Investigating the Relationship Between Cardiac Function and Insulin Sensitivity in Horses: A Pilot Study.
Abstract: Metabolic syndrome in humans is commonly associated with cardiovascular dysfunction, including atrial fibrillation and left ventricular diastolic dysfunction. Although many differences exist between human and equine metabolic syndrome, both of these conditions share some degree of insulin resistance. The aims of this pilot study were to investigate the relationship between insulin sensitivity and cardiac function. Seven horses (five mares, two geldings, aged 17.2 ± 4.2 years, weight 524 ± 73 kg) underwent insulin-modified frequently sampled intravenous glucose tolerance testing to determine insulin sensitivity (mean 2.21 ± 0.03 × 10-4 L/min/mU). Standard echocardiograms were performed on each horse, including two-dimensional, M-mode, and pulse-wave tissue Doppler imaging. Pearson and Spearman correlation analyses were used to determine the association of insulin sensitivity with echocardiographic measures of cardiac function in 5 horses. Insulin sensitivity was found to be significantly correlated with peak myocardial velocity during late diastole (r = 0.89, P = 0.0419), ratio between peak myocardial velocity in early and late diastole (r = -0.92, P = 0.0263), isovolumetric relaxation time (r = -0.97, P = 0.0072), and isovolumetric contraction time (ρ = -0.90, P = 0.0374). These preliminary data suggest that decreased insulin sensitivity is correlated with alterations in both systolic and diastolic function, as measured with tissue Doppler imaging (TDI). Due to the small sample size of this study, the relationship between insulin sensitivity and myocardial function in horses requires further investigation.
Copyright © 2022 Williams, Furr, Navas de Solis, Campolo, Davis and Lacombe.
Publication Date: 2022-07-08 PubMed ID: 35873691PubMed Central: PMC9305457DOI: 10.3389/fvets.2022.899951Google 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 article highlights the findings of a pilot study that set out to explore the relationship between insulin sensitivity and cardiac function in horses, suggesting that decreased insulin sensitivity can be linked with functions in both systolic and diastolic measurements.
Purpose and Methodology of the Study
- The intent of this pilot study stemmed from a known connection between metabolic syndrome and cardiovascular dysfunctions in humans, with particular emphasis on atrial fibrillation and left ventricular diastolic dysfunction.
- In the context of this comparison, it is important to note some level of insulin resistance is a common characteristic of both humans and horses when suffering from metabolic syndrome.
- Seven horses were included in the study (five female and two male), each being approximately 17.2 years old and weighing roughly 524 kg. They all underwent insulin-modified frequently sampled intravenous glucose tolerance testing to figure out their insulin sensitivity.
- A standard echocardiogram was carried out on each horse to observe their two-dimensional images, M-mode, and pulse-wave tissue Doppler imaging.
- The authors used Pearson and Spearman correlation analyses to determine the potential connection of insulin sensitivity with echocardiographic measures of the horses’ heart function.
Key Findings of the Study
- Insulin sensitivity demonstrated a considerable correlation with an array of cardiac function measures, such as peak myocardial velocity during late diastole, the ratio between peak myocardial velocity in early and late diastole, isovolumetric relaxation time, and isovolumetric contraction time.
- From an analytical perspective, insulin sensitivity’s correlation with these measures showed strong positive values close to 1 (ranging from 0.89 to -0.97), signaling a strong correlation among the variables.
- The study’s preliminary data suggest that in horses, like in humans, a decrease in insulin sensitivity might be associated with changes in both systolic and diastolic functions. This was measured using tissue Doppler imaging (TDI).
Implications and Future Research
- While the data uncovered are promising, the paper acknowledges the study’s limited sample size. Consequently, it suggests more extensive research is required to assertively establish the relationship between insulin sensitivity and myocardial function in horses.
- This implies that for a full understanding of the link between insulin sensitivity and heart function in horses, the findings need verification through a larger-scale study.
- This initial investigation provides a valuable foundation and indicates the potential for further, more comprehensive research in the area.
Cite This Article
APA
Williams NJ, Furr M, Navas de Solis C, Campolo A, Davis M, Lacombe VA.
(2022).
Investigating the Relationship Between Cardiac Function and Insulin Sensitivity in Horses: A Pilot Study.
Front Vet Sci, 9, 899951.
https://doi.org/10.3389/fvets.2022.899951 Publication
Researcher Affiliations
- Department of Clinical Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater, OK, United States.
- Department of Physiological Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater, OK, United States.
- Department of Clinical Sciences, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX, United States.
- Department of Physiological Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater, OK, United States.
- Department of Physiological Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater, OK, United States.
- Department of Physiological Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater, OK, United States.
Conflict of Interest Statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References
This article includes 44 references
- Executive Executive. Executive summary of the third report of the national cholesterol education program (NCEP) expert panel on detection evaluation and and treatment of high blood cholesterol in adults (adult treatment panel III). JAMA (2001) 285:2486–97.
