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Topic:Geriatric Horses

Geriatric horses are older equines that typically exhibit age-related physiological changes impacting their health and management. As horses age, they may experience alterations in metabolism, immune function, and musculoskeletal integrity. These changes can increase their susceptibility to diseases and necessitate specialized care. Research on geriatric horses often focuses on understanding the aging process, identifying common health issues such as osteoarthritis and dental problems, and developing management strategies to enhance their quality of life. This page gathers peer-reviewed research studies and scholarly articles that explore the physiological changes, health challenges, and management practices associated with aging in horses.
Decoding the transcriptomic expression and genomic methylation patterns in the tendon proper and its peritenon region in the aging horse.
BMC research notes    October 11, 2023   Volume 16, Issue 1 267 doi: 10.1186/s13104-023-06562-1
Pechanec MY, Mienaltowski MJ.Equine tendinopathies are challenging because of the poor healing capacity of tendons commonly resulting in high re-injury rates. Within the tendon, different regions - tendon proper (TP) and peritenon (PERI) - contribute to the tendon matrix in differing capacities during injury and aging. Aged tendons have decreased repair potential; the underlying transcriptional and epigenetic changes that occur in the TP and PERI regions are not well understood. The objective of this study was to assess TP and PERI regional differences in adolescent, midlife, and geriatric horses using RNA sequencing and ...
Advances in dental management in the equine geriatric patient: strategies for improved welfare.
Journal of the American Veterinary Medical Association    September 6, 2023   1-7 doi: 10.2460/javma.23.06.0350
du Toit N.Geriatric horses have a high prevalence of dental disease, which is a culmination of age-related dental changes and dental disease throughout the life of the horse that may have long-term consequences. Wear abnormalities, diastemata with periodontal disease, pulpitis and endodontic disease, infundibular caries, and equine odontoclastic tooth resorption and hypercementosis become more prevalent with age. Recognition of age-related dental disease at an early stage can help to treat and possibly preserve teeth for longer. With a natural decrease in masticatory efficiency, it is even more importan...
Serum C-reactive Protein and Protein Electrophoretic Pattern Correlated With Age in Horses.
Journal of equine veterinary science    May 7, 2023   Volume 126 104561 doi: 10.1016/j.jevs.2023.104561
Arfuso F, Piccione G, Guttadauro A, Monteverde V, Giudice E, Giannetto C.Inflammaging or chronic, low-grade inflammation is a phenomenon characterizing age-related pathologies and natural processes in aging tissues. This study aimed to investigate the effect of age on the serum levels of C-reactive protein and protein electrophoretic pattern in horses. Thirty Italian Saddle horses from the same horse training center, were enrolled and divided in three equal groups according to their age: Group A (2-4 years), Group B (7-10 years), Group C (15-20 years). Blood samples were collected from each horse to evaluate hematological parameters and the serum concentration of C...
Ocular findings in a population of geriatric equids in the United Kingdom.
Equine veterinary journal    April 18, 2023   Volume 56, Issue 1 121-130 doi: 10.1111/evj.13941
Chalder R, Housby-Skeggs N, Clark C, Pollard D, Hartley C, Blacklock B.There are a growing number of horses, ponies, and donkeys aged 15 years or older in the United Kingdom, yet there have been no studies utilising a complete ophthalmic examination to investigate the prevalence of ophthalmic pathology within this population. Objective: To investigate the prevalence of ophthalmic pathology and associations with signalment, in a convenience sample of geriatric equids in the United Kingdom. Methods: Cross sectional. Methods: Horses, ponies, and donkeys aged 15 years or older based at The Horse Trust charity underwent a full ophthalmic examination including slit...
Body Condition Score in Danish Horses Related to Type, Use, and Training Level: Patterns, Risk, and Protective Factors.
