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A Practical Approach To
Canine Nutrition
Relatively speaking, most dogs
today eat a more nutritional diet
than their owners do
Nutritional Requirements of the Dog
• Though a carnivore, the dog utilizes a wide
variety of foodstuffs efficiently and can
meet nutritional requirements from a
diversity of diets
• Dogs regulate their food intake to meet
energy requirements
proper diets incorporate exact daily nutritional
requirements into the amount of food consumed each day
for energy
Factors Affecting the Dietary
Needs of Dogs
Stages of the Life Cycle
• Growth requires about 2 X the intake of nutrients
(per pound of body weight) compared to adult
maintenance
• From the 6th week of gestation, nutritional
requirements of the pregnant bitch gradually
increase to about 1.6 X normal maintenance
levels by the 8th week
• By the 4th week of lactation, nutritional
requirements of the bitch peak at 2-4 X normal
maintenance levels (litter size, temp, activity)
Environment
• Seasonal variations in environmental
temperatures influence dietary intake
• Winter energy requirements may be as
much as 2X the summer energy
requirements
Exercise
• Working dogs (hunting dogs,sled dogs,
racing dogs, herding dogs) may require up
to 4X the maintenance energy requirements
• Dogs with limited exercise will require
restricted calories to maintain fitness
Increased Metabolism
• Conditions such as hyperthyroidism, tissue
injury, and fever increase metabolic rate and
produce increased nutritional demands
Malnutrition and Weight
Deficiency
• Dogs suffering from neglect, illness, or
experiencing convalescence require up to
1.7X normal maintenance energy
requirements
• Increases should be made gradually,
utilizing small frequent feedings
Obesity and Excessive Weight
• Overindulged dogs receiving little exercise
and fed poorly balanced diets (too many
“people” treats) high in sugars and fats will
benefit from restricted diets supplying only
0.6X maintenance energy levels
• Adding fiber to the diet (8% on a dry matter
basis) may help to provide a “full” feeling
despite decreasing rations
Disease
• Many diseases require modification of diet
and maintenance energy requirements
• Chronic renal disease, congestive heart
failure and gastrointestinal disorders are a
few examples of diseases that require
special nutritional considerations while
compensating for metabolic or organ
dysfunction
Determining Nutritional
Requirements of the Dog
• The National Research Council provides guidelines for the
daily nutrient intake for proper growth and maintenance of
dogs in their Nutrient Requirements of Dogs (NRC)
publication
• Nutrient profile, however, is NOT an indication of quality
and digestibility and provides no assurance of a utilizable
diet
• A more reliable assurance of nutritional quality is given by
labels that state that the food has passed American
Association of Feed Control Officials' (AAFCO) feeding
trials
Determining Metabolizable
Energy in Dog Foods
Dog Food
Calorie Content:
Metabolizable Energy
(calculated):
3900 kcal/kg
3.90 kcal/g
936 kcal/cup
Dog Food
Calorie Content:
Metabolizable Energy:
3900 kcal/kg
3.90 kcal/g
936 kcal/cup
Required
Optional
This ME is
determined
by metabolic
trial
Examples of how ME values appear on labels
Comparison of ME Values in
some Dog Food Brands
AAFCO
Designation
# Brands
Surveyed
Average ME
(kcal/g)
Range
(kcal/g)
Maintenance:
Science Diet, Innova
Senior, Pro Plan Adult,
Eukanuba Maintenance,
Nutro, Nutro Max,
Purina ONE Reduced,
Nature’s Recipe, Purina
Senior
20 3.92 3.10 – 4.59
All Life
Stages:
Eukanuba Premium, Pro
Plan Performance,
Purina ONE, Iams,
Pedigree Mealtime,
Innova Dog/Puppy,
Purina Dog Chow L ittle
Bites, California
Natural, Nutro Natural,
Purina Hi-Pro, Purina
ONE Puppy, Nutro
Max, Alpo
25 4.13 3.59 – 4.82
Average Daily Calories Required by
Pregnant and Lactating Bitches
Body
Weight
(lb)
Multiples of Maintenance (kcal ME/day)
1.0 1.5 2.0 2.5 3.0 3.5 4.0
2.5 145 218 290 363 436 508 581
5 244 366 487 611 733 855 977
7.5 331 497 662 828 994 1159 1325
10 411 616 822 1027 1233 1438 1644
15 557 835 1114 1392 1671 1949 2228
20 691 1037 1382 1728 2073 2419 2764
25 817 1225 1634 2042 2451 2859 3268
30 937 1405 1873 2342 2810 3278 3747
40 1162 1743 2324 2906 3487 4068 4649
50 1374 2061 2748 3435 4122 4809 5496
60 1575 2363 3151 3938 4726 5514 6301
70 1768 2652 3537 4421 5305 6189 7074
80 1955 2932 3909 4887 5864 6841 7819
90 2135 3202 4270 5338 6405 7473 8541
100 2311 3466 4622 5777 6932 8088 9243
120 2649 3974 5299 6623 7948 9273 10597
140 2974 4461 5948 7435 8922 10409 11896
160 3287 4931 6575 8218 9862 11506 13149
Example of ME Requirements Recommended
for a CKCS Bitch During Various Life Stages
*Estimated for a 15 pound CKCS
AAFCO
Designation
ME
(kcal/cup)
Growth
(# cups/day)
Maintenance
(# cups/day)
Pregnancy
(# cups/day)
Lactation
(# cups/day)
All Life
Stages
1000 1/4 to 1 1/2 1 1-2/3
Maintenance 940 NR 2/3 NR NR
Protein Requirements
• Provides essential amino acids for growth and tissue repair
• Dogs require a minimum of 22% (G&R) or 18% (M) good
quality protein, on a dry-matter basis
• The higher the quality of protein fed, the lower the % total
protein needed in the diet
• Highly digested protein results in free amino acids and
small peptides that are poorly antigenic (reduced risk of
protein-related food allergy)
• Protein sources: meal, corn, eggs, dairy products, muscle
or organ meats
Fat Requirements
• Supplies concentrated energy for growth,
reproduction, and maintenance of healthy
skin and coat
• Needed for inflammatory and other immune
responses (including prostaglandin synthesis)
• Dogs require a minimum of 8% (G&R) or
5% (M) dietary fat, on a dry-matter basis (at
least 1% from linoleic acid)
Vitamin Requirements
Vitamin Minimum Maximum
Vitamin A (IU/kg) 5000 250000
Vitamin D (IU/kg) 500 5000
Vitamin E(IU/kg) 50 1000
Thiamine (mg/kg) 1.0
Riboflavin (mg/kg) 2.2
Pantothenic Acid
(mg/kg)
10
Niacin (mg/kg) 11.4
Pyridoxine (mg/kg) 1.0
Folic Acid (mg/kg) 0.18
Vitamin B12
(mg/kg)
