Analyze Diet

Topic:Pasture

Pasture and horses involve the study and management of grazing environments and their impact on equine health, nutrition, and behavior. Pastures serve as a primary source of forage, providing essential nutrients and contributing to the overall well-being of horses. Factors such as pasture composition, quality, and management practices influence the nutritional intake and health of grazing horses. Research in this area often focuses on optimizing pasture conditions to support equine dietary needs, prevent overgrazing, and manage pasture-related health issues such as laminitis. This page compiles peer-reviewed research studies and scholarly articles that explore the relationship between pasture management and equine health, including topics on forage quality, grazing behavior, and pasture maintenance strategies.
Pathological changes seen in horses in New Zealand grazing Mediterranean tall fescue (Lolium arundinaceum) infected with selected endophytes (Epichloë coenophiala) causing equine fescue oedema.
New Zealand veterinary journal    November 6, 2016   Volume 65, Issue 3 147-151 doi: 10.1080/00480169.2016.1248516
Munday JS, Finch SC, Vlaming JB, Sutherland BL, Fletcher LR.To investigate whether Mediterranean tall fescue (Lolium arundinaceum (Schreb.) Darbysh. (syn Festuca arundinacea)) infected with selected fungal endophytes (Epichloë coenophiala (formerly Neotyphodium coenophialum)) caused equine fescue oedema when grown in New Zealand, and to examine the pathological changes associated with this intoxication. Methods: Horses were grazed on Mediterranean tall fescue that was infected with the endophytes AR542 (n=2), or AR584 (n=3), or Mediterranean tall fescue that was endophyte-free (n=2). Blood samples were taken up to 7 days after the start of feeding to ...
Prospective cohort study evaluating risk factors for the development of pasture-associated laminitis in the United Kingdom.
Equine veterinary journal    August 25, 2016   Volume 49, Issue 3 300-306 doi: 10.1111/evj.12606
Menzies-Gow NJ, Harris PA, Elliott J.Certain individuals appear to be predisposed to recurrent pasture-associated laminitis. Previous studies have predominantly investigated risk factors only after disease occurrence. Objective: To investigate risk factors for pasture-associated laminitis prior to disease occurrence. Methods: Prospective cohort study. Methods: Non-laminitic ponies aged ≥7 years were recruited. Body condition score (BCS), height, weight, crest height and thickness were measured and an overnight dexamethasone suppression test performed. Plasma or serum adiponectin, leptin, triglyceride, basal insulin, insulin pos...
Acquired multiple acyl-CoA dehydrogenase deficiency and marked selenium deficiency causing severe rhabdomyolysis in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    November 6, 2015   Volume 56, Issue 11 1166-1171 
Gomez DE, Valberg SJ, Magdesian KG, Hanna PE, Lofstedt J.This report describes a case of severe rhabdomyolysis in a pregnant mare associated with histopathologic and biochemical features of both selenium deficiency and acquired multiple acyl-CoA dehydrogenase deficiency (MADD) due to seasonal pasture myopathy (SPM). This case highlights the importance of assessing plasma selenium levels in horses with clinical signs of pasture myopathy as this deficiency may be a contributing or exacerbating factor. Déficience multiple acquise de déshydrogénase acyl-CoA et carence en sélénium marquée causant une rhabdomyolyse grave chez un cheval. Ce rapport d...
[Yellow oat grass intoxication in horses: Pitfalls by producing hay from extensive landscapes? A case report].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    September 8, 2015   Volume 43, Issue 5 296-304 doi: 10.15653/TPG-150106
Bockisch F, Aboling S, Coenen M, Vervuert I.Vitamin-D intoxication by yellow oat grass is often reported under the syndrome of enzootic calcinosis in ruminants in the upper regions of the Alps. The intake of Trisetum flavescens in ruminants and horses induces calcification of soft tissue, including vessels, tendons and ligaments, lung, heart and kidneys. Clinical symptoms, including a reluctance to move, inappetence, body-weight loss and impaired organ function, are frequently observed. To date, there are only a very few case reports about yellow-oat-grass intoxication in horses. The present case report describes Vitamin-D intoxication ...
Occurrence of Hippobosca equina in Polish primitive horses during the grazing season.
