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162-411: A registered dietitian (RD) (UK/USA) or registered dietitian nutritionist (RDN) (USA) meets all of a set of special academic and professional requirements, including the completion of a bachelor's and/or master's degree in nutrition and dietetics (or equivalent). One or more internships (USA) or clinical placements (UK) must also be completed. These may be allocated and monitored by the university as part of

324-453: A Bachelor of Arts degree had been obtained, the student could choose one of three faculties— law , medicine , or theology —in which to pursue master's or doctor's degrees. The degrees of master (from Latin magister ) and doctor (from Latin doctor ) were for some time equivalent, "the former being more in favour at Paris and the universities modeled after it, and the latter at Bologna and its derivative universities. At Oxford and Cambridge

486-562: A Doctor of Science degree (from Latin Doctor scientiae ; D.Sc.). The Doctor of Science degree can also be awarded in specific fields, such as a Doctor of Science in Mathematics degree (from Latin Doctor scientiarum mathematic arum ; D.Sc.Math.), a Doctor of Agricultural Science degree (from Latin Doctor scientiarum agrariarum ; D.Sc.Agr.), a Doctor of Business Administration degree (D.B.A.), etc. In some parts of Europe, doctorates are divided into

648-838: A broken bone due to osteoporosis has occurred. Osteoporosis is a part of frailty syndrome . There is an increased risk of falls associated with aging. These falls can lead to skeletal damage at the wrist, spine, hip, knee, foot, and ankle. Part of the fall risk is because of impaired eyesight due to many causes, (e.g. glaucoma , macular degeneration ), balance disorder , movement disorders (e.g. Parkinson's disease ), dementia , and sarcopenia (age-related loss of skeletal muscle ). Collapse (transient loss of postural tone with or without loss of consciousness). Causes of syncope are manifold, but may include cardiac arrhythmias (irregular heart beat), vasovagal syncope , orthostatic hypotension (abnormal drop in blood pressure on standing up), and seizures . Removal of obstacles and loose carpets in

810-460: A gluten-free diet decreases the risk of developing osteoporosis and increases bone density. The diet must ensure optimal calcium intake (of at least one gram daily) and measuring vitamin D levels is recommended, and to take specific supplements if necessary. Osteoporosis can affect nearly 1 in 3 women and the bone loss is the most rapid within the first 2-3 years after menopause. This can be prevented by menopause hormone therapy or MHT, which

972-540: A 2.27 decrease in TUG times in their experimental group. The overall thing to note when prescribing exercise for individuals with osteoporosis is to evaluate the individual's needs and then individualize their program with multiple exercise modalities that work for them, emphasizing increasing muscle strength as well as maintaining bone mass. People with osteoporosis are at higher risk of falls due to poor postural control, muscle weakness, and overall deconditioning. Postural control

1134-432: A 70‑year‑old. A number of tools exist to help determine who is reasonable to test. Lifestyle prevention of osteoporosis is in many aspects the inverse of the potentially modifiable risk factors. As tobacco smoking and high alcohol intake have been linked with osteoporosis, smoking cessation and moderation of alcohol intake are commonly recommended as ways to help prevent it. In people with coeliac disease adherence to

1296-404: A Bachelor's, Licenciate or Technologist degree is required in order to enter a graduate program, called pós-graduação . Generally, in order to be accepted, the candidate must have above average grades and it is highly recommended to be initiated on scientific research through government programs on undergraduate areas, as a complement to usual coursework. The competition for public universities

1458-449: A Ph.D. program without the requirement to first complete a master's. Many Canadian graduate programs allow students who start in a master's to "reclassify" into a Ph.D. program after satisfactory performance in the first year, bypassing the master's degree. Students must usually declare their research goal or submit a research proposal upon entering graduate school; in the case of master's degrees, there will be some flexibility (that is, one

1620-424: A bachelor's degree in a related field, with sufficiently high grades usually ranging from B+ and higher (different schools have different letter grade conventions, and this requirement may be significantly higher in some faculties), and recommendations from professors. Admission to a high-quality thesis-type master's program generally requires an honours bachelor or Canadian bachelor with honours , samples of

1782-449: A benefit of vitamin D supplements combined with calcium for prevention of fractures, they did not find a benefit of vitamin D supplements (800 IU/day or less) alone. Regarding adverse effects, supplementation does not appear to affect overall risk of death, although calcium supplementation could potentially be associated with some increased risk of myocardial infarctions , stroke , kidney stones , and gastrointestinal symptoms. There

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1944-432: A bone include a fall from standing height, normal day-to-day activities such as lifting, bending, or coughing. Fractures are a common complication of osteoporosis and can result in disability. Acute and chronic pain in the elderly is often attributed to fractures from osteoporosis and can lead to further disability and early mortality. These fractures may also be asymptomatic. The most common osteoporotic fractures are of

2106-444: A child's diet factors into the equation, such as childhood obesity . Research dietitians may focus on social sciences or health services research , for example, investigate the impact of health policies or behaviour change , or evaluate program effectiveness. They may survey food-service systems management in order to guide quality improvement. Some research dietitians study the biochemical aspects of nutrient interaction within

2268-462: A clinical FRAX is advised at age 50. Osteoporosis occurs when reduction in bone mass surpasses a critical threshold with greater susceptibility to fracturing. Fractures occur when the force acting on a bone is greater than the strength of the bone. To understand the pathology of osteoporosis and skeletal degradation, studying the mechanical properties and behavior of bone is crucial, due to the under-diagnosing of osteoporosis. Mechanical properties of

2430-472: A complaint against them from a member of the public or another health care professional. To practice as a registered dietitian within a province, a dietitian must register with the college and obtain a license. The activities of the college are governed by legislation passed by the provincial government. It is the presence of this regulatory body which distinguishes registered dietitians from nutritionists in Canada,

2592-571: A completed undergraduate (pass) degree with a high grade-point average ). In scientific research, it is commonly accepted that an Australian postgraduate honours is equivalent to a British master's degree (in research). There has been some debate over the acceptance of a three-year honours degree (as in the case of graduates from British universities) as the equivalent entry requirement to graduate research programmes (M.Phil., Ph.D.) in Australian universities. The letters of honours programmes also added to

2754-535: A contractual basis with health care facilities or corporations, such as used in Australia, Canada and the United States. Consultant dietitians contract independently to provide nutrition or health related consultation and educational programs to individuals and health care facilities as well as sports teams, fitness clubs, and other health related businesses and corporations. In most countries, competent performance as

2916-468: A degree that a break may occur with minor stress or spontaneously. After the broken bone heals, some people may have chronic pain and a decreased ability to carry out normal activities. Osteoporosis may be due to lower-than-normal maximum bone mass and greater-than-normal bone loss. Bone loss increases after the menopause due to lower levels of estrogen , and after " andropause " due to lower levels of testosterone . Osteoporosis may also occur due to

3078-525: A dietitian include a four-year undergraduate degree from an accredited university (which includes courses in science, foods, nutrition, management, communication and psychology/sociology, among others), a 10–12 month supervised practice period (called an internship ), and successfully passing a board exam in nutrition and dietetics. The national professional association in Canada is Dietitians of Canada . Hospital dietetic services began in Malaysia in 1953 under

3240-491: A dietitian requires formal training at a higher educational institution in dietetics involving food and nutritional science, nutrition education and medical nutrition therapy. Their education in health science involves scientific based knowledge in anatomy , chemistry , biochemistry , biology , and physiology . While the specific academic and professional requirements to becoming a fully qualified dietitian differ across countries and jurisdictions, as these are adapted to

3402-415: A dissertation or thesis prepared under the supervision of a tutor or director, and reviewed by a postgraduate committee. This committee should be composed of examiners external to the program, and at least one of them should also be external to the institution. Programmes are divided into coursework-based and research-based degrees. Coursework programs typically include qualifications such as: Generally,

