I don't think it is presumptuous to say that, most care givers associate dietary magnesium with the
formation of struvite crystals (magnesium ammonium phosphate) in the feline lower urinary tract -
a most uncomfortable and even life threatening disease that can afflict cats. However, the fact is
that, the actual magnesium content of a feline diet has little to do with the formation of struvite
crystals in the urinary tract of cats, but several other factors play a much more important role in
the potential formation of these magnesium containing crystals.
Magnesium and its Functions:
Magnesium is an essential mineral. It is involved in numerous functions of the body like energy
production, formation of urea, in muscle relaxation, and neuromuscular transmission and activity.
Magnesium also prevents tooth decay by binding calcium to tooth enamel, aids in bone growth, and
is essential for proper function of the muscles - including the heart. It also helps to regulate
the acid-alkaline balance in the body. Magnesium is the most bountiful cation (a positively-charged
ion) in soft tissue next to potassium, and excessive loss leads to tissue breakdown and cell
destruction. Magnesium promotes absorption and metabolism of other minerals like calcium, phosphorus,
sodium, and potassium, and helps utilize vitamin E and vitamin B complex.
Deficiency:
Approximately 27% of the body's magnesium is contained within muscle tissue, and 60% is contained
within the skeletal structure - providing a reservoir for adequate supply in times of need.
A deficiency of dietary magnesium severely affects cardiovascular, neuromuscular, and renal tissues,
and contributes to calcium deposits in the kidneys (kidney stones), in blood vessels, and in the heart.
It can also be the cause of gastro-intestinal disorders, irritability, irregular heart rhythm, lack of
coordination, muscle twitch, tremors, and weakness. The symptom picture of long term dietary deficiency
of magnesium is very similar to a deficiency in calcium, including muscle cramps, high blood pressure,
and malformation of the bones.
Requirement:
Cats need magnesium as an essential part of their daily diet and a certain amount of it in relation
to other minerals. Restricting dietary magnesium intake is not a means of preventing disease, but a
cause of disease. The nutritional requirement of magnesium for cats, based on research published by
the National Research Council, is about 38 mg per day for an adult cat of an average body weight of
6 kg. However, magnesium interacts with other minerals when absorbed by the body, and the diet needs
to provide a specific ratio of these interactive minerals for optimal utilisation: Ca:P:Mg =
1.3:1:0.06.
Sources:
The major source of magnesium for the cat are the bones of her prey, or bone meal in the home
prepared diet. Diets prepared using isolated calcium supplement - like calcium citrate, calcium
gluconate, or calcium lactate - instead of bone meal, need to be supplement with magnesium
respectably. Also, cooking removes magnesium from the foods.
Magnesium and Feline Urological Syndrome (FUS):
( also know as Feline Lower Urinary Tract Disease - FLUTD)
The absolute level of magnesium in the feline diet by itself does not contribute to the formation of
urinary struvite crystals, provided that it is present in the proper ratio to other minerals in the
diet, and that other dietary factors support the maintenance of an acidic urinary pH. Experiments
using supplemental magnesium chloride in the diet of cats have shown that, a high dietary magnesium
intake does not result in any signs of FUS if an acidic urine is produced. However, if the urine
pH is 7.5 or higher struvite crystals will form even in cats fed a diet low in magnesium. These
facts emphasise the role of urinary pH in the development of FUS in the cat, who has been
evolutionary adapted to produce acidic urine, and not total magnesium content.
The relationship of urine pH and Struvite crystals:
Wild living, prey eating cats produce a urine with a pH between 6.0 - 7.0. The cat evolved as a
dessert dwelling animal and is capable of concentrating her urine in order to conserve water.
The waste products in the cat's urine are very concentrated and include magnesium, ammonium, and
phosphate ions that may crystallize in neutral and alkaline urine to form struvite. At a urine pH
below 6.6 struvite remains largely soluble, whereas in a urinary pH above 7.1 crystallization may
occur spontaneously.
Oxidation of sulfur amino acids during the process of catabolism (chemical breakdown: when the
body uses food for energy as part of the metabolism) of amino acids from proteins to urea, carbon
dioxide, sulphate, and water has acid forming properties, influences the acid-base balance of the
body and urine pH. This process does not take place when fats or carbohydrates are catabolized.
Therefore, the carnivore cat - eating a largely all meat, high protein diet - will naturally
produce a low, or acidic urine pH. Today, the carnivore cat as companion animal is largely
condemned to eat cereal or vegetable-based commercially prepared foods that are convenient and
inexpensive for the care giver. However, vegetable ingredients in the cat's diet result in the
production of neutral or alkaline urine - predisposing the cat to crystalisation of mineral ions
in the urine.
FUS and dry commercial cat food:
Clinical disorders of the lower urinary tract of cats are not a new phenomena, and have been observed
as early as 1925. The frequency of its occurrence in the companion cat population is, however, on the
rise and it is now considered to be a common feline disease. In the 1950s, clinical disorders of the
lower urinary tract were considered rare in the veterinary practice. In the mid-70s a rise to 0.6%
of cats in the companion cat population afflicted with FUS was recognized - a number that increased
to 0.85% in the mid-80s. Today, more than 7 % of companion cats presented at veterinary clinics are
diagnosed as having FUS. At the same pace, commercial dry cat foods are becoming increasingly popular,
and are marketed to the cat owning population an the choice of veterinarians.
