Lifestyle Disease or NCD (non communicable diseases / diseases of civilization) are diseases that appear to increase in frequency as countries become industrialized and life span increases.

1. Presented by
Dr. Rajalekshmy.P.R
Dept of Swasthavritta
Amrita school of Ayurveda
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Guided by,
Dr. K.Jyothilal
Head of the Department
Dr. Vandana Rani.M
Associate professor
Dept of Swasthavritta

2. Life style
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• The term life style denotes the interests, behaviour
and behavioural orientation of an individual.
• Denotes the way people live.
• A lifestyle reflects an individual's attitude, values or
outlook towards life.

3. Changing life style….
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 Unhealthy habits
 Change in food pattern
 Stress
 Westernization
 Life style should be well coordinated with rational
thinking and practical outlook.

4. Life style diseases
 Lifestyle Disease or NCD (non communicable diseases
/ diseases of civilization) are diseases that appear to
increase in frequency as countries become
industrialized and life span increases.
 Life style diseases takes years to develop.
 And if occurred once, it is not easy to cure.
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5.  Common
LSD-
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• Obesity
• Arteriosclerosis
• Cancer
• Chronic Liver Disease/Cirrhosis
• Chronic Obstructive Pulmonary
Disease (COPD)
• Diabetes
• Heart Disease
• Nephritis/CRF
• Stroke

6. Controllable risk factors
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 Habits, behaviours and practices that we can modify.
diet and body weight
daily levels of physical activity Smoking and alcohol abuse

7. Uncontrollable risk factors
 Some risk factors that contribute to your chances of
developing a lifestyle disease are out of your control.
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Age
Gender
Heredity

8. Life style changes and diseases
associated
 Decreased physical activity of humans leads to less
usage of energy. Thus leading to
 Diabetes mellitus
 Stroke
 Obesity
 Hypertension
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9.  Continuous and long time work without breaks.
This can develop
 Carpel tunnel syndrome
 Multiple sclerosis
 Dementia
 Depression
 Anxiety Disorders
 Chronic back aches etc
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10.  Exposure to harmful and stressful environments
without physical or mental rest. These brings
about
 Malignancy of the parts exposed
 Occupational lung diseases (Silicosis, Fibrosis,
Asbetosis)
 Cerebro-vascular diseases etc
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Use of junk foods, packed foods for a long period
Cancerous growth
Arthritis
Nutritional Deficiencies
Skin disorders
Unnecessary usage of self medication
Liver Diseases
Depression

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Usage of mobile phones, TV, computers etc
Computer Vision Syndrome
Anxiety disorder etc
Addiction of smoking, alcohol and drugs in adult
groups
Asthma
Cancer
Chronic liver disease/ Cirrhosis
Bronchitis
Other respiratory diseases

13. Life style diseases as per
Ayurveda
 Ayurveda considers the main etiological factors for all
diseases as heena yoga, mithya yoga or ati yoga of kala,
artha and karma.
कालार्थकर्थणाां योगो हीनमर्थ्यातिर्ात्रकः।
सम्यक् योगैश्च विज्ञेयो रोगारोग्यैककारणर््॥ ( अ.हृ सू १।२०)
 All the diseases can be considered as the result of mithya
ahara and vihara which we follow.
Mithya ahara vihara vitiates agni diseases.
रोगाः सिेऽवि र्न्दाग्नौ। (अ. हृ १२।११)
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14. How Ayurveda views
 Ayurveda, the science of life has given prime
importance to the protection of health of healthy
individual.
 This can be achieved by means of preventing diseases,
preserving and promoting health.
 स्िस्र्स्य स्िास्थ्य सांरक्षणां आिुरस्य विकार्रशमर्नर् ्।
(च​.सू ३०।२६)
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15. Swasthavritta
 Ayurveda has laid down all the preventive principles which
are necessary in the maintenance of health under
Swasthavritta.
 Swasthavritta palana is the primary prevention mentioned
in classics.
र्ानिो येन विधिना स्िस्र्स्स्िष्ठति सिथदा।
िर्ेि कारयेि् िैद्यो यिः स्िास्थ्यां सदेस्ससिर््॥
(भा.्रश​.िू ५।१२- १३)
 By the practice of which an individual always lives with
healthiness, a physician should instigate for such practice
as because good health is the most desirable object of
human beings.
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16. Prevention
 Dinacharya and ratricharya
 Ritucharya
 Trayopasthambha palana
 Samyak vega pravartti
 Ritu shodhana
 Sadvritta
 Rasayana 16

