title: Positive Impact of Nutritional Interventions on Serum Symmetric Dimethylarginine and Creatinine Concentrations in Client-Owned Geriatric Cats.
abstract: A prospective study was conducted in client-owned geriatric cats to evaluate the short- term effects of a test food on serum symmetric dimethylarginine (SDMA) and creatinine (Cr) concentrations. Test food contained functional lipids (fish oil), antioxidants (vitamins C and E), L-carnitine, botanicals (vegetables), highly bioavailable protein, and amino acid supplements. Cats (n = 80) were fed either test food or owner's-choice foods (non-nutritionally controlled cohort). Cats were included based on age (≥ 9 years), indoor only, neutered, and free of chronic disease. At baseline, all cats had serum Cr concentrations within the reference interval. Renal function biomarkers and urinalysis results at baseline and after consuming test food or owner's-choice foods for 3 and 6 months were evaluated. Cats consuming test food showed significant decreases in serum Cr and BUN concentrations across time. Overall, cats consuming owner's-choice foods showed significant increases in serum SDMA concentrations at 3 and 6 months compared with baseline (P ≤ 0.05), whereas in cats consuming test food serum SDMA concentrations did not change. At baseline or during the 6-month feeding trial, 23 (28.8%) cats had increased serum SDMA, but normal serum Cr consistent with IRIS Stage 1 chronic kidney disease. This included 6 cats fed test food and 17 cats fed owner's-choice foods. In the 6 cats fed test food, serum SDMA decreased in 3 cats and remained stable in 1 cat, whereas in the 17 cats fed owner's-choice foods, serum SDMA increased in 13 cats and decreased or remained stable in 4 cats. The increase in serum SDMA concentration was significant (P = 0.02) only for cats fed owner's-choice foods. These results suggest that nonazotemic cats with elevated serum SDMA (early renal insufficiency) when fed a food designed to promote healthy aging are more likely to demonstrate stable renal function compared with cats fed owner's-choice foods. Cats fed owner's-choice foods were more likely to demonstrate progressive renal insufficiency.
authors.affiliation: Department of Biomedical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis, Oregon, United States of America.
authors.forename: Jean A
authors.initials: JA
authors.lastname: Hall
authors.affiliation: Pet Nutrition Center, Hill's Pet Nutrition, Inc, Topeka, Kansas, United States of America.
authors.forename: Jennifer
authors.initials: J
authors.lastname: MacLeay
authors.affiliation: IDEXX Laboratories, Inc., One IDEXX Drive, Westbrook, Maine, United States of America.
authors.forename: Maha
authors.initials: M
authors.lastname: Yerramilli
authors.affiliation: IDEXX Laboratories, Inc., One IDEXX Drive, Westbrook, Maine, United States of America.
authors.forename: Edward
authors.initials: E
authors.lastname: Obare
authors.affiliation: IDEXX Laboratories, Inc., One IDEXX Drive, Westbrook, Maine, United States of America.
authors.forename: Murthy
authors.initials: M
authors.lastname: Yerramilli
authors.affiliation: Pet Nutrition Center, Hill's Pet Nutrition, Inc, Topeka, Kansas, United States of America.
authors.forename: Heidi
authors.initials: H
authors.lastname: Schiefelbein
authors.affiliation: Pet Nutrition Center, Hill's Pet Nutrition, Inc, Topeka, Kansas, United States of America.
authors.forename: Inke
authors.initials: I
authors.lastname: Paetau-Robinson
authors.affiliation: Pet Nutrition Center, Hill's Pet Nutrition, Inc, Topeka, Kansas, United States of America.
authors.forename: Dennis E
authors.initials: DE
authors.lastname: Jewell
mesh_terms: D000367:Age Factors; D000824:Animal Nutritional Physiological Phenomena; D000818:Animals; D001120:Arginine / Q000031:analogs & derivatives* / Q000097:blood; D015415:Biomarkers / Q000097:blood*; D002415:Cats / Q000097:blood*; D003404:Creatinine / Q000097:blood*; D004032:Diet / Q000662:veterinary*; D005260:Female; D007677:Kidney Function Tests; D008297:Male; D010067:Ownership; D051436:Renal Insufficiency, Chronic / Q000097:blood / Q000175:diagnosis
chemical_list: D015415:Biomarkers; C024917:symmetric dimethylarginine; D001120:Arginine; D003404:Creatinine