Open Access Peer-reviewed

Nutrition Education and Osteoporosis Risk Factors in Early Decades of Life

Khalid K. Abdul-Razzak1,, Ahmed A. Abu-Taleb2, Ahmad Al-Husban1, Lara T Kufoof1

1Department of Clinical Pharmacy, School of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan

2Department of Family and Community Medicine, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain

American Journal of Educational Research. 2013, 1(3), 63-67. DOI: 10.12691/education-1-3-1
Published online: August 25, 2017


Objective: To examine the effectiveness of nutrition course on dairy products, fruits and vegetables frequency consumption in university female students. Method: A total of 152 pharmacy students who were enrolled in a course of nutrition at the school of pharmacy involved in the study. Frequency Consumption of dairy products, fruits and vegetable were collected and analyzed before and after the course of nutrition. Results: After the course of nutrition, a statistically significant (P < 0.05) increase in consumption for milk, dairy products, fruits and vegetable was found. Conclusion: Class-based nutrition education can be an effective strategy to motivate young adult toward dietary behaviors modification to maximize bone peak bone mass and in tern reduces the risk of osteoporosis.


dairy products, females, nutrition course, osteoporosis, young adults
[1]  Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ.81 (9):646-56.Nov. 2003. PubMed
[2]  Gardner MJ. Demetrakopoulos D, Shindle MK, Griffith MH, Lane JM. Osteoporosis and Skeletal Fractures. HSS J. 2(1):62-9.Feb.2006.
[3]  Gronholz MJ. Prevention, Diagnosis, Management of Osteoporosis- related fracture: a multifactoral osteopathic approach. J Am Osteopath Assoc. 108(10):575-85.Oct. 2008. PubMed
[4]  Chapurlat R. Epidemiology of osteoporosis. J Soc Biol. 202(4):251-5. Dec. 2008.View Article  PubMed
[5]  U.S. Preventive Services Task Force, Screening for osteoporosis: U.S. Preventive services task force recommendation statement. Ann Intern Med. 154(5):356-64. Mar.2011.View Article  PubMed
[6]  Subar AF, Heimendinger J, Patterson BH, Krebs-Smith SM, Pivonka E, Kessler R. Fruit and vegetable intake in the United States: The baseline survey of the Five a Day for Better Health Program. Am J Health Promot. 9(5):352-60.May-Jun.1995.View Article  PubMed
[7]  Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson. Incidence economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res. 22(3):465-75. Mar.2007.View Article  PubMed
[8]  Nelson HD, Haney EM, Dana T, Bougatsos C, Chou R. Screening for osteoporosis: an update for the U.S. Preventive Services Task Force. Ann Intern Med. 20.153 (2):99-111.Jul. 2010.
[9]  National Institutes of Health (NIH) (2000). Consensus development Conference statement: osteoporosis prevention, diagnosis, and therapy, cited 20 Jan, 2011.
[10]  Fulgoni VL 3rd, Huth PJ, DiRienzo DB, Miller GD. Determination of the Optimal Number of Dairy Servings to Ensure a Low Prevalence of Inadequate Calcium Intake in Americans. J Am Coll Nutr. 23(6):651-9.Dec.2004. PubMed
[11]  Dwyer J. Starting down the right path: nutrition connections with chronic diseases of later life. Am J Clin Nutr. 83(2):415S-420S. Feb.2006. PubMed
[12]  Von Hurst PR, Wham CA. Attitudes and knowledge about osteoporosis risk prevention: a survey of New Zealand women. Public Health Nutr. 10(7):747-53.Jul. 2007.View Article  PubMed
[13]  Sue RW. Basic nutrition and diet therapy 11th Edition. Mosby 2001.
[14]  Lanou AJ, Berkow SE, Barnard ND. Calcium, Dairy Products, and Bone Health in Children and Young Adults: A Reevaluation of the Evidence. Pediatrics. 115(3):736-43.Mar. 2005.View Article  PubMed
[15]  Gemalmaz A, Oge A. Knowledge and awareness about osteoporosis and its related factors among rural Turkish women. Clin Rheumatol. 27(6):723-8.Jun. 2007.View Article  PubMed
[16]  Peterlik M, Boonen S, Cross HS, Lamberg-Allardt C. Vitamin D and calcium Insufficiency-related chronic diseases: an emerging world-wide public health problem. Int J Environ Res Public Health. 6(10):2585-607.Oct.2009.View Article  PubMed
[17]  Heaney RP. Calcium, dairy products and osteoporosis. Am Coll Nutr. 19(2 Suppl):83S-99S.Apr.2000.
[18]  Esterle L, Sabatier JP, Guillon-Metz F, Walrant-Debray O, Guaydier-Souquières G, Jehan F, Garabédian M.. Milk, rather than other foods, is associated with vertebral bone mass and circulating IGF-1 in female adolescents. Osteoporos Int. 20(4):567-75. Apr.2009.View Article  PubMed
