Omeprazole Reduces Calcium Digestibility in Thoroughbred Horses.
Abstract: Proton pump inhibitors such as omeprazole reduce nutrient digestibility in humans. This study determined the effect of omeprazole on the digestibility of diets containing limestone or marine-derived calcium (BMC) and to assess changes in blood parameters associated with gastric acid production and calcium status in horses. Thoroughbreds were used to evaluate the digestibility of diets containing different calcium sources with or without omeprazole over four 21-day periods. Each 21-day period had a 15-day diet adaptation phase followed by a 6-day collection phase, consisting of a 5-day total fecal collection period and a final day for gastroscopy and blood sampling. Horses were fed the same diet with either 60 g/d BMC or 50 g/d limestone, so the total diet provided ∼45 g calcium. Horses on omeprazole were given GastroGard once daily for the final 14 day of each 21-day period, which supplied 3.91 ± 0.17 mg/kg BW/d of omeprazole. On day 21, blood samples were taken and gastric fluid pH was measured 8 hour after omeprazole administration. Omeprazole had a profound effect on gastric fluid pH in omeprazole-treated horses compared with nontreated horses. Serum gastrin doubled in omeprazole-treated horses compared with nontreated horses. Omeprazole and calcium source did not affect digestibility of phosphorus, magnesium, potassium, sodium, iron, copper, zinc, or manganese but did affect calcium digestibility. Omeprazole reduced apparent calcium digestibility from 52.0% to 41.4% in limestone and from 55.1% to 46.5% in BMC, equalling a 20.3% and 15.6% decrease in calcium digestibility in the limestone and BMC, respectively. Mineral source had a significant effect on calcium digestibility with BMC at 50.8% and limestone at 46.7%.
Copyright © 2019 Elsevier Inc. All rights reserved.
Publication Date: 2019-12-04 PubMed ID: 32067660DOI: 10.1016/j.jevs.2019.102851Google Scholar: Lookup
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- Journal Article
Summary
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The research article investigates how omeprazole, a type of medication used for reducing stomach acid, affects the digestion of calcium in racehorses. Results show that omeprazole significantly reduces calcium digestibility in horses, while its effect on other minerals is negligible.
Study Design
- The study used Thoroughbred horses as subjects.
- They were fed diets containing different sources of calcium, either limestone or marine-derived calcium (BMC).
- The diets were administered over four 21-day periods, each featuring a 15-day adaptation phase and a 6-day collection phase.
- In the collection phase, researchers collected total fecal matter for five days for examination. On the 6th day, they took blood samples and performed a gastroscopy.
- Horses in the omeprazole group were given daily doses of the medication, GastroGard, for the last 14 days of each period.
Key Findings
- Omeprazole had a significant impact on the gastric pH of the treated horses, increasing its level compared to untreated horses.
- Use of omeprazole doubled serum gastrin levels in treated horses.
- Despite affecting calcium digestion, omeprazole did not have any influence on the digestion of other minerals like phosphorus, magnesium, potassium, sodium, iron, copper, zinc, or manganese.
- Based on the results, omeprazole decreased calcium digestion by 20.3% in horses given limestone and by 15.6% in those given BMC.
- Moreover, the type of mineral source for calcium also impacted its digestion. BMC resulted in higher calcium digestibility (50.8%) than limestone (46.7%).
The results of this research have implications in racehorse nutrition, particularly in animals being treated with omeprazole. Care must be taken to ensure these horses receive adequate calcium intake, given the reduction in digestion caused by the medication.
Cite This Article
APA
Pagan JD, Petroski-Rose L, Mann A, Hauss A.
(2019).
Omeprazole Reduces Calcium Digestibility in Thoroughbred Horses.
J Equine Vet Sci, 86, 102851.
https://doi.org/10.1016/j.jevs.2019.102851 Publication
Researcher Affiliations
- Kentucky Equine Research, Versailles, KY. Electronic address: pagan@ker.com.
- Kentucky Equine Research, Versailles, KY.
- Kentucky Equine Research, Versailles, KY.
- Kentucky Equine Research, Versailles, KY.
MeSH Terms
- Animals
- Calcium, Dietary
- Diet
- Horse Diseases
- Horses
- Omeprazole / pharmacology
- Proton Pump Inhibitors
- Stomach Ulcer / veterinary
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