[Osteoporosis Liaison Service and nutrition counseling and education.]

Nutritional counseling as part of the Osteoporosis Liaison Service(OLS)should provide active nutritional counseling and lifestyle guidance by referring to the detailed methods for conducting "nutritional status assessments", an item of OLS-7, a detailed activity outcome measure of the OLS. After conducting adequate nutritional assessments, the goals for each stage of behavior change should be established, aiming to set roughly one goal for a specified period of time and increasing the goals once improvements have been made. Incorporating feedback in the next improvement plan becomes very important. Good nutritional counseling will surely lead to achieving the OLS goals(improvement in treatment rates and treatment continuation rates). Moreover, it will contribute to decreasing the number of patients with fractures, eliminating sequential fractures and prolonging a healthy life expectancy in Japan.