Tag Archives: stress

Stress has been related to health problems in cats. Photo by Greg Westfield via a creative commons license. https://www.flickr.com/photos/imagesbywestfall/3547931238

I think most of us are aware that chronic stress can take its toll on our health; it can reduce our immune responding, and lead to long-term inflammatory responses, and can even increase our susceptibility to cancer. Recognizing this link, humans make efforts to decrease stress, via meditation or relaxation techniques, exercise, therapy, meds, and by directly addressing the source of the stress, when possible.

But our cats don’t always have the choice to manage the stressors in their environment, and stress reduction techniques (such as exercise) may depend on what their humans provide for them. Being dependent on humans also means that cats are dependent on their owners recognizing that they are stressed in the first place!

Unfortunately, stress can manifest in health issues in cats too. One of the most common health issues associated with stress in cats is feline idiopathic cystitis (FIC). In this case, a cat has clinical lower urinary tract signs (LUTS) such as straining to urinate, urinating outside the litter box, or blood in the urine but diagnostics cannot determine a specific cause for the signs (the term idiopathic means disease or condition of unknown cause).

A cat who presents with LUTS is likely experiencing some form of stress. But how do we know what the stressors might be? A recent study, “Epidemiological study of feline idiopathic cystitis in Seoul, South Korea,” sought to determine what factors were related to a higher risk of FIC in cats who live in South Korea. The researchers interviewed owners of 58 cats who had been diagnosed with FIC, as well as 281 owners of control cats who had never had symptoms of FIC. The questions were focused on the cat’s living environment, behavior, and diet as well as questions about the litter box set up.

Based on the records of over 4000 cats in one practice, almost 3% of cats presented with LUTS and more than half of those cats were diagnosed with FIC, suggesting an overall prevalence of FIC of 1.77%. The researchers used statistical analyses to look for relationship between certain aspects of the cats’ environments and behavior and the likelihood of being diagnosed with FIC. This basically involves comparing the number of FIC cats who lived in an environment with a particular feature (such as other cats or outdoor access) compared with control cats.

Cats with a vantage point may be less susceptible to FIC.
Photo by Kaitlynlombardo34 via Wikimedia Commons
https://commons.wikimedia.org/wiki/File:Simba_Laying_in_a_Cat_Tree.jpg

The results suggested five key factors that were related to FIC: being male, having a litter box with non-clumping litter, living with other cats, living in an apartment (versus a house), and not having an elevated vantage point for use (such as a cat condo or vertical space). So, for example, although there were equal numbers of male and female cats in the control group, males made up almost 76% of the FIC cats. This means that male cats were 2.34 times as likely to be diagnosed with FIC compared to female cats. The effect was strongest in cats who did not have a vantage point in the home, who were 4.64 times as likely to have FIC compared to cats with a vantage point.

Some other things seemed to contribute to FIC, although the relationship wasn’t as strong, such as shared food bowls, whether cats had access to a hiding space, and being middle aged. These are risk factors that merit more careful consideration in future studies.

Things that did not appear to be related to the likelihood of a diagnosis of FIC in this study included the style of the litter box (covered or uncovered), the number of people in the home, and having access to the outdoors.

We would be naïve to think that stress only impacts the urinary system in cats. It’s likely related to several other disease processes, and studies like the current one help us paint a picture of what causes stress in cats overall, even though it can’t necessarily tell us what will stress out YOUR cat. That’s up for you to do your best to understand and prevent, based on what you know about your cat and by providing him or her with things that make the environment safer, more engaging, and by giving your cat a sense of control via choices (in other words, an abundance of desirable resources!).

Living with other cats or not having a vantage point is not a guarantee that a cat will develop FIC, they are just risk factors. It’s possible that there are interaction effects, where cats who live with other cats are just fine if they have a vantage point, or the risks of being male increase if you also use a non-clumping litter. Plenty of cats may cope just fine with living in an apartment, but knowing these risks, we should do what we can to reduce their effects. By providing your cat with a vantage point, and adequate resources, it is possible we can remedy situations that might lead to stress in the first place – and with the added benefit of possibly reducing the risks of disease.

Reference

Kim, Y., Kim, H., Pfeiffer, D., & Brodbelt, D. (2017). Epidemiological study of feline idiopathic cystitis in Seoul, South Korea. Journal of feline medicine and surgery, 1098612X17734067.

