Development, Validation, and Feasibility Testing of an Integrative  Therapy Module for Obesity

M  Banusri; Suchitra S Patil

doi:10.48165/IRJAY.2025.80102

Authors

M Banusri PG Scholar, Department of Yoga and Life Science, S-VYASA Yoga University, Bengaluru, Karnataka, India. Author
Suchitra S Patil Assistant Professor, Department of Yoga and Life Science, S-VYASA Yoga University, Bengaluru, Karnataka, India. Author

DOI:

https://doi.org/10.48165/IRJAY.2025.80102

Keywords:

Ayurveda, IAYT, Integrated module, Naturopathy, Obesity, Yoga

Abstract

Background: Obesity is a condition where the accumulation of excess fat in the body takes place. Obesity is a metabolic disorder caused due to defects in food and unhealthy lifestyle, and other causes are thyroid and pituitary gland secretion abnormalities, etc., which regulate fat and lipid metabolism in the body. Obesity is the casual factor of various diseases such as heart disease, diabetic mellitus, osteoarthritis, and certain cancers. The integration module of yoga, Ayurveda, and naturopathy may reduce the weight of individuals and hence reduce the cause of other diseases due to obesity. Objectives: To develop and validate of integrated module for obesity, to improve the quality of life, to reduce the weight, to check the psychological issues like stress and depression, to check the effect of integrated therapy of obesity on vikriti of kapha on obese individuals. Methods: The integrated module validation was done by 60 experts of Ayurveda, yoga, and naturopathy using the methods of Lawshe’s formula: Content validity ratio (CVR) = (Ne-N/2)/N/2, 30 sample size was taken for feasibility testing. Where Ryff scale, mindful attention awareness scale, and vikriti questionnaire were taken for analyzing the score. Results: 51 integrated module practices are selected for validation, 38 IAYT practices are selected for validation, 46 practices had a CVR score of ≥0.4 indicating high score validity, 5 practices are with low score <0.4 Conclusion: The integrated module of yoga, naturopathy, and Ayurveda has not only a definite role in weight reduction, improved quality of life, and psychological factors but also improved physical activities, emotional status, and social well-being.

Downloads

Download data is not yet available.

References

Schwartz MW, Seeley RJ, Zeltser LM, Drewnowski A, Ravussin E, Redman LM, Leibel RL. Obesity pathogenesis: An endocrine society scientific statement. Endocr Rev. 2017;38(4):267-96. https://doi. org/10.1210/er.2017-00111

DeJesus RS, Croghan IT, Jacobson DJ, Fan C, St Sauver J. Incidence of obesity at 1 and 3years among community dwelling adults: A population-based study. J Primary Care Community Health. 2022;13:21501319211068632. https://doi.

org/10.1177/21501319211068632

Barua S, Saikia N. Perception, risk factors, and health behaviours in adult obesity in Kolkata, India: A mixed methods approach. BMC Public Health. 2022;22(1):2376. https://doi.org/10.1186/s12889- 022-14531-9

Tham KW, Abdul Ghani R, Cua SC, Deerochanawong C, Fojas M, Hocking S, Lee J, Nam TQ, Pathan F, Saboo B, Soegondo S, Somasundaram N, Yong AML, Ashkenas J, Webster N, Oldfield B. Obesity in South and Southeast Asia-A new consensus on care and management. Obes Rev. 2023;24(2):e13520. https://doi.org/10.1111/ obr.13520

Venkatrao M, Nagarathna R, Majumdar V, Patil SS, Rathi S, Nagendra H. Prevalence of obesity in India and its neurological implications: A multifactor analysis of a nationwide cross sectional study. Ann Neurosci. 2020;27(3-4):153-61. https://doi. org/10.1177/0972753120987465

Vilchis-Gil J, Galván-Portillo M, Klünder-Klünder M, Cruz M, Flores-Huerta S. Food habits, physical activities and sedentary lifestyles of eutrophic and obese school children: A case-control study. BMC Public Health. 2015;15:124. https://doi.org/10.1186/

s12889-015-1491-1

Hruby A, Hu FB. The epidemiology of obesity: A big picture. Pharmacoeconomics. 2015;33(7):673-89. https://doi.org/10.1007/ s40273-014-0243-x

Chobe MP, Nanjundaiah RM, Chobe S. Designing and validation of a yoga-based module for obesity with metabolic comorbidities. J Complement Integr Med. 2020;18(1):159-63. https://doi. org/10.1515/jcim-2019-0249

Kiecolt-Glaser JK, Christian LM, Andridge R, Hwang BS, Malarkey WB, Belury MA, Emery CF, Glaser R. Adiponectin, leptin, and yoga practice. Physiol Behav. 2012;107(5):809-13. https://doi. org/10.1016/j.physbeh.2012.01.016

Manchanda SC, Narang R, Reddy KS, Sachdeva U, Prabhakaran D, Dharmanand S., & Bijlani R. Retardation of coronary atherosclerosis with yoga lifestyle intervention. J Assoc Phys India. 2000;48(7): 687-94.

