Department of Equine and Small Animal Medicine, University of Helsinki, Helsinki, Finland.
Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
J Vet Intern Med. 2024 Mar-Apr;38(2):1135-1145. doi: 10.1111/jvim.17019. Epub 2024 Feb 15.
BACKGROUND: Brachycephalic dogs display sleep-disordered breathing (SDB). The risk factors for SDB remain unknown. OBJECTIVES: To identify risk factors for SDB. We hypothesized that brachycephaly, increasing severity of brachycephalic obstructive airway syndrome (BOAS), excess weight, and aging predispose to SDB. ANIMALS: Sixty-three privately owned pet dogs were prospectively recruited: 28 brachycephalic and 35 normocephalic (mesaticephalic or dolicocephalic) dogs. METHODS: Prospective observational cross-sectional study with convenience sampling. Recording with the neckband was done over 1 night at each dog's home. The primary outcome measure was the obstructive respiratory event index (OREI). Body condition score (BCS) was assessed, and BOAS severity was graded for brachycephalic dogs. RESULTS: Brachycephaly was a significant risk factor for high OREI value (ratio of the geometric means 5.6, 95% confidence interval [CI] 3.2-9.9; P < .001) but aging was not (1.1, 95% CI 1.0-1.2; P = .2). Excess weight, defined as a BCS of over 5/9, (3.5, 95% CI 1.8-6.7; P < .001) was a significant risk factor. In brachycephalic dogs, BOAS-positive class (moderate or severe BOAS signs) was a significant risk factor (2.5, 95% CI 1.1-5.6; P = .03). CONCLUSIONS AND CLINICAL IMPORTANCE: Brachycephaly decreases welfare in a multitude of ways, including disrupting sleep. Brachycephaly, increasing severity of BOAS and excess weight are risk factors for obstructive SDB.
背景:短头型犬存在睡眠呼吸紊乱(SDB)。SDB 的风险因素尚不清楚。
目的:确定 SDB 的风险因素。我们假设短头型、BOAS 严重程度增加、超重和衰老会导致 SDB。
动物:63 只私人拥有的宠物犬被前瞻性招募:28 只短头型和 35 只正常头型(中头型或长头型)犬。
方法:采用方便抽样的前瞻性观察性横断面研究。在每个犬的家中,通过颈带进行了 1 晚的记录。主要结局指标是阻塞性呼吸事件指数(OREI)。评估了体况评分(BCS),并对短头犬的 BOAS 严重程度进行了分级。
结果:短头型是高 OREI 值的显著危险因素(比值均数 5.6,95%置信区间 [CI] 3.2-9.9;P < 0.001),但衰老不是(1.1,95% CI 1.0-1.2;P = 0.2)。超重(BCS 超过 5/9)是一个显著的危险因素(3.5,95% CI 1.8-6.7;P < 0.001)。在短头犬中,BOAS 阳性组(中度或重度 BOAS 体征)是一个显著的危险因素(2.5,95% CI 1.1-5.6;P = 0.03)。
结论和临床意义:短头型以多种方式降低了犬的福利,包括扰乱睡眠。短头型、BOAS 严重程度增加和超重是阻塞性 SDB 的危险因素。
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