Analyze Diet
Acta veterinaria Scandinavica2016; 58(Suppl 1); 65; doi: 10.1186/s13028-016-0247-y

Blood pressure in Warmblood horses before and during a euglycemic-hyperinsulinemic clamp.

Abstract: Insulin resistance (IR) in humans is related to hypertension and impaired vasodilation. Insulin administration has been shown to lower blood pressure both in insulin resistant as well as in insulin sensitive individuals. The aim of the study was to investigate the association between insulin sensitivity and alterations in blood pressure in healthy horses before and after a euglycemic-hyperinsulinemic clamp (EHC). A 3-h EHC was performed in 13 healthy horses (11 mares, 2 geldings). Blood samples for measurement of plasma glucose and insulin were collected before the start of the EHC, every 10 min during the EHC and immediately after the EHC. Mean, systolic- and diastolic blood pressure was measured before and during the final 10 min of the EHC using an indirect high-definition oscillometric monitor (HDO, horse model) applied to the middle of the coccygeal artery. Five consecutive measurements were made in each horse and on each occasion. Insulin and glucose data from the EHC were used to calculate the mean rate of glucose disposal per unit of insulin during steady state (M/I ratio). Insulin resistance was defined as a M/I ratio <5 mg/kg/min/mUL (Lindåse et al. in Am J Vet Res 77:300-309, 2016). Results: Insulin administration decreased systolic, diastolic and mean arterial pressure in all horses. The M/I ratio for all horses was negatively correlated with the decrease in systolic blood pressure (r = 0.55, P = 0.004) and mean arterial pressure (r = 0.31, P = 0.048) but not diastolic blood pressure (r = 0.12, P = 0.26). Eight horses were defined as insulin resistant (IR) and five horses had normal insulin sensitivity. The five horses with normal insulin sensitivity showed a greater decrease in systolic blood pressure (-17.0 ± 7.4 vs. -3.4 ± 4.6 mmHg, P = 0.001) and MAP (19.2 ± 14.7 vs. 6.9 ± 8.7 mmHg, P = 0.04) than IR horses. There was no difference in the decrease in diastolic blood pressure between groups (16 ± 12.8 vs. 8.9 ± 12.1 mmHg, P = 0.17). Conclusions: This study indicates that there is a relationship between insulin sensitivity and systolic and MAP in horses. However, studies on a larger number of horses are needed to confirm this association.
Publication Date: 2016-10-20 PubMed ID: 27766986PubMed Central: PMC5073943DOI: 10.1186/s13028-016-0247-yGoogle Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research focuses on analyzing the connection between insulin sensitivity and alterations in blood pressure in healthy horses, using a euglycemic-hyperinsulinemic clamp (EHC) process.

Research Method

  • A euglycemic-hyperinsulinemic clamp (EHC) was performed on 13 healthy horses. This method involved maintaining their blood glucose levels while raising the insulin levels.
  • Blood samples were gathered at specific intervals to measure both plasma glucose and insulin levels.
  • A high-definition oscillometric monitor was used for measuring the systolic, diastolic, and mean arterial pressure of the horses both before and during the EHC test.
  • The M/I ratio, representing the mean rate of glucose disposal per insulin unit during steady state, was calculated from the collected insulin and glucose data.
  • Horses with M/I ratio less than 5 mg/kg/min/mUL were categorized as insulin-resistant (IR), as per the set criterion.

Key Findings

  • The administration of insulin resulted in decreased systolic, diastolic, and mean arterial pressure in all horses.
  • A negative correlation was found between the M/I ratio and the decrease in systolic blood pressure (r = 0.55, P = 0.004) and mean arterial pressure (r = 0.31, P = 0.048). This suggests that as insulin sensitivity decreased, the blood pressure tended to decrease less.
  • No significant correlation was observed between M/I ratios and diastolic blood pressure changes.
  • Of the 13 horses, eight were classified as insulin-resistant and five as insulin-sensitive. The insulin-sensitive horses showed a more significant decrease in systolic blood pressure and mean arterial pressure than the insulin-resistant ones.

