Nutrition

A multicenter study of the effect of dietary supplementation with fish oil omega-3 fatty acids on carprofen dosage in dogs with osteoarthritis

Summary:

Human clinical studies and a recent meta-analysis7 have found that dietary supplementation with fish oil and fish oil-derived fatty acids (in particular omega-3 fatty acids) provides benefits for patients with rheumatoid arthritis. Although the pathophysiology of rheumatoid arthritis in humans differs from the pathophysiology of OA in dogs, both conditions have an inflammatory aspect that could be sensitive to omega-3 fatty acids. In 2 recent studies, the effects of dietary supplementation with fish oil omega-3 fatty acids in dogs with OA found that feeding a diet containing 3.4% to 3.5% omega-3 fatty acids improved some clinical outcomes and weight bearing. In clinical practice, many dogs with OA are treated long term with NSAIDs such as carprofen, and neither of the aforementioned studies9,10 examined whether dietary supplementation with omega-3 fatty acids would allow a decrease in NSAID dosage. The purpose of the study reported here, therefore, was to determine the effects of feeding a diet supplemented with fish oil omega-3 fatty acids on carprofen dosage in dogs with OA.

Conclusion:

Results suggested that in dogs with chronic osteoarthritis receiving carprofen because of signs of pain, feeding a diet supplemented with fish oil omega-3 fatty acids may allow for a reduction in carprofen dosage.

Author & Journal:Fritsch DA, Allen TA, Dodd CE, Jewell DE, Sixby KA, Leventhal PS, Brejda J, Hahn KA., J Am Vet Med Assoc.

The effect of weight loss on lameness in obese dogs with osteoarthritis.

Summary:

This paper describes the effect of weight loss on lameness in obese dogs with osteoarthritis (OA).

Conclusion:

The results indicate that body weight reduction causes a significant decrease in lameness from a weight loss of 6.10% onwards. Kinetic gait analysis supported the results from a body weight reduction of 8.85% onwards. These results confirm that weight loss should be presented as an important treatment modality to owners of obese dogs with OA and that noticeable improvement may be seen after modest weight loss in the region of 6.10 – 8.85% body weight.

Author & Journal:Marshall WG, et al, Vet Res Commun 2010;34:241-253

Lifelong diet restriction and radiographic evidence of osteoarthritis of the hip joint in dogs

Summary:

To evaluate the effects of diet restriction on development of radiographic evidence of hip joint osteoarthritis in dogs.

Conclusion:

Restricted feeding delayed or prevented development of radiographic signs of hip jointosteoarthritis in this cohort of Labrador Retrievers. Lifetime maintenance of 25% diet restriction delayed onset and reduced severity of hip joint osteoarthritis, thus favorably affecting both duration and quality of life. In addition, the data indicated that development of hipjoint osteoarthritis was not bimodal in these dogs but occurred as a continuum throughout life.

Author & Journal:Smith GK, et al, JAVMA 2006

Timely Topics in Nutrition: An overview of fatty acids in companion animal medicine.

Author & Journal:Lenox CE, J Am Vet Med Assoc 2015;246:1198-1202

Timely Topics in Nutrition: An overview of fatty acids in companion animal medicine

Summary:

Fatty acids have a number of important roles in the body. These include, among others, serving as a source of fuel, transporting fat-soluble vitamins, serving structural functions as part of cell membranes, and being involved in cell regulation and signaling. Fatty acids are also used for the management of disease, giving them a unique role as a nutraceutical, which is a nutrient that has properties of a drug. The objective of the information reported here is to provide an overview of topics related to fatty acids and to improve general understanding of these topics.

Conclusion:

Although lipid biochemical processes are a complicated topic, veterinarians should have a basic understanding of fatty acids and their impact on health and disease in companion animals. It is important for veterinarians to understand that different sources and types of omega-6 and omega-3 fatty acids do not have the same functions, and that animals of all life stages require both omega-6 and omega-3 fatty acids in their diet. In addition to the fact that they are essential for physiologic tissue function, fatty acids can modulate disease and influence growth and development. The provision of supplemental omega-6 and omega-3 fatty acids can result in adverse effects.

Author & Journal:Catherine E. Lenox, DVM, J Am Vet Med Assoc.

Evaluation of the effect of limited food consumption on radiographic evidence of osteoarthritis in dogs.

Summary:

To determine prevalence of radiographic evidence of osteoarthritis in 4 diarthrodial joints of dogs with restricted feed intake, compared with dogs without restricted feed intake.

