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DC Field | Value | Language |
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dc.contributor.author | Alves, Raquel Sampaio | |
dc.date.accessioned | 2023-12-22T02:58:15Z | - |
dc.date.available | 2023-12-22T02:58:15Z | - |
dc.date.issued | 2011-01-05 | |
dc.identifier.citation | ALVES, Raquel Sampaio. Frequência e fatores de risco da obesidade em uma população de gatos domésticos na rotina cirúrgica na região metropolitana do Rio de Janeiro. 2011. 49 f. Dissertação (Programa de Pós-Graduação em Medicina Veterinária (Patologia e Ciências Clínicas)) - Universidade Federal Rural do Rio de Janeiro, Seropédica. | por |
dc.identifier.uri | https://rima.ufrrj.br/jspui/handle/20.500.14407/14248 | - |
dc.description.abstract | A obesidade é uma condição de balanço energético positivo e excessiva formação de tecido adiposo com efeitos diretos na morbidade e mortalidade. O presente estudo compreendeu um levantamento da freqüência de gatos obesos no período de junho a novembro de 2010. O objetivo deste trabalho foi avaliar freqüência de gatos com sobrepeso e obesos, identificar os fatores de risco para esta amostra e a percepção do proprietário sobre a condição corporal do seu gato. Este é o primeiro estudo no país relacionado à epidemiologia da condição da obesidade somente na espécie felina. Para isto, foram selecionados 106 animais da espécie felina (Felis catus), machos e fêmeas inteiros ou esterilizados, com ou sem raça definida, escolhidos aleatoriamente dentre os gatos encaminhados para intervenções cirúrgicas. Estes animais foram atendidos em uma clínica privada exclusiva no atendimento de gatos localizada no bairro de Botafogo e eram provenientes de treze bairros e cinco municípios distintos do estado do Rio de Janeiro. Os gatos foram avaliados por meio de um questionário respondido por seus donos a cerca da rotina do gato e informações demográficas sobre o proprietário, além da avaliação subjetiva e objetiva para a obesidade. Neste estudo a análise subjetiva foi feita por meio do escore de cinco pontos e a objetiva pelo cálculo do índice de massa corporal do felino (IMCF). Doenças relacionadas à obesidade foram também observadas e descritas. Foram apreciados 50,9% (54) machos e 49,1% (52) fêmeas com média de idade de 5,4 (±4,39) anos. Quanto ao estado reprodutivo foram encontrados 72,6% (77) animais castrados e 27,4% (29) inteiros. Os gatos domiciliados estavam em maioria com 93,3% (98) e apenas 6,7% (7) eram peridomiciliados. O acesso ao alimento livre ao alimento mostrou-se superior com 83,8% (88) contra 16,2% (17) de animais com acesso controlado a dieta. A média de peso da nossa amostra foi 4,80 (±1,98). Conclui-se que a freqüência de excesso de peso na população de gatos da rotina cirúrgica foi de 60,4%, sendo 23,6% identificados com sobrepeso e 36,8% obeso através da avaliação do escore corporal. A obesidade foi evidenciada em metade desta população estudada pelo método do índice de massa corporal do felino. Os fatores de risco para obesidade foram gatos de meia idade, castrados, especialmente machos domiciliados com acesso livre ao alimento. A subestimação do escore por seus proprietários também foi um fator predisponente para obesidade felina. Em adicional, a associação do método subjetivo (ECC) com o objetivo (IMCF) são formas determinantes e concisas para uma adequada avaliação da obesidade. | por |
dc.description.sponsorship | Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro - FAPERJ | por |
dc.format | application/pdf | * |
dc.language | por | por |
dc.publisher | Universidade Federal Rural do Rio de Janeiro | por |
