MHManal Hemida

Manal Hemida

*This is an algorithmically generated author record based on publicly available information.

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Manal Hemida has a total of 28 co-authors. Here are the top co-authors by number of shared publications:


Latest Publications

  • Open Access

    Accuracy of infrared thermography in the diagnosis of canine mammary cancer

    by Cinthia Oliveira de Araujo Barreto, Marília Carneiro Machado, Anna Hielm-Björkman, Stella Maria Barrouin-Melo, Vitor de Moraes Pina de Carvalho, Manal B M Hemida, Carlos Humberto da Costa Vieira-Filho, Gabriel Menezes Rodrigues, Laís Pereira Silva, Alessandra Estrela-Lima

    Background: Infrared thermography (IRT) is a noninvasive imaging technique increasingly applied in medical fields, including breast cancer detection. Hypothesis/Objectives: To evaluate the diagnostic accuracy of IRT in assessing the biological behavior and progression of canine mammary tumors (CMTs) and to investigate associations with routine prognostic factors. Animals: Eighty-one female companion dogs were enrolled, including 17 healthy controls and 64 dogs with 80 mammary tumors (MTs), which were categorized as benign (n = 9), low-grade malignant (n = 30), or moderate- to high-grade malignant (n = 41). Methods: This prospective comparative cohort study qualitatively and quantitatively evaluated thermographic images by analyzing the distribution of white pixels (WPs), red pixels (RPs), and yellow pixels (YPs) based on surface temperature. Thermal symmetry, vascular patterns, and necrotic areas were assessed, as well as their correlation with tumor malignancy and survival. Results: Control dogs showed symmetrical mammary thermal patterns, whereas MT dogs exhibited asymmetries associated with vascularization and necrosis. Benign tumors had a higher WP distribution, whereas high-grade malignancies showed a significantly increased RP distribution. An RP threshold of 16.9% differentiated tumors by aggressiveness. Dogs with >16.9% RPs had shorter survival (P = .004). RP distribution correlated with the malignancy grade (P = .003). Conclusions and clinical importance: IRT identified thermal patterns linked to tumor aggressiveness and survival in dogs with CMTs, indicating that it is a valuable, noninvasive tool for initial evaluation, surgical planning, and prognostic assessment in CMT.

  • Open Access

    The effect of a kibble diet versus a raw meat-based diet on energy metabolism biomarkers in dogs

    by Sarah V. Holm, Emilia Baarman, Johanna Anturaniemi, Manal Hemida, Siru Salin, Kristiina A. Vuori, Robin Moore, Anna Hielm-Björkman


  • Open Access

    Modifiable early life risk factors for dental calculus in dogs: a retrospective cross-sectional study in Finland

    by Manal B. M. Hemida, Sarah Holm, Mia Eklundh, Anna Hielm-Björkman

    Dental calculus (DC) in dogs is a common oral health issue that can result in discomfort and may lead to systemic complications, if not managed effectively. While dental care practices are often overlooked by many owners, it remains crucial to identify and address possible DC risk and protective factors. The present retrospective cross-sectional study sought to examine the early life factors contributing to the emergence of owner-reported DC in dogs later in life, emphasizing the impact of modifiable variables. The study examined exposure data across five pivotal early life stages, starting prenatally and extending into adolescence. Multivariate logistic regression analyses using backward stepwise deletion were performed using data from 4771 dogs, including 2360 cases and 2411 controls, to examine the potential associations between DC in dogs and 29 distinct early life variables across five statistical models. The study incorporated a range of independent variables, including dietary, environmental, demographic, domestic, and immune-related factors. Additionally, the study aimed to compare between energy value and macronutrient composition of non-processed meat-based diets and ultra-processed carbohydrate-based diets available on the Finnish market. Our research indicated that dogs fed a non-processed meat-based diet during the weaning period, puppyhood, and adolescence, which corresponds to the age range of 1 month to 1 or 1.5 years, were associated with a significantly lower risk of developing DC later in life. Conversely, dogs consumed an ultra-processed carbohydrate-based diet during the same periods was associated with a significantly higher risk (p = 0.01, p = 0.001, and p = 0.02 for weaning, puppyhood, and adolescence, respectively). Additionally, residing with other dogs was significantly associated with a decreased likelihood of DC development later in life (p = 0.015). Moreover, from the non-modifiable factors model, a maternal history of DC and small size of the dog were strongly associated with an increased risk of DC development later in life. In addition to the well-known non-modifiable risk factors, such as age and size of the dog, the current study revealed potential associations between modifiable early life exposures and development of DC later in life, including early diets and living with other dogs. However, controlled diet-intervention studies remain necessary to substantiate these connections.