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3564-523: A distinction came to be drawn between the Faculties of Law, Medicine, and Theology and the Faculty of Arts in this respect, the title of Doctor being used for the former, and that of Master for the latter." Because theology was thought to be the highest of the subjects, the doctorate came to be thought of as higher than the master's. The main significance of the higher, postgraduate degrees was that they licensed

3726-430: A doctoral program typically requires a master's degree in a related field, sufficiently high grades, recommendations, samples of writing, a research proposal, and an interview with a prospective supervisor. Requirements are often set higher than those for a master's program. In exceptional cases, a student holding an honours BA with sufficiently high grades and proven writing and research abilities may be admitted directly to

3888-514: A good diet, exercise, and fall prevention . Lifestyle changes such as stopping smoking and not drinking alcohol may help. Bisphosphonate medications are useful to decrease future broken bones in those with previous broken bones due to osteoporosis. In those with osteoporosis but no previous broken bones, they are less effective. They do not appear to affect the risk of death. Osteoporosis becomes more common with age. About 15% of Caucasians in their 50s and 70% of those over 80 are affected. It

4050-429: A graduate certificate program requires a university degree (or in some cases, a diploma with years of related experience). English speaking colleges require proof of English language proficiency such as IELTS. Some colleges may provide English language upgrading to students prior to the start of their graduate certificate program. Admission to a master's (course-based, also called "non-thesis") program generally requires

4212-422: A master's degree by research, or a master's with a significant research component. Entry requirements depend on the subject studied and the individual university. The minimum duration of a Ph.D. programme is two years, but completing within this time span is unusual, with Ph.D.s usually taking an average of three to four years to be completed. Most of the confusion with Australian postgraduate programmes occurs with

4374-422: A material depend on the geometry and inherent structure of the materials. Bone as a material is very complex because of its hierarchal structure in which characteristics vary across length scales. At the basic scale, bone is composed of an organic matrix of collagen type-I. Collagen type-I molecules form a composite material with hydroxyapatite to make up collagen fibrils. The hierarchal structure continuous with

4536-478: A minimum of two years but frequently take much longer, although not usually exceeding six years. Graduate students may take out student loans , but instead they often work as teaching or research assistants . Students often agree, as a condition of acceptance to a programme, not to devote more than twelve hours per week to work or outside interests. Funding is available to first-year masters students whose transcripts reflect exceptionally high grades; this funding

4698-505: A need for supervision and precautionary measures. Studies of the benefits of supplementation with calcium and vitamin D are conflicting, possibly because most studies did not have people with low dietary intakes. A 2018 review by the USPSTF found low-quality evidence that the routine use of calcium and vitamin D supplements (or both supplements together) did not reduce the risk of having an osteoporotic fracture in male and female adults living in

4860-493: A negative effect on bone density). Risk of adverse events from the types of exercise usually considered appropriate for people with osteoporosis is generally low (though repeated forceful forward spinal bends are discouraged). For people who have had vertebral fractures, there is moderate-quality evidence that exercise is likely to improve physical performance, as well as some low-quality evidence suggesting that exercise may reduce pain and improve quality of life. Osteoporosis

5022-448: A number of diseases or treatments, including alcoholism , anorexia , hyperthyroidism , kidney disease , and surgical removal of the ovaries . Certain medications increase the rate of bone loss, including some antiseizure medications , chemotherapy , proton pump inhibitors , selective serotonin reuptake inhibitors , and glucocorticosteroids . Smoking and getting an inadequate amount of exercise are also risk factors. Osteoporosis

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5184-706: A one-and-a-half-year programme, and twelve taught modules plus a thesis or dissertation for a two-year programme. The academic year for an Australian postgraduate programme is typically two semesters (eight months of study). Requirements for research-based programmes vary among universities. Generally, however, a student is not required to take taught modules as part of their candidacy. It is now common that first-year Ph.D. candidates are not regarded as permanent Ph.D. students for fear that they may not be sufficiently prepared to undertake independent research. In such cases, an alternative degree will be awarded for their previous work, usually an M.Phil. or M.Sc. by research. In Brazil,

5346-437: A particular profession ) and professional schools , which can include medical school , law school , business school , and other institutions of specialized fields such as nursing , speech–language pathology , engineering , or architecture . The distinction between graduate schools and professional schools is not absolute since various professional schools offer graduate degrees and vice versa. Producing original research

5508-617: A prerequisite to continuing their studies, and must defend their thesis as a final requirement. Some faculties require candidates to earn sufficient credits in a third or fourth foreign language; for example, most candidates in modern Japanese topics must demonstrate ability in English, Japanese , and Mandarin , while candidates in pre-modern Japanese topics must demonstrate ability in English, Japanese, Classical Chinese , and Classical Japanese . At English-speaking Canadian universities, both master's and Ph.D. theses may be presented in English or in

5670-671: A previous bachelors for admission and are considered graduate or Graduate Entry programs even though they culminate in a bachelor's degree. Example, the Bachelor of Medicine (MBBS) or Bachelor of Dentistry (BDent) . There has also been some confusion over the conversion of the different marking schemes between British, US, and Australian systems for the purpose of assessment for entry to graduate programmes. The Australian grades are divided into four categories: High Distinction, Distinction, Credit, and Pass (though many institutions have idiosyncratic grading systems). Assessment and evaluation based on

5832-465: A provider number. This means all private health funds will require private practitioners applying for provider numbers to be Dietitians Australia members (not just "eligible" for membership). In Canada , 'dietitian' is a protected professional title. Additionally, 'registered dietitian' and 'professional dietitian' are protected in some provinces. Each province has an independent professional college (for example, The College of Dietitians of Ontario) which

5994-752: A rebate from the national Medicare system or private health insurance, APD status is required. APDs are dietitians engaged in the Continuing Professional Development program offered by the DA and commit to upholding the DA Code of Professional Conduct and Code of Ethics. Dietitians who are not members of DA may participate in the DA's Continuing Professional Development Program and in this way can still hold APD status. However, health care providers must, as of 2009, either have statutory registration or be members of their national professional association to obtain

6156-486: A requirement of taking two additional courses, at minimum, in lieu of preparing a thesis. Ph.D. candidates undertaking research must typically complete a thesis, or dissertation , consisting of original research representing a significant contribution to their field, and ranging from 200 to 500 pages. Most Ph.D. candidates will be required to sit comprehensive examinations —examinations testing general knowledge in their field of specialization—in their second or third year as

6318-502: A research project or a work placement. Both master's and doctoral programs may be done by coursework or research or a combination of the two, depending on the subject and faculty . Most faculties require both, with the emphasis on research, and with coursework being directly related to the field of research. Master's and doctoral programs may also be completed on a part-time basis. Part-time graduate programs will usually require that students take one to two courses per semester, and

6480-629: A separate radiation dose, is sensitive to change over time, can analyze a region of any size or shape, excludes irrelevant tissue such as fat, muscle, and air, and does not require knowledge of the patient's subpopulation in order to create a clinical score (e.g. the Z-score of all females of a certain age). Among QCT's disadvantages: it requires a high radiation dose compared to DXA, CT scanners are large and expensive, and because its practice has been less standardized than BMD, its results are more operator-dependent. Peripheral QCT has been introduced to improve upon

6642-643: A specialization course in one area of study, mostly addressed to professional practice, and stricto sensu (Latin for "in narrow sense"), which means a master's degree or doctorate , encompassing broader and profound activities of scientific research. In Canada , the schools and faculties of graduate studies are represented by the Canadian Association of Graduate Studies (CAGS) or Association canadienne pour les études supérieures (ACES). The Association brings together 58 Canadian universities with graduate programs, two national graduate student associations, and

