The effect of dietary calcium and phosphorus supplementation in zeolite a treated dry cows on periparturient calcium and phosphorus homeostasis.

Previous studies have proved the possibility of preventing parturient hypocalcaemia by zeolite A supplementation during the dry period, and a recent in vitro study has indicated a marked calcium (Ca) as well as phosphorus (P) binding effect of zeolite A in rumen fluid solutions. Because of the connection between the Ca and P homeostatic systems, the preventive effect against parturient hypocalcaemia may arise from zeolite induced decreased availability of dietary Ca as well as P. In the present study, the expected Ca and P binding capacity was challenged by feeding high and low levels of dietary Ca and/or P to zeolite A treated dry cows. Twenty-one pregnant dry cows were assigned to four experimental groups receiving a dry cow ration unsupplemented or supplemented with extra Ca and/or P. During the last 2 weeks of the dry period all cows additionally received 600 g of zeolite A per day. A high level of dietary P prepartum significantly decreased the plasma Ca concentration before as well as immediately after calving (day 0-3). Conversely, the plasma inorganic phosphate concentration was higher among these cows than among cows receiving no supplemental P. The prepartum dietary Ca level significantly affected the serum 1,25-dihydroxyvitamin D concentration during zeolite supplementation, whereas the periparturient plasma Ca concentration was apparently not affected by the dietary Ca level. During zeolite A supplementation plasma parathyroid hormone was significantly higher among cows receiving additional P. The urinary deoxypyridinoline/creatinine ratio was not affected by the prepartal dietary Ca or P level. Serum aluminium (Al) was significantly higher during zeolite A supplementation than during the preceding period, indicating partial destruction of the zeolite in the intestinal tract with subsequent release and absorption of Al. It is suggested that the effect of prepartum zeolite supplementation on the periparturient Ca homeostasis depends on the level of Ca as well as P in the dry cow ration.

In vitro binding capacity of zeolite A to calcium, phosphorus and magnesium in rumen fluid as influenced by changes in pH.

An in vitro experiment was designed to mimic the transport of ingested zeolite A in the forestomachs and proximal part of the small intestine so as to evaluate the binding capacity of zeolite A to Ca, P and Mg as influenced by changes in pH. This was done by incubation of rumen fluid solutions with and without zeolite, as well as varying the content of Ca and/or P. The pH was lowered by addition of HCl so as to mimic abomasal conditions, followed by subsequent HCO3- addition to mimic small intestinal pH. Rumen fluid samples were taken at strategic time points in the experiment. All samples were centrifuged and the supernatant analysed for Ca, P and Mg as indicators of the amount of unbound mineral. The addition of zeolite to rumen fluid solutions reduced the amount of supernatant Ca and Mg at rumen pH, whereas the level of P was not reduced. After adding HCl, a large proportion of the zeolite-bound Ca and Mg was released, increasing supernatant Ca and Mg levels; whereas, HCl addition led to a profound drop in supernatant P in zeolite samples, indicating binding of P. A low level of supernatant P was maintained after HCO3- addition. Neutralization by HCO3- led to a zeolite-induced drop in supernatant Ca and Mg. The reduction in supernatant Ca observed in the present study concurs well with the theoretical rationale of prepartum zeolite supplementation in milk fever prevention. Furthermore, the apparent binding of P by the zeolite may also contribute because of the connection between the calcium and phosphorus homeostasis. The zeolite-induced reduction in supernatant Mg indicates that zeolite supplementation should probably be avoided in Mg-deficient herds unless Mg supplementation is initiated.

An evaluation of parameters for the detection of subclinical rumen acidosis in dairy herds.

