BEST Exercise Program for Osteoporosis Prevention Print CE Course-4th Edition, The

Course components are delivered as printed products:

• Workbook with client handouts

• Continuing education exam

The BEST Exercise Program for Osteoporosis Prevention, Fourth Edition CE Course, is designed to give you a comprehensive overview of factors related to bone health, with specific emphasis on exercise for the prevention and treatment of osteoporosis. The course outlines training protocols, specific programming, and motivational strategies that will help your clients achieve optimal bone health. Information in this course is based on the University of Arizona Bone Estrogen Strength Training (BEST) study, which identified the most effective exercises for preventing osteoporosis and improving bone mineral density in postmenopausal women.

Learning Objectives

After completing this course, you will be able to do the following:

• Define osteoporosis.

• Recognize that medical therapy, nutrition, exercise, and other lifestyle practices can help prevent and treat osteoporosis.

• Outline the primary and secondary risk factors for osteoporosis.

• Identify dual-energy X-ray absorptiometry and ultrasonometry as devices for assessing bone mass, bone strength, and fracture risk.

• Explain the importance of physical activity for bone growth and maintenance of bone mass and density.

• Describe the goals of an exercise program for osteoporosis prevention.

• List exercise-training principles and explain their application to program design for osteoporosis prevention.

• Explain the six BEST strengthening exercises for osteoporosis prevention.

• Explain stretching, abdominal strengthening, posture exercises, and cardio weight-bearing activities for optimal bone health and osteoporosis prevention.

• Outline the strategies used to maintain high exercise adherence.

• Highlight the key factors to create a sustainable osteoporosis prevention program.

• Identify the function of nutrients and food components related to bone health throughout the life cycle.

• Describe nutrient and food components that positively and negatively influence bone health.

• Identify the medications currently approved for the prevention and treatment of osteoporosis.

• Explain the mechanisms of action, and role of each class of medication used in the prevention and treatment of osteoporosis.

Timothy G. Lohman, PhD, is a professor emeritus at the University of Arizona. His recent research includes serving as principal investigator (PI) of both the TAAG (Trial of Activity for Adolescent Girls) study—a collaborative multicenter study focused on physical activity of adolescent girls—and the Bone Estrogen Strength Training (BEST) study. He was co-PI of the Pathways Study, a collaborative study (by the National Heart, Lung, and Blood Institute; four field centers; and a coordinating center) designed to prevent obesity in Native American children.

Lohman served as a consultant to the Women’s Health Initiative (WHI) Vanguard Center and Health ABC study of long-term aging, and he is an advisor on youth fitness for the Cooper Institute. He coedited the second edition of Human Body Composition, published by Human Kinetics. Lohman previously served as the director of the Center for Physical Activity and Nutrition at the University of Arizona.

Scott Going, PhD, is a professor and head of the department of nutritional sciences at the University of Arizona, with adjunct appointments in the colleges of medicine and public health. He is codirector of the Collaboratory for Metabolic Disease Prevention and Treatment. His research interests are in the development of body composition and physical activity assessment methods, as well as the effects of exercise and dietary interventions on body composition and functions related to disease prevention.

Going was co-PI of the BEST study. He expanded his interest in exercise for bone health in adults to children and adolescents and led studies funded by the National Institutes of Health on the effects of impact exercise and obesity on bone development in girls. Going is a member of the American College of Sports Medicine, American Society for Bone and Mineral Research, The Obesity Society, and the International Society of Behavioral Nutrition and Physical Activity. He has given numerous presentations in the United States and abroad on topics related to exercise and body composition. Going is a member of the editorial board for ACSM’s Health and Fitness Journal and was an editor for Human Body Composition, Second Edition, published by Human Kinetics.

Linda Houtkooper, PhD, RDN, FACSM, is a professor and the cooperative extension specialist in the department of nutritional sciences in the college of agriculture and life sciences at the University of Arizona. Her research and educational focuses are nutrition and physical activity programs that promote optimal nutrition and wellness, osteoporosis prevention, and sports performance. She has presented lectures, workshops, and seminars for various professional associations; for Olympic, collegiate, professional, and recreational sports teams; and at nutrition and sports medicine conferences at the international, national, and state levels. She is a member of the American College of Sports Medicine, the American Society for Nutritional Sciences, and the Academy of Nutrition and Dietetics.

Houtkooper is also a member of the editorial board for ACSM’s Health and Fitness Journal. She has codirected large, multisite studies focused on bone health, including the BEST study, and was the director of the nutrition component of the Combined Events Athlete Development project, sponsored by USA Track & Field. In addition, Houtkooper has extensive exxperience with outreach education development, having authored numerous publications and more than 10 instructional manuals.

Lauve Metcalfe, MS, FAWHP, CWC, is a licensed wellness coach, educator, and organizational health consultant specializing in creating motivational strategies for program adherence and the development of mind, body, and social support programming. She is a member of the board of directors for the International Association for Worksite Health Promotion and a founding fellow of the health and wellness board of advisors for the Institute of Coaching, which is a Harvard Medical School affiliate. She was a co-investigator and intervention director for the BEST study, and she has 30 years of experience in designing and implementing health promotion interventions in organizational, school, and community settings.

Metcalfe has received the Healthy American Fitness Leader Award from the President’s Council on Physical Fitness and Sports and the Leadership Award from the Association for Worksite Health Promotion (AWHP) for her contributions to program development and incentive and adherence programming. The worksite health promotion program at Campbell Soup Company developed by Metcalfe received the AWHP Business and Industry Award for an outstanding health promotion program for employees numbering over 1,000. Additionally, she created a widely used educational correspondence course on body image and self-esteem for health professionals. She is a fellow and a past president of the Association for Worksite Health Promotion and a past president of the National Fitness Leaders Association.

Terri Antoniotti-Guido, PT, is a member of the American Physical Therapy Association, Arizona Physical Therapy Association, and American Academy of Orofacial Pain. Guido is the director and owner of SCORE Physical Therapy in Tucson, Arizona, and was the owner of the Fitness and Health Institute of Tucson from 1985 to 1999. She served on the Governor’s Council for Health, Sports, and Fitness in 1987 and as codirector of the International Fundamental Orthopedics Rocabado Center in Tucson, Arizona, since 1990. Guido is coauthor of Exercise and Total Well Being for Vertebral and Craniomandibular Disorders. She is a consultant and physical therapy advisor of the BEST study, where she helped design the BEST exercise program, and for the Arizona Arthritis Center for a RA and OA STRONG Joint Study.

Jeffrey Lisse, MD, was the interim director of the Arizona Arthritis Center from 2005 through 2008 and chief of the section of rheumatology in the department of medicine at the University of Arizona from 2004 through 2013. While overseeing research efforts at the Arizona Arthritis Center, he also oversaw rheumatology patient care. He was named to the Ethel McChesney Bilby Endowed Chair in Osteoporosis in 2000. Lisse was also the medical director for the center’s osteoporosis program and served as a professor of medicine in the rheumatology section of the University of Arizona. He retired from the University of Arizona in 2016 and is currently a medical fellow with Eli Lilly and Company.

Vanessa A. Farrell, PhD, RDN, has been involved in developing, conducting, and evaluating research studies that involve nutrition and physical activity, including the BEST study. Farrell has expertise in developing and conducting nutritional and physical activity education programs in Arizona. She coordinated the deevelopment of the Health Care Provider Osteoporosis Education Curriculum from the Arizona Department of Health Services and Arizona Osteoporosis Coalition. She was a key contributor to the Bone Builder statewide educational program from the University of Arizona’s college of life sciences. She has written several osteoporosis research articles and osteoporosis cooperative extension publications.