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Topic:Equine Metabolic Syndrome

Equine Metabolic Syndrome (EMS) is a condition in horses characterized by a combination of obesity, insulin resistance, and an increased risk of laminitis. This syndrome is often observed in horses with a predisposition to accumulate fat, particularly in specific areas such as the neck, shoulders, and tailhead. Insulin resistance in horses with EMS can lead to elevated insulin levels, which may contribute to the development of laminitis, a painful and potentially debilitating hoof condition. Research on EMS focuses on understanding its pathophysiology, identifying genetic and environmental risk factors, and developing management strategies to mitigate its effects. This page compiles peer-reviewed research studies and scholarly articles that explore the diagnosis, treatment, and management of Equine Metabolic Syndrome, as well as its implications for equine health and welfare.
Dietary management of obesity and insulin resistance: countering risk for laminitis.
The Veterinary clinics of North America. Equine practice    March 24, 2009   Volume 25, Issue 1 51-vi doi: 10.1016/j.cveq.2009.02.001
Geor RJ, Harris P.Insulin resistance (IR) and hyperinsulinemia increase risk for development of laminitis in horses and ponies. Obesity also has been associated with heightened risk for laminitis, likely by means of development of IR. Dietary factors, particularly the nonstructural carbohydrate (NSC) load, modulate risk for laminitis in these animals by means of exacerbation of IR or gastrointestinal disturbances that trigger the condition. Specific dietary management strategies to lessen risk for laminitis include caloric restriction to promote weight loss and improve insulin sensitivity in obese animals and s...
The effect of weight loss by energy restriction on metabolic profile and glucose tolerance in ponies.
Journal of animal physiology and animal nutrition    November 18, 2008   Volume 92, Issue 5 538-545 doi: 10.1111/j.1439-0396.2007.00744.x
Van Weyenberg S, Hesta M, Buyse J, Janssens GP.In nine initially obese ponies, a weekly weight loss according to 1% of their ideal body weight was evaluated for its impact on insulin sensitivity and metabolic profile. Weight loss was obtained solely through energy restriction, initially at 70% of maintenance energy requirements, but to maintain constant weight loss, feed amount had to be decreased to 50% and 35% of maintenance energy requirement during the course of the trial. An oral glucose tolerance test (OGTT) was performed at weeks 0, 10 and 17. Fasted blood samples were taken on weeks 0, 3, 10, 17 for analysis of triglycerides (TG), ...
Metabolic syndrome-From human organ disease to laminar failure in equids.
Veterinary immunology and immunopathology    November 11, 2008   Volume 129, Issue 3-4 151-154 doi: 10.1016/j.vetimm.2008.11.012
Geor R, Frank N.Obesity, insulin resistance, hyperinsulinemia and hypertriglyceridemia are components of an equine metabolic syndrome phenotype associated with increased laminitis risk in horses. Links between these conditions and laminitis must still be elucidated, but human medicine provides candidate mechanisms for future study, including inflammation associated with obesity, vascular compromise induced by insulin resistance, and endothelial dysfunction. Just as metabolic syndrome has been linked to cardiovascular disease in humans, studies are now required to determine the exact mechanisms responsible for...
Equine laminitis: a journey to the dark side of venous.
Veterinary immunology and immunopathology    November 11, 2008   Volume 129, Issue 3-4 164-166 doi: 10.1016/j.vetimm.2008.11.015
Robertson TP, Bailey SR, Peroni JF.Equine laminitis is a crippling condition that continues to defy repeated efforts to delineate the precise mechanisms involved and develop effective therapeutic strategies for use in the clinic. In this article, the possible role of dysfunction of the laminar vasculature is discussed, with particular emphasis on the venous side of the laminar microvasculature and the possible role(s) that metabolic syndrome and thrombosis may play in the dysfunction observed in the laminar microvasculature during the development of laminitis.
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...
Equine metabolic syndrome and Cushing’s disease clinical trial.
