Analyze Diet
Animals : an open access journal from MDPI2024; 14(23); doi: 10.3390/ani14233385

Nutraceutical Supplement Mitigates Insulin Resistance in Horses with a History of Insulin Dysregulation During a Challenge with a High-Starch Diet.

Abstract: Insulin dysregulation (ID) is associated with an increased risk of laminitis which often necessitates the need for clinical intervention. To test the contention that the prophylactic supplementation of nutraceuticals could mitigate ID in susceptible horses, 16 mature horses with a history of ID were supplemented with either the placebo (n = 8) or nutraceutical (n = 8) once daily. Horses were housed in dry lots with ad libitum access to grass hay and fed a concentrate twice daily to provide 0.5 g starch/kg BW/meal. A combined glucose-insulin tolerance test was performed on all horses before and after 4 weeks of treatment. Nutraceutical-supplemented horses had 61% greater (p = 0.05) glucose clearance rates compared to the placebo group. This resulted in a shorter time in the positive phase of glucose clearance (p = 0.03) for the nutraceutical group compared to the placebo group. Horses receiving the nutraceutical had lower (p = 0.003) insulin concentrations at 75 min and lower (p = 0.04) glucose concentrations at 45 min compared to the placebo. Prophylactic supplementation with nutraceuticals resulted in greater glucose clearance rates during a starch challenge, indicating that nutraceuticals can mitigate ID in susceptible horses consuming an excess of non-structural carbohydrate.
Publication Date: 2024-11-25 PubMed ID: 39682351PubMed Central: PMC11640219DOI: 10.3390/ani14233385Google 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.

This research study investigates the effects of a nutraceutical supplement on insulin regulation in horses known to have insulin dysregulation. The study found that horses supplemented with the nutraceutical demonstrated greater glucose clearance rates, thus suggesting that nutraceutical use could help manage insulin-related health issues in these animals.

Study Design

  • The experiment involved 16 mature horses that had a history of insulin dysregulation. These horses were divided into two groups of eight – one group receiving the nutraceutical and the other group given a placebo. All horses were housed in dry lots and had unrestricted access to grass hay. They were also given a concentrated feed twice daily.
  • A combined glucose-insulin tolerance test was performed on all horses before the experiment (baseline) and after four weeks of treatment to measure the effects of the nutraceutical.

Key Findings

  • The results of the glucose-insulin tolerance tests showed that horses supplemented with the nutraceutical had significantly higher glucose clearance rates (61%) compared to those given the placebo. This implied that the nutraceutical helped these horses remove glucose from their bloodstream more efficiently.
  • The time taken for glucose clearance in the positive phase was significantly shorter for the nutraceutical group compared to the placebo group.
  • Nutraceutical-supplemented horses also recorded lower insulin concentrations at the 75-minute mark and reduced glucose concentrations at the 45-minute mark compared to the placebo group.

Significance and Implications

  • The observed improvements in insulin regulation suggest that nutraceutical supplements could mitigate insulin dysregulation in horses. This finding is particularly significant because insulin dysregulation is associated with an elevated risk of laminitis, which can require clinical intervention.
  • The sprinkling of a daily dose of nutraceuticals into the diet of horses that are consuming an excess of non-structural carbohydrates could be a useful strategy to enhance their glucose clearance capacity and overall insulin regulation. This hints towards a potential non-invasive and practical approach towards the management and prevention of insulin-related health problems in susceptible horses.

Cite This Article

APA
Loos C, Castelein A, Vanzant E, Adam E, McLeod KR. (2024). Nutraceutical Supplement Mitigates Insulin Resistance in Horses with a History of Insulin Dysregulation During a Challenge with a High-Starch Diet. Animals (Basel), 14(23). https://doi.org/10.3390/ani14233385

Publication

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 14
Issue: 23

Researcher Affiliations

Loos, Caroline
  • Department of Animal and Food Sciences, University of Kentucky, Lexington, KY 40546, USA.
Castelein, Annette
  • Nutrition Department, Faculty of Veterinary Medicine, Utrecht University, 3584 Utrecht, The Netherlands.
Vanzant, Eric
  • Department of Animal and Food Sciences, University of Kentucky, Lexington, KY 40546, USA.
Adam, Emma
  • Gluck Equine Research Center, University of Kentucky, Lexington, KY 40503, USA.
McLeod, Kyle R
  • Department of Animal and Food Sciences, University of Kentucky, Lexington, KY 40546, USA.

