Analyze Diet

Topic:Obesity

Obesity in horses is a condition characterized by excessive body fat accumulation that can negatively impact equine health and performance. It is often the result of an imbalance between energy intake and expenditure, influenced by factors such as diet, exercise, and metabolism. Obesity in horses can lead to various health issues, including insulin resistance, laminitis, and other metabolic disorders. Body condition scoring and other assessment tools are used to evaluate and monitor body fat levels in horses. This page compiles peer-reviewed research studies and scholarly articles that explore the causes, effects, and management of obesity in equine populations.
Novel lipoprotein density profiling in laminitic, obese, and healthy horses.
Domestic animal endocrinology    January 18, 2019   Volume 68 92-99 doi: 10.1016/j.domaniend.2018.11.003
Coleman MC, Walzem RL, Kieffer AJ, Minamoto T, Suchodolski J, Cohen ND.Lipoproteins are water-miscible macromolecules enabling the transport of lipids in blood. In humans, altered proportions of lipoproteins are used to detect and classify metabolic diseases. Obesity and obesity-related comorbidities are common in horses. The pathophysiology of obesity is poorly understood and likely multifactorial. Development of new diagnostic tests to identify horses at risk of developing obesity to implement preventative measures is critical; however, a necessary first step to accomplish this goal is to improve our understanding of the pathophysiology of disease. Thus, the ob...
The Equine Gastrointestinal Microbiome: Impacts of Age and Obesity.
Frontiers in microbiology    December 7, 2018   Volume 9 3017 doi: 10.3389/fmicb.2018.03017
Morrison PK, Newbold CJ, Jones E, Worgan HJ, Grove-White DH, Dugdale AH, Barfoot C, Harris PA, Argo CM.Gastrointestinal microbial communities are increasingly being implicated in host susceptibilities to nutritional/metabolic diseases; such conditions are more prevalent in obese and/or older horses. This controlled study evaluated associations between host-phenotype and the fecal microbiome / metabolome. Thirty-five, Welsh Mountain pony mares were studied across 2 years (Controls, = 6/year, 5-15 years, Body Condition Score (BCS) 4.5-6/9; Obese, = 6/year, 5-15 years, BCS > 7/9; Aged, = 6 Year 1; = 5 Year 2, ≥19 years old). Animals were individually fed the same hay to maintenance (2% bo...
Influence of dietary restriction and low-intensity exercise on weight loss and insulin sensitivity in obese equids.
Journal of veterinary internal medicine    December 5, 2018   Volume 33, Issue 1 280-286 doi: 10.1111/jvim.15374
Bamford NJ, Potter SJ, Baskerville CL, Harris PA, Bailey SR.The importance of including exercise with dietary modification for the management of obese equids is not clearly understood. Objective: To evaluate the effect of a practical low-intensity exercise regimen, in addition to dietary restriction, on indices of insulin sensitivity (SI) and plasma adipokine concentrations in obese equids. Methods: Twenty-four obese (body condition score [BCS] ≥ 7/9) horses and ponies. Methods: Over a 12-week period, animals received either dietary restriction only (DIET) or dietary restriction plus low-intensity exercise (DIET+EX). All animals were provided wit...
Microbiome and Blood Analyte Differences Point to Community and Metabolic Signatures in Lean and Obese Horses.
Frontiers in veterinary science    September 20, 2018   Volume 5 225 doi: 10.3389/fvets.2018.00225
Biddle AS, Tomb JF, Fan Z.Due to modern management practices and the availability of energy dense feeds, obesity is a serious and increasingly common health problem for horses. Equine obesity is linked to insulin resistance and exacerbation of inflammatory issues such as osteoarthritis and laminitis. While the gut microbiome is thought to play a part in metabolic status in horses, bacterial communities associated with obesity have yet to be described. Here we report differences in metabolic factors in the blood of obese, normal and lean horses correlated with differences in gut microbiome composition. We report that ob...
Case-control study of risk factors for pasture-and endocrinopathy-associated laminitis in North American horses.