An observational study was conducted in six Danish dairy herds. A specially designed stomach tube was compared to the rumenocentesis technique as part of the monitoring of rumen pH. In contrast to a previous study, the use of the stomach tube appeared to reduce saliva contamination. However, correlation with the rumenocentesis technique was poor ( r = 0.33; p = 0.019) and a linear model could only partly explain variations between either results. The presence of subclinical rumen acidosis (SRA) was evidenced in one herd only, as judged by results obtained by the rumenocentesis technique. The present study revealed some limitations of the rumenocentesis technique in small or medium-sized herds due to difficulties in selecting sufficient numbers of cows in the respective groups at risk. The finding of two apparently clinical normal cows with rumen pH values below 5.0 leads to the consideration that such fluctuations may be temporary and at least does not give rise to clinical symptoms. However, the long-term effect of such fluctuations is not known. In general, primiparous cows seemed more prone to low ruminal pH values (< 6.0), higher ruminal concentrations of short-chain fatty acids, and possibly to metabolic acidosis, than were multiparous cows. Ruminal propionate was the most precise predictor of rumen pH, whereas milk fat percentage varied greatly between lactational groups. Blood lactate dehydrogenase (LDH), beta-hydroxybutyrate (BHB) and fructosamine as well as urine phosphorus excretion and renal net acid-base excretion (NABE) were related to ruminal acid load, but were not predictive of rumen pH. Monitoring of dairy herds for SRA should be performed routinely and employ several diagnostic tools (rumenocentesis, renal NABE determination) as well as specific knowledge of herd management and feeding routines.

Effect of anionic salt and highly fermentable carbohydrate supplementations on urine pH and on experimentally induced hypocalcaemia in cows.

The objective of this experiment was to determine the effect of dietary grain on calcium homeostasis. Six rumen-fistulated dairy cows with 3 or more previous lactations and no history of parturient paresis were randomly assigned to a sequence of diets in a crossover study with 4 periods of 10 days each. Dietary treatments were: A control ration consisting of wrap grass silage alone (1), the control ration supplemented with ammonium chloride and ammonium sulphate salt solution (2), control ration following a period with supplementation (3) and control ration supplemented with increasing amounts of barley from 4 to 10 kg/cow per day, expected to produce subclinical rumen acidosis (4). Daily intake of the diets was adjusted to 14 kg DM/cow per day. On day 11, the calcium-regulating mechanisms in cows were challenged until recumbency by a standardized intravenous EDTA infusion and cows were left to recover spontaneously. Anion supplementation and the feeding of highly fermentable carbohydrate lowered urine pH below 7.0 due to subclinical acidosis. During spontaneous recovery from EDTA induced hypocalcaemia, the cows more quickly regained a whole blood free calcium concentration of 1.00 mmol/L if they had most recently been supplemented with either anionic salts or with increasing amounts of barley, as compared to the basic ration. It is concluded that so-called slug-feeding or 'steaming up' with highly fermentable carbohydrates before parturition in milk fever susceptible cows enhanced calcium homeostasis similar to the effect seen in cows on anionic diets.

A short introduction to the new principle of binding ration calcium with sodium zeolite.

This paper summarise the development of the new principle of preventing parturient hypocalcaemia by reducing the bioavailability of ration calcium with calcium binders, based on the idea that a negative calcium balance would stimulate natural defence mechanisms against threatening hypocalcaemia. Synthetic sodium zeolite was selected as a first choice among the many calcium binders available commercially, such as polyphosphates, citrate, EDTA and it derivatives. Testing was done on non-pregnant rumen fistulated cows in the first place, followed by cows in late lactation. Encouraged by the tendencies seen in these animals, the final proof of concept was done on pregnant dry cows fed a supplement of synthetic sodium zeolite A from 4 weeks before expected calving until calving. By analysis of blood calcium levels, this supplementation was shown to have a stabilizing effect during the critical period shortly after calving.

The effect of zeolite A supplementation in the dry period on blood mineral status around calving.