The Veterinary record    August 5, 2008   Volume 163, Issue 5 164 doi: 10.1136/vr.163.5.164-c
Eustace R.No abstract available
[Animal welfare in prevention and therapy of laminitis].
DTW. Deutsche tierarztliche Wochenschrift    May 1, 2008   Volume 115, Issue 3 106-113 
Winkelsett S, Vervuert I.Laminitis is a systemic disease which is manifested as a non infectious condition in the foot. The management of feeding and housing conditions is necessary to treat the endocrinological and metabolic disturbances of laminitic horses. The Equine Metabolic Syndrome (EMS) is predisposing for developing laminitis, and it is characterised by obesity, insulin resistance, hypertension and dyslipidaemia. A genetical predisposition is supposed and EMS is accompanied by a lack of exercise and inadequate energy intake. Laboratory examinations are of great importance for diagnosis. Analyses of insulin, g...
Hypertension and insulin resistance in a mixed-breed population of ponies predisposed to laminitis.
American journal of veterinary research    January 3, 2008   Volume 69, Issue 1 122-129 doi: 10.2460/ajvr.69.1.122
Bailey SR, Habershon-Butcher JL, Ransom KJ, Elliott J, Menzies-Gow NJ.To determine the metabolic phenotype of a group of laminitis-prone ponies when at pasture in summer, compared with when at pasture in winter. Methods: 40 ponies of various breeds predisposed to recurrent pasture-associated laminitis and 40 unaffected control ponies. Methods: Body condition score and size of the crest of the neck were assessed, blood samples obtained, and blood pressure measured by use of an indirect oscillometric technique, while ponies were kept on winter pasture (last week of November or beginning of December) and again on summer pasture (June). Serum insulin concentration a...
Factors affecting clinical assessment of insulin sensitivity in horses.
Equine veterinary journal    December 11, 2007   Volume 39, Issue 6 567-575 doi: 10.2746/042516407X238512
Firshman AM, Valberg SJ.Insulin resistance is thought to be involved in the pathogenesis of many equine conditions such as pars intermedia dysfunction, equine metabolic syndrome, diabetes mellitus, hyperlipaemia, laminitis, endotoxaemia and osteochondrosis dissecans (OCD); whereas polysaccharide storage myopathy in Quarter Horses and equine motor neuron disease (EMD) have been associated with increased insulin sensitivity. However, it is clear that there is not one ideal test, in terms of both practicality and accuracy, for evaluating insulin sensitivity in horses and improved diagnostic techniques are required. This...
How should we feed horses–and how many times a day?
Veterinary journal (London, England : 1997)    March 30, 2007   Volume 173, Issue 2 252-253 
Harris PA.No abstract available
Beyond blood sugar: the potential of NMR-based metabonomics for type 2 human diabetes, and the horse as a possible model.
Analytical and bioanalytical chemistry    November 28, 2006   Volume 387, Issue 2 533-537 doi: 10.1007/s00216-006-0979-z
Hodavance MS, Ralston SL, Pelczer I.Metabonomic analysis is a powerful tool for identifying and characterizing metabolic disorders, for example type 2 diabetes and the metabolic syndrome. Nuclear magnetic resonance (NMR) spectroscopy is an essential tool for such analysis, with special benefits. The review assesses the current status and potential of NMR-based metabonomics of type 2 diabetes. The horse is proposed as a possible model for studying this condition and disease. Some examples are shown of horse blood analyses by NMR.
Obesity is associated with altered metabolic and reproductive activity in the mare: effects of metformin on insulin sensitivity and reproductive cyclicity.
Reproduction, fertility, and development    August 26, 2006   Volume 18, Issue 6 609-617 doi: 10.1071/rd06016
Vick MM, Sessions DR, Murphy BA, Kennedy EL, Reedy SE, Fitzgerald BP.In mares, obesity is associated with continuous reproductive activity during the non-breeding season. To investigate the effect of obesity and associated alterations in metabolic parameters on the oestrous cycle, two related studies were conducted. In Experiment 1, obese (body condition score > 7) mares were fed ad libitum or were moderately feed restricted during the late summer and autumn months. Feed restriction did not alter the proportion of mares entering seasonal anoestrus. However, obese mares exhibited a significantly longer duration of the oestrous cycle, significant increases in ...