  • Open Access

    Early life programming by diet can play a role in risk reduction of otitis in dogs

    by Manal B. M. Hemida, Kristiina A. Vuori, Nona C. Borgström, Robin Moore, Sarah Rosendahl, Johanna Anturaniemi, Alessandra Estrela-Lima, Anna Hielm-Björkman

    Introduction: Otitis in dogs is often chronic while local treatment primarily consists of flushing, antibiotics, and/or antifungals. We were interested in finding early life variables that associate with otitis later in life, preferably some that could be modified.Methods: A cross-sectional hypothesis-driven study with longitudinal data was performed to search for associations between pre- and postnatal exposures, and the incidence of owner-reported otitis in dogs at over 1 year of age. The multivariate logistic regression analysis study included data from 3,064 dogs and explored 26 different early life variables at four early life stages: prenatal, neonatal, postnatal, and puppyhood. We compared two feeding patterns, a non-processed meat-based diet (NPMD, raw) and an ultra-processed carbohydrate-based diet (UPCD, dry).Results: We report that eating a NPMD diet significantly decreased the risk of otitis later in life, while eating a UPCD diet significantly increased the risk. This was seen in different life stages of mother or puppy: The maternal diet during pregnancy (p=0.011) and the puppies’ diet from 2 to 6 months of age (p=0.019) were both significantly associated with otitis incidence later in life, whereas the puppies’ first solid diet, was associated in the same way, but did not reach significance (p=0.072). Also, analyzing food ratios showed that when puppies were consuming >25% of their food as NPMD it significantly decreased their incidence of otitis later in life, while a ratio of >75% UPCD in their diet significantly increased their risk of otitis. Also, if the dog was born in the current family, was exposed to sunlight for more than 1 hour daily, and was raised on a dirt floor during puppyhood, there was a lower risk of otitis development later in life.Discussion: The findings only suggest causality, and further studies are required. However, we propose that veterinarians, breeders, and owners can impact otitis risk by modifying factors such as diet and environment.


  • Open Access

    Assessing the association between supplemented puppyhood dietary fat sources and owner-reported epilepsy in adulthood, among Finnish companion dogs

    by Manal Hemida, Sarah Rosendahl, Tarja S. Jokinen, Robin Moore, Kristiina A. Vuori, Johanna Anturaniemi, Anna Hielm-Björkman

    Introduction: Epilepsy is a serious and common neurological condition in dogs, despite the wide number of antiepileptic drugs available, in approximately one third of the patients, epilepsy remains unsatisfactorily controlled. We aim to analyze whether feeding dietary fat sources during puppyhood was associated with canine epilepsy in adulthood.Methods: A nested case–control study was compiled from the validated DogRisk food frequency questionnaire (DogRisk FFQ). DogRisk FFQ collected feeding, disease, and background data about the dog. The study sample consisted of 108 owner-reported epileptic cases and 397 non-epileptic controls. Each case was matched with up to four controls for the key confounding factors of sex, breed, and age. We analyzed associations between feeding as a puppy and owner-reported epilepsy as an adult dog using Cox regression. We tested 55 different food variables.Results: We found that feeding fish fat from dietary sources at least once a week during puppyhood was inversely associated with epilepsy in later life in the unadjusted analysis [OR 0.46 (95% CI 0.25–0.83),p=0.01], while when adjusting for keeping conditions and dog characteristics the association was [OR 0.45 (95% CI 0.23–0.88),p=0.02]. When adjusted for keeping conditions, dog characteristics, and other feeding factors, the association was of similar magnitude but not significance [OR 0.56 (95% CI 0.27–1.15),p=0.12].Discussion: The study indicates possible protective associations of feeding the dog with dietary sources of fish fat against epilepsy, although the result could be confounded by other feeding factors. Findings are compatible with current knowledge regarding the role of omega-3 fatty acids and ketogenic diet, a low carbohydrate, high fat diet as supportive treatments of epilepsy. As our findings are based on observations, we suggest the possibility of causality but do not prove it. Dietary intervention studies should now be conducted to confirm our findings.


