Effect of age and dietary carbohydrate profiles on glucose and insulin dynamics in horses

S. I. Jacob; R. J. Geor; P. S.D. Weber; P. A. Harris; M. E. McCue

doi:10.1111/evj.12745

Effect of age and dietary carbohydrate profiles on glucose and insulin dynamics in horses

S. I. Jacob, R. J. Geor, P. S.D. Weber, P. A. Harris, M. E. McCue

Veterinary Population Medicine

Research output: Contribution to journal › Article › peer-review

37 Scopus citations

Abstract

Background: Glucose and insulin dynamics may be different in adult and aged horses. Objectives: To determine the effects of age and dietary carbohydrates on glucose and insulin dynamics in healthy horses. Study design: Balanced Latin square with four isocaloric diets: CONTROL (hay plus restricted-starch-and-sugar fortified pellets), STARCH (control plus kibbled corn), FIBER (control plus unmolassed sugar beet pulp/soybean hull pellets) and SUGAR (control plus dextrose powder). Methods: A total of 16 healthy Thoroughbreds and Standardbreds divided into two age groups: ADULT (8.8 ± 2.9 years; n = 8) and AGED (20.6 ± 2.1 years; n = 8). Following dietary adaptation, horses underwent an insulin-modified frequently sampled intravenous glucose tolerance test (FSIGTT), modified oral sugar test (OST) and dietary meal challenge. Outcome variables included: insulin sensitivity (SI), disposition index (DI), glucose effectiveness (Sg) and acute insulin response to glucose (AIRg) from the FSIGTT; peak glucose, peak insulin, time to peak, area under the curve for glucose (AUCg) and insulin (AUCi) from the OST and dietary meal challenge. Data were analyzed using multivariable linear mixed regression modelling. Results: AIRg was higher in AGED (mean [95% confidence interval]; 582.0 [455.0–709.0]) vs. ADULT (358.0 [224.0–491.0]; P = 0.03). ADULT and AGED horses had a higher SI on STARCH (adult: 3.3 [2.3–4.2]; aged: 2.8 [1.9–3.7]) and SUGAR (adult: 3.4 [2.5–4.3]; aged: 4.0 [3.1–4.9]) diets compared with CONTROL (adult: 2.0 [1.1–2.9], P = 0.029 (starch), P = 0.009 (sugar); aged: 1.4 [0.5–2.2], P = 0.009 (starch), P < 0.001 (sugar)). Feeding a STARCH (adult: 21581.0 [15029.0–28133.0]; aged: 35205.0 [29194.0–41216.0]) or SUGAR (adult: 26050.0 [19885.0–32215.0]; aged: 25720.0 [19770.0–31670.0]) meal resulted in postprandial hyperinsulinaemia (AUCi). Main limitations: Study cohort contained two insulin-sensitive breeds and no insulin-resistant breeds. Conclusions: Age and diet should be considered when evaluating glucose and insulin dynamics.

Original language	English (US)
Pages (from-to)	249-254
Number of pages	6
Journal	Equine veterinary journal
Volume	50
Issue number	2
DOIs	https://doi.org/10.1111/evj.12745
State	Published - Mar 2018

Bibliographical note

Publisher Copyright:
© 2017 EVJ Ltd

Keywords

frequently sampled intravenous glucose tolerance test
horse
insulin dysregulation
nutrition
oral sugar test

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10.1111/evj.12745

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@article{2da497d9806747d4b922e0362ff169e4,

title = "Effect of age and dietary carbohydrate profiles on glucose and insulin dynamics in horses",

