Beyond cardioversion, ablation and pharmacotherapies: Risk factors, lifestyle change and behavioral counseling strategies in the prevention and treatment of atrial fibrillation

Mehta, Nishaki; Strickling, Jarred; Mark, Erica; Swinehart, Sarah; Puthumana, Joe; Lavie, Carl J.; Haines, David E.; Franklin, Barry A.

doi:10.1016/j.pcad.2021.05.002

Cited by 20 publications

(9 citation statements)

References 60 publications

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“…Complex reasons for obesity have been proposed, and there is a range of factors to consider in terms of the aetiology of obesity [1, 2, 5, 6]. While such environmental, psychological, and metabolic factors can constitute barriers to putting a healthy lifestyle into practice [1, 7], the actual implementation of healthy lifestyle patterns could drastically lower the public health and individual burdens of obesity [8]. Lifestyle intervention programmes can serve as effective tools for addressing such barriers [9].…”

Section: Introductionmentioning

confidence: 99%

Effect of a 1-Year Controlled Lifestyle Intervention on Body Weight and Other Risk Markers (the Healthy Lifestyle Community Programme, Cohort 2)

et al. 2021

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Introduction: The prevalence of obesity is high and increasing worldwide. Obesity is generally associated with an increased risk of chronic disease and mortality. The objective of the study was to test the effect of a lifestyle intervention on body weight and other chronic disease risk markers. Methods: A non-randomized controlled trial was conducted, including mostly middle-aged and elderly participants recruited from the general population in rural northwest Germany (intervention: n = 114; control: n = 87). The intervention consisted of a 1-year lifestyle programme focusing on four key areas: a largely plant-based diet (strongest emphasis), physical activity, stress management, and community support. Parameters were assessed at baseline, 10 weeks, 6 months, and 1 year. The control group received no intervention. Results: Compared to control, in the intervention group significantly lower 1-year trajectories were observed for body weight, body mass index (BMI), waist circumference, total cholesterol, calculated LDL cholesterol, non-HDL cholesterol, remnant cholesterol (REM-C), glucose, HbA1c, and resting heart rate (RHR). However, between-group differences at 1 year were small for glucose, HbA1c, and cholesterol (apart from REM-C). No significant between-group differences were found for 1-year trajectories of measured LDL cholesterol, HDL cholesterol, triglycerides, insulin, blood pressure, and pulse pressure. Conclusion: The intervention successfully reduced body weight, BMI, waist circumference, REM-C, and RHR. However, at 1 year, effectiveness of the intervention regarding other risk markers was either very modest or could not be shown.

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Section: Introductionmentioning

confidence: 99%

Effect of a 1-Year Controlled Lifestyle Intervention on Body Weight and Other Risk Markers (the Healthy Lifestyle Community Programme, Cohort 2)

et al. 2021

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“…Cardiovascular risk factors integrating sex-specific research have shown that although males and females share similar risk factors for CAD, certain risk factors are more potent in women ( 33 ). In particular, men remain more likely to suffer from ischemic heart disease, and women with coronary artery disease rarely present syndromes ( 34 ).…”

Section: Discussionmentioning

confidence: 99%

Novel Insight Into Long-Term Risk of Major Adverse Cardiovascular and Cerebrovascular Events Following Lower Extremity Arteriosclerosis Obliterans

Deng

Wang

et al. 2022

Front. Cardiovasc. Med.

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“…1 Light-to-moderate physical activity (PA), however, is associated with a lower incidence of AF. [1][2][3] Conversely, the long-term practice of strenuous endurance exercise increases the risk of AF in younger, middle-aged and older populations, particularly in highly competitive athletes, 4 depicting a U-shaped curve (see figure 1). 1 5 The precise causative mechanism/s of exercise-induced AF is still unknown.…”

Section: Physicalmentioning

confidence: 99%

“…Physical inactivity in contemporary obesogenic environments induces cardiac maladaptations, which causes a higher risk of atrial fibrillation (AF) 1. Light-to-moderate physical activity (PA), however, is associated with a lower incidence of AF 1–3. Conversely, the long-term practice of strenuous endurance exercise increases the risk of AF in younger, middle-aged and older populations, particularly in highly competitive athletes,4 depicting a U-shaped curve (see figure 1).…”

mentioning

confidence: 99%

Protecting against sedentary lifestyle, left atrial enlargement and atrial fibrillation

Sanchís-Gomar

Lavie

2022

Open Heart

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Beyond cardioversion, ablation and pharmacotherapies: Risk factors, lifestyle change and behavioral counseling strategies in the prevention and treatment of atrial fibrillation

Cited by 20 publications

References 60 publications

Effect of a 1-Year Controlled Lifestyle Intervention on Body Weight and Other Risk Markers (the Healthy Lifestyle Community Programme, Cohort 2)

Effect of a 1-Year Controlled Lifestyle Intervention on Body Weight and Other Risk Markers (the Healthy Lifestyle Community Programme, Cohort 2)

Novel Insight Into Long-Term Risk of Major Adverse Cardiovascular and Cerebrovascular Events Following Lower Extremity Arteriosclerosis Obliterans

Protecting against sedentary lifestyle, left atrial enlargement and atrial fibrillation

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