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acvn nutrition notes peer reviewed role of dietary fatty acids in dogs cats catherine e lenox dvm diplomate acvn royal canin usa ce article the american college of veterinary nutrition ...

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                                                                                          ACVN NUTRITION NOTES             Peer Reviewed 
          ROLE OF DIETARY FATTY 
          ACIDS IN DOGS & CATS
          Catherine E. Lenox, DVM, Diplomate ACVN
          Royal Canin USA                                                                                                  CE  
                                                                                                                           ARTICLE
            The American College of Veterinary Nutrition (acvn.org) and Today’s Veterinary Practice are 
            delighted to bring you the Nutrition Notes column, which provides the highest quality, cutting 
            edge information on companion animal nutrition, provided by the ACVN’s foremost nutrition 
            specialists.
               The primary objectives of the ACVN are to:
               •  Advance the specialty area of veterinary nutrition
               •  Increase the competence of those practicing in this field
               •  Establish requirements for certification in veterinary nutrition
               •  Encourage continuing education for both specialists and general practitioners
               •  Promote evidence-based research
               •  Enhance dissemination of the latest veterinary nutrition knowledge.
               The ACVN achieves these objectives in many ways, including designating specialists in animal 
            nutrition, providing continuing education through several media, supporting veterinary nutrition 
            residency programs, and offering a wide array of resources related to veterinary nutrition, such as 
            this column.
            EDITOR’S NOTE                                              Dietary fats, as well as specifi c fatty 
            The American College of Veterinary Nutrition (ACVN)        acids, are essential in the diet of dogs 
            is a small specialty college, with members working in      and cats, as recognized in the nutrient 
            private practice, academic veterinary medicine, and        recommendations for pet food provided by 
            industry. Board-certifi ed veterinary nutritionists in      the National Research Council (NRC) and 
            industry regularly contribute to the academic mission      the Association of American Feed Control 
            of the College through research publications, confer-                           1,2
                                                                       Offi cials (AAFCO).  Fats and fatty acids: 
            ence presentations, continuing education efforts, and      • Provide energy
            active membership. As a result, these specialists, like    • Aid in fat-soluble vitamin absorption
            Dr. Lenox, may be invited to author articles on topics     • Modulate inflammation
            within their area of expertise when there is no confl ict 
            of interest.                                               • Act as a precursor to eicosanoids and 
               Potential confl icts of interest are reviewed by myself     prostaglandins
            as guest section editor, a peer reviewer (who is a         • Serve structural roles as a component of 
            member of ACVN and not employed by the same                   cell membranes
            organization as the author), and the administrative/       • Promote healthy growth and development
            editorial team at Today’s Veterinary Practice. No spe-
                                                                                                      1
            cial advertising consideration is provided to industry     • Affect skin and coat health.  
            companies for whom authors may work.                          The type of fatty acids fed to a patient, 
               The goal of this column is to provide the latest in     as well as the total amount of fatty acids 
            unbiased and evidence-based veterinary nutrition from      in the diet, have the additional potential 
            the foremost experts irrespective of their places of       to improve or impair health. This review 
            employment. We, as always, welcome your feedback           discusses basic properties of fatty acids; 
            on the column and hope the material herein proves of 
            value in your practice.                                    sources of essential fatty acids; therapeutic 
                    —Justin Shmalberg, DVM, Diplomate ACVN &           modifi cations of dietary fatty acids, fi sh 
                                     ACVSMR, CVA, CVCH, CVFT           oils, and other fatty acid supplements; and 
                       ACVN Liaison to Today’s Veterinary Practice     areas of caution in clinical practice when 
                                                                       supplementing fatty acids.
                                       tvpjournal.com | September/October 2016 | TODAY’S VETERINARY PRACTICE               83
                     Peer Reviewed     ACVN NUTRITION NOTES
                                        TABLE 1.                                                                            Fatty acids with 
                                        Essential Fatty Acids with Numeric Formula                                        double bonds are called 
                                        COMMON NAME                      NUMERIC                LOCATION OF FIRST         omega-9, omega-6, 
                                        (Abbreviation)                   FORMULA                DOUBLE BOND               or omega-3 based on 
                                                                         (chain length:double   (relative to omega end    the location of the fi rst 
                                                                         bonds)                 of chain)                 double bond from the 
                                        Linoleic acid (LA)               18:2                   Omega-6                   methyl (omega) end of 
                                        Alpha-linolenic acid (ALA)       18:3                   Omega-3                   the hydrocarbon chain. 
