Reed Nicola, Gunn-Moore Danièlle, Simpson Kerry
Division of Veterinary Clinical Studies, Royal (Dick) School of Veterinary Studies, University of Edinburgh Hospital for Small Animals, Easter Bush Veterinary Centre, Roslin, Midlothian EH25 9RG, UK.
J Feline Med Surg. 2007 Aug;9(4):278-88. doi: 10.1016/j.jfms.2007.01.005. Epub 2007 Mar 27.
Hypocobalaminaemia in cats has previously been identified, but the incidence reported has varied, and the frequency of folate deficiency is unknown. The aims of this study were to evaluate the incidence of low cobalamin and folate levels in a population of cats that were suffering predominantly from diseases of the alimentary tract (including the liver and pancreas) and to ascertain whether severity of disease (as assessed by bodyweight and body condition score (BCS)) related to degree of deficiency. The study population comprised 103 cats, of which 16.5% had low cobalamin levels and 38.8% had low folate levels. A serendipitous finding was inorganic phosphate levels below the reference range in 48% of the cases. Significant associations were found between subnormal cobalamin levels and median BCS (P=0.049); combined low folate and low cobalamin and bodyweight (P=0.002), BCS (P=0.024) and inorganic phosphate levels (P=0.003). The finding of low levels of folate and cobalamin in clinical cases suggests that supplementation may be indicated more frequently than is currently recognised.
猫的低钴胺素血症此前已被确认,但报告的发病率有所不同,且叶酸缺乏的频率尚不清楚。本研究的目的是评估主要患有消化道疾病(包括肝脏和胰腺)的猫群体中钴胺素和叶酸水平低下的发生率,并确定疾病严重程度(通过体重和体况评分(BCS)评估)是否与缺乏程度相关。研究群体包括103只猫,其中16.5%的猫钴胺素水平低,38.8%的猫叶酸水平低。一个意外发现是48%的病例中无机磷酸盐水平低于参考范围。发现钴胺素水平低于正常与中位BCS之间存在显著关联(P = 0.049);叶酸和钴胺素水平均低与体重(P = 0.002)、BCS(P = 0.024)和无机磷酸盐水平(P = 0.003)之间存在显著关联。临床病例中叶酸和钴胺素水平低的发现表明,补充可能比目前认识到的更频繁地需要。