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The Diet Connection

I think it is well accepted knowledge that diet plays a huge factor when it comes to overall health. The Chinese have said for many centuries that you are what you eat and you are what you breathe. If one does not eat a healthy diet, a breakdown in health often follows. Eating excess sugars and carbohydrates leading to Type II diabetes is a typical example.

Horses, just like people, are not immune from this. In fact horses and humans often develop similar health issue because of the kind of diet they are on, and are generally treated with the same medications and diet modifications. In horses Type II diabetes is generally referred to as Insulin resistance or metabolic syndrome.

Horses did not evolve to eat cereal grains and sugars and most do not need them in their diet. The workload is usually the deciding factor, but even then, it is possible apparently for some horses to maintain well on primarily a forage diet. I do not think that horses even evolved to be primarily grass eaters. Horses are more like browsers. They eat a variety of plants, including weeds, such as dandelions, or firs and gorse (a form of Scotch broom in Britain). I think for optimum health, a horse's diet should ideally be as close as possible to what nature intended.

Most health issue in horses that are diet related, come form a diet that is high in non-structural carbohydrates (NSCs), also known as simple starches and sugars. Pete Ramey refers to it as "Horse Candy". Not all horses are equally susceptible, but many are, and those who are, tend to be the "easy keepers". (Note: there's current debate which carbohydrates are actually responsible for the health issues listed below, as they are not all the same. It probably eventually comes down to which feeds induce a high glycemic response when digested). 

Research has now linked excess NSCs to conditions such as

  • Equine Polysaccharide Storage Myopathy (EPSM)
  • Recurrent Exertional Rhabdomyolysis (RER)
  • Metabolic Syndrome or Insulin Resistance
  • Developmental Orthopedic Disease (DOD)
  • Gastric and Colonic ulcers

NSCs and Hoof Health

What has not yet been linked through research, but what my trimmer (Pete Ramey too, among others) and I frequently observe, is a possible strong link between NSCs and "subclinical" hoof problems. We all know how serious it can be if horses overload on grain or grasses that are high in sugars. It appears however, that even small amounts can cause negative changes in hooves, in horses who are sensitive to sugars in their diet, again generally the "easy keepers". They tend to be tender footed and/or have a tendency to bruise easily and develop abscesses, suffer from white line disease, without ever developing full blown laminitis, causing their owners to believe that the horse needs shoes to be sound when in fact the diet is the root cause.

Personal Experiences:

Two Arabs had developed a serious case of  laminitis on pasture grass and some grain. They were successfully turned around with correct trimming and diet modifications (removed all excess sugars), but had a relapse approximately 2 months later. This was traced directly to a new load of local hay. Our local hay is usually low in NSCs, but it was obviously too much for those Arabs. The horses improved immediately, when the owner started soaking the hay and are still doing very well - barefoot!

Another barefoot horse (QH) developed and illness that affected his appetite. in desperation the owner started feeding a grain mix. Within a few days this horse became sore footed, but improved just as quickly when the offending feed was removed.

My trimmer worked on a TB who had been rescued off the track. His feet improved beautifully until my trimmer noticed that the sole had come down from one trim to the next. This is usually an indication that the internal hoof structures weakened somewhat and allowed for this negative change. The feet had lost all their concavity. What had changed? The owner had started feeding a cheap grain/molasses mixture since the last trim.

I believe that a diet that is high in NSCs and that is fed to sugar sensitive horses, can cause a "subclinical" weakening of the internal hoof structures which then manifests itself in conditions such as susceptibility to white line disease, bruising and abscessing and being more tender footed.

Other Diet Related Health/Behavioral Problems

Spooking

I have an American Saddlebred/QH x Selle Francais cross. He does not tolerate grain or alfalfa. He is a 16.2 hh horse who ever only received 2 lbs of grain/day and one flake of alfalfa Am and PM. It made him excessively spooky and caused him to develop EPSM symptoms. In hindsight I now also know that it was probably the contributing factor of his 2005 right front suspensory strain - running on a sugar high in his pasture, sliding in the mud and thereby probably hyper extending the right front suspensory.

