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Impact of Low-Carbohydrate Diet (LCD) and Obesity Management Program on Obese Patients

Received: 5 November 2018     Accepted: 27 November 2018     Published: 29 January 2019
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Abstract

The past two decades witnessed a rapid escalation in the prevalence of obesity. Ayurvedic physicians use a multi-faceted strategy to treat obesity which includes a combination of Low-Carbohydrate Diet and Obesity Management Procedure. The present study was conducted to demonstrate the efficacy of low carbohydrate diet and the Ayurvedic obesity management procedure in reducing obesity. A retrospective observational study was conducted in Madhavbaug Clinics from September 2017 to March 2018. All patients with BMI > 30 kg/m2 were included in the study. During the study, the patients received seven sessions of obesity management procedure which included a combination of Snehana / external oleation or massage, Swedana / passive heat therapy and Basti kadha. Simultaneously, patients were prescribed supervised low carbohydrate diet daily for 90 days. The primary efficacy end point was reduction in body weight while secondary end points included changes in abdominal girth, systolic and diastolic blood pressure, heart rate after 90-day follow-up as compared to baseline. A total of 48 patients were enrolled and after screening, 31 were included in the study. Most of the patients were middle aged (51.35 ± 11.44 years) and females (65.8%). The primary end-point used in the present study (body weight) decreased significantly from 89.87± 18.58 kg on Day 1 to 82.01± 20.55 kg on day 90 (p<0.001). Such significant changes were also appreciable in the BMI, SBP, DBP, abdominal girth values measured on day 1 and day 90 respectively (p<0.001 for all). The present study demonstrates that the combination of low carbohydrate diet and Ayurvedic obesity management procedures are effective in reducing obesity.

Published in European Journal of Preventive Medicine (Volume 7, Issue 1)
DOI 10.11648/j.ejpm.20190701.11
Page(s) 1-6
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Ayurvedic Obesity Management, Basti Kadha, Low Carbohydrate Diet, Obesity Snehana, Swedana

References
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[3] Siddiqui MZ, Donato R. Overweight and obesity in India: policy issues from an exploratory multi-level analysis. Health Policy Plan. 2016; 31: 582–91.
[4] National Family Health Survey – 4. Fact Sheet. 2015-16. Available at http://www.rchiips.org/ NFHS/pdf/NFHS4/India.pdf. Accessed on 15 August 2018).
[5] Misra A Shrivastava U. Obesity and dyslipidemia in South Asians. Nutrients 2013; 5: 2708–33.
[6] Wyatt HR. Update on treatment strategies for obesity. J Clin Endocrinol Metab. 2013; 98 (4): 1299–1306.
[7] Department of Ayurveda, Siddha, Unani and Homeopathy (AYUSH). Ayush in India. Department of Ayurveda, Siddha, Unani and Homeopathy (AYUSH), Ministry of Health & Family Welfare, Govt of India; 2007.
[8] S. P. Vinjamury, M. Vinjamury, S. Sucharitakul, I. Ziegler. Panchakarma: ayurvedic detoxification and allied therapies—is there any evidence? Evidence-based practice in complementary and alternative medicine, Springer, Berlin, Heidelberg 2012, 113-137.
[9] Sinha K, Gaikwad S, Prabhakar M, Lohith BA. Critical review on role of panchakarma in sthaulya with special reference to obesity. Int. J. Res. Ayurveda Pharm. 2017; 8 (6): 4-7.
[10] http://www.philspenonlinejournal.com/01_BMI_Asian_WHO_criteria_0005.pdf (accessed on 16.th August 2018).
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[13] Brehm BJ, Seeley RJ, Daniels SR, D'Alessio DA: A randomized trial comparing a very low carbohydrate diet and a calorie-restricted low fat diet on body weight and cardiovascular risk factors in healthy women. J Clin Endocrinol Metab. 2003, 88 (4): 1617-1623. 10.1210/jc.2002-021480.
[14] Foster GD, Wyatt HR, Hill JO, McGuckin BG, Brill C, Mohammed BS, Szapary PO, Rader DJ, Edman JS, Klein S: A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med. 2003, 348 (21): 2082-2090.
[15] Swati. S. Deshpande Et Al: Panchakarma Approach To Sthoulya. International Ayurvedic Medical Journal 2017. Available from: http://www.iamj.in/posts/images/upload/3534_3539.pdf
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[17] Narasinga Rao BS: Nutrient requirement and safe dietary intake for Indians. NFI Bull 31: 1–5, 2010.
[18] Vagbhata, Ashtanga Samgraha, Kalpasthana. Basti kalpa Adhyaya, 5/68. In: Vaidya Anant Athavale., editor. 8th edition. Pune: Shrimad Atreya Prakashana; 1980. p. 30.
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  • APA Style

    Rohit Sane, Deepali Amin, Vaishali Koli, Rupali Kore, Sneha Paranjpe, et al. (2019). Impact of Low-Carbohydrate Diet (LCD) and Obesity Management Program on Obese Patients. European Journal of Preventive Medicine, 7(1), 1-6. https://doi.org/10.11648/j.ejpm.20190701.11

