Equine Metabolic Syndrome
As horse owners, we play an essential role in our horses’ every day physical and mental health. We provide our domestic horses with all their basic needs such as food, water, shelter, grooming, hoof care, daily exercise, medical and dental care…this list goes perpetually on and on. The old axiom of “killing them with kindness” couldn’t be more true with today’s domestic horses. The mainstream of equine world has developed a practice of over feeding our horses with rich feeds, sweet feeds, and excessive amounts of grain. Even within in the Veterinary profession, there are abuses that our horses have faced such as the deleterious over usage of antibiotics, thyroid hormone supplements, and other excessive feed supplementations. With the environment that domesticated horses are faced with, a new medical condition has been recognized recently.
Equine Metabolic Syndrome (EMS or Peripheral Cushing’s Syndrome) has recently been described in the literature by veterinary scientists; however, EMS is not a new disease to the domesticated horse—equine veterinarians have long recognized the clinical signs of this syndrome. So what is EMS? What are the clinical signs associated with the disease’s development? How can it be prevented and/or treated? These are the questions which I will attempt to answer in the paragraphs to follow. Armed with this knowledge, we can help our horses live a much healthier, longer life.
EMS is a metabolic condition which leads to decreased glucose consumption by the cells within the body which ultimately leads to obesity, insulin resistance, hyperglycemia, chronic laminitis (founder), infertility, lower immune systems, decreased intestinal wall integrity, colic, chronic hoof abscesses, and muscle wasting. EMS has been modeled after the human condition also known as Metabolic Syndrome or Syndrome X. Horses with EMS can not properly utilize sugars (in the form of glucose) and therefore store the excessive energy in the form of fat. EMS horses typically have “crusty necks”, excessive fat over the rump and head of the tail, and enlarged sheaths in male horses. The surplus of fat within the body ultimately leads to extremely elevated levels of endogenous corticosteroids (i.e. cortisol) within the blood stream. Cortisol has a negative affect on insulin which leads to even further insulin resistance and less glucose utilization. This vicious cycle stresses the equine body…and cortisol has been regarded as a major component to chronic laminitis.
EMS can be difficult to diagnose because many of the tests utilized by veterinarians to diagnose Cushing’s disease are within the range of normal. However, diagnostic tests can sometimes be beneficial in arriving at a clinical diagnosis and they include tests to measure insulin and glucose concentrations. These results combined with the clinical signs of obesity and chronic laminitis confirms the diagnosis.
At present, treatment strategies for EMS concentrate exclusively on the reversal of obesity and insulin resistance through dietary modification and execution of a proper exercise program. The most important principle of feeding affected horses is very strict limitation of easily digested carbohydrates in their diet. Feeding these affected horses an exclusively fiber-based diet such as good quality grass hay—1.0 to 1.5 % of the horses’ body weight per day is a useful guideline for the amount to feed. Eliminate sources of easily digestible carbohydrates such as grain, sweet feeds, carrots, apples, and lush grass. Several nutritional supplements have been advocated in the treatment/management of EMS. One of interest is the use of cinnamon to aid in the treatment of EMS. Cinnamon has been shown to exert some beneficial effects on humans with type 2 or adult-onset diabetes, and it is unlikely to have any negative or harmful side effects on your horse. Equine nutritionists have recommended administration of 4 tsp per 1000-lbs horse per day. Other widely recommended dietary supplements include chromium picolinate and magnesium, calcium, phosphorous, copper, zinc, manganese, and selenium. Omega-3 essential fatty acids (found in Flax seed oil 4 to 6 tsp per day) have also been shown to be beneficial to horses with EMS. Also, it has been recommended to add these supplements to soaked beet pulp instead of grain.
If you have any questions on EMS, we’d love to help answer them. As always, please feel free to contact us at any time.