EMS – a problem of affluence for our horses?

Most horse owners are now familiar with Cushing's syndrome and its symptoms in horses. A disease with very similar symptoms is equine metabolic syndrome (EMS). In its early stages, it is therefore often confused with equine Cushing's syndrome. But what is the difference?

INHALT
How can I tell if my horse has EMS? Causes Diagnosis Treatment Forecast How can I prevent it?
How can I tell if my horse has EMS?

In most cases, poor performance is the first symptom that we as owners notice in our horses. As with Cushing's syndrome, fat deposits may appear above the eyes, on the crest of the mane, and at the base of the tail. Affected horses are often overweight overall. Increased drinking and urination are also characteristics of this disease. Recurring episodes of laminitis of unknown cause should also alert the owner, as this disease is one of the late effects of EMS.

Causes

The exact cause of this syndrome has not yet been conclusively researched. The condition can affect any breed of horse, but it is more common in ponies, small horses, and heavy cold-blooded breeds, as their exercise levels are often not in line with their energy intake. Many horses are fed too much energy-rich feed and get limited exercise. They become overweight and develop the fat deposits described above because not enough sugar from the blood is used up by muscle activity and is instead converted into fat. The messenger substances formed in the fatty tissue in turn influence insulin and sugar metabolism. This is followed by so-called "insulin resistance" (inhibition of insulin activity), the blood sugar level continues to rise and the horse develops diabetes. Fat cells also contain an enzyme that is responsible for converting inactive cortisone into active cortisol. This causes cortisol levels to rise and increases the risk of laminitis, which is another stressful situation for the horse, leading to even more cortisol being produced. A vicious circle develops. EMS is therefore not caused by an overall malfunction of the hormone balance, as is the case with Cushing's syndrome, but by a metabolic imbalance.

Diagnosis

Even if the symptoms seem very clear, always consult a veterinarian to ensure that an accurate diagnosis is made. In addition to identifying the main symptoms, various blood tests may be used.

Blood sampling from horses
Blood sample taken for further diagnosis
Treatment

Unlike Cushing's disease, there is no specific medication available to treat equine metabolic syndrome. Depending on the severity of the disease and the veterinary findings, anti-inflammatory drugs and painkillers may be used as supportive treatment. Your vet will advise you in detail on a case-by-case basis.

However, with strict feeding and exercise management, the disease can be successfully controlled. Excess weight and fat deposits must be reduced so that less insulin is produced. Regular and sufficient exercise ensures an effective reduction in blood sugar levels.

Accordingly, the diet must then be switched to low-starch feed. Unfortunately, many of the popular horse mueslis are no longer recommended here, as they mostly contain barley and corn, both of which are extremely starchy energy sources. Plain oats offer the advantage of having a lower starch content but a high fat and fiber content. Oats also have a positive effect on the performance of our four-legged partners, but the amount of feed must always be precisely adjusted to the horse's energy requirements. A good alternative to oats are ready-made feeds specially tailored to the needs of horses with EMS, which are now also available in stores. Horses that are easy to feed can also gain weight from too much hay. It is therefore recommended to limit the daily amount of good hay to 1% of the animal's body weight. You can reduce the sugar content of the hay by using second or third cut hay. Silage (acidification) and grazing (high sugar content in fresh grass) should be avoided.

Forecast

With a well-thought-out exercise plan and a low-carb diet for weight loss, insulin resistance in your horse with EMS can be reversed. If laminitis (see related article) has already developed, the corresponding prognosis must be taken into account.

How can I prevent it?

With a diet that is strictly tailored to the breed, type, and activity level of your horse, especially in terms of carbohydrates, you can effectively prevent metabolic disorders.

The petsXL health passport allows you to clearly record and monitor your horse's weight data.