Background & Aims: Nowadays, the world is facing a common problem that the population aging
process is accelerating. How to delay metabolic disorders in middle-aged and elderly people, has become a hot
scientific and social issue worthy of attention. The liver plays an important role in lipid metabolism, and abnormal
lipid metabolism may lead to liver diseases. Exercise is an easily controlled and implemented intervention,
which has attracted extensive attention in improving the health of liver lipid metabolism in the elderly. This article
reviewed the body aging process, changes of lipid metabolism in the aging liver, and the mechanism and
effects of different interventions on lipid metabolism in the aging liver, especially focusing on exercise intervention.
Methods: A literature search was performed using PubMed-NCBI, EBSCO Host and Web of Science, and also a
report from WHO. In total, 143 studies were included from 1986 to 15 February 2020.
Conclusion: Nutritional and pharmacological interventions can improve liver disorders, and nutritional interventions
are less risky relatively. Exercise intervention can prevent and improve age-related liver disease, especially
the best high-intensity interval training intensity and duration is expected to be one of the research directions in