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PubMed1991

[Evaluation of organochlorine pesticides in prepared daily food rations of employed and unemployed workers].

Determination was made of the contamination degree of the daily food rations illustrating the overall mean food intake per head in households of manual workers and in other households. The residues of DDT and of its metabolites as well as of alpha, gamma and beta isomers of HCH were determined. The results indicate that the contamination degree of the different food rations depended on the locality where the ration was prepared, on the kind of ration and kind of organochlorine pesticides. Food rations of manual workers' families, as compared with other families, were more contaminated with organochlorine pesticides their metabolites. The degree of contamination with DDT, DDE and DDD, as compared with HCH isomers, was from several to 10-20 times higher (manual workers' rations). DDT (concentration range between 2.95-124 micrograms/CRP) and gamma-isomer of HCH (concentration range between 0.512-3.0 micrograms/CRP) were dominant. Evaluation, according to ADI, of the yearly uptake of DDT and HCH with food indicates that the contamination degree of food rations (both--rations reproduced on the basis of reports of the Chief Census Bureau, and representative rations characterizing the degree of exposure of the Wielkopolska population to organochlorine derivatives) creates no health hazard to humans, and remains below the admissible concentrations.

Employment↗
PubMedDate not supplied

[Influence of rations with various linoleic acid contents on the fatty acid composition of phospholipids in blood platelets of rats].

Gas-liquid chromatography was used to study the fatty-acid composition of phospholipids in platelets of Wistar-Kioto rats which received semisynthetic rations with varying content of linoleic acid, 1 week prenatally and 18 weeks postnatally. In ration I the level of 18:2n6 was lower than 0.1 cal%, ration II contained 9.0 cal%, and ration III -- 16.0 cal%. Ration III, as compared to ration II, induced an increase in the content of linoleic fatty acids, arachidonic fatty acid content being unchanged. Ration I, as compared to ration II induced a decrease in linoleic fatty acid content, and an increase in the content of oleic and linolenic fatty acids attended by the appearance of appreciable amounts of 20:3n9 and 20:5n3. Long-term linoleic acid deficiency induced no changes in the unsaturation degree of fatty acids in platelet phospholipids of rats given ration I. This is an evidence of high reserve possibilities of the mechanisms regulating fatty acid metabolism in the mammals.

Animals↗
PubMed1999

[Rationing in medicine from the economic viewpoint].

The rationing of medical care is inevitable. The economic term "rationing" describes in a value-neutral manner that goods and services have to be withhold if financial means are limited. A changing demographic structure of society, rising expectations of patients as well as relatives and medical-technological progress are the main reasons for the rising rationing pressure and these developments can, if at all, be influenced only to a minor degree. Rationalization, i.e. to increase efficiency is a prerequisite before any rationing should be initiated and it often combines cost-savings with improved patient care. Rationalisation, however, cannot render rationing unnecessary. Rationing should take place in an explicit manner, with open discussions and comprehensible modes of discussion. One has to ask, a) which ideas about justice prevail in a society, b) which philosophical theory could provide a widely accepted and coherent basis for a rationing calculus and c) how a theoretical model can be transformed into applicable social politics and decision modes.

Cost Control↗
PubMed2004

Preferences for disclosure: the case of bedside rationing.

While rationing is present in many health care systems, little empirical research has been undertaken to investigate the public's preferences and information needs towards the rationing of their care. This paper reports the results of an interactive survey administered via an internet survey panel to investigate preferences for the provision of information about explicit rationing decisions. We presented a series of vignettes to respondents, describing hypothetical patients and explicit rationing decisions. In two different survey versions, patients were either characterized as matching or mismatching respondents' age and gender. We observed strong preferences for the disclosure of rationing information to patients. Seventy one percent of responders expressed a general attitude in favor of explicitly informing patients about the rationing of their care. In the presented scenarios, the fraction supporting disclosure to patients ranged from 63% to 89%. The clinical situation described in the vignettes, a positive, general attitude towards the disclosure of rationing decisions, age, and gender of respondents were main predictors for participants' votes. Preferences were relatively unaffected and insensitive to the matching of hypothetical patients and respondents' characteristics. This study suggests that if doctors are to play an active role in health care rationing, patients expect them to honestly discuss the decisions made, the economics behind these and finally, to deal with those patients that do not accept the final decision.

