Obesity is defined as
an abnormal growth
of the adipose tissue
due to an
enlargement of fat
increase in fat cell
combination of both.
Central obesity is defined as
waist circumference ≥ 90 cm
in males and ≥ 80 cm in
Any two of the following
-Increased triglycerides ≥ 150
mg/dl (1.70 mmol/L)
-reduced HDL cholesterol <40
mg/dl in males and < 50 mg/dl
-raised blood pressure systolic
bp ≥ 130 mm Hg and diastolic
bp ≥ 85mm Hg.
-raised fasting plasma glucose
≥ 100 mg/dl.
Or treatment for previously
diagnosed any of the above
Risk of Co-morbidities
Low (Risks are increased in
The food environment - there
has also been a huge increase in
the quantity of quick convenience
foods, which tend to be high in
saturated fat, salt and sugar.
psychology - it is
difficult to break
common to those
primarily driven by
decisions, and the
The physical environment our lives have become
increasingly sedentary. For e.g.
last two decades have seen
marked reduction in school
Human biology genetics plays a
part but does not
pre-destine us to
RELATIVE RISK OF HEALTH PROBLEMS
ASSOCIATED WITH OBESITY
(relative risk >>3)
(relative risk 2-3)
Gall bladder diseases
• Coronary heart disease
• Osteoarthritis (knees)
• Hyperuricemia and gout
• Cancer(breast cancer in
cancer, colon cancer)
• Reproductive hormone
• Polycystic ovarian
• Low back ache
• Increased anesthetic
• Foetal defect arising
from maternal obesity.
• Moderate calorie restriction.(to achieve a 510% loss of body weight in 1st yr)
• Moderate increase in physical activity.
• Change in dietary composition.
• Drug therapy is required to treat the
metabolic syndrome associated with
• There is a definite need for treatment that
can modulate the underlying mechanism of
metabolic syndrome as a whole and thereby
reduce the impact of all the risk factors and
the long term metabolic and cardiovascular
Cut down on salt
Eat little at
Take fruits in
Do not skip meals
Walk after night
Take at least 7-10
glasses of water
Do not eat while
TV, playing video
high in saturated
milk instead of full
•Butter , margarine
•Cakes, pancakes, cookies, doughnuts, pastries etc.
•Candies, chocolates, cream, cheese.
•French fries, potato chips, pizza, pasta, burger, snacking food.
•Jams, jellies, sugar and syrup.
•Ice cream, ice milk, sherbets, soda drinks.
EARLY YEARS(UNDER 5S)
Preschool children should be
physically active at least for 180
All under 5s should minimize the time
spend being sedentary for extended
periods except for sleeping.
CHILDREN AND ADOLESCENTS
All children and young people should engage
in moderate to vigorous intensity physical
activity for at least 60 minutes and up to
several hours every day.
-Vigorous intensity activities, including those
that strengthen muscle and bone should be
incorporated at least thrice a week.
-They should minimize the time spend being
sedentary for extended periods.
ADULTS AND OLD AGE
-Adults should aim to be active daily. Over a
week, activity should add up to at least 150
(2½ hours) of moderate intensity activity in bouts
of 10 minutes or more – one way to approach
this is to do 30 minutes on at least 5 days a
Alternatively, comparable benefits can be
achieved through 75 minutes of vigorous
activity spread across the week or a combination
of moderate and vigorous intensity activity.
-Adults should also undertake physical activity to
improve muscle strength on at least two days
-All adults should minimize the amount of time
spend being sedentary for long.
Ammonium carbFat patients with weak heart.
Women who are tired and weary and takes
Leads a sedentary lifestyle.
Dry coryza-stoppage of nose-at night-can only
breathe through mouth-danger of suffocation.
Sadness with disposition to weep, timidity,
disgust with life, heedlessness, weakness of
memory, great absence of mind.
Chilly patient < wet stormy weather ; washing
Ammonium muriaticumBody is fat and legs are thin with large buttocks.
Full of grief but cannot weep. Irritability and
disposition to be angry.
Feets get very cold in the evening in bed.
Antium crudumChildren and old people who have a tendency to
grow fat with coated white tongue.
Belching and great eructations of ingesta.bloating
Cold and callous excrescenses.
Patient is aggravated from extremes of
Calcarea carbonicumSweating on the forehead which wets
the pillow while sleeping.
Fair, fat, flabby are the red lined
Great sensitiveness to cold damp air.
Calotropis giganteaHelps in reducing the obesity, without
reducing the weight i.e. flesh would
decrease but the muscle would become
There is great heat in stomach.
CapsicumPerson who are weak of lax fibre.the
digestion is poor and suffer from myalgia.
Have burning pains still doesn’t like cold.
Old people who have exhausted their
CarlsbadAction on liver, treatment of obesity and
Self satisfied, very talkative, good
humored. Discouraged and anxious about
domestic duties. Absent minded, heedless,
Sensitive to cold air. sweats more easily.
> Motion and open air.
Ferrum metallicumObesity with anaemia, puffy face with pitting of
flesh. Delicate girls, fearfully constipated with
low spirits.< cold weather. > warm weather.
Great lassitude and weakness.
GraphitisObesity in females with delayed
Fair, fat , chilly constipated people.
Kali carbonicumOlder fat people characterized by sweat,
backache and weakness.
Dark haired person with lax fiber and inclined to
EsculentineGreat fat reducer. Can be
alternated with phytoline.
Should be given in mother
Fucus vesiculosusGiven when calcarea carb fails.
Indigestion, obstinate constipation,
To be given in tinctures.
Phytolacca berryOne of the best remedies in
weight reduction and corpulence
ThyroidinumExcessive obesity. Acts best in
Is a powerful diuretic and helps
in myx-odema and various types
PhytolineGreat fat reducer. Recommended
when the patient is having difficulty
in walking, sitting, palpitation,
dyspnoea on least exertion,
Given in mother tincture.
Dr Neena Mehan(Head, Deptt. of Medicine)
Dr Pavneet Kaur (Intern 2013-2014 Dr B R
Sur Homoeopathic Medical College, Hospital
and Research Centre)