Conclusion

  • This research indicates a potential connection between insulin sensitivity and fluctuations in the systolic and mean arterial pressure in horses.
  • However, the researchers recommend further studies with a larger sample size to conclusively establish this association.

Cite This Article

APA
Nostell KE, Lindåse SS, Bröjer JT. (2016). Blood pressure in Warmblood horses before and during a euglycemic-hyperinsulinemic clamp. Acta Vet Scand, 58(Suppl 1), 65. https://doi.org/10.1186/s13028-016-0247-y

Publication

ISSN: 1751-0147
NlmUniqueID: 0370400
Country: England
Language: English
Volume: 58
Issue: Suppl 1
Pages: 65
PII: 65

Researcher Affiliations

Nostell, Katarina E A
  • Department of Clinical Sciences, Swedish University of Agricultural Sciences, Box 7054, 750 07, Uppsala, Sweden. Katarina.Nostell@slu.se.
Lindåse, Sanna S
  • Department of Clinical Sciences, Swedish University of Agricultural Sciences, Box 7054, 750 07, Uppsala, Sweden.
Bröjer, Johan T
  • Department of Clinical Sciences, Swedish University of Agricultural Sciences, Box 7054, 750 07, Uppsala, Sweden.

MeSH Terms

  • Animals
  • Blood Glucose / analysis
  • Blood Glucose / drug effects
  • Blood Pressure / drug effects
  • Blood Pressure / physiology
  • Female
  • Glucose Clamp Technique / veterinary
  • Horses / physiology
  • Insulin / blood
  • Insulin / pharmacology
  • Insulin Resistance
  • Male