Adolescent↗
PubMed1995

Rationing health care: preparing for a new era.

As the American health care system struggles to provide universal access to quality care at an acceptable price, many planners focus on rationing as the only way to make available the necessary resources. I discuss some of the ethical, economic, and political issues that relate to health care rationing. The four important questions to consider when examining a rationing plan are: (1) Who acts as the gatekeeper? (2) What kinds of goods or services are rationed? (3) What happens to the money and resources that are saved by rationing? (4) Does the system provide a safety valve for the well-to-do? This article examines two prototypical rationing systems--the British system and the Oregon plan--and answers these four questions for both systems. Because of the absence of an efficient market economy in health care and the certainty of resource constraints, rationing is inevitable in American health care. The primary issues are whether rationing will be done implicitly or explicitly and whether it will be based primarily on ability to pay (as in the present system) or on comparative judgments about the costs and benefits of medical interventions.

Ethics, Medical↗
PubMed2001

Rationing HIV medications: what do patients and the public think about allocation policies?

BACKGROUND: New medications for treating HIV/AIDS are effective, but expensive, and funding shortfalls have led many state AIDS Drug Assistance Programs (ADAPs) to ration these drugs. Little is known about the views of those most directly affected by rationing policies. This study explores attitudes of patients with HIV and the general public toward specific rationing strategies. METHODS: A Likert-style, self-administered questionnaire about rationing expensive HIV medications in the context of a budget shortfall was administered to patients with HIV and shopping mall patrons in central Pennsylvania. Subjects were asked how much they agreed or disagreed with seven drug rationing policies. RESULTS: In all, 100 patients and 101 shoppers completed the survey (response rate = 89%). A majority in both groups "strongly" or "somewhat" disagreed with six of the seven rationing policies described, and patients more strongly disagreed with the policies than did the public. The five policies actually used by state ADAPs (first come first serve, limiting expensive medicines, limiting new patient enrollment, giving the expensive medicines to the sickest, using a spending cap) lacked support in either group. CONCLUSIONS: HIV drug rationing policies currently in use do not reflect the preferences of patients and the public. Integrating the views of those affected by the rationing decisions would raise difficult challenges to current programs.

Adult↗
PubMed2005

Rationing in the emergency department: the good, the bad, and the unacceptable.

OBJECTIVES: Waiting times in emergency departments (EDs) are an important government priority. Although substantial efforts are currently being made to reduce waiting times, little attention has been paid to the patients' view. We used qualitative methods to explore patients' perspectives on waiting times and other approaches to rationing and prioritisation. METHODS: Face to face, in depth, qualitative interviews (n = 11) explored how patients valued waiting times for non-urgent ED care. The framework approach (identifying a thematic framework through repeated re-reading) was used to analyse transcripts. RESULTS: Interviewees found some forms of rationing and prioritisation acceptable. They expected rationing by delay, but required explanations or information on the reason for their wait. They valued prioritisation by triage (rationing by selection) and thought that this role could be expanded for the re-direction of non-urgent patients elsewhere (rationing by deflection). Interviewees were mainly unwilling or unable to engage in prioritisation of different types of patients, openly prioritising only those with obvious clinical need, and children. However, some interviewees were willing to ration implicitly, labelling some attenders as inappropriate, such as those causing a nuisance. Others felt it was unacceptable to blame "inappropriate" attenders, as their attendance may relate to lack of information or awareness of service use. Explicit rationing between services was not acceptable, although some believed there were more important priorities for NHS resources than ED waiting times. Interviewees disagreed with the hypothetical notion of paying to be seen more quickly in the ED (rationing by charging). CONCLUSIONS: Interviewees expected to wait and accepted the need for prioritisation, although they were reluctant to engage in judgements regarding prioritisation. They supported the re-direction of patients with certain non-urgent complaints. However, they perceived a need for more explanation and information about their wait, the system, and alternative services.

