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How to even Begin?

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Complete Physical Exam
Brooks D, Churchill J, Fein K, Linder D, Michel KE, Tudor K, Ward E, Witzel A. 2014 AAHA Weight Management Guidelines for Dogs and Cats. Journal of the American Animal Hospital Association. 50:1 Jan/Feb. pg 1-11.

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Relevant Laboratory and Imaging Studies

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Assessment for Comorbidities

German A. Obesity in companion animals. In Practice, February 2010, Volume 32 Pgs.42–50
The next 3 tables are taken from this article found in the journal In Practice.

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Iatrogenic
Endocrine Diseases
Signalment Factors
Lifestyle Factors
Owner Factors
Behavioral Factors
German A. Obesity in companion animals. In Practice, February 2010, Volume 32 Pgs.42–50; Risk factors associated with obesity in dogs and cats

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Dietary factors and their relationship to obesity
German A. Obesity in companion animals. In Practice, February 2010, Volume 32 Pgs.42–50
Related to obesity Not associated with obesity

Dogs 1. Number of meals and snacks fed daily Commercial versus home-prepared diets
2. Feeding table scraps
3. Dog present when owners prepare or consume their own food
4. Feeding own-brand foods (compared with premium brand foods)

Cats 1. Feeding food ad libitum Macronutrient content of diet (eg, carbohydrate content)
2. Feeding premium brand foods
3. Feeding fresh meat or table scraps
Commercial versus home-prepared diets

Conditions associated with obesity in dogs and cats German A. Obesity in companion animals. In Practice, February 2010, Volume 32 Pgs.42–50

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Conditions associated with obesity in dogs and cats
Dogs Cats
Orthopedic 1. Cruciate ligament disease Increased lameness
2. Osteoarthritis
3. Humeral condylar fractures
4. Intervertebral disc disease
5. Hip dysplasia

Endocrine 1. Hypothyroidism Diabetes mellitus
2. Hyperadrenocorticism
3. Diabetes mellitus
4. Metabolic syndrome (experimental)

Lipid Disorders 1. Mild hypercholesterolemia Hepatic lipidosis
2. Hypertriglyceridaemia
3. Increased plasma NEFASand triglyceride concentrations (experimental)
4. Associated with insulin resistance

Alimentary 1. Oral cavity disease 1. Oral cavity disease
2. Pancreatitis 2. Increased risk of gastrointestinal disease
3. Predisposition to diarrhea

Urogenital 1. Urinary tract disease Urinary tract disease
2. Urethral sphincter mechanism incompetence
3. Calcium oxalate urolithiasis
4. Transitional cell carcinoma
5. Glomerular disease (experimental)
6. Dystocia

Cardiorespiratory 1. Tracheal collapse None reported
2. Affects cardiac function
3. Expiratory airway dysfunction
4. Hypertension
5. Portal vein thrombosis
6. Myocardial hypoxia

Integument None reported Increased risk of dermatoses

Oncological 1. Variable risk of neoplasia (increased Increased risk of neoplasia
in some but not all studies)
2. Transitional cell carcinoma

Other 1. Increased risk during anesthesia None reported
2. Decreased heat tolerance

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Evaluate current body weight (BW)

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Body Condition Scores (BCS)

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Muscle Condition Score

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SKEPTICAL CAT IS SKEPTICAL
Is the client willing to participate in the plan? Many clients just won’t do what is necessary.

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Formulate an Individualized Weight Loss Plan
https://www.polandvet.com/sites/site- 1402/documents/Weight%20reduction%20in%20pets.pdf
•Ideal BW
•Caloric restriction
•Food selection and treat allowance(s)
•Feeding management and activity plans
•Scheduled follow-up

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