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                                                                              UnivUniversity of Tersity of Tennessee, Kennessee, Knonoxville xville 
                                                   TRATRACE: TCE: Tennessee ennessee ResearResearch and Crch and Creativeative e 
                                                                                                 ExExchange change 
               Faculty Publications and Other Works -- Small     Veterinary Medicine -- Faculty Publications and 
               Animal Clinical Sciences                                                            Other Works 
               2012 
               Comparison of Comparison of High Fiber and High Fiber and Low CarbohyLow Carbohydrdrate Diets ate Diets on Owner-on Owner-
               PPererceivceived Satiety ed Satiety of Cats During of Cats During WWeight Loss eight Loss 
               Martha Cline 
               University of Tennessee - Knoxville 
               Angela Witzel 
               University of Tennessee - Knoxville 
               Tamberlyn Moyers 
               University of Tennessee - Knoxville 
               Joseph Bartges 
               University of Tennessee - Knoxville 
               Claudia Kirk 
               University of Tennessee - Knoxville 
               Follow this and additional works at: https://trace.tennessee.edu/utk_smalpubs 
                   Part of the Small or Companion Animal Medicine Commons 
               Recommended Citation Recommended Citation 
               Cline, Martha; Witzel, Angela; Moyers, Tamberlyn; Bartges, Joseph; and Kirk, Claudia, "Comparison of High 
               Fiber and Low Carbohydrate Diets on Owner-Perceived Satiety of Cats During Weight Loss" (2012). 
               Faculty Publications and Other Works -- Small Animal Clinical Sciences. 
               https://trace.tennessee.edu/utk_smalpubs/9 
               This Article is brought to you for free and open access by the Veterinary Medicine -- Faculty Publications and Other 
               Works at TRACE: Tennessee Research and Creative Exchange. It has been accepted for inclusion in Faculty 
               Publications and Other Works -- Small Animal Clinical Sciences by an authorized administrator of TRACE: 
               Tennessee Research and Creative Exchange. For more information, please contact trace@utk.edu. 
                  American Journal of Animal and Veterinary Sciences, 2012, 7 (4), 218-225 
                  ISSN: 1557-4555  
                  ©2012 Science Publication 
                  doi:10.3844/ajavssp.2012.218.225 Published Online 7 (4) 2012 (http://www.thescipub.com/ajavs.toc) 
                     COMPARISON OF HIGH FIBER AND LOW CARBOHYDRATE 
                     DIETS ON OWNER-PERCEIVED SATIETY OF CATS DURING 
                                                                         WEIGHT LOSS 
                                                                     Martha Cline, Angela Witzel, 
                                                    Tamberlyn Moyers, Joseph Bartges and Claudia Kirk 
                                                                Department of Small Animal Clinical Sciences, 
                                               University of Tennessee, College of Veterinary Medicine, Knoxville, TN, USA 
                        Received 2012-10-11, Revised 2013-01-07; Accepted 2013-01-08 
                                                                               ABSTRACT 
                        Food-seeking  behaviors  exhibited  by  cats  during  weight  loss  programs  are  frustrating  to  owners.  Two 
                        categories of therapeutic weight loss diets are available for cats: High Fiber (HF) and Low Carbohydrate 
                        (LC). The objective of this study was to determine if cat owners perceive a difference in satiety when their 
                        cats are fed either a HF or LC diet during a weight loss regimen. Twenty-eight client-owned cats were 
                        randomly assigned to either an HF or LC canned diet and fed to 80% of their ideal weight resting energy 
                        requirements. Cats were rechecked at 2, 4, 6 and 8 weeks and food intake adjusted to maintain weight loss 
                        between 0.5-1% per week. Seventeen cats completed the 8-week weight loss study (HF = 10, LC = 7). 
                        Owners completed behavior questionnaires at each visit and were blinded to food assignments. The two diet 
                        groups did not differ significantly by age, sex, body condition score, caloric intake, or rate of weight loss 
                        during the study. The two diets did not differ by owner response to questionnaire. In conclusion, owners 
                        perceived cats to be equally satiated during weight loss regimens on both the HF and LC diets. 
                         
