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Topic:Cortisol

Cortisol is a steroid hormone produced by the adrenal glands in horses, playing a significant role in the regulation of metabolism, immune response, and stress management. As a glucocorticoid, cortisol influences various physiological processes, including glucose metabolism, inflammation modulation, and the maintenance of homeostasis during stress. Its levels in horses can vary due to factors such as exercise, environmental changes, and psychological stressors. Cortisol is often measured to assess stress responses and overall well-being in equine health management. This page compiles peer-reviewed research studies and scholarly articles that explore the production, regulation, and implications of cortisol in equine physiology and health.
Longitudinal assessment of adrenocortical steroid and steroid precursor response to illness in hospitalized foals.
Domestic animal endocrinology    August 31, 2022   Volume 82 106764 doi: 10.1016/j.domaniend.2022.106764
Dembek K, Timko K, Moore C, Johnson L, Frazer M, Barr B, Toribio R.Sepsis is a major cause of morbidity and mortality in neonatal foals. Relative adrenal insufficiency (RAI), defined as an inadequate cortisol response to stress, has been associated with sepsis, prematurity, and poor outcome in newborn foals. In addition to cortisol, the adrenal gland synthesizes several biologically important steroids and steroid precursors, including aldosterone, androgens, and progestogens. However, concentration of these hormones during hospitalization and their association with the severity of disease and mortality in critically ill foals have not been completely evaluate...
Single housing but not changes in group composition causes stress-related immunomodulations in horses.
PloS one    August 17, 2022   Volume 17, Issue 8 e0272445 doi: 10.1371/journal.pone.0272445
Schmucker S, Preisler V, Marr I, Krüger K, Stefanski V.Domestic horses are currently often subject to management practices that can entail social stressors, which in turn can negatively influence immunocompetence and disease susceptibility. The present study therefore aimed to characterize the number of various blood leukocyte subsets in horses, focusing on two potentially stressful housing environments: changes in group composition and relocation to individual stabling. Immune measurements were conducted before as well as one and eight days after changes were made. They were complemented by an assessment of plasma cortisol concentrations as well ...
Seasonal variation of endogenous adrenocorticotropic hormone concentrations in healthy non-geriatric donkeys in Northern California.
Frontiers in veterinary science    August 12, 2022   Volume 9 981920 doi: 10.3389/fvets.2022.981920
Humphreys S, Kass PH, Magdesian KG, Goodrich E, Berryhill E.Elevated plasma adrenocorticotropic hormone (ACTH) is often used to diagnose pituitary pars intermedia dysfunction (PPID) in horses. The hormone naturally increases in the fall in horses, and donkeys have been found to have higher ACTH concentrations than horses. However, circannual variation of ACTH has not been assessed in donkeys. The objective of the study was to establish seasonal variation of basal plasma ACTH concentrations over the course of a year in clinically healthy, non-geriatric donkeys. It was hypothesized that donkey ACTH concentrations would be higher than those reported in ho...
Assessment of Welfare in Groups of Horses with Different Management, Environments and Activities by Measuring Cortisol in Horsehair, Using Liquid Chromatography Coupled to Hybrid Orbitrap High-Resolution Mass Spectrometry.
Animals : an open access journal from MDPI    July 6, 2022   Volume 12, Issue 14 doi: 10.3390/ani12141739
Cerasoli F, Podaliri Vulpiani M, Saluti G, Conte A, Ricci M, Savini G, D'Alterio N.Horses have always been animals used for companionship, work, transportation, and performance purposes over the history of humanity; there are different ways of managing horses, but studies on how horse welfare is influenced by different activities and managements are scanty. Understanding how the management, the environment, and the different uses of horses can affect the level of stress and well-being is important not only for people associated with horses. Three groups of horses with different management, environments, and activities were selected: (1) stabled horses ridden frequently, (2) ...
Case-control exercise challenge study on the pathogenesis of high serum gamma-glutamyl transferase activity in racehorses.
