Analyze Diet

Topic:Insulin

Insulin is a hormone produced by the pancreas that plays a pivotal role in regulating glucose metabolism in horses. It facilitates the uptake of glucose by cells, thus maintaining blood sugar levels within a normal range. Insulin's function is integral to energy balance and metabolic processes in equines. Disruptions in insulin regulation can lead to metabolic disorders such as Equine Metabolic Syndrome (EMS), characterized by insulin resistance and associated with obesity and laminitis. This page aggregates peer-reviewed research studies and scholarly articles that explore the physiological role, regulatory mechanisms, and clinical implications of insulin in equine health and disease management.
Effects of exercise training on adiposity, insulin sensitivity, and plasma hormone and lipid concentrations in overweight or obese, insulin-resistant horses.
American journal of veterinary research    March 2, 2010   Volume 71, Issue 3 314-321 doi: 10.2460/ajvr.71.3.314
Carter RA, McCutcheon LJ, Valle E, Meilahn EN, Geor RJ.To determine effects of exercise training without dietary restriction on adiposity, basal hormone and lipid concentrations and glucose and insulin dynamics in overweight or obese, insulin-resistant horses. Methods: 12 overweight or obese (body condition score > or = 7), insulin-resistant (insulin sensitivity < or = 1.2 x 10(-4) L/min/mU) geldings. Methods: 4 horses remained sedentary, and 8 horses were exercised for 4 weeks at low intensity and 4 weeks at higher intensity, followed by 2 weeks of detraining. Prior to and after each training period, frequently sampled IV glucose tolerance ...
Effect of dietary fats with odd or even numbers of carbon atoms on metabolic response and muscle damage with exercise in Quarter Horse-type horses with type 1 polysaccharide storage myopathy.
American journal of veterinary research    March 2, 2010   Volume 71, Issue 3 326-336 doi: 10.2460/ajvr.71.3.326
Borgia LA, Valberg SJ, McCue ME, Pagan JD, Roe CR.To evaluate effects of fats with odd and even numbers of carbon atoms on muscle metabolism in exercising horses with polysaccharide storage myopathy (PSSM). Methods: 8 horses with PSSM (6 females and 2 males; mean +/- SD age, 6.3 +/- 3.9 years). Methods: Isocaloric diets (grain, triheptanoin, corn oil, and high-fat, low-starch [HFLS] feed) were fed for 3 weeks each; horses performed daily treadmill exercise. Grain was fed to establish an exercise target, and HFLS feed was fed as a negative control diet. Daily plasma samples were obtained. For each diet, a 15-minute exercise test was performed,...
Equine laminitis: induced by 48 h hyperinsulinaemia in Standardbred horses.
Equine veterinary journal    February 17, 2010   Volume 42, Issue 2 129-135 doi: 10.2746/042516409X475779
de Laat MA, McGowan CM, Sillence MN, Pollitt CC.Hyperinsulinaemia is known to induce laminitis experimentally in healthy ponies with no history of the condition. Horses are more insulin sensitive than ponies and whether prolonged hyperinsulinaemia and euglycaemia would have a similar laminitogenic effect requires study. Objective: To determine if laminitis results when the prolonged euglycaemic hyperinsulinaemic clamp technique (p-EHC) is applied to clinically normal Standardbred horses, and to monitor hoof wall temperature seeking an association between vascular activity and laminitis development. Methods: Eight young, clinically normal St...
Measurement of C-peptide concentrations and responses to somatostatin, glucose infusion, and insulin resistance in horses.
Equine veterinary journal    February 17, 2010   Volume 42, Issue 2 149-155 doi: 10.2746/042516409X478497
Tóth F, Frank N, Martin-Jiménez T, Elliott SB, Geor RJ, Boston RC.Hyperinsulinaemia is detected in horses with insulin resistance (IR) and has previously been attributed to increased pancreatic insulin secretion. Connecting peptide (C-peptide) can be measured to assess pancreatic function because it is secreted in equimolar amounts with insulin and does not undergo hepatic clearance. Objective: A human double antibody radioimmunoassay (RIA) detects C-peptide in equine serum and concentrations would reflect responses to different stimuli and conditions. Methods: A validation procedure was performed to assess the RIA. Six mature mares were selected and somatos...
Medical implications of obesity in horses–lessons for human obesity.