17. Obesity
 Obesity is ranked one among the top 10 selected
health risks.
 Obesity may be defined as an abnormal growth of the
adipose tissue due to an enlargement of fat cell size or
an increase in number of fat cell or a combination of
both.
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18.  BMI = actual body weight in kg
height in metre2
BMI Terminology
Below 20 Under weight
20-25 Normal
25-30 Over weight
30-40 Obese
Above 40 Morbid obese
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19.  Platform for hazards like hypertension, coronary heart
disease, diabetes mellitus, osteo arthritis, infertility,
impotency, psychological disorders like stress, anxiety,
depression etc.
 By fat cell size enlargement-Hyper trophic obesity
 By fat cell number increase-Hyper plastic obesity
 By the combination-Hyper trophic +Hyperplastic
obesity
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20. Etiology
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Exogenous
Over eating
Dietary habits
Drinking habits
Endogenous
Endocrine factors
Miscellaneous
Age
Sex
Occupation
Socio- economic status
Physical activity
Drugs
heredity

21. Pathogenesis of obesity
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Excessive lipid deposition
due to increased food intake, adipose cell
hyperplasia or hyperlipogenesis.
Diminished lipid mobilization
due to either decreased lipolytic
hormones or defective adipose cells.
Diminished lipid utilization
due to defective lipid oxidation,
defective thermo genesis or physical
inactivity

22. Sthoulya
 A person having heaviness and bulkiness of the body due
to extensive growth especially in abdominal region is
termed as sthula and the state of sthula is called sthoulya.
(b.p ma 39).
र्ेदस्िु सिथभूिानार्ुदरे हह व्यिस्स्र्िर््।
अि एिोदरे िृद्धिः ्रशायो र्ेदस्स्िनो भिेि्॥
 Acharya charaka has included athi sthula in ashta ninditiya
purusha.
 इह खलु मरीरर्धिकृ त्याष्टौ िुरुषा तनस्न्दिा भिस्न्ि; िद्यर्ा-
अतिदीर्थश्च​, अतिह्रस्िश्च​, अतिलोर्ाश्च​, अलोर्ाश्च, अतिकृ ष्णाश्च​,
अतिगौरश्च​, अतिस्थूलश्च​, अतिकृ मश्चेति॥ (च​.सू २१।३)
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23. Sthoulya nidana
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aharatmaka viharatmaka manasika Anya nidana
Atisampurana Avyayama Harsha
nityatwam
Beeja swabhava
Santarpana Avyavaya Achintanam Rasayana-
vrishyati sevana
Adyasana Divaswapna Manasonivritti Brihmana
therapy
Excessive
consumption of
guru, madhura,
snigdha,
sheetha,sleshmala
ahara
Bhojananantara
snanam,nidra
Saukhyam
(Ca.su 21/4)

24. Samprapti ghataka
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Dosha Kledaka kapha, pacaka pitta,samana vata, vyana vata
Dushya Rasa, medas
Agni Jatharagni, dhatvagni
Srotas Medovaha
Sroto dushti Sanga, margavarodha
Adhishtana Whole body( vapavahana and medodhara kala)
Udbhava sthana Amashaya
Roga marga Bahya
Ama Jataragni vaigunya janita, dhatwagni mandya janitha
Vyakta sthana Sarvanga( sphik, udara, sthana, gala)

25. Preventive strategy
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िस्य
उत्िवि हेिुां
िररहरेि्
अनेन तनदान
िररिर्थने
अनागिाबाि
धचककत्सा

26. Utpatti hetu pariharam
र्ािृ वििृ बीर् मुद्धि
 purification through pancha shodhana
 Udwartana
 Abhyanga
 Avoid kapha meda vridhikara ahara at pregnancy stage
also.
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27. Nidana parivarjana
काश्यथर्ेि िरां स्र्ौल्याि ् न हह स्र्ूलस्य भेषर्र् ्।
(अ.हृ १४।३१)
 Restrict- kaphakara medokara ahara
 Control- guru,madhura, sheetha, snigdha, pichila
guna
 Avoid atimatra aharam.
 Avoid oily preparations, fast foods, sweet drinks, etc.
 Eat in due course.
 Practice periodical fasting.
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28. Medo roga pathya-apathya
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Ahara Pathya Apathya
Shuka dhanya Yava, kodrava Godhuma, Sali
Shami dhanya Mudga, kulatha, chanaka,
masura
Masha, tila
Shakha varga Vrintaka, patra shakha, patola Madhura phala
Dravya Takra, madhu, ushnodaka, tila
tailam, sarshapa tailam, arishta,
asava, jeerna madya
Dugdha, navaneeta,
ghrita
Mamsa Rohita matsya Anupa, audaka gramya
mamsa (b.r 39/67-71)

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Pathya Apathya
Jagarana Diva swapna
Vyavaya Avyavaya
Nitya bhramana swapna prasanga
Chintana, shoka,
krodha
Achintana, manaso
nivritti
Vihara
(b,r 39/72-74)

30. Abrahmacharya
 मरीरां र्ायिे तनत्यां देहहनः सुरिस्िृहा।
अव्यिायान्र्ेहर्ेदोिृद्धिः ममधर्लिा िनोः॥
(भा.्रश ्रश ५।२३३)
 आयुष्र्न्िो र्न्दर्रा ििुिणथबलास्न्ििाः।
स्स्र्रोिधचिर्ाांसश्च भिस्न्ि स्त्रीषु सम्युिाः॥
(भा.्रश २५।२६४)
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31. Nidra
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 देहिृिौ यर्ाहारस्िर्ा स्िसनः सुखो र्िः।
स्िसनाहारसर्ुत्र्े च स्र्ौल्यकाश्ये विमेषिः॥ (च​.सू २१।५१)
 Like proper diet, proper sleep is also essential for the
maintenance of body.
 Corpulence and emaciation are specially conditioned by
proper and improper sleep.
 In sthoulya, excessive thinking and remaining awake at
night are recommended.

