Therapeutic Nutrition and Small Animal Nutritional Diseases I
<ul><li>Formulated for nutritional management of diagnosed disease conditions in dogs and cats  </li></ul><ul><li>NOT  int...
<ul><li>Disease:   any bodily abnormality or failure to function properly, except that resulting directly from physical in...
<ul><li>Clinical:   diagnosable by or based on clinical observations. </li></ul><ul><li>Sub-clinical:   not detectable by ...
<ul><li>Nutrients of concern and other food characteristics that make them useful as a nutritional aid to specific disease...
<ul><li>Adjusted to help bring about desired outcome: </li></ul><ul><ul><li>Improve or maintain nutritional status </li></...
<ul><li>Prescription Diet ® </li></ul><ul><li>(Hill’s Pet Nutrition, Inc.) </li></ul><ul><li>Iams Veterinary Diets ® </li>...
<ul><li>Disease  </li></ul><ul><li>Goals  </li></ul><ul><li>KNF </li></ul><ul><li>Products </li></ul>
<ul><li>Therapeutic Nutrition I </li></ul><ul><li>Obesity </li></ul><ul><li>Diabetes Mellitus </li></ul><ul><li>Periodonta...
<ul><li>Clinical Definition: </li></ul><ul><li>20% or more over ideal body weight </li></ul>“ Rocky” 7 years, M(N) DSH 20#...
What Diseases are Associated  with Obesity in Dogs and Cats? Domino  106 lbs Mr. Bojangles, 18 lbs Samantha, 13 lbs Clemmi...
<ul><li>Reduce weight ( slowly  in cats) </li></ul><ul><li>Increase satiety </li></ul><ul><li>Increase lean body tissue </...
<ul><li>Increased fiber </li></ul><ul><li>Decreased energy density/fat </li></ul><ul><li>Added carnitine </li></ul>Jesse J...
<ul><li>Primary predisposing factor is  OBESITY </li></ul>Amadeus, 26 lbs
<ul><li>Type 1 Diabetes        “Insulin-dependant” </li></ul><ul><li>lack of insulin production </li></ul><ul><li>Type 2 ...
<ul><li>Stabilize blood glucose  & reduce fluctuations </li></ul><ul><li>Reduce weight –  s lowly  in cats </li></ul><ul><...
High Fiber  Consistent profile High fiber Consistent profile High protein in  certain cases
DM Dietetic Management ™ OM Overweight Management ™ DCO Diabetes/Colitis Management ™ Weight Control D   Optimum Weight C...
 
 
Feline Canine % DMB Purina DM canned Hill’s Prescription Diet m/d canned Purina DCO Hill’s Prescription Diet w/d canned Pr...
Image Source:  Dr. Geneva Acor, DVM
 
<ul><li>“ any pathologic process that affects the periodontium, i.e. structures that surround and support the tooth gingiv...
 
<ul><li>Plaque </li></ul><ul><li>Clear, sticky deposit on tooth surface, composed of bacteria and salivary glycoproteins. ...
<ul><li>Stain </li></ul><ul><li>discoloration of the tooth or of tooth accumulated materials </li></ul><ul><li>Tartar (Cal...
<ul><li>Tartar is visible to pet owners, but…  </li></ul><ul><li>Bacterial plaque is the most important substrate in the d...
 
<ul><li>Reduce precursors to plaque buildup </li></ul><ul><li>Provide regular (daily) removal of plaque </li></ul><ul><li>...
<ul><li>Daily tooth brushing is the most effective method of home dental care </li></ul><ul><li>Mechanical removal of plaq...
3 Categories of Dental Care Products Method Properties Examples of Products Mechanical fiber enhanced foods/treats;  speci...
<ul><li>Therapeutic Nutrition II: </li></ul><ul><li>Acute Care/Recovery </li></ul><ul><li>Food Allergies </li></ul><ul><li...
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Therapeutic & Obesity Diabetes Periodntl dz

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Therapeutic & Obesity Diabetes Periodntl dz

