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Topic:Salivary Cortisol

Salivary cortisol is a biomarker used to assess stress and physiological responses in horses. It is a glucocorticoid hormone produced by the adrenal cortex and is released into the bloodstream in response to stressors, with measurable levels detectable in saliva. The non-invasive collection of saliva makes it a practical method for evaluating cortisol levels in equine studies. Salivary cortisol is utilized in research to explore stress-related conditions, welfare assessments, and the effects of training or environmental changes on horses. This page compiles peer-reviewed research studies and scholarly articles that investigate the measurement, variability, and implications of salivary cortisol in equine health and behavior.
Assessing the inflammatory response in horses undergoing gastric ulceration using salivary ADA and S100A12 as biomarkers.
Research in veterinary science    April 22, 2025   Volume 190 105667 doi: 10.1016/j.rvsc.2025.105667
The inflammatory status in horses with gastric ulcers was monitored by two inflammatory biomarkers, S100A12 and adenosine deaminase (ADA), using saliva samples from healthy and horses with gastric ulcers. Two trials were developed: an experimental trial, in which gastric ulceration was induced in 8 horses by feed deprivation, and a clinical trial, in which 20 horses without any symptomatology and 37 with symptoms compatible with gastric ulcers were used. S100A12 and ADA levels were measured in the saliva samples of all horses using previously validated assays. In both trials, horses with gastr...
Effect of Massage on Stress Indicators in Recreational Horses-A Pilot Study.
Animals : an open access journal from MDPI    March 11, 2025   Volume 15, Issue 6 doi: 10.3390/ani15060789
Jastrzębska E, Górecka-Bruzda A, Ogłuszka M, Lipka MS, Pawłowska A.This pilot study investigated the effects of massage therapy on stress indicators in recreational horses, focusing on salivary cortisol levels, heart rate and conflict behaviors. Five recreational horses were analyzed under two experimental conditions: without and with massage treatments before riding sessions. Saliva samples were collected at four specific intervals in each condition to measure cortisol concentrations using an ELISA test. Observations of behavioral indicators and heart-rate monitoring complemented the physiological data. The results revealed that massage significantly reduced...
Oxytocin in horse saliva: validation of a highly sensitive assay and a pilot report about changes in equine gastric ulcer syndrome.
BMC veterinary research    February 22, 2025   Volume 21, Issue 1 90 doi: 10.1186/s12917-025-04569-3
Botía M, Muñoz-Prieto A, Martínez-Subiela S, Martín-Cuervo M, Hansen S, Manteca X, Cerón JJ, López-Arjona M.Equine gastric ulcer syndrome (EGUS) is a frequent disease in horses that comprises two different entities: equine squamous gastric disease (ESGD) and equine glandular gastric disease (EGGD). This disease considerably reduces the quality of life of affected horses and can negatively affect performance. Saliva contains biomarkers, such as oxytocin, that have been used as a welfare indicator and can develop a function as a protective factor against stress-induced changes in gastric function due to its gastric antisecretory and antiulcer effects. The objective of this work was to evaluate changes...
Effects of a Gastroscopic Procedure on Salivary Cortisol Release and Fecal Cortisol Metabolites in Young Racehorses.
Animals : an open access journal from MDPI    November 19, 2024   Volume 14, Issue 22 3332 doi: 10.3390/ani14223332
Ostermeier S, Palme R, Vervuert I, Glomm B, Feige K, Macho-Maschler S, König von Borstel U, Venner M.In this study, gastroscopy was performed twice in 31 two-year-old Thoroughbred racehorses in training. Salivary cortisol (SC) and fecal cortisol metabolite (FCM) concentrations were determined to measure the stress impact. One gastroscopy was performed at the beginning and one six months later at the end of the horses' first training season. According to the Wilcoxon signed rank test, a mild but significant increase of SC (1st gastroscopy: = 0.0045, 2nd gastroscopy: < 0.0001) and FCM (1st gastroscopy: < 0.0001, 2nd gastroscopy: = 0.0006) values after gastroscopy compared to basal val...
Competition and stereotypic behavior in Thoroughbred horses: The value of saliva as a diagnostic marker of stress.
