Metabolic health in horses refers to the physiological processes that manage energy production, utilization, and storage in equine bodies. These processes are critical for maintaining overall health, performance, and well-being. Metabolic health encompasses various aspects, including glucose metabolism, insulin sensitivity, and lipid regulation. Conditions such as Equine Metabolic Syndrome (EMS) and insulin dysregulation are common metabolic disorders that affect horses, impacting their ability to process and store energy efficiently. This topic compiles peer-reviewed research studies and scholarly articles that explore the mechanisms, diagnostic approaches, and management strategies related to metabolic health in horses.
Snow DH, Baxter P, Rose RJ.An investigation into fibre composition and glycogen depletion pattern within the middle gluteal of 16 horses participating in an 80 km endurance ride was carried out. Although the proportion of slow twitch high oxidative (ST) fibres in the horses varied between 7 and 38 per cent, it was found that the horses with the highest proportion of these fibres usually had the best performance records. The cross-sectional area of the fast twitch low oxidative (FT) fibres was greatest, with the ST and fast twitch high oxidative (FTH) being similar in size. Most marked histological evidence of glycogen d...
Burrows GE.Endotoxins are non-protein fragments of the cell wall of Gram-negative bacteria. They must be absorbed into the circulation to produce disease and systemic effects are similar, regardless of bacterial source. Absorption of endotoxins occurs in obstructive bowel disease and may play a significant part in determining the severity of the disease. Many of the responses to experimentally administered endotoxin are identical to those of bowel diseases or the horse and include circulatory, haematological and metabolic alterations. Therapeutic approaches are indirect and include many drugs currently e...
Thomas DP, Fregin GF.The purpose of this study was to measure cardiovascular, respiratory, and metabolic responses to graded treadmill exercise in the horse. A five-stage treadmill test up to 90% of predicted maximal heart rate was administered to five sedentary horses. The highest measured level of exercise produced a sixfold increase in cardiac output and a 41% elevation of stroke volume over standing values. Left ventricular, arterial, and right atrial pressures as well as the maximal time derivative of left ventricular pressure were all elevated during exercise. Under the same two conditions hematocrit (Hct) i...
Behr MJ, Hackett RP, Bentinck-Smith J, Hillman RB, King JM, Tennant BC.Rupture of the urinary bladder was diagnosed in 4 neonatal male foals. Marked hyponatremia, hypochloremia, and hyperkalemia developed in all 4 cases, and the electrolyte abnormalities were considered to be of potential diagnostic value. Blood urea nitrogen concentration was normal or only slightly higher than normal in 3 of 4 cases and therefore was not a reliable diagnostic test.
Doreau M, Martin-Rosset W, Barlet JP.In an experiment comparing pregnant then lactating mares with dry non-pregnant mares, the changes in plasma components were studied as indicators of the metabolic utilization of energy (glucose, non-esterified fatty acids, beta-hydroxybutyrate), nitrogen (urea, proteins) or minerals (calcium, phosphorus, magnesium). The mares were fed daily 2 kg concentrate and hay ad libitum. Beta-hydroxybutyrate, magnesium and to a lesser extent glucose were the only constituents whose levels were affected within the period starting one month before and ending one month after foaling. The increase in food in...
Wensing T.The changes in the activities of lactate dehydrogenase (LDH) and creatine phosphokinase (CPK) in de blood of thirty-three horses with 'tying up' were compared. The extent to which the serum enzymes LDH, CPK and glutamic oxaloacetic transaminase (GOT) and the changes in the activities of these enzymes after suitable labour can be used in the diagnosis of 'tying up' and in following the recovery of patients was studied.
Hambleton PL, Slade LM, Hamar DW, Kienholz EW, Lewis LD.Four isocaloric diets containing 4, 8, 12 and 16% dietary fat (as soybean oil) were fed to four horses at four intervals according to a Latin square design. After 3 weeks of conditioning at each interval, diet effects were evaluated by trotting all horses at 3.2 m/sec for 6 hours. Pre- and posttrotting responses were measured in muscle and liver glycogen, serum long-chain fatty acids, serum electrolytes, serum enzymes, serum cholesterol, plasma glucose, packed cell volume and hemoglobin. Dietary fat was highly correlated with exercise-induced plasma glucose changes and with cholesterol concent...
