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Biomedical subjects

P J Markwell

Publications and source records attributed to P J Markwell.

At least 19 recordsLinked to original sources
PubMed2002

Influence of a high fibre diet on glycaemic control and quality of life in dogs with diabetes mellitus.

A study was undertaken to evaluate a high fibre diet used in the management of 10 dogs with naturally occurring insulin-dependent diabetes mellitus. Following baseline measurements of health and glycaemic control, the dogs were fed a canned diet containing a blend of insoluble and soluble dietary fibres and were monitored during the ensuing four months. Switching to the high fibre diet was associated with significantly lower mean 24-hour and postprandial plasma glucose concentrations, which were maintained over the study period. The high fibre diet was also associated with significant reductions in plasma concentrations of fructosamine, glycated haemoglobin, free glycerol and cholesterol, and there were significant improvements in dog activity and demeanour. Bodyweight declined during the fourth month of feeding the diet, which is likely to have resulted from underfeeding relative to increased activity. The results indicate that a high fibre diet can significantly improve glycaemic control and quality of life in dogs with diabetes mellitus.

Animals↗
PubMed2001

Evaluation of selected-protein-source diets for management of dogs with adverse reactions to foods.

OBJECTIVE: To evaluate 3 commercially available selected-protein-source diets as maintenance diets in dogs with pruritus caused by adverse food reactions. DESIGN: Randomized crossover trial. ANIMALS: 40 dogs > 6 months of age with pruritus caused by adverse reactions to foods. PROCEDURE: Diagnosis was confirmed by use of diet elimination and provocation studies. Subsequently, dogs were fed 3 commercial diets for 3 weeks each in a randomized, blinded, crossover trial. Dogs were evaluated for pruritus, vomiting, diarrhea, and flatulence. RESULTS: Pruritus recurred in 52.5% of dogs fed a chicken-rice diet, 47.5% of dogs fed a catfish-rice diet, and 85% of dogs fed a venison-rice diet. Overall 95% of the dogs could be managed successfully with at least 1 of the 3 diets. CONCLUSIONS AND CLINICAL RELEVANCE: Results indicated that commercially available limited-allergen diets with selected protein sources may be appropriate for long-term management of pruritus caused by adverse food reactions. Testing of various protein sources is usually required.

Animal Feed↗
PubMed2001

Feline hypertension: clinical findings and response to antihypertensive treatment in 30 cases.

Systolic hypertension was diagnosed in 30 cats. At diagnosis, 16 of those were found to be in chronic renal failure only, while five were azotaemic and either receiving treatment for hyperthyroidism (four cases) or were untreated hyperthyroid cases (one case). Two cases were untreated hyperthyroid cases with no evidence of azotaemia and the remaining seven cases had no definitive diagnosis of the underlying cause of their hypertension. The successful treatment used for the majority of cases was amlodipine, which lowered systolic blood pressure from 202.5+/-16.8 to 153.2+/-21.6 mmHg (mean+/-SD; n=29) within the first 50 days. Each case was followed for at least three months, or to the end of its natural life, and each cat was re-examined every six to eight weeks. Systolic blood pressure was kept below a target value of 165 mmHg in 58 per cent of cases treated for three months or longer. At the time of writing, 19 of the cases had died or been euthanased with a median treatment time of 203 days, one case was lost to follow-up and 10 cases were still alive, nine of which had been treated for six months or more. Amlodipine can be used for long-term control of feline systemic hypertension.

Amlodipine↗
PubMed2001

Comparison of urine composition of healthy Labrador retrievers and miniature schnauzers.

