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Experts reveal the 15 dog breeds at risk of SERIOUS breathing problems

Experts have identified a complete list of dog breeds at risk of serious breathing problems, as they warn ‘cute’ flat faces result in a lifetime of suffering.

Researchers from the University of Cambridge said the popularised ‘squished’ faces of dogs can come at a price.

Their shortened skull shape, called brachycephaly, can cause horrific wheezing and difficulty breathing.

While previous research has focused on the three most popular ‘flat faced’ dog breeds in the UK – the Bulldog, French Bulldog and the Pug – they have now found a further 12 breeds at risk of serious issues.

This includes the Pekingese and Japanese Chin breeds, which were found to be at highest risk of a serious breathing problem called Brachycephalic Obstructive Airway Syndrome (BOAS).

Meanwhile the King Charles Spaniel, Shih Tzu, Griffon Bruxellois, Boston Terrier and the Dogue de Bordeaux are all at moderate risk of the condition.

The Staffordshire Bull terrier, Cavalier King Charles Spaniel, Chihuahua, Boxer and Affenpinscher were all found to be at mild risk.

‘BOAS exists on a spectrum,’ co–lead author Dr Fran Tomlinson, from the University of Cambridge, said. ‘Some dogs are only mildly affected, but for those at the more severe end, it can significantly reduce quality of life and become a serious welfare issue.’

Flat–faced dogs, like Pugs, suffer from debilitating health conditions. A dog's nose should be at least one–third the length of its skull in order for it to breathe normally, experts have said

For their study, the team collected data from 898 dogs encompassing 14 different breeds.

They measured the animals’ skulls and noses, bodies and necks, and checked them for symptoms of BOAS following a three–minute exercise test.

In the study they focused on the loudness and difficulty of the animals’ breathing, but other symptoms can also include loud snoring, snorting, poor heat tolerance, exercise intolerance and even vomiting.

Of the 14 breeds, two were found to not be clinically affected by the condition – the Pomeranian and the Maltese.

However, the team discovered the remaining 12 all experienced problems on some level, meaning they join the likes of Pugs and Bulldogs in a comprehensive list of the breeds at risk of BOAS.

The study, published in the journal PLOS One, also found that the condition varies considerably within each breed.

Those with a very flat face, collapsed nostrils or a ‘plump physique’ were at especially high risk, they discovered.

The researchers hope that this study will lead to more ‘flat–faced’ dogs being tested and encourage greater engagement on BOAS and other health issues faced by these breeds.

89 per cent of Pekingese involved in the study were found to be at risk of BOAS, the researchers found. Pictured: Pekingese at Crufts in 2024
A Japanese Chin, one of breeds found to be at highest risk of BOAS, with rates comparable with Pugs, French Bulldogs and Bulldogs (file image)
The dogs were graded for BOAS on a scale of zero to three, with zero indicating few symptoms, and three meaning the pup had difficulty exercising and getting enough air

The breeds at risk of serious breathing problems

High risk

  • Bulldog
  • French Bulldog
  • Pug
  • Pekingese
  • Japanese Chin

Moderate risk 

  • King Charles Spaniel
  • Shih Tzu
  • Griffon Bruxellois
  • Boston Terrier 
  • Dogue de Bordeaux

Mild risk

  • Staffordshire Bull terrier
  • Cavalier King Charles Spaniel
  • Chihuahua
  • Boxer
  • Affenpinscher
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Dr Jane Ladlow, who co–led the study, said: ‘Being aware of risk factors can be useful for both breeders and prospective owners in selecting dogs which are less likely to be affected by BOAS.

‘Knowledge of these risk factors can also help to inform judges in deciding which features are detrimental to health so that factors associated with BOAS are not rewarded in the show ring, particularly as winning dogs can become popular sires.’

The team said that a breathing assessment remains the most accurate way to determine BOAS risk and therefore which dogs should be selected for breeding or whose welfare would benefit from veterinary intervention.

‘While surgery, weight management and other interventions can help affected dogs to some degree, BOAS is hereditary, and there is still much to learn about how we can reduce the risk in future generations,’ Dr Tomlinson added.

In severe cases, BOAS can result in collapse or even death, they warned.

Last week, it emerged that dog shelters are being forced to euthanise flat–faced breeds amid a ‘heartbreaking’ rise in abandonments.

The shelters warned they are being overwhelmed by the sheer number of dogs with ‘extreme conformations’, with one reporting a 500 per cent increase since 2017.

Sarah Roser, head of operations at Hope Rescue in South Wales, told the Daily Mail: ‘We’re looking at a dog where nothing is functioning as it should be, and sadly, those are the animals that sometimes we have to make a euthanasia decision for. No matter what we do medically, we’re never going to get them to a point where they’re free of pain.’

Animal welfare experts also recently revealed the 10 extreme body traits in dogs that they’re urging prospective owners to avoid.

Experts say demand for these pets has been fuelled by social media trends and celebrity pooches like Megan Thee Stallion’s French bulldog and Kendall Jenner’s Doberman.

Extreme conformations that dog owners should avoid include the Merle colouration, skin folds, a very short muzzle, eyelids that roll inwards or outwards and bulging eyes.

Prospective owners should also avoid dogs which have an underbite or overbite, an excessively short tail, bowed or curved legs, an inflexible spine or very short legs.

Dr Dan O’Neil, an animal health expert from The Royal Veterinary College who helped develop the IHA, says: ‘Extreme conformation means that we have crossed a boundary, and that the conformation is preventing the animal from living its life as a dog.

‘This is so basic, but dogs that are incapable of doing this are suffering.’

What is brachycephaly in dogs?

Brachycephaly in dogs refers to a ‘short–headed’ anatomy characterized by a flattened face, pushed–in nose, and shortened skull bones, commonly found in breeds like Pugs, Bulldogs, and French Bulldogs. 

This artificial breeding trait often leads to serious health issues, specifically Brachycephalic Obstructive Airway Syndrome (BOAS), resulting in breathing difficulties, overheating, and reduced quality of life.

Key Characteristics and Health Issues:

Breathing Difficulties (BOAS): The shortened snout often hides narrow nostrils, a long soft palate, and a narrow windpipe, causing snoring, snorting, and severe respiratory distress.

Physical Limitations: These dogs have poor heat tolerance and are at a higher risk of collapsing due to respiratory issues or overheating.

Other Health Problems:

Eyes: Due to shallow eye sockets, they are prone to corneal ulcers, injury, and prolapse.

Skin: Excessive skin folds can lead to chronic infections and dermatitis.

Dental: Misaligned teeth or overcrowding due to a small jaw.

Reproduction: Often require caesarean sections due to narrow pelvises and large puppy heads.

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