Grant Funding

  • 0001 / Cooperative Research Farms

Conflict of Interest Statement

Cooperative Research Farms provided the nutraceutical supplement used in this study. The funder was not involved in the collection, analysis, or interpretation of the data or in the decision to submit it for publication. The other authors declare no conflicts of interest.

References

This article includes 87 references
  1. Marcato P.S., Perillo A.. Equine laminitis, new insights into the pathogenesis: A review.. Large Anim. Rev. 2020;26:353–363.
  2. Mitchell C.F., Fugler L.A., Eades S.C.. The management of equine acute laminitis.. Vet. Med. Res. Rep. 2014;6:39–47.
    pmc: PMC6067769pubmed: 30101095
  3. Treiber K.H., Kronfeld D.S., Geor R.J.. Insulin resistance in equids: Possible role in laminitis.. J. Nutr. 2006;136((Suppl. S7)):2094S–2098S.
    doi: 10.1093/jn/136.7.2094Spubmed: 16772509google scholar: lookup
  4. de Laat M.A., Sillence M.N., Reiche D.B.. Phenotypic, hormonal, and clinical characteristics of equine endocrinopathic laminitis.. J. Vet. Intern. Med. 2019;33:1456–1463.
    doi: 10.1111/jvim.15419pmc: PMC6524085pubmed: 30697823google scholar: lookup
  5. Karikoski N., Horn I., McGowan T., McGowan C.. The prevalence of endocrinopathic laminitis among horses presented for laminitis at a first-opinion/referral equine hospital.. Domest. Anim. Endocrinol. 2011;41:111–117.
  6. de Laat M.A., McGree J.M., Sillence M.N.. Equine hyperinsulinemia: Investigation of the enteroinsular axis during insulin dysregulation.. Am. J. Physiol. -Endocrinol. Metab. 2016;310:E61–E72.
    doi: 10.1152/ajpendo.00362.2015pubmed: 26530154google scholar: lookup
  7. Frank N., Tadros E.M.. Insulin dysregulation.. Equine Vet. J. 2014;46:103–112.
    doi: 10.1111/evj.12169pubmed: 24033478google scholar: lookup
  8. Venugopal C., Eades S., Holmes E., Beadle R.. Insulin resistance in equine digital vessel rings: An in vitro model to study vascular dysfunction in equine laminitis.. Equine Vet. J. 2011;43:744–749.
  9. Patterson-Kane J., Karikoski N., McGowan C.. Paradigm shifts in understanding equine laminitis.. Vet. J. 2018;231:33–40.
    doi: 10.1016/j.tvjl.2017.11.011pubmed: 29429485google scholar: lookup
  10. Kullmann A., Weber P., Bishop J., Roux T., Norby B., Burns T., McCutcheon L., Belknap J.K., Geor R.. Equine insulin receptor and insulin-like growth factor-1 receptor expression in digital lamellar tissue and insulin target tissues.. Equine Vet. J. 2016;48:626–632.
    doi: 10.1111/evj.12474pubmed: 26095356google scholar: lookup
  11. Morgan R.A., Keen J.A., Walker B.R., Hadoke P.W.. Vascular dysfunction in horses with endocrinopathic laminitis.. PLoS ONE 2016;11:e0163815.
  12. Quinn R.W., Burk A.O., Hartsock T.G., Petersen E.D., Whitley N.C., Treiber K.H., Boston R.C.. Insulin Sensitivity in Thoroughbred Geldings: Effect of Weight Gain, Diet, and Exercise on Insulin Sensitivity in Thoroughbred Geldings.. J. Equine Vet. Sci. 2008;28:728–738.
  13. Pratt S.E., Geor R.J., McCutcheon L.J.. Effects of dietary energy source and physical conditioning on insulin sensitivity and glucose tolerance in standardbred horses.. Equine Vet. J. Suppl. 2006;38:579–584.