Equine veterinary journal    May 25, 2022   Volume 55, Issue 2 182-193 doi: 10.1111/evj.13584
Mann S, Abuelo A, Stokol T, Wakshlag JJ, Bayly W, Reed S, Gandy J, Ramsay JD, Divers TJ.High serum γ-glutamyl-transferase (GGT) activity syndrome in racehorses has been associated with maladaption to exercise. Investigation of affected horses before and immediately after standard exercise may provide critical insight into the syndrome's pathophysiology. Objective: To investigate blood biomarker changes in actively competing racehorses with high GGT activity associated with an exercise challenge. Methods: Case-control study. Methods: High GGT case (age: 2-3 years) and normal GGT control (age: 2-7 years) pairs (3 Thoroughbred, 4 Standardbred pairs) at least 3 months into thei...
Hair Cortisol and DHEA-S in Foals and Mares as a Retrospective Picture of Feto-Maternal Relationship under Physiological and Pathological Conditions.
Animals : an open access journal from MDPI    May 14, 2022   Volume 12, Issue 10 1266 doi: 10.3390/ani12101266
Lanci A, Mariella J, Ellero N, Faoro A, Peric T, Prandi A, Freccero F, Castagnetti C.Equine fetal hair starts to grow at around 270 days of pregnancy, and hair collected at birth reflects hormones of the last third of pregnancy. The study aimed to evaluate cortisol (CORT) and dehydroepiandrosterone-sulfate (DHEA-S) concentrations and their ratio in the trichological matrix of foals and mares in relation to their clinical parameters; the clinical condition of the neonate (study 1); the housing place at parturition (study 2). In study 1, 107 mare-foal pairs were divided into healthy (group H; n = 56) and sick (group S; n = 51) foals, whereas in study 2, group H was divided into ...
Cortisol Concentration in Horsehair and its Relationship to Body Location, Coat Colour, and Gender.
Journal of equine veterinary science    May 13, 2022   Volume 115 104010 doi: 10.1016/j.jevs.2022.104010
Lelláková M, Lešková L, Florián M, Mesarčová L, Skurková L, Peťková B, Takáčová D, Kottferová J.The determination of cortisol concentrations in animal hair appears to be a relatively simple and non-invasive method of assessing chronic stress. This method has advantages but it also has some drawbacks. We discovered that there are specific coat properties and individual factors in animlas that can affect corisol levels and skew the interpretation of results. We removed horsehair from 8 different areas of the body (chest, left saddle, right saddle, right thoracic fetlock, and left thoracic fetlock, the mane was also sampled at the withers, just behind the ears, and the tail strand) in 31 ho...
Immune Functions Alterations Due to Racing Stress in Thoroughbred Horses.
Animals : an open access journal from MDPI    May 7, 2022   Volume 12, Issue 9 1203 doi: 10.3390/ani12091203
Zandoná Meleiro MC, de Carvalho HJC, Ribeiro RR, da Silva MD, Salles Gomes CM, Miglino MA, de Santis Prada IL.Racehorses are constantly exposed to stress. Aiming to verify the state of blood components and cortisol alterations during their routine and after races, phagocytosis and oxidative neutrophil burst assays, serum cortisol determination, erythrocytes apoptosis evaluation, lymphoproliferation assays, and blood count tests were performed in thirty Thoroughbred racehorses, which were divided in two groups. The samples were taken right after races (moment 0 d), during rest periods (-11 d, +1 d, +3 d), and after training (-8, +2, +5). In both groups, the phagocytosis showed a decrease in percentage ...
Influence of Butorphanol, Buprenorphine and Levomethadone on Sedation Quality and Postoperative Analgesia in Horses Undergoing Cheek Tooth Extraction.
Veterinary sciences    April 6, 2022   Volume 9, Issue 4 doi: 10.3390/vetsci9040174
Emanuel D, Kästner SBR, Delarocque J, Grob AJ, Bienert-Zeit A.The aim of this prospective clinical trial was to compare the influence of butorphanol, buprenorphine and levomethadone on sedation quality and postoperative analgesia in horses undergoing cheek tooth extraction. Fifty horses were assigned to three groups prior to oral cheek tooth extraction. Horses were treated with acepromazine, followed by a detomidine bolus, one of the three opioids and both a nerve block and gingival anaesthesia. During the surgery, sedation was maintained with a detomidine constant rate infusion. After surgery, the quality of sedation, surgical conditions and severity of...
Serum Cortisol and Its Correlation with Leucocyte Profile and Circulating Lipids in Donkeys (Equus asinus).