                                                                                                                          For example, omega-6 
                                        Arachidonic acid (AA)            20:4                   Omega-6                   fatty acids, often found 
                                        Eicosapentaenoic acid (EPA)      20:5                   Omega-3                   in animal tissue and in 
                                        Docosahexaenoic acid (DHA)       22:6                   Omega-3                   sunfl ower and saffl ower 
                                                                                                                          oils, have their fi rst 
                                       BASIC PROPERTIES OF FATTY ACIDS                          double bond between carbons 6 and 7 from the 
                                       Fatty acids are classifi ed as lipids, a larger           omega end, whereas omega-3 fatty acids, derived 
                                       macronutrient class that serves a structural role and    from plant and marine sources, have their fi rst 
                                       provides energy, among other functions. Lipids           double bond between carbons 3 and 4. 
                                       include phospholipids and cholesterol as well as 
                                       fats, oils, and fatty acids.                             Essential Fatty Acids
                                                                                                Dogs and cats require omega-6 and omega-3 fatty 
                                       Classifi cation of Fatty Acids                            acids in the diet because they cannot produce these 
                                                                                                                                 1 Essential fatty 
                                       The functions of different fatty acids depend on         essential fatty acids on their own.
                                       their structure and composition. Fatty acids are         acids and their numeric formulas are listed in 
                                       classifi ed based on:                                     Table 1.
                                       • Length of the hydrocarbon chain                          The omega-6 essential fatty acids are linoleic 
                                       • Number of double bonds present in the chain            acid (LA, containing 18 carbons with 2 double 
                                       • Location of the first double bond relative to the      bonds [18:2]) and arachidonic acid (AA, 20:4). 
                                          methyl, or omega, end of the hydrocarbon chain        LA is essential for both dogs and cats, whereas AA 
                                          (Figure).                                             is essential only for cats. Cats require AA due to 
                                          Fatty acids are considered short-chain (< 8 carbons   the lack of delta-6 desaturase, an enzyme required 
                                       in length), medium-chain (8–12 carbons), or long-        for endogenous conversion of LA to the longer 
                                                                                                                                     3
                                       chain (> 12 carbons). The number of carbons in the       and more unsaturated fatty acid AA.   
                                       chain gives the fatty acid different properties in terms   It is important to note that these omega-6 fatty 
                                                                          1                     acids cannot be endogenously produced in suffi cient 
                                       of digestion, absorption, and usage.
                                          Fatty acids are further defi ned by the number         quantities. They must be provided in the diet to 
                                       of double bonds: saturated fats contain no double        prevent signs of defi ciency. Defi ciency of omega-6 
                                       bonds, monounsaturated fats contain 1 double             fatty acids can cause skin and coat abnormalities, 
                                                                                                                                            1
                                       bond, and polyunsaturated fats contain 2 or more         reproductive problems, and failure to thrive.
                                       double bonds.                                              The omega-3 essential fatty acids are alpha-
                                                                                                linolenic acid (ALA, 18:3), eicosapentaenoic 
                                                                                                acid (EPA, 20:5), and docosahexaenoic acid 
                                                                                                (DHA, 22:6). EPA and DHA are found primarily 
                                                                                                in marine sources, including fi sh oil as well as 
                                                                                                phytoplankton and other marine plants. 
                                                                                                  As a result of the poor conversion of ALA to EPA 
                                                                                                           4-7 the NRC lists dietary requirements for 
                                                                                                and DHA,
                                                                                                                                       8
                                                                                                EPA and DHA for both dogs and cats.  However, 
                                                                                                requirements vary among different life stages; for 
                                                                                                example, growing puppies and kittens require more 
                                       FIGURE. Chemical structure of linoleic acid              DHA than adult dogs and cats. Omega-3 fatty acid 
                                       (18:2, omega-6), with important features noted.          defi ciency may result in neurologic abnormalities, 
                                                                                                such as decreased visual acuity.1
                                84     TODAY’S VETERINARY PRACTICE | September/October 2016 | tvpjournal.com 
                                                                                                ACVN NUTRITION NOTES                Peer Reviewed 
            TABLE 2. 