Animals : an open access journal from MDPI    March 31, 2023   Volume 13, Issue 7 doi: 10.3390/ani13071219
Uldahl M, Dahl J, Clayton HM.Body condition in horses is a growing concern that has different patterns of development in horses that are above and below the ideal range. This study used professional and para-professional evaluators (veterinarians, farriers, trainers, Danish Equestrian Federation (DEF) officials) who were trained and certified in the use of a modified Henneke scoring system to assign a body condition score (BCS) on a scale of 1-9. Scores of 5-6 are regarded as ideal, and 78.6% of the evaluated horses were in these groups. Only 4.8% of horses were below ideal BCS but 16.5% were above ideal BCS, and this was...
Periodontal structures in horses with pituitary pars intermedia dysfunction: A histological evaluation.
Frontiers in veterinary science    January 17, 2023   Volume 10 1114445 doi: 10.3389/fvets.2023.1114445
Zapf AM, Fey K, Büttner K, Gröf M, Staszyk C.Pituitary pars intermedia dysfunction (PPID) and dental disorders are of major concern in horses older than 15 years. Although PPID in geriatric horses and dental disorders in all age groups are well described, a connection between this endocrine disease and pathological changes in equine dental structures has not yet been investigated. In humans, periodontitis is considered to be a complication of systemic diseases like diabetes mellitus type 2, obesity and various conditions leading to an impaired immune response. In PPID, cross links to insulin and immune dysregulations are proven. The aim ...
Association between insulin dysregulation and adrenocorticotropic hormone in aged horses and ponies with no clinical signs of pituitary pars intermedia dysfunction.
Equine veterinary journal    January 15, 2023   doi: 10.1111/evj.13925
Li FI, Spence RJ, de Laat MA, Harris PA, Sonntag J, Menzies-Gow NJ, Durham AE, Bailey SR, Sillence MN.High concentrations of adrenocorticotropic hormone (ACTH) are used as an indicator of pituitary pars intermedia dysfunction (PPID), but other factors that may influence ACTH need to be understood, if diagnostic reference ranges for ACTH are to be used with confidence. Insulin dysregulation (ID) could be one such factor, as insulin affects pituitary hormones in other species. Objective: To test the hypothesis that a relationship exists between high insulin and high ACTH in aged (>15-year-old) animals with no clinical signs of PPID. Methods: A cohort study. Methods: Thirteen horses and eleven p...
Immunosenescence and inflammaging in the aged horse.
Immunity & ageing : I & A    January 6, 2023   Volume 20, Issue 1 2 doi: 10.1186/s12979-022-00325-5
DeNotta S, McFarlane D.The equine population in the United States and worldwide now includes a higher percentage of geriatric horses than ever previously recorded, and as methods to treat and manage elderly equids are developed and refined, this aging population will likely continue to expand. A better understanding of how horses age and the effect of age on immunity and disease susceptibility is needed to enable targeted preventative healthcare strategies for aged horses. This review article outlines the current state of knowledge regarding the effect of aging on immunity, vaccine responsiveness, and disease risk i...
Chronic weight loss, intermittent hematuria, polyuria, and polydipsia in a 23-year-old Quarter Horse gelding.
Journal of the American Veterinary Medical Association    December 15, 2022   Volume 261, Issue 3 407-409 doi: 10.2460/javma.22.10.0453
Ochi A, Falconnier N, Baker R, Botting A, Dehghanpir SD, Langohr IM.No abstract available
Preventative Care: Managing the Geriatric Horse with Integrative Therapies.
The Veterinary clinics of North America. Equine practice    October 13, 2022   Volume 38, Issue 3 475-483 doi: 10.1016/j.cveq.2022.06.005
Boldt E.Horses 15 years of age and older now account for a significant portion of the equine population. Integrative therapies can provide important diagnostic and treatment tools for managing and maintaining the health of geriatric horses. Aged horses are often afflicted with chronic disease processes that are difficult to effectively manage with conventional medicinal approaches, such as laminitis and osteoarthritis. Diagnostic and therapeutic approaches using integrative therapies, such as acupuncture and spinal manipulation, are presented in this article for managing aged horses with metabolic dis...
Equine Odontoclastic Tooth Resorption and Hypercementosis.