OBJECTIVE: To compare urine composition in Labrador Retrievers (LR) and Miniature Schnauzers (MS) fed the same dog food. ANIMALS: 8 healthy LR (mean [+/- SD] age, 3.1+/-1.7 years) and 8 healthy MS (mean age, 3.7+/-1.3 years). PROCEDURE: A nutritionally complete dry dog food was fed to the dogs for 24 days. Urinary pH, volume, specific gravity, frequency of urination, and urinary concentrations of 12 analytes were measured for each dog; urinary relative supersaturation (RSS) with calcium oxalate and brushite (calcium hydrogen phosphate dihydrate) were calculated from these values. RESULTS: MS urinated significantly less often and had a lower urine volume (ml/kg of body weight per d) and a significantly higher urine pH, compared with LR. Urinary calcium concentration and brushite RSS were significantly higher in the urine of MS. As a result of a high calorie requirement, primarily as a result of high surface area to volume ratio, MS had significantly higher intake (per kg body weight) of dietary minerals, compared with LR. CONCLUSIONS AND CLINICAL RELEVANCE: Differences in urine composition exist between breeds fed the same diet, some of which, including lower urine volume, higher calcium concentration, and higher brushite RSS, may contribute to the high prevalence of calcium oxalate uroliths observed in MS. Differences between breeds should be considered when evaluating strategies for controlling calcium oxalate stone formation.

Animals↗
PubMed2001

Influence of age and sex on plasma lipid and lipoprotein concentrations and associated enzyme activities in cats.

OBJECTIVE: To determine effects of age and sex on plasma lipid and lipoprotein metabolism in cats. ANIMALS: 33 kittens and 16 adolescent, 23 adult, and 10 senior cats. PROCEDURE: Plasma concentrations of cholesterol, triglyceride, and lipoprotein-cholesterol and activities of lipoprotein lipase, hepatic lipase, and lecithin:cholesterol acyl transferase (LCAT) were measured and compared within and among groups. RESULTS: Plasma cholesterol and triglyceride concentrations were significantly higher in 5- and 7-week-old kittens, compared with the same kittens after weaning and cats in the other age groups. Cholesterol concentration was significantly less in 20-week-old kittens, compared with adolescent and adult cats. Lipid and lipoprotein-cholesterol concentrations were not significantly different among the adolescent, adult, and senior groups, nor did sex influence lipid and lipoprotein-cholesterol concentrations in these groups. Activities of lipoprotein and hepatic lipases were significantly less in senior cats, compared with the other groups. Activity of LCAT was highest in 20-week-old kittens and was greater in sexually intact adult and adolescent females, compared with their male counterparts. After castration, activities of hepatic lipase and LCAT significantly decreased in adolescent male cats. CONCLUSIONS AND CLINICAL RELEVANCE: The upper limits of reference ranges for plasma cholesterol and triglyceride concentrations should be increased for kittens < 8 weeks of age. Low cholesterol concentrations in adolescent cats likely reflect high tissue demands for growth and steroidogenesis. Decrease in lipoprotein and hepatic lipase activity in senior cats could predispose this age group to hypertriglyceridemia, particularly in insulin-resistant cats or those fed a high fat diet.

Age Factors↗
PubMed2000

Survival of cats with naturally occurring chronic renal failure: effect of dietary management.

Fifty cats with naturally occurring stable chronic renal failure (CRF) were entered into a prospective study on the effect of feeding a veterinary diet restricted in phosphorus and protein with or without an intestinal phosphate binding agent on their survival from initial diagnosis. Twenty-nine cats accepted the veterinary diet, whereas compliance (due to limited intake by the cats or owner resistance to diet change) was not achieved in the remaining 21. At diagnosis, both groups of cats were matched in terms of age, bodyweight, plasma creatinine, phosphate, potassium and parathyroid hormone (PTH) concentrations, packed cell volume and urine specific gravity. Feeding the veterinary diet was associated with a reduction in plasma phosphate and urea concentrations and prevented the increase in plasma PTH concentrations seen in cats not receiving the diet. Cats fed the veterinary diet survived for longer when compared with those that were not (median survival times of 633 versus 264 days). These data suggest that feeding a diet specifically formulated to meet the needs of cats with CRF, together with phosphate binding drugs if required, controls hyperphosphataemia and secondary renal hyperparathyroidism, and is associated with an increased survival time.

