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Topic:Horses

"Horses" is a broad topic that encompasses various aspects of equine biology, behavior, and management. This category includes studies on the anatomy, physiology, and genetics of horses, as well as their behavior, nutrition, and care. Research in this area may also cover the historical and cultural significance of horses, their roles in agriculture, sport, and therapy, and the challenges associated with their conservation and welfare. The page aggregates peer-reviewed research articles and scholarly studies that explore the multifaceted relationships between humans and horses, examining both scientific and socio-economic perspectives.
Altered mitochondrial oxidative phosphorylation capacity in horses suffering from polysaccharide storage myopathy.
Journal of bioenergetics and biomembranes    August 24, 2018   Volume 50, Issue 5 379-390 doi: 10.1007/s10863-018-9768-6
Tosi I, Art T, Cassart D, Farnir F, Ceusters J, Serteyn D, Lemieux H, Votion DM.Polysaccharide storage myopathy (PSSM) is a widely described cause of exertional rhabdomyolysis in horses. Mitochondria play a central role in cellular energetics and are involved in human glycogen storage diseases but their role has been overlooked in equine PSSM. We hypothesized that the mitochondrial function is impaired in the myofibers of PSSM-affected horses. Nine horses with a history of recurrent exercise-associated rhabdomyolysis were tested for the glycogen synthase 1 gene (GYS1) mutation: 5 were tested positive (PSSM group) and 4 were tested negative (horses suffering from rhabdomyo...
A month in a horse’s life: healing process of a fractured third metatarsal bone from medieval Viljandi, Estonia.
International journal of paleopathology    August 23, 2018   Volume 24 286-292 doi: 10.1016/j.ijpp.2018.07.003
Rannamäe E, Andrianov V, Järv E, Semjonov A, Haak A, Kreem J.The remains of a horse's hind foot - a third metatarsal bone and three phalanges - were found in a presumed waste pit of a prosperous medieval household in Viljandi, Estonia, dated from the second half of the 13th to the beginning of the 15th century. The metatarsal bone had been broken during the horse's lifetime and showed evidence of partial healing. Using archaeological, zooarchaeological, morphological, microscopic, densitometric and radiographic analyses, we investigated the bones and the healing process in order to understand animal treatment in a medieval urban context. Our results sho...
Management practices associated with strongylid parasite prevalence on horse farms in rural counties of Kentucky.
Veterinary parasitology, regional studies and reports    August 23, 2018   Volume 14 25-31 doi: 10.1016/j.vprsr.2018.08.002
Scare JA, Steuer AE, Gravatte HS, Kálmán C, Ramires L, Dias de Castro LL, Norris JK, Miller F, Camargo F, Lawyer A, De Pedro P, Jolly B, Nielsen MK.Anthelmintic resistance among cyathostomin parasites is a wide-spread problem. The parasite control guidelines written by the American Association of Equine Practitioners (AAEP) encourages the preservation of anthelmintic efficacy by reducing treatment frequency, using targeted deworming, and implementing environmental management practices. While there is knowledge regarding parasite management practices of affluent horse farms in the United States, surveys rarely explore the rural and underserved regions. The purpose of this study was to observe the management practices of horse farms in rura...
Aging does not change the compressive stiffness of mandibular condylar cartilage in horses.
Osteoarthritis and cartilage    August 23, 2018   Volume 26, Issue 12 1744-1752 doi: 10.1016/j.joca.2018.08.007
Mirahmadi F, Koolstra JH, Fazaeli S, Lobbezoo F, van Lenthe GH, Snabel J, Stoop R, Arbabi V, Weinans H, Everts V.Aging can cause an increase in the stiffness of hyaline cartilage as a consequence of increased protein crosslinks. By induction of crosslinking, a reduction in the diffusion of solutions into the hyaline cartilage has been observed. However, there is a lack of knowledge about the effects of aging on the biophysical and biochemical properties of the temporomandibular joint (TMJ) cartilage. Hence, the aim of this study was to examine the biophysical properties (thickness, stiffness, and diffusion) of the TMJ condylar cartilage of horses of different ages and their correlation with biochemical p...
Differential effects of selective and non-selective cyclooxygenase inhibitors on fecal microbiota in adult horses.
