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Manish Gunjan World Journal of Pharmaceutical research 2. What are the exercises you suggest for obese patient? Most of the physiotherapist stated that aerobic exercise will be more helpful to reduce weight.Most of the physiotherapist suggested aerobic exercise like jogging, walking, cycling, and swimming. From literature review there are many exercise that you can suggest to obese patient for example indoor activities- sport games: basketball, handball, korfball (Dutch sports game), field hockey; outdoor activities- Triathlon: Subsequently exercising on either a normal bicycle or a mountain bike and a kick board followed by swimming and water polo and aqua jogging/aqua fitness. Based on the evidence from the physiotherapies are correct. 3. How long we should exercise per day? The physiotherapist suggested that duration obese people should exercise between 20-60 minutes per day depend on person’s health statusand also depend on our B.M.R.and Age. From literature review we should exercise three times a week for 12 week. The time duration is 30-60 minutes. The answer from the phsiotherapist are correct. 4. Is there any side effect in doing certain exercise? If yes what are they? Yes, the side effect are muscle fatigue, muscle soreness, extreme heavy exercise can lead to heart failure in underlying ischaemic heart disease patient, jogging is not encouraged as if causes damage to hip, knee and ankle joint. When you exercise too vigorous and not suitable to your muscle strength. Precaution should be taken for cardiac patients asthamatic. If you are old and have some underlying bone related problem, avoid bearing exercises. According to the literature review side effect in doing certain exercise may contribute to further lowering of BP by attenuating the sympathetic nervous activity in the trained state. 5. What are the food supplement we should take after exercise? The food supplement we should take after exercise that suggested by physioterapies are lemon water, light meal, egg(avoid yellow part), soup protein rich diet, supplement of carbohydrate and vitamin, taking balance diet include vegeatable, fruit and cereal, energetic liquid diet and nutritional supplement. Based on literature review food supplement should increase consumption of grain, cereals and fibre as well as vegetables and fruit, and to substitute low-fat dairy products and meats for full- or high-fat alternatives. The answered from physiotherapies are correct. www.wjpr.net 1275
Manish Gunjan World Journal of Pharmaceutical research CONCLUSION We have done a survey on role of herbal medicine and exercise in the management of obesity. After going through the questionnaires, we can conclude that improper lifestyle such as lack of exercise, unhealthy food intake and stress is the major cause for obesity and also it is a multifactorial disorder. The age onset of obesity is late teens. According to the survey we got to know that most of the patients are consuming unhealthy food like snacks, chocolates, sweets which is the mainly causing obesity. Foods with high amount of carbohydrate also can cause obesity. Other than that, based on our interview with doctor they suggest that diet and exercise for the treatment of obesity. Herbalist suggested few herbal medicines such as aloe vera, Gymnema and panax ginseng will be more effective for obesity. Many more plants are there which have effect on obesity. Herbal medicine may be a vital tool to fight against obesity and prevent such diseases like hypertension, MI, diabetes Melitus before their occurance. Herbal medicines are much safer than modern medicines. Most of the herbal medicines have fewer side effects. Apart from that patients also lack of exercise which than leads to obesity. Whereas after the survey to the physiotherapist, they suggested that aerobic exercise will be effective in the management of obesity. Moreover, physical activity is lacking among Malaysians. 30 min/day of physical activity has a clear positive impact on cardiovascular health. Obesity is a serious problem, especially for its attendant cormobidity, and exercise is well suited to minimize several of these morbid processes in the masive obese patient. Hence we can conclude that herbal medicine and exercise together will be helpful in the management of obesity. REFERENCES 1. WHO Obesity Preventing and managing the global epidemic. Report of a WHO consultation. Geneva, WHO Technical Report Series 894, (2000). 2. George S.M. Cowan Venus of Willendorf, the symbol and mascot of Obesity-Online, history of obesity (2001). 3. Sagayam CS, Siddha herbs for the management of obesity, Center for advanced research on Indian systems of medicines, Sastra University, Thanjavur(2008). 4. Whitney, Debruyne, Pinna, Rolfes,Nutrition for Health and Health Care, Third Edition.(2007). www.wjpr.net 1276
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