Can Weight Loss Reverse Heart Failure?
The heart is arguably the most important organ in the body. It is responsible for pumping blood throughout the circulatory system so oxygen and nutrients can be delivered to the different parts of the body. Given this, the many complications that arise when the heat fails are not at all surprising. Unfortunately, heart failure is a problem among millions of people around the world. Heart failure is a chronic and progressive condition when the heart fails to pump blood as well as it should. It is usually considered irreversible. However, there is growing evidence that suggests that weight loss in overweight and obese patients can greatly improve the condition of the heart. If you are a heart patient with weight problems, your cardiologist may have mentioned that weight loss is necessary for lessening your heart complications, but can weight loss actually reverse heart failure? We answer this and discuss your heart health below.
Understanding Heart Failure
When the heart is no longer able to pump the blood that the body needs, heart failure occurs. This condition can be caused by coronary heart disease, high blood pressure, diabetes, and obesity. Obesity, in particular, contributes greatly to the development and progression of heart failure. Excess weight stresses the heart and causes increased blood pressure, inflammation, and metabolic dysfunction.
Two Main Types of Heart Failure
- Heart Failure with Reduced Ejection Fraction (HFrEF): The heart muscle becomes weak and is unable to pump blood as well as it should.
- Heart Failure with Preserved Ejection Fraction (HFpEF): The heart can still pump as well as it used to but has become too stiff to fill properly.
Both types of heart failure can be aggravated by excess body weight.
The Impact of Weight Loss on Heart Health
According to research, intentionally losing weight can help improve heart function, especially for patients with obesity-related heart failure. Weight loss can:
- Reduce Cardiac Strain: With less weight, the heart’s workload becomes less, reducing blood pressure and improving blood circulation.
- Lower Inflammation: Obesity is often linked to chronic inflammation, which can lead to heart failure. Weight loss, in contrast, leads to lower inflammatory markers and improves heart health.
- Improve Metabolic Function: Weight loss improves insulin sensitivity and reduces the risk of diabetes-related complications that affect heart health.
- Decrease Fluid Retention: Weight loss can lessen the buildup of fluid which is a common symptom of heart failure that leads to swelling in the legs and breathing difficulties.
- Improve Your Capacity to Exercise: Weight loss improves the ability to engage in physical activities that can strengthen the heart muscle and improve overall fitness.
While patients have experienced significant improvements in their heart condition, whether weight loss can reverse heart failure depends on a variety of factors, like the severity of the condition, underlying causes, and how early medical interventions were implemented.
Evidence Supporting Reversal or Improvement of Heart Failure Following Weight Loss
Several studies suggest that weight loss can result in the partial or complete recovery of heart function in some patients.
- According to the journal Circulation, studies have shown that weight loss can lead to a decrease in left ventricular mass, which is a measure of the size of the heart muscle. This has the potential of reversing left ventricular hypertrophy linked to obesity. Additionally, weight loss can improve cardiac function, including the ability of the heart to fill itself with blood.
- According to the Journal of the American College of Cardiology, bariatric or weight loss surgery has led to great improvements in heart failure symptoms and even complete remission in some patients.
- A study published in The Lancet found that patients who experienced a significant amount of weight loss had improved ejection fraction ( a key measure of heart function) and overall heart health.
While the evidence suggests that weight loss can lead to dramatic improvements, it may not be a complete cure for heart failure, especially for advanced cases where heart muscle damage is no longer reversible.
Safe Weight Loss Activities for Heart Failure Patients
Though weight loss is not a cure-all for heart complications, those with heart complications can surely benefit from it. Below are some safe weight loss tips if you want to lose weight.
1. Adopt a Healthy Heart Diet
Eat a lot of fruits, vegetables, lean proteins, and healthy fats. You can also consider the Mediterranean Diet and the DASH (Dietary Diet to Stop Hypertension) because they are both particularly good for the heart.
2. Engage in Regular Physical Activity
Walking, swimming, and cycling are great for the heart and for your overall physical fitness. However, remember to get your doctor’s advice about your plans before starting any exercise program.
3. Monitor Fluid and Sodium Intake
Manage your heart failure symptoms by preventing fluid retention. You can do this by reducing your intake of salt.
4. Consider Medical or Surgical Interventions
Ask your doctor about weight loss medications or bariatric surgery. These are usually recommended for patients with severe obesity.
5. Manage Stress and Sleep
If you cannot stay away from stress, learn to manage it. Chronic sleep and poor sleep are bad for your heart’s health. Practice stress-reduction techniques and sleep-enhancing activities to support your heart.
Be on Your Way to a Healthier Heart
Weight loss alone cannot reverse heart failure in all cases, but it can lead to significant improvements in heart function, symptom relief, and the overall quality of life of patients. For patients with severe obesity, surgical interventions may be used to improve cardiovascular condition.
If you or someone you love has heart failure and is considering weight loss and weight management as part of a treatment plan, consult with us today so we can help you decide on the best and safest route to take in improving your heart’s health.
Leave a Reply