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The answer is that it will have an effect: non-CKD cats fed a therapeutic kidney diet for any length of time run the risk of malnutrition, particularly young cats and kittens, because of the reduced protein content of such foods.
When compared with normal maintenance adult cat food, a kidney support diet contains less protein, sodium, and phosphorus, and increased omega-3 fatty acids. These diets are formulated to help cats with CKD avoid metabolic acidosis and are available from your veterinarian.
- Evidence Supporting Effectiveness of Kidney Diets in Cats with CKD
- Phosphorus and Kidney Diets
- Is The Protein Content of Kidney Diets Optimal For Cats with CKD?
- The Importance of Nutritional Assessment
- Implementation of Dietary Therapy
- Recommendations to Help Increase Acceptance and Intake of Kidney Diets
- Conclusion
- References
Several studies address the effectiveness of feline kidney diets compared to typical feline maintenance diets in mitigating uremic crises and extending survival. The consistent findings in these studies using different diets and methodologies and performed in different countries by independent groups of researchers strongly support the conclusion t...
In order to compensate for the decline in phosphorus excretion with advancing CKD, dietary intake of phosphorus must be reduced. Most maintenance diets contain substantial quantities of phosphorus, with protein typically contributing significantly to the phosphorus content. It is perhaps a common misconception that the purpose of renal diets is pro...
Recently, use of kidney diets in treating cats with CKD has become controversial, weighing the potential benefits of these diets in mitigating the clinical consequences of CKD versus the purported risk of protein malnutrition. Much of this debate has been focused specifically on cats, as they are considered to be obligate carnivores and thus have i...
Serial evaluations of nutritional status are a key part of CKD patient management, and a nutritional plan should be performed for every patient including a specific recommendation for caloric intake. A nutritional assessment should include body weight, body condition score, muscle mass score, adequacy of caloric intake (including open ended questio...
The way in which a therapeutic food is introduced to the patient, and more importantly to the owner, has a profound effect on patient acceptance. While some patients easily transition from one diet to another, many cats are very selective and may require more coaxing to encourage diet change. In general, it is probably best to recommend that diet c...
The most important factor in the success of diet transition is the education of the owners. If the owners understand the importance of the kidney diet as a medical intervention, not just a food, th...Transition to a kidney diet from the patient's original food over at least 3 weeks. A typical protocol is:To minimize confusion and maximize compliance, ask the owner to bring in the cat's previous diet and make pre-mixed bags labelled with the appropriate week. Additionally, once the owners see the de...Follow-up phone calls (at least weekly) to check on the progress of the owner and pet during the transition phase from the original diet to a kidney diet, will increase compliance and emphasize the...Clinical trials of feeding kidney diets to cats with spontaneous CKD have shown them to be effective in improving survival, reducing uremic crises, and improve blood urea nitrogen and phosphorus concentrations. It has also been shown that when food intake is adequate, kidney diets can maintain body weight and body condition scores for up to two yea...
2014 AAFCO Dog and Cat Food Nutrient Profiles. Available at : http://www.aafco.org/Portals/0/SiteContent/Regulatory/Committees/Pet_Food/Reports/ Pet_Food_Report_2013_Midyear_Proposed_Revisions_to_AAFCO_Nutrient_Profiles.pdf Adams LG, Polzin DJ, Osborne CA, O'Brien TD, Hostetter Influence of dietary protein/calorie intake on renal morphology and fun...
Nov 12, 2020 · If your cat is eating a therapeutic kidney diet, in principle additional vitamins should not be necessary, since suitable extra vitamins are added to these foods. However, if your cat is not eating these foods, additional vitamins may be necessary.
Nov 2, 2024 · You’ll learn how the best cat food can help your cat feel better longer, identify the key qualities of a good food for CKD kitties, and get to know five of the most popular renal diets on the market in 2023.
- Cats with chronic kidney disease (CKD) benefit from foods that have controlled levels of protein, and are low in phosphorus and sodium. B-complex v...
- Dietary modification—feeding a diet that’s helpful for cats with chronic kidney disease—can help slow disease progression. Cats with kidney disease...
- Cats with kidney disease should not eat foods that are high in phosphorous or sodium. High-protein diets are also not good for cats with kidney dis...
- Inappropriate diet, excessive levels of salt or phosphates, dehydration, low potassium levels, hypertension, and anemia can make kidney disease worse.
Oct 8, 2020 · Please see the Nutritional Requirements page for an explanation of your cat's physiological needs and a discussion of the reduced protein debate, and the Which Foods to Feed page for what to do if your cat refuses to eat the therapeutic kidney diet which your vet recommends.
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beneficial impact in cats with CKD. 4-7 Therapeutic renal diets may help slow disease progression, reduce signs of uremia, address homeostatic changes that result from decreased renal function, and improve the pet’s quality of life and life span.