Adult↗
PubMed1994

Toward a just policy on healthcare rationing. Ethical principles must inform the debate concerning the distribution of services.

Perceptions of inequity and excess have given rise to a debate over whether policymakers should consider some form of rationing as a means of achieving a more just healthcare system. Three factors will be critical in determining whether the policies ultimately developed will be just and equitable. First, participants must grasp relevant facts involving the current distribution of healthcare services in the United States. Second, the debate must be based on a clear understanding of who has ultimate responsibility for making decisions regarding healthcare rationing. Finally, those committed to implementing a just approach to the issue must ensure that ethical principles relevant to policy-making are clear to everyone and affect the debate's outcome. The controversy over whether to ration healthcare services obscures the fact that healthcare is, in reality if not in policy, rationed now. A key advantage of promoting formal public policy decisions about the provision and limitation of healthcare services is that it shifts responsibility for these decisions from providers to society. Applying four classic bioethical principles to the question of rationing can also help ensure implementation of an appropriate public policy on healthcare rationing. For the debate on rationing to be meaningful, it must be conducted in a way that respects and promotes participants' autonomy. Policymakers should also observe the principle of nonmaleficence, which dictates that their policies not harm those they affect. A proper rationing policy should also fulfill the criterion of beneficence (i.e., actively promote the good of others). Last, such a policy should conform to the principle of justice by being fair and impartial.

Beneficence↗
PubMed2003

The influence of ration size on copper homeostasis during sublethal dietary copper exposure in juvenile rainbow trout, Oncorhynchus mykiss.

The influence of ration size on homeostasis and sublethal toxicity of copper (Cu) was assessed in rainbow trout (Oncorhynchus mykiss) during dietary Cu exposure in synthetic soft water. A constant dietary dose of 0.24 micromol Cu per g fish per day as CuSO(4).5H(2)O was delivered via diets containing 15.75, 7.87, and 5.24 micromol Cu g(-1) fed at 1.5, 3.0, and 4.5% wet body weight daily ration, respectively. Juvenile rainbow trout showed clear effects of ration but not Cu on growth suggesting that growth is hardly a sensitive endpoint for detection of sublethal dietary Cu exposure. All Cu-exposed fish accumulated the same total metal load when expressed on a per fish basis. This suggests that differences in tissue and whole-body Cu concentrations among the treatments reflected the differences in the fish size rather than total Cu accumulation, and demonstrate that absorption and accumulation of Cu from the gut during dietary exposure are independent of the food quantity in which the Cu is delivered. Fish fed a high ration exhibited greater mass-specific unidirectional uptake of waterborne Cu than fish fed a low ration indicating an increased need for Cu for growth processes in rapidly growing fish. Stimulated excretion of Cu was indicated by greater Cu accumulation in the bile of the Cu-exposed fish. Branchial Na(+), K(+)-ATPase was not affected by dietary Cu exposure or ration but gut Na(+), K(+)-ATPase activities showed stimulatory effects of increasing ration but not of Cu exposure. The 96-h LC50 for waterborne Cu (range 0.17-0.21 micromol l(-1) (10.52-13.20 microg l(-1)) was the same in all treatment groups indicating that ration size was unimportant and that dietary Cu did not induce an increase in tolerance to waterborne Cu. Taken together these results suggest that the nutritional status, fish size, and growth rates should be considered when comparing whole-body and tissue Cu concentration data for biomonitoring and risk assessment. Moreover, expressing the exposure as total metal dose rather than metal concentration in the diet is more appropriate.