Pasture nonstructural carbohydrates and equine laminitis.
The Journal of nutrition    June 15, 2006   Volume 136, Issue 7 Suppl 2099S-2102S doi: 10.1093/jn/136.7.2099S
Longland AC, Byrd BM.Fresh forages constitute a majority of the diet for many horses and ponies that graze on pastures during the growing season in many parts of the world. Grasses generally predominate in such pastures, with varying proportions of legumes. Nonstructural carbohydrates (NSC) (simple sugars, starch, and fructan) can induce laminitis experimentally, and NSC can accumulate to >400 g/kg of dry matter (DM) in pasture grasses. In this article we discuss the environmental factors affecting NSC accumulation in pastures and estimate the potential daily intakes of pasture NSC by grazing horses. We also di...
10.1093/jn/136.7.2090S.
The Journal of nutrition    June 15, 2006   Volume 136, Issue 7 Suppl 2090S-2093S doi: 10.1093/jn/136.7.2090S
Kronfeld DS, Treiber KH, Hess TM, Splan RK, Byrd BM, Staniar WB, White NW.Treatment of clinical laminitis usually fails to prevent some degree of persistent disability; thus, intervention should aim at avoiding risk factors and preventing the disease. Efficiency of intervention would be improved by identifying predisposed horses and ponies. A herd of 160 healthy ponies included 54 previously laminitic (PL) and 106 never laminitic (NL). Pedigree analysis was consistent with dominant inheritance partially suppressed in males. Blood analysis revealed higher plasma concentrations of insulin and triglycerides but not cortisol, glucose, or free fatty acids in the PL group...
Countermeasures for pasture-associated laminitis in ponies and horses.
The Journal of nutrition    June 15, 2006   Volume 136, Issue 7 Suppl 2114S-2121S doi: 10.1093/jn/136.7.2114S
Harris P, Bailey SR, Elliott J, Longland A.Laminitis occurs throughout the world in horses and ponies and has major welfare implications. It is obviously important to be able to recognize and treat the condition in its early stages so that pain and suffering are kept to a minimum. However, ideally it would be preferred to be able to recommend certain interventions/countermeasures that avoid or prevent the condition from occurring in the first place. Because pasture-associated laminitis occurs with grass consumption, one obvious way to avoid the condition is to prevent access to pasture and to feed forage alternatives that are known to ...
Physical characteristics, blood hormone concentrations, and plasma lipid concentrations in obese horses with insulin resistance.
Journal of the American Veterinary Medical Association    May 3, 2006   Volume 228, Issue 9 1383-1390 doi: 10.2460/javma.228.9.1383
Frank N, Elliott SB, Brandt LE, Keisler DH.To compare obese horses with insulin resistance (IR) with nonobese horses and determine whether blood resting glucose, insulin, leptin, and lipid concentrations differed between groups and were correlated with combined glucose-insulin test (CGIT) results. Methods: 7 obese adult horses with IR (OB-IR group) and 5 nonobese mares. Methods: Physical measurements were taken, and blood samples were collected after horses had acclimated to the hospital for 3 days. Response to insulin was assessed by use of the CGIT, and maintenance of plasma glucose concentrations greater than the preinjection value ...
Insulin resistance and compensation in Thoroughbred weanlings adapted to high-glycemic meals.
Journal of animal science    September 15, 2005   Volume 83, Issue 10 2357-2364 doi: 10.2527/2005.83102357x
Treiber KH, Boston RC, Kronfeld DS, Staniar WB, Harris PA.Insulin resistance has been suggested to increase the risk of certain diseases, including osteochondrosis and laminitis. Our objective was to evaluate the effect of adaptation to high-glycemic meals on glucose-insulin regulation in healthy Thoroughbred weanlings. Twelve Thoroughbred foals were raised on pasture and supplemented twice daily with a feed high in either sugar and starch (SS; 49% nonstructural carbohydrates, 21% NDF, 3% crude fat on a DM basis) or fat and fiber (FF; 12% nonstructural carbohydrates, 44% NDF, 10% crude fat on a DM basis). As weanlings (age 199 +/- 5 d; BW 274 +/- 5 k...