PloS one    August 23, 2018   Volume 13, Issue 8 e0202527 doi: 10.1371/journal.pone.0202527
Whitfield-Cargile CM, Chamoun-Emanuelli AM, Cohen ND, Richardson LM, Ajami NJ, Dockery HJ.Non-steroidal anti-inflammatory drugs (NSAIDs) are routinely used in both veterinary and human medicine. Gastrointestinal injury is a frequent adverse event associated with NSAID use and evidence suggests that NSAIDs induce gastrointestinal microbial imbalance (i.e., dysbiosis) in both animals and people. It is unknown, however, whether cyclooxygenase (COX)-2-selective NSAIDs induce dysbiosis, or if this phenomenon occurs in horses administered any class of NSAIDs. Therefore, our objectives were to determine whether the composition and diversity of the fecal microbiota of adult horses were alt...
Two Multicenter Surveys on Equine Back-Pain 10 Years a Part.
Frontiers in veterinary science    August 23, 2018   Volume 5 195 doi: 10.3389/fvets.2018.00195
Riccio B, Fraschetto C, Villanueva J, Cantatore F, Bertuglia A.Despite back-pain being a common cause of poor performance in sport horses, a tailored diagnostic workflow and a consolidated therapeutic approach are currently lacking in equine medicine. The aim of the study was to assess the evolution in the veterinarian approach to diagnose and treat back-pain over a 10 years period. To investigate this topic, two surveys were addressed to equine veterinarians working in practice throughout Europe 10 years apart (2006 and 2016). The answers were organized in an Excel dataset and analyzed. There were 47 respondents in 2006 and 168 in 2016, from 8 European C...
Outcome of Ventral Fusion of Two or Three Cervical Vertebrae with a Locking Compression Plate for the Treatment of Cervical Stenotic Myelopathy in Eight Horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    August 23, 2018   Volume 31, Issue 5 356-363 doi: 10.1055/s-0038-1666979
Kühnle C, Fürst AE, Ranninger E, Suárez Sánchez-Andrade J, Kümmerle JM. It was recently shown that biomechanical stability achieved with a locking compression plate (LCP) for ventral cervical fusion in horses is similar to the commonly used Kerf cut cylinder. The advantages of the LCP system render it an interesting implant for this indication. The goal of this report was to describe surgical technique, complications and outcome of horses that underwent ventral fusion of two or three cervical vertebrae with an LCP. Methods:  Medical records of eight horses were reviewed for patient data, history, preoperative grade of ataxia, diagnostic imaging, surgical tech...
Metaphyeal and Diaphyseal Dysplasia of the Third Cervical Vertebra Secondary to Physeal Necrosis in a Quarter Horse Foal.
Journal of comparative pathology    August 23, 2018   Volume 163 38-41 doi: 10.1016/j.jcpa.2018.07.001
Yang C, Weisbrode S, Yardley J, Schroeder E, Premanandan C.Ischaemia-induced physeal injury has not been described previously in the horse. A 1-month-old Quarter horse foal was submitted for necropsy examination due to an acute onset of ataxia followed by a 4-week history of progressive decline. Focal narrowing of the spinal canal due to ventral compression by the rotation of the cranial aspect of the third cervical vertebra (C3) was observed. The metaphysis and diaphysis of C3 were markedly shortened and white-tan in colour. Microscopically, there was complete loss of the dorsal compact bone of C3 and replacement of 80% of the physis that runs parall...
Pancarpal and partial carpal arthrodesis with 3 locking compression plates in 6 horses.
Veterinary surgery : VS    August 22, 2018   Volume 47, Issue 5 692-704 doi: 10.1111/vsu.12916
Curtiss AL, Goodrich LR, Rossignol F, Richardson DW.To report the outcome of horses after pancarpal or partial carpal arthrodesis with 3 locking compression plates (LCP). Methods: Case series. Methods: Six horses ranging in age from 8 months to 16 years and weighing 227-580 kg with severe carpal pathology including acute fractures, chronic osteoarthritis, and chronic angular limb deformity. Methods: Pancarpal or partial carpal arthrodesis was performed with 3 LCP. Autologous cancellous bone grafts were used in 5 of 6 cases to facilitate joint arthrodesis. Results: External coaptation was maintained for 4 to 6 weeks after surgery. Radiographic...