Seo DY, Lee S, Figueroa A, Kim HK, Baek YH, Kwak YS, Kim N, Choi TH, Rhee BD, Ko KS, Park BJ, Park SY, Han J. Yoga training improves metabolic parameters in obese boys. Korean J Physiol Pharmacol. 2012;16(3):175-80. https://doi.org/10.4196/

kjpp.2012.16.3.175

Sarvottam K, Yadav RK. Obesity-related inflammation & cardiovascular disease: Efficacy of a yoga-based lifestyle intervention. Indian J Med Res. 2014;139(6):822.

Estevao C. The role of yoga in inflammatory markers. Brain Behav Immunity Health. 2022;20:100421. https://doi.org/10.1016/j. bbih.2022.100421

Gautam S, Kumar M, Kumar U, Dada R. Effect of an 8-week yoga based lifestyle intervention on psycho-neuro-immune axis, disease activity, and perceived quality of life in rheumatoid arthritis patients: A randomized controlled trial. Front Psychol. 2020;11:2259. https:// doi.org/10.3389/fpsyg.2020.02259

Yazdanparast F, Jafarirad S, Borazjani F, Haghighizadeh MH, Jahanshahi A. Comparing between the effect of energy-restricted diet and yoga on the resting metabolic rate, anthropometric indices, and serum adipokine levels in overweight and obese staff women. J Res Med Sci. 2020;25:37. https://doi.org/10.4103/jrms.JRMS_787_19

Rioux J, Thomson C, Howerter A. A pilot feasibility study of whole systems ayurvedic medicine and yoga therapy for weight loss. Glob Adv Health Med. 2014;3(1):28-35. https://doi.org/10.7453/ gahmj.2013.084

Paranjpe P, Patki P, Patwardhan B. Ayurvedic treatment of obesity: A randomised double-blind, placebo-controlled clinical trial. J Ethnopharmacol. 1990;29(1):1-11. https://doi.org/10.1016/0378- 8741(90)90092-8

Prajapati V, Bhaskar CL, Kori V, Patel K. Efficacy of Vachadi vati in the management of childhood obesity. J Ayurveda Case Rep. 2020;3:35-40. https://doi.org/10.4103/JACR.JACR_1_20

Sahu AK, Upadhyay A, Bhakuni H, Attanayake AM, Sharma P. Effect of Ayurveda interventions in non-alcoholic grade II fatty liver associated with obesity - A case report. J Ayurveda Integr Med. 2022;13(3):100605. https://doi.org/10.1016/j.jaim.2022.100605

Tyagi DK, Shivakumar K. Obesity management through ayurveda - a case study. J Ayurveda Integr Med Sci. 2017;2(4):320-8. https://doi. org/10.21760/jaims.v2i04.290

Malani G, Shashikiran HC, Shetty P, Ajith K. Effect of Sathwik diet and fast food diet on lipid profile of obesity individuals-a food comparative pilot study. Int J Innov Res Adv Stud. 2019;6: 78-81.

Shetty P, Mooventhan A, Nagendra HR. Does short-term lemon honey juice fasting have effect on lipid profile and body composition in healthy individuals? J Ayurveda Integr Med. 2016;7(1):11-3. https://doi.org/10.1016/j.jaim.2016.03.001

Ramesh KA. Effect of yogic practice, naturopathy, on selected biochemical variables among obese college men students. Int J Physiol Nutr Phys Educ. 2017;2(1):78-80.

Bhalavat K, Kumar N, Madankumar S. A pilot study on impact of naturopathic treatment protocol on abdominal obesity patients. IOSR J Dent Med Sci. 2016;15:35-8. https://doi.org/10.9790/0853- 1512063538

Chinchu JU, Mohan MC, Kumar P. Anti-obesity and lipid lowering effects of Varanadi kashayam (decoction) on high fat diet induced obese rats. Obes Med. 2020;17:100170. https://doi.org/10.1016/j. obmed.2019.100170