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Osteoporosis Prevention and Treatment, 2nd Edition
K. M. Chapman-Novakofski, PhD, RD, LD

C193 9 CPEUs

HARD COPY
Discontinued

  Replaced with C283
C193E 9 CPEUs ELECTRONIC $69.95 Replaced with C283E

(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, Inc. 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, Inc., 13621 Gilbride Lane, Clarksville, MD 21029,
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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