Journal of Ayurveda and Integrated Medical Sciences
2016 | 9,058,717 words
The Journal of Ayurveda and Integrated Medical Sciences (JAIMS) is an international double-blind peer-reviewed monthly journal published by Maharshi Charaka Ayurveda Organization. It focuses on research in AYUSH fields (Ayurveda, Yoga, Naturopathy, Unani, Siddha, Homeopathy) and related sciences. JAIMS aims to disseminate scientific findings, promo...
Integrative Approach to Weight Loss
Rohit Pawar
Final Year Post Graduate Scholar, Department of Swasthavritta and Yoga, RSM's Tilak Ayurved College, Pune, Maharashtra, India.
Nileema Shisode
Associate Professor, Department of Swasthavritta and Yoga, RSM's Tilak Ayurved College, Pune, Maharashtra, India.
Year: 2024 | Doi: 10.3233/NHA-170036
Copyright (license): Creative Commons Attribution 4.0 International (CC BY 4.0) license.
Download the PDF file of the original publication
[Full title: Integrative Approach to Weight Loss: The Impact of Yogasana Practice and Diet in Obesity]
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[Find the meaning and references behind the names: Surya, Tilak, Rohit]
CASE REPORT October 2024 Journal of Ayurveda and Integrated Medical Sciences | October 2024 | Vol. 9 | Issue 10 310 Integrative Approach to Weight Loss: The Impact of Yogasana Practice and Diet in Obesity Rohit Pawar 1 , Nileema Shisode 2 1 Final Year Post Graduate Scholar, Department of Swasthavritta and Yoga, RSM's Tilak Ayurved College, Pune, Maharashtra, India. 2 Associate Professor, Department of Swasthavritta and Yoga, RSM's Tilak Ayurved College, Pune, Maharashtra, India. I NTRODUCTION Obesity is a growing public health concern worldwide, associated with a range of comorbidities, including cardiovascular diseases, diabetes, and metabolic syndrome. The global prevalence of obesity has nearly tripled since 1975, making it a major focus of modern healthcare interventions. While hundreds, if not thousands, of weight-loss strategies, diets, potions, and devices have been offered to the overweight public, the multi-factorial aetiology of overweight challenges practitioners, researchers, and the overweight themselves to identify permanent, effective strategies for weight loss and maintenance. The percentage of individuals who lose weight and Address for correspondence: Dr. Rohit Pawar Final Year Post Graduate Scholar, Department of Swasthavritta and Yoga, RSM's Tilak Ayurved College, Pune, Maharashtra, India. E-mail: rohits 25844@gmail.com Submission Date: 15/09/2024 Accepted Date: 24/10/2024 Access this article online Quick Response Code Website: www.jaims.in DOI: 10.21760/jaims.9.10.52 successfully maintain the loss has been estimated to be as small as 1 to 3 per cent [1] Yoga , a centuries-old practice rooted in holistic wellness, has gained significant attention for its role in weight management. Studies show that Yoga not only improves physical fitness but also reduces stress, which is a contributing factor to obesity through mechanisms related to overeating and poor metabolic control. Specific Yoga practices such as Surya Namaskar have been associated with improving body composition and metabolic health, enhancing fat loss and insulin sensitivity [2] Intermittent fasting, particularly the 16:8 regimen, has also emerged as an effective dietary approach to weight management. This method promotes weight loss by inducing caloric restriction and improving metabolic flexibility, allowing the body to utilise fat as a primary energy source during fasting windows. Several studies suggest that intermittent fasting can improve insulin sensitivity, reduce body fat percentage, and lower blood pressure in individuals with obesity [3] The case highlights the importance of a multidisciplinary lifestyle intervention in achieving sustainable weight loss and improved metabolic health C ASE P RESENTATION A 26-year-old female doctor from