1. The document discusses primordial and primary prevention of lifestyle diseases like dyslipidemia through Ayurvedic principles. 2. It emphasizes starting prevention prior to conception by preparing parents, continuing through gestation, childhood, and adolescence with practices like good nutrition, exercise, sleep, and stress management. 3. Ayurveda recommends identifying and modifying risk factors through healthy habits and seasonal practices to prevent disease emergence and progression at early stages.

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THE ROLE OF PRIMORDIALAND PRIMARY
PREVENTION IN
LIFESTYLE DISEASES
WITH SPECIAL REFERENCE TO
DYSLIPIDEMIA
Dr. Muhammed Safeer P I
PG Scholar. Department of Swasthavritta & Yoga
VPSV Ayurveda College Kottakkal
+91 9496361775

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6. cardiovascular diseases
diabetes
stroke
cancer

7. Prevention is better than
cure
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8. PROBLEM STATEMENT
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9.  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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10. LEVELS OF PREVENTION
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TERTIARY
SECONDARY
PRIMARY
PRIMORDIAL

12. 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
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13. Adult health problems
Early origin in childhood
Discourage harmful lifestyle
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14. Primary prevention....
 Action taken prior to the onset of disease,
 Intervention in the pre-pathogenesis phase
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15. 5 messages for lifestyle modification(LSM)
1. Physical activity
2. Avoid tobacco & Alcohol
3. Healthy foods
4. a
5. Stress management
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16. TENETS OF AYURVEDIC
PREVENTIVE
HEALTHCARE IN
LIFESTYLE DISEASES
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17. Recognizing etiology(Nidana)
 Identification of Nidana – Risk factors
1st step in prevention
उत्पादकम्
 निदािं
व्यञ्जकम्
 निदाि परिवजजिम् – उत्पादकम्  primordial
व्यञ्जकम् primary
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18. 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

19. Modifiable Nidana
AHARA
Atisampurana
Guru,madhura,
seeta,snigdha
upayoga
VIHARA
Avyayama
Avyavaya
Divaswapna
MANASA
Harsha nityatwa
Achintanam
Soka, krodha,
bhaya etc
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20. Recognizing sampraapti
 संप्राप्ति ववघटिं in early stage 
primary prevention
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Nidana
Tridosha dushti
Rasa dhatu dushti
Bahvabaddham
medomamasam
Avarana
Theekshnaagni
Excess food
intake
Itara dhatu
poshana

22. Ayurvedic Prevention
1. Pre conception care
2. Gestational care
3. Early childhood care
4. Adolescent awareness programs
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23. 5. Best selection of food & healthy feeding
practices
6. Good sleeping practice
7. Sexual discipline
8. High risk group care
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24. 1. Good preconception care
 Preparation of both partners prior to
conception
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25. 2. Good gestational care
 गर्भजणी चयाज – आहाि & ववहाि
 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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26. ‘INTRAUTERINE PROGRAMMING’
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27.  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)

28. 4. Late childhood & adolescent care
 Dinacharya & Nishaa charya
 Ritucharya
 Proper vega pravartana
 Abhyavaharana vidhi
 Rasayana
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29. Dinacharya
व्यायामम् - मेदसक्षयं
 Exercise normalises lipid concentrations
(Gupta R et al; 2012)
उद्विजिम् मेदसः प्रववलायिं
( A H Su 2/ 18)
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30.  Yoga & meditation
resulted 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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31. 5. Good sleeping practice
 भूिधात्री
 Sleep duration is a significant correlate of the
metabolic syndrome
(MH Hall et al; 2008)
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32. 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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33. Vegapravartana dosha
 िोगाः सवेपी जायन्िे वेगोदीिणधािणः|
(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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34. 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)
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35. Rasayana
 वयःस्थापि, िोगापहिणसमथं |
- सु.सू.
 Aachara Rasayana
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36. 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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37. Key to Swasthya
नित्यं नितािारनििारसेिी समीक्ष्यकारी निषयेष्िसक्तः|
दाता समः सत्यपरः क्षमािािाप्तोपसेिी च भित्यरोगः||
अ. हृ.
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38. References
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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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