  14. Hoffman R.M., Boston R.C., Stefanovski D., Kronfeld D.S., Harris P.A.. Obesity and diet affect glucose dynamics and insulin sensitivity in Thoroughbred geldings.. J. Anim. Sci. 2003;81:2333–2342.
    doi: 10.2527/2003.8192333xpubmed: 12968709google scholar: lookup
  15. Bamford N., Potter S., Baskerville C., Harris P., Bailey S.. Effect of increased adiposity on insulin sensitivity and adipokine concentrations in different equine breeds adapted to cereal-rich or fat-rich meals.. Vet. J. 2016;214:14–20.
    doi: 10.1016/j.tvjl.2016.02.002pubmed: 27387720google scholar: lookup
  16. Treiber K.H., Kronfeld D.S., Hess T.M., Byrd B.M., Splan R.K., Staniar W.B.. Evaluation of genetic and metabolic predispositions and nutritional risk factors for pasture-associated laminitis in ponies.. J. Am. Vet. Med. Assoc. 2006;228:1538–1545.
    doi: 10.2460/javma.228.10.1538pubmed: 16677122google scholar: lookup
  17. Suagee J., Corl B., Hulver M., McCutcheon L., Geor R.. Effects of hyperinsulinemia on glucose and lipid transporter expression in insulin-sensitive horses.. Domest. Anim. Endocrinol. 2011;40:173–181.
  18. Macon E.L., Harris P., Bailey S., Caldwell Barker A., Adams A.. Identifying possible thresholds for nonstructural carbohydrates in the insulin dysregulated horse.. Equine Vet. J. 2023;55:1069–1077.
    doi: 10.1111/evj.13910pubmed: 36537847google scholar: lookup
  19. DeBoer M.L., Hathaway M.R., Kuhle K.J., Weber P.S.D., Reiter A.S., Sheaffer C.C., Wells M.S., Martinson K.L.. Glucose and Insulin Response of Horses Grazing Alfalfa, Perennial Cool-Season Grass, and Teff Across Seasons.. J. Equine Vet. Sci. 2018;68:33–38.
    doi: 10.1016/j.jevs.2018.04.008pubmed: 31256885google scholar: lookup
  20. Tomal A., Szłapka-Kosarzewska J., Mironiuk M., Michalak I., Marycz K.. Arthrospira platensis enriched with Cr (III), Mg (II), and Mn (II) ions improves insulin sensitivity and reduces systemic inflammation in equine metabolic affected horses.. Front. Endocrinol. 2024;15:1382844.
    doi: 10.3389/fendo.2024.1382844pmc: PMC11058661pubmed: 38689728google scholar: lookup
  21. Fresa K., Catandi G.D., Whitcomb L., Gonzalez-Castro R.A., Chicco A.J., Carnevale E.M.. Adiposity in mares induces insulin dysregulation and mitochondrial dysfunction which can be mitigated by nutritional intervention.. Sci. Rep. 2024;14:13992.
    doi: 10.1038/s41598-024-64628-xpmc: PMC11183153pubmed: 38886475google scholar: lookup
  22. Penlioglou T., Papanas N.. Nutraceuticals and Cardiovascular Disease: An Evidence-Based Approach for Clinical Practice.. Springer; Berlin/Heidelberg, Germany: 2021. Nutraceuticals for Insulin Resistance and Type 2 Diabetes Mellitus; pp. 107–115.
  23. Vervuert I., Stratton-Phelps M.. The safety and efficacy in horses of certain nutraceuticals that claim to have health benefits.. Vet. Clin. Equine Pract. 2021;37:207–222.
    doi: 10.1016/j.cveq.2020.11.002pubmed: 33618951google scholar: lookup
  24. Chameroy K., Frank N., Elliott S., Boston R.. Effects of a supplement containing chromium and magnesium on morphometric measurements, resting glucose, insulin concentrations and insulin sensitivity in laminitic obese horses.. Equine Vet. J. 2011;43:494–499.
