Home | Sitemap
| Search
_____________________
A Critique of Dr. Jean Dodds’ Chapter 5
Pet Food Preservatives and Other Additives
By Rosalind Dalefield BVSc, PhD, DABVT, DABT*
This
short chapter, which I found to be rather patchy and erratic in its narration
and reasoning overall, has several major flaws. Most of these can
be summarized under the following headings:
Principles of toxicology ignored
Very
basic principles of toxicology were succinctly expressed by Paracelsus
(1493-1541) when he wrote "All substances are poisons: there is none
which is not a poison. The right dose differentiates a poison from a remedy."
It might also be accurately said, “the right dose differentiates a poison
from a useful food additive.” Dr. Dodds ignores this very basic principle
in her lengthy discussion of ethoxyquin. Potential toxic effects
of ethoxyquin are listed, but the doses at which these effects may be observed
are not given. We are told that ethoxyquin crosses the placenta,
but we are not told at what dose this occurs. Many chemicals that
can cross the placenta do not do so at low doses because they are detoxified
by the mother before they reach the placenta. We are told that ethoxyquin
can alter hepatic vitamin A levels, but we are not told at what dose this
occurs. All poisons have thresholds below which toxic effects do
not occur. Dr. Dodds asserts “Continuous exposure to this potent
antioxidant [ethoxyquin] in preserved foods poses the risk of chronic low-level
effects.” That statement is quite simply wrong, provided the
continuous exposure is always below the threshold for chronic effects,
usually characterized as the chronic No Observed Adverse Effects Level
(NOAEL).
Dr.
Dodds also states:
Synthetic
antioxidants are substrates for cytochrome P-450, which affects hydroxylation
of foreign substances and drugs (refs). A consequence of the body’s
diminished ability to hydroxylate is its reduced capacity to detoxify and
excrete toxic and pharmacologic compounds.
Again,
she is ignoring the significance of dose. She does not indicate what
dose of synthetic antioxidant is required to saturate the cytochrome P450
enzyme system and therefore diminish its ability to detoxify other substrates.
The cytochrome P450 enzymes are abundant throughout the body, particularly
in the liver, and furthermore their synthesis can be up-regulated (induced)
in response to increased requirements. There is no evidence
that, at the doses used in pet foods, synthetic antioxidants have any significant
effect on the cytochrome P450 activity in the body, yet Dr. Dodds very
strongly implies that they do cause “diminished ability”.
In
further examples, Dr. Dodds refers to potential carcinogenic effects and
the potentiation of other chemicals by synthetic antioxidants, but fails
to indicate what doses are required to elicit these effects. It is
impossible to assess the significance of these effects without knowing
whether the concentrations of these chemicals in commercial pet foods even
remotely approach the doses required to elicit the effects. After all,
numerous natural chemicals, found in normal human diets, can be shown to
be carcinogens, but pose no risk at normal doses. Some examples may be
found in the erudite papers of Bruce Ames and colleagues:
Carcinogen Research
Dr.
Dodds abjectly fails to demonstrate that synthetic antioxidants are hazardous
at doses normally ingested in commercial pet foods but then, she does not
even try.
Unreferenced
assertions
The
referencing in this chapter is very uneven. While some statements
are backed up by numerous citations, several of the most startling and
provocative statements are completely unreferenced.
For
example Dr. Dodds writes of “Apparent increases in the number of humans
and animals with disease states affecting immune function and thyroid metabolism”
yet appears to provide no references to document such alleged increases.
Some references half a paragraph later may possibly be intended to cover
these claims, but they are citations of papers in medical journals, not
veterinary journals. So the claim appears to be unreferenced, at least
as far as animals are concerned.
It
has been said that extraordinary claims demand extraordinary evidence.
A claim of increases in immunologic disorders and of thyroid metabolism
(which make together an enormous and diverse field) should be thoroughly
referenced, including good evidence that the increases are not merely due
to better diagnosis.
Another
such sweeping, totally unreferenced assertion is “Autoimmune or immune-mediated
diseases are a major threat to humans and animals throughout the world.”
