Influence of Amount 
          and Type
          of Dietary Fat on Plasma Cholesterol Concentrations in African Grey 
          Parrots
         
        F. J. Bavelaar, MSc, MVR
        Prof. Dr. Ir. A.C. Beynen
         
        Department of Nutrition 
        Faculty of Veterinary Medicine 
        University of Utrecht, The Netherlands
         
        KEY WORDS: 
          African Grey parrot, atherosclerosis, plasma cholesterol concentration, 
          dietary intervention
         
        ABSTRACT
        The incidence of atherosclerosis in African Grey parrots 
          is high. An important risk factor for atherosclerosis in humans is an 
          elevated plasma cholesterol concentration; this might also hold for 
          parrots. Plasma cholesterol levels in humans can be lowered through 
          dietary intervention. We studied the influence of diets with different 
          dietary fatty acid composition and fat content on plasma cholesterol 
          concentrations in African Grey parrots. Four groups of parrots were 
          fed 4 different diets according to a Latin-square design. There were 
          2 low- and 2 high-fat diets, and the diets contained either sunflower 
          oil or palm kernel oil as a variable fat source. Sunflower oil is rich 
          in the polyunsaturated fatty acid linoleic acid. Palm kernel oil is 
          rich in the saturated fatty acids lauric acid and myristic acid. Twenty 
          parrots were involved in the entire experiment. The high-fat diet with 
          palm kernel oil resulted in significantly higher plasma cholesterol 
          and phospholipid concentrations when compared with the other 3 diets. 
          The magnitude of the parrots’ cholesterolemic response to the amount 
          and type of fat in the diet appeared to be comparable to that reported 
          in humans. Thus, it is possible to influence plasma cholesterol in parrots 
          through dietary intervention.
         
