During those times, if a horse had not been started too young, had not been overworked, and had good health care and proper nutrition throughout its life, it might have lived to be a 'very old' horse of 25 to 30 years of age. Although the natural life span of the horse has not changed, horses are living longer and many survive easily to 25 years of age or older. What may have been an old worn-out horse 100 years ago may just be coming into its prime today. Many performance horses are just getting settled into their work by the time they are in their teens.

• What has changed in the last 100 years?
• At what age is a horse considered geriatric?
• Nutrition
• Dental problems
• Environmental and herd stress
• Disease in the older horse
• Nutrition of the senior horse
• Supplements for the geriatric

What has changed in the last 100 years?
First, the workload has significantly decreased for most horses as today’s horses are primarily used for pleasure or competition instead of hard work. Lighter workloads do not put as much wear and tear on the skeletal and muscular systems, and the body has more time to recoup from stressful times. Second, knowledge of equine nutrition has improved. Many of the individual nutrients required by domestic animals have been discovered within the last 75 years and are commonly provided by fortified commercial feeds. Lastly, parasite control programs for the horse have improved enormously.

At what age is a horse considered geriatric?
It depends on the individual because some horses age more gracefully than others. A general rule is that a horse 18 to 20 years of age is entering the golden years. Some horses remain in excellent body condition and health until the moment they die, while others deteriorate quickly or slowly over time. Because of the physiological changes normally associated with aging, geriatrics may require special adaptations in health care, environment and diet.

Four factors negatively affect the ability of senior horses to stay healthy and maintain proper body condition: decreased nutrient absorption, poor teeth, environmental stress and disease.

Nutrition
Probiotics, Enzymes are needed for decreased nutrient absorption.
Because of consistent, effective deworming programs, horses have a better chance of surviving to an older age. Intestinal worms can scar and cause chronic mucosal (lining) damage of the intestines or damage blood vessels, which affects nutrient absorption. The presence of worms also causes a decrease in nutrient availability because the parasites compete for nutrients. The worm control program of the geriatric horse needs to be vigorous, and routine deworming should be an integral part of health care program.

Besides parasite damage, there are other factors responsible for decreased nutrient absorption by the digestive tract. The effectiveness of the intestinal lining decreases with age, which makes it difficult for nutrients to pass through the mucosal surface in order to reach the bloodstream. Research has documented a decreased absorption of phosphorus, vitamins and protein in the aged equine. Production of the enzyme necessary for starch digestion may decrease, allowing too much starch to enter the hindgut. Microbial fermentation of starch will make the hindgut more acidic, which can make a horse more susceptible to laminitis and colic.

Another factor affecting availability of nutrients is the particle size of the foodstuff when it reaches the intestinal tract. If the teeth fail to chew food sufficiently, the size of the food particle will be too large for the digestive enzymes and microbes to effectively digest it. The net result is more food passing through the digestive tract undigested. The decreased efficiency of the digestive tract due to aging cannot be stopped, but dietary adjustments can be made for this problem. Offering more of the nutrient in highly available forms and in smaller particles are ways to improve the overall digestion and health of the horse.

Protein digestion appears to be a particular problem in the geriatric horse, especially for those with parasitic damage in the digestive tract. Muscle tissue wasting is a common occurrence in the aging horse. If the body does not have enough protein in the diet, it will start to break down its own muscle tissue to provide protein for the more important body functions. Production of stomach acid, which aids in protein digestion, decreases, and a related decrease in protein digestibility occurs. With a decreased ability to absorb protein in the digestive tract, the feed offered to the geriatric should be higher in protein than what would be given to a normal maintenance horse, with the grain concentrate being at least 14% protein. Not all protein sources are created equal, so the quality of the protein offered is also important. Soybean meal and lucerne are excellent protein sources for aged horses because of the high quality amino acid composition.

Dental problems
Time takes its toll on the teeth of the aging equine. Problems that occur with normal wear and tear are tooth loss and deterioration of the biting surface. During normal tooth growth, the biting surface wears down and the tooth continually erupts from the jaw ; the result is shorter tooth roots over time. The root of the tooth of an older horse can get short enough that the tooth can become easily dislodged from its place. Because of this, care should be taken not to float teeth too aggressively in an older horse.

