Analyze Diet

Topic:Equine Science

Equine Science encompasses the study of horses and their management, health, and performance. This field integrates various scientific disciplines such as biology, genetics, nutrition, physiology, and veterinary medicine to understand and improve the well-being and capabilities of horses. Areas of focus include equine anatomy, reproduction, behavior, and disease prevention. Research in equine science aims to enhance horse care, optimize training and performance, and address health challenges. This page compiles peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine science, providing insights into the latest advancements and methodologies in the field.
Repellent activity of icaridin-impregnated horsecloth against horse flies.
Acta tropica    November 30, 2024   Volume 260 107485 doi: 10.1016/j.actatropica.2024.107485
Suganuma K, Fujita G, Macalanda AMC, Regilme MAF, Izumida H, Inoue N, Acosta TJ.Horseflies are pests that cause discomfort from blood-sucking and disease transmission, and economic losses in the equine industry. This study evaluated the efficacy of horsecloth impregnated with icaridin in reducing horsefly attacks and deterring horseflies. Repellent activities were evaluated under three conditions: treatment 1 (no horsecloth), 2 (horsecloth without icaridin), and 3 (horsecloth impregnated with icaridin), using three native Hokkaido horses (Dosanko) and three mixed-breed horses (Dosanko and Haflinger) in July 2023 at a riding horse club in Hokkaido, Japan. Treatment 3 signi...
Behavioral and cardiac responses to a model startle test to assess retired Thoroughbred racehorses for equestrians.
Journal of veterinary science    November 29, 2024   Volume 25, Issue 6 e84 doi: 10.4142/jvs.24177
Ryu SH, Lee KE, Forbes E, An SJ, Kim JG, Lee H, Kim BS.Equine behavioral traits are important criteria to assess the suitability of retired Thoroughbred racehorses for equestrian sports. Objective: This study aims to develop a practical procedure to assess retired Thoroughbreds for their suitability for equestrian sports or leisure purposes and to assess if horses identified as having reactive temperaments in response to a standardized startle test, will have improved test results following a period of transition training. Methods: Behavioral reactivity data and cardiac autonomic responses to a startle test (comprising of a plastic bag applied to ...
Evaluation of a non-radioactive rapid test for the determination of serum progesterone in the mare.
Journal of equine veterinary science    November 29, 2024   105250 doi: 10.1016/j.jevs.2024.105250
Längerer L, Schuler G, Büttner K, Wehrend A.The determination of progesterone from mares' serum plays a decisive role in diagnosing estrus cycle disorders or luteal insufficiency. To date, no measurement methods are available for rapid quantitative diagnosis of serum progesterone in the mare that would allow results to be available within a two-hour time frame. The present study will evaluate a commercial enzyme-linked fluorescent assay, the mini VIDAS device (bioMérieux, Nürtingen, Germany). Serum was prepared from the blood samples of one hundred and seven mares, divided into two aliquots, and stored at -20°C. Subsequently, compara...
A review of the equine suspensory ligament: Injury prone yet understudied.
Equine veterinary journal    November 27, 2024   doi: 10.1111/evj.14447
Guest DJ, Birch HL, Thorpe CT.The suspensory ligament (SL) is a key component of the elaborate and highly adapted suspensory apparatus in the horse. In addition to contributing to stabilisation of the metacarpophalangeal joint, the SL has a spring like function to reduce the energetic cost of locomotion. Although the SL is highly prone to injury in horses of all ages and competing in a wide range of disciplines, knowledge regarding fundamental structure-function relationships in the SL is lacking, particularly compared with other injury-prone tendinous structures such as the superficial digital flexor tendon. In this revie...
Clinical and morphological features of corneal lymphoma in 26 horses (27 eyes).
Equine veterinary journal    November 27, 2024   Volume 57, Issue 4 1028-1034 doi: 10.1111/evj.14446
Morris JM, Lassaline ME, Nunnery CM, Teixeira LBC, Martins BC, Moore BA, Knickelbein KE, Scherrer NM, Plummer CE.Little information describing the biologic behaviour and therapies for corneal lymphoma exist. Objective: To characterise histologically confirmed equine corneal lymphoma considering breed, age or sex predisposition, histologic and immunologic features, therapies and outcomes. Methods: Retrospective case series. Methods: A multicentre retrospective medical record review was used to identify horses that presented with corneal disease confirmed morphologically as corneal lymphoma from 2012 to 2022. Results: Mean age at diagnosis was 10.5 years. Males represented 18/26 cases. Warmblood (14) and...