References

This article includes 29 references
  1. Anderson EA, Hoffman RP, Balon TW, Sinkey CA, Mark AL. Hyperinsulinemia produces both sympathetic neural activation and vasodilation in normal humans.. J Clin Invest 1991 Jun;87(6):2246-52.
    doi: 10.1172/JCI115260pmc: PMC296986pubmed: 2040704google scholar: lookup
  2. Polderman KH, Stehouwer CD, van Kamp GJ, Gooren LJ. Effects of insulin infusion on endothelium-derived vasoactive substances.. Diabetologia 1996 Nov;39(11):1284-92.
    doi: 10.1007/s001250050571pubmed: 8932993google scholar: lookup
  3. Natali A, Quiñones Galvan A, Santoro D, Pecori N, Taddei S, Salvetti A, Ferrannini E. Relationship between insulin release, antinatriuresis and hypokalaemia after glucose ingestion in normal and hypertensive man.. Clin Sci (Lond) 1993 Sep;85(3):327-35.
    doi: 10.1042/cs0850327pubmed: 8403806google scholar: lookup
  4. Modan M, Halkin H, Almog S, Lusky A, Eshkol A, Shefi M, Shitrit A, Fuchs Z. Hyperinsulinemia. A link between hypertension obesity and glucose intolerance.. J Clin Invest 1985 Mar;75(3):809-17.
    doi: 10.1172/JCI111776pmc: PMC423608pubmed: 3884667google scholar: lookup
  5. Ferrannini E, Natali A, Capaldo B, Lehtovirta M, Jacob S, Yki-Järvinen H. Insulin resistance, hyperinsulinemia, and blood pressure: role of age and obesity. European Group for the Study of Insulin Resistance (EGIR).. Hypertension 1997 Nov;30(5):1144-9.
    doi: 10.1161/01.HYP.30.5.1144pubmed: 9369268google scholar: lookup
  6. Pollare T, Lithell H, Berne C. Insulin resistance is a characteristic feature of primary hypertension independent of obesity.. Metabolism 1990 Feb;39(2):167-74.
    doi: 10.1016/0026-0495(90)90071-Jpubmed: 2405235google scholar: lookup
  7. Rowe JW, Young JB, Minaker KL, Stevens AL, Pallotta J, Landsberg L. Effect of insulin and glucose infusions on sympathetic nervous system activity in normal man.. Diabetes 1981 Mar;30(3):219-25.
    doi: 10.2337/diab.30.3.219pubmed: 7009270google scholar: lookup
  8. Forte P, Copland M, Smith LM, Milne E, Sutherland J, Benjamin N. Basal nitric oxide synthesis in essential hypertension.. Lancet 1997 Mar 22;349(9055):837-42.
    doi: 10.1016/S0140-6736(96)07631-3pubmed: 9121259google scholar: lookup
  9. Ferri C, Laurenti O, Bellini C, Faldetta MR, Properzi G, Santucci A, De Mattia G. Circulating endothelin-1 levels in lean non-insulin-dependent diabetic patients. Influence of ACE inhibition.. Am J Hypertens 1995 Jan;8(1):40-7.
    doi: 10.1016/0895-7061(94)00180-Jpubmed: 7734095google scholar: lookup
  10. Laakso M, Edelman SV, Brechtel G, Baron AD. Decreased effect of insulin to stimulate skeletal muscle blood flow in obese man. A novel mechanism for insulin resistance.. J Clin Invest 1990 Jun;85(6):1844-52.
    doi: 10.1172/JCI114644pmc: PMC296649pubmed: 2189893google scholar: lookup
  11. Heise T, Magnusson K, Heinemann L, Sawicki PT. Insulin resistance and the effect of insulin on blood pressure in essential hypertension.. Hypertension 1998 Aug;32(2):243-8.
    doi: 10.1161/01.HYP.32.2.243pubmed: 9719049google scholar: lookup
  12. Feldman RD, Bierbrier GS. Insulin-mediated vasodilation: impairment with increased blood pressure and body mass.. Lancet 1993 Sep 18;342(8873):707-9.
    doi: 10.1016/0140-6736(93)91708-Tpubmed: 8103822google scholar: lookup
  13. Henneke DR, Potter GD, Kreider JL, Yeates BF. Relationship between condition score, physical measurements and body fat percentage in mares.. Equine Vet J 1983 Oct;15(4):371-2.
  14. Carter RA, Geor RJ, Burton Staniar W, Cubitt TA, Harris PA. Apparent adiposity assessed by standardised scoring systems and morphometric measurements in horses and ponies.. Vet J 2009 Feb;179(2):204-10.
    doi: 10.1016/j.tvjl.2008.02.029pubmed: 18440844google scholar: lookup
  15. Söder J, Bröjer JT, Nostell KE. Interday variation and effect of transportation on indirect blood pressure measurements, plasma endothelin-1 and serum cortisol in Standardbred and Icelandic horses.. Acta Vet Scand 2012 Jun 10;54(1):37.
    doi: 10.1186/1751-0147-54-37pmc: PMC3503793pubmed: 22682151google scholar: lookup
  16. Walders W, Gehlen H. [Noninvasive blood pressure measurement using high definition oscillometry in horses with heart diseases].. Tierarztl Prax Ausg G Grosstiere Nutztiere 2014;42(1):22-31.
    pubmed: 24518881
