohol, but poor diet and inactivity can still cause fatty liver.

Prevention focuses on weight control, protein intake, daily movement, and sugar reduction.

Bottom Line: Alcohol alone does not define liver health. Genetics, diet quality, and physical activity together determine the risk of fatty liver.

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