Journal of diabetes science and technology    January 5, 2010   Volume 3, Issue 1 163-174 doi: 10.1177/193229680900300119
Johnson PJ, Wiedmeyer CE, Messer NT, Ganjam VK.There is growing recognition that obesity is common and represents a significant detriment to the health of companion animals in a manner similar to that by which it is affecting the human population. As is the case for other species, obesity appears to promote insulin resistance in horses and it is through this pathophysiological process that many of the adverse medical consequences of obesity are being characterized. Equine medical conditions that have been described in the context of obesity and insulin resistance differ from those in humans. Chronic human conditions that have been attribut...
Effects of pretreatment with dexamethasone or levothyroxine sodium on endotoxin-induced alterations in glucose and insulin dynamics in horses.
American journal of veterinary research    January 2, 2010   Volume 71, Issue 1 60-68 doi: 10.2460/ajvr.71.1.60
Tóth F, Frank N, Geor RJ, Boston RC.To investigate the effects of dexamethasone or levothyroxine sodium on endotoxin-induced alterations in glucose and insulin dynamics. Methods: 24 horses. Methods: Horses were randomly allocated to 3 treatment groups and received 48 mg of levothyroxine mixed with 200 g of oats, 20 mg of dexamethasone plus oats, or oats alone (control) for 15 days, followed by IV infusion of lipopolysaccharide (20 ng/kg) while individually housed in stalls. Frequently sampled IV glucose tolerance tests were performed prior to pretreatment, after pretreatment, and 20 hours after lipopolysaccharide administration....
Equine insulin resistance: the quest for sensitivity.
Veterinary journal (London, England : 1997)    December 28, 2009   Volume 186, Issue 3 275-276 doi: 10.1016/j.tvjl.2009.11.023
Wylie CE, Collins SN.No abstract available
Equine laminitis: ultrastructural lesions detected in ponies following hyperinsulinaemia.
Equine veterinary journal    November 26, 2009   Volume 41, Issue 7 671-677 doi: 10.2746/042516409x407648
Nourian AR, Asplin KE, McGowan CM, Sillence MN, Pollitt CC.Anatomical changes in the hoof lamellar tissue induced by prolonged hyperinsulinaemia have not been described previously. Analysis of the induced lesions may promote understanding of hyperinsulinaemic laminitis pathogenesis and produce clinical benefit. Objective: To use light and transmission electron microscopy (TEM) to document hoof lamellar lesions in ponies clinically lame after prolonged hyperinsulinaemia. Methods: Nine clinically normal, mature ponies were allocated randomly to either a treatment group (n = 5) or control group (n = 4). The treatment group received insulin via a modified...
Effects of diet-induced weight gain on insulin sensitivity and plasma hormone and lipid concentrations in horses.
American journal of veterinary research    October 3, 2009   Volume 70, Issue 10 1250-1258 doi: 10.2460/ajvr.70.10.1250
Carter RA, McCutcheon LJ, George LA, Smith TL, Frank N, Geor RJ.To determine the effects of diet-induced weight gain on glucose and insulin dynamics and plasma hormone and lipid concentrations in horses. Methods: 13 adult geldings. Methods: Horses were fed 200% of their digestible energy requirements for maintenance for 16 weeks to induce weight gain. Frequently sampled IV glucose tolerance tests were performed before and after weight gain to evaluate glucose and insulin dynamics. Adiposity (assessed via condition scoring, morphometric measurements, and subcutaneous fat depth) and plasma concentrations of insulin, glucose, nonesterified fatty acids, trigly...
Functional relationships among intrafollicular insulin-like growth factor 1, circulatory gonadotropins, and development of the dominant follicle in mares.
Animal reproduction science    September 30, 2009   Volume 118, Issue 2-4 270-278 doi: 10.1016/j.anireprosci.2009.09.002
Checura CM, Beg MA, Parrish JJ, Ginther OJ.The functional relationships among intrafollicular free insulin-like growth factor 1 (IGF1), circulatory gonadotropins, and development of the dominant follicle were studied in 40 mares in two experiments. A GnRH antagonist (Acyline) was given i.m. at the expected beginning of follicular deviation (largest follicle or F1> or =20mm; Day 0) alone (Acyline group) or in combination with intrafollicular treatment of F1 with rhIGF1 (Acyline/IGF1 group). In Experiment 1, blood samples, follicular-fluid samples, and diameter of F1 were taken on Days 1 and 2. In Experiment 2, daily follicular diamet...
