HDO BP cat
A cat relaxes in his basket during a home blood pressure check. Regular blood pressure checks are essential to monitoring chronic kidney disease.

Chronic Kidney Disease (CKD) in cats is progressive and not curable but there are strategies we can undertake to improve the quality of life of our “kidney” cats and possibly give them some more time with us. Here is a checklist for managing the cat with chronic kidney disease:

  1. Keep Kitty hydrated
  2. Feed a diet that will lessen the stress on the kidneys
  3. Maintain appetite
  4. Manage high blood pressure
  5. Treat anemia if necessary
  6. Treat urinary tract infections

Managing the cat with chronic kidney disease


hydration


Kidney failure is tied to the “death” of nephrons that filter the blood. The remaining nephrons compensate by increasing filtration. Dehydration decreases renal blood flow putting more stress on the remaining nephrons. Keeping the “kidney” cat hydrated helps maintain electrolyte concentrations and dilute the waste products the kidneys are struggling to filter out.

Increasing Voluntary Water Intake

  • Have a variety of water sources and fountains in the home to encourage water intake.
  • Consider feeding a wet diet – many canned foods contain about 80% water.
  • Try water from tuna, water used to poach chicken or fish (offer alone, add to the water bowl, or try frozen in an ice cube tray and added to the water bowl). 

Hydration supplements like Purina’s Hydra Care are designed to maximize the amount of water cats take in while drinking. Nutrient enriched water is more viscous, clings to the cat’s barbed tongue, and increases the water consumed with each lap of the tongue.

Subcutaneous Fluids

This refers to giving fluids under the skin, not in a vein. It is done using a bag of sterile fluids, an IV line and a needle. This is a strategy often employed in IRIS stages 3 and 4 of kidney disease.  This can be done in the veterinary clinic or at home, once you and your cat are comfortable with the process.

Kidney-friendly diets


As the kidneys fail, they are no longer as efficient at filtering the waste products of protein metabolism. Phosphorus in the form of phosphates tends to build up in the body while potassium levels may drop.

Commercial renal diets for kidney cats feature reduced phosphorus and restricted amounts of high-quality protein, an increased calorie density, sodium restriction, potassium supplementation, supplementation with B vitamins, anti oxidants and omega-3 fatty acids (Reference 1). There have been a number of studies done addressing the effectiveness of these diets – the results show that cats suffering from CKD lived longer when fed a renal diet (Reference 2).

Phosphorus Binders

For some cats in advanced stages of CKD, a renal diet may not reduce phosphorus enough; other cats simply refuse to consume a renal diet. For these cats, adding a “binding agent” to the food can help reduce the amount of phosphorus that is available for the cat to metabolize. Supplements that “bind” with the phosphates in the food form a nonabsorbable compound eliminated in the stool.   “Phosphorus binders” include (Reference 1):

  • Aluminum hydroxide
  • Calcium carbonate
  • Calcium acetate
  • Sevalamer (a hydrogel of poly-allylamine, free of aluminum and calcium)

 appetite and nausea


A “kidney” cat can suffer from nausea and vomiting due to the buildup of uremic toxins in the bloodstream. The cat consequently doesn’t eat well resulting in dehydration and weight loss. Reduced potassium levels and anemia due to CKD also contribute to a reduced appetite (Reference 1).

Medical Management

Managing the cat with chronic kidney disease also includes managing nausea and vomiting. Drugs that target nausea and vomiting include maropitant (Cerenia) and ondansetron. These are typically available in oral tablets.

There is another drug that is often the first choice of many practitioners. Mirtazapine is an antidepressant drug that not only controls nausea and vomiting, it also stimulates appetite.

  • available in a transdermal gel (Mirataz) as well as tablets
  • the transdermal form is FDA approved for use in cats
  • the transdermal gel is applied once daily and the dose is easily adjusted
  • side effects are vocalizing and increased activity.

If a cat is too nauseous or unwell to maintain food intake, a feeding tube should be considered.

high blood pressure


Increased filtration rate in the remaining nephrons and activation of the renin-angiotensin system can lead to high blood pressure in cats with CKD. Systolic blood pressures over 160 mm Hg require treatment to prevent damage to the cat’s eyes, heart and kidneys. In particular, the leakage of proteins into the urine (proteinuria) can be reduced once high blood pressure is managed (Reference 1).

Amlodipine is the most commonly used drug to reduce cats’ blood pressure. It is a calcium channel blocker that is available in tablets that can be taken once or twice daily. Amlodipine typically reaches therapeutic levels in 7-10 days.  Managing the cat with chronic kidney disease should include a blood pressure check every 3-6 months.

anemia


One of the kidney’s functions is to produce the hormone erythropoietin. Erythropoietin triggers cells in the bone marrow to make more red blood cells. Failing kidneys may not generate enough erythropoietin and anemia (low levels of red blood cells) can result.

Fewer red blood cells means less hemoglobin. Less hemoglobin means less oxygen is getting moved around the body. Anemia can result in weakness and tiredness. 

If the fraction of red blood cells in the blood drops below 20%, many practitioners will supplement the cat with a man-made analog of erythropoietin. The most commonly used drug is darbepoetin; it is given as an injection under the skin. Injections of iron supplements often accompany the darbepoetin injections in the initial stages of therapy (Reference 1).

A new treatment (2023) is available for anemia in cats with CKD.  Varenzin -CA1 is a once daily oral liquid medication made specifically for cats.  Varenzin-CA1 is designed to stimulate the cat’s body to make its own erythropoetin.

Urinary tract infections (UTI)


With increasingly dilute urine seen in cats with CKD, UTI’s are more common. Most of these UTI’s do not have clinical signs such as frequent urination or blood in the urine. Urinalysis should be part of the CKD cat’s checkup. White blood cells found in a centrifuged urine sample are indications for a bacterial culture and treatment. Treatment can be based on sensitivity testing and a kidney friendly antibiotic chosen.

Managing the cat with chronic kidney disease requires attention to multiple factors. Treating dehydration, nausea, high blood pressure and anemia can keep the “kidney” cat comfortable and slow the progression of the disease. A critical part of managing the cat with chronic kidney disease is feeding an appropriate diet. The next post will look at the science behind the commercial renal diets and alternatives to them.

references

  1. Sparkes, A. (panel chair), ISFM Consensus Guidelines on the Diagnosis and Management of Feline Chronic Kidney Disease, Journal of Feline Medicine and Surgery (2016) 18, 219–239.
  2. Quimby, J. and Ross, S., Diets for Cats with Chronic Kidney Disease (CKD) [updated 2022]. http://www.iris-kidney.com/education/protein_restriction_feline_ckd.html [viewed 9/2023]

Want to keep up with the world of cats? Subscribe to The Feline Purrspective!

 

Subscribe

 

Cat on Baby Scale
Weight loss is a symptom of kidney disease.

 

Chronic kidney disease (CKD) is common in older cats. A 2014 study found that 30-40% of cats over age 10 years had CKD. (Reference 1).

chronic kidney disease in cats


Let’s take a closer look at what the kidneys do for our cats.

