Obesity Obesity Ayurveda InsightAyurveda Insight

Presenter Presenter

Vaidya. Archana KulkarniVaidya. Archana KulkarniBAMS,MD Ayurveda, CMTBAMS,MD Ayurveda, CMT

Founder and director of Founder and director of Ayur Wellness Center, Ayur Wellness Center,

Easton PAEaston PAwww.ayurwellness.comwww.ayurwellness.com

484-274-1276484-274-1276

What is obesity?What is obesity?

““Obesity” specifically refers to Obesity” specifically refers to

an excessive amount of body fat. an excessive amount of body fat.

““Overweight” refers to an excessive Overweight” refers to an excessive amount of body weight that includes amount of body weight that includes muscle, bone, fat, and watermuscle, bone, fat, and water

How is obesity measured?How is obesity measured?

Body Mass index Body Mass index

It is calculated by dividing persons weight It is calculated by dividing persons weight in kilogram by his height in meter squares in kilogram by his height in meter squares

BMIBMI 19-2519-25 Normal rangeNormal range

BMIBMI 26-3026-30 Over WeightOver Weight

BMIBMI 30 and higher30 and higher Obese Obese

BMIBMI 40 and higher40 and higher Extremely ObeseExtremely Obese

OObesity measurement besity measurement and and HealthHealth risk risk

Waist to Hip ratioWaist to Hip ratioMaleMale FemaleFemale Health RiskHealth Risk0.90 or below0.90 or below 0.80 or below0.80 or below Low RiskLow Risk

0.96 to 1.00.96 to 1.0 0.81 to 0.850.81 to 0.85 Moderate Moderate RiskRisk

1.0+1.0+ 0.85+0.85+ High RiskHigh Risk

Waist CircumferenceWaist Circumference

Men > 40 inches Men > 40 inches women > 35 incheswomen > 35 inches

PrevalencePrevalence

WHO report –Globally with more than 1 WHO report –Globally with more than 1 billion adults overweight - at least 300 billion adults overweight - at least 300 million of them clinically obese.million of them clinically obese.

CDC report -more than 72 million people CDC report -more than 72 million people that are more than one third of US adults that are more than one third of US adults and 16% of US children are obese.and 16% of US children are obese.

Causes of ObesityCauses of Obesity

Obesity occurs when a person consumes more Obesity occurs when a person consumes more calories from food than he or she burnscalories from food than he or she burns

Genetic Factors- Genetic Factors- Environmental factors-life style behavior –Diet, Environmental factors-life style behavior –Diet, physical activityphysical activitySocial Factors- poverty and a lower level of education Social Factors- poverty and a lower level of education Cultural Factors –Type of food ,way of cooking is Cultural Factors –Type of food ,way of cooking is differentdifferentDiseases like Hypothyroidism, Cushing syndrome, Diseases like Hypothyroidism, Cushing syndrome, Polycystic ovarian syndromePolycystic ovarian syndromeDrugs like steroids, antidepressant Drugs like steroids, antidepressant

Health RisksHealth RisksType 2 diabetes,Type 2 diabetes,Heart disease, StrokeHeart disease, StrokeHigh blood pressure, High blood High blood pressure, High blood cholesterolcholesterolCA colon, rectum prostate CA colon, rectum prostate CA gallbladder, uterus, cervix, or CA gallbladder, uterus, cervix, or ovaries ovaries Gallbladder disease and gallstones.Gallbladder disease and gallstones.Fatty liver disease Fatty liver disease Osteoarthritis, GoutOsteoarthritis, GoutPulmonary (breathing) problems Pulmonary (breathing) problems sleep apnea,.sleep apnea,.Reproductive problems in women, Reproductive problems in women, including menstrual irregularities , including menstrual irregularities , infertility.infertility.

Obesity -MedorogaObesity -Medoroga

In Ayurveda Obesity is regarded as In Ayurveda Obesity is regarded as Medoroga –A disorder of Meda Dhatu- Medoroga –A disorder of Meda Dhatu- Adipose tissue and fat metabolism Adipose tissue and fat metabolism

One of the undesirable ConstitutionOne of the undesirable Constitution

‘‘Sthoulya’- ‘Santarpan janya vikar’-A over Sthoulya’- ‘Santarpan janya vikar’-A over nutritional disordernutritional disorder

Characteristic of obese personCharacteristic of obese person

Ati Sthula has been defined as a person, Ati Sthula has been defined as a person, "who on account of the inordinate increase "who on account of the inordinate increase of fat and flesh, is disfigured with of fat and flesh, is disfigured with pendulous, buttocks, belly and breasts and pendulous, buttocks, belly and breasts and whose increase bulk is not matched by a whose increase bulk is not matched by a corresponding increase in energy corresponding increase in energy

