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In Adult Dogs, Does Feeding a Raw Food Diet Increase the Risk of Urinary Calculi Formation Compared to Feeding a Complete Dry Kibble Diet?
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PICO question
In adult dogs, does feeding a raw food diet alter urine composition compared to a kibble diet?
Clinical bottom line
The evidence provided by the single study identified is weak and the outcomes can neither support nor challenge the hypothesis that a raw food diet increases the risk of urinary calculi compared to a kibble diet. Therefore, professionals working within the veterinary science or nutrition field should proceed with caution when advising clients and rely on their professional experience until more evidence is generated.
[...]
Appraisal, application and reflection
The option to feed a raw diet to dogs has grown in popularity and is now readily available commercially. Historically, there has been concern regarding excessive protein intake and the potential increase of calculi promoting substances such as calcium and uric acid (Robertson et al., 1979). This concern has been steadily increasing (Lulich et al., 1999) which has led to the association of a high protein diet with the increased risk of renal damage (Singer, 2003). Interest in the health benefits of a protein fed diet is increasing, however studies measure the relationship between protein and growth rather than welfare and health. Studies are also based on results from comparatively brief studies of less than 6 months. Furthermore, the majority of research conducted focusing on raw feeding, assesses the transmission rate of zoonotic disease and the risk this poses to human health (Joffe and Schlesinger, 2002; Strohmeyer et al., 2006; Finley, et al., 2006; Lefebvre et al., 2008).
It was noted at the British Small Animal Veterinary Association (BSAVA) 2016 Congress, that standardised information and advice is limited and not easily available to veterinarians, which reduces their ability to advise clients correctly. This lack of evidence-based peer reviewed research was addressed by Goh (2016), who found that advice concerning a raw feed diet often stems from anecdotal evidence only.
There is currently very little published evidence which studies the effects of raw feeding on urine composition and therefore on urinary calculus formation or urinary tract health. Additionally, there is still little evidence-based scientific research and a lack of feeding trials which supports the hypothesis that raw diets are a healthier or more nutritionally balanced than other diets (Michel, 2006; van Veggel & Armstrong, 2017).
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