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Case Study

Obesity - a Case Study

Mr. Chetankumar B Dandade and Ms. Sujata Deshmukh
Arogyadham, MGIMS, Sevagram

Introduction:
Obesity is excessive accumulation of fat in adipose tissues of the body due to imbalance in energy intake and energy expenditure i.e. consumption of more calories than the body can use Heavy accumulation of fat in the body to such a degree that it rapidly increases the risk of heart disease, diabetes etc. that can damage your health and knock years off your life. The fat may be equally distributed around the body or concentrated in the midriff (apple-shaped) or the hips and thigh. The main cause is over eating i.e. intake of calories beyond the body’s energy requirements. Irregularity in eating, junk food consumption, sedentary habits, lack of exercise, and stress in modern competitive life do contribute to obesity. Improper functioning of thyroid or pituitary glands may also lead to obesity.
History of present illness
Mrs. X, 47, from Mumbai was admitted at Arogyadham (Sevagram) for an indoor 15-days Naturopathy and yoga therapy treatment for Obesity and Osteoarthritis. She had history of Migraine and sleeplessness since 3 years. She had Edema around ankles and feet. Gradually she developed generalized weakness, fatigue and decreased sleep.
Physical examination
                When admitted on 12/10/2016 her BP was 132/92 mm Hg; pulse 78 beats/min; respiratory rate 18 breath/min; breath holding time 8 sec/min; height is 5.3 ft And her weight was 122.3 kg and BMI is 47.76 kg/m2 (‘obese’). She had Obesity since adulthood. Her main aim to come at Arogyadham was to recover from Obesity and Osteoarthritis and improve her lifestyle, decrease stress, increase flexibility, improve balance and lose weight.
Treatment at Arogyadham
The objective of the treatment was to reduce weight and relieve pain from knee joints. So that she could resume her normal routine without any pain. Treatment was as follows:

Diet therapy:

Time

Diet

Quantity

Days

7.00 am

Herbal Juice (Neem, Aloe vera, Carrot, Beet)

200 ml

Daily

8.00 am

Breakfast Fruits + Herbal Tea (Dry Ginger, Tulsi, lemon grass, Jaggery)

1 bowl

Daily

10.00 am

Lemon Jaggery/Honey Water

200 ml

3 times a day

11.30 am

Lunch

 

 

 

Fruit Diet (Apple/Papaya/Mosambi/Anar)

1 bowl

2 Days a week

 

Juice Diet (Lauki Juice, Fruits and Vegetables Juice)

200 ml

Once a week

 

Boiled Diet (Boiled Mung, steamed sprouts, Daliya, Boiled Veg. etc.)

1 bowl

Once a week

 

Raw Diet (Veg salad, Sprouted etc.)

1 bowl

Once a week

 

Boiled and Normal Diet (steamed sprouts, Jowar/Wheat/Mix Roti, Butter milk, Veg Soup)

1 bowl, 2 Roti

Twice a week

2.00 pm

Lemon Jaggery/Honey Water

200 ml

Daily

5.00 pm

Herbal Tea

20 ml

Daily

7.30 pm

Dinner (Fruits and Vegetables)

1 bowl

Daily

Naturopathy Treatment:

Sr.No.

Treatment

Details

Effects

1.

Mud Therapy

Stomach and knees daily

Detoxification

2.

Partial Steam

Neck, Back and knees

Relieves pain

3.

Mud Pack

Cold to stomach and knees

Relieves knee pain,
Reduce constipation

4.

Massage + Steam Bath

Whole body for 45 min & 7 min Steam
3 times a week

Relaxes the body;
Improves circulation

 Yoga Therapy:

IAYT practices for Obesity

Sr.No.

Practices

Details

Duration

1.

Yogasanas

Sukshma Vyayama, Tadasana, Ardha-katichakrasana,
Pachimottaasana, Ardhachakrasana, Padahastasana,
Chakkichalanasana, Alternate toe touching, Bhunamunasana,
Bhujangasana, Shalabhasana

Daily 5 – 6 Asanas
on alternate days

2.

Pranayamas

Sectional Breathing with mudra, Suryaanulomvilom,
Nadishudhi Pranayma, Bhramari Pranayama

15 min twice daily,
9 rounds each

3.

Kriyas

Kapalbhati

60 – 120 Stroke daily
twice

4.

Meditation

Nadanusandana (Sound Meditation)

30 min twice daily

5.

Karma Yoga

Yogic Counseling

Once a week

Results: The Body parameters recorded as follows:

Variable

Before  Treatment

After Treatment

Pulse (Beats/min)

78

72

Respiratory Rate (cycles /min)

18

16

Sys. Blood Pressure (mm Hg)

132

126

Dia. Blood Pressure (mm Hg)

92

84

Breath Holding Time (Sec)

8

13

Weight (Kg)

122.3

113.5

BMI ( kg/m2)

47.76

44.32

Conclusion:

The patient has been very cooperative and had will power to follow the treatment rigorously. At the end of 15 days, she got benefitted by the Arogyadham (Naturopathy and Yoga Treatment). Her weight was decreased by 8.8 kg; she has been feeling relief in migraine and sleeplessness up to 80%. At Arogyadham she got relief in body pain and stiffness up to 70%. She liked the calm and peaceful environment of Arogyadham. Over all it’s a nice experience for her which not only helped her physically but mentally also.


Acknowledgement: Our Sincere thanks to Dr. Amrish Saxena, Associate Professor of Medicine, for going through the case report and guidance.

 

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