Annals of parasitology    September 8, 2015   Volume 61, Issue 2 119-124 
Sokół R, Michalski MM.The presence of Hippobosca equina strongly influences the behaviour and health status of horses. The aim of the study was to analyse the invasion dynamics of the forest fly in Polish primitive horses (Equus caballus gmelini) in the Popielno Forest Reserve (northeastern Poland). Observations were carried out from May to September, every two weeks for two consecutive years (2012 and 2013) in five study groups: in 11-12-year-old mares with foals, 6-7-year-old leading stallions, 1.5-year-old fillies, 1.5-year-old colts and 9-10-year-old working geldings. Adult H. equina were counted in the preferr...
Assessing the seasonal prevalence and risk factors for nuchal crest adiposity in domestic horses and ponies using the Cresty Neck Score.
BMC veterinary research    January 31, 2015   Volume 11 13 doi: 10.1186/s12917-015-0327-7
Giles SL, Nicol CJ, Rands SA, Harris PA.Nuchal crest adiposity in horses and ponies has been associated with an enhanced risk of metabolic health problems. However, there is no current information on the prevalence of, and risk factors specific to, nuchal crest adiposity in horses and ponies. In addition, the cresty neck score has not previously been utilised across different seasons within a UK leisure population, it is not know whether nuchal crest adiposity shows the same seasonal trends as general obesity. Results: A Cresty Neck Score (CNS, 0-5) was given to 96 horses with access to pasture (>6 h per day) at the end of winter a...
A field investigation into a suspected outbreak of pyrrolizidine alkaloid toxicosis in horses in western Queensland.
Preventive veterinary medicine    January 9, 2015   Volume 118, Issue 4 378-386 doi: 10.1016/j.prevetmed.2014.12.019
Robinson B, Gummow B.A disease outbreak investigation was conducted in western Queensland to investigate a rare suspected outbreak of pyrrolizidine alkaloid (PA) toxicosis in horses. Thirty five of 132 horses depastured on five properties on the Mitchell grass plains of western Queensland died in the first six months of 2010. Clinical-pathological findings were consistent with PA toxicosis. A local variety of Crotalaria medicaginea was the only hepatotoxic plant found growing on affected properties. Pathology reports and departure and arrival dates of two brood mares provided evidence of a pre wet season exposure ...
Effects of daily pyrantel tartrate on strongylid population dynamics and performance parameters of young horses repeatedly infected with cyathostomins and Strongylus vulgaris.
Veterinary parasitology    May 27, 2014   Volume 204, Issue 3-4 229-237 doi: 10.1016/j.vetpar.2014.05.034
Reinemeyer CR, Prado JC, Andersen UV, Nielsen MK, Schricker B, Kennedy T.Strongylid infections are ubiquitous in grazing horse populations. Infections with cyathostomin (small strongyle) and strongylin (large strongyle) nematodes have long been associated with clinical disease in horses, but little is known about their subclinical impact. A masked, randomized, controlled study was conducted to evaluate the effects of daily administration of pyrantel tartrate on body condition scores, weight gain, fecal egg counts, and total worm counts of young horses repeatedly inoculated with strongylid larvae. Twenty eight immature horses were treated with larvicidal anthelminti...
Obesity prevalence and associated risk factors in outdoor living domestic horses and ponies.
PeerJ    March 20, 2014   Volume 2 e299 doi: 10.7717/peerj.299
Giles SL, Rands SA, Nicol CJ, Harris PA.Reasons for performing study. The prevalence of obesity in companion animals, including horses and ponies has risen drastically in recent years and risk factors have been little investigated. Horses are unique amongst companion animals in that many are outdoor-living and forage independently on pasture; they also have a dual utility and companionship role. The body condition of wild and free-living equines is known to vary seasonally, yet previous estimates of the prevalence of obesity and associated risk factors in domestic animals do not consider this. Most previous studies were conducted du...
Equine grazing in managed subalpine wetlands: effects on arthropods and plant structure as a function of habitat.
Environmental management    September 3, 2013   Volume 52, Issue 6 1474-1486 doi: 10.1007/s00267-013-0154-1
Holmquist JG, Schmidt-Gengenbach J, Haultain SA.Grazing management necessarily emphasizes the most spatially extensive vegetation assemblages, but landscapes are mosaics, often with more mesic vegetation types embedded within a matrix of drier vegetation. Our primary objective was to contrast effects of equine grazing on both subalpine vegetation structure and associated arthropods in a drier reed grass (Calamagrostis muiriana) dominated habitat versus a wetter, more productive sedge habitat (Carex utriculata). A second objective was to compare reed grass and sedge as habitats for fauna, irrespective of grazing. All work was done in Sequoia...
