The effect of prandial state on urine ammonia-to-creatinine ratio in cats with and without chronic kidney disease.

Clinical Context

Peer-reviewed veterinary literature continues to shape everyday decision-making for feline patients, especially when new evidence clarifies diagnosis, treatment selection, monitoring, or clinical outcomes.

What the Study Evaluated

A study published in Journal of veterinary internal medicine in 2026 evaluated the effect of prandial state on urine ammonia-to-creatinine ratio in cats with and without chronic kidney disease..

Key Findings

Impaired ammonia excretion plays a role in the pathogenesis of metabolic acidosis in chronic kidney disease (CKD) and could have prognostic value. Evaluation involves measurement of ammonia excretion as urine ammonia-to-creatinine ratio (UACR). To investigate the effect of unfed vs fed state on UACR in cats with and without CKD. We hypothesized that UACR is greater in the fed state, and this effect would be blunted in cats with CKD. Cats with stable International Renal Interest Society (IRIS) stages I-IV CKD (n = 13) and healthy cats (n = 10). Randomized, prospective cross-over study. CBC, serum biochemistry, T4, and urinalysis were...

Why It Matters for Veterinary Professionals

For veterinary professionals, the practical value of this work lies in how the findings may support more structured clinical assessment, clearer monitoring, and more informed decisions for feline patients.

Practical Interpretation

The results should be interpreted in the context of the study design, population, inclusion criteria, and clinical setting. Application in practice should consider patient-specific risk factors, available diagnostics, local standards of care, and clinician judgment.

Clinical Takeaway

Overall, the study adds useful evidence for clinicians seeking to align daily practice with current veterinary research while maintaining a balanced, case-by-case approach.

• Read the full article here: https://pubmed.ncbi.nlm.nih.gov/41742506/