The
BEST Exercise Program for Osteoporosis Prevention
Course
Goals:
This
course is designed to give the student comprehensive
overview of factors related to bone health with a
specific emphasis on exercise for the prevention and
treatment of osteoporosis.
The course is based on the University of Arizona
Bone Estrogen Strength Training (BEST) study that
demonstrated that weightbearing and resistance exercise
significantly improved bone mineral density at skeletal
sites at risk for fracture in postmenopausal women.
Student
Objectives:
At
the end of this course the student will be able to:
1.
Define osteoporosis
2.
Identify the most common osteoporosis-related fracture
sites
3.
Recognize the prevalence of osteoporosis in the United
States
4.
Identify how bone tissue changes throughout the life
cycle
5.
Identify the one remolding cycle
6.
Identify how medical therapy, nutrition, exercise and
other lifestyle practices can help prevent and treat
osteoporosis
7.
Identify the primary and secondary risk factors for
osteoporosis
8.
Identify clinical definitions of osteopenia and
osteoporosis
9.
List methods for osteoporosis screening
10.
Identify dual energy x-ray absorptiometry and
ultrasonometry as devices for assessing bone mass, bone
strength, and fracture risk
11.
Identify clinical indications for bone densitometry
12.
Identify the importance of physical activity for bone
growth and maintenance of bone mass and density
13.
Identify the goals of an exercise program for
osteoporosis prevention
14.
Identify the optimal mechanical stimuli for bone growth
and mineralization and maintenance of bone mineral mass
and density
15.
Identify findings from observational studies of bone
mineral density and interpret their meaning for
prescription for osteoporosis prevention
16.
Identify general findings from exercise training studies
an interpret their meaning for exercise prescription for
osteoporosis prevention
17.
List exercise training principles and explain their
application to program design for osteoporosis
prevention.
18.
Identify exercises to be avoided in older persons with
osteoporosis and persons with low bone mineral density.
19.
Identify useful exercises for stimulating increases in
bone mineral density
20.
Outline the training principles important for optimal
bone health
21.
Differentiate between the exercise protocols used in
moderate training and heavy training
22.
Identify the six BEST strengthening exercises for
osteoporosis prevention
23.
Identify stretching, abdominal strengthening, postural
exercises, and cardio-weightbearing activities for
optimal bone health and osteoporosis prevention.
24.
Outline the strategies used to maintain high exercise
adherence.
25.
Identify examples of the social cognitive constructs
underlying the BEST intervention program.
26.
Identify the key factors to create a sustainable
osteoporosis prevention program.
27.
Identify the function of nutrients and food components
related to bone health throughout the life cycle
28.
Identify Dietary References Intakes for Adequate Intakes
and Tolerable Upper Intake Levels for nutrients related
to bone health.
29.
Identify guidelines for calcium and vitamin D
supplements
30.
Identify nutrient and food components that positively
and negatively influence bone health.
31.
Identify the associated risk for falling with
pharmacological agents
32.
Identify 5 classes of medications currently approved for
use in the prevention and treatment of osteoporosis
33.
Identify the role of each of the 5 classes of
medications used in the prevention and treatment of
osteoporosis
34.
Identify
compliance issues in taking medication prescribed to
people with osteoporosis.