  • Open Access

    Mineral, trace element, and toxic metal concentration in hair from dogs with idiopathic epilepsy compared to healthy controls

    by Sarah Rosendahl, Johanna Anturaniemi, Tiina-Kaisa Kukko-Lukjanov, Kristiina A. Vuori, Robin Moore, Manal Hemida, Anne Muhle, Anna Hielm-Björkman

    Background: Altered trace element status is associated with epilepsy in humans and dogs with idiopathic epilepsy (IE). Objectives: Compare hair element concentrations in epileptic and healthy dogs. Animals: Sixty-three dogs with IE (53 treated, 10 untreated) and 42 controls. Methods: Case-control study using ICP-MS to determine hair calcium, magnesium, phosphorus, sodium, potassium, iron, copper, manganese, zinc, selenium, chromium, lead, mercury, cadmium, arsenic, aluminum, and nickel concentration. Groups were compared using nonparametric tests. Results were controlled for diet, sex, age, and hair color using generalized linear mixed models. Results: Compared to healthy controls, dogs with IE had lower hair phosphorus (mean ± SD; IE: 286.19 ± 69.62 μg/g, healthy: 324.52 ± 58.69 μg/g; P = .001), higher hair copper (IE: 10.97 ± 3.51 μg/g, healthy: 8.41 ± 1.27 μg/g; P < .001), zinc (IE: 158.25 ± 19.64 μg/g, healthy: 144.76 ± 32.18 μg/g; P < .001), copper/zinc ratio (IE: 0.07 ± 0.02, healthy: 0.06 ± 0.01; P = .003), selenium (IE: 1.65 ± 0.43 μg/g, healthy: 0.94 ± 0.73 μg/g; P < .001), and arsenic (IE: 0.40 ± 0.78 μg/g, healthy: 0.05 ± 0.08 μg/g; P < .001). When comparing treated and untreated epileptic dogs with healthy dogs, the differences in phosphorus and selenium remained significant for both groups, whereas the differences in copper, zinc, and arsenic were significant only for treated dogs. Potassium bromide treatment was strongly associated with high hair arsenic (P = .000). Conclusions and Clinical Importance: Altered trace element status could be involved in the pathophysiology of IE in dogs. Antiseizure drugs might affect trace element and arsenic metabolism.


  • Open Access

    Diet and dog characteristics affect major and trace elements in hair and blood of healthy dogs

    by Sarah Rosendahl, Johanna Anturaniemi, Kristiina A. Vuori, Robin Moore, Manal Hemida, Anna Hielm-Björkman

    Obtaining correct amounts of essential elements, and avoiding toxic metals are key factors in dog health. Through analyzing major and trace elements in hair and blood of 50 healthy companion dogs using ICP-MS, we study their associations with dog characteristics and diet, hypothesizing that eating the same diet long-term results in strong correlations between hair and blood element concentrations, and that dog characteristics and diet affect element status. The correlation between hair and blood was significant for Hg (R = 0.601, p = 0.000) and Pb (R = 0.384, p = 0.010). The following associations were significant (p < 0.05): Dark hair had higher Ca and Mg compared to light hair. Females had higher hair Zn, blood Mn, and blood As compared to males. Blood Mn and Se increased, while blood Pb decreased with age. Raw diet fed dogs had higher hair Zn and Se compared to dry or mixed diet fed dogs, and lower blood Mn compared to dry diet fed dogs. Dry and mixed diet fed dogs had higher blood Cd compared to raw diet fed dogs. Mixed diet fed dogs had higher hair Ca and Mg compared to raw or dry diet fed dogs, and higher hair Pb compared to dry diet fed dogs. Wild game consumption was associated with higher blood Pb, and rice consumption with higher blood As. In conclusion, hair provides an alternative for assessing Hg and Pb exposure, and major and trace elements status is affected by hair color, sex, age, and diet.