Journal of the American Veterinary Medical Association    July 31, 2018   Volume 253, Issue 4 470-478 doi: 10.2460/javma.253.4.470
Coleman MC, Belknap JK, Eades SC, Galantino-Homer HL, Hunt RJ, Geor RJ, McCue ME, McIlwraith CW, Moore RM, Peroni JF, Townsend HG, White NA....OBJECTIVE To investigate risk factors for the development of pasture- and endocrinopathy-associated laminitis (PEAL) in horses and ponies in North America. DESIGN Case-control study. ANIMALS 199 horses with incident cases of PEAL and 351 horses from 2 control populations (healthy horses [n = 198] and horses with lameness not caused by laminitis [153]) that were evaluated in North America between January 2012 and December 2015 by veterinarian members of the American Association of Equine Practitioners. PROCEDURES North American members of the American Association of Equine Practitioners were co...
Use of principle component analysis to quantitatively score the equine metabolic syndrome phenotype in an Arabian horse population.
PloS one    July 12, 2018   Volume 13, Issue 7 e0200583 doi: 10.1371/journal.pone.0200583
Lewis SL, Holl HM, Long MT, Mallicote MF, Brooks SA.Equine metabolic syndrome (EMS), like human metabolic syndrome, comprises a collection of clinical signs related to obesity, insulin dysregulation and susceptibility to secondary inflammatory disease. Although the secondary conditions resulting from EMS can be life-threatening, diagnosis is not straightforward and often complicated by the presence of other concurrent conditions like pituitary pars intermedia dysfunction (PPID). In order to better characterize EMS, we sought to describe the variation within, and correlations between, typical physical and endocrine parameters for EMS. Utilizing ...
Combination of resveratrol and 5-azacytydine improves osteogenesis of metabolic syndrome mesenchymal stem cells.
Journal of cellular and molecular medicine    July 12, 2018   Volume 22, Issue 10 4771-4793 doi: 10.1111/jcmm.13731
Marycz K, Kornicka K, Irwin-Houston JM, Weiss C.Endocrine disorders have become more and more frequently diagnosed in humans and animals. In horses, equine metabolic syndrome (EMS) is characterized by insulin resistance, hyperleptinemia, hyperinsulinemia, inflammation and usually by pathological obesity. Due to an increased inflammatory response in the adipose tissue, cytophysiological properties of adipose derived stem cells (ASC) have been impaired, which strongly limits their therapeutic potential. Excessive accumulation of reactive oxygen species, mitochondria deterioration and accelerated ageing of those cells affect their multipotency...
Evaluation of Oxidative Stress and Mitophagy during Adipogenic Differentiation of Adipose-Derived Stem Cells Isolated from Equine Metabolic Syndrome (EMS) Horses.
Stem cells international    June 6, 2018   Volume 2018 5340756 doi: 10.1155/2018/5340756
Marycz K, Weiss C, Åšmieszek A, Kornicka K.Mesenchymal stem cells (MSCs) are frequently used in both human and veterinary medicine because their unique properties, such as modulating the immune response and differentiating into multiple lineages, make them a valuable tool in cell-based therapies. However, many studies have indicated the age-, lifestyle-, and disease-related deterioration of MSC regenerative characteristics. However, it still needs to be elucidated how the patient's health status affects the effectiveness of MSC differentiation. In the present study, we isolated mesenchymal stem cells from adipose tissue (adipose-derive...
Obesity in mares promotes uterine inflammation and alters embryo lipid fingerprints and homeostasis.
Biology of reproduction    May 10, 2018   Volume 99, Issue 4 761-772 doi: 10.1093/biolre/ioy107
Sessions-Bresnahan DR, Heuberger AL, Carnevale EM.Maternal body composition can be an important determinant for development of obesity and metabolic syndrome in adult offspring. Obesity-related outcomes in offspring may include epigenetic alterations; however, mechanisms of fetal programming remain to be fully elucidated. This study was conducted to determine the impact of maternal obesity in the absence of a high fat diet on equine endometrium and preimplantation embryos. Embryos were collected from normal and obese mares at 8 and 16 days and a uterine biopsy at 16 days (0 day = ovulation). With the exception of 8 day embryos, each sample ...
Exploring relationships between body condition score, body fat, activity level and inflammatory biomarkers.