0.022
Choline (mg/kg) 1200
Mineral Requirements
Mineral Minimum (G &
R)
Minimum (M) Maximum
Calcium (%) 1.0 0.6 2.5
Phosphorus
(%)
0.8 0.5 1.6
Ca:P ratio 1:1 1:1 2:1
Potassium (%) 0.6 0.6
Sodium (%) 0.3 0.06
Chloride (%) 0.45 0.09
Magnesium
(%)
0.04 0.04 0.3
Iron (mg/kg) 80 80 3000
Copper (mg/kg) 7.3 7.3 250
Manganese
(mg/kg)
5.0 5.0
Zinc (mg/kg) 120 120 1000
Iodine (mg/kg) 1.5 1.5 50
Selenium
(mg/kg)
0.11 0.11 2
Evaluating Nutritional Quality
A. “Meets or Exceeds NRC requirements for
Nutrient Requirements of the Dog”
B. “Formulated to meet the nutritional needs
established by AAFCO dog food profiles for
growth, gestation, and lactation” or “maintenance”
or “all life stages”
C. “Has passed AAFCO animal feeding trials for
providing complete and balanced nutrition for all
life stages”
Answer
C. “Has passed AAFCO animal
feeding trials for providing complete
and balanced nutrition for all life
stages”
AAFCO Diets
• Commercial diets passing AAFCO trials provide
the strongest assurance of complete and balanced
nutrition for the indicated life stage
• Natural diets are also available that not only meet
AAFCO nutritional requirements but also must
meet AAFCO standards for “natural” labeling
(some “Natural” diets may contain chemically
synthesized preservatives even though their
primary ingredients are natural)
AAFCO’s Requirements for
“Natural Diet”
• " A feed or ingredient derived solely from plant, animal or
mined sources, either in its unprocessed state or having
been subjected to physical processing, heat processing,
rendering, purification extraction, hydrolysis, enzymolysis
or fermentation, but not having been produced by or
subject to a chemically synthetic process and not
containing any additives or processing aids that are
chemically synthetic except in amounts as might occur
unavoidably in good manufacturing practices."
• The only exception to this is that AAFCO does allow for certain
synthetic vitamins and mineral additives to these dog foods (but no
synthetic preservatives).
The Limitations of Homemade
Diets
• When feeding homemade diets there is a
greater risk for incomplete nutrition because
many will not meet the daily requirements
of the dog
• There is a greater risk for nutrient
imbalance, particularly for those diets
which must be supplemented with excessive
amounts of vitamins and minerals
The Dangers of Nutritional
Deficiencies
Energy Deficiency
• Signs: Thin, pot-bellied with poor muscle tone
• Causes include:
• low dietary-caloric density of food
(most common in puppies or lactating bitches fed
“light/lite” foods)
• high energy expenditure
(most common in working dogs or lactating bitches on
diets that insufficiently compensate for increases in energy
demands)
Increase feeding frequency and caloric intake to ≥ 2-3X
maintenance levels
Protein Deficiency
• Signs: Poor growth and condition, pot-belly, poor muscle
tone or development, anemia, reduced immunity, poor
wound healing
• Caused by:
• Unpalatable diet of low-protein concentration
• Poor quality dietary protein resulting in decreased
digestibility
• Dietary imbalance (too much fat or carbohydrates in diet)
Dietary protein should be derived from high quality mixed
plant and animal origin and should supply not less than
22% of the total calories
Fat Deficiency
• Signs: Hair loss, flaky skin, increased susceptibility to
infection, impaired reproduction
• Caused by:
• Diets deficient in unsaturated fats
Dietary fat should supply not less than than 5% (8% during
growth or reproduction) of the total calories
Vitamin Deficiencies
• Causes:
• Processing and storage of food leads to loss
of vitamins thus requiring post-processing
analysis to ensure nutritional adequacy
• Exogenous supplementation of balanced
diets may lead to inhibition of absorption or
destruction of certain vitamins
Vitamin A Deficiency
• Signs: stillbirths, spontaneous abortions, birth defects,
blindness, deafness, ataxia
• Rare; dogs can convert carotene in vegetable matter to
vitamin A if needed
• Dogs store vitamin A in their liver, kidney and fat so
prolonged dietary deficiency must occur before symptoms
appear
• Too high concentrations of fatty acids or rancid fat
supplement will destroy vitamin A
Vitamin E Deficiency
• Signs: stillbirths, fading-puppies, muscular
dystrophies, cardiac insufficiency, poor coat
• Show dogs fed excessive diets of
polyunsaturated fats, especially fish-oils, to
improve coats will show opposite results
• Too high a fat diet or rancid fat destroys
vitamin E
Vitamin D Deficiency
• Signs: Bone abnormalities, calcification of
soft tissue, muscular dystrophies
• Occurs in association with calcium or
phosphorus deficiency or imbalance
• Most often attributed to over-
supplementation (exogenous vitamin D or
fish oil supplements) rather than deficient
dietary formulation
Vitamin B Deficiency
• Signs: Decreased appetite, constipation, weight
loss, weakness, drowsiness, paralysis, seizures,
anxiety
• Raw fish contains thiaminase, which destroys
thiamin (vitamin B1) and leads to paralytic
syndrome in dogs; cooking the fish destroys the
enzyme
Vitamin C Deficiency
• Dogs make their own Vitamin C and do not
require a dietary source of Vitamin C
Mineral Deficiencies
• Dietary mineral deficiencies most
commonly occur due to dietary imbalances
or oversupplementation
• Most evident in growing puppies and
lactating bitches
Calcium and Phosphorus
Deficiencies
• Signs: bone dystrophies, slow growth,
spontaneous fractures, bone demineralization
• Caused by imbalance of the calcium to
phosphorus ratio
• Diets too high in meat disrupt the optimum ratio
of 1.2-1.4 parts calcium to 1 part phosphorus
• To bring meat supplements into calcium balance,
2-3 g of calcium carbonate is mixed with each
pound of meat
Zinc Deficiency
• Signs: hyperkeratosis, pyoderma,
lymphadenopathy
• Most often caused by oversupplementation
with calcium
• Calcium inhibits natural absorption of zinc
Selenium Deficiency
• Signs: Infertility
• Selenium plays a role in many biochemical
pathways including immune response and