The equine metabolic syndrome peripheral Cushing’s syndrome.
The Veterinary clinics of North America. Equine practice    January 8, 2005   Volume 18, Issue 2 271-293 doi: 10.1016/s0749-0739(02)00006-8
Johnson PJ.Certain management practices tend to promote the development of obesity (metabolic syndrome) in mature horses as they enter their teenage years. These management practices include the provision of starch-rich (high glycemic index) and fat-supplemented rations to healthy horses that are relatively inactive. Some horse breeds and ponies appear to be genetically predisposed to metabolic syndrome. The accretion of intra-abdominal adiposity by equids is associated with the development of insulin insensitivity (hyperinsulinemia), glucose intolerance, dyslipidemia, hypertension, and insidious-onset l...
Obesity and diet affect glucose dynamics and insulin sensitivity in Thoroughbred geldings.
Journal of animal science    September 13, 2003   Volume 81, Issue 9 2333-2342 doi: 10.2527/2003.8192333x
Hoffman RM, Boston RC, Stefanovski D, Kronfeld DS, Harris PA.Insulin resistance is considered a risk factor in obesity, laminitis, exertional rhabdomyolysis, and osteochondrosis. The objective was to use the minimal model to estimate glucose effectiveness (Sg) and insulin sensitivity (Si) in nonobese to obese horses initially adapted to forage only, then adapted to forage plus supplements rich in starch and sugar (SS) or fiber and fat (FF). Ten Thoroughbred geldings, with BCS of 5 (nonobese), 6 (moderately obese), and 7 to 8 (obese), were adapted to pasture and hay, allocated to two groups, and fed SS or FF in a switch-back design with 8 wk of adaptatio...
Hydrolyzable carbohydrates in pasture, hay, and horse feeds: direct assay and seasonal variation.
Journal of animal science    February 24, 2001   Volume 79, Issue 2 500-506 doi: 10.2527/2001.792500x
Hoffman RM, Wilson JA, Kronfeld DS, Cooper WL, Lawrence LA, Sklan D, Harris PA.Carbohydrates may be hydrolyzed or fermented in the digestive tract, and this distinction is important for the evaluation of the diet of herbivores. Both hydrolyzable and fermentable carbohydrates are included in the nonstructural carbohydrate (NSC) fraction as estimated by difference using proximate analysis. Our objectives were to measure hydrolyzable carbohydrates in forages and concentrates, to compare these values with nonstructural carbohydrate, to test for prediction of hydrolyzable carbohydrate concentration in forages from its near-infrared spectrum, and to examine seasonal variation ...
Digestible energy expenditure in grazing activity of growing horses.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 490-492 doi: 10.1111/j.2042-3306.1999.tb05271.x
Asai Y, Matsui A, Osawa T, Kawai M, Kondo S.Ten Thoroughbred yearlings (5 females and 5 males) were used to examine the effect of time of grazing on pasture forage and digestible energy (DE) intake, bodyweight gain and DE expenditure in grazing activity. Five females were grazed for 17 h/day (LTG), 5 males were grazed for 7 h/day (STG) and they were fed differently. As a result, DE intake from pasture forage of LTG horses and STG horses was 27.3 and 12.7-13.9 Mcal/day, respectively. The average daily gain (ADG) of LTG and STG horses was 0.37 and 0.39-0.61 kg/day, respectively. The regression lines between DE intake and ADG of both group...
Metabolic functions of L-carnitine and its effects as feed additive in horses. A review.