[19]  Chan MF, Kwong WS, Zang YL, Wan PY. Evaluation of an osteoporosis prevention education program for young adults. J Adv Nurs. 57(3):270-85. Feb.2007.View Article  PubMed
[20]  Handa R, Ali Kalla A, Maalouf G. Osteoporosis in developing countries. Best Pract Res Clin Rheumatol. 22(4):693-708. Aug. 2008.View Article  PubMed
[21]  Tucker KL. Osteoporosis prevention and nutrition. Curr Osteoporos Rep. 7(4):111-7. Dec.2009.View Article  PubMed
[22]  Maalouf G, Gannagé-Yared MH, Ezzedine J, et al., Middle East and North Africa consensus on osteoporosis. J Musculoskelet Neuronal Interact. 7(2):131-43.Apr-Jun.2007. PubMed
[23]  Fok M, Leung HB. Lee WM. Osteoporosis: public awareness, Commitment, and perspectives. Hong Kong Med J. 14(3):203-8.Jun.2007.
[24]  Jamal SA, Ridout R, Chase C, Fielding L, Rubin LA, Hawker GA. Bone mineral density testing and osteoporosis education improve lifestyle behaviors in premenopausal women: a prospective study. J Bone Miner Res. 14(12):2143-9. Dec.1999.View Article  PubMed
[25]  Winzenberg, T., Oldenburg, B. Frendin, S., De Wit, L. Riley, M. Jones, G. The effect on behavior and bone mineral density of individualized bone mineral density feedback and educational interventions in premenopausal women: a randomized controlled trial [NCT00273260]. BMC Public Health 23. 6. 12. Jan. 2006.
[26]  Dhanwal DK, Dennison EM, Harvey NC, Cooper C. Epidemiology of hip fracture: Worldwide geographic variation. Indian J Orthop. 45(1):15-22. Jan.2011.View Article  PubMed
[27]  Shilbayeh S. Prevalence of osteoporosis and its reproductive risk factors among Jordanian women: a cross-sectional study. Osteoporos Int. 14(11):929-40.Nov. 2003.View Article  PubMed
[28]  Rolfes SR Pinna K, Whitney E. Understanding normal and clinical nutrition. Wadsworth, Cengage Learning 2009.
[29]  Abdul-RazzakKK, Ayoub NM, Abu-Taleb AA, obeidat BA. The Influence of Dietary intake of Dairy Products on.Dysmenorrhea. J Obstet Gynaecol Res. 36(2):377-83. Apr.2010.View Article  PubMed
[30]  Ha EJ, Caine-Bish N, Holloman C, Lowry-Gordon K.Evaluation of effectiveness of class- based nutrition intervention on changes in soft drink and milk consumption among young adults. Nutr J. 26.8.50. Oct.2009.
[31]  Hubert HB, Eaker ED, Garrison RJ, Castelli WP. Lifestyle correlates of risk factor change in young adults: an eight-year study of coronary heart disease risk factors in the Framingham offspring. Am J Epidem.125 (5).812-31. May.1987.
[32]  Stránský M, Rysavá L. Nutrition as prevention and treatment of osteoporosis. Physiol Res. 58 Suppl 1: S7-S11. 2009. PubMed
[33]  Nieves JW. Osteoporosis: the role of micronutrients. Am J Clin Nutr. 81(5):1232S-1239S.May.2005.
[34]  Luo LZ, Xu L. Vitamin K and osteoporosis. Zhongguo Yi Xue Ke Xue Yuan.Xue Bao. 25(3):346-9.Jun.2003. PubMed
[35]  Kalkwarf HJ, Khoury JC, Bean J, Elliot JG. Vitamin K, bone turnover, and bone mass in girls. Am J Clin Nutr 80(4):1075- 80. Oct. 2004. PubMed
[36]  Sahni S, Hannan MT, Gagnon D, Blumberg J, Cupples LA, Kiel DP, Tucker KL. Protective effect of total and supplemental vitamin C intake on the risk of hip fracture -a 17-year follow-up from the Framingham Osteoporosis Study. Osteoporos Int. 20(11):1853-61.Nov.2009.View Article  PubMed
[37]  Morgan, S.L. Nutrition and bone: it is more than calcium and vitamin D. Women's Health (Lond Engl). 5(6):727-37.Nov.2009.View Article  PubMed
[38]  Ha EJ, Caine-Bish N. Effect of nutrition intervention using a general nutrition course for promoting fruit and vegetable consumption among college students. J Nutr Educ Behav 41(2):103-9.Mar-Apr.2009.View Article  PubMed
[39]  Winkleby MA, Cubbin, C. Changing patterns in health behaviors and risk factor related to chronic diseases 1990-2000. Am J Health Promt 19(1):19-27.Sep-Oct. 2004.View Article  PubMed
[40]  Friedman LA, Snetselaar L, Stumbo P, Van Horn L, Singh B, Barton BA. Influence of intervention on beverage choices: trends in the dietary intervention study in children (DISC). J Am Diet Assoc. 107(4):586-94.Apr. 2007.View Article  PubMed
[41]  Lv N, Brown JL. Impact of a nutrition education program to increase intake of calcium-rich foods by Chinese-American women. J Am Diet Assoc. 111(1):143-9.Jan. 2011.View Article  PubMed