prevention of cellular damage from reactive
oxygen species; it may also play a role in cancer
prevention
• Selenium deficiency may occur from low dietary
levels or from supplementation with Vitamin C
(which inhibits selenium absorption)
The Dangers of Overnutrition
Excessive Protein
• There is limited storage of proteins by the body,
excess protein is therefore rapidly degraded to
provide energy (from carbon) and unusable
protein (nitrogen) is filtered by the kidneys and
excreted
• Protein intake directly affects growth rate and high
protein intake has been linked indirectly to
increased risk for skeletal diseases in medium,
large and giant breeds
Excessive Fat
• Increased dietary fat increases incidence and
growth of spontaneous or chemically induced
tumors (lymphocyte inhibition)
• Feeding high fat usually reduces total food intake
and may result in nutrient deficiencies
• High fat diets increase risk for obesity, flatulence,
and vascular cell degeneration
• Fat oversupplementation may lead to Vitamin A
and E deficiencies
Excessive Vitamins
• Greatest risks associated with Vitamin D
oversupplementation
• Vitamin D increases absorption of calcium
• Leads to imbalance of the calcium to phosphorus
ratio
• Excessive Vitamin C may disturb selenium
absorption
• Excessive Vitamin C may not be as benign as
originally believed
Excessive Minerals
• High intake calcium inhibits absorption of zinc, copper and
iodine
• Calcium fed during pregnancy disrupts normal calcium
homeostasis in the bitch and may increase risk for
eclampsia at onset of lactation in the bitch or hypocalcemia
in pups leading to tetany-related seizures
• High calcium intake during growth periods increases risk
for bone deformity and lesions (OCD)
• Avoid dog foods for which proteins are derived primarily
from meat and bone meal
Nutrition and Disease
Nutritional Management in the
Heart Patient
• Areas for Consideration
– Nutrient Deficiency
– Nutrient Excesses
– Nutrient Interactions with cardiac medications
– Nutrients as Therapies
Cardiac Cachexia
• Defined as loss of lean body mass (occurs
in about 50% of cardiac patients with
congestive heart failure)
• Caused by elevations in cytokines
(inflammatory mediators) induced by the
disease process that cause anorexia,
increase energy requirements and
breakdown muscle
Nutritional Support for Cardiac
Cachexia
• Switching to more palatable food to increase nutrient
intake (homemade diets, canned-foods, warming food,
adding low-sodium flavor enhancers: soup, tomato sauce,
tuna juice, corn syrup)
• Omega-3 fatty acid supplementation decreases cytokine
production and their effects and is associated with
increased survival of dogs with CHF
• Improves muscle mass and appetite
• Fish oil is high in omega-3 fatty acids
Obesity and the Cardiac Patient
• Many dogs with cardiac disease have concurrent obesity
• Obesity places a strain on the diseased heart
– Induces blood volume expansion requiring elevated cardiac output
– Results in increased plasma and extracellular fluid volume
– Reduces urinary sodium output and water excretion
– Increases heart rate
– Produces abnormal systolic and diastolic ventricular function
– Increases exercise intolerance
– Increases blood pressure
Nutritional Management of
Obesity in the Cardiac Patient
• Dogs with a predisposition for cardiac
disease may benefit from early intervention
with calorie-restricted food (i.e. when a
murmur associated with MVD is first
detected)
Nutrient Considerations in the
Cardiac Patient
• Low sodium and chloride diets (senior/renal
diets=low [0.22%]; cardiac diets= very low
[0.10%]; min. sodium allowance = 0.06)
• Potassium and magnesium levels
– Low levels may potentiate adverse effects of
cardiac meds (such as diuretics)
– Depletions cause arrhythmias, decreased
contractility of the heart muscle and generalized
muscle weakness
More on Omega-3 Fatty Acids
and Cardiac Patients
• Fat content in dog food diets is comprised mostly of
omega-6 fatty acids (linoleic, linolenic and arachidonic
acids)
• Breakdown products (eicosanoids) of omega-3 rather than
omega-6 fatty acids are less potent inflammatory mediators
• Suppress cytokines, have anti-arrhythmic effects,
normalize plasma fatty acid abnormalities found in CHF
• Fish oil capsules (no other ingredients), eicosapentaenoic
acid (EPA), docohexaenoic acid (DHA)
Nutrient-Drug Interactions in the
Cardiac Patient
• Considerations
– Nutrient--Diuretic Interactions
– Nutrient--Angiotensin-converting Enzyme
Inhibitor (ACEI) Interactions
– Nutrient--Cardiac Glycoside Interactions
Nutrient--Diuretic Interactions
• Diuretics (i.e. furosemide) may lower magnesium and
potassium levels which may contribute to arrhythmias
• Diuretics may increase urinary loss of water-soluble
vitamins (i.e. thiamine); cardiac patients on diuretics often
require increase in dietary vitamin intake
• Diuretics activate the renin-angiotensin-aldosterone system
perpetuating progression of CHF, reduced sodium intake
may lower the diuretic dosage requirements and slow the
disease process
Nutrient--ACEI Interactions
• ACEIs (captopril, enalapril, lisinopril, etc.) disturb
potassium balance by inhibiting angiotensin II and
aldosterone (the latter promotes potassium
excretion by increasing absorption of sodium and
chloride)
• Potassium supplementation or diets high in
potassium in dogs receiving ACEIs may induce
hyperkalemia (weakness, arrhythmias)
Nutrient--Cardiac Glycoside
Interactions
• Examples: Digoxin or Digitoxin
• Administration with food reduces drug
serum concentrations up to 50%
• Abnormal serum electrolyte concentrations
(particularly hypokalemia) may increase
drug toxicity (anorexia, vomiting, diarrhea,
ventricular arrhythmias)
Implications of Dietary Management
and Therapy for Cardiac Disease
• Early intervention with nutritional support for
cachexia or obesity may assist in avoiding later
complications associated with these conditions in
the heart patient
• Attention to laboratory parameters and adjustment
of dietary nutrients accordingly may help to
