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

klambdvm@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

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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?

Veterinary Oral Health Council

Vohc.org

Prevention by Nutritional Products & Homecare

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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

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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)