  • regulate fluid volume in the body
  • maintain the pH and electrolyte composition of the body.
  • make renin, an enzyme that helps maintain blood pressure
  • make erythropoietin, a hormone that stimulates production of red blood cells
  • filter the blood removing waste products

Nephrons are the tubular structures in the kidney that filter the blood and produce urine. A cat’s kidney has about 200,000 nephrons (Reference 2).

Over time, nephrons become damaged and are replaced by scar tissue. Renal failure occurs when less than 25% of the nephrons are functional and the remaining nephrons can’t maintain adequate function. The most common cause is an inflammatory process called tubulointerstital nephritis (Reference 3).

The remaining nephrons compensate by increasing filtration rate. The result of this “hyper filtration” is scarring of the tubes in the nephrons and loss of protein into the urine. The “hyperactive” nephrons also release the enzyme renin. Renin triggers the production of the hormone, angiotensin II, that makes heart beat more forcefully and raises the cat’s blood pressure. (Reference 3).

Diagnosing Chronic Kidney Disease in Cats


Clinical Signs of Chronic Kidney Disease

Some clinical signs are similar to those of other chronic diseases such as hyperthyroidism and diabetes.  Like those disorders, these signs are usually not present until later in the disease process.

  • weight loss
  • increased thirst and urination
  • rapid pulse and breathing
  • unkempt hair coat

In addition the “kidney cat” may have

  • lethargy
  • weakness
  • poor appetite
  • bad breath or ulcers in the mouth (occasionally)

Diagnosing Chronic Kidney Disease in Cats

CKD is typically diagnosed by measuring creatinine and SDMA in the blood and measuring the urine concentration (Reference 1).

Creatinine

Creatinine is a by-product of energy-producing processes in the muscles. A healthy cat’s kidneys filter out most of the creatinine.  As kidney disease progresses, the remaining nephrons filter out less creatinine and values of creatinine in the blood rise.

SDMA

SDMA (symmetric dimethylarginine) is a metabolite of arginine, one of the essential amino acids for cats. SDMA is produced from metabolism of proteins and, like creatinine, is filtered out by the kidneys. Unlike creatinine, SDMA is not influenced by the change in muscle mass. SDMA is more sensitive to the increase in the filtration rate as kidney disease progresses. It will increase earlier than creatinine.

Urine Concentration

As remaining nephrons increase filtration to compensate for the loss of nephrons, the cat drinks more fluid and the urine he produces becomes more dilute.   As CKD progresses, urine concentration decreases.

the stages of chronic kidney disease


The International Renal Interest Society (IRIS) has formulated a guide to staging CKD in cats, as well as in other animals. There are 4 stages of CKD.  The table below summarizes the values for creatine and SDMA seen for cats in the stages of CKD.

Stage Creatinine (mg/dL) SDMA (mcg/dL) Comments
Stage 1 <1.6 <18   Blood values are normal but urine is dilute or kidneys are abnormal on examination or imaging
Stage 2 1.6 – 2.8 18 – 25 Clinical signs are mild or absent
Stage 3 2.9 – 5.0 26 – 38 Clinical signs are present but vary in severity
Stage 4 >5.0 >38 Risk of uremic crisis

 

Signs of Uremic crisis (end stage kidney failure):

Refusal to eat, vomiting, lethargy, confusion (possibly pacing and restlessness), withdrawn, uncontrolled urination or defecation, ammonia-like odor to the breath, seizures (from https://www.petmd.com/cat/conditions/urinary/kidney-failure-cats). Emergency treatment is needed.

other signs of chronic kidney disease in cats


Even if creatinine and SDMA are within normal limits, high blood pressure and protein in the urine may indicate that a cat has kidney disease.   Recall that as nephrons “die”, the remaining nephrons increase filtration to compensate and blood pressure rises. The higher pressure damages the walls of the tubes in the nephrons and protein can leak out into the urine.

High Blood Pressure

Systolic blood pressures under 140 mm Hg are considered normal; SBP 140- 159 is prehypertensive; over 160 is hypertensive and treatment is recommended. (see “Measuring Your Cat’s Blood Pressure: Why and How”)

Protein in the Urine

Protein in the urine can be associated with disease processes such as urinary tract infection.  Persistent protein in the urine warrants a closer look and the veterinarian will often choose to run a test to measure the urine protein creatinine ratio (UPCR). UPCR < 0.2 are normal; ratios of 0.2-0.4 are borderline; ratios over 0.4 support a diagnosis of CKD.

Diagnosis of chronic kidney disease can be challenging. Clinical signs are non specific and shared by other chronic diseases such as hyperthyroidism and diabetes. Because the kidneys have so much reserve capacity and our markers do not detect it until nephron death approaches 70-80%, it can be easy to miss some of the more subtle indicators of kidney dysfunction. It is important for our cats to have regular exams to assess their overall condition, lab work, and blood pressure measurement. Kidney disease is progressive and not curable, however, early intervention can slow down the process. In the next post, we discuss treatment of Stage 1 through Stage 4 of chronic kidney disease in cats.

references

  1. Sparkes, A. et al. ISFM Consensus Guidelines on the Diagnosis and Management of Feline Chronic Kidney Disease,  Journal of Feline Medicine and Surgery (2016) 18, 219–239, https://journals.sagepub.com/doi/pdf/10.1177/1098612×16631234
  2. Sadeghinezhad, J. and Nyegaard, J. Cat Kidney Glomeruli and Tubules Evaluated by Design-Based Stereology. The Anatomical Record, Volume 302, Issue 10, 18-46-1854, 14 May 2019, https://doi.org/10.1002/ar.24144
  3. Grauer, Gregory, Feline Chronic Kidney Disease, Today’s Veterinary Practice, February 6, 2015, Issue March/April 2015, https://todaysveterinarypractice.com/urology-renal-medicine/feline-chronic-kidney-disease/

Want to keep up with the world of cats?  Subscribe to The Feline Purrspective!

 

Subscribe

 

 

Over 10% of cats over 8 years old will be diagnosed with hyperthyroidism in their lives.  Although evidence points to thyroid disrupting chemicals in the cats’ food and environment, we don’t really know why these cats will become hyperthyroid.  Prompt diagnosis and treatment will help these cats live long and healthy lives.

Diagnosing and Treating Hyperthyroidism in Cats


Diagnosing


Clinical signs of hyperthyroidism include increased appetite and weight loss. These signs progress slowly and it may be months to years before the cat owner realizes that something is wrong.

Cats are considered seniors at the age of seven. Regular lab work is recommended for senior cats and most senior feline blood panels include a thyroid hormone (T4) measurement. Persistently elevated T4 concentrations coupled with one or more of the classic clinical signs (below) at the same time often confirms the diagnosis of hyperthyroidism. (Reference 1)

  • weight loss
  • increased thirst and urination
  • increased vocalization
  • hyperactivity
  • rapid pulse and breathing
  • vomiting, diarrhea
  • unkempt hair coat

This list of clinical signs is also shared with other feline diseases, such as diabetes, kidney disease, and GI disorders. These diseases can lower the T4 measurement, so that it is in the reference range, making diagnosis of hyperthyroidism challenging.

a challenging diagnosis


Cats that may have kidney disease as well as hyperthyroidism are particularly challenging to diagnose. Thyroid hormone increases the blood flow through the kidneys, often lowering kidney values to within the reference ranges. At the same time, kidney disease impairs the binding of T4 to proteins, reducing the T4 concentration. One disease masks the other and vice versa (Reference 2).

