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肥胖犬的心脏和代谢变量

Cardiac and Metabolic Variables in Obese Dogs.

作者信息

Tropf M, Nelson O L, Lee P M, Weng H Y

机构信息

Department of Small Animal Clinical Sciences, Washington State University, Pullman, WA.

Department of Comparative Pathobiology, Purdue University, West Lafayette, IN.

出版信息

J Vet Intern Med. 2017 Jul;31(4):1000-1007. doi: 10.1111/jvim.14775. Epub 2017 Jun 13.

Abstract

BACKGROUND

The etiology of obesity-related cardiac dysfunction (ORCD) is linked to metabolic syndrome in people. Studies have indicated that obese dogs have components of metabolic syndrome, warranting evaluation for ORCD in obese dogs.

OBJECTIVES

To evaluate cardiac structure and function and metabolic variables in obese dogs compared to ideal weight dogs.

ANIMALS

Forty-six healthy, small-breed (<25 pounds), obese dogs (n = 29) compared to ideal weight dogs (n = 17).

METHODS

A cross-sectional study of cardiac structure and function by standard and strain echocardiographic measurements and quantification of serum metabolic variables (insulin:glucose ratios, lipid analysis, adiponectin, inflammatory markers).

RESULTS

Compared to the ideal weight controls, obese dogs had cardiac changes characterized by an increased interventricular septal width in diastole to left ventricular internal dimension in diastole ratio, decreased ratios of peak early to peak late left ventricular inflow velocities, and ratios of peak early to peak late mitral annular tissue velocities, and increased fractional shortening and ejection fraction percentages. The left ventricular posterior wall width in diastole to left ventricular internal dimension in diastole ratios were not significantly different between groups. Systolic blood pressure was not significantly different between groups. Obese dogs had metabolic derangements characterized by increased insulin:glucose ratios, dyslipidemias with increased cholesterol, triglyceride, and high-density lipoprotein concentrations, decreased adiponectin concentrations, and increased concentrations of interleukin 8 and keratinocyte-derived chemokine-like inflammatory cytokines.

CONCLUSIONS AND CLINICAL IMPORTANCE

Compared to ideal weight controls, obese dogs have alterations in cardiac structure and function as well as insulin resistance, dyslipidemia, hypoadiponectinemia, and increased concentrations of inflammatory markers. These findings warrant additional studies to investigate inflammation, dyslipidemia, and possibly systemic hypertension as potential contributing factors for altered cardiac function.

摘要

背景

肥胖相关心脏功能障碍(ORCD)的病因与人的代谢综合征有关。研究表明,肥胖犬具有代谢综合征的组成部分,因此有必要对肥胖犬进行ORCD评估。

目的

评估肥胖犬与理想体重犬的心脏结构和功能以及代谢变量。

动物

46只健康的小型犬(体重<25磅),其中肥胖犬29只,理想体重犬17只。

方法

通过标准和应变超声心动图测量对心脏结构和功能进行横断面研究,并对血清代谢变量(胰岛素:葡萄糖比值、血脂分析、脂联素、炎症标志物)进行定量分析。

结果

与理想体重对照组相比,肥胖犬的心脏变化特征为舒张期室间隔宽度与舒张期左心室内径之比增加、左心室流入速度早期峰值与晚期峰值之比降低、二尖瓣环组织速度早期峰值与晚期峰值之比降低,以及缩短分数和射血分数百分比增加。两组之间舒张期左心室后壁宽度与舒张期左心室内径之比无显著差异。两组之间收缩压无显著差异。肥胖犬存在代谢紊乱,其特征为胰岛素:葡萄糖比值增加、血脂异常,胆固醇、甘油三酯和高密度脂蛋白浓度升高、脂联素浓度降低,以及白细胞介素8和角质形成细胞衍生趋化因子样炎症细胞因子浓度增加。

结论及临床意义

与理想体重对照组相比,肥胖犬存在心脏结构和功能改变以及胰岛素抵抗、血脂异常、低脂联素血症和炎症标志物浓度增加。这些发现需要进一步研究,以调查炎症、血脂异常以及可能的系统性高血压作为心脏功能改变的潜在促成因素。

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