ECEIM consensus statement on equine metabolic syndrome

被引：179

作者：

Durham, Andy E. ^{[1
]}

Frank, Nicholas ^{[2
]}

McGowan, Cathy M. ^{[3
]}

Menzies-Gow, Nicola J. ^{[4
]}

Roelfsema, Ellen ^{[5
]}

Vervuert, Ingrid ^{[6
]}

Feige, Karsten ^{[7
]}

Fey, Kerstin ^{[8
]}

机构：

[1] Liphook Equine Hosp, Liphook GU30 7JG, England

[2] Tufts Univ, Cummings Sch Vet Med, Dept Clin Sci, North Grafton, MA USA

[3] Univ Liverpool, Inst Vet Sci, Neston, England

[4] Royal Vet Coll, Dept Clin Sci & Serv, Hatfield, Herts, England

[5] Univ Utrecht, Dept Equine Sci, Utrecht, Netherlands

[6] Univ Leipzig, Inst Anim Nutr Nutr Dis & Dietet, Fac Vet Med, Leipzig, Germany

[7] Univ Vet Med Hannover, Clin Horses, Hannover, Germany

[8] Justus Liebig Univ Giessen, Fac Vet Med, Equine Clin, Internal Med, Giessen, Germany

来源：

JOURNAL OF VETERINARY INTERNAL MEDICINE | 2019年 / 33卷 / 02期

关键词：

EMS; endocrinopathic; insulin; laminitis; ORAL SUGAR TEST; PARS-INTERMEDIA DYSFUNCTION; GROWTH-FACTOR-I; CHAIN FRUCTO-OLIGOSACCHARIDES; MOLECULAR-WEIGHT ADIPONECTIN; SUBCUTANEOUS ADIPOSE-TISSUE; INSULIN-RESISTANT PONIES; LIVING DOMESTIC HORSES; BODY CONDITION SCORE; GLUCOSE DYNAMICS;

D O I：

10.1111/jvim.15423

中图分类号：

S85 [动物医学（兽医学）];

学科分类号：

0906 ;

摘要：

Equine metabolic syndrome (EMS) is a widely recognized collection of risk factors for endocrinopathic laminitis. The most important of these risk factors is insulin dysregulation (ID). Clinicians and horse owners must recognize the presence of these risk factors so that they can be targeted and controlled to reduce the risk of laminitis attacks. Diagnosis of EMS is based partly on the horse's history and clinical examination findings, and partly on laboratory testing. Several choices of test exist which examine different facets of ID and other related metabolic disturbances. EMS is controlled mainly by dietary strategies and exercise programs that aim to improve insulin regulation and decrease obesity where present. In some cases, pharmacologic aids might be useful. Management of an EMS case is a long-term strategy requiring diligence and discipline by the horses carer and support and guidance from their veterinarians.

引用

页码：335 / 349

页数：15

共 218 条

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