Regulation of Insulin Action by Diet and Exercise

The regulation of the cellular actions of the hormone insulin is essential to the maintenance of macronutrient metabolism, body weight regulation, and a surprisingly diverse range of other integrative physiologic functions. Because of the diverse targets of insulin action, any dysfunction in insulin is likely to have systemic consequences. Although type 1 and type 2 diabetes are the most obvious clinical consequences of impaired insulin synthesis and insulin action, respectively, there are also subclinical disorders that attend defects in the function of insulin. In humans and horses, the “metabolic syndrome” is characterized by a cluster of metabolic sequelae that arise as a result of insulin resistance. Importantly, both diet and exercise can regulate insulin action and can thus be leveraged as treatment tools to prevent and treat the metabolic syndrome. The aim of this review is to characterize the integrative biology of insulin action and to describe the role of diet and exercise in regulating tissue responsiveness to insulin.     

Comparison of Insulin Sensitivity of Horses Adapted to Different Exercise Intensities

Diets high in concentrates and soluble carbohydrates are associated with reduced insulin sensitivity in horses. Exercise training could protect against diet-induced insulin resistance. The objective of this study was to determine the intensity of exercise training required to affect insulin sensitivity in stabled horses fed a diet high in concentrates but moderate in soluble carbohydrates. In all, 31 stabled horses underwent three different exercise regimens: turnout, light exercise, and moderate exercise, while being fed a diet containing 60% concentrate. Blood was sampled monthly and analyzed for insulin. Insulin sensitivity was assessed using basal insulin concentrations and calculated insulin sensitivity (reciprocal of the square root of insulin) and compared across months by analysis of variance with repeated measures. Insulin sensitivity (reciprocal of the square root of insulin) was higher during periods of moderate and light physical activity as compared with turnout. These results indicate that turnout alone may not be adequate to improve insulin sensitivity in horses fed high amounts of concentrate.     

Influence of Acute Exercise on Serum Homocysteine in Horse

The effect of acute exercise on serum homocysteine (sHCy) concentration was examined in 10 horses; five Sella Italiana and five Thoroughbreds. All horses underwent standard training before the study (show jumping for Sella Italiana horses and gallop racing for Thoroughbreds). For the study, blood samples were taken at rest, immediately after exercise, and during a recovery period (30 and 60 minutes after exercise) by external jugular venipuncture. sHCy values were determined by high-performance liquid chromatography. Heart rate and blood lactate were monitored to quantify the workloads. In show jumpers, there was a significant effect of sampling time on sHCy (P < .01), which increased significantly after exercise as compared with at rest. In Thoroughbreds, no statistically significant differences were observed in sHCy over time (F_(3,12) = 0.89, P = .05). The baseline values of sHcy were higher in Thoroughbreds than in show jumpers (P < .0002). We infer that physical activity causes biochemical changes that can influence the metabolic pathway of homocysteine in show jumpers, whereas the absence of a significant effect of exercise in Thoroughbreds may reflect an adaptive response of the enzymatic antioxidant defense system.     

Early Evidence of the Anticipatory Response of Plasma Catecholamine in Equine Exercise

Catecholamines seem to play a role in equine exercise physiology that is somewhat different from their role in human beings. In sport horses, a greater increase in plasma adrenaline (ADR) levels occurs in response to strenuous exercise as compared with human beings. However, it is not known whether this is true for breeds not specifically bred for sport. The aim of this study was to gather data on plasma catecholamine kinetics during exercise in a nonracing breed. We also attempted to evaluate the influence of the phases preceding the start of the exercise on the kinetics of these molecules. Four 2-year-old female Esperia ponies were made to perform a four-step exercise test on a treadmill. Blood samples were collected in the box (basal 1), in the treadmill room (basal 2), and at the conclusion of each step, using an automatic system. ADR and noradrenaline (NOR) levels were determined by high-pressure liquid chromatography. Results were analyzed using analysis of variance and the Student-Newman-Keuls test. As compared with basal 1, basal 2 showed a significant 19.6-fold increase for ADR and a 6.7-fold increase for NOR. The highest concentration was observed for both molecules at the end of the fourth step, with a significant 1.2-fold increase as compared with blood samples collected at basal 2 for ADR and a 2.4-fold increase for NOR. Therefore, in Esperia ponies, catecholamine showed a trend similar to that of Standardbreds and Thoroughbreds. The results reported in this study also revealed a marked increase in ADR in the phases preceding the beginning of physical activity. Therefore, the greater adrenergic activity in horses in response to exercise could be because of an anticipatory response.     

