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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.
Age-related changes in genomic stability of horses. Recently, the old horse has been proposed as a model to study telomere-dependent senescence, immunosenescence and inflamm-aging. In the present paper, we used 80 Hucul and Anglo-Arabian horses divided into 3 age groups (juvenile, adult, old) to evaluate age-dependent changes at the genomic and DNA level and in cell proliferative potential. The level of positive TUNEL cells (both apoptotic and with DNA fragmentation), oxidative DNA damage (8-oxoG immunostaining), sister chromatid exchange and bleomycin-induced chromatid breaks were significantly increased in the combined old group compared to t...
Equine pituitary pars intermedia dysfunction. Equine pituitary pars intermedia dysfunction (PPID), also known as equine Cushing's syndrome, is a widely recognized disease of aged horses. Over the past two decades, the aged horse population has expanded significantly and in addition, client awareness of PPID has increased. As a result, there has been an increase in both diagnostic testing and treatment of the disease. This review focuses on the pathophysiology and clinical syndrome, as well as advances in diagnostic testing and treatment of PPID, with an emphasis on those findings that are new since the excellent comprehensive review by Sc...
Use of BAER to identify loss of auditory function in older horses. To use the brainstem auditory evoked response (BAER) to test the hypothesis that auditory function could be worse in older horses than in younger horses. Methods: BAER waveforms in response to click stimuli were measured in five younger horses (5-8 years) and four older horses (17-22 years). Results: Compared with the younger horses, the older horses showed significantly (P < 0.02) worse BAER thresholds and significantly (P < 0.02) worse BAER wave V amplitudes to the 90 decibels above normal hearing level stimulus. These results were consistent with partial deafness in the older horse gr...
Vulnerability of an equine pericardial roll graft to Gram-positive cocci after graft replacement for a ruptured infected abdominal aorta. We describe the influence of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia on histopathological alteration of a glutaraldehyde-fixed equine pericardial roll (EPR) graft in a 77-year-old male who underwent in-situ EPR replacement of a ruptured infected abdominal aorta with concomitant repair of the perforated duodenum. The patient died of circulatory failure after septic shock due to MRSA infection and gastrointestinal bleeding on postoperative day (POD) 23. The autopsy revealed no perforation of the EPR graft or anastomotic disruption between the native abdominal aorta and EPR ...
A survey of aged horses in Queensland, Australia. Part 2: Clinical signs and owners’ perceptions of health and welfare. To describe the prevalence and risk factors for clinical signs of disease and owner-reported health or welfare issues of aged horses in Queensland, Australia. Methods: Owners of horses were contacted via an equestrian organisation in Queensland and asked to complete a questionnaire about their horses aged 15 years and older, to gain information about clinical signs observed in the horse and disease history. Owners were asked to identify health or welfare issues they felt were important in aged horses. Results: Owners were able to identify many clinical signs of disease, with 83% of horses havi...
Bilateral iatrogenic [corrected] maxillary fractures after dental treatment in two aged horses. This clinical report describes two horses with bilateral maxillary fractures following dental treatment. The fractures occurred during dental treatment by a veterinarian, and both had rostral, transverse, and complete bilateral maxillary fractures with instability and minimal displacement. The fractures were repaired using bilateral intraoral wiring with the patients under general anesthesia. The postoperative period was without complications and the fractures healed as expected. Maxillary fractures during or after routine dental treatment are rare, but can occur, especially in older horses. A...
A survey of aged horses in Queensland, Australia. Part 1: management and preventive health care. To describe management practices and routine preventive care of aged horses in Queensland, Australia, including effects of owner characteristics, affiliation to an equestrian group and retirement of the horse. Methods: Owners of horses were contacted via Equestrian Australia (EA) and asked to complete a questionnaire about their aged horses (e.g. age, breed, sex and colour); their use and management, including preventive health care; and use of equine healthcare providers. Results: Horses aged 15 years or greater represented one-third of the total horses owned in the population sample. The med...