Cats need a high protein diet to maintain a low (acidic) urinary pH. Commercial dry cat foods are
based on vegetable ingredients that make up 50% or more of the products weight, and vegetable
ingredients result in the production of a high (alkaline) urinary pH. Also, the species of our
domestic cat (Felis Silvestris Catus) has evolved as desert dwelling animals, capable of
concentrating urine to a high degree and of relying entirely on the moisture content of prey,
without the need for supplemental drinking water. Drinking is not natural for cats and they will
do so only reluctantly. A cat eating 1 cup (85 g) of dry food would need to drink 8 oz. (225 ml)
of water to prevent dehydration. However - most don't. The result is dehydration and a reduction
in urine volume. Experiments have shown that crystal formation of mineral ions can be prevented by
increasing urine output, and the occurrence of FUS in cats fed experimental dry diets has been
abolished by hydrating the same diet to a moisture content of 80%.
FUS and modern treatments:
Pet food manufacturers literally exploit the high occurrence of disease in the modern companion cat
population to market more expensive specialty diets that are supposed to address the disease cause.
Numerous brands of cat foods are available that claim to prevent the occurrence of struvite crystals,
most of which are - ironically - dry foods. Although the facts of how the majority of FUS cases could
be prevented are clearly laid out, such commercial diets are not truly therapeutic. Pet food
manufacturers are making use of a chemical substance called Ammonium chloride to artificially lower
urine pH, while ignoring all dietary factors that could resolve the matter naturally. Ammonium
chloride is a strong acid, and the veterinary community as since raised concern regarding its use
as a means to lower urinary pH, because its acidifying affect can cause a condition called chronic
acidosis. Repeated ingestion of this chemical compound, inducing acidosis, can lead to mobilisation
of calcium from bone - meaning that calcium is leached from the skeletal structure and deposited in
soft tissue. A combination of induced acidosis, leading to calcium loss from the bones, in combination
with a reduced dietary intake of magnesium leads to formation of oxalate stones - a now common side
effect of the treatment for struvite crystals.
Oxalate stones:
Formation of oxalate stones, which are commonly found as kidney stones, but also in the heart or lower
urinary tract, is the result of free calcium ions binding to oxalic acid - a substance excreted in the
urine - to form the less soluble salt called calcium oxalate. Over-supplementation with calcium,
dietary intake of ammonium chloride leading to calcium loss from the bones, a magnesium deficiency,
supplementation of vitamin C - which is metabolized to oxalic acid - and consumption of oxalic acid
containing foods - like cabbage, spinach, beet tops, potatoes, or peas - can lead to formation of
calcium oxalate and the possible formation of oxalate stones in soft tissue, or the upper or lower
urinary tract.
Summary:
- Cats should eat a diet containing calcium, phosphorus, and magnesium in amounts as they are
essential to maintain normal bodily functions and good health, and should be present in the proper
ratio to one another. No single element should be increased or reduced, because a mineral imbalance
will be the direct result, which in turn will interfere with normal functions of the body.
- Cats should eat a diet that reflects the lifestyle they have adapted to; a diet based on raw
meat that is high in protein and has a sufficient moisture content to provide the cat with sufficient
fluids through the meal, making supplemental water intake unnecessary.
- Cats should not be given vitamin C (unless the cats ability to synthesize vitamin C is
disturbed due to disease) and should not be fed vegetable matter.
References:
- Nutrient Requirements of Cats - revised edition 1986, National Research Council
- The Journal of Nutrition, American Society for Nutritional Sciences, Vol. 128, 1998
- The Nutrition Desk Reference, 3rd. edition 1995, Robert Garrison, Jr.MA.,R.Ph. and
Elizabeth Somer, MA., R.D., page158.
- Nutrition Almanac, 4th edition 1996, Gayla J. Kirschmann and John D. Kirschmann, page 120
- Prescription for Nutritional Healing, 2nd. edition 1997, James F. Balch, M.D., Phyllis A.
Balch, C.N.C. page 359
- Food Chemistry - Naturally Occurring Toxins, an article by Stephen Gislason, M.D. 1999
I read with interest your latest cat fact about magnesium and urinary
pH. I came to hold similar views after extensive reading and web
searching feline research sites over a period of time about a year ago
when one of my own cats was suffering from regular and severe bouts of
struvite crystal blockage despite (and I maintain because of) a vet
prescribed dry (...) diet.
I thought our experiences with Buster and your recipe may be of interest
to you. (...)
I decided to try Buster on your recipe which he has been on since our
contact and he has been problem free since that time... Indeed both cats
became sleeker, fitter and generally glowed with "wellness". That is,
until a month ago when for a variety of reasons Buster ate a diet
relatively high in fish for about a week...(not advisable I know)
coupled with a spate of bad weather where he was confined and stressed
and guess what?....he suffered another blockage. Prompt action
prevented serious consequences and he was put back on the feline future
recipe mixture as soon as the ingredients were available (we live on a
cruising yacht based in Australia). He seems well again and hasn't
looked back since.
I consider stress to also be an important factor in the development of
struvite crystals and obstruction, as stress and anxiety can cause
measurable changes in urinary pH, as described by Buffington & Chew
(abstract below). Buster's history of urinary obstruction and crystal
detection certainly coincided with stressful events such as fireworks
displays etc...(he's a nervous cat at the best of times)
The feline future recipe diet has certainly appeared to be effective in
managing his urinary condition despite the effects of stressful events,
and it would seem that without the benefit of the diet, stress is
sufficient to precipitate another bout of crystal formation.
"Detection of alkaline urine traditionally sends an alert to the
clinician to consider the presence of a urease-producing bacterial
urinary tract infection, postprandial alkaline tide, or the ingestion of
a diet that is
nonacidifying. In the cat of this report, acid urine was produced while
the cat was in the home environment, but alkaline urine was produced
following the stress of a long trip to the veterinarian's office.
Stress-induced respiratory alkalosis was highly suspected as the cause
for the alkaline urine. If traditional causes for alkaline urine are not
apparent for cats that produce alkaline urine at the veterinary clinic,
we suggest that urinary pH be determined on samples collected in the home."