Lucke JN, Hall GM.As part of a study of the metabolic effects of long distance riding the results of biochemical analyses of blood samples taken from horses before, immediately after and one hour after an 80 km ride are reported. The results show that the horses were moderately dehydrated, they were working aerobically using fats as metabolic substrates and blood glucose was reduced. There was no evidence of post exercise ketosis and circulating alanine levels fell. Metabolic hormone levels are reported and are related to the availability of substrates for gluconeogenesis. There was evidence of reduced kidney a...
Roberts MC, Norman P.The absorption of d-xylose forms the basis of a useful screening test in the investigation of small intestinal disorders in the horse. A comparison has been made of different assay methods and there was no significant difference between the results obtained with the parabromoaniline (PBA) method or the ferric chloride-orcinol (FCO) method. The orthotoluidine method was unsatisfactory. The anticoagulant agent did not affect the test. A dose of 0.5 g commercial grade xylose/kg body weight as a 10 per cent solution given by stomach tube, produced a peak plasma xylose level after 90 min and should...
Ralston SL, Van den Broek G, Baile CA.The feeding patterns of five pony geldings fed pelleted diets ad libitum were quantified for five 24-hr periods. Eighty percent of a given pony's total daily intake (6.3 ± .81 kg or 2.9 ± .41% BW) was eaten in 10 ± .9 separate meals. Each meal averaged .49 ±.13 kg of pellets and lasted 44 ± 10 minutes. The mean intermeal interval was 84 ± 10 min, with a maximum of 3 hour. The animals spent 38 ± 7.2% of a 24-hr period engaged in eating activities, 84 ± 3.7% of which was devoted to meals, the other 16% spent in nibbling activities. Forty-nine percent of the total daily intake was consume...
Moore JN, Garner HE, Berg JN, Sprouse RF.Cecal fluid from two adult horses was assayed by the limulus amebocyte lysate system for endotoxin before and after carbohydrate overload of the gastrointestinal tract. There were increases in cecal fluid endotoxin concentrations at the 3-, 6-, and 12-hour samplings when compared with base-line values. Concomitant cecal fluid lactate concentrations and pH values increased and decreased, respectively. Both horses subsequently developed clinical signs of acute laminitis.
Peterman BF, Morton RA.The research explores how different binding ions affect the oxidation speed of horse heart ferrocytochrome c, a protein, by potassium ferricyanide at a constant ionic strength. Studying the Ion Effect […]
Gay CC, Sullivan ND, Wilkinson JS, McLean JD, Blood DC.The case histories and clinical findings of 15 ponies with hyperlipaemia are presented. The disease was characterised by hyperlipidaemia with inappetance, progressing somnolence, muscle fasciculation, diarrhoea, and ventral oedema as the predominant clinical findings. Post mortem examinations of 12 ponies showed extensive lipidosis and vascular thrombosis with widespread secondary changes. Most cases occurred in late pregnant and early lactating mares in the summer months and it is postulated that the disease was initiated in this group by a falling nutritional plane in the face of high nutrie...
Keenan DM.Two horses were alternately galloped and cantered at 48 h intervals in a cross over trial. Galloping produced a rise in plasma lactic and uric acids. The lactic acid decreased in concentration whereas the uric acid increased in the hour after exercise. Plasma phosphate levels were depressed 1 h after galloping. There was no significant variation in these parameters after cantering. Possible reasons for these changes are discussed.
Denny JE.Weekly blood serum samples from 20 yearling horses, divided into equal groups, receiving diets with total calcium to inorganic phosphorus ratios of 1,5/1 and 0,2/1, were analysed for calcium and phosphorus concentrations. This was done over a continuous 23 week period, divided into 2 sub-periods of 16 and 7 weeks each. During the first period complete diets were provided ad lib but were restricted during the second period to accentuate any effects of calcium deficiency and phosphorus excess. Falling calcium levels and rising phosphorus levels during period 1 and a reverse trend during period 2...
