Overview
Background
Associate Professor Shelley Keating is an Accredited Exercise Physiologist (AEP) and an Associate Professor in Clinical Exercise Physiology at the School of Human Movement and Nutrition Sciences, University of Queensland. With a strong grounding in exercise metabolism and body composition, Shelley leads a program of research aimed at changing the way we prioritise, access and deliver lifestyle intervention for people with obesity, metabolic dysfunction-associated steatotic liver disease (MASLD), type 2 diabetes and liver cirrhosis. She leads a multidisciplinary research program advancing the integration of exercise into standard cardiometabolic and hepatology care pathways. Her program is co-designed with clinicians, health services, and people living with MASLD to develop sustainable, meaningful exercise solutions that can be embedded into routine hepatology care. A/Prof Keating is also a member of the Global NASH/MASH Council and the EASL Global Liver Advocacy Network, contributing to international advocacy and multidisciplinary collaboration in steatotic liver disease.
A/Prof Keating is the Director of the Exercise Physiology and Liver Disease Translation Group (EP-Liver), which is advanding liver health through exercise, implementation and partnership. The Exercise Physiology and Liver Disease Translation Group conducts clinical trials and implementation research to integrate exercise physiology into the prevention, assessment and management of steatotic liver disease and cirrhosis, with the goal of advancing liver health across the disease spectrum.
The Exercise Physiology and Liver Disease Translation Group (EP-Liver) has three core pillars:
Transforming Workforce: Builds workforce capacity and implementation frameworks that embed exercise physiology within multidiciplinary care for steatotic liver disease and cirrhosis.
Translating Evidence: Generates and translates clinical trial evidence on exercise as a therapeutic intervention for steatotic liver disease and cirrhosis into guidelines and models of care.
Amplifying Voices: Centres the perspectives of people living with steatotic liver disease and cirrhosis through co-design and engagement, ensuring models of care are equity-informed.
Availability
- Associate Professor Shelley Keating is:
- Available for supervision
- Media expert
Fields of research
Qualifications
- Bachelor (Honours), University of Wollongong
- Masters (Coursework), University of Sydney
- Doctor of Philosophy, University of Sydney
Research interests
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Metabolic Dysfunction-Associated Steatotic Liver Disease
Investigating the role of exercise and lifestyle therapy in the prevention, progression, and management of metabolic dysfunction–associated steatotic liver disease (MASLD). This work focuses on improving awareness, uptake, and long-term adherence to physical activity, with an emphasis on cardiometabolic health, behaviour change, and real-world implementation. The program integrates clinical trials and co-designed research with lived-experience stakeholders to develop scalable, person-centred interventions that optimise health outcomes.
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Exercise Physiology
Examining how exercise dose (frequency, intensity, time, and type) can be optimised to maximise health benefits within the 'Exercise is Medicine' framework. This work focuses on sustainable, individualised exercise approaches that support long-term adherence across diverse clinical populations, particularly those with chronic and cardiometabolic conditions. The program integrates clinical and applied research to inform evidence-based exercise prescription and implementation in real-world settings.
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Body Composition Assessment
Investigating the assessment of visceral and ectopic fat and the impact of exercise on body composition in people with metabolic-related chronic disease. This work focuses on advanced measurement techniques, including imaging and field-based methods, to better characterise fat distribution and its relationship with cardiometabolic risk. The program aims to inform pragmatic outcome assessment in clinical practice.
Research impacts
Associate Professor Keating is an internationally recognised leader in the development and translation of exercise‑based care for metabolic dysfunction-associated steatotic liver disease (MASLD). Her research has led to the development of safe and feasible exercise programs that generate significant improvement in the cardiometabolic health of individuals with MASLD and related chronic disease. Her research has led to a paradigm shift in how exercise is prioritised in MASLD management and has been adopted into exercise prescription recommendations in >18 international guidelines for MASLD management across 13 countries.
