a) tditsqaaOlyamaitsaMpUrNaagdu$maQaurSaItisnaQaaopyaaogaad¹vyaayaamaadvyavaayaai_vaasvaPnaaQdYa-ina%ya%vaadicantnaabdIjasvaBaavaa¹ccaaopjaayato |
ca.saU. 21.4
b) t~
ElaoYmalaaharsaoivanaao|QyaSanaSaIlasyaavyaayaaimanaao idvaasvaPnartsya caama
evaannarsaao maQaurtrEcaSarIrmanauËamannaitsnaohanmaodao janayaitÊ tditsqaaOlyamaapadayait
|
³sau.saU.15.37´
Sthaulya is explained in brihattrayi. Ashtang hridaya states that
Atisampuran is only causative factor for Santarpaṇajanya Vyādhis, while
other two given Madhur, sheeta, adyashan, diwaswapna, Avyayam, Avyavaya as
common factors. These are categarised as bellow-
1. Atisampurnata:-
Ati
Sampurna and Adhyasana can be considered as faulty
eating habits. Ati Sampuranat means
Atibhojana (excess food intake
in a single meal),
In Sthaulya, Atimatrabojana provocate the Tridōṣa(Ch.Vi.2/7) as well as Ama formation.
2. Snigdha
Ahara:
Jala Mahabhoot is pridominat in Snigdha guṇa .
isnagQa vaathr
SlaoYmakarI vaRYyaM balaavahma\ | Baa.p`. 1
Excess
consumption of Snigdha guṇatmak ahar
leads to overnourishment of Dhatus and increase Kapha Dōṣa in
the body. As Aap Mahabooth is pridominatly seen in Snigdha guṇa,
Aap does Vikruti in bodyfluids. It leads to Sthaulya.
3.
Madhura Rasa Sevana:
Madhura
Rasa is having pridominacy of pruthavi and aap mahabhoot.
sqaaOlyaaignasaadsaMnyaasamaohgaMDabau-daidkana ||
A.),.saU.10.9
Madhur rasatmak daiet articles like
Rasala, ghee, goat milk, Karjur, etc.
are soothing and nourishing. When only excess of it is used, causes
vitiation of Kapha, resulting in Sthaulya, tenderness, laziness, hypersomnia,
loss of power of digestion, cough, etc. So, excessive consumption
of these substances leads to Sthaulya.
4. Guru
Ahara:-
gau$ vaathr puYTISlaoSmakRt\ icarpakIca
| Baa p` 1
According to Bhavmishra the substance
bearing the attribute of heaviness, decreases Vāt dōṣa
and increases Kaphadosh. Guru are the properties of Meda. Mēdais the seat of Kapha Dōṣaand moreover Mēdaand
Kapha possess similar
properties. So, Guru-Snigdha Guṇa
dominant Ahara can increase Kapha as well as MēdaDhatu. Excess
consumption of elements which are heavy to digest like wheat, buffalo milk,
colostrum, etc produces heaviness in the body. Excess consumption of guru guṇa
tmak dravyas does over nourishment in all dhatus and increases heaviness in the
body and leads to Sthaulya.
5.
Sheeta
Ahara:-
The food items which are cold like icecream, cold cakes are having property to increase Kapha Dosha. Jala Mahabhoot is predominant in these items, which vitiate Kapha dōṣain the body. Vitiated Kapha produce Alasya, heaviness in the body.
6. Adhyasana:
Adhyasana means frequent food intake before
digestion of a previous meal. Adhyasana
cause Ama formation in
the body.
7.
Divaswapana:-
ra~aO
jaagarNaM Éxa ,isnagQaM p`svapnaM idvaa |
AÉxamanaiBaYyaind
%vaasaInap`calaaiyatma | ca.saU. 21.53
Divaswapana
is Kapha aggravating factor and
particularly possess Abhishyandi property,
which leads to blockage in all body channels. During Nidra and Divaswapana physical
activity diminishes which further provokes Kapha leading to Mēda deposition.
8. Achintana:- Achintana is a psychological factors
mentioned by Ācārya Charaka, which is responsible for Medo vriddhi. This factor
is Kapha aggravating factors lead to Mēda deposition.
9. Harshnityatwa:-
With this
type of psychological well being and jolliness those people indulge more in
worldly pleasure and excess energy stored in the form of Meda
10. Asana
Sukha:-
Tendency of happiness in sitting
posture is called as Asansukha. According to Caraka, aasansukha is a causative
factor for pramēha. Continuesly sitting postue vitiate Kapha dōṣa
in the body, as there is less work less energy loss. And thus excess consumed
calories stored in the form of fat.
11. Avyayama:-
Lack
of daily Excersise leads to less utilisation of energy in the form of calories.
If person is having siting type of work and he avoid daily exercise he will
become victim of disease Sthaulya.
