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8/2/2019 Alternative Medicine in Obesity
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Dr.P.Saranyan
PrincipalSant Hirdaram Medical College of Naturopathy & Yogic Sciences
Bhopal 462030
www.shmcnys.in
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Obesity : a serious problem
The prevalence of obesity has nearlydoubled in the last 3 decades. All thepractitioners in every type of healthcare
settings are looking for creative strategies toachieve safe, effective care for this patientpopulation.
This increase in the prevalence of obesity inrecent years has prompted research intoalternative methods of modulating bodyweight and body fat.
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Why treat Overweight andObesity ? Obesity is clearly associated with increased
morbidity and mortality.
There is strong evidence that wt. loss reduces
risk factors for diabetes and cardiovasculardisease.
Strong evidence exists that wt. loss reducesblood pressure in both overweighthypertensive and non-hypertensiveindividuals; reduces serum triglycerides andincreases HDL.
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Alternative Medicine in Obesity
Therapies implemented in management ofObesity in Naturopathy & Yoga, followingpatient education and counseling.
Naturopathic Diet pattern
Therapeutic Juice Fasting
Hydrotherapy
Mud Therapy
Acupressure & Acupuncture
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Alternative Medicine in Obesity.
Manipulative Therapies includingtherapeutic Swedish Massage
Yoga Therapy ( Integrated approach)
Therapeutic Lifestyle Modification
Age and Disease Specific Exerciseprogram
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A systematic review on use of Chinesemedicine and acupuncture for treatment ofobesity.
The effectiveness and safety of traditionalChinese medicine including Chinese herbalmedicine (CHM) and acupuncture provide an
alternative established therapy for thismedical challenge.
CHM and acupuncture were more effective
than placebo or lifestyle modification inreducing body weight.
Sui Y, Zhao HL, Wong VC, Brown N, Li XL, Kwan AK, Hui HL, Ziea ET, Chan JC, ,ObesRev. 2012 Feb 1. doi: 10.1111/j.1467-789X.2011.00979.x
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Prevention of diet-induced obesity by dietaryblack tea polyphenols extract in vitro and invivo.
BTP and BTPE inhibited pancreatic lipase activity withan IC(50) of 15.5 and 36.4 g/mL in vitro, respectively.
BTPE suppressed increases in rat plasma triglyceridelevels in a dose-dependent manner after oral
administration of a lipid emulsion. Furthermore,administration of the 5% BTPE suppressed increases inbody weight (P < 0.05), parametrial adipose tissuemass, and liver lipid content (reduced to 56.9% and
81.7% of control mice, respectively, P < 0.05) in micefed a high-fat diet.
Uchiyama S, Taniguchi Y, Saka A, Yoshida A, Yajima H. Nutrition.2011 Mar;27(3):287-92. Epub 2010 Jun 3.
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A randomised control trial comparing lifestyle groups,individual counselling and written information in themanagement of weight and health outcomes over 12months.
A randomised controlled trial of two intervention groups, a group-based cognitivebehaviour therapy lifestyle intervention, Fat Booters Incorporated--(FBI) andindividualised dietetic treatment (IDT) and control group receiving an informationbooklet only (BO). The intervention groups involved weekly contact for 8 weeks withmonthly follow-up to 6 months and further follow-up at 12 months, conducted in realpractice setting.
RESULTS: Change in weight in the IDT group did not differ from the FBI group atany time point. For all groups, waist circumference was significantly less thanbaseline at all time points (P
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Integrative approach toobesity Integrative medicine blends conventional medicine with
carefully evaluated complementary therapies andconsiders all elements of a patient's lifestyle (physical,mental, spiritual). Integrative medicine therapies andphilosophies have characteristics similar to those of
successful treatment programs for pediatric obesity.
It also updates the practitioner on selected integrativeapproaches as they relate to prevention and treatment ofpediatric obesity.
Pediatr Clin North Am. 2007 Dec;54(6):969-81; xi.,McClafferty HH.The Center for Children's Integrative Medicine, 55 Vilcom Circle,Chapel Hill, NC 27514, USA. [email protected]
http://www.ncbi.nlm.nih.gov/pubmed?term=%22McClafferty%20HH%22[Author]http://www.ncbi.nlm.nih.gov/pubmed?term=%22McClafferty%20HH%22[Author]http://www.ncbi.nlm.nih.gov/pubmed?term=%22McClafferty%20HH%22[Author]http://www.ncbi.nlm.nih.gov/pubmed?term=%22McClafferty%20HH%22[Author]8/2/2019 Alternative Medicine in Obesity
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Yoga practice is associated with attenuatedweight gain in healthy, middle-aged men andwomen.
OBJECTIVE: To examine whether yoga practice is associated with lower mean 10-year weight gain after age 45.
PARTICIPANTS: Participants included 15,550 adults, aged 53 to 57 years, recruited to the Vitamin and Lifestyle (VITAL) cohort
study between 2000 and 2002.
MEASUREMENTS: Physical activity (including yoga) during the past 10 years, diet, height, and weight at recruitment and at ages 30
and 45. All measures were based on self-reporting, and past weight was retrospectively ascertained.
METHODS: Multiple regression analyses were used to examined covariate-adjusted associations between yoga practice and
weight change from age 45 to recruitment, and polychotomous logistic regression was used to examineassociations of yoga practice with the relative odds of weight maintenance (within 5%) and weight loss (> 5%)compared to weight gain.
RESULTS:
Yoga practice for four or more years was associated with a 3.1-lb lower weight gain among normal weight (BMI
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Short term health impact of a yoga anddiet change program on obesity.
BACKGROUND: Obese persons often find physical activity difficult. The effects of a yoga and diet change program, emphasizing
breathing techniques practiced while seated, was assessed in obese persons.
MATERIAL/METHODS: A single group of 47 persons were assessed on the first and last day of a yoga and diet change program, with 6
days of the intervention between assessments. The assessments were: body mass index (BMI), waist and hipcircumferences, mid-arm circumference, body composition, hand grip strength, postural stability, serum lipidprofile and fasting serum leptin levels. Participants practiced yoga for 5 hours every day and had a low fat, high
fiber, vegetarian diet. Last and first day data were compared using a t-test for paired data.
RESULTS: Following the 6-day residential program, participants showed a decrease in BMI (1.6 percent), waist and hip
circumferences, fat-free mass, total cholesterol (7.7 percent decrease), high density lipoprotein (HDL) cholesterol(8.7 percent decrease), fasting serum leptin levels (44.2 percent decrease) and an increase in postural stabilityand hand grip strength (p