Abstract Background: Childhood overweight has emerged as a critical public health challenge worldwide. In Ayurveda, Sthaulya is described as a Meda- and Kapha -predominant disorder. Objective: To compare the therapeutic efficacy of Sthaulyahara Ghana Vati and Triphalaguduchyadi Vati (TGV), administered along with lifestyle modification, in the management of Sthaulya (overweight) in children. Materials and Methods: Thirty children diagnosed with Sthaulya were enrolled and randomly assigned into two groups using a computerized randomization method. Twenty-five participants completed the study (Group A: n = 12; Group B: n = 13). Group A received Sthaulyahara Ghana Vati (SHGV) and Group B received TGV, both in weight-specific doses with lukewarm water before meals, along with lifestyle modification. The intervention period was 8 weeks, followed by a 4-week follow-up. Statistical analysis was performed using Wilcoxon signed-rank test and Mann–Whitney U -test for subjective variables and paired/unpaired Student’s t -test for objective variables. Results: Group A demonstrated a statistically significant improvement in subjective parameters including Chala Sphika-Udara-Sthana, Ayasena Shwasa, Ati Kshudha, Nindraadhikya, Aalasya / Utsahani, Daurbalya, Swedaadhikya , and Daurgandhya . The objective outcomes showed significant reduction in serum triglycerides, total cholesterol, very low-density lipoprotein, waist circumference, mid-upper arm circumference (MUAC), and improvement in high-density lipoprotein. Inter-group comparison indicated superior outcomes in Group A for Daurbalya, body weight, body mass index, MUAC, mid-thigh circumference, and skinfold thickness. Conclusion: SHGV in conjunction with lifestyle modification was more effective than TGV with lifestyle modification in reducing clinical and biochemical features of Sthaulya in children. The findings suggest its potential as a preferred Ayurvedic intervention for childhood overweight.
Patir et al. (Mon,) studied this question.