yoga for cardiometabolic disease nama panel may 2020€¦ · pancha karma and other treatments ......

www.yogaofrecovery.com [email protected]

Yoga of Recovery®

Durga Leela

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Yoga for Cardiometabolic DiseaseNAMA Panel May 2020

Offering Ayurvedic and Yogic Care to high-risk population of people in recovery


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YoR at Multiple Pathways of Recovery

Conference in 2018 and 2019

Scott attended Yoga of Recovery

workshops at Multiple

Pathways of Recovery

Conference, November 2019


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YoR at Multiple Pathways of

Recovery Conference 2019

• 8 months ‘clean’ - Narcotics Anonymous• Chronic back pain, using prescribed painkillers -

difficult to stay seated in meetings then sometimes he found it hard to move;

• Mild heart attack a few years ago; • Seeking relief from chiropractor, acupuncture,

Rolfing, Kung fu. • Changed his diet - detox program at Sivananda

Ashram was a big motivator (April 2019)• Still smoking cigarettes and drinks lots of coffee

Everyone was shocked and saddened when he died very suddenly of a heart attack the Monday after he attended the conference. He was 48 years old.


Yoga (Therapy) for Cardio Metabolic Disorders

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Yoga Therapy described by Dr. Dilip Sarkar …

• Yoga Therapy is not disease specific • Yoga Therapy is not evidence-based

medicine, but rather, practice-based evidence

• Yoga Therapy is not a standard template or one-size-fit-all strategy; it is individualized to each person and requires personalized lifestyle changes

Type to enter a caption.


Ayurvedic Care

Ayurveda advises us to • treat the person who is

manifesting the imbalance

• treat the roots, not the disease

The human heart is not an independent organ which fails spontaneously of its own accord

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We treat people not diseases

• Basic Principles

• Structural and Functional (Doshas & Dhatus)

• Philosophy (of the whole body-mind construct)

• Diagnosis (here we can find small section on Hridroga)

• Treatment (here we find much larger section on VATA Vyadhi/disease

• Indications and Contraindications for Pancha Karma and other treatments

• Uttara Tantra (deals with various subjects such as diseases of the eye, the ear, the nose and the head)

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Ayurveda Texts go through a very logical process of describing health care, disease prevention & treatment.


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Yoga of Recovery at

Multiple Pathways of Recovery Conference

2017

• ‘Yoga’ is one of the multiple pathways of

recovery featured at this conference

• This includes Ayurveda and Yoga Therapy

The mission of Yoga of Recovery is to make

Yoga and Ayurveda accessible to people in

recovery from addiction.

Durga with Phil Valentine, Executive Director,Connecticut Community for Addiction Recovery


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Annual Yoga of Recovery

Symposium in Bahamas Dr John Kelly founded The Recovery

Research Institute in 2012 - a leading

nonprofit research institute of

Massachusetts General Hospital (MGH),

an affiliate of Harvard Medical School,

dedicated to the advancement of

addiction treatment and recovery.

www.recoveryanswers.or

g

Dr Kelly kindly accepted invitation to

the Yoga of Recovery Symposium at

the Sivananda Yoga Retreat, Bahamas,

May 2018


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Addiction can lead to or worsen many medical conditions.

Study shows that those in SUD recovery have higher rates of disease than the general US population.

Medical conditions are more common among individuals who have resolved a substance use problem.

Journal of Addiction Medicine,

Sep/Oct 2019 (Vol 13, Issue 5

p385-395)


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National

Recovery

Survey

2,002 US adults who answered yes to the question

“Did you used to have a problem with alcohol or drugs but no longer do?”


Data from the National Recovery Survey

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Participants were asked whether they’d ever been told by a healthcare provider if they had 1 or more of 9 medical conditions including heart disease and diabetes

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Prevalence of heart disease & diabetes were greater in the National Recovery Survey Sample

Quality of life was lower among those with physical disease histories relative to those without.

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METs associated with CVDs

People with alcohol use disorders (AUDs) have a double increased risk for cardiovascular diseases (CVD) and associated premature mortality. Metabolic syndrome (MetS) and its components are highly predictive of CVD(Roerecke and Rehm, 2014).