Conclusion:

Prevalence and severity of osteoarthritis in several joints was less in dogs with long-term reduced food intake, compared with control dogs. Food intake is an environmental factor that may have a profound effect on development of osteoarthritis in dogs.

Author & Journal:Kealy RD, et al, JAVMA 2000

Understanding the relationship between body weight and osteoarthritis

Summary:

Overweight people are at high risk of developing knee osteoarthritis (OA) and may also be at increased risk of hand and hip OA.

Conclusion:

There are a paucity of data on weight loss as a treatment for OA, but preliminary information suggests it is especially effective in knee disease and that even small amounts of weightreduction may have favourable effects.

Author & Journal:Felson DT, et al, Ballieres clin Rheumatol 11: 671-681, 1997

Evaluation of the effects of dietary supplementation with fish oil omega-3 fatty acids on weight bearing in dogs with osteoarthritis.

Summary:

To evaluate the effects of a food supplemented with fish oil omega-3 fatty acids on weight bearing in dogs with osteoarthritis.

Conclusion:

At least in the short term, dietary supplementation with fish oil omega-3 fatty acids resulted in an improvement in weight bearing in dogs with osteoarthritis.

Author & Journal:Roush JK, et al, J Am Vet Med Assoc 2010;236:67-73

Potential Adverse Effects of Omega‐3 Fatty Acids in Dogs and Cats

Summary:

Fish oil omega‐3 fatty acids, mainly eicosapentaenoic acid and docosahexaenoic acid, are used in the management of several diseases in companion animal medicine, many of which are inflammatory in nature. This review describes metabolic differences among omega‐3 fatty acids and outlines potential adverse effects that may occur with their supplementation in dogs and cats with a special focus on omega‐3 fatty acids from fish oil. Important potential adverse effects of omega‐3 fatty acid supplementation include altered platelet function, gastrointestinal adverse effects, detrimental effects on wound healing, lipid peroxidation, potential for nutrient excess and toxin exposure, weight gain, altered immune function, effects on glycemic control and insulin sensitivity, and nutrient‐drug interactions.

Conclusion:

Adverse effects, if observed, are likely to be dose‐dependent. It is necessary to understand dosages of omega‐3 fatty acids to understand how much fish oil to supplement, or what dietary concentration to aim for when recommending omega‐3 supplementation. Provision of omega‐3 fatty acids can be expressed as milligrams of total omega‐3 fatty acids per kilogram body weight; as milligrams of EPA and DHA per kilogram body weight or metabolic body weight; as a dietary amount on a per energy basis (grams or milligrams per 100 or per 1,000 kcal); or as a dietary amount on a per weight basis (grams or milligrams per 100 grams of diet as fed or on dry matter basis). The amount of omega‐3 fatty acids also can be expressed as a ratio of n‐6:n‐3 fatty acids, or as a ratio of “functional” fatty acids (LA + AA: EPA + DHA). The same enzymes are involved in the metabolism of omega‐6 and omega‐3 fatty acids, resulting in competition between these fatty acids for incorporation into cell membranes and other biological properties. Therefore, dietary excess or deficiency of LA versus ALA may influence conversion rates to downstream products. Dietary amounts of omega‐6 versus omega‐3 fatty acids are frequently expressed as a dietary n‐6:n‐3 ratio in addition to absolute amounts for this reason. However, ALA is not equivalent to EPA and DHA and the total n‐6:n‐3 ratio by itself does not accurately describe the fatty acid composition of the diet. A product with a high total omega‐3 fatty acid concentration could contain high concentrations of ALA, high concentrations of EPA and DHA, or a combination of these fatty acids. Because diets with ALA have different effects when compared with diets enriched in EPA and DHA, the type of omega‐3 fatty acids is crucial information and the lack of distinction between these fatty acids may contribute to the equivocal nature of results of earlier studies.

Author & Journal:C.E. Lenox and J.E. Bauer, J Vet Intern Med.

Influence of lifetime food restriction on causes, time, and predictors of death in dogs.

Summary:

To describe effects of lifetime food restriction on causes of death and the association between body-mass characteristics and time of death in dogs.

Conclusion:

Results were similar to results of diet restriction studies in rodents and primates, reflecting delayed death from species- and strain-specific intrinsic causes. Clinicians should be aware that unplanned body mass changes during mid- and later life of dogs may indicate the need for thorough clinical evaluation.

Author & Journal:Lawler DF, et al, J Am Vet Med Assoc 2005;226:225-231