ObesityAyurveda Insight PresenterVaidya. Archana Kulkarni BAMS,MD Ayurveda, CMT Founder and director of Ayur Wellness Center, Easton PA www.ayurwellness.com 484-274-1276
What is obesity? “Obesity” specifically refers toan excessive amount of body fat. “Overweight” refers to an excessive amount of body weight that includes muscle, bone, fat, and water
How is obesity measured?Body Mass indexIt is calculated by dividing persons weightin kilogram by his height in meter squaresBMI 19-25 Normal rangeBMI 26-30 Over WeightBMI 30 and higher ObeseBMI 40 and higher Extremely Obese
Obesity measurementand Health riskWaist to Hip ratio Male Female Health Risk 0.90 or below 0.80 or below Low Risk 0.96 to 1.0 0.81 to 0.85 Moderate Risk 1.0+ 0.85+ High RiskWaist Circumference Men > 40 inches women > 35 inches
PrevalenceWHO report –Globally with more than 1billion adults overweight - at least 300million of them clinically obese.CDC report -more than 72 million peoplethat are more than one third of US adultsand 16% of US children are obese.
Causes of ObesityObesity occurs when a person consumes more calories from food than he or she burns Genetic Factors- Environmental factors-life style behavior –Diet, physical activity Social Factors- poverty and a lower level of education Cultural Factors –Type of food ,way of cooking is different Diseases like Hypothyroidism, Cushing syndrome, Polycystic ovarian syndrome Drugs like steroids, antidepressant
Health RisksType 2 diabetes,Heart disease, StrokeHigh blood pressure, High bloodcholesterolCA colon, rectum prostateCA gallbladder, uterus, cervix, orovariesGallbladder disease and gallstones.Fatty liver diseaseOsteoarthritis, GoutPulmonary (breathing) problemssleep apnea,.Reproductive problems in women,including menstrual irregularities ,infertility.
Obesity -MedorogaIn Ayurveda Obesity is regarded asMedoroga –A disorder of Meda Dhatu-Adipose tissue and fat metabolismOne of the undesirable Constitution‘Sthoulya’- ‘Santarpan janya vikar’-A overnutritional disorder
Characteristic of obese personAti Sthula has been defined as a person,"who on account of the inordinate increaseof fat and flesh, is disfigured withpendulous, buttocks, belly and breastsand whose increase bulk is not matchedby a corresponding increase in energy
Causes of obesity in AyurvedaDietary causes Over eating frequent food intake before digestion of a previous meal. Kapha increasing food Excessive consumption of sweet food, Heavy food, cold diet, unctuous food –like dairy products- cheese cream butter, ice cream yogurt Excess use of oily food-fried food grilled food, fast foods Excessive use of meat Usage of new grains Usage of sugarcanes, jaggerys preparations Excessive use of Rice, wheat, Black gram, Drinking water after food in take
Causes of obesity in AyurvedaLife style and behaviorSedentary life style ,Lack of physicalexercise, excessive sleep, sleepingduring day especially soon after meal,Lack of sexual lifeMental causeLack of thinking, anxiety or anger.Cheerful mindGenetic- ‘Beeja Svabhavat’Irrespective of diet the person is obesedue to genetic makeup.
Medoroga (Obesity) Consequences PlasmaAma Blockage CVD, HT, Stroke BloodTissue Malnutrition Vata Muscle Chronic Musculoskeletal Restriction Fat Diabetes, Hyper Lipidemia,Lack of energyLack of Enthusiasm Vata Bone Osteoarthritis, Gout DisordersLow immunity MarrowShortness of life Sexual Difficulty,span Reproductive Infertility Mind Depression
Obesity-Medoroga treatmentShodhan chikitsa- This includes Panchakarma treatment Vaman (medicated vomitting) Virechana (medicated purgation) Basti (enema therapy)-particularly Lekhan Basti.Herbs used in basti- Ushakadi Raktamokshana-Blood letting therapy- Dhumpan-medicated smoking Swedan-Herbal steam therapy Udvartana-herbal powder massage Herbs for Udvartana-Triphala,musta,Neem, Haridra,Daru haridra,Tulasi,Ashwagandha,Musterd,Lodhra,Vacha
Ayurvedic management of obesityShaman chikitsa -It is pacification therapy with herbs, diet, exercises and lifestyle .Use of Bitter, pungent astringent taste Dry, hot, sharp, scraping qualities
Herbs for Medoroga (obesity)Triphala It is combination of 3 healings herb, their fruits are used. Amalaki (emblica officinalis),- Haritaki (terminalia chebula) Bibhitaki (terminalia belerica) Effects of Triphala - all dosha balancing, very good cleanser ,purifies blood rejuvenating herb. it decreases excessive Meda reduces serum cholesterol, reduces the plaque formation in the arteries ,high blood pressure, provides remarkable protection in CVD, In a study conducted by the American Botanical Council, it was shown that Triphala greatly reduced blood glucose levels in diabetic rats
Herbs for Medoroga (obesity)Guggulu- (Commiphora mukul) Light, dry, sharp, subtle, mobile, non slimy T-bitter, pungent, A-Hot, PE- Pungent All dosha balancing –by Prabhav Useful part = Resin Old guggulu- scraping quality It is strong detoxifying and cleansing and rejuvenating herb. Lower cholesterol and triglycerides and maintain or improve HDL/LDL ratio, anti-inflammatory effects.