        INTRODUCTION
        Atherosclerosis is a common disease in parrots, especially 
          in African Grey and Amazones parrots.1 The incidence is considered to 
          be about 10%,1–3 but Bavelaar and Beynen4 found sudanophilic 
          staining in aortas of 84% of parrots presented for autopsy. In parrots, 
          atherosclerosis is mainly located in the beginning of the aorta and 
          the brachiocephalic arteries.1,5,6 The most common sign of atherosclerosis 
          is sudden death.7 However, there can be clinical signs such as hind 
          limb paresis, sudden collapses, dyspnea, and lethargy.1,7,8 The diagnosis 
          of atherosclerosis is rarely made in the living animal,1 and there is 
          no treatment for atherosclerosis in the parrot, which makes prevention 
          particularly relevant. 
        Regarding the development of atherosclerosis in parrots, 
          possible risk factors such as a high-fat diet, social stress, inactivity, 
          high plasma cholesterol, and high blood pressure have been suggested,1,3,7,9–11 
          but no experimental evidence is available. One of the most important 
          risk factors of human atherosclerosis is an elevated plasma cholesterol 
          concentration.12 Cholesterol might also be a risk factor in parrots, 
          assuming that they share similarities with budgerigars. Finlayson and 
          Hirchinson13 induced hypercholesterolemia and severe atheroma in female 
          budgerigars by feeding them a diet rich in cholesterol. 
        Diet composition is an important determinant of plasma 
          cholesterol concentrations in humans. Dietary saturated fatty acids, 
          as opposed to isoenergetic amounts of either carbohydrates or mono- 
          or polyunsaturated fatty acids, increase plasma cholesterol concentrations 
          in humans14,15 We are not aware of literature describing the influence 
          of diet on plasma cholesterol concentrations in parrots. Thus, this 
          experiment was designed to study the effect of the amount and type of 
          dietary fat on plasma cholesterol concentrations in African Grey parrots. 
          As mentioned above, African Grey parrots display a high incidence of 
          atherosclerosis, and dietary intervention would be expected to be most 
          effective in this species. It was anticipated that the results obtained 
          would contribute to the formulation and selection of appropriate diets 
          for parrots.
        MATERIALS AND METHODS
        Animals and Housing
        A total of 30 African 
          Grey parrots (Psittacus erithacus) were used. The parrots were made 
          available by the Dutch Parrot Refuge (Nederlandse Opvang Papegaaien, 
          Veldhoven, the Netherlands) and were housed in groups in 4 aviaries. 
          Each group consisted of 7 or 8 birds. The parrots were of both genders, 
          with ages ranging from 3 to 41 years and body weight from 338 to 571 
          g. Before the experiment, all parrots had been fed the same diet (Nutribird 
          P15, Versele-Laga, Deinze, Belgium) for at least 2 months. The parrots 
          had been chipped for identification. The aviaries had an indoor and 
          outdoor space. Outside, the floor was covered with sand and inside with 
          wood shavings. Indoors, there was continuous light. Feed and water were 
          provided inside for ad libitum consumption and were refreshed daily. 
          The aviaries were cleaned weekly. Food consumption was recorded per 
          group per day. At the end of each dietary period (described subsequently) 
          all parrots were caught for the collection of blood samples and for 
          the determination of body weight. If a parrot had lost 15% or more of 
          its initial body weight, it was excluded from the experiment. Parrots 
          showing signs of sudden illness and those involved in fighting were 
          excluded as well.
        Experimental Design
        The experiment was approved by the animal experiments 
          committee of the Faculty of Veterinary Medicine, Utrecht, the Netherlands. 
          The trial was performed from the beginning of February to the end of 
          May 2001. To eliminate any effects of animal baseline value, diet sequence, 
          and time, the experiment had a 4 x 4 Latin-square design. There were 
          4 dietary treatments and the 4 groups of parrots were randomly allocated 
          to the 4 diet orders. The first 2 experimental periods lasted 28 days 
          each, the third lasted 32 days, and the last period was 24 days. On 
          the last day of each experimental period, blood samples were collected 
          from the jugular vein of each parrot, and the birds were weighed. The 
          blood samples, ranging from about 0.1 to 1.5 mL, were collected in heparinized 
          tubes. Blood was centrifuged (10.000 x g, 10 minutes) and the plasma 
          was stored at -20˚C until 
          further analyses. 
        Diet Formulation
        The experimental diets differed in fat content and fatty 
          acid composition. There were 2 low- and 2 high-fat diets with sunflower 
          oil and palm kernel oil as variable fat sources. To formulate the low-fat 
          diets, glucose was isoenergetically substituted for part of the variable 
          fat source in the high-fat diets. For the isoenergetic substitution, 
          the energy densities of glucose and fat were taken to be 17 and 39 kJ 
          gross energy per gram. The composition of the experimental diets and 
          their constant components are given in Tables 1 and 2. The diets were 
          composed so as to meet the assumed nutrient requirements of parrots.16 
          The diets were fed as extruded pellets. 
        Feed Analyses 
        Dry matter, crude protein, crude fiber, and crude ash 
          in the diets were analyzed according to the Weende analysis. Crude fat 
          was extracted from the feed with chloroform:methanol (2:1, v/v) as described 
          by Folch et al,17 and the extracted fat was weighed. For determination 
          of the fatty acid composition of the fat sources, the oils were saponified 
          using methanolic sodium hydroxide and the constituent fatty acids were 
          converted into their methyl esters using boronitrifluoride in methanol. 
          Fatty acid analyses were performed by gas-liquid chromatography using 
          a flame ionization detector, a Chromopack column (Fused silica, no. 
          7485, CP.FFAPCB 25 m x 0.32 mm, Chromopack, Middelburg, the Netherlands) 
          and H2 as carrier gas.18 The individual fatty acids are expressed 
          as weight percentage of total methyl esters. The fatty acid composition 
          of the fat sources (Table 3) and that of the other ingredients, as derived 
          from the Dutch Feedstuff Table 199919 and from the USDA nutrient database 
          (www.nal.usda. gov/fnic/foodcomp), were used to calculate the fatty 
          acid composition of the whole diets (Table 4).
        Blood Analyses 
        Plasma total cholesterol, phospholipids, and triglycerides 
          were determined with commercial test combinations and the Cobas-Bio 
          centrifugal analyser (Roche Diagnostics, Basel, Switzerland). For the 
          cholesterol and phospholipid determination, Precinorm U (cat. nr. 171743, 
          Boehringer, Mannheim, Germany) was used as the control serum, and Precinorm 
          L (cat. nr. 781827) was used for the triglyceride determination. If 
          more than 150 mL plasma was available, high-density lipoprotein 
          (HDL) cholesterol was determined as soluble cholesterol after precipitation 
          of apoB-containing lipoproteins (cat. nr. 543004, Roche, Mannheim, Germany) 
          using the Cobas-Bio autoanalyser and Precinorm L as the control serum. 
          Low-density lipoprotein (LDL) cholesterol was calculated with the formula 
          of Friedewald et al20 as LDL-cholesterol (mmol/L) = total cholesterol 
          (mmol/L) - triglycerides (mmol/L) 
          / 2.2 - HDL-cholesterol (mmol/L).
        Statistical Analyses 
        Individual parrots were considered as experimental units. 
          Data were used from 20 birds that had participated in the entire experiment. 
          Plasma lipid values and body weights were subjected to a univariate 
          analysis of variance. The plasma values were logarithmically transformed 
          so that they showed a normal distribution. Group, carry-over effect, 
