Multimodal Naturopathic Management of Class III Obesity in a Woman: A Case Report
Year: 2026
Type: article
Study design: Case Report
Abstract: Background: Obesity is a chronic, multifactorial condition that can coexist with musculoskeletal symptoms, menstrual and metabolic disturbances and reduced physical activity. This case report describes a multimodal naturopathic management approach in a woman with class III obesity and associated back and knee pain. Case Presentation: A 34-year-old woman presented to Alva’s Anandamaya Arogyadhama, Moodubidire, on 22 July 2026 with obesity of approximately 10 years’ duration, back pain for 6 months and knee pain for 8 months. She also had a documented history of polycystic ovary syndrome (PCOS) for approximately 1 year and a previous history of allergic asthma. Her baseline height was 159 cm and her weight were 115 kg, corresponding to a BMI of approximately 45.5 kg/m². Waist circumference was 129 cm and hip circumference 144 cm (waist-to-hip ratio approximately 0.90). Intervention: The patient underwent an individualised naturopathic programme incorporating a therapeutic diet, supervised fasting and water-fasting periods, hydrotherapy and naturopathic applications, massage and reflexology, yoga practices and breathing exercises, along with physiotherapy for back and knee symptoms and selected complementary pressure-based procedures documented in the treatment records. Outcomes: During the five documented assessments from 22 July to 18 August 2026 (28 calendar days inclusive), body weight decreased from 115 to 99 kg (16 kg; 13.91%), and calculated body mass index decreased from approximately 45.5 to 39.2 kg/m². Waist circumference decreased from 129 to 119 cm and hip circumference from 144 to 122 cm, although the calculated waist-to-hip ratio increased from 0.90 to 0.98. Random blood glucose measurements decreased from 156 to 122 mg/dL, while the recorded knee-pain visual analogue score decreased from 7/10 to 2/10. The endpoint hip circumference warrants source-record verification, and random glucose readings during fasting cannot establish sustained changes in glycaemic control. Conclusion: This case documents the application of a multimodal naturopathic approach for an individual with class III obesity and associated musculoskeletal complaints. Because this is a single case without a control group and with incomplete standardised post-intervention laboratory measurements, the observed changes should be interpreted cautiously and cannot establish causality.
Language: English
Subfield: Complementary and alternative medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7225430249