Single-dose oral pharmacokinetics of pergolide mesylate in healthy adult mares. Pituitary pars intermedia dysfunction (PPID) is probably the most common disease of geriatric horses. Affected horses show a variety of clinical signs, including hirsutism, polyuria/polydipsia, immunosuppression, muscle wasting, and laminitis. The most common treatment for PPID is pergolide, a dopamine agonist; however, there are no pharmacokinetic data about the use of this drug in horses. This article describes a study designed to address this complete lack of pharmacokinetic information. The pharmacokinetics of pergolide are described in a small group of relatively young, healthy mares (n =...
Severe phenylephrine-associated hemorrhage in five aged horses. 5 aged (≥ 17 years old) horses developed life-threatening Internal hemorrhage following IV administration of phenylephrine at 3 hospitals. Results: All 5 horses developed severe hemothorax, hemoabdomen, or both within minutes to hours following administration of phenylephrine. Results: Four of 5 horses died of hemorrhagic shock, and 1 horse survived with a blood transfusion. The exact source of hemorrhage was Identified In only 1 horse. Medical records of all horses with nephrosplenic entrapment of the large colon and treated with phenylephrine at the University of Florida Veterinary Medical...
A cross-sectional study of geriatric horses in the United Kingdom. Part 1: Demographics and management practices. With growing numbers of aged horses, geriatric medicine is becoming increasingly important in equine veterinary practice; however, there is a paucity of information on the UK equine geriatric population. Objective: To describe the demographic characteristics of the equine geriatric population and to assess management practices undertaken by owners of geriatric horses (aged≥15 years). Methods: A cross-sectional study was conducted, surveying a randomly selected sample of veterinary registered owners with horses aged≥15 years, using a self-administered postal questionnaire. Results: Horses a...
A cross-sectional study of geriatric horses in the United Kingdom. Part 2: Health care and disease. Geriatric horses (aged≥15 years) represent a substantial proportion of the equine population, yet very few studies have investigated the prevalence of diseases within the UK equine geriatric population. Objective: To describe the provision of routine preventive health care measures, prevalence of clinical signs of disease and the prevalence of owner reported diseases. Additionally, the effect of increasing age on the provision of preventive health care and the presence or absence of clinical signs and disease was assessed. Methods: A cross-sectional study was conducted, surveying a randomly ...
Colic in geriatric compared to mature nongeriatric horses. Part 2: Treatment, diagnosis and short-term survival. Owners and veterinarians are often concerned about mortality of geriatric horses following colic surgery. Objective: To compare treatment, diagnosis and short-term survival for geriatric compared to mature nongeriatric horses with colic. Methods: Medical records of horses admitted with a presenting complaint of colic between 2000 and 2006 were reviewed. Geriatric horses were aged ≥16 years (n = 300) and subcategorised as age ≥20 years (n = 134). Mature nongeriatric horses were age 4-15 years (n = 300). Information obtained included medical (included horses subjected to euthanasia without s...
Colic in geriatric compared to mature nongeriatric horses. Part 1: Retrospective review of clinical and laboratory data. It is the impression of some surgeons that geriatric horses have a lower survival rate compared to mature nongeriatric horses following colic surgery. One possible reason for this is that geriatric horses may be more critically ill at admission and have more severe disease than mature nongeriatric horses. Objective: To compare admission historical, physical examination and laboratory data for geriatric and mature nongeriatric horses referred for signs of colic. Methods: Medical records of horses admitted with a presenting complaint of colic between 2000 and 2006 were reviewed. Geriatric horses...
The influence of vitamin E on immune function and response to vaccination in older horses. Horses have an increased susceptibility to infection because of a decline in immune function with advancing age. Vitamin E has been found to play a key role in normal immune system function. The purpose of the study was to examine the effect of vitamin E supplementation on immune function and response to vaccination in older horses. Predominantly older horses (18.9 +/- 1.3 yr, range 7 to 26 yr; 523 +/- 38 kg of BW) were supplemented orally once daily for 16 wk with either all-rac-alpha-tocopheryl acetate (15 IU/kg of BW; n = 8) or a placebo (n = 8). One horse from each group was removed from t...
