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WELCOME

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THE ROLE OF PRIMORDIAL AND PRIMARY PREVENTION IN

LIFESTYLE DISEASES WITH SPECIAL REFERENCE TO

DYSLIPIDEMIA

Dr. Muhammed Safeer P IPG Scholar. Department of Swasthavritta & Yoga

VPSV Ayurveda College Kottakkal+91 9496361775

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cardiovascular diseasesdiabetesstrok

e cancer

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Prevention is better than cure

PROBLEM STATEMENT

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Up to 80% of

LIFESTYLE DISEASES

are preventable

(2008-2013 WHO Action Plan for the Global

Strategy for the Prevention and Control of NCDs)

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LEVELS OF PREVENTION

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TERTIARY

SECONDARY

PRIMARY

PRIMORDIAL

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Primordial prevention… Most effective in Prevention of lifestyle diseases

It is the prevention of- the emergence or development of risk factors

At the level of children

Adult health problems Early origin in childhood

Discourage harmful lifestyle

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Primary prevention.... Action taken prior to the onset of disease,

Intervention in the pre-pathogenesis phase

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5 messages for lifestyle modification(LSM)

1. Physical activity2. Avoid tobacco & Alcohol 3. Healthy foods

4. a

5. Stress management

TENETS OF AYURVEDIC PREVENTIVE

HEALTHCARE IN LIFESTYLE DISEASES

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Recognizing etiology(Nidana) Identification of Nidana – Risk factors

1st step in prevention उत्पादकम्

निदां व्यञ्जकम्

निदा परि�वर्ज�म् – उत्पादकम् primordialव्यञ्जकम् primary

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Classification of Dyslipidemia Nidana

1. Aharatmaka 2. Viharatmaka 3. Manasa 4. Beeja swabhava

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Non modifiable Modifiable Beeja swabhava Aharatmaka

Viharatmaka

Manasa

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Modifiable Nidana

Recognizing sampraapti

संप्राप्ति�� निवघटं in early stage

primary prevention

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Nidana

Tridosha dushti

Rasa dhatu dushti

Bahvabaddham medomamasam

Avarana

TheekshnaagniExcess food

intake

Itara dhatu poshana

Ayurvedic Prevention

1. Pre conception care

2. Gestational care

3. Early childhood care

4. Adolescent awareness programs

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5. Best selection of food & healthy feeding practices

6. Good sleeping practice

7. Sexual discipline

8. High risk group care

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1. Good preconception care

Preparation of both partners prior to conception

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2. Good gestational care

गर्भि� णी चर्याा� – आहा� & निवहा�

Improving the health of young mothers will contribute to a ‘primordial’ prevention of NCDs in future generations

(Yajnik C S et al; 2011)

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‘INTRAUTERINE PROGRAMMING’

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Breastfeeding Lower the risk of hypercholesteremia

Praasa resistance to vyadhi

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3. Neonatal & early childhood care

(Long-term effects of breastfeeding WHO 2013)

4. Late childhood & adolescent care

Dinacharya & Nishaa charya

Ritucharya

Proper vega pravartana

Abhyavaharana vidhi

Rasayana28

Dinacharya

व्यार्याामम् - मेदसक्षरं्या

Exercise normalises lipid concentrations (Gupta R et al; 2012)

उद्व��म् मेदसः प्रनिवलार्यां ( A H Su 2/ 18)

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Yoga & meditationresulted in greater weight loss

& stress reduction(McDermott et al. 2014)

Have an indirect effect on metabolism of glucose & lipids (Gupta R et al; 2012)

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5. Good sleeping practice

�ू�धात्री

Sleep duration is a significant correlate of the metabolic syndrome

(MH Hall et al; 2008)

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Ritucharya Ahara & vihara

Ritu sodhana

Total cholesterol & LDL has shown a significant reduction after seasonal purification wsr to sarat ritu

(Lakshmy et al, 2012) Rasayana & vrishya yoga

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Vegapravartana dosha

�ोगाः सव0पी र्जार्यान्�े वेगोदी�णधा�णैः|(A H Su 4/23)

Mala, Mutra, Apana Vegavarodha is seen in number of Dyslipidemia cases

(Manthara M M et al)

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6. Food & healthy feeding practices

Nitysevaneeya dravya

Avoid ajeerna, vishama, viruddha, addhyasana

Follow Ahara vidhi

Children subject to early nutritional insult show an increased risk of developing NCDs in later life

( Connor E N et al, 2o11) 34

Rasayana

वर्याःस्थाप, �ोगापह�णसमर्थं6 | -

सु.सू. Aachara Rasayana

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CONCLUSION Prevention is the only measure to save our globe

from the burden of LIFESTYLE DISEASES

Current ideas on preventing LIFESTYLE DISEASES in the middle-aged and the elderly are less effective models

It should start prior to gestation, should continue from womb to tomb

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Key to Swasthya

नि�त्यं नि�ता�ारनि��ारसे�ी समीक्ष्यकारी नि�षयेष्�सक्तः| दाता समः सत्यपरः क्षमा�ा�ाप्तोपसे�ी च भ�त्यरोगः||

अ. हृ.

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References

Park,k.PSM.20th ed.Jabatpur:Banarasi Das Bhanot;2009

Suryakantha AH. community medicine.2nd ed.Jaypee brothers medical publishers;2010

American Academy of Pediatrics. Developmental surveillance and screening of infants and young children. Pediatrics 2001a;108:192-96. (Guideline)

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Singh, A. and Shukla, Y., Antitumour activity of diallyl sulfide in two mouse skin models of carcinogenesis, Biomed. Environ. Sci., 11, 258, 1998.

Nirjo, S.M. and Kofi Tsekpo, M.W., Effect of an aqueous extract of Azardicta indica on the immune response in mice, Onderstepoort J. Vet. Res., 66, 59, 1999.

Devasagayam, T.P.A. and Sainis, K.B., Immune system and antioxidants, especially those derived from herbal Indian medicinal plants, Indian J. Exp. Biol., 40, 639, 2002.

Rege, N.N., Clinical Prospects of Tinospora Cordifolia: An Immunomodulator Plant in Immunopharmacology Strategies for Immunotherapy, Upadhyay, S.N., Ed., Narosa Publishing House, Delhi,India, 1999, p. 105

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