32. Samyak vega pravritti
 रोगाः सिेऽवि र्ायन्िे िेगोदीरणिारणैः। (अ.हृ सू ४।२२)
 Adharaneeya vega such as nidra and kshut should be
controlled.
 Excess sleep can produce sthoulya.
 Uncontrolled kshut vega result in increased food
intake and finally manifest as obesity.
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33. Anagatabadha chikitsa
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34. Ushapana
Provides sympathetic stimulus
Increases thermogenesis
Increases energy expenditure
सवििुः सर्ुदयः काले ्रशसृति समललस्य विबेदष्टौ।
रोगार्रा िररर्ुक्िो र्ीिेत्ित्सरात्मिां साग्रर््॥ (भा.्रश.िू ५।३१७)
People who drink 8 ्रशसृति water every day at sunrise becomes free
from all ailments.
Natural appetite suppressant
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35. Vyayama
• Energy in the first few seconds or minutes of exercise are
derived from carbohydrates.
• At the time of exhaustion, 60-85% energy is derived from
fats rather than carbohydates.
• Blood flow to adipose tissues increase by 4 times during
exercise.
• Helps to deliver the fatty acid mobilized from fat depots to
the working muscles.
• Amount of calories lost depend upon type of exercise, time
duration, intensity and weight of the person.
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36. 36
Decrease in
insulin
level
Increase in
insulin
sensitivity
Increase in
serum
triglyceride
level
Increase in
HDL
cholestrol
Improved
physical
work
capacity
Metabolic effects
• लार्िां कर्थसार्थ्यं दीसिोऽस्ग्नर्ेदसः क्षयः॥
विभक्िर्नगात्रत्िां व्यायार्ादुिर्ायिे॥ (अ. हृ सू २।११)

37. Udwartana
• Increases peripheral blood circulation.
• May burn the fatty layer in the sub cutaneous
region of skin.
• Mobilization of fatty acids in adipose tissue.
उद्ििथनां कफहरां र्ेदसः ्रशविलायनर््।
स्स्र्रीकरणर्ङ्गानाां त्िक््रशसादकरां िरर््॥
(अ. हृ सू २।१६)
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38. kapha meda vilayana property
 Due to ushna, teekshna guna of dravya and forceful
massage effect on roma koopa the veerya of
drugs enter into body opens the mukhas of
siras makes paka of kapha and medas.
 There will be dravata vridhi of kapha and medas.
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39.  Types- utsadana
udgharshana
 मसराविविक्ित्िां त्िक्स्र्स्याग्नेश्च िेर्नर् ्।
उद्र्षथणोत्सादनाभयाां र्ायेयािार्सांमयर् ्॥
(su.chi 24/52-56)
 Opening of the orifices of the veins and increase of
keenness of the fire present in skin both occur from
massaging, without any doubt.
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40. Ritu shodhana
 मीिोद्भिां दोषचयां िसन्िे विमोियन ् ग्रीष्र्र्र्भ्रकाले।
र्नात्यये िावषथकर्ामु सम्यक् ्रशासनोति रोगानृिुर्ान्नर्ािु॥
(अ.हृ सू ४।३५)
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Dosha Accumulation Expulsion Shodhana
Kapha Hemanta &
shishira
Vasantha Vamana
Vata greeshma Varsha Basti
Pitta varsha sharat Virechana &
raktamoksha

41. Free radical theory
Increased production of ROS in adipose tissue
Increased oxidative stress in accumulated fat
Lipid peroxidation
Cell damage
complications( CAD, stroke)
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42. Anti-oxidant therapy
 Antioxidants can retard lipid oxidation through-
o competitive binding of oxygen free radical
o blocking the propogation step by destroying or
binding free radicals
o inhibition of catalysts
o stabilization of hydroperoxides
 Therapy of supplementation of anti oxidants may prevent
the risk of CAD etc in obesity.
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43.  Vitamin E, a major lipid soluble anti oxidant in cellular
membranes, protect against lipid peroxidation and
prevents the loss of membrane fluidity.
 Ascorbic acid(vit C) is a naturally occurring organic
compound with antioxidant properties.
 Some studies also suggest that vitamin C protects
against LDL cholesterol oxidation, raises HDL, lowers
total cholesterol and prevent CAD.
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44. Conclusion
 Maintaining healthy lifestyle behaviours is complex
and constantly under challenge from external
stressors.
 To Prevent and Manage the ‘Life Style Disorders’
adaptation of principles ‘Swasthavritta palana’ is an
ideal option.
‘Prevention is better than cure’
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Thank you