Steamed hay and alfalfa pellets for the management of severe equine asthma

Steaming hay significantly reduces respirable particles and provides a palatable alternative to dry hay for horses with asthma, but there are few prospective studies demonstrating the clinical efficacy of steamed hay. To compare the efficacy of alfalfa pellets and steamed hay in improving lung funct...

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Veröffentlicht in:Equine veterinary journal 2024-08
Hauptverfasser: Symoens, Antoine, Westerfeld, Roxane, Vives, Berta Mozo, André, Valentine, Moulon, Laurine, Collomb, Marine, Richard, Hélène, Juette, Tristan, Bédard, Christian, Leclère, Mathilde
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container_title Equine veterinary journal
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creator Symoens, Antoine
Westerfeld, Roxane
Vives, Berta Mozo
André, Valentine
Moulon, Laurine
Collomb, Marine
Richard, Hélène
Juette, Tristan
Bédard, Christian
Leclère, Mathilde
description Steaming hay significantly reduces respirable particles and provides a palatable alternative to dry hay for horses with asthma, but there are few prospective studies demonstrating the clinical efficacy of steamed hay. To compare the efficacy of alfalfa pellets and steamed hay in improving lung function and inflammation of horses with severe asthma (SEA). Controlled crossover study. Ten horses with SEA were enrolled and nine completed the study. Horses were housed indoors and fed hay. Once in exacerbation, they were fed pellets and steamed hay for 4 weeks, in a crossover design. Weighted clinical scores and lung function were recorded weekly. Bronchoalveolar lavage fluid (BALF) cytology and mucus scores were recorded before and after each diet. Based on linear mixed model (LMM) analysis, weighted clinical scores significantly improved over time (p 
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To compare the efficacy of alfalfa pellets and steamed hay in improving lung function and inflammation of horses with severe asthma (SEA). Controlled crossover study. Ten horses with SEA were enrolled and nine completed the study. Horses were housed indoors and fed hay. Once in exacerbation, they were fed pellets and steamed hay for 4 weeks, in a crossover design. Weighted clinical scores and lung function were recorded weekly. Bronchoalveolar lavage fluid (BALF) cytology and mucus scores were recorded before and after each diet. Based on linear mixed model (LMM) analysis, weighted clinical scores significantly improved over time (p &lt; 0.001, no diet effect or time-diet interactions). With pellets, weighted clinical scores decreased from (median (interquartile range)) 13 (5.5) to 2 (1.5), while with steamed hay, they decreased from 10 (9.5) to 6 (8.5). With pellets, lung resistance decreased significantly from a baseline of (mean (SD)) 2.62 (0.77) cmH O/L/s to 1.17 (0.66), 0.79 (0.54), 0.70 (0.20), 0.62 (0.18) on Weeks 1-4, respectively (LMM with post hoc tests, p &lt; 0.001). With steamed hay, the resistance decreased significantly from a baseline of 2.34 (0.93) cmH O/L/s to 1.38 (0.49) and 1.51 (0.66) on Weeks 1 and 2, respectively (p &lt; 0.03). Neutrophils BALF decreased significantly with both diets (pellets: 40.2 (24.4) to 20.1 (11.0) %; steamed hay 30.9 (20.2) to 25.7 (17.6) %; LMM, p = 0.006). A small number of horses in a research setting. Dust was not measured in the stalls. 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To compare the efficacy of alfalfa pellets and steamed hay in improving lung function and inflammation of horses with severe asthma (SEA). Controlled crossover study. Ten horses with SEA were enrolled and nine completed the study. Horses were housed indoors and fed hay. Once in exacerbation, they were fed pellets and steamed hay for 4 weeks, in a crossover design. Weighted clinical scores and lung function were recorded weekly. Bronchoalveolar lavage fluid (BALF) cytology and mucus scores were recorded before and after each diet. Based on linear mixed model (LMM) analysis, weighted clinical scores significantly improved over time (p &lt; 0.001, no diet effect or time-diet interactions). With pellets, weighted clinical scores decreased from (median (interquartile range)) 13 (5.5) to 2 (1.5), while with steamed hay, they decreased from 10 (9.5) to 6 (8.5). With pellets, lung resistance decreased significantly from a baseline of (mean (SD)) 2.62 (0.77) cmH O/L/s to 1.17 (0.66), 0.79 (0.54), 0.70 (0.20), 0.62 (0.18) on Weeks 1-4, respectively (LMM with post hoc tests, p &lt; 0.001). With steamed hay, the resistance decreased significantly from a baseline of 2.34 (0.93) cmH O/L/s to 1.38 (0.49) and 1.51 (0.66) on Weeks 1 and 2, respectively (p &lt; 0.03). Neutrophils BALF decreased significantly with both diets (pellets: 40.2 (24.4) to 20.1 (11.0) %; steamed hay 30.9 (20.2) to 25.7 (17.6) %; LMM, p = 0.006). A small number of horses in a research setting. Dust was not measured in the stalls. 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With pellets, lung resistance decreased significantly from a baseline of (mean (SD)) 2.62 (0.77) cmH O/L/s to 1.17 (0.66), 0.79 (0.54), 0.70 (0.20), 0.62 (0.18) on Weeks 1-4, respectively (LMM with post hoc tests, p &lt; 0.001). With steamed hay, the resistance decreased significantly from a baseline of 2.34 (0.93) cmH O/L/s to 1.38 (0.49) and 1.51 (0.66) on Weeks 1 and 2, respectively (p &lt; 0.03). Neutrophils BALF decreased significantly with both diets (pellets: 40.2 (24.4) to 20.1 (11.0) %; steamed hay 30.9 (20.2) to 25.7 (17.6) %; LMM, p = 0.006). A small number of horses in a research setting. Dust was not measured in the stalls. 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title Steamed hay and alfalfa pellets for the management of severe equine asthma
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