Relative Flow-Time Relationships in Single Breaths Recorded After Treadmill Exercise in Thoroughbred Horses

Analysis of individual breaths after exercise has potential for pulmonary function testing. The aims of this study were to investigate the dependence of measurements of pulmonary function in single breaths on time postexercise and tidal volume (V_T) after treadmill exercise. Five Thoroughbred horses without evidence of airway disease were used. Horses had been previously acclimated to treadmill exercise and to wearing a face mask. A Quadflow spirometer recorded airflow rates continuously during 90 seconds after intense treadmill exercise to fatigue. Indices of function were based on ratios of times within each breath and analyses of the shape of relative flow–time curves within inspiration and expiration. Restricted maximum likelihood, general linear regression, repeated-measures one-way analysis of variance (ANOVA), and two sample t-tests were used, with statistical significance at P < .05. Time postexercise had no effect on several ratios based on time for inspiration (T_I) and expiration (T_E), and times to peak flows (T_I/T_T, T_E/T_T, T_E/T_I, Tpef [peak expiratory flow]/T_E, and Tpif [peak inspiratory flow]/T_I). Many variables were significantly dependent on V_T. Occasional big respiratory cycles with V_T more than 10% greater than in the previous breath had significantly different means for relative flow (Rf)/(T_E/T_I), epz_50% (50% of the time from Tpef to end of expiration), epz_75% (75% of the time from Tpef to end of expiration), and ipz_75% (75% of the time from Tpif to end of inspiration). Predicted means for these variables differed by 10–20%. This study establishes guidelines for the selection of breaths after exercise, and describes a new approach to measurement of relative flow and time relationships. It was concluded that several time-based ratios have potential for measuring pulmonary function. However, care is needed when selecting breaths for calculation of most of the new relative flow–time variables.     

Description of the Responses of Some Blood Constituents to Rodeo Exercise in Chilean Creole Horses

The aim of this study was to assess the effect of the Chilean rodeo exercise on some blood constituents, classically used to assess welfare, during rest; training with and without steer; and before and after official competitions. During the training season, 13 horses were assessed at their farms of origins, and samples were taken at rest and after training with and without a steer; then during the competition season, 16 horses were assessed at four different times, one before and three after the competition. The blood constituents assessed were packed cell volume (PCV), total proteins, fibrinogen, cortisol, neutrophil:lymphocyte ratio, creatine phosphokinase, aspartate transaminase, glutathione peroxidase, and serum amyloid A. Analysis of variance for repeated measures was applied using the Statistix 8.0 software, and a significance level of P < .05 was applied. For horses assessed during exercise with and without a steer, significant differences were observed for PCV, which were significantly lower at rest than after both exercises, and total proteins, which showed a significant increase only after exercise with steer. In the case of official competitions, PCV was significantly higher immediately after rodeo, and the lowest value for cortisol was observed the evening after competition (P < .05); among the enzymes assessed, creatine phosphokinase plasma concentrations immediately after rodeo and the evening after competition were significantly higher than concentrations the next morning. The use of physiological indicators did not seem to be sufficient to assess the overall effect of rodeo on the welfare of these horses, and other types of indicators should be considered in future studies.     

