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The significance of the nutritional factor in atrial fibrillation

Authors: Bogdanov A.R., Romanova T.A.

Company: 1 N.I. Pirogov Russian National Research Medical University, Moscow, Russian Federation
2 Russian State Social University, Moscow, Russian Federation
3 City Clinical Hospital No.13, Moscow, Russian Federation

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Type:  Reviews


DOI: https://doi.org/10.24022/1997-3187-2022-16-4-443-454

For citation: Bogdanov A.R., Romanova T.A. The significance of the nutritional factor in atrial fibrillation. Creative Cardiology. 2022; 16 (4): 443–54 (in Russ.). DOI: 10.24022/1997-3187-2022-16-4-443-454

Received / Accepted:  18.11.2022 / 12.12.2022

Keywords: diet therapy obesity personalized diet therapy Mediterranean diet atrial fibrillation

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Abstract

Review summarizes current scientific data on the possibility of rational alimentary prophylaxis and diet therapy for patients with atrial fibrillation (AF). The article provides a scientific literature review of the relationship of various nutritional factors and diets with AF. In particular, it has been shown that proven nutritional risk factors for the development of AF are excessive calorie intake, alcohol abuse, and a lack of potassium and magnesium intake. Nutrients and food products that have the potential to prevent supraventricular arrhythmias, including AF, are considered in detail. The possibility of using in the treatment of AF diets aimed at reducing body weight in obesity, such as low-carbohydrate, low-fat, high-protein and ketogenic diets, as well as the Mediterranean diet, which has the most proven cardioprotective characteristics, is discussed.

The authors conclude that the greatest potential for alimentary prevention and dietary therapy of AF probably has a personalized approach based on the patient's individual needs for nutrients and energy, taking into account the principles of organizing the Mediterranean diet, reducing calories mainly due to the fat quota, excluding foods with trigger potential and enriched with cardioprotective nutritional components. The algorithm for personalization of dietary therapy needs further development.

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About Authors

  • Al’fred R. Bogdanov, Dr. Med. Sci., Professor, Rector’s Adviser, Head of Department; ORCID
  • Tat’yana A. Romanova, Cardiologist; ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


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