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6804-450: A spinal fracture index that takes into account the number of vertebrae involved. Involvement of multiple vertebral bodies leads to kyphosis of the thoracic spine, leading to what is known as dowager's hump . Dual-energy X-ray absorptiometry (DEXA scan) is considered the gold standard for the diagnosis of osteoporosis. Osteoporosis is diagnosed when the bone mineral density is less than or equal to 2.5 standard deviations below that of

6966-763: A team with the physicians , physician assistants , physical therapists , occupational therapists , recreational therapists , pharmacists , speech therapists , social workers , nurses , dietetic technicians, psychologists and other specialists to provide care to patients. Some clinical dietitians have dual responsibilities with patient nutrition therapy and in food service or research (described below). Community dietitians work with wellness programs, public health agencies, home care agencies, and health maintenance organizations. These dietitians apply and distribute knowledge about food and nutrition to individuals and groups of specific categories, life-styles and geographic areas in order to promote health . They often focus on

7128-543: A variety of other worksites. Once the degree is earned, the internship completed, and registration examination passed, the individual can use the nationally recognized legal title, "registered dietitian", and is able to work in a variety of professional settings. To maintain the RD credential, professionals must participate in and earn continuing education units (often 75 hours every five years). In addition, many states require specific licensure to work in most settings. For instance,

7290-642: A week, moderate to high intensity, activities should be multidirectional, and load should be more than typical everyday load on bones. Some examples of exercises are jumping, skipping, hopping, depth jumps, etc.  Recommended dosage for progressive resistance training is 2 or more days a week, intensity (load) should start low and increase gradually. Resistance training should focus on major muscle groups used for functional movements as well as muscles that have direct stress on bones susceptible to fracture. Considerations for resistance training are to teach proper lifting techniques and be careful with lifting weights above

7452-414: A wider range of study, for which some fixed portion of coursework, sometimes known as a residency , is typically required to be taken from outside the department and university of the degree-seeking candidate to broaden the research abilities of the student. There are two main types of degrees studied for at the postgraduate level: academic and vocational degrees. The term degree in this context means

7614-446: A young (30–40-year-old ), healthy adult women reference population. This is translated as a T-score . But because bone density decreases with age, more people become osteoporotic with increasing age. The World Health Organization has established the following diagnostic guidelines: The International Society for Clinical Densitometry takes the position that a diagnosis of osteoporosis in men under 50 years of age should not be made on

7776-888: Is a major part of dietetics (the study of nutrition as it relates to health). For example, working in consultation with physicians and other health care providers, a dietitian may provide specific artificial nutritional needs to patients unable to consume food normally. Professional dietitians may also provide specialist services such as in diabetes , obesity , oncology , osteoporosis , pediatrics, renal disease, and micronutrient research. Different professional terms are used in different countries and employment settings, for example, clinical dietitian, community dietitian, dietetic educator, food-service dietitian, registered dietitian, public health dietitian, therapeutic dietitian, or research dietitian. In many countries, only people who have specified educational credentials and other professional requirements can call themselves "dietitians"—the title

7938-420: Is a significant component of graduate studies in the humanities , natural sciences and social sciences . This research typically leads to the writing and defense of a thesis or dissertation . In graduate programs that are oriented toward professional training (e.g., MPA , MBA , JD , MD ), the degrees may consist solely of coursework , without an original research or thesis component. Graduate students in

8100-469: Is a systemic skeletal disorder characterized by low bone mass , micro-architectural deterioration of bone tissue leading to more porous bone, and consequent increase in fracture risk. It is the most common reason for a broken bone among the elderly . Bones that commonly break include the vertebrae in the spine , the bones of the forearm , the wrist , and the hip . Until a broken bone occurs there are typically no symptoms. Bones may weaken to such

8262-399: Is a very prevalent disease in the elderly population but not much is known about the optimal prescription and dosage of physical exercise to help prevent bone mineral loss. A lot of the focus around osteoporosis is also prevention and not so much maintenance which should be the front runner when considering what approach to take. When prescribing exercise, an aspect to take into consideration is

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8424-422: Is an imbalance between bone resorption and bone formation . In normal bone, matrix remodeling of bone is constant; up to 10% of all bone mass may be undergoing remodeling at any point in time. The process takes place in bone multicellular units (BMUs) as first described by Frost & Thomas in 1963. Osteoclasts are assisted by transcription factor PU.1 to degrade the bone matrix, while osteoblasts rebuild

8586-405: Is an obvious cost but it can be justified by the advantage of bipedalism inferring that this vulnerability is the byproduct of such. It has been suggested that porous bones help to absorb the increased stress that we have on two surfaces compared to our primate counterparts who have four surfaces to disperse the force. In addition, the porosity allows for more flexibility and a lighter skeleton that

8748-428: Is defined as a bone density of 2.5 standard deviations below that of a young adult. This is typically measured by dual-energy X-ray absorptiometry (DXA or DEXA). Prevention of osteoporosis includes a proper diet during childhood, hormone replacement therapy for menopausal women, and efforts to avoid medications that increase the rate of bone loss. Efforts to prevent broken bones in those with osteoporosis include

8910-427: Is easier to support. One other consideration may be that diets today have much lower amounts of calcium than the diets of other primates or the tetrapedal ancestors to humans which may lead to higher likelihood to show signs of osteoporosis. In the absence of risk factors other than sex and age a BMD measurement using dual-energy X-ray absorptiometry (DXA) is recommended for women at age 65. For women with risk factors

9072-403: Is emerging with regard to other drugs. Osteoporosis due to pregnancy and lactation is a rare condition of unknown cause. Age-related bone loss is common among humans due to exhibiting less dense bones than other primate species. Because of the more porous bones of humans, frequency of severe osteoporosis and osteoporosis related fractures is higher. The human vulnerability to osteoporosis

9234-440: Is essential because the structure will translate to the mechanical behavior of bones. Previous work indicates that osteoporotic bones undergo specific structural changes that contribute to altered mechanical behavior. For instance, a study demonstrated that osteoporotic bone exhibits reduced bone volume fraction, trabecular thickness, and connectivity. In another study, osteoporosis in human cancellous bone led to 3-27% variability in

9396-514: Is from the Greek terms for "porous bones". Osteoporosis has no symptoms and the person usually does not know that they have osteoporosis until a bone is broken. Osteoporotic fractures occur in situations where healthy people would not normally break a bone; they are therefore regarded as fragility fractures . Typical fragility fractures occur in the vertebral column , rib , hip and wrist . Examples of situations where people would not normally break

9558-653: Is important to maintaining functional movements such as walking and standing. Physical therapy may be an effective way to address postural weakness that may result from vertebral fractures, which are common in people with osteoporosis. Physical therapy treatment plans for people with vertebral fractures include balance training, postural correction, trunk and lower extremity muscle strengthening exercises, and moderate-intensity aerobic physical activity. The goal of these interventions are to regain normal spine curvatures, increase spine stability, and improve functional performance. Physical therapy interventions were also designed to slow

9720-479: Is insufficient evidence to make recommendations about the intervals for repeated screening and the appropriate age to stop screening. In men the harm versus benefit of screening for osteoporosis is unknown. Prescrire states that the need to test for osteoporosis in those who have not had a previous bone fracture is unclear. The International Society for Clinical Densitometry suggest BMD testing for men 70 or older, or those who are indicated for risk equal to that of

9882-399: Is legally protected. The term " nutritionist " is also widely used; however, the terms "dietitian" and "nutritionist" should not be considered interchangeable—the training, regulation and scope of practice of the two professional titles can be very different across individuals and jurisdictions. In many countries, the majority of dietitians are clinical or therapeutic dietitians, such as

