Chapter 12 Small Animal Nutrition Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. Learning Objectives List the energy-producing and non-energyproducing components of food List the classes of carbohydrates and describe the catabolism of carbohydrates Differentiate between lipids and fats and describe the general structure of triglycerides Describe the structure and functions of proteins Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 2 Learning Objectives Differentiate between essential and nonessential amino acids Explain the importance of water in metabolic reactions Differentiate between microminerals and macrominerals and give examples of each List the fat- and water-soluble vitamins and explain the importance of vitamins in metabolism Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 3 Learning Objectives Define the following terms: nutrient, ingredient, formula, nutrient profile, calorie, and kilocalorie Differentiate between dry, semimoist, and moist food and describe the characteristics of each Describe considerations in evaluating homeprepared diets Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 4 Learning Objectives List the legal requirements of pet food labels and considerations in evaluating pet food label information Describe the components of a nutritional assessment for dogs and cats List special considerations in feeding adult, pediatric, geriatric, pregnant, lactating, injured, and ill dogs and cats List and describe routes and procedures for providing nutritional support to hospitalized patients Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 5 Nutrients Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 6 Nutrient Terms Nutrient Ingredient Raw material used in food compounding Formula Energy and metabolic substrate classified as essential or nonessential Ingredient portions for a particular diet type Nutrient profile Quantitative distribution of individual nutrients within finished formula Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 7 Nutrient Terms Nutritional value Analysis of a particular food Can only give an indication of nutrient content and availability of a particular nutrient Nutritional value Cannot be identified solely on an ingredient statement Based on the absorptive capability of a nutrient Based on availability Digestibility of a food A measure of biological availability Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 8 Balanced Diet Supplies all key nutrients Supplies energy needed to meet daily requirements of the animal at its particular stage of life Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 9 Food Digestibility Digestibility Determined by a mathematical equation Compares amount of a nutrient in the food and amount of the same nutrient in the feces Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 10 Above-Average Digestibility Foods higher in fiber will be lower in digestibility Protein greater or equal to 85% Fat greater or equal to 90% Carbohydrate greater or equal to 90% Energy greater or equal to 85% Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 11 Palatability Involves sensory factors such as: Taste Smell Color Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 12 Palatability Factors of Food Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 13 Additives Non-energy substances Non-nutrient substances Purposely added to foods to enhance: Color Flavor Texture Stability Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 14 Protection Against Microbes Physical and chemical means Dehydration (dry food) Heat (moist and dry food) Chemical treatments Preservatives (semi-moist and some dry food) Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 15 Humectants Preservative additives Bind to water Inhibit mold and fungal growth Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 16 Antioxidants Chemical agents Protect fatty acids and fat-soluble vitamins from becoming rancid By inhibiting oxidation Vitamins C and E Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 17 Energy-Producing Nutrients Carbohydrates Fats Broken down into simple sugars Broken down into triglycerides Proteins Broken down into amino acids Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 18 Energy Gained From Food Used to maintain and repair cell structures Higher degree of cellular activity = higher energy (nutritional) demands Growth Reproduction Exercising Healing from injury Combating a disease Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 19 Cellular Activity Requires Energy Oxygen synthesis Oxygen transport Heat production Muscle contraction New tissue synthesis Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 20 Carbohydrates Provide body with energy Excess stored as glycogen or converted to fat Include: Sugars Starches Fibers Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 21 Sugars Monosaccharides (simple sugars) Disaccharides (complicated sugars) Multiple sugars Broken down to provide energy stored in form of ATP Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 22 Starches Formed after complex digestion process Involves complex microbes and enzymes Salivary glands cannot always initiate digestion Food mixed with hydrochloric acids and enzymes in stomach Primarily digestion and absorption in small intestine Example is glycogen Animal-specific starch Provides rapid supply of glucose Stored in liver and skeletal muscle tissue Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 23 Insoluble Fibers Referred to as complex carbohydrates Examples Cellulose, lignin Sources Corn, wheat, rice, barley, oats, potatoes Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 24 Fiber Major energy source for grazing animals Digested by bacteria and protozoan microbes in large intestine of rumen, cecum, and large intestine Results of fiber digestion Short-chain fatty acids Acids then transformed into glucose Role of fiber in diet Depends of physiology of animal’s digestive tract Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 25 Role of Fiber in Companion Animals Increases bulk and water content of intestine Reduces caloric density for weight-control food while maintaining satiety Stabilizes blood sugar levels by extending time the nutrients are absorbed (diabetes mellitus) Assists in regulating bowel function Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 26 Breakdown Products from Fiber Maintain normal colonic function Decrease pathogenic intestinal bacteria Help in preventing intestinal cancer Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 27 Fats Serve as primary sources of energy Supply essential fatty acids Facilitate digestion Act as carriers for fat-soluble vitamins (A, D, E, K) Provide palatability and texture to food Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 28 What Is a Lipid? Fat—if solid at room temperature Oil—if liquid at room temperature Dietary fat Composed of units called triglycerides • One to three fatty acids • Held together by one molecule of glycerol Highly digestible Twice the caloric density of similar quantity of protein or carbohydrate Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 29 What Is a Fatty Acid? Saturated Monounsaturated No double bonds in primary hydrocarbon chain Fatty acid with one double bond Polyunsaturated Fatty acid with more than one double bond Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 30 Essential Fatty Acids Polyunsaturated and long-chain Necessary for body function Cannot be synthesized by mammals Must be obtained from food Known essential fatty acids Linoleic, α-linoleic, and arachidonic (cats) Linoleic, α-linoleic (dogs) Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 31 Functions of Essential Fatty Acids Integral part of kidney and reproductive function Key component to cell membrane formation Key component of prostaglandin production Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 32 Deficiencies of Essential Fatty Acids Alopecia Dull hair coat Anemia Hepatic lipidosis Essential fatty acid deficiency in the critical patient Increases susceptibility to infection Weakens cutaneous capillaries Promotes poor wound healing Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 33 Amino Acids Defined as any organic compound containing amino and carboxyl group Occur naturally in plant and animal tissue Chief constituents of protein Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 34 Protein Structure Long chains of amino acids held together by peptide bonds Roughly 22 known amino acid groups Arranged in countless number of ways, each having unique properties and characteristics Considered building blocks for plant and animal protein Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 35 Proteins Principal structural component of all body organs and tissues Serve as enzymes, hormones, and antibodies Essential to all living cells Functions Regulation of metabolism Construction of cell membranes Formation of muscle fiber Growth and repair of tissue Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 36 Amino Acids Nonessential Can be synthesized from other sources Essential Cannot be synthesized in the body in