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Effects of a structured exercise programme in sedentary dogs with chronic diarrhoea.Vet Rec. March 2017;180(9):224.1 Institute of Veterinary Clinical Science, Veterinary School, National Taiwan University, No. 1, Section 4, Roosevelt Road, Taipei 100, Taiwan.; 2 Azu Clinic for Animals, No. 92, Section 1, Kin-Shan South Road, Taipei 100, Taiwan.
British Veterinary Association.
AbstractThe aim of this investigation was to evaluate the effects of a structured exercise programme in sedentary dogs with chronic diarrhoea. Twenty-two dogs were enrolled in the study. All dogs received oral prednisolone (1 mg/kg/day for 14 days, followed by a tapering dosage) for 10 weeks. After four weeks of prednisolone treatment, dogs were assigned to either the exercise or control group (n=11 each). Owners of dogs in the exercise group were instructed to guide their dogs in structured exercise training (low-intensity to moderate-intensity aerobic and resistance exercise three to five days per week). After 10 weeks of prednisolone treatment with concomitant 6 weeks of complementary exercise, the Canine Inflammatory Bowel Disease Activity Index (CIBDAI) score had decreased significantly in the exercise group (from 8.8±1.5 at the start of the exercise programme to 2.4±1.5; P<0.001); no such change was observed in the control group (from 9.2±0.9 to 9.2±1.1). CIBDAI scores differed significantly between the groups at the end of the 10-week study period (P<0.001). The exercise programme affected all six CIBDAI parameters significantly; bodyweight (P<0.001, adjusted r2=0.722) was most affected. A structured exercise programme may have positive effects on clinical symptoms in sedentary dogs with chronic diarrhoea.
Companion NotesProspective report on the effects of a structured exercise program on sedentary dogs with chronic diarrhea Introduction on inflammatory bowel disease (IBD) - in human medicine IBDs include Crohn's disease and ulcerative colitis - chronic, episodic inflammatory conditions involving the intestine - cyclical disorders alternating between active and quiescent states - there’s no cure for either disease - benefits of exercise for IBD patients gradually gaining awareness (in overall healthy humans) - increased physical exercise reported to improve symptoms - benefits of exercise for affected patients include the following: - weight loss - improved energy intake - improved nutritional status - improved quality of life - may have a anti-inflammatory effect - current recommendations for structured exercise - aerobic activity (walking) for 20-60 minutes, 2-5 days/week - resistance exercise at least twice/week Study design - study population: dogs seen National Taiwan University - 22 sedentary dogs with chronic diarrhea - dogs had chronic diarrhea (≥ 3 months with or without vomiting) - indoor-only dogs with no type of exercise or regular walks - no or incomplete response to the following for ≥ 2 months - hypoallergenic elimination or hydrolyzed diet regimen - poor response to symptomatic therapies - parasiticidals - antibiotics - anticholinergics - pancreatic enzyme supplements - gastrointestinal protectants - procedure: - prednisolone for 12 weeks, all dogs - 1 mg/kg/day for 14 days followed by tapering dose for 10 weeks - after 4 weeks of prednisolone treatment - dogs were assigned to 1 of 2 treatment groups (assignment based on owners’ compliance and lifestyle) - exercise group, 11 dogs - Maltese terrier, 6 of the 11 - age: 9.8 ± 2.4 years - control group, 11 dogs - Maltese terrier, 7 of the 11 - age: 9.4 ± 2.0 years - structured exercise program used by owners of dogs in exercise group - low-intensity to moderate-intensity aerobic and resistance exercise - to be done 3-5 days per week - certified canine rehabilitation therapist instructed owners - this therapist rechecked dogs weekly - aerobic exercise: - 1 set of brisk trotting for 10-60 seconds - with 3-5 repetitions per set - resistance training - 1 or 2 sets of standing on a 15–30° incline for 30-60 seconds - with 5 repetitions per set - assessment methods - Canine Inflammatory Bowel Disease Activity Index (CIBDAI) score - six GI signs scored on a scale from 0-3 and summed - activity - appetite - vomiting - stool consistency - stool frequency - weight loss Results - results after 10 weeks of prednisolone treatment - CIBDAI score in dogs with concomitant 6 weeks of exercise: - CIBDAI score had decreased significantly in the exercise group - CIBDAI score at start of the exercise program: 8.8 ± 1.5 - CIBDAI score after 6 weeks of exercise: 2.4 ± 1.5 (P<0.001) - CIBDAI score in dogs without concurrent 6 weeks of exercise: - CIBDAI score had not decreased significantly in this control group - CIBDAI score at start of the exercise program: 9.2 ± 0.9 - CIBDAI score after 6 weeks of exercise: 9.2 ± 1.1 - CIBDAI scores differed significantly between the 2 groups after 10 weeks - exercise program significantly affected all 6 CIBDAI parameters - bodyweight was most affected (P<0.001, adjusted r2=0.722) - pre-prednisone: 4.6 ± 2.6 - 4 weeks of prednisone: 4.6 ± 2.5 - 10 weeks of prednisone: 5.1 ± 2.8 - significantly different from control and 1st post-treatment - fecal consistency - pre-prednisone: 2.9 ± 0.3 - 4 weeks of prednisone: 1.8 ± 0.4 - 10 weeks of prednisone: 0.9 ± 0.7 - significantly different from control and 1st post-treatment - fecal frequency - pre-prednisone: 2.9 ± 0.3 - 4 weeks of prednisone: 1.8 ± 0.3 - 10 weeks of prednisone: 0.9 ± 0.3 - significantly different from control and 1st post-treatment “This preliminary study demonstrated that low-intensity to moderate-intensity interval exercise diminished the symptoms of chronic diarrhoea in dogs, with no negative effect on general health.”
Keywords
Dogs*;
Exercise*;
chronic enteropathy*;
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Comment In Vet Rec. 2017 Mar 4;180(9):222-223
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