Deletion of the ORF2 gene of the neuropathogenic equine herpesvirus type 1 strain Ab4 reduces virulence while maintaining strong immunogenicity.
BMC veterinary research    August 22, 2018   Volume 14, Issue 1 245 doi: 10.1186/s12917-018-1563-4
Schnabel CL, Wimer CL, Perkins G, Babasyan S, Freer H, Watts C, Rollins A, Osterrieder N, Wagner B.Equine herpesvirus type 1 (EHV-1) induces respiratory infection, abortion, and neurologic disease with significant impact. Virulence factors contributing to infection and immune evasion are of particular interest. A potential virulence factor of the neuropathogenic EHV-1 strain Ab4 is ORF2. This study on 24 Icelandic horses, 2 to 4 years of age, describes the infection with EHV-1 Ab4, or its deletion mutant devoid of ORF2 (Ab4ΔORF2) compared to non-infected controls (each group n = 8). The horses' clinical presentation, virus shedding, viremia, antibody and cellular immune responses were...
Lipid peroxidation biomarkers for evaluating oxidative stress in equine neuroaxonal dystrophy.
Journal of veterinary internal medicine    August 22, 2018   Volume 32, Issue 5 1740-1747 doi: 10.1111/jvim.15241
Finno CJ, Estell KE, Winfield L, Katzman S, Bordbari MH, Burns EN, Miller AD, Puschner B, Tran CK, Xu L.Equine neuroaxonal dystrophy/equine degenerative myeloencephalopathy (eNAD/EDM) is a neurodegenerative disorder affecting genetically predisposed foals maintained on an α-tocopherol (α-TOH) deficient diet. Currently no antemortem diagnostic test for eNAD/EDM is available. Objective: Because α-TOH deficiency is associated with increased lipid peroxidation, it was hypothesized that F2 -isoprostanes (F2 IsoP), F4 -neuroprostanes (F4 NP) and oxysterols derived from free radical oxidation would be increased in the cerebrospinal fluid (CSF) and neural tissue of eNAD/EDM affected horses and could ...
A comparison of methanogens of different regions of the equine hindgut.
Anaerobe    August 22, 2018   Volume 54 104-110 doi: 10.1016/j.anaerobe.2018.08.009
Murru F, Fliegerova K, Mura E, Mrázek J, Kopečný J, Moniello G.The diversity of the methanogenic archaea associated with the six segments of the horse and donkey hindgut (caecum, right ventral colon, left ventral colon, left dorsal colon, right dorsal colon, and rectum) was analyzed using 16S rDNA gene clone library. A total of 641 positive clones, 321 from the horse and 320 from the donkey hindgut, were examined by the RFLP, revealing 9 different ribotypes, 8 in the horse and 5 in the donkey hindgut. In both the animals Methanobacteriales (Methanobrevibacter-like sequences) and Methanomicrobiales (Methanocorpusculum-like sequences) were detected as the d...
Identification of third stage larval types of cyathostomins of equids: An improved perspective.
Veterinary parasitology    August 22, 2018   Volume 260 49-52 doi: 10.1016/j.vetpar.2018.08.007
Santos DW, Madeira de Carvalho LM, Molento MB.Cyathostomins comprise around 50 parasite species of equids, offering a great challenge regarding their individual identification. The objective of our work was to improve identification of infective third stage larvae (L3) with a morphological key supplemented with detailed scientific illustrations based on our research and available literature. The highlighted features were; the number, arrangement, and shape of intestinal cells (IC), general features and the total body length of the eight different Cyathostomin sensu latum types (Type A, B, C, D, E, F, G, H), Gyalocephalus capitatus, and Po...
Antifungal non-invasive soak under general anaesthetic to treat fungal rhinitis in an Australian Quarter Horse gelding at pasture.
Australian veterinary journal    August 22, 2018   Volume 96, Issue 8 297-301 doi: 10.1111/avj.12720
Lean NE, Ahern BJ.Mycotic rhinitis is a rare disease in horses, with few cases reported worldwide and none reported in Australia. Fungal infection of the upper respiratory tract can occur in all species, but its prevalence in horses is considerably lower than in canines or humans. The disease is linked to a variety of pathogens and the clinical signs are associated with subsequent upper respiratory tract damage. Methods: A 6-year-old Quarter Horse gelding in Queensland, Australia, was presented with chronic nasal discharge and dyspnoea following previous unsuccessful medical treatment of 9 months' duration. C...