PloS one    October 7, 2024   Volume 19, Issue 10 e0311697 doi: 10.1371/journal.pone.0311697
Bazzano M, Marchegiani A, La Gualana F, Petriti B, Petrucelli M, Accorroni L, Laus F.Many horses exhibit stereotypies, especially when living in human controlled environments that may prevent horses from satisfying natural needs in terms of feeding, drinking, moving, and socializing. In human medicine, obsessive compulsive disorder and other severe psychiatric disturbances are associated with stereotypic behaviors; salivary biomarkers evaluation is considered a reliable tool for diagnosis of common mental health disorders because saliva collection easy to obtain and noninvasive. In this study, we hypothesized that salivary cortisol concentrations, in addition to alpha-amylase ...
The impact of short-term transportation stress on insulin and oral sugar responses in insulin dysregulated and non-insulin dysregulated horses.
Equine veterinary journal    September 4, 2024   doi: 10.1111/evj.14403
Jacquay ET, Harris PA, Adams AA.It is unknown whether short-term transportation affects endocrine responses similarly in horses with and without insulin dysregulation (ID). Objective: To characterise the effect of short-term transportation on stress parameters and insulin responses to an oral sugar test (OST) in horses with and without ID. Methods: Longitudinal cohort study. Methods: Fourteen adult non-pregnant, non-PPID mares of mixed light breeds were grouped as either ID (n = 7) or non-ID (n = 7) based on endocrine testing. Over 2 weeks, horses were transported once, in groups of 3-4 in a horse trailer on a roun...
Straight from the horse’s mouth: The effect of different feedstuffs on oral pH in horses and ponies.
Journal of equine veterinary science    September 4, 2024   Volume 142 105181 doi: 10.1016/j.jevs.2024.105181
Daniels SP, Whiteside EJ, Martin S, Moore-Colyer MJS, Harris P.Feedstuffs, especially ensiled forage, may be detrimental to equid oral health by exposing the oral cavity to low pH. This study aimed to identify if salivary pH was altered by 1) a range of different feedstuffs and (2) specifically by feeding haylages with differing nutrient profiles. Two studies were conducted. The first measured oral pH following five feedstuffs, (hay, haylage, unmolassed sugarbeet pulp, unmolassed alfalfa chaff and rolled oats), tested individually over five days. Saliva (≥1 ml) was collected in triplicate, prior to feeding, directly after ingesting 500 g of each feedstu...
Horses’ Cardiovascular and Glucocorticoid Responses to Equine-Assisted Therapy with Women with Intellectual Disability: An Exploratory Study.
Journal of applied animal welfare science : JAAWS    August 29, 2024   1-16 doi: 10.1080/10888705.2024.2396968
Kreuzer L, Naber A, Zink R, Millesi E, Palme R, Hediger K, Glenk LM.Research on equine-assisted therapy (EAT) has primarily been centered on human health. Relatively few studies have addressed the impact of EAT on horses. This study sought to monitor four experienced therapy horses' cardiovascular and glucocorticoid activity over the course of standardized EAT sessions designed to support women with intellectual disability. In the control condition, horses completed the EAT protocol solely with the therapist, thereby resembling a training session. Descriptive data analysis revealed higher levels of heart rate during an experimental EAT session and increased sa...
Changes in saliva analytes in equine gastric ulcer syndrome (EGUS) after treatment: a pilot study.
Research in veterinary science    July 2, 2024   Volume 176 105346 doi: 10.1016/j.rvsc.2024.105346
Muñoz-Prieto A, Llamas-Amor E, Cerón JJ, Hansen S.Equine gastric ulcer syndrome (EGUS) is a prevalent condition in horses, affecting up to 93% of racehorses. Comprising the equine squamous gastric disease (ESGD) and the equine glandular gastric disease (EGGD), EGUS poses significant health challenges. Saliva, a non-invasive and easily obtainable sample, is increasingly recognized for its potential as a source of biomarkers in horses. This study investigates changes in saliva analytes using automated assays before and after EGUS treatment, aiming to identify biomarkers indicative of treatment success or failure. A total of 28 horses diagnosed ...
Measurement of Trace Elements (Zinc, Copper, Magnesium, and Iron) in the Saliva of Horses: Validation Data and Changes in Equine Gastric Ulcer Syndrome (EGUS).