Doping Control Analysis of Total Carbon Dioxide (TCO2) in Equine Plasma by Headspace Gas Chromatography-Mass Spectrometry (HS-GC/MS).
Drug testing and analysis    November 25, 2024   doi: 10.1002/dta.3832
Kwok KY, Kwok WH, Wan TSM, Brooks L, Popot MA, Jaubert M, Bailly-Chouriberry L, Heffron BT, Choo CK, Tso J, Tso R, McKenzie B, Selvadurai N, Batty D....The use of alkalinising agents prior to racing for manipulating performance in the horse has been identified since the 1990s. To mitigate the risk, an international threshold for available carbon dioxide in equine plasma based on analyses using the Beckman Synchron EL-ISE analyser was adopted in 1994 by the International Federation of Horseracing Authorities (IFHA) and revised from 37 to 36 mM in 2004. In 2009, the technical support for the above instrument was discontinued by its manufacturer. Based on the same measurement principle (i.e., ion selective electrode), the Beckman DxC600 analys...
Nutraceutical Supplement Mitigates Insulin Resistance in Horses with a History of Insulin Dysregulation During a Challenge with a High-Starch Diet.
Animals : an open access journal from MDPI    November 25, 2024   Volume 14, Issue 23 doi: 10.3390/ani14233385
Loos C, Castelein A, Vanzant E, Adam E, McLeod KR.Insulin dysregulation (ID) is associated with an increased risk of laminitis which often necessitates the need for clinical intervention. To test the contention that the prophylactic supplementation of nutraceuticals could mitigate ID in susceptible horses, 16 mature horses with a history of ID were supplemented with either the placebo (n = 8) or nutraceutical (n = 8) once daily. Horses were housed in dry lots with ad libitum access to grass hay and fed a concentrate twice daily to provide 0.5 g starch/kg BW/meal. A combined glucose-insulin tolerance test was performed on all horses before and...
Fenestration of the maxillary septal bulla using different surgical approaches and endoscopy systems in horses: An ex vivo study.
Journal of equine veterinary science    November 23, 2024   Volume 144 105229 doi: 10.1016/j.jevs.2024.105229
de Lima AE, Mendes RP, Piñeros DDV, Alibrando BB, de Zoppa ALV, da Silva LCLC, de Freitas SH, Corrêa RR.Sinusitis is common in horses. Sinoscopy is used for visualization of sinus cavities and can be used for diagnostic and therapeutic purposes. In this surgical procedure, a larger chamber is created and communication with other sinus compartments facilitated. To compare the applicability of different surgical approaches and rigid endoscopy systems for sinus inspection and fenestration of the maxillary septal bulla, and to examine the impact of different lens angles on the effectiveness of the procedure. Six chemically preserved cadaveric equine heads were used. Frontal and caudal maxillary port...
Forage, freedom of movement, and social interactions remain essential fundamentals for the welfare of high-level sport horses.
Frontiers in veterinary science    November 20, 2024   Volume 11 1504116 doi: 10.3389/fvets.2024.1504116
Phelipon R, Hennes N, Ruet A, Bret-Morel A, Górecka-Bruzda A, Lansade L.Societal concerns for animal welfare extend to all domestic species, including high-level sport horses. The welfare of these horses, notably highlighted during the recent Olympics, has garnered significant public interest, prompting inquiries into their living conditions. Animal welfare studies have emphasised three key needs crucial to equine welfare: unlimited access to forage, freedom of movement, and social interactions with peers, commonly referred to as the "3Fs"-access to Forage, Freedom of movement, and interactions with Friend conspecifics. However, the feasibility and benefits of sat...
Estimation of Genetic Parameters for Racing Time and Ranking in Thoroughbred Horses.
Journal of equine veterinary science    November 18, 2024   105244 doi: 10.1016/j.jevs.2024.105244
Padilha DAO, Padilha SF, Martins R, Scheffer BEM, Miliorini MR, Dias LT, Teixeira RA.This study aimed to estimate genetic parameters for race time in seconds and final ranking, as well as to analyze the genetic trends associated with race time. The study utilized a dataset consisting of 23,290 records of race times and final ranks at distances of 1,000, 1,600, and 2,000 m from 6,213 Thoroughbred horses from the São Paulo Jockey Club. Our model considered the year of the run, animal sex, race class, track conditions, the linear effect of horse weight and age, and the quadratic effect of age as fixed covariates. Random effects included direct additive genetic, animal permanent ...