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10044-529: Is lower than that normally needed to stimulate the uterus and breast gland . The α-form of the estrogen receptor appears to be the most important in regulating bone turnover. In addition to estrogen, calcium metabolism plays a significant role in bone turnover, and deficiency of calcium and vitamin D leads to impaired bone deposition; in addition, the parathyroid glands react to low calcium levels by secreting parathyroid hormone (parathormone, PTH), which increases bone resorption to ensure sufficient calcium in

10206-664: Is made up of approximately 72,000 members nationwide. The International Confederation of Dietetic Associations (ICDA) is a membership organization of over 40 national associations of dietitians and nutritionists. Dietetics associations are professional societies whose members have education qualifications in food, nutrition and dietetics recognized by a national authority. The ICDA supports national dietetics associations and their members, beyond national and regional boundaries, by providing: These titles are general designations of nutrition personnel. Specific titles may vary across countries, jurisdictions and employment settings. In particular

10368-418: Is meant to prevent bone loss and the degradation of the bone microarchitecture and is noted to reduce the risk of fractures in bones by 20-30%. However, MHT has been linked to safety concerns, so it is not generally recommended. As far as management goes with this potentially limiting disease, there are practices that can and should be implemented within the daily lifestyle. For example, it would be beneficial if

10530-538: Is more common in women than men. In the developed world , depending on the method of diagnosis, 2% to 8% of males and 9% to 38% of females are affected. Rates of disease in the developing world are unclear. About 22 million women and 5.5 million men in the European Union had osteoporosis in 2010. In the United States in 2010, about 8 million women and between 1 and 2 million men had osteoporosis. White and Asian people are at greater risk. The word "osteoporosis"

10692-446: Is no evidence that supplementation before menopause can enhance bone mineral density. Vitamin K deficiency is also a risk factor for osteoporotic fractures. The gene gamma-glutamyl carboxylase (GGCX) is dependent on vitamin K. Functional polymorphisms in the gene could attribute to variation in bone metabolism and BMD. Vitamin K2 is also used as a means of treatment for osteoporosis and

10854-472: Is normally given in the second year. Funding for Ph.D. students comes from a variety of sources, and many universities waive tuition fees for doctoral candidates. Funding is available in the form of scholarships , bursaries and other awards, both private and public. Graduate certificates require between eight and sixteen months of study. The length of study depends on the program. Graduate certificates primarily involve coursework. However, some may require

11016-430: Is not always the case as the credit structure of doctoral degrees is not officially defined. In some countries such as Finland and Sweden, there is the degree of Licentiate , which is more advanced than a master's degree but less so than a doctorate. Credits required are about half of those required for a doctoral degree. Coursework requirements are the same as for a doctorate, but the extent of original research required

11178-551: Is not as high as for doctorate. Medical doctors for example are typically licentiates instead of doctors. In the UK and countries whose education systems were founded on the British model, such as the US, the master's degree was for a long time the only postgraduate degree normally awarded, while in most European countries apart from the UK, the master's degree almost disappeared . In the second half of

11340-405: Is not held to one's research proposal, although major changes, for example from premodern to modern history, are discouraged). In the case of Ph.D.s, the research direction is usually known as it will typically follow the direction of the master's research. Master's degrees can be completed in one year but normally take at least two; they typically may not exceed five years. Doctoral degrees require

11502-531: Is often solicited in the media —for example for expert guest opinions on television and radio news or cooking shows, columns for a newspaper or magazine, or resources for restaurants on recipe development and critique. Business dietitians may author books or corporate newsletters on nutrition and wellness. They also work as sales representatives for food manufacturing companies that provide nutritional supplements and tube feeding supplies. Consultant dietitians are those who are in private practice or practice on

11664-678: Is relatively insensitive to detection of early disease and requires a substantial amount of bone loss (about 30%) to be apparent on X-ray images. The main radiographic features of generalized osteoporosis are cortical thinning and increased radiolucency. Frequent complications of osteoporosis are vertebral fractures for which spinal radiography can help considerably in diagnosis and follow-up. Vertebral height measurements can objectively be made using plain-film X-rays by using several methods such as height loss together with area reduction, particularly when looking at vertical deformity in T4-L4, or by determining

11826-542: Is replaced more often than cortical bone, providing early evidence of metabolic change. Also, the calcaneus is fairly flat and parallel, reducing repositioning errors. The method can be applied to children, neonates, and preterm infants, just as well as to adults. Some ultrasound devices can be used on the tibia . The U.S. Preventive Services Task Force (USPSTF) recommend that all women 65 years of age or older be screened by bone densitometry . Additionally they recommend screening younger women with risk factors. There

11988-426: Is responsible for protecting the public and regulating the profession. The colleges are entirely funded from licensing fees collected from dietitians. Each college must have both public and professional members, and is empowered to investigate and censure (when malpractice/negligence is found) members of the profession who breach either their scope of practice or harm/endanger the health of a patient/client, and receive

12150-422: Is sometimes the best medicine. Resistance training is the most recommended method of physical activity but that can come in multiple forms. High intensity and high impact training is shown to be extremely beneficial in improving bone health and the most effective in improving, maintaining, bone density in the lower spine and femur. Although these types of exercises are safe for postmenopausal women, there still may be

12312-596: Is the NVQ 5 or QCF 8. Most universities award honorary degrees, usually at the postgraduate level. These are awarded to a wide variety of people, such as artists, musicians, writers, politicians, businesspeople, etc., in recognition of their achievements in their various fields. (Recipients of such degrees do not normally use the associated titles or letters, such as "Dr.") Postgraduate education can involve studying for qualifications such as postgraduate certificates and postgraduate diplomas . They are sometimes used as steps on

12474-415: Is the norm for accepted students. Not all coursework programs require the student to already possess the relevant undergraduate degree, they are intended as "conversion" or professional qualification programs, and merely any relevant undergraduate degree with good grades is required. Ph.D. entrance requirements in the higher ranked schools typically require a student to have postgraduate research honours or

12636-513: Is the sponge-like bone in the ends of long bones and vertebrae. Cortical bone is the hard outer shell of bones and the middle of long bones. Because osteoblasts and osteoclasts inhabit the surface of bones, trabecular bone is more active and is more subject to bone turnover and remodeling. Not only is bone density decreased, but the microarchitecture of bone is also disrupted. The weaker spicules of trabecular bone break ("microcracks"), and are replaced by weaker bone. Common osteoporotic fracture sites,

12798-560: Is theoretically modifiable, although in many cases, the use of medication that increases osteoporosis risk may be unavoidable. Caffeine is not a risk factor for osteoporosis. Many diseases and disorders have been associated with osteoporosis. For some, the underlying mechanism influencing the bone metabolism is straightforward, whereas for others the causes are multiple or unknown. Certain medications have been associated with an increase in osteoporosis risk; only glucocorticosteroids and anticonvulsants are classically associated, but evidence

12960-526: Is typically used in North America , while "postgraduate" is more common in the rest of the English-speaking world. Graduate degrees can include master's and doctoral degrees, and other qualifications such as graduate diplomas, certificates and professional degrees . A distinction is typically made between graduate schools (where courses of study vary in the degree to which they provide training for

13122-538: Is very large, as they are the most prestigious and respected universities in Brazil. Public universities do not charge fees for undergraduate level/course. Funding, similar to wages, is available but is usually granted by public agencies linked to the university in question (i.e. FAPESP , CAPES , CNPq , etc.), given to the students previously ranked based on internal criteria. There are two types of postgraduate ; lato sensu (Latin for "in broad sense"), which generally means

13284-497: The Master of Business Administration degree (M.B.A.) can last up to two years to satisfy the requirement to become a knowledgeable business leader. Doctorates . These are often further divided into academic and professional doctorates. An academic doctorate can be awarded as a Doctor of Philosophy degree (from Latin Doctor philosophiae ; Ph.D. or D.Phil.), a Doctor of Psychology degree (from Latin Doctor psychologia; Psy.D.), or as

