Chronic kidney disease (CKD) is a common ailment affecting dogs, particularly as they age. Managing this condition often involves dietary adjustments to ease the burden on the kidneys and slow the progression of the disease. This article delves into the ingredients commonly found in canine kidney diets, exploring their roles and benefits in supporting dogs with kidney issues.
Understanding the Basics of Canine Kidney Diets
Canine kidney diets are specifically formulated to manage the symptoms and progression of CKD. These diets typically focus on:
- Restricted Phosphorus: Phosphorus is primarily restricted because dogs with kidney disease cannot properly process phosphorus. Elevated phosphorus levels can worsen kidney damage.
- Controlled Protein: While essential, excessive protein can strain the kidneys. Kidney diets usually contain moderate to high levels of highly digestible protein to minimize waste products.
- Increased Omega-3 Fatty Acids: These fatty acids, particularly EPA and DHA, possess anti-inflammatory properties and can support kidney function.
- Added B Vitamins: Niacin, Riboflavin, Thiamine, Vitamin B12, Pyridoxine, and Folic Acid are incredibly fragile B vitamins. They help a variety of enzymes do their jobs, so food more easily turns into energy in the body.
- Potassium Supplementation: Used as an electrolyte replenisher to ensure adequate potassium levels.
Common Ingredients in Canine Kidney Diets
Here’s a detailed look at the ingredients often found in canine kidney diets and their respective roles:
Protein Sources
- Egg: The egg itself is a complete protein, meaning it has all 9 amino acids the body needs from food and is low in phosphorus.
- Chicken: A lean, warming protein rich in B6, iron, zinc, and selenium.
- Fish Oil: Brimming with nutrients including marine proteins, essential fatty acids, and a powerful antioxidant called astaxanthin, the combination is a powerful anti-inflammatory.
- Liver: Liver contains 10 to 100 times the nutrients found in a serving of muscle meat. The liver is also rich in CoQ10, which generates energy in cells but also serves as an antioxidant.
Carbohydrate Sources
- Brewers Rice: Brewers rice is a common carbohydrate source in dog food. Adding just enough rice dampens the high phosphorus content of the high-quality meats, which is crucial for lessening the kidney’s workload and protecting kidney function. Recipes that include rice, for example, tend to be slightly firmer.
- Corn: Corn is used as a source of carbohydrates.
- Corn Gluten Meal: This provides a concentrated source of protein and carbohydrates.
- Wheat Gluten: Another source of protein in the diet.
Fiber Sources
- Dried Plain Beet Pulp: This provides fiber, aiding in digestive health. With Vitamin C, fiber, manganese, folate, and potassium, beets are packed with micronutrients that benefit the immune system and help fight inflammation.
- Powdered Cellulose: An insoluble fiber source that adds bulk to the diet and aids in digestion.
- Powdered Psyllium Seed Husk: This soluble fiber can help regulate bowel movements.
Fats and Oils
- Chicken Fat: Chicken fat is a source of energy and essential fatty acids.
- Vegetable Oil: Vegetable oil provides additional fat and calories.
Minerals and Supplements
- Calcium Carbonate: Calcium carbonate helps manage phosphorus levels by binding to phosphorus in the gut, reducing its absorption into the bloodstream.
- Potassium Chloride: Used as an electrolyte replenisher to ensure adequate potassium levels.
- Salt: Sodium chloride is added for flavor and to maintain electrolyte balance.
- Sodium Silico Aluminate: This is used as an anti-caking agent.
- DL-Methionine & L-Lysine: These are essential amino acids.
- Fructooligosaccharides: These are prebiotics that support gut health.
- Taurine: An amino acid that supports heart health.
- Choline Chloride: Important for nerve function.
- Trace Minerals: These include zinc proteinate, manganese proteinate, zinc oxide, ferrous sulfate, manganous oxide, copper sulfate, calcium iodate, sodium selenite, and copper proteinate, which are essential for various bodily functions.
- Magnesium Oxide: A source of magnesium.
- L-Tryptophan: An amino acid that can have a calming effect.
- Marigold Extract (Tagetes Erecta L.): Source of lutein, which is beneficial for eye health.
Vitamins
- Vitamin E Supplement (DL-alpha tocopherol acetate): An antioxidant that protects cells from damage.
- Vitamin C (L-ascorbyl-2-polyphosphate): An antioxidant that supports the immune system.
- Biotin: Important for skin and coat health.
- D-Calcium Pantothenate: A B vitamin involved in energy metabolism.
- Vitamin A Acetate: Essential for vision and immune function.
- Niacin Supplement: A B vitamin that supports energy metabolism.
