Preventative Nutrition Open House & "Pets Reducing for Rescues" Kickoff
Wellness through Evidence Based Preventative Nutrition
description
Transcript of Wellness through Evidence Based Preventative Nutrition
Evidence Based Nutrition: What foods & supplements can treat and/or prevent disease?
Ken Lambrecht DVM
Medical Director Westside Family Pet ClinicFitness & Rehab Director 4 Paws Swim & Fitness
Our new blog based website westsidefamilypet.com
Food is an emotional issue…. Pet food is even more emotional!
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
Wellness as taught by “Buck” over 22 years
Periodontal Disease Dental Resorptive lesions Kidney disease Hyperthyroidism Lung mass Arthritis Cognitive disease Paralysis
Your homework:
Discuss these things with your veterinarian2. your pets wellness goals3. Your concerns about ingredients4. The common conditions specific to your
breed5. How much to feed6. How to assess body condition score (BCS)7. What supplements you are interested in
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)
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
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”
Wellness Emphasis Areas
0102030405060708090
100
wellness
Vaccines/FleaTick
Dentistry
WeightManagement
Osteoarthritis
Allergies,Cardiology etc
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%
Preventing dental problems using nutrition
Internal disease caused by Periodontal Disease
Kidney, heart, diabetes, pancreatitis, discospondylitis, others
Before & After 12 Step Dental Cleaning
12 step teeth cleaning
1) Presurgical exam and consultation with Dr
2) Premedication/pain relief before ANESTHESIA
3) Ultrasonic cleaning using Chlorhexidene rinse4) Hand scaling5) Sub gingival curettage (under gum debridement)6) Root planing (if advanced disease)7) Slow speed polishing8) Complete oral charting9) Oral Exam by Dr (including oral cancer)10) Fluoride application11) Oravet ® barrier sealant applied12) Personalized Dental home care plan
What % of clients brush their pets teeth daily?
Prevention by Nutritional Products & Homecare
0102030405060708090
100
1st Qtr
Osteoarthritis
WeightManagement
Dentistry
Wellness
Preventing & treating Obesity
The “o” words
“Over nutrition” “Over conditioned” Obesity A little chubby, not their ideal weight, etc, etc
50% of Pets are over their ideal weight
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.aspxwww.purina.com/science/research/DogMoreYears.aspx
How do we get dogs to lose weight?
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
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? ??? ???
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
My advice
Continuously assess BCS Keep them on the lean side Count Calories
Ideal weight = health insurance!
Preventing & treating Osteoarthritis
Severe Osteoarthritis of elbow
Degenerative Orthopedic Disease (DOD) information
(Kealy, Gail Smith et al) using Purina’s research dogs & facility
48 Labradors Followed for 15 years
We can reduce degenerative orthopedic diseases (DOD)
DOD = hip dysplasia, elbow dysplasia and
OCD of shoulder
What they found…..
Developmental Orthopedic Disease (DOD)
Hip & elbow dysplasia & OCD
2 major risk factors Over consumption of calories Excessive calcium
0
10
20
30
40
50
60
70
exercise andwt loss
EPA & JointSupplements
NSAIDS
Osteoarthritis Treatment
Value of exercise
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
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
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
391 mg EPA/capsule 325mg EPA/capsule 250 mg EPA/capsule
1 ml = 180 mg EPA 1ml =148mg EPA 1ml = 165 mg EPA
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
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!
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
Breed specific nutrition???
Retrievers orthopedic disease Yorkshire Terriers periodontitis Beagles overcondtioning English bulldogs, boxers cancer
westsidefamilypet.com
Your homework
Discuss with your veterinarian2. your pets wellness goals3. Your concerns about ingredients4. The common conditions specific to your
breed5. How much to feed6. How to assess body condition score (BCS)