Analyze Diet
Journal of veterinary internal medicine2024; 38(6); 3297-3308; doi: 10.1111/jvim.17223

Improvement of gastric disease and ridden horse pain ethogram scores with diet adaptation in sport horses.

Abstract: Gastric disease is highly prevalent in sport horses and may lead to poor performance, cause behavioral changes and impact welfare. Objective: Assess whether diet affects gastric disease and pain expression during riding, and whether it has an impact on physiological and locomotor variables during an exercise test, including jumps. Methods: Nine healthy show-jumping Warmbloods trained at the same stable. Methods: Prospective observational cohort study. The horses receiving a pelleted diet, high in sugar and starch (>30%), were examined at T0 and after 12 weeks (T12) of changing to a cooked, muesli-type low-starch (11%) diet. Each time, the horses underwent a standardized exercise test (SET) and a ridden pain score (Ridden Horse Pain Ethogram [RHpE]) was calculated by 2 blinded observers. The next day, horses underwent gastroscopy and gastric lesions were scored blindly. Results were analyzed using Wilcoxon and Spearman tests. Results: After 12 weeks of a low starch diet, the Equine Gastric Disease (EGD; 4 [3-5] at T0 vs 1 [0-1] at T12, P < .01) and RHpE scores (6 [3-13] at T0 vs 3 [0-6] at T12, P < .01) improved significantly. Squamous, glandular, and EGD scores were positively correlated with RHpE scores (respectively, r = .747, P < .01; r = .743, P < .01 and r = .867, P < .01). Conclusions: Gastric disease and pain scores correlated positively in ridden horses. A low starch diet significantly decreases the severity of gastric disease and associated pain score during riding in horses. Gastric ulcers may be mitigated and the comfort of equines athletes improved by dietary adjustments.
Publication Date: 2024-10-28 PubMed ID: 39465968PubMed Central: PMC11586567DOI: 10.1111/jvim.17223Google Scholar: Lookup
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  • Journal Article

Summary

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The research studies the impact of diet change on gastric disease and ridden horse pain scores in sport horses, finding that a low-starch diet can significantly decrease the severity of gastric disease and associated pain during riding.

Research Objective

The main objective of the research was to assess whether dietary changes could affect the prevalence of gastric disease and expression of pain in sport horses during riding. Specifically, the researchers were interested in the impact this might have on physiological and locomotor variables during an exercise test that included jumps.

Methods

  • The study was carried out as a prospective observational cohort study. The subjects were nine healthy Warmblood show-jumpers all trained at the same stable.
  • The horses were initially given a pelleted diet, which was high in sugar and starch (>30%). The researchers examined the horses at the beginning of the study (T0) and after 12 weeks (T12) of switching them to a cooked, muesli-type low-starch (11%) diet.
  • At each examination, the horses underwent a standardized exercise test (SET) and a ridden pain score (Ridden Horse Pain Ethogram [RHpE]) was calculated by two observers, who were blinded to the study’s objectives.
  • The following day, the horses underwent gastroscopy, and gastric lesions were scored blindly. The results were analyzed using Wilcocean and Spearman statistical tests.

Results

  • After a 12-week period of eating a low-starch diet, the horses’ Equine Gastric Disease (EGD) and ridden horse pain ethogram (RHpE) scores improved significantly. The EGD scores were 4 [3-5] at T0 and reduced to 1 [0-1] at T12. The RHpE scores were 6 [3-13] at T0 and decreased to 3 [0-6] at T12.
  • The scores of Squamous, glandular, and EGD were positively correlated with RHpE scores, indicating a mutual relationship between gastric disease and ridden horse pain.

Conclusions

  • The study found that gastric disease and pain scores in ridden horses were positively correlated.
  • Switching horses to a low-starch diet significantly decreased the severity of gastric disease and associated pain scores during riding.
  • The study’s findings suggest that dietary adjustments can help mitigate gastric ulcers and improve the comfort and performance of equine athletes.

