Monday, 21 January 2013

Obesity(મેદસ્વિતા)



                                           OBESITY

DEFINITION

It is a condition of being overweight.
Excessive amount of fat accumulated in the body, called obesity.

ALTERNATIVE NAMES

1. Corpulence 
2. Plumpness
3. Tubbiness
4. Adiposity, etc.

BMI (Body Mass Index)

  BMI = Weight/(hight)2

Ideal BMI is within 18.5 to 25. It’s 30 or above defined obesity.

The higher BMI; Greater risks for including,

-Cardiovascular Diseases
-Diabetes
-Musculoskeletal Disorders like osteo-arthritis.
-Some CA (Endometrial CA, Breast CA, Colon CA, etc.)

CAUSES IN AYURVEDA

1.Overeating,
2.Heavy, sweet, cold, oily foods eating,
3.Lake of exercise,
4.Avoiding Sexual life,
5.Sleep during the day,
6. Irresponsibility,
7.Free from any type of tension,
8.Congenital or Heredity.                                  [Caraka Samhita su.21/4]

There are three types of causes.

CAUSES

          COMMON                          SCIENTIFIC                                OTHER

1.    Overeating                      1. Psychiatric                       1. Cushing Syndrome
2.    High intake of                      (sad, disturbed, angry     2. Hypothyroidism
Calories                                or bored.)                       3. Depression    
3.    Poor eating habits          2. Medicinal                          4. Certain Neurological
4.    Neglecting to drink         3. Genetic                                 problems
water.                                                                          5. Some type of jobs
5.    Sedentary Lifestyle
6.    Lake of exercise
7.    Sleep deprivation



SIGNS
                        That man is spoken of us over corpulent (obese) who on account of the inordinate increase of fat and flesh is disfigured by pendulous buttocks, belly and breasts and whose increased bulk is not matched by a corresponding increase in energy.
                        Thus, the evils of corpulence together with its causes and symptoms have been set out.                       
                                                                        [Caraka Samhita.Su.21/9]


SYMPTOMS

1. OHS:-
                        There is a condition called “OHS”(Obesity Hypoventilation Syndrome), occurs in obese people, in which poor breathing leads to lower oxygen levels and higher CO2 levels in the blood.
                       
                        Cause   – Exact cause unknown: but patient comes with sleep apnea.

                        Symptoms -   Excessive daytime sleepiness
-       Falling asleep during the day
-       Increased risk for accidents or mistakes at work.
-       Depression

                     Investigations – Sleep study
                       - Lung Function
                       - Arterial Blood Gas.

2. Sexual Dysfunction
3. Hypertension
4. Hypoxia
5. Excessive sweating
6. Drowsiness
7. Bluish color in the lips, fingers, toes or skin (cyanosis).
8. Rt. Heart failure
9. Swollen legs or feet
10. Feeling tired after little effort.


                              TREATMENT

HOME REMIDIES

           Honey is an excellent home remedy for obesity.

           Make a mixture of two teaspoon of lime juice, one teaspoon of honey, in a            glass of water, add some pepper to it & have it regularly.

           Instead of eating only 2 more meals during the day like lunch & dinner, try to eat 4-5 more small mini-meals spaced 2-3 hours apart during the day

           Drink a glass of boiled water daily after every meal. It will also help you in obesity natural cure.

           Spices like ginger, cinnamomum, black pepper etc. are good for losing weight. Drink ginger tea 2-3 times a day. It is also a good remedy for obesity.

           Increase the quantity of fruits and vegetables and low calorie foods.

           Avoid intake of too much salt as it may be a factor for increasing body weight.
           Eat tomato in the morning and in salad. Make it a regular habit.

           All kinds of milk products-cheese, butter, and non-vegetarian foods should be avoided as they are rich in fat. Be sufficient with twice a glass of milk.

           Avoid rice and potato, which contain a lot of carbohydrates. Among cereals wheat is good.

           Avoid high calorie foods like chocolates, ice cream, sweets, butter, heavy refined foods which have high calories.

           Raw or cooked cabbage inhibits the conversion of sugar and other carbohydrates into fat. Hence, it is of great value in weight reduction.

           Include a source of vitamin B-12 in your diet.

           Exercise is an important part of any weight reduction plan. It will burn all your calories.


HERBAL REMEDIES

The use of herbs is a time-honored approach to strengthening the body and treating disease. The following have been used traditionally to treat obesity:

Guggul (Commiphora mukul): The gum of Commiphora Mukul called 'guggulu' is the drug of choice for the treatment of obesity. It lowers down cholesterol, removes deposited fat quickly. It helps to regulate the lipid metabolism. Its benefits as a weight-loss and fat burning agent have been well researched and documented in several studies.

Licorice (Glycyrrhiza glabra): Licorice root strengthens the adrenal glands, thus helping to sustain a regulated blood-sugar level and reduce cravings for sweets. Licorice tastes sweet.
Dose: Take a cup of licorice daily, one week out of every month for up to three months.

Triphala (Emblica officinalis): Effective Laxative which takes away fats from body & reduces weight. It is said to promote normal appetite, good digestion, increase red blood cells and hemoglobin. It has strong purifying and antioxidant qualities as well as reducing the overall water content in the body tissues.

Aloe Vera (Aloe barbadensis): Aloe-vera juice improves digestion and cleanses the digestive tract.


Ayurvedic Kalpanas:

1)    Triphala kwath
2)    Mustadi kwath
3)    Aasav arishta
4)    Tryushnadi mantha
5)    Vyoshadh saktu.                                  [Caraka Samhita.Su.23/11-24]


SURGICAL TREATMENT:

1.    Liposuction
2.    Tummy Tucks


Fat burning foods and vegetables:

           Apple                                    Pineapple
           Bitter gourd (Karela)           Carrot
           Asparagus                            Egg white
           Cabbage                               Mango
           Water melon                        Papaya
           Litchi



SOME TIPS TO REDUCE 'WEIGHT'

1. Use vegetable oil instead of butter or stick margarine.
2. Prefer eating steam, boiled, microwave vegetables.
3. Drink 8-10 glasses of water daily to avoid fluid retention.
4. Choose an activity to burn your calories.
5. Do some regular exercise, at least walking, jogging or swimming.
6. Eat less salty foods, alcohol, dairy products, sugar, and margarine.
7. Replace whole milk with skim or low fat milk for your preparation.
8. Whenever you fell hungry, do some activity. Go for a walk.
9. Roast, bake or boil meat, fish, to destroy all the fat present.