Genetic diversity of common Gasterophilus spp. from distinct habitats in China.
Parasites & vectors    August 22, 2018   Volume 11, Issue 1 474 doi: 10.1186/s13071-018-3042-y
Zhang B, Huang H, Wang H, Zhang D, Chu H, Ma X, Ge Y, Ente M, Li K.Gasterophilus species are widely distributed around the world. The larvae of these flies parasitize the digestive tract of equids and cause damage, hindering horse breeding and protection of endangered species. However, study of the genetic structure of geographically distinct Gasterophilus populations is lacking. Here, we analyzed the genetic diversity of Gasterophilus pecorum, G. intestinalis, G. nasalis and G. nigricornis from three typical grasslands (meadow, desert and alpine steppes) in China as compared to published sequences from Italy, Poland and China (Daqing and Yili), based on the ...
Time-dependent antiarrhythmic effects of flecainide on induced atrial fibrillation in horses.
Journal of veterinary internal medicine    August 22, 2018   Volume 32, Issue 5 1708-1717 doi: 10.1111/jvim.15287
Carstensen H, Hesselkilde EZ, Fenner M, Loft-Andersen AV, Flethøj M, Kanters JK, Sattler SM, Tfelt-Hansen J, Pehrson S, Jespersen T, Buhl R.Pharmacological treatment of atrial fibrillation (AF) in horses can be challenging because of low efficacy and adverse effects. Flecainide has been tested with variable efficacy. Objective: To test whether the efficacy of flecainide is dependent on AF duration. Methods: Nine Standardbred mares. Methods: Factorial study design. All horses were instrumented with a pacemaker and assigned to a control or an AF group. On day 0, all horses were in sinus rhythm and received 2 mg/kg flecainide IV. Atrial fibrillation subsequently was induced in the AF group by pacemaker stimulation. On days 3, 9, 27, ...
Effect of bandaging techniques on sub-bandage pressures in the equine distal limb, carpus, and tarsus.
Veterinary surgery : VS    August 22, 2018   Volume 47, Issue 5 640-647 doi: 10.1111/vsu.12914
Canada NC, Beard WL, Guyan ME, White BJ.To determine the influence of 3 types of bandages on sub-bandage pressures over the distal limb, carpus, and tarsus. Methods: Observational study. Methods: Eight healthy horses. Methods: Each of the 6 following bandages was applied on each horse in randomized order: (1) distal limb compression bandage (DLC), (2) double layer bandage (DL), (3) inner sanctum bandage (IS), (4) carpal compression bandage (CC), (5) tarsal compression bandage (TC), and (6) adhesive elastic carpal bandage (C-ELA). Sub-bandage pressures were measured with the Picopress compression measuring system (Microlab Electonica...
Environmental stressors may cause equine herpesvirus reactivation in captive Grévy’s zebras (Equus grevyi).
PeerJ    August 22, 2018   Volume 6 e5422 doi: 10.7717/peerj.5422
Seeber PA, Quintard B, Sicks F, Dehnhard M, Greenwood AD, Franz M.Equine Herpesviruses (EHV) are common and often latent pathogens of equids which can cause fatalities when transmitted to non-equids. Stress and elevated glucocorticoids have been associated with EHV reactivation in domestic horses, but little is known about the correlation between stress and viral reactivation in wild equids. We investigated the effect of an environmental stressor (social group restructuring following a translocation event) on EHV reactivation in captive Grévy's zebras (). A mare was translocated by road transport from Zoo Mulhouse, France, to join a resident group of three ...
Bronchoalveolar lavage fluid cytology and airway hyper-reactivity in clinically normal horses.
Australian veterinary journal    August 22, 2018   Volume 96, Issue 8 291-296 doi: 10.1111/avj.12721
Cullimore AM, Secombe CJ, Lester GD, Robertson ID.To characterise the relationship between bronchoalveolar lavage fluid (BALF) cytology and pulmonary function testing with histamine bronchoprovocation (HBP) methods in a population of clinically normal horses. Methods: Cross-sectional study METHODS: Clinically normal adult horses (n = 33) underwent pulmonary function testing and HBP with a commercial flowmetric plethysmography system. BAL was performed 1-5 days later. Statistical analysis was used to assess associations between BALF cell concentration, relative inflammatory cell percentages and categorisation, and airway hyper-reactivity...