Metabolic Syndrome (METs - a combination of central obesity, high blood pressure, low HDL cholesterol (high-density lipoprotein), elevated triglycerides and hyperglycemia). In the general population, these clustered risk factors have been associated with the development of Cardiovascular Diseases (CVDs) and excess mortality (Galassi et al., 2006; Gami et al., 2007; Mottillo et al., 2010).

Previous research has demonstrated that people with major depressive disorder (Vancampfort et al., 2014), bipolar disorder (Vancampfort et al., 2013) and PTSD (post-traumatic stress disorder) (Rosenbaum et al., 2015), all highly prevalent in AUD, are at an increased risk for MetS.

The high co-occurrence between psychiatric comorbidity and MetS suggests a possible pathophysiological overlap.

Rajas and Tamas affecting Agni, Prana, the 3 Doshas and the Dhatus

Elevated cortisol secretion due to hyperactivity of the hypothalamic–pituitary–adrenal axis, (pro)-inflammatory processes involving interleukin-6 and C-reactive protein, oxidative stress, autonomic nervous system dysregulation including an increase in sympathetic and decrease in parasympathetic activity, and insulin resistance are all interacting biological mechanisms that may mediate the association between AUD, psychiatric co-morbidity and MetS. Although biological processes might be important, poor background lifestyle and socioeconomic factors associated with AUD and mental health problems are probably equally relevant. Finally, also metabolic side effects of psychotropic medication (Vancampfort et al.,

2015) might play a pivotal role.


These study suggests …

The need for earlier and more assertive intervention to help reduce medical disease burden, and underscores the need for better integration of medical and substance use disorder services.

People in recovery NEED Ayurvedic and Yogic Medicine!!

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Addiction Onset

Help Seekin

g

Full Sustained

Remission (1 year

abstinent)

Relapse Risk drops below

15%

4-5 years 8 years 5 years

Self-initiated cessatio

n attempt

s

4-5 Treatme

nt episodes

/mutual-

help

Continuing care/mutual-

help

The clinical course of addiction and achievement of stable recovery can take a long time …

50-60% of

individuals with

addiction will

achieve full

sustained remission

Recovery Priming

Recovery Monitoring

Recovery Mentoring

Opportunity for earlier detection through

screening in non-

specialty settings like

primary care/ED

Ayurveda can easily treat the

Metabolic Disorder part of SUD

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• Every disease has a metabolic component!• Treatment must involve rectifying the metabolic

disorder. Ignoring it can harm the individual and confound their problem even more

• Studies show that around 90% of alcoholics/drug addicts are hypoglycemic. Symptoms - nervousness, irritability, exhaustion, depression, moodiness, lethargy, tiredness, insomnia, headache.

• Strong preference for sugar or sweet foods (Sucrophilia) but body unable to properly metabolize

• Can be hereditary factor, not uncommon to find this condition running in families - psychological origin but also metabolic hereditary factor

• This pre-exisiting physical condition leads them to be vulnerable to self-destructive behavior. Objective bio-markers added to ACE study would be helpful?

Sugar Addiction & Alcohol

Dependency

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- When you eat too much white sugar for too long it will exhaust your system’s ability to digest it. This will make you hypersensitive to it, which will aggravate vata.

- Vata will then exaggerate the gap between your high blood sugar level and your low blood sugar level. The size of this gap will depend on the intensity of your vata disturbance and will determine in turn the severity of your symptoms.

- Control of vata will ease your symptoms. - Gradually replace refined sugar with other sweet foods like whole

grains so that you still get a sweet “fix” regularly during the day.

Alcohol dependency is a form of sweet dependence in which all 3 doshas are disturbed.

Recovering alcoholics often continue to use large amounts of coffee & sugar. Coffee replaces the pungent aspect of alcohol; white sugar is the easiest way for the body to get the level of sweet intake which alcohol has made it accustomed to.