  17. Tünsmeyer J, Hopster K, Feige K, Kästner SB. Agreement of high definition oscillometry with direct arterial blood pressure measurement at different blood pressure ranges in horses under general anaesthesia.. Vet Anaesth Analg 2015 May;42(3):286-91.
    doi: 10.1111/vaa.12203pubmed: 25053371google scholar: lookup
  18. Lindåse SS, Nostell KE, Müller CE, Jensen-Waern M, Bröjer JT. Effects of diet-induced weight gain and turnout to pasture on insulin sensitivity in moderately insulin resistant horses.. Am J Vet Res 2016 Mar;77(3):300-9.
    doi: 10.2460/ajvr.77.3.300pubmed: 26919602google scholar: lookup
  19. Öberg J, Bröjer J, Wattle O, Lilliehöök I. Evaluation of an equine-optimized enzyme-linked immunosorbent assay for serum insulin measurement and stability study of equine serum insulin. Comp Clin Pathol 2011;21(6):1291–1300.
    doi: 10.1007/s00580-011-1284-6google scholar: lookup
  20. Baron AD, Brechtel G. Insulin differentially regulates systemic and skeletal muscle vascular resistance.. Am J Physiol 1993 Jul;265(1 Pt 1):E61-7.
    pubmed: 8338155doi: 10.1152/ajpendo.1993.265.1.e61google scholar: lookup
  21. Brands MW, Mizelle HL, Gaillard CA, Hildebrandt DA, Hall JE. The hemodynamic response to chronic hyperinsulinemia in conscious dogs.. Am J Hypertens 1991 Feb;4(2 Pt 1):164-8.
    doi: 10.1093/ajh/4.2.164pubmed: 2021447google scholar: lookup
  22. Laakso M, Edelman SV, Brechtel G, Baron AD. Impaired insulin-mediated skeletal muscle blood flow in patients with NIDDM.. Diabetes 1992 Sep;41(9):1076-83.
    doi: 10.2337/diab.41.9.1076pubmed: 1499861google scholar: lookup
  23. Prager R, Wallace P, Olefsky JM. In vivo kinetics of insulin action on peripheral glucose disposal and hepatic glucose output in normal and obese subjects.. J Clin Invest 1986 Aug;78(2):472-81.
    doi: 10.1172/JCI112599pmc: PMC423584pubmed: 3525609google scholar: lookup
  24. Gauff F, Patan-Zugaj B, Licka TF. Hyperinsulinaemia increases vascular resistance and endothelin-1 expression in the equine digit.. Equine Vet J 2013 Sep;45(5):613-8.
    doi: 10.1111/evj.12040pmc: PMC4018505pubmed: 23489109google scholar: lookup
  25. Venugopal CS, Eades S, Holmes EP, Beadle RE. Insulin resistance in equine digital vessel rings: an in vitro model to study vascular dysfunction in equine laminitis.. Equine Vet J 2011 Nov;43(6):744-9.
  26. Keen JA, McGorum BC, Hillier C, Nally JE. Short-term incubation of equine laminar veins with cortisol and insulin alters contractility in vitro: possible implications for the pathogenesis of equine laminitis.. J Vet Pharmacol Ther 2013 Aug;36(4):382-8.
  27. Wooldridge AA, Waguespack RW, Schwartz DD, Venugopal CS, Eades SC, Beadle RE. Vasorelaxation responses to insulin in laminar vessel rings from healthy, lean horses.. Vet J 2014 Oct;202(1):83-8.
    doi: 10.1016/j.tvjl.2014.07.021pubmed: 25155219google scholar: lookup
  28. Bailey SR, Habershon-Butcher JL, Ransom KJ, Elliott J, Menzies-Gow NJ. Hypertension and insulin resistance in a mixed-breed population of ponies predisposed to laminitis.. Am J Vet Res 2008 Jan;69(1):122-9.
    doi: 10.2460/ajvr.69.1.122pubmed: 18167097google scholar: lookup
  29. Bonora E, Capaldo B, Perin PC, Del Prato S, De Mattia G, Frittitta L, Frontoni S, Leonetti F, Luzi L, Marchesini G, Marini MA, Natali A, Paolisso G, Piatti PM, Pujia A, Solini A, Vettor R, Bonadonna RC. Hyperinsulinemia and insulin resistance are independently associated with plasma lipids, uric acid and blood pressure in non-diabetic subjects. The GISIR database.. Nutr Metab Cardiovasc Dis 2008 Nov;18(9):624-31.
    doi: 10.1016/j.numecd.2007.05.002pubmed: 18060751google scholar: lookup

Citations

This article has been cited 2 times.
  1. D' Fonseca NMM, Beukers M, Wijnberg ID, Navas de Solis C, de Ruijter-Villani M, van Doorn DA, Stout TAE, Roelfsema E. Effect of a long-term high-energy diet on cardiovascular parameters in Shetland pony mares. J Vet Intern Med 2021 Sep;35(5):2427-2436.
    doi: 10.1111/jvim.16229pubmed: 34350640google scholar: lookup
  2. da Silva AA, do Carmo JM, Li X, Wang Z, Mouton AJ, Hall JE. Role of Hyperinsulinemia and Insulin Resistance in Hypertension: Metabolic Syndrome Revisited. Can J Cardiol 2020 May;36(5):671-682.
    doi: 10.1016/j.cjca.2020.02.066pubmed: 32389340google scholar: lookup