Todd's Metabolic Questions and Answers Flashcards
Body Condition scores can be used in any breed of dog how were they validated?
The original validation for the 9 point BCS in dogs was performed in 255 purbred laboratory dogs 77 Labrador Retrievers 42 German Pointers 110 English setters and 18 dogs classified as ‘other’. The average % body fat as determined by DEXA for male dogs with 9/9 BCS was 35% and for females was 43%. There were no bracycephalic or heavily muscled breeds in this study [Reference: Laflamme D. P. (1997). Development and validation of a body condition score system for dogs: A clinical tool. Canine Practice 22: 10-15.]
Body Condition scores can be used in any breed of cat how were they validated?
The original validation for the 9 point BCS in cats was performed in 48 domestic shorthair laboratory cats. The average % body fat as determined by DEXA for a male with a BCS 8/9 (none were considered 9/9) was 39% and for a female 9/9 53%. There were no purebred cats in this study. Laflamme D. P. (1997). Development and validation of a body condition score system for cats: A clinical tool. Feline Practice 25: 13-18.
Why does my clinic need to use HWP?
Recent studies have shown that using currently available methods 75% of feeding plans developed for weight loss were inaccurate. These plans led to overfeeding the pets with too many calories and as a result not achieving weight loss ? or worse - gaining weight. We need a more effective way to determine a pet?s ideal weight and with that create more effective weight loss feeding plans.
Why should I be feeding to the pet?s ideal weight?
Simply put fat is like a stray dog if you feed it it will stay around forever. Feeding an overweight pet based on their current weight will provide too many calories. We must feed only the healthy pet inside not the fat. Using ideal weight to determine the correct food dose ensures they get right amount of calories to promote weight loss.
What?s the Body Fat Index (BFI)?
A pet?s BFI simply refers to their current body fat percent. This new science was developed in partnership with the University of Tennessee and is a more effective way of connecting a pet?s body fat percentage to a meaningful number that can be shared with pet owners similar to BMI in humans.
What are the Healthy Weight Protocol tools?
There are two tools that were developed by investigators at the University of Tennessee to more accurately determine ideal weight in overweight pets. The most accurate method is simple body measurements (morphometric measurements) which are entered into an online website or mobile app to caclulate ideal weight. Alternatively an expanded validated version of body conditioning The BFI risk chart may be used to estimated % body fat and ideal weigth.
What are the body measurements (morphometric measurements)?
These simple body frame (morphometric) measurements were developed and validated by investigators at the University of Tennessee. They are an objective quantitative method of evaluating the severity of hyperadiposity (body fat) in overweigth pets. Using a tailors tape record four simple measurements for dogs and six measurements for cats. The measurements take about 1 « to 2 minutes to complete and only need to be done once.
Why would I want to measure pets using the Healthy Weight Protocol Tools to determine their ideal weight?
In a word accuracy. This clinically proven method has been shown to be significantly more effective at determining an overweight pet?s ideal weight. Basing feeding recommendations on an accurate ideal weight is the first step to a successful weight loss plan.
Can I use these tools in normal weight pets?
The Healthy Weight Protocol tools are only validated in overweight pets and should only be used to determine the severity of hyperadiposity (excess body fat accumulation) in pets who have been categorized as overweight based on the results of a Nutritional Assessment Screening Evaluation.
When should I use the Healthy Weight Protocol Tools?
Based on recommedations from AAHA / WSAVA every pet should have a Nutritional Assessment at every visit. This screening evaluation includes a dietary history body weight and body/muscle condition score. Pets that are categorized as overweight based on this evaluation should have an extended evaluation which includes an accurate assessment of the severity of their hyperadiposity (excess body fat). Options include DEXA (dual xray absorptiometry) and the Healthy Weight Protocol tools (morphometric measurements or BFI Risk Chart assessment.
What is the difference between BCS and the Healthy Weight Protocol Tools?