This article summarizes the results obtained in 6 separate studies concerned with the effect of zeolite A supplementation in the dry period on blood calcium, magnesium and phosphorus status around calving. The experiments were conducted on 5 different farms, and comprised a total of 117 cows. Two of the experiments (exp. 5 and 6) were conducted under extensive farming conditions whereas the rest (exp. 1-4) were conducted on intensively driven farms. All cows included in the experiments had completed at least 2 lactations. The cows were allocated as either untreated control cows or zeolite treated experimental cows according to expected date of calving and parity. The experimental cows were fed between 0.5 and 1.0 kg of zeolite A per day during the last 2 to 4 weeks of the dry period. Blood samples were drawn on the day of calving and day one and two after calving (all experiments), three weeks before the expected date of calving (exp. 1 and 2) and one week after calving (exp. 3 and 4). The zeolite supplementation significantly increased the mean serum Ca level on the day of calving. The efficiency of the zeolite supplementation to prevent hypocalcaemia (serum Ca < 2.00 mmol/l) on the day of calving was calculated. Efficiencies varied ranging from 3 to 100%, with a mean efficiency of 58%. The zeolite-calcium ratio (g of zeolite per cow per day/g of dietary calcium per cow per day) was calculated in each experiment. From the results it seemed, that zeolite-calcium ratios below 5 did not effectively prevent parturient hypocalcaemia, whereas ratios of 10 to 20 proved very efficient in preventing hypocalcaemia. There was apparently no additional effect from feeding zeolite for 4 instead of 2 weeks prepartum. Feeding zeolite in the dry period significantly decreased plasma phosphate before as well as after calving. The phosphate level was normalized within one week after calving. Plasma magnesium was significantly lower among the experimental cows on the day of calving, but stayed within the normal range of plasma magnesium. The control cows on the other hand experienced hypermagnesemia after calving.

Aspects of physiological effects of sodium zeolite A supplementation in dry, non-pregnant dairy cows fed grass silage.

The objective of the present study was to monitor serum and urine biochemical changes in dairy cows during and after oral administration of a synthetic sodium aluminium-silicate (zeolite A). A prospective longitudinal study involving four non-pregnant and non-lactating cows was chosen. Cows were randomly allocated to either a control or experimental group. The period of observation was three weeks. During the first week (period 1) cows were maintained on basic ration for the purpose of recording baseline values. During the second week (period 2) control cows were fed a basic diet (grass silage), while cows in the experimental group were fed the basic diet and supplemented with 1 kg zeolite pellets once daily. During the third week (period 3) both groups were fed the basic ration only and observed for any persistent effects after zeolite withdraw. Daily sampling included blood and urine. Selected physiological parameters were compared between groups during period 2 and 3, whereas mean values from period 1, 2 and 3 were compared within the groups. Zeolite supplementation revealed a significant influence on calcium homeostasis. A slight decrease in serum Ca and in renal excretion of calcium was observed in the experimental group at initiation of supplementation, whereas an increment in these parameters was recorded after withdrawal of zeolite supplementation. It is assumed, that zeolite caused a reduction in the availability of dietary calcium during supplementation, which possibly elicited an activation of calcium mobilisation. The influence of zeolite on calcium homeostasis was not evident from monitoring serum concentration of calcium regulating hormones (PTH, 1,25(OH)2D3, 25(OH)VitD) or renal excretion of markers of bone resorption. Enhanced active intestinal calcium absorption and bone resorption was therefore considered insignificant in the calcium mobilisation under the conditions of this experiment. The origin of the increased amount of Ca, which was observed in serum and urine after zeolite withdraw, is at present unknown, but it is suggested, that the readily mobilized Ca-pool in bone was a contributing factor. An effect of zeolite on phosphate and magnesium homeostasis in the experimental group was evidenced from the values of serum concentration and fractional excretion, which during supplementation were significant lower than in the control group. The influence of zeolite on phosphorus and magnesium is presumed to result from a combination of interference of zeolite with intestinal absorption and a marginal dietary supplementation of these minerals.

Effect of prepartum zeolite A supplementation on renal calcium excretion in dairy cows around calving and evaluation of a field test kit for monitoring it.

In a prospective, longitudinal study ten pregnant dry cows were randomly assigned as either experimentals or controls. The experimental period was from 28 days before expected calving until calving. Experimental cows were allocated 800 g of zeolite A daily during week 2 and 3 before expected calving. The zeolite A was given continuously via a feed dispenser. The daily calcium intake was calculated to be 60 g. Daily urine samples were obtained before, during and after the period of zeolite A supplementation. Urine pH was measured immediately whereas the remaining of samples was stored at C until analysis for calcium and creatinine. Urinary calcium/creatinine ratio was used as a measure of renal calcium excretion. Zeolite A supplementation did not affect urine pH. Renal calcium excretion peaked at the first day of supplementation, whereupon it decreased steadily to a level comparable to pre-exposure level. This could be explained by a sudden draw of calcium from the readily mobilizable pool in the bone. A commercial available water hardness test kit was evaluated as a possible cow-side test for monitoring renal calcium excretion. The repeatability of the analysis was acceptable (CV = 9.3). The accuracy of the test was good. When compared to laboratory derived urinary calcium/creatinine ratios of the same samples, a distinct linear relationship could be shown (Y = 7.9E-7 + 1.9E-8). It was therefore concluded that the water hardness test was able to monitor renal calcium excretion with an acceptable accuracy.