A/Prof Keating led the development of the first Australian Exercise and Sports Science Australia (ESSA) clinical practice guidelines for MAFLD (2023; PMID: 37695493) and co‑authored the American College of Sports Medicine physical activity guidelines for MAFLD (2023; PMID: 37126039). She co-authored the 2025 APASL MAFLD clinical practice guidelines (PMID: 40016576) and the 2026 GESA Portal Hypertension in Cirrhosis Consensus (PMID:41921189), specifically developing the exercise and lifestyle recommendations.
Associate Professor Keating’s research highlights low awareness, uptake, and long-term adherence to exercise for the management of MASLD. Her program incorporates lived-experience expertise, and she is committed to partnering with individuals with MASLD to co-design research that supports sustained engagement in exercise and improved health outcomes across related chronic conditions.
Works
Search Professor Shelley Keating’s works on UQ eSpace
2025
Journal Article
Co-designing approaches to sustainable exercise care for people with metabolic dysfunction-associated steatotic liver disease
Keating, Shelley E., de Boer, Jack, Catsoulis, Georgina, Stine, Jonathan G., Goode, Ana, Macdonald, Graeme A., Powell, Elizabeth and Hickman, Ingrid J. (2025). Co-designing approaches to sustainable exercise care for people with metabolic dysfunction-associated steatotic liver disease. Journal of Clinical and Translational Hepatology, 13 (9), 707-722. doi: 10.14218/jcth.2025.00155
Featured
2025
Journal Article
Aerobic exercise interventions lead to MASH resolution in clinical trials: pooled analysis using the MASH resolution index
Keating, Shelley E., Owen, Patrick J., Pugh, Christopher J. A., Cuthbertson, Daniel J., Stine, Jonathan G. and on behalf of the MASLD Exercise Training Consortium (METCon) (2025). Aerobic exercise interventions lead to MASH resolution in clinical trials: pooled analysis using the MASH resolution index. Hepatology Communications, 9 (4) e0681. doi: 10.1097/hc9.0000000000000681
Featured
2024
Journal Article
Lifestyle intervention for metabolic dysfunction-associated fatty liver disease: a 24-h integrated behavior perspective
Keating, Shelley E., Chawla, Yogesh, De, Arka and George, Elena S. (2024). Lifestyle intervention for metabolic dysfunction-associated fatty liver disease: a 24-h integrated behavior perspective. Hepatology International, 18 (S2), 959-976. doi: 10.1007/s12072-024-10663-9
Featured
2023
Journal Article
Exercise in the management of Metabolic-Associated Fatty Liver Disease (MAFLD) in adults: a position statement from Exercise and Sport Science Australia
Keating, Shelley E., Sabag, Angelo, Hallsworth, Kate, Hickman, Ingrid J., Macdonald, Graeme A., Stine, Jonathan G., George, Jacob and Johnson, Nathan A. (2023). Exercise in the management of Metabolic-Associated Fatty Liver Disease (MAFLD) in adults: a position statement from Exercise and Sport Science Australia. Sports Medicine, 53 (12), 2347-2371. doi: 10.1007/s40279-023-01918-w
Featured
2023
Journal Article
High-intensity interval training for the management of nonalcoholic steatohepatitis: participant experiences and perspectives
Keating, Shelley E., Croci, Ilaria, Wallen, Matthew P., Cox, Emily R., Coombes, Jeff S., Burton, Nicola W., Macdonald, Graeme A. and Hickman, Ingrid J. (2023). High-intensity interval training for the management of nonalcoholic steatohepatitis: participant experiences and perspectives. Journal of Clinical and Translational Hepatology, 000 (000), 1-11. doi: 10.14218/jcth.2022.00091s
Featured
2023
Journal Article
American College of Sports Medicine (ACSM) International Multidisciplinary Roundtable report on physical activity and nonalcoholic fatty liver disease
