Analyze Diet

Topic:Sodium

Sodium is an essential electrolyte in horses, involved in maintaining fluid balance, nerve function, and muscle contraction. It plays a significant role in the regulation of osmotic pressure within cells and the overall homeostasis of bodily fluids. Horses obtain sodium primarily through their diet, and it can be supplemented through salt blocks or electrolyte solutions, especially in cases of heavy sweating or increased physical activity. Imbalances in sodium levels, either deficiency or excess, can impact a horse's health and performance. This page compiles peer-reviewed research studies and scholarly articles that explore the metabolism, dietary requirements, and physiological effects of sodium in equine health.
Water homeostasis in desert-dwelling horses.
Journal of applied physiology (Bethesda, Md. : 1985)    July 1, 1991   Volume 71, Issue 1 112-117 doi: 10.1152/jappl.1991.71.1.112
Sneddon JC, van der Walt JG, Mitchell G.This study set out to investigate tolerance of the body water pool to short-term water deprivation in horses and, in particular, to assess whether feral horses from the Namib Desert showed tolerance to dehydration superior to Transvaal. Hydration status was compared in six feral horses from the Namib Desert and in six Boerperd farm horses under conditions of normal hydration and after 72 h of dehydration. Under normal hydration, the two groups did not differ significantly in water intake, plasma sodium and potassium concentrations, plasma osmolality, hematocrit, total plasma protein, body wate...
Pharmacology of furosemide in the horse: a review.
Journal of veterinary internal medicine    July 1, 1991   Volume 5, Issue 4 211-218 doi: 10.1111/j.1939-1676.1991.tb00951.x
Hinchcliff KW, Muir WW.Furosemide, a diuretic, is frequently administered to horses for the prophylaxis of exercise-induced pulmonary hemorrhage and the treatment of a number of clinical conditions, including acute renal failure and congestive heart failure. Furosemide increases the rate of urinary sodium, chloride, and hydrogen ion excretion. Plasma potassium concentration decreases after furosemide administration but urinary potassium excretion in horses is minimally affected. Renal blood flow increases after furosemide administration. Systemically, furosemide increases venous compliance and decreases right atrial...
Components of electrogenic transport in unstimulated equine tracheal epithelium.
The American journal of physiology    June 1, 1991   Volume 260, Issue 6 Pt 1 L510-L515 doi: 10.1152/ajplung.1991.260.6.L510
Joris L, Quinton PM.Basic components of unstimulated electrolyte transport across equine tracheal mucosa were characterized. After the tissue was mounted in Ussing chambers, both current and tissue resistance gradually increased for approximately 60 min before reaching stable values. Thereafter, under open-circuit conditions, the tissue had a resistance of 250 +/- 14 omega.cm2, generated a transepithelial potential difference of -34 +/- 1.7 (SE) mV (referenced to the serosal side) and an equivalent short-circuit current (Ieqsc) of -149 +/- 10.2 microA/cm2. Even though 10(-5) M amiloride reduced the current by app...
Altered ionic permeability in skeletal muscle from horses with hyperkalemic periodic paralysis.
The American journal of physiology    May 1, 1991   Volume 260, Issue 5 Pt 1 C926-C933 doi: 10.1152/ajpcell.1991.260.5.C926
Pickar JG, Spier SJ, Snyder JR, Carlsen RC.A recently described disorder in certain registered Quarter horses bears many clinical similarities to the muscle disease identified as hyperkalemic periodic paralysis (HPP) in humans. Pathological changes in membrane permeability or Na(+)-K+ pump activity have been proposed to produce the muscle depolarization and inexcitability that characterize the condition in humans. Biopsies of external intercostal muscle from normal and affected horses were used to determine whether alterations in either permeability and/or pump activity could be linked to the pathology in horses. Affected horse muscle ...
In vitro transport of cycloleucine by equine cecal mucosa.
American journal of veterinary research    April 1, 1991   Volume 52, Issue 4 539-542 
Freeman DE, Donawick WJ.Mucosa obtained from the cecum of healthy horses and incubated in vitro with 0.1 mM cycloleucine could accumulate this amino acid against an apparent concentration gradient after 60 and 120 minutes. Accumulation by the serosal (antiluminal) surface of the tissue was 3 times greater than accumulation by the mucosal (luminal) surface after 120 minutes (P less than 0.001). Cycloleucine accumulation was significantly reduced by Na deprivation after 60 minutes (P less than 0.05) and 120 minutes (P less than 0.01) and by anoxic conditions after 120 minutes (P less than 0.05). Transmucosal flux from ...
