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 Table of Contents  
CASE REPORT
Year : 2015  |  Volume : 2  |  Issue : 2  |  Page : 114-116

Effect of Naturopathy and Yogic Intervention, Over 6 Years on Weight Management in a Patient with Obesity


1 Department of Acupuncture, SDM College of Naturopathy and Yogic Sciences, Ujire, India
2 Department of Research and Development, S-VYASA University, Bengaluru, Karnataka, India

Date of Submission13-Nov-2014
Date of Decision21-Feb-2015
Date of Acceptance21-Feb-2015
Date of Web Publication7-May-2015

Correspondence Address:
Geetha B Shetty
Department of Acupuncture, SDM College of Naturopathy and Yogic Sciences, Ujire, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2347-9906.154261

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  Abstract 

A 24-year-old unmarried female came to our Yoga and Nature Cure Hospital 6-year back in the month of June 2008. Our subject came with the complaint of increasing in body weight from the age of 14-year especially after appendectomy done in a private hospital. Within 4 years (at the age of 18 years), she reached a body weight of 101 kg from the baseline of 65 kg. She got admitted in our hospital and received integrated Naturopathy treatment (90-120-min/day) and Yoga (60-min/day) for the period of 15 day. Her weight reduced from 101-kg to 94.9-kg on 15 th day, and she was discharged from the hospital. She was maintaining her weight (94.9-kg) for the period of 2-year. In the years 2010, 2012 and 2014 she got admitted in our hospital. The period was 10-day at each time for further weight reduction. We assessed weight and body mass index before and after the admissions in hospital. There were gradual reductions in weight which showed the changes in World Health Organization's (WHO) obesity classification grading from class-II obesity in 2008 to class-I obesity in 2010. There were no changes in 2012. In 2014, the grade of class-I obesity was changed to overweight or preobese. The results in this case suggest that Naturopathy and Yoga intervention can be effective in treating obesity. Despite this encouraging result, further case series and a larger sample size in prospective study are necessary as a rational follow-up of this case report.

Keywords: Naturopathy, obesity, weight management, Yoga


How to cite this article:
Shetty GB, Mooventhan A. Effect of Naturopathy and Yogic Intervention, Over 6 Years on Weight Management in a Patient with Obesity. J Obes Metab Res 2015;2:114-6

How to cite this URL:
Shetty GB, Mooventhan A. Effect of Naturopathy and Yogic Intervention, Over 6 Years on Weight Management in a Patient with Obesity. J Obes Metab Res [serial online] 2015 [cited 2019 Aug 18];2:114-6. Available from: http://www.jomrjournal.org/text.asp?2015/2/2/114/154261


  Background Top


Obesity may be defined as an abnormal growth of adipose tissue due to an enlargement of fat cell size or an increase in fat cell number or a combination of both. [1] In 2010, overweight and obesity were estimated to cause 3.4 million deaths, 3.9% of years of life lost, and 3.8% of disability-adjusted life-years worldwide. [2] Prevalence of obesity is increasing in developed [1] and developing countries like India where, it has reached epidemic proportions in 21 st century with morbid obesity affecting 5% of the country's population. [3] The long-term success of management is limited in conventional medicine, and evidence suggests that obese patients are seeking alternative forms of health care for weight loss. [4]

Naturopathy is a distinct type of primary care medicine that blends age-old healing traditions with scientific advances and current research. [5] Yoga is an ancient Indian science as well as the way of life, which includes practice of restraints and regimens (yama-niyama), specific postures (asana), regulated breathing (pranayama), etc. [6] Naturopathy treatment and Yoga were individually shown to have a beneficial effect on obesity in various studies. [7],[8] To the best of our knowledge, there is no known long-term case-study reported of the effect of the combination of both on obesity. We present here a case of the effect of Naturopathy and Yogic intervention on weight management in a patient with obesity, over 6-year.


  Case report Top


A 24-year-old unmarried female came to our Yoga and Nature Cure Hospital, 6-year back. Our subject came with the complaint of increase in body weight from the age of 14-year. The weight gain was gradual in onset and steadily progressive in nature. At the age of 14-year, the patient had appendicitis and underwent appendectomy in a private hospital. Her weight then was about 65-kg. After surgery, the surgeon advised her to take proper rest and not to go for any strenuous physical activities. As per surgeon's suggestion, she started taking rest and reduced her physical activities including playing shuttle for a long time. As she progressed from the puberty to 18 years of age, she started to put on weight gradually and reached 101-kg. The final height achieved was 165-cm. The patient was evaluated for hypothyroidism and polycystic ovarian syndrome by thyroid profile and ultrasound. Both the conditions were ruled out. A written informed consent was obtained from the patient.