Maharashtra, who was struggling with weight management and has been A B S T R A C T This case report explores the weight loss journey of a 26-year-old female achieved through an integrative approach combining Yoga , intermittent fasting, and diet correction. Starting with a BMI of 28.4 kg/m² and weight of 71 kg, the patient underwent a 10-month program designed to improve physical fitness and metabolic health. The intervention resulted in measurable improvements, including an 18.17% reduction in weight, a 17.96% decrease in BMI, and a 15.38% improvement in HbA 1 c levels. The study demonstrates the effectiveness of a multidisciplinary approach in managing obesity and associated metabolic conditions. Key words: Obesity, Yogasana, Intermittent fasting, Integrative approach, Diet correction
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[Find the meaning and references behind the names: Long, Main, Guru, Good]
Rohit Pawar et al. Integrative Approach to Weight Loss ISSN: 2456-3110 CASE REPORT October 2024 Journal of Ayurveda and Integrated Medical Sciences | October 2024 | Vol. 9 | Issue 10 311 trying to lose around 10 kilograms for the last 4-5 years. She had tried various weight loss methods, including going to the gym for 2-3 months, but did not observe notable progress and thus refrained from going. She had trouble making good nutritional choices and led a high-stress life. Her quality of life is affected by her weight and contributes to a sense of poor self-esteem, and loss of enthusiasm exacerbated by a long history of failed attempts at long-term weight loss. She had a normal weight and after puberty hit, she started gaining weight, and meanwhile, she been administered steroids for long periods to cope with dengue's effects. And that contributed to her weight gain. Medical History: Long-standing obesity, family history of obesity, hypothyroidism and diabetes. Clinical Findings The patient weighed 71 kg at the initial assessment, with a BMI of 28.4 kg/m². Blood pressure was measured at 124/82 mmHg, and the waist-to-hip ratio was calculated as 0.86. Additional measurements included a neck circumference of 15 inches and a thigh girth of 24.5 inches. Blood glucose levels were recorded as HbA 1 c 5.2%, fasting blood sugar at 86 mg/dl, and postprandial at 110 mg/dl thyroid levels measuring as T 3, Total, Serum – 125 ng/dL; and T 4, Total, Serum - 7 mcg/dL; TSH – 1 mU/L Initial Visit: 25 May 2023 - Presented with Obesity Rationale The integrative approach in this study is particularly noteworthy due to its innovative structure. Traditionally, Yogasana interventions do not incorporate specific sets and repetitions of Yogasana. However, this study introduces a novel aspect by utilizing defined sets and repetitions tailored to the participant, marking a significant departure from the usual practice of prescribing a fixed Yogasana protocol throughout the intervention Moreover, the diet was designed not only with a calorie-deficit focus but also by considering the Ayurvedic properties of food, such as Guru (heavy) and Laghu (light). While keeping caloric intake within limits, the dietary plan respected these properties to support the overall health of participant. A controlled calorie intake ensured the diet did not exceed the body's energy requirements Additionally, while intermittent fasting typically allows flexibility in food choices during the 8-hour window, this study imposed structured food restrictions. This approach ensured that the dietary regimen complemented the therapeutic goals of the intervention, combining traditional wisdom with modern nutritional science M ETHODOLOGY This case report involved a 10-month intervention aimed at achieving weight loss and improving metabolic health through a multidisciplinary approach that combined Yoga , intermittent fasting, and dietary modifications Study Design The subject of this case study is a 