prevent exacerbation of the disease state
• Dietary supplements may provide pharmacologic,
as well as physiologic effects in some cardiac
patients
Nutrition and the Allergic Patient
• Considerations
– Nutrition and Atopy
– Immunologic Reactions to Food
– Non-immunologic reactions to food
– Elimination Diets for Determining Adverse
Food Reactions
Nutritional Management of Atopy
• Atopy (skin disease caused by environmental
allergens) is the most prevalent cause of skin
disease in dogs
• Of the 10-30% of the dog population that have
food allergies, greater than 80% of these dogs will
also have atopy
• Therefore, hypoallergenic diets alone are
frequently unsuccessful for managing skin
reactions in the dog
EFA Supplements Provide Therapeutic
Benefits for Dogs with Atopy
• Dose-related anti-inflammatory effects
• Enhances effects of certain antihistamines
• Completely or significantly reduces glucocorticoid
dosing
• Benefits may not be apparent for 3 weeks to 3
months
• Will not be effective if inflammation is severe and
complicated by secondary bacterial or other
infection
Examples of EFAs
• Efavet Regular (Efamol Vet)
• Dermcaps or 3VCaps (DVM Pharmaceuticals
• EFA-CAPS (Allerderm/Virbac)
• Pet-Derm O.M. CAPS (SmithKline-Beecham)
• Omega-3 Fatty Acid Capsules (Vet Solutions)
• Typical Dosing (per 5 kg body weight every 24 h):
1.35 g Linoleic Acid (LA), 68 mg gamma-linolenic
acid (GLA), 34 mg eicosapentaenoic acid (EPA)
Nutritional Considerations for
Immunologic Food Reactions
Incidence
Most Commonly
Perceived Allergens
food preservatives, dyes,
wheat, beef, chicken egg,
corn, poultry, soy, dairy
products
Actual Clinical Allergens beef, dairy products,
wheat
chicken, chicken egg,
lamb, soy
68%
25%
Nutritional Considerations for Non-
immunologic Food Reactions
• Mimics food allergy symptoms, but reaction occurs on first
exposure
• Food components (additives like dyes or antioxidants)
directly cause histamine (vasoactive amines) release from
leukocytes (inflammatory response)
• Histamines themselves are also contained in some foods
(fish-based or fish-soluble ingredients) and may directly
cause reactions
• May lower the threshold level for adverse response to
other allergens
The Elimination Diet
• Reduced protein (16-20%); one animal and
one vegetable protein source
• High digestibility (>90%)
• No food additives (avoid fish and
vasoactive amines)
• Nutritionally complete and balanced for the
life stage
Considerations for Homemade
Elimination Diets
• Many are nutritionally inadequate for growth or adult
maintenance because devised to include a minimum of
ingredients
• Calcium to phosphorus ratios (1:10 in some HMDs) result
in skeletal disease within 4 weeks in growing puppies
• Require supplementation with a source of calcium
(calcium carbonate at 0.7 g/5 kg)
• Require non-flavored, additive-free vitamin and mineral
supplements
• Require fatty acid supplementation (vegetable oil; avoid
fish oils that may contain trace protein contaminants)
Nutritional Management of Liver
Disease
Protein and Hepatic Dysfunction
• The liver produces albumen and numerous
transport proteins required for normal cellular
function
• Protein production is decreased in patients with
liver dysfunction
• Excessive protein restriction in liver patients leads
to breakdown of cellular proteins, loss of skeletal
mass, increased ammonia production and thus,
increased risk for Hepatic Encephalopathy
Protein Recommendations for the
Liver Patient
• To prevent Protein Deficiency
– Avoid protein restriction (feed at least 20% protein)
– Feed diets with protein sources derived from soybeans
or milk which are well tolerated by liver patients
– Avoid diets with protein sources derived from meat
which increase ammonia production during digestion
and increase the functional demand on the liver
– Feed small, frequent meals to avoid prolonged fasting
Implications for Protein
Restriction in the Liver Patient
• Hepatic encephalopathy is a complication of liver disease and results
in GI and neurological symptoms (anorexia, vomiting, diarrhea,
aggression, stupor, ataxia, seizures)
• Believed to occur due to increased ammonia levels in the blood
(ammonia produced by bacteria in the gut and during digestion is
inadequately filtered from the blood by the dysfunctional liver and acts
as a neurotoxin
• HE liver patients benefit from
– Restricted protein diets (12-16% protein derived from dairy or vegetable)
– Addition of lactulose or lactitol (beta-galactosidosorbitol; reduces
flatulence)which decreases ammonia and may reduce need to restrict
protein
– Vitamins (without methionine)
Other Nutrient Considerations in
the Liver Patient
• Avoid diets with excess fat that may result in protein
deficiency or exacerbate diarrhea by enhancing
malabsorption (feed diets with 10% or less fat content)
• Avoid fasting (many liver patients have reduced glycogen
storage and are prone to hypoglycemia)
• Many liver patients will have vitamin and/or mineral
deficiencies and may require Vitamin K, Vitamin C (25
mg/kg/day), zinc gluconate (3 mg/kg/day), or potassium
Example Homemade Diet for
Liver Patients
Ingredient Amount
Maintenance Reduced Protein High Protein
Rice, cooked
without salt
2 cups 3 cups 1-3/4 cups
Low-fat
cottage cheese
2 cups 1 cup 2 cups
large egg,
boiled
1
Soybean oil 1 tbsp 1 tbsp 1 tbsp
Bone meal 1-1/2 tsp 1-1/2 tsp 1-1/2 tsp
Lite salt (KCl) 1/2 tsp 1/2 tsp 1/2 tsp
Administer a multivitamin and mineral supplement daily
ME = 1000 kcal
Nutrition and Renal Disease
• There is no clinical data supporting the recommendations
for nutrient-restriction in adult or geriatric dogs with
regard to minimizing risk of renal disease
• Dietary restriction of protein does not prevent progression
of renal disease in affected dogs
• Dietary restriction of protein (to 13-17%) and phosphorus
may assist in controlling symptoms associated with
excessive uremic toxins (inappetence, vomiting and
lethargy)in patients with blood urea nitrogen (BUN) levels
above 75 mg/dl (normal = 5.9-27.2 mg/dl)
Nutrition and Seizures: Is there a
connection?