Animals↗
PubMed2001

Effects of ration on somatotropic hormones and growth in coho salmon.

We examined the response of growth hormone (GH), total plasma insulin-like growth-factor I (IGF-I), and growth rate to a change in ration in coho salmon. Tanks of individually tagged fish were placed on high, medium, or low ration, and sampled every 2 weeks for 8 weeks to create a range of growth rates. Some fish received non-lethal blood draws, while others were sampled terminally. Plasma IGF-I levels were higher in high ration fish than in low ration fish from 4 weeks after the beginning of experimental diets to the end of the experiment. GH levels were low and similar in all fish after changing rations, except for the fish in the low ration group at week 2. IGF-I was strongly correlated with specific growth rate in weight in terminally sampled fish after 4 weeks. GH did not correlate with growth rate or IGF-I levels. Growth parameters (length, weight, specific growth rates in weight and length, and condition factor) responded to ration. Serial sampling reduced growth rates and hematocrit, but did not change hormone levels. This study shows that IGF-I responds to changed rations within 2-4 weeks in salmonids.

Analysis of Variance↗
PubMed2001

Growth rate, apparent nutrient digestibility and some blood metabolites of Gwembe valley goats on rations based on crop residues in the hot dry season in Zambia.

Twelve Gwembe goats (9 females and 3 males; 12-18-months old; average body weight 18.50 +/- 0.05 kg) were divided into three groups and fed complete rations based on crop residues. Three residues of oilseeds--bambara groundnut shell (BGS), groundnut shell (GNS) and sunflower head (SFH)--were used. The rations were isonitrogenous and isocaloric. The average daily dry matter intake was BGS 0.85 +/- 0.02, GNS 0.88 +/- 0.02 and SFH 0.89 +/- 0.03 kg/head per day, which did not differ from each other significantly (p > 0.05). However, the daily live weight gains were significantly different (p < 0.05). Goats that consumed SFH gained more (84 g; p < 0.05) in live weight than those fed BGS (76 g) or GNS (72 g). Feed conversion followed the pattern of live weight gain. The plasma non-protein N values were 25.1 +/- 0.36, 24.6 +/- 0.38 and 24.9 +/- 0.35 mg/100 ml, while the plasma glucose concentrations were 67.2 +/- 1.44, 65.1 +/- 1.32 and 67.8 +/- 1.49 mg/100 ml, respectively, for goats on BGS, GNS and SFH rations, with no significant difference (p > 0.05) between the three rations. The cost/kilogram for each of the rations were all within the same range, but the cost/kilogram of live weight gain was lower for the SFH ration than for the GNS and BGS rations. The nutrient digestibilities of the crop residues were similar among the treatments. Overall, SFH tended to perform better than GNS or BGS in these complete rations for goats in the hot dry season.

Animal Feed↗
PubMed1996

Apparent ileal dry matter and crude protein digestibility of rations fed to pigs and determined with the use of chromic oxide (Cr2O3) and acid-insoluble ash as digestive markers.