26-year-old female with a BMI of 28.4 kg/m² and a history of challenging weight loss attempts. The intervention was personalized to her needs, considering her medical history, which included obesity, hypothyroidism, and a family history of diabetes. Intervention Protocol The intervention comprised three main components: A) Yoga Routine: The patient followed a structured 45- minute Yoga regimen, performed six days a week. Each day targeted different muscle groups and included core strengthening, forward and backward bending, and flexibility exercises. The seventh day was designated for rest and fasting. Table 1: Details of Yoga intervention in a week SN Day Yoga Routine 1. Monday Jumping Jacks – 25 repetitions X 2 sets Ashtanga Suryanamaskar type B X 3 sets Forward Bending - Hastapadasana – 40 sec. X 3 sets - Shashankasana (baby pose) – 45 sec. X 3 sets - Paschimottanasana – 25 sec. X 3 sets
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[Find the meaning and references behind the names: Purna, Fast]
Rohit Pawar et al. Integrative Approach to Weight Loss ISSN: 2456-3110 CASE REPORT October 2024 Journal of Ayurveda and Integrated Medical Sciences | October 2024 | Vol. 9 | Issue 10 312 - Janushirshasana – Right. & Left. each - 30 sec. X 3 sets - Karnapidasana - 25 sec. X 2 sets 2 hand hold Plank - 25 sec. X 3 sets Ragdoll pose - 40 sec. X 2 sets 2. Tuesday Jumping Jacks 30 X 2 Alternate toe touch - 30 on each side Ashtanga Suryanamaskar type B X 3 Backward Bending - Urdhva Hastottanasana – 25 sec. X 4 - Ardhachakrasana – 30 sec. X 3 - Ushtrasana – 30 sec. X 2 - Kapotasana - 15 sec. X 2 - Parshvakonasana - 30 sec. X 2 Side Plank, Right & left - 15 sec. X 2 Sit-ups - 5 X 2 3. Wednesday Jumping Jacks – 30 X 2 Alternate toe touch - 30 X 2 Ashtanga Suryanamaskar type B – X 3 Side Bending - Ardhakatichakrasana Rt. & Lt. – 25 sec. X 3 on each side. - Trunk Twists - 20 sec. X 10 on each side - Marichayasana - 20 sec. X 2 on each side - Thigh Squats - 15 X 2 Pushups - 5 X 2 Sitting trunk Twists 20 on each side 4. Thursday Jumping Jacks – 30 X 2 Alternate toe touch - 30 X 2 Ashtanga Suryanamaskar type B – X 3 Core Strengthening - Uttanpadasana 45 0 (degree) – 15 sec. X 2 - Sarvangasana – 30 sec. X 2 - Halasana – 20 sec. X 2 - Matsyasana - 20 sec. X 2 - Virasana & Virbhadrasana Right & left on each side - 35 sec. X 4 Supine trunk twists - 30 X 2 Supine trunk twists (type 2) - 40 sec. X 2 on each side 5. Friday Jumping Jacks – 30 X 2 Alternate toe touch - 30 X 2 Ashtanga Suryanamaskar type B – X 3 Prone Postures - Naukasana – 20 sec. X 2 - Shalabhasana – 15 sec. X 3 - Bhujangasana – 40 sec. X 2 - Marjar Mudra (Cat Pose) - 60 sec. X 3 - Gau Mudra (Cow Pose) - Navasana - 20 sec. X 2 6. Saturday Jumping Jacks – 30 X 2 Alternate toe touch - 30 X 2 Ashtanga Suryanamaskar type B – X 3 Core exercises - Purvottanasana – 25 sec. X 2 - Parvatasana – 45 sec. X 2 - Ashwasanchalana Right & Left each – 45 sec. X 2 - Virbhadrasana - 45 sec. X 2 - Pushups – 5 X 2 Purna Chakrasana - 20 sec. X 3 Though Yogasana Practice was mandatory, taking proper rest during menstruation was advised. Yogasana was supposed to be paused for 3-4 days during menstrual flow while maintaining a consistent diet throughout the intervention period. B) Intermittent Fasting: The patient was given a fasting regimen. She could eat two large meals during the day and a small meal during two other periods. She followed a 16-hour fast, starting from 7:00 PM and ending at 11:00 AM the next day, and from 11:00 AM to 7:00 PM she was allowed to eat around three meals. On rest days from Yoga , a full-day fast was observed, with only one large meal consumed in the evening, C) Dietary Modifications: The patient was directed to restrict her intake of processed foods, soda, and sugary snacks in the short and long term. The changes were implemented gradually, and she was supported significantly during the process.
