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Topic:Antioxidants

Antioxidants in horses refer to a group of molecules that help protect cells from oxidative stress caused by reactive oxygen species (ROS). These compounds can be naturally occurring within the horse's body or obtained through diet. Antioxidants play a role in maintaining cellular integrity and supporting overall health by neutralizing free radicals. Common antioxidants relevant to equine health include vitamin E, vitamin C, and glutathione. Their presence and activity in the body are influenced by factors such as diet, exercise, and environmental conditions. This page compiles peer-reviewed research studies and scholarly articles that explore the sources, mechanisms, and potential impacts of antioxidants on equine physiology and well-being.
Melatonin reduces lipid peroxidation and apoptotic-like changes in stallion spermatozoa.
Journal of pineal research    April 12, 2011   Volume 51, Issue 2 172-179 doi: 10.1111/j.1600-079X.2011.00873.x
da Silva CM, Macías-García B, Miró-Morán A, González-Fernández L, Morillo-Rodriguez A, Ortega-Ferrusola C, Gallardo-Bolaños JM, Stilwell G....Lipid peroxidation (LPO) has been claimed as a major factor involved in stallion damage during storage or cryopreservation. Because melatonin is a well-known potent antioxidant, the aim of the present study was to investigate the effect of melatonin during in vitro incubation. Furthermore, we investigated the presence of specific melatonin receptors (MT1 and MT2) using specific polyclonal antibodies and western blotting. Stallion spermatozoa were incubated up to 3 hr at 37°C in the presence of different concentrations of melatonin (0, 50 pm, 100 pm, 200 pm, or 1 μm). At the beginning and at ...
Acute kidney injury mediated by oxidative stress in Egyptian horses with exertional rhabdomyolysis.
Veterinary research communications    April 2, 2011   Volume 35, Issue 5 311-320 doi: 10.1007/s11259-011-9475-9
el-Ashker MR.The present study was carried out to evaluate the role of oxidative stress in the pathophysiologic process of acute renal failure associated with exertional rhabdomyolysis (ER) in Egyptian horses. ER was tentatively diagnosed in 31 Baladi horses based on case history, physical examination findings and confirmed by elevation of plasma creatine kinase (CK) and urine myoglobin concentrations. According to severity of the condition, the diseased horses were categorized into two main groups; the first group included 18 horses with minimal clinical signs and plasma CK 100 000 IU/L). It was found tha...
Disturbance of oxidant/antioxidant equilibrium in horses naturally infected with Trypanosoma evansi.
Veterinary parasitology    March 31, 2011   Volume 180, Issue 3-4 349-353 doi: 10.1016/j.vetpar.2011.03.029
Ranjithkumar M, Kamili NM, Saxena A, Dan A, Dey S, Raut SS.Oxidant/antioxidant equilibrium disturbance has already been reported in trypanosome infections by several authors. The present study was aimed to explore the possible oxidant/antioxidant disturbance in surra of naturally infected horses before and after treatment. Fifteen naturally infected horses were chosen to analyse erythrocytic indices, platelet counts, lipid peroxides (LPO), nitric oxide (NO), reduced glutathione (GSH), superoxide dismutase (SOD) and catalase (CAT) while six healthy animals acted as control. There was a highly significant (P<0.001) reduction in red blood cell (RBC) c...
Effect of dietary antioxidant supplementation on fresh semen quality in stallion.
Theriogenology    February 4, 2011   Volume 75, Issue 7 1319-1326 doi: 10.1016/j.theriogenology.2010.12.003
Contri A, De Amicis I, Molinari A, Faustini M, Gramenzi A, Robbe D, Carluccio A.In this study, the effect of dietary supplementation of organic selenium, vitamin E, and zinc on raw semen characteristics was evaluated. Ten stallions with normal fertility were divided into two groups: a control group (CG), in which standard diet was provided, and a treated group (TG), in which the standard diet was supplemented with 1500 mg of α-tocopherol acetate, 360 mg of zinc, and 2.5 mg of organic selenium on a daily basis. Semen parameters on fresh semen were evaluated three times in all stallions before antioxidant supplementation (T0) and 30 (T1), 60 (T2), and 90 (T3) d after suppl...
Effect of sod (superoxide dismutase) protein supplementation in semen extenders on motility, viability, acrosome status and ERK (extracellular signal-regulated kinase) protein phosphorylation of chilled stallion spermatozoa.
