Analyze Diet
Equine veterinary journal2018; 50(6); 747-751; doi: 10.1111/evj.12949

Risk factors for equine glandular and squamous gastric disease in show jumping Warmbloods.

Abstract: Prevalence of, and risk factors for, equine squamous gastric disease (ESGD) are well established. Limited data exists on risk factors for equine glandular gastric disease (EGGD). Objective: To identify management factors associated with EGGD in show jumping Warmbloods in training. A secondary objective was to identify management factors associated with ESGD. Methods: Cross-sectional. Methods: Gastroscopies were performed in horses following a 12-16 h fast. Management questionnaires were collected for each horse. Risk factors were determined using multivariable logistic regression modelling. Results: Eighty-three horses were included in the final analysis. Exercising ≥6 days per week increased the odds of EGGD grade ≥1/4 (odds ratio [OR] = 3.5; 95% confidence interval [CI] 1.2-10.7) compared to less frequent exercise. Currently showing increased the risk of EGGD grade ≥2/4 (OR = 10.2; 95% CI, 1.04-100), while competing at the international level decreased the odds of EGGD grade ≥2/4 (OR = 0.11; 95% CI, 0.01-0.97). Exercise intensity increased the odds of grade ≥1/4 ESGD (OR = 2.8; 95% CI, 1.03-7.8) and feeding beet pulp decreased odds (OR = 0.22; 95% CI, 0.07-0.7). Exercise intensity (OR = 3.8; 95% CI, 1.1-12.8) increased the likelihood of grade ≥2/4 ESGD and feeding beet pulp decreased the odds of grade ≥2/4 ESGD (OR = 0.1; 0.02-0.64) respectively. Conclusions: This study used a convenience sample of horses within a relatively small (approximately 200 km) geographic radius. The sample size was relatively small, particularly within the international competition level group. Conclusions: Training and feeding strategies and competition level appear to influence the occurrence of EGGD and ESGD. Prospective studies evaluating the impact of training frequency, duration, and intensity on gastric physiology may clarify the role of exercise in gastric disease.
Publication Date: 2018-05-12 PubMed ID: 29660168DOI: 10.1111/evj.12949Google 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 paper explores the risk factors of equine glandular and squamous gastric disease in show jumping Warmbloods. Increased exercise and high competition levels are found to influence the occurrence of the diseases and feeding beet pulp is shown to decrease their odds.

Objective

The main goal was to identify the factors related to the management of show jumping Warmbloods that lead to equine glandular gastric disease (EGGD). This study also aimed to identify the factors leading to equine squamous gastric disease (ESGD).

Methods

  • The study used a cross-sectional method.
  • Gastroscopies (a procedure using a thin tube with a camera on the end to view the horse’s stomach) were performed on the horses after they had fasted for 12 to 16 hours.
  • A questionnaire was completed for each horse to gather information on their management.
  • Risk factors were identified using multivariable logistic regression modelling, a type of statistical analysis that predicts the outcome variable.

Results

  • There were 83 horses included in the final analysis.
  • Exercising six or more days per week increased the odds of EGGD compared to less frequent exercise.
  • Being in a current show increased the risk of higher grades of EGGD, but competing at international level decreased the odds.
  • Increased intensity of exercise raised the odds of ESGD.
  • Feeding beet pulp lowered the odds of both types of gastric disease.

Conclusions

  • The study used a convenience sample of horses from a relatively small geographic area (within approximately 200km).
  • The number of horses in the study, especially those competing at an international level, was relatively small.
  • The results suggest that how much and how intensely horses are trained, how they are fed, as well as the level of competition they take part in, could influence their risk of developing EGGD and ESGD.
  • Further studies could look at the impact of different amounts and intensities of exercise on how the horse’s stomach works, to understand better the role exercise plays in gastric disease.