Two experiments were conducted to determine apparent ileal DM and crude-protein (CP) digestibilities in rations fed to pigs. An evaluation was made of Cr2O3 and HCl-insoluble ash as digestive markers. In addition, the effects of body weight (BW) on apparent ileal DM and CP (N x 6.25) digestibilities were studied. In Expt 1, thirteen barrows averaging 35 kg BW were fitted with post-valve T-caecum (PVTC) cannulas to determine the apparent ileal DM and CP digestibilities of a wheat gluten-bran ration (B2) and a soyabean-meal ration (E1). Immediately after morning feeding ileal digesta samples were collected on an hourly basis for a total of 12 h. Subsequently. N and marker contents were determined in the samples. The postprandial patterns of N and Cr passage were more similar than those of N and HCl-insoluble ash. Therefore Cr2O3 is more suitable as a marker than HCl-insoluble ash. The apparent ileal CP digestibility coefficient of ration B2 derived using Cr2O3 as a marker was significantly (P < 0.05) higher by 0.018 compared with the value obtained using HCl-insoluble ash. The corresponding values for ration E2 obtained using Cr2O3 and HCl-insoluble ash were both 0.825. In Expt 2, apparent ileal DM and CP digestibilities were determined in eighteen rations using twelve barrows also fitted with PVTC cannulas (BW from 40 to 100 kg). The protein sources for these rations were from different groups of feedstuffs. In four and three of the rations apparent ileal DM and CP digestibilities respectively were significantly different (P < 0.05) when assessed using the two markers. The digestibility coefficients were not systematically higher or lower for either marker. Absolute differences were < 0.049 on average. Significant effects of live weight on apparent ileal CP digestibilities were found.

Animal Feed↗
PubMed1981

[Dependence of rumen fatty acid production on the composition of rations].

In three experiments with two Black-and-White dairy cows the influence of soybean oil and coconut fat as well as that of rations rich in roughage and concentrated feed on the production of fatty acids were determined with the isotope dilution method. A change in the method of sampling from the rumen in the course of the investigations resulted in distinctly different absolute production quotas, which can presumably be traced back to the disproportionate mixing in of the isotope and/or different production quotas in various regions of the rumen. The relative differences between the production quotas dependent on the rations, however were approximately the same with both sampling methods, so that they make the comparison of the rations concerning rumen fermentation possible. The production of acetic acid and the total production of fatty acids (C2--C4) correlated closely both with the intake of digestible energy and the intake of digestible organic matter. There was also a highly significant correlation o that they make the comparison of the rations concerning rumen fermentation possible. The production of acetic acid and the total production of fatty acids (C2--C4) correlated closely both with the intake of digestible energy and the intake of digestible organic matter. There was also a highly significant correlation o that they make the comparison of the rations concerning rumen fermentation possible. The production of acetic acid and the total production of fatty acids (C2--C4) correlated closely both with the intake of digestible energy and the intake of digestible organic matter. There was also a highly significant correlation between the relation of acetic and propionic acid in the rumen fluid and the quotient from acetic and propionic acid produced. In contrast to this, a significant relation between the concentration of fatty acids and the production of fatty acids could not be ascertained. Soybean oil and coconut fat brought about a slightly better utilisation of the fat-free organic matter for the production of fatty acids in the rumen. This could mainly be traced back to the increased production of propionic acid. The production of acetic acid per kg fat-free organic matter was insignificantly reduced. A reduced quota of roughage in the ration as well as the use of feed fats resulted in a decrease in the production of acetic acid and an increase in the production of propionic acid. The influence of the quota of roughage, however, was bigger than that of the use of fats. When rations rich in roughage were given, the share the energy contained in the total fatty acids has in the total of the digested energy was, on an average of both animals, slightly lower in comparison to rations rich in concentrated feed. However, the reason for this is not to be found in a lower share the energy digested in the stomachs has in the total of digested energy but in a higher amount of fermentation losses with a nutrition rich in roughage.

Acetates↗
PubMed1984

[Nutrition physiology effects of dietary fats in rations for growing pigs. 5. Effects of soy bean oil and lard on protein retention in piglets].