[The effects of crude drugs using diuretic on horse kidney (Na+ + K+)-adenosine triphosphatase].
Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan    February 1, 1991   Volume 111, Issue 2 138-145 doi: 10.1248/yakushi1947.111.2_138
Satoh K, Yasuda I, Nagai F, Ushiyama K, Akiyama K, Kano I.In the folk-medicine, several kinds of crude drugs are used as diuretics. Twenty three kinds of diuretic drugs were chosen, and examined for their effects on the horse kidney (Na+ + K+)-adenosine triphosphatase (ATPase), which is an intrinsic enzyme of the plasma membrane and responsible for the active transport of Na+ and K+ across the membrane. Twenty one out of twenty three kinds of ethanol extracts of diuretic drugs inhibited the kidney (Na+ + K+)-ATPase activity. The intensity of the inhibition of these drugs was compared by estimating the amounts of their ethanol extracts which inhibited...
Exercise induced alterations in the serum muscle enzymes, erythrocyte potassium and plasma constituents following feed withdrawal or furosemide and sodium bicarbonate administration in the horse.
Journal of veterinary internal medicine    January 1, 1991   Volume 5, Issue 1 40-46 doi: 10.1111/j.1939-1676.1991.tb00929.x
Freestone JF, Gossett K, Carlson GP, Church G.Six thoroughbreds were used in each of three trials to examine the effect of potassium depletion on exercise-associated muscle damage. Horses were exercised after a control period (Treatment 1), a 72-hour fast (Treatment 2), and furosemide and sodium bicarbonate (Treatment 3). During the preexercise period, feed withdrawal for 72 hours caused decreases in body weight, plasma sodium, chloride, and serum calcium. There were no changes in plasma potassium, erythrocyte potassium, or serum creatine phosphokinase (CK) activity. Furosemide and sodium bicarbonate administration resulted in a decrease ...
Renal clearance, urinary excretion of endogenous substances, and urinary diagnostic indices in healthy neonatal foals.
Journal of veterinary internal medicine    January 1, 1991   Volume 5, Issue 1 28-33 doi: 10.1111/j.1939-1676.1991.tb00927.x
Brewer BD, Clement SF, Lotz WS, Gronwall R.Urine (U) and serum (S) were obtained every 2 hours during a 12- or 24-hour period from eight healthy 96-hour-old pony or horse foals. Dams' milk samples were obtained concurrently. Urine volume was measured during this 12- or 24-hour period. The mean amount of urine produced was 148 +/- 20 ml/kg/day. Baseline urinalyses were evaluated on all foals at two days of age, before any manipulation. Urine generally was dilute (less than 1.008) but the specific gravity was as high as 1.027 in one normal foal. Continuous (12 or 24 hour) urinary catheterization resulted in bacteriuria but not white bloo...
The influence of metabolic alkalosis upon exercise metabolism in the thoroughbred horse.
European journal of applied physiology and occupational physiology    January 1, 1991   Volume 63, Issue 2 129-134 doi: 10.1007/BF00235182
Greenhaff PL, Harris RC, Snow DH, Sewell DA, Dunnett M.Six thoroughbred horses exercised on a motorised treadmill on two separate occasions at a speed of 11 or 12 m.s-1 for up to 2 min. 4 h prior to exercise each horse was given a 21 test solution of sodium bicarbonate (NaHCO3; 0.6 g.kg-1 body mass) or a control solution of water by nasogastric intubation, the order of administration of the two solutions was randomised. Blood samples (n = 15) were obtained before and during the 4 h after intubation, during exercise and for 30 min after exercise. NaHCO3 ingestion resulted in changes in pre-exercise acid-base status. The changes in blood lactate and...
Effect of interval between doses on response of the pony to sodium bicarbonate.