[Nutritional laminitis–preventive measures for the obese horse].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    August 21, 2013   Volume 41, Issue 4 257-265 
Kienzle E, Fritz J.Nutrition-induced laminitis is often caused by i) fermentation of large amounts of carbohydrates in the hindgut (usually fructans from grass or starch from cereals), which cause the release and absorption of microbial toxins and ii) insulin resistance induced by being overweight (equine metabolic syndrome). Both causes can act together. Overweight horses with a history of laminitis need to reduce body weight to prevent further incidences of laminitis. Weight reduction occurs normally on a diet of late-cut hay, a hay-straw mixture (maximally one third straw to prevent constipation) or grass see...
Epidemiology of intoxication of domestic animals by plants in Europe.
Veterinary journal (London, England : 1997)    April 6, 2013   Volume 197, Issue 2 163-168 doi: 10.1016/j.tvjl.2013.03.007
Cortinovis C, Caloni F.This review focuses on some of the most important poisonous plants in Europe and provides an overview of the poisoning episodes that have occurred in European countries. Poisoning of livestock and companion animals by plants is a relatively common occurrence. In Europe livestock and horses are commonly poisoned by Datura stramonium (Jimson weed), Senecio spp. (ragworts and groundsels), Quercus spp. (oak), Taxus baccata (European yew), Nerium oleander (oleander), Pteridium aquilinum (bracken fern), Robinia pseudoacacia (black locust) and Rhododendron spp. (rhododendrons and azaleas). Poisoning ...
Seasonal pasture myopathy/atypical myopathy in North America associated with ingestion of hypoglycin A within seeds of the box elder tree.
Equine veterinary journal    November 20, 2012   Volume 45, Issue 4 419-426 doi: 10.1111/j.2042-3306.2012.00684.x
Valberg SJ, Sponseller BT, Hegeman AD, Earing J, Bender JB, Martinson KL, Patterson SE, Sweetman L.We hypothesised that seasonal pasture myopathy (SPM), which closely resembles atypical myopathy (AM), was caused by ingestion of a seed-bearing plant abundant in autumn pastures. Objective: To identify a common seed-bearing plant among autumn pastures of horses with SPM, and to determine whether the toxic amino acid hypoglycin A was present in the seeds and whether hypoglycin metabolites were present in SPM horse serum or urine. Methods: Twelve SPM cases, 11 SPM pastures and 23 control farms were visited to identify a plant common to all SPM farms in autumn. A common seed was analysed for amin...
A survey on the feeding of eventing horses during competition.
Journal of animal physiology and animal nutrition    July 19, 2012   Volume 96, Issue 5 878-884 doi: 10.1111/j.1439-0396.2012.01324.x
Brunner J, Wichert B, Burger D, von Peinen K, Liesegang A.This study aims at the comparison of the actual feeding of horses with the recommendations from the literature, and it studies the effects of feeding and exercise on several blood metabolic parameters before and after exercise. Blood samples were collected from 25 horses during one-star eventing competitions and evaluated for blood glucose, insulin, lactate, free fatty acids and triglyceride levels. Questionnaires on the feeding practices of the horses were evaluated. The questionnaires revealed that during training, and on tournament days, horses received on average 4.3 kg of concentrate per ...
Poisoning by Indigofera lespedezioides in horses.
Toxicon : official journal of the International Society on Toxinology    April 25, 2012   Volume 60, Issue 3 324-328 doi: 10.1016/j.toxicon.2012.04.341
Lima EF, Riet-Correa F, Gardner DR, Barros SS, Medeiros RM, Soares MP, Riet-Correa G.Poisoning by Indigofera lespedezioides is reported in horses in the state of Roraima, northern Brazil. The main clinical signs are anorexia, sleepiness, unsteady gait, severe ataxia, weakness, stumbling, and progressive weight loss. To induce the disease experimentally, a 7-year-old horse was introduced in a small paddock invaded by the plant. The first nervous signs were observed 44 days from the start of grazing. The animal was euthanized on day 59. No significant gross lesions were observed upon necropsies of the experimental horse as well as one spontaneously affected horse. Upon histologi...
