Power point presentation about the Ayurvedic approach to childhood obesity and management

1. Ayurvedic approach to Management of Childhood
Obesity
Dr Sareena.K
Assistant Professor
Govt Ayurveda College, Pariyaram

2.  Overweight refers to excess body weight for a particular
height. BMI at or above 85th percentile
 Obesity is used to define excess body fat.BMI at or above
95th percentile.
 Globally 200 million school children are either overweight
or obese.
 Prevalence among children and adolescents in india
2001-2005-16.3%. After 2010-19.3 %
 Among School children-between 5.74% and 8.82% .
 Social status- More in higher socio economic groups
 Sex- boys/ girls ?
21.4 % of boys and 18.5% of girls aged 13-18 years were
overweight or obese.

3.  Significantly elevated risk for
 Endocrine-Type II diabetes( four times increased risk,
according to study published in the Journal of the
Endocrine Society), dyslipidaemia, PCOS
 Cardiovascular- hypertension, Atherosclerosis.
 Respiratory-obstructive sleep apnea
 Orthopedic problems-Slipped femoral epiphysis,
osteoarthritis.
 Metabolic syndrome, fatty liver disease
 Psychological problems related to body image, poor
self esteem, social isolation & discrimination.

5.  Exogenous or Constitutional
Energy intake exceeds expenditure leading to increased body
fats stores. limited physical exercise, sedentary lifestyle,
overeating . Height also increased
 Endogenous or pathological
 Endocrine -hypothyroidism, Growth hormone deficiency,
Cushing syndrome.
 Genetic factors-a number of genes are identified. Genetic
syndromes- Prader willi, Bardet- Biedl
 Monogenetic- leptin deficiency or resistance- Morbid obesity
& strong family history.
 Hypothalamic- head injury, infection, radiation, tumor, post
neurosurgery
 Drugs- Antiepileptic drugs, steroids, estrogen.

7. Feature constitutional pathological
Distribution Generalized Usually central
Growth Accelerated Retarded
Bone age Accelerated Retarded
Dysmorphism Absent Present

8.  Sthu- bulky
 Charaka-ashtau ninditheeya-
Sthoulya, Athisthoulya
 Vagbhata- Dvidhopakramaneeya
Sthoulya- hina,madhyama, adhika
 Susrutha- sthoulya, medoroga

9.  Aharaja- excessive intake of heavy, sweet, cold and
unctuous food, over use of sweet taste during
pregnancy by the mother is a predisposing factor for
overweight in the progeny.
 Vihara- lack of exercise, day sleep
 Manasika- uninterrupted cheerfulness, lack of mental
exercise
 Beejaswabhava- heredity.

10.  Childhood is a period where kapha dominates and agni is unstable.
 Excessive intake of heavy, unctuous and sweet substances causes
medodhatwagni mandya
 Excessive accumulation of medo dhatu associated with ama .
 Prevents the proper transformation of dhatus and affects the quality of
succeeding dhatus
 Vayu aggravates in the koshta as its movement gets blocked due to the
obstruction with the vitiated meda. This aggravated vata cause pathological
increase of jataragni resulting in increased appetite
 As a result the child experiences severe hunger which results in excessive
consumption of food, even before the digestion of previously ingested food.
 The food taken gets digested quickly leading to acquisitiveness towards food,
thus continuing the vicious cycle

11. Dosha Kapha,-kledaka,
Pitha -pachaka
Vata- samana,vyana
Dhathu Rasa,Mamsa, Meda
Agni Jataragni, medodhatwagni
Ama Jataragni vaigunyajanita,
medodhatwagni mandyaja
srotas Rasavaha, medovaha,mamsavaha,
swedavaha, udakavaha

12.  Clinical features
Pendulous buttocks, abdomen and breast and strength
disproportionate with physical growth
Complication – in children.
 decreased lifespan
 early ageing
 bad body odor
 excessive sweating
 intolerance of physical activities
 polyphagia
 polydypsia

13.  krichrasadhya –
 genetic predisposition (beeja svabhava)
 complications
 ineligibility for sodhana therapies
 ineligibility for langhana and brimhana therapies
 less availability of drugs that can pacify meda, agni
and vata simultaneously.
 curable if the etiological factors are minimum, signs
and symptoms are mild, onset of disease is recent and
absence of complications by compliance of dietary
rules and physical exercises.

14.  Santarpana janya vyadhi.
 Langhana and rookshana
 Heena, alpabala sthoulya- deepana,upavasa
 For madhyama sthoulya- pachana
 For adhika sthoulya, in presence of adequate sareera bala –shodhana
 DIET- guru, atarpana,
 In children excessive samsodhana and vishoshana are contraindicated
 Samana drugs- vatahara and kapahahara and medohara.
 Virukshana and chedana drugs- Guggulu, rasanjana, madhu, loharaja, gomutra,
silajatu with agnimantha swarasa, triphala with honey, abhaya, musta, takrarishta,
vidangadi louham, varanadi gana.
 Excess chedana and rookshana drugs not indicated in children. Ideal drug-
thriphala with honey

16.  Poorva karma- Pachana- panchakolachoorna, vaiswanara choorna
 Rookshana- udwarthana with thriphala / kolakulathadi choornam.
 Snehana, swedana,Vamana, virechana- contraindicated in athisthoulya.
 Snehana-with taila- marutaghnam na cha sleshma vivardhanam.
 Swedana- anagneya sweda- in medakaphavrita vata-nivata griham, ayasa,
gurupravaranam,ksut,atapaseva
 Virechana- with abhaya, aragwadha, trivrith leha
 Vasti – ruksa,ushna, tikshna vasti-lekhana vasti. Vaitarana or kshara vasti

17.  The regimen advised in the ‘Matrasiteeya adhyaya’ by Vagbhata can
be followed-, heavy food should be taken to the one’s half capacity
and that of light food not up to complete satiety
 Heavy dinner should be avoided, because no calorie expenditure takes
place during sleep.
 Drinking more quantity of water after food is unwholesome in sthoulya
where as if taken before food causes emaciation.
 Oily food items, milk and milk products should be avoided
 Regular use of butter milk is considered wholesome as it is devoid of
fat
 Regular intake of green leafy vegetables, fruits, diet rich in fiber
content.
 Complete langhana therapy is not possible as childhood is the growing
period where increase in tissues, organs and energy occursand hence
complete restriction of food items hamper growth.

18.  Appropriate practices of physical activity develop healthy
musculoskeletal tissues, cardiovascular system, neuromuscular
awareness and maintain a healthy body weight
 Vyayama- laghava, karmasamarthyam, medakshayam,
vibhaktaghana gatratwam.
 Childhood, due to the aparipakwadhatus, sukumaratwa,
aklesha sahatwa and asampurna balatwa is a period which
finds difficulty in doing strenuous exercise.
 Restrict sedentary activities-playing computer and mobile
games.
 Yogasanas-forward bending, twisting and backward bending
asanas- sarvangasana, chakrasana, dhanurasana, bhujangasana,
suryanamskaram,paschimottanasana.

19.  Clinical efficacy of Shilajatu (Asphaltum) processed
with Agnimantha(Clerodendrum phlomidis Linn.)
in Sthaulya (obesity) in adults at IPGT & RA, Jamnagar
 The efficacy of Khadira asana bhavitha triphala,
mentioned in the Sthoulya adhikarana of
Arogyakalpadruma in reducing the signs and
symptoms of overweight due to exogenous causes in
children of 5-15 years of age.

20. Thank you