Fielding CL, Deane EL, Major DS, Mayer JR, Love JC, Peralez MS, Magdesian KG.The addition of calcium to resuscitation fluids is a common practice in horses, but studies evaluating the effects of calcium supplementation are limited. In healthy horses, decreases in heart rate and changes in serum electrolyte concentrations have been reported. Objective: Calcium gluconate administration at a rate of 0.4 mg/kg/min to eliminated endurance horses with metabolic problems will affect heart rate, gastrointestinal sounds, and serum electrolyte concentrations. Methods: Endurance horses eliminated from the Tevis Cup 100-mile (160 km) endurance ride for metabolic problems and req...
Constable PD, Tinkler SH, Couëtil LL.To determine the degree of agreement between 2 analyzers for measurement of total CO₂ concentration (ctCO₂) in equine plasma. Methods: 6 healthy untrained horses, 6 trained Standardbreds undergoing a simulated race protocol, and 135 trained Standardbreds at a racetrack. Methods: Jugular venous blood samples were obtained from all horses. Two analyzers (commonly used analyzer A and less expensive analyzer B) were used to measure plasma ctCO₂ in each sample. Validation of both analyzers was conducted in accordance with guidelines established by the Clinical and Laboratory Standards Institu...
McLean NL, McGilchrist N, Nielsen BD.Racehorses are often supplemented extra iron with the expectation that the iron will improve overall performance and health. A survey of 120 U.S. Thoroughbred trainers, representing 1978 Thoroughbreds from various regions of the U.S., was conducted to determine the average amount of dietary iron fed to Thoroughbred racehorses per day. Survey results indicated racehorses were fed an average of 3900 mg of iron per day from hay and grain alone. This exceeds the 0.8 mg/kg BW or 400 mg for a 500 kg working horse that the NRC 2007 recommends per day. Supplements increased the daily average intake of...
Moens Y, De Moor A.The carbon dioxide content of respiratory gases may be monitored by the use of an infra-red carbon dioxide analyser. The technique allows continuous and non-invasive recording of important information concerning the ventilatory, circulatory and metabolic states of the anaesthetised horse. Some of the monitoring capabilities of a carbon dioxide analyser (capnograph) are reviewed with illustrations from cases anaesthetised in the authors' clinic. Technical faults in the anaesthetic apparatus and the connections with the "patient" could be readily detected and emergency situations immediately rec...
Soma LR, Uboh CE, Rudy JA, Smith MS.To examine, in horses, the disposition and excretion of the active metabolite 6-methoxy-2-naphthylacetic acid (6MNA) of the nonsteroidal anti-inflammatory prodrug nabumetone. Methods: Pharmacokinetic analysis of 6MNA after oral administration of nabumetone and IV administration of 6MNA. Methods: Using a crossover design, 5 horses were orally administered 3.7 mg of nabumetone/kg of body weight. After a 3-week washout period, 4 horses were administered 2.5 mg of 6MNA/kg, IV. Results: Absorption of nabumetone from the gastrointestinal tract and its metabolism to 6MNA had a median appearance half-...
Dunkel B, Knowles EJ, Chang YM, Menzies-Gow NJ.Blood l-lactate concentrations are higher in people with developing or established diabetes mellitus and insulin resistance. Objective: To investigate whether blood l-lactate concentrations are positively correlated with measures of insulin dysregulation (ID) or increased autumnal ACTH concentrations in ponies. Methods: Systemically healthy client-owned ponies (n = 101). Methods: Prospective case-control study. Blood samples were obtained from 101 clinically healthy ponies. Breed, weight, height, and subjective and objective measures of body condition were recorded. Blood l-lactate, glucose, t...
Furr MO.Neurologic disease of foals is a diagnostic and therapeutic challenge for veterinarians. Disease conditions such as neonatal encephalopathy are seen as well as developmental and congenital defects, bacterial infections, and trauma. Neonatal encephalopathy can be considered a "syndrome" with a variety of causes resulting in a similar clinical presentation. These causes can be categorized as maladaptation, hypoxic/ischemic encephalopathy, and metabolic abnormalities, all leading to signs of cerebral and brainstem disease. Spinal cord signs may occasionally be seen, but these signs are usually ov...
van den Hoven R.Venous lactate concentrations were determined in standard-bred trotters following exercise of varying intensity to obtain a useful parameter in determining the working capacity of horses. After standard exercise, well-trained horses produced less lactate than did inadequately trained horses. During the post-exercise resting period, lactate disappeared faster from the blood in well-trained horses and young lightly trained horses than it did in poorly trained horses. Steady-state training resulted in lower lactate levels than those recorded after racing, whereas interval training resulted in the...
