Lecture 11: Obesity
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| your most common patient will be | obese pets
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| obesity affects | ~61% of cats and 59% of dogs
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| effects of obesity | chronic inflammation, reduced life expectancy, skin disorders, arthritis, type 2 diabetes, respiratory disorders, kidney dysfunction
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| how does obesity make the pet feel? | chronic fatigue, decreased energy and vitality, aches and pains, increased risk of depression and anxiety
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| how to help your #1 patient? | diet, exercise, positive affirmations, owner involvement, follow-up is key
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| goals of weight loss | don't chase number on scale, aim for quality of life, be able to walk ___ min, ability to walk up/down stairs, initiate play activity, get up easier
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| diet and weight loss | keep it simple and start with small goals, aim for 1-2% weight loss per week
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| diet | increase fiber for satiety, increased protein to retain muscle while losing fat; for dogs and cats >BCS 7-9 = therapeutic diet; feed daily caloric needs in 4-6 smaller daily meals
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| therapeutic diet | they can eat more, keeps them satisfied longer, helps maintain muscle, avoid nutrient deficiencies, more likely to reach target weight
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| meals | meals in frozen dog food toys, break up daily kcals into multiple daily meals, reserve kcals for daily treats, food puzzles/kongs
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| RER calculation | (BW in kg x 30) + 70
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| what BCS is ideal? | 4-5 out of 9
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| BCS 6 out of 9 | animal is 10% overweight
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| BCS 7 out of 9 | animal is 20% overweight
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| BCS 8 out of 9 | animal is 30% overweight
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| BCS 9 out of 9 | animal is 40% overweight
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| BCS > 9 out of 9 | morbidly obese, > 40% overweight
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| DER calculations | RER x 0.9 for BCS 6/9, RER x 0.8 for BCS 7/9, RER x 0.7 for BCS 8/9. RER x 0.6 for BCS 9/9
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| how should you measure the amount of food as you give? | some cups are not the same, gram scale may be the way to go
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| exercise | start with very low impact, avoid jumping/running, short frequent leash walks 3-4x daily (5-10 min ok to start), care/standing exercises; if available, swimming 1 min increments 3x weekly
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| exercise one the pet is conditioned | > 60 min of exercise per day for dog, 3-5 periods of intense play > 5 min per day for cat; +/- NSAIDs for patients with advanced OA
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| follow-up appointments | weight checks, even a 5-6% weight loss will result in a lameness reduction, aim for 1-2% weight loss per week; if in hospital, 2-4% weight loss per week okay, cats 0.5-2% weight loss per week
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| owner incentives | free bag of dog food 1st ____ lbs of weight loss, remind clients of health benefits, cost benefits, print award/picture/button/badge; anything to recognize their achievement helps
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| communication tips for success | WHO is feeding the pet, WHAT foods are they feeding, WHY are they feeding; FOOD DOES NOT EQUAL LOVE
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| key communication strategies | stay positive, don't make the client feel guilty, avoid words like obese, fat, cruel, etc., give simple and clear instructions, get client involved, focus on wellness (I want ___ to feel good, etc.), alternative ways to show love (petting/affection, etc.)
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| 5 key strategies | educate, plan together with client, food (type and amount), exercise (right for pet and client), follow-up
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
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To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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