Potential treatments for insulin resistance in the horse: a comparative multi-species review.
Veterinary journal (London, England : 1997)    September 23, 2009   Volume 186, Issue 3 282-291 doi: 10.1016/j.tvjl.2009.08.032
Tinworth KD, Harris PA, Sillence MN, Noble GK.Insulin resistance and hyperinsulinaemia increase the risk of laminitis and horse owners and veterinarians should attempt to enhance insulin sensitivity in at-risk groups. In obese animals this may be achieved, in part, by promoting weight loss and increasing exercise, but such intervention may not be appropriate in non-obese insulin-resistant animals, or where exercise is contra-indicated for clinical reasons. An alternative approach to controlling insulin sensitivity in obese and non-obese horses may be the use of certain herbal compounds that have shown promise in humans and laboratory anim...
Evaluation of plasma ACTH, alpha-melanocyte-stimulating hormone, and insulin concentrations during various photoperiods in clinically normal horses and ponies and those with pituitary pars intermedia dysfunction.
Journal of the American Veterinary Medical Association    September 16, 2009   Volume 235, Issue 6 715-722 doi: 10.2460/javma.235.6.715
Beech J, Boston RC, McFarlane D, Lindborg S.To measure plasma ACTH, alpha-melanocyte-stimulating hormone (aloha-MSH), and insulin concentrations during various photoperiods between February and October in horses and ponies with and without pituitary pars intermedia dysfunction (PPID). Methods: Cohort study. Methods: 13 clinically normal (control) ponies, 14 clinically normal (control) horses, 7 ponies with PPID, and 8 horses with PPID. Methods: Blood samples were collected from February through October during 8 photoperiods: 1, February 13 through March 2; 2, April 4 through 6; 3, June 19 through 22; 4, August 6 through 7; 5, August 14 ...
Effects of feeding state on glycaemic and insulinaemic responses to a starchy meal in horses: a methodological approach.
Animal : an international journal of animal bioscience    September 1, 2009   Volume 3, Issue 9 1246-1253 doi: 10.1017/S1751731109004698
Vervuert I, Klein S, Coenen M.A standardised methodology is required for classification of starchy diets. One important question is what feeding status is optimal to describe glycaemic and insulinaemic responses to the respective starchy diet. Four horses were fed, in a randomised order, four different feeding protocols relative to offering hay before or after cracked corn (CC): (i) ad libitum hay for 12 h before feeding CC and ad libitum hay after CC intake for 9 h (+CC+), (ii) ad libitum hay for 12 h before feeding CC and no hay after CC intake for 9 h (+CC-), (iii) feed restriction for 12 h before feeding CC and ad libi...
Effect of triheptanoin on muscle metabolism during submaximal exercise in horses.
American journal of veterinary research    August 4, 2009   Volume 70, Issue 8 1043-1052 doi: 10.2460/ajvr.70.8.1043
McCue ME, Valberg SJ, Pagan JD, Essén-Gustavsson B, Roe CR.To compare effects of corn oil or a 7-carbon fat (triheptanoin) on acylcarnitine, lipid, and carbohydrate metabolism in plasma or muscle of exercising horses. Methods: 8 Thoroughbred geldings. Methods: Horses received isocaloric diets containing 650 mL of oil (triheptanoin or corn oil)/d for 18 or 25 days in a crossover design with a 26-day washout period. On day 17 or 24 of each feeding period, the respective oil (217 mL) was nasogastrically administered; 120 minutes later, horses performed a 90-minute submaximal exercise test (SET). Blood and muscle samples were obtained before oil administr...
Prediction of incipient pasture-associated laminitis from hyperinsulinaemia, hyperleptinaemia and generalised and localised obesity in a cohort of ponies.
Equine veterinary journal    May 8, 2009   Volume 41, Issue 2 171-178 doi: 10.2746/042516408x342975
Carter RA, Treiber KH, Geor RJ, Douglass L, Harris PA.The ability to predict ponies at increased risk of laminitic episodes, when exposed to nutrient dense pasture, would facilitate management to avoid disease. Objective: To identify variables and clinically useful cut-off values with reproducible diagnostic accuracy for the prediction of ponies that subsequently developed laminitis when exposed to nutrient dense pasture. Methods: A cohort of predominantly Welsh and Dartmoor ponies from a closed herd was evaluated in March 2006 (n = 74) and March 2007 (n = 57). Ponies were categorised as never laminitic or previously laminitic according to report...
