A CASE REPORT ON MANAGEMENT OF OBESE CLASS II (STHOULYA) USING SPECIAL DIET PLAN Authors: Upendran B* and Meshram A
ABSTRACT
A person is said to be obese, when he/she has a body mass index [BMI (kg/m2)] greater than or equal to 30 and
said to be overweight, if BMI is from 25.0-29.9. Obesity is a complex multifactorial disease. Acharya Charaka
quoted Sthaulya under the eight types of impediments which are designated as Nindita Purusha in chapter of 21
of Sutra sthana. Acharya Charaka has also included this problem in Santarpanajanya Vyadhi, i.e. disease caused
due to over nourishment. Etiological factors (nidana) of sthaulya can be categorised into four. Ahara (food), vihara
(activities), beeja dushti (genetic) and mano dosha janyajam (psychological). Diet for obese person must be guru
(heavy to handle his hunger due to atyagni and must be atarpana (low calories). In this case we explore the
effectiveness of using special diet plan specifically developed for obesity treatment/ sthaulya chikitsa as per
Ayurveda. A 27-year-old male patient came to OPD of Swastha vritta and yoga with complaints of increased body
weight since child hood.
Diagnosis was Obese class II with BMI- 39kg/m2. Special diet plan developed by Swastha Vritta Department Sree
Narayana Institute of Ayurvedic Studies and Research, Puthur, Kollam was provided as intervention. Patient was
admitted for 14 days. On the day of admission dated 18/04/23, patient weight was 125 kg which got reduced to
117 kg at the time of discharge after 14 days. The result showed that there are significant changes in reduction of
weight by 9 kg in 14 days. Change in BMI – 39 to 36.5. Change in score of sthaulya assessment questionnaire –
12. Intervention was well tolerable with no adverse events.
Keywords: Case report, Sthaulya, Ayurveda Publication date: 15/03/2025 https://ijbpas.com/pdf/2025/March/MS_IJBPAS_2025_MARCH_SPCL_1002.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2025/14.3.1002