The Cornell veterinarian    January 1, 1991   Volume 81, Issue 1 59-66 
Kowalski J, Roberts A, Williams J, Hintz HF, Daniluk P, Schryver HF.Three pony geldings were given sodium bicarbonate orally in order to study the effect on blood pH and bicarbonate and to determine if frequency of dosing influences the response. In a preliminary study, it appeared that a carry-over effect might occur if the interval between dosing was only 2 days. The ponies received 2 doses of sodium bicarbonate (400 mg/kg) 7 days apart in trial one and then in trial two they received 2 doses of sodium bicarbonate 4 days apart. The sodium bicarbonate was mixed with 2 liters of warm water and given through a nasogastric tube on each trial day. Blood samples w...
Effects of transport and racing on ionic changes in thoroughbred race horses.
Comparative biochemistry and physiology. A, Comparative physiology    January 1, 1991   Volume 99, Issue 3 343-346 doi: 10.1016/0300-9629(91)90011-z
White A, Reyes A, Godoy A, Martínez R.1. Packed cell volume (PCV), blood glucose, total plasma proteins (TPP) and plasma electrolytes, osmolality, cortisol and aldosterone alterations produced by transport and racing, were investigated in race horses. 2. Plasma cortisol, sodium and blood glucose, found after transport, were higher, while aldosterone was lower than control levels. 3. After racing, PCV, blood glucose, TPP and plasma cortisol, sodium and osmolality were higher than control, while chloride diminished and aldosterone returned to control values. 4. These results demonstrate that transport and racing are different kinds ...
Basal and pentagastrin-stimulated gastric secretion in young horses.
The American journal of physiology    December 1, 1990   Volume 259, Issue 6 Pt 2 R1259-R1266 doi: 10.1152/ajpregu.1990.259.6.R1259
Campbell-Thompson ML, Merritt AM.Equine gastric secretion was studied using a gastric cannula model after fasting (basal) and pentagastrin infusion. Gastric secretory rate, pH, osmolality, and electrolyte concentrations and outputs were determined over a 5-h period. Dose-response tests estimated that the maximally effective intravenous dose of pentagastrin was between 3 and 6 micrograms.kg-1.h-1. Basal secretory rate was 278 +/- 29 (SE) ml/15 min, and the pH was 2.00 +/- 0.31. Pentagastrin infusion at 6 micrograms.kg-1.h-1 increased secretory rate to 533 +/- 60 ml/15 min and decreased pH to 1.41 +/- 0.11. Basal gastric acid c...
Selected laboratory parameters of thoroughbreds.
Journal of the South African Veterinary Association    December 1, 1990   Volume 61, Issue 4 155-158 
Van Heerden J, Dauth J, Dreyer MJ, Nichas E, Marshall C, De Waal DT.Selected haematological, blood chemical and serological variables were investigated in healthy Thoroughbreds (n = 45) in training. Haemoglobin concentration, haematocrit, red, white and differential cell counts as well as serum concentrations of total and ionized calcium, sodium, potassium, chloride, urea, creatinine, total protein, albumin, inorganic phosphorus, total bilirubin, iron, glucose, magnesium, alkaline phosphatase, gamma-glutamyltransferase, lactate dehydrogenase, aspartate transaminase, alanine transaminase and creatine kinase were found to be within ranges previously reported for...
Mechanisms of sodium and chloride transport across equine tracheal epithelium.
The American journal of physiology    December 1, 1990   Volume 259, Issue 6 Pt 1 L459-L467 doi: 10.1152/ajplung.1990.259.6.L459
Tessier GJ, Traynor TR, Kannan MS, O'Grady SM.Equine tracheal epithelium, stripped of serosal muscle, mounted in Ussing chambers, and bathed in plasmalike Ringer solution generates a serosa-positive transepithelial potential of 10-22 mV and a short-circuit current (Isc) of 70-200 microA/cm2. Mucosal amiloride (10 microM) causes a 40-60% decrease in Isc and inhibits the net transepithelial Na flux by 95%. Substitution of Cl with gluconate resulted in a 30% decrease in basal Isc. Bicarbonate substitution with 20 mM N-2-hydroxyethylpiperazine-N'-2-ethanesulfonic acid decreased the Isc by 21%. The Cl-dependent Isc was inhibited by serosal add...
[Several physiologic aspects of the reactions of foals in the first three days after weaning].