  1. 1. Therapeutic Nutrition and Small Animal Nutritional Diseases I
  2. 2. <ul><li>Formulated for nutritional management of diagnosed disease conditions in dogs and cats </li></ul><ul><li>NOT intended to cure disease conditions </li></ul>
  3. 3. <ul><li>Disease: any bodily abnormality or failure to function properly, except that resulting directly from physical injury </li></ul><ul><li>Acute: having a sudden onset, sharp rise, and short course </li></ul><ul><li>Chronic: marked by long duration or frequent recurrence </li></ul>
  4. 4. <ul><li>Clinical: diagnosable by or based on clinical observations. </li></ul><ul><li>Sub-clinical: not detectable by the usual clinical observations. </li></ul>
  5. 5. <ul><li>Nutrients of concern and other food characteristics that make them useful as a nutritional aid to specific disease management or prevention goals </li></ul><ul><li>KNFs are either increased or decreased in therapeutic nutritional formulas based on research </li></ul>
  6. 6. <ul><li>Adjusted to help bring about desired outcome: </li></ul><ul><ul><li>Improve or maintain nutritional status </li></ul></ul><ul><ul><li>Correct deficiency </li></ul></ul><ul><ul><li>Gain or lose weight </li></ul></ul><ul><ul><li>Rest an organ </li></ul></ul><ul><ul><li>Avoid specific food ingredient </li></ul></ul><ul><ul><li>Preventive for predisposition </li></ul></ul>
  7. 7. <ul><li>Prescription Diet ® </li></ul><ul><li>(Hill’s Pet Nutrition, Inc.) </li></ul><ul><li>Iams Veterinary Diets ® </li></ul><ul><li> (The Iams Company) </li></ul><ul><li>Purina Veterinary Diets™ </li></ul><ul><li> (Nestl è Purina Petcare Company) </li></ul><ul><li>Royal Canin™ Veterinary Diets </li></ul>
  8. 8. <ul><li>Disease </li></ul><ul><li>Goals </li></ul><ul><li>KNF </li></ul><ul><li>Products </li></ul>
  9. 9. <ul><li>Therapeutic Nutrition I </li></ul><ul><li>Obesity </li></ul><ul><li>Diabetes Mellitus </li></ul><ul><li>Periodontal Disease </li></ul><ul><li>Therapeutic Nutrition II </li></ul><ul><li>Acute Care/Recovery </li></ul><ul><li>Food Allergies </li></ul><ul><li>Canine Osteoarthritis </li></ul>Therapeutic Nutrition III GI Disease Lower Urinary Tract Disease Liver Disease Therapeutic Nutrition IV Renal Disease Cancer/Neoplasia Cognitive Dysfunction Syndrome
  10. 10. <ul><li>Clinical Definition: </li></ul><ul><li>20% or more over ideal body weight </li></ul>“ Rocky” 7 years, M(N) DSH 20# BCS 5/5 (enjoys yoga  )
  11. 11. What Diseases are Associated with Obesity in Dogs and Cats? Domino 106 lbs Mr. Bojangles, 18 lbs Samantha, 13 lbs Clemmie, 15 lbs Missy 92 lbs Gabby
  12. 12. <ul><li>Reduce weight ( slowly in cats) </li></ul><ul><li>Increase satiety </li></ul><ul><li>Increase lean body tissue </li></ul>Jesse James 40lbs
  13. 13. <ul><li>Increased fiber </li></ul><ul><li>Decreased energy density/fat </li></ul><ul><li>Added carnitine </li></ul>Jesse James 40lbs
  14. 14. <ul><li>Primary predisposing factor is OBESITY </li></ul>Amadeus, 26 lbs
  15. 15. <ul><li>Type 1 Diabetes  “Insulin-dependant” </li></ul><ul><li>lack of insulin production </li></ul><ul><li>Type 2 Diabetes  </li></ul><ul><li>“ Non Insulin-Dependant” </li></ul><ul><li>insulin resistance at the peripheral tissues </li></ul>Insulin helps move glucose from the blood circulation into the cell Pancreas
  16. 16. <ul><li>Stabilize blood glucose & reduce fluctuations </li></ul><ul><li>Reduce weight – s lowly in cats </li></ul><ul><li>Provide balanced formulation </li></ul>
  17. 17. High Fiber Consistent profile High fiber Consistent profile High protein in certain cases
  18. 18. DM Dietetic Management ™ OM Overweight Management ™ DCO Diabetes/Colitis Management ™ Weight Control D  Optimum Weight Control Canine Weight Control D  OptimumWeight Control Feline Prescription Diet ® w/d Prescription Diet ® r/d Prescription Diet ® m/d Diabetic HF 18  Calorie Control CC  High Fiber Calorie Control CC  High Protein
  19. 21. Feline Canine % DMB Purina DM canned Hill’s Prescription Diet m/d canned Purina DCO Hill’s Prescription Diet w/d canned Protein 56.9 52.8 25.26 17.9 Fat 23.8 19.4 12.41 12.7 Fiber 3.65 6.0 7.63 12.4 Carnitine mg/dl n/a 524 ppm n/a 364 ppm
  20. 22. Image Source: Dr. Geneva Acor, DVM
  21. 24. <ul><li>“ any pathologic process that affects the periodontium, i.e. structures that surround and support the tooth gingivae, cementum, periodontal ligament, alveolar bone” </li></ul>
  22. 26. <ul><li>Plaque </li></ul><ul><li>Clear, sticky deposit on tooth surface, composed of bacteria and salivary glycoproteins. </li></ul><ul><li>Gingivitis </li></ul><ul><li>Inflammation of the gingiva (gum tissue) </li></ul>
  23. 27. <ul><li>Stain </li></ul><ul><li>discoloration of the tooth or of tooth accumulated materials </li></ul><ul><li>Tartar (Calculus) </li></ul><ul><li>mineralized plaque that forms a hard shell on tooth surfaces </li></ul>
  24. 28. <ul><li>Tartar is visible to pet owners, but… </li></ul><ul><li>Bacterial plaque is the most important substrate in the development of periodontal disease. It is a major precursor! </li></ul>*Nutrients, In: Hand, Thatcher, Remillard, Roudebush, ed. Small Animal Clinical Nutrition, 4th Ed. Mark Morris Institute, 2000;483. www.technicianadvances.com
  25. 30. <ul><li>Reduce precursors to plaque buildup </li></ul><ul><li>Provide regular (daily) removal of plaque </li></ul><ul><li>Dental Prophylaxis </li></ul>
  26. 31. <ul><li>Daily tooth brushing is the most effective method of home dental care </li></ul><ul><li>Mechanical removal of plaque and tartar via food </li></ul>
  27. 32. 3 Categories of Dental Care Products Method Properties Examples of Products Mechanical fiber enhanced foods/treats; special texture Prescription Diet t/d; Purina DH Dental Health; Greenies; Nylabone Antibacterial use Chlorhexidine as bacteriostatic or bacteriocidal agent CET Chews & Toothpaste; Nolvosan Chelating Use Hexametaphosphate to bind calcium in saliva to prevent tartar formation Iam’s Daily Dental Care
  28. 33. <ul><li>Therapeutic Nutrition II: </li></ul><ul><li>Acute Care/Recovery </li></ul><ul><li>Food Allergies </li></ul><ul><li>Canine Osteoarthritis </li></ul>

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