Bochnia M, Schürer C, Gottschalk J, Einspanier A, Hillegeist D, Wensch-Dorendorf M, Greef JM, Glatter M, Zeyner A.Aim of this study was to compare glycemic and insulinemic responses and feed intake patterns in sport ponies after feeding isoenergetic quantities of low-starch muesli feed high in fat and fibre (FF) or oat grains (OG). Six sport ponies were randomly assigned to one of these two treatment groups for 2 × 3 weeks according to a crossover-design. Ponies received two equal meals/day of either semi-crushed OG (1 g starch/kg bwt*meal ) or an isoenergetic quantity of FF. Hay was also given in two equal meals/day and provided the remaining metabolisable energy up to 1.3-fold maintenance level. On...
de Laat MA, Spence RJ, Sillence MN, Pollitt CC.Equine laminitis is a disease of the digital epidermal lamellae typified by epidermal cell proliferation and structural collapse. Most commonly the disease is caused by hyperinsulinemia, although the pathogenesis is incompletely understood. Insulin can activate the epidermal growth factor (EGF) system in other species and the present study tested the hypothesis that upregulation of EGF receptor (EGFR) signalling is a key factor in laminitis pathophysiology. First, we examined lamellar tissue from healthy Standardbred horses and those with induced hyperinsulinemia and laminitis for EGFR distrib...
Frank N, Hermida P, Sanchez-Londoño A, Singh R, Gradil CM, Uricchio CK.Octreotide is a somatostatin analog that suppresses insulin secretion. Objective: We hypothesized that octreotide would suppress insulin concentrations in horses and that normal (N) horses and those with insulin dysregulation (ID) would differ significantly in their plasma glucose and insulin responses to administration of octreotide. Methods: Twelve horses, N = 5, ID = 7. Methods: Prospective study. An oral sugar test was performed to assign horses to N and ID groups. Octreotide (1.0 μg/kg IV) was then administered, and blood was collected at 0, 5, 10, 15, 20, 25, 30, 45, 60, 75, and 90 minu...
Holland RA.Using a double beam stopped-flow apparatus, measurements were made of the velocity constant of the reaction CO + Hb --> COHb in solution and in the red cells of human beings, rabbits, horses, and goats. The solution constant (l') at 37 degrees C for human beings was 362 mM(-1) sec.(-1); in other species l' was somewhat lower. Two rabbits, despite having apparently identical hemoglobins had significantly different values for l'. The energy of activation (E) of l' was between 8 and 11 kcal/mole in all cases. The cell reaction constant (l'(c)) at 37 degrees was between 61 and 73 mM(-1) sec.(-1...
Wensvoort P, Steenbergen-Botterweg WA.When adipose tissues of horses and ponies affected with generalized steatitis were extracted by acetone, methanol and chloroform, non-extractable lipids were found to be present, which had become insoluble as a result of peroxidation and polymerization and had acquired autofluorescent characteristics. The origin of these lipids varies. Peroxidation occurs in three different lipid compartments, namely in the cytoplasm of the necrotized adipose cells, in the macrophagess and in the fat globules present in stroma.
Ronéus N, Essén-Gustavsson B.To determine whether performance capacity in a group of young trained Standardbreds is related to skeletal muscle characteristics and metabolic response to exercise. Methods: 13 clinically normal 2-year-old Standardbreds. Methods: Venous blood and middle gluteal muscle biopsy samples were obtained from each horse within 1 to 2 minutes after trotting at high speed for 1,600 m. Results: There was a positive correlation between plasma lactate and muscle glucose-6-phosphate (G-6-P) concentrations and trotting speed. There was a negative correlation between muscle adenosine triphosphate concentrati...
