Tools, strategies & dialogues of a Successful Weight Management Program for Pets
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Presented to veterinarians and staff this video has all the scientific basis to be able to reduce pets weight safely & effectively for pet owners and veterinary teams alike as after all we are all pet owners who love our pets!
![NOT ADEQUATE
1) 30 lb Dog that is 8 lbs 0verweight (36% over IBW) 10 kg IBW
2) Food has 21% crude protein and 3,490 kcal/kg (from label or internet)
3) RER in kcal/day = 30 x (ideal BW[kg]) + 70
RER in kcal/day = 30 x (10) + 70 = 370 * 0.8 = 296
4) Grams Protein in food = (% crude protein/kcal/kg of food) X 10,000=g/1000 kcal
21/3,490 x 10,000 = 60 g/1000 kcal
5) Minimum daily protein requirement = 2.5g/kg for dogs = 25 g for 10 kg dog
296 kcal of this food has 296/1000 or 29.6% of 60 g = 18 gm](https://image.slidesharecdn.com/aurawdwgqystrp0eh2rx-signature-20cb4bcedc3bac39cb91d903fe20f3a8fd45008240f747ba47de71d153ca9a2c-poli-150301110446-conversion-gate02/85/Tools-strategies-dialogues-of-a-Successful-Weight-Management-Program-for-Pets-39-320.jpg)
![NOT SUFFICIENT
1) A Cat that is 14 lbs is 3 lbs over weight (21.4%) 5 kg ideal weight (11 lbs)
2) Food with 31% crude protein and 3490 Cal/kg
3) RER in kcal/day = 30 x (ideal BW[kg]) + 70
30 x (5) + 70 = 220 kCal 220 * 0.8 = 176
220 * 0.7 = 154
220 * 0.6 = 132
4) G of protein in food (% crude protein/kcal/kg food) X 10,000 = g/1000 kcal
31/3490 X 10,000 = 90 g/1000 kcal
5) Cats daily protein requirement 5g protein /kg 5kg cat = 25 grams
6) 154 Kcal/day of this food 15.4 % of 90 g = 13.9 grams](https://image.slidesharecdn.com/aurawdwgqystrp0eh2rx-signature-20cb4bcedc3bac39cb91d903fe20f3a8fd45008240f747ba47de71d153ca9a2c-poli-150301110446-conversion-gate02/85/Tools-strategies-dialogues-of-a-Successful-Weight-Management-Program-for-Pets-40-320.jpg)
Tools, strategies & dialogues of a Successful Weight Management Program for Pets
- 1. Ken Lambrecht DVM Medical Director West Towne Veterinary Center Presented to Madison Veterinary Specialists February 25, 2015
- 2. 1. Excess weight can reduce longevity and quality of life Kealy et al JAVMA 2002 2. Hormones & inflammation caused by fat lead to a state of chronic inflammation Wakschlag et al Br J Nutr 2011 3. Excess weight leads to skin, respiratory, renal disease, diabetes, orthopedic disease and cancer LaFlamme J Anim Science 2012
- 3. 1. Veterinarians need to become GREAT at weight management 2. Food manufacturers need to be MORE accountable and transparent 3. Organized veterinary medical groups (AAHA, AVMA, WSAVA, ACVN, NAVTA etc) need to CONTINUE to cooperate.
- 4. Increasing rates of obesity & obesity related disease arthritis diabetes urinary disease IBD, Lymphoma? courtesy of Catalystcouncil.org
- 5. CCL tears, hip dysplasia Diabetes, cancer Quality & quantity of life
- 6. AAFP/AAHA Feline Life Stage Guidelines 2010 AAHA Nutritional Guidelines 2010 AAHA Canine Life Stage Guidelines 2012 WSAVA Nutritional Guidelines Guidelines 2011 AAHA Weight Management Guidelines 2014
- 7. "Up to 59% of dogs and cats are overweight, making this the most common nutritional disorder identified in veterinary practice"
- 8. NOT the internet NOT the teenage clerk at local PetSmart NOT the owner of local pet boutique "The veterinarian is the preferred source of pet nutritional information"
- 9. "Obesity may occur at any age, but is most commonly encountered in middle age cats"
- 11. American College of Veterinary Nutritionists (ACVN) American Animal Hospital Association (AAHA) American Veterinary Medical Association (AVMA World Small Animal Association (WSAVA) Canadian Veterinary Medical Association (CVMA) National Association of Veterinary Technicians Association (NAVTA) American Academy of Veterinary Nutrition (AAVN)
- 12. Do pets have to get to this point before we address the issue?
- 13. American College of Veterinary Nutrition
- 14. Questions & Answers & Myths for Pet Owners Education & Exam Room Tools for Veterinarians Supervised by board certified veterinary nutritionists Relaunch in June 2015
- 16. In December 2010 the AVMA added "prevention of disease" to the veterinary oath.