                                                                                                2,8
            Minimum Requirements of Essential Fatty Acids in Grams/1000 kcal
                              DOGS                    DOGS                     CATS                    CATS
                              (Growth)                (Adult Maintenance)      (Growth)                (Adult Maintenance)
            Total Fat
                   NRC RA 21.3                        13.8                     22.5                    22.5
                    AAFCO 21.3                        13.8                     22.5                    22.5
            Linoleic Acid
                   NRC RA 3.3                         2.8                      1.4                     1.4
                    AAFCO 3.3                         2.8                      1.4                     1.4
            Arachidonic Acid
                   NRC RA 0.08                        ND                       0.05                    0.015
                    AAFCO ND                          ND                       0.05*                   0.05*
            Alpha-linolenic Acid
                   NRC RA 0.2                         0.11                     0.05                    ND
                    AAFCO 0.2                         ND                       0.05                    ND
            Eicosapentaenoic Acid + Docosahexaenoic Acid
                   NRC RA 0.13                        0.11                     0.025                   0.025
                    AAFCO 0.1                         ND                       0.03                    ND
            ND = not determined; RA = recommended allowance
            * Corrected after original publication by AAFCO
           ESSENTIAL FATTY ACIDS IN THE DIET                           including corn oil, soybean oil, canola oil, and 
           Dietary Requirements                                        fl axseed oil. AA is found typically in animal fat, with 
           It is recommended that all pet food provide essential                                                       1
                                                                       little to no AA present in plant oils and seeds.
           omega-6 and omega-3 fatty acids. Minimum                      As of 2016, EPA and DHA are described 
           requirements for total fat, LA, ALA (except for             in AAFCO nutrient profi les for growth and 
           adult cats), EPA + DHA, and AA are published                reproduction, and the NRC lists these fatty acids 
           by the NRC, and minimum requirements for the                as essential. As a result, many pet foods contain 
           concentration of crude fat, LA, ALA, AA (cats               sources of EPA and DHA. Fish oil is the main 
           only), and EPA+DHA in pet food are listed in                dietary source of EPA and DHA. 
                                          2,8
           the AAFCO nutrient profi les.  These minimum                   Common oils used in pet food and their 
           requirements are listed in Table 2.                         saturated and essential fatty acid content can be 
                                                                       found in Table 3. More information regarding 
           Sources of Essential Fatty Acids                            sources of essential fatty acids can be found 
                                                                                  9
           Sources of LA and ALA are plant-based oils,                 elsewhere.  
            TABLE 3. 
                                                                                                   a
            Common Oils Used in Pet Food and Fatty Acid Content (grams/100 g)
                                      Saturated      LA            ALA           AA                  EPA           DHA 
                                      Fatty Acids    18:2          18:3          20:4                20:5          22:6 
                                      (total)        n-6           n-3           undifferentiated    n-3           n-3 
            Corn oil                  12.948         53.230        1.161         0                   0             0
            Canola oil                7.365          18.640        9.137         0                   0             0
            Flaxseed oil              8.976          14.246        53.368        0                   0             0
                                                           b             c
            Fish oil, menhaden        30.427         2.154         1.490         1.169               13.168        8.592
            a.  USDA Food Composition Database, ndb.nal.usda.gov
            b. 18:2 undifferentiated
            c.  18:3 undifferentiated
            n-3 = omega-3; n-6 = omega-6
                                          tvpjournal.com | September/October 2016 | TODAY’S VETERINARY PRACTICE                     85
                      Peer Reviewed       ACVN NUTRITION NOTES
                                           TABLE 4.                                                  • Higher fat diets (when tolerated) can increase 
                                           Components of a Dietary History                              the energy density of a diet, aiding in weight 
                                           Information about diet, including:                           gain without significantly increasing the volume 
                                           •  Type                                                      of food needed to improve body condition. 
                                           •  Amount                                                 • Lower fat diets, which are lower in energy 
                                           •  Frequency of feeding                                      density, can help with weight loss, while provid-
                                           •  Duration of feeding                                       ing required essential fatty acids and allowing 
                                           Information about other foods fed, including:                a patient to consume a larger volume of food 
                                           •  All treat types and frequency                             without significantly increasing caloric intake.