Cats with borderline T4 values and those suspected of having another chronic disease will need additional testing before a definitive diagnosis of hyperthyroidism is made. The veterinarian may request a more sensitive test called a “free T4 by equilibrium dialysis” in addition to remeasuring total T4. “Free T4” measures a form of T4 that is not bound to proteins in the blood. (Reference 3)

Routine thyroid monitoring in humans and dogs measures levels of  TSH or thyroid stimulating hormone. Unfortunately, levels of  TSH in hyperthyroid cats are often too low to be detected using canine tests. Zomedica has recently developed a feline TSH assay capable of measuring the low levels of TSH in cats which may aid in diagnosing feline hyperthyroidism. (Reference 3)

treating hyperthyroidism in cats


At the present time, there are 4 treatments available to cats with hyperthyroidism (Reference 1).

  • radioactive iodine (I-131)
  • medical management with a drug called methimazole
  • surgical removal of abnormal thyroid tissue
  • dietary therapy using iodine-restricted food

1. Radioactive Iodine (I-131)

Treating hyperthyroidism in cats with radiation must be done at a licensed facility. An injection of radioactive iodine is given under the skin, like a vaccine. The cat stays at the facility until radiation levels drop enough to send cat home (about 3-4 days) (Reference 1, 4)

  • 95% cure rate
  • side effects are rare
  • small risk of hypothyroidism (too much tissue is destroyed and the cat will need thyroid supplements)
  • owner must store wastes and soiled litter for 2 weeks
  • cannot cuddle kitty for extended times for 2 weeks post discharge (e.g. cat cannot sleep on bed)

2. Medical Management with Methimazole (Reference 1)

  • not a cure and the cat must receive daily medication to manage his hyperthyroidism
  • methimazole is available in pills and transdermal gel
  • frequent monitoring of T4 values is necessary
  • side effects: vomiting, facial itching, liver failure
  • tumor may continue to grow and become cancerous

3. Surgical Removal of Thyroid Gland (Reference 1)

The abnormal thyroid tissue is removed surgically, leaving the normal tissue alone. It is a procedure most surgeons can perform.

  • up to 90% cure rate
  • if not all the abnormal tissue is removed, hyperthyroidism can return
  • general anesthesia can be risky in cats with cardiac issues and kidney disease
  • there is a risk of damaging the adjacent parathyroid glands (regulate calcium in the body)
  • risk of hypothyroidism if too much normal tissue is removed

4. Dietary therapy (Reference 1)

Hills y/d diet reduces the amount of thyroid hormone in the body by decreasing the amount of iodine in the cat’s food.

  • response is 82% when on the diet
  • safe for cats with kidney disease
  • the cat cannot eat other foods
  • only low-iodine treats and water can be used
  • the cat will become hyperthyroid if he stops eating the diet

Both I-131 and thyroid surgery offer a cure for hyperthyroidism. However, both have a low risk of too much normal tissue being destroyed and the cat developing “hypothyroidism” as a consequence. The “hypothyroid” cat does not produce enough thyroid hormone and must be supplemented with daily oral medication for the rest of his/her life.

Both I-131 and surgery run the risk of unmasking more advanced kidney disease. Unlike medication or diet which can be adjusted or stopped, I-131 and surgery are permanent. Before recommending I-131 or surgery, some practitioners will conduct a trial with methimazole to assess kidney function when the hyperthyroidism is managed. However, some clinicians will opt to treat with I-131 even in the face of advanced kidney disease – persistent hyperthyroidism will further damage the kidneys if left untreated (Reference 5).

Diagnosing and treating hyperthyroidism in cats can be challenging. The presence of other diseases can mask hyperthyroidism and interfere with testing.  I-131 is considered the gold standard for treating hyperthyroidism in cats. It does not carry the risks of surgery, avoids the side effects of methimazole and the difficulties of maintaining a strict prescription diet with a cat. Whichever treatment you choose, you have taken a step toward giving your hyperthyroid cat a healthier and longer life.

 

references

  1. Carney HC, Ward CR, Bailey SJ, et al. 2016 AAFP Guidelines for the Management of Feline Hyperthyroidism. Journal of Feline Medicine and Surgery. 2016;18(5):400-416. doi:10.1177/1098612X16643252
  2. Geddes R, Aguiar J. Feline Comorbidities: Balancing hyperthyroidism and concurrent chronic kidney disease. Journal of Feline Medicine and Surgery. 2022;24(7):641-650. doi:10.1177/1098612X221090390
  3. Kvitko-White, Heather. Recognizing and confirming feline hyperthyroidism. dvm360 March 2021 Volume 53, Feb 9, 2021. https://www.dvm360.com/view/recognizing-and-confirming-feline-hyperthyroidism (viewed 9/2023)
  4. Brooks, Wendy. Thyroid Treatment Using Radiotherapy for Cats. Veterinary Partner:VIN. Date Published: 01/01/2001
    Date Reviewed/Revised: 09/05/2023. https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951399 (viewed 9/2023)
  5. Vaughan, F. and Wackerbarth, D. “Methimazole Trials: What Are They Good For?”, https://www.felinehtc.com/documents/Methimazole-Trials.pdf (viewed 9/2023)
Thyroid Disruptors have a similar structure to the thyroid hormone T4

About 10% of senior cats will develop a condition called hyperthyroidism in their lives. Hyperthyroidism can affect a cat’s quality of life and potentially shorten it.

What is hyperthyroidism?
A cat has two thyroid glands, one on each side of the throat below the larynx or voice box. In a healthy cat, these glands are small and difficult to feel. In a cat with hyperthyroidism, these glands are enlarged due to an overgrowth of tissue. This tissue is functional and produces thyroid hormones. Chemical assay of an affected cat’s blood will show an excess of thyroxine (T4).

Most of these growths are benign – only 2% of hyperthyroid cats have cancerous tumors at the time of diagnosis (Reference 1).

Hyperthyroidism in Cats – what you may notice


  • Weight loss
  • Increase in vocalizing
  • Hyperactivity
  • Increased thirst and urination
  • Unthrifty haircoat
  • Vomiting
  • Diarrhea

Hyperthyroidism in cats – causes?


Hyperthyroidism was rare in cats prior to 1970 – the first case was officially reported in 1979 (Reference 2). What has changed since the ’70’s?

  • cats are living longer
  • more cats are eating commercial cat food
  • many cats live exclusively indoors

Longer Lifespan
Humans are more at risk to form small growths on their thyroid glands as they age (Reference 1). It is likely that older cats are also more predisposed to thyroid tumors.

