Tuesday, December 26, 2023

Lean animals can also be at high risk of laminitis, concludes new study

It’s not just obese ponies who can be at high risk of laminitis, a newly published study has
confirmed. Obesity, despite its significant health hazards, may not be a reliable indicator of poor metabolic health and associated laminitis risk, because lean animals have been shown to be at high risk too.  

Adiponectin, a hormone coming from fat deposits, can be measured in the blood, and is thought to improve sensitivity to insulin.  Previous work has shown that low blood concentrations of adiponectin reflect an increased risk of laminitis.  Decreased concentrations of the hormone have been found in association with obesity, but this new work has shown that decreased levels of adiponectin can also be found quite commonly in lean, native-breed ponies.

 

In this latest study, led by Marine Barnabé , data collected during three previous studies involving native-breed ponies, were retrospectively analysed.  Funding for the study was provided by Waltham Petcare Science Institute and the Royal Veterinary College Mellon Fund. An open-access report is published in the Equine Veterinary Journal

 

Total adiponectin was compared between 734 ponies of different body condition score (BCS) classification (ideal-weight, overweight, and obese), breed, and body shape, with and without a history of laminitis. Age, breed, sex, weight, height, and weight:height ratios were recorded. BCS was assessed on a scale of 1 to 9 and was determined by a single assessor. Blood samples were collected from non-grain fed but not forage fasted animals to determine basal insulin and total adiponectin. 

 

The results showed that total adiponectin was weakly positively correlated with BCS, height, weight, and weight:height ratio. There were significant differences in adiponectin concentrations in ponies with different BCS group classification, body shape, and breed. More of the obese (54.6%) than ideal-weight ponies had normal total adiponectin concentrations and a greater percentage of ideal-weight (38.6%) than obese ponies showed low adiponectin concentrations. 

 

“This study together with our previous work has provided us with the important take-home message that you cannot presume that just because your horse or pony is lean or of ideal bodyweight it is automatically at reduced risk,” said Sarah Nelson, Product Manager at Mars Horsecare, home of the SPILLERS brand. 

 

“They may still have insulin dysregulation and/or low adiponectin concentrations and so be at an increased risk of laminitis. If you are concerned it is important to speak to your vet and have your horse or pony tested. It’s also advisable to contact your nutrition advisor to ensure you provide the best diet to manage your individual.”

 

Another valuable initial observation from the study was the significant difference in total adiponectin concentrations between ponies of different body shapes. The middle-heavy body shape was associated with higher total adiponectin concentrations than both other shapes, suggesting this fat accumulation pattern may be less detrimental in ponies. This is similar to research in humans that has shown increased thigh fat or a ‘pear’ shape may be protective against insulin resistance compared to increased visceral fat or ‘apple’ shape. However, more work is needed to investigate these initial findings.

 

Barnabé  concludes that body condition scoring and other morphometric measures of obesity do not reliably reflect circulating total adiponectin concentrations and should not be used to assess metabolic risk factors for EMS or endocrinopathic laminitis in ponies. 

 

“Basal hyperinsulinaemia and hypoadiponectinaemia may be highly prevalent in lean native-breed ponies and circulating concentrations of both these hormones should be measured in animals with predisposing factors, regardless of BCS.”

 

She added: “Understanding the modifiable factors that are associated with total adiponectin concentrations may help to identify targets for preventive or therapeutic intervention, with the goal of reducing the development of endocrinopathic laminitis in at-risk horses and ponies.” 

 

For more details, see:

 

Relationships between total adiponectin concentrations and obesity in native-breed ponies in England

Marine A. BarnabéJonathan ElliottPatricia A. HarrisNicola J. Menzies-Gow

 Equine Veterinary journal (2023)

https://doi.org/10.1111/evj.14013

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