• Glutamate (derived from gluten) is an amino acid that is
required for protein degradation and energy conversion
which is an ammonia-producing reaction
• Glutamate is found in wheat, barley, dairy, soy, corn and
rice and may act as a neurostimulant
• High levels of endogenous glutamate can be neurotoxic,
particularly to brain cells
• It has been suggested (J.S. Baker DVM/ DogtorJ.com) that
high levels of dietary glutamate may cause neurotoxicity
leading to seizures in some dogs similar to seizure activity
observed in some celiac patients who ingest gluten
Gluten Intolerance and Seizures
• Seizures associated with gluten intolerance do not appear
to be related to increase in glutamate in circulation
• Seizures associated with gluten ingestion appear to be
immunologically driven (antibodies to gluten appear to
target glutamate in neural tissue)
• Therefore, dogs manifesting dietary hypersensitivity to
gluten may develop secondary neurological complications
• In his clinical practice, Baker reports that 100% of his
epileptic patients respond completely when switched to
potato-based commercial dog foods
Summary
• There is no one diet, commercial or
natural, that will always meet the
nutritional requirements of every
dog
Summary
• Proper nutrition assures that the dog’s
metabolizable energy requirements for a given life
stage or condition are met on a daily basis
• When feeding commercial dog foods, including
“natural” commercial dog foods, the best
assurance of complete and balanced nutrition is
provided by a label indicating that the food has
passed American Association of Feed Control
Officials' (AAFCO) feeding trials
Summary
• Homemade diets may be advantageous for
increasing nutrient intake in finicky or
health compromised dogs, however, special
consideration must be given to the
nutritional balance of the various nutrients
to prevent nutritional deficiencies
Summary
• Adverse side-effects related to various
health disorders may respond positively to
nutritional management
A Practical Approach To Canine Nutrition

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A Practical Approach To Canine Nutrition

  • 1. A Practical Approach To Canine Nutrition
  • 2. Relatively speaking, most dogs today eat a more nutritional diet than their owners do
  • 3. Nutritional Requirements of the Dog • Though a carnivore, the dog utilizes a wide variety of foodstuffs efficiently and can meet nutritional requirements from a diversity of diets • Dogs regulate their food intake to meet energy requirements proper diets incorporate exact daily nutritional requirements into the amount of food consumed each day for energy
  • 4. Factors Affecting the Dietary Needs of Dogs
  • 5. Stages of the Life Cycle • Growth requires about 2 X the intake of nutrients (per pound of body weight) compared to adult maintenance • From the 6th week of gestation, nutritional requirements of the pregnant bitch gradually increase to about 1.6 X normal maintenance levels by the 8th week • By the 4th week of lactation, nutritional requirements of the bitch peak at 2-4 X normal maintenance levels (litter size, temp, activity)
  • 6. Environment • Seasonal variations in environmental temperatures influence dietary intake • Winter energy requirements may be as much as 2X the summer energy requirements
  • 7. Exercise • Working dogs (hunting dogs,sled dogs, racing dogs, herding dogs) may require up to 4X the maintenance energy requirements • Dogs with limited exercise will require restricted calories to maintain fitness
  • 8. Increased Metabolism • Conditions such as hyperthyroidism, tissue injury, and fever increase metabolic rate and produce increased nutritional demands
  • 9. Malnutrition and Weight Deficiency • Dogs suffering from neglect, illness, or experiencing convalescence require up to 1.7X normal maintenance energy requirements • Increases should be made gradually, utilizing small frequent feedings
  • 10. Obesity and Excessive Weight • Overindulged dogs receiving little exercise and fed poorly balanced diets (too many “people” treats) high in sugars and fats will benefit from restricted diets supplying only 0.6X maintenance energy levels • Adding fiber to the diet (8% on a dry matter basis) may help to provide a “full” feeling despite decreasing rations
  • 11. Disease • Many diseases require modification of diet and maintenance energy requirements • Chronic renal disease, congestive heart failure and gastrointestinal disorders are a few examples of diseases that require special nutritional considerations while compensating for metabolic or organ dysfunction
  • 12. Determining Nutritional Requirements of the Dog • The National Research Council provides guidelines for the daily nutrient intake for proper growth and maintenance of dogs in their Nutrient Requirements of Dogs (NRC) publication • Nutrient profile, however, is NOT an indication of quality and digestibility and provides no assurance of a utilizable diet • A more reliable assurance of nutritional quality is given by labels that state that the food has passed American Association of Feed Control Officials' (AAFCO) feeding trials
  • 13. Determining Metabolizable Energy in Dog Foods Dog Food Calorie Content: Metabolizable Energy (calculated): 3900 kcal/kg 3.90 kcal/g 936 kcal/cup Dog Food Calorie Content: Metabolizable Energy: 3900 kcal/kg 3.90 kcal/g 936 kcal/cup Required Optional This ME is determined by metabolic trial Examples of how ME values appear on labels
  • 14. Comparison of ME Values in some Dog Food Brands AAFCO Designation # Brands Surveyed Average ME (kcal/g) Range (kcal/g) Maintenance: Science Diet, Innova Senior, Pro Plan Adult, Eukanuba Maintenance, Nutro, Nutro Max, Purina ONE Reduced, Nature’s Recipe, Purina Senior 20 3.92 3.10 – 4.59 All Life Stages: Eukanuba Premium, Pro Plan Performance, Purina ONE, Iams, Pedigree Mealtime, Innova Dog/Puppy, Purina Dog Chow L ittle Bites, California Natural, Nutro Natural, Purina Hi-Pro, Purina ONE Puppy, Nutro Max, Alpo 25 4.13 3.59 – 4.82
  • 15. Average Daily Calories Required by Pregnant and Lactating Bitches Body Weight (lb) Multiples of Maintenance (kcal ME/day) 1.0 1.5 2.0 2.5 3.0 3.5 4.0 2.5 145 218 290 363 436 508 581 5 244 366 487 611 733 855 977 7.5 331 497 662 828 994 1159 1325 10 411 616 822 1027 1233 1438 1644 15 557 835 1114 1392 1671 1949 2228 20 691 1037 1382 1728 2073 2419 2764 25 817 1225 1634 2042 2451 2859 3268 30 937 1405 1873 2342 2810 3278 3747 40 1162 1743 2324 2906 3487 4068 4649 50 1374 2061 2748 3435 4122 4809 5496 60 1575 2363 3151 3938 4726 5514 6301 70 1768 2652 3537 4421 5305 6189 7074 80 1955 2932 3909 4887 5864 6841 7819 90 2135 3202 4270 5338 6405 7473 8541 100 2311 3466 4622 5777 6932 8088 9243 120 2649 3974 5299 6623 7948 9273 10597 140 2974 4461 5948 7435 8922 10409 11896 160 3287 4931 6575 8218 9862 11506 13149
  • 16. Example of ME Requirements Recommended for a CKCS Bitch During Various Life Stages *Estimated for a 15 pound CKCS AAFCO Designation ME (kcal/cup) Growth (# cups/day) Maintenance (# cups/day) Pregnancy (# cups/day) Lactation (# cups/day) All Life Stages 1000 1/4 to 1 1/2 1 1-2/3 Maintenance 940 NR 2/3 NR NR