                        Keywords: Satiety, Low Carbohydrate, High Fiber, Weight Loss 
                   
                                    1. INTRODUCTION                                          the onset of hunger and can reduce the consumption of 
                                                                                             food at the next meal (Gerstein et al., 2004). Reportedly 
                       Data  from  the  1990s  revealed  that  approximately                 affecting  satiety  is  the  macronutrient  composition  of  a 
                  35% of adult cats in the United States were overweight                     meal, with protein being the most satiating and fat being 
                  or  obese  and  more  recent  data  from  New  Zealand                     the least satiating when fat contributes disproportionately 
                  demonstrates a prevalence of cats with a Body Condition                    to  energy  density  (Stubbs  et  al.,  2000).  Satiety  is 
                  Score (BCS) greater than 6/9 of 27% (Cave et al., 2012;                    reported to be higher in lean women when fed a high 
                  Lund et al., 2005). Sixty-three percent of cats from the                   protein/high carbohydrate diet than those fed a high fat 
                  latter study had a BCS of 6/9 or greater. Although weight                  diet.    The  women  also  had  higher  diet-induced 
                  loss programs for cats are easy to establish, the negative                 thermogenesis  and  a  higher  absolute  increase  in 
                  behaviors  exhibited  by  hungry  cats  can  be  one  of  the              metabolic rate during and after a meal while following 
                  largest hindrances to successful weight loss. Therefore,                   the  high  protein/high  carbohydrate  diet  (Westerterp-
                  owner compliance is one of the most important factors in                   Plantenga et al., 1999). The investigators concluded from 
                  achieving weight loss in cats.                                             this study that consuming a diet with a higher fat content 
                       Intra-meal satiety, is the process of feeling full and                leads to decreased satiety and metabolic rate. However, 
                  ending  food  consumption  during  the  course  of  eating.                the presence of fat in the oral cavity and small intestines 
                  Inter-meal  satiety,  on  the  other  hand,  occurs  after  the            in humans is shown to delay gastric emptying, increasing 
                  food has been consumed. This type of satiety can delay                     the    release    of    satiety    hormones  cholecystokinin, 
                  Corresponding Author:  Martha Cline, Department of Small Animal Clinical Sciences, 
                                               University of Tennessee, College of Veterinary Medicine, Knoxville, TN, USA 
                   
                       Science Publications                                             218                                                              AJAVS 
                                     Martha Cline et al. / American Journal of Animal and Veterinary Sciences 7 (4) (2012) 218-225 
                 glucagon-like peptide 1 and peptide YY and suppressing                   carbohydrate and higher protein content levels than dry 
                 the  appetite-stimulating  hormone  ghrelin  (Little  and                food.  In  a  group-housed  setting,  cats  on  either  a  low-
                 Feinle-Bisset,  2011).  Therefore,  weight  loss  diets  that            carbohydrate or high-fiber dry formulation lost  weight 
                 contain  moderate  to  high  levels  of  fat  may  increase              when their feedings were time limited regardless of diet 
                 satiety. Additionally, insoluble or soluble fiber added to               type, even when their energy intake was restricted to the 
                 the  diets  of  humans  can  improve  post-meal  satiety,                same degree (Michel et al., 2005). 
                 decrease  hunger  and  have  a  greater  satiety  value                       There  are  currently  two  main  categories  of 
                 compared to digestible complex and simple carbohydrates                  therapeutic feline weight loss diets available: those that 
                 (Gerstein et al., 2004; Howarth et al., 2001).                           are high in fiber and reduced in fat and those that are low 
                      Two  studies  looking  at  satiety  related  to                     in  fiber  and  carbohydrates and  moderately high in fat. 
                 macronutrient composition in dogs had similar findings                   Little  data  is  available  comparing  feline  satiation 
                 demonstrating  that  fiber  increases  satiety  in  dogs  by             behaviors  on  different  diet  types  during  weight  loss. 
                 decreasing their voluntary food intake when offered (ad                  With the current epidemic of feline obesity, it is critical 
                 libitum)  a  diet  supplemented  with  fiber  versus  a  low-            that   veterinarians  find  ways  to  improve  owner 
                 fiber diet (Jewell and Toll, 1996; Jackson et al., 1997).                compliance with weight loss programs. For this report, 
                 Another study in dogs found that the addition of either                  the two extremes of commercially available, therapeutic 
                 soluble or insoluble fiber to a diet formulated for weight               weight  loss  diets,  Low  Carbohydrate  (LC)  and  High 
                 loss had no beneficial effect on satiety, as measured by a               Fiber (HF), were compared to determine if owners can 
                 challenge  meal  and  or  the  perception  of  hunger  as                detect  behavioral  differences  in  cats  on  these  two  diet 
                 represented  by  behavioral  characteristics  (Butterwick                types.  We  hypothesize  that  cat  owners  feeding  an  HF 
                 and  Markwell,  1997).  This  study  differed  from  the                 canned  food  during  weight  loss  would  observe  fewer 
                 previously  mentioned studies  because  the  investigators               negative  behaviors  associated  with  weight  loss  than 
                 measured satiety in overweight dogs that were subjected                  owners feeding an LC canned food.  
                 to  calorie  restriction  to  induce  weight  loss.  These                      2. MATERIALS AND METHODS 
                 findings suggest that the effects of fiber on satiety during 
                 weight  loss  may  be  lost  due  to  calorie  restriction.              2.1. Animals 
                 Another study found that dogs fed a diet both high in 
                 protein and fiber were more satiated than dogs fed either                     This  study  was  a  randomized,  single-blinded  field 
                 protein  or  fiber  alone,  as  measured  by  voluntary  food            trial using client-owned healthy cats between the ages of 
                 intake  during  an  energy-restricted  meal  (Weber  et  al.,            1-14 years with a Body Condition Score (BCS) of 6/9 or 
                 2008).  These  results  suggest  that  with  the  addition  of           greater.  Cats  were  recruited  from  staff  and  students  at 
                 high  protein,  a  high  fiber  diet  may  retain  its  satiating        The  University  of  Tennessee  College  of  Veterinary 
                 effects  in  dogs.  Lastly,  in  one  study,  satiety-related            Medicine.  Inclusion  criteria  for  cats  included  indoor 
                 metabolites  (postprandial  plasma  glucose,  insulin,                   only,  spayed  or  neutered  and  willingness  to  eat  an 
                 peptide YY, total Glucagon-Like Peptide-1 [GLP-1] and                    exclusively canned diet. Any cats with known metabolic 
                 total  ghrelin  concentration)  and  voluntary  food  intake             disease such as hyperthyroidism or diabetes mellitus or 
                 were measured using two diets: a low-fermentable and                     with  a  history  of  polyuria/polydipsia  or  recent  weight 
                 high-fermentable  fiber  diet  (Bosch  et  al.,  2009).  The             loss  were  excluded.  All  experimental  protocols  were 
                 dogs  consuming  the  highly  fermentable  fiber  diet  had  a           approved by the university’s Institutional Animal Care 
                 lower  voluntary  food  intake  at  the  end  of  the  study,  but       and Use Committee and the owners gave their informed 
                 there  were  no  differences  in  satiety-related  metabolites           consent to participate in the study.  
                 between the two groups, suggesting that the mechanism for                2.2. Diets 
                 satiety related to the highly fermentable fiber is unknown.  
                      Little    clinical    data     is   available     regarding              Cats were enrolled and randomized into one of two 
                 investigating  diet  composition  on  satiety  in  cats.                 treatment  groups.  Two  commercial  therapeutic  diets 
                 However,  canned  food  reportedly  decreases  voluntary                 were  used  that  are  marked  for  weight  loss  (Table  1). 
                 energy  intake  and  body  weight  in  cats  fed  ad  libitum            Cats were either fed an LC canned diet or an HF canned 
                 when  compared  to  a  dry  formulation  with  the  same                 diet.  The  investigators  were  not  blinded  to  the  diet 
                 nutrient  composition  (Wei  et  al.,  2001).  These  results            groups. Labels of each of the cans were removed to blind 
                 suggest that canned food may help promote weight loss                    the  owners  to  diet  type;  however,  owners  were  aware 
                 in  cats.  Canned  foods  have  higher  water,  lower                    their cats were participating in a weight loss trial. 
                  
