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Is proteinuria a rare condition in apparently healthy and sick cats? A feline practice experience (2007-2018)
Maria Cristina López1, Valentina Aybar2, Andrea Zatelli3
1Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Bellaterra, Spain.
Insights
Proteinuria is common in cats, affecting over half of those studied, and is linked to chronic kidney disease (CKD). Measuring urine protein-to-creatinine (UPC) ratio aids in detecting and managing CKD, even in seemingly healthy cats.
Area of Science:
- Veterinary Medicine
- Nephrology
- Companion Animal Health
Background:
- Proteinuria is considered less prevalent in felines compared to canines.
- Proteinuria in cats is primarily linked to chronic kidney disease (CKD).
Purpose of the Study:
- To evaluate and compare urine protein-to-creatinine (UPC) values in cats.
- To assess UPC in cats undergoing annual health checks versus those with clinical signs of CKD.
Main Methods:
- Retrospective evaluation of UPC ratios in 112 owned cats.
- Categorization of cats into apparently healthy (n=51) and sick (n=61) groups based on clinical signs suggestive of CKD.
Main Results:
- Over half (54.5%) of all cats exhibited borderline or overt proteinuria (UPC ≥ 0.2).
- Proteinuria was identified in 35.7% of sick cats and 18.7% of healthy cats.
- Increased UPC correlated with azotemia and isosthenuria in both groups.
Conclusions:
- Borderline and overt proteinuria in cats are significantly associated with CKD.
- UPC measurement is valuable for detecting and managing CKD in cats, including apparently healthy ones during routine check-ups.
Background:
Proteinuria is assumed to be less frequent in cats than in dogs and is mainly associated with chronic kidney disease (CKD).
Aim:
The current study aimed to evaluate and compare urine protein-to-creatinine (UPC) values retrospectively in cats visited for comprehensive annual health check or for presenting systemic clinical signs related to CKD.
Methods:
UPC ratio was retrospectively evaluated in 112 owned cats, out of which 51 (45.5%) were apparently healthy cats according to their owners who visited for comprehensive annual health checks and 61 (54.5%) sick cats, presenting systemic clinical signs suggesting CKD, such as weight loss or polyuria/polydipsia, among others.
Results:
Based on UPC, the present study found that 54.5% of all cats included were borderline proteinuric or proteinuric, having increased UPC (UPC ≥ 0.2), with 35.7% included in the sick group and 18.7% in the health-check group. Increased UPC was also statistically associated with azotemia and isosthenuria (urinary-specific gravity between 1,008 and 1,035) in both sick and health-check groups of cats.
Conclusion:
Independent of the reason for their medical visit, it could be concluded that borderline proteinuria and proteinuria were statistically mainly related to CKD in cats. Furthermore, the measurement of UPC could be very useful in the detection and management of CKD in apparently healthy cats during a medical visit for annual health check irrespective of the age.
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