Benefits of raw feeding: the science

One of the biggest arguments against raw feeding is that, supposedly, there are no scientifically proven benefits but only risks associated with it.
For a long time, I, myself, have believed that there weren't (yet) any studies on raw diets, as this idea was always claimed by strong proponents of evidence-based science. 
I decided, then, that it was time to do some serious research by myself, and I was pleasantly surprised when I found much more scientific studies reporting the benefits of raw diets than I thought.
In this article, I will report my findings from the scientific literature, listing the proven benefits of raw diets.

A well-studied benefit of raw diets: increased digestibility

One of the benefits of a raw diet–which is also the most noticeable when you switch your cat to a raw diet–is that the stools are much smaller, with almost no smell. This benefit, often judged as anecdotal, is–in fact–reported in many studies and has a scientific explanation. 
In fact, raw meat-based diets are highly digestible, significantly more than kibble or canned-based diets. This is something really important because it means that the cat assimilates almost all the nutrients that it is eating.
A higher digestibility also means less waste (smaller feces) as almost everything which is eaten is used by the body. Cats eating a raw diet always have better or equal fecal scores to cats eating commercial diets.

To give you an idea of the magnitude of the increase in digestibility, a commercial diet is considered of poor quality if its digestibility is below 75%, of moderate quality if the digestibility is between 75 and 82%, and of high quality if the digestibility is above 82%. 
In most studies, the digestibility of raw diets was ranging between 90 and 95%, which not only classifies raw diets as highly digestible, but it also means that there is as much difference between a low-quality and a high-quality commercial diet as between a lower range high-quality commercial diet and a raw diet!
If you want to know more about digestibility, this article written by Linda Case–a prominent animal nutritionist–explains well its importance. You could also read the book "Dog Food Logic" by the same author to study the subject further.


Concerning the odor of the feces, their bad smell is caused by the presence of putrefactive compounds. These compounds are the result of the fermentation in the large intestine by the gut bacteria of the proteins that weren’t digested in the small intestine.
Even if raw diets have higher protein content than commercial diets, because of the higher quality and digestibility of the proteins found in raw meat, they result in less undigested proteins. This leads to less odor in the feces due to the presence of fewer putrefactive compounds.
On top of the smell factor, a high presence of odorous compounds is also linked–in humans–to gastrointestinal diseases or others, such as chronic kidney diseases.
The improvement of the stool quality suggests, therefore, that raw diets could be useful in the management of gastrointestinal diseases such as IBD in cats.

[1][5][8][11][12][13][14][16][17][18][19][27][28][32][34]

Gut health

The importance of our gut microbiota is more and more studied since it has proven consequences on our overall health.
For our companion animals, being fed a raw or a whole-prey diet results in very different gut bacteria when compared to the ones found in pets fed a commercial diet.
In dogs that are fed a raw diet, not only the bacteria were different, but they were also richer and more diverse. In humans, a higher diversity of gut bacteria is linked to better overall health, while lower diversity of bacteria is linked to obesity and unhealthy eating behavior.
As we still don’t know much about what is a healthy gut microbiota for our pets, it is not possible to conclude with certainty if the differences in gut bacteria are, in fact, beneficial for the pet or not. However, some studies on our pets' gut microbiota are starting to find results that could be linked with enhanced gastrointestinal health and an improved intestinal barrier. [6][9][10][31][33][34]


Non-nutritive benefits

Something that is often underestimated is the non-nutritive aspect of feeding our cats.
The studies on this are still in their infancy and have been carried out mainly on large felids living in zoos. Several studies have shown the mental enrichment provided by feeding partial carcasses or whole prey to large felids instead of ground meat, which resulted in reduced stress and improved well-being. [2][4]
In fact, feeding whole prey or carcasses fulfills the need to exercise the teeth, which prevent jaw and cranial malformations, as well as being sensory stimulating.
Similarly, feeding biologically relevant enrichment to cats, such as chicks or mice, should provide the same mental enrichment and benefits. [3]

