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Equine veterinary journal2008; 40(6); 611-618; doi: 10.2746/042516408X299118

Unexplained underperformance syndrome in sport horses: classification, potential causes and recognition.

Abstract: When inadequate training stress is applied and recovery time is insufficient, performance reduction and chronic maladaptation occurs. Known as overtraining syndrome (OTS), this complex condition afflicts horses in top training. The name of the syndrome implies causation and it is necessary to differentiate it from over-reaching, a term used in horses that, after suffering a loss of performance without an obvious clinical reason, recover their performance within 1 or 2 weeks. The term OTS should be used for horses in heavy training losing performance without an obvious clinical reason and which is sustained for > 2 weeks. Despite considerable scientific investigations, the underlying mechanisms are still poorly understood and there are no objective biomarkers for OTS. An imbalance between training and recovery seems to be the primary cause of this dysfunction. However, other factors such as transport, feeding, subclinical disease and general management may play a role. There is now sufficient evidence that red cell hypervolaemia is not a mechanism for the OTS in horses. A dysfunction of the hypothalamo-pituitary-adrenocortical axis is momentarily the only mechanism that may be related to the development of this syndrome. In the absence of a scoring system to assess the psychological status of horses, the most effective method for diagnosis is the thorough assessment of the history and presenting complaint (length of unexplained performance deficit, weight loss despite adequate feed intake, concurrence of unspecific subclinical problems, unsuccessful treatments and changes of behaviour). Standardised exercise tests are suggested to provide a way to detect subtle changes in hormonal responses in the individual, which may make an important contribution to the detection of early overtraining. But further longitudinal studies are needed to clarify mechanism(s) underlying OTS and to establish the potential for the use of a physiological test as a predictive tool of this disorder.
Publication Date: 2008-03-22 PubMed ID: 18356127DOI: 10.2746/042516408X299118Google Scholar: Lookup
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Summary

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The research article is based on a study of unexplained underperformance syndrome (UOTS) in sport horses, exploring its classification, possible causes, and ways of recognition. UOTS is a condition where horses’ performance inexplicably reduces, usually due to inappropriate training or inadequate recovery duration.

Classifying Unexplained Underperformance Syndrome

  • The researchers highlight the intricate nature of overtraining syndrome (OTS), a condition that compromises a horse’s performance due to inappropriate training stress and inadequate recovery.
  • In the process of setting up classification standards, distinctions are made between OTS and over-reaching; over-reaching is a temporary performance drop from which a horse recovers within 1-2 weeks, while OTS denotes a continued performance decline for over 2 weeks.

Potential causes of UOTS

  • One of the chief causes linked with this syndrome is an imbalance between the training a horse undergoes and time given for recovery.
  • Nonetheless, other variables such as transport, feeding regime, subclinical disease, and general management may also contribute to the syndrome.
  • The study removes concerns around red cell hypervolaemia as a cause of OTS in horses.

Recognizing UOTS

  • Presently, one plausible mechanism tied with the syndrome is a dysfunction in the hypothalamo-pituitary-adrenocortical axis.
  • In the process of recognizing UOTS, comprehensive assessment of the horse’s history and present complaints can prove vital, especially in the absence of a scoring system that evaluates the psychological status of horses.
  • Aspects like unexplained performance deficit length, weight loss despite sufficient feeding, occurrence of non-specific subclinical problems, unsuccessful treatments, and behavioral changes should all be considered during the assessment.

Towards a detection method for UOTS

  • The research also points to the possible use of standardized exercise tests as a method to identify subtle changes in a horse’s hormonal response, which can contribute significantly to the early detection of overtraining.
  • However, the study concludes with a call for more longitudinal studies to fully understand the mechanism(s) underlying OTS and develop a physiological test that could predict the disorder.

Cite This Article

APA
Rivero JL, van Breda E, Rogers CW, Lindner A, van Oldruitenborgh-Oosterbaan MM. (2008). Unexplained underperformance syndrome in sport horses: classification, potential causes and recognition. Equine Vet J, 40(6), 611-618. https://doi.org/10.2746/042516408X299118

Publication

ISSN: 0425-1644
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 40
Issue: 6
Pages: 611-618

Researcher Affiliations

Rivero, J L L
  • Muscular Biopathology Laboratory, Department of Comparative Anatomy and Pathological Anatomy, Faculty of Veterinary Sciences, University of Cordoba, Cordoba, Spain.
van Breda, E
    Rogers, C W
      Lindner, A
        van Oldruitenborgh-Oosterbaan, M M Sloet

          MeSH Terms

          • Adaptation, Physiological / physiology
          • Animals
          • Exercise Test / veterinary
          • Horses / physiology
          • Horses / psychology
          • Hypothalamo-Hypophyseal System / physiology
          • Physical Conditioning, Animal / physiology
          • Pituitary-Adrenal System / physiology

          Citations

          This article has been cited 7 times.
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            doi: 10.3390/ani15213198pubmed: 41227528google scholar: lookup
          6. Siegers EW, Parmentier JIM, Sloet van Oldruitenborgh-Oosterbaan MM, Munsters CCBM, Serra Bragança FM. Gait kinematics at trot before and after repeated ridden exercise tests in young Friesian stallions during a fatiguing 10-week training program. Front Vet Sci 2025;12:1456424.
            doi: 10.3389/fvets.2025.1456424pubmed: 39995550google scholar: lookup
          7. Maśko M, Sikorska U, Borowska M, Zdrojkowski Ł, Jasiński T, Domino M. The Postural and Body Surface Temperature Response of Leisure Horses to Lunging with Selected Lunging Aids. Animals (Basel) 2023 Dec 20;14(1).
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