Exercise and stress: impact on adaptive processes involving water and electrolytes

The horse has a regulatory system which responds in a complex manner to stress, such as exercise. It supplies the fuel and ensures thermoregulation, resulting in the production of sweat. Cutaneous water and electrolyte losses are controlled by thermoregulation, independent of hydration status and/or electrolyte homeostasis. The negative balance for water Na, K and Cl may be a factor in limiting performance and impairing recovery. The strategy in caring for a horse before, during and after exercise involves improving hydration and electrolyte status and the use of NaCl as a feed or in a watery solution (iso- or hypotonic). The voluntary intake of saline is not safe for any horse. If salt is supplemented in a feed, it is essential that water be made available ad libitum. It is also important that, after salt intake, sufficient time is allowed to give the horse the opportunity to drink an adequate quantity of water. Application of K prior to exercise is not recommended. During exercise, NaCl solutions can be administered, while salty supplements are less suitable as regard the time required to stimulate water intake. After exercise, K can be added to supplements or solutions to balance the K deficit.     

Short-term Evaluation of Serum Amyloid A after Exercise in Clinically Healthy Horses

Serum amyloid A (SAA), the major equine acute-phase protein, is often measured after the race to investigate whether poor performances could depend on inflammation. The aim of this study was to assess whether there is an increase in concentration of SAA in serum samples collected from 12 clinically healthy Standardbred horses 1 hour after a standard race. Exercise induced an increase in red blood cells, hematocrit, and total proteins but not in SAA. However, a two- to threefold increase of SAA concentration as compared with prerace values was found in three horses. In conclusion, the concentration of SAA in most of the samples collected 1 hour after the race remains unchanged as compared with prerace samples. However, individual variability in response to exercise exists. The evaluation of SAA immediately after the race is not clinically useful.     

Effects of Jugular Vein Occlusion on Cardiovascular Parameters in Horses During Exercise on a Treadmill

The purpose of the present investigation was to examine the effects of unilateral and bilateral jugular vein occlusion by temporary surgical ligature on the heart rate and arterial and venous blood pressure in sedentary horses during progressive treadmill exercise. Six horses performed three exercise tests (ET). ET1, considered the control, was performed in horses without jugular occlusions. ET2 and ET3 were performed with unilateral and bilateral occlusion by temporary surgical ligature of the jugular veins, respectively. Heart rate, arterial pressure, and pressure of the occluded jugular vein were evaluated. Clinically, the horses presented apathy, head edema, congested mucous membranes, increased capillary refill time, and dysphagia. These signs were observed with the unilateral jugular vein occlusion and became more evident with the bilateral occlusion. Comparing ETs, no differences were observed in heart rate. However, jugular occlusions promoted a decrease in the mean arterial pressure and a severe increase in jugular pressure. Head edema caused by the jugular vein occlusion in the horses could interfere with the autonomic cardiovascular regulation of arterial blood pressure during exercise, likely leading to an impairment of tissue perfusion. Jugular occlusion, even unilateral, also causes severe head venous congestion, leading to venous hypertension that was aggravated by exercise, which could risk development of cerebral edema and neurological damage. The present results obtained from sedentary horses are preliminary data that lead us to suggest that sport horses presenting jugular occlusive thrombophlebitis, even unilateral, may be prevented from performing athletic activities.     

Physical, Hematological, and Biochemical Responses to Acute Intense Exercise in Polo Horses