Animals : an open access journal from MDPI    June 7, 2024   Volume 14, Issue 12 doi: 10.3390/ani14121724
Muñoz-Prieto A, Cerón JJ, Tecles F, Cuervo MM, Contreras-Aguilar MD, Ayala I, Oí«š-Guillén A, Pardo-Marín L, Hansen S.The objective of this study was to evaluate the possible use of spectrophotometric assays for the measurement of trace elements, including Zinc (Zn), Copper (Cu), Magnesium (Mg), and iron (Fe) in the saliva of horses and study their possible changes in equine gastric ulcer syndrome (EGUS). EGUS is a highly prevalent disease, with a current high incidence due to the increase in intensive management conditions. There are two EGUS diseases: equine squamous gastric disease (ESGD) and equine glandular gastric disease (EGGD), which can appear individually or together. For this purpose, automated spe...
Salivary analysis to unveil the paradigma of stress of domestic horses reared in the wild.
Scientific reports    May 17, 2024   Volume 14, Issue 1 11266 doi: 10.1038/s41598-024-62172-2
Bazzano M, Marchegiani A, La Gualana F, Petriti B, Spaterna A, Laus F.Horse welfare is the product of multiple factors, including behavioral and physiological adjustments to cope with stressful situation regarding environment and housing condition. Collectively, it is supposed that a horse kept in the wild has a lower level of stress than other housing system, and the aim of the present study was to investigate the level of stress in domestic horses reared in the wild and then moved to human controlled housing, through saliva analysis. Twelve clinically healthy Catria (Italian local breed) mares, usually reared in the wild, were moved into collective paddocks fo...
Association between Eosinophil Count and Cortisol Concentrations in Equids Admitted in the Emergency Unit with Abdominal Pain.
Animals : an open access journal from MDPI    January 4, 2024   Volume 14, Issue 1 164 doi: 10.3390/ani14010164
Villalba-Orero M, Contreras-Aguilar MD, Cerón JJ, Fuentes-Romero B, Valero-González M, Martín-Cuervo M.Stress leukogram includes eosinopenia as one of its main markers (neutrophilia, eosinopenia, lymphopenia, and mild monocytosis). Cortisol is the main stress biomarker, which is also strongly correlated with the severity of gastrointestinal diseases. This study aimed to determine the relationship between salivary cortisol and the eosinophil cell count (EC) in equids with abdominal pain. To do this, 39 horses with abdominal pain referred to an emergency service were included. All samples were taken on admission, and several parameters and clinical data were included. Equids were classified accor...
α-Casozepine supplementation shows no effect on foals’ growth and cortisol levels before and after weaning.
Journal of the American Veterinary Medical Association    January 3, 2024   1-5 doi: 10.2460/javma.23.09.0545
Wood MK, Mason RM, Burk SV, Birmingham SSW.The goal of this study was to determine whether oral administration of α-casozepine (Zylkene) supplementation decreases the risk of disease in foals, as measured through salivary cortisol levels, temperature, clinical signs of disease, and body weight before and after weaning. Methods: 20 Thoroughbred foals were observed over 10 weeks, beginning 14 days prior to the time of weaning. Methods: Experimental foals were randomly selected and given α-casozepine daily for 10 weeks, while the controls received a placebo with the same frequency as the experimental group. The average daily height and ...
The effect of training load stress on salivary cortisol concentrations, health parameters and hematological parameters in horses.
Heliyon    August 9, 2023   Volume 9, Issue 8 e19037 doi: 10.1016/j.heliyon.2023.e19037
Massányi M, Halo M, Mlyneková E, Kováčiková E, Tokárová K, Greń A, Massányi P, Halo M.The performance of sport horses is conditioned not only by the quality of its gene pool, but also by a large number of external factors. The most dominant being nutrition, quality of breeding, level of zootechnical care and the quality of the sports rider and coach. Important factor is the process of individuals' adaptation to the training load occurring during the training itself. This study was focused on the analysis of salivary cortisol levels as well as hematological and biochemical blood parameters in relation to load to which the tested horses were subjected. In the study 14 horses of s...
Age-Related Differences in Short-Term Transportation Stress Responses of Horses.
Journal of equine veterinary science    July 1, 2023   Volume 128 104879 doi: 10.1016/j.jevs.2023.104879
Jacquay ET, Harris PA, Adams AA.Transportation of horses on short journeys can lead to an increase in stress. There are known age-associated changes in immune and metabolic responses in horses; however, no research exists evaluating how age may influence these responses to transportation stress. Eleven mares within two age groups, aged (n = 5, 22 ± 1 year) or young (n = 6, 2 ± 1 year), were transported 1 hour and 20 minutes. Peripheral blood and saliva were collected before and after transportation at baseline (2 to 3 weeks prior to transportation), 24 hours pre-transport, 1 hour before loading, 15 minutes, 30 minutes,...
