Obesity In Pets
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Obesity in pets occurs when excessive adipose tissue accumulates in the body, and is generally defined as occurring when an animal's body weight is at least 20% greater than its optimal body weight. Obesity is associated with metabolic and hormonal changes.


Diagnosis

For dogs and cats, a 9 point body condition score (BCS) system is used to identify whether they are above their ideal weight status. Scores 1-3 indicate 'too thin', 4 and 5 are 'ideal', 6 is 'above ideal', 7 is 'overweight' and 8 and 9 are 'obese'. There are numerous versions of the BCS chart available for use including 5-point and 7-point versions, however, the 9-point chart is the only version where the scores correlate with true body fat percentage measured using dual-energy X-ray absorptiometry (DEXA) scans. Body Condition Scoring involves palpating certain body areas to feel the level of fat cover and visual checks, for instance for an ideal condition dog, when viewed from above a dip in at the waist should be present, viewed side on a clear abdominal tuck should be seen and when the ribs are palpated, each individual rib should easily be felt with only a very thin layer of fat cover. Similar systems exist for
livestock Livestock are the domesticated animals raised in an agricultural setting to provide labor and produce diversified products for consumption such as meat, eggs, milk, fur, leather, and wool. The term is sometimes used to refer solely to animals ...
. For horses there is the
Henneke horse body condition scoring system The Henneke horse body condition scoring system is a numerical scale used to evaluate the amount of fat on a horse's body. It was developed in the early 1980s by Don Henneke at Texas A&M University with the goal of creating a universal scale to ass ...
. These BCS methods are the most commonly used ways of diagnosing obesity in practice. Whilst they are not as accurate as performing DEXA scans that measure true body fat percentage, Body Condition Scoring is quick, non-invasive and requires no specialist equipment, just the scoring charts and a clinician. Using weight alone is not a reliable tool for diagnosing obesity as individuals within a species and breed can vary significantly in their size. Weighing is still useful for monitoring changes and a gain in weight may be an indication of excess weight and should prompt assessing BCS. For dogs under a year there are Puppy Growth Charts where weights can be monitored in relation to an average growth curve, this again helps to monitor whether weight is increasing more than expected and deviating from the average growth curve should prompt assessing BCS.


Causes

Weight gain will occur when an animal is in a positive energy balance, meaning energy provided as calories in the diet exceed calories expended. Evidence suggests that middle-aged cats and dogs, especially those between the ages of 5 and 10, may be at an increased risk of obesity. This is supported by studies showing that as cats age from 2 years to approximately 11.5 years of age their energy requirements decrease. Weight gain will occur if calories from the diet do not decrease with the animal's energy requirements. Obesity in pets is usually due to excessive food intake or lack of physical exercise. Owners may view food as a way to reward and treat their pets, which contributes to overfeeding. Pets confined to a house or small yard which are not regularly exercised are more prone to obesity. The risk of obesity in dogs (but not in cats) can be related to whether or not their owners are obese. The main factor seems to be obese owners not walking their dogs as much. In cats, neutering increases the risk of obesity, partly because the alteration in sex hormones after neutering lowers the
basal metabolic rate Basal metabolic rate (BMR) is the rate of food energy, energy expenditure per unit time by endotherm, endothermic animals at rest. It is reported in energy units per unit time ranging from watt (joule/second) to ml O2/min or joule per hour per kg b ...
, and partly because neutered cats have a reduced inclination to roam compared to non-neutered cats.


