Atrial fibrillation (AF), the most common sustained cardiac arrhythmia, is associated with substantial morbidity, mortality, and healthcare use. Great strides have been made in stroke prevention and rhythm control strategies, yet reducing the incidence of AF has been slowed by the increasing incidence and prevalence of AF risk factors, including obesity, physical inactivity, sleep apnea, diabetes mellitus, hypertension, and other modifiable lifestyle-related factors. Fortunately, many of these AF drivers are potentially reversible, and emerging evidence supports that addressing these modifiable risks may be effective for primary and secondary AF prevention. A structured, protocol-driven multidisciplinary approach to integrate lifestyle and risk factor management as an integral part of AF management may help in the prevention and treatment of AF. However, this aspect of AF management is currently underrecognized, underused, and understudied. The purpose of this American Heart Association scientific statement is to review the association of modifiable risk factors with AF and the effects of risk factor intervention. Implementation strategies, care pathways, and educational links for achieving impactful weight reduction, increased physical activity, and risk factor modification are included. Implications for clinical practice, gaps in knowledge, and future directions for the research community are highlighted.

中文翻译：

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减少心房颤动的生活方式和危险因素修改：美国心脏协会的科学声明。

心房颤动（AF）是最常见的持续性心律不齐，与大量发病率，死亡率和医疗保健用途有关。在卒中预防和节律控制策略上已取得了长足的进步，但由于房颤高危因素（包括肥胖，缺乏运动，睡眠呼吸暂停，糖尿病，高血压和其他可改变的因素）的发生率和患病率增加，减慢了房颤的发生速度生活方式相关因素。幸运的是，许多此类房颤驱动因素具有潜在的可逆性，新兴证据表明，解决这些可修改的风险可能对一级和二级房颤预防有效。将生活方式和风险因素管理整合为房颤管理不可或缺的一种结构化，协议驱动的多学科方法，可能有助于房颤的预防和治疗。但是，AF管理的这一方面目前未被充分认识，使用和研究不足。本美国心脏协会科学声明的目的是回顾可改变的危险因素与房颤的关系以及危险因素干预的效果。包括实现有效减轻体重，增加体力活动和改变危险因素的实施策略，护理途径和教育联系。突出了对临床实践的影响，知识的不足以及研究社区的未来方向。包括实现有效减轻体重，增加体力活动和改变危险因素的实施策略，护理途径和教育联系。突出了对临床实践的影响，知识的不足以及研究社区的未来方向。包括实现有效减轻体重，增加体力活动和改变危险因素的实施策略，护理途径和教育联系。突出了对临床实践的影响，知识的不足以及研究社区的未来方向。