- Ford ES, Giles WH. A comparison of the prevalence of the metabolic syndrome using two proposed definitions. Diabetes Care (2003) 26:575–81.
- Isomaa B, Almgren P, Tuomi T, Forsén B, Lahti K, Nissén M. Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care (2001) 24:683–9.
- Mazumder PK, O'Neill BT, Roberts MW, Buchanan J, Yun UJ, Cooksey RC. Impaired cardiac efficiency and increased fatty acid oxidation in insulin-resistant ob/ob mouse hearts. Diabetes (2004) 53:2366–74.
- Gami AS, Witt BJ, Howard DE, Erwin PJ, Gami LA, Somers VK. Metabolic syndrome and risk of incident cardiovascular events and death: a systematic review and meta-analysis of longitudinal studies. J Am Coll Cardiol (2007) 49:403–14.
- Wong CY, O'Moore-Sullivan T, Fang ZY, Haluska B, Leano R, Marwick TH. Myocardial and vascular dysfunction and exercise capacity in the metabolic syndrome. Am J Cardiol (2005) 96:1686–91.
- Mastro L, Adams A, Urschel K. Pituitary pars intermedia dysfunction does not necessarily impair insulin sensitivity in old horses. Domest Anim Endocrinol (2015) 50:14–25.
- Horn R, Bamford N, Afonso T, Sutherland M, Buckerfield J, Tan R. Factors associated with survival, laminitis and insulin dysregulation in horses diagnosed with equine pituitary pars intermedia dysfunction. Equine Vet J (2019) 51:440–5.
- McGowan T, Pinchbeck G, McGowan C. Prevalence, risk factors and clinical signs predictive for equine pituitary pars intermedia dysfunction in aged horses. Equine Vet J (2013) 45:74–9.
- Durham AE, Frank N, McGowan CM, Menzies-Gow NJ, Roelfsema E, Vervuert I. ECEIM consensus statement on equine metabolic syndrome. J Vet Intern Med (2019) 33:335–49.
- Bailey SR, Habershon-Butcher JL, Ransom KJ, Elliott J, Menzies-Gow NJ. Hypertension and insulin resistance in a mixed-breed population of ponies pre-disposed to laminitis. Am J Vet Res (2008) 69:122–9.
- Heliczer N, Gerber V, Bruckmaier R, van der Kolk JH, de Solis CN. Cardiovascular findings in ponies with equine metabolic syndrome. J Am Vet Med Assoc (2017) 250:1027–35.
- Henneke DR, Potter GD, Kreider JL, Yeates BF. Relationship between condition score, physical measurements and body fat percentage in mares. Equine Vet J (1983) 14:371–2.
- Carter RA, Geor RJ, Staniar WB, Cubitt TA, Harris PA. Apparent adiposity assessed by standardized scoring systems and morphometric measurements in horses and ponies. Vet J (2008) 179:204–10.
- Tóth F, Frank N, Elliott SB, Perdue K, Geor RJ, Boston RC. Optimisation of the frequently sampled intravenous glucose tolerance test to reduce urinary glucose spilling in horses. Equine Vet J (2009) 41:844–51.
- Hackett ES, McCue PM. Evaluation of a veterinary glucometer for use in horses. J Vet Intern Med (2010) 24:617–21.
- Toth F, Frank N, Martin-Jimenez T, Elliott S, Geor R, Boston R. Measurement of C-peptide concentrations and responses to somatostatin, glucose infusion, and insulin resistance in horses. Equine Vet J (2010) 42:149–55.
- Carter RA, McCutcheon LJ, Valle E, Meilahn EN, Geor RJ. Effects of exercise training on adiposity, insulin sensitivity, and plasma hormone and lipid concentrations in overweight or obese, insulin-resistant horses. Am J Vet Res (2010) 71:314–21.
- Burns TA, Geor RJ, Mudge MC, McCutcheon LJ, Hinchcliff KW, Belknap JK. Proinflammatory cytokine and chemokine gene expression profiles in subcutaneous and visceral adipose tissue depots of insulin-resistant and insulin-sensitive light breed horses. J Vet Intern Med (2010) 24:932–9.
- Dunbar L, Mielnicki K, Dembek K, Toribio R, Burns T. Evaluation of four diagnostic tests for insulin dysregulation in adult light-breed horses. J Vet Intern Med (2016) 30:885–91.
- Frank N, Geor RJ, Bailey S, Durham A, Johnson P. Equine metabolic syndrome. J Vet Intern Med (2010) 24:467–75.
- Koenig TR, Mitchell KJ, Schwarzwald CC. Echocardiographic assessment of left ventricular function in healthy horses and in horses with heart disease using pulsed-wave tissue doppler imaging. J Vet Intern Med (2017) 31:556–67.
