{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:51:33Z","timestamp":1791589893751,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,3,9]],"date-time":"2017-03-09T00:00:00Z","timestamp":1489017600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Pet Nutrition Center, Hill\u2019s Pet Nutrition, Inc, Topeka, KS"},{"name":"IDEXX Laboratories, Inc"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Animal Physiology Nutrition"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Currently, nutritional management is recommended when serum creatinine (Cr) exceeds 1.4\u00a0mg\/dl in dogs with <jats:styled-content style=\"fixed-case\">IRIS<\/jats:styled-content>\u2010Stage 2 chronic kidney disease (<jats:styled-content style=\"fixed-case\">CKD<\/jats:styled-content>) to slow progressive loss of kidney function, reduce clinical and biochemical consequences of <jats:styled-content style=\"fixed-case\">CKD<\/jats:styled-content>, and maintain adequate nutrition. It is unknown if dietary interventions benefit non\u2010azotemic dogs at earlier stages. A prospective 12\u2010month feeding trial was performed in client\u2010owned dogs with <jats:styled-content style=\"fixed-case\">IRIS<\/jats:styled-content>\u2010Stage 1 <jats:styled-content style=\"fixed-case\">CKD<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u00a0=\u00a036; 20 had persistently dilute urine with urine specific gravity (<jats:styled-content style=\"fixed-case\">USG<\/jats:styled-content>) &lt;1.020 without identifiable non\u2010renal cause; six had persistent proteinuria of renal origin with urine protein creatinine (<jats:styled-content style=\"fixed-case\">UPC<\/jats:styled-content>) ratio &gt;0.5; 10 had both). Ease of transition to therapeutic renal food and effects on renal biomarkers and quality of life attributes were assessed. Dogs were transitioned over 1\u00a0week from grocery\u2010branded foods to renal food. At 0, 3, 6, 9, and 12\u2010months a questionnaire to assess owner's perception of their pet's acceptance of renal food and quality of life was completed. Renal biomarkers, including serum Cr, blood urea nitrogen (<jats:styled-content style=\"fixed-case\">BUN<\/jats:styled-content>), and symmetric dimethylarginine (<jats:styled-content style=\"fixed-case\">SDMA<\/jats:styled-content>), and <jats:styled-content style=\"fixed-case\">USG<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">UPC<\/jats:styled-content> ratio were measured. Of 36 dogs initially enrolled, 35 (97%) dogs were transitioned to therapeutic renal food. Dogs moderately or extremely liked the food 88% of the time, ate most or all of the food 84% of the time, and were moderately or extremely enthusiastic while eating 76% of the time. All renal biomarkers (Cr, <jats:styled-content style=\"fixed-case\">BUN<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">SDMA<\/jats:styled-content>) were decreased (<jats:italic>p\u00a0<\/jats:italic>\u2264<jats:italic>\u00a0<\/jats:italic>.05) from baseline at 3\u2010months, and remained decreased from baseline at 12\u2010months in dogs completing the study (<jats:italic>n<\/jats:italic>\u00a0=\u00a020). Proteinuria was reduced in 12 of 16 dogs (<jats:italic>p\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>.045) with proteinuria. Owners reported improvement in overall health and quality of life attributes, and hair and coat quality (all <jats:italic>p\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>.01). In summary, dogs with <jats:styled-content style=\"fixed-case\">IRIS<\/jats:styled-content>\u2010Stage 1 <jats:styled-content style=\"fixed-case\">CKD<\/jats:styled-content> readily transition to renal food. Decreasing serum biomarker concentrations and reduction in proteinuria suggest stabilized kidney function.<\/jats:p>","DOI":"10.1111\/jpn.12692","type":"journal-article","created":{"date-parts":[[2017,3,9]],"date-time":"2017-03-09T06:33:01Z","timestamp":1489041181000},"page":"297-307","source":"Crossref","is-referenced-by-count":25,"title":["A longitudinal study on the acceptance and effects of a therapeutic renal food in pet dogs with <scp>IRIS<\/scp>\u2010Stage 1 chronic kidney disease"],"prefix":"10.1111","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7758-6703","authenticated-orcid":false,"given":"J. A.","family":"Hall","sequence":"first","affiliation":[{"name":"Department of Biomedical Sciences College of Veterinary Medicine Oregon State University  Corvallis OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. 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