Journal of animal physiology and animal nutrition    April 29, 2018   Volume 102, Issue 4 1062-1068 doi: 10.1111/jpn.12893
Pearson W, Wood K, Stanley S, MacNicol J.Obesity is associated with inflammatory disorders in humans, including degenerative joint disease. While obesity is endemic in horses, its relationship to equine degenerative joint disease has not been explored. The current study sought to describe relationships between: body weight (BW), body condition score (BCS), lameness grade (AAEP), total body fat mass (kg; FM) and fat per cent (FP) [multifrequency bioelectrical impedance analysis (mfBIA)], age, gender, activity level (AL), synovial fluid (SF) and plasma (PL) PGE and glycosaminoglycan (GAG) in horses. During this field investigation, the...
Humoral and cell-mediated immune responses to influenza vaccination in equine metabolic syndrome (EMS) horses.
Veterinary immunology and immunopathology    March 23, 2018   Volume 199 32-38 doi: 10.1016/j.vetimm.2018.03.009
Elzinga S, Reedy S, Barker VD, Chambers TM, Adams AA.Obesity is an increasing problem in the equine population with recent reports indicating that the percentage of overweight horses may range anywhere from 20.6-51%. Obesity in horses has been linked to more serious health concerns such as equine metabolic syndrome (EMS). EMS is a serious problem in the equine industry given its defining characteristics of insulin dysregualtion and obesity, as well as the involvement of laminitis. Little research however has been conducted to determine the effects of EMS on routine healthcare of these horses, in particular how they respond to vaccination. It has...
Metabolic perturbations in Welsh Ponies with insulin dysregulation, obesity, and laminitis.
Journal of veterinary internal medicine    March 23, 2018   Volume 32, Issue 3 1215-1233 doi: 10.1111/jvim.15095
Jacob SI, Murray KJ, Rendahl AK, Geor RJ, Schultz NE, McCue ME.Metabolomics, the study of small-molecule metabolites, has increased understanding of human metabolic diseases, but has not been used to study equine metabolic syndrome (EMS). Objective: (1) To examine the serum metabolome of Welsh Ponies with and without insulin dysregulation before and during an oral sugar test (OST). (2) To identify differences in metabolites in ponies with insulin dysregulation, obesity, or history of laminitis. Methods: Twenty Welsh Ponies (mean ± SD; 13.8 ± 9.0 years) classified as non-insulin dysregulated [CON] (n = 10, insulin  60 mU/L) at 75 minutes ...
Characterization of the Prevalence and Management of Over-Conditioned Ponies and Horses in Maryland.
Journal of equine veterinary science    February 28, 2018   Volume 68 26-32 doi: 10.1016/j.jevs.2018.02.007
Jaqueth AL, Iwaniuk ME, Burk AO.It has been estimated in the United States and abroad that 20%-51% of the equine population suffers from over-conditioning or obesity. The objective of this study was to evaluate the prevalence of over-conditioning in the equine population in Maryland, to characterize weight control measures used, and to ascertain how control measures impact the operation. Over-conditioning was defined as a body condition score of 4 or 5 on a 5-point scale. All licensed horse operators in Maryland were invited to participate in an online survey. A total of 93 farm operators completed the survey with 238 ponies...
Mouldable, thermoplastic, glue-on frog-supportive shoes change hoof kinetics in normal and obese Shetland ponies.
Equine veterinary journal    February 12, 2018   Volume 50, Issue 5 684-689 doi: 10.1111/evj.12814
Sleutjens J, Serra Bragança FM, van Empelen MW, Ten Have RE, de Zwaan J, Roelfsema E, Oosterlinck M, Back W.Obesity and hyperinsulinaemia are frequently encountered in the equine population and risk factors for the development of laminitis. There are many options for hoof support that claim a beneficial effect, but often the scientific evidence is scarce. Objective: To quantify the effect of frog-supportive shoes on hoof kinetics in normal and obese ponies. Methods: Controlled in vivo trial. Methods: Ten Shetland mares (n = 10) with a normal (n = 5) or obese (n = 5) body condition were led over a dynamically calibrated pressure plate before (T0), immediately after (T1) and 72 h (T2) after ap...
Advanced nutritional and stem cells approaches to prevent equine metabolic syndrome.
Research in veterinary science    January 31, 2018   Volume 118 115-125 doi: 10.1016/j.rvsc.2018.01.015
Marycz K, Michalak I, Kornicka K.Horses metabolic disorders have become an important problem of modern veterinary medicine. Pathological obesity, insulin resistance and predisposition toward laminitis are associated with Equine Metabolic Syndrome (EMS). Based on pathogenesis of EMS, dietary and cell therapy management may significantly reduce development of this disorder. Special attention has been paid to the diet supplementation with highly bioavailable minerals and mesenchymal stem cells (MSC) which increase insulin sensitivity. In nutrition, there is a great interests in natural algae enriched via biosorption process with...