                     Science Publications                                            219                                                            AJAVS 
                                Martha Cline et al. / American Journal of Animal and Veterinary Sciences 7 (4) (2012) 218-225 
               2.3. Protocol and Monitoring                                   equation (BW )0.75×70x×0.8, where BW is body weight 
                                                                                             kg
                   At  week  0,  cats  underwent  physical  examination,      and  0.8  is  life  stage  factor  (NRC,  2006).  Cats  were 
               body  weight  measurement  and  BCS  assessment.  Ideal        randomly assigned either the LC or HF canned food and 
               body weight was estimated by two separate investigators        recommendations were made to the owner on how much 
               by correlating body fat percentages to the current 9-point     to feed. Owners were instructed to feed their cats twice 
               BCS system (Laflamme, 1997). Caloric needs for weight          daily. Owners filled out a complete diet history form and 
               loss  were  estimated  using  ideal  body  weight  with  the   a  baseline  behavior  questionnaire  (Fig.  1a  and  b). 
                
                                                       a 
               Table 1. Nutrient composition of study diets
                                                      b                                                    c
                                                   LC                                                    HF 
                                                   1227                                                  733 
                                                   78                                                    78 
               kcals/kg                            ----------------------------------------------        ----------------------------------------- 
               % Moisture (max)                    DM%                       g/100 kcal                  DM%                   g/100 kcal 
               Protein                             53.38                     11.07                       37.5                  12.3 
               Fat                                 32.87                      6.82                        9.2                   3.0 
               Carbohydrate                         4.51                      0.94                       31.3                  10.2 
               Crude fiber                          2.95                      0.61                       15.4                   5.0 
               a                             b                                                               c
                ; All data from manufacturers.  ; Purina DM Feline Formula canned, Nestle-Purina, St. Louis, MO.  ; Hill’s Prescription Diet r/d 
               Feline canned, Hill’s Pet Nutrition, Topeka, KS 
                
                                                                          (a)                                    
                
                   Science Publications                                   220                                                    AJAVS 
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...Univuniversity of tersity tennessee kennessee knonoxville xville tratrace tce ennessee researresearch and crch creativeative e exexchange change faculty publications other works small veterinary medicine animal clinical sciences comparison high fiber low carbohylow carbohydrdrate diets ate on owner ppererceivceived satiety ed cats during wweight loss eight martha cline university knoxville angela witzel tamberlyn moyers joseph bartges claudia kirk follow this additional at https trace edu utk smalpubs part the or companion commons recommended citation carbohydrate perceived weight article is brought to you for free open access by research creative exchange it has been accepted inclusion in an authorized administrator more information please contact american journal issn science publication doi ajavssp published online http www thescipub com ajavs toc department college tn usa received revised abstract food seeking behaviors exhibited programs are frustrating owners two categories thera...

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