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Investigators have documented an association between high prevalence of atrial fibrillation (AF) and obesity, but how does obesity contribute to AF, and does weight loss lessen this risk? Two studies, one in humans and one in animals, shed light on this issue.
Researchers in Australia evaluated 355 overweight or obese adults with AF (body-mass index, ≥27 kg/m2); participants were offered weight-management assistance. At 4 years, 135 patients lost ≥10% of body weight (group 1), 103 lost 3% to 9% (group 2), and 117 lost <3% (group 3). AF burden as monitored by ambulatory monitoring and symptom severity both decreased significantly more from baseline in group 1 than in group 2 or group 3. Arrhythmia-free survival was also highest in group 1, ev…