Journal of veterinary dentistry    October 5, 2022   Volume 39, Issue 4 346-357 doi: 10.1177/08987564221120715
James O.Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a recently described painful and progressive condition of unknown etiology that occurs in middle-aged and geriatric equines. It predominantly affects the permanent incisor and canine teeth and, less commonly, the premolar and molar dentition. EOTRH was first reported in peer-reviewed literature in 2008, with subsequent publications of case reports, histological studies and retrospective case series. There have been few significant research developments related to this disease. The existing studies have primarily involved sing...
A Retrospective Observational Cohort Study on the Expiration of Maxillary Cheek Teeth Infundibula in 217 Horses.
Journal of veterinary dentistry    October 3, 2022   Volume 40, Issue 1 12-18 doi: 10.1177/08987564221128116
Dickey JP, Carmalt JL, Reiswig JD.The determination of a horse's age by its dentition is a technique that has been employed by horse owners and professionals since at least 600 BC. While aging teeth based on incisor wear patterns is common, wear patterns in the cheek teeth may also be useful. As horses continue to live longer, we routinely examine horses into their 20's and 30's, and it is becoming more common to observe aging changes in the cheek teeth. To our knowledge, this study is the first to use easily obtained clinical observation of the expiration of cheek teeth infundibula to age horses of advanced ages (16 to 35 yea...
Management of pituitary pars intermedia dysfunction in practice: A clinical audit.
Veterinary journal (London, England : 1997)    September 24, 2022   Volume 289 105899 doi: 10.1016/j.tvjl.2022.105899
Steel NL, Ireland JL, McGowan CM.In horses/ponies with pituitary pars intermedia dysfunction (PPID), pergolide mesylate treatment, with monitoring of therapeutic response, is recommended by contemporaneous literature and equine endocrinologists. However, it is unknown whether these recommendations are adhered to in private practice. This clinical audit aimed to compare treatment and monitoring of PPID cases in veterinary practice against available recommendations. Case data and basal plasma adrenocorticotropic hormone (ACTH) concentrations from all equids tested for PPID between 2012 and 2016 from a single veterinary practice...
Effects of equine-assisted interventions on older adults’ health: A systematic review.
International journal of nursing sciences    September 20, 2022   Volume 9, Issue 4 542-552 doi: 10.1016/j.ijnss.2022.09.008
Badin L, Alibran É, Pothier K, Bailly N.Equine-assisted interventions (EAI) can improve a variety of health problems in older adults and thus promote their well-being. This systematic review aimed to synthesize studies on EAI to understand better their effects on the health of older adults. Unassigned: A systematic search guided by the PRISMA 2020 approach was performed on specific databases: Medline (PubMed), EMBASE, PsycINFO, and Cochrane Library. Peer-reviewed articles published in the English language from inception to June 2022 were retrieved. Methodological quality was established using the modified version of the Downs and Bl...
Quality of Life within Horse Welfare Assessment Tools: Informing Decisions for Chronically Ill and Geriatric Horses.
Animals : an open access journal from MDPI    July 17, 2022   Volume 12, Issue 14 doi: 10.3390/ani12141822
Long M, Dürnberger C, Jenner F, Kelemen Z, Auer U, Grimm H.Equine Quality of Life (QoL) is an important concern in decision making in veterinary medicine and is especially relevant for chronically ill or geriatric horses towards the end of their lives. To our knowledge, there is no currently available QoL assessment tool for chronically ill or geriatric horses that assesses equine QoL defined as the horse's evaluation of their life. However, tools exist to assess equine welfare in different contexts. Hence, the aims of this study were to analyse how equine welfare, QoL, well-being and happiness assessment tools label, define and operationalise the con...
Influence of 8-Week Horseback Riding Activity on Balance and Pelvic Movements in an Older Adult Population.