dc.rights | Acesso Aberto | por |
dc.subject | gato | por |
dc.subject | obesidade | por |
dc.subject | fatores de risco | por |
dc.subject | Rio de Janeiro | por |
dc.subject | cats | eng |
dc.subject | obesity | eng |
dc.subject | risk factors | eng |
dc.subject | Rio de Janeiro | eng |
dc.title | Freqüência e fatores de risco da obesidade em uma população de gatos domésticos na rotina cirúrgica na região metropolitana do Rio de Janeiro. | por |
dc.title.alternative | Frequency and risk factors of obesity in a population of domestic cats in a surgical routine in the metropolitan region of Rio de Janeiro | eng |
dc.type | Dissertação | por |
dc.description.abstractOther | Obesity is a condition of positive energy balance and excess adipose tissue formation with adverse effects on morbidity and mortality. This study encompasses a survey of the frequency of obese cats during the period of June to November of 2010.The aim of this study was to evaluate frequency of overweight and obese cats, identify risk factors for this sample and perception of the owners about the body condition of their cat. In Brazil, this is the first study related to epidemiology of the obesity condition only in the feline species. For this, 106 feline animals (Felis catus) were selected, male and female sterilized or unsterilized, with or without defined breed, randomly selected amongst the cats sent to surgical interventions. These animals were seen in a private clinic specialized in treating cats, located in Botafogo. These cats were arising from thirteen districts and five different counties in the state of Rio de Janeiro. The cats were analyzed through a questionnaire answered by their owners about the routine of the cats and demographic information about the owners, besides the subjective and objective evaluation for obesity. In this study, the subjective analysis was performed using five-point score and the objective analysis was performed by calculating the feline body mass index (FBMI). Diseases related to obesity have been also observed and described. It was considered 50.9% (54) males and 49.1% (52) females with average age of 5.4 (± 4.39) years. As concerns the reproductive status, there were found 72.6% (77) neutered animals and 27.4% (29) non-neutered ones. The domestic cats were majority with 93.3% (98) and only 6.7% (7) were “outdoor”. The access to free food to the food was superior to 83.8% (88) compared to 16.2% (17) of animals with controlled access to their diet. The average weight of our sample was 4.80 (± 1.98). It can conclude that the frequency of overweight in the population of cats from surgical routine was 60.4% and 23.6% identified as overweight and 36.8% obese through evaluating the body condition score. Obesity was found in half of the population studied by the method of feline body mass index. The risk factors for obesity were evidenced in the middle-aged cats, neutered, especially males domiciled with free access to food. The underestimation of the score by their owners was also a predisposing factor for feline obesity. In addition, the association of subjective method (BCS) with the purpose (FBMI) are the ways to determine an appropriate and concise assessment of obesity. | eng |
dc.contributor.advisor1 | Souza, Heloisa Justen Moreira de | |
dc.contributor.advisor1Lattes | http://lattes.cnpq.br/6684463877522156 | por |
dc.contributor.referee1 | Paiva, Jonimar Pereira | |
dc.contributor.referee2 | Vasconcellos, Carmem Helena | |
dc.creator.Lattes | http://lattes.cnpq.br/5020291487793090 | por |
dc.publisher.country | Brasil | por |
dc.publisher.department | Instituto de Veterinária | por |