Nigropallidal encephalomalacia in horses grazing Rhaponticum repens (creeping knapweed).
Australian veterinary journal    March 27, 2012   Volume 90, Issue 4 151-154 doi: 10.1111/j.1751-0813.2011.00879.x
Elliott CR, McCowan CI.Nigropallidal encephalomalacia was diagnosed in two horses in northern Victoria that had a history of long-term pasture access to a dense growth of Rhaponticum repens. The region in which the affected horses lived had received well above average rainfall for several months preceding the poisoning. Affected horses had sudden onset of subcutaneous oedema of the head, impaired prehension and mastication, dullness, lethargy and repeated chewing-like jaw movements. Diagnosis was confirmed at necropsy, with characteristic malacic lesions in the substantia nigra and globus pallidus of the brain. This...
Fermentation of six different forages in the semi-continuous fermentation technique Caesitec.
Journal of animal physiology and animal nutrition    January 20, 2012   Volume 96, Issue 5 860-869 doi: 10.1111/j.1439-0396.2011.01269.x
Vosmer J, Liesegang A, Wanner M, Zeyner A, Suter D, Hoelzle L, Wichert B.The aim of the present study was to compare carbohydrate degradation of forages which store carbohydrates either predominantly as fructan or starch, in horses' hindgut. The effects of an abrupt change from hay-based feeding to green fodder-based feeding on the caecal flora were tested with the in vitro hindgut simulation technique 'Caesitec'. Six trials with different forages (English ryegrass, tall fescue, grass mixture-horses, grass mixture-cows, lucerne, white clover) were conducted. During a 4-day stabilisation period, samples were taken once a day before loading the fermenters with hay. A...
Predatory activity of the fungus Duddingtonia flagrans in equine strongyle infective larvae on natural pasture in the Southern Region of Brazil.
Parasitology research    July 12, 2011   Volume 110, Issue 2 657-662 doi: 10.1007/s00436-011-2537-7
de Almeida GL, Santurio JM, Filho JO, Zanette RA, Camillo G, Flores AG, da Silva JH, de la Rue ML.Biological control is an alternative method to reduce the population of parasites through natural predators. A promising option of biological control in the reduction of infective larvae on pasture is the use of nematophagous fungi. In this study, the efficacy of the nematophagous fungus Duddingtonia flagrans in controlling gastrointestinal nematode parasites in field-raised horses was tested. Ten foals with an average age of 12 months were divided in two groups: five males constituted the treated group and five females constituted the control group. Each group was introduced in a field of mix...
Pasture composition in a trace element-contaminated area: the particular case of Fe and Cd for grazing horses.
Environmental monitoring and assessment    May 14, 2011   Volume 184, Issue 4 2031-2043 doi: 10.1007/s10661-011-2097-4
Madejón P, Domínguez MT, Murillo JM.Pasture selection by livestock is an essential topic for rangeland management, especially in trace element-contaminated soils. We have studied the composition (nutrients and trace elements) of a grass-based diet from soils affected by a mine spill at different growth stages (October 2008 to May 2009). A diet based on other plants (mainly Compositae species) was also studied (May 2009) for comparison. Faeces and mane hair of horses feeding on these pastures were also analysed. Micronutrient (Cu, Fe, Mn and Zn) and potentially toxic trace element (As, Cd, Pb, Tl) concentrations were below the ma...
Intrathecal deep digital flexor tenectomy for treatment of septic tendonitis/tenosynovitis in four horses.
Veterinary surgery : VS    February 11, 2011   Volume 40, Issue 3 284-290 doi: 10.1111/j.1532-950X.2011.00795.x
Marsh CA, Watkins JP, Schneider RK.To describe partial removal of the intrathecal component of the deep digital flexor tendon (DDFT) in horses with chronic septic DDF tendonitis and tenosynovitis unresponsive to conventional therapy, and to report long-term outcome. Methods: Case series. Methods: Horses (n=4). Methods: Four horses with chronic septic DDF tendonitis and tenosynovitis were treated by surgical tenectomy of the intrathecal component of the DDFT, followed by stabilization in casts and subsequent corrective shoeing. All horses were previously managed unsuccessfully with combinations of conventional therapy consisting...
