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Nutrition and Health Related Diseases of Cats

Clinical nutrition- overview


Nutrition in prevention of disease Nutrition in treatment of disease
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Julie Churchill DVM, PhD, DACVN Assoc. Clinical Professor Companion Animal Nutrition
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Nutritional Goals
Good quality of life Maximum longevity Incorporate dietary management into wellness program, disease prevention Nutritional management of diseases
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Animal
Nutrient sensitive disease

Diet
Diet induced disease

Feeding
Feeding related problems
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Disease prevention
Cat dental disease urinary tract disease/stones Diabetes obesity

Oral anatomy

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Obligate Carnivores

5 Traits of a Cat
Nocturnal
Predators Territorial Solitary Maternal

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Evolutionary factors-species influence


Cat- The Hunter
exceptional hunting skills preserved domesticated 6000 years hunting behavior independent from feeding behavior solitary hunters, eaters no social value of food

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Hunting behavior
Constantly attuned to hunting Night hunting Sound = 1st alert [Motion] See Scent Texture Taste Day hunting- motion can replace sound
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Cat-Carnivore Feeding Behavior


10-20 small meals/day Avg. rat carcass- 5.7 kcal/g (ME)* Food consumption based on energy density not bulk of food Taste preferences
Physical form, odor and temperature
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Cat-Carnivores
Wild cats maintain body weight and fitness House cats lose ability to regulate energy intake
available food source High nutrient density (Calories/cup or can) lack of physical activity

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Pets as Zoo Animals?


Captive Dependent
Food & water Elimination Stimulation
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Feeding-related problems
Diet or product is complete/balanced, but animal is not thriving because too little or too much food is delivered for its life stage, life style or performance needs

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Disease prevention
Obesity
The #1 health problem of pets 26-47% prevalence associated with health risks and decreased life span
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Body Condition Score

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Prevalence of obesity

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

National Companion Animal Study:summary for feline data


34 % of adult cats overweight or obese Peak age 9-11 years of age Spayed females and neutered males More likely to be fed non-grocery dry food

Feline summary: disease frequency


Oral disease FLUTD/UTI Cat bite abscess Miliary dermatitis Allergic dermatitis Moist dermatitis Diabetes mellitus asthma Lipoma Dyspnea Ruptured cruciate Deep pyoderma

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Health risks of obesity-cats


LUTD Diabetes mellitus Hepatic lipidosis Increased anesthetic risk Dermatologic disease Dyspnea/asthma Orthopedic disease Oral disease Lipoma
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Obesity
Obesity is the number one health problem in cats and dogs Obesity is linked to health problems and shorter lives Obesity is PREVENTABLE Obesity is a DISEASE
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Effect of Life Stage on Nutrient Needs


4 Birth 3 Lactation Work

Owner and Environment.


Activity Intake

2 Growth 1 0 Maintenance
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Env.

Pregnancy

Inactivity Neutered

Healthy Weight ?
UNIVERSITY OF MINNESOTA

http://http://indoorpet.osu.edu/

College of Veterinary Medicine

Working for Food

Nutrient-sensitive Defined
Theres a problem with the patientnot the food!

This animal doesnt do


well on the diet or product in question, but other animals consuming the same product dont have any problems.

UNIVERSITY OF MINNESOTA 27
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Geriatric cat- an individual


Common diseases with advancing age Dental problems Kidney failure Arthritis Cancer Heart disease Weight loss Hyperthyroid
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Water

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Life stage nutrition- Geriatric cat


Senior/Geriatric Diet no definition +/-Reduced protein Reduced phosphorus Reduced sodium Calorie adjustment Fiber (?)

Diet responsive diseases

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Prevalence of obesity

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Endocrine- diabetes mellitus Gastrointestinal diseases Liver disease Dermatological/allergies Kidney failure Hyperthyroid** Critical care/ post-op recovery Urinary crystals/stones

Nutrition in the treatment of disease

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Diabetes mellitus- dietary therapy


Adjunctive therapy to insulin Normalize body weight Palatable diet- predictable intake High protein diet Fiber(?)

Diabetes mellitus- dietary therapy


Carnivorous cat Dietary protein plays a role in maintaining blood sugar protein provides substrate for glucose production Minimize blood glucose spikes after meals
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Hepatic lipidosis- Fatty liver


Fatty liver
Fat cats predisposed (at risk) Potentially lethal liver disease Multiple factors lead to malnutrition Anorexia, nausea, vomiting, weight loss Fat accumulates in liver cells Therapy: NUTRITION

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Feline Nutritional/Metabolic Needs


Water 1.5-2.0 ml/g of food (prey) Energy- DER = 1.2 X RER Protein
Quantity Quality amino acid composition

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Protein metabolism
8

Protein metabolism
1000
Hepatic Deaminase& Transaminase Activity 500 uMol/min/g)

0 0

cat

dog
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Low protein food

High protein food

Low protein food

High protein food

Rat

Cat
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Feeding Behavior
10-20 small meals/day Avg. rat carcass- 5.7 kcal/g (ME)* Food consumption based on energy density not bulk of food Taste preferences
Physical form, odor and temperature
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Natural feeding behavior


Food selection highly variable in dogs and cats
sensory (odor, temperature, mouth feel) past experience

Neophilia-common in carnivores Neophobia- important in veterinary patients Aversion cats > dogs, occurs in both
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Animal

Feeding

Diet
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Hyperthyroidism
Adenomatous hyperplasia (benign, function) Disease of elder cats hypermetabolic Increased appetite, activity and wt loss Requires iodine to metabolize thyroid hormone Therapeutic diet
Ultra low Iodine levels (functional deficiency)
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Diet-induced problems
Theres a problem with the foodnot the patient! This food doesnt provide optimal nutrition and in fact causes problems in healthy animals who consume it.
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Diet-induced disease

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Popular nutrition trend: home cooked


Nutrition = nurture Control over ingredients Natural, preservative free, color free Specific health goals

Popular Fads Raw Diets


BARF diet Evolution/wild type diet Increasing trend human nutrition
Health benefits of raw foods Caveman diet

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Popular Fads Raw Diets-Concerns


Bacterial and parasitic contamination
Health hazard to the pet PUBLIC HEALTH HAZARD

NOT nutritionally balanced Bones- fracture teeth, perforate intestines Potentially lethal
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Common problems of homemade diets


All meat or very high protein Nutritional secondary hyperparathyroidsm deficient calcium/excess phosphorus/ Vitamins A and D toxic- liver Micromineral deficiency Raw fish diet- potential thiamin deficiency
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Feeding tuna
High in PUFAs Increase Vitamin E need Vitamin E Deficiency Steatitis

Cervical ventroflexion
Thiamin deficiency Hypokalemia

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

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Vegetarian Diets
Inadequate protein/amino acids- taurine Vitamins- preformed Vitamin A, B12, niacin Minerals-calcium, iron, zinc, copper Fat-Arachidonic acid (vitamin E)

Vegetarian

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

No Carb diet
Myth that cats cannot use carbohydrate (up 50% ME) Carbs do not cause diabetes Carbohydrate does not cause obesity

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Summary
Future focus on increasing knowledge of optimal nutrient requirements Emphasize wellness,disease prevention, longevity, optimal performance Use complete and balanced products, with nutrients balanced to energy density
UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

Summary
Obligate carnivores Develop taste preferences Consider mixing brands and forms of food

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

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UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

UNIVERSITY OF MINNESOTA
College of Veterinary Medicine

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