The effect of long-term voluntary fasting on hematologic variables, bi
ochemical profiles, and liver histologic findings was assessed in 15 o
bese cats (> 40% overweight). Clinical signs and laboratory results co
nsistent with hepatic lipidosis were observed in 12 of 15 cats after 5
to 7 weeks of fasting, and were associated with 30 to 35% reduction o
f initial body weight. Histologic examination of successive liver biop
sy specimens revealed that obesity was not associated with liver paren
chymal lipid accumulation, but that fasting resulted in lipidosis in a
ll 15 cats. The long-term fast was associated with an early (after 2 t
o 4 weeks of fasting) and significant (P < 0.05) reduction in serum ur
ea, glucose, and albumin concentrations, and RBC mass. Fasting for 5 t
o 7 weeks was associated with a significant (P < 0.05) increase in hep
atic-associated enzyme activities and in total and direct serum biliru
bin concentrations. Significant (P < 0.05) changes in serum alkaline p
hosphatase developed as early as 3 weeks before the onset of hyperbili
rubinemia. Except for development of hepatic lipidosis, cats appeared
to tolerate the fast without other adverse effect. This study confirme
d that longterm fasting may induce clinical hepatic lipidosis in obese
cats. Easting appears to induce a syndrome of hepatic lipidosis that
is indistinguishable from feline idiopathic hepatic lipidosis and may
be an appropriate model to study the pathophysiologic features and tre
atment of hepatic lipidosis.