Fitzgerald DM, Pollitt CC, Walsh DM, Sillence MN, de Laat MA.The oral glucose test (OGT) is a useful tool for diagnosing insulin dysregulation (ID) and is somewhat repeatable in ponies under consistent management. This study aimed to determine whether the insulin and incretin responses to an OGT in ponies differed after short-term access to fertilised pasture, compared to unfertilised pasture, by using a randomised, repeated measures study design. Sixteen mixed-breed ponies were classified as severely insulin-dysregulated (SD; post-prandial insulin ≥80 μIU/mL) or not severely insulin-dysregulated (NSD; post-prandial insulin < 80 μIU/mL) using an O...
van Bömmel-Wegmann S, Gehlen H, Barton AK, Büttner K, Zentek J, Paßlack N.Little is known about the animal- and diet-related factors that could interfere with the plasma zinc (Zn) concentrations of equines. Additionally, the adequacy of plasma to reflect changes in the Zn intake is unclear. In the first part of this study, the plasma Zn concentrations of hospitalized horses and ponies ( = 538) were measured and evaluated for the impact of the age, sex, horse type, and internal diseases of the animals. In the second part, the effects of increasing dietary Zn chloride hydroxide and Zn methionine supplementations were assessed on the plasma and mane hair Zn concentrati...
Cooley JL, Hinchcliff KW, McKeever KH, Lamb DR, Muir WW.Effects of furosemide administration on exertion-induced changes in plasma renin activity and plasma concentrations of atrial natriuretic peptide and aldosterone in horses during sustained submaximal exertion were examined. Furosemide (1 mg/kg of body weight) or heparinized saline solution was administered IV to each of 6 mares not conditioned to exercise, either 4 hours or 2 minutes before 60 minutes of sustained submaximal running on a treadmill. Horses ran at a speed that induced heart rate approximately 65% of maximal after saline treatment. After 15 minutes of running, furosemide suppress...
Jean D, Vrins A, Lavoie JP.It has been suggested that rapid administration of isotonic saline solution relieves airway obstruction in heaves-affected horses, but the efficacy and tolerability of this treatment is poorly documented. Objective: To determine the respiratory and metabolic effects of a rapid administration of isotonic saline solution in control horses and those with heaves. Methods: Thirty litres isotonic saline solution were administered i.v. to 5 control (Group C) and 9 heaves-affected horses (Group H). Pulmonary function testing and arterial blood gas analysis were performed prior to saline infusion, at 9...
Foreman JH.Metabolic causes of exercise intolerance can be subtle and difficult to document in horses. Because of increased metabolic rate in exercising muscle, most metabolic causes of exercise intolerance are clinically manifested by muscle abnormalities such as ER. Newer causes of ER are being documented by current research and are summarized in the article on muscular causes of equine exercise intolerance. Endocrine causes of exercise intolerance have been poorly documented, but recent work has shown the detrimental effects of hypothyroidism on exercise tolerance in horses. Many metabolic manifestati...
Jansen WL, van Alphen M, Berghout M, Everts H, Beynen AC.The ratio of calculated net energy intake (NEi) to calculate net energy requirement (NEr) might serve as an indicator of the efficiency of dietary energy utilization. The ratio was determined for 93 horses and ponies from 10 riding schools. For each animal with an assumed constant body weight, energy intake and energy requirements were assessed. On average, the estimated NEi was 14% greater than NEr. There was a significant, negative association between crude fibre intake and the NEi: NEr ratio. Earlier work indicated that extra fat intake may lead to over estimation of the calculated energy v...
Ekici S, Ozmen O.The active roles of microribonucleic acids (miRNAs) in gene regulation have made miRNAs a key point for the scientific world in the study of physiological processes. Although saliva includes the largest number of miRNAs, there is no miRNA study in saliva on horses has been found. Our study is the first study on miRNAs isolation from saliva in horses. In the present study, saliva was studied in Arabian racehorses to better understand the molecular mechanisms of expression levels that are effective in lipid metabolism of miRNAs and their target genes during the race. Identification of lipid meta...
Chesnel MA, Aprea F, Clutton RE.A traumatic pneumothorax and severe hemorrhage were present in a mare with a large thoracic wall defect, lung perforation, and multiple rib fractures. General anesthesia was induced to allow surgical exploration. We describe the anesthetic technique, and discuss the management of the ventilatory, hemodynamic, and metabolic disturbances encountered. Gestion de l’anesthésie générale d’un cheval avec un pneumothorax d’origine traumatique. Nous décrivons le cas d’une jument présentée avec un important déficit de la paroi thoracique d’origine traumatique, une perforation pulmonaire...
