Lefebvre Sandra L, Yang Mingyin, Wang Mansen, Elliott Denise A, Buff Preston R, Lund Elizabeth M
Banfield Pet Hospital, 8000 NE Tillamook St, Portland, OR 97213, USA.
J Am Vet Med Assoc. 2013 Jul 15;243(2):236-43. doi: 10.2460/javma.243.2.236.
To determine whether gonadectomy or age at gonadectomy was associated with the risk that dogs would subsequently become overweight.
Retrospective cohort study.
1,930 dogs gonadectomized between 1998 and 2001 at ≤ 6 months of age (n = 782), > 6 months to ≤ 1 year of age (861), or > 1 to ≤ 5 years of age (287) and 1,669 sexually intact dogs.
Dogs were followed-up through medical records for ≥ 10 years or until a diagnosis of overweight (defined as overweight, obese, or having a body condition score ≥ 4/5) was recorded. Information extracted included age at study entry, sex, breed, breed-size category, hospital visit frequency, and diagnosis (yes or no) of overweight or diseases that might affect body condition. Relative risk of a diagnosis of overweight was assessed among age groups of gonadectomized dogs and between gonadectomized and sexually intact dogs.
No difference was detected among dogs grouped according to age at gonadectomy with respect to the risk of being overweight. This risk was significantly greater in gonadectomized dogs than in sexually intact dogs, but only during the first 2 years after gonadectomy. Sexually intact male dogs were approximately 40% less likely to have this diagnosis (hazard ratio, 0.61; 95% confidence interval, 0.52 to 0.72) than were sexually intact female dogs; no difference in risk between the sexes was evident for gonadectomized dogs.
Gonadectomized dogs had a greater risk of being overweight than did sexually intact dogs, but this risk was not influenced by age at gonadectomy. Opportunities exist for veterinarians to provide counseling during the first years after gonadectomy to help dogs maintain a healthy weight.
确定去势手术或去势时的年龄是否与犬只随后超重的风险相关。
回顾性队列研究。
1998年至2001年间在≤6月龄(n = 782)、>6月龄至≤1岁(861)或>1至≤5岁(287)时接受去势手术的1930只犬,以及1669只未绝育犬。
通过医疗记录对犬只进行≥10年的随访,或直至记录到超重诊断(定义为超重、肥胖或身体状况评分≥4/5)。提取的信息包括研究入组时的年龄、性别、品种、品种体型类别、医院就诊频率以及超重或可能影响身体状况的疾病的诊断(是或否)。评估去势犬不同年龄组之间以及去势犬与未绝育犬之间超重诊断的相对风险。
根据去势时的年龄分组的犬只在超重风险方面未检测到差异。去势犬的这种风险显著高于未绝育犬,但仅在去势后的前2年。未绝育的雄性犬被诊断为此病的可能性比未绝育的雌性犬低约40%(风险比,0.61;95%置信区间,0.52至0.72);去势犬的性别之间风险无明显差异。
去势犬比未绝育犬超重的风险更高,但这种风险不受去势时年龄的影响。兽医有机会在去势后的头几年提供咨询,以帮助犬只保持健康体重。