  • Open Access

    Puppyhood diet as a factor in the development of owner-reported allergy/atopy skin signs in adult dogs in Finland

    by Manal B. M. Hemida, Siru Salin, Kristiina A. Vuori, Robin Moore, Johanna Anturaniemi, Sarah Rosendahl, Stella Maria Barrouin-Melo, Anna Hielm-Björkman

    Background The increased prevalence of atopic dermatitis (AD) in dogs necessitates research in its disease etiology. Objectives To explore the association between puppyhood dietary exposures and prevalence of owner-reported allergy/atopy skin signs (AASS) after the age of 1 year. Animals Four thousand and twenty-two dogs were eligible, 1158 cases, and 2864 controls. Methods This cross-sectional hypothesis-driven observational study was extracted from the DogRisk food frequency questionnaire. Forty-six food items and the ratio of 4 major diet types were tested for their association with AASS incidence later in life. Potential puppyhood dietary risk factors for AASS incidence were specified using binary multivariable logistic regression. The model was adjusted for age and sex. Results Eating raw tripe (odds ratio, 95% confidence intervals OR, 95% CI = 0.36, 0.16-0.79; P = .01), raw organ meats (OR, 95% CI = 0.23, 0.08-0.67; P = .007), human meal leftovers, and fish oil supplements as well as eating more that 20% of the diet as raw and/or P = .001), mixed-oil supplements, dried animal parts, and dogs that drank from puddles showed significantly higher AASS incidence in adulthood. Conclusions and Clinical Importance Puppyhood exposure to raw animal-based foods might have a protective influence on AASS incidence in adulthood, while puppyhood exposure to mixed oils, heat processed foods and sugary fruits might be a potential risk factor of AASS incidence later. The study suggests a causal relationship but does not prove it.


  • Open Access

    Early Life Modifiable Exposures and Their Association With Owner Reported Inflammatory Bowel Disease Symptoms in Adult Dogs

    by Manal Hemida, Kristiina A. Vuori, Robin Moore, Johanna Anturaniemi, Anna Hielm-Björkman

    Background: Inflammatory bowel disease (IBD) is an idiopathic multifactorial disease in humans and dogs, usually assigned to the interactions between genes, gut microbiota, diet, environment, and the immune system. We aimed to investigate the modifiable early life exposures associated with IBD in dogs.Materials and Methods: The study data was extracted from the validated owner-reported DogRisk food frequency questionnaire. This was a cross-sectional questionnaire-based study that tested 21 different early life dietary and environmental, demographic and genetic variables for their association with IBD or not, in adult dogs. A total of 7,015 dogs participated in this study. The study covered early life periods; prenatal, neonatal, early, and late postnatal periods. Two feeding patterns, a non-processed meat-based diet (NPMD) and an ultra-processed carbohydrate-based diet (UPCD) were studied. Data was analyzed using logistic regression analysis with a backward stepwise deletion.Results: From the final models we found that the NPMD during early and late postnatal periods were significantly associated with lower IBD risk later in life. The UPCD during the same periods was associated with a higher risk of IBD incidence. Also, the maternal diet during the neonatal period showed a non-significant trend of lower IBD risk in the offspring with the NPMD and a higher IBD risk with the UPCD. Additionally, the normal body weight of puppies during the first 6 months of age was associated with a lower risk of IBD in adulthood while, slim puppies associated significantly with IBD in adulthood. From the non-modifiable background variables, we identified the maternal history of IBD as the strongest risk factor for later incidence of IBD. Furthermore, male dogs were twice as likely to develop IBD as female dogs were.Conclusions: It is reassuring for owners to know that they themselves can have an impact on their dog's health. A high-fat, low-carbohydrate NPMD exposure during early life, and a normal body condition in puppyhood were significantly associated with less IBD in adult dogs. The opposite was true for UPCD exposure and abnormal body condition score in 6 month old puppies.