Spookiness that makes no sense, is often diet related and due to excess sugars in the diet. If a horse is truly scared about an object, they will be consistent about it until they have learned to trust the object. Diet related spooking is very inconsistent. The same object is usually spooky one day, not the next, but spooky again on the third. In addition the horse tends to "overreact" to perceived dangers. 

Behavioral or Diet related?

In addition to spooking and being over reactive, excess energy from the diet can also cause a horse to be more prone to bucking and bolting, having an inability to focus when working, be more fretful in the stall (causing excess weight loss) and become more ornery or even aggressive in some cases.

Most owners are quick to assume that those traits are behavioral without considering that diet may be a factor. Often the connection is found by chance, when diet modification become necessary, due to a lay up for example, as it was the case with my horse. He was out 24/7 and stall rest was not an option when he injured the suspensory. I had to change his diet to keep him sensible so he could heal. Not long after the change I noticed that the following behaviors/symptoms started to disappear:

  • Being more aggressive
  • Over reactive
  • Inability to focus
  • Inconsistent spookiness
  • Balkiness under saddle
  • Not being able to keep up with me when walking next to me
  • Increased grooming sensitivity over hindquarters
  • Excessively pulling hind legs away when being trimmed and shod
  • Stringhalt type movement with the right hind leg
  • Susceptibility to bruising

It took about 6 months for all the EPSM symptoms to completely disappear.  I also noticed then a change in muscle tone. He used to look more like a body builder with inflated muscles - he simply looked tight all over. Now his muscles have become more pliable and his whole body looks loser.

I now know, that when I see horse's with similar tight muscle tone, they are probably affected by a diet that is too high in NSCs for this particular horse and this is usually confirmed upon further investigation.

Supplements

Horses should be supplemented as needed but avoid over supplementation.  For example, it is important that your horse gets enough selenium, as it is needed for proper muscle, thyroid and immune function. If in doubt consult your veterinarian and test for it.

Be aware that the joint supplement glucosamine can push an insulin resistance horse into laminitis because glucosamine is actually a sugar amino acid.

Additional information concerning equine diets and diet related issues:

Safer Grass.Org
PSSM....Could my horse have it?
Pete Ramey Article on Laminitis
For the Love of Horses - Articles on Metabolic Syndrome
Muscle Disorders: Untying The Knots through Nutrition
Alfalfa for Distance Horses
High Octane Diets
Overactive and Underweight
Food for Thought: Digestive Health

From The Horse - Feeding to Prevent & Control Disease, August 2006

Take-Home Message

There are some general trends in feeding your horse that can help him be healthier, and detailed nutritional management regimens to control specific diseases. If you have questions about your individual horse's nutritional management, discuss them with your veterinarian or an equine nutrition consultant.


GENERAL FEEDING RECOMMENDATIONS

As you read through the nutritional recommendations for many of the ailments that plague horses, you might notice common threads used to manage or prevent many problems. One of the primary considerations mentioned by all these experts is the danger of overfeeding, particularly a diet rich in carbohydrates or grain. To best keep your horse “as healthy as a horse,” dietary strategies should follow some basic and simple rules:

  • Feed at least 1–2% of the diet as fiber (hay and/or pasture), that is 10–20 pounds per day for a 1,000-pound horse (in other words feed 1-2% of the horse's ideal body weight in forage/fiber).
  • Feed small amounts at frequent intervals or free-choice forage rather than relying on twice-a-day feeding with long intervals of fasting.
  • Feed primarily grass hay and supplement with small amounts of alfalfa only when necessary.
  • Integrate fat supplements and/or high-fat feeds to substitute for calories previously provided in grain.
  • Limit grain to as little as possible, not exceeding four pounds per feeding for a 1,000-pound horse, but better yet, use substitute feeds (fat, alfalfa) instead of grains.
  • Minimize extraneous feed additives and minerals so you feed only what is necessary to constitute a balanced ration.
  • Have feed analysis done at a lab to obtain specific nutrient content if in doubt.
  • Consult with an equine nutritional specialist to tailor a diet specifically for each individual horse.
  • Exercise the horse or provide regular turnout as often as possible.

With these dietary practices, you really will possess the magic elixir to cure many equine ills and to achieve the best performance your horse has to offer. —Nancy S. Loving, DVM (reprinted with permission)

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