Herbs for Medoroga (obesity)Vidanga –Embelia ribes Light dry sharp T- pungent ,astringent A- hot PE-pungent Vata kapha pacifying, agni stimulating, Vidanga allays vata, it is diuretic, a mild purgative and kills worms, it is an appetizer, digestive , blood purifier and rejuvenator.
Herbs in Medoroga (obesity)Shilajatu-Mineral pitch It is the resins that oozes out from Himalayan Mountains Light dry T-bitter pungent astringent A- hot scraping quality Mainly Vata and Kapha balancing it decreases excessive fat, very helpful in enhancing sexual powers. It is anti inflammatory and antioxidant
Useful Combinations in Medoroga (obesity)Navak GugguluTriphala GugguluAmrutadya GugguluChandraprabhavatiMustadi KwathVidangadi ChurnaAnupan- luke warm water and honey
Ayurveda Diet in Medoroga (obesity)Bitter, pungent astringent tasteDry, hot, sharp, scraping qualities Whole grains- Barley, whole oats, quinoa and amaranth. Vegetables-Chard, kale, Spinach and mustard greens, eggplant Cabbage, carrot cauliflower. Pulses or dried beans –Lentils, Mung dal, tu dar, masoor dal,horse gram chick peas Fruits-apples. Pears pineapple, Honey Spices-Fenugreek, turmeric, cumin, musturd, asefoetida curry leaves, ginger, black pepper, clove, cinnamon
Diet to AvoidAvoid sweet, sour, salty and oily food as it aggravatesKapha and MedaSweet foods include not only sugar but also rice, wheat,pasta, breads, and sweet milk products. Cakes, cookies, Pastries, Chocolates.Dairy products especially cheese cream, ice cream,yogurt.Meat especially red meat ,fried food ,grilled foodAvoid packaged foods, processed food and restaurantfried foods - pizza, hot dog ,burger, doughnuts, FrenchfriesAvoid left overs
Diet to avoidAvoid incompatible combinations of food Milk with fish, meat, curd, sour fruits, bread containing yeast, cherries, yogurt Yogurt with milk, sour fruits, melons, hot drinks, meat, fish, mangos, cheese Eggs with milk, meat, yogurt, melons, cheese, fish, bananas Fruit with any other food
Diet to avoidAvoid Tamasic food Tamasic foods are those dull the mind and bring about inertia laziness disorientation depression. Excess intake of fats oils sugars, heavy and left over food are Tamasic in nature. Foods that have been processed, canned or frozen food , Beef, fish, eggs, cold buffalo milk are also Tamasic.
Ayurveda Life style in Medoroga (Obesity)Exercise ‘Stop Dieting and Start Moving’Walking, Swimming, running, or rowing aerobicexercises, Stationary Cycling/BicyclingYoga Asana-Suryanamaskar-(Sun Salutations)Pawan muktasana ( (Wind Liberating Pose)Utthanpadasana (Raised Leg Pose)Dvichakrikasan- (Bicycling)Padvruttasan- (Leg rotation)Naukasana (Boat Pose)Pranayama (breathng excersises) and Meditation
Useful tipsMaintain a regular daily routine. Wake up before 6.00amTake 2 teaspoon of honey and 2 tea spoon of lemon juice with1 glass of warm waterExercise at morning at least 40 min/day -4days/weekEast light nourishing breakfast –cooked apple, toast cookedbarley or oatmealCook daily with love and careUse spices and herbs that suitable for you while cookingBoil water with fresh ginger and drink frequently throughoutthe dayMake Lunch as a main meal. Dinner should be as light aspossible.For dinner, eat light one-dish meals, or vegetable or lentilsoups.Do not sleep during day
Useful tips ContAvoid eating late at nightEat only after digestion of previous meal.Eat only when you are hungry. Find out correct quantityfor you.Keep the regular timings of meal. Eat mindfully.Concentrate on your food, what you are eating. Don’tdivide your attention by reading, working or watching TVwhile you are eating.Take a walk after meal.Replace caffeinated and carbonated beverages withherb-spice teas.Fasting-One day fasting in a week is good