Diet
Soy can be found in many cat foods, particularly dry formulations. Soy inhibits some of the key enzymes in the production of the thyroid hormones.  The pituitary gland responds to the lower levels of thyroid hormones by producing TSH (thyroid stimulating hormone).  More thyroid tissue grows to meet the need for thyroid hormones.

Studies with rats have linked eating soy with thyroid tumors, but only when consuming diets deficient in iodine (Reference 2). Could iodine supplementation help?  More research is needed to determine how large a role iodine plays in feline hyperthyroidism.  Most cats are exposed to other chemicals in their environment, drinking water, and diet that also affect thyroid function. How much do these chemicals contribute to the development of feline thyroid tumors?

Cat food can linings and Bisphenol A

Most canned cat foods have a plastic coating to extend the shelf life of the food inside and guard against contamination. Many of these canned linings contain a chemical called bisphenol A or BPA.

BPA has a chemical structure that is similar to the thyroid hormones and can possibly interfere with thyroid hormone function. (Even though most of the linings are PVC, BPA can be an additive in the processing of PVC). Although the FDA says the level of BPA in cans is very low and does not present health risks to humans, the agency did ban the use of BPA in baby bottles, sippy cups and infant formula packaging in July of 2012.

Hyperthyroidism in cats – the environment


Poly brominated diphenyl ethers (PBDE) are another class of compounds that have a chemical structure similar to the thyroid hormones and are known to disrupt thyroid metabolism. PBDE’s are used as flame retardants in electronics, furniture and textiles as well as construction materials (Reference 2).

In 2004, manufacturers in the US voluntarily stopped making many of the PDBE flame retardants. However, these chemicals accumulate in the environment and have been detected in significant amounts in animals as well as humans.

Multiple studies have found that house cats have serum levels of PBDE that are about 50 times higher than that in humans (Reference 2). A study at the University of Illinois found that feral cats had a lower level of PBDE’s in their blood than house cats. This indicates that house cats are exposed to PBDE in their homes.

Further work analyzed dust samples and found higher concentrations of PBDE’s in dust from the homes of hyperthyroid cats compared with those of healthy cats (Reference 2). As cats groom, they can ingest dust and possibly PBDE.

At this time, there are not any studies that have conclusively linked exposure to a specific chemical compound to hyperthyroidism in cats. Soy, iodine, BPA and PBDE’s may or may not play a significant role in cats becoming hyperthyroid (Reference 1).

Preventing Hyperthyroidism in cats


The suggestions below will certainly not hurt your cat and may limit his exposure to chemicals that can disrupt thyroid function (Reference 2).

  • Avoid cat food products containing soy products.
  • Limit fish-flavored foods: fish contain high levels of iodine and may be contaminated with PCB, PBDE, etc.
  • Feed wet foods in foil pouches in preference to using canned food possibly lined with coatings containing BPA
  • Home cooked diets can help help avoid contamination with chemicals but consult with a veterinary nutritionist so that the diet is balanced and complete.
  • Use ceramic or glass containers for feeding and storage to reduce exposure to chemicals like BPA.
  • Use filtered water from the tap to limit exposure to chemicals.
  • Vacuum regularly to limit the dust your cat ingests.
  • Avoid cat litters with deodorizers or odor neutralizers.

Thyroxine (T4) levels are routinely checked on most senior feline blood panels. Annual or bi-annual labwork will let you know if your cat is developing hyperthyroidism. This way, you can plan for appropriate treatment before your feline friend starts to show outward symptoms.

What are the treatment options for hyperthyroidism in cats? We will look at these in the next post.

references

  1. Carney HC, Ward CR, Bailey SJ, et al. 2016 AAFP Guidelines for the Management of Feline Hyperthyroidism. Journal of Feline Medicine and Surgery. 2016;18(5):400-416. doi:10.1177/1098612X16643252
  2. Peterson M. Hyperthyroidism in cats: what’s causing this epidemic of thyroid disease and can we prevent it? J Feline Med Surg. 2012 Nov;14(11):804-18. doi: 10.1177/1098612X12464462

 

A cat enjoys the scents of a summer night from his window seat.

I remember visiting the zoo as a young child. Back then, the animals’ enclosures were not the large, landscaped areas that you see today. The animals were behind iron bars with a few hides to go into, water, and maybe a tree or two. It was not uncommon to see the tigers or lions pacing repetitively back and forth along the walls of their enclosures or the giraffes continually licking the chain link fences.

These repetitive behaviors are referred to as ARB’s, abnormal repetitive behaviors. In the past few decades, zoos have found that changing captive animals’ environments to allow more natural behaviors reduces ARB’s significantly. Expressing species-specific behaviors allows an animal to control and modify its environment, ensuring survival and reproductive success. Creating a den (safe place) is an example of how an animal controls and modifies its environment (Reference 1).

Environment and cat behavior


Many cats live predominately indoor lives. Our homes are quite different than the territory of a wild cat. The indoor cat often has little opportunity to engage in typical cat behaviors such as hunting and climbing trees. It is not surprising that some domestic cats indulge in ARB’s to reduce the stress of being unable to predict and control their environment.  Overgrooming, where a cat licks or scratches her fur so much that the area becomes inflamed and bald, is one of the more common ARB’s shown by domestic cats.

Of course, a good, solid medical workup may uncover a cause for overgrooming and itchiness – perhaps kitty has a food allergy or skin infection. But it is not uncommon for some of these cases to be “idiopathic”, meaning we don’t know what the cause is.

environment and cat behavior: ARB’s


The wound on this cat’s neck comes from repeated scratching.

A study published in 2018 (Reference 2) investigated the link between the environment and cat behavior. The study followed thirteen cats who had been diagnosed with Idiopathic Ulcerative Dermatitis (IUD).  IUD presents as a crusted, non-healing ulcer on the neck, head or between the shoulders. Medical therapy including surgical excision is rarely successful. The cat scratches at the wound frequently; the wound will heal if the cat cannot scratch it, say if she wears a collar or bandage. Once the collar or bandage is removed, the cat will scratch the area again and the wound reappears. (Reference 2)

 

The research team asked the owners of the 13 cats to institute the following environmental changes:

  • Leave closets open to allow cats to use them as a hideout
  • Free access to food and water (add a fountain if the cat prefers running water)
  • Free access to a garden or balcony/window – a cat door was recommended
  • Provide access to a secure area where each cat can sleep, eat, use the litter box without competing with other cats (some cats were separated from their house mates)
  • Regularly offer new toys to the cat
  • Stop interactions initiated by owner such as carrying the cat, petting the cat. Allow the cat to initiate the interaction.

As soon as environmental changes were set up, the ARB of scratching stopped within 2 days. All cats except one healed – for this cat, the owners were not able make the environmental changes. Oral medication was given to this kitty for two months but the neck wound did not heal. The other twelve cats did not receive medication.  The research team followed these cats for two years and no relapses were noted in that time.