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[Find the meaning and references behind the names: Flower]
Rohit Pawar et al. Integrative Approach to Weight Loss ISSN: 2456-3110 CASE REPORT October 2024 Journal of Ayurveda and Integrated Medical Sciences | October 2024 | Vol. 9 | Issue 10 313 A calorie deficit diet was implemented, with the daily calorie requirement estimated at 1775 calories (based on 25 calories per kg of body weight). To create a calorie deficit, the intake was set at 1400 calories, resulting in a total deficit of 375 calories . A calorie deficit forces the body to rely on stored fat as an energy source. This is because the body must compensate for the shortfall in calories needed for daily functions (known as Total Energy Expenditure, or TEE). Studies have shown that when a calorie deficit is achieved, the body begins to mobilize fat stores; leading to reductions in body fat mass [4] Calorie intake was tracked using the Android app Healthymefy , where patient logged her daily food consumption. The app provided an approximate breakdown of calories for each food component and kept a record of the total daily intake. Over the intervention period, the average calorie intake recorded was 1376 calories . Regarding the nutritional components of food, particular attention was given to balancing the intake of carbohydrates, fats, proteins, and fibre. The focus was primarily on reducing carbohydrate and fat consumption, as these are often linked to weight gain. As a result, greater emphasis was placed on increasing the intake of protein and fibre, which are essential for promoting satiety, supporting muscle maintenance, and improving digestion. The table below lists various food items that can be traced back to Ayurveda treatises, specifically mentioned in Sthaulya Pathya Aahara [5] In addition to these items, there are also several other foods that, upon consumption, may lead to slow digestion in the gut or can be considered Guru (heavy) in nature. Table 2: Dietary Intervention SN Category Foods to include Foods to avoid or to be taken less frequently. Viz. once in 15 - 30 days. Other tips 1. Rice Basmati, Lashkari Kolam, Kalimucch Indrayani, Malavani, Ambemohor Preferably rice to be taken in 1 st meal, avoid in the evening meal. 2. Daal /Lentils Moong, Tuvar, Masoor Chana, Urad, Rajma, Soyabean 3. Whole Grains non-sprouted Matki, Moong Sprouted Chana , Peas, Matki, Mung . 4. Chapati/Roti /Bhakar Bajra, Jowar + Sattu, Nachani, Paratha, moong Chilla , Wheat, Maida, Rawa Wheat roti is allowed in the 1 st meal not in the later meal. 5. Leafy vegetables Radish, Laal Math, Tandulaja, Palak , Methi, Shepu. 6. Fruit vegetables Brinjal, bitter gourd, flower, cabbage, lady fingers, pumpkin Tomato, Potato, Brinjals (large), 7. Fruits Grapes, Pomegranate , Amsul , Seasonal fruits Nonseasonal fruits, Can have any fruit, but it should not be considered a whole meal. The portion of fruits should be limited, and they should not be consumed before or after a large meal. Fruits should be consumed exclusively when there
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[Find the meaning and references behind the names: Suji]
Rohit Pawar et al. Integrative Approach to Weight Loss ISSN: 2456-3110 CASE REPORT October 2024 Journal of Ayurveda and Integrated Medical Sciences | October 2024 | Vol. 9 | Issue 10 314 is a sensation of hunger. 8. Dairy Products Milk approx. 250 ml/day, Ghee, buttermilk. Curd, cheese, butter, paneer, 9. Meat/nonveg Eggs, seafood, mutton, Chicken legs Chicken breast Meatbased dishes are to be taken as the first meal only. 10. Miscellaneou s Chutneys, Rayta, Koshimbir, Sauces, Mayonnaise, packed – ready-to-eat food items such as – pasta, noodles, and chips. Overprocesse d food items – chips, burgers, pizza, Street foods, Desserts. If the patient enjoys sweets, they can be eaten before a meal, rather than after as a dessert. Fast food can be consumed once a month, but not one after the other for an entire month, avoid hotelling and stale food as much as possible. 