abstract = "Background: Glucose and insulin dynamics may be different in adult and aged horses. Objectives: To determine the effects of age and dietary carbohydrates on glucose and insulin dynamics in healthy horses. Study design: Balanced Latin square with four isocaloric diets: CONTROL (hay plus restricted-starch-and-sugar fortified pellets), STARCH (control plus kibbled corn), FIBER (control plus unmolassed sugar beet pulp/soybean hull pellets) and SUGAR (control plus dextrose powder). Methods: A total of 16 healthy Thoroughbreds and Standardbreds divided into two age groups: ADULT (8.8 ± 2.9 years; n = 8) and AGED (20.6 ± 2.1 years; n = 8). Following dietary adaptation, horses underwent an insulin-modified frequently sampled intravenous glucose tolerance test (FSIGTT), modified oral sugar test (OST) and dietary meal challenge. Outcome variables included: insulin sensitivity (SI), disposition index (DI), glucose effectiveness (Sg) and acute insulin response to glucose (AIRg) from the FSIGTT; peak glucose, peak insulin, time to peak, area under the curve for glucose (AUCg) and insulin (AUCi) from the OST and dietary meal challenge. Data were analyzed using multivariable linear mixed regression modelling. Results: AIRg was higher in AGED (mean [95% confidence interval]; 582.0 [455.0–709.0]) vs. ADULT (358.0 [224.0–491.0]; P = 0.03). ADULT and AGED horses had a higher SI on STARCH (adult: 3.3 [2.3–4.2]; aged: 2.8 [1.9–3.7]) and SUGAR (adult: 3.4 [2.5–4.3]; aged: 4.0 [3.1–4.9]) diets compared with CONTROL (adult: 2.0 [1.1–2.9], P = 0.029 (starch), P = 0.009 (sugar); aged: 1.4 [0.5–2.2], P = 0.009 (starch), P < 0.001 (sugar)). Feeding a STARCH (adult: 21581.0 [15029.0–28133.0]; aged: 35205.0 [29194.0–41216.0]) or SUGAR (adult: 26050.0 [19885.0–32215.0]; aged: 25720.0 [19770.0–31670.0]) meal resulted in postprandial hyperinsulinaemia (AUCi). Main limitations: Study cohort contained two insulin-sensitive breeds and no insulin-resistant breeds. Conclusions: Age and diet should be considered when evaluating glucose and insulin dynamics.",

keywords = "frequently sampled intravenous glucose tolerance test, horse, insulin dysregulation, nutrition, oral sugar test",

author = "Jacob, {S. I.} and Geor, {R. J.} and Weber, {P. S.D.} and Harris, {P. A.} and McCue, {M. E.}",

note = "Publisher Copyright: {\textcopyright} 2017 EVJ Ltd",

year = "2018",

month = mar,

doi = "10.1111/evj.12745",

language = "English (US)",

volume = "50",

pages = "249--254",

journal = "Equine veterinary journal",

issn = "0425-1644",

publisher = "Equine Veterinary Journal Ltd.",

number = "2",

}

TY - JOUR

T1 - Effect of age and dietary carbohydrate profiles on glucose and insulin dynamics in horses

AU - Jacob, S. I.

AU - Geor, R. J.

AU - Weber, P. S.D.

AU - Harris, P. A.

AU - McCue, M. E.