Also, without careful attention to the molar surface throughout the years, some irregularities can become severe enough to interfere with proper chewing. The biting surface can become wavy, especially if there is tooth loss on one part of the mouth but not on the opposing surface. In other cases, horses that lose incisors will have trouble tearing the grass away from the root, so pasture may be too difficult for a horse with this problem to eat. Pasture, on the other hand, is fine for older horses with molar problems because grass is fairly easy on the digestive tract even if it is not chewed well. Hooks and sharp points on the edges of the teeth can irritate the cheek wall making mouths sore. Older horses tend to be less tolerant of pain so things like aching teeth may bother them more than a younger horse. Dental exams twice a year are appropriate for the senior horse.

Tooth problems may be the reason that older horses tend to be more susceptible to choke. A horse can choke on any kind of feed if it does not take the time or does not have the ability to chew the food properly before swallowing. To further aggravate the problem, some older horses chew less because of dental problems, and the amount of saliva produced is relative to the amount of chewing. With decreased saliva production, there is less lubricant to aid the passage of feed to the stomach. The result of either problem is choke which can resolve itself fairly rapidly or can become a serious problem.

Making sure an older horse has feed prepared appropriately for the state of its dentition will result in less stressful mealtimes. Geriatric diets that consist of partially cooked grains or hard extruded components may be difficult for a horse with poor dentition to cope with. Quidding can be a particular problem in these instances. A cooked ration that has no whole or partially cooked grains, or better still one that can be fed as a slightly damp mash, is ideal for older horses with little or no grinding surface on their teeth.

Environmental and herd stress
Older horses do not handle changes in environment well. Relocating an older horse from one paddock or stable to another can be very stressful, especially if it means a change of paddock mates. Many do not adjust to a new group of paddock mates quickly and may experience detrimental weight loss during the adjustment period. Older horses tend to fall to the bottom of the pecking order and may not feel like fighting for food when an aggressive horse pushes them away. If hay or grain is group fed, careful observation of how well an older horse is getting to the feed may prevent a problem of detrimental weight loss before it happens.

Environmental temperature changes get harder to tolerate as a horse ages, particularly cold weather. Some of the sensitivity to cold may be from the reduction of fat cover on the body which normally acts as insulation. Another factor may be changes in hormone production, which regulates the body’s ability to adjust to external heat and cold. Fibre digestion in the hindgut produces heat which will help horses stay warm in the winter. Older horses can find it hard to bite or chew more fibrous feeds and may select against intake of fibre. If there is a reduction in the intake of fibre, there will also be a reduction of internal heat produced. Adequate shelter from the elements is vital for the geriatric.

During cold weather, a horse will often limit the amount of water it drinks since intake of cold water lowers internal temperature, resulting in cold stress. It is not uncommon for these horses to colic due to self-induced dehydration and subsequent impaction. Careful observance of water intake can help to avoid disastrous consequences. Feeding meals soaked in warm water and/or adding salt to the meal might entice a finicky horse to increase water intake. This is a particular feature of expandate diets for older horses. The expanded flakes absorb water extremely well to make a palatable and digestible 'gruel' for an older horse.

Pain can make a horse so miserable it may lose the desire to eat. The principal cause of pain in the older horse is arthritis. The best thing to do for an arthritic horse is to allow it to exercise at will. Joints become stiff when a horse is kept in a stall for any length of time, and it is twice as painful to start moving again when turned out. It is advisable to keep older horses out all the time, provided there is adequate shelter such as a walk in – walk out shed. Other ways to make the geriatric more comfortable would be giving Glucosamine HCL and Chondroitin with MSM mild anti-inflammatories. Attention to proper trimming or shoeing may help avoid unnecessary stresses on joints and can help keep the horse mobile.

Disease in the older horse
Age-related disorders and diseases can make life more challenging for the geriatric horse. Chronic weight loss not related to previously discussed problems can be the result of medical conditions like chronic infection, adrenal gland atrophy, liver failure or kidney disorders. Other problems commonly experienced by seniors are anemia, lowered disease resistance and allergic respiratory problems (COPD). Tumors such as melanomas are frequently observed on the skin, particularly on gray horses. Tumors may also be found in the thyroid or pituitary glands, which can cause hair coats to become long and rough.

These symptoms are also indicative of Cushing’s syndrome. Horses with adrenal atrophy or even adrenal exhaustion after a harsh winter will drink excessively and will not maintain weight easily. A blood count and chemistry can determine if a horse has anemia, chronic infection, or kidney or liver problems. Anemia can be treated with B vitamin administration; chronic infection and lowered disease resistance may respond to vitamin E and C supplementation. Besides weight loss, signs of kidney or liver failure are poor appetite, lethargy and frequent urination.