Cite This Article

APA
Pineau V, Ter Woort F, Julien F, Vernant M, Lambey S, Hébert C, Hanne-Poujade S, Westergren V, van Erck-Westergren E. (2024). Improvement of gastric disease and ridden horse pain ethogram scores with diet adaptation in sport horses. J Vet Intern Med, 38(6), 3297-3308. https://doi.org/10.1111/jvim.17223

Publication

ISSN: 1939-1676
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 38
Issue: 6
Pages: 3297-3308

Researcher Affiliations

Pineau, Violaine
  • Equine Sports Medicine Practice, Waterloo, Belgium.
Ter Woort, Fe
  • Equine Sports Medicine Practice, Waterloo, Belgium.
Julien, Félicie
  • Lambey SAS, Moulin des Prés, Torpes, France.
Vernant, Margaux
  • Lambey SAS, Moulin des Prés, Torpes, France.
Lambey, Sandrine
  • Lambey SAS, Moulin des Prés, Torpes, France.
Hébert, Camille
  • CWD, Lim group, Bordeaux, France.
Hanne-Poujade, Sandrine
  • CWD, Lim group, Bordeaux, France.
Westergren, Victor
  • Faculty of Economics, Solvay Brussels School of Economics and Management, Université Libre de Bruxelles, Brussels, Belgium.
van Erck-Westergren, Emmanuelle
  • Equine Sports Medicine Practice, Waterloo, Belgium.

MeSH Terms

  • Horses
  • Animals
  • Horse Diseases / diet therapy
  • Prospective Studies
  • Diet / veterinary
  • Male
  • Female
  • Physical Conditioning, Animal
  • Stomach Diseases / veterinary
  • Stomach Diseases / diet therapy
  • Animal Feed / analysis
  • Pain / veterinary
  • Sports
  • Cohort Studies
  • Pain Measurement / veterinary

Grant Funding

  • Lambey SAS

Conflict of Interest Statement

F. Julien, M. Vernant and S. Lambey are employed by Lambey SAS that has provided the tested feed. C. Hébert and S. Hanne‐Poujade work for Lim group that has provided the iJUMP saddle.