Lower shedding of strongylid eggs by Warmblood horses with recurrent airway obstruction compared to unrelated healthy horses.
Veterinary journal (London, England : 1997)    February 10, 2011   Volume 190, Issue 2 e12-e15 doi: 10.1016/j.tvjl.2010.12.029
Bründler P, Frey CF, Gottstein B, Nussbaumer P, Neuhaus S, Gerber V.An association between equine recurrent airway obstruction (RAO) and increased resistance to intestinal parasites has been demonstrated in descendants of an RAO-affected stallion. It was hypothesised that members of another high-incidence RAO family (F) and unrelated RAO-affected Warmblood horses (UA) would shed fewer strongylid eggs than unrelated RAO-unaffected pasture mates (PM) under the same environmental conditions. Faecal worm egg counts were performed on faecal samples (63 F, 86 UA, 149 PM) and classified into three categories: 0, 1-100 and >100 eggs per gram. While results for F di...
Biological control of cyathostomin (Nematoda: Cyathostominae) with nematophagous fungus Monacrosporium thaumasium in tropical southeastern Brazil.
Veterinary parasitology    October 8, 2010   Volume 175, Issue 1-2 92-96 doi: 10.1016/j.vetpar.2010.09.035
Tavela Ade O, Araújo JV, Braga FR, Silva AR, Carvalho RO, Araujo JM, Ferreira SR, Carvalho GR.Horses are hosts to a wide variety of helminthes; the most important are the cyathostomin, or small strongyles. The viability of a fungal formulation (pellets) using the nematode-trapping fungus Monacrosporium thaumasium was assessed in biological control of horse cyathostomin. Two groups (fungus-treated and control) consisted of six mares in each group, crossbred (ages of 2.5 and 3.5 years), were placed in pastures of Cynodon sp. naturally infected with horse cyathostomin larvae. In the treated group, each animal received 1g/10 kg body weight (0.2g/10 kg live weight of fungus) of pellets of s...
Staggers in horses grazing paspalum infected with Claviceps paspali.
Australian veterinary journal    September 22, 2010   Volume 88, Issue 10 393-395 doi: 10.1111/j.1751-0813.2010.00624.x
Cawdell-Smith AJ, Scrivener CJ, Bryden WL.Invasion of the flowering heads of grasses by Claviceps spp. can produce sclerotia (ergots) containing several toxins. Ingestion of these toxins, through the consumption of paspalum (Paspalum dilatatum), can induce a range of clinical symptoms, including staggers. Cattle are the most commonly affected species, but although sheep and horses have been reported affected there are no published descriptions of paspalum staggers in horses. We describe two occurrences of paspalum staggers, the first in three Australian Stockhorse foals and the second in mature Standardbred horses. All three foals pre...
Horse infection with intestinal helminths in relation to age, sex, access to grass and farm system.
Veterinary parasitology    September 16, 2010   Volume 174, Issue 3-4 285-291 doi: 10.1016/j.vetpar.2010.09.007
Kornaś S, Cabaret J, Skalska M, Nowosad B.A 11-year survey on helminth intestinal infection of horses was done in seven provinces of southern Poland. 21,641 faecal samples were collected from horses of different age, sex, breed and management system originating from 84 farms. Age was the major factor influencing the cyathostome egg excretion, the maximum being observed in yearlings and second year horses. Parascaris was found mostly in foals and yearlings. The main factor for Anoplocephala was the access to pasture. The level of cyathostome egg shedding (EPG) could be related to sex (geldings had higher values of EPG), breed (Thorough...
Severity and outcome of equine pasture-associated laminitis managed in first opinion practice in the UK.
The Veterinary record    September 8, 2010   Volume 167, Issue 10 364-369 doi: 10.1136/vr.c3206
Menzies-Gow NJ, Stevens K, Barr A, Camm I, Pfeiffer D, Marr CM.Data from 107 cases of pasture-associated laminitis were obtained from first opinion practices to study factors associated with severity, survival and return to ridden exercise. There were 43 mares and 64 geldings, with a median age of 11 years. Of the 107 animals, 33 were small ponies, 45 were large ponies/cobs, 17 were small horses and 12 were large horses. Ninety-seven animals were categorised as having laminitis as defined by Cripps and Eustace (1999): 76 had mild (Obel grade 1 or 2) laminitis and 31 had severe (Obel grade 3 or 4) laminitis. Forty-three animals had previously had laminitis...
