Page 259 - Small Animal Clinical Nutrition 5th Edition
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264        Small Animal Clinical Nutrition


  VetBooks.ir     tein levels greater than 12%. A daily protein intake for adult  with certain diseases that may have a hypertensive component
                                                                      such as obesity, renal disease and some endocrinopathies
                                                          0.75
                  maintenance of 4.3 to 5.0 g digestible protein/BW
                                                            (biolog-
                                                        kg
                  ic value = 70) or 4.0 to 6.5 g digestible protein/100 kcal ME is  (Anderson and Fisher, 1968; Cowgill and Kallet, 1986;
                  recommended (Gesellschaft, 1989b). The minimum recom-  Rocchini et al, 1987; Littman, 1990; Ross, 1992). Uncontrolled
                  mended allowance for DM crude protein is 10% for a commer-  high blood pressure may lead to kidney, brain, eye, heart and
                  cial food with an energy density of 4 kcal/g DM (NRC, 2006).  cardiovascular damage (Cowgill and Kallet, 1986; Littman,
                  Foods formulated to meet the lower limits in crude protein must  1990). Dietary sodium chloride restriction is the first step in,
                  also have the recommended allowances for essential amino  and an important part of, antihypertensive therapy (Cowgill
                  acids. Thus, the recommended range of DM crude protein for  and Kallet, 1986; Littman, 1990; Ross, 1992).
                  foods for young adult dogs is between 15 to 30%.      It is prudent to meet but not greatly exceed sodium and chlo-
                                                                      ride requirements when selecting foods for adult dogs.The best
                  Phosphorus                                          estimate for a minimum requirement of sodium is about 4
                  Minimum requirements for phosphorus for adult dogs are not  mg/kg body weight/day (Morris et al, 1976). Generally, 25 to
                  very different from those established for other mammals.  50 mg/kg body weight/day (Gesellschaft, 1989a) is recom-
                  Commercial foods contain adequate and sometimes excessive  mended for adult maintenance; these levels are six to 12 times
                  amounts of phosphorus and, therefore, should not be supple-  more than the minimum. The minimum recommended
                  mented.                                             allowance for sodium content of commercial foods is 0.08%
                    Based on endogenous losses, a daily intake of 75 mg phos-  (DM); this allowance is for foods with an energy density of 4
                  phorus/kg body weight is adequate (Gesellschaft, 1989a). At an  kcal/g (DM) (NRC, 2006). For risk factor management, the
                  energy density of 3.5 kcal (14.6 kJ)/g DM this corresponds to  recommended range for dietary sodium is 0.2 to 0.4% (DM),
                  an average content of about 0.4 to 0.6% DM phosphorus.  which is more than adequate. Sodium levels in commercial
                  These levels are adequate, but not excessive; daily intakes 20 to  foods for adult dogs range from 0.11 to 2.2% DM and are
                  30% less are still sufficient (Gesellschaft, 1989a). Therefore, it  higher in moist foods than in dry foods. In the absence of stud-
                  is unnecessary to feed foods with higher levels of phosphorus,  ies establishing chloride requirements in dogs, a value 1.5 times
                  or to add calcium-phosphorus supplements to commercial  the sodium requirement is recommended.
                  foods. Moreover, higher phosphorus levels are contraindicated
                  for a substantial part of the dog population; up to 25% of the  Antioxidants
                  young adult dog population may already be affected by subclin-  The consequences of prolonged oxidative stress (i.e., free radi-
                  ical kidney disease (Oehlert and Oehlert, 1976; Rouse and  cal damage) to cell membranes, proteins and DNA may con-
                  Lewis, 1975; Shirota et al, 1979). One clinical study revealed  tribute to and/or exacerbate a wide variety of degenerative dis-
                  that 22.4% of all dogs over five years of age examined at a  eases. A partial list includes cancer, diabetes mellitus,
                  European veterinary teaching hospital for a variety of reasons  kidney/urinary tract disease, heart disease, liver disease, inflam-
                  had abnormally elevated kidney function tests (Leibetseder and  matory bowel disease and cognitive dysfunction (Ames et al,
                  Neufeld, 1991). Excess dietary phosphorus can accelerate pro-  1993; Kesavulu et al, 2000; Ha and Le, 2000; Thamilselvan et
                  gression of chronic renal disease (Brown et al, 1991), whereas  al, 2000; Freeman et al, 1999; Cheng et al, 1999; Center, 1999;
                  phosphorus restriction may slow the progression of chronic  Knight, 1999).The consequences of free radical damage to cells
                  renal disease and improve long-term survival (Brown et al,  and tissues have also been associated with the effects of aging
                  1991; Finco et al, 1992). It is therefore prudent to feed foods  (Harman, 1956).
                  that contain adequate but not excessive amounts of phosphorus  The body synthesizes many antioxidant enzyme systems
                  (Chapter 37 contains more information about how excess  and compounds but relies on food for others. Commonly sup-
                  dietary phosphorus affects progression of kidney disease).  plemented food-source antioxidants include vitamins E and
                    The minimum recommended allowance for phosphorus in  C, β-carotene and other carotenoids, selenium and thiols.
                  foods for adult dogs is 0.3% (DM); this recommendation is  Fruits and vegetables are good sources of flavonoids, polyphe-
                  appropriate for foods with an energy density of 4 kcal/g (DM)  nols and anthocyanidins. The following discussion focuses on
                  (NRC, 2006). The recommended range of phosphorus for  vitamins E and C and selenium as antioxidant key nutritional
                  foods intended for young adult dogs is 0.4 to 0.8% (DM) when  factors because: 1) they are biologically important, 2) they act
                  the energy density ranges from 3.5 to 4.5 kcal/g DM.  synergistically (e.g., vitamin C regenerates vitamin E after it
                                                                      has reacted with a free radical), 3) they are safe and 4) infor-
                  Sodium and Chloride                                 mation about inclusion levels in pet foods is usually available.
                  Essential hypertension is not considered a common problem in  For improved antioxidant performance, foods for mature dogs
                  dogs; therefore, higher intakes of dietary sodium and chloride  should contain at least 400 IU vitamin E/kg (DM) (Jewell et
                  have not been considered harmful in young, healthy dogs  al, 2000), at least 100 mg vitamin C/kg (DM) and 0.5 to 1.3
                  (Bodey and Mitchell, 1996; Bovée, 1990). However, one study  mg selenium/kg (DM).
                  suggested that up to 10% of apparently healthy dogs may have
                  high blood pressure (Remillard et al, 1991).          VITAMIN E
                    High sodium and chloride intake is contraindicated in dogs  Vitamin E is the main lipid-soluble antioxidant present in
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