11. Salads Radish, Carrot, beetroot, cucumber, cabbage A small portion of salad is considerat e 12. Snacks Shira and Upma are made out of Rawa (Suji), plain dosa , Chips, Farsan , Waffles, Donuts, Cakes, Pastries, Snacks are supposed to be taken in fewer portions moong chilla , Scrambled eggs, boiled eggs, Paratha , Makhana, Laddus, and Karanji . softies, icecreams and not to be considered a large meal. 13. Beverages Tea/coffee once a day, lemonade juice, whole fruit juice. Cold drinks, alcohol-based drinks, sodabased drinks protein shakes, smoothies, and milkshakes. Smoothies and milkbased shakes are to be avoided at all possible times. Assessment Tools Objective and subjective parameters were assessed at baseline and during follow-ups: Objective Parameters These included weight, BMI, waist-to-hip ratio, neck circumference, thigh girth, and HbA 1 c levels, which were recorded at regular intervals to track progress. Subjective Parameters Quality of life and self-esteem were measured using the WHO Quality of Life (WHOQOL) [6] scale and Rosenberg Self-Esteem scale [7] , respectively. These scales were administered as self-report questionnaires, and scores were recorded to evaluate improvements in mental well-being and perceived quality of life. Follow-up and Data Collection Follow-ups were conducted initially every 15 days and then monthly. During each follow-up, objective parameters were recorded, and subjective scales were re-administered. The patient also provided feedback on her experience with the intervention. A total of 15 follow-ups were conducted throughout the duration. Statistical Analysis Descriptive analysis was used to compare baseline and follow-up data, focusing on percentage changes in weight, BMI, waist-to-hip ratio, and HbA 1 c. Trends
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Rohit Pawar et al. Integrative Approach to Weight Loss ISSN: 2456-3110 CASE REPORT October 2024 Journal of Ayurveda and Integrated Medical Sciences | October 2024 | Vol. 9 | Issue 10 315 over time were visually presented to highlight the patient's progress. Follow-up and Outcomes: Clinical Course : Regular follow-ups indicated gradual weight loss and improved metabolic health. Outcomes: BMI reduced to 23.3 Kg/m², HbA 1 c reduced to 4.4%, Waist Hip ratio reduced to 0.78, weight reduced to 58.1 kg, amounting to 12.9 kg lost over a 10- month intervention period. Table 3: Follow-up outcomes over an intervention period SN Date Weight (In Kgs) Waistto-hip ratio Neck circum. Thigh Girth BMI (Kg/m 2 ) HbA 1 c 1. 01/06/23 71 0.860 15” 24.5 28.4 5.2% 2. 25/06/23 70.1 0.855 14.96” 24.3 28.1 3. 12/07/23 68.5 0.850 14.93” 24.1 27.4 4. 30/07/23 66.9 0.843 14.89” 23.86 26.8 5. 13/08/23 65.8 0.837 14.86” 23.59 26.4 5.2% 6. 03/09/23 65 0.834 14.82” 23.27 26.0 7. 17/09/23 64.2 0.829 14.79” 23 25.7 8. 24/09/23 63.2 0.826 14.72” 22.81 25.3 9. 30/09/23 63 0.821 14.71” 22.76 25.2 4.9% 10. 10/10/23 62.2 0.814 14.68” 22.54 24.9 11. 09/11/23 61.4 0.809 14.63” 22.32 24.6 12. 10/12/23 60.6 0.802 14.56” 22.12 24.3 4.63% 13. 12/01/24 59.3 0.794 14.50” 21.93 23.8 14. 01/02/24 58.4 0.788 14.42” 21.74 23.4 4.4% 15. 