          dietary treatment, and feeding period were used as fixed factors, and 
          the parrots as a random factor. If a significant (P<0.05) effect 
          of one of the fixed factors was observed by analysis of variance, a 
          least significant difference (LSD) test was then used to identify group 
          differences. The statistical analyses were performed with the computer 
          program SPSS (SPSS Inc, Chicago, IL).
        RESULTS
        Chemical Analyses of Diets 
        The results of the chemical analyses of the experimental 
          diets are given in Table 1. The low and high-fat diets contained about 
          69 and 193 g fat/kg, respectively. The fatty acid composition of the 
          variable fat sources is given in Table 3. As would be anticipated, the 
          palm kernel oil was rich in lauric acid and the sunflower oil was rich 
          in linoleic acid. The calculated fatty acid composition of the whole 
          diets is shown in Table 4. The high-fat diets resembled the variable 
          fats more closely than did the low-fat diets, in which the fatty acid 
          composition of the other ingredients had a greater impact.
        Feed Consumption and Weight Changes 
        Of the 30 parrots, 20 animals finished the experiment. 
          Seven parrots were excluded because of unacceptable weight loss or illness, 
          one parrot escaped, one was removed because of fighting, and one parrot 
          was found dead. The mean daily feed consumption per animal was 39.3 
          g for the low-fat diet with sunflower oil, 36.7 g for the low-fat diet 
          with palm kernel oil, 31.1 g for the high-fat diet with sunflower oil, 
          and 34.7 g for the high-fat diet with palm kernel oil. Because the parrots 
          could not be fed individually, body weight served as an indicator of 
          individual feed consumption. The experimental diets had no differential 
          influence on body weight (P=0.32), but feeding period was associated 
          with a significant difference in weight (P=0.014); body weight was significantly 
          higher during the third period. Because there was no diet effect on 
          body weight, it is concluded that the parrots consumed equal amounts 
          of energy with the 4 diets and that there was no difference in palatability. 
          This conclusion is supported by the feed intake values given previously 
          and the calculated energy contents of the diets (Table 1).
        Plasma Lipids 
        The plasma values at the beginning of the experiment (n 
          = 30) were 8.39 ± 2.57 (range, 
          5.31–18.62) mmol/L for total cholesterol, 5.33 ± 
          1.00 (range, 3.48–8.49) mmol/L for phospholipids, and 2.27 ± 1.33 (range, 0.59–5.63) mmol/L for triglycerides.
        The plasma values per dietary treatment are given in Table 
          5. No group effect and no carry-over effect were found. The diet had 
          a significant influence on plasma cholesterol concentrations (P=0.006). 
          The high-fat diet rich in saturated fatty acids lauric and myristic 
          acid, added in the form of palm kernel oil, produced significantly higher 
          levels of plasma cholesterol than did the other 3 diets. 
        Both dietary treatment and feeding period had a significant 
          influence on plasma phospholipid levels (P<0.001 and P=0.014, respectively). 
          Feeding the high-fat diet with palm kernel oil resulted in significantly 
          higher plasma phospholipid concentrations when compared with the other 
          3 diets. The first feeding period was associated with lower phospholipid 
          concentrations when compared with the other 3 periods. No significant 
          differences among the dietary treatments were found for plasma triglyceride 
          levels. 
        In many cases, there was not enough plasma to determine 
          HDL-cholesterol. Therefore, the statistical power was low, and it was 
          decided not to analyze the values for HDL-cholesterol statistically. 
          LDL-cholesterol was not determined but was calculated from HDL-cholesterol. 
          Therefore, no statistical analyses were performed for LDL-cholesterol 
          either. In general, HDL was the main cholesterol carrier in the blood 
          of the parrots; the average percentage of total cholesterol in HDL was 
          56%. Two parrots had LDL as the main cholesterol carrier, with this 
          lipoprotein providing 56% and 65% of the total cholesterol. Throughout 
          the experiment, the mean LDL to HDL cholesterol ratio in individual 
          parrots varied from 0.17 to 2.81.
        DISCUSSION
        Initial plasma lipid values and those seen in the course 
          of the experiment showed great inter-individual variation. During the 
          experiment, the lowest average plasma cholesterol concentration in an 
          individual parrot was 4.64 mmol/L and the highest value was 18.62 mmol/L. 
          Polo et al21 reported that the plasma concentration of cholesterol was 
          6.8 ± 0.7 (range, 5.8–8.2) mmol/L 
          for African Grey parrots fed a mixed diet. The plasma concentrations 
          of cholesterol found in this study are generally higher and show a much 
          greater range. Polo et al21 gave no information about the number of 
          birds examined, their age and gender, or their housing conditions. Researchers 
          believe that in middle-aged humans, the risk for coronary heart disease 
          is increased when plasma cholesterol concentrations are higher than 
          5.17 mmol/L (200 mg/dL)22 and that the risk increases progressively 
          above this concentration.23 All of the parrots in this experiment and 
          all of those studied by Polo et al21 had a plasma cholesterol value 
          higher than 4.64 mmol/L. It appears relevant to know at which level 
          an individual parrot should be considered hypercholesterolemic.
        In birds on a cholesterol-free diet, the main carrier 
          of blood cholesterol is HDL.24–26 In general, the parrots in this experiment 
          also had HDL as main cholesterol carrier, but in 2 parrots, most plasma 
          cholesterol was carried in LDL. The LDL/HDL cholesterol ratios showed 
          great variation among the parrots. This ratio is of interest because 
          it is considered to be a risk factor for atherosclerosis in humans that 
          is more predictive than total cholesterol.27 A low ratio of LDL/HDL 
          cholesterol may prevent the development of atherosclerosis. Unfortunately, 
          we cannot conclude whether or not the experimental diets affected the 
          LDL/HDL cholesterol ratio in these parrots. 
        Plasma phospholipids are mainly transported by HDL particles. 
          Indeed, the high-fat diet with palm kernel oil significantly raised 
          phospholipids and also increased group-mean plasma HDL cholesterol concentrations. 
          In humans, plasma HDL cholesterol and triglyceride concentrations are 
          inversely related,28 but this was not seen in the parrots. However, 
          it should be noted that the parrots were not fasted before blood sampling 
          and thus may have been in different feeding states, increasing the variation 
          in plasma triglyceride concentrations.
        The major objective of this experiment was to examine 
          the effect of amount and type of dietary fat on plasma total cholesterol 
          concentrations in parrots. Plasma cholesterol concentrations were found 
          to be significantly higher when the parrots were fed the high-fat diet 
          rich in saturated fatty acids (lauric and myristic acid) in the form 
          of palm kernel oil. No difference in plasma cholesterol was found for 
          the two low-fat diets versus the high-fat diet rich in the polyunsaturated 
          fatty acid linoleic acid (in the form of sunflower oil). It can be concluded 
          that, for low-fat diets, the type of dietary fat has no important influence 
          on plasma cholesterol concentration. However, when a high-fat diet is 
          given, polyunsaturated fatty acids versus saturated fatty acids may 
          lower plasma cholesterol concentrations in parrots. A high-fat diet 
          rich in polyunsaturated fatty acids may lower cholesterol to levels 
          seen for low-fat diets. Thus, both the amount and type of dietary fat 
          should be considered in relation to plasma cholesterol concentrations. 
        