References

This article includes 67 references
  1. Sykes BW, Hewetson M, Hepburn RJ, Luthersson N, Tamzali Y. European College of Equine Internal Medicine Consensus Statement‐Equine Gastric Ulcer Syndrome in adult horses. J Vet Intern Med 2015;29(5):1288‐1299.
    pmc: PMC4858038pubmed: 26340142
  2. Nadeau JA, Andrews FM, Mathew AG. Evaluation of diet as a cause of gastric ulcers in horses. Am J Vet Res 2000;61:784‐790.
    pubmed: 10895901
  3. Luthersson N, Hou Nielsen K, Harris P, Parkin TDH. Risk factors associated with equine gastric ulceration syndrome (EGUS) in 201 horses in Denmark. Equine Vet J 2009;41(7):625‐630.
    pubmed: 19927579
  4. Paul LJ, Ericsson AC, Andrews FM. Gastric microbiome in horses with and without equine glandular gastric disease. J Vet Intern Med 2021;35(5):2458‐2464.
    pmc: PMC8478018pubmed: 34351018
  5. Rendle D, Bowen M, Brazil T. Recommendations for the management of equine glandular gastric disease. UK‐Vet Equine 2018;2(Supp1):2‐11.
  6. Sykes BW, Bowen M, Habershon‐Butcher JL, Green M, Hallowell GD. Management factors and clinical implications of glandular and squamous gastric disease in horses. J Vet Intern Med 2019;33(1):233‐240.
    pmc: PMC6335573pubmed: 30499188
  7. Sykes B, Jokisalo JM. Rethinking equine gastric ulcer syndrome: part 3–equine glandular gastric ulcer syndrome (EGGUS). Equine Vet Educ 2015;27:372‐375.
  8. van den Boom R. Equine gastric ulcer syndrome in adult horses. Vet J 2022;283–284:105830.
    pubmed: 35472513
  9. Andrews FM. Poor performance: can heartburn slow a horse?. Equine Vet Educ 2008;20:125‐126.
  10. Franklin SH, Brazil TJ, Allen KJ. Poor performance associated with equine gastric ulceration syndrome in four thoroughbred racehorses. Equine Vet Educ 2008;20(3):119‐124.
  11. Vatistas NJ, Snyder JR, Carlson G. Cross‐sectional study of gastric ulcers of the squamous mucosa in thoroughbred racehorses. Equine Vet J Suppl 1999;29:34‐39.
    pubmed: 10696291
  12. Nieto JE, Snyder JR, Vatistas NJ, Jones JH. Effect of gastric ulceration on physiologic responses to exercise in horses. AJVR 2009;70(6):787‐795.
    pubmed: 19496670
  13. Dyson S, Berger J, Ellis AD, Mullard J. Development of an ethogram for a pain scoring system in ridden horses and its application to determine the presence of musculoskeletal pain. J Vet Behav Clin Appl Res 2018;1(23):47‐57.
  14. Lindner A. Measurement of plasma lactate concentration with accusport. Equine Vet J 1996;28(5):403‐405.
    pubmed: 8894539
  15. ter Woort F, Dubois G, Tansley G. Validation of an equine fitness tracker: ECG quality and arrhythmia detection. Equine Vet J 2022;55:336‐343.
    pmc: PMC10078706pubmed: 35138653
  16. López‐Sanromán FJ, Holmbak‐Petersen R, Santiago I, Gómez de Segura IA, Barrey E. Gait analysis using 3D accelerometry in horses sedated with xylazine. Vet J 2012;193(1):212‐216.
    pubmed: 22082509
  17. The DS, Ethogram RHP. The ridden horse pain Ethogram. Equine Vet Educ 2022;34(7):372‐380.
  18. Dyson S, Thomson K, Quiney L, Bondi A, Ellis AD. Can veterinarians reliably apply a whole horse ridden ethogram to differentiate nonlame and lame horses based on live horse assessment of behaviour?. Equine Vet Educ 2020;32(S10):112‐120.
  19. Sykes BW, Jokisalo JM. Rethinking equine gastric ulcer syndrome: part 1 ‐ terminology, clinical signs and diagnosis. Equine Vet Educ 2014;26:543‐547.
  20. Alshut F, Venner M, Martinsson G, Vervuert I. The effects of feeding sodium chloride pellets on the gastric mucosa, acid‐base, and mineral status in exercising horses. J Vet Intern Med 2023;37:2552‐2561.
    pmc: PMC10658481pubmed: 37776109
  21. Julliand S, Buttet M, Hermange T, Hillon P, Julliand V. Effect of diet composition on glandular gastric disease in horses. J Vet Intern Med 2023;37:1528‐1536.
    pmc: PMC10365063pubmed: 37264707
  22. Wise JC, Wilkes EJA, Raidal SL. Interobserver and intraobserver reliability for 2 grading systems for gastric ulcer syndrome in horses. J Vet Intern Med 2021;35(1):571‐579.
    pmc: PMC7848314pubmed: 33284465
  23. Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull 1979;86:420‐428.
    pubmed: 18839484
  24. Nieto JE, Snyder JR, Beldomenico P, Aleman M, Kerr JW, Spier SJ. Prevalence of gastric ulcers in endurance horses ‐ a preliminary report. Vet J 2004;167(1):33‐37.
    pubmed: 14623148