adequate quantities Must be supplemented in diet Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 37 Essential Amino Acids Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 38 Taurine Essential amino acid in cats Deficiency results Retinal degeneration Reproduction insufficiency Impaired immune system Dilated cardiomyopathy Deficiency signs Occur after prolonged periods of depletion Owners typically report visual changes or poor depth perception (“miscalculating” jumps) Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 39 Biological Value of Protein All proteins are not of equal worth Proportion utilized for growth and maintenance of normal body systems is measure of its biological value Animal proteins vs. plant-based proteins Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 40 Dietary Protein Protein is added to most commercial pet foods Correct balance of amino acid composition necessary to classify protein high in biological value Greater the protein quality, the less is needed Digestibility is an important factor Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 41 Commercial Pet Food Often a mix of animal and plant substances Provides multiple protein sources Improves overall quality of food by providing wide amino acid profile High-quality protein needed for periods of Growth Physical exertion Pregnancy and lactation Repair of damaged tissues Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 42 Protein Deficiency Amino acids not stored in body What happens if amino acids aren’t consumed? Breakdown of protein in viscera Breakdown of protein in skeletal muscle Gluconeogenesis Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 43 Gluconeogenesis Initiated by liver and kidneys using glycerol, lactate, and glucogenic amino acids Prolonged starvation in normal animals Signs of protein deficiency Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 44 Cats Specifically adapted to high-protein, lowcarbohydrate diets Rely on gluconeogenic amino acids as a major source of energy Continuous protein catabolism Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 45 Catabolism Chronic anorexia, or starvation Can be reversed “Refeeding syndrome” Metabolic complications if food is consumed or administered too rapidly Clinical signs • Cardiac arrhythmias • Muscle weakness • Hemolytic anemia • Respiratory failure Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 46 Excess Dietary Proteins Converted to fat and stored as adipose tissue Although cats must consume twice the protein as dogs, feeding a food with proper levels of protein is essential Metabolism of excess amino acids increases liver and kidney workload Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 47 Protein Requirements Consumed every day to replace amino acids lost to catabolism Quality of protein is limiting factor Amino acids for protein synthesis Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 48 The Nutrient Water Does not produce energy Most important nutrient Functions: Essential for almost every chemical reaction Transports solutes and gases Regulates temperature Lubricates joints and eyes Balances electrolytes Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 49 Minerals Inorganic chemicals Important part of a balanced diet More than 18 mineral elements are essential for mammals Macrominerals Microminerals Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 50 Macrominerals Concentrations are of fundamental importance Include calcium, phosphorous, magnesium, sodium, potassium, chlorine, and sulfur Minerals circulate as electrolytes Electrolyte functions Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 51 Measurement of Minerals Considerations for evaluating feeds Macrominerals Animal vs. plant-derived food substances Amount of mineral content Amount of mineral utilized by animal Measured in diet as a percentage (%) Microminerals Expressed in parts per million Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 52 Mineral Deficiencies Calcium Results in nutritional secondary hyperparathyroidism Deficiency frequently develops when inappropriate homemade foods are prepared for dogs, cats, and reptiles Phosphorus Impairs growth Impairs normal physiological processes Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 53 Microminerals Nutrients that are required in relatively small amounts Essential for normal health in companion animals Examples Iron, manganese, copper, iodine, and selenium Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 54 Iron Micromineral Central component of hemoglobin Central component of myoglobin molecules Carries oxygen in blood and muscle Important in enzymatic processes of cellular respiration Body has limited capacity to excrete iron Homeostasis is obtained by iron absorption Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 55 Iron Stored predominantly in the liver, bone marrow, and spleen Most commercial pet foods have high concentrations of iron because of meat content Deficiency seen in chronic blood loss Nursing pediatric patients susceptible to anemia Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 56 Other Micromineral Constituents Chromium, fluoride, nickel, molybdenum, silicon, vanadium, arsenic Amounts required in the diet are low Deficiencies rarely seen in animals fed a balanced diet Dietary excesses can be toxic Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 57 Microminerals and Macrominerals Can interact with one another Antagonistic interactions One mineral reducing transport or efficacy of the other Most interactions are antagonistic Synergistic interactions Two minerals acting in complementary fashion • Enhancing biological function • Or, sparing the other mineral Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 58 Vitamins Organic compounds necessary for normal physiological function Most cannot be synthesized in the body Therefore must be present in the diet Classified in two categories Fat-soluble: A, D, E, K Water-soluble: B-complex and C Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 59 Fat-Soluble Vitamins Require bile salts and fat clusters for passive absorption Absorption occurs through wall of duodenum and ileum Stored in lipid deposits in all tissues Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 60 Water-Soluble Vitamins Absorbed via active transport Poorly stored in the body Excesses lost via the urinary tract Deficiencies and toxicities vary due to absorption differences Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 61 Vitamins Not energy nutrients Not all types are essential for every species Intake in excess of requirements does not improve performance Water-soluble vitamin toxicity Commercial pet foods Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 62 Vitamin K Plays a critical role in coagulation of blood Deficiencies result in clotting abnormalities and hemorrhage Hemorrhage can cause death, without emergency supplementation Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 63 Antioxidants Help free body of damaging effects of free radicals Certain vitamins (C and E) are antioxidants Supplementation above the normal daily requirements can be beneficial Other antioxidant functions Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 64 Antioxidant Additives in Pet Foods Natural alternative to synthetic preservatives Improve palatability Protect immune function Improve cognitive dysfunction in senior dogs Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 65 Nutraceuticals Endogenous substances that may provide medical or health benefits Emerging area of food and food technology Examples: chondroitin sulfates, glucosamines May inhibit inflammatory mediators and promote joint stability Contain omega-3 fatty acids Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 66 Common Client Questions About Pet Food What is the best food to feed my pet? What are the differences between commercial brand foods? Is home cooking suitable? Can I supplement an existing diet with table food? Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 67 Proper Answers Most commercial pet foods are superior in nutrient content, convenience, cost, and overall quality Published homemade pet food recipes are generally imbalanced Energy and nutrient requirements are not linear; long-term use of homemade pet food will result in nutrient deficiencies or excesses Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 68 Commercial Pet Food Terms Complete diet Balanced diet Combining the two types of diets—animals fulfill both nutrient and energy requirements Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 69 Complementary Diet Combines two or more food sources to improve outcome Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 70 All-Purpose Diet Marketed under premise that one particular diet type meets nutritional demands at every life stage Typically provides nutrients in excess of what is required by adult or geriatric animal Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 71 All-Purpose Diet Typically found in grocery stores Targets uninformed consumers Generally sold as off-brand or generic foods Formulated for growth and lactation periods of companion animals Not appropriate for the other stages of life! Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 72 Special-Purpose Food Provides specialized nutrition for individual needs Designed for animals with specific nutritional needs Often sold in veterinary hospitals Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 73 Forms of Commercial Pet Foods Dry foods 3%-11% water Semi-moist foods 25%-35% water Moist foods 70%-83% water Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 74 Dry Foods Characteristically have lower protein, fat, and minerals on a dry matter basis than moist foods Produced with higher caloric density Typically cost less than most moist foods Provide a dental hygiene benefit Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 75 Production of Dry Food Raw ingredients are mixed and moistened into dough Dough is kneaded, cooked, and processed via extrusion High temperature cooks and shapes kibbles Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 76 Pros of Dry Pet Foods Less palatable than moist forms results in less chance of overeating Cost of feeding a pet per day, or cost per year Which has a lower true cost ? Cost effective Convenient Easy to use; allow owner to leave food out for extended periods Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 77 Cons of Dry Pet Foods Pets may eat on an ad-lib basis Access to unlimited dry food may contribute to obesity Annual health examinations should include body condition scoring and pet food consultation as animal ages Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 78 Dry Foods Water may be added to create “gravy” to increase palatability Palatability may also be improved by mixing dry food with canned food If food is moistened with water and left outside in high temperatures, bacterial proliferation is possible Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 79 Food-Borne Illnesses Warn pet owners not to add water to dry pet foods and leave them exposed for prolonged periods at high ambient temperatures Bacteria from water-saturated dry or canned food can produce a potent toxin that causes vomiting and diarrhea Can be avoided by ensuring consumption of moist food within a few hours Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 80 Semi-Moist and Soft-Dry Foods Moisture content ranges from 25%-40% Composed of a meat and cereal mixture extruded into small, attractive shapes Contain artificial flavors Humectant preservatives and cellophane wrapping Antimicrobial additives Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 81 Semi-Moist Foods Contain soluble sugars Contain simple carbohydrate sources Not recommended in obese or diabetic animal May also contain high sodium Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 82 Canned or Moist Foods Typically 70%-83% water Most sold as complete diets, with all nutrients present Three forms: ration loaf, all-meat appearance, and processed meats/flours bound into jellied matrix High palatability Requires portion-controlled feeding to avoid overconsumption Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 83 Canned or Moist Foods Preserved with heat sterilization and vacuum techniques to ensure anaerobic environment Enamel liners insulate the product and provide excellent nutrient stability Shelf life ranges from 12-18 months Storage at normal temperatures Palatability may decrease toward end of shelf life Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 84 Moist Foods Low caloric density Expensive on a per-calorie basis Meat by-product ingredients more costly than equivalent meals and flours Higher packing costs Mixing dry with moist foods Increase palatability Control cost Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 85 Treats Small food rewards Training aide, or to reinforce love Commercially prepared treats should not be given in excess Chocolate not recommended—toxic in high concentrations Commercial treats are not subject to testing, as are pet foods Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 86 Supplements Should not be confused with treats Generally given to correct a nutritional deficiency Routine use is not necessary if pet is provided with a balanced commercial pet food Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 87 Home-Prepared Diets Many owners prefer to prepare homemade foods despite the ease, less-expense, and better overall nutritional balance of commercial foods Homemade recipes may not be appropriate for individuals with unique physiological requirements Close monitoring of the diet’s efficacy is essential Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 88 Requirements for Formulation of a Home-Prepared Diet Detailed knowledge of specific nutrient need Knowledge of nutritional value of ingredients Knowledge of any possible dietary interactions Must factor in possible deterioration of nutrients during cooking and storage Need to consider time and effort required in making meals Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 89 Home-Prepared Diets Imperative that owner follows a veterinarianapproved recipe to ensure a balanced diet No human daily supplements can be added to make a complete and balanced homemade pet diet Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 90 Home-Prepared Diets Possible to achieve the same nutrient balance with a homemade food as with a commercially prepared food Owners should consult with a veterinarian or preferably a board-certified veterinary nutritionist to obtain a balanced recipe Owner compliance should be well regulated Diets should be kept in conformity with animal’s needs and life-stage changes Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 91 Home-Prepared Diets Are crudely balanced using the average nutrient content of specific foods and computer formulation Require kitchen scale that weighs in grams, and blender or food processor Necessitate regular dietary histories and patient monitoring of pets Owners should be committed to ensuring consistent, proper homemade foods Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 92 Technician’s Role for Home-Prepared Diets Evaluate by thorough physical examination Body weight Body condition score Activity level Assess existing homemade food recipe Make appropriate formula substitutions Offer nutritionally adequate recipes Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 93 Home-Prepared Diets May contain excessive protein Often deficient in calories, calcium, vitamins, and minerals Canine formulations Most use carbohydrates and meat sources containing more phosphorus than calcium Often exceed nutritional requirements Feline formulations Deficient in fat Have low energy density Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 94 Do 5 Food Groups Appear in Recipe? Carbohydrate, fiber source from cooked cereal grain or potato Protein Fat Mineral, particularly calcium Multivitamin and trace mineral Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 95 What is the Type and Quantity of the Primary Protein Source? Overall protein quality can generally be improved by using an animal-source protein Skeletal muscle protein from different animal species has very similar amino acid profiles No great advantage to feeding one meat source over another Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 96 Is the Primary Protein Source Lean or Fatty? Fat content varies in different cuts of meat When specified protein source is lean: additional animal or vegetable fat source should compose 2%-5% of formula to ensure energy density requirements Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 97 Is the Carbohydrate Source a Cooked Cereal or Potato? Is It Present in a Higher or Equal Quantity than the Meat Source? Feline carbohydrate/protein ratio 1:1 to 2:1 Canine carbohydrate/protein ratio 2:1 to 3:1 Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 98 Is a Source of Calcium and Other Minerals Provided? Homemade food almost never balanced in minerals Most homemade foods require specific calcium supplement Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 99 Is Source of Vitamins and Other Nutrients Provided? Supplements must provide: Vitamins Microminerals Fatty acids Taurine Other specific nutrients of concern for cats and dogs Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 100 Storage of Homemade Foods Specific instructions necessary Most lack preservatives and are high in moisture content Must refrigerate or freeze homemade foods Monitor food for color and odor changes Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 101 Examinations for Patients Who Eat Homemade Foods Regular veterinary examinations At least two per year Regular nutritional reviews Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 102 Cooking for Homemade Diets Improves digestibility of starch in carbohydrates Longer periods of cooking Depreciate vitamin concentration Denature protein of meat sources Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 103 Diets and Stool Production Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 104 Pet Food Labels Pet food regulation varies