        Mensink and Katan15 conducted a meta-analysis of 27 trials 
          in humans. They came up with a formula to predict the changes in plasma 
          cholesterol concentration when carbohydrates are replaced by fatty acids. 
          The equation is change in total cholesterol (mmol/L) = 0.039 ¥ (carbÆsat) 
          - 0.003 ¥ 
          (carbÆmono) - 0.015 ¥ (carbÆpoly), in which (carbÆsat) refers to the isoenergetic replacement of carbohydrates by 
          saturated fatty acids, (carbÆmono) 
          to the replacement by monounsaturated fatty acids and (carbÆpoly) to the replacement by polyunsaturated fatty acids. The amounts 
          of carbohydrates and fatty acids and their replacements are expressed 
          as percent contribution to total daily energy intake. We have used the 
          equation of Mensink and Katan15 to predict the diet-induced differences 
          in plasma cholesterol in this study. The isoenergetic replacement of 
          glucose and fatty acids was expressed in terms of gross energy. The 
          analyzed amounts of macronutrients (Table 1) and calculated fatty acid 
          composition of the diets (Table 4) were used. Between the high-fat diet 
          with palm kernel oil and the low-fat diets with either sunflower or 
          palm kernel oil, the predicted differences in plasma cholesterol are 
          0.78 and 0.65 mmol/L, respectively. In this study, the measured differences 
          were 0.68 and 1.06 mmol/L, respectively. It would appear that the cholesterol 
          response to the amount and type of dietary fat in parrots is of the 
          same order of magnitude as that in humans, but the lower group-mean 
          cholesterol concentration for the low-fat diet with palm kernel oil 
          instead of the sunflower oil was unexpected.
        Conclusions
        In conclusion, this experiment shows that it is possible 
          to influence plasma cholesterol concentrations in parrots through the 
          composition of the diet. Dietary intervention might be an approach to 
          decrease the risk for atherosclerosis in parrots. To lower plasma cholesterol 
          in parrots, the diet should either have a low fat content or be rich 
          in polyunsaturated fatty acids. In pelleted parrot feeds, the fat concentration 
          ranges between 5% and 15%, whereas in seed diets, the fat content may 
          be much higher, but the proportion of polyunsaturated fatty acids is 
          often also high. To give a solid recommendation as to an appropriate 
          diet for parrots, more research is necessary. For the time being, it 
          would appear advisable to use diets with up to 10% fat in the dry matter.
        ACKNOWLEDGMENTS
        We thank the Dutch Parrot Refuge for their cooperation 
          and the use of their parrots. Furthermore, we want to thank Hedwig Van 
          der Horst, DVM, for her assistance during the experiment, Jan Van der 
          Kuilen, Inez Lemmens, and Robert Hovenier for their analytical assistance, 
          and Eloy Cruz for extrusion of the diets.
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        Table 1. The 
          Ingredients, Analyzed Composition, and Calculated Energy Contents of 
          the Diets
         