13446-552: The Master of Letters degree (from Latin Magister litterarum ; M.Litt.) (all formerly known in France as DEA or DESS before 2005, and nowadays Masters too). In the UK, master's degrees may be taught or by research: taught master's degrees include the Master of Science and Master of Arts degrees which last one year and are worth 180 CATS credits (equivalent to 90 ECTS European credits ), whereas

13608-400: The Master of Letters degree tends to be the taught or lower master's degree. In many fields such as clinical social work , or library science in North America , a master's is the terminal degree . Professional degrees such as the Master of Architecture degree (M.Arch.) can last to three and a half years to satisfy professional requirements to be an architect. Professional degrees such as

13770-683: The Wnt signaling pathway is recognized, but less well understood. Local production of eicosanoids and interleukins is thought to participate in the regulation of bone turnover, and excess or reduced production of these mediators may underlie the development of osteoporosis. Osteoclast maturation and activity is also regulated by activation of colony stimulating factor 1 receptor (CSF1R). Menopause -associated increase production of TNF-α stimulates stromal cells to produce colony stimulating factor 1 (CSF-1) which activates CSF1R and stimulates osteoclasts to reabsorb bone. Trabecular bone (or cancellous bone)

13932-404: The bone mineral density (BMD). The most popular method of measuring BMD is dual-energy X-ray absorptiometry . In addition to the detection of abnormal BMD, the diagnosis of osteoporosis requires investigations into potentially modifiable underlying causes; this may be done with blood tests . Depending on the likelihood of an underlying problem, investigations for cancer with metastasis to

14094-523: The food industry , journalism, sports nutrition, corporate wellness programs, and other non-traditional dietetics settings. As explained by the American Heritage and Merriam-Webster 's dictionaries, the cause of the confusion is that the spelling with "-tian" is an irregular alteration of the ending "-cian", which is otherwise exclusively used to refer to specialists and practitioners of other professions. These and other American dictionaries also list

14256-446: The osteoblast and toward the marrow adipocyte lineage. An interplay of these three mechanisms underlies the development of fragile bone tissue. Hormonal factors strongly determine the rate of bone resorption; lack of estrogen (e.g. as a result of menopause) increases bone resorption, as well as decreasing the deposition of new bone that normally takes place in weight-bearing bones. The amount of estrogen needed to suppress this process

14418-520: The 19th century, however, US universities began to follow the European model by awarding doctorates, and this practice spread to the UK. Conversely, most European universities now offer master's degrees parallelling or replacing their regular system, so as to offer their students better chances to compete in an international market dominated by the American model. In the UK, an equivalent formation to doctorate

14580-749: The ACSM general training principle to better design a program for the individual. Which mode of exercise and dosage has been a recurring question for treating osteoporosis, many articles have found that multimodal exercise programs have had findings of significant improvement in factors related to osteoporosis. Factors include lower limb strength, balance, flexibility, and risk of falls. Other modes of exercise have also proven to improve individuals with osteoporosis, some of these modes include weight-bearing, resistance specifically progressive resistance, and aerobic exercise. The recommendations for these types of exercises are as follows, weight-bearing exercise should be done 4-7 days

14742-725: The Allied Health Professional Act in Malaysia . Using the term "registered" is regulated and falsely presenting oneself as a registered dietitian/nutritionist in Malaysia is illegal. Practicing certificates are valid for two years. Practitioners must register with the Malaysian Allied Health Professionals Council. There are three pathways to becoming a Registered Dietitian in Malaysia: In South Africa, dietitians must be registered with

14904-515: The Australian Government's FEE-Help loan scheme. Some students may be eligible for a Commonwealth Supported Place (CSP), via the HECS-Help scheme, at a substantially lower cost. Requirements for the successful completion of a taught master's programme are that the student pass all the required modules. Some universities require eight taught modules for a one-year programme, twelve modules for

15066-412: The Australian higher education system follows that of its British counterpart (with some notable exceptions). Entrance is decided by merit, entrance to coursework-based programmes is usually not as strict; most universities usually require a "Credit" average as entry to their taught programmes in a field related to their previous undergraduate. On average, however, a strong "Credit" or "Distinction" average

15228-826: The Australian system is not equivalent to British or US schemes because of the "low-marking" scheme used by Australian universities. For example, a British student who achieves 70+ will receive an A grade, whereas an Australian student with 70+ will receive a Distinction which is not the highest grade in the marking scheme. The Australian government usually offer full funding (fees and a monthly stipend) to its citizens and permanent residents who are pursuing research-based higher degrees. There are also highly competitive scholarships for international candidates who intend to pursue research-based programmes. Taught-degree scholarships (certain master's degrees, Grad. Dip., Grad. Cert., D.Eng., D.B.A.) are almost non-existent for international students. Domestic students have access to tuition subsidy through

15390-522: The California Business and Professions Code Section 2585-2586.8, states that: Any person representing himself or herself as a registered dietitian shall meet one of the following qualifications: In addition: It is a misdemeanor for any person not meeting the criteria... in connection with his or her name or place of business, the words "dietetic technician, registered", "dietitian", "dietician", "registered dietitian", "registered dietician", or

15552-471: The Commission on Dietetic Registration (the certifying agency of the academy) and are only able to use the label "Registered Dietitian" when they have met specific educational and professional prerequisites and passed a national registration examination. Besides academic education, dietitians must complete at least 1200 hours of practical, supervised experience through an accredited program before they can sit for

15714-529: The Doctor of Philosophy degree or "junior doctorate", and the "higher doctorates" such as the Doctor of Science degree, which is generally awarded to highly distinguished professors. A doctorate is the terminal degree in most fields. In the United States, there is little distinction between a Doctor of Philosophy degree and a Doctor of Science degree. In the UK, Doctor of Philosophy degrees are often equivalent to 540 CATS credits or 270 ECTS European credits, but this

15876-572: The Fulbright Program and the Organization of American States (OAS), have been known to grant full scholarships for tuition with apportions for housing. Upon completion of at least two years' research and coursework as a postgraduate student, a candidate must demonstrate truthful and original contributions to his or her specific field of knowledge within a frame of academic excellence. The Master and Doctoral candidate's work should be presented in

16038-514: The Health Professions Council of South Africa. The council regulates the following professional titles: dietitians, supplementary dietitians, and student dietitians, as well as nutritionists, supplementary nutritionists, and student nutritionists. Requirements for eligibility for registration include a recognised bachelor's degree in dietetics or nutrition from an accredited educational institution. The undergraduate training should include

16200-631: The International Standard Classification of Occupations. When the International Labour Office confirmed the dietetic profession's classification in 1967, it also adopted the spelling "dietitian" at the request of the international dietetic community. This information can be found in the documentation held by ICDA and by the International Labour Office (ILO). ILO has however also issued new documents using

16362-553: The Ministry of Health. In 1965 dietetics services began in university hospitals and in private hospitals in 1982. In 1988, University Kebangsaan Malaysia started the first dietetics program to train dietitians. There are currently eight universities in Malaysia offering programs in dietetics at at least a bachelor's level. In 2005 the Ministry of Health recognized Dietitians under clinical and health services as an allied healthcare professional. Dietitians and nutritionists are regulated under

16524-416: The US, Australia, and other countries) is often offered by some of the same senior academic staff and departments who teach undergraduate courses. Unlike in undergraduate programs, however, it is less common for graduate students to take coursework outside their specific field of study at graduate or graduate entry level. At the doctorate programs, though, it is quite common for students to take courses from

16686-516: The United States, nutrition professionals include the dietitian or registered dietitian (RD), as well as "dietetic technician" or "dietetic technician, registered" (DTR) (see below). These terms are legally protected, regulated by the Academy of Nutrition and Dietetics which registers and confers professional credentials. The academy also recognizes and certifies certain specialty areas, such as in gerontological nutrition. Dietitians are registered with