  • 17. Protein Requirements • Provides essential amino acids for growth and tissue repair • Dogs require a minimum of 22% (G&R) or 18% (M) good quality protein, on a dry-matter basis • The higher the quality of protein fed, the lower the % total protein needed in the diet • Highly digested protein results in free amino acids and small peptides that are poorly antigenic (reduced risk of protein-related food allergy) • Protein sources: meal, corn, eggs, dairy products, muscle or organ meats
  • 18. Fat Requirements • Supplies concentrated energy for growth, reproduction, and maintenance of healthy skin and coat • Needed for inflammatory and other immune responses (including prostaglandin synthesis) • Dogs require a minimum of 8% (G&R) or 5% (M) dietary fat, on a dry-matter basis (at least 1% from linoleic acid)
  • 19. Vitamin Requirements Vitamin Minimum Maximum Vitamin A (IU/kg) 5000 250000 Vitamin D (IU/kg) 500 5000 Vitamin E(IU/kg) 50 1000 Thiamine (mg/kg) 1.0 Riboflavin (mg/kg) 2.2 Pantothenic Acid (mg/kg) 10 Niacin (mg/kg) 11.4 Pyridoxine (mg/kg) 1.0 Folic Acid (mg/kg) 0.18 Vitamin B12 (mg/kg) 0.022 Choline (mg/kg) 1200
  • 20. Mineral Requirements Mineral Minimum (G & R) Minimum (M) Maximum Calcium (%) 1.0 0.6 2.5 Phosphorus (%) 0.8 0.5 1.6 Ca:P ratio 1:1 1:1 2:1 Potassium (%) 0.6 0.6 Sodium (%) 0.3 0.06 Chloride (%) 0.45 0.09 Magnesium (%) 0.04 0.04 0.3 Iron (mg/kg) 80 80 3000 Copper (mg/kg) 7.3 7.3 250 Manganese (mg/kg) 5.0 5.0 Zinc (mg/kg) 120 120 1000 Iodine (mg/kg) 1.5 1.5 50 Selenium (mg/kg) 0.11 0.11 2
  • 21. Evaluating Nutritional Quality A. “Meets or Exceeds NRC requirements for Nutrient Requirements of the Dog” B. “Formulated to meet the nutritional needs established by AAFCO dog food profiles for growth, gestation, and lactation” or “maintenance” or “all life stages” C. “Has passed AAFCO animal feeding trials for providing complete and balanced nutrition for all life stages”
  • 22. Answer C. “Has passed AAFCO animal feeding trials for providing complete and balanced nutrition for all life stages”
  • 23. AAFCO Diets • Commercial diets passing AAFCO trials provide the strongest assurance of complete and balanced nutrition for the indicated life stage • Natural diets are also available that not only meet AAFCO nutritional requirements but also must meet AAFCO standards for “natural” labeling (some “Natural” diets may contain chemically synthesized preservatives even though their primary ingredients are natural)
  • 24. AAFCO’s Requirements for “Natural Diet” • " A feed or ingredient derived solely from plant, animal or mined sources, either in its unprocessed state or having been subjected to physical processing, heat processing, rendering, purification extraction, hydrolysis, enzymolysis or fermentation, but not having been produced by or subject to a chemically synthetic process and not containing any additives or processing aids that are chemically synthetic except in amounts as might occur unavoidably in good manufacturing practices." • The only exception to this is that AAFCO does allow for certain synthetic vitamins and mineral additives to these dog foods (but no synthetic preservatives).
  • 25. The Limitations of Homemade Diets • When feeding homemade diets there is a greater risk for incomplete nutrition because many will not meet the daily requirements of the dog • There is a greater risk for nutrient imbalance, particularly for those diets which must be supplemented with excessive amounts of vitamins and minerals
  • 26. The Dangers of Nutritional Deficiencies
  • 27. Energy Deficiency • Signs: Thin, pot-bellied with poor muscle tone • Causes include: • low dietary-caloric density of food (most common in puppies or lactating bitches fed “light/lite” foods) • high energy expenditure (most common in working dogs or lactating bitches on diets that insufficiently compensate for increases in energy demands) Increase feeding frequency and caloric intake to ≥ 2-3X maintenance levels
  • 28. Protein Deficiency • Signs: Poor growth and condition, pot-belly, poor muscle tone or development, anemia, reduced immunity, poor wound healing • Caused by: • Unpalatable diet of low-protein concentration • Poor quality dietary protein resulting in decreased digestibility • Dietary imbalance (too much fat or carbohydrates in diet) Dietary protein should be derived from high quality mixed plant and animal origin and should supply not less than 22% of the total calories
  • 29. Fat Deficiency • Signs: Hair loss, flaky skin, increased susceptibility to infection, impaired reproduction • Caused by: • Diets deficient in unsaturated fats Dietary fat should supply not less than than 5% (8% during growth or reproduction) of the total calories
  • 30. Vitamin Deficiencies • Causes: • Processing and storage of food leads to loss of vitamins thus requiring post-processing analysis to ensure nutritional adequacy • Exogenous supplementation of balanced diets may lead to inhibition of absorption or destruction of certain vitamins
  • 31. Vitamin A Deficiency • Signs: stillbirths, spontaneous abortions, birth defects, blindness, deafness, ataxia • Rare; dogs can convert carotene in vegetable matter to vitamin A if needed • Dogs store vitamin A in their liver, kidney and fat so prolonged dietary deficiency must occur before symptoms appear • Too high concentrations of fatty acids or rancid fat supplement will destroy vitamin A
  • 32. Vitamin E Deficiency • Signs: stillbirths, fading-puppies, muscular dystrophies, cardiac insufficiency, poor coat • Show dogs fed excessive diets of polyunsaturated fats, especially fish-oils, to improve coats will show opposite results • Too high a fat diet or rancid fat destroys vitamin E
  • 33. Vitamin D Deficiency • Signs: Bone abnormalities, calcification of soft tissue, muscular dystrophies • Occurs in association with calcium or phosphorus deficiency or imbalance • Most often attributed to over- supplementation (exogenous vitamin D or fish oil supplements) rather than deficient dietary formulation
  • 34. Vitamin B Deficiency • Signs: Decreased appetite, constipation, weight loss, weakness, drowsiness, paralysis, seizures, anxiety • Raw fish contains thiaminase, which destroys thiamin (vitamin B1) and leads to paralytic syndrome in dogs; cooking the fish destroys the enzyme
  • 35. Vitamin C Deficiency • Dogs make their own Vitamin C and do not require a dietary source of Vitamin C
  • 36. Mineral Deficiencies • Dietary mineral deficiencies most commonly occur due to dietary imbalances or oversupplementation • Most evident in growing puppies and lactating bitches
  • 37. Calcium and Phosphorus Deficiencies • Signs: bone dystrophies, slow growth, spontaneous fractures, bone demineralization • Caused by imbalance of the calcium to phosphorus ratio • Diets too high in meat disrupt the optimum ratio of 1.2-1.4 parts calcium to 1 part phosphorus • To bring meat supplements into calcium balance, 2-3 g of calcium carbonate is mixed with each pound of meat
  • 38. Zinc Deficiency • Signs: hyperkeratosis, pyoderma, lymphadenopathy • Most often caused by oversupplementation with calcium • Calcium inhibits natural absorption of zinc
