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222例食物反应性肠病犬的回顾性研究——与临床变量、饮食和品种的相关性

Retrospective Study of 222 Dogs Suffering from Food-Responsive Enteropathy-Correlation with Clinical Variables, Diet and Breed.

作者信息

Candellone Alessia, Raviri Gaia, Saettone Vittorio, Didier Martine, Rossi Giacomo, Marchegiani Andrea, Gavazza Alessandra, Di Cerbo Alessandro, Cerquetella Matteo

机构信息

NutriTO Vet srl, Via Bastone 4/2, 10095 Rosta, TO, Italy.

Endovet Group, 00118 Rome, Italy.

出版信息

Vet Sci. 2024 Jul 1;11(7):294. doi: 10.3390/vetsci11070294.

Abstract

Food-responsive enteropathy (FRE) is the most frequent form of canine chronic inflammatory enteropathy (CIE). It can be diagnosed if, after excluding known causes of diarrhea, clinical signs resolve or significantly improve after an appropriate dietary trial. No universal diet can resolve the clinical signs in every case of FRE, as genetic predisposition and environment (e.g., the possible role of the diet feed before the disease onset) are suggested as possible players. The study aimed to retrospectively evaluate the possible correlations between disease, diet, and breed in a large cohort of dogs (n = 222) suffering from FRE. Throughout the study, dogs differed based on dietary options: commercial diet group, homemade diet group, and mixed diet group. Diet, breed, age, body weight, body condition score (BCS), fecal score (FS), canine chronic enteropathy activity index (CCECAI), and selected clinical signs were variably evaluated at T0 and at final time (FT-based on response to the diet[s], but between 30 and 60 days). Significant differences between T0 and FT were found regarding FS, BCS, and CCECAI, as well as between age, BCS, and CCECAI at FT with the FS at FT. The CCECAI at FT was significantly directly correlated only with the shift from a mixed to a homemade diet. Finally, the multiple linear regression analysis between the covariables of different breeds versus clinical response to the dietary trials did not highlight any difference except for the passage from commercial to mixed diet in a specific subgroup of breeds. The present study reports the clinical progression in 222 dogs suffering from FRE, and it could represent a reference for the variables investigated, considering the large number of patients included.

摘要

食物反应性肠病(FRE)是犬慢性炎症性肠病(CIE)最常见的形式。如果在排除已知的腹泻原因后,经过适当的饮食试验,临床症状得到缓解或显著改善,即可诊断为该病。由于遗传易感性和环境因素(如疾病发作前饮食的可能作用)被认为是可能的影响因素,因此没有一种通用的饮食能解决每一例FRE的临床症状。本研究旨在回顾性评估一大群患有FRE的犬(n = 222)中疾病、饮食和品种之间的可能相关性。在整个研究过程中,犬根据饮食选择分为:商业饮食组、自制饮食组和混合饮食组。在T0和最终时间(基于对饮食的反应,但在30至60天之间)对饮食、品种、年龄、体重、体况评分(BCS)、粪便评分(FS)、犬慢性肠病活动指数(CCECAI)和选定的临床症状进行了不同程度的评估。在FS、BCS和CCECAI方面,以及在最终时间的年龄、BCS和CCECAI与最终时间的FS之间,发现T0和最终时间存在显著差异。最终时间的CCECAI仅与从混合饮食转变为自制饮食显著直接相关。最后,不同品种的协变量与饮食试验临床反应之间的多元线性回归分析除了在一个特定品种亚组中从商业饮食转变为混合饮食外,没有突出任何差异。本研究报告了222只患有FRE的犬的临床进展,考虑到纳入的患者数量众多,它可以作为所研究变量的参考。

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