from country to country Labels represent contract between the manufacturer and the consumer Standards for label information established by The Association of American Feed Control Officials (AAFCO) AAFCO Statement Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 105 Required Pet Food Label Information Net weight Product designator (e.g., cat food) Name and address of manufacturer or distributor Guaranteed analysis in percentages For crude protein, fat, fiber, and moisture List of ingredients in descending order of predominance by weight Nutritional adequacy statement Feeding guidelines Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 106 Optional Pet Label Information Feeding instructions Caloric content Nutritional adequacy statements: Totally nutritious Or, complete and balanced Not needed on treats or snacks intended for intermittent feeding Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 107 Evaluating Pet Food Labels Manufacturer can often supply a more reliable source of data Ingredients on labels are listed by weight Heaviest ingredients listed first; lightest last Pitfalls Percentages don’t reflect exact amount of nutrient Conservative guaranteed nutrient levels Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 108 Ingredient Percentages Only one ingredient named Modifying words accompany named ingredient 10% for moist foods and 25% for dry foods “With” modifies named ingredient At least 70% total product is named ingredient 3% Term flavor is used Flavor must be detectable only by animal Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 109 Moisture Percentages Percentage rules also apply Maximum moisture content: 78% in United States Pet foods may exceed amount if labeled: Stew Gravy Juice Contains milk replacer Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 110 Market Categories Grocery brands “Premium” grocery bands “Gourmet” foods Generic foods (white label) and private label foods (a grocery chain's own brand) Private label brands Specialty-brand pet foods Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 111 Companion Animal Nutrition Energy requirements (food) Nutrients that provide energy Proteins, carbohydrates, fats Nutrients are burned Energy is released in form of heat Measured in kilocalories or calories Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 112 Kilocalorie Amount of heat (energy) needed to raise temperature of 1 kilogram of water 1 degree Celsius Energy requirements (food) Calculated in kilocalories Expressed in kilocalories Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 113 Daily Energy Requirements Number of calories needed to maintain an animal’s weight Increases in exercise, lactation, and growth will increase energy requirements Decreases in these activities will lower energy requirements Increased energy demands over and above the needs for maintenance = production energy requirements Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 114 Daily Energy Requirements Predictive equations are useful Need to also assess body composition and condition of animal to determine caloric needs Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 115 Body Condition Scoring (BCS) Useful visual method to estimate animal’s body composition and relative fatness Very thin, underweight, ideal, overweight, obese Physical examination for assessment of pet’s muscle mass and fat stores Feel the ribs Include dietary history Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 116 Nutritional Assessment Patient’s history Physical examination Body weight Body condition scoring Hydration status Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 117 Baseline Nutritional Assessment Initial assessment upon admission Serial assessments throughout course of hospitalization Role of the veterinary technician Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 118 Feeding of Dogs Dogs typically omnivores Advertising emphasizes carnivorous aspects Some dogs eat grass and feces (natural behavior) Nutritional energy requirements Calculations based on metabolic body weight Variations in body composition considered Variations in breed considered Based on life stage Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 119 Feeding Amounts for Dogs Calculated from energy value of the food Each dog evaluated individually due to differences in both activity and environment Based on regular weighing and body condition scoring Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 120 Frequency in Feeding Normal Dogs Once a day supplies daily energy requirements 2-3 times a day coincides with family meal times Avoid late evening feeding Avoid inconvenience of middle of night eliminations Avoid large meals before exercise Minimizes gastric dilation and torsion, especially in large breeds Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 121 Canine Pediatric Nutrition Milk Complete food source for neonates Contains water, protein fat, vitamins, minerals Colostrum Key nutritional factor immediately after birth Provides fluid for vital postpartum circulatory expansion Carries protective maternal antibodies Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 122 Colostrum Somewhat sticky and viscous Owners should ensure that dam is producing colostrum, and that puppies are consuming it Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 123 Nursing Puppies Most are healthy and capable of active nursing In general, no assistance needed from technician or owner Exceptions are toy-breeds Ensure mothers are lactating well Ensure mothers are attentive to puppies Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 124 Growth Rate of Puppies Normal rate is 2-4 grams/day/kg of anticipated adult weight Lesser rate is an indication that puppies are not receiving adequate amounts of milk Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 125 Feeding Orphan Puppies Dose initially 15% of puppy’s weight per day, divided into several doses Feed via syringe and rubber feeding tube, or small animal nursing bottle Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 126 Feeding Tubes First 3 days of life are most critical Careful placement techniques Proper amounts of formula Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 127 Gavage Indicated if puppy is unable to consume formula or dam’s milk Equipment includes syringe and 5F or 8F infant feeding tube Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 128 Tips for Gavage Gag reflex is not present until 10 days Easy passage to pre-measured distance usually indicates correct placement After delivery of fluid, kink tube before withdrawal Withdraw tube quickly to prevent aspiration Burp animal after feeding Check for residual formula after several feedings Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 129 General Feeding Guidelines Stomach is full when belly is distended or animal turns its head away from bottle New formula made at each feeding Formula at room temperature before administration Equipment meticulously clean or sterile Monitor weight gain by use of gram scale Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 130 Considerations for Formula Feeding Patient response to feeding may not be typical Diarrhea may occur Gag reflex not developed for 10 days Dilute formula until resolved Record baseline birth weight Record healthy puppy weight gain Assist elimination every 2-4 hours (or after each feeding) Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 131 2 to 3 Weeks of Age Food dose approximately 25% of body weight divided into 4-6 daily feedings Small amounts of food given incrementally when puppies are able to eat solid food on their own Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 132 Low Birth Weight Puppies Correlates with increased mortality Prone to: Hypoglycemia Hypothermia Sepsis Separate from bitch, if necessary Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 133 Hypothermia Common in neonates Associated with shallow respirations, bradycardia, gastrointestinal paralysis, coma Feeding is contraindicated if the animal is hypothermic (<94º F) Increase body temperatures slowly Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 134 External Warming Equipment Circulating hot water blankets Warmed rice bags Hot water bottles Heat lamps Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 135 Weaning of Puppies 3 weeks of age 4 weeks of age Peak lactation occurs 5 weeks of age Puppies introduced to semisolid gruel Intake of mother’s milk reduced Larger amounts of semisolid to solid food eaten 6-8 weeks of age Weaning concludes Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 136 Feeding Growing Dogs Proper nutrition is essential for normal growth and development Excessive intake can lead to medical complications! Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 137 Nutritional Requirements for Feeding Change is rapid during puppy’s growth Growth rates also vary between breeds Supplements not needed with commercial diets Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 138 Feeding Growing Puppies Feed 4-5 times daily during post-weaning period (until about 10 weeks old) Cut to 3 meals daily until 50% of adult body weight is reached (about 4 months old) Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 139 Feeding of Adult Dogs Primary objective: find the maintenance energy requirement and proper food dose to maintain ideal body composition Based on energy value of food Based on activity levels Based on breed sizes Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 140 Small and Toy Breeds Have higher ratio of surface area to body weight Have higher energy requirements per unit of body weight Have relatively small stomachs What should diets have? Higher energy content More nutrient-dense matrix than for larger breeds High digestibility Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 141 Feeding Strategies Feed each dog separately when possible Time-restricted method works well Feed 1-3 times daily for 5-15 minutes Feed with ad-lib consumption Method for dogs who overeat Feed 2-3 times daily Serve calculated food dose (one-half to one-third of daily volume) Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 142 Other Feeding Tips Follow feeding instructions on pet food label Utilize food dose calculators Utilize manufacturer’s technical information Feed maintenance pet food for the average house pet 1-7 years old Eliminate table food, or use in moderation Avoid feeding of animal bones Nylon bones and chew toys are safer substitutes for natural bones Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 143 Feeding Do’s Do provide fresh water Do feed for control of calorie intake Do feed for ideal weight and body condition Do provide consistent food Do ritualize time and place of feeding Do use life-stage feeding concepts Do feed treats with nutrient profile and caloric density considerations Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 144 Feeding Don’ts Don’t provide stagnant or frozen water Don’t allow excess calorie consumption Don’t feed obesity-prone dogs on a free-choice basis Don’t rotate flavors or brands on frequent basis Don’t make rapid transitions Don’t use growth-lactation food for adult maintenance Don’t supplement a balanced, high-quality food Don’t allow competitive eating Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 145 Problems Associated with Group Feeding Competitive eating Over-consumption Anorexia Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 146 Feeding Adult Dogs with Increased Energy Needs Diet and feeding protocols Vary according to training schedules Vary according to amount of work performed Extra energy supplied in pet foods by: Increased fat Increased caloric density Increased digestibility Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 147 Diets for Working Dogs Specific nutrient composition varies and depends on type of activity performed Staples include carbohydrates and fats for intense muscular exercise Adequate water intake throughout work period is crucial Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 148 Aerobic Conditioning for Animals Advantages Increases efficiency of fatty acid metabolism in muscles and cardiovascular system Spares rate of glycogen consumption in muscles Increases capacity for work Recommendations Slowly convert to more calorie-dense food Feed majority of daily calories after completion of training to help prevent hypoglycemia Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 149 After Whelping Bitch returns to regular body weight Expect food intake to rise rapidly by 50% the first week, and by 200%-400% by fourth week of lactation Free choice food should be available Monitor water intake Perform frequent physical examinations Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 150 Feeding During Lactation Lactation markedly increases energy, protein, and mineral requirements Nutrient requirements greater than any other adult life stage Proper nutrient intake directly linked to successful milk production Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 151 Nutritional Factors for Lactation Highly digestible protein Increased concentrations of fat 10%-20% soluble carbohydrates 2-5 times more calcium Supplements generally not needed Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 152 Feeding Methods During Weaning Terminate food intake for 24 hours to help bitch slow and stop milk production Advise clients not to allow any puppies to nurse Resume feeding using maintenance foods at one-third of the customary maintenance level On day 2, two-thirds of normal feeding dose is recommended Full intake of food on day 3 Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 153 Obesity-Prone Animals Ratio of too much fat to lean tissue Contributing factors: Genetic background High-calorie diets and snacks Physical inactivity Endocrine or neuroendocrine disorders Gonadectomy Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 154 Treating Obesity Feeding programs Exercise strategies Educating clients on health risks of obesity Routine weighing Body condition scoring Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 155 Overfeeding Primary cause for obesity during growth life stages During juvenile growth, induces increased numbers of fat cells Adipocyte hyperplasis is prevented by using meal feeding for puppies, kittens, and foals Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 156 Overeating Consuming more energy than is expended Feeding table food to the picky eater Feeding diets high in fat Prevention Volume-restricted meals Elimination of calorie-rich treats Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 157 Genetic Predisposition Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 158 Other Causes of Obesity Declining lean body mass Declining activity level during normal aging processes Decreasing energy requirements in geriatrics Competitive eating Surgical neutering Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 159 Health Risks of Obesity Coronary heart disease Type 2 diabetes and insulin resistance Hypertension Pulmonary disorders Liver, kidney, and gall bladder disease Colon, ovarian, endometrial neoplasia Musculoskeletal diseases including joint stress, hip dysplasia, and osteoarthritis Muscular injuries including cranial cruciate ligament rupture Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 160 Obese Patients Anesthetic risks Intolerant to exercise and heat Mortality is increased Linked with some endocrine diseases Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 161 Assessment of Obesity Visually examine subcutaneous fat deposits Palpitate ribs, groin, and tail head Obtain radiographs of abdomen and thorax Measure body composition by weighing animal indirectly Utilize ideal weight tables for purebred animals Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 162 Obesity Treatment Feed calorie-restricted, low-energy food Feed diet high in fiber Exercise Restriction of treats No human snack foods or commercial pet treats Teamwork between owner, veterinarian, and technician necessary Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 163 Ages of Geriatric Dogs Toy and small-sized breeds Medium-sized dogs 7 years 6 years Large and giant breeds As early as 5 years Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 164 Age-Associated Changes in Dogs Reduced immune response Reduced digestive and renal function Reduced glucose tolerance Changed smell and taste perception Reduced lean body mass Reduced basal metabolic rate Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 165 Geriatric Nutrition Influenced by individual body condition Influenced by individual health history Maintenance of optimal weight is ideal goal Senior diets are recommended Reduced protein Reduced phosphorus and sodium Increased fiber Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 166 Healthy Older Cats Limiting protein with normal renal and hepatic function can contribute to muscle loss Cats should not be fed a low-protein diet just because they are old Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 167 Potential Benefits of Antioxidant Diets Combat signs of brain aging Improve learning ability Protect against free-radical damage Improve cell membrane health Optimize senior health Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 168 Geriatric Weight Loss Calorie control may begin (or be continued) in some geriatrics Weight loss may be symptom of: Systemic disease Dental or oral pain Failing sense of smell Heightened finicky tastes Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 169 Renal Disease Chronic progressive renal disease common in older dogs and cats Loss of renal function reduces ability to excrete: Phosphorus Urea Other products of protein metabolism Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 170 Dietary Considerations for Renal Disease Avoid excessive protein, phosphorus, sodium Use commercial prescription diets Designed with dietary goals in mind • e.g., increased potassium • e.g., increased omega-3 fatty acids Readily available from veterinarian Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 171 Cats Carnivorous predators Not “small dogs” Protein metabolism is unique Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 