Maternal obesity increases insulin resistance, low-grade inflammation and osteochondrosis lesions in foals and yearlings until 18 months of age.
PloS one    January 26, 2018   Volume 13, Issue 1 e0190309 doi: 10.1371/journal.pone.0190309
Robles M, Nouveau E, Gautier C, Mendoza L, Dubois C, Dahirel M, Lagofun B, Aubrière MC, Lejeune JP, Caudron I, Guenon I, Viguié C, Wimel L....Obesity is a growing concern in horses. The effects of maternal obesity on maternal metabolism and low-grade inflammation during pregnancy, as well as offspring growth, metabolism, low-grade inflammation, testicular maturation and osteochondrotic lesions until 18 months of age were investigated. Twenty-four mares were used and separated into two groups at insemination according to body condition score (BCS): Normal (N, n = 10, BCS ≤4) and Obese (O, n = 14, BCS ≥4.25). BCS and plasma glucose, insulin, triglyceride, urea, non-esterified fatty acid, serum amyloid A (SAA), leptin and adiponect...
Excessive Endoplasmic Reticulum Stress Correlates with Impaired Mitochondrial Dynamics, Mitophagy and Apoptosis, in Liver and Adipose Tissue, but Not in Muscles in EMS Horses.
International journal of molecular sciences    January 6, 2018   Volume 19, Issue 1 165 doi: 10.3390/ijms19010165
Marycz K, Kornicka K, Szlapka-Kosarzewska J, Weiss C.Nowadays, endocrine disorders have become more frequent in both human and veterinary medicine. In horses, reduced physical activity combined with carbohydrate and sugar overload may result in the development of the so-called equine metabolic syndrome (EMS). EMS is characterized by insulin resistance, hyperinsulinemia, elevated blood triglyceride concentrations and usually obesity. Although the phenotypic features of EMS individuals are well known, the molecular mechanism underlying disease development remains elusive. Therefore, in the present study, we analyzed insulin-sensitive tissues, i.e....
Ultrasonographic measurements of localized fat accumulation in Shetland pony mares fed a normal v. a high energy diet for 2 years.
Animal : an international journal of animal bioscience    December 4, 2017   Volume 12, Issue 8 1602-1610 doi: 10.1017/S1751731117003251
Siegers EW, de Ruijter-Villani M, van Doorn DA, Stout TAE, Roelfsema E.Health risks associated with obesity are more likely a factor of the localization of fat excess, rather than of elevated BW per se. The aim of this randomized controlled clinical trial was to determine the effect of a long-term high energy diet on BW, fat accumulation and localization. Eight Shetland pony mares, 3 to 7 years old, were randomly divided into a control and a high energy (HE) diet group fed either maintenance or double maintenance energy requirements (200% net energy (NE)) for two consecutive summers, with a low energy diet in the winter in between. Body condition score (BCS) did ...
Determination of lipid profiles in serum of obese ponies before and after weight reduction by using multi-one-dimensional thin-layer chromatography.
Research in veterinary science    November 21, 2017   Volume 117 111-117 doi: 10.1016/j.rvsc.2017.11.013
Auyyuenyong R, Henze A, Ungru J, Schweigert FJ, Raila J, Vervuert I.Obesity is a key component of equine metabolic syndrome, which is highly associated with laminitis. Feed restriction and/or exercise are known to alleviate the detrimental effects of insulin resistance in obese ponies. However, little is known about changes in the serum lipid patterns due to weight reduction and its association with disease outcomes. Therefore, the lipid patterns in the serum of 14 mature ponies before and after a 14-week body weight reduction program (BWRP) were investigated by multi-one-dimensional thin-layer chromatography (MOD-TLC). Additionally, sensitivity to insulin (SI...
Evaluation of oral sugar test response for detection of equine metabolic syndrome in obese Crioulo horses.
