First detailed nutritional survey in a referral companion animal population.

Optimal nutrition in every life stage and certainly in diseased animals will contribute greatly to improve overall health and quality of life. The 5th VA guidelines have been designed to help veterinarians to implement a nutritional assessment into every patient, every time it comes into their practice. This nutritional survey in referral patients was conducted by one person skilled in acquiring detailed nutritional information and evaluating nutritional status. Two goals were set as follows: first to gain more insight into the nutritional status and management of referred patients and second to gain more insight in the nutritional recommendations given by the treating veterinarian. Using an online survey program, a detailed nutritional survey was designed using the 5th VA guidelines as a roadmap. Ultimately, 100 surveys were completed using referral patients with following results: only 15% of referred patients were cats; obesity occurrence was high with 53% of cats and 35% of dogs being overweight or obese; eleven per cent of animals had an abnormal MCS; and five of seven dogs with an abnormal MCS dogs died within 6 months. Several nutritional risk factors were undiagnosed and consequently untreated in these patients. Therefore, continued efforts must be made to educate practicing veterinarians into using the nutritional guidelines. The routine use of these guidelines by veterinarians will ultimately improve the nutritional status of all companion animals and might reduce the prevalence of diseases where poor nutrition or management has a contributing role.

The effect of feeding, storage and anticoagulant on feline serum cystatin C.

Serum cystatin C (sCysC) is a possible marker for early detection of chronic kidney disease (CKD) in cats. In contrast with serum creatinine (sCr), feline sCysC is not affected by age, breed or sex. However, further biological and clinical validation is required. The objectives of this study were: (1) to investigate if food intake and circadian rhythm affect feline sCysC; (2) to determine the stability of sCysC under different storage conditions, and (3) to investigate if plasma concentrations of CysC (pCysC) differed from sCysC. A crossover study with 10 healthy laboratory cats fed the same commercial dry food was performed to study the influence of feeding and diurnal variation. Storage effects and comparison of pCysC with sCysC were determined using healthy cats (n = 3 and n = 10, respectively) and cats with CKD (n= 4 and n = 17, respectively). A significant daily sCysC variation was seen. Pre- and postprandial sCysC and sCr concentrations did not change significantly. Serum CysC significantly increased during storage at room temperature. After freezing, sCysC significantly decreased after 5 and 12 months at both -20 °C and -72 °C. Plasma CysC was significantly lower than sCysC. These findings suggest that it is not mandatory to fast cats before evaluation of sCysC and sCr. Samples were stable during routinely used storage conditions. Based on these findings, freezing for more than 5 months is not recommended, although additional studies are required to evaluate the clinical relevance of decreased sCysC after prolonged storage. Plasma and serum CysC cannot be compared directly.