119 Update on Grain-free Diets and Heart Disease in Dogs

Last year, grain free diets were in the news because of an association with a rare heart disease, Dilated Cardiomyopathy (DCM), in dogs. The FDA just published a report this month with ongoing investigation. Many other University studies are underway to try to figure out WHY some dogs develop this heart disease, WHICH diets it is associated with, and WHAT can be done to fix this problem.

There seems to be more than one factor causing heart disease after a year of study. These as association with Grain-free, legume rich, “exotic meat”, or “boutique” dry foods.   This is sometimes called a BEG diet for  Boutique, Exotic, and Grain-free. We won’t debate the pros and cons of grain free dog foods, but if you take out the grain based carbs, something must be substituted, and the 2 most common ingredients are sweet potato or legumes (peas). Most dog foods have been based on chicken, beef or lamb for years, but new sources like kangaroo and pork are popping up. Some nutritionists theorize that legumes and/or these novel protein sources might not have all the taurine needed or too much of other nutrients. Another theory for the Golden Retriever breed may be that they simply require more taurine than other breeds, so normal levels in food just isn’t enough for this popular breed. University studies are underway, and hopefully soon we will have more information.

Whatever diet you feed your dogs, it is always a good idea to look for the AAFCO label on pet foods. This means the diet has been either tested by field trial to meet minimum standards, or lab tested to meet minimum standards. There is a difference between “minimum” and “optimum”levels. And some products pass AAFCO when manufactured, but fail after it has been shipped and stored in non-ideal conditions (Texas heat).

The veterinary cardiologist and nutrition group has pieced together a few brief guidelines to help pet-owners navigate this complex issue:

1. Evaluate the diet that you are feeding your pet. If the diet is boutique, contains exotic ingredients, or is grain free, you may consider a diet change to one without these properties. Talk to your veterinarian about the FDA announcement and what diet may be best for your dog.
2. If you are concerned about your dog based on what you are feeding, watch closely for signs of heart disease such as weakness, slowing down on walks, coughing, fainting or trouble breathing. Your veterinarian may also recognize early heart disease by hearing a heart murmur or abnormal heart rhythms. If you observe these things or your veterinarian is concerned, additional testing may be indicated such as x-rays, blood tests, EKG, or heart ultrasound (echocardiogram).
3. If your dog is diagnosed with DCM, particularly if eating a diet that meets the criteria listed above:
• Ask your veterinarian to test blood taurine levels.
• Report the findings to the FDA.
• Change your dog’s diet as directed by your veterinarian’s recommendations.
• Ask your veterinarian to help you identify a dose for taurine supplementation.
• Seek guidance from a veterinary cardiologist.
• Follow the instructions from your veterinarian or veterinary cardiologist as repeat evaluations and other medications may be needed. It can take multiple months to see improvement in many cases of diet-related DCM.
More info and a statement from Nutrition Support Services at UC Davis Veterinary Hospital here.

https://vetnutrition.tufts.edu/2016/12/questions-you-should-be-asking-about-your-pets-food/
https://www.vetmed.ucdavis.edu/news/uc-davis-investigates-link-between-dog-diets-and-deadly-heart-disease

66 Dilated Cardiomyopathy associated with Grain Free Diets

There have been disturbing reports, mostly in Golden Retrievers that are eating grain free, legume (pea) based diets that are developing Dilated Cardiomyopathy. This is a heart muscle disease that causes enlarged hearts, most commonly seen in cats that are eating diets deficient in taurine. Taurine is an amino acid present in most meat and milk. It has been well known that deficiencies in cats can cause dilated cardiomyopathy, but has been rarely seen in dogs until now.

Most of these cases seen by veterinary cardiologist have been on “boutique”, homemade, or raw diets, not the major pet food manufacturers. Some universities are looking for more patterns, but it has been seen most often in Golden Retrievers. https://www.avma.org/News/JAVMANews/Pages/180801e.aspx?utm_source=email-optin&utm_medium=javma-news-180801&utm_campaign=animal-health&utm_term=link&utm_content=pet-diets-heart-disease

I am amazed daily by the number of clients that proudly boast their dog is on a grain free diet. Many think that grain free means no carbohydrates, and that just isn’t the case. To manufacture the kibble, they need some carbohydrates, so the makers use potato, peas, and other legumes instead of wheat, corn, barley and oats. I myself try to eat low carb to manage blood sugar, but I can’t do No carb. I am not gluten intolerant, so I do enjoy my home made sour dough bread in small quantities, especially when it is fresh out of the oven. I have met very few dogs that are gluten intolerant, but there are definitely a few. There are compelling studies for dogs with inflammation in skin or gastrointestinal tracts that benefit from gluten free diets. Gluten is a protein in found in wheat, barley and rye.
I think we need to be careful when we choose pet foods and not buy into fads. Look for the AAFCO label, which means the diet meets all the known standards for nutrients in the diet. And look for a reputable manufacturer. Currently, I am most familiar with and recommend Hills, Purina, Iams/Eukanuba, and Blue since these companies all make good veterinary therapeutic diets. There are probably others that are top notch, but just don’t make therapeutic diets.

To feed grain free or not isn’t black and white. It might be very appropriate for some pets, but we need to watch these new cases of dilated cardiomyopathy in Golden Retrievers that might be related to grain free legume based diets.

https://www.fda.gov/NewsEvents/Newsroom/FDAInBrief/ucm613355.htm

https://www.texvetpets.org/article/grain-free-diets/
https://weethnutrition.wordpress.com/2014/11/04/the-myth-of-the-natural-diet/
https://weethnutrition.wordpress.com/2017/09/03/pet-food-basics-dr-weeths-top-tips-for-feeding-your-new-dog/