The environmental remedies in this study aimed to give the cat control over her environment by allowing her to exercise typical “cat” behaviors.  These are in line with the AAFP* recommendations for a healthy feline environment (Reference 3):

  • Provide a safe place <> leave closets open to allow the cats to use them as a hideout
  • Provide multiple and separated key environmental resources<>secure area for eating, sleeping and using litter box
  • Provide opportunity for play and predatory behavior <> offering new toys to the cat
  • Provide positive, consistent and predictable human–cat social interaction <> emphasize interactions initiated by the cat
  • Provide an environment that respects the cat’s sense of smell <>  access to a garden/balcony/window exposes the cat to outdoor scents and smells

Although our cats are a domestic species and have lived alongside humans for over 10,000 years, life in our homes sometimes reduces their opportunity to express behaviors typical of their wild relations. The environment and cat behavior are intertwined.  Improving the cat’s environment to encourage species-specific behaviors can reduce a cat’s stress and, in some cases, cure disease.

Note: I don’t agree with free-feeding cats even in such a situation – I think it is better to meal feed and use feeding as a positive interaction with humans. Using food puzzles and tossing kibble for the cat to hunt down allows cats opportunities to engage in foraging and hunting behaviors.

* American Association of Feline Practitioners

references

  1. Joseph P. Garner, “Stereotypies and Other Abnormal Repetitive Behaviors: Potential Impact on Validity, Reliability, and Replicability of Scientific Outcomes”, ILAR Journal, Volume 46, Issue 2, 2005, Pages 106–117, https://doi.org/10.1093/ilar.46.2.106
  2. “From Feline Idiopathic Ulcerative Dermatitis to Feline Behavioral Ulcerative Dermatitis: Grooming Repetitive Behaviors Indicators of Poor Welfare in Cats”, Titeux Emmanuelle, Gilbert Caroline, Briand Amaury, Cochet-Faivre Noëlle. Front. Vet. Sci., 16 April 2018 Sec. Veterinary Dermatology and Allergy Volume 5 – 2018 | https://doi.org/10.3389/fvets.2018.00081
  3. Ellis SLH, Rodan I, Carney HC, et al. AAFP and ISFM Feline Environmental Needs Guidelines. Journal of Feline Medicine and Surgery. 2013;15(3):219-230. doi:10.1177/1098612X13477537

Want to keep up with the world of cats?  Subscribe to The Feline Purrspective!

 

Subscribe

Eating is a positive experience for healthy animals. Two neurotransmitters released while eating are dopamine and serotonin. Dopamine is associated with feelings of reward and motivation; serotonin with feelings of happiness and calmness.  Thus, food is one of the ways we can induce a positive emotional state in a healthy cat.

Food and your cat’s mental health


Recent research points to two dopamine events when eating: the first when you actually eat the food and the second, when the food reaches your stomach. (Reference 1). On the other hand, rising serotonin levels act as an appetite suppressant, giving a feeling of satiety. (Reference 2)

The connection between food and your cat’s mental health provides us an opportunity to take advantage of the emotions triggered by dopamine and serotonin when eating.

Foods that calm


There are foods  that incorporate tryptophan, a precursor to serotonin. Royal Canin’s Calm diet  and Hill’s c/d Multicare Stress for cats  contain hydrolyzed milk protein and L-tryptophan to reduce your cat’s fearful behaviors in stressful situations or environments.  The caveat with these foods is that the cat must eat enough of the food to get the appropriate dose of tryptophan.

Cat using food puzzlefood and environmental enrichment


Engaging in foraging behavior can benefit cats with generalized or separation anxiety. (Reference 3)

  • Foraging can provide a cat that is vigilant, tense and easily aroused with an alternative outlet for her energy
  • Cats with separation anxiety will find foraging a rewarding activity that is not related to interacting with the owner.
  • Serotonin release during the foraging cycle promotes calm behavior.

Foraging Method 1 – Multiple Separate Feeding Stations

  • Divide your cat’s daily food ration into portions.
  • Place these in different places around the house.
  • Put some dishes up high or in boxes and closets for variety

Foraging Method 2 – Use of Food Puzzles

  • Cats have to use their paws to get the food
  • Vary in complexity and style

cats with carrier and treatsFood and your cat’s mental health: behavior modification


We can use the positive emotions triggered by eating to guide our cats’ behaviors.  The use of a stream of small food rewards will trigger dopamine release, which in turn gives the cat feelings of reward and motivation.  Food can be a powerful adjunct to some of the interventions used in veterinary behavioral care: (Reference 3)

  • counter conditioning
  • operant conditioning
  • differential reinforcement of alternate behaviors

These methods work best with foods that the individual cat finds particularly palatable and desirable.

counter conditioning and food


Counter conditioning refers to training a different response to a situation.  Consider the cat carrier that takes your cat to the vet.  Many cats have a fearful association with the carrier and the process of going into it.  The goal of counter conditioning here is to teach the cat that good things happen when he’s near the carrier.

We start with getting the cat accustomed to the carrier by just leaving it out in the room.  Once he is comfortable with the carrier left out, we can offer some treats close by the carrier and gradually work up to treats in the carrier.  Over time, the cat will associate good things with the carrier – we have used food (treats) to change the cat’s emotional state when near the carrier.

operant conditioning and food


With operant conditioning, an animal repeats behaviors that have good consequences and avoids ones that are not rewarding.  Say you ask your cat to “sit”. When he sits, you reward him with a treat (food) he likes. He will be more likely to sit next time in anticipation of getting his reward.

differential reinforcement of alternate behaviorS


Here you will be replacing an undesired behavior with one that is more appropriate to the situation.  Say your new kitten attacks and hangs on to your legs as you as come in the door or you have a “door-dashing” cat.  You could train (operant conditioning) your kitten/cat to jump up on a nearby shelf or table on cue for a  food reward when the door is opened.  (The cue can be spoken or you could jingle your keys.) The goal is to replace the attacking/door dashing behavior with sitting on the nearby piece of furniture.

Food makes our cats feel good. Neurotransmitters such as dopamine and serotonin promote positive emotions when eating.  This connection between food and your cat’s mental health provides you with opportunities to influence your cat’s behavior through diet, environment and training.

references

1. Cell Press. “Your brain rewards you twice per meal: When you eat and when food reaches your stomach.” ScienceDaily. ScienceDaily, 27 December 2018. <www.sciencedaily.com/releases/2018/12/181227111420.htm>.

2. Voigt JP, Fink H. Serotonin controlling feeding and satiety. Behav Brain Res. 2015 Jan 15;277:14-31. doi: 10.1016/j.bbr.2014.08.065. Epub 2014 Sep 16. PMID: 25217810.

3. Delgado M, Dantas LMS. Feeding Cats for Optimal Mental and Behavioral Well-Being. Vet Clin North Am Small Anim Pract. 2020 Sep;50(5):939-953. doi: 10.1016/j.cvsm.2020.05.003. Epub 2020 Jul 8. PMID: 32653265; PMCID: PMC7415653.

Want to keep up with the world of cats? Subscribe to The Feline Purrspective!

 

Subscribe

Gus eyes Athena’s dinner and prepares to move in.

Solitary hunters, cats will eat or cache their prey after a successful hunt. Mother cats will bring prey back to their kittens to teach them how to hunt and what to eat but cats typically DO NOT SHARE their prey. They will growl when eating to warn other cats off.