Animals : an open access journal from MDPI    March 26, 2022   Volume 12, Issue 7 841 doi: 10.3390/ani12070841
Alberghina D, Statelli A, Monteverde V, Vazzana I, Cascone G, Panzera M.The values for basal serum cortisol concentrations of horses are available in many studies. However, there are limited data about serum cortisol in donkeys. The present study aimed to determine the baseline values for serum cortisol, to evaluate the influence of age and pregnancy on its levels, and to correlate its values with leucocyte profile, serum cholesterol, and triglycerides. Serum samples were collected from 97 healthy donkeys. Cortisol was analyzed by chemo-luminescent assay. The median and the 2.5th and 97.5th percentiles of serum cortisol measured and calculated in all donkeys were ...
Fluctuations of Physiological Variables during Conditioning of Lipizzan Fillies before Starting under Saddle.
Animals : an open access journal from MDPI    March 25, 2022   Volume 12, Issue 7 doi: 10.3390/ani12070836
Čebulj-Kadunc N, Frangež R, Kruljc P.Scientific studies on the physiological responses of young horses to workloads are limited. Therefore, the aim of our study was to determine the basal values of some cardiovascular, thermoregulatory, hematological, and biochemical parameters in 10 purebred Lipizzan fillies aged 4 years in the initial phase of training, and their responses to a graded workload, i.e., by lunging for 15 min in four exercise tests at 2-week intervals. The basal values of the measured parameters were within a range for warm-blooded horses and mostly increased after exercise in all four exercise tests. Resting heart...
Muscular tension as an indicator of acute stress in horses.
Physiological reports    March 22, 2022   Volume 10, Issue 6 e15220 doi: 10.14814/phy2.15220
Rankins EM, Manso Filho HC, Malinowski K, McKeever KH.Horses' muscular tension during acute stress remains unexplored. Our aim was to assess muscular, behavioral, cortisol, and hematocrit responses to social isolation (ISO), novel object exposure (NOV), and sham clipping (CLIP). Altered stress responses were expected. Eight mature Standardbred horses (four mares and four geldings) were exposed to acute stressors and a control period (CON) in a balanced, replicated 4×4 Latin Square experimental design with 3 min treatment periods and 10 min washout periods. Surface electromyography collected from the masseter, brachiocephalas, cervical trapeziu...
Effect of Milk Thistle (Silybum marianum) Seed Cakes by Horses Subjected to Physical Exertion.
Journal of equine veterinary science    March 19, 2022   Volume 113 103937 doi: 10.1016/j.jevs.2022.103937
Dockalova H, Baholet D, Batik A, Zeman L, Horky P.Milk thistle (Silybum marianum) provides several possible benefits for horses, namely anti-inflammatory, antioxidant effects, hepatoprotective, and neuroprotective effects. Silybin exerts also pronounced effects on energy metabolism, that could be useful for sport horses. The aim of this study is to evaluate the effect of milk thistle seed cakes (in the form of a granulated mixture with barley) on blood biochemical parameters (total protein, albumin, bilirubin, urea, creatinine, ALT, AST, ALP, GGT, LDH, the total cholesterol, HDL-cholesterol, LDL-cholesterol, TAG, BHB, NEFA, creatine kinase, l...
Stress, Metabolic and Serum Muscle-Derived Enzymes Response of Horses Employed in Wooded Area and Field Trekking Courses.
Journal of equine veterinary science    March 5, 2022   Volume 112 103919 doi: 10.1016/j.jevs.2022.103919
Arfuso F, Piccione G, Trimarchi F, Panzera MF, Giannetto C.Horse trekking is a non-competitive sport that, as other kinds of exercise, involves skeletal muscle effort and may implicate significant energy expenditure leading to stress. The aim of the current study was to assess the effect of trekking on metabolic and stress response as well as muscle damage markers in clinically healthy horses. Thirty horses were equally divided in 3 groups according to trekking course: Group A (trekking course 15 km long), Group B (trekking course 35 km long starting;), Group C (three trekking courses for three consecutive days; during the first day the trekking cours...
Measurements of hydrocortisone and cortisone for longitudinal profiling of equine plasma by liquid chromatography-tandem mass spectrometry.