Cite This Article

APA
Pedersen SK, Cribb AE, Windeyer MC, Read EK, French D, Banse HE. (2018). Risk factors for equine glandular and squamous gastric disease in show jumping Warmbloods. Equine Vet J, 50(6), 747-751. https://doi.org/10.1111/evj.12949

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 50
Issue: 6
Pages: 747-751

Researcher Affiliations

Pedersen, S K
  • Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada.
  • TD Equine Veterinary Group, Calgary, Alberta, Canada.
Cribb, A E
  • Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada.
Windeyer, M C
  • Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada.
Read, E K
  • Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada.
French, D
  • TD Equine Veterinary Group, Calgary, Alberta, Canada.
Banse, H E
  • Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada.

MeSH Terms

  • Animal Feed
  • Animals
  • Beta vulgaris
  • Cross-Sectional Studies
  • Epithelial Cells / pathology
  • Female
  • Gastric Mucosa / pathology
  • Gastroscopy / veterinary
  • Horse Diseases / epidemiology
  • Horse Diseases / etiology
  • Horses
  • Logistic Models
  • Male
  • Physical Conditioning, Animal / statistics & numerical data
  • Prevalence
  • Risk Factors
  • Sex Factors
  • Sports
  • Stomach Diseases / epidemiology
  • Stomach Diseases / etiology
  • Stomach Diseases / veterinary
  • Surveys and Questionnaires