Really? Do autoimmune disorders really rank with killers of mankind
such as malaria (which may have killed as many as half of all the people
who have ever lived, and strikes people with perfectly healthy immune systems)
and malnutrition, or compare with starvation and predation as killers of
animals? It is a great pity that this very startling assertion is
unreferenced.
Nor
are references given to back the assertion that “Thyroid dysfunction…of
dogs and cats… has increased in frequency over the last decade” or
the assertion that in the case of animals with “immunologic dysfunction,”
“their exposure to unnecessary drugs, toxins and chemicals should be minimised.”
This is a pity. I would be very curious to know the reason behind
the latter assertion. I would have thought that exposure to infectious
pathogens would be the major concern for animals with immunologic function.
Other
important claims which should be supported by references, but are not,
include:
Experience
has shown that families of dogs susceptible to thyroid and other autoimmune
diseases show generalized improvement in health and vigor when fed premium
cereal-based diets preserved naturally with vitamins E and C (without the
addition of synthetic antioxidant preservatives).
Challenging
the immune system of animals susceptible to these disorders [thyroid and
other autoimmune diseases] with polyvalent modified-live vaccines has been
associated with adverse effects in some cases.
An
important consideration, however, is the cumulative antioxidant load, because
use of BHA or BHT to preserve the animal fat sources in these foods is
additive to the ethoxyquin incorporated into the finished product.
Illogical
statements and arguments.
Dr.
Dodds includes a long passage on the importance of iodine and selenium
levels without providing any evidence whatsoever that the levels of I or
Se in commercial pet foods are inappropriate. She then finishes this section
with the claim “Feeding only home-cooked fresh, natural ingredients
is a logical way to minimize this potential risk.” This is not,
in fact, logical at all. There are absolutely no grounds to conclude
that “home-cooked fresh natural ingredients” would guarantee appropriate
I and Se levels. In fact it would be a straightforward matter to
create diets containing toxic levels or extremely deficient levels of either
element or both elements. For example fresh, natural kelp could provide
excessive iodine and has done so, causing teratogenic effects in foals,
while fresh, natural Astragalus is a good example of a source of toxic
selenium levels.
In
the same vein, the statement… “Owners who prefer to use natural, fresh
and wholesome ingredients…” begs the question: Who says natural
and fresh means wholesome?
Dr.
Dodds makes the sweeping statement “Wholesome nutrition is the key to
maintaining a healthy immune system and resistance to disease,” but
then tries to support this opening statement by giving examples of various
inherited diseases of highly inbred breeds, such as inherited copper storage
of Bedlington terriers. Most of the problems she cites are not immunopathies.
Furthermore, it is not logical to extrapolate from such animals to the
population at large. To do so would be equivalent to making dietary
recommendations for all people to eat the special diets required by phenylketonurics.
She also attempts to back her opening statement with examples of nutritional
diseases of genetically normal animals, including hip dysplasia, osteochondrosis
dissecans, and hypercholesterolemia. Again, none of these are immunopathies.
In
the summary section, Dr. Dodds makes this statement:
Also
needed is an evaluation of their [synthetic chemical additives and other
pet-food additives] interactions with other genetic and environmental
factors that affect the health and performance of companion animals, with
particular emphasis on those that are inbred or closely linebred.
Surely
it is more logical to discourage inbreeding? Linebreeding is of course
just a euphemism for inbreeding. Inbreeding is associated with numerous
problems besides susceptibilities to nutrition-related diseases, including
decreased fertility, and greater likelihood of inherited diseases and congenital
diseases. The significance of diseases afflicting highly inbred strains
to general pet nutrition is highly questionable. She also ignores the fact
that some pet food manufacturers have already addressed special nutritional
needs, and, with their advanced analytical capabilities, are in a much
better position to do so than home cooks.
Incorrect
statements and misquoted references
Dr.
Dodds makes the rather extraordinary statement:
Excessive
supplementation of any nutrient can lead to significant clinical problems,
many of which resemble the respective deficiency states of these ingredients
This is
simply not true. Toxicoses due to Vitamin A, Vitamin D, copper, iron,
zinc, selenium
and numerous other nutrients do not remotely resemble the clinical signs
of deficiencies of those nutrients. Exceptions are rare, although cobalt
deficiency in cattle can superficially resemble toxicosis, and excessive
iodine by a pregnant mare may cause a paradoxical hypothyroid syndrome
in the foal.