Changes in Calprotectin (S100A8-A9) and Aldolase in the Saliva of Horses with Equine Gastric Ulcer Syndrome.
Animals : an open access journal from MDPI    April 16, 2023   Volume 13, Issue 8 doi: 10.3390/ani13081367
Muñoz-Prieto A, Contreras-Aguilar MD, Cerón JJ, Ayala de la Peña I, Martín-Cuervo M, Eckersall PD, Holm Henriksen IM, Tecles F, Hansen S.Equine gastric ulcer syndrome (EGUS) is a highly prevalent disease that affects horses worldwide. Within EGUS, two different forms have been described: equine squamous gastric disease (ESGD) and equine glandular gastric disease (EGGD). The associated clinical signs cause detrimental activity performance, reducing the quality of life of animals. Saliva can contain biomarkers for EGUS that could be potentially used as a complementary tool for diagnosis. The objective of this work was to evaluate the measurements of calprotectin (CALP) and aldolase in the saliva of horses as potential biomarkers ...
Variation in salivary cortisol responses in yearling Thoroughbred racehorses during their first year of training.
PloS one    April 6, 2023   Volume 18, Issue 4 e0284102 doi: 10.1371/journal.pone.0284102
Holtby AR, McGivney BA, Browne JA, Katz LM, Murphy KJ, Hill EW.Thoroughbred horses are bred for competitive racing and undergo intense training regimes. The maintenance of physical soundness and desirable behavioural characteristics are critical to the longevity of a racing career. Horses intended for Flat racing generally enter training as yearlings and undergo introductory training prior to exercise conditioning for racing. This period requires rapid adjustment to a novel environment. As a prey animal, a horse's 'fight-or-flight' response is highly adapted, in which a well-understood component of this response, the hypothalamic-pituitary-axis, is activa...
Prevalence of serum and salivary virus-neutralizing antibodies against equine coronavirus in four riding stables in Japan.
Journal of equine science    March 24, 2023   Volume 34, Issue 1 13-18 doi: 10.1294/jes.34.13
Bannai H, Kambayashi Y, Ohta M, Nemoto M, Tsujimura K.To assess the prevalence of equine coronavirus infection in riding horses, virus-neutralizing tests were performed on serum and saliva samples collected at four facilities in Japan. Seropositivity rates ranged from 79.2% to 94.6%, suggesting widespread circulation of the virus in these populations. Antibody prevalence in saliva samples from two facilities that had experienced outbreaks in the previous year (67.6% and 71.4%) was significantly higher than at the other facilities without reported outbreaks (41.7% and 45.2%, P<0.05). The presence of salivary antibodies in a high proportion of h...
Dual use of breeding stallions is possible without affecting the sperm quality.
Reproduction in domestic animals = Zuchthygiene    March 16, 2023   Volume 58, Issue 6 691-698 doi: 10.1111/rda.14337
Hensel B, Jakop U, Schmicke M, Schröter F, Jung M, Schulze M.Artificial insemination (AI) is commonly used in the equine industry to enhance the genetic value in breeding programs and to effectively utilize ejaculates. Many stallions are used as breeding stallions as well as in high-level sports competitions to improve their market value. The goal of the present study was to investigate whether this dual use of stallions influences the animals´ stress levels and/or the quality of their ejaculates. For this purpose, 18 stallions were grouped into two categories: breeding stallions with (BSC = breeding stallion competition), and breeding stallions with...
Salivary biglycan-neo-epitope-BGN262: A novel surrogate biomarker for equine osteoarthritic sub-chondral bone sclerosis and to monitor the effect of short-term training and surface arena.