Theriogenology    February 4, 2011   Volume 75, Issue 7 1201-1210 doi: 10.1016/j.theriogenology.2010.11.031
Cocchia N, Pasolini MP, Mancini R, Petrazzuolo O, Cristofaro I, Rosapane I, Sica A, Tortora G, Lorizio R, Paraggio G, Mancini A.New studies are underway to find new methods for supporting longer storage of cooled stallion semen. It is known that high concentrations of reactive oxygen species (ROS) cause sperm pathology. The metalloprotein superoxide dismutase (SOD) is responsible for H(2)O(2) and O(2) production, by dismutation of superoxide radicals. The aim of this study is to assess the quality of chilled stallion semen processed with extenders containing SOD at different concentrations as antioxidant additives. A total of 80 ejaculates collected from 5 standardbred stallions was divided into 5 aliquots treated as: ...
Redox status of equine seminal plasma reflects the pattern and magnitude of DNA damage in sperm cells.
Theriogenology    August 21, 2010   Volume 74, Issue 9 1677-1684 doi: 10.1016/j.theriogenology.2010.07.007
Wnuk M, Lewinska A, Oklejewicz B, Bartosz G, Tischner M, Bugno-Poniewierska M.Antioxidant status of seminal plasma from 23 stallions was evaluated. We found a negative correlation between total antioxidant capacity (ABTS(•+) decolorization assay) and thiol content of seminal plasma, and sperm DNA damage (8-oxoG immunostaining, TUNEL reaction, comet assay). Low seminal redox status was the strongest correlated with 8-oxoG level which may indicate that seminal total antioxidant capacity influences mainly the formation of single strand DNA breaks in sperm cells. Since inter-individual differences in seminal antioxidant status were reported, we postulated that the redox s...
The influence of vitamin E on immune function and response to vaccination in older horses.
Journal of animal science    May 21, 2010   Volume 88, Issue 9 2950-2958 doi: 10.2527/jas.2008-1724
Petersson KH, Burr DB, Gomez-Chiarri M, Petersson-Wolfe CS.Horses have an increased susceptibility to infection because of a decline in immune function with advancing age. Vitamin E has been found to play a key role in normal immune system function. The purpose of the study was to examine the effect of vitamin E supplementation on immune function and response to vaccination in older horses. Predominantly older horses (18.9 +/- 1.3 yr, range 7 to 26 yr; 523 +/- 38 kg of BW) were supplemented orally once daily for 16 wk with either all-rac-alpha-tocopheryl acetate (15 IU/kg of BW; n = 8) or a placebo (n = 8). One horse from each group was removed from t...
In vivo administration of acepromazine or promethazine to horse decreases the reactive oxygen species production response of subsequently isolated neutrophils to stimulation with phorbol myristate acetate.
Journal of veterinary pharmacology and therapeutics    May 7, 2010   Volume 32, Issue 6 541-547 doi: 10.1111/j.1365-2885.2009.01077.x
Péters F, Franck T, Pequito M, de la Rebière G, Grulke S, Salccicia A, Verwilghen D, Chiavaccini L, Deby-Dupont G, Serteyn D.The previous experiments have shown that some phenothiazines have antioxidant and anti-inflammatory properties in vitro. In this study the inhibition of the production of reactive oxygen species (ROS) by neutrophils was studied in two groups of horses, which received a dose of 0.1 mg/kg of either acepromazine or promethazine intravenously. Blood samples were collected before (T0) and 0.5, 1, 3 and 5 h after drug administration. The chemiluminescence (CML) response of neutrophils was measured ex vivo in the presence of luminol for a period of 10 min and the maximum CML value (peak value) record...
Comparison of the antioxidant effects of synovial fluid from equine metacarpophalangeal joints with those of hyaluronic acid and chondroitin sulfate.
American journal of veterinary research    April 22, 2010   Volume 71, Issue 4 399-404 doi: 10.2460/ajvr.71.4.399
Müller AJ, Letelier ME, Galleguillos MA, Molina-Berríos AE, Adarmes HH.To evaluate the antioxidant effects of synovial fluid (SF) pooled from metacarpophalangeal joints of healthy horses and horses with various pathological conditions, and to compare then with the antioxidant effects of hyaluronic acid (HA) and chondroitin sulfate (CS). Methods: SF from 1 metacarpophalangeal joint was obtained from 42 horses immediately after humane slaughter. Samples were classified into 3 groups on the basis of origin: healthy joints or joints with chronically damaged cartilage or vascularly congested synovial membranes as detected via macroscopic evaluation. Methods: Antioxida...
