Abstract: Airway dysfunction in severe equine asthma (SEA) often results in early retirement or euthanasia of affected horses. Exercise-induced bronchodilation occurs in horses with SEA after intense treadmill exercise, but the effects of a lighter, field-applicable, training regimen remain largely unexplored. Objective: To evaluate the impact of submaximal aerobic exercise on airway obstruction during exacerbation of SEA. Methods: The preliminary phase explored the effects of a 25-min standardised exercise on the lung function of eight SEA horses. As notable bronchodilation occurred, the results were confirmed in a randomised controlled crossover protocol comparing the effect of the same standardised exercise on lung function with that of an equal duration turnout. Methods: Lung function was assessed by standard lung mechanics before and 15 min after the interventions (turnout and walk/trot lungeing exercise). To compare exercise-induced bronchodilation with that of a potent bronchodilator in the main study, salbutamol was administered after the turnout intervention only, and lung function was measured again 5 min later. Data were analysed with t tests, Wilcoxon tests, and mixed-effects models. Results: In the preliminary phase, exercise led to a mean 50% reduction in pulmonary resistance. This was confirmed in the main study, where pulmonary resistance decreased from 2.6 (2.1-3.3) to 1.3 cm (0.8-2.2) HO/L/s after exercise (p = 0.006), whereas it remained unchanged after the turnout intervention. Following salbutamol administration after the turnout, lung function was comparable to that of the lunged horses, suggesting that the extent of exercise-induced bronchodilation was similar to that achieved with a β2-adrenergic agonist. Conclusions: The small number of aged horses, the lack of blinding, and the focus on the short-term effects of exercise restrict the generalisability of the results. Conclusions: The rapid and potent bronchodilation achieved through brief aerobic exercise supports the investigation of a training program's impact on the management of SEA.
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Overview
This study investigated whether a practical, low-intensity aerobic exercise could reduce airway obstruction (bronchodilation) in horses suffering from severe equine asthma (SEA).
The researchers found that even moderate field exercise significantly improved lung function, similar in effect to a common asthma medication.
Background
Severe equine asthma (SEA) is a condition that impairs horses’ airways, leading to breathing difficulties, often causing early retirement or euthanasia.
Previous studies showed that intense treadmill exercise induces bronchodilation (airway widening) in SEA-affected horses.
The effects of lighter, more field-applicable exercise (e.g., walking and trotting in a natural environment) were not well understood.
Objective
To determine if submaximal aerobic exercise (a 25-minute standardized walking and trotting regimen) can improve lung function and reduce airway obstruction during SEA exacerbation.
Methods
Preliminary phase: Assessed lung function in eight SEA horses before and after a 25-minute standardized exercise session to observe bronchodilation.
Noting significant improvement, a randomised controlled crossover study was conducted comparing exercise to turnout (time spent turned out without exercise) of equal duration.
Lung function was measured using standard lung mechanics before and 15 minutes after interventions (exercise or turnout).
After the turnout intervention only, the horses received salbutamol (a potent bronchodilator), and lung function was recorded again 5 minutes later.
Statistical analysis included t tests, Wilcoxon tests, and mixed-effects models to compare changes across conditions.
Results
The preliminary phase showed exercise yielded about a 50% reduction in pulmonary resistance (a measure of airway obstruction), indicating significant bronchodilation.
In the main study, pulmonary resistance dropped from 2.6 cm HO/L/s pre-exercise to 1.3 cm HO/L/s post-exercise (p=0.006), demonstrating a significant improvement.
Lung function remained unchanged following mere turnout, indicating that just time spent outside without exercise did not affect airway obstruction.
After salbutamol administration (post-turnout), lung function improved to levels comparable to those seen after exercise, suggesting the exercise’s bronchodilation effect was as strong as the β2-adrenergic agonist medication.
Conclusions
Brief, moderate aerobic exercise induces rapid and powerful bronchodilation in horses with SEA, comparable to the effect of inhaled bronchodilator drugs.
This result highlights the potential for incorporating specific training programs into SEA management.
Limitations include a small sample size of older horses, lack of blinding, and focus only on short-term effects.
Further research is needed to explore long-term benefits and practical exercise protocols for SEA treatment.
Cite This Article
APA
Mainguy-Seers S, Grondin SM, Lavoie JP.
(2025).
Field-applicable low-intensity exercise induces bronchodilation in horses with severe asthma.
Equine Vet J.
https://doi.org/10.1111/evj.70111
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