10/02/24 58.1 0.781 14.30” 21.68 23.3 O BSERVATIONS AND R ESULTS A) Descriptive Analysis: Baseline vs. Follow-up Table 4: Comparison of outcome with baseline findings. SN Parameter Baseline Follow-up (After 10 months) 1. Weight (kg) 71 kg 58.1 kg 2. BMI (kg/m 2 ) 28.4 23.3 3. Waist-to-Hip Ratio 0.86 0.781 4. Neck circumference (inches) 15 inches 14.30 inches 5. Thigh Girth (inches) 24.5 inches 21.68 inches 6. HbA 1 c (%) 5.2% 4.4% B) Percentage Change Calculation ▪ Weight: Percentage Weight Loss = (71−58.1/71) × 100 = 18.17%; the patient experienced an 18.17% weight loss over 10 months. ▪ BMI: Percentage BMI Change = (28.4−23.3/28.4) × 100 = 17.96%, The BMI decreased by 17.96% , indicating a significant reduction in obesity classification. ▪ Waist to Hip Ratio: Percentage Change in Waist to Hip Ratio = (0.86−0.781/0.86) × 100 = 9.19%, the waist-to-hip ratio decreased by 9.19% , indicating reduced central obesity. ▪ Neck Circumference: Percentage Change in Neck Circumference = (15−14.3/15) × 100 = 4.67%; The Neck circumference decreased by 4.67% . ▪ Thigh Girth: Percentage Change in Thigh Girth = (24.5−21.68/24.5) × 100 = 11.51%; the thigh girth was reduced by 11.51% , indicating reduced fat mass in the lower body. ▪ HbA 1 c: Percentage Change in HbA 1 c = (5.2−4.4/5.2) × 100 = 15.38%; The HbA 1 c level lowered by 15.38% , showing better blood sugar control.
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Rohit Pawar et al. Integrative Approach to Weight Loss ISSN: 2456-3110 CASE REPORT October 2024 Journal of Ayurveda and Integrated Medical Sciences | October 2024 | Vol. 9 | Issue 10 316 C) Trends Over Time The patient’s weight decreased steadily over the 10 months, showing consistent progress without plateaus. Similarly, the BMI, waist-to-hip ratio and other metrics followed a downward trend, indicating an overall improvement in the patient’s health metrics Patient Perspective The patient reported improved quality of life, increased energy levels, and enthusiasm, satisfaction with the treatment. Overall, the intervention led to significant and sustained improvements in weight, BMI, body composition, and metabolic health, demonstrating the effectiveness of combining Yoga with intermittent fasting and a controlled diet for weight loss and obesity management. Graph 1: Weight (kg) over time Graph 2: BMI over time Graph 3: Waist to hip ratio over time Graph 4: Neck circumference (inches) over time Graph 5: Thigh girth (inches) over time Graph 6: HbA 1 c (%) over time DISCUSSION Yoga and Weight Management Yoga is recognised for its holistic benefits, including stress reduction, flexibility improvement, and weight management. Studies have demonstrated that regular Yoga , particularly postures like Surya Namaskar , enhances physical fitness and supports fat loss through increased energy expenditure [8] Yoga improves metabolic function by lowering cortisol levels and activating the parasympathetic nervous system, which helps reduce stress-induced overeating and poor metabolic regulation. Research has shown that Yoga not only aids in body fat reduction but also improves
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[Find the meaning and references behind the names: Meet, Thomas, Anderson]
Rohit Pawar et al. Integrative Approach to Weight Loss ISSN: 2456-3110 CASE REPORT October 2024 Journal of Ayurveda and Integrated Medical Sciences | October 2024 | Vol. 9 | Issue 10 317 insulin sensitivity, making it a useful intervention for managing obesity [9] Intermittent Fasting Intermittent fasting (IF), especially the 16:8 regimen, has gained attention as an effective weight-loss strategy. This approach involves fasting for 16 hours daily and eating within an 8-hour window, which leads to improved metabolic flexibility and fat oxidation [10] Studies have indicated that intermittent fasting enhances insulin sensitivity, reduces visceral fat, and decreases body fat percentage [11] It also induces mild caloric restriction, which contributes to a reduction in body mass index (BMI) and improved