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Wellness through Evidence Based Preventative Nutrition
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Wellness through Evidence Based Preventative Nutrition

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The most common wellness conditions/issues in pets that can be prevented by nutrtional modifications, ingredients or supplements with evidence based references

The most common wellness conditions/issues in pets that can be prevented by nutrtional modifications, ingredients or supplements with evidence based references


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  • 1. Evidence Based Nutrition: What foods & supplements can treat and/or prevent disease?
    • Ken Lambrecht DVM
    • Medical Director Westside Family Pet Clinic
    • Fitness & Rehab Director 4 Paws Swim & Fitness
    • Our new blog based website westsidefamilypet.com
    • [email_address]
  • 2. Food is an emotional issue…. Pet food is even more emotional!
  • 3. Wellness as taught by “Travis” for 14 years
    • OCD of shoulder
    • Hip dysplasia
    • “Pink tooth” = pulpitis
    • Laryngeal Paralysis
    • Osteoarthritis
    • Old dog cognitive disorder
    • Hearing loss
  • 4. Wellness as taught by “Buck” over 22 years
    • Periodontal Disease
    • Dental Resorptive lesions
    • Kidney disease
    • Hyperthyroidism
    • Lung mass
    • Arthritis
    • Cognitive disease
    • Paralysis
  • 5. Your homework:
    • Discuss these things with your veterinarian
    • your pets wellness goals
    • Your concerns about ingredients
    • The common conditions specific to your breed
    • How much to feed
    • How to assess body condition score (BCS)
    • What supplements you are interested in
  • 6. What evidence do we have
    • VACCINATIONS American Animal Hospital (AAHA) Vaccine Task Force
    • PARASITE CONTROL Companion Animal Parasite Council (CAPC)
    • DENTISTRY Veterinary Oral Health Council (VOHC)
    • OBESITY American Pet Obesity Prevention (APOP)
    • NUTRITION American Association of Feed Control Officials (AAFCO)
  • 7. Who provides information & where is the evidence?
    • Board Certified Veterinarians
    • General Practice DVM’s
    • Pet Food Manufacturers
    • Pharmaceutical Companies (Pfizer)
    • Pet Food Stores
    • Internet, Whole dog journal, Pet Food for Dummies, etc
  • 8. Continuing education related to nutrition/supplements 2006-2008
    • Dr Phil Roudebush DVM DACVIM Board Certified Internal Medicine
    • Dr Lisa Freeman DVM DAVN Board Certified Veterinary Nutritionist
    • Dr Daryl Millis DVM ACVS CCRP Board Certified Surgery & Rehab
    • Dr Jamie Gaynor DVM DACVA, Board Certified Anesthesia & Pain
    • Dr Robin Downing DVM CCRP Board Certified Pain Management
    • Dawn Boothe DVM Drug Formulary author
    • Dr Chris Zink DVM DAVP Sports Medicine
    • Dr Sherman Canapp DVM ACVS Board Certified Surgeon & Rehab
    • Steve Brown Author “See Spot Live Longer”
  • 9.  
  • 10. Wellness Emphasis Areas
  • 11. Wellness emphasis areas
    • Dentistry affects 75 to 85% of pets
    • “Over nutrition” affects 50% (or more)
    • Osteoarthritis 20 to 30%
    • Allergies 10 to 20%
    • Specific organ diseases 10 to 20%
  • 12. Preventing dental problems using nutrition
  • 13. Internal disease caused by Periodontal Disease Kidney, heart, diabetes, pancreatitis, discospondylitis, others
  • 14. Before & After 12 Step Dental Cleaning
  • 15. 12 step teeth cleaning
    • 1) Presurgical exam and consultation with Dr 2)  Premedication/pain relief before ANESTHESIA 3)  Ultrasonic cleaning using Chlorhexidene rinse 4)  Hand scaling 5)  Sub gingival curettage (under gum debridement) 6)  Root planing (if advanced disease) 7)  Slow speed polishing 8)  Complete oral charting 9)  Oral Exam by Dr (including oral cancer) 10)  Fluoride application 11)  Oravet ® barrier sealant applied 12)  Personalized Dental home care plan
  • 16. What % of clients brush their pets teeth daily?
  • 17. Veterinary Oral Health Council Vohc.org
  • 18. Prevention by Nutritional Products & Homecare
  • 19.  
  • 20. Preventing & treating Obesity
  • 21. The “o” words
    • “Over nutrition”
    • “Over conditioned”
    • Obesity
    • A little chubby, not their ideal weight, etc, etc
  • 22. 50% of Pets are over their ideal weight
  • 23. Findings of Purina Study May 2002
    • Kealy, Gail et al
    • Labrador Retrievers
    • 14 year study (longest ever performed)
