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Dietary requirements: geriatrics
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Introduction Top

  • Maximum lifespan is estimated as 35 years. Average lifespan is influenced by:
    • Genetics.
    • Health care.
    • Nutrition.
    • Mature body size.
Normal physiological changes Top

  • Gradual decline in functional capacity of organs from maturity.
  • Different body systems age at different rates right_arrow older animals must be assessed as individuals, using functional changes in body systems rather than chronological age.

Metabolic effects

  • Activity does not decrease markedly after maturity.
  • Lean body mass does not decrease much with age.
  • Maintenance energy requirements do not decrease with age.
  • Protein digestion decreases with age.
  • Fat digestion often decreases with age.

Skin

  • Decreasing elasticity/pliability due to increased calcium and pseudoelastin; decreased moisture.
  • May be concurrent hyperkeratosis with follicular atrophy and hyperpigmentation.
  • Increasing incidence of skin neoplasia Skin: neoplasia.

Alimentary

  • Dental calculus Teeth: calculus.
  • Peridontal disease Periodontal disease.
  • Loss of teeth.
  • Decline in the amount of functional salivary tissue.
  • Increased risk of constipation due to inactivity.

Urinary

  • Renal failure Kidney: chronic renal failure - major cause of death in older cats can cause:
    • Reduced assimilation and use of nutrients (decreased caloric and nutrient intake, intestinal malabsorption Malabsorption).
    • Weight decrease, muscle wasting.
    • Increasing accumulation of metabolic waste products, especially urea.
  • Calcium oxalate urolithiasis Urolithiasis - increased risk in older cats:
    • Hematuria Shock: septic.
    • Crystals in urine Urinalysis: centrifuged sediment Urinalysis: calcium oxalate crystal Urinalysis: struvite crystal.
    • Acidic urine Urinalysis: pH.

Musculoskeletal

  • Arthritis is common which may reduce the ability and desire to eat.
  • Control body weight to minimize discomfort.

Cardiovascular

  • Cardiac insufficiency Congestive heart failure can occur but does not seem to be as frequent as in dogs.

Special senses

  • Decreased vision and hearing Deafness: acquired.

Behavioral

  • Degenerative disease and geriatric changes right_arrow decreased desire to eat.
  • Diabetes mellitus Diabetes mellitus right_arrow increased or decreased appetite. Depression or pathological mourning can occur due to the loss of a companion and can cause anorexia.
  • Introduction of another pet right_arrow changed eating pattern (social facilitation increasing, intimidation decreasing).
  • Changes in daily routine of geriatric right_arrow depression, changed eating pattern.
Feeding procedure Top

Diet change
  • Avoid abrupt changes
  • Switch to senior diet (if indicated in individual cat) containing:
    • Less fat, fewer calories.
    • Normal fiber level to avoid constipation
    • Easy to chew kibbles to avoid aggravation of dental disease. Canned diet may be necessary; lacks the abrasive cleansing effect of dry food but increases fluid intake.
    • Normal protein levels to maintain lean body mass.
    • Less phosphorus and sodium.

Quantities

  • Feed to maintain lean body mass.

Frequency

  • As cats age, they may not be able to maintain body condition on free choice.
  • Feed 2-3 meals daily.
Sources Top

Publications
Refereed papers
  • Laflamme D (1997) Nutritional management. Vet Clin North Am Small Anim Pract 27 (6), 1561-1577.
  • Taylor E J et al (1995) Some nutritional aspects of ageing in dogs and cats. Proc Nutr Soc 54 (3), 645-656.
  • Markham R W et al (1989) Geriatric nutrition. Vet Clin North Am Small Anim Pract 19 (1), 165-185.


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Congestive heart failure
Deafness: acquired
Diabetes mellitus
Energy deficiency
Kidney: chronic renal failure
Malabsorption
Periodontal disease
Shock: septic
Skin: neoplasia
Teeth: calculus
Urinalysis: centrifuged sediment
Urinalysis: pH
Urolithiasis
Urinalysis: calcium oxalate crystal Link Urinalysis: struvite crystal Link
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