                                           •  Table scraps/human food amounts and 
                                             frequency                                               For Disease: Fat Restriction
                                           •  Food for medication administration                     Not all patients can tolerate average amounts 
                                           •  Food for training                                      of dietary fat. Managing conditions, such 
                                           •  Dietary supplements                                    as hyperlipidemia, canine pancreatitis, and 
                                           •  Any other food or treats                               lymphangiectasia, often necessitates dietary fat 
                                           Information about what other pets in the                                                                    12-14
                                           household eat                                             restriction (< 20% of total calories from fat).        
                                                                                                     In some patients, therefore, dietary fat restriction is 
                                          Quality of Supplement                                      used as an adjunct therapy in disease management, 
                                          If supplementing a diet with fatty acids, it is            despite the animal’s body condition and the desired 
                                          important to choose a quality supplement. When             energy density for its diet. 
                                          choosing a fi sh oil supplement, take special care             Before implementing fat restriction, however, a 
                                          to select one from a reputable company with                dietary history should be obtained (Table 4). This 
                                          good quality control practices. Potential exists for       helps ensure that, when the patient’s nutritional 
                                          nutrient excess (mainly vitamins A and D) and              plan is adjusted, dietary fat is restricted relative 
                                          toxin exposure, including mercury exposure with            to the previous diet. It is also imperative that 
                                                                10                                   essential fatty acid requirements be met despite 
                                          fi sh oil supplements.  Calling a manufacturer 
                                          to inquire about quality control testing and               fat restriction. A low fat diet can be provided that 
                                          consulting an independent (third party) evaluator          meets fatty acid requirements, with most dietary 
                                          are 2 ways to ensure the supplement quality.               fat coming from essential fatty acids, including LA, 
                                                                                                     ALA, AA, EPA, and DHA. 
                                          DIETARY FATTY ACIDS: BODY                                     Overall, a nutritional assessment and plan should 
                                          CONDITION & DISEASE                                        ensure adequate energy and nutrient intake for 
                                          Dietary fat levels can be adjusted to help manage          the patient despite fat restriction. A thorough 
                                          disease. Adjusting the amount of dietary fat and           nutritional assessment includes assessment of 
                                          specifi c fatty acids can also affect the energy density    animal factors, dietary factors, and feeding 
                                                                                                                                                 15
                                          of a pet food.                                             management and environmental factors.
                                          For Body Condition                                         For Disease: Supplementation 
                                          At 8.5 kcal/g, dietary fat is more than twice as           Fatty acids, especially EPA and DHA, have a 
                                          energy dense as protein and carbohydrate (each             number of therapeutic uses in dogs and cats that 
                                                      11                                             are summarized elsewhere. 
                                          3.5 kcal/g).  
                                           TABLE 5. 
                                                                                                                                                8
                                           EPA + DHA for Adult Maintenance: Intake, Allowance, Safe Upper Limit, & Doses
                                                                    ADEQUATE            RECOMMENDED  SAFE UPPER                  SUGGESTED 
                                                                    INTAKE              ALLOWANCE             LIMIT              SUPPLEMENTAL DOSE*
                                           Dog                      169 mg              169 mg                2080 mg            500–750 mg 
                                                                               0.75               0.75                  0.75
                                           (body weight, 10 kg)     (0.03 × 10   )      (0.03 × 10   )        (0.37 × 10   )     (50–75 mg/kg × 10 kg)
                                           Cat                      7.3 mg              7.3 mg                NA                 150–250 mg 
                                                                                0.67               0.67
                                           (body weight, 5 kg)      (0.0025 × 5    )    (0.0025 × 5   )                          (30–50 mg/kg × 5 kg)
                                           NA = information not available
                                           *   To avoid exceeding the safe upper limit and potential adverse effects, include fatty acids present in the main diet as part of 
                                             the total supplemental dose. 
                                  86      TODAY’S VETERINARY PRACTICE | September/October 2016 | tvpjournal.com 
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...Acvn nutrition notes peer reviewed role of dietary fatty acids in dogs cats catherine e lenox dvm diplomate royal canin usa ce article the american college veterinary org and today s practice are delighted to bring you column which provides highest quality cutting edge information on companion animal provided by foremost specialists primary objectives advance specialty area increase competence those practicing this field establish requirements for certification encourage continuing education both general practitioners promote evidence based research enhance dissemination latest knowledge achieves these many ways including designating providing through several media supporting residency programs offering a wide array resources related such as editor note fats well speci c essential diet is small with members working recognized nutrient private academic medicine recommendations pet food industry board certi ed nutritionists national council nrc regularly contribute mission association fe...

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