Drug testing and analysis    March 4, 2022   Volume 14, Issue 5 943-952 doi: 10.1002/dta.3244
Tou K, Cawley A, Bowen C, Sornalingam K, Fu S.The conventional detection of exogenous drugs in equine doping samples has been used for confirmation and subsequent prosecution of participants responsible. In recent years, alternative methods using indirect detection have been investigated due to the expanding number of pharmaceutical agents available with the potential of misuse. The monitoring of endogenous biomarkers such as hydrocortisone (HC) has been studied in equine urine with an international threshold of 1 μg/ml established; however, there is no current threshold for equine plasma. The aim of this research was to investigate pl...
Influence of weaning management on gastritis incidence in foals.
Journal of equine veterinary science    February 24, 2022   Volume 113 103917 doi: 10.1016/j.jevs.2022.103917
Júnior ÂMCA, da Silva AH, Bastos FL, Seidner JT, Filho LAJM, Faleiros RR, Gobesso AAO.This study evaluated the incidence of gastritis in foals subjected to different weaning management methods. Sixteen crossbreed foals [230 ± 35 kg], were enrolled in an experiment with a randomized block design. After weaning, foals were housed in either individual pens or a group pen. Gastritis in the foals was evaluated through gastroscopy. Data were submitted to analysis of variance by the non-parametric Friedman test at 0.05 significance level. Before weaning, gastritis was observed in 87.5% of the foals, and the scores for the number of gastric lesions were 2.10 and 1.56 for foals housed ...
The effect of stress and exercise on the learning performance of horses.
Scientific reports    February 4, 2022   Volume 12, Issue 1 1918 doi: 10.1038/s41598-021-03582-4
Henshall C, Randle H, Francis N, Freire R.Domestic horses are widely used for physically demanding activities but the effect of exercise on their learning abilities has not been explored. Horses are also frequently exposed to stressors that may affect their learning. Stress and exercise result in the release of glucocorticoids, noradrenaline and other neurotransmitters that can influence learning. It is not currently possible to directly measure concentrations of neurotransmitters in the brains of behaving horses, however the inference of neurobiological processes from peripheral markers have been widely used in studies of human cogni...
Perinatal Stress in Immature Foals May Lead to Subclinical Adrenocortical Dysregulation in Adult Horses: Pilot Study.
Journal of equine veterinary science    January 21, 2022   Volume 111 103869 doi: 10.1016/j.jevs.2022.103869
Clothier J, Small A, Hinch G, Brown WY.The persistent endocrinological effects of perinatal stress due to gestational immaturity in horses are unknown, although effects have been reported in other livestock species. This pilot study tested the hypothesis that persistent adrenocortical dysregulation is present in horses that were gestationally immature at birth by assessing the salivary cortisol response to exogenous ACTH. Case horses (n = 10) were recruited with histories of gestation length < 315 d or dysmaturity observable through neonatal signs. Positive controls (n = 7) and negative controls (n = 5) were recruited wher...
Serum cortisol in mules intended for agricultural work.
Journal of equine science    December 28, 2021   Volume 32, Issue 4 153-155 doi: 10.1294/jes.32.153
Calixto LC, Martinez JR.Cortisol is a hormone secreted by the adrenal glands that is stimulated by physiological and pathological factors and has been studied widely in equids, but not in mules. The objectives of this study were to obtain a reference value for serum cortisol in mules destined for agricultural activities and to identify age- and gender-related differences in the value. The concentration was obtained in blood samples using a commercial sandwich ELISA specific for cortisol. The concentration was 96.3 ± 40.6 ng/ml and similar between age groups and genders.
Comparison of β-endorphin, Lactate and Cortisol Concentrations in Winning and Losing Racehorses.
Journal of equine veterinary science    December 26, 2021   Volume 110 103857 doi: 10.1016/j.jevs.2021.103857
Tavanaeimanesh H, Dashli-Boroon OJ, Corley K.Understanding the physiological and biochemical changes in racehorses can be invaluable. Accurate information in this area could result in better understanding of needs of sport horses. The aim of this study was to prove the hypothesis that biochemical changes could influence the outcome of competitions. In this study, β-endorphin was evaluated as an indicator of analgesia, lactate as an indicator of fatigue and cortisol as an indicator of stress in the first two horses and the last ones that cross the finish line. This study was performed on 44 horses participating in the 1000-meter national...
Interleukin-1Ra (Il-1Ra) and serum cortisol level relationship in horse as dynamic adaptive response during physical exercise.
