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Effect of Paschimottanasana in Metabolic Disorder W.S.R. to Sthaulya Gajendra Kumar Dubey1* and Kamalesh Kumar Sharma2

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Effect of Paschimottanasana in Metabolic Disorder W.S.R. to Sthaulya Gajendra Kumar Dubey1* and Kamalesh Kumar Sharma2 Int J Ayu Pharm Chem RESEARCH ARTICLE www.ijapc.com e-ISSN 2350-0204 Effect of Paschimottanasana in Metabolic Disorder w.s.r. to Sthaulya Gajendra Kumar Dubey1* and Kamalesh Kumar Sharma2 1-2Swasthavritta and Yoga, NIA Jaipur, Rajasthan, India ABSTRACT INTRODUCTION: Obesity (Sthaulya) is defined as a condition of extra fat accumulation in adipose tissue, to the extent that health may be impaired. In today era, due to sedentary life style, person has got many metabolic disorders for themselves and Sthaulya (Obesity) is one among them. STUDY TYPE: This study was randomized prospective clinical trial. AGE GROUP: Individuals of either sex aged between 18-50 years. MATERIALS AND METHODS: Total 25 patients of Sthaulya fulfilling the inclusion and diagnostic criteria were selected from O.P.D., I.P.D. & Yoga Unit of National institute of Ayurveda (NIA) Hospital, Jaipur, Rajasthan. In this study, the investigator’s objective was to evaluate the effect of Paschimottanasana in the management of Sthaulya (Obesity). The efficacy was determined by the compare between the baseline data and after treatment data. RESULTS AND CONCLUSION: Pashimottanasana showed maximum percentage relief in Subjective, Objective parameter except Alasya, Atipipasa & Atikshudha. Paschimottanasana showed higher percentage relief in all Anthropometric Profile (Weight, BMI, Waist, Hip, Mid-Thigh Circumference etc.). Paschimottanasana process results in reducing the objective as well as subjective complaints by enhancing the metabolic activities and imparting the massing effect over the various body parts. KEYWORDS Sthaulya, Obesity, Paschimottanasana, Metabolic disorders. Greentree Group Publishers Received 22/07/19 Accepted 07/10/19 Published 10/11/19 ________________________________________________________________ Dubey and Sharma 2019 Greentree Group Publishers © IJAPC Int J Ayu Pharm Chem 2019 Vol. 11 Issue 3 www.ijapc.com 211 [e ISSN 2350-0204] INTRODUCTION fat in the abdomen. Paschimottanasana In recent years, health levels are decreasing soothes your brain and relieves stress, as due to changing of life style, diet pattern well as mild depression. This asana behavioural pattern and mental stress and completely extends your spine, shoulders strain. Everyone is susceptible to multiple and hamstrings. It stimulates your liver, illnesses owing to the modification of our kidney, uterus, and ovary. It enhances ordinary digestion physiology. Due to this digestion. sedentary life style, person has got many NEED OF STUDY metabolic diseases for themselves. Obesity Obesity and overweight present a is one among the major diseases of modern significant danger to severe diet-related era. Obesity is a blessing from the modern chronic disease, including type-2 diabetes, age of machinery and materialism. cardiac disease, hypertension & stoke, and Industrialization, stress during job, dietary certain types of cancer. The health effect habits, absence of workout & multiple ranges from enhanced danger of premature varieties among the daily diet e.g. quick death to severe chronic condition that food, freezing fruits, enhanced quantity of reduces the general quality of life. There are soft drinks and beverages, canned food so many medicines in market regarding outcomes in the clinical entity that we can obesity. But there are no satisfactory results call obesity. Obesity is the one of the even they have lot of side effects. So there disease which is gaining more and more is need to control the disease by natural attention of scientists at global level. Many therapy. organizations and medical schools are making attempts to find a perfect remedy MATERIALS AND METHODS for this burning issue. Obesity is the In the study, the investigator’s objective ailments which has mere resemblance with was to evaluate the effect of Sthaulya which has been explained Paschimottanasana in the management of comprehensively in Ayurvedic excellence. Sthaulya (Obesity). The efficacy was Paschimottanasana or sitting forward determined by finding out the difference bending posture is a technically intense between the baseline data of the parameters western stretch, as Paschima means west in to the after treatment data. Sanskrit and Uttana means intense stretch. STUDY DESIGN Paschimottanasana decreases obesity and Type of study ________________________________________________________________ Dubey and Sharma 2019 Greentree Group Publishers © IJAPC Int J Ayu Pharm Chem 2019 Vol. 11 Issue 3 www.ijapc.com 212 [e ISSN 2350-0204] This study was randomized prospective Chronic systemic problems like Diabetes clinical trial. In a clinical therapeutically