School of Veterinary Science, The University of Queensland, Gatton, Australia.
J Vet Intern Med. 2012 Jan-Feb;26(1):46-53. doi: 10.1111/j.1939-1676.2011.00844.x.
Hypertriglyceridemia has been proposed to contribute to the risk of developing pancreatitis in dogs.
To determine associations between postprandial serum triglyceride concentrations and canine pancreatic lipase immunoreactivity (cPLI) concentrations or pancreatic disease.
Thirty-five client-owned overweight (n = 25) or obese (n = 10) dogs weighing >10 kg.
Healthy dogs were prospectively recruited for a cross-sectional study. Serum triglyceride concentrations were measured before and hourly for 12 hours after a meal. Fasting cPLI and canine trypsin-like immunoreactivity (cTLI) concentrations were assayed. Cut-off values for hypertriglyceridemia were set a priori for fasting (≥ 88, ≥ 177, ≥ 354, ≥ 885 mg/dL) and peak postprandial (≥ 133, ≥ 442, ≥ 885 mg/dL) triglyceride concentrations. The association between hypertriglyceridemia and high cPLI concentrations was assessed by exact logistic regression. Follow-up was performed 4 years later to determine the incidence of pancreatic disease.
Eight dogs had peak postprandial triglycerides >442 mg/dL and 3 dogs had fasting serum cPLI concentrations ≥ 400 μg/L. Odds of high cPLI concentrations were 16.7 times higher in dogs with peak postprandial triglyceride concentrations ≥ 442 mg/dL relative to other dogs (P < .001). Fasting triglyceride concentration was not significantly associated with cPLI concentrations. None of the dogs with high triglyceride concentrations and one of the dogs with low fasting and peak postprandial triglyceride concentrations developed clinically important pancreatic disease.
Overweight and obese dogs with peak serum postprandial triglyceride concentrations ≥ 442 mg/dL after a standard meal are more likely to have serum cPLI concentrations ≥ 400 μg/L, but did not develop clinically important pancreatic disease.
高甘油三酯血症被认为会增加犬患胰腺炎的风险。
确定餐后血清甘油三酯浓度与犬胰腺脂肪酶免疫活性(cPLI)浓度或胰腺疾病之间的关系。
35 只体重超过 10 kg 的超重(25 只)或肥胖(10 只)的宠物犬。
健康犬被前瞻性地招募进行横断面研究。在进食后 12 小时内,每小时测量一次空腹和餐后血清甘油三酯浓度。测定空腹和犬胰蛋白酶样免疫活性(cTLI)浓度。预先设定了空腹(≥ 88、≥ 177、≥ 354、≥ 885 mg/dL)和餐后高峰(≥ 133、≥ 442、≥ 885 mg/dL)甘油三酯浓度的高甘油三酯血症的截断值。通过确切的逻辑回归评估高甘油三酯血症与高 cPLI 浓度之间的关系。4 年后进行随访以确定胰腺疾病的发生率。
8 只犬的餐后高峰甘油三酯浓度>442 mg/dL,3 只犬的空腹血清 cPLI 浓度≥400 μg/L。与其他犬相比,餐后高峰甘油三酯浓度≥442 mg/dL 的犬发生高 cPLI 浓度的可能性高 16.7 倍(P<.001)。空腹甘油三酯浓度与 cPLI 浓度无显著相关性。高甘油三酯浓度的犬中无一例和空腹及餐后高峰甘油三酯浓度低的犬中一例出现临床重要的胰腺疾病。
在标准餐后,超重和肥胖犬的血清餐后高峰甘油三酯浓度≥442 mg/dL 更有可能出现血清 cPLI 浓度≥400 μg/L,但未发生临床重要的胰腺疾病。