  25. Respondek F., Myers K., Smith T., Wagner A., Geor R.. Dietary supplementation with short-chain fructo-oligosaccharides improves insulin sensitivity in obese horses.. J. Anim. Sci. 2011;89:77–83.
    doi: 10.2527/jas.2010-3108pubmed: 20870952google scholar: lookup
  26. Hess T.M., Rexford J., Hansen D.K., Ahrens N.S., Harris M., Engle T., Ross T., Allen K.G.. Effects of Ω-3 (n-3) fatty acid supplementation on insulin sensitivity in horses.. J. Equine Vet. Sci. 2013;33:446–453.
  27. Tinworth K.D., Harris P.A., Sillence M.N., Noble G.K.. Potential treatments for insulin resistance in the horse: A comparative multi-species review.. Vet. J. 2010;186:282–291.
    doi: 10.1016/j.tvjl.2009.08.032pubmed: 19783461google scholar: lookup
  28. Hosseinzadeh P., Javanbakht M.H., Mostafavi S.-A., Djalali M., Derakhshanian H., Hajianfar H., Bahonar A., Djazayery A.. Brewer’s yeast improves glycemic indices in type 2 diabetes mellitus.. Int. J. Prev. Med. 2013;4:1131.
    pmc: PMC3843299pubmed: 24319552
  29. Spears J.W., Lloyd K.E., Siciliano P., Pratt-Phillips S., Goertzen E.W., McLeod S.J., Moore J., Krafka K., Hyda J., Rounds W.. Chromium propionate increases insulin sensitivity in horses following oral and intravenous carbohydrate administration.. J. Anim. Sci. 2020;98:skaa095.
    doi: 10.1093/jas/skaa095pmc: PMC7323256pubmed: 32211767google scholar: lookup
  30. Respondek F., Goachet A.G., Julliand V.. Effects of dietary short-chain fructooligosaccharides on the intestinal microflora of horses subjected to a sudden change in diet.. J. Anim. Sci. 2008;86:316–323.
    doi: 10.2527/jas.2006-782pubmed: 17940163google scholar: lookup
  31. Abboud K.Y., Reis S.K., Martelli M.E., Zordão O.P., Tannihão F., de Souza A.Z.Z., Assalin H.B., Guadagnini D., Rocha G.Z., Saad M.J.A.. Oral glutamine supplementation reduces obesity, pro-inflammatory markers, and improves insulin sensitivity in DIO wistar rats and reduces waist circumference in overweight and obese humans.. Nutrients 2019;11:536.
    doi: 10.3390/nᄃ0536pmc: PMC6471297pubmed: 30832230google scholar: lookup
  32. Sinha S., Haque M., Lugova H., Kumar S.. The effect of omega-3 fatty acids on insulin resistance.. Life 2023;13:1322.
    doi: 10.3390/life13061322pmc: PMC10305526pubmed: 37374105google scholar: lookup
  33. Gray B., Swick J., Ronnenberg A.G.. Vitamin E and adiponectin: Proposed mechanism for vitamin E-induced improvement in insulin sensitivity.. Nutr. Rev. 2011;69:155–161.
  34. National Research Council. Nutrient Requirements of Horses: Sixth Revised Edition.. The National Academies Press; Washington, DC, USA: 2007. 360p.
  35. Henneke D., Potter G., Kreider J., Yeates B.. Relationship between condition score, physical measurements and body fat percentage in mares.. Equine Vet. J. 1983;15:371–372.
  36. Meier A., de Laat M., Pollitt C., Walsh D., McGree J., Reiche D.B., von Salis-Soglio M., Wells-Smith L., Mengeler U., Salas D.M.. A “modified Obel” method for the severity scoring of (endocrinopathic) equine laminitis.. PeerJ 2019;7:e7084.
    doi: 10.7717/peerj.7084pmc: PMC6557244pubmed: 31211020google scholar: lookup
  37. Eiler H., Frank N., Andrews F.M., Oliver J.W., Fecteau K.A.. Physiologic assessment of blood glucose homeostasis via combined intravenous glucose and insulin testing in horses.. Am. J. Vet. Res. 2005;66:1598–1604.