Pharmacokinetics and bioavailability of metformin in horses.
American journal of veterinary research    May 2, 2009   Volume 70, Issue 5 665-668 doi: 10.2460/ajvr.70.5.665
Hustace JL, Firshman AM, Mata JE.To determine pharmacokinetics and oral bioavailability of metformin in healthy horses. Methods: 4 adult horses. Methods: 6 g of metformin was administered 3 times IV and PO (fed and unfed) to each horse, by use of a crossover design, with a 1-week washout period between treatments. Plasma metformin concentration was determined via high-pressure liquid chromatography. Results: Mean +/- SD distribution half-life of metformin following IV administration was 24.9 +/- 0.4 minutes with a volume of distribution of 0.3 +/- 0.1 L/kg. Mean area under the curve was 20.9 +/- 2.0 h.microg/mL for IV adminis...
Effects of low-dose oligofructose treatment administered via nasogastric intubation on induction of laminitis and associated alterations in glucose and insulin dynamics in horses.
American journal of veterinary research    May 2, 2009   Volume 70, Issue 5 624-632 doi: 10.2460/ajvr.70.5.624
Kalck KA, Frank N, Elliott SB, Boston RC.To ascertain whether laminitis can be induced via administration of oligofructose (OF) at doses of 5.0 and 7.5 g/kg in horses and to assess glucose and insulin dynamics before and after treatment. Methods: 19 adult horses. Methods: Horses were fed OF (1.0 g/kg) mixed with oats for 6 days. Oligofructose at doses of 5.0 and 7.5 g/kg was then mixed with 4 L of water and administered (0 hours) to 8 (group A) and 4 (group B) horses, respectively, via nasogastric intubation; 8 horses received water alone. One horse in group A that did not develop laminitis was subsequently treated again and included...
Mesenchymal stem cells and insulin-like growth factor-I gene-enhanced mesenchymal stem cells improve structural aspects of healing in equine flexor digitorum superficialis tendons.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    April 8, 2009   Volume 27, Issue 10 1392-1398 doi: 10.1002/jor.20887
Schnabel LV, Lynch ME, van der Meulen MC, Yeager AE, Kornatowski MA, Nixon AJ.Tendinitis remains a catastrophic injury among athletes. Mesenchymal stem cells (MSCs) have recently been investigated for use in the treatment of tendinitis. Previous work has demonstrated the value of insulin-like growth factor-I (IGF-I) to stimulate cellular proliferation and tendon fiber deposition in the core lesion of tendinitis. This study examined the effects of MSCs, as well as IGF-I gene-enhanced MSCs (AdIGF-MSCs) on tendon healing in vivo. Collagenase-induced bilateral tendinitis lesions were created in equine flexor digitorum superficialis tendons (SDFT). Tendons were treated with ...
Characterization of hypertriglyceridemia and response to treatment with insulin in horses, ponies, and donkeys: 44 cases (1995-2005).
Journal of the American Veterinary Medical Association    April 2, 2009   Volume 234, Issue 7 915-919 doi: 10.2460/javma.234.7.915
Waitt LH, Cebra CK.To characterize signalment, clinical signs of disease, and clinical response to insulin in equids with hypertriglyceridemia. Methods: Retrospective case series. Methods: 20 horses, 17 ponies, and 7 donkeys with hypertriglyceridemia. Methods: For analysis of medical record data, horses, donkeys, and ponies with multiple serum or plasma triglycerides measurements were separated into groups. Hypertriglyceridemic equids that were (HT-I; n = 14) or were not (HT-N; 10) treated with insulin consisted of equids with an initial triglycerides concentration > 44 mg/dL but < 500 mg/dL. Equids with an init...
Insulin sensitivity and glucose dynamics during pre-weaning foal development and in response to maternal diet composition.
Domestic animal endocrinology    March 28, 2009   Volume 37, Issue 1 23-29 doi: 10.1016/j.domaniend.2009.01.003
George LA, Staniar WB, Treiber KH, Harris PA, Geor RJ.Nutritional management of animals during pregnancy can affect glucose and insulin dynamics in the resulting offspring through influences on fetal development. Additionally, high starch feeding in mature horses is associated with reduced insulin sensitivity and an increased risk for diseases such as obesity and laminitis. However, no study has yet evaluated the effect of feeding a high starch diet to pregnant mares on glucose and insulin dynamics in their offspring. Twenty late-gestation mares maintained on pasture were provided two-thirds of digestible energy requirements from isocaloric, ison...
