Breathing Woes: Breeds at Risk Like Pugs

A concerning respiratory ailment is affecting a far wider array of dog breeds than previously understood, with new research highlighting that even dogs with origins in China, such as the Japanese Chin and Pekingese, are susceptible to the same breathing difficulties as popular flat-faced breeds like pugs and bulldogs.


This widespread condition, known as Brachycephalic Obstructive Airway Syndrome (BOAS), specifically targets dogs possessing a shortened skull and a distinctly flattened facial structure. The very anatomy that gives these breeds their characteristic look also leads to significant anatomical issues within their airways.

Understanding the Impact of BOAS

In dogs afflicted with BOAS, critical sections of their respiratory tract become either partially or completely obstructed and narrowed. This anatomical compromise makes the simple act of breathing a strenuous and often laboured process. For many owners of breeds like pugs, French bulldogs, and English bulldogs, observing their beloved pets struggling for air after even moderate exertion, often accompanied by wheezing sounds, has become an unfortunately common experience.

While the impact of BOAS on the most commonly recognised flat-faced breeds is well-documented, the full extent of its prevalence across different breeds has remained a significant unknown. To shed light on this, a comprehensive new study was undertaken, meticulously examining close to 900 dogs from 14 distinct flat-faced breeds. The findings revealed a considerable and varied spectrum of BOAS severity across these canine companions.

Grading the Severity of Breathing Difficulties

The research methodology involved a systematic grading of each dog’s BOAS severity. Scientists employed a scale ranging from zero to three. A score of zero indicated minimal to no discernible symptoms, suggesting the dog breathed with relative ease. In stark contrast, a score of three signified that the animal experienced significant difficulty with exercise and struggled to draw in adequate amounts of air, pointing to severe airway obstruction.

Following this assessment, the 14 studied breeds were then benchmarked against established flat-faced breeds such as pugs, French bulldogs, and English bulldogs. This comparative analysis provided crucial insights into the relative risks associated with each breed.

Beyond the Obvious: Lesser-Known Breeds at Risk

The study’s findings were particularly eye-opening regarding breeds not typically at the forefront of BOAS discussions. Notably, Chinese-origin breeds, including the Pekingese and the Japanese Chin, were identified as facing a high risk of developing BOAS. The data indicated that a mere 11 per cent of Pekingese and approximately 17 per cent of Japanese Chin in the study were able to breathe freely, underscoring the widespread nature of the issue.

Furthermore, breeds such as the King Charles spaniel, Shih Tzu, and Boston terrier, while perhaps not exhibiting the extreme facial flattening seen in some other breeds, were also found to be at risk of this debilitating breathing condition, albeit at a somewhat lower frequency compared to the most severely affected.

Conversely, other breeds, including the Pomeranian, Boxer, and Chihuahua, demonstrated better outcomes among the studied group, suggesting a more favourable respiratory profile within these breeds.

Identifying Key Risk Factors

The researchers were able to pinpoint several key characteristics strongly associated with an increased risk of BOAS. These included:

  • Extreme Facial Flattening: Dogs with exceptionally flat faces were found to be significantly more prone to the condition.
  • Nasal Fold Issues: The presence of collapsed nostrils, where the nostrils narrow or collapse inwards during inhalation, was a major contributing factor.
  • Excess Weight: Being overweight was identified as a substantial risk factor, exacerbating existing airway compromises.

Implications for Breeding and Welfare

The study, published in the esteemed journal PLOS One, unequivocally states that BOAS is not a monolithic condition but rather varies considerably among brachycephalic breeds. This understanding is critical for developing effective strategies to improve the welfare of these dogs.

The scientists emphasised that by recognising these inter-breed differences and pinpointing the primary risk factors, more targeted and effective interventions can be implemented. This could involve everything from veterinary diagnostics to breeding guidelines.

A significant hope stemming from this research is that increased public and professional awareness will discourage the perpetuation of unhealthy characteristics that predispose dogs to BOAS. The goal is to move away from breeding for extreme physical traits at the expense of a dog’s fundamental ability to breathe comfortably.

The study’s authors highlight that even within the most extremely flat-faced breeds, there is still a range in how severely individual dogs are affected by BOAS. This variability supports a nuanced, breed-specific approach when aiming to reduce the incidence and impact of this disease across the entire canine population.

Ultimately, the researchers urge both dedicated breeders and prospective dog owners to prioritise a dog’s ability to breathe easily. Making informed choices that favour health over extreme aesthetics is paramount to ensuring a better quality of life for these beloved animals.

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