Journal of aging and physical activity    February 7, 2022   Volume 30, Issue 5 906-915 doi: 10.1123/japa.2021-0237
Severyn AMH, Luzum NR, Vernon KL, Van Puymbroeck M, DesJardins JD.The biomechanical relationship between horse and rider in equine-assisted activities and therapies has been largely unexplored. The three-dimensional stimulation of the horse's gait has potential to improve rider musculature and coordination, especially in an older adult population. This study utilized dual-axis goniometers and video motion capture tracking to simultaneously track horse and rider hip flexion and extension. Ten older adult riders participated in 8 weeks of horseback riding lessons, where pelvis kinematics and balance assessments were compared between Weeks 1 and 8. Pelvic roll ...
The Gingiva of Horses With Pituitary Pars Intermedia Dysfunction: A Macroscopic Anatomical Evaluation.
Frontiers in veterinary science    January 25, 2022   Volume 8 786971 doi: 10.3389/fvets.2021.786971
Nitzsche AM, Fey K, Büttner K, Gröf M, Staszyk C.Pituitary pars intermedia dysfunction (PPID) is a common neurodegenerative disease mainly in horses older than 15 years. The domestic equine population is following the same demographic change as that seen in humans; it is aging and veterinarians are asked to attend to geriatric horses more frequently. Common problems seen regularly in older equines are dental disorders and especially periodontal disease. As a systemic and endocrine disease, associated with delayed wound healing and impaired immune function, PPID should be considered before major dental treatment in aged equines is started. Po...
Retrospective Analysis of Cause-of-Death at an Equine Retirement Center in the Netherlands Over an Eight-Year Period.
Journal of equine veterinary science    November 27, 2021   Volume 110 103824 doi: 10.1016/j.jevs.2021.103824
van Proosdij R, Frietman S.Geriatric horses (>15 years) represent a substantial proportion of the equine population. The objective of this study was to (1) report on the cause of death in geriatric horses on a single retirement centre, (2) to evaluate the relationship between PPID status, and mortality rate. Data of 194 horses was collected over an eight-year period. This providing data for 80 geriatric cases of mortality. The average age of horses that died was 26.2 years (±4.8 years). The majority (95%) of mortalities were euthanised, most frequently due to colic (20%), old age (19%), and lameness (15%). Overall m...
Age and Body Condition Influence the Post-Prandial Interleukin-1β Response to a High-Starch Meal in Horses.
Animals : an open access journal from MDPI    November 24, 2021   Volume 11, Issue 12 3362 doi: 10.3390/ani11123362
Suagee-Bedore J, Shost N, Miller C, Grado L, Bechelli J.Older horses and those prone to obesity may be at a higher risk for inflammation than younger and leaner counterparts. Previous research indicated a postprandial elevation in plasma concentrations of interleukin-1β (IL-1β), a pro-inflammatory cytokine, after consuming 1.2 g of non-structural carbohydrates/kilogram of body weight. However, these studies utilized horses of mixed age and body condition. The current study evaluated post-prandial IL-1β concentrations in horses specifically comparing lean to over-conditioned and middle aged to older. Our results suggest that at least two weeks of...
Recumbency as an Equine Welfare Indicator in Geriatric Horses and Horses with Chronic Orthopaedic Disease.
Animals : an open access journal from MDPI    November 8, 2021   Volume 11, Issue 11 3189 doi: 10.3390/ani11113189
Kelemen Z, Grimm H, Long M, Auer U, Jenner F.Recumbency is a prerequisite for horses achieving rapid eye movement (REM) sleep and completing a full sleep cycle. An inability to lie down due to environmental insecurities or pain results in REM sleep deficiency, which can cause substantial impairment of welfare and health. Therefore, the present study used wearable automated sensor technology on 83 horses housed in an animal sanctuary to measure and compare the recumbency, locomotion, and standing time budgets of geriatric horses with and without chronic lameness to younger adult sound and lame horses. Recumbency times ranged from 0 to 319...
Endocrinopathic Laminitis.