  • 39. Selenium Deficiency • Signs: Infertility • Selenium plays a role in many biochemical pathways including immune response and prevention of cellular damage from reactive oxygen species; it may also play a role in cancer prevention • Selenium deficiency may occur from low dietary levels or from supplementation with Vitamin C (which inhibits selenium absorption)
  • 40. The Dangers of Overnutrition
  • 41. Excessive Protein • There is limited storage of proteins by the body, excess protein is therefore rapidly degraded to provide energy (from carbon) and unusable protein (nitrogen) is filtered by the kidneys and excreted • Protein intake directly affects growth rate and high protein intake has been linked indirectly to increased risk for skeletal diseases in medium, large and giant breeds
  • 42. Excessive Fat • Increased dietary fat increases incidence and growth of spontaneous or chemically induced tumors (lymphocyte inhibition) • Feeding high fat usually reduces total food intake and may result in nutrient deficiencies • High fat diets increase risk for obesity, flatulence, and vascular cell degeneration • Fat oversupplementation may lead to Vitamin A and E deficiencies
  • 43. Excessive Vitamins • Greatest risks associated with Vitamin D oversupplementation • Vitamin D increases absorption of calcium • Leads to imbalance of the calcium to phosphorus ratio • Excessive Vitamin C may disturb selenium absorption • Excessive Vitamin C may not be as benign as originally believed
  • 44. Excessive Minerals • High intake calcium inhibits absorption of zinc, copper and iodine • Calcium fed during pregnancy disrupts normal calcium homeostasis in the bitch and may increase risk for eclampsia at onset of lactation in the bitch or hypocalcemia in pups leading to tetany-related seizures • High calcium intake during growth periods increases risk for bone deformity and lesions (OCD) • Avoid dog foods for which proteins are derived primarily from meat and bone meal
  • 46. Nutritional Management in the Heart Patient • Areas for Consideration – Nutrient Deficiency – Nutrient Excesses – Nutrient Interactions with cardiac medications – Nutrients as Therapies
  • 47. Cardiac Cachexia • Defined as loss of lean body mass (occurs in about 50% of cardiac patients with congestive heart failure) • Caused by elevations in cytokines (inflammatory mediators) induced by the disease process that cause anorexia, increase energy requirements and breakdown muscle
  • 48. Nutritional Support for Cardiac Cachexia • Switching to more palatable food to increase nutrient intake (homemade diets, canned-foods, warming food, adding low-sodium flavor enhancers: soup, tomato sauce, tuna juice, corn syrup) • Omega-3 fatty acid supplementation decreases cytokine production and their effects and is associated with increased survival of dogs with CHF • Improves muscle mass and appetite • Fish oil is high in omega-3 fatty acids
  • 49. Obesity and the Cardiac Patient • Many dogs with cardiac disease have concurrent obesity • Obesity places a strain on the diseased heart – Induces blood volume expansion requiring elevated cardiac output – Results in increased plasma and extracellular fluid volume – Reduces urinary sodium output and water excretion – Increases heart rate – Produces abnormal systolic and diastolic ventricular function – Increases exercise intolerance – Increases blood pressure
  • 50. Nutritional Management of Obesity in the Cardiac Patient • Dogs with a predisposition for cardiac disease may benefit from early intervention with calorie-restricted food (i.e. when a murmur associated with MVD is first detected)
  • 51. Nutrient Considerations in the Cardiac Patient • Low sodium and chloride diets (senior/renal diets=low [0.22%]; cardiac diets= very low [0.10%]; min. sodium allowance = 0.06) • Potassium and magnesium levels – Low levels may potentiate adverse effects of cardiac meds (such as diuretics) – Depletions cause arrhythmias, decreased contractility of the heart muscle and generalized muscle weakness
  • 52. More on Omega-3 Fatty Acids and Cardiac Patients • Fat content in dog food diets is comprised mostly of omega-6 fatty acids (linoleic, linolenic and arachidonic acids) • Breakdown products (eicosanoids) of omega-3 rather than omega-6 fatty acids are less potent inflammatory mediators • Suppress cytokines, have anti-arrhythmic effects, normalize plasma fatty acid abnormalities found in CHF • Fish oil capsules (no other ingredients), eicosapentaenoic acid (EPA), docohexaenoic acid (DHA)
  • 53. Nutrient-Drug Interactions in the Cardiac Patient • Considerations – Nutrient--Diuretic Interactions – Nutrient--Angiotensin-converting Enzyme Inhibitor (ACEI) Interactions – Nutrient--Cardiac Glycoside Interactions
  • 54. Nutrient--Diuretic Interactions • Diuretics (i.e. furosemide) may lower magnesium and potassium levels which may contribute to arrhythmias • Diuretics may increase urinary loss of water-soluble vitamins (i.e. thiamine); cardiac patients on diuretics often require increase in dietary vitamin intake • Diuretics activate the renin-angiotensin-aldosterone system perpetuating progression of CHF, reduced sodium intake may lower the diuretic dosage requirements and slow the disease process
  • 55. Nutrient--ACEI Interactions • ACEIs (captopril, enalapril, lisinopril, etc.) disturb potassium balance by inhibiting angiotensin II and aldosterone (the latter promotes potassium excretion by increasing absorption of sodium and chloride) • Potassium supplementation or diets high in potassium in dogs receiving ACEIs may induce hyperkalemia (weakness, arrhythmias)
  • 56. Nutrient--Cardiac Glycoside Interactions • Examples: Digoxin or Digitoxin • Administration with food reduces drug serum concentrations up to 50% • Abnormal serum electrolyte concentrations (particularly hypokalemia) may increase drug toxicity (anorexia, vomiting, diarrhea, ventricular arrhythmias)
  • 57. Implications of Dietary Management and Therapy for Cardiac Disease • Early intervention with nutritional support for cachexia or obesity may assist in avoiding later complications associated with these conditions in the heart patient • Attention to laboratory parameters and adjustment of dietary nutrients accordingly may help to prevent exacerbation of the disease state • Dietary supplements may provide pharmacologic, as well as physiologic effects in some cardiac patients
  • 58. Nutrition and the Allergic Patient • Considerations – Nutrition and Atopy – Immunologic Reactions to Food – Non-immunologic reactions to food – Elimination Diets for Determining Adverse Food Reactions
  • 59. Nutritional Management of Atopy • Atopy (skin disease caused by environmental allergens) is the most prevalent cause of skin disease in dogs • Of the 10-30% of the dog population that have food allergies, greater than 80% of these dogs will also have atopy • Therefore, hypoallergenic diets alone are frequently unsuccessful for managing skin reactions in the dog
  • 60. EFA Supplements Provide Therapeutic Benefits for Dogs with Atopy • Dose-related anti-inflammatory effects • Enhances effects of certain antihistamines • Completely or significantly reduces glucocorticoid dosing • Benefits may not be apparent for 3 weeks to 3 months • Will not be effective if inflammation is severe and complicated by secondary bacterial or other infection