16848-581: The basis of assessment. The RD(N) negotiates a treatment plan with the patient which may include prescriptions, and follow-up visits often focus on maintenance and monitoring progress. Most RDs work in the treatment and prevention of disease (administering medical nutrition therapy, as part of medical teams), often in hospitals, health-maintenance organizations , private practices, or other health-care facilities. In addition, many registered dietitians work in community and public-health settings, and/or in academia and research. A growing number of dietitians work in

17010-501: The basis of densitometric criteria alone. It also states, for premenopausal women, Z-scores (comparison with age group rather than peak bone mass) rather than T-scores should be used, and the diagnosis of osteoporosis in such women also should not be made on the basis of densitometric criteria alone. Chemical biomarkers are a useful tool in detecting bone degradation. The enzyme cathepsin K breaks down type-I collagen , an important constituent in bones. Prepared antibodies can recognize

17172-732: The blood. The role of calcitonin , a hormone generated by the thyroid that increases bone deposition, is less clear and probably not as significant as that of PTH. The activation of osteoclasts is regulated by various molecular signals, of which RANKL (receptor activator of nuclear factor kappa-B ligand) is one of the best-studied. This molecule is produced by osteoblasts and other cells (e.g. lymphocytes ), and stimulates RANK (receptor activator of nuclear factor κB). Osteoprotegerin (OPG) binds RANKL before it has an opportunity to bind to RANK, and hence suppresses its ability to increase bone resorption. RANKL, RANK, and OPG are closely related to tumor necrosis factor and its receptors. The role of

17334-851: The body. In universities, they also may have teaching responsibilities. Some clinical dietitians' roles involve research in addition to their patients care workload . Administrative or management dietitians oversee and direct all aspects of clinical dietetics service, food policy and/or large-scale meal service operations in hospitals, government agencies, company cafeterias, prisons, and schools. They recruit, train and supervise employees of dietetics departments including dietitians and other personnel. They set department goals, policies and procedures; procurement, equipment and supplies; ensure safety and sanitation standards in foodservice; and administer budget management. Business dietitians serve as resource people in food and nutrition through business, marketing and communications. Dietitians' expertise in nutrition

17496-509: The bone matrix. These alterations in composition contribute to how bone can handle mechanical loading. Thus, osteoporosis-induced changes at the macroscopic and microscopic levels significantly impact the mechanical properties of bone, predisposing individuals to fractures even under relatively low mechanical loads. Understanding these structural alterations is vital for developing effective diagnostic and therapeutic strategies for osteoporosis. The underlying mechanism in all cases of osteoporosis

17658-455: The bone matrix. Low bone mass density can then occur when osteoclasts are degrading the bone matrix faster than the osteoblasts are rebuilding the bone. The three main mechanisms by which osteoporosis develops are an inadequate peak bone mass (the skeleton develops insufficient mass and strength during growth), excessive bone resorption, and inadequate formation of new bone during remodeling, likely due to mesenchymal stem cells biasing away from

17820-521: The bone, multiple myeloma, Cushing's disease and other above-mentioned causes may be performed. Conventional radiography is useful, both by itself and in conjunction with CT or MRI, for detecting complications of osteopenia (reduced bone mass; pre-osteoporosis), such as fractures; for differential diagnosis of osteopenia; or for follow-up examinations in specific clinical settings, such as soft tissue calcifications, secondary hyperparathyroidism, or osteomalacia in renal osteodystrophy. However, radiography

17982-1106: The case of the United States, the United Kingdom, and much of Africa. In other countries they are mostly foodservice dietitians, such as in Japan and many European countries. Clinical dietitians work in hospitals , outpatient clinics, nursing care facilities and other health care facilities to provide nutrition therapy to patients with a variety of health conditions, and provide dietary consultations to patients and their families. They confer with other health care professionals to review patients' medical charts and develop individual plans to meet nutritional requirements. Some clinical dietitians will also create or deliver outpatient or public education programs in health and nutrition. Clinical dietitians may provide specialized services in areas of nourishment and diets , tube feedings (called enteral nutrition ), and intravenous feedings (called parenteral nutrition) such as total parenteral nutrition (TPN) or peripheral parenteral nutrition (PPN). They work as

18144-476: The community who had no known history of vitamin D deficiency, osteoporosis, or a fracture. The USPSTF does not recommend low dose supplementation (less than 1 g of calcium and 400 IU of vitamin D) in postmenopausal women as there does not appear to be a difference in fracture risk. A 2015 review found little data that supplementation of calcium decreases the risk of fractures. While some meta-analyses have found

18306-520: The confusion. For example: B.Sc. (Hons) are the letters gained for postgraduate research honours at the University of Queensland. B.Sc. (Hons) does not indicate that this honours are postgraduate qualification. The difficulty also arises between different universities in Australia—some universities have followed the UK system. There are many professional programs such as medical and dental school require

18468-437: The development of osteoporosis through therapeutic exercise. Prescribed amounts of mechanical loading or increased forces on the bones promote bone formation and vascularization in various ways, therefore offering a preventative measure that is not reliant on drugs. Specific exercise interacts with the body's hormones and signaling pathways which encourages the maintenance of a healthy skeleton. Reduced estrogen levels increase

18630-568: The equivalent qualification in Law degrees (a graduate from a "carrera de grado") are similar in content, length and skill-set to a joint first and second cycles in the qualification framework of the Bologna Process (that is, Bachelor and Master qualifications). While a significant portion of postgraduate students finance their tuition and living costs with teaching or research work at private and state-run institutions, international institutions, such as

18792-407: The evidence shows no adverse effect of higher protein intake on bone health. Evidence suggests that exercise can help promote bone health in older people. In particular, physical exercise can be beneficial for bone density in postmenopausal women, and lead to a slightly reduced risk of a bone fracture (absolute difference 4%). Weight bearing exercise has been found to cause an adaptive response in

18954-399: The fibrils being arranged into different patterns such as lamellae. The microstructure of bone then forms vascular channels, called osteons, which are surrounded by lamellae. At the subsequent scale of bones, there are different types of bone based on morphology: cortical (solid), cancellous (sponge), or trabecular (thin plates).   A basic picture of the hierarchical structure of bones

19116-584: The field of gerontology (the study of aging). Neonatal dietitians provide individualized medical nutrition therapy for critically ill premature newborns. They are considered a part of the Neonatal Intensive Care Unit's medical team. The neonatal dietitian performs clinical assessment of patients, designs nutrition protocols and quality improvement initiatives with the medical team, develops enteral and parenteral regimens, helps establish and promote lactation/breastfeeding guidelines and often oversees

19278-411: The financial costs to health care systems. The risk of having osteoporosis includes age and sex. Risk factors include both nonmodifiable (for example, age and some medications that may be necessary to treat a different condition) and modifiable (for example, alcohol use, smoking, vitamin deficiency). In addition, osteoporosis is a recognized complication of specific diseases and disorders. Medication use

19440-472: The head. Lastly, aerobic exercise has minimal effect on preventing BMD loss unless done at a higher intensity or with a load like a weighted vest. Considerations with this mode are that this may cause a higher risk of fall or fracture. Improvements can also be observed in other ways, such as decreased Timed-Up-and-Go, increased Sit-To-Stand, and increased One-Leg-Stance-Test. A study with a 12-week exercise intervention on postmenopausal osteoporotic women observed

19602-479: The holder to teach ("doctor" comes from Latin docere , "to teach"). In most countries, the hierarchy of postgraduate degrees is as follows: Master's degrees . These are sometimes placed in a further hierarchy, starting with degrees such as the Master of Arts (from Latin Magister artium ; M.A.) and Master of Science (from Latin Magister scientiae ; M.Sc.) degrees, then the Master of Philosophy degree (from Latin Magister philosophiae ; M.Phil.), and finally