Fecal egg counts after anthelmintic administration to aged horses and horses with pituitary pars intermedia dysfunction. To determine effects of pituitary pars intermedia dysfunction (Cushing's disease) and age on fecal egg count and time to egg reappearance after anthelmintic treatment in horses residing in similar environments. Methods: Cross-sectional study. Methods: 29 healthy horses (4 to 35 years old) and 13 horses with PPID (13 to 33 years old). Methods: Fecal egg counts were performed by use of a modified Wisconsin flotation method at 2-week intervals before and after ivermectin treatment. Results: Horses with PPID had higher fecal egg counts before and 8, 10, and 12 weeks after ivermectin treatment, com...
The effect of age on the immune response of horses to vaccination. Few studies have investigated immunosenescence in the horse, but it is accepted that the primary and secondary (anamnestic) immune responses may differ between aged and younger horses. The aim of the present study was to determine whether aged horses have a protective immune response post-vaccination. Thirty-four aged healthy horses (> or =20 years) and 29 younger adult horses (4-12 years) of various breeds were vaccinated with commercially produced killed rabies and influenza vaccines. Rabies serum neutralizing antibody titres and equine influenza virus specific antibody subclasses (immuno...
Immunosenescence of the equine immune system. It is widely recognized that advanced age is associated with alterations in immunological responses that likely contribute to increased morbidity and mortality in the elderly population. This decreased efficacy of the immune system with age is referred to as 'immunosenescence' and has been reported for a number of species. Similar age-related changes are seen in horses and are manifested as decreased responsiveness to vaccination in vivo and diminished proliferative responses to mitogens in vitro. The underlying mechanism responsible for these impaired immunological responses remains unknown. ...
Comparison of survival rates for geriatric horses versus nongeriatric horses following exploratory celiotomy for colic. To determine how survival rates in geriatric horses (>or= 20 years old) undergoing abdominal exploratory surgery for colic compare with survival rates for younger (nongeriatric) horses. Methods: Retrospective case-control study. Methods: 56 geriatric horses and 487 nongeriatric horses undergoing exploratory celiotomy for colic. Methods: Medical records of all horses undergoing emergency abdominal exploratory surgery for primary gastrointestinal tract lesions over a 10-year period were reviewed. Data retrieved included signalment, primary gastrointestinal tract lesion, whether the horse was ...
Short-term outcome of equine emergency admissions at a university referral hospital. Obtaining data on emergency admission survival rates is important to provide clients with an estimate of prognosis and to identify areas in which improvements in case management can be achieved. Objective: To determine the short-term outcome of equine emergency admissions to a university referral hospital during a 12 month period. Methods: Short-term outcome was defined as survival to discharge or died/euthanasia during hospitalisation. The overall death (euthanasia) rate was calculated; and rate for horses with different categories of: age; admission month, day and time; presenting complaint ...
Clinical dental examinations of 357 donkeys in the UK. Part 1: prevalence of dental disorders. Dental disorders have a high prevalence in older donkeys and horses, but the nature and pathogenesis of many of these disorders have yet to be established. Objective: The identification and determination of the prevalence of important dental disorders in different age groups in a large single population of donkeys, to establish a better understanding of the nature and pathogenesis of these disorders. Methods: A prospective cross-sectional study was performed on the donkey population at The Donkey Sanctuary with detailed oral examinations of 357 donkeys within 7 different age groups (age range ...
Polo for all ages: exercise should be functional…and fun! There is increasing evidence that regular mental and physical exercise can enhance overall health and functional abilities in older adults. This article describes how a vigorous program of playing polo can provide important mental and physical benefits-even for older adults. In the present context of health care reform, it is especially important for health care professionals to recognize the value of exercise as an useful, cost-effective intervention for enhancing mental and physical health and to explore ways to encourage their older clients to adopt an enjoyable exercise program.
Nutrition of the aged horse. This article reviews current thoughts on nutrition of the older horse in health and disease. Common causes of weight loss and poor body condition in old horses include dental or oral cavity abnormalities, pituitary pars intermedia dysfunction, and reduced feed intake attributable to competition from herd mates or pain associated with osteoarthritis. Feed intake and body condition may improve after institution of management changes. Thin but otherwise healthy old horses can benefit from a diet that provides 12% to 16% crude protein and includes highly digestible feedstuffs. In horses with sever...