Another non-nutritive aspect linked with feeding raw meaty bones is the improvement in the oral health of cats. The act of chewing and eating the bones, in fact, scraps and cleans the teeth. I personally experienced this benefit when I switched Néline to a raw diet. While there is still not a clear scientific claim made specifically for cats on this topic, the benefits of feeding bones have been studied in wild felids, and it is proven that it does indeed promote better oral health. [29][30]


Less studied/potential benefits

Early studies are starting to show benefits of raw diets for dogs such as anti-inflammatory effects, a decrease in oxidative stress, enhancement of immunity, improved metabolic health. This could have an effect on diseases such as atopic dermatitis and allergies. 
Additionally, dogs eating a raw diet early in life or who had a mother fed a raw diet seem to be less likely to develop canine atopic dermatitis.
These effects are hypothesized to stem from the fact the diet is high in fat and non-processed. [20][21][22][23][26]


A case-control study indicates that feeding a raw diet to German shepherd puppies could be protective against hip dysplasia. This is the first time that this benefit has been reported, so more studies (and especially clinical ones) will be needed to confirm it. This is still promising as it suggests that raw diets seem to provide benefits in a wide range of health improvements. [24]


In another study, feeding a raw diet to dogs was protective against the parasite Toxocara canis. The hypothesized explanation is that since a raw diet isn't sterile–as opposed to a commercial diet (kibble or canned)–it resulted in enhanced immunity. [25]


To mitigate the widespread misinformation against raw diets, it's also worth mentioning that it has been proven that raw diets can indeed support a normal growth rate and pass a growth feeding trial as defined by the AAFCO, as well as maintaining body weight and normal health in adult pets. [1][15].
I wouldn't consider these as "benefits", but rather normal effects of a complete and balanced diet.


Whole food

Finally, an area of research that is promising for raw diets is the shift of the focus from nutrients to whole food. In fact, we don’t have a deep understanding of all the constituents of an ingredient, and whole food provides more than just the known nutrients. The health benefits of eating whole food are in general superior to the health benefits provided by the nutrients taken separately. Feeding a balanced diet made of minimally processed whole food to our pets should also promote better health in the same way that eating whole food promotes better health in humans. [35][36][37][38]

As raw diets have recently been growing in popularity, the research on them is still in its infancy, but there are already several proven benefits over commercial diets, and in particular over kibbles.
I can’t wait to see all the future research done on raw diets and in particular on all the health improvements that are linked to improved digestibility, the increased gut health, and the consumption of whole food.
To conclude, keep in mind that the benefits reported in this article are just the ones that are backed by science, but there are still many things that we don’t know!
In a future article, I will talk about the risks of a raw diet.



Other recommended readings

The science of raw feeding

The Raw Feeding Veterinary Society position statement

Sources

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[2] Bond, J. C., & Lindburg, D. G. (1990). Carcass feeding of captive cheetahs (Acinonyx jubatus): the effects of a naturalistic feeding program on oral health and psychological well-being. Applied Animal Behaviour Science, 26(4), 373–382. 

[3] Iske CJ, Morris CL, Colpoys JD, Kappen KL, Iennarella CA, et al. (2018) Nutrient evaluation of a pork by-product and its use as environmental enrichment for managed large exotic cats. PLOS ONE 13(9): e0202144. 

[4] Ruskell AD, Meiers ST, Jenkins SE, Santymire RM. Effect of Bungee-carcass enrichment on behavior and fecal glucocorticoid metabolites in two species of zoo-housed Felids. Zoo Biol. 2015 Mar-Apr;34(2):170-7. doi: 10.1002/zoo.21192. Epub 2014 Dec 9. PMID: 25492384.

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[13] Kerr. R., B. M. Vester Boler, C. L. Morris, K. J. Liu, and K. S. Swanson. 2012. Apparent total tract energy and macronutrient digestibility and fecal fermentative end-product concentrations of domestic cats fed extruded, raw beef-based, and cooked beef-based diets. J. Anim. Sci. 90:515-522. 