    doi: 10.2460/ajvr.2005.66.1598pubmed: 16261835google scholar: lookup
  38. Loos C.M.M., Dorsch S.C., Elzinga S.E., Brewster-Barnes T., Vanzant E.S., Adams A.A., Urschel K.L.. A high protein meal affects plasma insulin concentrations and amino acid metabolism in horses with equine metabolic syndrome.. Vet. J. 2019;251:105341.
    doi: 10.1016/j.tvjl.2019.105341pubmed: 31492392google scholar: lookup
  39. Loos C.M., Urschel K.L., Vanzant E.S., Oberhaus E.L., Bohannan A.D., Klotz J.L., McLeod K.R.. Effects of bromocriptine on glucose and insulin dynamics in normal and insulin dysregulated horses.. Front. Vet. Sci. 2022;9:889888.
    doi: 10.3389/fvets.2022.889888pmc: PMC9194999pubmed: 35711802google scholar: lookup
  40. Frank N., Bailey S., Bertin F.-R., Burns T., de Laat M., Durham A., Kritchevsky J., Menzies-Gow N.. Recommendations for the Diagnosis and Management of Equine Metabolic Syndrome (EMS) Equine Endocrinology Group.. 2022. [(accessed on 18 November 2024)]. Available online: https://equineendocrinologygroup.org/.
  41. Grenager N.S.. Endocrinopathic laminitis.. Vet. Clin. Equine Pract. 2021;37:619–638.
    doi: 10.1016/j.cveq.2021.08.001pubmed: 34674908google scholar: lookup
  42. Sandow C., Fugler L., Leise B., Riggs L., Monroe W., Totaro N., Belknap J., Eades S.. Ex vivo effects of insulin on the structural integrity of equine digital lamellae.. Equine Vet. J. 2019;51:131–135.
    doi: 10.1111/evj.12964pubmed: 29758109google scholar: lookup
  43. de Laat M.d., McGowan C., Sillence M., Pollitt C.. Equine laminitis: Induced by 48 h hyperinsulinaemia in Standardbred horses.. Equine Vet. J. 2010;42:129–135.
    doi: 10.2746/042516409X475779pubmed: 20156248google scholar: lookup
  44. Burns T., Watts M., Weber P., McCutcheon L., Geor R., Belknap J.. Distribution of insulin receptor and insulin-like growth factor-1 receptor in the digital laminae of mixed-breed ponies: An immunohistochemical study.. Equine Vet. J. 2013;45:326–332.
  45. Rahnama S., Vathsangam N., Spence R., Medina-Torres C.E., Pollitt C.C., de Laat M.A., Bailey S.R., Sillence M.N.. Effects of an anti-IGF-1 receptor monoclonal antibody on laminitis induced by prolonged hyperinsulinaemia in Standardbred horses.. PLoS ONE 2020;15:e0239261.
  46. Lane H., Burns T., Hegedus O., Watts M., Weber P., Woltman K., Geor R., McCutcheon L., Eades S., Mathes L.. Lamellar events related to insulin-like growth factor-1 receptor signalling in two models relevant to endocrinopathic laminitis.. Equine Vet. J. 2017;49:643–654.
    doi: 10.1111/evj.12663pubmed: 28078757google scholar: lookup
  47. Holbrook T.C., Tipton T., McFarlane D.. Neutrophil and cytokine dysregulation in hyperinsulinemic obese horses.. Vet. Immunol. Immunopathol. 2012;145:283–289.
    doi: 10.1016/j.vetimm.2011.11.013pubmed: 22169327google scholar: lookup
  48. Jayathilake W., Furr M., Risco C., Lacombe V.A.. Equine insulin dysregulation causes tissue specific alterations of proinflammatory cytokines and acute phase proteins in a NF-kB independent manner.. Vet. Immunol. Immunopathol. 2022;253:110500.
    doi: 10.1016/j.vetimm.2022.110500pubmed: 36244309google scholar: lookup