The global spread of Oriental Horses in the past 1,500 years through the lens of the Y chromosome.
Proceedings of the National Academy of Sciences of the United States of America    November 18, 2024   Volume 121, Issue 49 e2414408121 doi: 10.1073/pnas.2414408121
Radovic L, Remer V, Rigler D, Bozlak E, Allen L, Brem G, Reissman M, Brockmann GA, Ropka-Molik K, Stefaniuk-Szmukier M, Kalinkova L, Kalashnikov VV....Since their domestication, horses have accompanied mankind, and humans have constantly shaped horses according to their needs through stallion-centered breeding. Consequently, the male-specific portion of the Y chromosome (MSY) is extremely uniform in modern horse breeds. The majority of stallions worldwide carry MSY haplotypes (HT) attributed to an only ~1,500-y-old, so-called, "Crown" haplogroup. The predominance of the Crown in modern horse breeds is thought to represent a footprint of the vast impact of stallions of "Oriental origin" in the past millennium. Here, we report the results of a...
Investigation Into the Equine Metabolism of Phosphodiesterase-4 Inhibitor Roflumilast for Potential Doping Control.
Drug testing and analysis    November 17, 2024   doi: 10.1002/dta.3822
Philip M, Karakka Kal AK, Subhahar MB, Karatt TK, Graiban FM, Ajeebsanu MM, Joseph M, Jose SV.The phosphodiesterase 4 (PDE4) inhibitors constitute a relatively modern class of medications that are known for inducing bronchodilation and exhibiting anti-inflammatory properties within the body. Due to these properties, there is concern regarding their potential misuse as performance-enhancing substances in competitive sports. This study delves into the metabolic conversion of roflumilast in thoroughbred horses following oral administration and in vitro experimentation using equine liver microsomes and Cunninghamella elegans. High-performance liquid chromatography coupled with a Q Exactiv...
Genetic characterization of phenotypic traits in endangered Taishu horse breed and their breeding strategy.
Journal of equine veterinary science    November 15, 2024   Volume 144 105233 doi: 10.1016/j.jevs.2024.105233
Yoshihara T, Tozaki T, Nakaya S, Takasu M, Kawate K, Furukawa R, Kikuchi M, Isihge T, Nagata SI, Kakoi H, Hobo S.The Taishu horse is a native Japanese breed threatened with extinction. It is important to genotype the causative genes of rare phenotypes in endangered breeds because unique genetic traits might be lost unless a breeding strategy for conservation is constructed. In the present study, nine single-nucleotide variants and three indels of nine genes related to coat color, body composition, and gait were genotyped in 56 Taishu horses. Of these, only three genes were polymorphic. The observed coat color phenotypes coincided with the estimated phenotype from the genotypes, whereas black horses showe...
Fiber composition, in vitro true digestibility, and fiber degradation of hempseed meal compared to mainstream feedstuffs using equine feces as microbial inoculum within the DaisyII Incubator.
Journal of equine veterinary science    November 14, 2024   105230 doi: 10.1016/j.jevs.2024.105230
Springer RW, Cherry NM, Muir JP, Raub RH, Wellmann KB, Jones TN.Recent changes in legislation have put hempseed meal (Cannabis sativa L.; HSM) under consideration as a potential livestock feedstuff. Digestibility of HSM has been researched in other species, however, there are little data in horses. The study objective was to determine the in vitro true digestibility (IVTD) of HSM compared to common equine feedstuffs. An in vitro split-split plot design used four geldings (8.5 ± 3.9yr; 558.4 ± 31.0kg; 6.0 ± 0.4 BCS) to investigate the IVTD of HSM compared to alfalfa hay (ALF), Coastal Bermudagrass hay (CBH), soybean meal (SBM), rice bran pellets (RBP), a...
The effect of long term astaxanthin supplementation on the antioxidant status of racing Arabian horses – preliminary study.