Dynamic flexion/extension and non-weight bearing ultrasonography is helpful for identifying manica flexoria tears in horses. Garcia da Fonseca RM, Evrard L, Rabba S, Salciccia A, Busoni V.Lesions of the manica flexoria are a tenoscopic finding in horses with digital flexor tendon sheath tenosynovitis. This retrospective case series study describes the ultrasonographic findings in seven horses admitted for digital flexor tendon sheath swelling associated with lameness and tenoscopic confirmation of a manica flexoria tear. Six horses had a partial manica flexoria tear, one a complete rupture. The ultrasonographic examination included a static examination on the weight and non-weight bearing limb and a dynamic limb assessment during flexion and extension. The main ultrasonographic...
Sympathetic Innervation and Adrenergic Receptors in Equine Deep Digital Flexor Tendinopathy: Preliminary Results.
Journal of comparative pathology    August 18, 2018   Volume 163 33-37 doi: 10.1016/j.jcpa.2018.07.005
Beccati F, Pepe M, Antinori L, Pascucci L, Chiaradia E, Mandara MT.The aim of this study was to delineate the pattern of sympathetic innervation in the suprasesamoidean region of the deep digital flexor tendon (DDFT) in horses with tendinopathy by immunohistochemical labelling for tyrosine hydroxylase (TH) and α-1 adrenergic receptor (α1-AR). Twelve forelimbs were obtained from 10 horses with DDFT tendinopathy and six feet obtained from six horses were used as healthy controls. Post-mortem radiographic, ultrasonographic and gross examinations were performed on the suprasesamoidean area of the DDFT to assess the presence of tendinopathy. Longitudinal section...
Monitoring of tidal ventilation by electrical impedance tomography in anaesthetised horses.
Equine veterinary journal    August 18, 2018   Volume 51, Issue 2 222-226 doi: 10.1111/evj.12998
Mosing M, Waldmann AD, Raisis A, Böhm SH, Drynan E, Wilson K.Electrical impedance tomography (EIT) is a method to measure regional impedance changes within the thorax. The total tidal impedance variation has been used to measure changes in tidal volumes in pigs, dogs and men. Objective: To assess the ability of EIT to quantify changes in tidal volume in anaesthetised mechanically ventilated horses. Methods: In vivo experimental study. Methods: Six horses (mean ± s.d.: age 11.5 ± 7.5 years and body weight 491 ± 40 kg) were anaesthetised using isoflurane in oxygen. The lungs were mechanically ventilated using a volume-controlled mode. With an end-tidal...
Lower airway disease: Does research fit our practice needs?
Equine veterinary journal    August 18, 2018   Volume 50, Issue 5 701 doi: 10.1111/evj.12988
Kinnison T, Cardwell J, Smith K, Couëtil L, Wylie C, Whiting M, Roder C.No abstract available
Synostosis of the first and second ribs in six horses.
Journal of the American Veterinary Medical Association    August 16, 2018   Volume 253, Issue 5 611-616 doi: 10.2460/javma.253.5.611
Rovel T, Coudry V, Denoix JM, Audigie F.CASE DESCRIPTION Over a 2-year period, 6 horses (4 Selle Français, 1 Hanoverian, and 1 Thoroughbred) were referred for evaluation of forelimb lameness. All horses had radiographic evidence of synostosis of the first and second ribs (SFSR). CLINICAL FINDINGS For 1 horse, the SFSR was considered the probable cause of the lameness (grade 3/5), with a shortening of the cranial phase of the stride in the affected limb. For 3 horses, it was considered a possible cause of the lameness (grade 1/5) for the same reason. For 2 horses, SFSR was considered an incidental finding unassociated with any clini...
A mini-STR typing system for degraded equine DNA.
Animal genetics    August 16, 2018   Volume 49, Issue 5 464-466 doi: 10.1111/age.12716
Kun TJ, Wictum EJ, Penedo MCT.Degraded biological samples are a challenge for testing laboratories. Genotyping success can be improved through the use of mini-STRs, by which primers are placed adjacent to the repeat motifs to reduce amplicon size. Here, we present a genetic profiling system comprising 13 autosomal and one X-linked dinucleotide-repeat markers and the SRY gene based on the internationally accepted equine parentage panel. The markers are divided into two panels with all alleles falling at or below 182 bp. The application of this method significantly increases the ability to profile difficult samples and to p...