PY - 2018/3

Y1 - 2018/3

N2 - Background: Glucose and insulin dynamics may be different in adult and aged horses. Objectives: To determine the effects of age and dietary carbohydrates on glucose and insulin dynamics in healthy horses. Study design: Balanced Latin square with four isocaloric diets: CONTROL (hay plus restricted-starch-and-sugar fortified pellets), STARCH (control plus kibbled corn), FIBER (control plus unmolassed sugar beet pulp/soybean hull pellets) and SUGAR (control plus dextrose powder). Methods: A total of 16 healthy Thoroughbreds and Standardbreds divided into two age groups: ADULT (8.8 ± 2.9 years; n = 8) and AGED (20.6 ± 2.1 years; n = 8). Following dietary adaptation, horses underwent an insulin-modified frequently sampled intravenous glucose tolerance test (FSIGTT), modified oral sugar test (OST) and dietary meal challenge. Outcome variables included: insulin sensitivity (SI), disposition index (DI), glucose effectiveness (Sg) and acute insulin response to glucose (AIRg) from the FSIGTT; peak glucose, peak insulin, time to peak, area under the curve for glucose (AUCg) and insulin (AUCi) from the OST and dietary meal challenge. Data were analyzed using multivariable linear mixed regression modelling. Results: AIRg was higher in AGED (mean [95% confidence interval]; 582.0 [455.0–709.0]) vs. ADULT (358.0 [224.0–491.0]; P = 0.03). ADULT and AGED horses had a higher SI on STARCH (adult: 3.3 [2.3–4.2]; aged: 2.8 [1.9–3.7]) and SUGAR (adult: 3.4 [2.5–4.3]; aged: 4.0 [3.1–4.9]) diets compared with CONTROL (adult: 2.0 [1.1–2.9], P = 0.029 (starch), P = 0.009 (sugar); aged: 1.4 [0.5–2.2], P = 0.009 (starch), P < 0.001 (sugar)). Feeding a STARCH (adult: 21581.0 [15029.0–28133.0]; aged: 35205.0 [29194.0–41216.0]) or SUGAR (adult: 26050.0 [19885.0–32215.0]; aged: 25720.0 [19770.0–31670.0]) meal resulted in postprandial hyperinsulinaemia (AUCi). Main limitations: Study cohort contained two insulin-sensitive breeds and no insulin-resistant breeds. Conclusions: Age and diet should be considered when evaluating glucose and insulin dynamics.

AB - Background: Glucose and insulin dynamics may be different in adult and aged horses. Objectives: To determine the effects of age and dietary carbohydrates on glucose and insulin dynamics in healthy horses. Study design: Balanced Latin square with four isocaloric diets: CONTROL (hay plus restricted-starch-and-sugar fortified pellets), STARCH (control plus kibbled corn), FIBER (control plus unmolassed sugar beet pulp/soybean hull pellets) and SUGAR (control plus dextrose powder). Methods: A total of 16 healthy Thoroughbreds and Standardbreds divided into two age groups: ADULT (8.8 ± 2.9 years; n = 8) and AGED (20.6 ± 2.1 years; n = 8). Following dietary adaptation, horses underwent an insulin-modified frequently sampled intravenous glucose tolerance test (FSIGTT), modified oral sugar test (OST) and dietary meal challenge. Outcome variables included: insulin sensitivity (SI), disposition index (DI), glucose effectiveness (Sg) and acute insulin response to glucose (AIRg) from the FSIGTT; peak glucose, peak insulin, time to peak, area under the curve for glucose (AUCg) and insulin (AUCi) from the OST and dietary meal challenge. Data were analyzed using multivariable linear mixed regression modelling. Results: AIRg was higher in AGED (mean [95% confidence interval]; 582.0 [455.0–709.0]) vs. ADULT (358.0 [224.0–491.0]; P = 0.03). ADULT and AGED horses had a higher SI on STARCH (adult: 3.3 [2.3–4.2]; aged: 2.8 [1.9–3.7]) and SUGAR (adult: 3.4 [2.5–4.3]; aged: 4.0 [3.1–4.9]) diets compared with CONTROL (adult: 2.0 [1.1–2.9], P = 0.029 (starch), P = 0.009 (sugar); aged: 1.4 [0.5–2.2], P = 0.009 (starch), P < 0.001 (sugar)). Feeding a STARCH (adult: 21581.0 [15029.0–28133.0]; aged: 35205.0 [29194.0–41216.0]) or SUGAR (adult: 26050.0 [19885.0–32215.0]; aged: 25720.0 [19770.0–31670.0]) meal resulted in postprandial hyperinsulinaemia (AUCi). Main limitations: Study cohort contained two insulin-sensitive breeds and no insulin-resistant breeds. Conclusions: Age and diet should be considered when evaluating glucose and insulin dynamics.

KW - frequently sampled intravenous glucose tolerance test

KW - horse

KW - insulin dysregulation

KW - nutrition

KW - oral sugar test

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DO - 10.1111/evj.12745

M3 - Article

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SN - 0425-1644

VL - 50

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JO - Equine veterinary journal

JF - Equine veterinary journal

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Effect of age and dietary carbohydrate profiles on glucose and insulin dynamics in horses

Abstract

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