In two experiments with 30 and 26 castrated male pigs of the German Landrace breed, weight range 15-30 kg, the influence of isoenergetic changes in the carbohydrate and fat fractions of the diet were examined. The effect of the addition of soya oil (SO) and lard (LA) to the diet on the utilization of protein and on the blood urea concentration was also examined. The apparent digestibilities of the crude nutrients and energy were determined using different methods. The following were examined: experiment I: ration I (control), ration II (+7% SO), ration III (+7% LA) experiment II: ration I (control), ration II (+2% SO), ration III (+2% SO + 5% LA), ration IV (+7% LA) In all experiments the animals were fed a similar amount of digestible crude protein of constant quality at constant ME-intake. In both experiments the apparent digestibility of crude protein in the groups with 7% added fat was 4% higher (p less than 0,05) than in the corresponding control groups. The apparent digestibility of crude fat in experiment I and II (in groups II and III and in groups III and IV, respectively) was approximately 87%, when calculated on the basis of faecal fat which was determined by a simple ether extract procedure. When the faeces was treated with HCl before determination, these values for experiment I and II were approximately 6% (p less than 0,001) and 1% (NS) lower, respectively. In both experiments the utilization of protein and the blood urea concentration were not significantly influenced by the amount or form of fat included in the rations.

Animals↗
PubMed1992

[Effect of the starch sources barley, corn, potatoes and their ration fractions on the nutrient digestibility and energy utilization in ruminants. 1. Comparative studies of nutrient digestibility in cattle and sheep].

Rations with energy parts of 50, 25 and 10% from barley, maize and potatoes were investigated comparatively by means of total metabolism experiments with oxen with a view to arriving at a more precise estimation equation of net energy fat for cattle. Parallel to the investigations with oxen the energy and nutrients digestibility of the rations in wethers was measured. The crude fibre content of the rations ranged from 166 to 271 g and the starch content from 69 to 330 g/kg DM. The daily starch intake of the oxen ranged from 575 to 2739 g on nutrition level (NL) 1.7 and from 365 to 1804 g on NL 1.1. The energy digestibility of the rations in oxen with energy parts of 50% barley, maize and potatoes was on average 73.5, 73.9 and 75.3%, of the rations with energy parts of 25% on average 72.2, 71.6 and 72.4% and of the rations with energy parts of 10% on average 68.8, 69.5 and 69.8%. The digestibility of energy and nutrients in cattle and sheep was in good agreement excepted crude protein and crude fat; these were digested 4-5%-units lower from cattle than from sheep. The increase of the nutrition level by one unit lowered the digestibility of rations with energy parts of 50 and 25% from concentrates in cattle about 3-6 units and of rations with energy parts of 10% from concentrates about one %-unit. Information about rumen physiological data is given comparatively between cattle and sheep.

Animal Feed↗
PubMed1975

Effects of an abrupt change in ration from all roughage to high concentrate upon rumen microbial numbers in sheep.

When three sheep were abruptly changed from a ration of 100% orchardgrass hay to 60% cracked corn-40% orchardgrass hay, fed at equal dry-matter intakes, significant increases in concentration were observed in the rumen microbial population. Bacterial numbers (colony counts) per gram of rumen contents did not appear to have stabilized within 21 days after the ration change; however, protozoan numbers per milliliter plateaued after 5 days. The concentration of cellulose-digesting bacteria varied considerably between animals and decreased in all animals with the change. Changes were observed in total and molar percentages of volatile fatty acids, which were typical for the two types of rations. Although the concentration of protozoa increased after the ration change, only minor differences were observed in their percent generic distribution. A significant decrease in rumen volume was measured in two of the three sheep with the change in ration; however, fluid turnover rates were not significantly affected. Rates of rumen dry-matter turnover were slower with the concentrate ration, although rumen dry-matter digestion was increased. Calculation of total bacterial numbers based on total rumen volume completely negated the effect of ration change in one animal, whereas total numbers in the other two animals were still significantly different between rations and very similar between animals. Adjustment of total protozoa numbers did not alter the trends seen previously with concentration values.

Animal Feed↗
PubMed2006

Measurement of circulating salmon IGF binding protein-1: assay development, response to feeding ration and temperature, and relation to growth parameters.