- Navas de Solis C, Slack J, Boston RC, Reef VB. Hypertensive cardiomyopathy in horses: 5 cases (1995–2011). J Am Vet Med Assoc (2013) 243:126–30.
- Brown S, Atkins C, Bagley R, Carr A, Cowgill M, Davidson M. Guidelines for the identification, evaluation, and management of systemic hypertension in dogs and cats. J Vet Intern Med (2007) 21:542–58.
- Truelsen Lindåse S, Nostell K, Bergsten P, Forslund A, Bröjer J. Evaluation of fasting plasma insulin and proxy measurements to assess insulin sensitivity in horses. BMC Vet Res (2021) 17:78.
- Tinworth KD, Wynn PC, Boston RC, Harris PA, Sillence MN, Thevis M. Evaluation of commercially available assays for the measurement of equine insulin. Domest Anim Endocrinol (2011) 41:81–90.
- Carslake HB, Pinchbeck GL, McGowan CM. Evaluation of a chemiluminescent immunoassay for measurement of equine insulin. J Vet Intern Med (2017) 31:568–74.
- Warnken T, Huber K, Feige K. Comparison of three different methods for the quantification of equine insulin. BMC Vet Res (2016) 12:196.
- Banse HE, McCann J, Yang F, Wagg C, McFarlane D. Comparison of two methods for measurement of equine insulin. J Vet Diagn Invest (2014) 26:527–30.
- Borer-Weir KE, Bailey SR, Menzies-Gow NJ, Harris PA, Elliott J. Evaluation of a commercially available radioimmunoassay and species-specific ELISAs for measurement of high concentrations of insulin in equine serum. Am J Vet Res (2012) 73:1596–602.
- Pratt SE, Geor RJ, McCutcheon LJ. Repeatability of 2 methods for assessment of insulin sensitivity and glucose dynamics in horses. J Vet Intern Med (2005) 19:883–8.
- Pratt-Phillips SE, Geor RJ, McCutcheon LJ. Comparison among the euglycemic-hyperinsulinemic clamp, insulin-modified frequently sampled intravenous glucose tolerance test, and oral glucose tolerance test for assessment of insulin sensitivity in healthy standardbreds. Am J Vet Res (2015) 76:84–91.
- Bertin F-R, De Laat M. The diagnosis of equine insulin dysregulation. Equine Vet J (2017) 49:570–6.
- D'Fonseca NM, Beukers M, Wijnberg ID, Navas de Solis C, de Ruijter-Villani M, van Doorn DA. Effect of a long-term high-energy diet on cardiovascular parameters in Shetland pony mares. J Vet Intern Med (2021) 35:2427–36.
- Grandi AM, Maresca AM, Giudici E, Laurita E, Marchesi C, Solbiati F. Metabolic syndrome and morphofunctional characteristics of the left ventricle in clinically hypertensive non-diabetic subjects. Am J Hypertens (2006) 19:199–205.
- De las Fuentes L, Brown AL, Mathews SJ, Waggoner AD, Soto PF, Gropler RJ. Metabolic syndrome is associated with abnormal left ventricular diastolic function independent of left ventricular mass. Eur Heart J (2007) 28:553–9.
- Almeida AL, Teixido-Tura G, Choi E-Y, Opdahl A, Fernandes VRS, Wu CO. Metabolic syndrome, strain, and reduced myocardial function: multi-ethnic study of atherosclerosis. Arq Bras Cardiol (2014) 102:327–35.
- Nagueh SF, Smiseth OA, Appleton CP, Byrd BF, Dokainish H, Edvardsen T. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur J Echocardiogr (2016) 17:1321–60.
- Blissitt KJ, Bonagura J. Pulsed wave doppler echocardiography in normal horses. Equine Vet J (1995) 27:38–46.
- Gong HP, Tan HW, Fang NN, Song T, Li SH, Zhong M. Impaired left ventricular systolic and diastolic function in patients with metabolic syndrome as assessed by strain and strain rate imaging. Diabetes Res Clin Pract (2009) 83:300–7.
- Kadappu KK, Thomas L. Tissue doppler imaging in echocardiography: value and limitations. Heart Lung Circ (2015) 24:224–33.
- Decloedt A, Verheyen T, Sys S, De Clercq D, van Loon G. Tissue doppler imaging and 2-dimensional speckle tracking of left ventricular function in horses exposed to lasalocid. J Vet Intern Med (2012) 26:1209–16.
- Schefer K, Hagen R, Ringer S, Schwarzwald C. Laboratory, electrocardiographic, and echocardiographic detection of myocardial damage and dysfunction in an Arabian mare with nutritional masseter myodegeneration. J Vet Intern Med (2011) 25:1171–80.
- Verheyen T, Decloedt A, De Clercq D, van Loon G. Cardiac changes in horses with atypical myopathy. J Vet Intern Med (2012) 26:1019–26.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists