Bone Density, Exercise and Supplements

by John Tuckfield  |    February 28, 2011  

Shin soreness, a condition of the third metacarpal bone (McIII), is a very common condition in young horses and usually occurs during the first year of training. A study of 30 two year olds entering race training found that those that went shin sore (5) did not produce as much McIII bone as unaffected horses (25). The reasons for the difference was not apparent as all the horses were similarly managed. (The Relationship Between Shin Soreness, Blood Parameters And Cannon Bone Measurements In Thoroughbreds Being Prepared For Two Year Olds In Training Sales, J.D. Pagan et al.)
Thus improved bone density appears to be a distinct advantage. A further study of 15 yearlings by most of the same researchers from Kentucky Equine Research (Skeletal Adaptions With Onset Of Training In Thoroughbreds) showed confinement and minimal exercise reduced bone mineral content, which then increased as exercise levels increased to an intense level of training, when it reached pre-training levels. The horses consumed fortified feed and grass hay throughout the study, but not additional nutrient supplementation.
From this it can be deduced that both exercise and fresh pasture are important to the development of bone density, but that full time stabling and inactivity may require the use of a supplement to maintain its intensity.
Vitamin K (VK) supplements are now widely available and a paper presented at this months recent Australian Equine Science Symposium on the Gold Coast has outlined the results of a study on their efficacy in the promotion of bone density (Vitamin K Function And Bone Density Of Growing Horses, J.R. Biffin et al). VK has long been know to have a role in blood clotting but is now also known to have a major role in bone metabolism. The normal source of VK for a horse is its forage. VK deficiency due to the horse not consuming enough is claimed to have never been reported, however, the consumption of substances that work against VK and make it unable to do its job have been associated with symptoms of deficiency. An example of such an antagonist is dicoumarol, which is produced by mouldy sweet clover. Further, the therapeutic use of warfarin can interfere with the metabolism of VK .
VK toxicity from over consumption has not been reported in horses and it is estimated that the horse need ingest at least 1,000 times the daily recommended intake. However, in one study every horse administered with a single dose of synthetic VK by injection developed renal failure.
The naturally occurring primary source of VK in the forage is phylloquinone, a transient instantaneous product of photosynthesis in live green leaves, which is destroyed in cut leaves by light. The VK level falls more quickly the higher the UV index (UVI). At UVI of 5, half is gone in 7 hours; at UVI 10, half is gone in 4 hours. A study has shown that VK levels in fresh-cut rye grass was 8.9 mg/kg compared with 2.3 mg/kg after 2 days sundrying. Furthermore VK, being a fat soluble vitamin, is poorly absorbed (12%), especially in low fat diets.
Another Biffin et al. study (Osteoclacin carboxylation, vitamin K and bone integrity in thoroughbred yearlings) found that 7 mg VK/day was required by a 500 kg horse in a bioavailable solution to produce greater bone density. It is simply impossible to get such amount from hay, grain and seed alone.
The amount of VK in pasture has been measured in a wide variety of pasture stages and climate. A rough guide is the appearance of the pasture. Brown grass contains almost none; yellow-green grass a little more and deep green grass with a tinge of blue the most. A horse grazing fresh green pasture will get sufficient VK, a stable- fed horse will not and require supplement.
In short the results of all these studies "suggest that many horses may receive suboptimal intakes of VK and further research is required to determine equine VK requirements in different management systems and the efficacy of different forms of the vitamin".
Other questions requiring clarification include:
1. If a supplement has been used to promote bone density, would exercise still cause even greater density, or would the supplement have produced the maximum density that the horse can lay down?
2. Are there any long term effects on the bone from the use of the supplements?
3. What happens when the supplement is discontinued?
4. Is there a maximum bone density achievable that can not be surpassed no matter
how much supplement is provided?
(Ed's note: I am yet again indebted to Larry Greetham of Piplyn Lodge for
suggesting this topic and for the questions that his ever enquiring mind raises)

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