dc.publisher.initials | UFRRJ | por |
dc.publisher.program | Programa de Pós-Graduação em Medicina Veterinária (Patologia e Ciências Clínicas) | por |
dc.relation.references | AHIRMA, R.S; FLIER, J.S. Adipose tissue as endocrine organ. Trends in Endocrinology Metabolism, Amsterdam, Holanda, v.11, n.8, p. 327-732, 2000. ALLAN, F.J, et al. A cross-sectional study factory for obesity factors in cat in New Zeland. Preventive Veterinary Medicine, Amsterdam, Holanda, v.46, p. 183-196, 1999. APPLETON, D.J., RAND, J.S., SUNVOLD, G. D. Plasma leptin concentrations are independently associated with insulin sensitivity in lean and overweight cats. Journal of Feline Medicine and Surgery, Amsterdam, Holanda, v.4, n.2, p. 83-93, 2002. APPLETON,D.J., RAND, J. S., SUNVOLD, G. D. Plasma leptin concentrations in cats: reference range, effect of weight gain and relationship with adiposity as measured by dual energy X-ray absorptiometry. Journal of Feline Medicine and Surgery, Amsterdam, Holanda, v. 2, n.4, p. 191-199, 2000. BACKUS, R.C; HAVEL, P.J.; GINGERICH, R.L.; ROGERS, Q.R. Relationship between serum leptin immunoreactivity and body fat mass as estimated by use of a novel gas-phase Fourier transform infrared spectroscopy deuterium dilution method in cats. American Journal of Veterinary Research, Washington, DC, USA, v.61, n.7, p.796-801, 2000. BURKHOLDER, W.J.; P.W., TOLL. Obesidad. In: HAND, M.S.; THATCHER, C.D.; REMILLARD, R.L.; ROUDEBUSH, P. Nutritión Clínica en Pequeños Animales, 4. e.d. Santa Fé de Bogotá – Colombia: PANAMERICANA, 2000. p.475-508. BUTTERWICK, R. How fat is that cat. Journal of Feline Medicine and Surgery, Amsterdam, Holanda, v.2, n.2, p. 91-94, 2000. BUTTERWICK, R.F.; WILLS, J.M.; SLOTH C, A study of obese cats on a calorie-controlled weight reduction programme. Veterinary Record, London, UK, v.134, p.372-377, 1994. BUTTERWICK, R.F; MARKWELL, P.J. Changes in the body composition of cats during weight reduction by controlled dietary energy restriction. Veterinary Record, London, UK, v.138, p.354-357, 1996. BYERS, C.G.; WILSON, C.C.; NETTING, F.E.; OLSEN, C. Exploring the causes and consequence of canine obesity. Veterinary Medicine, Lenexa, KS, USA, v., n.1, p.184-190, 2011. CIOFFI, J.A. et al. Novel B219/OB receptor isoforms: possible role of leptin in hematopoiesis and reproduction. Nature Medicine, London, UK, v.2, n.5, p.585-91, 1996. COLLIARD.L et al.Prevalence and risk factors of obesity in an urban population of healthy cats. Journal of Feline Medicine and Surgery, Amsterdam, Holanda, v. 11, n.2, p. 1135- 140, 2009. COUCIER, E.A. et al. Prevalence and risk factors for feline obesity in a first opinion practice in Glasgow, Scotland. Journal of Feline Medicine and Surgery, Amsterdam, Holanda, v.12, n.10, p-362-367, 2010. 44 CRYSTAL, M.A. Obesity. In: NORSWORTHY, G.D.; M.A. CRYTAL; GRACE, S.F.; TILLEY, L.P. O Paciente Felino, 3.e.d. São Paulo - Brasil: ROCA, 2009. p.223-224. DONOGHUE, S.; SCARLETT, J.M. Diet and feline obesity.The Journal of Nutrition, Betshesda, MD, USA, v.128, p.S2776 -2778, 1998. DUCY, P. et al. Leptin inhibits bone formation through a hypothalamic relay: a central control of bone mass. Cell, Amsterdam, Holanda, v. 100, n.2, p.197-207, 2000. ELLIOT, D.A. Técnicas para avaliação da composição corporal em cães e gatos. Waltham Focus, Paris, França, v. 16, n.1, 2006. FARIAS, V.P. Avaliação clínica, laboratorial e Ecocardiográfica de gatos domésticos hipertireóideos no período entre 2007 e 2008. (2009). 