Effect of left-sided valvular regurgitation on mortality and causes of death among a population of middle-aged and older horses. The effect of left-sided valvular regurgitation (LSVR) on the mortality of middle-aged and older horses was investigated in a prospective cohort study involving 19 yards and 1153 horses. The horses were examined to determine whether they had a cardiac murmur and its type, and their age, sex, breed type and occupation were recorded. They were followed up at intervals of two years by postal questionnaire, and after four years information on 773 horses was available. There was no significant difference in the mortality of the horses with and without LSVR, but small horses had a significantly high...
Measurement of the Curve of Spee in horses. The Curve of Spee is well known, yet hardly understood in the horse, as there is a striking lack of biometrically related data which could help to explain its biomechanical significance. Older horses display drastic alterations of the Curve of Spee in routine clinical examinations. Since the Curve of Spee is known to be biomechanically related to the masticatory forces in humans, the same may apply to the equine, and masticatory deficits can be expected in the geriatric horse. Quantitative data of the Curve of Spee cannot be obtained directly by means of measurements in the horse's long and na...
Biomechanical evaluation of the equine masticatory action: calculation of the masticatory forces occurring on the cheek tooth battery. The forces generated during equine mastication influence the teeth, as well as the periodontium, the jaw bones, the temporomandibular joints and materials used in dental therapy. Due to the limited accessibility of the cheek teeth located farther caudal in the equine oral cavity the measurement of the masticatory forces on these teeth is virtually impossible. The calculation of such forces is an appropriate, indirect alternative to direct measuring. Hence, a mathematical model, which respects several morphological features of the equine dentition, e.g. the Curve of Spee, is presented. The rele...
The effect of age on serum antibody titers after rabies and influenza vaccination in healthy horses. The proportion of geriatric horses within the equine population has increased in the past decade, but there is limited information on the immune function of these animals. Objective: Aged horses will have a lesser increase in serum antibody response to vaccination. Methods: Thirty-four aged healthy horses (> or = 20 years) and 29 younger adult horses (4-12 years) of various breeds. Methods: All horses were vaccinated with vaccines of killed rabies and influenza virus. Horses in each age group were allocated to receive either rabies or influenza booster vaccine 4 weeks after the initial vacc...
Cytokine dysregulation in aged horses and horses with pituitary pars intermedia dysfunction. Equine pituitary pars intermedia dysfunction (PPID) is the result of a loss of dopaminergic inhibition of the pars intermedia secondary to neurodegeneration of periventricular hypothalamic neurons. The pathologic events contributing to development of neurodegeneration or clinical signs in equids with PPID are unknown. Chronic inflammation may contribute to initiation or progression of PPID. Objective: Horses with PPID have a distinct systemic cytokine profile compared with that of normal adult or aged horses. The cytokine profile of healthy aged horses differs from that of adult horses. Method...
Evidence-based equine nutrition. One of the most difficult problems in equine nutrition research is often the lack of objective and clinically relevant end points. Nevertheless, this article attempts to present the best evidence (or lack thereof) for some of the most common clinical questions pertaining to such topics as the evaluation of glucose and insulin tolerance and factors that may confound results, dietary management of horses prone to laminitis and rhabdomyolysis, nutritional prevention of gastric ulcers and developmental orthopedic disease, the efficacy of commonly used herbal products, and feeding geriatric horses....
Double blind investigation of the effects of oral supplementation of combined glucosamine hydrochloride (GHCL) and chondroitin sulphate (CS) on stride characteristics of veteran horses. Oral chondroprotective supplements are commercially popular for veteran (and other athletic or arthritic) horses prone to joint degeneration, yet lack conclusive scientific support. Objective: To quantify the effects of an oral joint supplement (combination glucosamine hydrochloride (GHCL), chondroitin sulphate (CS) and N-acetyl-D-glucosamine) in vivo on stride parameters of veteran horses. Methods: Twenty veteran horses were randomly assigned to a treatment (n = 15) or placebo group (n = 5). Pre-treatment gait characteristics were recorded at trot using digital video footage (50 Hz). The rang...