The effect of zeolite A supplementation in the dry period on periparturient calcium, phosphorus, and magnesium homeostasis.

One potential way of preventing parturient hypocalcemia in the dairy cow is to feed dry cow rations very low in calcium (<20 g/d); but, because it is difficult to formulate rations sufficiently low in calcium, this principle has been almost abandoned. Recent studies have shown, however, that it is possible to prevent milk fever, as well as subclinical hypocalcemia, by supplementing the dry cow ration with sodium aluminium silicate (zeolite A), which has the capacity to bind calcium. The aim of this study was to further evaluate the effect, if any, of such supplementation on other blood constituents, feed intake, and milk production in the subsequent lactation. A total of 31 pregnant dry cows about to enter their third or later lactation were assigned as experimental or control cows according to parity and expected date of calving. The experimental cows received 1.4 kg of zeolite pellets per d (0.7 kg of pure zeolite A) for the last 2 wk of pregnancy. Blood samples were drawn from all cows 1 wk before the expected date of calving, at calving, at d 1 and 2 after calving, and 1 wk after calving. Additionally, a urine sample was drawn 1 wk before the expected date of calving. Zeolite supplementation significantly increased the plasma calcium level on the day of calving, whereas plasma magnesium as well as inorganic phosphate was suppressed. Serum 1,25(OH)2D was significantly increased 1 wk before the expected date of calving among the experimental cows, whereas there was no difference in the urinary excretion of the bone metabolite deoxypyridinoline between the two groups. Feed intake was decreased among the zeolite-treated cows during the last 2 wk of pregnancy. No effect was observed on milk yield, milk fat, and milk protein in the subsequent lactation. The mechanisms and interactions involved in zeolite supplementation are discussed in relation to the observed improvement in parturient calcium homeostasis and to the observed depression in blood magnesium and inorganic phosphate.

The influence of short-term anion salt exposure on urine pH and on resistance to experimentally induced hypocalcaemia in cows.

The objective of this experiment was to induce acidification by anion salt supplementation for 2 days or 10 days and to study the prophylactic effects of such supplementation in preventing hypocalcaemia in cows. It was further attempted to monitor the extent to which any effect on the calcium-regulating mechanisms would persist following a 10-day period of acidification with anion salts. Study animals were three untreated control cows and three cows supplemented with ammonium chloride and ammonium sulphate in their ration for 2 days or 10 days through the rumen cannula. The basic ration of hay was dominated by Urochloa spp. The pH of the urine of the control cows was around 8.00 throughout the experiment and was considered normal. Anion-supplemented cows produced urine with a daily mean pH between 5.5 and 7.0, possibly due to anion salt exposure. The ability to withstand hypocalcaemic challenges was tested by a standardized intravenous infusion of disodium ethylenediaminetetraacetate (Na2EDTA). The calcium regaining time (CRT), expressed as time spent to reach 1.00 mmol/l of ionized calcium during recovery from the EDTA-induced hypocalcaemia, was used to compare cow responses. In the control cows the unexpectedly short CRT, especially during the weekly EDTA tests, could be a result of the repeated induced episodes of hypocalcaemia caused by the EDTA infusions. The improved CRT in the anion-supplemented cows may thus be interpreted as the combined effect of the repeated hypocalcaemic episodes due to EDTA infusions and probably the effect of anion-induced metabolic acidosis on endocrine-regulated calcium homeostatic mechanisms. The effect of anion salt exposure for 10 days on the improvement of calcium-regulating mechanisms was not clear due to the unexpected improvement of CRT that was exhibited by the untreated control cows as well. An on-farm trial of the effect of a 2-day or 10-day anion exposure of dry cows on calcium-regulating mechanisms is suggested.

Milk fever control principles: a review.