Veterinary immunology and immunopathology    December 13, 2021   Volume 243 110368 doi: 10.1016/j.vetimm.2021.110368
Arfuso F, Giudice E, Panzera M, Rizzo M, Fazio F, Piccione G, Giannetto C.The monitoring of endocrine and immunologic markers during exercise is of paramount importance to assess and/or maintain the physical well-being of athletes as well as to optimize the athletic performance. This study aimed to investigate the linkage between acute stress response and immune status in Thoroughbred horses competing in an official 1300-m race. From 10 horses blood was collected 1 week before the day of the race (1W-BEFORE), before (REST) and immediately after the race to assess the cortisol, Interleukin-1 receptor antagonist (IL-1Ra), total proteins, white blood cells (WBC), red b...
Does Experience Make Hucul Horses More Resistant to Stress? A Pilot Study.
Animals : an open access journal from MDPI    November 24, 2021   Volume 11, Issue 12 3345 doi: 10.3390/ani11123345
Topczewska J, Krupa W, Sokołowicz Z, Lechowska J.The aim of the study was to determine whether experience related to horse age and number of starts in championships influences stress level, measured by salivary cortisol concentration. The study involved 18 clinically healthy Hucul mares who participated in the Polish Championships for Hucul Horses. Evaluation of performance value was carried out in accordance with the guidelines specified in the breeding and genetic resources conservation program for this breed. The championship lasted two days, consisting of conformation evaluation, endurance, and Hucul path. Saliva was collected at baselin...
Circulating Hypothalamic-Pituitary-Adrenal Axis Hormones and Insulin Concentrations in Horses and Ponies.
Journal of equine veterinary science    November 14, 2021   Volume 111 103810 doi: 10.1016/j.jevs.2021.103810
Vaughn SA, Norton NA, Hart KA.Mechanisms resulting in breed predispositions to insulin dysregulation (ID) are poorly characterized. Cortisol antagonizes insulin, and free, biologically active cortisol can be increased in ID. Breed-related differences in serum free cortisol fraction (FCF) could contribute to ID, but FCF has not been quantified in equidae predisposed to ID, such as ponies. To compare FCF and other hypothalamic-pituitary-adrenal (HPA) axis hormones between horses and ponies during health and ID. We hypothesized: (1) FCF is higher in ponies than horses in health, and is higher still in ponies with ID and obes...
Relationship between maximum eye temperature and plasma cortisol concentration in racehorses during intensive training.
Polish journal of veterinary sciences    November 4, 2021   Volume 24, Issue 3 393-397 doi: 10.24425/pjvs.2021.138730
Soroko M, Howell K, Dudek K, Waliczek A, Micek P, Flaga J.The aim of the study was to determine the utility of maximum eye temperature measured by infrared thermography (IRT) as a stress indicator compared with plasma cortisol concentration in Thoroughbred and Arabian racehorses. The study included thirty racehorses undergoing standard training for racing. Measurements of maximum eye temperature and blood collection for plasma cortisol concentration were carried out before training (BT), and within 5 (5AT) and 120 minutes (120AT) after the end of the each training session in three repetitions, with a monthly interval. Both parameters were elevated at...
Osteochondrosis dissecans (OCD) in horses: hormonal and biochemical study (19 cases).
Veterinary research forum : an international quarterly journal    September 15, 2021   Volume 12, Issue 3 325-331 doi: 10.30466/vrf.2020.104046.2495
Ahmadi F, Mirshahi A, Mohri M, Sardari K, Sharifi K.To investigate the hormonal and biochemical profiles of horses with osteochondrosis dissecans (OCD), serum insulin, cortisol, triiodothyronine, thyroxine, fasting blood glucose (FBG), cholesterol, triglyceride (TG), high- and low-density lipoproteins, albumin and uric acid were measured in horses definitely diagnosed with OCD (n=19) as well as clinically normal horses (n=18). Proxies representing insulin sensitivity [reciprocal of square root of insulin concentration (RISQI)] and beta cell responsiveness [modified insulin to glucose ratio (MIRG)] were calculated. Body fat percent (BF%) was est...
Short-term transport stress and supplementation alter immune function in aged horses.