Causes of obesity in AyurvedaCauses of obesity in AyurvedaDietary causesDietary causes

Over eatingOver eating frequent food intake before digestion of a previous meal. frequent food intake before digestion of a previous meal. Kapha increasing foodKapha increasing food Excessive consumption of sweet food, Heavy food, cold Excessive consumption of sweet food, Heavy food, cold diet, unctuous food –like dairy products- cheese cream diet, unctuous food –like dairy products- cheese cream butter, ice cream yogurtbutter, ice cream yogurtExcess use of oily food-fried food grilled food, fast foodsExcess use of oily food-fried food grilled food, fast foodsExcessive use of meatExcessive use of meatUsage of new grainsUsage of new grainsUsage of sugarcane's, jaggery's preparations Usage of sugarcane's, jaggery's preparations Excessive use of Rice, wheat, Black gram, Excessive use of Rice, wheat, Black gram, Drinking water after food in takeDrinking water after food in take

Causes of obesity in AyurvedaCauses of obesity in Ayurveda

Life style and behaviorLife style and behaviorSedentary life style ,Lack of physical Sedentary life style ,Lack of physical exercise, excessive sleep, sleeping exercise, excessive sleep, sleeping during day especially soon after during day especially soon after meal ,Lack of sexual lifemeal ,Lack of sexual lifeMental causeMental causeLack of thinking, anxiety or anger. Lack of thinking, anxiety or anger. Cheerful mindCheerful mindGenetic- ‘Beeja Svabhavat’Genetic- ‘Beeja Svabhavat’ Irrespective of diet the person is obese Irrespective of diet the person is obese due to genetic makeup.due to genetic makeup.

Medoroga pathogenesisMedoroga pathogenesis

Causative factors (Kapha & Meda )Causative factors (Kapha & Meda )

Ama Rasa Excess Meda & Kapha Excess Meda & Kapha Deranged Fat Metabolism

Blocks Circulatory Channels

Tissue Malnutrition

Toxic Buildup Vata Restriction

Hyper functioning Agni

Hunger Thirst

Medoroga (Obesity) Consequences Medoroga (Obesity) Consequences

Ama Blockage

Tissue Malnutrition

Lack of energy

Lack of Enthusiasm

Low immunity

Shortness of life span

Plasma

Blood

Muscle

Fat

Bone

Marrow

Reproductive

Mind

CVD, HT, Stroke

Chronic Musculoskeletal

Diabetes, Hyper Lipidemia,

Osteoarthritis, Gout

Sexual Difficulty, Infertility

Depression

Vata Restriction

Vata Disorders

Obesity-MedorogaObesity-Medoroga treatmenttreatment

Shodhan chikitsa- This includes Panchakarma treatmentShodhan chikitsa- This includes Panchakarma treatment

VamanVaman (medicated vomitting) (medicated vomitting) VirechanaVirechana (medicated purgation) (medicated purgation) Basti Basti (enema therapy)-particularly Lekhan Basti.Herbs (enema therapy)-particularly Lekhan Basti.Herbs used in basti- Ushakadiused in basti- UshakadiRaktamokshanaRaktamokshana-Blood letting therapy--Blood letting therapy-DhumpanDhumpan-medicated smoking-medicated smokingSwedanSwedan-Herbal steam therapy-Herbal steam therapyUdvartanaUdvartana-herbal powder massage-herbal powder massageHerbs for Udvartana-Triphala,musta,Neem, Haridra,Daru Herbs for Udvartana-Triphala,musta,Neem, Haridra,Daru haridra,Tulasi,Ashwagandha,Musterd,Lodhra,Vachaharidra,Tulasi,Ashwagandha,Musterd,Lodhra,Vacha

Ayurvedic management of obesityAyurvedic management of obesity

Shaman chikitsaShaman chikitsa -It is pacification therapy -It is pacification therapy with herbs, diet, exercises and lifestyle .with herbs, diet, exercises and lifestyle .

Use of Bitter, pungent astringent tasteUse of Bitter, pungent astringent taste

Dry, hot, sharp, scraping qualities Dry, hot, sharp, scraping qualities

Herbs for Medoroga (obesity)Herbs for Medoroga (obesity)

TriphalaTriphalaIt is combination of 3 healings herb, their fruits are used.It is combination of 3 healings herb, their fruits are used.Amalaki (emblica officinalis)Amalaki (emblica officinalis),-,-Haritaki (terminalia chebula)Haritaki (terminalia chebula)    Bibhitaki (terminalia belerica)Bibhitaki (terminalia belerica)  