Scientific reports    November 14, 2024   Volume 14, Issue 1 27991 doi: 10.1038/s41598-024-77732-9
Giercuszkiewicz-Hecold B, Kulka M, Czopowicz M, Wilczak J, Szarska E, Strzelec K, Grzeczka A, Graczyk S, Hryniszyn A, Mularczyk M, Marycz K....Astaxanthin due to its strong antioxidant activity is believed to reduce oxidative stress and therefore is considered as feed additive in pathological conditions and also for the athletes. It is promoted by several equine web portals, however, data supporting that concept in horses is limited. Thus, the aim of this study was to evaluate the effect of astaxanthin supplementation on the parameters of oxidative status in 3 years old, racing Arabian horses during long term observation and the changes related to a single training session of high intensity. Six horses were supplemented with astaxant...
National survey reveals elastic price sensitivity for select equine veterinary services.
Journal of the American Veterinary Medical Association    November 13, 2024   1-5 doi: 10.2460/javma.24.09.0576
Gibson OL, Zhao S, Adam E, Stowe CJ.The objective of this study was to estimate the price elasticity of demand for 3 common equine veterinary services: vaccinations (a routine service), lameness examinations (an elective service), and emergency colic surgery (an urgent service). Methods: Data were collected via a nationwide online survey of horse owners from August 15 to September 11, 2023, eliciting their willingness to pay for each service. The link to the online survey was distributed through participating organizations' social media and email lists to the target audience of US residents aged ≥ 18 years who were financially...
Quantifying head and withers movement asymmetry in sound and naturally forelimb lame horses trotting on a circle on hard and soft surfaces.
Equine veterinary journal    November 12, 2024   Volume 57, Issue 5 1219-1230 doi: 10.1111/evj.14430
Taddey CM, Roecken M, Kreling KM, Cruz AM.Reliable lameness thresholds for vertical head displacement for trotting on a circular path and on different surfaces have yet to be defined. Withers movement in lame horses could help improve the diagnostic accuracy of sensor technology. Objective: To define head movement lameness threshold ranges and describe the relationship between head and withers movement during trotting under different circumstances in sound and forelimb lame horses. Methods: Retrospective analysis of clinical data and comparison with control group. Methods: Fifty-five sound and thirty-four naturally lame horses were tr...
A genome-wide association study of the racing performance traits in Yili horses based on Blink and FarmCPU models.
Scientific reports    November 12, 2024   Volume 14, Issue 1 27648 doi: 10.1038/s41598-024-79014-w
Wang C, Zeng Y, Wang J, Wang T, Li X, Shen Z, Meng J, Yao X.Racing performance traits are the main indicators for evaluating the performance and value of sport horses. The aim of this study was to identify the key genes for racing performance traits in Yili horses by performing a genome-wide association study (GWAS). Breeding values for racing performance traits were calculated for Yili horses (n = 827) using an animal model. Genome-wide association analysis of racing performance traits in horses (n = 236) was carried out using the Blink, and FarmCPU models in GAPIT software, and genes within the significant regions were functionally annotated....
How well can you tell? Success of human categorisation of horse behavioural responses depicted in media.
Animal welfare (South Mimms, England)    November 11, 2024   Volume 33 e50 doi: 10.1017/awf.2024.55
Merkies K, Trudel K.Horses employ a range of subtle to overt behaviours to communicate their current affective state. Humans who are more cognisant of their own bodily sensations may be more attuned to recognising affective states in horses () thereby promoting positive human-horse interactions. This study investigated human ability to categorise human-horse interactions depicted in media relative to equine behaviour experts and compared participant scores to their level of interoception. Using an online survey, participants (n = 534) categorised 31 photographs and videos as (overt) positive, likely (subtle) posi...
The Role of the Equestrian Professional in Bridle and Bit Fit in the United Kingdom.
Animals : an open access journal from MDPI    November 6, 2024   Volume 14, Issue 22 doi: 10.3390/ani14223188
Nankervis K, Williams JM, Fisher D, MacKechnie-Guire R.To ensure the comfort of ridden horses, equipment including bridles and bits should be suitable and fit correctly. Horse owners employ a variety of equestrian professionals with varying degrees of responsibility regarding bridle and bit fit. This study aimed to compare the frequency and manner in which equestrian professionals within a multidisciplinary team (MDT) engage with clients on matters of bridle and bit fit, and to capture their perceptions of the key issues in bridle and bit fit. The participants completed an online questionnaire to obtain information regarding participant demographi...
