Food First: Treating CKD with Diet

Dietary interventions have been shown to benefit several CKD complications and unfortunately are underused.  We argue that diet should be the first CKD interventions with pharmacotherapy being adjunctive. Strong evidence supports that diet in CKD has the following benefits: improved blood pressure control, control of serum phosphate, and improvement of metabolic acidosis.  Emerging evidence supports that diet is also beneficial for the following: slowing nephropathy progression and improving the bad CVD risk profile for CKD. Finally, we argue that the goal for CKD management should focus on reducing CVD risk, not just resolving immediate CKD complications, because CKD patients are much more likely to die of CVD than to reach ESRD.  This activity will teach learners that diet is an effective way to reduce CVD risk and might do so better than pharmacotherapy. 

Learning Objectives: 

After participation in this activity, learners will be better able to:

  • Identify current treatment and medications utilized in the five stages of CKD, evaluate risks and concerns associated with evidence based treatment options
  • Describe dietary approaches toward managing the progression of CKD
  • List three benefits of utilizing nutrition therapy verses medication management in current practice

Target Audience

  • Physician Assistant
  • Nurse Practitioner
  • Nurse
  • Dialysis Technician
  • Dietitian 
Accreditation/Designation of Credit Statements:

In support of improving patient care, the National Kidney Foundation 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.

Nurse and Dialysis Technician

Awarded 1.5 contact hours of continuing nursing education (includes 0.75 contact hours in the area of pharmacology).

Physician Assistant

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit(s)™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.5 hours of Category I credit for completing this program.

The activity is available for credit through September 20, 2019.

Nurse Practitioner

This activity is approved for 1.5 contact hours of continuing education (which includes 0.75 hours of pharmacology) by the American Association of Nurse Practitioners. Activity ID 17082775.

This activity was planned in accordance with AANP CE Standards and Policies.

Dietitian

The National Kidney Foundation is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR).  CDR Credentialed Practitioners will receive 1.5 Continuing Professional Education Units (CPEUs) for completion of this activity/material.

The activity is available for credit through September 20, 2019.

Method of Participation:

Learners will review the materials on accreditation information, target audience, learning objectives, and disclosure information; participate in the entire self-study consisting of slides and audio; complete the pre-test; complete the post-test (minimum score of 70% required) and evaluation to successfully earn credit.  The estimated time for completion is 1.5 hours. To receive AMA PRA Category 1 Credit(s)™, participants must receive a minimum score of 70% on the post-test.  

If you participated in the live symposium Food First: Treating CKD with Diet on Thursday, April 20, 2017 and claimed credit, you should not claim credit for this endured activity.

Declaration of Disclosure:

It is the policy of the National Kidney Foundation (NKF) to ensure balance, independence, objectivity, and scientific rigor in all CME/CE activities. Any individual who has control over CME/CE content is required to disclose to learners prior to the activity any relevant financial relationship(s) they may have with commercial interests supporting this activity or whose products or devices are discussed in this activity.  

If, on the basis of information disclosed, a perceived conflict exists, resolution will be achieved based on NKF's Disclosure and Conflict of Interest Policy.

Unlabeled/Investigational Use:

During their presentations, faculty may discuss an unlabeled use or an investigational use not approved for a commercial product. Each faculty member is required to disclose this information to the audience when referring to an unlabeled or investigational use.

Disclaimer:

The faculty and National Kidney Foundation (NKF) do not recommend the use of any pharmaceutical, diagnostic test, or device outside of the labeled indications as approved by the FDA. Please refer to the official prescribing information for each product for approved indications, contraindications, and warnings.

Information contained in this NKF educational resource is based upon current data available at the time of publication. Information is intended to help clinicians become aware of new scientific findings and developments.  This NKF educational resource is not intended to set out a preferred standard of care and should not be construed as one. Neither should the information be interpreted as prescribing an exclusive course of management.

Variations in practice will inevitably and appropriately occur when clinicians take into account the needs of individual patients, available resources, and limitations unique to an institution or type of practice. Every healthcare professional making use of information in this NKF educational resource is responsible for interpreting the data as it pertains to clinical decision making in each individual patient.

Course summary
Available credit: 
  • 1.50 AANP Contact Hours
  • 1.50 ANCC Dialysis Technician Contact Hours
  • 1.50 ANCC Nurse Contact Hours
  • 0.75 AANP Pharmacology
  • 0.75 ANCC Pharmacology
  • 1.50 Attendance
  • 1.50 Category I Credit for Physician Assistants
  • 1.50 CDR CPEUs
Course opens: 
07/27/2017
Course expires: 
09/20/2019
Cost:
$35.00
Rating: 
0
Faculty Disclosures:

Donald Wesson, MD
President, Diabetes Health and Wellness Institute
Baylor Scott & White Health
Dallas, TX
Disclosure: Has no financial relationships with commercial interest(s).

Planning Committee Disclosures:

Christine Barrett, MS, RD, LD
Divisional Lead Dietitian
Davita 
Leavenworth, KS
Disclosure: Has no financial relationships with commercial interest(s).

Katherine Houle, APRN FNP-BC, CNN-NP
Nephrology Nurse Practitioner
Marquette General/Duke Lifepoint Hospital
Marquette, MI
Disclosure: Speakers Bureau: Keryx

Danielle Nathan, MA
Professional Education Director
National Kidney Foundation
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).

Kathryn Troy, MPH
Professional Education Coordinator
National Kidney Foundation
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).

Nathalie Harden
Director, CME
National Kidney Foundation
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).
 

Available Credit

  • 1.50 AANP Contact Hours
  • 1.50 ANCC Dialysis Technician Contact Hours
  • 1.50 ANCC Nurse Contact Hours
  • 0.75 AANP Pharmacology
  • 0.75 ANCC Pharmacology
  • 1.50 Attendance
  • 1.50 Category I Credit for Physician Assistants
  • 1.50 CDR CPEUs

Accreditation Period

Course opens: 
07/27/2017
Course expires: 
09/20/2019

Price

Cost:
$35.00
Please login or register for a PERC account to take this course.

Required Hardware/software

System requirements can be found here.

Contact Information:

For any questions concerning this activity, please send an email to CMEinfo@kidney.org or call NKF at 1-800-622-9010.

To view NKF privacy and confidentiality policy as it relates to CME/CE activity, please visit http://www.kidney.org/

For additional professional education resources, contact NKF at 1-800-622-9010 or visit https://www.kidney.org/professionals