Domestic animal endocrinology    October 31, 2017   Volume 63 31-37 doi: 10.1016/j.domaniend.2017.10.006
Cantarelli C, Dau SL, Stefanello S, Azevedo MS, De Bastiani GR, Palma HE, Brass KE, De La Côrte FD.Owing to the high prevalence of obesity in Crioulo horses, information allowing early diagnosis of equine metabolic syndrome (EMS) and prevention of the associated laminitis is of great value. The aim of this study was to evaluate the occurrence of EMS and the response to an oral sugar test (OST) in obese Crioulo horses. Twenty-two Crioulo horses were allocated into 3 groups according to their body condition score (BCS out of 9) and presence or absence of laminitis as follows: CON (6/22), BCS < 7; OB (8/22), BCS ≥ 7; and LAM (8/22), BCS ≥7 with clinical and/or radiographic signs of lam...
Prevalence of obesity in the equine population of Saskatoon and surrounding area.
The Canadian veterinary journal = La revue veterinaire canadienne    September 8, 2017   Volume 58, Issue 9 967-970 
Kosolofski HR, Gow SP, Robinson KA.A retrospective study determined the prevalence of obesity and over-conditioning in horses in Saskatoon, Saskatchewan. Body condition score (BSC) was assessed for 290 horses from the Field Service practice at the Western College of Veterinary Medicine. The median BSC of horses was 6; however, 59 (20.3%) horses were classified as over-conditioned, and 24 (8.3%) as obese. Une étude rétrospective a déterminé la prévalence de l’obésité et du surconditionnement des chevaux à Saskatoon, en Saskatchewan. La note d’état corporel (NEC) a été évaluée pour 290 chevaux à la pratique sur...
The equine glucose-dependent insulinotropic polypeptide receptor: A potential therapeutic target for insulin dysregulation.
Journal of animal science    July 21, 2017   Volume 95, Issue 6 2509-2516 doi: 10.2527/jas.2017.1468
Kheder MH, Sillence MN, Bryant LM, de Laat MA.Metabolic disease is a significant problem that causes a range of species-specific comorbidities. Recently, a better understanding of glucose-dependent insulinotropic polypeptide (GIP) biology has led to the suggestion that inhibiting its action may attenuate obesity in several species. In horses, antagonism of GIP may also reduce hyperinsulinemia, which leads to insulin-associated laminitis, a painful comorbidity unique to this species. However, little is known about GIP in horses. The aims of this study were to examine the tissue distribution of equine GIP receptors (eGIPR), to determine whe...
Beyond scoring systems: usefulness of morphometry considering demographic variables, to evaluate neck and overall obesity in Andalusian horses.
Animal : an international journal of animal bioscience    July 17, 2017   Volume 12, Issue 3 597-605 doi: 10.1017/S1751731117001628
Martin-Gimenez T, Aguirre-Pascasio CN, de Blas I.Morphometry has proven to be a useful tool, both for the clinician and horse owners, for evaluating the body condition in equids due to its objectivity, easiness and capacity for detection of important metabolic disturbances. However, limited information is available on the use of morphometric ratios to characterize regional and overall adiposity and much less about their application in different genders, ages and horses with different levels of obesity. The objectives were to evaluate body and neck absolute measurements and ratios; factors affecting them such as the influence of gender, age, ...
Science-in-brief: Clinical highlights from 50th Congress of the South African Equine Veterinary Association 2017.
Equine veterinary journal    April 8, 2017   Volume 49, Issue 3 266-268 doi: 10.1111/evj.12678
Miller SM, Spargo KE.No abstract available
Genomewide association study reveals a risk locus for equine metabolic syndrome in the Arabian horse.
Journal of animal science    April 6, 2017   Volume 95, Issue 3 1071-1079 doi: 10.2527/jas.2016.1221
Lewis SL, Holl HM, Streeter C, Posbergh C, Schanbacher BJ, Place NJ, Mallicote MF, Long MT, Brooks SA.Equine obesity can cause life-threatening secondary chronic conditions, similar to those in humans and other animal species. Equine metabolic syndrome (EMS), primarily characterized by hyperinsulinemia, is often present in obese horses and ponies. Due to clinical similarities to conditions such as pituitary pars intermedia dysfunction (formerly equine Cushing's disease), conclusive diagnosis of EMS often proves challenging. Aside from changes in diet and exercise, few targeted treatments are available for EMS, emphasizing the need for early identification of at-risk individuals to enable imple...
EQUIFAT: A novel scoring system for the semi-quantitative evaluation of regional adipose tissues in Equidae.