Rho kinase activation and ROS production contributes to the cooling enhanced contraction in cutaneous equine digital veins.
Journal of applied physiology (Bethesda, Md. : 1985)    April 1, 2010   Volume 109, Issue 1 11-18 doi: 10.1152/japplphysiol.01301.2009
Zerpa H, Berhane Y, Woodcock H, Elliott J, Bailey SR.A decrease in environmental temperature can directly affect the contractility of cutaneous vasculature, mediated in part by alpha(2)-adrenoceptors. Most of the cellular mechanisms underlying the cooling-enhanced contractility to alpha(2)-adrenoceptor agonists have been reported in cutaneous arteries but little information is available on cutaneous veins. To investigate the cellular mechanisms associated with the cooling-enhanced contraction to UK-14304 (alpha(2)-adrenoceptor agonist), isolated equine digital veins (EDVs) were studied at 30 degrees C and 22 degrees C. The effects of inhibitors ...
alpha-Tocopherol concentrations in equine serum and cerebrospinal fluid after vitamin E supplementation.
The Veterinary record    March 23, 2010   Volume 166, Issue 12 366-368 doi: 10.1136/vr.b4802
Pusterla N, Puschner B, Steidl S, Collier J, Kane E, Stuart RL.No abstract available
Antioxidant capacity and oxidative damage determination in synovial fluid of chronically damaged equine metacarpophalangeal joint.
Veterinary research communications    December 12, 2009   Volume 34, Issue 2 133-141 doi: 10.1007/s11259-009-9338-9
Villasante A, Araneda OF, Behn C, Galleguillos M, Adarmes H.In order to determine oxidative stress in equine joints with degenerative processes, we analyzed synovial fluid (SF) antioxidant capacity and the concentration of oxidative damage biomarkers in healthy and chronically damaged metacarpophalangeal joints. SF samples were collected from joints of thirty 2-5 year-old crossbreed male equine, macroscopically classified at post mortem inspection and later histologically confirmed. The antioxidant capacity was determined measuring uric acid and the concentration of sulfhydryl groups and the total radical trapping antioxidant potential (TRAP). The oxid...
Metabolic and hematological profiles in mature horses supplemented with different selenium sources and doses.
Journal of animal science    November 6, 2009   Volume 88, Issue 2 650-659 doi: 10.2527/jas.2009-1855
Calamari L, Abeni F, Bertin G.This study was conducted to determine the effects of dietary Se source and dose on metabolic and hematological profiles, and their relationships with oxidative status in horses. Twenty-five mature horses were blocked by BW and randomly allocated to 1 of 5 dietary treatments: negative control (CTRL: 0.085 mg of Se/kg of DM), 3 different dietary concentrations of organic Se provided by Se yeast (SY02, SY03, and SY04 containing 0.2, 0.3, and 0.4 mg of total Se/kg of DM, respectively), and 1 positive control provided by sodium selenite (SS03 containing 0.3 mg of total Se/kg of DM). Horses were fed...
Whole blood selenium concentrations in endurance horses.
Veterinary journal (London, England : 1997)    August 19, 2009   Volume 186, Issue 2 192-196 doi: 10.1016/j.tvjl.2009.07.017
Haggett E, Magdesian KG, Maas J, Puschner B, Higgins J, Fiack C.Exercise causes an increase in the production of reactive oxygen species, which can result in oxidant/antioxidant disequilibrium. Deficiency of antioxidants can further alter this balance in favor of pro-oxidation. Selenium (Se) is one of many antioxidant catalysts, as a component of the glutathione peroxidase enzymes. Soils and forages vary widely in Se concentration and a deficient diet can lead to sub-clinical or clinical deficiency in horses. Endurance horses are prone to oxidative stress during long periods of aerobic exercise and their performance could be affected by Se status. This stu...
alpha-Lipoic acid modulates thiol antioxidant defenses and attenuates exercise-induced oxidative stress in standardbred trotters.