Fish plasma/serum contains multiple IGF binding proteins (IGFBPs), although their identity and physiological regulation are poorly understood. In salmon plasma, at least three IGFBPs with molecular masses of 22, 28 and 41 kDa are detected by Western ligand blotting. The 22 kDa IGFBP has recently been identified as a homolog of mammalian IGFBP-1. In the present study, an RIA for salmon IGFBP-1 was established and regulation of IGFBP-1 by food intake and temperature, and changes in IGFBP-1 during smoltification, were examined. Purified IGFBP-1 from serum was used for as a standard, for tracer preparation and for antiserum production. Cross-linking (125)I-labelled IGFBP-1 with salmon IGF-I eliminated interference by IGFs. The RIA had little cross-reactivity with salmon 28 and 41 kDa IGFBPs (< 0.5%) and measured IGFBP-1 levels as low as 0.1 ng/ml. Fasted fish had significantly higher IGFBP-1 levels than fed fish (21.6 +/- 4.6 vs 3.0 +/- 2.2 ng/ml). Plasma IGFBP-1 was measured in individually tagged 1-year-old coho salmon reared for 10 weeks under four different feeding regimes as follows: high constant (2% body weight/day), medium constant (1% body weight/day), high variable (2% to 0.5% body weight/day) and medium variable (1% to 0.5% body weight/day). Fish fed with the high ration had lower IGFBP-1 levels than those fed with the medium ration. Circulating IGFBP-1 increased following a drop in feeding ration to 0.5% and returned to the basal levels when feeding ration was increased. Another group of coho salmon were reared for 9 weeks under different water temperatures (11 or 7 degrees C) and feeding rations (1.75, 1 or 0.5% body weight/day). Circulating IGFBP-1 levels were separated by temperature during the first 4 weeks; a combined effect of temperature and feeding ration was seen in week 7; only feeding ration influenced IGFBP-1 level thereafter. These results indicate that IGFBP-1 is responsive to moderate nutritional and temperature changes. There was a clear trend that circulating IGFBP-1 levels were negatively correlated with body weight, condition factor (body weight/body length(3) x 100), growth rates and circulating 41 kDa IGFBP levels but not IGF-I levels. During parr-smolt transformation of coho salmon, IGFBP-1 levels showed a transient peak in late April, which was opposite to the changes in condition factor. Together, these findings suggest that salmon IGFBP-1 is inhibitory to IGF action. In addition, IGFBP-1 responds to moderate changes in dietary ration and temperature, and shows a significant negative relationship to condition factor.

Animals↗
PubMed2000

Effect of ration and exercise on plasma creatine kinase activity and lactate concentration in Thoroughbred horses with recurrent exertional rhabdomyolysis.

OBJECTIVE: To determine the effects of 3 rations (low grain, fat, high grain) on plasma creatine kinase (CK) activity and lactate concentration in Thoroughbred horses with recurrent exertional rhabdomyolysis (RER). ANIMALS: 5 Thoroughbreds with RER and 3 healthy Thoroughbreds (control horses). PROCEDURES: Rations were formulated to meet (low-grain and fat rations) or exceed (high-grain ration) daily energy requirements. Each ration was fed to horses in a crossover design for 3 weeks. Horses were exercised on a treadmill Monday through Friday; maximum speed on Monday and Friday was 11 m/s (6% slope), on Tuesday and Thursday was 9 m/s, and on Wednesday was 4.5 m/s. Plasma CK activity and lactate concentration were determined before and after exercise. RESULTS: Horses with RER fed the high-grain ration had significantly greater CK activity and change in CK activity 4 hours after exercise, compared with those fed the low-grain ration. Horses with RER exercised at the trot or canter had significantly greater increases in CK activity, compared with those exercised at the gallop. Plasma lactate concentrations after exercise were similar in control and affected horses. Lactate concentration and CK activity were not correlated in horses with RER. CONCLUSIONS AND CLINICAL RELEVANCE: Rations high in grain and formulated to exceed daily energy requirements may increase episodes of rhabdomyolysis in thoroughbred horses susceptible to RER.

Animal Feed↗