Diets of horses with liver failure should be low in protein, high in branched chain amino acids and B Vitamins and should not contain added fat. Dietary changes for kidney problems would be decreased calcium; therefore lucerne should be avoided. An abnormally high incidence of renal calculi has been seen in aged horses fed straight lucerne. Chronic obstructive pulmonary disease can be treated by minimizing exposure to the assailants of the lungs. Keeping the diet dust and mould free by careful selection of feeds, soaking or wetting all feeds before feeding and using bedding with minimal dust will reduce respiratory stress.

Nutrition of the senior horse
Roughage is a vital part of the equine diet, and without proper amounts, problems can occur in the digestive tract. Dental problems or anorexia can make intake of sufficient forage challenging. Live gut bacteria and digestive enzymes are necessary to break down fiber. Older horses appear to do better on fresh green grass even if they have lost some molars because grass is easily chewed and digested. The cycle of many older horses is to pick up weight during the spring and autumn when the grass is growing and lose weight in summer and winter when the grass is dormant. Problems tend to happen when an older horse is asked to get its roughage from hay only. When the teeth are not in good condition, an older horse may not be able to properly grind a forage to be adequately digested for energy and other nutrients.

Signs that eating hay may be a problem in a horse are low intakes of hay or rolling and wadding of hay in the mouth. If this is the case, there are now alternative fiber sources for the horse available. Chaff is already cut hay and requires less chewing. Chopped forages may be very dusty, so dampening them before serving may be helpful, particularly for horses with respiratory problems. Alternative fibre sources such as high digestibility fibre feeds should also be included in the diet if possible.

A well-formulated senior horse feed should contain grain which has been fully processed to increase digestibility. There are various forms such as extruded, expanded or pelleted. Concentrates should have a fiber percentage higher than 10% and a protein percentage between 12 and 16% from a high quality protein source like soybean meal.

There should be added fat to increase the energy value of the feed. Feed it with chaff for extra roughage. This may also be important for horses with respiratory problems that should be fed feed dampened or made into a wet gruel. It should be highly palatable to tease the appetite of even the pickiest of seniors. Added yeast culture in a feed may improve fiber and phosphorus digestion and can help the horse maintain condition. The vitamin and mineral fortification should be higher than a maintenance horse feed because of the decrease in digestive efficiency.

With the increased intakes, feeding smaller, more frequent meals may be desirable so as not to overload the stomach. It can also be beneficial to break meals up into three or four offerings per day.

Supplements for the geriatric
When the intake of feed is limited by mechanical problems such as dental or appetite-related issues, a more concentrated feed could be advantageous. Increasing the amount of fat in the diet of the senior may be beneficial because fat is a concentrated source of energy. Liver function should be assessed before initiating a high fat diet. Because all fat travels through the liver immediately after absorption, it can be particularly hard on a diseased liver. If there is no problem with the liver, then there should be no reason for an old horse not to be able to benefit from added fat in the diet.

Fat can be fed in the form of oils, such as corn, soybean, canola, linseed, or sunflower seeds. Of particular interest as a fat and fiber source is stabilised rice bran. Unlike wheat bran, rice bran has 20% fat and highly digestible fiber making it an excellent addition to the diet of the senior horse. It also contains the antioxidant gamma-oryzanol. One rice bran product, Equi-Jewel, has the added advantage of having a carefully balanced calcium to phosphorus ratio that is essential for absorption and use of these minerals.

Some of the research done on older horses has found vitamin C blood levels are lower than in younger horses. Whether this means that geriatrics are deficient in vitamin C is not yet known. Supplemental probiotics to release vitamin C and B complex. Because supplemental vitamin C is not absorbed well by the intestines of the horse, the use of probiotics is much more cost effective and produces more of the necessary nutrients to make an impact on the blood votamin levels.

Magnesium Oxide is known as glucose tolerance factor as it enhances the action of insulin and assists with energy metabolism. Many older horses suffer from glucose intolerance due to tumours in the pituitary gland that affect the function of a number of hormones. These horses can develop very high levels of glucose and insulin after feeding which can lead to increased urination, thirst and other hormone changes. Magnesium Oxide has been found to reduce the glucose and insulin response to a feed so this will benefit the older horse.