THE 5M PATHWAY TO GRACEFUL AGEING: AN INTEGRATED APPROACH THROUGH AYURVEDA AND YOGA

Abstract

Introduction: Geriatric healthcare is increasingly viewed as a multidimensional challenge requiring holistic and integrative strategies. The 5M framework—Mind, Mobility, Medications, Multi-complexity and What Matters Most—provides a patient-centered structure in modern geriatrics. Ayurveda, through Dinacharya (daily regimen), Rasayana Chikitsa (rejuvenation therapy) and Vayasthapana (age-sustaining therapy) interventions, along with Yoga’s multidimensional practices, offers potential contributions to each of these domains. Aim: To propose an integrative framework for graceful ageing by aligning the geriatric 5M pathway with Ayurvedic and Yogic approaches. Objective: To explore how Ayurveda and Yoga principles can address each domain of the 5M model to meet the multidimensional health needs of the elderly. Materials and Methods: Relevant literature was retrieved from PubMed, PMC, SpringerLink, and ScienceDirect, including RCTs, systematic reviews, meta-analyses, and study protocols related to Ayurveda, Yoga and geriatric health. Evidence was thematically analyzed and mapped to the geriatric 5M domains. Results: Smritibhramsha (cognitive decline) may be addressed through Medhya Rasayanas (cognition-enhancing rejuvenatives), Dhyana (meditation), Pranayama (yogic breath regulation), and mindful Yoga, supporting the Mind domain. Mobility issues can be improved through Dinacharya practices like Abhyanga (therapeutic oil massage) and Yogasanas (Yoga postures) that enhance flexibility and neuromuscular coordination. Ayurveda’s rational pharmacology and Yoga as a non-pharmacological adjunct may help reduce polypharmacy under Medications. Multi-complexity is addressed through Prakriti-based (individual constitution-based) care and Tridosha (three functional principles) concepts, while Yoga promotes systemic balance and stress reduction. What Matters Most is supported through emphasis on Swasthya Rakshana (health preservation), spiritual well-being, and alignment with patient goals. Conclusion: Integrating the 5M model with Ayurveda and Yoga offers a synergistic, patient-centered framework that may strengthen geriatric care by bridging traditional wisdom with modern healthcare priorities.