lipid profiles [12] Moreover, IF has been linked to better blood glucose control and reductions in HbA 1 c levels, especially in individuals with obesity [13] Dietary Corrections and Caloric Restriction Dietary modification plays a crucial role in weight loss and the management of metabolic health. A wellstructured, calorie-deficit diet has been shown to reduce body weight by limiting caloric intake while preserving lean muscle mass [14] Caloric restriction shifts the body’s metabolic state towards increased fat oxidation. When dietary intake does not meet energy demands, the body metabolizes triglycerides stored in fat cells, leading to a reduction in adipose tissue (body fat) [15] Emphasizing whole grains, lean proteins, and fibres while reducing refined carbohydrates and sugars is effective in lowering body fat percentage and improving insulin resistance [16] Incorporating Ayurvedic dietary principles, which focus on the Guru (heavy) and Laghu (light) properties of foods, complements modern diet practices by promoting foods that aid digestion and prevent the build-up of Kapha (responsible for fat storage) [17] This holistic approach ensures balanced nutrition while maintaining caloric control. Metabolic Health Indicators (Weight, BMI, Waist-to- Hip Ratio, and HbA 1 c) The reduction in weight and BMI is widely regarded as a critical indicator of obesity management [18] Lowering these metrics reduce the risk of associated comorbidities, such as Type 2 diabetes and cardiovascular diseases. The waist-to-hip ratio (WHR), an important measure of central obesity, is closely related to metabolic disorders [19] Reducing WHR through lifestyle interventions is linked to improvements in insulin sensitivity and reduced risk of hypertension. Informed Consent The patient provided written consent for the publication of this case report. CONCLUSION This case report highlights the positive outcomes of an integrative weight-loss approach that combines yoga, intermittent fasting, and targeted dietary adjustments. Over ten months, the patient achieved measurable improvements in weight, BMI, waist-to-hip ratio, and HbA 1 c, alongside enhanced quality of life and selfesteem. By tailoring the Yoga regimen to support both physical strength and stress management, the intervention encouraged healthier habits and better metabolic regulation. Paired with a balanced diet and intermittent fasting, this approach demonstrates how traditional practices can effectively complement modern dietary strategies. Overall, this case illustrates the potential of a holistic, personalized approach to weight management, offering a promising alternative to conventional methods for achieving sustainable health and wellness. REFERENCES 1 Anderson, J. W., Konz, E. C., Frederich, R. C., & Wood, C. L. (1988). Long-term weight-loss maintenance: a meta-analysis of US studies. The American Journal of Clinical Nutrition, 74(5), 579-584. 2 Ross, A., & Thomas, S. (2010). The health benefits of Yoga and exercise: a review of comparison studies. Journal of Alternative and Complementary Medicine, 16(1), 3-12. 3 Moro, T., Tinsley, G. M., Bianco, A., Marcolin, G., Pacelli, Q. F., Battaglia, G., Palma, A., Gentil, P., Neri, M., & Paoli, A. (2016). Effects of eight weeks of time-restricted feeding (16/8) on basal metabolism, maximal strength, body composition, inflammation, and cardiovascular risk factors in resistancetrained males. Journal of Translational Medicine, 14:290