        Table 2. The 
          Ingredient Composition of the Constant Components in the Experimental 
          Diets
         
                                                          Low-Fat                  
          High-Fat
                                          Low-Fat     Palm     High-Fat     
          Palm
         
                                           Sunflower    kernel    Sunflower   Kernel
         
          Ingredients
             (g/kg)
            Sunflower oil           15.0           —          132.0         
          —
            Palm kernel oil            —           15.0           —         
          132.0
            Glucose                  
          228.5       228.5          
          —            —
            Constant                 
          756.5       756.5       
          868.0       868.0
        
            Total                       
          1000.0     1000.0     1000.0     1000.0
         
          Chemical 
          analysis
             (g/kg)
            Dry matter                
          898          897          
          897          903
            Crude ash                
          41.3         40.8         
          46.9         47.5
            Crude protein          154.8       158.5       181.4       
          183.5
            Crude fiber               
          55.9         54.8         
          58.7         60.9
            Crude fat                  
          68.2         69.9        
          193.6       192.2
            Carbohydrates†      577.9       573.2       417.1       
          419.3
            Gross energy‡        16.2         16.2         19.0         
          19.0
             (MJ/kg)
         
          *Glucose and the variable fats were exchanged on an energy basis so that 
          on a weight basis the amount of constant components in the high-fat 
          diets was greater than in the low-fat diets.
          †Calculated as residual fraction.
          ‡The gross energy values (MJ/kg) used were as follows: protein 23.8; fat 
          39; carbohydrates 17. 
         