  • 61. Examples of EFAs • Efavet Regular (Efamol Vet) • Dermcaps or 3VCaps (DVM Pharmaceuticals • EFA-CAPS (Allerderm/Virbac) • Pet-Derm O.M. CAPS (SmithKline-Beecham) • Omega-3 Fatty Acid Capsules (Vet Solutions) • Typical Dosing (per 5 kg body weight every 24 h): 1.35 g Linoleic Acid (LA), 68 mg gamma-linolenic acid (GLA), 34 mg eicosapentaenoic acid (EPA)
  • 62. Nutritional Considerations for Immunologic Food Reactions Incidence Most Commonly Perceived Allergens food preservatives, dyes, wheat, beef, chicken egg, corn, poultry, soy, dairy products Actual Clinical Allergens beef, dairy products, wheat chicken, chicken egg, lamb, soy 68% 25%
  • 63. Nutritional Considerations for Non- immunologic Food Reactions • Mimics food allergy symptoms, but reaction occurs on first exposure • Food components (additives like dyes or antioxidants) directly cause histamine (vasoactive amines) release from leukocytes (inflammatory response) • Histamines themselves are also contained in some foods (fish-based or fish-soluble ingredients) and may directly cause reactions • May lower the threshold level for adverse response to other allergens
  • 64. The Elimination Diet • Reduced protein (16-20%); one animal and one vegetable protein source • High digestibility (>90%) • No food additives (avoid fish and vasoactive amines) • Nutritionally complete and balanced for the life stage
  • 65. Considerations for Homemade Elimination Diets • Many are nutritionally inadequate for growth or adult maintenance because devised to include a minimum of ingredients • Calcium to phosphorus ratios (1:10 in some HMDs) result in skeletal disease within 4 weeks in growing puppies • Require supplementation with a source of calcium (calcium carbonate at 0.7 g/5 kg) • Require non-flavored, additive-free vitamin and mineral supplements • Require fatty acid supplementation (vegetable oil; avoid fish oils that may contain trace protein contaminants)
  • 66. Nutritional Management of Liver Disease
  • 67. Protein and Hepatic Dysfunction • The liver produces albumen and numerous transport proteins required for normal cellular function • Protein production is decreased in patients with liver dysfunction • Excessive protein restriction in liver patients leads to breakdown of cellular proteins, loss of skeletal mass, increased ammonia production and thus, increased risk for Hepatic Encephalopathy
  • 68. Protein Recommendations for the Liver Patient • To prevent Protein Deficiency – Avoid protein restriction (feed at least 20% protein) – Feed diets with protein sources derived from soybeans or milk which are well tolerated by liver patients – Avoid diets with protein sources derived from meat which increase ammonia production during digestion and increase the functional demand on the liver – Feed small, frequent meals to avoid prolonged fasting
  • 69. Implications for Protein Restriction in the Liver Patient • Hepatic encephalopathy is a complication of liver disease and results in GI and neurological symptoms (anorexia, vomiting, diarrhea, aggression, stupor, ataxia, seizures) • Believed to occur due to increased ammonia levels in the blood (ammonia produced by bacteria in the gut and during digestion is inadequately filtered from the blood by the dysfunctional liver and acts as a neurotoxin • HE liver patients benefit from – Restricted protein diets (12-16% protein derived from dairy or vegetable) – Addition of lactulose or lactitol (beta-galactosidosorbitol; reduces flatulence)which decreases ammonia and may reduce need to restrict protein – Vitamins (without methionine)
  • 70. Other Nutrient Considerations in the Liver Patient • Avoid diets with excess fat that may result in protein deficiency or exacerbate diarrhea by enhancing malabsorption (feed diets with 10% or less fat content) • Avoid fasting (many liver patients have reduced glycogen storage and are prone to hypoglycemia) • Many liver patients will have vitamin and/or mineral deficiencies and may require Vitamin K, Vitamin C (25 mg/kg/day), zinc gluconate (3 mg/kg/day), or potassium
  • 71. Example Homemade Diet for Liver Patients Ingredient Amount Maintenance Reduced Protein High Protein Rice, cooked without salt 2 cups 3 cups 1-3/4 cups Low-fat cottage cheese 2 cups 1 cup 2 cups large egg, boiled 1 Soybean oil 1 tbsp 1 tbsp 1 tbsp Bone meal 1-1/2 tsp 1-1/2 tsp 1-1/2 tsp Lite salt (KCl) 1/2 tsp 1/2 tsp 1/2 tsp Administer a multivitamin and mineral supplement daily ME = 1000 kcal
  • 72. Nutrition and Renal Disease • There is no clinical data supporting the recommendations for nutrient-restriction in adult or geriatric dogs with regard to minimizing risk of renal disease • Dietary restriction of protein does not prevent progression of renal disease in affected dogs • Dietary restriction of protein (to 13-17%) and phosphorus may assist in controlling symptoms associated with excessive uremic toxins (inappetence, vomiting and lethargy)in patients with blood urea nitrogen (BUN) levels above 75 mg/dl (normal = 5.9-27.2 mg/dl)
  • 73. Nutrition and Seizures: Is there a connection? • Glutamate (derived from gluten) is an amino acid that is required for protein degradation and energy conversion which is an ammonia-producing reaction • Glutamate is found in wheat, barley, dairy, soy, corn and rice and may act as a neurostimulant • High levels of endogenous glutamate can be neurotoxic, particularly to brain cells • It has been suggested (J.S. Baker DVM/ DogtorJ.com) that high levels of dietary glutamate may cause neurotoxicity leading to seizures in some dogs similar to seizure activity observed in some celiac patients who ingest gluten
  • 74. Gluten Intolerance and Seizures • Seizures associated with gluten intolerance do not appear to be related to increase in glutamate in circulation • Seizures associated with gluten ingestion appear to be immunologically driven (antibodies to gluten appear to target glutamate in neural tissue) • Therefore, dogs manifesting dietary hypersensitivity to gluten may develop secondary neurological complications • In his clinical practice, Baker reports that 100% of his epileptic patients respond completely when switched to potato-based commercial dog foods
  • 75. Summary • There is no one diet, commercial or natural, that will always meet the nutritional requirements of every dog
  • 76. Summary • Proper nutrition assures that the dog’s metabolizable energy requirements for a given life stage or condition are met on a daily basis • When feeding commercial dog foods, including “natural” commercial dog foods, the best assurance of complete and balanced nutrition is provided by a label indicating that the food has passed American Association of Feed Control Officials' (AAFCO) feeding trials
  • 77. Summary • Homemade diets may be advantageous for increasing nutrient intake in finicky or health compromised dogs, however, special consideration must be given to the nutritional balance of the various nutrients to prevent nutritional deficiencies
  • 78. Summary • Adverse side-effects related to various health disorders may respond positively to nutritional management