Detection of equine parvovirus-hepatitis and efficacy of governmental regulation for equine biologics purity. Scupham AJ, Tong C.In 2018, a new virus, named equine parvovirus-hepatitis (EqPV-H), was discovered in a biologic product that had been administered to horses that subsequently developed clinical signs of equine serum hepatitis (Theiler disease). Further correlation of the virus with the disease sparked federal requirements that all equine biologics be free of EqPV-H. The initial quantitative real-time PCR (qPCR) test for EqPV-H has proved to be sensitive to co-extracted PCR inhibitors in template nucleic acids, causing false-negative results. We investigated the use of digital PCR (dPCR) as a more robust test. ...
A broad-spectrum peptide screening method using an optimized solid-phase extraction and liquid chromatography-high-field asymmetric ion mobility spectrometry-mass spectrometry for doping control in equine urine.
Analytical methods : advancing methods and applications    November 6, 2024   doi: 10.1039/d4ay01477d
Ohnuma K, Hirano-Kodaira M, Bannai M, Shimizu Y, Yamada M, Kinoshita K, Ngai-Wa Leung G, Ishii H.The abuse of prohibited peptide-based drugs with a broad spectrum of chemical characteristics poses a significant concern for the horseracing industry. Recently, there has been a notable increase in positive cases of small-peptide drugs reported in equine and canine sports. In addition to small peptides, large peptides (over 2 kDa) with structural diversity have also entered the market in increasing numbers as drugs for humans and livestock. However, the simultaneous analysis of both small- and large-peptide-based drugs is still challenging. In this study, a screening method was developed to c...
Evaluations of Morphometric Traits and Body Conformation Indices of Horse Ecotypes Reared in the Highlands of Bale Eco-Region, Ethiopia.
Veterinary medicine and science    November 6, 2024   Volume 10, Issue 6 e70114 doi: 10.1002/vms3.70114
Guyo M, Tareke M, Tonamo A, Bediye D, Defar G.Morphometric traits discrepancies are associated with production, reproduction, adaptation and behaviours in horses. It also determines the design of harnessing implements, physical injury level and working performance of the native horses. Thus, the study was conducted to evaluate morphometric traits and body conformation indices of horse ecotypes reared across four districts of Bale Zone, Ethiopia. Methods: Data of croup height, croup length, hip height, mid-back height, wither height, hip width, thoracic depth, chest width, body length, sternum height, thorax perimeter and cannon perimeter ...
IVF with frozen-thawed sperm after prolonged capacitation yields comparable results to ICSI in horses: A morphokinetics study.
Theriogenology    November 1, 2024   Volume 232 39-45 doi: 10.1016/j.theriogenology.2024.10.032
Martin-Pelaez S, Fuente A, Takahashi K, Perez IT, Orozco J, Okada CTC, Neto CR, Meyers S, Dini P.Intracytoplasmic sperm injection (ICSI) is the current clinical practice for the in vitro production of equine embryos. The use of conventional fertilization methods such as in vitro fertilization (IVF), has historically been associated with poor success in horses. However, recent improvements have led to better outcomes with IVF, though only when using fresh semen, which limits its use in clinical practice. IVF remains in its infancy in equine reproduction, and several unknowns remain about the technique. One significant gap in knowledge concerns the morphokinetics of IVF embryos and how they...
Oxygen consumption, locomotory-respiratory coupling and exercise-induced pulmonary hemorrhage in horses during the Paso Fino gait.
Journal of veterinary internal medicine    October 31, 2024   Volume 38, Issue 6 3337-3345 doi: 10.1111/jvim.17226
Massie S, Léguillette R, Bayly W, Sides R, Zuluaga-Cabrera AM.Workload associated with the high frequency Colombian Paso Fino gait has not been evaluated. Objective: To determine the oxygen consumption (V̇O), heart rate (HR), stride frequency: breathing ratio, and hematology associated with the Paso Fino gait, including whether exercise-induced pulmonary hemorrhage (EIPH) occurs. Methods: Eleven Paso Fino horses. Methods: Prospective cohort study. Horses performed a standardized Paso Fino gait test across a wooden sounding board, simulating competition. V̇O and ventilatory parameters (tidal volume [V]; peak inspiratory and expiratory airflows [PkV̇, P...