  49. Suagee J.K., Corl B.A., Geor R.J.. A potential role for pro-inflammatory cytokines in the development of insulin resistance in horses.. Animals 2012;2:243–260.
    doi: 10.3390/ani2020243pmc: PMC4494330pubmed: 26486919google scholar: lookup
  50. Tadros E.M., Frank N., Donnell R.L.. Effects of equine metabolic syndrome on inflammatory responses of horses to intravenous lipopolysaccharide infusion.. Am. J. Vet. Res. 2013;74:1010–1019.
    doi: 10.2460/ajvr.74.7.1010pubmed: 23802673google scholar: lookup
  51. Davì G., Santilli F., Patrono C.. Nutraceuticals in diabetes and metabolic syndrome.. Cardiovasc. Ther. 2010;28:216–226.
  52. Nimesh S., Ashwlayan V.D.. Nutraceuticals in the management of diabetes mellitus.. Pharm. Pharmacol. Int. J. 2018;6:114–120.
  53. McGowan C.M., Dugdale A.H., Pinchbeck G.L., Argo C.M.. Dietary restriction in combination with a nutraceutical supplement for the management of equine metabolic syndrome in horses.. Vet. J. 2013;196:153–159.
    doi: 10.1016/j.tvjl.2012.10.007pubmed: 23141962google scholar: lookup
  54. Marycz K., Moll E., Grzesiak J.. Influence of functional nutrients on insulin resistance in horses with equine metabolic syndrome.. Pak. Vet. J. 2014;34:189–192.
  55. O’Connor C., Lawrence L., Lawrence A.S., Janicki K., Warren L., Hayes S.. The effect of dietary fish oil supplementation on exercising horses.. J. Anim. Sci. 2004;82:2978–2984.
    doi: 10.2527/2004.82102978xpubmed: 15484950google scholar: lookup
  56. King S., Abughazaleh A., Webel S., Jones K.. Circulating fatty acid profiles in response to three levels of dietary omega-3 fatty acid supplementation in horses.. J. Anim. Sci. 2008;86:1114–1123.
    doi: 10.2527/jas.2007-0682pubmed: 18192545google scholar: lookup
  57. Elzinga S.E., Betancourt A., Stewart J.C., Altman M.H., Barker V.D., Muholland M., Bailey S., Brennan K.M., Adams A.A.. Effects of docosahexaenoic acid–rich microalgae supplementation on metabolic and inflammatory parameters in horses with equine metabolic syndrome.. J. Equine Vet. Sci. 2019;83:102811.
    doi: 10.1016/j.jevs.2019.102811pubmed: 31791524google scholar: lookup
  58. Hoffman R., Kayser J., Lampley R., Haffner J.. Dietary fish oil supplementation affects plasma fatty acids and glycemic response but not insulin sensitivity in horses.. J. Equine Vet. Sci. 2011;31:252–253.
  59. Brennan K.M., Graugnard D.E., Spry M.L., Brewster-Barnes T., Smith A.C., Schaeffer R.E., Urschel K.L.. Effects of a docosahexaenoic acid–rich microalgae nutritional product on insulin sensitivity after prolonged dexamethasone treatment in healthy mature horses.. Am. J. Vet. Res. 2015;76:889–896.
    doi: 10.2460/ajvr.76.10.889pubmed: 26413827google scholar: lookup
  60. Dollet L., Kuefner M., Caria E., Rizo-Roca D., Pendergrast L., Abdelmoez A.M., Karlsson H.K., Bjrnholm M., Dalbram E., Treebak J.T.. Glutamine regulates skeletal muscle immunometabolism in type 2 diabetes.. Diabetes 2022;71:624–636.
    doi: 10.2337/db20-0814pmc: PMC8965677pubmed: 35040927google scholar: lookup
  61. da Costa Cordeiro H.E.C., de Oliveira D.F., Hunka M.M., Manso Filho H.C.. Influence of Glutamine and Glutamate Supplementation in the Blood Levels of Horses.. Acta Sci. Vet. 2019;47:1–7.
  62. De Siqueira R.F., Filho H.C.M., Fernandes W.R.. Glutamine supplementation affects Th1 and Th2 cell populations in endurance horses.. Comp. Exerc. Physiol. 2020;16:259–266.
    doi: 10.3920/CEP190060google scholar: lookup
  63. Fagan M.M., Harris P., Adams A., Pazdro R., Krotky A., Call J., Duberstein K.J.. Form of vitamin E supplementation affects oxidative and inflammatory response in exercising horses.. J. Equine Vet. Sci. 2020;91:103103.
    doi: 10.1016/j.jevs.2020.103103pubmed: 32684249google scholar: lookup
  64. Garcia E.I.C., Elghandour M.M., Khusro A., Alcala-Canto Y., Tirado-González D.N., Barbabosa-Pliego A., Salem A.Z.. Dietary supplements of vitamins E, C, and β-carotene to reduce oxidative stress in horses: An overview.. J. Equine Vet. Sci. 2022;110:103863.
    doi: 10.1016/j.jevs.2022.103863pubmed: 35017039google scholar: lookup
  65. Asbaghi O., Nazarian B., Yousefi M., Anjom-Shoae J., Rasekhi H., Sadeghi O.. Effect of vitamin E intake on glycemic control and insulin resistance in diabetic patients: An updated systematic review and meta-analysis of randomized controlled trials.. Nutr. J. 2023;22:10.
    doi: 10.1186/s12937-023-00840-1pmc: PMC9936725pubmed: 36800965google scholar: lookup
  66. Weyer C., Funahashi T., Tanaka S., Hotta K., Matsuzawa Y., Pratley R.E., Tataranni P.A.. Hypoadiponectinemia in obesity and type 2 diabetes: Close association with insulin resistance and hyperinsulinemia.. J. Clin. Endocrinol. Metab. 2001;86:1930–1935.
    doi: 10.1210/jcem.86.5.7463pubmed: 11344187google scholar: lookup
  67. Kearns C.F., McKeever K.H., Roegner V., Brady S.M., Malinowski K.. Adiponectin and leptin are related to fat mass in horses.. Vet. J. 2006;172:460–465.
    doi: 10.1016/j.tvjl.2005.05.002pubmed: 15996495google scholar: lookup
  68. Wray H., Elliott J., Bailey S.R., Harris P.A., Menzies-Gow N.J.. Plasma concentrations of inflammatory markers in previously laminitic ponies.. Equine Vet. J. 2013;45:546–551.
    doi: 10.1111/evj.12031pubmed: 23418944google scholar: lookup
  69. Chen W.Y., Chen C.J., Liu C.H., Mao F.. Chromium supplementation enhances insulin signalling in skeletal muscle of obese KK/HlJ diabetic mice.. Diabetes Obes. Metab. 2009;11:293–303.
  70. Yanni A.E., Stamataki N.S., Konstantopoulos P., Stoupaki M., Abeliatis A., Nikolakea I., Perrea D., Karathanos V.T., Tentolouris N.. Controlling type-2 diabetes by inclusion of Cr-enriched yeast bread in the daily dietary pattern: A randomized clinical trial.. Eur. J. Nutr. 2018;57:259–267.
    doi: 10.1007/s00394-016-1315-9pubmed: 27734127google scholar: lookup
  71. Pagan J., Jackson S.G., Duren S.E.. The effect of chromium supplementation on metabolic response to exercise in thoroughbred horses.. Equine Nutr. Physiol. Soc. 1995;14:96–101.
  72. Treiber K.H., Boston R.C., Kronfeld D.S., Staniar W.B., Harris P.A.. Insulin resistance and compensation in Thoroughbred weanlings adapted to high-glycemic meals.. J. Anim. Sci. 2005;83:2357–2364.
    doi: 10.2527/2005.83102357xpubmed: 16160047google scholar: lookup
  73. Meier A., Reiche D., de Laat M., Pollitt C., Walsh D., McGree J., Sillence M.. The sodium-glucose co-transporter 2 inhibitor velagliflozin reduces hyperinsulinemia and prevents laminitis in insulin-dysregulated ponies.. PLoS ONE 2018;13:e0203655.
