Original Investigation

Weight Loss in Older Patients With Persistent Atrial Fibrillation

JAMA 10.1001/jama.2026.5787

May 20, 2026 at 11:00 AM EDT

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In older patients with overweight and atrial fibrillation (AF) undergoing cardioversion, does dietary weight loss improve AF-related symptoms compared with usual care?In this randomized clinical trial that included 118 individuals, the baseline-adjusted mean Atrial Fibrillation Severity Scale symptom severity score at 8 months was not significantly different between the groups (7.9 [SE, 0.84] in the intervention group vs 8.9 [SE, 0.84] in the control group,  = .43) despite the intervention resulting in significantly lower body weight (92.6 [SE, 0.85] kg vs 99.4 [SE, 0.85] kg;  < .001).Moderate dietary weight loss was not an effective treatment strategy in this trial in older patients with persistent AF.

Corresponding Author: Rohan Wijesurendra, MB, BChir MA (Cantab), MSc, DPhil (Oxon), Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, Richard Doll Building, Oxford, OX3 7LF, United Kingdom (rohan.wijesurendra@ndph.ox.ac.uk).

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