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1. YOGA AND
GERIATRIC MEDICINE
YOGAMAARG FOUNDATION(www.yogamaarg.com) Holistic
10/4/2012 Dr Shashikant S K
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by DOCTORS
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2. WHAT IS GERIATRIC
MEDICINE ?
The branch of medicine that is concerned with
the aging process; the
prevention, diagnosis, and treatment of health
problems in the aged; and the social and
economic conditions which influences the health
care of the elderly is called Geriatric Medicine.
Medicine dealing with old age.

3. GENERAL
 Aging is a progressive, predictable process that
involves the evolution and maturation of living
organisms.
 The word senescence is derived from the Latin
word senex, meaning “old man” or “old age”.
(Frail)
 Cellular senescence is a phenomena where
isolated cells demonstrate a limited ability to
divide in cultural.
 Organismal senescence is the aging of
organisms. It is generally characterized by the
declining ability to respond to stress, increasing
homeostatic imbalance and increased risk of
disease. Because of this, death is the ultimate
consequence of aging.
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4.  Since the homeostatic mechanisms become
less sensitive, less well sustained, sooner or
later everyone encounters a challenge which
they are unable to deal with effectively and the
person dies. Hence the rise of death rate with
age has been recognized as the hallmark of
senescence.
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5. Health status elderly in India
 The leading cause of death in the elderly has
been changing from infectious disease to non-
communicable disease.
 ICMR repot the number of blind persons among
older population was around eleven million in
1996, and eighty percent of them were due to
cataract.
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6.  60% of the older population has reported
hearing loss. The consequence of these
problems are not limited to physical
disability, but also with on economic, social and
psychological domains of effected individuals
life. The risk of specific psychiatric illness has
been shown to increase with age (Ex:
dementia, Alzheimer)
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7. THEORIES OF AGING
 Radical damage, a decline in immune
surveillance, molecular cross linking, a decline in
the level of melatonin secretion, neuroendocrine
substratum of gonadal failure and senescence of
genes in the DNA.
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8. RDT: It is an integrated phenomenon. Suggests
that damage due to ubiquitous oxygen-free
radicals (e.g. super oxide) and non-radical
oxidants (e.g. hydrogen- peroxide) is a
fundamental physiological process of aging
related deterioration. Moreover ,it has been
suggested that free radical activity or oxidative
stress may be accelerated by psychosocial
stress.
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9. IST: It suggests that as age advances the humoral
as well as cell-mediated immunity declines. Also, it
has been shown that the anti body response will be
impaired particularly in response to tetanus toxoid
and influenza viral antigens.
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10. NET: It is influence of neuroendocrine control of the
gonads, adrenal and thyroid glands on the aging
process. Menopause and Andropause.
A depletion of the nerve growth factor (NGF) has
been proposed to play a central role in aging of the
CNS. Also with advancing age the level of
dehydroepiandrosterone (DHEA) and melatonin
steadily decline. The decline in melatonin has also
been regarded as a triggering factor for
senescence.
Senescence of genes in the DNA also
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11. Concept of Health Aging
 It is influenced by various factors, intrinsic and
extrinsic to the individual.
 Healthy aging is described as a state of low risk
and high function in contrast to usual aging
which is non- pathologic state but high risk.
 It can be preventable, reversible and slowed.
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12.  It was reported that healthy aging has three
main components
A) A low probability of disease and disease
related disability.
 B) A high capacity for cognitive and physical
functioning.
 C) An active engagement with life including
interpersonal relations and productive activity.
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13. Health problem in the Elderly
 General
 Coronary heart
disease, stroke, cancer, dementia, osteoporosis,
Hypertension, diabetes, musculoskeletal
disorder.
 Another natural consequence is visual and
auditory perceptions and also the increased
infectious diseases due to immune senescence
and autoimmune diseases and cancer.
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14. Physical problems:
 Skin become wrinkling and sagging, dry and
rough, hair become white, fat
accumulation, reduce activity the
sweat, falls, balanced disorder, dizziness, visual
impairment, confusion, postural hypotension.
 Leading of stiffening of connective
tissue, decreased muscle strength, prolonged
reaction time, decreased visual acuity and depth
perception, impaired proprioceptive sensation and
increased postural sway.
 Complaints of Pain, joint movement
limitation, muscle weakness, spasticity, loss of
sensory input, osteoporosis.
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17. Psychological
Problems:
Depression and cognitive impairment, insomnia,
memory loses, amnesia, anxiety. Because of
isolation from the mainstream of life, loss of
independence, an ability to socialize, the
tendency to pitied by others and easily
distractible thought process.

18. Psychosocial problems
 Isolation from the main stream of life.
 Lose of independence.
 Inability to socialize.
 Tendency to be pitied by others.
 Easily distractible thought processes.
 Emotional stress
 Loneliness.
 Neglected.
 Old women face more poverty and poor health.
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19. INTEGRATED APPROACH
OF
YOGA THERAPY
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20. Yoga in Geriatric Medicine
 It deals with the physical, mental, moral,
and spiritual wellbeing of an individual.
 Patanjali enumerates 8 stages of yoga to
attain the state of super consciousness
through asana, pranayama, kriyas,
meditation and philosophy.
 According to Yoga philosophy our human
life span is divide in to 3 stages childhood,
adulthood and old age.
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21.  Yoga: It is shown that yoga can bring
about psycho physiological effects as well
as therapeutic benefits. It increased the
awareness that yoga is very useful mind-
modifying technique with potential
applications in the promotion of positive
health, prevention and treatment of
disease, as well as in rehabilitation.
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22. CONCLUSION
 Yoga would be useful for the promotion of
positive health in older persons.
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23. THANK YOU & NAMASTE
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24. 10/4/2012 YOGAMAARG 24
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26. “Always first learn to
be a servant, and then
you will be fit to be a
master. Avoid this
jealousy, and you will
do great works that
have yet to be done”
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27. “You must have an
iron will if you would
cross the ocean. You
must be strong
enough to pierce
mountains”
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28. “Take up one idea, make that
one idea your life, think of it,
dream of it, live of it, let the
brain, muscle, nerves, every
part of your body be full of that
idea and just leave every other
idea alone. This is the way
great spiritual giants are
produced, others are mere
10/4/2012 talking machines” YOGAMAARG
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29. “Your country requires heroes; be
heroes; your duty is to go on
working, and then everything will
follow of itself”

30. 10/4/2012 YOGAMAARG
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Replay
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