Obesity
Introduction
- Obesity is defined as abnormal or excessive fat accumulation that may impair health. The British Small Animal Veterinary Association have a 1-9 body condition score scale for dogs and cats. BCS of 8 & 9 are considered obese with at least 30% excess weight.
- The BSAVA Statement on obesity: ‘In companion animals, obesity has a significant adverse effect on health and welfare including associations with various additional and often concurrent conditions or diseases, reduced life expectancy, functional impairment and poor quality of life'.
- Cause: predominantly caused by inappropriate or excessive food with inadequate exercise. Less commonly caused by hormonal imbalances.
- Signs: excessive fat under skin and intra-abdominal/intra- coelomic. Lethargy, weakness, co-morbidities such as heart disease.
- Diagnosis: weight measurement, BCS, scans.
- Treatment: correct any nutritional imbalances, reduce high calorie foods, increase exercise.
- Prognosis: good, with owner engagement.
Presenting signs
- Excessive fat deposition under the skin or within the abdomen.
- Lethargy.
- Reduced inclination to move around.
- Co-morbidities such as heart disease Heart disease, pododermatitis, hepatic lipidosis Hepatic lipidosis, poor coat quality.
Acute presentation
- Animals may be presented as part of a routine check-up but often they are suffering from one of the co-morbidities before being brought to the clinic.
Geographic incidence
- Worldwide in pet species and animals kept in captivity.
Age predisposition
- There is no direct correlation with age but as mobility decreases with age then obesity can become more prevalent.
Gender predisposition
- Ferrets can be neutered at a young age, and this may predispose the females to weight gain.
Seasonal predisposition
- Ferrets naturally can gain approximately 10% of bodyweight in the autumn as a physiological response for winter.
Breed/Species predisposition
- Ferrets are obligate carnivores with a high protein (30-35%) and fat (15-30%) requirement Nutrition overview.
- They need small meals regularly as they have a high metabolic rate and a relatively short digestive tract.
- They eat between 5-7% of their bodyweight daily depending on factors such as age, season, pregnancy, etc.
- They lack a cecum and ileocolic valve and have lower concentration of brush border enzymes compared to other similar sized mammals.
- Gut transit time is about 3 h which means that their intestinal absorption is relatively inefficient, and they eat small amounts and often.
- They have a low requirement for fiber and carbohydrates.
- An unbalanced diet containing sugary treats can lead to obesity, especially when combined with low exercise levels.
Cost considerations
- Obesity can require veterinary input to formulate a healthy diet with follow up appointments to monitor response.
Special risks
- Osteoarthritis.
- Diabetes mellitus Diabetes mellitus.
- Pancreatic disease.
- Heart disease Heart disease.
- Pododermatitis.
- Bladder sludge.
- Dystocia Dystocia and reproductive system issues.
- Poor coat quality.
- Hepatic lipidosis Hepatic lipidosis.
Pathogenesis
Etiology
- Inappropriate balance between diet consumed and exercise taken.
- Hormonal imbalances rare.
- Chronic obesity will lead to insulin resistance and predispose the animal to development of diabetes mellitus Diabetes mellitus.
Predisposing factors
General
- Inappropriate or excessive food provision.
- Inability to exercise, such as searching for food.
- In ferrets, steroid treatment for insulinoma and lymphoma can lead to weight gain and predispose to diabetes mellitus Diabetes mellitus.
Specific
- Housed in cages with reduced exercise facilities.
- High calorie food stuff fed too often or too much.
- Steroid treatment for insulinoma and lymphoma can lead to weight gain.
Pathophysiology
- Obese animals lay down fat in subcutaneous, intra-abdominal, intra-coelomic stores.
- This contributes to poor mobility which can lead to conditions such as osteoarthritis, pododermatitis.
- It will contribute to an inability to groom and clean itself leading to problems such as poor coat quality, flystrike and, in animals that ingest cecotrophs, poor digestive ability.
- Fat can be stored in the liver to such an extent that the hepatocytes and then liver function is compromised.
- Obesity can cause or exacerbate heart disease Heart disease:
- Excessive fat affects the heart as cholesterol is laid down in blood vessels, including the coronary vessels.
- High blood pressure can also lead to cardiac disease.
Timecourse
- Usually prolonged over weeks to month.
Diagnosis
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Treatment
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Prevention
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Outcomes
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Further Reading
Publications
Refereed Papers
- Recent references from PubMed and VetMedResource.
- Johnson-Delaney C (2014) Ferret nutrition. Vet Clin North Am Exotic Anim Pract 17, 449-470 PubMed.
Other sources of information
- Johnson-Delaney C (2017) Ferret Medicine and Surgery. CRC Press, USA.
- Gentz N (online) Nutrition for Ferrets. In: Veterinary Information Network. Website: www.vin.com.
- Pet Food Manufacturers’ Association (online) Ferrets - Nutritional Requirements. Website: www.pfma.org.uk.
Organisation(s)
- British Small Animal Veterinary Association (BSAVA) Obesity Position Statement. Website: www.bsava.com.
- Oxbow Animal Health. Website: www.oxbowanimalhealth.com.