Pasture management to minimize the risk of equine laminitis.
The Veterinary clinics of North America. Equine practice    August 12, 2010   Volume 26, Issue 2 361-369 doi: 10.1016/j.cveq.2010.04.007
Watts K.The sugar, starch, and fructan content (collectively referred to as nonstructural carbohydrates [NSC]) of pasture plants is dependent on the environmental conditions under which they have grown. Pasture that is stressed by cold, drought, or lack of nutrients can be 2 to 3 times higher in NSC than pasture that grows quickly in warm weather and is adequately watered and fertilized. Horses at risk for laminitis should have access to pasture limited or be removed completely when environmental conditions are conducive to high levels of NSC accumulation.
Current concepts on the pathophysiology of pasture-associated laminitis.
The Veterinary clinics of North America. Equine practice    August 12, 2010   Volume 26, Issue 2 265-276 doi: 10.1016/j.cveq.2010.06.001
Geor RJ.Epidemiologic studies indicate that most laminitis cases occur in horses and ponies kept at pasture, hence the term 'pasture-associated laminitis'. Clinical cases of laminitis most often occur under conditions that favor accumulation of rapidly fermentable nonstructural carbohydrates (fructans, simple sugars, or starches) in pasture, and animals with an equine metabolic syndrome (EMS) phenotype (insulin resistance, abnormal insulin dynamics, +/- obesity) seem to be at highest risk for developing the condition. Although the mechanisms linking consumption of pasture forage with development of la...
Effects of athletic conditioning on horses with degenerative suspensory ligament desmitis: a preliminary report.
Veterinary journal (London, England : 1997)    July 23, 2010   Volume 189, Issue 1 49-57 doi: 10.1016/j.tvjl.2010.06.010
Xie L, Spencer ND, Beadle RE, Gaschen L, Buchert MR, Lopez MJ.Equine degenerative suspensory ligament desmitis (DSLD) is a debilitating condition that has limited response to rest and stall confinement. This study was designed to test the hypothesis that mild to moderate DSLD is not worsened by consistent exercise. Paso Fino and Peruvian Paso horses (two normal horses and four horses with DSLD) were exercised for 30 min every other day for 8 weeks and then pasture rested for 4 months. Gait analysis, radiographs, ultrasound and serum insulin and glucose concentrations were performed prior to the exercise trial and at each time point. Vertical impulse incr...
Differences in grazing behavior of horses and cattle at the feeding station scale on woodland pasture.
Animal science journal = Nihon chikusan Gakkaiho    July 6, 2010   Volume 81, Issue 3 384-392 doi: 10.1111/j.1740-0929.2010.00748.x
Shingu Y, Kondo S, Hata H.In this study, grazing behavior of mares and cows was compared on woodland pastures, in the context of foraging hierarchy. A horse-group (12 native Hokkaido horses) and a cattle-group (5 Hereford cows) were grazed on the woodland pastures of 13.3 ha and 5.8 ha, respectively. They grazed mainly on Sasa nipponica. Grazing behavior at a feeding station (FS) scale was recorded for three focal animals in each group. Mares took one bite per FS at a high percentage of FSs (24.3%) and cows took one, two and three bites per FS at high percentage (20.3%, 19.2% and 15.4%, respectively). Although feeding ...
Laminitis and the equine metabolic syndrome.
The Veterinary clinics of North America. Equine practice    June 9, 2010   Volume 26, Issue 2 239-255 doi: 10.1016/j.cveq.2010.04.004
Johnson PJ, Wiedmeyer CE, LaCarrubba A, Ganjam VK, Messer NT.Although much has been written about laminitis in the context of its association with inflammatory processes, recognition is growing that most cases of laminitis examined by veterinarians in private practice are those associated with pasture grazing, obesity, and insulin resistance (IR). The term 'endocrinopathic laminitis' has been adopted to classify the instances of laminitis in which the origin seems to be more strongly associated with an underlying endocrinopathy, such as either IR or the influence of corticosteroids. Results of a recent study suggest that obesity and IR represent the mos...