Doctor shares Atrial Fibrillation Diet Tips – Doctor AFib
– Hello, thank you for
visiting this video segment for Dr. AFib, I’m Dr. Morales. In today’s video segment
I’m gonna be talking about my diet tips for patients
with atrial fibrillation. In 2015, the LEGACY trial was a very In 2015, the LEGACY trial was very much of a landmark trial
that focused on and showed how much
weight loss can improve somebody’s atrial fibrillation. It was such an important
trial that those results helped make it to the 2019 guidelines for the management of atrial fibrillation. And so really has been a lot
of change in the last few years about an emphasis on weight loss and managing atrial fibrillation, cause it has data that can show us significant improvement. So the LEGACY trial
was a five-year study that studied over 350 patients, focusing mostly on
weight loss and exercise, and there was no real
difference between the groups in terms of other medical
treatments that they got. So, people were, underwent diet treatment with a high protein,
low glycemic index diet, as well as low-intensity exercise, which gradually increased
over this study period.
Now they don’t go
into the study design too much of what type of diet they used, or what type of food they used, other than it was a high
protein, low glycemic index. But they did find in people
who had consistent weight loss had significant benefits in
their atrial fibrillation whereas people who
had the highest amount of weight loss which is over 10%
of their initial body weight, especially if they’re
able to maintain that weight loss throughout the study, had a six-fold improvement
in their atrial fibrillation. So there was significant improvement in people with atrial fibrillation with about 10% weight loss. In addition, there was also
shown to have improvements in their high blood pressure, diabetes, as well as some inflammatory markers.
And so weight loss is certainly something that can be
very beneficial for people who have atrial fibrillation and represents the best
option for natural treatment for someone’s atrial fibrillation. But how do you guide somebody
towards diet types? Patients want a lot of guidance, they wanna know what types
of diets might be okay. What types may be beneficial? And that’s what I’m gonna
be presenting to you today are my diet tips, or
diets that I think are satisfactory and potentially beneficial for patients that have
atrial fibrillation.
So the first diet that I will recommend is the Medeterranian diet, Medeterranian diet is the diet that I typically recommend
to my atrial fibrillation patients and it has been the most studied when it comes to patients with
all types of heart disease including coronary artery disease, as well as atrial fibrillation as well. In a 2014 study called the PREDIMED study, they studied over 6000 patients
over five years, seeing how much benefit they got from the Mediterranean diet.
Using the traditional staples
of the Mediterranean diet as well as supplementing with olive oil. And finally the patients
had a significant benefit of a 38% reduction in
their atrial fibrillation when they adhere to
the Mediterranean diet. Mediterranean diet has been looked at for atrial fibrillation,
but also for other health conditions including
high blood pressure, diabetes, cholesterol,
coronary artery disease and it’s found to have
significant benefits in a lot of health areas. And it’s not primarily
due to the incident, anti-oxidant effects such as
well as the antiinflammatory improvement when adhered to this diet. The Mediterranean diet it’s
a primarily plant-based food focuses things on
fruits, nuts, vegetables, whole grains, you replace
butter with healthier olive oil and replace other healthy
fats with olive oil.
Using herbs and spices
instead of using salt to season your food. Also limiting red meat with
more of an emphasis on fish as well as poultry. And so those are sort of the main staples of the Mediterranean
diet, and there are plenty of really good cookbooks
available to help you guide people who wanna start
the Mediterranean diet. Now the next two diet
types that I recommend have not been studied as much, particularly in the scenario of patients who have atrial fibrillation. However they have been shown
to have improvements in inflammatory markers, and atrial fibrillation has a lot of inflammation involved in it, so, not particularly
studied in atrial fibrillation but I think these are healthy diets that can also benefit people
who have atrial fibrillation. One would be gluten the diet, and the other one would be the Paleo diet.
So in the gluten-free diet, gluten-free diet
you’re eliminating gluten which is a protein found
in, most commonly wheat, rye, and barley products. So it eliminates
all the grains that are most commonly available. So all the carbs, all the
pasta, pizzas, and bread, are eliminated unless they’re
specifically made gluten-free. Fortunately, in today’s world, it’s becoming more of a common place to
have gluten-free diets. So in several supermarkets,
you’ll be able to see gluten-free bread,
pizzas, as well as pasta, and those are okay. And gluten-free diet
has been shown to have an improvement in people’s
inflammatory markers and may show an improvement in
atrial fibrillation as well. And just the natural
process of eliminating foods that have either high
carbs or flour in them, it’s just a healthier way of eating.
And so this is another
diet that I typically recommend to my patients. The last diet that I
recommend to patients, which is probably the
strictest of all of them, but also may have the
biggest health benefit is the Paleo diet. The reason why I like
the Paleo diet is because it eliminates
all processed food. In the Paleo diet, it’s sometimes called
the hunter-gatherer diet, or the caveman diet, and the basic philosophy of it is that if caveman couldn’t eat it, then you shouldn’t eat it either. And so it puts a focus on food in its most natural
elements and eliminates all sorts of processed
foods and refined sugars which have a lot of added
chemicals into them. A Paleo diet
focuses on eating fresh meats, fruits,
vegetables, fruits, nuts, and really kind of keeping
everything as basic as possible.
And this may potentially
have the best health benefits cause they eliminate
a lot of processed foods which can contribute to
obesity, high blood pressure, and may also have
benefits for heart disease including atrial fibrillation. So those are sort of my three diet tips. I usually recommend the
Mediterranean diet to start with cause it has some data behind it to show that it can be beneficial. And I think it is the least restrictive of these three diet types. However, with people who may not tolerate the Mediterranean diet, may not like it, or wanna go further on, I think that gluten-free
diet, as well as Paleo diets, are also very beneficial
a diet that can help people with atrial fibrillation. Mostly because of their emphasis
on eliminating processed foods and making food into
more of a natural food and taking away from foods
that are more refined sugars.
But I emphasize to you that all of these diet types are a long-term strategy, you can see in the studies that I quoted that patients were studied for five years. None of these diet types are quick fixes, they are part of an improved
long-term healthy eating habits, which can help you with
high blood pressure, diabetes, and weight loss as well as potentially helping you with
your atrial fibrillation as well because there’s been a lot of data that shows that weight
loss can significantly improve patients that
have atrial fibrillation, and it is the best option
currently available for a natural treatment
for atrial fibrillation. However, always discuss with your doctor which diet type might be right for you. And of course, these diet types don’t take the place of guideline-recommended medical therapy as
prescribed by your doctor. So thank you for visiting
this video segment is for Dr. Afib, I’ll see you next time.
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