PloS one    August 19, 2021   Volume 16, Issue 8 e0254139 doi: 10.1371/journal.pone.0254139
Miller AB, Harris PA, Barker VD, Adams AA.Long-distance transport is associated with stress-related changes in equine immune function, and shipping-associated illnesses are often reported. Horses are frequently transported short distances, yet the effects of short-term transport on immune function remain largely unknown. Twelve horses, aged 15-30 yr, were assigned to either the control (n = 6) or treatment (n = 6) groups; treatment horses received a daily antioxidant supplement 3 weeks before and after transport. All horses were transported for approximately 1.5-2 hr on Day 0. Blood was collected via jugular venipuncture at 15-min pre...
Effects of cortisol on prostaglandin F2α secretion and expression of genes involved in the arachidonic acid metabolic pathway in equine endometrium – In vitro study.
Theriogenology    August 8, 2021   Volume 173 221-229 doi: 10.1016/j.theriogenology.2021.08.009
Szóstek-Mioduchowska AZ, Shiotani H, Yamamoto Y, Sadowska A, Wójtowicz A, Kozai K, Hojo T, Kimura K, Skarzynski DJ, Okuda K.Glucocorticoids (GCs) are known to play an important role in maintaining basal and stress-related homeostasis by interacting with endocrine mediators and prostaglandins (PGs). Although a growing body of evidence shows that GCs exert their regulatory action at a multitude of sites in the reproductive axis through corticosteroid receptors, little is known about the direct role of cortisol, an active form of GCs, in the equine endometrium. Thus, the study aimed to determine the effect of cortisol on PGF synthesis in the endometrial tissue and cells in vitro. In Exp.1, the immunolocalization and ...
Hair Cortisol, Testosterone, Dehydroepiandrosterone Sulfate and Their Ratios in Stallions as a Retrospective Measure of Hypothalamic-Pituitary-Adrenal and Hypothalamic-Pituitary-Gonadal Axes Activity: Exploring the Influence of Seasonality.
Animals : an open access journal from MDPI    July 25, 2021   Volume 11, Issue 8 2202 doi: 10.3390/ani11082202
Olvera-Maneu S, Carbajal A, Gardela J, Lopez-Bejar M.The monitoring of stress physiology includes studying a wide range of endocrinological mechanisms, which can be assessed using multiple tissue samples. This study aimed to evaluate the seasonal variations of hair C, T and DHEA-S in horses for a whole year, as well as to assess the variations between seasons of C/DHEA-S and T/C ratios as a retrospective measure of the hypothalamic-pituitary-adrenal and hypothalamic-pituitary-gonadal axis activity. Ten pure-breed Menorca stallions were included in the study. The hair samples were collected approximately every two months following the shave-resha...
Do You Think I Am Living Well? A Four-Season Hair Cortisol Analysis on Leisure Horses in Different Housing and Management Conditions.
Animals : an open access journal from MDPI    July 20, 2021   Volume 11, Issue 7 2141 doi: 10.3390/ani11072141
Mazzola SM, Colombani C, Pizzamiglio G, Cannas S, Palestrini C, Costa ED, Gazzonis AL, Bionda A, Crepaldi P.The satisfaction of leisure horses' behavioral needs has begun to be considered a priority, linked to the awareness that horses kept in single boxes may be deprived of social contact and the possibility to perform natural behaviors. Several factors may influence horses' quality of life also in the paddock, and there are very few data on the effects of those variables on leisure horses' chronic stress, measurable in terms of activation of the hypothalamic-pituitary-adrenocortical axis. Therefore, managerial choices faced by owners and stables managers are only based on experience, common sense,...
Influence of Stretching Exercises, Warm-Up, or Cool-Down on the Physical Performance of Mangalarga Marchador Horses.
Journal of equine veterinary science    July 16, 2021   Volume 106 103714 doi: 10.1016/j.jevs.2021.103714
Farinelli F, de Rezende ASC, Fonseca MG, Lana ÂMQ, Leme FOP, Klein BON, Silva RHP, de Abreu AP, Damazio MJ, Melo MM.The Horse Agribusiness Complex is an important activity in the Brazilian agricultural sector. Mangalarga Marchador (MM) is the most numerous breed of horses in Brazil and its temperament and gait characteristics (4-beat stepping gait) allow for the constant growth of the breed and the performance of vs. equestrian activities. The training management currently adopted with MM horses is based on empiricism, and scientific support is necessary to improve the well-being of horses in competitions and maintain the physical integrity of these athletes. Therefore, this study aimed to verify the effect...
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