32
Management
5.2.1. Weight Loss in Individuals Who Are Overweight
or Obese
COR LOE
Recommendation
1 B-R 1. In patients with AF who are overweight or obese (with BMI
>27 kg/m
2
), weight loss is recommended, with an ideal target
of at least 10% weight loss to reduce AF symptoms, burden,
recurrence, and progression to persistent AF.
5.2.2. Physical Fitness
COR LOE
Recommendation
1 B-R 1. In individuals with AF,* moderate to vigorous exercise training
to a target of 210 minutes per week is recommended to reduce
AF symptoms and burden, increase maintenance of sinus
rhythm, increase functional capacity, and improve QOL.
* In patients without AF related to excessive exercise training.
5.2.3. Smoking Cessation
COR LOE
Recommendation
1 B-NR 1. Patients with a history of AF who smoke cigarettes should
be strongly advised to quit smoking and should receive
guideline-directed management and therapy (GDMT) for
tobacco cessation to mitigate increased risks of AF-related
cardiovascular complications and other adverse outcomes.
5.2. Secondary Prevention: Management of Comorbidities
and Risk Factors