评估在兽医教学医院就诊的慢性胃肠道临床症状的猫的饮食史。
Evaluation of dietary histories in cats presenting with chronic gastrointestinal clinical signs to a veterinary teaching hospital.
机构信息
Clinic for Small Animal Internal Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
出版信息
J Feline Med Surg. 2023 Feb;25(2):1098612X231154466. doi: 10.1177/1098612X231154466.
OBJECTIVES
Although less frequently described than in dogs, it is also well recognised in cats that chronic gastrointestinal (GI) disease can fully respond to dietary changes only. So far, no study has assessed how much dietary information can be obtained during veterinary consultations.
METHODS
We retrospectively evaluated how much dietary information was available when owners presenting their cats to our gastroenterology (GE) and internal medicine (IM) service between October 2017 and January 2020 were questioned during consultations. Because of the larger IM caseload, for each week the first two cats presenting with chronic GI signs were selected for the IM group. Data from 80 cats presenting for first GE consultations were compared with data from 84 cats presenting with chronic GI signs for first IM consultations.
RESULTS
Referrals comprised 42/80 (53%) GE cats and 53/84 (63%) IM cats. Referral documents mentioned the previously fed diet in 12/42 (29%) GE and 4/53 (8%) IM cats, and response to that previous diet trial was recorded in the referral documents of 4/12 (33%) GE and 3/4 (75%) IM cats. No cat had received more than one previous diet trial. During consultations, owners of 61/80 (76%) GE and 53/84 (63%) IM cats were asked about diet. Irrespective of referral status, previous dietary trials had been performed in 27/61 (44%) GE and 19/53 (36%) IM cats. The specific diet fed at the time of consultation could be named by 37/61 (61%) GE and 11/53 (21%) IM cat owners.
CONCLUSIONS AND RELEVANCE
Overall dietary information gained from referring veterinarians and owners was often incomplete. Although more information could be gained from owners during GE consultations vs IM consultations, awareness of the importance of diet in cats with GI disease still appears to be low among veterinarians and cat owners. Future studies need to assess if more complete dietary information can be obtained at the time of consultations with a prospective study design.
目的
尽管在猫中描述得较少，但人们也认识到，慢性胃肠道（GI）疾病仅通过饮食改变就能得到完全缓解。到目前为止，还没有研究评估在兽医咨询期间可以获得多少饮食信息。
方法
我们回顾性评估了在 2017 年 10 月至 2020 年 1 月期间，当我们的胃肠病学（GE）和内科（IM）服务的主人在咨询期间询问他们的猫时，能获得多少饮食信息。由于 IM 的病例较多，每星期前两位出现慢性 GI 症状的猫被选中进行 IM 组检查。将 80 只首次接受 GE 咨询的猫的数据与 84 只首次出现慢性 GI 症状的猫的数据进行比较。
结果
转诊包括 42/80（53%）只 GE 猫和 53/84（63%）只 IM 猫。转诊文件中提到了之前喂养的饮食在 12/42（29%）只 GE 和 4/53（8%）只 IM 猫中，在转诊文件中记录了对之前饮食试验的反应在 4/12（33%）只 GE 和 3/4（75%）只 IM 猫中。没有猫接受过不止一次的饮食试验。在咨询过程中，80 只 GE 猫中有 61/80（76%）只和 84 只 IM 猫中有 53/84（63%）只的主人被问到了饮食情况。无论转诊情况如何，27/61（44%）只 GE 和 19/53（36%）只 IM 猫之前都进行过饮食试验。61/80（61%）只 GE 和 53/84（21%）只 IM 猫的主人能够说出当时正在喂食的特定饮食。
结论和相关性
从转诊兽医和主人那里获得的总体饮食信息往往不完整。尽管在 GE 咨询期间可以从主人那里获得更多信息，但 GI 疾病猫的饮食重要性似乎仍未被兽医和猫主人充分认识。未来的研究需要评估在咨询时是否可以通过前瞻性研究设计获得更完整的饮食信息。
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