Effects of Triphala - all dosha balancing, very good Effects of Triphala - all dosha balancing, very good cleanser ,purifies blood rejuvenating herb. it decreases cleanser ,purifies blood rejuvenating herb. it decreases excessive Meda excessive Meda

reduces serum cholesterol, reduces the plaque formation in the reduces serum cholesterol, reduces the plaque formation in the arteries ,high blood pressure, provides remarkable protection in arteries ,high blood pressure, provides remarkable protection in CVD, In a study conducted by the American Botanical Council, it CVD, In a study conducted by the American Botanical Council, it was shown that Triphala greatly reduced blood glucose levels in was shown that Triphala greatly reduced blood glucose levels in diabetic rats diabetic rats

Herbs for Herbs for Medoroga Medoroga (obesity)(obesity)

Guggulu- (Commiphora mukul) Guggulu- (Commiphora mukul)

Light, dry, sharp, subtle, mobile, non slimy Light, dry, sharp, subtle, mobile, non slimy T-bitter, pungent, A-Hot, PE- PungentT-bitter, pungent, A-Hot, PE- PungentAll dosha balancing –by Prabhav All dosha balancing –by Prabhav Useful part = Resin Old guggulu- scraping quality Useful part = Resin Old guggulu- scraping quality

It is strong detoxifying and cleansing and It is strong detoxifying and cleansing and rejuvenating herb. rejuvenating herb. Lower cholesterol and triglycerides and maintain or Lower cholesterol and triglycerides and maintain or improve HDL/LDL ratio, anti-inflammatory effects.improve HDL/LDL ratio, anti-inflammatory effects.

Herbs for Medoroga (obesity)Herbs for Medoroga (obesity)

Vidanga –Embelia ribesVidanga –Embelia ribesLight dry sharp T- pungent ,astringentLight dry sharp T- pungent ,astringentA- hotA- hot PE-pungentPE-pungent

Vata kapha pacifying, agni stimulating,Vata kapha pacifying, agni stimulating,

Vidanga allays vata, it is diuretic, a mild Vidanga allays vata, it is diuretic, a mild purgative and kills worms, it is an appetizer, purgative and kills worms, it is an appetizer, digestive , blood purifier and rejuvenator.digestive , blood purifier and rejuvenator.

Herbs in Medoroga Herbs in Medoroga (obesity)(obesity)

Shilajatu-Mineral pitchShilajatu-Mineral pitchIt is the resins that oozes out from It is the resins that oozes out from Himalayan MountainsHimalayan MountainsLight dry T-bitter pungent astringent Light dry T-bitter pungent astringent A- hot scraping qualityA- hot scraping qualityMainly Vata and Kapha balancingMainly Vata and Kapha balancing

it decreases excessive fat, very helpful in it decreases excessive fat, very helpful in enhancing sexual powers. It is anti enhancing sexual powers. It is anti inflammatory and antioxidantinflammatory and antioxidant

Useful Combinations in Medoroga Useful Combinations in Medoroga (obesity)(obesity)

Navak GugguluNavak GugguluTriphala GugguluTriphala GugguluAmrutadya GugguluAmrutadya GugguluChandraprabhavatiChandraprabhavatiMustadi KwathMustadi KwathVidangadi ChurnaVidangadi Churna

Anupan- luke warm water and honeyAnupan- luke warm water and honey

Ayurveda Diet in Medoroga Ayurveda Diet in Medoroga (obesity)(obesity)

Bitter, pungent astringent tasteBitter, pungent astringent tasteDry, hot, sharp, scraping qualities Dry, hot, sharp, scraping qualities

Whole grains- Whole grains- Barley, whole oats, quinoa and amaranth. Barley, whole oats, quinoa and amaranth. VegetablesVegetables-Chard, kale, Spinach and mustard greens,-Chard, kale, Spinach and mustard greens, eggplant Cabbage, carrot cauliflower. eggplant Cabbage, carrot cauliflower.

Pulses or dried beansPulses or dried beans –Lentils, Mung dal, tu dar, masoor dal, –Lentils, Mung dal, tu dar, masoor dal, horse gram chick peashorse gram chick peas

Fruits-Fruits-apples. Pears pineapple,apples. Pears pineapple,

HoneyHoney

SpicesSpices-Fenugreek, turmeric, cumin, musturd, asefoetida-Fenugreek, turmeric, cumin, musturd, asefoetida curry leaves, ginger, black pepper, clove, cinnamoncurry leaves, ginger, black pepper, clove, cinnamon

Diet to AvoidDiet to Avoid

Avoid sweet, sour, salty and oily food as it aggravates Avoid sweet, sour, salty and oily food as it aggravates Kapha and MedaKapha and MedaSweet foods include not only sugar but also rice, wheat, Sweet foods include not only sugar but also rice, wheat, pasta, breads, and sweet milk products. pasta, breads, and sweet milk products. Cakes, cookies, Pastries, Chocolates.Cakes, cookies, Pastries, Chocolates.Dairy products especially cheese cream, ice cream, Dairy products especially cheese cream, ice cream, yogurt.yogurt.Meat especially red meat ,fried food ,grilled foodMeat especially red meat ,fried food ,grilled foodAvoid packaged foods, processed food and restaurant Avoid packaged foods, processed food and restaurant fried foods - pizza, hot dog ,burger, doughnuts, French fried foods - pizza, hot dog ,burger, doughnuts, French friesfriesAvoid left over'sAvoid left over's