Berliner und Munchener tierarztliche Wochenschrift    October 1, 1990   Volume 103, Issue 10 348-351 
Dusek J, Skalický J.Changes have been observed in nine foals, six months of age, after weaning for the time of three days, namely in the intake of drinking water, hematocrit, sedimentation of erythrocytes and three minerals Na+, K+ and Cl-. Foals respond to weaning immediately, lowering significantly their consumption of drinking water and increasing high significance of Na+ and Cl-. Changes of level K+, hematocrit and sedimentation don't show any significant variations. The results reached are to be considered as an introductory information for further inquiry on the more extensive methodical basis.
Use of electromyography for the diagnosis of equine hyperkalemic periodic paresis.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 1, 1990   Volume 54, Issue 4 495-500 
Robinson JA, Naylor JM, Crichlow EC.The use of electromyography (EMG) as a diagnostic aid for equine hyperkalemic periodic paresis (EHPP) was investigated in seven affected and seven control horses. Affected horses were confirmed positive for EHPP either by elevated serum potassium concentration with clinical signs of myotonia, or by inducing hyperkalemia and clinical signs using oral potassium chloride challenge. All horses were asymptomatic at the time EMG was performed, using bipolar fine wire needle electrodes. The myopotentials were recorded on magnetic tape and displayed on paper charts for analysis. Insertional and restin...
Effect of acute acidemia on blood biochemical variables in healthy ponies.
American journal of veterinary research    September 1, 1990   Volume 51, Issue 9 1375-1379 
Gossett KA, French DD, Cleghorn B, Church GE.L-Lactic acid and D,L-lactic acid infusion in ponies resulted in metabolic acidosis with high anion gap (AG). Increased AG was explained entirely by increased blood L- and D-lactate concentrations. Hydrochloric acid infusion caused metabolic acidosis with decreased AG. Saline (NaCl) infusion caused mild metabolic acidosis, with no significant change in AG. Plasma K+ concentration was decreased by all types of infusions, with a maximum of 0.50, 0.25, 0.40, 0.50 mmol/L below baseline at the end of infusion in the L-lactic acid-, D,L-lactic acid-, HCl-, and NaCl-infused ponies, respectively. Only...
Blood biochemical response to sodium bicarbonate infusion during sublethal endotoxemia in ponies.
American journal of veterinary research    September 1, 1990   Volume 51, Issue 9 1370-1374 
Gossett KA, French DD, Cleghorn B, Church GE.Hypertonic NaHCO3 infusion caused blood volume expansion, increased blood bicarbonate concentration, and delayed the onset of hypophosphatemia in ponies with endotoxemia. However, NaHCO3 infusion did not normalize blood pH, and it increased blood L-lactate concentration, and caused hypokalemia, hypernatremia, and hyperosmolality. The deleterious effects of NaHCO3 infusion in endotoxemia ponies outweighed the beneficial effects. The role of hypertonic NaHCO3 given IV for treatment of endotoxemia in equids must be reevaluated.
Electrolytes: clinical applications.
The Veterinary clinics of North America. Equine practice    August 1, 1990   Volume 6, Issue 2 281-294 doi: 10.1016/s0749-0739(17)30542-4
Rose RJ.Many factors can influence electrolytes in the horse. With the major electrolytes (sodium and potassium), alterations in serum or plasma values do not reflect changes in total body status. However, estimates of electrolyte alterations may be made by combining assessments of body weight changes with plasma sodium values by using the formula of Edelman et al. In planning electrolyte therapy, it has to be remembered that access to green feed or hay is important in correcting any total body potassium depletion and that diets marginal in sodium may interfere with exercise capacity by limiting sweat...
Effect of hypertonic vs isotonic saline solution on responses to sublethal Escherichia coli endotoxemia in horses.
American journal of veterinary research    July 1, 1990   Volume 51, Issue 7 999-1007 
Bertone JJ, Gossett KA, Shoemaker KE, Bertone AL, Schneiter HL.Cardiovascular responses to sublethal endotoxin infusion (Escherichia coli, 50 micrograms/ml in lactated Ringer solution at 100 ml/h until pulmonary arterial pressure increased by 10 mm of Hg) were measured 2 times in 5 standing horses. In a 2-period crossover experimental design, horses were either administered hypertonic (2,400 mosm/kg of body weight, IV) or isotonic (300 mosm/kg, IV) NaCl solution after endotoxin challenges. Each solution was administered at a dose of 5 ml/kg (infusion rate, 80 ml/min). Complete data sets (mean arterial, central venous, and pulmonary arterial pressures, pul...