- Pyridoxine Hydrochloride (Vitamin B6): Important for nerve function and protein metabolism.
- Thiamine Mononitrate (Vitamin B1): Essential for carbohydrate metabolism.
- Vitamin B12 Supplement: Important for nerve function and red blood cell formation.
- Riboflavin Supplement: A B vitamin involved in energy metabolism.
- Vitamin D3 Supplement: Essential for calcium absorption and bone health.
- Folic Acid: Important for cell growth and development.
Other Additives
- Natural Flavors: These enhance the palatability of the food.
- Rosemary Extract: Used as a natural preservative.
- Mixed Tocopherols and Citric Acid: These are natural preservatives.
- Chitosan: Comes from the outer skeleton of shellfish like lobster, crab, and shrimp. It binds to phosphorus, which gets eliminated. It’s a natural way to manage phosphorus levels.
Guaranteed Analysis Explained
The guaranteed analysis on the food label provides a breakdown of the nutrient content:
- Crude Protein (min.): The minimum percentage of protein in the food.
- Crude Protein (max.): The maximum percentage of protein in the food.
- Crude Fat (min.): The minimum percentage of fat in the food.
- Crude Fiber (max.): The maximum percentage of fiber in the food.
- Moisture (max.): The maximum percentage of moisture in the food.
- Eicosapentaenoic + Docosahexaenoic acid (EPA+DHA) (min.): The minimum amount of omega-3 fatty acids.
- Phosphorus (max.): The maximum percentage of phosphorus in the food, crucial for kidney diets.
- Vitamin E (min.): The minimum amount of Vitamin E.
- Ascorbic acid* (min.): The minimum amount of Vitamin C.
Additional Considerations
- Prescription Requirement: Per FDA guidelines for therapeutic pet food, a prescription is often needed for specialized kidney diets like Purina Pro Plan Veterinary Diets. Non-therapeutic diets, supplements, and treats do not require approval for purchase.
- Veterinarian Consultation: Always consult your veterinarian before introducing a kidney diet to your dog. Every dog and their condition is different, so it is best to learn whether the recommendations and ingredients are right for them.
- Hydration: Water helps with digestion, circulation, and other bodily processes like perfusion (movement of fluids through the organ), which helps move the harmful byproducts through the filtration system and out of the body. It is extremely recommended that you add some kind of moisture to your pet’s meal, whether that be from warm water, bone broth, or kefir. Moisture aids overall digestion and helps move any harmful substances out of the body.
- Palatability: Some dogs may be picky eaters, especially when introduced to a new diet. Palatability enticers can help, and gradually transitioning to the new food is recommended.
Examples of Therapeutic Diets
Several therapeutic diets are available to manage kidney disease in dogs. Some notable examples include:
Read also: Managing Stage 3 Kidney Disease with Diet
- Hill’s Prescription Diet i/d: Available in various formulations, including i/d Puppy Chicken Flavor, i/d Chicken & Vegetable Stew, i/d Chicken Flavor, and i/d Turkey Recipe. These diets are highly digestible and formulated to help manage digestive upsets, often a concern in dogs with kidney disease.
- Medicus Canine Kidney Support Diet: This diet is intended for intermittent or supplemental feeding only.
Rehydration Directions for Specific Foods
- Nugget Rehydration: Rehydrate by adding +/- ¾ cup of warm water for every cup of food. Mix the water and food, and wait 3-4 minutes, then serve.
- Paté Rehydration: Add 1 1/2 cups of hot water (120 degrees F) for every 1 cup of Medicus pate powder. Mix and let rest for 5-10 minutes.
Additional Hydration Options
- Chicken Bone Broth: Hydrate your dog’s food with chicken bone broth (no sodium) as a nutritious and enticing way to add moisture and flavor.
- Sardines: Place a sardine on top of your dog’s meal.
- Kefir: Hydrate your dog’s food with kefir, which contains probiotics, beneficial enzymes, and vitamins B & K.
Proper Storage of Kidney Support Foods
- Freeze-Dried Food: Store freeze-dried food like you would any of your dry goods. Keep them in a cool, dry place, out of direct sunlight for peak freshness. Reseal the product properly after every use by pushing out all residual air to prevent moisture from affecting the shelf life. If you live in a hot, humid environment, store it in the fridge.We recommend keeping the food in its original packaging since that bag was picked specifically to keep oxygen out.
- If there is remaining food left in your pet’s bowl, you can transfer it to an air-tight container and store it in the refrigerator for up to five days.
Read also: A Review of the Mediterranean Diet in Kidney Disease
Read also: Nutrition and stage 2 CKD
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