Animals↗
PubMed2000

Effects of dietary potassium citrate supplementation on urine pH and urinary relative supersaturation of calcium oxalate and struvite in healthy dogs.

OBJECTIVE: To assess the effect of dietary potassium citrate supplementation on the urinary pH, relative supersaturation of calcium oxalate and struvite (defined as the activity product/solubility product of the substance), and concentrations of magnesium, ammonium, phosphate, citrate, calcium, and oxalate in dogs. ANIMALS: 12 healthy adult dogs. PROCEDURE: Canned dog food was fed to dogs for 37 days. Dogs were randomly allocated to 3 groups and fed test diets for a period of 8 days. Study periods were separated by 6-day intervals. During each study period the dogs were fed either standard diet solus (control) or standard diet plus 1 of 2 types of potassium citrate supplements (150 mg potassium citrate/kg of body weight/d) twice daily. Urinary pH, volume and specific gravity, relative supersaturation of calcium oxalate and struvite, and concentrations of magnesium, ammonium, phosphate, calcium, oxalate, and citrate were assessed for each treatment. RESULTS: Mean urine pH was not significantly affected by dietary potassium citrate supplementation, although urine pH did increase by 0.2 pH units with supplementation. Diets containing potassium citrate maintained a higher urine pH for a longer part of the day than control diet. Three Miniature Schnauzers had a significantly lower urinary relative calcium oxalate supersaturation when fed a diet supplemented with potassium citrate, compared with control diet. CONCLUSIONS AND CLINICAL RELEVANCE: Dietary potassium citrate supplementation has limited effects on urinary variables in most healthy dogs, although supplementation results in maintenance of a higher urine pH later in the day. Consequently, if supplementation is introduced, dogs should be fed twice daily and potassium citrate should be given with both meals or with the evening meal only.

Animals↗
PubMed1999

Clinical evaluation of commercially available urinary acidification diets in the management of idiopathic cystitis in cats.

OBJECTIVE: To compare recurrence of signs of lower urinary tract disease (LUTD) in cats with idiopathic cystitis that were fed the dry or canned formulation of a commercial diet designed to result in production of an acidic urine. DESIGN: Prospective trial. ANIMALS: 54 client-owned cats with idiopathic cystitis that was diagnosed on the basis of a history of abnormal micturition, abnormal results on urinalysis, radiography, or cystoscopy, and lack of an alternative diagnosis. PROCEDURE: Cats were assigned to be fed the canned or dry formulation of the diet. Reevaluations conducted at 2 and 16 weeks, and at 6 and 12 months included a physical examination, CBC and serum biochemical analysis (except week 2), blood gas analysis, and urinalysis. Regular telephone contacts were also made. The study was discontinued after 12 months or if signs of LUTD recurred. RESULTS: Signs of LUTD did not recur in 16 of 18 cats fed the canned diet, and 17 of 28 cats fed the dry diet (chi 2, P < 0.05). Seven cats were reevaluated at recurrence. Owners of remaining cats in which signs of LUTD recurred declined to have their pets reexamined. A different problem (bacterial urinary tract infection) was identified in only 1 cat on reevaluation. Eight cats were lost to follow-up evaluation. CLINICAL IMPLICATIONS: Feeding this commercial canned urinary acidifying diet may reduce the proportion of cats with idiopathic cystitis that will have recurrence of signs of LUTD within a 12-month period.

Animal Feed↗
PubMed1999

Effect of dietary phosphate restriction on renal secondary hyperparathyroidism in the cat.