Haematological, serum electrolyte and blood gas effects of small volume hypertonic saline in experimentally induced haemorrhagic shock.
Equine veterinary journal    July 1, 1990   Volume 22, Issue 4 278-283 doi: 10.1111/j.2042-3306.1990.tb04267.x
Schmall LM, Muir WW, Robertson JT.The effects of treatment with small volume hypertonic (2400 mOsm/litre) and isotonic (300 mOsm/litre) saline on serum electrolyte and biochemical concentrations, haemograms and blood gases were evaluated in 12 horses using a haemorrhagic shock model. Intravascular catheters were placed surgically for sample collection prior to anaesthesia. Controlled haemorrhage was initiated and continued until mean systemic pressure reached 50 to 60 mmHg. Hypertonic or isotonic saline (2 litres) was administered by intravenous infusion and data collected for 2 h. Following haemorrhage, packed cell volume (PC...
Haemodynamic effects of small volume hypertonic saline in experimentally induced haemorrhagic shock.
Equine veterinary journal    July 1, 1990   Volume 22, Issue 4 273-277 doi: 10.1111/j.2042-3306.1990.tb04266.x
Schmall LM, Muir WW, Robertson JT.A comparison of the haemodynamic benefits of small volume hypertonic saline (2,400 mOsm/litre) versus isotonic saline (300 mOsm/litre) was conducted in 12 adult horses using a haemorrhagic shock model. The horses were anaesthetised and intravascular catheters placed for the measurement of haemodynamic data. Mean systemic arterial pressure was then reduced to 50 to 60 mmHg by controlled haemorrhage and maintained at that level for 40 mins. Cardiac output, stroke volume, mean systemic arterial pressure, plasma volume and urine production decreased significantly following blood loss. Hypertonic o...
NaCl transport across equine proximal colon and the effect of endogenous prostanoids.
The American journal of physiology    July 1, 1990   Volume 259, Issue 1 Pt 1 G62-G69 doi: 10.1152/ajpgi.1990.259.1.G62
Clarke LL, Argenzio RA.In contrast to in vivo findings, the equine proximal colon fails to demonstrate significant net absorption of Na+ and Cl- under in vitro conditions. The present study was undertaken to determine if endogenous prostanoids are responsible for this apparent lack of ion transport. Proximal colonic tissues from ponies were preincubated in either normal Ringer solution or in Ringer containing 1 microM indomethacin and studied in Ussing chambers containing these solutions. Untreated colonic mucosa demonstrated negligible Na(+)-Cl- absorption in the basal state. In contrast, indomethacin-treated colon...
Effect of show jumping on heart rate, blood lactate and other plasma biochemical values.
Equine veterinary journal. Supplement    June 1, 1990   Issue 9 78-82 doi: 10.1111/j.2042-3306.1990.tb04740.x
Art T, Amory H, Desmecht D, Lekeux P.This study investigated some physiological responses to exercise performed by a horse during show jumping. The effects of jumping on heart rate (HR), blood lactate (LA) and some other blood values were studied in nine normal horses participating at the Belgian Junior Championship. Venous blood was sampled before and immediately after the show jumping and was analysed for packed cell volume, LA, blood glucose (GLU), total plasma protein, bicarbonate, sodium, potassium (K+), chloride, calcium and activities of plasma lactate dehydrogenase, creatine phosphokinase (CK) aspartate amino transferase ...
Alterations in plasma volume, plasma constituents, renin activity and aldosterone induced by maximal exercise in the horse.
Equine veterinary journal. Supplement    June 1, 1990   Issue 9 72-77 doi: 10.1111/j.2042-3306.1990.tb04739.x
Masri M, Freestone JF, Wolfsheimer KJ, Shoemaker K.Plasma volume (PV) decreased by 13 per cent following the completion of 1,000 m of maximal exercise in the horse. This study demonstrated that the critical reduction in PV following maximal exercise occurred within 10 mins of completion of exercise, as previously reported in man. Total plasma protein (TPP) increased by 23 per cent at 2 and 5 mins, and by 21 per cent at 10 mins post exercise. Therefore, it does not appear to be an accurate measurement to assess the degree of PV contraction in the horse. Protein was apparently added to the intravascular space either during or following exercise....