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Rohit Pawar et al. Integrative Approach to Weight Loss ISSN: 2456-3110 CASE REPORT October 2024 Journal of Ayurveda and Integrated Medical Sciences | October 2024 | Vol. 9 | Issue 10 318 4 Sun, J., Ruan, Y., Xu, N., Wu, P., Lin, N., Yuan, K., ... & Chen, H. (2023). The effect of dietary carbohydrate and calorie restriction on weight and metabolic health in overweight/obese individuals: a multi-centre randomized controlled trial. BMC Medicine, 21:1921 https://doi.org/10.1186/s 12916-023-02869-9 5 WORLD HEALTH ORGANIZATION. (1998). WHOQOL User Manual. https://iris.who.int/bitstream/handle/10665/77932/WHO_HI S_HSI_Rev.2012.03_eng.pdf?sequence=1 6 Rosenberg, M. (2006). Rosenberg Self-Esteem Scale (RSE). In Conceiving the Self. Basic Books. https://www.apa.org/obesity-guideline/rosenberg-selfesteem.pdf 7 Ross, A., & Thomas, S. (2010). The health benefits of Yoga and exercise: A review of comparison studies. Journal of Alternative and Complementary Medicine, 16(1), 3-12. 8 Telles, S., Singh, N., & Balkrishna, A. (2012). Managing mental health disorders resulting from trauma through Yoga: A review. Depression Research and Treatment, 2012. 9 Sutton, E. F., Beyl, R., Early, K. S., Cefalu, W. T., Ravussin, E., & Peterson, C. M. (2018). Early Time-Restricted Feeding Improves Insulin Sensitivity, Blood Pressure, and Oxidative Stress Even without Weight Loss in Men with Prediabetes. Cell Metabolism, 27(6), 1212-1221.e 3. https://doi.org/10.1016/j.cmet.2018.04.010 10 Varady, K. A., & Hellerstein, M. K. (2007). Alternate-day fasting and chronic disease prevention: A review of human and animal trials. The American Journal of Clinical Nutrition, 86(1), 7-13. https://doi.org/10.1093/ajcn/86.1.7 11 Anton, S. D., Moehl, K., Donahoo, W. T., Marosi, K., Lee, S. A., Mainous, A. G., & Mattson, M. P. (2018). Flipping the Metabolic Switch: Understanding and Applying Health Benefits of Fasting. Obesity, 26(2), 254-268. https://doi.org/10.1002/oby.22065 12 Gabel, K., Hoddy, K. K., Haggerty, N., Song, J., Kroeger, C. M., Trepanowski, J. F., ... & Varady, K. A. (2018). Effects of 8-hour time restricted feeding on body weight and metabolic disease risk factors in obese adults: a pilot study. Nutrition and Healthy Aging, 4(4), 345-353. https://doi.org/10.3233/NHA-170036 13 Jensen, M. D., et al. (2013). 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults. Circulation, 129(25 Suppl 2), S 102-S 138. 14 Ludwig, D. S., & Ebbeling, C. B. (2018). The carbohydrateinsulin model of obesity: Beyond “calories in, calories out.” JAMA Internal Medicine, 178(8), 1098-1103. 15 Srikanth, N., et al. (2015). Efficacy of Ayurveda in the management of obesity: A systematic review. Journal of Traditional and Complementary Medicine, 6(4), 357-362. 16 Pi-Sunyer, X. (1993). Medical hazards of obesity. Annals of Internal Medicine, 119(7), 655-660. 17 Janssen, I., et al. (2002). Waist circumference and not body mass index explains obesity-related health risk. The American Journal of Clinical Nutrition, 79(3), 379-384. 18 Sutton, E. F., et al. (2018). Early time-restricted feeding improves insulin sensitivity, blood pressure, and oxidative stress even without weight loss in men with prediabetes. Cell Metabolism, 27(6), 1212-1221.e 3. ******************************* How to cite this article: Rohit Pawar, Nileema Shisode. Integrative Approach to Weight Loss: The Impact of Yogasana Practice and Diet in Obesity. J Ayurveda Integr Med Sci 2024;10:310-318. http://dx.doi.org/10.21760/jaims.9.10.52 Source of Support: Nil, Conflict of Interest: None declared. Copyright © 2024 The Author(s); Published by Maharshi Charaka Ayurveda Organization, Vijayapur (Regd). This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc-sa/4.0), which permits unrestricted use, distribution, and perform the work and make derivative works based on it only for non-commercial purposes, provided the original work is properly cited
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