Osteoarthritis and cartilage open    March 15, 2023   Volume 5, Issue 2 100354 doi: 10.1016/j.ocarto.2023.100354
Adepu S, Lord M, Hugoh Z, Nyström S, Mattsson-Hulten L, Abrahamsson-Aurell K, Lützelschwab C, Skiöldebrand E.We aimed to delineate a novel soluble Biglycan Neo-epitope-BGN262 in saliva from young reference and osteoarthritic horses in conjunction with the influence of short-term training exercise, riding surface hardness, circadian rhythm, and feeding on its soluble levels. Unassigned: A custom-made inhibition ELISA was used for the quantification of BGN262 in saliva. Cohort 1: A cross-sectional study comprising reference (N ​= ​19) and OA horses (N ​= ​9) with radiographically classified subchondral bone sclerosis. Receiver operating characteristic curve analysis was performed to evaluat...
Cortisol Variations to Estimate the Physiological Stress Response in Horses at a Traditional Equestrian Event.
Animals : an open access journal from MDPI    January 24, 2023   Volume 13, Issue 3 396 doi: 10.3390/ani13030396
Olvera-Maneu S, Carbajal A, Serres-Corral P, López-Béjar M.In many countries, horses remain involved in traditional equestrian events such as those celebrated in Menorca (Balearic Islands, Spain) every year since at least the 14th century. The present study aimed to evaluate the variations in salivary cortisol concentrations to estimate the physiological stress response in horses at the Menorca patronal festivals. Two different editions (years 2016 and 2018) of the festivals in honor of the Virgin of Grace in Maó (Menorca, Spain) were studied. Nineteen and seventeen Pure Breed Menorca stallions were included in the study, respectively. The stallions ...
Which animal-to-feeding-place ratio at time-controlled hay racks is animal appropriate? Preliminary analysis of stress responses of horses.
Frontiers in veterinary science    January 9, 2023   Volume 9 1005102 doi: 10.3389/fvets.2022.1005102
Baumgartner M, Erhard MH, Zeitler-Feicht MH.Automated feeding systems offer numerous advantages for animals and humans, but the associated benefits and risks can often only be seen under practical conditions. The space allowance (~80 cm per horse) at time-controlled hay racks for horses in group housing, unlike at partitioned feeding stands or transponder-controlled feed stations, currently falls below the required individual distance between the horses, which can result in a high level of aggression between the horses due to the lack of partitions between them. Hence, a feed-through at a time-controlled hay rack cannot be equated with ...
Effect of difference in training skills on stress in horses trained by Kazakh trainers.
Animal science journal = Nihon chikusan Gakkaiho    December 31, 2022   Volume 94, Issue 1 e13800 doi: 10.1111/asj.13800
Kimura R, Borankulova S, Maratbek SZ.This study aimed to evaluate the effect of differences in trainer skills on horse training during the early stages of riding habituation by measuring the levels of stress and changes in stress levels. Among nine untrained horses employed, five in Group A were trained by two low-skilled trainers, whereas the remaining four in Group B were trained by two high-skilled trainers using the traditional Kazakh method. Salivary α-amylase concentration was measured as a biomarker of stress immediately before and after each riding session during the training period. In the duration of riding and mooring...
Evaluation of a Comprehensive Profile of Salivary Analytes for the Diagnosis of the Equine Gastric Ulcer Syndrome.
Animals : an open access journal from MDPI    November 23, 2022   Volume 12, Issue 23 doi: 10.3390/ani12233261
Muñoz-Prieto A, Cerón JJ, Rubio CP, Contreras-Aguilar MD, Pardo-Marín L, Ayala-de la Peña I, Martín-Cuervo M, Holm Henriksen IM....In this report, the measurement of salivary biomarkers as an aid for diagnosis of equine gastric ulcer syndrome (EGUS) was studied. A comprehensive panel of 23 salivary analytes was measured in the saliva of horses affected by EGUS and compared to healthy animals and horses with other diseases clinically similar to EGUS but with a negative diagnosis at gastroscopic examination. A total of 147 horses were included in the study and divided into heathy population (n = 12), the EGUS group (n = 110), and the group of horses with other diseases (n = 25). From the 23 analytes studied, 17 showed incre...
Habit Formation and the Effect of Repeated Stress Exposures on Cognitive Flexibility Learning in Horses.
Animals : an open access journal from MDPI    October 18, 2022   Volume 12, Issue 20 doi: 10.3390/ani12202818
Henshall C, Randle H, Francis N, Freire R.Horse training exposes horses to an array of cognitive and ethological challenges. Horses are routinely required to perform behaviours that are not aligned to aspects of their ethology, which may delay learning. While horses readily form habits during training, not all of these responses are considered desirable, resulting in the horse being subject to retraining. This is a form of cognitive flexibility and is critical to the extinction of habits and the learning of new responses. It is underpinned by complex neural processes which can be impaired by chronic or repeated stress. Domestic horses...