19764-410: The humanities, sciences and social sciences often receive funding from their university (e.g., fellowships or scholarships ) or a teaching assistant position or other job; in the profession-oriented grad programs, students are less likely to get funding, and the fees are typically much higher. Although graduate school programs are distinct from undergraduate degree programs, graduate instruction (in

19926-560: The importance of diet in both disease prevention and management, many US states have moved towards covering medical nutrition therapy under the Medicaid / Medicare social insurance programs, making dietetics a much more lucrative profession due to insurance reimbursement. In the United States the governing body of dietetics practice is the Academy of Nutrition and Dietetics (formerly the ADA). This group

20088-416: The individual with osteoporosis refrained from consuming excess alcohol and to avoid smoking. These individuals should also be intentional about intaking an adequate amount of protein, calcium, and vitamin D. If the woman has an even higher risk of fracture, managing this may require therapy. Generally, the recommended treatment of prevention for a decrease in bone mineral density is physical activity. Exercise

20250-597: The individual’s need this can be attained by conducting a pre-exercise evaluation or screening, exercise should also be tailored to the individual and what works for them. Important things often overlooked when treating osteoporosis are muscle strength and maintenance of BMD, which should be incorporated into the program to optimize the benefits of exercise. This entails including exercises that focus on and improve muscle strength and exercises that focus on and improve skeletal strength or BMD as these go hand in hand for reducing fall and fracture risk. It’s also important to reference

20412-763: The language of the subject ( German for German literature , for example), but if this is the case an extensive abstract must be also presented in English. In exceptional circumstances , a thesis may be presented in French. One exception to this rule is McGill University, where all work can be submitted in either English or French, unless the purpose of the course of study is acquisition of a language. French-speaking universities have varying sets of rules; some (e.g. HEC Montreal ) will accept students with little knowledge of French if they can communicate with their supervisors (usually in English). Osteoporosis Osteoporosis

20574-417: The letters "RD", "DTR", or any other words, letters, abbreviations, or insignia indicating or implying that the person is a dietitian, or dietetic technician, registered or registered dietitian, or to represent, in any way, orally, in writing, in print or by sign, directly or by implication, that he or she is a dietitian or a dietetic technician, registered or a registered dietitian. As recent studies have shown

20736-424: The limitations of DXA and QCT. Quantitative ultrasound has many advantages in assessing osteoporosis. The modality is small, no ionizing radiation is involved, measurements can be made quickly and easily, and the cost of the device is low compared with DXA and QCT devices. The calcaneus is the most common skeletal site for quantitative ultrasound assessment because it has a high percentage of trabecular bone that

20898-455: The living environment may substantially reduce falls. Those with previous falls, as well as those with gait or balance disorders, are most at risk. As well as susceptibility to breaks and fractures, osteoporosis can lead to other complications. Bone fractures from osteoporosis can lead to disability and an increased risk of death after the injury in elderly people. Osteoporosis can decrease the quality of life, increase disabilities, and increase

21060-491: The long bones acutely impair mobility and may require surgery . Hip fracture , in particular, usually requires prompt surgery, as serious risks are associated with it, such as deep vein thrombosis and pulmonary embolism . There is also an increased risk of mortality associated with osteoporosis-related hip fracture, with the mean average mortality rate within one year for Europe being 23.3%, for Asia 17.9%, United States 21% and Australia 24.9%. Fracture risk calculators assess

21222-469: The management of infection prevention in the handling, storage, and delivery of nutritional products. Pediatric dietitians provide nutrition and health advice for infants, children, and adolescents. They focus on early nutritional needs, and often work closely with doctors, school health services , clinics, hospitals and government agencies, in developing and implementing treatment plans for children with eating disorders, food allergies, or any condition where

21384-446: The master's degrees by research include the Master of Research degree (M.Res.) which also lasts one year and is worth 180 CATS or 90 ECTS credits (the difference compared to the Master of Science and Master of Arts degrees being that the research is much more extensive) and the Master of Philosophy degree which lasts two years. In Scottish Universities, the Master of Philosophy degree tends to be by research or higher master's degree and

21546-399: The moving from one stage or level to another (from French degré , from Latin dē- + gradus ), and first appeared in the 13th century. Although systems of higher education date back to ancient India , ancient Greece , ancient Rome and ancient China , the concept of postgraduate education depends upon the system of awarding degrees at different levels of study, and can be traced to

21708-1128: The needs of the elderly, children, or other individuals with special needs or limited access to healthy food. Some community dietitians conduct home visits for patients who are too physically ill to attend consultations in health facilities in order to provide care and instruction on grocery shopping and food preparation. Foodservice dietitians or managers are responsible for large-scale food planning and service. They coordinate, assess and plan foodservice processes in health care facilities, school food-service programs, prisons, restaurants, and company cafeterias . These dietitians may perform audits of their departments to ensure quality control and food safety standards, and launch new menus and various programs within their institution to meet health and nutritional requirements. They train and supervise other food service workers such as kitchen staff, delivery staff, and dietary assistants or aides. Gerontological dietitians are specialists in nutrition and aging. They work in nursing homes , community-based aged care agencies, government agencies in aging policy, and in higher education in

21870-658: The needs of the individual countries and the opportunities available, common academic routes include: In addition, clinical/medical dietitians are required to undergo an internship in a hospital to learn counseling skills with patients and aspects of psychology . The internship process differs across countries and jurisdictions. Associations for dietetics professionals exist in many countries on every continent. Accredited Practising Dietitians (APDs) in Australia gain their qualifications through university courses accredited by Dietitians Australia (DA). In order for patients to receive

22032-561: The number of professionals in dietetics is very low. In the United Kingdom, dietitians must be registered with the Health and Care Professions Council (HCPC, formerly the Health Professions Council, HPC) in order to be able to work for the National Health Service . The education requirements include obtaining either a BSc in dietetics or a postgraduate qualification approved by the HCPC. In

22194-399: The one preferred by the profession itself internationally, but the spelling with "c" is used often enough in texts not written by members of the profession to be considered a valid variant by both American and British dictionaries. In fact, British dictionaries list the spelling with "c" first and list the spelling with "t" as a variant. American dictionaries list the spelling with "t" first and

22356-516: The part-time graduate programs may be offered in online formats, evening formats, or a combination of both. Master's candidates undertaking research are typically required to complete a thesis comprising some original research and ranging from 70 to 200 pages. Some fields may require candidates to study at least one foreign language if they have not already earned sufficient foreign-language credits. Some faculties require candidates to defend their thesis , but many do not. Those that do not, often have

22518-466: The polymorphisms of GGCX could explain the individual variation in the response to treatment of vitamin K. Dietary sources of calcium include dairy products, leafy greens, legumes, and beans. There has been conflicting evidence about whether or not dairy is an adequate source of calcium to prevent fractures. The National Academy of Sciences recommends 1,000 mg of calcium for those aged 19–50, and 1,200 mg for those aged 50 and above. A review of

22680-446: The production of Insulin-like growth factors in the bone, but at a greater extent. Post-menopausal women experience a reduction of estrogen, which is essential for density, so these exercise-induced hormonal enhancements can counteract the loss of bone mineral density in the most critical area, like the lumbar spine and the femoral neck. Research suggest that regular resistance training accompanied with weight-bearing activities help reduce

22842-402: The rate of bone loss through home exercise programs. Whole body vibration therapy has also been suggested as a physical therapy intervention. Moderate to low-quality evidence indicates that whole body vibration therapy may reduce the risk of falls. There are conflicting reviews as to whether vibration therapy improves bone mineral density. Physical therapy can aid in overall prevention in

23004-444: The registration examination. In a coordinated program, students acquire internship hours concurrently with their coursework. In a didactic program, these hours are obtained through a dietetic internship that is completed after obtaining a degree. In both programs the student is required to complete several areas of competency including rotations in clinical, community, long-term care nutrition as well as food service, public health and