Diet to avoidDiet to avoid

Avoid incompatible combinations of foodAvoid incompatible combinations of food

Milk with fish, meat, curd, sour fruits, Milk with fish, meat, curd, sour fruits, bread containing yeast, cherries, yogurtbread containing yeast, cherries, yogurt

Yogurt with milk, sour fruits, melons, hot Yogurt with milk, sour fruits, melons, hot drinks, meat, fish, mangos, cheesedrinks, meat, fish, mangos, cheese

Eggs with milk, meat, yogurt, melons, Eggs with milk, meat, yogurt, melons, cheese, fish, bananascheese, fish, bananas

FruitFruit with any other foodwith any other food

Diet to avoidDiet to avoid

Avoid Tamasic foodAvoid Tamasic foodTamasic foods are those dull the mind and bring Tamasic foods are those dull the mind and bring about inertia laziness disorientation depression.about inertia laziness disorientation depression.

Excess intake of fats oils sugars, heavy and left Excess intake of fats oils sugars, heavy and left over food are Tamasic in nature.over food are Tamasic in nature.

Foods that have been processed, canned or Foods that have been processed, canned or frozen food , Beef, fish, eggs, cold buffalo milk frozen food , Beef, fish, eggs, cold buffalo milk are also Tamasic. are also Tamasic.

Ayurveda Life style in Medoroga Ayurveda Life style in Medoroga

(Obesity)(Obesity) ExerciseExercise ‘Stop Dieting and Start Moving’ ‘Stop Dieting and Start Moving’

Walking, Swimming, running, or rowing aerobic Walking, Swimming, running, or rowing aerobic exercises, Stationary Cycling/Bicyclingexercises, Stationary Cycling/Bicycling

Yoga Asana- Yoga Asana- Suryanamaskar-(Sun Salutations)Suryanamaskar-(Sun Salutations) Pawan muktasana ( (Wind Liberating Pose)Pawan muktasana ( (Wind Liberating Pose) Utthanpadasana (Raised Leg Pose)Utthanpadasana (Raised Leg Pose) Dvichakrikasan- (Bicycling)Dvichakrikasan- (Bicycling) Padvruttasan- (Leg rotation)Padvruttasan- (Leg rotation) NaukasanaNaukasana  (Boat Pose)(Boat Pose)

Pranayama (breathng excersises) and MeditationPranayama (breathng excersises) and Meditation

Useful tipsUseful tipsMaintain a regular daily routine. Wake up before 6.00amMaintain a regular daily routine. Wake up before 6.00amTake 2 teaspoon of honey and 2 tea spoon of lemon juice with 1 Take 2 teaspoon of honey and 2 tea spoon of lemon juice with 1 glass of warm waterglass of warm waterExercise at morning at least 40 min/day -4days/weekExercise at morning at least 40 min/day -4days/weekEast light nourishing breakfast –cooked apple, toast cooked barley East light nourishing breakfast –cooked apple, toast cooked barley or oatmealor oatmealCook daily with love and careCook daily with love and careUse spices and herbs that suitable for you while cookingUse spices and herbs that suitable for you while cookingBoil water with fresh ginger and drink frequently throughout the dayBoil water with fresh ginger and drink frequently throughout the dayMake Lunch as a main meal. Dinner should be as light as possible.Make Lunch as a main meal. Dinner should be as light as possible.For dinner, eat light one-dish meals, or vegetable or lentil soups. For dinner, eat light one-dish meals, or vegetable or lentil soups. Do not sleep during dayDo not sleep during day

Useful tips ContUseful tips Cont

Avoid eating late at nightAvoid eating late at nightEat only after digestion of previous meal.Eat only after digestion of previous meal.Eat only when you are hungry. Find out correct quantity Eat only when you are hungry. Find out correct quantity for you.for you.Keep the regular timings of meal. Eat mindfully.Keep the regular timings of meal. Eat mindfully.Concentrate on your food, what you are eating. Don’t Concentrate on your food, what you are eating. Don’t divide your attention by reading, working or watching TV divide your attention by reading, working or watching TV while you are eating. while you are eating. Take a walk after meal. Take a walk after meal. Replace caffeinated and carbonated beverages with Replace caffeinated and carbonated beverages with herb-spice teas.herb-spice teas.Fasting-One day fasting in a week is goodFasting-One day fasting in a week is good