Pilot Study Evaluating the Use of a Commercially Available Oral Nutritional Supplement in the Management of Chronic Kidney Disease in Cats
Pilot Study Evaluating the Use of a Commercially Available Oral Nutritional Supplement in the Management of Chronic Kidney Disease in Cats作者机构：VCA Midwest Veterinary Referral and Emergency Center Omaha NE USA Department of Veterinary Clinical Sciences The Ohio State University Veterinary Medical Center Columbus OH USA Department of Clinical Sciences Carlson College of Veterinary Internal Medicine Oregon State University Corvallis OR USA Department of Clinical Sciences College of Veterinary Medicine and Biomedical Sciences Colorado State University Fort Collins CO USA
出 版 物：《Open Journal of Veterinary Medicine》 (兽医学（英文）)
年 卷 期：2022年第12卷第2期
页 面：7-17页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Chronic Kidney Disease Feline Phosphate Binder
摘 要：Purpose: To determine if cats with chronic kidney disease (CKD) would willingly consume an oral nutritional supplement formula (NS-CKD) and to assess associated effects on select clinical and biochemical parameters. Methods: Client-owned cats with CKD classified as International Renal Interest Society (IRIS) stage 2 (n = 7), IRIS stage 3 (n = 12), or IRIS stage 4 (1 cat) were classified by the owners as having normal or variable appetites. The cats were offered 30 ml NS-CKD for 14 days concurrently with a meal in a separate bowl and the amount of the NS-CKD consumed daily was recorded. Bodyweight, physical examination, and serum biochemical profiles were assessed on Days 0, 7, and 14. Results: Greater than 50% of the NS-CKD was consumed by 14 of 20 (70%) cats and 12 of 20 cats (60%) consumed 80% of the NS-CKD. The total volume of NS-CKD consumed over the course of the study was statistically greater for the cats classified by owners as having normal appetite (P = 0.046). Increases in body weight were noted for 9 of 14 cats (64.3%) that ingested 50% of the NS-CKD and 1 of 6 cats (16.7%), that ingested ≤ 50% (p = 0.1409) and the group mean % change in body weight was greater in the cats that ingested 50% of the NS-CKD (P = 0.023). The volume of NS-CKD consumed correlated to the % change increases in serum bicarbonate concentration (R = 0.4998;P = 0.02) and was weakly correlated to % change decreases in serum phosphorus concentration (R = 0.0406;P = 0.08). Conclusions: In this pilot study, the NS-CKD was accepted by most cats, no adverse effects were noted, and several findings suggest that the product was associated with ameliorating some metabolic complications which suggest it could be considered in the management of cats with CKD.
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