Increased plasma leptin through l-carnitine supplementation is associated with an enhanced glucose tolerance in healthy ponies.
Journal of animal physiology and animal nutrition    March 27, 2009   Volume 93, Issue 2 203-208 doi: 10.1111/j.1439-0396.2008.00807.x
Van Weyenberg S, Buyse J, Janssens GP.In this study 0 or 4 g of l-carnitine was supplemented for 7 days in a cross-over design of six healthy ponies to modulate glucose metabolism and leptin production. At the end of each period, serial blood samples were taken to measure glucose and insulin response, leptin, triglyceride (TG), non-esterified fatty acids (NEFA) and creatine phosphokinase. l-carnitine supplementation was associated with a decrease in postprandial plasma glucose and insulin concentration, indicating an enhanced glucose tolerance. In contrast, postprandial plasma leptin concentration was increased when l-carnitine wa...
Variations of plasmatic concentrations of Insulin-like Growth Factor-I in post-pubescent horses affected with developmental osteochondral lesions.
Veterinary research communications    March 25, 2009   Volume 33, Issue 7 701-709 doi: 10.1007/s11259-009-9219-2
Verwilghen DR, Vanderheyden L, Franck T, Busoni V, Enzerink E, Gangl M, Lejeune JP, van Galen G, Grulke S, Serteyn D.Developmental osteochondral lesions are often encountered in the equine population and are a major cause of lameness. Different growth factors that act systemically as well as locally regulate the growth of cartilage. Among them is Insulin-like Growth Factor I that has been demonstrated to promote chondrocyte growth and differentiation and that has been shown to influence cartilage repair. The aims of this study were to investigate differences in circulating plasma levels of Insulin-like Growth Factor-I in post-pubescent horses affected with developmental osteochondral lesions compared to unaf...
Primer on dietary carbohydrates and utility of the glycemic index in equine nutrition.
The Veterinary clinics of North America. Equine practice    March 24, 2009   Volume 25, Issue 1 23-v doi: 10.1016/j.cveq.2009.01.006
Harris P, Geor RJ.The feeding of "low carbohydrate" or "low glycemic" diets has been recommended for management of horses with metabolic and endocrine disorders in which insulin resistance is a component. A "low carbohydrate" diet is a misnomer, however, because horses require that a significant proportion of their daily ration comprises structural carbohydrates (fiber/forage) to maintain gut health and mental wellbeing. This article provides a detailed description of the different carbohydrates in equine feeds. It also reviews the terminology used to describe glucose and insulin responses to the ingestion of c...
Dietary management of obesity and insulin resistance: countering risk for laminitis.
The Veterinary clinics of North America. Equine practice    March 24, 2009   Volume 25, Issue 1 51-vi doi: 10.1016/j.cveq.2009.02.001
Geor RJ, Harris P.Insulin resistance (IR) and hyperinsulinemia increase risk for development of laminitis in horses and ponies. Obesity also has been associated with heightened risk for laminitis, likely by means of development of IR. Dietary factors, particularly the nonstructural carbohydrate (NSC) load, modulate risk for laminitis in these animals by means of exacerbation of IR or gastrointestinal disturbances that trigger the condition. Specific dietary management strategies to lessen risk for laminitis include caloric restriction to promote weight loss and improve insulin sensitivity in obese animals and s...
Insulin stimulates GLUT4 translocation in the semitendinosus muscle of Shetland ponies.
Veterinary journal (London, England : 1997)    March 10, 2009   Volume 184, Issue 2 176-181 doi: 10.1016/j.tvjl.2009.01.024
Duehlmeier R, Hacker A, Widdel-Bigdely A, von Engelhardt W, Sallmann HP.Glucose homeostasis depends on insulin-regulated glucose uptake in the skeletal muscles and fat tissues via glucose transporter (GLUT) 4 translocation into cellular plasma membranes. The present study sought to elucidate GLUT4 expression, GLUT1 and GLUT4 translocation and glucose uptake in the skeletal muscles of Shetland ponies. Semitendinosus muscle explants were removed by open muscle biopsy from six Shetland pony geldings under general anaesthesia. The expression of GLUT4 was analysed by measuring muscle crude membrane (CM) GLUT4 protein contents. To determine the insulin-stimulated GLUT t...