- 17. This is a 100% preventable problem! Prevention begins with puppies & kittens (Effect of neutering, how much to feed, exercise, etc) Challenge continues especially at middle age
- 19. 1. How to PREVENT 2. How to ASSESS (TOOLS) 3. How to CHOOSE an appropriate diet and CALCULATE what a pet needs (TOOLS) 4. How much & what EXERCISE & ACTIVITY (STRATEGIES) 5. COMMUNICATION (DIALOGUES)
- 20. 1) Visual BCS Score and trending weight graph 2) EASILY calculated Resting Energy Requirement (RER) and minimum protein levels 3) EASILY accesible calorie & protein levels
- 22. little or no fat covering ribs defined body waist minimal abdominal fat (ideal = 20%)
- 23. What is most important? "We are the pets advocate" ...period!
- 26. Purinas BCS for Dogs
- 30. Fist/knuckles Katherine Michel DACVN One year body weight When your friends and neighbors tell you your pet looks too thin. ....youre almost there! Julie Churchill DACVN
- 31. 1) Verbal and written food recommendation 2) Written calories and cups/cans to feed 3) Measuring cup/food scale? 4) Commercial handout 5) Diary of food intake & exercise
- 35. % overweight RER calculation/chart Protein calculations
- 36. A 72# Labrador whose ideal body weight (IBW) is 60# is 12/60 or 20% overweight A 9# DSH whose IBW is 7.5 # is 1.5/7.5 or 20% overweight
- 38. Dogs need 2.5 gm protein for every kg of IBW to preserve lean muscle mass during weight loss Cats need 5.0 gm for every kg of IBW to preserve lean muscle mass during weight loss
- 39. NOT ADEQUATE 1) 30 lb Dog that is 8 lbs 0verweight (36% over IBW) 10 kg IBW 2) Food has 21% crude protein and 3,490 kcal/kg (from label or internet) 3) RER in kcal/day = 30 x (ideal BW[kg]) + 70 RER in kcal/day = 30 x (10) + 70 = 370 * 0.8 = 296 4) Grams Protein in food = (% crude protein/kcal/kg of food) X 10,000=g/1000 kcal 21/3,490 x 10,000 = 60 g/1000 kcal 5) Minimum daily protein requirement = 2.5g/kg for dogs = 25 g for 10 kg dog 296 kcal of this food has 296/1000 or 29.6% of 60 g = 18 gm
- 40. NOT SUFFICIENT 1) A Cat that is 14 lbs is 3 lbs over weight (21.4%) 5 kg ideal weight (11 lbs) 2) Food with 31% crude protein and 3490 Cal/kg 3) RER in kcal/day = 30 x (ideal BW[kg]) + 70 30 x (5) + 70 = 220 kCal 220 * 0.8 = 176 220 * 0.7 = 154 220 * 0.6 = 132 4) G of protein in food (% crude protein/kcal/kg food) X 10,000 = g/1000 kcal 31/3490 X 10,000 = 90 g/1000 kcal 5) Cats daily protein requirement 5g protein /kg 5kg cat = 25 grams 6) 154 Kcal/day of this food 15.4 % of 90 g = 13.9 grams
- 43. Protein content Wet vs dry Rx vs OTC Satiety factors
- 44. Up to 20% over ideal (BCS up to 3.5/5 or 6/9) = OTC food if no other problems) If 20%-30% over their ideal (BCS 4/5 or 7/9) = Prescription food or high protein OTC food Over 30% over their ideal = Rx food only
- 45. When: over 20% of their ideal weight (BCS 7/9 and 4/5) Why: to insure adequate protein and insure micronutrients and vitamins Satiety factors??
- 46. Limit treats to 10% of total daily caloric intake Sources: Association for Prevention of Pet Obesity, human food apps, internet PNA app someday ??
- 47. Dogs 1-2% per week 60 lb dog 0.6 to 1.2 lbs/week Cats 0.05 to 2.0% per week 15 lb cat (240 ounces) 1.2 to 4.8 ounces/week
- 50. goal = preserve lean muscle mass "promote behaviors that aid in sustainable weight loss" caloric expenditure (1 kcal/kg/km) e.g. at brisk walk 45 kg dog will burn about 250 kcal in 5K
- 51. www.heyrex.com A fitbit for dogs & cats!
- 52. studyThe PP Exercising Together (PPET) Study is the first trial to show that overweight owners and their overweight companion animals can lose weight together and that companion dogs can serve as social support during the weight loss period. study details
- 54. They are hunters ......period! Strict Calorie control Protein is a HUGE issue!
- 59. Kickoff at our Pet Wellness Fair Saturday March 7th 12:30 to 2 PM 8 week Contest $1000 in prizes We donate $5 for each pound of weight lost for dogs and $20 for cats to local rescues
- 60. Biggest 4 pawed Loser category (Dogs & Cats more than 20% over ideal) Iron Dogs & Iron Cats (between 5 and 20% over ideal) Dogs further divided in over 40# and under 40# Dog Packs & Cat Prides (3 or more in a team challenge)
- 61. 30 to 47 final contestants each year 0.8 to 0.9 % weight loss per week over $3000 donated to rescues total in past 3 contests
- 63. Getting pet owner buy in (us included!) (DIALOGUES) Respect the client pet bond (DIALOGUES) Emotional nature of feeding pets (STRATEGIES) Difficulty in choosing food, finding calories etc (TOOLS)
- 64. Great client communication skills Make sure we use latest evidence based information Constant reassessment Keep it light & fun!
- 69. Next wednesday night March 4th 5:30 to 6:30 PM Weigh in for contest & cat friendly nutrition discussion!