A Gender and Culturally Specific Approach to Reduce NAFLD in Mexican-American Men

Inclusion Criteria:

* Self-identify as a Mexican or Mexican-American man
* 18-64 years of age
* BMI between 30 to 50.0 kg/m²
* Have a CAP score ≥248 at screening
* Be identified as PNPLA3 risk allele carriers (CG/GG genotype) at screening
* Be able to provide informed consent
* Speak, read, and write either English and/or Spanish.

Exclusion Criteria:

* Have active, chronic gastrointestinal disorder (e.g. inflammatory bowel disease, ulcerative colitis, Chron's disease, celiac disease)
* Been previously diagnosed with viral hepatitis, liver disease or liver cancer
* Have a history of bariatric surgery
* Report medical condition or treatment for a medical condition that could affect body weight or ability to engage in structured physical activity that is consistent with the intervention for this study
* Have current congestive heart failure, angina, uncontrolled arrhythmia, or other symptoms indicative of an increased acute risk for a cardiovascular event
* Have a resting systolic blood pressure of ≥150 mmHg or resting diastolic blood pressure of ≥100 mmHg
* Have an eating disorders that would contraindicate weight loss or physical activity
* Report significant alcohol consumption (e.g., drinking ≥ 21 standard drinks/week, binge drinkers, or those with previous heavy alcohol consumption) identified by the Alcohol Use Disorders Identification Test
* Currently treated for psychological issues (e.g., depression, bipolar disorder, etc.), taking psychotropic medications with the previous 12 months, or hospitalized for depression within the previous 5 years
* Report exercise on ≥3 days per week for ≥ 20 minutes per day over the past 3 months
* Report weight loss of ≥5% or participating in a weight reduction diet program in the past 3 months
* Taking any medication or supplement known to affect body composition or history of exposure to hepatotoxic drugs
* Report plans to relocate to a location that limits their access to the study site or having employment, personal, or travel commitments that prohibit attendance to all of the scheduled assessments.