The aim of this study was to evaluate the response of physical, hematological, and biochemical parameters after acute intense exercise in polo horses playing in an outdoor international competition. The game consisted of four periods (chukkas) and each period consisted a playing time of 7 minutes. Two matches were played everyday for a week. A total of 12 horses were examined. Each “high-goal” polo horse played one chukka a day for 4 days. Horses were clinically examined the day before the games started and then daily during the 4 days of their participation in the games. During these days, physical examination was performed and blood sample was collected at rest (T0), immediately (T1) after exercise, and after 30 minutes of exercise (T2). Blood samples were analyzed for total cell counts and for determination of creatine kinase, lactate dehydrogenase (LDH), aspartate aminotransferase, lactate, total proteins, calcium, magnesium, phosphorus , and cortisol. Data were evaluated using two-way analysis of variance. Exercise caused significant dehydration (P < .01), mucous membranes congestion, increased heart rate (P < .001), and capillary refill time (P < .001). It also caused increased value of the following parameters: hematocrit (P < .001), red blood cells (P < .001), hemoglobin (P < .001), white blood cells (P < .05), lymphocyte (P < .001), total proteins (P < .001), creatine kinase (P < .05), LDH (P < .01), lactate (P < .001), and cortisol (P < .01), and a decrease in the platelet count (P < .001), calcium (P < .01), phosphorus (P < .001), and magnesium (P < .001). All parameters returned within or near the reference range by 30 minutes postexercise. On the basis of these observations, data were considered indicative of a good response to an acute intense exercise. Moreover statistical results obtained were typical of a mixed aerobic/anaerobic metabolic pathway that is prevailing in this sport.     

Nutrition and Exercise in the Management of Horses and Ponies at High Risk for Laminitis

Obesity, insulin resistance (IR) and hyperinsulinemia are risk factors for laminitis in horses and ponies. Alterations in management, especially diet and physical activity, can be helpful in the management of these risk factors. Caloric restriction, ideally combined with increased physical activity, to promote weight loss and improve insulin sensitivity is indicated for the management of obese animals. Strict control of dietary NSC through the elimination of grains and sweet feeds and by restricted access to NSC-rich pastures is recommended for insulin-resistant animals, regardless of whether they are obese or not. Medical treatment with levothyroxine or metformin may be indicated in obese or insulin-resistant animals that do not respond to conservative management.     

Effect of Ergovaline Ingestion on Recovery of Horses Subjected to an Anaerobic Standard Exercise Test

The objective of this study was to determine whether consumption of tall fescue seed which contained high levels of ergovaline would affect post-exercise recovery of horses subjected to an anaerobic exercise test. Ten Quarter horses were separated into two groups and fed alfalfa hay, commercial sweet feed, and either endophyte-infected (E+) or endophyte-free (E−) ground tall fescue seed. Diets contained 11.8% seed, which resulted in 459 ppb of ergovaline for the E+ diet. During the first 28 days, horses in group A received E+ and group B received E−. Diets were reversed during the next 28 days (crossover design). Horses were ridden for 5 days per week. On day 14, 28 (period 1), 42, and 56 (period 2), they were subjected to a standardized exercise test (SET) that consisted of 41 turns in 4 minutes and was designed to raise the horse’s heart rate (HR) beyond the anaerobic threshold (150 bpm). There was a horse effect (P < .05) on post-SET respiration rate, HR, and post-exercise whole blood lactate level, but not rectal temperature (RT). For these variables or period effects, there was no horse × treatment, period × treatment, or period × horse interactions (P < .05). Treatment had no effect on whole blood lactate level, RT, or HR at any time measured. Respiration rate did not vary by treatment at rest or 1 minute after SET but was higher for the E+ treatment at 5 and 10 minutes after SET (P < .005). Consumption of diets that averaged 450 ppb of ergovaline caused the horses expend more respiratory effort in an attempt to recover to resting RT.     

Aminophylline Affects Glycemia Control and Increases Anaerobic Glycolysis in Horses during Incremental Exercise

A study was conducted on the effects of acute administration of aminophylline on physiological variables in purebred Arabian horses submitted to incremental exercise test. Twelve horses were submitted to two physical tests separated by a 10-day interval in a crossover study. These horses were divided into two groups: control (C, n = 12) and aminophylline (AM, n = 12). The drug at 10 mg/kg body weight or saline was given intravenously, 30 minutes before the incremental exercise test. The treadmill exercise test consisted of an initial warmup followed by gradually increasing physical exigency. Blood samples were assayed for lactic acid, glucose, and insulin. Maximal lactic acidemia was greater (P = .0238) in the AM group. Both V₂ and V₄ (velocities at which lactate concentrations were 2 and 4 mmol/L, respectively) were reduced in the AM group by 15.85% (P = .0402) and 17.76% (P = .0109), respectively. At rest as well as at 4 minutes, insulinemia was greater in the AM group (P = .0417 and .0393). Glycemia was statistically lower in the AM group at times 8 (P = .0138) and 10 minutes (P = .0432). Use of aminophylline in horses during incremental exercise does not seem to be beneficial, because this drug has a tendency to cause hypoglycemia and to increase dependence on anaerobic glucose metabolism.     