Body condition scoring is a subjective system based on visual assessment and palpation findings used to estimate body composition. Body condition scoring is an appropriate screening tool to determine if additional testing is needed to assess body composition. There are 2 commonly used scales (5 point and 9 point). Both scales have only been validated and are only accurate in pets with < 50% body fat. Both systems assume that pets with maximum scores (5/5 or 9/9) have a maximum of ~ 47% body fat. Once a pet has been assigned a BCS their ideal weight must be calcualated.
What is the relationship between Body condition score and ideal weight
Body condition scores can be used to estimate percent body fat in dogs and cats. For an ideal BCS (4?5/9 or 3/5) percentage body fat averages 20% and ranges from 15% to 25% of body weight. With the 9-point scale each 1-point change from ideal represents an increase or decrease of 5% body fat. With the 5-point scale each point represents a 10% change. Studies have shown that the correlation between BCS and percentage of body fat is only significant for pets with 45% body fat or less.
What is the BFI Risk Chart?
The BFI Risk Chart is a new way to assess a patient?s body composition. It?s similar to the BCS charts you have used for years but with some important differences: 1) Increased accuarcy because it is validated in pets with 65% body fat 2) Incorporates expanded validated descriptors and updated imagery 3) Unlike traditional BCS provides an easy method to determine the pet’s ideal weight (no math required) 4) Changes the coversation with the owner from stigmatized language (overweight / obese) to a discussion of health risks
Which tool should I use to assess an overweight patient the Body Measurements or the BFI Risk Chart ?
If possible we recommend using the Body Measurements and the Online / Mobile App tool to determine ideal weight for your overweight pets. This is the most accurate method available and because it is an objective quantitative evaluation clients will be more willing to accept the results. In those cases where body measurements are not possible we recommend using the BFI Risk Chart.
Can I use the Healthy Weight Protocol Tools (body measurements or BFI Risk Chart) on all pets?
No ? the body measurements and BFI Risk chart were developed for and only validated in overweight pets. After performing the Nutritional Assessment Screening Evaluation which includes; diet history body weigth and body / muscle condition scoring it is appropriate to use the Healthy Weight Protocol tools to determine the severity of hyperadiposity in pets with body condition scores greater than normal (> 3/5 or > 5/9). These tools are not intended for use in pregnant or lactating females.
Can I use the HWP tools in pets of all ages?
No. The morphometric measurements have been validated in pets over 1 year of age and are not intended for use in puppies kittens or geriatric animals with significant muscle mass loss. The BFI risk chart is a better choice for geriatric animals with significant muscle mass loss.
Do the Healthy Weight Protocol tools work on all breeds of cats and dogs?
Unlike traditional body condition scoring systems the Healthy Weight Protocol tools (body measurements and BFI Risk chart) have been validated in a wide range of breeds including brachycephalicdogs (Boston Terrier French Bulldog Pug) and cats (Burmese) chondrodysplastic (Bassett Hound Daschund Corgi) and a wide range of sizes (Chihuahua to BullMastiff) and heavily muscled dogs (Pit Bull Terriers).
Will using the HWP tools to estimate ideal weight increase the risk of hepatic lipidosis in cats?
In regards to development of hepatic lipidosis from SACN V pg 528-529:Restricting calories for DER at optimal weight of a cat by more than 70% effectively makes caloric intake less than RER because DER for neutered adult cats is only 1.2 to 1.4 x RER. RER represents a theoretical minimum for daily energy consumption for cats because of the risk for hepatic lipidosis (Biourge et al 1994). However experimental and clinical trials using caloric restrictions between 59 and 80% of RER produced acceptable rates of weight loss in overweight cats with no biochemical evidence of hepatic lipidosis (Markwell et al 1996). Thus when feeding
obese cats for weight loss be sure they are eating at least 50% of their estimated food dose to prevent development of hepatic lipidosis. A weight loss goal of 0.5 to 1% per week is safer. Drs Becvarova Hutchinson and Witzel all agree that it is difficult to create hepatic lipidosis in client owned cats with a weight loss program as long as the cat is EATING THE THERAPUETIC FOOD.