Stine, Jonathan G., Long, Michelle T., Corey, Kathleen E., Sallis, Robert E., Allen, Alina M., Armstrong, Matthew J., Conroy, David E., Cuthbertson, Daniel J., Duarte-Rojo, Andres, Hallsworth, Kate, Hickman, Ingrid J., Kappus, Matthew R., Keating, Shelley E., Pugh, Christopher J.A., Rotman, Yaron, Simon, Tracey G., Vilar-Gomez, Eduardo, Wong, Vincent Wai-Sun and Schmitz, Kathryn H. (2023). American College of Sports Medicine (ACSM) International Multidisciplinary Roundtable report on physical activity and nonalcoholic fatty liver disease. Hepatology Communications, 7 (4) e0108. doi: 10.1097/hc9.0000000000000108
2022
Journal Article
High-intensity interval training is safe, feasible and efficacious in nonalcoholic steatohepatitis: a randomized controlled trial
Keating, Shelley E., Croci, Ilaria, Wallen, Matthew P., Cox, Emily R., Thuzar, Moe, Pham, Uyen, Mielke, Gregore I., Coombes, Jeff S., Macdonald, Graeme A. and Hickman, Ingrid J. (2022). High-intensity interval training is safe, feasible and efficacious in nonalcoholic steatohepatitis: a randomized controlled trial. Digestive Diseases and Sciences, 68 (5), 1-17. doi: 10.1007/s10620-022-07779-z
Featured
2019
Journal Article
Guidelines for the delivery and monitoring of high intensity interval training in clinical populations
Taylor, Jenna L., Holland, David J., Spathis, Jemima G., Beetham, Kassia S., Wisløff, Ulrik, Keating, Shelley E. and Coombes, Jeff S. (2019). Guidelines for the delivery and monitoring of high intensity interval training in clinical populations. Progress in Cardiovascular Diseases, 62 (2), 140-146. doi: 10.1016/j.pcad.2019.01.004
Featured
2017
Journal Article
A systematic review and meta-analysis of interval training versus moderate-intensity continuous training on body adiposity
Keating, S. E., Johnson, N. A., Mielke, G. I. and Coombes, J. S. (2017). A systematic review and meta-analysis of interval training versus moderate-intensity continuous training on body adiposity. Obesity Reviews, 18 (8), 943-964. doi: 10.1111/obr.12536
Featured
2015
Journal Article
Effect of aerobic exercise training dose on liver fat and visceral adiposity
Keating, Shelley E., Hackett, Daniel A., Parker, Helen M., O'Connor, Helen T., Gerofi, James A., Sainsbury, Amanda., Baker, Michael K., Chuter, Vivienne H., Caterson, Ian D., George, Jacob. and Johnson, Nathan A. (2015). Effect of aerobic exercise training dose on liver fat and visceral adiposity. Journal of Hepatology, 63 (1) 5568, 174-182. doi: 10.1016/j.jhep.2015.02.022
Featured
2012
Journal Article
Exercise and non-alcoholic fatty liver disease: A systematic review and meta-analysis
Keating, Shelley E., Hackett, Daniel A., George, Jacob and Johnson, Nathan A. (2012). Exercise and non-alcoholic fatty liver disease: A systematic review and meta-analysis. Journal of Hepatology, 57 (1), 157-166. doi: 10.1016/j.jhep.2012.02.023
2026
Journal Article
Culturally adapted multimodal lifestyle approaches for MASLD: role of diet, physical activity, and sleep
George, Elena S., Sood, Surbhi, Sualeheen, Ayesha, Cartledge, Susie, Roberts, Stuart K., Daly, Robin M., Tan, Sze-Yen, Scott, David, Wheeler, Kai, George, Jacob and Keating, Shelley E. (2026). Culturally adapted multimodal lifestyle approaches for MASLD: role of diet, physical activity, and sleep. Proceedings of the Nutrition Society, 1-13. doi: 10.1017/S0029665126103048
2026
Conference Publication
Physical activity for the management of paediatric metabolic dysfunction-associated steatotic liver disease: an international multidisciplinary consensus
Keating, Shelley, Stine, Jonathan, Sabag, Angelo, Hallsworth, Kate, Zelber-Sagi, Shira, Johnson, Nathan, Wilson, Lucille, Stylianou, Michalis, George, Elena, Hickman, Ingrid, Wheeler, Kai, Kehar, Mohit, El Shabrawy, Mortada, Lee, Way Seah, Lefere, Sander, de Bruyne, Ruth, Weiss, Ram, Croci, Ilaria, Pugh, Christopher, Cuthbertson, Daniel, Ng, Nicholas Beng Hui, George, Jacob, Ayonrinde, Oyekoya, Zhang, Le and Zheng, Ming-Hua (2026). Physical activity for the management of paediatric metabolic dysfunction-associated steatotic liver disease: an international multidisciplinary consensus. EASL Congress 2026, Barcelona, Spain, 27-30 May 2026. Amsterdam, Netherlands: Elsevier. doi: 10.1016/s0168-8278(26)01971-9
