A Randomised Controlled Clinical Trial of Practicing a Set of Yogasana with add-on effect of Ushnambupaan and only Ushnambupaan in the management of Sthaulya.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Weight of the Patient
研究概览
简要总结
TitleArandomised controlled clinical trial of practicing a set of Yogasanawith add on effect of Ushnambupaan and only Ushnambupaan in themanagement of Sthaulya.
IntroductionObesity,or Sthaulya, isa significant public health concern worldwide, associated with variouscomorbidities such as diabetes, hypertension, and cardiovascular diseases. Thetraditional practice of Yogasana (Yoga postures)combined with Ushnambupaan (the intake of warm water) offers anatural and accessible means of managing obesity. This study aims to assess theeffects of these interventions on both subjective and objective parameters inpatients with Sthaulya.
Aims and ObjectivesTheprimary objective of the study was to evaluate the efficacy of Yogasana, asoutlined in the Ashtanga Yoga Primary Series, in combination with Ushnambupaan inmanaging obesity. The study sought to assess improvements in both subjectivesymptoms (such as fatigue and sweating) and objective measures (such as weight,BMI, and waist-to-hip ratio).
Materials and MethodologyThestudy was a randomized controlled trial conductedover 90 days, with follow-ups every 15 days. It involved 64 patients, randomlydivided into two groups
Group A(Intervention Group) received both Yogasana and Ushnambupaan.
Group B (Control Group) receivedonly Ushnambupaan.
The subjective parameters assessed included Dourgandhya(foul body odor), Dourbalya (weakness), Swedabadha(excessive sweating), Kshudhatimatra (excessivehunger), and Pipasatimatra (excessive thirst). The objective parametersincluded weight, BMI, waist-to-hip ratio, and neck girth. Data were analyzedusing the Wilcoxon test, paired t-test, and Friedman test.
Follow-ups
Wereconducted through telephonic and personal meetings.
ObservationsGroupA demonstrated significant improvements in all subjective symptoms:
Dourgandhya**:** 75% improvement in Group Avs. 10% in Group B.
Dourbalya**:** 55% improvement in Group Avs. 15% in Group B.
Swedabadha**:** 35% improvement in Group Avs. no improvement in Group B.
Kshudhatimatra**:** 35% improvement in Group Avs. 5% in Group B.
Pipasatimatra**:** 35% improvement in Group Avs. 5% in Group B.
Interms of objective measures, Group A showed a more significant reduction inweight and BMI compared to Group B, confirming the added value of Yogasanain conjunction with warm water therapy.
ResultsTheresults showed that the combination of Yogasana and Ushnambupaanwas highly effective in reducing both subjective symptoms and objectiveindicators of obesity. Statistical analysis revealed significant differencesbetween Group A and Group B in terms of improvements, with Group A showingsuperior outcomes across all parameters.
DiscussionThefindings suggest that Yogasana enhances metabolicfunctions, reduces Kaphaand Meda (excess fat), and improves overall physical health. Thepractice of Yogasana, along with warm water therapy, promotedsignificant improvements in the subjective well-being of patients, particularlyin terms of reducing body odour, weakness, and excessive sweating. Theseresults align with traditional Ayurvedic principles that emphasize physicalactivity and dietary interventions for managing obesity.
ConclusionThestudy concludes that incorporating Yogasana with Ushnambupaan isan effective strategy for managing obesity. Patients in Group A experiencedsignificant improvements in both subjective and objective measures, suggestingthat this combined approach has potential as a low-cost, accessible treatmentfor obesity. The findings support the idea that Yogasana, as a physicalexercise, can be a key component in therapeutic approaches to obesity.
ReferencesA comprehensive list of references fromAyurvedic literature, modern clinical studies, and research papers on Yogasana,Ushnambupaan, and obesity management will be included in the nextsection. These references support the discussion and conclusions drawn from thestudy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Open Label
入排标准
- 年龄范围
- 20.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients of age 20 to 65 years with Sthaulya irrespective of sex ii.
- •Patient BMI ranging from 24.9 to 34.9 Kg/M2 (Overweight & Class I) irrespective of Diabetes Mellitus & Hypertension iii.
- •Patient presenting with “Pratyatmaka Lakshana†of Sthaulya as explained in classics.
排除标准
- •Patients with hypothyroidism ii.
- •Pregnant women and post-pregnancy weight gain women iii.
- •Postmenopausal weight gain iv.
- •Diabetic nephropathy, Chronic cardiac failure, Acute renal failure.
- •Patients with disorders such as Eczema, Psoriasis, Cuts, Burns, wounds vi.
- •Patients with secondary causes of Sthaulya viz.
- •High cholesterol (Dyslipidaemia), fatty liver diseases, polycystic ovarian syndrome, hypothyroidism, hypercortisolism (Cushing’s disease) vii.
- •Patients with morbid obesity that is, BMI >34.9 (Class II & III).
结局指标
主要结局
Weight of the Patient
时间窗: baseline, 2 weeks, 4 weeks, 6 weeks, 8 weeks, 10 weeks, 12 Weeks
次要结局
- Practicing Yogasana along with Ushnambupaan shows no significant changes in the patients of Sthaulya.(90 days)