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February 22, 2011

Fix It With Feed Part 6: Trim Down To Help Prevent Metabolic Issues

Obesity, lack of exercise and long-term intake of foods high in glucose may make a horse prone to Equine Metabolic Syndrome and insulin resistance. Photo by jeanma85/Fotolia.

This is the sixth article in the "Fix It With Feed" series. Check back every Wednesday for more articles on nutrition and how it affects performance.

When it comes to equine nutrition, we often stress about whether our horses are carrying enough flesh. However, the well-padded look that might be perfect for the show ring is often too heavy for excellent health.

“Horse people have different standards of what is ideal; most horses are too pudgy,” said Martin Furr, DVM, Ph.D., Diplomate ACVIM and Adelaide C. Riggs Chair in Equine Medicine at the Marion duPont Equine Medical Center in Leesburg, Va. “You want your horse to be a 5 on the body condition score scale [out of 9]. That’s optimal.”

Having a horse that’s too fat can lead to all sorts of metabolic issues, including Equine Metabolic Syndrome and insulin resistance.

The poster horse for EMS is one that is obese, laminitis-prone and also insulin resistant.

“Insulin resistance is just a condition in which the body does not respond appropriately to the insulin that is present,” said Furr. “The body is producing insulin, but the cells are not responding to the insulin that’s there. There’s a range. You could have a tiny bit of reduction of response to a huge amount of response.”

No one knows exactly why some horses become insulin resistant, but factors such as obesity, lack of exercise and long-term intake of feeds high in glucose seem to be part of the equation. Horses are typically between the ages of 8 and 18 when insulin issues begin, and some breeds—Morgans, Arabians, Paso Finos, some warmbloods and ponies—tend to become overweight more readily than other horses, thus they are more often insulin resistant.

Diagnosing The Problem

“Horses that are insulin resistant tend to have some similar physical characteristics,” said Olivia Martin of Performance Feeding. “General obesity with areas of patchy fat accumulation, usually over the crest of the neck, over the shoulders, and fatty deposits over the croup and on either side of the tail head. Geldings can have fat deposits surrounding the sheath, and broodmares can have fat surrounding the udder. Horses that are insulin resistant are usually defined as easy keepers, and are often fat even though they are fed calorie-restricted diets.”

Insulin resistance can be diagnosed by a simple blood test, where the blood concentrations of insulin, ACTH (thyroid hormone) and other major hormones are recorded. A glucose tolerance test can also be performed. This test requires giving a horse a known quantity of glucose, then taking sequential blood tests to monitor the horse’s insulin response.

One of the major complications of EMS and IR is the development of laminitis.

“The insulin will be too high because the cells are not responding to the insulin that’s there, so it’ll crank out more,” said Furr. “Nobody really knows for sure what high levels of insulin do in the body. It appears that it’s damaging to the lining of blood vessels, especially in the feet. It appears there’s toxicity to those tissues. It’s also probably doing something metabolically to the cells that we don’t understand yet. It also causes inflammation, which is also damaging to the feet.”

While there are some supplements on the market to help manage EMS and IR, Furr and Martin don’t believe they are very helpful.

“There’s probably a gazillion supplements and herbal things that people are trying to sell, but we just don’t know if they’re useful or not. The key things is decrease their food, increase their work,” said Furr.

Step 1: Kill The Carbs

The first problem with overweight horses is providing the appropriate amount of calories without overloading them with starch and sugars. Cutting out sweet feed, molasses and whole grain such as corn and oats is the first step in equine weight loss.

“Often these horses cannot eat grain meals, and un-molassed beet pulp can be used as a carrier for any medications or supplements,” said Martin. “Un-molassed beet pulp can be used as a substitute for a up to 1/3 of the hay fed per day: For example, if a horse should be eating 15 lbs of hay per day, feed 10 lbs of hay per day and 2½ - 4 pounds of un-molassed beet pulp per day.”

If giving your horse a concentrate ration is absolutely necessary, then there are several low-carbohydrate feeds on the market. You want to look for a feed that has a low carbohydrate but high fat content.

“We want to get rid of as much sugar as possible. You can still overfeed, so you still have to feed an appropriate volume. Metabolic diets are typically low sugar and higher fat than the typical sweet feed,” said Furr.

Step 2: Forage And Pasture Management

Since most horses will do exceptionally well on a diet comprised mostly of forage, it’s important to feed a good quality hay, as well as maintaining your fields. However, for EMS and IR horses, pasture management quickly come into play.

“You may have to restrict their access to pasture,” said Furr. “A horse can eat roughly half of his daily requirement in three to four hours. You want the turnout to be at night, because the amount of sugar in the grass is lowest at about 4 a.m. The highest content is about 4 p.m. Definitely keep them off the spring grass.”

In addition to considering a grazing muzzle, you can also turn out in a dry lot. However, Furr cautioned against turning out in a field with stubble or patchy grass, as low quality pasture tends to have fructane in it, which contributes to laminitis.

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