Clinical study to evaluate the efficacy of chavyadi shaktu for weight management management in stholya w.s.r.to overweight in children.

Obesity is a condition where a person has accumulated so much body fat, it might have a negative effect on their health and increases the risk of other metabolic disorders such as type 2 diabetes, insulin resistance, hypertension, dyslipidaemia,  inflammation, thrombosis, obstructive sleep apnoea, cardiovascular disease, some cancers and mortality.1,2 Obesity  caused by several factors viz., social and environmental status, genetics factors, and individual preferences like age, gender, high energy and less nutrient diet pattern, regular intake of excess calories and fatty foods, lack of physical activity.3 The changeover of a rural to an urban lifestyle that is a major cause of obesity e.g. increased intake of high energy dense foods and decrease in physical activity.

Adults having body mass index (BMI) greater than or equal to 25 and 30 considered overweight and obese, respectively while in the reference of children 85th percentile and 95th percentile of BMI considered overweight and obese, respectivelyand it is increasing at an alarming rate throughout the globe. According to WHO the worldwide obesity has nearly tripled since 1975 and over 340 million children and adolescents aged 5-19 were overweight or obese in 2016.  In 2016, an estimated 41 million children under the age of 5 years were overweight or obese. Nearly half of the children under 5 who were overweight or obese in 2016 lived in Asia. The prevalence of overweight and obesity among children and adolescents aged 5-19 has risen dramatically from 4% in 1975 to over 18% in 2016. The rise has occurred similarly among both boys and girls. While less than 1% of children aged 5-19 year were obese in 1975, 6% of girls and 8% of boys were obese in 2016.5 The prevalence of obesity among school children in India has found between 5.74% and 8.82% and approximately 21.4% of boys and 18.5% of girls were obese in the 13-18 years age group in urban regions of South India.

In present trend of clinical practice we need to justify and prove the clinical efficacy of classical formulations on scientific parameters so Chavyadi shaktuas mentioned in Bhaishjya Ratnawali is proposed to evaluate the efficacy and utility in the treatment of obesity in children.

1. To assess the efficacy of Chavyadi Shaktuin the weight managemen in the stholya w.s.r. to obse children

2. To restore normal physical activity and to promote the healthy life style of  stholya  w.s.r. to obese children.