Archiv fur Tierernahrung    November 5, 1999   Volume 52, Issue 2 115-138 doi: 10.1080/17450399909386157
Zeyner A, Harmeyer J.L-carnitine, a betaine derivative of beta-hydroxybutyrate, is found in virtually all cells of higher animals and also in some microorganisms and plants. In animals it is synthesized almost exclusively in the liver. Two essential amino acids, i.e., lysine and methionine serve as primary substrates for its biosynthesis. Also required for its synthesis are sufficient amounts of vitamin B6, nicotinic acids, vitamin C and folate. The first discovered ergogenic function of L-carnitine is the transfer of activated long-chain fatty acids across the inner mitochondrial membrane into the mitochondrial m...
Proceedings of the 3rd International Workshop on Animal Locomotion. Saumur, France, 20-22 May 1996.
Equine veterinary journal. Supplement    May 1, 1997   Issue 23 1-112 
No abstract available
The potential of pasture to supply the nutritional requirements of grazing horses.
Australian veterinary journal    February 1, 1996   Volume 73, Issue 2 67-68 doi: 10.1111/j.1751-0813.1996.tb09969.x
Gallagher JR.No abstract available
Equine nutritional research: some food for thought?
Equine veterinary journal    September 1, 1991   Volume 23, Issue 5 323-325 doi: 10.1111/j.2042-3306.1991.tb03729.x
Cí·¯ord D.No abstract available
Growth performance of yearling horses grazing bermudagrass pastures at different grazing pressures.
Journal of animal science    October 1, 1989   Volume 67, Issue 10 2692-2697 doi: 10.2527/jas1989.67102692x
Aiken GE, Potter GD, Conrad BE, Evans JW.Body weight gains and height at the withers were measured in yearling geldings grazing bermudagrass (Cynodon dactylon [L.] Pers.) pastures with neither energy nor protein feed supplementation at stocking rates of 6.7, 8.0, 9.5 and 12.4 yearlings per hectare. Weekly forage samples were taken to estimate the quantity and quality of available forage. These samples were clipped and separated into three equal lengths to characterize upper, middle and lower thirds of the canopy and to determine relationships between available forage and yearling growth rate. Average daily gain was influenced by stoc...
Equine topics. Enter the laser.
The Veterinary record    May 24, 1986   Volume 118, Issue 21 573-574 doi: 10.1136/vr.118.21.573
Vogel C.No abstract available
Studies on equine prematurity 3: Insulin secretion in the foal during the perinatal period.
Equine veterinary journal    July 1, 1984   Volume 16, Issue 4 286-291 doi: 10.1111/j.2042-3306.1984.tb01928.x
Fowden AL, Silver M, Ellis L, Ousey J, Rossdale PD.The factors influencing beta cell function in the foetal and neonatal foal have been investigated in chronically catheterised foetal foals and in newborn foals delivered either spontaneously at term or by induction at different gestational ages. Insulin was detected in the foetal plasma from as early as 150 days of gestation (term = 340 days) and during the last third of gestation the foetal beta cells responded to exogenous administration of glucose and arginine and to endogenous variations in the glucose level. Insulin secretion by the foetal beta cells was depressed by anaesthesia and surge...
A report on the consumption, composition and nutritional adequacy of a mixture of lush green perennial ryegrass (Lolium perenne) and cocksfoot (Dactylis glomerata) fed ad libitum to Thoroughbred mares.
Journal of the South African Veterinary Association    September 1, 1983   Volume 54, Issue 3 155-157 
Marlow CH, van Tonder EM, Hayward FC, van der Merwe SS, Price LE.Non-pregnant Thoroughbred mares were stabled and subjected to 2 trials, each 24 h in duration, to establish their total consumption of a mixture of freshly cut, lush green perennial ryegrass (Lolium perenne) and cocksfoot (Dactylis glomerata) in approximately equal proportions; and to compare the total intake of crude protein, calcium, phosphorus and mass of the grass mixture on a dry matter basis with their daily nutritional requirements. The body mass of each mare was calculated at the commencement of each trial. In the first trial 2 lactating mares with foals at foot, 65 days and 8 days of ...
[Prevention of metabolic disorders in animals used by society].
Veterinariia    August 1, 1971   Volume 9 80-82 
Kondrakhin IP.No abstract available