Anguli Parimana in Ayurveda and its association with adiposity and diabetes

Background: Recent studies have shown the association of disproportionate body size measurements with noncommunicable diseases like diabetes. This concept is described in Ayurveda (1500 BC), which uses Anguli Parimana (the breadth of one′s own finger as 1 unit) to measure the body proportions. Exces...

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Main Authors: Jyoti A Shirodkar, Mehmood G Sayyad, Vilas M Nanal, Chittaranjan S Yajnik
Format: Article
Language:English
Published: Elsevier 2014-01-01
Series:Journal of Ayurveda and Integrative Medicine
Subjects:
Online Access:http://www.jaim.in/article.asp?issn=0975-9476;year=2014;volume=5;issue=3;spage=177;epage=184;aulast=Shirodkar
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author Jyoti A Shirodkar
Mehmood G Sayyad
Vilas M Nanal
Chittaranjan S Yajnik
author_facet Jyoti A Shirodkar
Mehmood G Sayyad
Vilas M Nanal
Chittaranjan S Yajnik
author_sort Jyoti A Shirodkar
collection DOAJ
description Background: Recent studies have shown the association of disproportionate body size measurements with noncommunicable diseases like diabetes. This concept is described in Ayurveda (1500 BC), which uses Anguli Parimana (the breadth of one′s own finger as 1 unit) to measure the body proportions. Excessive tallness or shortness (deviation from the reference value of Anguli Parimana) indicated deranged meda dhaatu (mainly adipose tissue). Deranged meda dhatu was associated with Prameha (diabetes). Objectives: To find association of Anguli Parimana with modern parameters of adiposity and diabetes. Materials and Methods: We studied 192 village residents representing the whole population (94 men and 98 women) to measure height, arm span, facial structures and limbs and expressed them in Anguli pariman (ratio of each measure as: Length or height of the body part [cm]/anguli, i.e. average finger breadth [cm]). The Anguli measurements were associated with body mass index, body fat percentage by DEXA, glucose and fasting insulin levels. Results: The volunteers were adults between 20 and 40 years age. Their mean fasting and 2 h plasma glucose concentrations were 91.6 mg% and 102.8 mg%, respectively. Of all, only 6 subjects had impaired glucose tolerance, while 3 were diabetic (WHO 1999). When compared with reference Anguli measurements mentioned by Charaka Samhita and Sushruta Samhita, the participants had smaller height, facial structures, and lower limbs. Those, who had proportionately smaller facial, neck and limb structures, had higher obesity, adiposity, plasma glucose, insulin and insulin resistance (homeostatic model assessment [HOMA]-R) indicating higher metabolic risk. In contrast, those who had proportionately larger forehead and face had higher beta cell function measured as HOMA-B indicating lower risk for diabetes (r = 0.20 both P < 0.05 all, adjusted for age and gender). Conclusion: Compared with ancient Indian Anguli reference, our subjects were proportionately smaller in most of the measurements except fingers and upper arm. Relative smallness of body parts was predictive of increased risk of type 2 diabetes.
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spelling doaj.art-b0bc1276a4e047f4bedfda2f177dac092022-12-21T22:51:02ZengElsevierJournal of Ayurveda and Integrative Medicine0975-94762014-01-015317718410.4103/0975-9476.140482Anguli Parimana in Ayurveda and its association with adiposity and diabetesJyoti A ShirodkarMehmood G SayyadVilas M NanalChittaranjan S YajnikBackground: Recent studies have shown the association of disproportionate body size measurements with noncommunicable diseases like diabetes. This concept is described in Ayurveda (1500 BC), which uses Anguli Parimana (the breadth of one′s own finger as 1 unit) to measure the body proportions. Excessive tallness or shortness (deviation from the reference value of Anguli Parimana) indicated deranged meda dhaatu (mainly adipose tissue). Deranged meda dhatu was associated with Prameha (diabetes). Objectives: To find association of Anguli Parimana with modern parameters of adiposity and diabetes. Materials and Methods: We studied 192 village residents representing the whole population (94 men and 98 women) to measure height, arm span, facial structures and limbs and expressed them in Anguli pariman (ratio of each measure as: Length or height of the body part [cm]/anguli, i.e. average finger breadth [cm]). The Anguli measurements were associated with body mass index, body fat percentage by DEXA, glucose and fasting insulin levels. Results: The volunteers were adults between 20 and 40 years age. Their mean fasting and 2 h plasma glucose concentrations were 91.6 mg% and 102.8 mg%, respectively. Of all, only 6 subjects had impaired glucose tolerance, while 3 were diabetic (WHO 1999). When compared with reference Anguli measurements mentioned by Charaka Samhita and Sushruta Samhita, the participants had smaller height, facial structures, and lower limbs. Those, who had proportionately smaller facial, neck and limb structures, had higher obesity, adiposity, plasma glucose, insulin and insulin resistance (homeostatic model assessment [HOMA]-R) indicating higher metabolic risk. In contrast, those who had proportionately larger forehead and face had higher beta cell function measured as HOMA-B indicating lower risk for diabetes (r = 0.20 both P < 0.05 all, adjusted for age and gender). Conclusion: Compared with ancient Indian Anguli reference, our subjects were proportionately smaller in most of the measurements except fingers and upper arm. Relative smallness of body parts was predictive of increased risk of type 2 diabetes.http://www.jaim.in/article.asp?issn=0975-9476;year=2014;volume=5;issue=3;spage=177;epage=184;aulast=ShirodkarAdiposityAnguli Pariman Ayurvedbody proportioninsulin resistance in Indians
spellingShingle Jyoti A Shirodkar
Mehmood G Sayyad
Vilas M Nanal
Chittaranjan S Yajnik
Anguli Parimana in Ayurveda and its association with adiposity and diabetes
Journal of Ayurveda and Integrative Medicine
Adiposity
Anguli Pariman
Ayurved
body proportion
insulin resistance in Indians
title Anguli Parimana in Ayurveda and its association with adiposity and diabetes
title_full Anguli Parimana in Ayurveda and its association with adiposity and diabetes
title_fullStr Anguli Parimana in Ayurveda and its association with adiposity and diabetes
title_full_unstemmed Anguli Parimana in Ayurveda and its association with adiposity and diabetes
title_short Anguli Parimana in Ayurveda and its association with adiposity and diabetes
title_sort anguli parimana in ayurveda and its association with adiposity and diabetes
topic Adiposity
Anguli Pariman
Ayurved
body proportion
insulin resistance in Indians
url http://www.jaim.in/article.asp?issn=0975-9476;year=2014;volume=5;issue=3;spage=177;epage=184;aulast=Shirodkar
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AT vilasmnanal anguliparimanainayurvedaanditsassociationwithadiposityanddiabetes
AT chittaranjansyajnik anguliparimanainayurvedaanditsassociationwithadiposityanddiabetes