Randomized Comparative Trial of Acupuncture and Exercise Versus Uterine Ecbolics in the Treatment of Persistent Postbreeding Endometritis in Mares

Although exercise and acupuncture are frequently used therapies to treat persistent postbreeding endometritis, their efficacy to date is unproven. The objective of this study was to determine if exercise and acupuncture are effective methods to reduce intrauterine fluid and compare the effectiveness of these treatments to the use of uterine ecbolics. Twelve mares susceptible to postbreeding endometritis were enrolled in the study with a randomized cross-over design using both positive and negative controls. During each estrous cycle, mares were randomized into one of six treatment groups, including stall rest (SR), oxytocin, cloprostenol, exercise, electroacupuncture, and oxytocin and exercise. Each mare was challenged with an insemination dose of 500 × 10⁶ dead sperm at time 0 hours. Intrauterine fluid measurements were taken at 0, 4, 24, 48, 72, and 96 hours postbreeding. Associations between treatment efficacy and fluid clearance were investigated using a random-effects logistic regression model that controlled for positive uterine culture. Compared with the SR negative control, exercise was the most effective treatment and had 29.7 times increased odds of fluid clearance. The second most effective treatment was oxytocin alone, with 16.9 times increased odds of fluid clearance. This was followed by cloprostenol that had 10.6 greater odds of fluid clearance, and finally, the treatment that combined exercise with oxytocin had 8.4 times greater odds of fluid clearance. Results from this study confirm that exercise and exercise combined with oxytocin are effective methods to clear intrauterine fluid.     

Effect of Ergopeptines Associated with Tall Fescue Ingestion on Recovery of Horses Subjected to Standardized Exercise Tests

Ten horses were paired by body weight, age, and skill level, and one of each pair was assigned to one of two groups. Horses were fed alfalfa hay and a mixture of commercial sweet feed and pellets. Horses in group A were fed fescue seed that contained both ergovaline and ergotamine (E+), whereas those in the other group were fed seed that was free from ergot alkaloids (E−). After the first 35 days, horses were switched to the opposite seed treatment. Seed was fed at 8.2% of the diet, resulting in 406 ppb of ergotamine plus ergovaline in the E+ diet. During weeks 3, 5, 7, and 10, horses were subjected to two separate standardized exercise tests (SETs). The aerobic test consisted of walking, trotting, and loping and was designed to maintain horse's heart rate (HR) to less than 150 beats per minute (bpm). The anaerobic test consisted of 40 turns in less than 4 minutes in response to the movements of a mechanical cow and was designed to increase the horse's HR to more than 150 bpm. There were no treatment effects on water consumption or sweat production. There were also no treatment effects on rectal temperature at rest or during recovery from the anaerobic SET. However, rectal temperatures were higher (P < .05) 1 and 30 minutes after the aerobic SET for horses consuming E+ seed. When horses were on the E+ treatment, HRs were lower (P < .05), both at rest and during the SET. HRs were also lower (P < .05) for the E+ treatment at 1 minute after the aerobic test and 5 and 10 minutes after the anaerobic test. Respiration rates were higher (P < .05) 30 minutes after the aerobic SET and 30 and 60 minutes after the anaerobic SET for the E+ treatment. Horses may have increased respiration rates to compensate for a reduction in the efficiency of evaporative cooling, which resulted from vasoconstriction of peripheral blood vessels.