Department of Small Animal Clinical Sciences, The University of Tennessee College of Veterinary Medicine, 2407 River Drive, Knoxville, TN, 37996, USA.
Hill's Pet Nutrition Europe, 4106 Therwil, Grabetsmattweg, Switzerland.
BMC Vet Res. 2019 Jun 28;15(1):220. doi: 10.1186/s12917-019-1929-2.
Canine atopic dermatitis (AD) is a common skin disease. The goal of this study was to evaluate food designed to improve skin barrier function and lower inflammation to reduce pruritus and clinical severity in client-owned atopic dogs. The food contained an antioxidant blend to reduce oxidative stress, plant polyphenols to stabilize mast cells, and polyunsaturated fatty acids to improve skin health and reduce inflammation.
Seventeen dogs were included in the analysis. Initially 48 adult atopic dogs were enrolled and exclusively fed a dermatologic food for 8 weeks in a non-controlled, open-label study. Thirty-one dogs were excluded for the following reasons: oral and topical medication changes (n = 17), missing data (n = 4), fatty acid supplementation (n = 3), food refusal (n = 3), dropped out (n = 3), and owner concerns (n = 1). Using a scale from 0 (normal) - 4 (severe), veterinarians evaluated the presence and severity of clinical signs of atopy at weeks 0, 4, and 8. Pet owners also rated their pet's clinical signs of atopy on a scale from 0 (not present) - 10 (present continuously) at weeks 0, 4, and 8. Compared with initial baseline scores (median 19, range 3-69), the total veterinarian scores were significantly lower at weeks 4 (median 11, range 1-15) and 8 (median 7, range 3-46) (p < 0.05). Similarly, owner assessments showed significant improvements in the least squares mean (LSM) from baseline to 4 weeks (itching, redness, licking, and scratching) continuing to 8 weeks (itching, redness, and scratching) (p < 0.05).
In this open, non-controlled study evaluating a dermatologic diet in seventeen client-owned dogs, owner and veterinarian assessments showed statistically significant reductions in clinical scores designed to measure severity of atopic dermatitis. While these results show promise for the management of canine atopic dermatitis, controlled clinical trials are also needed to affirm our findings.
犬特应性皮炎(AD)是一种常见的皮肤疾病。本研究旨在评估旨在改善皮肤屏障功能和降低炎症的食物,以减轻患犬的瘙痒和临床严重程度。这种食物含有抗氧化混合物以减少氧化应激、植物多酚以稳定肥大细胞以及多不饱和脂肪酸以改善皮肤健康和减轻炎症。
17 只狗被纳入分析。最初有 48 只成年特应性犬参加了一项非对照、开放性研究,连续 8 周只食用一种皮肤病食物。31 只狗因以下原因被排除在外:口服和局部用药变化(n=17)、数据缺失(n=4)、脂肪酸补充(n=3)、拒食(n=3)、脱落(n=3)、主人担忧(n=1)。兽医使用 0(正常)-4(严重)的评分来评估特应性皮炎临床症状的存在和严重程度,分别在第 0、4 和 8 周进行评估。宠物主人也在第 0、4 和 8 周时使用 0(不存在)-10(持续存在)的评分来评估其宠物的特应性皮炎临床症状。与初始基线评分(中位数 19,范围 3-69)相比,第 4 周(中位数 11,范围 1-15)和第 8 周(中位数 7,范围 3-46)的总兽医评分明显降低(p<0.05)。同样,从基线到第 4 周(瘙痒、红肿、舔舐和搔抓)和第 8 周(瘙痒、红肿和搔抓),主人评估显示出最小二乘均值(LSM)的显著改善(p<0.05)。
在这项评估 17 只患犬皮肤病饮食的开放性、非对照研究中,主人和兽医评估显示,旨在测量特应性皮炎严重程度的临床评分有统计学意义的降低。虽然这些结果为犬特应性皮炎的管理提供了希望,但也需要进行对照临床试验来证实我们的发现。