Reducing Anxiety and Stress among Youth in a CBT-Based Equine-Assisted Adaptive Riding Program.
Animals : an open access journal from MDPI    September 20, 2022   Volume 12, Issue 19 2491 doi: 10.3390/ani12192491
Hoagwood K, Vincent A, Acri M, Morrissey M, Seibel L, Guo F, Flores C, Seag D, Peth Pierce R, Horwitz S.Reining in Anxiety (RiA) is a therapeutic program for youth with mild to moderate anxiety delivered in a therapeutic riding setting by Certified Therapeutic Riding Instructors. RiA was developed after a review of the evidence base for youth anxiety, is manualized, and includes five core CBT components: in vivo exposure, cognitive restructuring, youth psychoeducation, relaxation, and caregiver psychoeducation about anxiety. This study extended findings from a prior RCT that examined (1) the feasibility of collecting saliva samples from horses and children to measure stress (cortisol) and relaxa...
Altrenogest treatment reduces the stress response of three-year-old warmblood mares during their initial equestrian training.
Domestic animal endocrinology    March 20, 2022   Volume 80 106728 doi: 10.1016/j.domaniend.2022.106728
Kaps M, Lutzer A, Gautier C, Nagel C, Aurich J, Aurich C.Horse mares are frequently treated with the progestin altrenogest with the aim to suppress estrous behavior and its negative impact on equestrian performance. Progestogens, however, also have sedative effects in males, and females of different species. The aim of our study was therefore to investigate altrenogest-induced changes in the stress response of female horses during initial equestrian training. Three-yr-old Warmblood mares were randomly assigned to treatment with altrenogest (ALT; 0.044 mg/kg once daily; n = 6) or sunflower oil (CON; n = 5) for 12 wk during training. At predefined...
The effect of stress and exercise on the learning performance of horses.
Scientific reports    February 4, 2022   Volume 12, Issue 1 1918 doi: 10.1038/s41598-021-03582-4
Henshall C, Randle H, Francis N, Freire R.Domestic horses are widely used for physically demanding activities but the effect of exercise on their learning abilities has not been explored. Horses are also frequently exposed to stressors that may affect their learning. Stress and exercise result in the release of glucocorticoids, noradrenaline and other neurotransmitters that can influence learning. It is not currently possible to directly measure concentrations of neurotransmitters in the brains of behaving horses, however the inference of neurobiological processes from peripheral markers have been widely used in studies of human cogni...
Perinatal Stress in Immature Foals May Lead to Subclinical Adrenocortical Dysregulation in Adult Horses: Pilot Study.
Journal of equine veterinary science    January 21, 2022   Volume 111 103869 doi: 10.1016/j.jevs.2022.103869
Clothier J, Small A, Hinch G, Brown WY.The persistent endocrinological effects of perinatal stress due to gestational immaturity in horses are unknown, although effects have been reported in other livestock species. This pilot study tested the hypothesis that persistent adrenocortical dysregulation is present in horses that were gestationally immature at birth by assessing the salivary cortisol response to exogenous ACTH. Case horses (n = 10) were recruited with histories of gestation length < 315 d or dysmaturity observable through neonatal signs. Positive controls (n = 7) and negative controls (n = 5) were recruited wher...
Monitoring Blinks And Eyelid Twitches In Horses To Assess Stress During The Samples Collection Process.
Journal of applied animal welfare science : JAAWS    December 13, 2021   Volume 26, Issue 4 530-539 doi: 10.1080/10888705.2021.2008249
Lelláková M, Pavľak A, Lešková L, Florián M, Skurková L, Mesarčová L, Kottferová L, Takáčová D, Kottferová J.To assess stress in horses, a method of monitoring eye blinks (full and half) and eyelid twitches while collecting saliva and blood samples before and after annual intensive police training was carried out. This noninvasive monitoring method was used to determine whether blood collection, which is considered invasive, is more stressful for horses than saliva collection. We discovered no significant difference in stress related manifestations between saliva sampling and blood collection in our study. In both cases, sampling (blood and saliva) reduced the number of full and half eye blinks. Base...
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