Three main preventive principles against milk fever were evaluated in this literature review, and the efficacy of each principle was estimated from the results of controlled investigations. Oral calcium drenching around calving apparently has a mean efficacy of 50%-60% in terms of milk fever prevention as well as prevention of milk fever relapse after intravenous treatment with calcium solutions. However, some drenches have been shown to cause lesions in the forestomacs. When using the DCAD (dietary cation-anion difference) principle, feeding rations with a negative DCAD (measured as (Na + K)-(Cl + S)) significantly reduce the milk fever incidence. Calculating the relative risk (RR) of developing milk fever from controlled experiments results in a mean RR between 0.19 and 0.35 when rations with a negative versus positive DCAD are compared. The main drawback from the DCAD principle is a palatability problem. The principle of feeding rations low in calcium is highly efficient in milk fever prevention provided the calcium intake in the dry period is kept below 20 g per day. Calculating the relative risk (RR) of developing milk fever from controlled experiments results in a very low mean RR (between 0 and 0.20) (daily calcium intake below versus above 20 g/d). The main problem in implementing the low-Ca principle is difficulties in formulating rations sufficiently low in calcium when using commonly available feeds. The use of large doses of vitamin D metabolites and analogues for milk fever prevention is controversial. Due to toxicity problems and an almost total lack of recent studies on the subject this principle is not described in detail. A few management related issues were discussed briefly, and the following conclusions were made: It is important to supply the periparturient cow with sufficient magnesium to fulfil its needs, and to prevent the dry cows from being too fat. Available information on the influence of carbohydrate intake, and on the effect of the length of the dry period and prepartum milking, is at present insufficient to include these factors in control programmes.

Hot topic: prevention of parturient paresis and subclinical hypocalcemia in dairy cows by zeolite A administration in the dry period.

To test the effects of a zeolite feed supplement on parturient calcium status and milk fever, two groups of dry cows were treated with either 1 kg of zeolite/d or none for 4 wk prepartum. At calving and d 1 and 2 after calving all cows were given 250 g of calcium carbonate as a drench, and a blood sample was taken. Serum calcium analysis revealed a greater calcium concentration in zeolite-treated cows. While three control cows contracted milk fever, necessitating intravenous calcium therapy, and six out of eight control cows experienced serum calcium levels below 2 mmol/L in one or more samples taken, none of the zeolite-treated cows contracted milk fever or experienced subclinical hypocalcemia.

[Lymphedema in patients treated for breast cancer. A cross-sectional study in the county of Ribe. The need of manual lymph drainage; risk factors]. / Lymfødem hos patienter behandlet for brystkraeft. En tvaersnitsundersøgelse i Ribe Amt. Behovet for manuel lymfedraenage; risikofaktorer.

Over a period of three months circumferences of the upper and lower arm were measured in 334 patients previously treated for breast cancer. Lymphoedema was found in 25 (7.5%) of these patients. The total number of patients with breast cancer who had lymphoedema in one year in Ribe Amt was calculated to 40. As more than one half of the patients only had modest or no subjective symptoms, it is expected that about 20 patients pr. year need manual lymph drainage, and about 20 patients need prophylactic physiotherapy. It was found that the risk for increased circumference of the upper arm was correlated to axillary radiotherapy and the total number of lymph nodes removed from the axilla. The risk of increased circumference of the lower arm was correlated to chemotherapy.

Preventive anthelmintic treatment of grazing young cattle via supplementary feed and drinking water.

Twenty-six first season calves were allocated into four groups which were turned out on May 21 to graze separate permanent pastures. One group (group A) remained untreated. The others were treated each month with albendazole either as an oral drench (group B) through supplementary feed (group C) or through the drinking water (group D). Neither clinical disease nor weight gain depressions were observed in any group. Although the infection levels were low, the faecal excretion of trichostrongylus eggs, the serum pepsinogen activities and the pasture larval contamination all indicated a marked reduction in the levels of infection of groups B, C and D. The serum pepsinogen activities of groups B and C were similar and remained below 1 unit of tyrosine/litre of serum whereas that of group D was intermediate between these two groups and group A. The labour saving principle which was applied to group C is recommended under conditions similar to those of the present experiment.