Murray RC, Dyson SJ, Weekes JS, Short C, Branch MV.Distal tarsal pain is a common reason for hind limb lameness, but diagnosis cannot always be made on radiographic examination. Scintigraphy may allow detection of subtle changes undetected by other diagnostic methods. We hypothesized that (1) distal tarsal pain would be associated with a loss of the expected pattern of radiopharmaceutical uptake (RU) detected in normal horses, (2) distal tarsal RU would be greater in limbs with tarsal pain than without pain, (3) RU in painful tarsi with radiographic evidence of osteoarthritis (OA) would be greater than in distal tarsal pain with no radiographi...
Martens RJ, Malone PS, Brust DM.Oral lactose tolerance tests were evaluated in 25 healthy foals (principals) assigned to 4 groups of approximately 1 week, 4 weeks, 8 weeks, and 12 weeks of age. Lactose monohydrate (1 g/kg of body weight [in a 20% water solution]) was administered via nasogastric tube after a 4-hour fast. Plasma glucose concentrations were monitored before dosing (0 minutes) and sequentially for 300 minutes. Six control foals were given a volume of water equivalent to the volume of lactose monohydrate administered to principal foals. After oral lactose loading, mean plasma glucose concentrations of all princi...
Zeyner A, Hoffmeister C, Einspanier A, Gottschalk J, Lengwenat O, Illies M.Quarter Horses are particularly susceptible to polysaccharide storage myopathy (PSSM). Nutritional therapy and possibly prophylaxis includes fat-supplemented diets whilst starch supply should be kept to a minimum. Objective: To investigate the glycaemic and insulinaemic response of clinically normal Quarter Horses to concentrates high in fat and low in starch. Methods: Twelve Quarter Horses were studied. The precondition for inclusion in the study population was that the horses had not shown clinical signs of myopathy. The Quarter Horses were fed according to a 4 x 4 Latin square design haylag...
Marland A, Sarkar P, Leavitt R.Tenoxicam (Mobiflex) was administered orally to four standardbred mares at a dose of 200 mg. Elimination profiles of tenoxicam and hydroxytenoxicam were generated based on quantitation of these analytes in urine and serum by liquid chromatography (LC) with ultraviolet detection. Tenoxicam was confirmed by LC-tandem mass spectrometry daughter ion mass spectra in the last postadministration sample in which tenoxicam was detected. The tenoxicam and hydroxytenoxicam urinary elimination profiles had the same shape for the same horse; however, each horse was significantly different from the others. ...
Butudom P, Foreman JH, Kline KH, Whittem EL.Some methods of lactate (LA) measurement have not been validated appropriately for use in horses. Objective: To validate 2 LA analysers (YSI 2300 Stat Plus and TDx Lactic Acid Assay) for use with equine plasma and to compare plasma [LA] determined by the 2 methods. Methods: Both instruments were evaluated for linearity, parallelism, recovery and precision using serial dilutions of standard LA solutions and equine plasma and then comparing results with linear regression or paired t tests. Plasma [LA] results were compared in 275 blood samples collected from horses exercising at various intensit...
Asin J, Murphy BG, Samol MA, Polanco J, Moore JD, Uzal FA.Rickets is a metabolic bone disease associated with failure of endochondral ossification and impaired osteoid mineralization in growing animals. As a consequence, affected individuals can develop gross and microscopic bone malformations. The most common causes of rickets in domestic species include vitamin D and phosphorus deficiency. Rickets has been described in multiple species; however, comprehensive postmortem characterizations with confirmatory histopathology in equids have not been published. A 6-mo-old, Thoroughbred-cross foal was diagnosed with rickets based on gross autopsy findings ...
Gee EK, Grace ND, Firth EC, Fennessy PF.To monitor the change in liver copper concentration of Thoroughbred foals from birth to 160 days of age and to determine the effects of supplementation by two injections of copper edetate given to dams in late gestation on the liver copper concentration of their foals at birth. Methods: Ten mares pregnant to the same stallion were randomised into two groups on the basis of age, liver copper concentration and expected foaling date. The treatment group mares were given 100 mg and 250 mg copper edetate intramuscularly during the ninth and tenth months of gestation respectively. Foals had liver bi...