The Veterinary clinics of North America. Equine practice    October 19, 2021   Volume 37, Issue 3 619-638 doi: 10.1016/j.cveq.2021.08.001
Grenager NS.Endocrinopathic laminitis (EL) primarily occurs because of insulin dysregulation (ID) mediated through downstream effects of insulin on IGF-1R in lamellar tissues. There is likely contributing vascular and metabolic dysfunction within the lamellae, but EL is relatively non-inflammatory. EL is associated with lamellar stretching, proliferation, and failure, ultimately causing failure of the suspensory apparatus of the distal phalanx. Proper education regarding mitigating risk factors makes this a largely preventable cause of laminitis. Annual hoof evaluation plus screening geriatric horses for ...
Assessment of the impact of age and of blood-derived inflammatory markers in horses with colitis.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 25, 2021   Volume 31, Issue 6 779-787 doi: 10.1111/vec.13099
Sage SE, Bedenice D, McKinney CA, Long AE, Pacheco A, Wagner B, Mazan MR, Paradis MR.To determine the impact of age on survival in horses with colitis and to elucidate whether a lower type-1/type-2 cytokine ratio or an exaggerated inflammatory state contribute to reduced survival in aged horses. Methods: Part 1: Retrospective cohort analysis. Part 2: Analytic observational study. Methods: Part 1: One hundred twenty-four adult horses with colitis. Part 2: Twenty-nine adult horses with new diarrhea onset while hospitalized. Results: Part 1: Patient signalment, select clinicopathological data, diagnoses, treatment, hospitalization length, and invoice were compared between survivo...
Histological and biomechanical properties of systemic arteries in young and old Warmblood horses.
PloS one    July 12, 2021   Volume 16, Issue 7 e0253730 doi: 10.1371/journal.pone.0253730
Vera L, Muylle S, Van Steenkiste G, Segers P, Decloedt A, Chiers K, van Loon G.Arterial rupture is a well-recognized cause of sudden death in horses, which mainly affects older horses. The arterial wall is known to stiffen with age, although the underlying age-related histological and biomechanical changes remain unclear. The purpose of this study was to investigate the effect of aging by histological analysis of the arterial wall and examination of the arterial wall biomechanical properties using an inflation-extension test. Entire circular samples of the proximal and distal aorta, cranial and caudal common carotid, external iliac, femoral and median artery were collect...
Equine Activity Time Budgets: The Effect of Housing and Management Conditions on Geriatric Horses and Horses with Chronic Orthopaedic Disease.
Animals : an open access journal from MDPI    June 23, 2021   Volume 11, Issue 7 1867 doi: 10.3390/ani11071867
Kelemen Z, Grimm H, Vogl C, Long M, Cavalleri JMV, Auer U, Jenner F.Housing and management conditions strongly influence the health, welfare and behaviour of horses. Consequently, objective and quantifiable comparisons between domestic environments and their influence on different equine demographics are needed to establish evidence-based criteria to assess and optimize horse welfare. Therefore, the present study aimed to measure and compare the time budgets (=percentage of time spent on specific activities) of horses with chronic orthopaedic disease and geriatric (≥20 years) horses living in different husbandry systems using an automated tracking device. Ho...
Caring for the Older Horse: A Conceptual Model of Owner Decision Making.
Animals : an open access journal from MDPI    May 2, 2021   Volume 11, Issue 5 1309 doi: 10.3390/ani11051309
Smith R, Pinchbeck G, McGowan C, Ireland J, Perkins E.The number of aged horses in the UK has been growing over recent years, with many horses remaining active and being cared for into old age. However, increasing age is paralleled with a heightened risk of morbidity and mortality; therefore, owners of older horses must manage changes in their horse, making decisions about management and health care provision. In this paper, we discuss data collected from an open-access online discussion forum, where forum users sought advice arising from concerns about their older horse. Qualitative data analysis was performed using grounded theory methods. A co...
Investigation of innate immune function in adult and geriatric horses.