  Treatment and Follow-Up Top


The first visit of the 18-year-old girl to our Yoga and Nature Cure Hospital was in the month of June 2008. She was advised to stay in the hospital for 15-day and provided Yoga sessions (60-min/day) and Naturopathy treatment (90-120-min/day) for 15-day. Yoga intervention was given with asana, pranayama, kriyas (cleansing techniques) etc., and Naturopathic treatment was given with hydrotherapy, diet and fasting therapies, mud therapy, and massage therapy. At the time of discharge, she was advised to continue the Yoga at home and maintain the prescribed intake of food. She was maintaining the achieved weight for the period of 2-year. And in the years 2010, 2012 and 2014, she got admitted in our hospital for the period of 10-day, every 2-year. In between the admissions, she was compliant with home diet and Yoga. Our patient received same Naturopathic and Yoga interventions as mentioned earlier during the admission period of 10-day. At the time of discharge, she was counseled again, and she was regularly followed up for compliance for the interval period of 2-year. The height was carefully measured with a standard measuring tape, in centimeters. The weight was measured in kilograms by the standard weighing machine. Body mass index (BMI) was calculated by a formula- weight (in kg)/height 2 (in m 2 ). The values of weight and BMI, over the years and after interventions are shown in [Table 1].
Table 1: Reduction in weight and BMI of our subject

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  Discussion Top


This case report showed a gradual and sustained reduction in weight and BMI with no side effects. Reduction in the body weight showed the changes in WHO obesity classification grading that is, the reduction in the year 2008 and 2010, was from class-II obesity to class-I obesity, the reduction in 2012 did not show any changes in its class and reduction in the year 2014, showed a change from class-I obesity to overweight or preobese. [1]

As mentioned by Park, the history in the patient suggested that an increase in weight was caused primarily by a markedly reduced physical activity, rather than by a marked increase in food intake or by other factors. [1] Our subject started gaining weight during her excessive rest period after her surgery.

Obesity is a major risk factor for diabetes, hypertension, ischemic heart disease, [1],[8] dyslipidemia, insulin resistance, sleep apnea, polycystic ovarian syndrome, infertility, osteoarthritis of knee, low back pain, gall bladder disease etc. [1] Hence, normalization of body weight in obesity is essential in preventing above mentioned complications. [1],[7] A sustained body weight loss is also essential. The treatment of obesity with Naturopathic modalities such as diet, exercise therapy, and hydrotherapy has also been shown to reduce the target organ damage in the heart, liver, and pancreas and improve their functions. [7]

We followed the traditional approach of weight reduction, in which the prescription of a balanced diet that provides an energy intake below that of energy expenditure. [9] Our subject's weight reduction was based on the basic principles of weight management in obesity that is primarily to achieve clinically significant weight loss and then secondarily to maintain the weight loss. [9] But the addition of prayanamas, asanas and kriyas must have helped to enhance the motivation and compliance. A previous study on pranayama showed a significant reduction in weight and BMI. [6] Yoga was also reported as an appropriate intervention for weight maintenance, prevention of obesity and a reduction in risk factors for cardio-metabolic health in obesity. [10]


  Conclusion Top


The present case reports a sustained weight-reduction over the period of 6-year. The transition in the grade of obesity (WHO) from class-II to class-I and then to overweight suggests that an integrative approach with Yoga and Naturopathy was worthwhile. There is a need to carry out large-scale studies of such an integrative management as a follow-up on this case report.

 
  References Top

1.
Park K. Park′s Text Book of Preventive and Social Medicine. 20 th ed. Jabalpur, India: M/s Banarsidas Bhanot Publishers; 2009.  Back to cited text no. 1
    
2.
Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: A systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014;384:766-81.  Back to cited text no. 2
[PUBMED]    
3.
Patell R, Dosi R, Joshi H, Sheth S, Shah P, Jasdanwala S. Non-alcoholic fatty liver disease (NAFLD) in obesity. J Clin Diagn Res 2014;8:62-6.  Back to cited text no. 3
    
4.
Bertisch SM, Wee CC, McCarthy EP. Use of complementary and alternative therapies by overweight and obese adults. Obesity (Silver Spring) 2008;16:1610-5.  Back to cited text no. 4
    
5.
Fleming SA, Gutknecht NC. Naturopathy and the primary care practice. Prim Care 2010;37:119-36.  Back to cited text no. 5
    
6.
Mooventhan A, Khode V. Effect of Bhramari pranayama and OM chanting on pulmonary function in healthy individuals: A prospective randomized control trial. Int J Yoga 2014;7:104-10.  Back to cited text no. 6
[PUBMED]  Medknow Journal  
7.
Kadyrova RKh, Shakieva RA, Salkhanov BA. Role of modern diet therapy in the prevention of visceral complications in patients with dietary obesity. Vopr Pitan 1987 ;1:16-20.  Back to cited text no. 7
    
8.
Taneja DK. Yoga and health. Indian J Community Med 2014;39:68-72.  Back to cited text no. 8
[PUBMED]  Medknow Journal  
9.
Finer N. Low-calorie diets and sustained weight loss. Obes Res 2001;9 Suppl 4:290S-4.  Back to cited text no. 9
    
10.
Rioux JG, Ritenbaugh C. Narrative review of yoga intervention clinical trials including weight-related outcomes. Altern Ther Health Med 2013;19:32-46.  Back to cited text no. 10
    



 
 
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