2026
Journal Article
Dose–response associations of intermittent lifestyle physical activity micropatterns and incident type 2 diabetes
Chong, Kar Hau, Ahmadi, Matthew N., Biswas, Raaj K., Francois, Monique E., Koemel, Nicholas A., Sabag, Angelo, Gibala, Martin J., Keating, Shelley E., Little, Jonathan, Thøgersen-Ntoumani, Cecilie and Stamatakis, Emmanuel (2026). Dose–response associations of intermittent lifestyle physical activity micropatterns and incident type 2 diabetes. Diabetes Care, 49 (6), 1086-1094. doi: 10.2337/dc25-3018
2026
Journal Article
Exercise prescription for people with type 2 diabetes: a position statement from exercise and sports science Australia
Cox, Emily, Keating, Shelley, Way, Kimberley, Dunstan, David, Dempsey, Paddy, Baker, Michael, Singh, Maria Fiatarone and Coombes, Jeff (2026). Exercise prescription for people with type 2 diabetes: a position statement from exercise and sports science Australia. Journal of Clinical Exercise Physiology, 15 (s2), 194-194. doi: 10.31189/2165-7629-15-s2.194
2026
Journal Article
ENHANCING EXERCISE PRESCRIPTION AND ADHERENCE FOR TYPE 2 DIABETES MANAGEMENT FOR ADULTS WITH LONG-COVID – A PILOT TRIAL
Cloete, Caitlin, Cox, Emily, Lewthwaite, Hayley, Plotnikoff, Ronald, Keating, Shelley, Young, Myles, Gibson, Peter and Acharya, Shamasunder (2026). ENHANCING EXERCISE PRESCRIPTION AND ADHERENCE FOR TYPE 2 DIABETES MANAGEMENT FOR ADULTS WITH LONG-COVID – A PILOT TRIAL. Journal of Clinical Exercise Physiology, 15 (s2), 219. doi: 10.31189/2165-7629-15-s2.219
2026
Journal Article
Agreement between exercise physiologists and nurses in Fibroscan™ assessment of liver stiffness: strengthening community liver screening capacity
Keating, Shelley, Aikebuse, Melanie, Bruggisser, Fabienne, Muollo, Valentina, Hickman, Ingrid, Coombes, Jeff and Powell, Elizabeth (2026). Agreement between exercise physiologists and nurses in Fibroscan™ assessment of liver stiffness: strengthening community liver screening capacity. Journal of Clinical Exercise Physiology, 15 (s2), 168-168. doi: 10.31189/2165-7629-15-s2.168
2026
Journal Article
The diagnosis and management of portal hypertension in cirrhosis: The Gastroenterological Society of Australia consensus
Majumdar, Avik, Holmes, Jacinta, Roberts, Stuart K., Bhat, Purnima, Mitchell, Tim, Ramachandran, Jeyamani, O’Beirne, James, Walker, Sarah, Sawhney, Rohit, Jagarlamudi, Nishita, Jacob, Rachael, Gill, Madeleine, Thomas, James A., Bloom, Stephen, Gracen, Lucy, Kemp, William, Raj, Ashok, Thompson, Alexander J., Romero, Sarah, Doyle, Adam, Maher, Adrian, Pow, Richard, Robertson, Marcus, Tiwari, Neha, Tibballs, Jonathan, Lubel, John, Popuri, Radha, Testro, Adam, Valliani, Talal ... Strasser, Simone I. (2026). The diagnosis and management of portal hypertension in cirrhosis: The Gastroenterological Society of Australia consensus. Hepatology Communications, 10 (4) e0934, 4. doi: 10.1097/hc9.0000000000000934
2026
Journal Article
Physical activity to reduce cardiometabolic risk in veterans and their families: protocol for an interdisciplinary investigation with toolkit co-design
Ferris, Laura J., Hawke, Philip, Knight, Emma, Burton, Nicola W. and Keating, Shelley E. (2026). Physical activity to reduce cardiometabolic risk in veterans and their families: protocol for an interdisciplinary investigation with toolkit co-design. Frontiers in Sports and Active Living, 7 1716823, 1-8. doi: 10.3389/fspor.2025.1716823
2026
Journal Article
Co-design of a digital health lifestyle intervention for adults with metabolic dysfunction-associated steatotic liver disease
Sood, Surbhi, Roberts, Stuart, Scott, David, Keating, Shelley, Tan, Sze-Yen, George, Jacob, Kiss, Nicole, Daly, Robin, Dunstan, David, Tucker, Robin and George, Elena (2026). Co-design of a digital health lifestyle intervention for adults with metabolic dysfunction-associated steatotic liver disease. Journal of Telemedicine and Telecare, 32 (5), 465-478. doi: 10.1177/1357633x251366098
Funding
Current funding
Supervision
Availability
- Associate Professor Shelley Keating is:
- Available for supervision
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Supervision history
Current supervision
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Doctor Philosophy
Development and evaluation of a digital human exercise coach
Principal Advisor
Other advisors: Associate Professor Nicholas Gilson
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Doctor Philosophy
Exercise Training in People with Mild Cognitive Impairment
Associate Advisor
Other advisors: Professor Jeff Coombes
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Doctor Philosophy
Structured breathing practice and exercise for stress reduction via telehealth - Feasability, mechanisms for allied health practice.
Associate Advisor
Other advisors: Associate Professor Nicholas Gilson
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Master Philosophy
Resistance training approaches for musculoskeletal health in perimenopausal women
Associate Advisor
Other advisors: Associate Professor Michelle Smith, Dr Jenna Taylor
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Doctor Philosophy
Exercise and Anti-Obesity Medications
Associate Advisor
Other advisors: Professor Robert Fassett, Dr Riley Brown, Professor Jeff Coombes
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Doctor Philosophy
Effects of Exercise in Paediatric Congenital Heart Disease
Associate Advisor
Other advisors: Professor Jeff Coombes
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Doctor Philosophy
Strengthening Wellbeing: Exploring the Role of Resistance Training in Enhancing Social and Emotional Wellbeing Among Aboriginal and Torres Strait Islander Peoples
Associate Advisor
Other advisors: Professor Kym Rae, Dr Kai Wheeler
Completed supervision
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2024
Doctor Philosophy
Exercise, Digital Health and Chronic Disease: Feasibility, Effectiveness and Uptake
Principal Advisor
Other advisors: Professor Jeff Coombes
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2023
Doctor Philosophy
"Stepping up" exercise for type 2 diabetes: a stepped care approach to lifestyle therapy
Principal Advisor
Other advisors: Professor Jeff Coombes
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2022
Doctor Philosophy
Comparison of Low-Volume, High-Intensity Aerobic and Resistance Interval Training with Current Exercise Recommendations on Cardiometabolic Outcomes in People with Type 2 Diabetes
Associate Advisor
Other advisors: Emeritus Professor Wendy Brown, Professor Jeff Coombes
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2020
Doctor Philosophy
The Physiological, Biochemical and Psychological Effects of Low-Volume Combined Aerobic and Resistance High-Intensity Interval Training in People with Type 2 Diabetes
Associate Advisor
Other advisors: Professor Jeff Coombes
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2019
Doctor Philosophy
The feasibility, safety, adherence, and efficacy of high intensity interval training in rehabilitation for coronary heart disease.
Associate Advisor
Other advisors: Professor Jeff Coombes
Media
Enquiries
Contact Associate Professor Shelley Keating directly for media enquiries about:
- Exercise
- Fitness
- Health
- Nonalcoholic Fatty Liver Disease
- Obesity
- Weight management
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