Free radical research    June 24, 2009   Volume 43, Issue 8 697-705 doi: 10.1080/10715760903037673
Kinnunen S, Oksala N, Hyyppä S, Sen CK, Radak Z, Laaksonen DE, Szabó B, Jakus J, Atalay M.Several micronutrient supplementation strategies are used to cope with oxidative stress, although their benefits have recently been questioned. The aim of the present study was to examine the effects of DL-alpha-lipoic acid (LA) in response to acute exercise and during recovery in horses. Six standardbred trotters were tested on the treadmill before and after 5-week LA supplementation (25 mg/kg body weight/day). According to electron paramagnetic resonance measurements, strenuous aerobic exercise increased significantly free radical formation in the gluteus medius muscle, which was prevented b...
Effect of a tart cherry juice blend on exercise-induced muscle damage in horses.
American journal of veterinary research    June 6, 2009   Volume 70, Issue 6 758-763 doi: 10.2460/ajvr.70.6.758
Ducharme NG, Fortier LA, Kraus MS, Hobo S, Mohammed HO, McHugh MP, Hackett RP, Soderholm LV, Mitchell LM.To evaluate whether administering a tart cherry juice blend (TCJB) prior to exercise would reduce skeletal and cardiac muscle damage by decreasing the inflammatory and oxidative stress response to exercise in horses. Methods: 6 horses. Methods: Horses were randomly allocated into 2 groups in a crossover study with a 2-week washout period and orally administered either TCJB or a placebo solution (1.42 L, twice daily) in a double-masked protocol for 2 weeks prior to a stepwise incremental exercise protocol. Horses were tested for serum activities of creatine kinase and aspartate aminotransferase...
alpha-Lipoic acid supplementation enhances heat shock protein production and decreases post exercise lactic acid concentrations in exercised standardbred trotters.
Research in veterinary science    May 8, 2009   Volume 87, Issue 3 462-467 doi: 10.1016/j.rvsc.2009.04.009
Kinnunen S, Hyyppä S, Oksala N, Laaksonen DE, Hannila ML, Sen CK, Atalay M.Heat shock protein (HSP) expression is an adaptive mechanism against the disruption of cell homeostasis during exercise. Several antioxidant supplementation strategies have been used to enhance tissue protection. In this study, we examined the effects of a redox modulator, alpha-lipoic acid (LA) on HSP responses in six standardbred trotters following intense aerobic exercise. DL-LA supplementation (25 mg kg(-1) d(-1)) for five weeks increased the resting levels of HSP90 (1.02+/-0.155 in control and 1.26+/-0.090 after supplementation in arbitrary units) and the recovery levels of inducible HSP7...
Blood glutathione status and activity of glutathione-metabolizing antioxidant enzymes in erythrocytes of young trotters in basic training.
Journal of animal physiology and animal nutrition    March 31, 2009   Volume 94, Issue 2 137-145 doi: 10.1111/j.1439-0396.2008.00889.x
Janiak M, Suska M, Dudzińska W, Skotnicka E.The aim of this study was to evaluate response of blood glutathione status and activity of glutathione-metabolizing antioxidant enzymes in erythrocytes of young trotters in basic training. Nine untrained trotters (aged 16-20 months) were exposed to a 4-month training program based on exercises at low-to-moderate intensity. The conditioning consisted of breaking the horses and running them on distances varying from 4 to 40 km a week. The workloads were increased on a 3-week basis. Exercise intensity was monitored by measuring heart rate and blood lactate. Blood samples were collected at rest, b...
The role of dietary antioxidant insufficiency on the permeability of the blood-brain barrier.
Journal of neuropathology and experimental neurology    November 20, 2008   Volume 67, Issue 12 1187-1193 doi: 10.1097/NEN.0b013e31818f8f51
Mohammed HO, Starkey SR, Stipetic K, Divers TJ, Summers BA, de Lahunta A.Our previous studies implicated vitamin E deficiency as a risk factor for equine motor neuron disease, a possible model of human amyotrophic lateral sclerosis, and showed direct effects of this deficiency on brain vascular endothelium. To gain better understanding of the pathogenesis of equine motor neuron disease, we determined the effects of dietary antioxidant insufficiency and the resultant brain tissue oxidative stress on blood-brain barrier permeability. Rats (n = 40) were maintained on a diet deficient of vitamin E for 36 to 43 weeks; 40 controls were fed a normal diet. Permeability of ...