Mellitus. trial, the patient, the treatment and the Patients with severe Hypertension. parameters for evaluation of result are Patients with Hypothyroidism. important components. Patients with evidence of renal, hepatic Type of trial methodology and cardiac involvement. Trial adopted for the study was open trial. Patients with long term Steroid SOURCES OF DATA treatment. A Patient suffering from Sthaulya fulfilling Pregnant women. the inclusion and diagnostic criteria were DIAGNOSTIC CRITERIA selected from O.P.D., I.P.D. & Yoga Unit It was mainly based on the specially of National Institute of Ayurveda (NIA) prepared proforma, including all clinical Hospital, Jaipur, Rajasthan. A total 30 signs and symptoms of the disease in which patients were registered for the current trial. detailed history was taken and physical Out of them, 5 cases dropped out from the examination was done. study and the study was completed 25 Moreover, the value of BMI, cases. circumferences was also used as diagnostic INCLUSION CRITERIA criteria. Patients aged between 18 to 50 years. Patients were carefully examined both Patients BMI in between 25 to 40 kg/m2 subjectively and objectively. Detailed Patients having clinical signs and history pertaining to the mode of onset, symptoms of Sthaulya. previous treatment history, family history, Patients should not on any others Astavidha Pareeksha etc. and physical medicines for Sthaulya. examination findings were maintain Patients willing to sign the consent from. systemically. An area based specific EXCLUSION CRITERIA research performa was also designed by Age below 18 years and more beyond 50 using Ayurvedic as well as modern years. parameters and all the above data were BMI less than 25kg/m2 and more than noted down. 40kg/m2. PLAN OF STUDY Neuro Endocrine disorders. Before starting main process, patients were Genetic Syndromes. asked to do warm up exercises. After Drug induced Obesity. completion of main process each patient is ________________________________________________________________ Dubey and Sharma 2019 Greentree Group Publishers © IJAPC Int J Ayu Pharm Chem 2019 Vol. 11 Issue 3 www.ijapc.com 213 [e ISSN 2350-0204] advised to do Shavasna for few minutes. 1. Weight The asana was done for 3 to 5 minutes and 2. BMI every time 6 to 10 rounds of Asanas were CIRCUMFERENCE performed. For beginners it was according MEASUREMENTS–for the present study to their strength and capacity. Holding time the girth measurements of certain regions of the final step proper was being up to 30 using measuring tape before and after the seconds. After the completion of treatment will also carried out. The girth Paschimottanasana, patients were asked to measurement of following areas where do its counter pose Ustraasna. generally the adiposity is found more was Duration: 3 months taken:- Practice was being done in early morning 1. Waist – At the level of umbilicus. with empty stomach. 2. Hip - At the level of highest point of Follow up study: Once in every 15 days. distension of buttock. EXAMINATION OF PATIENTS 3. Mid-Thigh Circumference. All the O.P.D. patients were asked to report SKIN FOLD THICK NESS - on every 15th day to access the variations in 1. Mid Biceps symptomatology during the Yoga therapy. 2. Mid Triceps ASSESSMENT CRITERIA 3. Supra Iliac Region For assessing the variables, patients were 4. Sub-scapular Region examined every 15 days, the suitable In case of all circumference measurements, scoring method and objective signs were the mean values were taken before and after recorded. After completion of 3 month treatment. The body weight was also taken duration Yoga therapy, the efficacy of before and after treatment. therapy was assessed on the basis of ASSESSMENT GRADATION following subjective as well as objective The suitable scoring method for signs and criterion. symptoms were recorded in following SUBJECTIVE CRITERIA patients. To assess the improvement in clinical Present / absence of symptoms - symptomatology of the patients, scoring 0 system was adopted. Symptoms were Mild - 1 accorded grades according to their severity. Moderate - 2 1. OBJECTIVE CRITERIA Severe - 3 Cardinal measures Very severe - 4 ________________________________________________________________ Dubey and Sharma 2019 Greentree Group Publishers © IJAPC Int J Ayu Pharm Chem 2019 Vol. 11 Issue 3 www.ijapc.com 214 [e ISSN 2350-0204] Paschimottanasana (back stretching relaxed and gently stretched. Legs are kept pose) straight. Elbows are bent utilizing the arm Having stretched the feet like a stick on the muscles and trunk is brought down towards ground and grasped the toes of both feet the legs. Knees are to be touched with the with both hands, when one sits on the thighs forehead. This is the final position, retained with his forehead, it is called for as long as the person is comfortable. Paschimottanasana1 Slow and deep breathing is done in this इति
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