In photos taken on the “cat islands” of Japan (called neko shima), cats line up at dishes of food put out by the island residents. There are 11 islands in Japan that have more cats than people on them. There are not enough mice for the cats to eat so residents of the islands provide food for the cats.  Feeding times appear to go smoothly on the cat islands with the occasional spat between cats. The island residents do put out food in more than one location so a cat can always move to another feeding station if he gets into a fight over food. Contrast this with our picture of a wild cat, a solitary hunter, munching his mouse in solitude.  

Our indoor cats don’t have the option of leaving if they are the target of food aggression.  Although cats may appear to get along eating next to another cat or out of the same bowl, cat behavior experts recommend that we separate cats when feeding, preferably out of sight of other cats. (Reference 1)

Why separate cats when feeding?


  • Cats with more dominant personalities will nose smaller, more timid cats out of the food bowl.
  • Victim cats may gorge and eat their food quickly, leading to “scarf and barf”.
  • Victim cats may start to lose weight.
  • House-soiling issues can start if the “bully” decides the game should extend to resources other than the food bowl.

These behaviors can be subtle. The “thief “at first just sits quietly near the “target” cat and stares at her. The target may stop eating. There may be some fisticuffs as the target tries to keep eating.  Eventually the thief just noses the target out of  the bowl, and the target cat leaves.

Strategies to separate cats when feeding


Assign each cat his own food station out of sight of the other cats. If you are meal feeding, you can fill each station with a cat’s portion and call each cat to his station as you place them around the house. Collect the feeders in 15-30 minutes as the cats finish their meals.  If you like, you can offer the meals in food puzzles, one per cat.

Locations of feeding stations


You may be able to take advantage of your cat’s preferences when deciding where to locate her feeding station. Some cats like to be up high and can be fed on their cat tree or tops of shelving units.

Closets can also make good feeding stations. Cats who like to be up high can eat on the top shelf and may just need a step ladder, storage cubes that form a ladder, or a single pole cat tree to get up there. If you just need to keep the family dog out, a gadget called a “Door Buddy” can work.

Baby gates can be used to block off doors to closets or rooms to separate cats. Although an agile, determined cat can easily scale a baby gate, this is usually pretty difficult for a dog.

feeding stations


Microchip Feeders

If you are dealing with cats on different diets or cats that eat slowly or “graze”, microchip feeders such as the SureFeed Microchip Pet Feeder are worth the cost. These feeders will only open for the cat or cats they are programmed for.

Enclosures for Feeding

A “Meow Space” is a deluxe feeding enclosure. It is ventilated and has a locking pet door which can be accessed by microchip or collar tag.  Like a microchip feeder, the “Meow Space” will only open for the cat or cats it is programmed for.

A plastic pet carrier can make a great “kitty diner”. Each cat can eat in his own carrier. If one cat finishes before another, the gate can be closed until the slower eater is done. This also helps your cat become more comfortable with his/her carrier.

Tip: Make a carrier cover that will “camouflage” the carrier, matching your color scheme and decor.

not enough room to separate cats when feeding?


Consider feeding social groups together.  Cats who belong to the same social group prefer to spend time with each other and are often willing to share resources such as food and litter boxes.

How do you know if cats are affiliated? The following behaviors can help you identify the social groups in your home.

  • Sleeping the same room
  • Allogrooming (grooming each other)
  • Sleeping touching each other
  • Touching noses

Note who does what and with whom, then diagram the social groups in your house. You may be able to feed cats in a social group in the same area. It is still recommended for each cat to have a separate bowl, be spaced apart, and to meal feed the kitties.

Separating your cat from other animals while eating allows your cat to feed in the same way as a wild cat. Feeding alone helps avoid behaviors like gorging and vomiting which can affect a cat’s physical and mental health.  Although it can be a challenge to separate cats when feeding, attention to each cat’s preferences and identifying the social groups in your home can help you develop a feeding strategy.

references

1. Sadek,T. (chair) “Feline Feeding Programs:Addressing behavioral needs to improve feline health and wellbeing” Journal of Feline Medicine and Surgery (2018) 20, 1049-1055

Want to keep up with the world of cats?  Subscribe to The Feline Purrspective!

 

Subscribe

Leaving tasty kibble out all day is like a having a bowl of potato chips on the counter.

A wild cat’s day begins in the late afternoon. He is an opportunistic feeder, a generalist, who will eat anything from bugs to bunny rabbits. He may snack on a lizard, sunning in the late afternoon sun. As the shadows grow longer, he will go on the prowl, looking for the small rodents that make up most of his diet. If he is lucky enough to catch something, he will retire and dine al fresco, alone. He will then doze or nap a bit while his meal digests. If he is part of a cat colony, he may groom or play with the kittens, while their mothers hunt.

In a few hours, he’s off to hunt again and will keep on prowling, looking for prey. He is not above scavenging a meal from other animals’ leftovers or from human garbage. His stomach is small and he will eat a 6-10 meals as he hunts through the night. When the sun starts to rise, he will turn in for the day, sleeping, grooming and sunning.

The behavior of feeding – why meal feed your cat


Our indoor cats have chosen a different lifestyle.  They depend on us, their human caretakers, for their food. They may be fed in one location with other cats, once or twice a day or be free fed from a large bowl of kibble available 24/7 (Reference 1).

The Problem with The big bowl and free feeding


Imagine a big bowl of potato chips or crisps left on the counter.  You pick one or two as you go by.  It is very easy to continue snacking and before you know it, that bowl is getting empty.  In the same way, it is easy for a cat to eat too much of  palatable and caloric kibbles left out, nibbling a little at a time.

Free feeding with more than one cat in the home


  • Cats with more dominant personalities will nose smaller, more timid cats out of the food bowl.
  • Victim cats may gorge and eat their food quickly, leading to “scarf and barf”.
  • Victim cats may start to lose weight.
  • House-soiling issues can start if the “bully” decides the game should extend to resources other than the food bowl.

The behavior of feeding – what can we learn from wild cats?


  • Cats have evolved to eat multiple, small, low calorie meals every day.
  • Cats prefer to eat alone – without other cats around.
  • Cats spend most of their waking hours hunting and foraging for food.

the take-away for indoor cats


  • Meal feeding reflects the way cats naturally eat.
  • Cats need to be fed separately from other pets (cats, dogs) in the house.
  • Cats need to engage in hunting/foraging behavior.

Choosing to meal feed your cat


It does not need to take a lot of time and effort to meal feed your cat. Divide your cat’s daily allotment of food into 4-5 portions. Your cat will be happier – he will have more to look forward to and his food will be fresher, as smaller portions will be put out frequently instead of topping up the bowl.  Check out the Meal Planner below – mix and match the meals that work for you!

canned cat food meal feeding
Canned foods lend themselves to meal feeding.

Meal #1

If your cat enjoys wet food, offer a wet meal when you are home to pick up the dishes.  Choose an amount your cat can finish in 15 minutes or so.