Twenty-three cats with stable chronic renal failure (CRF) were examined in a prospective study of the effects of feeding a veterinary diet restricted in phosphorus and protein with or without an intestinal phosphate binding agent (aluminium hydroxide) on plasma phosphate and parathyroid hormone (PTH) concentrations. Fifteen cats accepted the veterinary diet; compliance was not achieved in the remaining eight (due to limited intake by the cats or owner resistance to diet change). Feeding the veterinary diet was associated with a significant fall in plasma phosphate and PTH concentrations by five months, with only two cats requiring aluminium hydroxide therapy. The maximum decrease in plasma PTH concentration was not associated with a significant change in plasma 1,25 dihydroxycholecalciferol concentration. Euparathyroidism was achieved in eight cats. Conversely, in cats with CRF fed proprietary diets over the same time period, mean plasma PTH concentrations did not change significantly; indeed, in seven of the eight cats, PTH concentrations increased. Dietary therapy alone or in combination with intestinal phosphate binders does reduce PTH concentrations in cats with CRF and, when effective control of phosphate intake is achieved, plasma PTH can be normalised.

Aluminum Hydroxide↗
PubMed1998

The effect of diet on lower urinary tract diseases in cats.

Because dietary ingredients and feeding patterns influence the volume, pH and solute concentration of urine, diet can contribute to the etiology, management or prevention of recurrence of some causes of lower urinary tract disease. Most research assessing the effect of diet has focused on the latter two aspects, primarily because of interest in struvite urolithiasis. Manipulation of urine pH through dietary means has proven an effective tool for the management and prevention of struvite urolithiasis; acidification of urine, however, may be a risk factor for calcium oxalate urolithiasis, which now appears to occur with approximately equal frequency in cats. Prediction of urine pH from dietary analysis would thus be a valuable tool, but considerable further research is required before this can be achieved with commercial canned foods. With the growing importance of urolith types other than struvite, alternatives to the measurement of urine pH are required to assess critically the likely beneficial (or detrimental) effects of manipulation of nutrient profile. Measurement of urinary saturation may permit the development and fine tuning of nutrient profiles aimed at controlling lower urinary tract diseases in cats that are associated with a range of different mineral types. The majority of cats with signs of lower urinary tract disease do not, however, have urolithiasis; indeed, no specific cause can be established in most of these cats. Recent observations suggest that recurrence rates of signs in cats classified as having idiopathic lower urinary tract disease may be more than halved if affected animals are maintained on high, rather than low moisture content diets. J. Nutr. 2753S-2757S, 1998

Animals↗
PubMed1998

Effect on canine oral health of adding chlorhexidine to a dental hygiene chew.

A study to compare the effect of a dental hygiene chew with or without 0.2% chlorhexidine on the development of gingivitis and the accumulation of dental deposits was performed using 11 small dogs. Confirming previous data, the daily addition of a standard chew to a dry diet resulted in significantly less gingivitis and calculus after 3 weeks compared with feeding the dry diet alone. Addition of chlorhexidine to the chew made no difference to the degree of gingivitis or the amount of calculus that accumulated, but did result in significantly less plaque accumulation after 3 weeks. The abrasiveness of the chew, rather than the antibacterial activity of chlorhexidine, is likely to have contributed the most to the maintenance of oral health in dogs with mild gingivitis.

Analysis of Variance↗
PubMed1997

Effect of two dietary regimens on gingivitis in the dog.

The effect of two commercially available dietary regimens on the development of gingivitis and the accumulation of dental plaque, calculus and stain in the dog were studied. One regimen consisted of feeding an oral hygiene chew and a standard dry diet. The other was based on a specifically designed oral care dry main meal. The study was conducted using 15 dogs in a two period, parallel cross-over design. Each period consisted of a one week pretest phase followed by a three week test phase. During the test phase, gingivitis and plaque were measured after one week and gingivitis, calculus, stain and plaque were measured after a further two weeks. Comparison of the two regimens showed that there were equal amounts of gingivitis, plaque and calculus by the end of the study. There was significantly more stain and significant loss in bodyweight when the main meal was fed. The role of dietary modification in the maintenance of periodontal health is discussed.