Some factors influencing plasma AST/CK activities in thoroughbred racehorses.
Equine veterinary journal. Supplement    June 1, 1990   Issue 9 66-71 doi: 10.1111/j.2042-3306.1990.tb04738.x
Harris PA, Snow DH, Greet TR, Rossdale PD.Sixty-six Thoroughbred horses in training (2 or 3 years of age) were studied during one flat racing season, to investigate the relationship between age, sex, time of year, dietary electrolyte imbalances and plasma aspartate aminotransferase/creatine kinase (AST/CK) activities. Management and training variations were minimised. Between February to October, monthly 24 h post exercise samples were collected and analysed for AST and CK activities. Sex and/or age were shown to have a significant effect on the occurrence of high CK (> 100 iu/litre) and AST (> 300 iu/litre) activities. Fillies ...
Bicarbonate loading in the thoroughbred: dose, method of administration and acid-base changes.
Equine veterinary journal. Supplement    June 1, 1990   Issue 9 83-85 doi: 10.1111/j.2042-3306.1990.tb04741.x
Greenhaff PL, Snow DH, Harris RC, Roberts CA.Two studies were undertaken in an attempt to investigate the optimal dose, route and time course required to 'bicarbonate load' the Thoroughbred. During the first study a test solution of sodium bicarbonate (NaHCO3) and a control solution of water were administered via a nasogastric tube to six horses. Blood acid-base status was determined immediately prior to and for 24 h following intubation. During the second study a standardised feed was given to four horses, with and without NaHCO3 supplementation. This was followed by a further trial involving the addition of glucose and NaHCO3 to a stan...
Relationship between plasmatic concentrations of K, Na and Ca, and ECG from foals during postnatal phase.
Nihon juigaku zasshi. The Japanese journal of veterinary science    April 1, 1990   Volume 52, Issue 2 257-263 doi: 10.1292/jvms1939.52.257
Escabias MI, Santisteban R, Rubio MD, Tovar P.The correlations between different electrocardiographic variables and plasma concentrations of K, Na and Ca ions were studied in foals of 1 to 14 days of age. The results obtained are only significant in neonate individuals of 1 day of age. Whilst the PQ segment and R wave duration showed a positive linear correlation (p less than or equal to 0.05) with plasma concentrations of Na and Ca ions respectively, the amplitude of the T wave showed a negative linear correlation (p less than or equal to 0.05) with the K ion. Moreover, the variability in duration of the QT and ST intervals can be explai...
A field study of post-exercise values of blood biochemical constituents in jumping horses: relationship with score, individual and event.
Zentralblatt fur Veterinarmedizin. Reihe A    April 1, 1990   Volume 37, Issue 3 231-239 doi: 10.1111/j.1439-0442.1990.tb00898.x
Art T, Desmecht D, Amory H, Delogne O, Buchet M, Leroy P, Lekeux P.The variability of the post-exercise values (PEV) of blood lactate and of some other blood constituents were studied in 8 healthy and fit jumpers through 5 national competitions of equal difficulty. The effects of factors such as the individual, performance and competition on these PEV were analysed. Venous blood was sampled immediately after the 5 show-jumping contests and was analysed for packed cell volume (PCV), blood lactate, blood glucose (GLU), total plasma protein (TPP), bicarbonate (HCO3-), sodium (Na+), potassium (K+), chloride (Cl-), calcium (Ca2+), serum activities of lactate dehyd...
Effect of meal feeding on plasma volume and urinary electrolyte clearance in ponies.
American journal of veterinary research    April 1, 1990   Volume 51, Issue 4 571-576 
Clarke LL, Argenzio RA, Roberts MC.The effect of meal size and frequency on plasma volume, plasma aldosterone concentration and urinary Na and K clearances was determined in ponies. A daily maintenance ration of hay-grain pellets was provided either as a multiple feeding regimen, ie, 12 equal portions fed at 2-hour intervals, or as single large feedings, ie, half the ration fed every 12 hours at 0800 and 2000 hours. Only the effect of the single morning feeding was studied, using the latter regimen. Serial measurements of plasma volume were made by use of an indicator-dilution technique and indocyanine green (0.15 mg/kg of body...
1 12 13 14 15 16 21