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Prescription Diet k/d feline renal health has been used for more than 40 years to treat cats with CKD. The most difficult aspect of using renal foods may be transitioning cats to them (). For example, Elliott and others reported that of 50 cats with CKD, only 29 successfully transitioned to a renal food (). Accordingly, recommendations are to make the transition to a renal food over a period of at least seven days (). The authors followed these recommendations to transition pet cats with CKD to the dry formulation of Prescription Diet k/d feline renal health. The authors found that the cats transitioned well to this food: 94 per cent accepted the food and continued eating it until the last assessment available, and owners reported that their cats liked it as much or more than their original food.
) reported a 24-month randomised, double-blinded, controlled trial comparing the renal effects of Prescription Diet k/d feline renal health and a maintenance food. When compared with the maintenance food, the renal food significantly reduced the number of uraemic episodes (from 26 per cent to 0 per cent) and reduced renal-related mortality (from 22 per cent to 0 per cent), with no significant adverse events reported. In addition, a retrospective analysis of data on deceased cats in The Netherlands by ) showed that cats with CKD survived longer when fed the dry formulation of Prescription Diet k/d feline renal health than when not fed a renal food (median survival=16 v 7 months, P
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Royal Canin has announced the launch of brand new RENAL SUPPORT diets designed for cats and dogs diagnosed with Chronic Kidney Disease. The new RENAL SUPPORT line offers a wide range of great tasting aromatic profiles and tempting textures to ensure superior palatability so every cat and dog can find just the right food.In a prospective study, pet cats with previously undiagnosed kidney disease (20 International Renal Interest Society (IRIS) 1, 61 IRIS 2, 14 IRIS 3/4, 33 at risk for CKD) were transitioned to a renal food. Markers of renal function were measured and owners answered questionnaires about their pet over one year.Renal foods are used to manage chronic kidney disease (CKD) in dogs and cats, but their effectiveness may be limited by the ability to transition animals to them.Most cats with CKD successfully transitioned to the renal food. The results also support previous studies that the renal food can help stabilise cats with CKD.All but eight cats (120/128; 94 per cent) successfully transitioned to the renal food. Most of the time, cats moderately or extremely liked the food (89 per cent), ate at least half (73 per cent) and were moderately or extremely enthusiastic while eating (68 per cent). Cats rarely disliked the food (2 per cent) or refused to eat it (1 per cent). Markers of renal function were unchanged in IRIS 1 and 2 cats and changed little in IRIS 3/4 cats. In all groups, owner-assessed quality of life improved initially and then remained stable. Mean bodyweight did not change in cats with CKD.Chronic kidney disease (CKD) occurs mostly in older cats and may affect as many as one in three cats aged >15 years (). Complications include a variety of metabolic disorders, dehydration, anaemia, proteinuria and arterial hypertension (). Conservative management of CKD focuses on correcting and maintaining fluid, electrolyte, acid-base, endocrine and nutritional balance (). Nutritional management, in particular feeding therapeutic renal foods, is an important part of this. When compared with typical feline maintenance foods, therapeutic renal foods feature reduced protein, phosphate and sodium and increased buffering capacity, soluble fibre, B-complex vitamins, antioxidants and omega-fatty acids. Because changing cats to a new food can be challenging, recommendations are to transition gradually to a renal food over at least seven days, although some cats may need as much as three to four weeks (, ).