Cardio Metabolic Disease - Ayurvedic Aspect

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According to Ayurveda, Metabolism is the prime factor of health and illness. SARVE API ROGA MANDAGNI JAYATE

Pitta and Kapha Mandagni due to different reasons like lifestyle, food habits, which in turn lead to metabolic error like indigestion, formation of Ama, upward movement of Vata dosa which may cause improper flow of Prana, Udana and Vyana Vata. These 3 components of Vata are responsible for Respiratory and Cardiac functions.

Causative Facotrs of Cardiac Disorder According to Ayurveda:Diet - excessive heat producing foods, heavy for digestion, eating meal without digesting the prior one, more unctuous food

Somatic - excessive exertion, suppression of natural urges, day sleepPhysiological - excessive thinking, sorrow, fear.

These factors in turn leads to Mandagni and thereby Rasa Dhatu Dushti and Pranavaha srota dushti which in turn leads to sthanasamashraya of prakupita (aggravated) Vata dosha in cardiac regionRasa is liquid, and posses properties cuch as unctuousness, enlivening, nourishing, supporting etc.

Heart is the seat of Rasa Dhatu


Causative Factors should be

avoided

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Causative factors should be avoided:

Lifestyle and addictions

Daily Routines to increase Sattva

Ayurvedic Sadvritta (similar to Yogic discipline of Yama & Niyama) - abnormal interpersonal relationships produce psychological stress


Yogic Management

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Joint Freeing Series - simple gentle stretching exercises, all performed slowly, without any strain and synchronized with slow, gentle, relaxed breathing and awareness.

Nadi Shodhana Pranayama - soothing rhythmic breath. Evidence links alternating hemispheric dominance, the autonomic nervous systems and the breathing cycle.

Yoga Nidra - body is kept motionless and the individual engages in a series of easy mental exercises, such as breath awareness. By engaging the mind in natural and soothing mental activity the healing process is allowed to take place unimpeded by tensions and problems


Expanded Concept of Total

Patient Care

• Treat disease and at the same time improve the quality of life

• YoR offers annual Pancha Karma trip to south India since 2014

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Let me introduce to you my DREAM team

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• Diet. Rest. Environment. Ayurvedic Medicine for ALL those affected by addictions

Charlie age 65

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20 years abstinent from SUDStill smokesBP 210/120

Heart palpitationsWheezing on walking short distanceShooting pains in legs & soles of feet

Night sweatsFatigue

Enlarged prostateDry skin

BP reduced to 170/100 at the end of the 28 day treatment

Lost 5kg over 2 PK sessions

Development of who we are

Physically, Mentally and

Spiritually

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Daily Routine:Morning and evening chanting (Vishnu

Sahasranam, Hanuman Chailisa, Devi Mahatmyam), Agni Hotra,

Pranayama (10 rounds Nadi Shodhana)Yoga Nidra

Weekly Cow Puja


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Annual Yoga of Recovery

Symposium in Bahamas May 6-10, 2020

Dr Ramkumar

(www.vaidyagram.com)

Phil Valentine (Conneticut

Community Addiction Resource,

www.ccar.us)

and

Joan Ifland PhD, (

www.FoodAddictionReset.com)

Author of “Processed Food Addiction”

http://www.ccar.us/

http://www.FoodAddictionReset.com/


Processed foods create metabolic disturbances

Processed foods create metabolic disturbances in a number of ways:

1. Sugar causes inflammation of the cells lining the arteries of the heart. The cells erupt which weakens the arteries and can lead to heart disease.

2. Processed foods are inflammatory. When the cells in the lining of the gut become inflamed, they swell up and the bond between the cells is broken. This is results in 'leaky gut.' Partially digested foods can escape to the blood stream. They are considered foreign invaders so the immune system wears itself out trying to contain them. They travel throughout the body lodging in joints and membranes causing more swelling and pain.

3. Processed foods feed harmful gut bacteria such as yeast. These harmful bacteria can travel throughout the body. In particular, they can attached to neurons and cause mental and emotional distress.

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Yoga of Recovery®

[email protected]

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http://www.yogaofrecovery.com/

yoga for cardiometabolic disease nama panel may 2020€¦ · pancha karma and other treatments ......

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