 

Timed Puzzle Feeder
This Cat Mate feeder can accommodate a food puzzle.

Meal #2

Dry food can be placed in bowls or feeders around the house. You can change the locations of these daily if you like to keep your cat on his game.  Timed feeders can meter out the food while you are away.

Cats plays with featther toy1
Core workout – Zelda plays with feather toy!

Meal #3

Hunting practice: play with your cat with a fishing pole toy for a few minutes.  Make sure to end the game with a small snack.

Zelda has the treat in sight, ready to pounce.

Meal #4

Tossing treats or kibble: Zelda chases dental kibbles down the hallway and pounces on them as if they were grasshoppers. This can be a fun game with larger kibbles like those from dental foods, where 10-15 pieces of kibble are about 30 kcal.

cat with food puzzle
Marley works the Poker Box, a food puzzle.

Meal #5

Food puzzles offer foraging opportunities to cats. But be forewarned: most cats are lazy – they will choose food that they do not have to do anything for.  You have to meal feed for this to work – otherwise, the cat will just go and snack out of his bowl.

More About Food Puzzles

Most likely, you will need to “train” your cat to use a food puzzle. Once your cat learns one, she will pick up on others more quickly.  When your cat knows how to do several of these puzzles, you can rotate them to keep her interest. For more about the psychology of food puzzles and training your cat to use one, see  “Cats Eating From a Food Puzzle: Contrafreeloading?

Choosing to meal feed your cat allows him to engage in more natural feeding behaviors.  It will be easier for you to regulate his intake which is better for his health and longevity.  With a little bit of creativity and using the Meal Planner, you should be able to meal feed your cat, whether she is a dry food addict or eats a combination of wet and dry foods.

references

  1. Sadek,T. (chair) “Feline Feeding Programs:Addressing behavioral needs to improve feline health and wellbeing” Journal of Feline Medicine and Surgery (2018) 20, 1049-1055

Want to keep up with the world of cats?  Subscribe to The Feline Purrspective!

Subscribe

 

Daily Food Portion Cat
Gus looks at his daily food allotment. Treats count!

What should you feed your cat – wet food? dry food? a mixture?

A diet for your cat – wet or dry must be balanced and nutritious. Dry cat food is convenient and less costly than wet foods. It can be left out without as much concern for spoilage. You don’t have to be home to feed your cat. But will your cat drink enough water? How do wet and dry foods compare with regard to providing your cat enough protein and not too many calories?

Choosing a diet for your cat – wet or dry?


moisture


A wild cat gets most of his moisture from the prey he eats. He typically consumes the entire animal, including the fur and gut contents and eats the equivalent of 6-10 mice a day.

Wet cat foods typically contain 80% moisture by weight. Dry foods are closer to 10% by weight. Cats eating a dry diet must supplement their diet by drinking water. 

Let’s look at the moisture some typical foods would offer a 10 lb cat eating 200 kcal daily.

 

Food 1 (wet)

Food 2 (wet)

Food 3 (dry)

Food 4 (dry)

Moisture (%)

78

80

12 12

Metabolizable Energy (kcal/kg)

942 700 4342 3770
Cat’s weight (lbs)

10

10

10 10
Amount of food daily (g)

212

285

46 53
Moisture from food ( ml) 165 228 5.5 6.4
Moisture in food (ounces) 5.6 7.7 0.19 0.22

This table shows how much moisture (water) our cat will get by eating 200 kcal of each of these foods. The wet foods provide about 6-8 oz daily where the dry foods provide a fraction of that.

but my cat drinks plenty of water…


Cats should drink about 4 ounces of water per five pounds of lean body weight daily. Our 10 pound cat needs to drink about one cup of water per day. If he does not drink enough, he may become constipated or risk having urinary crystals. If he eats the wet diet, he will get most of this water in his food.

But, you say, my cat drinks plenty of water. She is at the water bowl frequently. Cats don’t scoop water up with their tongues, instead when the curled-back tip of the tongue touches the water surface, a thin column of liquid is drawn up into the mouth. That column of water is about 3/100 of a teaspoon.  A lot of lapping is needed to reach 1 cup of water daily.

If your cat’s stools tend to be hard or her skin around her shoulders doesn’t snap back quickly when you tent it, you may want to encourage her to drink more or add some canned food to her diet.

choosing a diet for your cat – wet or dry: protein


A diet for your cat -wet or dry should provide your cat with enough protein to maintain Lean Body Mass (LBM). 

If you compare foods on a dry matter basis (removing all the water), protein content can look similar, at 40-50%. Wet foods, however, often have a higher protein/energy ratio –  they deliver more protein per 100 kcal than dry cat foods. The carbohydrate needed to process the dry foods may be the culprit here – the amount of protein is diluted by the additional calories provided by the carbohydrate.

In this chart, you can see that our 10 lb cat will more than satisfy his LBM protein requirements with 200 kcal of Food 2; he will be close with Food 1. The two dry foods require  230-240 kcal to provide enough protein to satisfy the LBM . These additional calories could result in weight gain. (These calculations are done on an “as-fed” basis using the Atwater equation).

 

Food 1 (wet)

Food 2 (wet)

Food 3 (dry)

Food 4 (dry)

Metabolizable Energy(kcal/kg)

942

700

4342 3770

Protein (g/100 kcal)

10.6 15.7 9.7 10

Cat’s weight (lbs)

10 10 10 10
Protein for LBM 23 23 23 23

Calories Needed to Satisfy LBM (kcal)

216 146 237 230

a diet for your cat – wet or dry: calories


Dry cat foods tend to be more “calorie dense” than the canned foods. The dry foods in the table have over 4 x the amount of kilocalories per kg of food of the wet foods. Dry food is concentrated – a small amount has a lot of calories.  A bored cat can easily eat too much and put on weight. The water in the wet foods tends to fill our cats up and give them a feeling of satiety.

choosing a diet for your cat – wet or dry?


A lot boils down to your cat’s preferences. Both dry and wet diets provide balanced nutrition but wet foods provide your cat with

  • water
  • higher protein/energy
  • lower calorie meal plan

a compromise: wet and dry


If your cat will eat wet and dry, consider a combination feeding program.  Here is one where your cat gets two wet meals that are supplemented with tasty dry food in between in food puzzles, as training treats, or in a treat toss game.  The two wet meals can go a long way to providing your cat with moisture and protein to maintain LBM. 

  1. Breakfast:  wet meal
  2. Day Time: food puzzles or feeders with dry food
  3. Dinner: wet meal
  4. Bedtime Snack: Treat Time – treat toss or training ( sitting , targeting )

My cat refuses wet foods


Some cat prefer dry food. Why?