12. Avyavaya:-
According
to Ācārya Charak Avyavaya is one of the causative factors for Sthaulya. In
modern scince also it is explained that libido is type of excersise, so lack of
libido will leads to Sthaulya.
13. Ama
Annarasa (Ama Dosha):-
rsainaima<amaova sqaaOlyaM kaSya-M ca | sau.saU. 15.32
Ama
Anna Rasa is mentioned as root
cause of Sthaulya in
Su.Su.15/32. Rasa has been
considered as a causative factor for Sthaulya
and Karsya. In the
presence of Ama Anna rasa, further intake of Madhura rasa tends to convert in Madhur Ama Rasa which leads to
formation of Mēdadue to
similarity and specific action of food it leads to Sthaulya.
14. Beeja Svabhava (Genetic Factor):Rare genetic disorder obesity,
Only Charaka Samhitā has defined Beejadōṣa
as one of the cause besides other. According to Charaka, defect in Beejabhagavayava
i.e. part of Beeja,
which resembles with chromosomes and genes may lead to defective development of
that organ.
AETIOLOGY:
Obesity is
a complex multifactorial chronic disease developing from interactive influence
of numerous factors; social, behavioural, psychological, metabolic, cellular
and molecular (genetics).
Age:
Obesity is most prevalent in middle age
but can occur at any stage of life. Adolescent obesity is common in prosperous
communities and countries due to the lack of physical activity. Obesity in
childhood and adolescence is likely to be followed by obesity in adult life.
Fat increases in both sexes after puberty and during adult. Hyperplastic
obesity in adult is extremely difficult to treat with conventional methods. Between
age 20 and 50, fat content of men approximately doubles and those of women
increase by about 50 percent.
Sex:
In general, the women are more prone to
be obese than men. The young women contain fat approximately 15% of body weight
and it is about more than young man. In that phase of puberty, pregnancy,
Menopause and cyclic oedema are the predominating factors, which cause obesity
in females. In adolescent due to hormonal changes, more fat accumulates in
body,
particularly in females.
Genetic
factors: Genetics inheritance probably influence
50-70 per cent a persons, chance of becoming fat more than any other factor.
Within families, the chance is 80 per cent if both parents are obese and 50per
cent if one parent is obese. A mutation of some particular genes i.e. mutations
of leptine receptor, malanocortine-4 receptor increases the risk of obesity.
Physical
inactivity: Obesity
found in people who lead sedentary lives and pay less importance to physical
activity. Sedentary lifestyle may play the dominant role in many obese people.
Obesity can occur at any age; this is more common during middle age when
physical activity decreases without corresponding decrease in food consumption.
Regular physical activity and physical exercise known as increase muscle mass
and decreased body fat mass, whereas inadequate physical activity is typically
associated with decreased muscle mass and increased adiposity.
Socio-economic
status: there is a clear inverse relationship
between socio-economic status and obesity. In the developing world women, men
and children from high social class had greater rates of obesity because of
availability of surplus food, high-energy diet (especially fatty food) and sedentary
life style.
Eating
habit: certain type of eating habits may lead
to obesity
Nibbling
between meals is common among housewives and is a potential cause for obesity
in them. Eat faster and taking less time for chewing, is the reasons for
consume more food. Business executives who frequently attend business lunches
have more chance to becoming obese. People who eat more junk food ( high fat,
high carbohydrate) may become obese. Non-inclusion of fruits and vegetables and
non-vegetarian diet favour weight gain. People who like eat processed,
concentrated and high fat foods are susceptible to obesity.
Psychological
factors: There is involvemrnt of some psychological
factors as the aetiology of obesity in some people. Overeating may be a symptom
of depression, anxiety, frustration and loneliness in childhood as it is in
adult life. Self gratification, self punishment, depression, anxiety and stress
may lead to excess caloric intakes. People often gain large amount of weight
during or after stressful situation such as the death of a parent, a severe
illness.
Endocrine
factors: There may be involved in occasional
cases such as hypothyroidism, hypogonadism, cushing’s syndrome. Obesity is common
at puberty, pregnancy and menopause; suggesting attachment of endocrine factors
in obesity.
Trauma:
obesity may follow due to damage to
hypothalamus after head injury because it is not able to regulate appetite or
satiety. The lesion in the ventromedial nuclei of the hypothalamus causes an
animal to eat excessively and become obese. Abnormalities of neurotransmitters
or receptors mechanism in the neural pathways of the hypothalamus that control
feeding cause obesity.
Drug: Use of certain drug e.g. corticosteroids, contraceptives, insulin, beta-blocker, anticonvulsant, anti-depressants etc. can promote weight gain.
so the main causative factors are as above to we come to know “why do people become overweight” for weight loss and healthy life we should care for yourself and self care isn't selfish
This is dummy text. It is not meant to be read. Accordingly, it is difficult to figure out when to end it. But then, this is dummy text. It is not meant to be read. Period.
ConversionConversion EmoticonEmoticon