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    ACS Style

    Rohit Sane; Deepali Amin; Vaishali Koli; Rupali Kore; Sneha Paranjpe, et al. Impact of Low-Carbohydrate Diet (LCD) and Obesity Management Program on Obese Patients. Eur. J. Prev. Med. 2019, 7(1), 1-6. doi: 10.11648/j.ejpm.20190701.11

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    AMA Style

    Rohit Sane, Deepali Amin, Vaishali Koli, Rupali Kore, Sneha Paranjpe, et al. Impact of Low-Carbohydrate Diet (LCD) and Obesity Management Program on Obese Patients. Eur J Prev Med. 2019;7(1):1-6. doi: 10.11648/j.ejpm.20190701.11

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  • @article{10.11648/j.ejpm.20190701.11,
      author = {Rohit Sane and Deepali Amin and Vaishali Koli and Rupali Kore and Sneha Paranjpe and Rahul Mandole},
      title = {Impact of Low-Carbohydrate Diet (LCD) and Obesity Management Program on Obese Patients},
      journal = {European Journal of Preventive Medicine},
      volume = {7},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ejpm.20190701.11},
      url = {https://doi.org/10.11648/j.ejpm.20190701.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20190701.11},
      abstract = {The past two decades witnessed a rapid escalation in the prevalence of obesity. Ayurvedic physicians use a multi-faceted strategy to treat obesity which includes a combination of Low-Carbohydrate Diet and Obesity Management Procedure. The present study was conducted to demonstrate the efficacy of low carbohydrate diet and the Ayurvedic obesity management procedure in reducing obesity. A retrospective observational study was conducted in Madhavbaug Clinics from September 2017 to March 2018. All patients with BMI > 30 kg/m2 were included in the study. During the study, the patients received seven sessions of obesity management procedure which included a combination of Snehana / external oleation or massage, Swedana / passive heat therapy and Basti kadha. Simultaneously, patients were prescribed supervised low carbohydrate diet daily for 90 days. The primary efficacy end point was reduction in body weight while secondary end points included changes in abdominal girth, systolic and diastolic blood pressure, heart rate after 90-day follow-up as compared to baseline. A total of 48 patients were enrolled and after screening, 31 were included in the study. Most of the patients were middle aged (51.35 ± 11.44 years) and females (65.8%). The primary end-point used in the present study (body weight) decreased significantly from 89.87± 18.58 kg on Day 1 to 82.01± 20.55 kg on day 90 (p<0.001). Such significant changes were also appreciable in the BMI, SBP, DBP, abdominal girth values measured on day 1 and day 90 respectively (p<0.001 for all). The present study demonstrates that the combination of low carbohydrate diet and Ayurvedic obesity management procedures are effective in reducing obesity.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Impact of Low-Carbohydrate Diet (LCD) and Obesity Management Program on Obese Patients
    AU  - Rohit Sane
    AU  - Deepali Amin
    AU  - Vaishali Koli
    AU  - Rupali Kore
    AU  - Sneha Paranjpe
    AU  - Rahul Mandole
    Y1  - 2019/01/29
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ejpm.20190701.11
    DO  - 10.11648/j.ejpm.20190701.11
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 1
    EP  - 6
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20190701.11
    AB  - The past two decades witnessed a rapid escalation in the prevalence of obesity. Ayurvedic physicians use a multi-faceted strategy to treat obesity which includes a combination of Low-Carbohydrate Diet and Obesity Management Procedure. The present study was conducted to demonstrate the efficacy of low carbohydrate diet and the Ayurvedic obesity management procedure in reducing obesity. A retrospective observational study was conducted in Madhavbaug Clinics from September 2017 to March 2018. All patients with BMI > 30 kg/m2 were included in the study. During the study, the patients received seven sessions of obesity management procedure which included a combination of Snehana / external oleation or massage, Swedana / passive heat therapy and Basti kadha. Simultaneously, patients were prescribed supervised low carbohydrate diet daily for 90 days. The primary efficacy end point was reduction in body weight while secondary end points included changes in abdominal girth, systolic and diastolic blood pressure, heart rate after 90-day follow-up as compared to baseline. A total of 48 patients were enrolled and after screening, 31 were included in the study. Most of the patients were middle aged (51.35 ± 11.44 years) and females (65.8%). The primary end-point used in the present study (body weight) decreased significantly from 89.87± 18.58 kg on Day 1 to 82.01± 20.55 kg on day 90 (p<0.001). Such significant changes were also appreciable in the BMI, SBP, DBP, abdominal girth values measured on day 1 and day 90 respectively (p<0.001 for all). The present study demonstrates that the combination of low carbohydrate diet and Ayurvedic obesity management procedures are effective in reducing obesity.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Department of Research and Development, Madhavbaug Cardiac Care Clinics and Hospitals, Mumbai, India

  • Madhavbaug Cardiac Care Clinics, Mumbai, India

  • Madhavbaug Cardiac Care Clinics, Mumbai, India

  • Madhavbaug Cardiac Care Clinics, Sangli, India

  • Madhavbaug Cardiac Care Clinics, Mumbai, India

  • Department of Research and Development, Madhavbaug Cardiac Care Clinics and Hospitals, Mumbai, India

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