They were going to just put her "to sleep"!

Upper respiratory infection (URI) is a real problem for cats in shelters – not only are cats with URI frequently quarantined, delaying adoption – they must experience both social isolation and medical treatment, just adding to an already stressed cat’s stress. Sadly, URI is also a common reason for euthanasia, as many shelters don’t have the resources to care for these cats. I’ll use my own cat as an example, many years ago, she was 10-months old, adorable, and on the euthanasia list at a local shelter for clear, nasal discharge (AKA URI). Luckily, my dear friend (and shelter co-worker at the time) pulled her from that shelter so she could be placed up for adoption at the shelter we worked at. We scooped her up; she never needed treatment for the URI symptoms, and 14 years later, she’s happy and healthy and an important part of my family!

A recent study from UC Davis looked at conditions across nine animal shelters to try to narrow down risk factors for feline URI. “Cage size, movement in and out of housing during daily care, and other environmental and population health risk factors for feline upper respiratory disease in nine North American animal shelters (well isn't that a mouthful)” was recently published in PLoSONE (open access!), and shares some insights about the frequency of URI in shelter cats, and what may increase or reduce transmission.

Shelters were asked several questions about housing, management and other environmental factors. The questions of interest to the study were: amount of space provided for cats in their cage or housing, whether a hiding box was provided, how frequently cats were moved during the first week of their shelter stay, whether young and adult cats were housed in the same rooms, and whether cats were given an intranasal vaccine at intake.

Cats with URI often have ocular and nasal discharge. Photo from the Ottawa Humane Society, http://blog.ottawahumane.ca/2011/06/help-purchase-important-uri-medication.html

Then shelters were asked to track cats presenting with URI symptoms every day. Cats who arrived at the shelter with symptoms, or who “broke” with URI symptoms within the first two days of their stay were not included, and were considered “pre-existing,” rather than shelter-acquired cases. To determine whether particular viruses were responsible for URI symptoms in different shelters, over 300 healthy cats across the nine shelters had their eyes and mouths sampled for genetic analyses designed to look for calicivirus, herpesvirus, and three other common viruses.

Seventeen percent of cats who entered the shelter contracted URI during their stay. The results suggested cats who had more than 8 square feet of living space and who were moved only one or two times during their first week at the shelter were less likely to come down with URI. Mycoplasma felis and feline herpesvirus were the most prevalent viruses in shelters.

Interestingly, there were higher rates of URI in shelters that provided cats with a hiding space. Intranasal vaccines were also associated with more URI, for unclear reasons - although one possibility is that intranasal vaccines elicit some clinical signs that appear URI-like. There was no effect of whether adult and juveniles cats were housed together.

It should be noted that most shelters (8/9) kept cats in spaces that were SMALLER than 8 square feet. Three shelters always provided cats with a hiding space, three did sometimes, and three did not. In the shelters that provided a hiding space, almost all (5/6) had small cages. Six out of nine shelters moved cats more than twice in their first week in the shelter.

So an important question is whether it was the hiding space per se that was related to the higher URI count, or if it is the association between a smaller cage and the hiding spaces that led to that result. Given that a hiding box is considered an important way to reduce stress in shelter cats, perhaps a larger space is just as (if not more) important. The authors suggest that the hiding space may have reduced available floor space for the cats, which in and of itself may be stressful.

An example of a double-portal cage from sheltermedicine.com

Many shelters are now moving toward the “double cage” model, where the cat’s housing space is two cages connected via a portal. The portal allows for the litter box to be separated from other resources, and also allows shelter care attendants to spot-clean cats’ living spaces while minimizing the stress to the cat (especially for those who are afraid of humans). It also doubles the cat’s space, which we should now be somewhat convinced is a good thing for shelter cats.

Given the stress of being in unfamiliar territory, with strange and often scary sounds, smells, and handling, it’s no surprise that cats in shelters are vulnerable. This study adds to our understanding of how to mitigate that threat: by giving them space, and keeping them in place! Shelters should strive to increase housing space for cats, and to minimize the number of times cats are moved around in shelters!

Reference:

Wagner, D. C., Kass, P. H., & Hurley, K. F. (2018). Cage size, movement in and out of housing during daily care, and other environmental and population health risk factors for feline upper respiratory disease in nine North American animal shelters. PloS one13(1), e0190140.

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