RÉSUMÉ
The advancement of industrialization and communications has made man more sensitive and critical, resulting in a variety of health issues. Sedentary lifestyles are becoming more common as a result of the progress of industrialization and communication, resulting in chronic non-communicable diseases such as diabetes, hypertension, cancer, ischemic heart disease, cerebro-vascular accidents, atherosclerosis, varicose veins, and so on. Obesity is a risk factor for several diseases, thus preventing it will reduce the likelihood of developing them. Obesity, like other disorders, is a complex disorder caused by a combination of factors such as food, physical activity, mental health, and overall lifestyle. In Ayurveda, Sthaulya is the closest clinical entity for obesity. Sthoulya's causality is described in the Asta-Nindita-Purusha chapter. The etiopathogenesis of obesity is caused by an excessive intake of calories combined with a decrease in expenditure. A key weight-loss approach that can be used anywhere to reduce energy density. In Ayurveda, Pathya and Apathya are given specific attention in terms of Ahara, Vihara, and Manasika Entities, so that the ailment can be treated holistically. When these guidelines are followed, the treatment yields a better result in the treatment of the condition. This article attempts to review the pathya and apathy of obesity, as well as discuss the possible causes.
RÉSUMÉ
Metabolic syndrome is defined as a constellation of interconnected physiological, biochemical, clinical and metabolic factors that directly increase the risk of cardiovascular disease and Type 2 Diabetes Mellitus. It is a major and increasing public health problem and clinical challenge worldwide in the wake of urbanization, increasing obesity and sedentary life style. Metabolic syndrome defined by IDF (2006) as presence of Central obesity with any one of the 3 factor i.e., Raise Triglyceride, Reduced HDL, Raised BP or Raised FBS. It increases 5 fold risk of Type II DM and 2 fold risk of Cardio-vascular disease. Worldwide prevalence of Metabolic syndrome ranges from 10% to 84% depending upon the Region (Urban/Rural), Composition (sex, age, race, ethnicity) of Population. IDF estimates that 1/3rd of world Adult population have Metabolic Syndrome. According to NCEP - ATP III CRITERIA 2001 Metabolic syndrome varies from 8 to 43% in men and 7 to 56% in women around the world. Lifestyle modification remains the initial intervention of choice as majority of people have sedentary lifestyle high socio economic status high BMI and are overweight. So lifestyle modification combine with specific Ayurvedic therapies i.e., Palliative (Shaman), Panchkarma (Shodhan), Sadhvrit (good conduct/ethical regimen for balanced state), Exercise and Diet, Yogic Practices etc. could be effective in the Management of Metabolic Syndrome.
RÉSUMÉ
Due to rapid modernization in recent years, presence of nutritional abundance and sedentary lifestyle, metabolic disorders have emerged rapidly. Obesity is one of the nutritional lifestyle disorder affecting both developed and developing countries. Obesity is a disorder characterized by increased body weight and excess fat deposition. Obesity is the root cause of overconsumption of calories and reduced physical activity which lead to serious health complications. Multifactorial in nature in which environmental, lifestyle and genetic factors play an equally important role in its etiology. Ayurveda is one of the most ancient sciences of world describing basic and applied principles of health, disease and its management. In Ayurveda, obesity has been described under the caption Sthaulya. Sthaulya is mentioned under Santarpanjanyavikara (over nourishment of body). Sthaulya is among one of the 8 unwanted diseases mentioned by Acharyas. Using fatty diet, decreased physical activity and hereditary factors contribute to its etiology ultimately causing derangement of Agni of Medadhatu. This produces excess of Meda or fat. Sufficient focus has been given in the management of Sthaulya in form of diet and drugs to control the disease in Samhita. Ayurvedic treatment is addressed by correction of dietary patterns in form of Nidana Parivarjana and Pathya Aahar –Vihara and Aptarpana Chikitsa to correct vitiated Dosha and Agni. Obesity is a preventable lifestyle disorder which can be easily addressed by keeping an initial check on one’s dietary pattern. Medicine usage play a secondary role, keeping at par various metabolic disorders like diabetes, hypertension etc. It fulfills the first and foremost motto of Ayurveda which is prevention of disease being less expensive and more approachable than treatment.
RÉSUMÉ
Obesity!! When anyone say this word what thought comes to our mind? A fat person with heavy distended abdomen, heavy obese legs, arms, puffy face. But do we think that the person who is obese suffered a lot due his/her weight. This is an era where more than 50% of the human being suffered from this major ailment which actually causes various other diseases like diabetes, hypothyroidism, hypertention, cardiopulmonary diseases. Obesity not only affect the body of a person but it has also a major impact over mind, mostly patient suffered from obesity also suffered with depression because of cutoff and rejection from the society. In Ayurveda also person who is obese/ Sthula is considered under Ninditya purusha which generally means abnormal. Modern medicine has treatment for this but to a very limited extent and it is very costly also. In Ayurveda there is vast reference for Sthaulya and its treatment. Case studies were done on Sthaulya roga in which Guggulu kalpa chikitsa was done and results were evaluated. There was drastic reduction in weight of the patients along with the reduction in inches of abdominal, arm and thigh girth within a month.