110f. Dissertação (Mestrado em Medicina Veterinária - ciências clínicas), Universidade Federal Rural do Rio de Janeiro, Seropédica, 2009. FERGUSON, D.C.; CAFFALL, Z.; HOENIG, M.J. Obesity increases free thyroxine proportionally to nonesterified fatty acid concentrations in adult neutered female cats. Endocrinology, Chevy Cahse, MD, USA, v.194, n.2, p.267-273, 2007. FISHER-POSOVZKY, P., WABITSCHA,M., HOCHBERG, Z. Endocrinoly of adipose tissue – an update. Hormone and Metabolic Research, New York, NY, USA, v. 39, p.314-321, 2007. FRIEDMANN, J. M.; HALAAS, J.L. Leptin and the regulation of body weight in mammals. Nature, London, UK, v.395, n.22, p.763-701, 1998. FUNAHASHI, T.; MATSUZAWA, Y.; KIHARA, S. Adiponectin as a potential key player in metabolic syndrome Insights into atherosclerosis, diabetes and cancer. In: The 13th International Atherosclerosis Symposium, congress international series, Atherosclerosis XIII, 2004, Kyoto. Proceending… Kyoto, Japão: [s/n], v.1262, p.368-371, 2004. Disponível em:< www.sciencedirect.com>. Acesso em: 05/05/2011. GERMAN, A.J. The growing problema of obesity in dogs and cats. The Journal of Nutrition, local, v.136, p. 1940s-1946, 2006. GERMAN, A.J.et al. Obesity, its associated disorders and the role of inflammatory adipokines in companion animals, The Veterinary Journal, Amsterdam, Holanda, v.185, n.1, p.4-9, 2010. GERMAN, A.J; MARTIN, L. Feline obesity:epidemiology, pathophysiology and management. In: PIBOT, P.; BIOURGE, V.; ELLIOT, D. Encyclopedia of Feline Nutrition, 2008. Disponível em: < http://www.ivis.org/advances/rcfeline>. Acesso em: 8 mar. 2009. GOLDSTEIN, B.J; SCALIA, R. Adiponectin: a noveladipokine linking adipocytes and vascular function. The Journal of Clinical Endocrinology and Metabolic, Washington, DC, USA, v.89, n.6, p.2563-2568, 2004. GRECO, D..S. Life is shorter, if you eat desert first: Clinical implications of the purina 448 study. In: Purina Pet Institute Symposium, 2002, St Louis, USA. Proceedings… St Louis, USA, [s/n], 2002, p.30-32. Disponível em <www.vin.com>. Acesso em: 07 outubro 2009. 45 HATANO, Y. et al. Hypertriglyceridemia with increased plasma insulin concentrations in cats. Research in Veterinary Science, Amsterdam, Holanda, v.88, n.3, p.458-60, 2010. HAVEL, P.J. Update on adipocyte hormones: regulation of energy balance and carbohydrate/ lipid metabolism. Diabetes, New York, NY, USA, v.53, n.1, p.S143-51, 2004. HAWTHORNE, A.J; BUTTERWICK, R.F. Predicting the body composition of cats: development of a zoometric measurement for estimation of percentage body fat in cats. Journal Veterinary Internal Medicine, Amsterdam, Holanda, v.14,p.365, 2000. HENEGAR, J.R. et al. Functional and structural changes in the kidney in the early stages of obesity. Journal of the American Society of Nephrology, Gaisnesville, Florida, USA, v.12, n.6, p.1211-7, 2001. HOENIG, M. The cat as a model for human nutrition and disease. Current Opinion in Clinical Nutrition and Metabolic Care, New York, NY, USA, v.9, n.5, p.584-588, 2006. Review HOENIG, M. Obesity in the cat and its metabolic sequelae. In: British Small Animal Veterinary Congress, 2009, Athens, USA. Proceedings… Athens, USA, [s/n], 2009. Disponível em: <www.vin.com>. Acesso em: 07 outubro 2009. HOENIG, M.; CAFFALL, Z.; FERGUSON, D.C. Triiodothyronine differentially regulates key metabolic factors in lean and obese cats. Domestic Animal Endocrinology, Amsterdam, Holanda, v.34, n.3, p.229-237, 2008. HOENIG, M.et al.Insulin sensitivity, fat distribution, and adipocytokine response to different diets in lean and obese cats before and after weight loss. American Journal of Physiology - Regulatory, Integrative and Comparative Physiology, Bethesda, MD, USA, v.292, n.1, p.227-234, 2007. ISHIOKA, K et al. Plasma leptin concentration in dogs: Effects of body condition, score, age, gender and breed. Research in Veterinary Science, Amsterdam, Holanda, v. 82, n.1, p. 11- 15, 2007. JASO-FRIEDMANN, et al. The effects of obesity and fatty acids on the feline immune system. Veterinary Immunology and Immunopathology, Amsterdam, Holanda, v.122, n. 1- 2, p.146-52, 2008. JORDAN, E. et al. Dyslipidemia in obese cats. Domestic Animal Endocrinology, Amsterdam, Holanda, v.35, n.3, p.290-299, 2008. KIENZLE, E.; BERGLER, R. Human-animal relationship of owners of normal and overweight cats. The Journal of Nutrition, Bethesda, MD, USA, v.136, p.1947S-1950S, 2006. KRONFELD DS, DONOGHUE S, GLICKMAN LT. Body condition in cats. The Journal of Nutrition, Bethesda, MD, USA, v.124, n.S2, p.683-684, 1994. LAFLAMME D. Development and validation of a body condition score system for cats: a clinical tool. Feline Practice, Mission, CA, USA, v.25, n.5-6, p. 13-18, 1997. 46 LAFLAMME, D.P. Understanding and managing obesity in dogs and cats. Veterinary Clinics of North America: Small Animal Practice, Amsterdam, Holanda, v.36, p.1283 - 1295, 2006. LORD, G.M. et al. Leptin modulates the T-cell immune response and reverses starvationinduced immunosuppression. Nature, London, UK, v.394, n.6696, p.897-901, 1998. LUND, E.M, et al. Prevalence and risk factors for obesity in adult cats from private us veterinary practices. The International Journal of Applied Research in Veterinary Medicine, Apopka, Florida, USA, v.3, n.2, 2005. LUSBY, C.J.; KIRK, R. Obesity. In: BONAGURA, J.D.; KIRK, R.W. Current Veterinary Therapy, 12.ed. Philadelphia: Saunders, 2008, p.211-217. MAC GREEVY et al. Prevalence of obesity in dogs examined by Australian veterinary practices and the risk factors involved. Veterinary Record, London, UK, v.156, p.695- 707, 2005. MAFFEI, M. et al. Absence of mutations in the human OB gene in obese/diabetic subjects. Diabetes, New York, NY, USA, v.45, n.5, p.679-82, 1996. MARTIN L et al. Hormonal disturbances associated with obesity in dogs. Journal of Animal Physiology and Animal Nutrition, Berlin, Alemanha, v.90, p. 355-360, 2006a. MARTIN, L.; SILIART, B.; DUMON, H. Leptin body fat content and energy expenditure in intact and gonadectomized adult cats: a preliminary study. Journal of Animal Physiology and Animal Nutrition, Berlin, Alemanha, v.85, p.195-199, 2001. MARTIN, L.; SILIART, B.; DUMON, H; Spontaneous hormonal variations in male cats following gonadectomy. Journal of Feline Medicine and Surgery, Amsterdam, Holanda, v.8, p.309-314, 2006b. MAURIGERI, D.; BONANNO, M.R.,; SPECIALE, S. et al. The leptin, a new hormone of adipose tissue: clinical findings and perspectives in geriatric. Archives of Gerontology and Geriatrics, Amsterdam, Holanda, v.34, n.1, p.47-54, 2002. MELLOUL, D.; MARSHAK, S.; CERASI, E. Regulation of insulin gene transcription. Diabetologia, Bristol, UK, v.45, p.309-326, 2002. MONTAGUE, C.T. et al.Congenital leptin deficiency is associated with severe early-onset obesity in humans. Nature, London, UK, v.387, n.6636, p. 903-8, 1997. MONTAGUE, C.T. et al. Depot-related gene expression in human subcutaneous and omental adipocytes. Diabetes, New York, NY, USA, 1998 v.47, n.9, p.1384-1391, 1998. OUCHI, N. et al. Novel modulator for endothelial adhesion molecules: adipocyte-derived plasma protein adiponectin. Circulation, Dallas, TX, USA, v.100, n.25, 2473-2476,1999. RADIN, M.J.; SHARKEY, L.C.; HOLYCROSS, B.J. Adipokines: a review of biological and analytical principles and an update in dogs, cats, and horses. Veterinary Clinical Pathologic, Madison, MD, USA, v.38,n.2, p.136-56, 2009. 