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Home / Pet Clinic / Dogs / Common Conditions / Cognitive Dysfunction
Cognitive Dysfunction
The Role of Nutrition:
As a result of the advances in veterinary medicine and nutrition there has been a noticeable change in the demographics of the pet population and both dogs and cats are living substantially longer. It is no longer unusual to be treating animals that are in their late teens and early twenties and the veterinary profession is increasingly asked to deal with the physical and mental consequences of old age in their patients.

One of the characteristics of cognitive disorders in older animals is the presence of behavioural patterns that are out of context and often exaggerated both in frequency and presentation. In most cases the animal will be given a clean bill of health following a conventional physical veterinary examination and therefore appropriate history taking can be vital to ensure the early detection of the behavioural changes. Questions need to relate to the four main categories of behavioural signs, namely disorientation, changes in social and environmental interaction, changes in sleep-wake cycles and loss of previously conditioned behavioural responses.

Within the category of disorientation, dogs suffering from dementia will show a delay in the recognition of people, places and objects and in some cases there may be no recognition at all. Such behavioural changes can be very distressing for owners and when they are combined with alterations in social interaction, both with dogs and humans, the quality of the companion animal relationship can be significantly decreased.

Alterations in sleep/wake cycle are common in cases of canine dementia and can lead to disturbed night time sleeping but unless the dog is also disrupting the owner's sleep this aspect may easily go unnoticed. During the day the sleep/wake cycle may also be affected and dogs suffering from dementia will sleep for longer in the day but once again this symptom may easily be overlooked and considered to be a normal change in a dog of advancing years.
Loss of previously conditioned behaviours:
Loss of previously conditioned behaviours is another feature of the dementia condition and since house training is a very important conditioned response the loss of appropriate toileting behaviour is often seen as an important symptom of the condition. Once again this feature may remain undiagnosed for some time since a breakdown in housetraining may be expected in old age and many owners do not make the connection between this change in behaviour and the process of brain ageing.

While one of the main obstacles to the early diagnosis of canine dementia is a failure to ask the right questions during routine veterinary examination of older pets it is important to remember that many owners will be reluctant to discuss behavioural changes in their ageing companion for fear of suggesting that their quality of life may be cause for concern. The assumption that veterinary surgeons will offer the solution of euthanasia can be a significant factor in delaying the reporting of symptoms of canine dementia and owner education is crucial if this obstacle is to be overcome and the likelihood of early diagnosis is to be improved. Once cases have been identified it is important to structure a treatment plan for the individual patient and to inform owners that, while it is not possible to reverse or stop the process of ageing, it is possible to significantly alter the rate of progress of the condition. This will involve the use of a combination of medical and nutritional support which can make a real difference to the pet's quality of life.
Antioxidants promote recovery in neurons:
From a nutritional perspective the importance of antioxidant rich diets has been well documented. Antioxidants are believed to prevent the development of the age-related neuropathology, which is implicated in cases of canine dementia. In addition antioxidants are believed to promote recovery in neurons that are exhibiting signs of neuropathology and therefore nutritional manipulation is believed to offer a useful addition to the medication related treatments for canine cognitive dysfunction.
AKTIVAIT can produce significant improvement:
In a recent trial the use of the nutraceutical Aktivait was investigated and, in view of the resistance from owners of older dogs to alteration in their diet and restrictions on dietary change due to concomitant organic disease in older pets, the study was particularly significant from a clinical perspective. Constituents of Aktivait include a range of antioxidants and free radical scavengers including N-acetyl cysteine, which is a primary precursor to glutathione, alpha lipoic acid, acetyl-L carnitine, vitamins C and E, L-carnitine and Co-enzyme Q10. Essential fatty acids DMA and EPA are also included, both of which have been shown to be beneficial in influencing the effects of brain ageing in humans, and selenium also features on the composition breakdown of the product. In addition Aktivait contains phosphatidylserine which is a natural phospholipid the main physiological effect of which is to enhance and maintain the cell activities based on the functionality of the plasma membrane. Clinical studies have demonstrated the role of phosphatidylserine in cognitive function of human patients and in experimental animals, administration of phosphatidylserine rapidly induced dose-dependent improvements during learning and memory tests.

The results of the trial, which compared the nutraceutical Aktivait with a placebo, have shown that nutritional supplementation can produce a significant difference in relation to improvement in signs of disorientation, changes in interaction and house soiling behaviour and can significantly improve the owner's perception of their relationship with their pet and of the quality of their pet's life.
This page was last Updated: 27/01/2006 12:31:05
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This Page was submitted by: Sarah Heath BVSc DipECVBM-CA CCAB MRCVS Behavioural Referrals