On
closer inspection, the references for this startling statement refer solely
to selenium and vitamin E, so this is also an example of misuse of references.
Another
example of a misquoted reference is found associated with the statement:
Ethoxyquin,
BHA and BHT …have been shown to increase the toxicity of other chemicals
but also their mutagenicity, sensitivity to radioactivity exposure, and
tumor yield from chemical carcinogens
In fact
one of the references for this statement, Manson et al, Carcinogenesis
8:723, 1987, is titled “Ethoxyquin alone induces preneoplastic changes
in the rat kidney whilst preventing induction of such lesions in liver
by aflatoxin B1.” Since aflatoxin B1 is assuredly a chemical, the
reference in fact contradicts rather than supports Dr. Dodds’ claim.
Self-citation
and frivolous citation
There
is absolutely nothing wrong with self-citation when one is citing a piece
of original research one has previously published when it supports a point
one is trying to make. However, it is disingenuous to cite one’s
own previous reviews and book chapters. This amounts to writing “Because
I’ve written the same thing in the past, it is therefore true”. Citations
which turn out to be in journals that are not peer-reviewed or, worse still,
are glossies for pet owners (Dog World appears in the references three
times) also invite the cynicism of any serious scientist.
Use
of outdated theory
Dr.
Dodds appears to be applying the Immune Surveillance Theory when she states
that:
…chemicals
that promote immune suppression or dysregulation and oncogenesis may contribute
to the failure of immune surveillance mechanisms protecting the body against
the vast array of infectious and other agents that induce immunologic or
neoplastic change.
The Immune
Surveillance Theory held that the body constantly manufactures neoplastic
cells but that in the healthy individual the immune system recognizes and
eliminates these cells. The Immune Surveillance Theory posited, therefore,
that cancer is a result of immune system failure. In fact it has
been recognized that most people who get cancer have normal immune systems
and that immunosuppressed individuals such as implant recipients and AIDs
victims have a very different spectrum of cancers to the general population.
The only cancers to which they are at greater risk are those caused by
viruses, such as Kaposi’s sarcoma. Dr. Dodds’ statement would have
been reasonable had she confined herself to “infectious …agents that
induce… neoplastic change” but she appears to have wandered into the
discredited theoretical territory of the Immune Surveillance Theory by
her more sweeping “infectious and other agents that induce immunologic
or neoplastic change.”
Subscribing
or appearing to subscribe to an outdated and discredited theory does not
have a favourable effect upon one’s credibility.
Excessive
speculation
Much
of this chapter is highly speculative. The paragraph quoted immediately
above is a good example. Another can be found in the section on ethoxyquin,
in which we are told that “Other downstream effects can be predicted.”
Surely we can, and should, do better than predicting these effects before
we condemn ethoxyquin? They should be demonstrated and, most importantly,
the minimum dose at which they occur should be established. The same also
applies to Dr. Dodds’ speculations about the effects of ethoxyquin on steroid
hormones. To quote Sherlock Holmes, ‘It is a capital mistake
to theorise before one has data’ (or perhaps “The temptation to form premature
theories upon insufficient data is the bane of our profession.” would be
a better Holmesian quotation).
Further
speculation is encountered in the passage:
It
is tempting to speculate that the rising incidence of leukemias, lymphomas,
hemoangiosarcomas, and chronic immunosuppressive disorders among companion
animals is due at least partially to the widespread use of chemical antioxidants
and other additives in commercial pet foods.
The first
question is, what rising incidence would that be? The assertion that
these cancers and chronic immunosuppressive disorders are increasing in
incidence in companion animals is totally unreferenced. Extraordinary
claims require extraordinary evidence, but this extraordinary claim has
no evidence whatsoever to support it. Should we be speculating? Is
not another term for this kind of speculation “scare-mongering”?
One
might also ask, why then have the incidences of almost all cancers of humans
in the United States either declined over the last few decades or held
steady? The few that have increased are due to identified factors such
as sunbathing or AIDS infection. Why are dietary chemical antioxidants
and additives not causing an explosion of neoplasia in human beings?