    • Showed that ideal weight dogs lived an average of 15% longer and had better health and quality of life (Lab expected life 12 yrs should add 2.2 yrs )
    www.purina.com/science/research/DogMoreYears.aspx
  • 24.  
  • 25. How do we get dogs to lose weight?
  • 26. How many calories are in that cup of food???
    • Canidae All life stage 1 cup (8 oz) 468
    • Purina High Pro 441 ( 367 to 493)
    • Royal Canine Mature 1 cup ( 8 oz) dry 373
    • Iams Wt Control 1 cup (8 oz) dry 328
    • Hills Rx Diet Canine T/D 1 cup (8oz) dry 273
    • Hills Rx Diet Canine R/D 1 cup (8 oz) dry 224
  • 27. Other pet food label questions
    • Why aren’t the calories per cup on the bag?
    • How many calories in a light formula?
    • What is special about senior formulation?
    • ???
    • ???
  • 28. Get a handle on treats!
    • Rawhide Chew Med 57
    • Milk Bone Med (1) 40
    • Green Beans (1/4 cup) 9
    • Freeze Dried Liver Treat 6
    • Small slice GS apple 3
    • Baby Carrot 3
  • 29. My advice
    • Continuously assess BCS
    • Keep them on the lean side
    • Count Calories
    • Ideal weight = health insurance!
  • 30.  
  • 31. Preventing & treating Osteoarthritis
  • 32. Severe Osteoarthritis of elbow
  • 33. Degenerative Orthopedic Disease (DOD) information
    • (Kealy, Gail Smith et al) using Purina’s research dogs & facility
    • 48 Labradors
    • Followed for 15 years
  • 34.
    • We can reduce degenerative orthopedic diseases (DOD)
    • DOD = hip dysplasia, elbow dysplasia and OCD of shoulder
    What they found…..
  • 35. Developmental Orthopedic Disease (DOD)
    • Hip & elbow dysplasia & OCD
    • 2 major risk factors
    • Over consumption of calories
    • Excessive calcium
  • 36. Osteoarthritis Treatment
  • 37. Value of exercise
  • 38.  
  • 39. What about supplements
    • Not FDA regulated
    • No incentives to prove they work
    • Lots of quality control issues
    • This is a challenging area!
    • Dose & quality issues
  • 40. Supplements
    • Very concentrated nutrient modules that are added to the food
    • Fish oils (EPA & DHA)
    • Chondroprotectants (joint supplements)
    • Probiotics, prebiotics
    • Anti-oxidants
    • Vitamins & Minerals
    • Herbs, garlic, yeast, enzymes, etc
  • 41. The value of the fish oils:
    • EPA (Eicosapentanoic Acid) & DHA (Docosahexanoic Acid) is now documented for the treatment of osteoarthritis (OA), inflammatory skin diseases , kidney , cognitive and heart disease and even inflammation associated with normal daily activity (references 1,2,3,4,5,6). and now periodontitis!
    • Mueller RS, et all. J Sm An Proc 2004, 45:293-297.
    • Simopoulos AP. J Amer Coll Nutr 2002, 21:495-505
    • Bauer JE. I Am Vet Med Assoc 2006 , 229:680-684.
    • Caterson B, et al. Hills European Symposium Genoa, Italy, Apr 2005:14-18.
    • Brown SA, et al. J Nutr 1998 , 128:2765S-2767S.
    • Smith CE, et al. J Vet Inter Med 2007, 21:265-273.
    • Soukup, Jason DVM AVDC American Veterinary Dental Forum Oct 2009
  • 42. 391 mg EPA/capsule 325mg EPA/capsule 250 mg EPA/capsule
  • 43. 1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA
  • 44. If you are convinced that fish oils are good
    • Start closely readying labels
    • Call the food company you are feeding and ask for these EPA levels
    • ____Mg EPA per cup Purina JM is 295/cup Hills J/D is 394/cup
    • Supplement as needed to reach 20mg/lb EPA
    • Be skeptical of ratios & flax
    • westsidefamilypet.com
  • 45. Recommendations
    • Feed at least 20 mg/lb EPA and 15 mg/lb DHA per day to treat disease
    • Will this dose prevent disease??
    • Use high quality products that are fresh, mercury free and have antioxidants (Vit E)
    • If desire natural products consider sardines
    • Watch doses carefully!
  • 46. Glucosamine & Chondroitin Sulfate
    • In a major study 84% of labeled products (human) were not what the label stated
    • Not FDA regulated
    • No clinical studies using dogs (yet)
    • All studies done in rats, mice etc
    • DASUquin ® & Glycoflex ®
    • Consumerlab.com
  • 47. Breed specific nutrition???
    • Retrievers orthopedic disease
    • Yorkshire Terriers periodontitis
    • Beagles overcondtioning
    • English bulldogs, boxers cancer
    westsidefamilypet.com
  • 48. Your homework
    • Discuss with your veterinarian
    • your pets wellness goals
    • Your concerns about ingredients
    • The common conditions specific to your breed
    • How much to feed
    • How to assess body condition score (BCS)
  • 49.