  74. Meier A.D., de Laat M.A., Reiche D.B., Pollitt C.C., Walsh D.M., McGree J.M., Sillence M.N.. The oral glucose test predicts laminitis risk in ponies fed a diet high in nonstructural carbohydrates.. Domest. Anim. Endocrinol. 2018;63:1–9.
  75. Saltiel A.R., Kahn C.R.. Insulin signalling and the regulation of glucose and lipid metabolism.. Nature 2001;414:799–806.
    doi: 10.1038/414799apubmed: 11742412google scholar: lookup
  76. Kronfeld D., Treiber K., Hess T., Boston R.. Insulin resistance in the horse: Definition, detection, and dietetics.. J. Anim. Sci. 2005;83((Suppl. S13)):E22–E31.
    doi: 10.2527/2005.8313_supplE22xpubmed: 16160047google scholar: lookup
  77. Toth F., Frank N., Martin-Jimenez T., Elliott S.B., Geor R.J., Boston R.C.. Measurement of C-peptide concentrations and responses to somatostatin, glucose infusion, and insulin resistance in horses.. Equine Vet. J. 2010;42:149–155.
    doi: 10.2746/042516409X478497pubmed: 20156251google scholar: lookup
  78. Asplin K.E., Sillence M.N., Pollitt C.C., McGowan C.M.. Induction of laminitis by prolonged hyperinsulinaemia in clinically normal ponies.. Vet. J. 2007;174:530–535.
    doi: 10.1016/j.tvjl.2007.07.003pubmed: 17719811google scholar: lookup
  79. Wineland N.. Lameness and Laminitis in US Horses.. United States Department of Agriculture, National Animal Health Monitoring System; Wasington, DC, USA: 2000. N Series 32790.
  80. Coleman M.C., Belknap J.K., Eades S.C., Galantino-Homer H.L., Hunt R.J., Geor R.J., McCue M.E., McIlwraith C.W., Moore R.M., Peroni J.F.. Case-control study of risk factors for pasture-and endocrinopathy-associated laminitis in North American horses.. J. Am. Vet. Med. Assoc. 2018;253:470–478.
    doi: 10.2460/javma.253.4.470pubmed: 30058970google scholar: lookup
  81. Longland A.C., Byrd B.M.. Pasture nonstructural carbohydrates and equine laminitis.. J. Nutr. 2006;136:2099S–2102S.
    doi: 10.1093/jn/136.7.2099Spubmed: 16772510google scholar: lookup
  82. Van Eps A., Pollitt C.. Equine laminitis induced with oligofructose.. Equine Vet. J. 2006;38:203–208.
    doi: 10.2746/042516406776866327pubmed: 16706272google scholar: lookup
  83. Carter R.A., Treiber K.H., Geor R.J., Douglass L., Harris P.A.. Prediction of incipient pasture-associated laminitis from hyperinsulinaemia, hyperleptinaemia and generalised and localised obesity in a cohort of ponies.. Equine Vet. J. 2009;41:171–178.
    doi: 10.2746/042516408X342975pubmed: 19418747google scholar: lookup
  84. Harrison R., Murray J.. A preliminary study of grazing intakes of ponies with and without a history of laminitis.. Livest. Sci. 2016;186:2–5.
  85. Allen E., Sheaffer C., Martinson K.. Forage nutritive value and preference of cool-season grasses under horse grazing.. Agron. J. 2013;105:679–684.
    doi: 10.2134/agronj2012.0300google scholar: lookup
  86. Jensen K.B., Harrison P., Chatterton N.J., Bushman B.S., Creech J.E.. Seasonal trends in nonstructural carbohydrates in cool-and warm-season grasses.. Crop Sci. 2014;54:2328–2340.
  87. Bott R.C., Greene E.A., Koch K., Martinson K.L., Siciliano P.D., Williams C., Trottier N.L., Burk A., Swinker A.. Production and environmental implications of equine grazing.. J. Equine Vet. Sci. 2013;33:1031–1043.