Citations

This article has been cited 21 times.
  1. Busechian S, Di Salvo A, Orvieto S, Rueca F, Villella C, Sollevanti G, Pieramati C, Nisi I, Della Rocca G. Changes in Fitness Parameters in Ridden Trained Showjumping Horses After Healing of Gastric Ulcers: Preliminary Results. Vet Sci 2025 Dec 21;13(1).
    doi: 10.3390/vetsci13010009pubmed: 41600665google scholar: lookup
  2. Klinck M, Lovett A, Sykes B. Incorporating a Behavioral Medicine Approach in the Multi-Modal Management of Chronic Equine Gastric Ulcer Syndrome (EGUS): A Clinical Commentary. Animals (Basel) 2025 Oct 17;15(20).
    doi: 10.3390/ani15203019pubmed: 41153946google scholar: lookup
  3. Frippiat T, Bonhomme M, Dyson S, Votion DM. Evaluation of Owner-Reported Clinical Signs and Fecal Occult Blood Tests as Predictors of Equine Gastric Ulcer Syndrome in Competition Dressage Horses. J Vet Intern Med 2025 Nov-Dec;39(6):e70248.
    doi: 10.1111/jvim.70248pubmed: 41055229google scholar: lookup
  4. Irving J, Pineau V, Shultz S, Ter Woort F, Julien F, Lambey S, van Erck-Westergren E. Impact of Low-Starch Dietary Modifications on Faecal Microbiota Composition and Gastric Disease Scores in Performance Horses. Animals (Basel) 2025 Jun 28;15(13).
    doi: 10.3390/ani15131908pubmed: 40646806google scholar: lookup
  5. Sykes B, Lovett A. Can All Behavioral Problems Be Blamed on Equine Gastric Ulcer Syndrome?. Animals (Basel) 2025 Jan 22;15(3).
    doi: 10.3390/ani15030306pubmed: 39943076google scholar: lookup
  6. Zhou K, Dong Z, Zhou X, Zhai B, Li B, Zhang J, Cheng F. The Prevalence of Gastric Ulcer Syndrome in 395 Horses in Jiangyin City, China, Jiangsu Province. Animals (Basel) 2024 Dec 17;14(24).
    doi: 10.3390/ani14243636pubmed: 39765539google scholar: lookup
  7. Tranquille CA, Chojnacka K, Murray RC. Musculoskeletal Injury and Illness Patterns in British Eventing Horses: A Descriptive Study. Animals (Basel) 2024 Sep 13;14(18).
    doi: 10.3390/ani14182667pubmed: 39335262google scholar: lookup
  8. Busechian S, Bindi F, Orvieto S, Zappulla F, Marchesi MC, Nisi I, Rueca F. Prevalence and Risk Factors for the Presence of Gastric Ulcers in Pleasure and Breeding Horses in Italy. Animals (Basel) 2024 Jun 17;14(12).
    doi: 10.3390/ani14121806pubmed: 38929425google scholar: lookup
  9. Busechian S, Bindi F, Pieramati C, Orvieto S, Pisello L, Cozzi S, Ortolani F, Rueca F. Is There a Difference in the Prevalence of Gastric Ulcers between Stallions Used for Breeding and Those Not Used for Breeding?. Animals (Basel) 2024 May 22;14(11).
    doi: 10.3390/ani14111531pubmed: 38891578google scholar: lookup
  10. Paul LJ, Ericsson AC, Andrews FM, McAdams Z, Keowen ML, St Blanc MP, Banse HE. Field study examining the mucosal microbiome in equine glandular gastric disease. PLoS One 2023;18(12):e0295697.
    doi: 10.1371/journal.pone.0295697pubmed: 38060520google scholar: lookup
  11. Luthersson N, Þorgrímsdóttir ÚÝ, Harris PA, Parkin T, Hopster-Iversen C, Bennet ED. Risk Factors for Equine Gastric Ulcer Syndrome Incidence in Adult Icelandic Riding Horses. Animals (Basel) 2023 Nov 14;13(22).
    doi: 10.3390/ani13223512pubmed: 38003130google scholar: lookup
  12. Brown B, Cardwell JM, Verheyen KLP, Campbell MLH. Testing and Refining the Ethical Framework for the Use of Horses in Sport. Animals (Basel) 2023 May 31;13(11).
    doi: 10.3390/ani13111821pubmed: 37889722google scholar: lookup
  13. 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 Jul-Aug;37(4):1528-1536.
    doi: 10.1111/jvim.16747pubmed: 37264707google scholar: lookup
  14. Lo Feudo CM, Stucchi L, Conturba B, Stancari G, Zucca E, Ferrucci F. Medical causes of poor performance and their associations with fitness in Standardbred racehorses. J Vet Intern Med 2023 Jul-Aug;37(4):1514-1527.
    doi: 10.1111/jvim.16734pubmed: 37148147google scholar: lookup
  15. Vokes J, Lovett A, Sykes B. Equine Gastric Ulcer Syndrome: An Update on Current Knowledge. Animals (Basel) 2023 Apr 5;13(7).
    doi: 10.3390/ani13071261pubmed: 37048517google scholar: lookup
  16. Lo Feudo CM, Stucchi L, Conturba B, Stancari G, Zucca E, Ferrucci F. Equine Gastric Ulcer Syndrome affects fitness parameters in poorly performing Standardbred racehorses. Front Vet Sci 2022;9:1014619.
    doi: 10.3389/fvets.2022.1014619pubmed: 36504861google scholar: lookup
  17. Pratt S, Bowen I, Hallowell G, Shipman E, Redpath A. Assessment of agreement using the equine glandular gastric disease grading system in 84 cases. Vet Med Sci 2022 Jul;8(4):1472-1477.
    doi: 10.1002/vms3.807pubmed: 35412651google scholar: lookup
  18. Hewetson M, Tallon R. Equine Squamous Gastric Disease: Prevalence, Impact and Management. Vet Med (Auckl) 2021;12:381-399.
    doi: 10.2147/VMRR.S235258pubmed: 35004264google scholar: lookup
  19. Paul LJ, Ericsson AC, Andrews FM, Keowen ML, Morales Yniguez F, Garza F Jr, Banse HE. Gastric microbiome in horses with and without equine glandular gastric disease. J Vet Intern Med 2021 Sep;35(5):2458-2464.
    doi: 10.1111/jvim.16241pubmed: 34351018google scholar: lookup
  20. Banse HE, Andrews FM. Equine glandular gastric disease: prevalence, impact and management strategies. Vet Med (Auckl) 2019;10:69-76.
    doi: 10.2147/VMRR.S174427pubmed: 31406687google scholar: lookup
  21. 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 Jan;33(1):233-240.
    doi: 10.1111/jvim.15350pubmed: 30499188google scholar: lookup