PloS one    March 15, 2017   Volume 12, Issue 3 e0173753 doi: 10.1371/journal.pone.0173753
Morrison PK, Harris PA, Maltin CA, Grove-White D, Argo CM.Anatomically distinct adipose tissues represent variable risks to metabolic health in man and some other mammals. Quantitative-imaging of internal adipose depots is problematic in large animals and associations between regional adiposity and health are poorly understood. This study aimed to develop and test a semi-quantitative system (EQUIFAT) which could be applied to regional adipose tissues. Anatomically-defined, photographic images of adipose depots (omental, mesenteric, epicardial, rump) were collected from 38 animals immediately post-mortem. Images were ranked and depot-specific descript...
Lamellar events related to insulin-like growth factor-1 receptor signalling in two models relevant to endocrinopathic laminitis.
Equine veterinary journal    March 2, 2017   Volume 49, Issue 5 643-654 doi: 10.1111/evj.12663
Lane HE, Burns TA, Hegedus OC, Watts MR, Weber PS, Woltman KA, Geor RJ, McCutcheon LJ, Eades SC, Mathes LE, Belknap JK.Insulin dysregulation, obesity, and exposure to high-nonstructural carbohydrate (NSC) forage are risk factors for equine metabolic syndrome-associated laminitis (EMSAL); high systemic insulin concentrations in EMSAL are proposed to induce cellular dysregulation in the digital lamellae through activation of the insulin-like growth factor-1 receptor. Objective: To use a dietary challenge model (DCM) and a euglycaemic-hyperinsulinaemic clamp (EHC) model to assess lamellar growth factor-related signalling. Methods: Lamellar phospho (P)-protein concentrations of signalling proteins important in gro...
The effect of mare obesity and endocrine function on foal birthweight in Thoroughbreds.
Equine veterinary journal    December 21, 2016   Volume 49, Issue 4 461-466 doi: 10.1111/evj.12645
Smith S, Marr CM, Dunnett C, Menzies-Gow NJ.Birthweight of Thoroughbred foals has increased in recent years. It is unknown whether this is associated with increased broodmare obesity or endocrine dysfunction. Objective: To determine insulin, leptin and triglyceride concentrations in Thoroughbred mares throughout gestation and investigate their association with obesity and foal birthweight. Methods: Cohort study. Methods: A total of 66 mares were included from 40 days post-breeding. Body condition score (BCS), weight and blood samples were obtained every 60 days throughout gestation. Serum/plasma insulin, leptin and triglyceride concentr...
Macroautophagy and Selective Mitophagy Ameliorate Chondrogenic Differentiation Potential in Adipose Stem Cells of Equine Metabolic Syndrome: New Findings in the Field of Progenitor Cells Differentiation.
Oxidative medicine and cellular longevity    December 8, 2016   Volume 2016 3718468 doi: 10.1155/2016/3718468
Marycz K, Kornicka K, Grzesiak J, Śmieszek A, Szłapka J.Equine metabolic syndrome (EMS) is mainly characterized by insulin resistance, obesity, and local or systemic inflammation. That unfriendly environment of adipose tissue has huge impact on stem cells population (ASC) residing within. In the present study, using molecular biology techniques and multiple imaging techniques (SEM, FIB-SEM, and confocal microscopy), we evaluated the impact of EMS on ASC viability and chondrogenic differentiation. Moreover, we visualized the mitochondrial network and dynamics in ASC and ASC during control and chondrogenic conditions. In control conditions, ASC were ...
Plasma insulin concentration increases linearly with body condition in Icelandic horses.
Acta veterinaria Scandinavica    November 9, 2016   Volume 58, Issue 1 76 doi: 10.1186/s13028-016-0258-8
Jansson A, Stéfansdóttir GJ, Ragnarsson S.This study investigated the variation in plasma insulin concentration (PIC) in a group of Icelandic horses in training, considered to be healthy and examined possible relationships between PIC and gender, age, body size, body condition score and management factors such as feed allowance and subjective level of fitness. Results: Plasma insulin concentration ranged from 0.2 to 13.9 mU/l, body condition score from 2.3 to 4.0 and concentrate allowance from 0 to 4 kg. There was a significant effect of concentrate allowance (P = 0.0007) and body condition score (P = 0.004) on PIC. For every 1Â...
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