IgG4/7 responses correlate with contraception in mares vaccinated with SpayVac.
Theriogenology    August 16, 2018   Volume 121 168-174 doi: 10.1016/j.theriogenology.2018.08.015
Bechert U, Rohde J, Freer H, Wagner B.SpayVac is an immunocontraceptive vaccine based on porcine zona pellucida (pZP) antigens and uses a patented liposome formulation (VacciMax or DepoVax). It has delivered single-dose, long-lasting (4-10 years) immunocontraception in several species. Previous studies have demonstrated a positive correlation between levels of pZP antibodies produced and contraceptive effect; however, individual mares that were consistently infertile did not necessarily have the highest antibody titers. The objective of this study was to identify potential differences in specific immunoglobulin G (IgG) isotype res...
Fetal development and blood hematological-biochemical parameters in Campeiro and Pantaneiro foals.
Animal reproduction    August 16, 2018   Volume 15, Issue 1 39-44 doi: 10.21451/1984-3143-2017-AR0056
Vieira GS, Paludo GR, Ramos AF, Pivato I, de Oliveira RA.For a long time, Pantaneiro and Campeiro breeds were raised only within their places of origin. Consequently, there are few of these horses; therefore, establishing reproductive and clinical standards for these animals is necessary to implant new biotechnologies for reproduction to preserve their genetics. This study aimed to perform a descriptive evaluation of fetal age determination by fetus ocular orbit measurement in mares of the Campeiro and Pantaneiro breeds. We also evaluated sequential changes in hematology and biochemistry for foals from birth to six months of life by counting red blo...
Hepatic Dicrocoelium dendriticum infection in a miniature horse.
The Canadian veterinary journal = La revue veterinaire canadienne    August 15, 2018   Volume 59, Issue 8 863-865 
Hazlett M, Stalker M, Lake M, Peregrine A.A miniature horse which died following humane seizure from an Ontario farm was emaciated with serous atrophy of fat. Autopsy revealed hepatic atrophy and moderate periportal fibrosis. Eggs and trematodes seen in the liver were identified as Dicrocoelium dendriticum. This appears to be the first reported case of infection of equids in North America with Dicrocoelium dendriticum. Infection parDicrocoelium dendriticumhépatique chez un cheval miniature. Un cheval miniature qui est mort à la suite d’une saisie humanitaire dans une ferme de l’Ontario était émacié et avait une atrophie sére...
Progressive ossifying paranasal sinus mass of suspected traumatic origin in a mare: Surgical treatment and follow-up.
The Canadian veterinary journal = La revue veterinaire canadienne    August 15, 2018   Volume 59, Issue 8 866-870 
Haltmayer E, Simhofer H.This report describes a case of a multilobular, osseous mass including parts of the right orbit, concho frontal sinus and right ventral and dorsal conchal sinuses that developed after a traumatic insult to the right maxillary sinus 4 years prior to presentation. Surgical removal of the mass including parts of the bony orbit and long-term outcome are reported. Ce rapport décrit une masse multilobulaire et osseuse comprenant des parties de l’orbite droite, des cornets nasaux frontaux et des sinus ventral et dorsal droits qui s’est développée après un traumatisme du sinus maxillaire droi...
Prevalence of and risk factors for equine glandular and squamous gastric disease in polo horses.
The Canadian veterinary journal = La revue veterinaire canadienne    August 15, 2018   Volume 59, Issue 8 880-884 doi: 10.1186/1751-0147-55-45
Banse HE, MacLeod H, Crosby C, Windeyer MC.The objectives of this study were to determine the prevalence rates and risk factors for equine glandular gastric disease (EGGD) and equine squamous gastric disease (ESGD) in a population of 63 polo horses in competition. The prevalence of EGGD grade ≥ 1 was 69% and EGGD ≥ 2 was 31%. The prevalence of ESGD grade ≥ 1 was 54% and grade ≥ 2 was 37%. The risk factors retained in the final multivariable models were years of experience in polo competition for EGGD grade ≥ 1 and for grade ≥ 2, with decreased experience being associated with EGGD and weekly exercise duration and non-steroi...