Vitamin E concentrations in hospitalized adult horses and foals.
Abstract: To determine the prevalence of vitamin E deficiency in horses at admission and at the time of discharge. The hypothesis was that vitamin E concentrations would decrease during hospitalization. Methods: A prospective cohort study was performed of client-owned horses admitted as patients or companions through the emergency service at a tertiary referral center. Exclusion criteria included vitamin E supplementation. Whole blood was collected into an additive-free tube at the time of admission for all horses and at discharge if the horse was hospitalized for a minimum of 5 days. Serum vitamin E concentration was obtained with high-performance liquid chromatography. Data were analyzed with mixed-effects linear regression and the Spearman rank correlation for confounding factors. Results: A total of 12.7% of horses were deficient at admission, including 16.5% of adults and 5.5% of foals (< 3 months old). Of horses hospitalized for a minimum of 5 days, 6.7% were deficient at the time of discharge, including 0% of foals and 10% of adults. Duration of hospitalization had no significant effect on vitamin E concentration when all patients were considered. Conclusions: Vitamin E deficiency is prevalent in horses. Horses admitted to the hospital do not require vitamin E supplementation to maintain adequate concentrations. Conclusions: Approximately 1 in 6 horses presented to the emergency service were deficient in vitamin E. Vitamin E concentrations should be measured routinely in horses and supplemented if indicated by the presence of deficiency or the patient's underlying disease pathophysiology.
Publication Date: 2025-01-31 PubMed ID: 39892396DOI: 10.2460/javma.24.09.0590Google Scholar: Lookup
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Summary
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This study aimed to understand the prevalence of vitamin E deficiency in horse patients at a referral hospital during admission and discharge. The research found that 12.7% of horses demonstrating a deficiency upon admission, an issue more prevalent among adults than young foals. The researchers concluded that vitamin E deficiency is a significant problem in the horse community, but hospitalization did not appear to worsen the condition.
Research Methodology
- The researchers designed a prospective cohort study, investigating cases of client-owned horses who were either admitted as patients or companions at a veterinary tertiary referral center. These horses were brought in via the emergency service.
- Any horses receiving vitamin E supplementation were excluded from the procedure to avoid skewed results.
- At the time of admission, whole blood was collected from each horse for analysis. If the horse was hospitalized for a minimum of 5 days, another sample was taken at the time of discharge.
- Vitamin E concentrations in the blood were assessed using high-performance liquid chromatography, a popular technique for identifying and quantifying components in mixtures.
Findings
- The study found that 12.7% of all horses exhibited vitamin E deficiency upon admission. In adult horses, the percentage was slightly higher (16.5%) compared to young foals (5.5%).
- For horses hospitalized for at least five days, the prevalence of vitamin E deficiency was 6.7% at discharge. Notably, no foals were found deficient at discharge, while 10% of the adult horse group were.
Significance and Implications
- The researchers determined that the duration of hospitalization did not significantly impact the horses’ vitamin E concentration. This suggests that staying in a hospital environment did not exacerbate the horses’ vitamin E deficiency.
- The study revealed that vitamin E deficiency is quite common in the population of horses studied. But, hospitalization doesn’t require vitamin E supplementation to maintain appropriate levels.
- The researchers urge regular screening of vitamin E levels in horses and supplementation wherever necessary, especially prioritizing attention on deficiency indications or the patient’s underlying disease mechanics.
Cite This Article
APA
Palmisano MG, Colmer SF, Saw YL, Xu X, Stefanovski D, Murphy L, Johnson AL.
(2025).
Vitamin E concentrations in hospitalized adult horses and foals.
J Am Vet Med Assoc, 1-8.
https://doi.org/10.2460/javma.24.09.0590 Publication
Researcher Affiliations
- 1Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA.
- 1Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA.
- 2Department of Pathobiology, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA.
- 2Department of Pathobiology, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA.
- 1Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA.
- 2Department of Pathobiology, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA.
- 1Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA.
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