Tissue concentrations of 4-HNE in the black walnut extract model of laminitis: indication of oxidant stress in affected laminae.
Veterinary immunology and immunopathology    November 11, 2008   Volume 129, Issue 3-4 211-215 doi: 10.1016/j.vetimm.2008.11.016
Yin C, Pettigrew A, Loftus JP, Black SJ, Belknap JK.In the septic horse prone to laminitis, a similar activation of the innate immune system appears to occur as reported in the septic human prone to organ failure. Because oxidant injury plays a central role in organ failure occurring due to an overzealous innate immune response in human sepsis, this study was performed to determine whether there was evidence of oxidant stress in the laminar tissue in the early stages of laminitis. 4-Hydroxy-2-nonenal (4-HNE), a lipid aldehyde that forms due to lipid peroxidation occurring during episodes of oxidant stress, readily forms adducts with cellular pr...
The effect of methyl sulphonyl methane supplementation on biomarkers of oxidative stress in sport horses following jumping exercise.
Acta veterinaria Scandinavica    November 7, 2008   Volume 50, Issue 1 45 doi: 10.1186/1751-0147-50-45
Marañón G, Muñoz-Escassi B, Manley W, García C, Cayado P, de la Muela MS, Olábarri B, León R, Vara E.Exercise induces changes in several organs and tissues, and this process might be due to oxidative damage caused by free radicals and inflammatory mediators. Methyl Sulphonyl Methane, better known as MSM, is a naturally occurring sulphur compound with well-known antioxidant properties. On the other hand, Vitamin C is important in limiting free radical damage in the aqueous phase of the cell, and cellular vitamin C status may be linked to the mechanisms involved in quenching cellular reactive oxygen species. The aim of this study was to determine if supplementation with MSM and vitamin C could ...
Inflammatory and redox status of ponies with a history of pasture-associated laminitis.
Veterinary immunology and immunopathology    November 7, 2008   Volume 129, Issue 3-4 216-220 doi: 10.1016/j.vetimm.2008.11.004
Treiber K, Carter R, Gay L, Williams C, Geor R.Inflammatory and redox signals could render lamellar tissue susceptible to damage and contribute to higher risk for laminitis in obese or insulin resistant ponies just as these factors contribute to health risks in humans with metabolic syndrome. This study evaluated circulating markers of inflammatory and redox status in ponies that had a history of recurrent bouts of pasture-associated laminitis (PL, n = 42) or had never developed clinical laminitis (NL, n = 34) under the current management conditions. There were no differences (P > 0.05) between PL and NL ponies for markers of antioxidan...
Alpha-tocopherol protects against oxidative damage to lipids of the rod outer segments of the equine retina.
Veterinary journal (London, England : 1997)    October 1, 2008   Volume 182, Issue 3 463-468 doi: 10.1016/j.tvjl.2008.08.008
Terrasa AM, Guajardo MH, Marra CA, Zapata G.Oxidative stress is a possible risk factor for eye diseases. Lipid peroxidation is one of the major events induced by oxidative stress and is particularly active in polyunsaturated fatty acid (PUFA)-rich biomembranes. This work evaluated endogenous lipid antioxidants, in vitro non-enzymatic lipid peroxidation of rod outer segment membranes (ROS), the fatty acid composition during oxidative damage of total lipids from equine retina and ROS, and the protective action of alpha-tocopherol (alpha-Toc). The major lipid soluble antioxidant was alpha-Toc followed by retinoids and carotenoids. The reti...
Effect of selenium source and dose on selenium status of mature horses.
Journal of animal science    September 12, 2008   Volume 87, Issue 1 167-178 doi: 10.2527/jas.2007-0746
Calamari L, Ferrari A, Bertin G.This study was conducted to determine the effects of either dietary Se source or dose on the Se status of horses. Twenty-five mature horses were blocked by BW and randomly allocated to 1 of 5 dietary treatments that comprised the same basal diet that differed only in Se source or dose. Treatments were as follows: negative control (0.085 mg of Se/kg of DM), 3 different dietary concentrations of supplemental organic Se (Se yeast; 0.2, 0.3, and 0.4 mg of total Se/kg of DM), and positive control (0.3 mg of total Se/kg of DM) supplemented with Na selenite. Horses initially received the control diet...