  • Food preferences are established when cats are kittens. They eat what their mother eats.
  • If the kittens do not eat wet foods at weaning and the first few months afterwards, they will often refuse to eat them later. 
  • This can be a problem when cats become older and wet food can help manage medical conditions, such as kidney disease.  (Reference 1)

The pet food industry works hard to make those kibbles appealing to cats.  Not only is there the texture or “mouth feel”, the kibbles are often sprayed with protein hydrolysates or “digest” to increase palatablity.  Soy sauce is an example of protein hydrolysates used to enhance the taste of foods for humans. (Reference 2)

for dry food addicts only…


  1. Make sure to hydrate your cat – try water from tuna, water used to poach chicken or fish (offer alone, add to the water bowl, or try frozen in an ice cube tray and added to the water bowl) (Reference 3)
  2. Try some of the high protein, low calorie (low fat, low carb) dry diets.
  3. Try moistening your cat’s kibble with low-sodium chicken broth.
  4. Try mixing some canned food with your cat’s dry.  Start with a small amount and increase if she accepts it.

 

references


  1. Zoran, Debra. “Feline Nutrition: Understanding How to Feed Cats for Obesity Prevention and Weight Management”, dvm360.com, 11/10/13
  2. Ahmet Yavuz Pekela, Serkan BarışMülazımoğlub and Nüket Acar(2020) “Taste preferences and diet palatability in cats,” Journal of Applied Animal Research, 48:1, 281-292, DOI:10.1080/09712119.2020.1786391
  3. Caney, S., Gunn-Moore, D.  Caring for a cat with lower urinary tract disease, Cat Professional 2011, www.catprofessional.com, p. 45

Want to keep up with the world of cats? Subscribe to The Feline Purrspective!

 

Subscribe

If your cat consumes more calories than she burns, she will gain weight. So, how many calories should your cat eat in day to maintain a healthy body weight?

Like people, cats are individuals; some have higher metabolisms than others. Things that affect how heavy or thin a cat is include (Reference 1):

  • Genetics
  • Sex
  • Spayed? neutered?
  • Hormonal changes eg. hyperthyroidism, diabetes

The feeding guidelines on cat food cans or packages are a start but they can be misleading. Many of these guidelines are based on feeding intact cats and often recommend 25-35% more food than most housecats (spayed or neutered) need to eat. Immediately after spaying or neutering, the cat undergoes hormonal changes (changes in estrogen, progestin, insulin-like growth factor) that affect metabolism. The results are an increased appetite, decreased energy requirements, changes in glucose tolerance and fat metabolism. (Reference 1)

How Many Calories Should Your Cat Eat in a day?


A Rule of Thumb

  • Most average-sized (9 to 11 pounds) spayed and neutered cats need to eat about 200 kcal daily to maintain lean body condition.
  • Neutered males may need to eat less, about 180 kcal/day. (Reference 1)

Monitor your cat’s body condition


  • Be attuned to factors that can lead to weight gain or loss, such as disease (hyperthyroidism), feeding behavior (a cat eats another cat’s food) or lifestyle change (access to a catio).
  • Monitor your cat’s body weight, his body condition score and his muscle condition score regularly.

How Many Calories Should Your Cat Eat?

Weigh Your Cat

You can weigh your cat at the veterinary clinic but, even better, purchase a baby scale to weigh your cat at home. This is more convenient, especially if your cat is on a weight-loss program and needs to be weighed frequently. You can make this fun by training your cat to get on the scale for a yummy reward (something low calorie, of course!)

“How Do I Look” – the Body Condition Score (BCS)

Look at your cat’s profile from above and from the side. Ideal body condition is defined as a visible waist (when viewed from above) and tummy tuck (side profile). You should be able to easily feel his ribs under his skin and fur. Compare what you see with the pictures on the Body Condition Chart.  Give your cat a score.

Once you know your cat’s weight and Body Condition Score, you can get a calorie estimate from a convenient calculator at https://petnutritionalliance.org/resources/calorie-calculator?type=cats

How Many Calories Should Your Cat Eat?


Here are some photos of Gus, who currently weighs 12.50 pounds. You can feel his ribs but there is some fat over them. His waist and shoulders are distinguishable but he does not have much of an abdominal tuck.  We will give him a BCS of 6. The Pet Nutrition Alliance site recommends an ideal weight of 11.4 lbs and 216 kcal daily for weight loss.

 

 

 

Lean Body Mass and Healthy Weight


In a previous post, we talked about Lean Body Mass (LBM) and the benefits of a higher LBM for cats:

  • A higher percent of muscle will boost your cat’s metabolism
  • Make it easier for her to maintain a health body weight
  • Can help your cat live longer.

Choosing a diet to promote LBM – A Math Problem

Studies indicate that to maintain LBM, a cat should consume around 5.2 g protein per kg or 2.3 g protein per pound. (Reference 2). Using your cat’s weight, you can multiply by 2.3 (weight in pounds) or 5.2 (weight in kg) to estimate the protein he or she needs. Gus weighs 12.5 lbs and needs 28.8 grams of protein daily.

Here are two canned foods and two dry foods, with guaranteed analysis and protein content. As you can see in the chart, there is only one food (wet) out of the 4 foods that will provide Gus with the protein he needs while he loses weight eating 216 kcal daily.  Food 2 can give him the 28.8 g protein in 183 kcal. (See “How Much Protein Should You Feed Your Cat?” for estimating the amount of protein in a food.)

 

 

Food 1 (wet)

Food 2 (wet)

Food 3 (dry)

Food 4 (dry)

Crude Protein (%)

10

11

42

42

Crude Fat (%)

5

2

19

9

Crude Fiber (%)

1.5

1.5

3.2

5.0

Moisture (%)

78

80

12

12

Ash (%)

3.2

3.5

0

0

Carbohydrate (%)

2.3

2

23.8

32

MER (kcal/kg)

942

700

4342

3770

Protein (g/ 100 kcal)

10.6

15.7

9.7

11.1

Cat’s weight (lbs)

12.5

12.5

12.5

12.5

Protein for LBM

28.8

28.8

28.8

28.8

Calories of Food Needed (kcal)

270.8

183.0

297.2

258.1

The muscle condition score


There is one more thing we need to monitor – the cat’s Muscle Condition Score (MCS).  Loss of muscle  over the spine, shoulder blades, skull, and hips (that “bony” feeling) is an indicator of LBM loss.  Although you cannot prevent loss of muscle due to aging,  you may be able to slow it down by feeding a higher protein diet.  Here is a chart to help score the muscle condition.  Gus, at age 7, still has normal muscle mass, which we will try to maintain by ensuring he gets enough protein in his diet.

Feeding your cat is more than just how many calories should your cat eat.  We must balance calories and nutrients and monitor weight, BCS and MCS regularly to make sure the feeding plan is working.  AAFCO labeled foods ensure that your cat receives the basic nutritional requirements.  Optimal nutrition for the individual cat, especially one with medical conditions, may require a more detailed plan and possibly the services of a board-certified veterinary nutritionist.

references:

  1.  Zoran, Debra. “Feline Obesity: Clinical Recognition and Management” Compendium, June 2009 (Vol 31, No 6).
  2. Laflamme DP, Hannah SS. Discrepancy between use of lean body mass or nitrogen balance to determine protein requirements for adult cats. Journal of Feline Medicine and Surgery. 2013;15(8):691-697. doi:10.1177/1098612X12474448

Want to keep up with the world of cats? Subscribe to The Feline Purrspective?

Subscribe