Emotive
language and unbalanced coverage.
Terms
such as “natural” and “wholesome” are often used emotively in this chapter.
For example, the leading commercial pet food manufacturers would be justified
in being affronted at a sentence such as:
From
a holistic approach to health, fresh, wholesome, well-balanced foods composed
of natural ingredients are preferable to commercial diet formulas, which
are primarily cereal-based and include a wide array of additives intended
to provide “complete nutrition.
This strongly
implies that commercial diet formulas are not wholesome or well-balanced.
This does not follow. The better pet food manufacturers devote considerable
effort and expense to ensuring that their products are as well-balanced
as possible, and it may be strongly argued that commercial pet foods are
more likely to be well-balanced than home recipes. It would be instructive
to have an analysis of what proportion of serious cases of malnutrition
and diet-derived toxicosis in the veterinary literature involve homemade
diets and what proportion involve commercial diets. And what is wrong
with cereal-based pet foods? Dogs, being omnivores, can thrive very
well on them. As for the “wide array of additives intended to provide ‘complete
nutrition’,” surely this means they are vitamins and minerals and therefore
are “natural ingredients.”
It
should also be remembered that pet foods made and stored at home may also
contain “natural ingredients” including a host of bacterial toxins and
mycotoxins which are not wholesome at all. There appears to be an assumption
that “natural” means “beneficial” which is simply untrue, as anyone who
has seen a clinical case of hypervitaminosis A in a cat, resulting from
a totally “natural” home-made diet based on liver, can confirm.
Dr.
Dodds also uses emotive language such as “We should not be afraid to
challenge the industry…” Why are these fighting words necessary?
The industry will serve itself and its shareholders best by maximising
the health and wellbeing of the target consumers and their owners.
She
also asserts that “Veterinarians should be…encouraged to seek and recommend
commercial or home-made pet foods and pet food companies that promote a
more holistic approach to food safety,” but she fails to explain why.
Why not seek and recommend pet foods made on the basis of sound science
instead?
Overall,
this chapter is extremely biased. There is no discussion of such
issues as the possible deleterious effects of “natural” preservatives (such
as salt, for example), or the adverse effects on palatability and health
of rancid food, or the risks of mycotoxins or bacterial toxins. Dr.
Dodds does not discuss the negative aspects of home-cooked diets, such
as the greater pressure on a pet-owner’s time or the numerous cases of
clinical deficiencies and toxicoses that have resulted from home-prepared
pet foods. She mentions only very briefly that “natural” preservatives
tend to be more expensive and less effective without discussing the impact
of this on pet-owners who are on limited budgets. It seems distasteful
for a high-paid professional such as a veterinarian to deal so dismissively
with this problem. The joys of pet ownership are not, and should not be,
solely the preserve of the wealthy.
It
is noteworthy that Dr. Dodds admits that moves on the part of the pet food
industry to replace synthetic preservatives with natural ones have been
made in response to “consumer and professional queries” and the
beliefs (not the scientific evidence) of “proponents of natural
antioxidants.” In other words, these changes are not attributable
to any scientific evidence that synthetic preservatives are harmful in
any way at the concentrations used in commercial pet foods. Sadly,
the spectacle of industries buckling under pressure from ignorant victims
of rumour and speculation, is not an unusual one. It does not mean,
however, that the scare-mongers are right or that the industry was previously
in the wrong.
Closing
comments
At
the end of the chapter I found a statement with which I agree wholeheartedly:
The
industry needs additional short- and long-term controlled feeding trials
that incorporate modern toxicologic, medical and epidemiologic assessments
of synthetic chemical preservatives and other pet-food additives.
To that
I would add, “…and if the toxicological studies show the levels are well
below the chronic NOAEL, then there should be no more need for concern,
and an end to scare-mongering speculation”.
 
-----------------------------
*Rosalind
Dalefield BVSc MRCVS PhD
Diplomate, American Board of Veterinary Toxicology http://www.abvt.org
Diplomate, American Board of Toxicology http://www.abtox.org
URL: http://www.dalefield.com/toxicology
|