23166-458: The regulations for which vary by province (Exceptions: Alberta where "registered nutritionist" is a protected title that can only be used by dietitians. Similarly in Nova Scotia and Québec "nutritionist" is protected and can only be used by dietitians) The colleges also set the minimum entry requirements for admission into practice as a registered dietitian. Requirements to entry into practice as

23328-544: The release of growth hormone and Insulin-like growth factor-1 or IGF-1 that participate in bone remodeling. Stress is applied to the bones, thus activating osteoblast, which are cells that form new bones and grow and heal existing bones while restoring hormones that increase bone density. Resistance training exercises, like weight lifting, can lead to brief increased in anabolic hormones, like testosterone, which aid in muscle and bone strength. The increase in mechanical tension during resistance exercise will likely help stimulate

23490-435: The research-based programmes, particularly scientific programmes. Research degrees generally require candidates to have a minimum of a second-class four-year honours undergraduate degree to be considered for admission to a Ph.D. programme (M.Phil. are an uncommon route ). In science, a British first class honours (3 years) is not equivalent to an Australian first class honours (1 year research postgraduate programme that requires

23652-567: The resulting fragment, called a neoepitope , as a way to diagnose osteoporosis. Increased urinary excretion of C-telopeptides , a type-I collagen breakdown product, also serves as a biomarker for osteoporosis. Quantitative computed tomography (QCT) differs from DXA in that it gives separate estimates of BMD for trabecular and cortical bone and reports precise volumetric mineral density in mg/cm rather than BMD's relative Z-score. Among QCT's advantages: it can be performed at axial and peripheral sites, can be calculated from existing CT scans without

23814-453: The risk of fracture based upon several criteria, including bone mineral density , age, smoking, alcohol usage, weight, and gender. Recognized calculators include FRAX , the Garvan FRC calculator and QFracture as well as the open access FREM tool. The FRAX tool can also be applied in a modification adapted to routinely collected health data. The term "established osteoporosis" is used when

23976-525: The risk of osteoporosis, so hormone replacement therapy when women reach the menopause may reduce the incidence of osteoporosis. A more natural way of restoring hormone levels in postmenopausal women include participating in specific forms of exercise. Weight-bearing exercises and resistance training exercises such as squats with weights, step-ups, lunges, stair climbing, and even jogging can elicit hormone responses that are advantageous for post-menopausal women living with osteoporosis. These exercises result in

24138-491: The route to a degree, as part of the training for a specific career, or as a qualification in an area of study too narrow to warrant a full degree course. In Argentina, the admission to a Postgraduate program at an Argentine University requires the full completion of any undergraduate course, called in Argentina "carrera de grado" (v.gr. Licenciado , Ingeniero or Lawyer degree). The qualifications of 'Licenciado', 'Ingeniero', or

24300-790: The skeleton, promoting osteoblast activity and protecting bone density. A position statement concluded that increased bone activity and weight-bearing exercises at a young age prevent bone fragility in adults. Limitations in the available evidence hinder the production of detailed evidence-based exercise recommendations. Some expert consensus guidance does exist. International guidelines recommend multicomponent exercise tailored to individual needs that includes "balance and mobility training, paired with weight bearing exercise, progressive resistance training, and posture exercises" (generally accompanied by optimal nutrition). Cycling and swimming are not considered weight-bearing exercise, and neither helps slow age-related bone loss (professional bicycle racing has

24462-483: The spelling "dietician". Dietitians supervise the preparation and service of food , develop modified diets , participate in research , and educate individuals and groups on good nutritional habits. The goals of dietitians are to provide medical nutritional intervention, and to obtain, safely prepare , serve and advise on flavorsome, attractive, and nutritious food for patients, groups and communities. Dietary modification to address medical issues involving dietary intake

24624-546: The spelling with "c" as a variant. As explained in a 2010 newsletter of the International Confederation of Dietetic Associations: The spelling of the term "dietitian" has been debated for a long time by dietitians. In the early 1960s dietetic associations, under the auspices of the International Committee of Dietetic Associations (ICDA), worked together to standardize information about dietitians under

24786-538: The spelling with "c" but list the spelling with "t" first because this spelling is more common in the United States. Nevertheless, the American publisher McGraw-Hill exclusively uses the spelling with "c" in the 2003 edition of the McGraw-Hill Dictionary of Scientific & Technical Terms and the 2002 edition of the McGraw-Hill Concise Dictionary of Modern Medicine . The spelling with "t" is

24948-399: The stiffness and strength compared to health bone. Additionally, bone mineral density (BMD) is a parameter used to evaluate fracture risk in bones and is used as a predictor of osteoporosis. A lower BMD value correlates to decreased bone and a higher bone fragility. Furthermore, bone diseases, such as osteoporosis, are known to alter the composition of collagen and other proteins that make up

25110-473: The structured degree programme (UK) or may be applied for separately (USA). Roughly half of all RD(N)s hold graduate degrees and many have certifications in specialized fields such as nutrition support, sports, paediatrics, renal, oncological, food-allergy, or gerontological nutrition. Although assessment priorities differ depending on the specialist area, a patient's medical and surgical history, biochemistry, diet history, eating and exercise habits usually form

25272-629: The student's writing as well as a research thesis proposal. Some programs require Graduate Record Exams (GRE) in both the general examination and the examination for its specific discipline, with minimum scores for admittance. At English-speaking universities, applicants from countries where English is not the primary language are required to submit scores from the Test of English as a Foreign Language ( TOEFL ). Nevertheless, some French speaking universities, like HEC Montreal, also require candidates to submit TOEFL score or to pass their own English test. Admission to

25434-402: The three federal research-granting agencies and organizations having an interest in graduate studies. Its mandate is to promote, advance, and foster excellence in graduate education and university research in Canada. In addition to an annual conference, the association prepares briefs on issues related to graduate studies including supervision, funding, and professional development. Admission to

25596-581: The three practice areas of therapeutic nutrition, community nutrition, and food service management. Against the backdrop of the HIV/AIDS epidemic in South Africa , there remains high demand for greater numbers of practicing dietitians, along with other health care staff, in order to expand public sector health care services. Academic programs, professional associations, and credentialing requirements do not exist for dietitians in most other African countries, where

25758-598: The title nutritionist is, in some countries, unregulated so anyone may claim to be a nutritionist. Postgraduate education Postgraduate education , graduate education , or graduate school consists of academic or professional degrees , certificates, diplomas, or other qualifications usually pursued by post-secondary students who have earned an undergraduate ( bachelor's ) degree. The organization and structure of postgraduate education varies in different countries, as well as in different institutions within countries. The term "graduate school" or "grad school"

25920-416: The workings of European medieval universities , mostly Italian. University studies took six years for a bachelor's degree and up to twelve additional years for a master's degree or doctorate. The first six years taught the faculty of the arts, which was the study of the seven liberal arts : arithmetic , geometry , astronomy, music theory, grammar , logic, and rhetoric. The main emphasis was on logic. Once

26082-412: The wrist, spine, shoulder and hip. The symptoms of a vertebral collapse (" compression fracture ") are sudden back pain , often with radicular pain (shooting pain due to nerve root compression) and rarely with spinal cord compression or cauda equina syndrome . Multiple vertebral fractures lead to a stooped posture, loss of height, and chronic pain with resultant reduction in mobility. Fractures of

26244-458: The wrist, the hip, and the spine, have a relatively high trabecular bone to cortical bone ratio. These areas rely on the trabecular bone for strength, so the intense remodeling causes these areas to degenerate most when the remodeling is imbalanced. Around the ages of 30–35, cancellous or trabecular bone loss begins. Women may lose as much as 50%, while men lose about 30%. Osteoporosis can be diagnosed using conventional radiography and by measuring

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