An online lecture recorded Wednesday, March 20, 2019

5104-501A
Changing Body Composition:
Using metabolic testing and DXA to improve fitness and health ARCHIVE

This course expires May 1, 2022

If you want credit, this course must be completed (i.e. view course content (PDF file), pass the posttest, AND print the certificate) by no later than April 30, 2022 by 5:00PM

Please note, after this course has expired, no aspect of the course will be accessible, including the course link.

Target Audience
A certified online lecture intended for radiologists, radiologist technologists, nurses, registered dietitians, physical therapists, and exercise physiologists.

Dual energy x-ray absorptiometry (DXA) traditionally has been used by physicians for diagnosing osteoporosis, assessing fracture risk, and monitoring changes in bone mineral density. This low-cost, low-radiation, and easily-accessed modality also detects abnormalities in body composition and clinical obesity,[1] determines the effects of diet, exercise, and physical training for patients attempting to lose or control weight; and tracks muscle growth and fat mass to improve or enhance health.[2-5] Coupled with metabolic assessment, DXA analysis of body composition offers the care provider a potent educational tool for educating and guiding patients to improved health that can be measured over time.

This lecture reviews the current parameters used to measure health and fitness, discuss how DXA is different from traditional evaluations in measuring health and fitness, and describe how DXA and metabolic testing work together to improve patient health and well-being.

1. Petak S, Barbu CG, Yu EW, et al. The Official Positions of the International Society for Clinical Densitometry: body composition analysis reporting. J Clin Densitom. 2013;16(4):508-519.
2. Bilsborough JC, Greenway K, Opar D, Livingstone S, Cordy J, Coutts AJ. The accuracy and precision of DXA for assessing body composition in team sport athletes. J Sports Sci. 2014;32(19):1821-1828.
3. Wilson JP, Fan B, Shepherd JA. Total and regional body volumes derived from dual-energy X-ray absorptiometry output. J Clin Densitom. 2013;16(3): 368-373.
4. Riberio AS, Schoenfeld BJ, Fleck SJ, Pina FL, Nascimento MA, Cyrino ES. Effects of traditional and pyramidal resistance training system on muscular strength, muscle mass, and hormonal responses in older women: a randomized crossover trial. J Strength Cond Res. 2017;31(7):1888-1896.
5.  Shepherd JA, Ng BK, Sommer MJ, Heymsfield SB Body composition by DXA. Bone. 2017;104:101-105.

Educational Objectives
After completing this activity, the participant should be better able to:

• Discuss the value of DXA scanning for quantifying body composition and metabolic testing for assessing metabolic health
• List the clinical indications for ordering a DXA scan and metabolic testing
• Design a treatment plan using DXA and metabolic testing results to educate and motivate patients toward improving their physical health

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and International Center for Postgraduate Medical Education. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Physician Continuing Medical Education
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

SA-CME: This activity meets the criteria for self-assessment toward the purpose of fulfilling requirements in the American Board of Radiology (ABR) Maintenance of Certification Program.

The European Accreditation Council for CME (EACCME®)
The UEMS-EACCME® has mutual recognition agreements with the American Medical Association (AMA) for live event and e-learning materials.

For more information go to https://www.uems.eu/areas-of-expertise/cme-cpd/eaccme/mutual-recognition-with-the-united-states

Nurse Continuing Medical Education
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.0 contact hours.

Radiologic Technologists
This program has been approved by the American Society of Radiologic Technologists (ASRT) for 1.0 hour of ARRT Category A continuing education credit.

Commission on Dietetic Registration (CDR)
This activity has been approved by the Commission on Dietetic Registration (CDR)  for 1.0 CPEU credit.
Activity #146592
CPE Level 1 and Level 2
Suggested Learning Codes: 2110, 3000, 3005, 3010
Suggested Performance Indicators: 9.6.4, 9.6.5, 12.1.2, 12.1.3

How to Enroll and Participate
There are no fees or prerequisites to participate in this program. Estimated time to complete this activity is one hour.

• Click ENROLL NOW, CONTINUE, CONFIRM ORDER, and ACCESS COURSE NOW.
• Click on the blue link. Complete the precourse questions and SUBMIT.
• Click on the blue link again to view the recording.

How to Receive Credit

• Log-in to your account at www.icpme.us
• View the entire educational activity session. At the conclusion of the lecture, close the Vimeo window.
• Return to the course in your account at www.icpme.us.
• From the COURSE HOME page, click the button for POSTTEST and for EVALUATION.
• A passing grade of at least 75% is required to receive credit. You may take the test up to three times.
• Upon receipt of a passing grade, you will be able to print a certificate of credit from your account at www.icpme.us

Your certificate of credit will remain in your account at www.icpme.us as a permanent record of your participation.

Faculty
Joseph B. Norris, MD

Dr. Norris received his medical degree from Southern Illinois University School of Medicine, where he also completed a residency in orthopedic surgery. His surgical residency was followed by a fellowship in sports medicine at Union Memorial Hospital in Baltimore.

Dr. Norris currently is in private practice at McLean County Orthopedics in Bloomington, IL, where he performs complex shoulder, hip, and knee arthroscopy, as well as shoulder arthroplasty. He is also certified for cartilage restoration procedures.

Complementing his surgical practice is involvement in McLean County Orthopedics’ Body Composition Program, which helps patients achieve their health, fitness, and weight loss goals. Metabolic testing and DXA scan results allow the specialized medical team the ability to craft a personalized exercise prescription for educating and guiding each patient on their fitness journey.

Disclosure Information
Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy.  The existence or absence of COI for everyone in a position to control content will be disclosed to participants prior to the start of each activity.

Joseph B. Norris, MD, has ownership interest greater than 5% in Method, LLC.

The PIM and ICPME planners and managers have nothing to disclose.

Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. 

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners.  Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Questions?
For questions regarding this program, please contact ICPME:
Email: information@icpmed.com

Jointly Provided by

This activity is supported by an independent educational grant from Hologic, Inc.

Disclaimer
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.