        
         
          Corn oil                                           
          6.6
          Corn                                           
          132.2
          Wheat                                        
          119.0
          Oats                                             
          66.1
          Wheat middlings                           52.9
          Corn glutenmeal                           92.5
          Whole egg                                    
          46.3
          Sugarbeet pulp, dehydrated      125.6
          Soy beans, extracted                  92.5
          Corn starch                                  
          33.0
          Wheat germs                               
          26.4
          Molasses, cane                             6.6
          Yeast, dehydrated                       19.8
          Barley                                          
          39.7
          Peas                                             
          27.1
          Rice                                                
          1.3
          Alfalfa meal, dehydrated             72.7
          Trace-element premix*                 10.6
          Vitamin premix†                           13.2
          Lime                                             
          13.5
          Salt                                                 
          2.4
         
        
        
        
         
         
         
        Table 3. Contents 
          of Selected Fatty Acids in the Variable Fat Sources
         
        Table 4. Contents 
          of Selected Fatty Acids in the Experimental Diets
         
                                                      
          Palm Kernel 
         
                                                             
            g/100g
              Fatty Acid        Sunflower     methylesters
         
         
          Lauric acid             
          0.0                 53.8
           (C12:0)
         
          Myristic acid           
          0.0                 15.5
           (C14:0)
         
          Palmitic acid           
          5.7                   7.5
           (C16:0)
         
          Stearic acid            
          3.0                   1.7
           (C18:0)
         
          Oleic acid             
          21.7                 13.3
           (C18:1 n-9)
         
          Linoleic acid         
          68.1                   2.1
           (C18:2 n-6)
         
          a-Linolenic 
          acid     0.0                   0.0
           (C18:3n-3)
         
                                                         
          Palm
                                                         
          kernel                
                                  Low fat          
          g/100g         High fat     Palm
         
            Fatty acid       Sunflower    
            methylesters   Sunflower   kernel
         
         
          Lauric acid          
          0.1               17.0               0.0         41.9
           (C12:0)
         
          Myristic acid        
          0.3                5.2                0.1         12.2
           (C14:0)
         
          Palmitic acid       
          15.2              15.8               8.7         10.2
           (C16:0)
                                        
          Stearic acid         
          4.2                3.8                3.4          2.4
           (C18:0)
         
          Oleic acid           
          27.5              24.8              23.5        17.0
           (C18:1 n-9)
         
          Linoleic acid       
          44.3              23.5              60.4         9.0
           (C18:2 n-6)
         
          a-Linolenic 
          acid  1.4                
          1.4                0.4          0.4
           (C18:3n-3)
         
          P/S*                     
          2.9                0.7                6.9          0.2
         
          *P/S is the polyunsaturated to saturated fatty acid ratio. P is the sum 
          of C18:2 and C18:3 and S is the sum of C12:0. C14:0 and C16:0.
         
         
         
        Table 5. Mean 
          Plasma Values of Total Cholesterol, Phospholipids, Triglycerides, High-Density 
          Lipoprotein (HDL) Cholesterol and Low-Density Lipoprotein (LDL) Cholesterol 
          for the Four
          Dietary Treatments 
         
                                                
          Low-Fat                      Low-Fat                     High-Fat                     High-Fat
                                            Sunflower Oil            Palm Kernel Oil            Sunflower Oil            Palm Kernel Oil
         
            Measure                      
            N mean ± SD              N mean ± SD              
            N mean ± SD              N 
            mean ± SD
         
         
          Cholesterol              
          20 8.15a ± 2.25          20 7.77b ± 1.93          20 7.43c ± 1.25        19 8.83abc ± 1.30
          Phospholipids          
          20 5.14d ± 0.64          20 5.15e ± 0.65          20 5.01f ± 0.47        20 5.74edf ± 0.70
          Triglycerides             
          20 2.37 ± 2.14            20 2.01 ± 0.65            20 1.68 ± 0.48            20 1.67 
          ± 1.01
          HDL-cholesterol1      12 4.49 ± 1.43            10 4.44 ± 0.95            13 4.10 
          ± 0.64            
          10 5.85 ± 1.05
          LDL-cholesterol1      11 3.19 ± 2.45            10 2.37 ± 0.95            13 2.61 
          ± 1.36            
          10 2.44 ± 0.65