Health of Cats

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  • 8/13/2019 Health of Cats

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    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Nutrition and HealthRelated Diseases of Cats

    Julie Churchill DVM, PhD, DACVNAssoc. Clinical Professor Companion Animal Nutrition

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Clinical nutrition- overview

    Nutrition in preventionof disease

    Nutrition in

    treatment

    of disease

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Nutritional Goals

    Good quality of life

    Maximum longevity

    Incorporate dietary managementinto wellness program, diseaseprevention

    Nutritional management of diseases

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Animal

    Diet

    Feeding

    Nutrient sensitive disease

    Diet induced disease

    Feeding related problems

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Disease prevention

    Cat

    dental disease

    urinary tractdisease/stones

    Diabetes

    obesity

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Oral anatomy

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    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Obligate Carnivores

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    5 Traits of a Cat

    Nocturnal

    Predators Territorial

    Solitary

    Maternal

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTACollege of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Evolutionary factors-speciesinfluence

    Cat- The Hunter exceptional hunting skills preserved

    domesticated 6000 years

    hunting behavior independent from feedingbehavior

    solitary hunters, eaters

    no social value of food

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Hunting behavior

    Constantly attuned to hunting Night hunting

    Sound = 1st alert [Motion]

    See Scent Texture Taste

    Day hunting- motion can replace sound

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

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    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Cat-Carnivore FeedingBehavior

    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

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    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

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Pets asZoo Animals?Captive

    Dependent

    Food & water

    Elimination

    StimulationCollege of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    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

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Disease prevention

    Obesity The #1 health problem

    of pets 26-47% prevalence associated with health

    risks and decreased life span

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Body Condition Score

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    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTACollege of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Prevalence of obesity

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    National Companion AnimalStudy: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 dryfood

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Feline summary: diseasefrequency

    Oral disease

    FLUTD/UTI

    Cat bite abscess

    Miliary dermatitis

    Allergic dermatitis

    Moist dermatitis

    Diabetes mellitus

    asthma

    Lipoma

    Dyspnea

    Ruptured cruciate

    Deep pyoderma

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Health risks of obesity-cats

    LUTD Diabetes mellitus Hepatic lipidosis

    Increased anesthetic risk Dermatologic disease Dyspnea/asthma Orthopedic disease Oral disease Lipoma

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Obesity

    Obesity is the number one healthproblem in cats and dogs

    Obesity is linked to healthproblems and shorter lives

    Obesity is PREVENTABLE

    Obesity is a DISEASE

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    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Birth

    Maintenance

    Pregnancy

    Lactation Work

    Inactivity

    4

    3

    2

    1

    0

    Effect of Life Stage on Nutrient Needs

    Growth

    Neutered

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Owner and Environment.

    Healthy Weight

    Env.

    Activity

    Intake

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

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Working for Food

    27

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Nutrient-sensitive DefinedTheres a problemwith the patientnotthe food!

    Thisanimal doesnt dowell on the diet orproduct in question,but other animalsconsuming the sameproduct dont haveany problems.

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Geriatric cat- an individual

    Common diseases with advancing age

    Dental problems

    Kidney failure

    Arthritis

    Cancer

    Heart disease

    Weight loss

    Hyperthyroid

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Water

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    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Life stage nutrition- Geriatriccat

    Senior/Geriatric Diet no definition

    +/-Reduced protein Reduced phosphorus

    Reduced sodium

    Calorie adjustment

    Fiber (?)

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Diet responsive diseases

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Prevalence of obesity

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Nutrition in the treatment ofdisease

    Endocrine- diabetes mellitus

    Gastrointestinal diseases

    Liver disease

    Dermatological/allergies

    Kidney failure

    Hyperthyroid**

    Critical care/ post-op recovery

    Urinary crystals/stones

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Diabetes mellitus- dietarytherapy

    Adjunctive therapy to insulin

    Normalize body weight

    Palatable diet- predictable intake High protein diet

    Fiber(?)

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Diabetes mellitus- dietarytherapy

    Carnivorous cat

    Dietary protein plays a role inmaintaining blood sugar

    protein provides substrate for glucoseproduction

    Minimize blood glucose spikes aftermeals

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    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTACollege of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Hepatic lipidosis- Fatty liver

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    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

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTACollege of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Feline Nutritional/MetabolicNeeds

    Water 1.5-2.0 ml/g of food (prey)

    Energy- DER = 1.2 X RER

    Protein Quantity Quality amino acid composition

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    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Protein metabolism

    0

    4

    8

    cat dog

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Protein metabolism

    Hepatic

    Deaminase&Transaminase

    Activity

    uMol/min/g)

    1000

    500

    0

    Rat Cat

    Low protein

    food

    Low protein

    food

    High protein

    food

    High protein

    food

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Feeding Behavior

    10-20 small meals/day

    Avg. rat carcass- 5.7 kcal/g (ME)*

    Food consumption based on energydensity

    not bulk of food

    Taste preferences Physical form, odor and temperature

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Natural feeding behavior

    Food selection highly variable in dogsand cats sensory (odor, temperature, mouth feel)

    past experience

    Neophilia-common in carnivores

    Neophobia- important in veterinarypatients

    Aversion cats > dogs, occurs in both

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Animal

    DietFeeding

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

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    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Hyperthyroidism

    Adenomatous hyperplasia (benign, function)

    Disease of elder cats hypermetabolicIncreased appetite, activity and wt loss

    Requires iodine to metabolize thyroid hormone

    Therapeutic diet Ultra low Iodine levels

    (functional deficiency)

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    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.

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Diet-induced disease

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Popular nutrition trend:home cooked

    Nutrition = nurture

    Control over ingredients

    Natural, preservative free, color free Specific health goals

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Popular Fads Raw Diets

    BARF diet

    Evolution/wild type diet

    Increasing trend human nutrition Health benefits of raw foods

    Caveman diet

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    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Popular Fads Raw Diets-Concerns

    Bacterial and parasitic contamination

    Health hazard to the pet PUBLIC HEALTH HAZARD

    NOT nutritionally balanced

    Bones- fracture teeth, perforateintestines

    Potentially lethal

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTACollege of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    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

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Feeding tuna

    High in PUFAs

    Increase Vitamin E need Vitamin E Deficiency

    Steatitis

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Cervical ventroflexion

    Thiamin deficiency

    Hypokalemia

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    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Vegetarian

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Vegetarian Diets

    Inadequate protein/amino acids- taurine

    Vitamins- preformed Vitamin A, B12,niacin

    Minerals-calcium, iron, zinc, copper

    Fat-Arachidonic acid (vitamin E)

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    No Carb diet

    Myth that cats cannot use carbohydrate(up 50% ME)

    Carbs do not cause diabetes

    Carbohydrate does not cause obesity

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Summary

    Future focus on increasing knowledge ofoptimal nutrient requirements

    Emphasize wellness,diseaseprevention, longevity, optimalperformance

    Use complete and balanced products,with nutrients balanced to energydensity

    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTA

    Summary

    Obligate carnivores

    Develop taste preferences

    Consider mixing brands and forms offood

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    College of Veterinary Medicine

    UNIVERSITY OF MINNESOTACollege of Veterinary Medicine

    UNIVERSITY OF MINNESOTA