Assessment of vitamin E concentrations in serum and cerebrospinal fluid of horses following oral administration of vitamin E.
American journal of veterinary research    June 4, 2008   Volume 69, Issue 6 785-790 doi: 10.2460/ajvr.69.6.785
Higgins JK, Puschner B, Kass PH, Pusterla N.To determine concentrations of alpha-tocopherol in serum and CSF of healthy horses following administration of supplemental vitamin E in feed. Methods: 10 healthy adult horses. Methods: Horses were allocated to receive supplemental d-alpha-tocopherol (1,000 U/d [group A; n=5] or 10,000 U/d [group B; 5]) in feed for 10 days. Blood samples were collected before (baseline), during, and at intervals for 10 days after discontinuation of vitamin E administration for assessment of serum alpha-tocopherol concentration. Cerebrospinal fluid samples were collected prior to and 24 hours after cessation of...
Recent advances in cooled-semen technology.
Animal reproduction science    April 29, 2008   Volume 107, Issue 3-4 268-275 doi: 10.1016/j.anireprosci.2008.04.015
Aurich C.The majority of horse registries approve the use of artificial insemination, and horse breeding has widely taken benefit from the use of cooled-stored semen. New insights into cooled-semen technology open possibilities to reduce problems such as impaired semen quality after cooled-storage in individual stallions. The stallion itself has major impacts on quality and fertility of cooled-stored semen. Dietary supplementation of antioxidants and polyunsaturated fatty acids improves semen quality in a variety of species, but only few studies on this topic exist in the horse. Proper semen collection...
Effect of a dietary antioxidant supplementation on semen quality in pony stallions.
Theriogenology    March 20, 2008   Volume 69, Issue 8 940-945 doi: 10.1016/j.theriogenology.2008.01.007
Deichsel K, Palm F, Koblischke P, Budik S, Aurich C.Lipid peroxidation contributes to the damage of the sperm plasma membrane. In different species, dietary supplementation with antioxidants has been shown to improve semen quality. Therefore, we tested effects of dietary supplementation with antioxidants and l-carnitin on semen quality in Shetland pony stallions (n=6). Semen was collected twice a week over a time period of 16 weeks. From weeks 5 to 12, a special diet for stallions containing a variety of antioxidants (STALLION, Pavo Pferdenahrung GmbH, Goch, Germany; tocopherol 300 mg/day; ascorbic acid 300 mg/day; l-carnitin 4000 mg/day; folic...
Oxidative stress or oxidant/antioxidant dis-equilibrium in horses? A hot topic.
Veterinary journal (London, England : 1997)    March 7, 2008   Volume 177, Issue 2 157-158 doi: 10.1016/j.tvjl.2007.11.005
Williams CA.No abstract available
Free radicals and antioxidants in inflammatory processes and ischemia-reperfusion injury.
The Veterinary clinics of North America. Small animal practice    February 6, 2008   Volume 38, Issue 1 31-v doi: 10.1016/j.cvsm.2007.11.008
Vajdovich P.This article discusses the current understanding of the role of free radicals and antioxidants in inflammatory processes and in ischemia reperfusion injury. It begins by describing the manifestations of acute inflammation and outlining the cellular events that occur during inflammation. It then describes the biochemical mediators of inflammation with special attention to nitric oxide. It details the process of hypoxia reperfusion injury, the enzymes involved, its treatment, and studies involving specific hypoxia reperfusion injuries in various animal species.
Apoptosis and antioxidant status are influenced by age and exercise training in horses.
Journal of animal science    December 21, 2007   Volume 86, Issue 3 576-583 doi: 10.2527/jas.2007-0585
Williams CA, Gordon ME, Betros CL, McKeever KH.Eight mature (12 +/- 2 yr; MAT) and 5 older (22 +/- 2 yr; OLD) Standardbred mares were used to test the hypothesis that aging and exercise training would alter apoptosis in white blood cells and antioxidant status. The horses were housed indoors overnight (16 h/d) in 3 m x 3 m stalls and were turned out in a drylot during the day. They were fed a diet consisting of total mixed ration, hay cubes fed ad libitum or an equine senior diet plus grass hay. Horses were trained for 20 to 30 min/d, 3 to 5 d/wk for 8 wk at a submaximal work intensity between 60 to 70% of maximal heart rate. A graded exer...
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