Management

Weight management has two steps: weight loss and weight maintenance. In the weight loss phase, energy intake from food must be less than the energy expended each day. Achieving weight loss in cats and dogs is challenging, and failure to lose weight is common. If the animals themselves cannot control their own calorie intake, it is recommended that pet owners control the food amount given. Guidelines exist on energy allowances for animals of a given body weight. Medical treatments have been developed to assist dogs in losing weight.
Dirlotapide Dirlotapide is a drug used to treat obesity in dogs. It is manufactured by Pfizer and Zoetis and marketed under the brand name Slentrol. It works as a gut-selective microsomal triglyceride transfer protein (MTTP or MTP) inhibitor. This blocks th ...
(brand name Slentrol) and
mitratapide Mitratapide is a veterinary drug for the treatment of overweight and obese dogs sold under the brand name Yarvitan. Its mechanism of action involves inhibition of microsomal triglyceride transfer protein (MTP) which is responsible for the absorpt ...
(brand name Yarvitan) were authorized for use in the EU by the
European Medicines Agency The European Medicines Agency (EMA) is an agency of the European Union (EU) in charge of the evaluation and supervision of medicinal products. Prior to 2004, it was known as the European Agency for the Evaluation of Medicinal Products or Euro ...
for helping weight loss in dogs, by reducing appetite and food intake, but both of these drugs have been withdrawn from the market in the EU. The
US Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a federal agency of the Department of Health and Human Services. The FDA is responsible for protecting and promoting public health through the control and supervision of food s ...
approved
dirlotapide Dirlotapide is a drug used to treat obesity in dogs. It is manufactured by Pfizer and Zoetis and marketed under the brand name Slentrol. It works as a gut-selective microsomal triglyceride transfer protein (MTTP or MTP) inhibitor. This blocks th ...
in 2007. Up to 20% of dogs treated with either dirlotapide or mitratapide experience vomiting and diarrhea; less commonly,
loss of appetite Anorexia is a medical term for a loss of appetite. While the term in non-scientific publications is often used interchangeably with anorexia nervosa, many possible causes exist for a loss of appetite, some of which may be harmless, while others i ...
may occur. When these drugs are stopped, the dog's appetite returns to previous levels. If other weight-loss strategies are not employed, the dog will again gain weight.


Outcomes

Compared to non-obese animals, obese dogs and cats have a higher incidence of
osteoarthritis Osteoarthritis (OA) is a type of degenerative joint disease that results from breakdown of joint cartilage and underlying bone which affects 1 in 7 adults in the United States. It is believed to be the fourth leading cause of disability in the w ...
(joint disease) and
diabetes mellitus Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...
, which also occur earlier in the life of the animal. Obese animals are also at increased risk of complications following
anesthesia Anesthesia is a state of controlled, temporary loss of sensation or awareness that is induced for medical or veterinary purposes. It may include some or all of analgesia (relief from or prevention of pain), paralysis (muscle relaxation), ...
or
surgery Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
. Obese dogs are more likely to develop urinary incontinence, may have difficulty breathing, and overall have a poorer quality of life compared to non-obese dogs, as well as having a lower life expectancy. Obese cats have an increased risk of diseases affecting the mouth and urinary tract. Obese cats which have difficulty grooming themselves are predisposed to dry, flaky skin and
feline acne Feline acne is a problem seen in cats primarily involving the formation of blackheads accompanied by inflammation on the cat's chin and surrounding areas that can cause lesions, alopecia, and crusty sores. In many cases symptoms are mild and the d ...
.


Epidemiology

In the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territorie ...
, the
prevalence In epidemiology, prevalence is the proportion of a particular population found to be affected by a medical condition (typically a disease or a risk factor such as smoking or seatbelt use) at a specific time. It is derived by comparing the number o ...
of obese or overweight adult dogs is 23–53%, of which about 5% are obese; the incidence in adult cats is 55%, of which about 8% are obese. In
Australia Australia, officially the Commonwealth of Australia, is a Sovereign state, sovereign country comprising the mainland of the Australia (continent), Australian continent, the island of Tasmania, and numerous List of islands of Australia, sma ...
, obesity is the most common nutritional disease of pets; the prevalence of obesity in dogs in Australia is approximately 40%.


Society and culture

Pet owners in the UK have been prosecuted for
cruelty to animals Cruelty to animals, also called animal abuse, animal neglect or animal cruelty, is the infliction by omission (neglect) or by commission by humans of suffering or harm upon non-human animals. More narrowly, it can be the causing of harm or suf ...
due to their pets being dangerously obese. In the US, National Pet Obesity Awareness Day, is on the 14th of October.


See also

* Meow (cat) *
Prince Chunk Prince Chunk (also known as Princess Chunk and Captain Chunk, real name: Powder) (1998 – November 21, 2010) was a domestic shorthair cat, who at one time was alleged to weigh 44 pounds (20 kg), a Guinness World Records, world record. He was fou ...


References

{{reflist Obesity Pets Animal diseases