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Osteoporosis
Prevention and Treatment, 2nd Edition
K. M. Chapman-Novakofski, PhD, RD, LD
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(Manual, 120 pgs) In-depth information will enable you
to:
- counsel clients about diets for the prevention of osteoporosis
- interpret densitometry and data when counseling clients for bone
health
- recommend appropriate biochemical, physical or dietary assessments
to determine the risk factors for osteoporosis
- counsel clients regarding nutritional modifications that are important
in the prevention and treatment of osteoporosis
- provide clients with information regarding the role of physical
activity in bone health
- counsel clients about supplements and their role in bone health
- recognize the expected effects of pharmacologic agents in the treatment
of osteoporosis
For more information and customer comments, click
here.
Approved by CDR, CBDM
For RDs & DTRs: Suggested Learning Need Codes for the Prof. Dev.
Portfolio:
2000, 2020, 2040, 2050, 2070, 2110, 3000, 3005, 3020, 4000, 4040, 4180,
4190, 5000, 5090, 5100, 5130, 5400
OSTEOPOROSIS PREVENTION AND TREATMENT,
2nd Edition
by
Karen M. Chapman-Novakofski, PhD, RD, LD
© 2009 Wolf Rinke Associates. All rights reserved
for this self-directed, accredited learning program. Reproduction in
whole or part without written permission from the publisher is prohibited.
Customer Comments
Mary Lisa Underwood: "I have taken four Wolf Rinke
study courses so far. All the materials have been enjoyable to read.
They have been packed with information that will be professionally usefull."
Agapita Beninati: "Completing this course vividly
enriched my knowledge and understanding of the disease!"
Shirley Dunn: "Well written, it will help me do an in-service."
Lori Adler-Stern: "Facts about osteoporosis that I could relate
to myself."
Kathryn Curtis: "The topic was specific enough to be direct and
interesting."
Gael M Germain: "Your program was written in a very consumer friendly
way and was well organized."
Overview and Instructions
Osteoporosis awareness is becoming increasingly widespread. Nutrition
professionals must be aware of the etiology of osteoporosis, as well
as prevention and treatment. There are more women and older adults than
ever participating in community and outreach health programs, and seeking
independent nutritionists for consultation about their bone health.
To meet the nutritional needs of those who are concerned about their
bone health, nutrition professionals must understand the rationale for
specific nutrient and health recommendations in both preventive health
and therapeutic nutrition.
This self-directed, accredited learning program begins with an explanation
of the bone architecture and prevention strategies. This chapter also
includes an explanation of bone densitometry tests and biochemical markers.
In chapter 2, the treatment of osteoporosis is discussed, including
diet, exercise, and pharmacologic agents.
Chapter 3 reviews the screening, diagnostic, and monitoring guidelines.
Although one universal set of guidelines has not been published, the
nutrition professional will be knowledgeable concerning guidelines of
several professional organizations. Chapter 4 summarizes secondary causes
of osteoporosis. Two case studies provide practice and application.
This learning program is a Level 2 Continuing Professional Education
(CPE) program. Level 2 means that you have general knowledge of the
literature and professional practice in the areas covered. The focus
of the program is to enhance knowledge and application.
We suggest you follow these learning guidelines:
- Review the objectives for the learning program.
- Read each chapter. Stop and think about how this might apply to
situations you have experienced.
- Read the case studies carefully, practicing the application of the
information in each case.
- Assess what you have learned by completing the self-assessment instrument
at the end of this learning program.
- Compare your answers to the answer key provided. For those that
you answered incorrectly, read the explanations and review the material
in the appropriate chapter.
- Calculate your total score. If you score at least 80% correct, you
are ready to transfer your answers to the CPE REPORTING FORM. If you
scored less than 80% correct, re-read this learning program and re-take
the self-assessment until your score is at least 80% correct.
- After you have successfully completed this program, fill out the
CPE REPORTING FORM and:
Mail to: Wolf Rinke Associates, 721 Valley Forge Road #486, Valley Forge, PA 19481,
Or fax to: (410) 531-9282,
Or submit on-line at www.easyCPEcredits.com.