Age-dependent haemogram and sex-dependent serum biochemistry values in semi-feral Konik horses.
Schweizer Archiv fur Tierheilkunde    October 29, 2024   Volume 166, Issue 11 582-592 doi: 10.17236/sat00437
Thielebein J, Bartling B, Hönicke C, Schmicke M.Semi-feral, free-roaming Konik polski horses are used in some European countries for preserving semi-open pasture landscapes. The estimation of their health status is still limited by insufficient data on various blood parameters. Therefore, our study aimed at the sex- and age-dependent analysis of haemogram and selected biochemistry parameters in healthy, semi-feral Koniks. In order to reach this aim, we took blood samples from 53 female and 18 male (8 uncastrated, 10 castrated) Koniks living in two Middle German nature reserves. They were of different age (9-266 months) and without signs of ...
Intake, digestibility, and behavior of horses fed açaí kernel (Euterpe oleracea Mart.) as a substitute of Mombaça grass (Megathyrsus maximus).
Tropical animal health and production    October 28, 2024   Volume 56, Issue 8 361 doi: 10.1007/s11250-024-04203-8
Silva RC, Coelho GJ, Sousa MBF, Caldas CS, Maciel RP, Mezzomo R, Gomes DÍ, Neta ERDS, Tavares FB, Alves KS, Oliveira LRS.In this study, we analyzed the effects of including açaí kernel, in the experimental diets fed to horses on the intake and digestibility of their nutrient and the resultant effects on the behavior of horses. The experiments were conducted in Federal Rural University of Amazonia. Five mares with no defined breeds, were allocated to five treatments (the replacement of Mombaça grass (Megathyrsus maximus) with crushed açaí kernel at 0, 18.75, 37.50, 56.25, and 75% levels of dry matter), in a 5 × 5 Latin square design. The animals were housed in covered stalls with concrete floors, equipp...
A wearable real-time particulate monitor demonstrates that soaking hay reduces dust exposure.
Equine veterinary journal    October 27, 2024   doi: 10.1111/evj.14425
Ivester KM, Ni JQ, Couetil LL, Peters TM, Tatum M, Willems L, Park JH.Affordable particulate matter (PM) monitors suitable for use on horses will facilitate the evaluation of PM mitigation methods and improve the management of equine asthma. Objective: Calibrate a real-time wearable PM monitor (Black Beauty [BB]) and compare the PM exposures of horses fed dry or soaked hay. Methods: Laboratory calibration; complete cross-over feed trial. Methods: Side-by-side sampling with BB monitors and tapered element oscillating microbalances (TEOMs) was performed under varying concentrations of PM from alfalfa hay. Linear regression was used to derive a calibration formula ...
Spermatozoal acrosome dysfunction and its role in stallion subfertility.
Journal of equine veterinary science    October 26, 2024   Volume 143 105213 doi: 10.1016/j.jevs.2024.105213
Hernández-Avilés C, Ramírez-Agámez L, Varner DD, Raudsepp T, Love CC.Cases of stallion subfertility due to acrosome dysfunction have been recognized since the 1990s. While some of these were observed in stallions with reduced sperm motility and morphology, a more severe form has been reported in stallions with normal-to-excellent sperm quality parameters, which is also uniquely observed in individuals of the Thoroughbred registry. These stallions carry a susceptibility genotype (A/A-A A in the gene FKBP6, exon 5) for Impaired Acrosomal Exocytosis (IAE). Current clinical observations from our group have identified a few highly subfertile stallions from other bre...
A systematic review of the prevalence of post-operative complications after general anaesthesia in adult horses (2000-2023).
Equine veterinary journal    October 24, 2024   Volume 57, Issue 4 827-861 doi: 10.1111/evj.14416
Loomes K, de Grauw J, Gozalo-Marcilla M, Redondo JI, Bettschart-Wolfensberger R.Equine post-operative morbidity represents a significant concern for both veterinary surgeons and horse owners. Objective: To estimate the prevalence of post-operative complications in horses after elective/non-abdominal surgery or colic surgery. Methods: Systematic review. Methods: A database search identified eligible studies which reported the prevalence of equine post-operative complications published as a full paper in English in a peer-reviewed journal between 2000 and 2023. Studies were evaluated using the JBI Critical Appraisal Checklist for Prevalence Studies and GRADE (Grading of Rec...
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