  25. Tamzali Y, Marguet C, Priymenko N, Lyazrhi F. Prevalence of gastric ulcer syndrome in high‐level endurance horses. Equine Vet J 2011;43(2):141‐144.
    pubmed: 21592206
  26. Mönki J, Hewetson M, Virtala AMK. Risk factors for equine gastric glandular disease: a case‐control study in a Finnish referral hospital population. J Vet Intern Med 2016;30(4):1270‐1275.
    pmc: PMC5108429pubmed: 27461724
  27. Nicol CJ, Davidson HPD, Harris PA, Waters AJ, Wilson AD. Study of crib‐biting and gastric inflammation and ulceration in young horses. 2002;151:658‐662.
    pubmed: 12498408
  28. Andrews FM, Nadeau JA. Clinical syndromes of gastric ulceration in foals and mature horses. Equine Vet J Suppl 1999;31:30‐33.
    pubmed: 10696290
  29. Cerri S, Taminiau B, de Lusancay AHC. Effect of oral administration of omeprazole on the microbiota of the gastric glandular mucosa and feces of healthy horses. J Vet Intern Med 2020;34(6):2727‐2737.
    pmc: PMC7694827pubmed: 33063923
  30. Sykes BW. Courses for horses: rethinking the use of proton pump inhibitors in the treatment of equine gastric ulcer syndrome. Equine Vet Educ 2019;31:441‐446.
  31. Sykes BW. A free ride: is long‐term omeprazole therapy safe and effective?. Equine Vet Educ 2021;33:556‐560.
  32. Varley G, Bowen IM, Habershon‐Butcher JL, Nicholls V, Hallowell GD. Misoprostol is superior to combined omeprazole‐sucralfate for the treatment of equine gastric glandular disease. Equine Vet J 2019;51(5):575‐580.
    pubmed: 30809869
  33. Pagan JD, Petroski‐Rose L, Mann A, Hauss A. Omeprazole reduces calcium digestibility in thoroughbred horses. J Equine Vet Sci 2020;86:102851.
    pubmed: 32067660
  34. van Erck‐Westergren E, ter Woort F. Diet‐induced changes in gastric and faecal microbiota in horses: association with gastric ulcer healing. Equine Vet J 2019;51:21.
  35. De Fombelle A, Varloud M, Goachet AG. Characterization of the microbial and biochemical profile of the different segments of the digestive tract in horses given two distinct diets. Anim Sci 2003;77(2):293‐304.
  36. Habershon‐Butcher J, Hallowell G, Bowen I, Sykes B. 2012 ACVIM forum research abstracts program; prevalence and risk factors for ulceration of the gastric glandular mucosa in Thouroughbred racehorses in training in the UK and Australia. J Vet Intern Med 2012;26(3):690‐822.
  37. Colombino E, Raspa F, Perotti M. Gut health of horses: effects of high fibre vs high starch diet on histological and morphometrical parameters. BMC Vet Res 2022;18(1):338.
    pmc: PMC9454146pubmed: 36076239
  38. Iijima K, Kanno T, Koike T, Shimosegawa T. Helicobacter pylori ‐negative, non‐steroidal anti‐inflammatory drug: negative idiopathic ulcers in Asia. World J Gastroenterol 2014;20(3):706‐713.
    pmc: PMC3921480pubmed: 24574744
  39. Métayer N, Lhôte M, Bahr A. Meal size and starch content affect gastric emptying in horses. Equine Vet J 2004;36(5):436‐440.
    pubmed: 15253086
  40. Galinelli N, Wambacq W, Broeckx BJG, Hesta M. High intake of sugars and starch, low number of meals and low roughage intake are associated with equine gastric ulcer syndrome in a Belgian cohort. J Anim Physiol Anim Nutr (Berl) 2021;105(S2):18‐23.
    pubmed: 31637798
  41. Vondran S, Venner M, Vervuert I. Effects of two alfalfa preparations with different particle sizes on the gastric mucosa in weanlings: alfalfa chaff versus alfalfa pellets. BMC Vet Res 2016;12(1):110.
    pmc: PMC4908680pubmed: 27301323
  42. Fedtke A, Pfaff M, Volquardsen J, Venner M, Vervuert I. Effects of feeding different roughage‐based diets on gastric mucosa after weaning in warmblood foals. Pferdeheilkunde 2015;31:596‐602.
  43. Bochnia M, Goetz F, Wensch‐Dorendorf M, Koelln M, Zeyner A. Chewing patterns in horses during the intake of variable quantities of two pelleted compound feeds differing in their physical characteristics only. Res Vet Sci 2019;1(125):189‐194.
    pubmed: 31254716
  44. Bello‐Perez LA, Flores‐Silva PC, Agama‐Acevedo E, Tovar J. Starch digestibility: past, present, and future. J Sci Food Agric 2020;100:5009‐5016.
    pubmed: 29427318
  45. Pace FA, Montes JH, Philippe MG. Interactive effects between sugar source and pelleting temperature on processing, digestibility and blood metabolites in nursery piglets. Livest Sci 2020;240:104182.
  46. Schoster A, Weese JS, Guardabassi L. Probiotic use in horses—what is the evidence for their clinical efficacy?. J Vet Intern Med 2014;28:1640‐1652.