172 Factors Influencing Feeding of Cats Have reduced carbohydrate metabolism Require higher percentage of protein General requirements for food High-protein foods Low-carbohydrate foods Amino acids (e.g., taurine, arginine) B vitamins Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 173 Feline-Specific Requirements in Food Taurine Vitamin A Niacin Pyridoxine Arachidonic (fatty) acids Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 174 Basis for Energy Recommendations for Cats Signalment Body condition score Activity level Hydration status Dentition Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 175 Needs of Orphaned Kittens Adequate colostrum immediately after birth is critical Stable environment is important May need assistance in urination and defecation Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 176 Feeding of Orphaned Kittens Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 177 Kittens Weigh between 85 and 120 g at birth Gain an average of approximately 100 g/week Caloric needs: 22-26 kcal/100 g of body weight for first 3 months of life Schedule feedings at least 4 times a day In general, male kittens grow faster than females Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 178 Formula for Kittens Preparation should follow label instructions Initial feedings have less volume (but not less frequency) than directed by manufacturer Should be warmed to about 100° F (37.8° C) Feeding equipment must be cleaned immediately after use Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 179 Formula Feeding of Kittens Increasing amounts of formula are given, based on weight gain and satiation Weaning generally begins at 7-9 weeks Growth-sustaining kitten foods are fed 2-3 times daily until 10 months of age Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 180 Feeding Adult Cats Do feed a consistent diet Employ a feeding schedule to eliminate finicky behavior and food aversion Most cat owners tend to feed ad-lib Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 181 Commercial Feline Treats Usually nutritionally synonymous with dry cat food Only given in moderation “Natural" treats preferred by some owners Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 182 Hairballs Occur commonly in cats due to meticulous grooming habits Owners may observe periodic gagging, retching, and regurgitation or vomiting of hair and mucus Hairballs often tubular and usually do not contain food or bile Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 183 Energy and Nutrient Requirements During Feline Pregnancy and Lactation Must support both queen and offspring Requirements can be 3-4 times normal maintenance during peak lactation Ingesting larger amounts of food may not be feasible Queen uses stored body fat to support milk production in early part of lactation Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 184 Feeding Geriatric Cats Consider overall health before diet selection Monitor food intake in association with weight changes Note water intake Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 185 Feeding of Geriatric Cats No single food can meet needs of every cat Dietary modification can help to optimize health or modulate disease Significant protein restriction not recommended Moderate protein restriction recommended if evidence of chronic renal failure Commercial diets available with balanced nutrient contents for optimizing geriatric health Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 186 Feline Obesity Common nutritional problem Obtain detailed dietary history Calculate amount of food offered during a calorie-restricted diet Encourage client to participate in weight reduction programs Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 187 Fasting in Obese Cats Not recommended Associated with accumulation of lipids in liver Can become pathological in 5-6 weeks Mimics idiopathic feline hepatic lipidosis Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 188 Obesity Prevention Nutritional counseling during routine yearly examinations Dietary therapy Gradual introduction of new food over 7-day period Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 189 Dietary Recommendations for Obese Cats Multiple small meals throughout day Low-calorie, high-fiber diet substances Commercial and prescription diets now tailored for obese cats With low carbohydrate and high protein matrix Help increase amount of water consumed Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 190 Specialty Diets for Obese Cats Low-carbohydrate, high-protein formulas Added L-carnitine Helps feline patient lose weight while maintaining lean muscle mass Can decrease accumulation of fat in liver cells Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 191 Feline Urolithiasis Most common calculi: struvite and calcium oxalate Amount and balance of mineral elements in diet affect formation of urinary calculi Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 192 Diet Factors Influence Development of Uroliths Water Intake Other factors effecting concentration Digestibility Dietary content of minerals Quantity of diet consumed Influence of diet and eating frequency on urine pH Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 193 Diets Can Be Formulated to Induce Acidic Urine Struvite crystal formation not possible at urine pH <6.5 Addition of acidifiers such as methionine, ammonium chloride, and phosphoric acid Certain animal proteins and corn glutens can also promote acidic urine Diets composed of vegetable proteins and mineral salts promote alkaline urine Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 194 Acidifying Diets Recommended to safely prevent and manage struvite-related LUTD Can have potential toxicity Can overpower kidneys May cause chronic acidosis in cats Not recommended for kittens Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 195 Acidifying Diets Inadvisable in the older cat No diet promotes dissolution of calcium oxalate uroliths Formulated to induce higher urinary pH to minimize risk of crystal formation Maintains urine acidity (pH 6.2-6.4) Keeps magnesium intake at non-excessive levels Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 196 Risk Control Measures for Struvite Crystalluria Maintain an acidic urine pH (6.2-6.4) Avoid magnesium intake Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 197 Risk Control Measures for Calcium Oxalate Crystalluria Maintain a more alkaline urine pH (6.4-6.8) Avoid excess calcium, sodium, magnesium Increase cat’s water consumption Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 198 Feline Lower Urinary Tract Disease (FLUTD) Controlling urine mineral concentrations or pH will not always control FLUTD Syndrome is multi-factorial Idiopathic FLUTD Has no known cause Water is key factor in controlling recurrences Preferred dietary products are canned and other high-moisture foods Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 199 FLUTD Typically caused by struvite or calcium oxalate uroliths, or by urethral plugs Can be caused by feline idiopathic cystitis (FIC) Clinical signs: Urinating outside box Frequency of urination Straining to urinate Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 200 FLUTD Prescription Diets Provide nutritional management for struvite, calcium oxalate, or FIC Provide controlled levels of magnesium, calcium, phosphorous, and oxalate Contain limited sodium and high levels of omega-3 fatty acids Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 201 Nutritional Assessment Primary goal is to identify which patient is at risk for malnutrition Poor nutritional status associated with adverse clinical outcomes Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 202 Baseline Nutritional Assessment Evaluate both clinical and biochemical data Analyze patient history, including nutritional background Perform a thorough physical examination Perform serial assessments throughout course of hospitalization Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 203 Nutritional Background When was last complete meal or nutritional support given? What was the type and route of nutrition? Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 204 Canines Healthy animals can use body fat stores for a longer time Can preserve body protein and nitrogen reserves Can decrease resting energy expenditure to survive Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 205 Felines Healthy felines do not use body stores or preserve body protein and nitrogen reserves, as do canines Felines use proteins for metabolic energy Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 206 Simple Starvation in the Normal, Healthy Patient A shift to fatty acids for fuel Mobilization of glucose in the liver Decrease in metabolic rate Decrease in blood glucose Production of ketones to minimize glucose requirements Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 207 Prolonged Starvation Tissue proteins are mobilized for: Visceral protein synthesis Antibody production Gluconeogenesis Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 208 Consequences of Starvation Protein depletion Life-threatening Development of hepatic lipidosis in cats Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 209 Chronically Undernourished Patients at Increased Risk Immunosuppression Hormonal imbalance Infection Aspiration pneumonia Surgical complications Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 210 Common Surgical Complications Wound dehiscence Delayed tissue healing Decubital ulcers Sepsis Pulmonary infections Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 211 Nutritional support often becomes the MOST essential element in the outcome of critical illness Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 212 Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 213 Malnourishment in the Critical Patient Affects all body systems Affects mentation Exacerbates weakness and depression Speeds up the entire disease process Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 214 Critical Patients Metabolism accelerated to support healing Metabolism accelerated to resist infection Structural proteins consumed as source of energy Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 215 Indications for Nutritional Support Recent weight loss of >10% Absent or poor food intake for more than 2 days Acute illness or injury Acute muscle wasting Heavy gastrointestinal or urinary system losses of protein or electrolytes Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 216 Indications for Specific Nutritional Support Hypoalbuminemia Body condition score under optimum value of 3 Surgical intervention or hospital procedures that may result in a reduction of oral intake over 3-5 days Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 217 Assessment of Nutritional Status Subjective global assessment (SGA) to determine nutritional status: Dietary history BCS Current morbidity index of illness or injury Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 218 Enteral Feeding Upper alimentary tract used for assisted feeding Preferred method of feeding when possible Safest and least expensive Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 219 Enteral Feeding Methods Coaxed feeding Appetite stimulation with drugs Forced oral feeding Tube administration Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 220 Feeding of Enteral Food Types Similar food to that which liver is using from body stores Canine food e.g., fat, carbohydrates, protein Provides protein at least 4-6 g/100kcal Feline food Provides protein at least 6-8 g/100kcal Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 221 Initial Enteral Feeding Ensure vomiting has ceased Feed small amount of an easily digestible low fat diet Amount divided into portions Normal diet gradually reintroduced after appetite and stool have returned to normal Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 222 Tube-Feeding Schedules Day One: dilute 1/3 food amount with 2/3 water Day Two: dilute 2/3 food with 1/3 water Day Three: full food amount Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 223 Monitor Response to Tube Feeding Patients may feel initial discomfort with administration Will adapt after several feedings Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 224 Abdominal Tube Feeding Common signs of discomfort Restlessness, salivation, abdominal bloating, vomiting Radiographic confirmation Consider slow “trickle” feedings Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 225 Serious Complications of Tube Feedings Pulmonary aspiration Diarrhea Constipation Tube occlusion Peritonitis from improper tube position Delayed gastric emptying Bacterial contamination Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 226 Tube Feeding Guidelines Monitor patient for abnormal responses Avoid excessive stress associated with restraint Monitor all tubes for blockage or kinking Cap all feeding tubes to prevent entry of air Ensure food substances at room temperature Flush with water, before and after feeding Monitor for gastric emptying Monitor weight and stool production Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 227 Gastric Motility Monitor by checking contents of stomach by aspirating tube prior to feeding If greater than 1/3 of previous feeding remains in the stomach, recommend subsequent feeding be skipped If two consecutive feedings are missed, notify veterinarian Feces should be analyzed for normal composition Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 228 Stomach Capacity Dogs Capacity ≈ 90 ml/kg Amount fed typically should not exceed 50 ml/kg Cats Capacity should never exceed 100 ml Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 229 Tube Placement Always confirm with radiographs prior to initial feeding Monitor daily Increased lung sounds Areas of dullness or auscultation Coughing and fever Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 230 Prevent Tube Feeding Complications Always ensure tube patency prior to feeding Monitor for delayed gastric emptying Monitor GI function Mark tube entry Flush tube before and after use Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 231 Prevent Tube Feeding Complications Treat tube insertion site as a wound Inspect tube daily for possible migration Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 232 Calculate Nutrient Requirements Calculate resting energy requirement (RER) Calculate illness energy requirement (IER) RER = 30 x (body weight in Kg) + 70 or . . . [ RER = 70 x (body weight in Kg)0.75 ] IER = RER x illness factor Calculate amount of food required Food amount (ml) = IER Caloric density of selected food (Kcal/ml) Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 233 Suggested Disease Factors Cage rest Surgery, trauma, cancer, sepsis 1.1 1.2-1.5 Severe burns, head trauma, ventilator patients 1.7-2.0 Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 234 Parenteral Nutrition (PN) Refers to delivery of nutrients intravenously (IV) Candidates: Severe pancreatitis Inflammatory bowel disease Peritonitis Post-operative surgery Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 235 Parenteral Nutrition Compounded liquid diet of: Electrolytes Proteins Water Carbohydrates Fat Vitamins Minerals Formulated on case-by-case basis Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 236 Parenteral Nutrition Delivery Administration through catheter: Central Peripheral Intraosseous Intraperitoneal Sterile technique critical Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 237 Complications of Total Parenteral Nutrition (TPN) Catheter-related sepsis Air embolism Pneumothorax Central venous thrombosis Catheter occlusion Hypoglycemia Hyperglycemia Hyperlipidemia Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 238 Patient Management During TPN Administration Maintain sterility with IV catheter and fluid bags Inspect the catheter insertion site, and change bandages daily Agitate the bag gently every few hours Do not disconnect the IV lines Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 239 Laboratory Analysis During TPN Monitor electrolytes Monitor liver function Monitor for coagulopathies Monitor CBC for infection Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 240 Nutritional Considerations for the Critical Patient Critical illness = Hypermetabolic process Mobilization occurs at expense of body tissue Body becomes reliant on its protein stores to provide gluconeogenesis Consequences Alternations in protein homeostasis Loss of lean body mass Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 241 Reduce Parenteral Complications Maintain enterocyte function Combine enteral and parenteral feeding Reduce bowel atrophy Reduce bacterial translocation Prevent intestinal mucosal deterioration Prevent intestinal hypertrophy Facilitate healing by promoting intestinal growth Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 242 Clinical Signs of Hypermetabolic State Tachycardia Tachypnea Hyperglycemia Eventual breakdown of skeletal muscle protein Mobilization of body fat Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 243 Monitoring Evaluate respiratory effort Evaluate lung sounds Monitor vascular integrity Monitor serum protein and albumin levels Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 244 Clinical Signs of Poor Nutrition Unexplained weakness Dull mentation Malnutrition Deterioration of respiratory function Recumbent patient Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 245 Clinical Signs of Poor Nutrition Decreased kidney function Decreased muscle function Weakened cardiac muscle Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 246 Feeding Pet Birds Common nutritional problems Inadequate diets Poor feeding practices Patients may need nutritional support, different from normal diet Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 247 Dietary-Induced Diseases Each species of bird has differences in nutritional demands Diseases occur frequently in psittacine and passerine bird species, due to diverse nutrimental requirements Feeding and nutritional disorders can result from all-seed diets and diets supplemented with fruits, vegetables, and other human foods Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 248 Small Birds High metabolic