47 RAHMOUNI, K et al. Obesity-associeted hypertension: new insight into mechanisms, Physiology, Bethesda, MD, USA, v. 45, n.1, p. 9-14, 2004. RESELAND, J.E.; ANDERSSEN, S.A.; SOLVOLL, K;, et al. Effect of long term changes in diet and exercise on plasma leptin concentrations. American Journal of Clinical Nutrition, Bethesda, MD, USA, v.73, n.2, p.240-5, 2001. ROBERTSON, I.D. The influence of diet and other factors on owner- perceived obesity in privately owned cats from metropolitan Perth, Western Australia. Preventive Veterinary Medicine, Amsterdam, Holanda, v.40, p. 75-85, 1999. RUSSELL K, et al.. Influence of feeding regimen on body condition in the cat. Veterinary Clinics of North America: Small Animal Practice, Amsterdam, Holanda, v.41, p.12-17, 2000. SANDOVAL, D.A., DAVIS, S.N. Leptin: metabolic control and regulation. Journal of Diabetes and its Complications, Amsterdam, Holanda, v.17, n.12, p.108-13, 2003. SASAKI, N. et.al. CDNA cloning of feline leptin and its mRNA expression in adipose tissue. The Journal of Veterinary Medicine Science, Amsterdam, Holanda, v.63, n.10, p.1115- 1120, 2001. SCARLETT, J.M.; DONOGHUE, S. Association between body condition and disease in cats. Journal of the American Veterinary Medical Association, v.212, n.11, p.1725-1733, 1998. SCARLETT, J.M. et al. Overweight cats: prevalence and risk factors. International Journal of Obesity And Related Metabolic Disorders, London, UK, v.18,n.1, p. 22-28, 1994. SIERRA-HONIGMANN, M.R et al. Biological action of leptin as an angiogenic factor. Science, Washington, DC, USA, v.281, n.5383, p.1683-6, 1998. SINHA, M.K.; STURIS, J; OHANNESIAN, J; et al. Ultradian oscillations of leptin secretion in humans. Biochemical and Biophysical Research Communications, Amsterdam, Holanda, v.28, n.3, p-733-738, 1996. SLINGERLAND, L.I. et al. Indoor confinement and physical inactivity rather than the proportion of dry food are risk factors in the development of feline type 2 diabetes mellitus. The Veterinary Journal, Amsterdam, Holanda, v.179, n.12, p.247-253, 2006. SLOTH; C. Practical management of obesity in dogs and cats. Veterinary Clinics of North America: Small Animal Practice, Amsterdam, Holanda, v.33, p.78-82, 1992. SPRANGER, J. et al. Adiponectin and protection against type 2 diabetes mellitus. The Lancet, London, UK, v.361, n.9353, p.226-228, 2003. STEPPAN, C.M.; LAZAR, M.A. The current biology of resistin. Journal of Internal Medicine, Malden, MA, USA, v.255, n.4, p.439-47, 2004. Review TARTAGLIA, L.A.; DEMBSKI M.; WENG, X. Identification and expression cloning of a leptin receptor, OB-R. Cell, Amsterdam, Holanda, v.83, p.1263–1271, 1995. 48 TRAYHURN, P. Adipose tissue in obesity – an inflammatory issue. Endocrinology, Chevy Cahse, MD, USA, v.146, p.1003–1005, 2005. WOLFSHEIMER, K.J. Obesidade. In: ETTINGER, S.J.; FELDMAN, E.C. Tratado de Medicina Interna Veterinária, 5. e.d, Rio de Janeiro: Guanabara Koogan, 2004, p.71-75. YAMAUCHI, T. et al. The fat-derived hormone adiponectin reverses insulin resistance associated with both lipoatrophy and obesity. Nature Medicine, London, UK, v.7, p.941– 946, 2001. ZHANG, Y. et al. Positional cloning of the mouse obese gene and its human homologue. Nature, London, UK, v. 372, p.425-432, 1994. ZORAN, D.L. Obesity in dogs and cats: a metabolic and endocrine disorder. Veterinary Clinics of North America: Small Animal Practice, Amsterdam, Holanda, v.40, p. 221-239, 2010. | por |
dc.subject.cnpq | Medicina Veterinária | por |
dc.thumbnail.url | https://tede.ufrrj.br/retrieve/61221/2011%20-%20Raquel%20Sampaio%20Alves.pdf.jpg | * |
dc.originais.uri | https://tede.ufrrj.br/jspui/handle/jspui/3732 | |
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