    pmc: PMC4895607pubmed: 25231539
  47. Respondek F, Goachet AG, Rudeaux F, Julliand V. Effects of short‐chain fructo‐oligosaccharides on the microbial and biochemical profile of different segments of the gastro‐intestinal tract in horses. Pferdeheilkunde 2005;21:69.
  48. Nadziakiewicza M, Kehoe S, Micek P. Physico‐chemical properties of clay minerals and their use as a health promoting feed additive. Animals 2019;9:714.
    pmc: PMC6827059pubmed: 31548509
  49. Alberghina D, Giannetto C, Visser EK, Ellis AD. Effect of diet on plasma tryptophan and serotonin in trained mares and geldings. Vet Rec 2010;166(5):133‐136.
    pubmed: 20118469
  50. Ayala I, Martos NF, Silvan G, Gutierrez‐Panizo C, Clavel JG, Illera JC. Cortisol, adrenocorticotropic hormone, serotonin, adrenaline and noradrenaline serum concentrations in relation to disease and stress in the horse. Res Vet Sci 2012;93(1):103‐107.
    pubmed: 21641009
  51. Scheidegger MD, Gerber V, Bruckmaier RM, van der Kolk JH, Burger D, Ramseyer A. Increased adrenocortical response to adrenocorticotropic hormone (ACTH) in sport horses with equine glandular gastric disease (EGGD). Vet J 2017;228:7‐12.
    pubmed: 29153110
  52. Millares‐Ramirez EM, Le Jeune SS. Girthiness: retrospective study of 37 horses (2004–2016). J Equine Vet Sci 2019;1(79):100‐104.
    pubmed: 31405487
  53. Dyson S, Bondi A, Routh J. An investigation of behaviour during tacking‐up and mounting in ridden sports and leisure horses. Equine Vet Educ 2022;34(6):e245‐e257.
  54. Pehkonen J, Karma L, Raekallio M. Behavioral signs associated with equine periapical infection in cheek teeth. J Equine Vet Sci 2019;77:144‐150.
    pubmed: 31133309
  55. Christoffersen M, Lehn‐Jensen H, Bøgh IB. Referred vaginal pain: cause of hypersensitivity and performance problems in mares? A clinical case study. J Equine Vet Sci 2007;27(1):32‐36.
  56. Hammond A, Sage W, Hezzell M, Smith S, Franklin S, Allen K. Heart rate variability during high‐speed treadmill exercise and recovery in thoroughbred racehorses presented for poor performance. Equine Vet J 2022;55:727‐737.
    pubmed: 36537845
  57. Malmkvist J, Poulsen JM, Luthersson N, Palme R, Christensen JW, Søndergaard E. Behaviour and stress responses in horses with gastric ulceration. Appl Anim Behav Sci 2012;142(3–4):160‐167.
  58. van Loon JPAM, Van Dierendonck MC. Monitoring acute equine visceral pain with the equine Utrecht University scale for composite pain assessment (EQUUS‐COMPASS) and the equine Utrecht University scale for facial assessment of pain (EQUUS‐FAP): a scale‐construction study. Vet J 2015;206(3):356‐364.
    pubmed: 26526526
  59. Ask K, Rhodin M, Tamminen LM, Hernlund E, Andersen PH. Identification of body behaviors and facial expressions associated with induced orthopedic pain in four equine pain scales. Animals 2020;10(11):1‐16.
    pmc: PMC7699379pubmed: 33228117
  60. Wagner AE. Effects of stress on pain in horses and incorporating pain scales for equine practice. Vet Clin N Am 2010;26:481‐492.
    pubmed: 21056295
  61. Dyson S, Martin C, Bondi A, Ellis AD. The influence of rider skill on ridden horse behaviour, assessed using the ridden horse pain ethogram, and gait quality. Equine Vet Educ 2022;34(7):e308‐e317.
  62. Kjærulff LNR, Lindegaard C. Performance and rideability issues in horses as a manifestation of pain: a review of differential diagnosis and diagnostic approach. Equine Vet Educ 2022;34:103‐112.
  63. Denoix JM. Take‐off and propulsion: biomecanics of the axial region (head, neck, trunk and pelvis). 2014:124‐131.
  64. Waterman JJ, Kapur R. Upper gastrointestinal issues in athletes. Curr Sports Med Rep 2012;11:99‐104.
    pubmed: 22410703
  65. Rodriguez‐Stanley S, Bemben D, Zubaidi S, Redinger N, Miner PB. Effect of esophageal acid and prophylactic rabeprazole on performance in runners. Med Sci Sports Exerc 2006;38(9):1659‐1665.
    pubmed: 16960528
  66. Lorenzo‐Figueras M, Merritt AM. Effects of exercise on gastric volume and pH in the proximal portion of the stomach of horses. Am J Vet Res 2002;63:1481‐1487.
    pubmed: 12428654
  67. Mann S, Ramsay JD, Wakshlag JJ, Stokol T, Reed S, Divers TJ. Investigating the pathogenesis of high‐serum gamma‐glutamyl transferase activity in thoroughbred racehorses: a series of case‐control studies. Equine Vet J 2022;54(1):39‐51.
    pubmed: 33555643