rates High-energy requirements Need continuous supply of food Natural diet of insects, fruits, seeds Primary natural diet is not seeds Seeds deficient in nutrients Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 249 Primary Seed Diets Composed primarily of sunflower seeds High in fat Low in calcium Low in vitamin A Perpetuates obesity and/or nutritional deficiencies Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 250 Fruits and Vegetables They are eaten preferentially because of high water content They dilute key nutrients present in nutritionally balanced commercial foods Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 251 Common Avian Nutritional Requirements All birds have similar nutritional requirements Water, proteins, amino acids, carbohydrates, fats, vitamins, inorganic elements, minerals Different species require different amounts Calcium required in largest quantity Hypocalcemia can be alleviated Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 252 Proteins Approximately 20 amino acids required by companion birds 10 of the 20 are essential amino acids Infant birds need glycine and proline Increased proteins may be needed during reproductive cycle Insects may supply increased protein needs Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 253 Commercial Avian Foods Benefits Nutritionally balanced Convenient Disadvantages No testing for nutritional adequacy Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 254 Seed Diets Seeds are not best or most natural food Seeds in most commercial mixes are not native to areas where most pet bird species originate Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 255 Well-Balanced Seed Mixtures Can supply essential nutrients Rarely appropriate as sole nutritional source Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 256 Homemade Mixed-Food Diets An alternative if bird will not accept commercially prepared foods or seed mixtures Can result in excellent feathering and appropriate body mass Will not cause nutritional deficiencies, if prepared carefully from scientifically developed recipes Ensure owner compliance! Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 257 Mineral Grit Dietary supplement Insoluble grit remains in gizzard Soluble grit is completely digested Quartz or silica Oyster shells or cuttlefish Over-supplementing can be harmful Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 258 Water Single most important dietary component Makes up >50% of a bird's body weight Intake is important for thermoregulation Breeding females require increased amounts of water Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 259 Water Requirements Birds should not go more than a few hours without access to fresh, clean water Some foods require free water for efficient digestion and absorption Provide water in easily accessible container Avoid large water bowls to discourage bathing Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 260 Rabbits Dietary requirements vary according to age and use Pet rabbits Show and production rabbits Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 261 Recommended Rabbit Diets Feed alfalfa-based pellets with a hay supplement on a daily basis Feed at rate of 0.25 cup/2.27 kg (5 lb) body weight, divided into two meals Remove uneaten portions May need increased feeding during gestation and lactation Offer good-quality grass hay ad-lib Some “treats” are acceptable Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 262 Feeding of Rabbits Regular times are important Rabbits are nocturnal in nature Adequate fresh water essential Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 263 Vitamin A Supplements for Rabbits Deficiency can result in infertility and other reproductive complications Adequate vitamin A contained in most fresh alfalfa pellets Dangerous to add supplement to adequate diet Recommend purchasing feeds within 90 days of production Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 264 Pellets Feeds containing antibiotics not recommended Feeds high in calcium or vitamin D not recommended Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 265 Guinea Pigs Fastidious eaters Herbivores with normal coprophagous behavior Daily fresh water is essential Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 266 Recommended Diet for Guinea Pigs Food with increased fiber Freshly milled guinea pig feed Do not feed rabbit food, or any other diet designed for another species Provide access to hard food diets that promote gnawing Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 267 Vitamin C in the Guinea Pig Diet Require daily dietary ascorbic acid supplement Minimal vitamin C in commercially prepared diets Fresh fruit supplements commercial diets Spinach, kale, parsley, chicory, bell peppers, oranges Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 268 Ascorbic Acid Supplementation 10 mg/kg/day is required 30 mg/kg/day needed, if pregnant If supplementation is not provided in feed, 1 gram/L may be added to water Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 269 Clinical Signs of Vitamin C Deficiency Alopecia Anorexia Dehydration Poor wound healing Eventual periodontal disease Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 270 Hamsters Omnivores Nocturnal, so feed at night Require hard food diets Fed pelleted hamster diets or mixes Need to drink water from heavy bowl or water delivery system Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 271 Gerbils Herbivorous Granivorous Typically eat frequent small meals Commercial gerbil food available Diets supplemented with green vegetables, fresh fruit, and hard food or pieces of wood Need fresh water daily Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 272 Rats and Mice Omnivorous Commercially available pellet-based diets supply most nutritional requirements Diets are supplemented with small amounts of apples, tomatoes, or biscuits “Treats” may encourage handling Fresh water should be supplied daily in sipper bottles Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 273 Chinchillas Hindgut fermenters Diet devoid of fiber can cause diarrhea, constipation, bloat, or rectal prolapse Recommended diet Grasses and seeds Supplemented with small quantities of dried fruits, nuts, carrots, green vegetables, or green grass Need dust baths for grooming needs Daily fresh water necessary Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 274 Ferrets Typically carnivores Normal seasonal fluctuations in body weight High-fiber diets are not recommended Pelleted commercial ferret diets available Commercial diet may be supplemented Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 275 Chelonians Land tortoises Predominantly herbivores Captivity diets primarily composed of vegetables Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 276 Typical Tortoise Diet 85% Vegetables 10% Fruit >5% High-protein foods Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 277 Caring for the Captive Tortoise Vary the diet Provide shallow water dish Provide sunlight or ultraviolet light Multivitamins containing vitamin D may be added to diet every 1-2 weeks Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 278 Aquatic Turtles Feed only when they are in the water Need variety of foods to achieve balance Majority of diet should be composed of natural foods Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 279 Vitamin A Deficiency in Captive Turtles Clinical signs Clinical findings Respiratory infections Edematous eyes Urogenital tract obstructions Beak overgrowths Related to anorexia and dehydration Prevention with beta-carotene in diet Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 280 Snakes Carnivores Feed varied diet every 1-2 weeks Specific dietary needs depend on the species of snake Nutritional deficiency rare Water requirements low Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 281 Lizards Most are omnivorous Require vitamin and mineral supplementation, with emphasis on a variety of food Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 282 Feeding of Lizards Juvenile lizards Adults Require feedings 1-2 times a day Require feedings 2-3 times per week Most lizards are diurnal Require daytime feedings and time to bask in natural or ultraviolet light Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 283 Herbivorous Lizards Require varied diet to ensure adequate nutritional balance Leafy greens are recommended dietary substances Commercially prepared diets are available Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 284 Common Iguanas Require protein for normal growth and development Juvenile iguanas in captivity need more protein and calcium than adults Protein sources Dog food, monkey biscuits, tofu Provide water in bowl for bathing and drinking Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 285 Amphibians Pets included in group Most adults are carnivores Captive amphibians Frogs, toads, salamanders, and newts May adapt to eating dead prey or meat Should be fed 2-3 times a week Replication of natural environment important Copyright © 2010 by Saunders, an imprint of Elsevier Inc. All rights reserved. 286