Veterinary immunology and immunopathology    February 12, 2021   Volume 235 110207 doi: 10.1016/j.vetimm.2021.110207
Miller AB, Loynachan AT, Barker VD, Adams AA.In order to better understand the influence of age on innate immune function in horses, blood was collected from twelve adult horses (aged 10-16 years; mean: 13 years) and ten geriatric horses (aged 18-26 years; mean: 21.7 years) for analysis of plasma myeloperoxidase, complete blood counts, and cytokine and receptor expression in response to in vitro stimulation with heat-inactivated Rhodococcus equi, heat-inactivated Escherichia coli, and PMA/ionomycin. Gene expression was measured using RT-PCR for IFNγ, IL-1β, IL-6, IL-8, IL-10, IL-12α, IL-13, IL-17α, TLR2, TLR4, and TNFα. Endocrine fu...
Equine pituitary pars intermedia dysfunction: Identifying research priorities for diagnosis, treatment and prognosis through a priority setting partnership.
PloS one    January 4, 2021   Volume 16, Issue 1 e0244784 doi: 10.1371/journal.pone.0244784
Tatum RC, McGowan CM, Dean RS, Ireland JL.Pituitary pars intermedia dysfunction (PPID) is the most prevalent endocrine disorder of older equids. To date, key research areas likely to have the greatest impact on equine health have not been identified. In human medicine, public and patient involvement is widely used to inform research agendas. This study aimed to engage with veterinary surgeons and horse owners to identify evidence gaps ('uncertainties') and prioritise these into a list of the 10 most important PPID research questions. The James Lind Alliance (JLA) Priority Setting Partnership (PSP) Framework was adapted. Questions abou...
Cellular Proliferation of Equine Bone Marrow- and Adipose Tissue-Derived Mesenchymal Stem Cells Decline With Increasing Donor Age.
Frontiers in veterinary science    December 10, 2020   Volume 7 602403 doi: 10.3389/fvets.2020.602403
Bagge J, MacLeod JN, Berg LC. Bone marrow (BM)- and adipose tissue (AT)-derived mesenchymal stem cells (MSCs) are used increasingly for autologous cell therapy in equine practice to treat musculoskeletal and other injuries. Current recommendations often call for 10-100 million MSCs per treatment, necessitating the expansion of primary cells in culture prior to therapeutic use. Of concern, human and rodent studies have shown a decline of both MSC recovery from sampled tissue and proliferative capacity with increasing donor age. This may be problematic for applications of autologous cell-based therapies in the important eq...
Age over 25 years, but not plasma adrenocorticotropic hormone con-cen-tration above the seasonally adjusted reference range is predictive for radio-graphically assessed changes of chronic laminitis in elderly horses.
Schweizer Archiv fur Tierheilkunde    December 3, 2020   Volume 162, Issue 12 781-785 doi: 10.17236/sat00283
Christen G, Precht C, van der Kolk J, Fouché N, Gerber V.Endocrinopathic laminitis occurs as a consequence of hormonal derangements like pituitary pars intermedia dysfunction (PPID). The objective of the present study was to assess the occurrence of radiographic changes associated with chronic laminitis in elderly, clinically sound horses. Fifty-one horses were included in the study. Horses were assigned to different age groups, in groups according to their BCS and CNS as well as to groups with different ACTH concentrations in order to assess their risk of chronic laminitis (reported as odds ratios (OR) and confidence intervals (CI)). Horses assigne...
Efficacy of pergolide for the management of equine pituitary pars intermedia dysfunction: A systematic review.
Veterinary journal (London, England : 1997)    October 8, 2020   Volume 266 105562 doi: 10.1016/j.tvjl.2020.105562
Tatum RC, McGowan CM, Ireland JL.Pergolide, a dopamine agonist, is commonly administered to manage pituitary pars intermedia dysfunction (PPID), a progressive neurodegenerative disease prevalent in aged horses. However, available evidence regarding pergolide's efficacy in improving clinical and endocrine parameters is limited. The aim of this systematic review was to assess published literature and evaluate evidence regarding whether pergolide treatment results in improvement of clinical signs and/or adrenocorticotrophic hormone (ACTH) concentration compared to no treatment or other unlicensed treatments. Systematic searches ...
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