[14] Hamper BA, Kirk CA, Bartges JW. Apparent nutrient digestibility of two raw diets in domestic kittens. J Feline Med Surg. 2016 Dec;18(12):991-996. doi: 10.1177/1098612X15605535. Epub 2015 Sep 23. PMID: 26400072.

[15] Hamper, B. A. , Bartges, J. W. & Kirk, C. A. (2017) Evaluation of two raw diets vs a commercial cooked diet on feline growth. Journal of Feline Medicine and Surgery 19, 424‐434

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[17] Kiley M Algya, Tzu-Wen L Cross, Kristen N Leuck, Megan E Kastner, Toshiro Baba, Lynn Lye, Maria R C de Godoy, Kelly S Swanson, Apparent total-tract macronutrient digestibility, serum chemistry, urinalysis, and fecal characteristics, metabolites and microbiota of adult dogs fed extruded, mildly cooked, and raw diets, Journal of Animal Science, Volume 96, Issue 9, September 2018, Pages 3670–3683, 

[18] Kerr KR, Morris CL, Burke SL, Swanson KS. Apparent total tract energy and macronutrient digestibility of one- to three-day-old, adult ground, extruded, and canned chicken-based diets in domestic cats (Felis silvestris catus). J Anim Sci. 2014 Aug;92(8):3441-8.

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[20] Anturaniemi J, Zaldívar-López S, Savelkoul HFJ, Elo K, Hielm-Björkman A. The Effect of Atopic Dermatitis and Diet on the Skin Transcriptome in Staffordshire Bull Terriers. Front Vet Sci. 2020 Oct 16;7:552251.

[21] Hemida, Manal et al. “Identification of modifiable pre- and postnatal dietary and environmental exposures associated with owner-reported canine atopic dermatitis in Finland using a web-based questionnaire.” PloS one vol. 15,5 e0225675. 29 May. 2020.

[22] Nødtvedt A, Bergvall K, Sallander M, Egenvall A, Emanuelson U, Hedhammar A. A case-control study of risk factors for canine atopic dermatitis among boxer, bullterrier and West Highland white terrier dogs in Sweden. Vet Dermatol. 2007 Oct;18(5):309-15.

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[27] Bermingham EN, Maclean P, Thomas DG, Cave NJ, Young W. 2017. Key bacterial families (Clostridiaceae, Erysipelotrichaceae and Bacteroidaceae) are related to the digestion of protein and energy in dogs. PeerJ 5:e3019 

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[29] Haberstroh, L. I., Ullrey, D. E., Sikarski, J. G., Richter, N. A., Colmery, B. H., & Myers, T. D. (1984). Diet and Oral Health in Captive Amur Tigers (Panthera tigris altaica). The Journal of Zoo Animal Medicine, 15(4), 142. 

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[31] Beloshapka AN, Dowd SE, Suchodolski JS, Steiner JM, Duclos L, Swanson KS. Fecal microbial communities of healthy adult dogs fed raw meat-based diets with or without inulin or yeast cell wall extracts as assessed by 454 pyrosequencing. FEMS Microbiol Ecol. 2013 Jun;84(3):532-41.

[32] Beloshapka AN, Duclos LM, Vester Boler BM, Swanson KS. Effects of inulin or yeast cell-wall extract on nutrient digestibility, fecal fermentative end-product concentrations, and blood metabolite concentrations in adult dogs fed raw meat-based diets. Am J Vet Res. 2012 Jul;73(7):1016-23

[33] Whitehouse-Tedd KM, Lefebvre SL, Janssens GP. Dietary factors associated with faecal consistency and other indicators of gastrointestinal health in the captive cheetah (Acinonyx jubatus). PLoS One. 2015;10(4):e0120903. Published 2015 Apr 1. 

[34] Iennarella-Servantez, Chelsea A., "Evaluation of raw meat diets on macronutrient digestibility, fecal output, microbial presence, and general health status in domestic dogs." (2017).

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