Animal Feed↗
PubMed1997

Effect of amount and type of dietary fiber on food intake in energy-restricted dogs.

OBJECTIVE: To evaluate the effect of adding different amounts of insoluble (IF) or soluble (SF) dietary fiber to a commercial diet formulated for weight reduction on satiety and perception of hunger in dogs. ANIMALS: 6 adult dogs. PROCEDURE: Test diets included 2 low-fiber control diets (CL1 and CL2), 2 diets with increased amount of IF (IF1 and IF2), and 2 diets with increased amount of SF (SF1 and SF2). Each test diet was fed for 12 days to 6 dogs in a Latin square design, and in amounts that correspond to the food allowance recommended for weight reduction. Behavioral characteristics of dogs were recorded for 30-minute periods after introduction of test diets. On 2 occasions during each test period, exactly 3 hours after feeding of the test diet, dogs were given a challenge meal consisting of a standard commercial canned dog food ad libitum. At the end of each 12-day feeding period, all dogs entered a 6-day washout period in which they were offered a standard commercial canned dog food ad libitum. RESULTS: Diet had no significant effect on intake of the challenge meal, intake of food during the subsequent washout period, or perception of hunger, as represented by behavioral characteristics during the 30-minute period after presentation of test diets. In addition, diet had no significant effect on percentage of weight loss. CONCLUSIONS: Inclusion of high amounts of IF or SF in a commercial low-energy diet has no apparent beneficial effects on satiety when fed to dogs on an energy intake regimen corresponding to allowances for weight reduction.

Animal Feed↗
PubMed1996

Changes in the body composition of cats during weight reduction by controlled dietary energy restriction.

Thirteen overweight domestic short-haired cats were fed a commercial low calorie diet for 18 weeks at an energy intake to lose weight; they lost an average of 18.1 per cent of their starting weight. An evaluation of their body composition by dual energy x-ray absorptiometry before and after the study suggested that most of the weight lost was composed of fat. The cats' lean bodyweight did not change significantly, but increased as a proportion of total bodyweight.

Absorptiometry, Photon↗
PubMed1995

Development of methods for analyzing plasma lipoprotein concentrations and associated enzyme activities and their use to measure the effects of pregnancy and lactation in cats.

Methods available for measurement of plasma lipoprotein-cholesterol concentrations and activities of lipoprotein lipase, hepatic lipase, lecithin:cholesterol acyl transferase (LCAT), and cholesteryl ester transfer protein were adapted for use in cats. A combined ultracentrifugation/precipitation procedure was used to isolate very low-density lipoproteins (VLDL), then to separate low-density lipoproteins (LDL) from high-density lipoproteins (HDL). The reagent used, 92 mM heparin-manganese chloride, provided complete precipitation of LDL with only trace and insignificant contamination by HDL. Efforts to selectively measure lipoprotein lipase activity in plasma, collected after IV injection of heparin, by inhibiting hepatic lipase with sodium dodecyl sulfate were unsuccessful, and the activity of this enzyme was calculated as the difference between total and hepatic lipase activities. The latter was measured in the presence of high salt concentration to inhibit lipoprotein lipase. Cholesterol esterifying activity was identified in feline plasma and was typical of LCAT, in that it was dependent on apolipoprotein A-I as a cofactor. The intra-assay and interassay coefficients of variation for measurement of lipoprotein lipase, hepatic lipase, and LCAT activities were 18.4, 4.6, and 7.2%, and 20.4, 10.7, and 5.3%, respectively. Appreciable cholesteryl ester transfer protein activity was not detected in either undiluted or diluted plasma. These methods were subsequently used to investigate the effects of pregnancy and lactation on lipoprotein metabolism in a group of 10 queens. Plasma concentrations of cholesterol and triglycerides were unaltered during pregnancy, but the concentrations of VLDL-cholesterol increased and those of HDL-cholesterol decreased.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