Once we receive your successfully completed CONTINUING PROFESSIONAL
EDUCATION REPORTING FORM we will send you a certificate of completion.
STUDY WELL AND ENJOY THE LEARNING PROCESS!
Karen Chapman-Novakofski, PhD, RD, LD
Goal and Objectives
Goal
To provide you with comprehensive nutrition information that will enable
you to counsel clients concerning their bone health and improve the
quality of their life.
Objectives
As a result of studying and applying the information presented in this
accredited, self-directed learning program, you will be better able
to:
- counsel clients about diets for the prevention of osteoporosis;
- interpret densitometry and data when counseling clients for bone
health;
- recommend appropriate biochemical, physical or dietary assessments
to determine the risk factors for osteoporosis;
- counsel clients regarding nutritional modifications that are important
in the prevention and treatment of osteoporosis;
- provide clients with information regarding the role of physical
activity in bone health;
- counsel clients about supplements and their role in bone health;
- recognize the expected effects of pharmacologic agents in the treatment
of osteoporosis.
Table of Contents
Chapter 1. Preventing Osteoporosis 1
Bone architecture 2
Defining osteoporosis 5
Medical definition 5
Diagnosis 5
Considerations in densitometry 10
Risk factors for osteoporosis 10
Non-modifiable risk factors 11
Genetics and family history 11
Ethnicity 14
Gender 17
Age 17
Being frail or in poor health 18
Modifiable risk factors 19
Estrogen deficiency 19
Poor diet 20
Calcium 20
Vitamin D 26
Physical inactivity 28
Alcoholism 30
Smoking 31
Related nutrients 32
Fluoride 32
Magnesium 32
Phosphorus 35
Vitamin A 35
Vitamin K 37
Biochemical measures of bone metabolism 39
Urinary calcium 40
Markers of bone formation 40
Total alkaline phosphatase 40
Bone-specific alkaline phosphatase 41
Osteocalcin 41
Propeptides of type 1 collagen 42
Markers of bone resorption 42
Urinary hydroxyproline 42
Pyridium crosslink and
crosslinked telopeptides 42
Bone sialoprotein 43
Tartrate-resistant acid phosphatase 43
Sources of variability 43
Clinical applications 44
Fractures 45
Chapter 2. Treating Osteoporosis 47
Nutrition 47
Calcium 47
Vitamin D 50
Other nutrients 51
Soy isoflavones 53
Physical activity 54
Pharmacologic agents 55
Hormone replacement therapy (HRT) 55
Biphosphonates 56
Calcitonin 57
Selective estrogen receptor modulators (SERMs) 58
Parathyroid hormone 58
Other medications 59
Chapter 3. Screening, Diagnosis, and Monitoring Guidelines 61
Chapter 4. Secondary Osteoporosis 65
Osteoporosis due to other disease states 65
Osteoporosis due to medications 66
Case Studies: Case Study 1 69
Case Study 2 72
References 77
List of Abbreviations 99
Glossary 103
Self-Assessment Questions 105
Answer Key 115
Explanations to Self-Assessment Questions 117
About the Author 121
About Wolf Rinke Associates, Inc. 122
About the Author
Karen Chapman-Novakofski, PhD, RD, LD, is a registered and licensed
dietitian with more than ten years of experience working in the area
of bone health. With eleven years experience as a clinical dietitian,
Karen is also a Professor of Nutrition in the Department of Food Science
and Human Nutrition, the Division of Nutritional Sciences, and the Department
of Internal Medicine at the University of Illinois. Dr. Chapman-Novakofski
has published more than 100 journal articles and abstracts, and teaches
nutrition and bone health in both a community setting and at the graduate
level of professional development. She recently was awarded the Award
of Excellence from the Nutrition Education for the Public Dietetic Practice
Group of the American Dietetic Association for her "Happy Bones"
Osteoporosis Prevention Program. Karen is a member of many professional
organizations including the American Dietetic Association, the Society
for Nutrition Education, and the American Society for Nutritional Sciences.
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