Short-term effects of a moderate fish oil or soybean oil supplementation on postprandial glucose and insulin responses in healthy horses.
Veterinary journal (London, England : 1997)    February 23, 2009   Volume 184, Issue 2 162-166 doi: 10.1016/j.tvjl.2009.01.013
Vervuert I, Klein S, Coenen M.The aim of this study was to investigate the effects of fat supplementation on postprandial glycaemic and insulinaemic responses in horses fed a corn meal. Four horses were fed three different diets: (1) cracked corn (CC), (2) cracked corn with soybean oil (CC+SBO), and (3) cracked corn with fish oil (CC+FO). Each diet was adjusted so there was a starch intake of 2 g/kg bodyweight (BW) and an intake of 0.2 mL/kg BW of FO and SBO. The increases in mean plasma glucose and insulin concentrations, peak values, and areas under the curve were similar for all diets (time P<0.05, diet not significa...
The effects of maternal health and body condition on the endocrine responses of neonatal foals.
Equine veterinary journal    January 24, 2009   Volume 40, Issue 7 673-679 doi: 10.2746/042516408x322175
Ousey JC, Fowden AL, Wilsher S, Allen WR.Chronic and acute alterations in maternal nutrient intake during pregnancy alter pancreatic and hypothalamo-pituitary-adrenal (HPA) axis function in the offspring, before and after birth. Little is known about these effects. Objective: To determine whether maternal nutrient restriction caused by natural infection with Streptococcus equi altered endocrine function in neonatal foals born from mares fed a maintenance or high plane of nutrition throughout pregnancy. Methods: Ten primiparous mares received either a diet to maintain moderate body condition score (Moderate, n = 5) or a near ad libitu...
Effects of intravenous administration of caffeine on physiologic variables in exercising horses.
American journal of veterinary research    December 3, 2008   Volume 69, Issue 12 1670-1675 doi: 10.2460/ajvr.69.12.1670
Ferraz GC, Teixeira-Neto AR, Mataqueiro MI, Lacerda-Neto JC, Queiroz-Neto A.To investigate the effect of acute administration of caffeine on the athletic performance of Arabian horses. Methods: 12 healthy adult Arabian horses that were trained for exercise on a treadmill. Methods: By use of a crossover study design, horses received each of the following treatments: IV administration of caffeine (5 mg/kg) and IV administration of approximately the same volume of saline (0.9% NaCl) solution. Order of treatment was randomized, and there was a 10-day interval between treatments. Thirty minutes after treatments, horses underwent an incremental exercise test (IET) on a trea...
The effect of weight loss by energy restriction on metabolic profile and glucose tolerance in ponies.
Journal of animal physiology and animal nutrition    November 18, 2008   Volume 92, Issue 5 538-545 doi: 10.1111/j.1439-0396.2007.00744.x
Van Weyenberg S, Hesta M, Buyse J, Janssens GP.In nine initially obese ponies, a weekly weight loss according to 1% of their ideal body weight was evaluated for its impact on insulin sensitivity and metabolic profile. Weight loss was obtained solely through energy restriction, initially at 70% of maintenance energy requirements, but to maintain constant weight loss, feed amount had to be decreased to 50% and 35% of maintenance energy requirement during the course of the trial. An oral glucose tolerance test (OGTT) was performed at weeks 0, 10 and 17. Fasted blood samples were taken on weeks 0, 3, 10, 17 for analysis of triglycerides (TG), ...
Metabolic syndrome-From human organ disease to laminar failure in equids.
Veterinary immunology and immunopathology    November 11, 2008   Volume 129, Issue 3-4 151-154 doi: 10.1016/j.vetimm.2008.11.012
Geor R, Frank N.Obesity, insulin resistance, hyperinsulinemia and hypertriglyceridemia are components of an equine metabolic syndrome phenotype associated with increased laminitis risk in horses. Links between these conditions and laminitis must still be elucidated, but human medicine provides candidate mechanisms for future study, including inflammation associated with obesity, vascular compromise induced by insulin resistance, and endothelial dysfunction. Just as metabolic syndrome has been linked to cardiovascular disease in humans, studies are now required to determine the exact mechanisms responsible for...
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