Equine metabolic syndrome predisposes horses and ponies to laminitis and requires dietary management and exercise programs for welfare preservation.
Equine metabolic syndrome causes profound welfare harm primarily through its consequences — laminitis causing chronic painful foot disease. EMS horses experiencing laminitis suffer intensely and may require months of supportive care or euthanasia in severe cases. Prevention through appropriate dietary management restricting access to high-sugar pasture and feed, combined with regular exercise improving insulin sensitivity, dramatically reduces laminitis risk. Owner recognition of EMS in their horse before the first laminitis episode is the most welfare-positive intervention point, enabling prevention rather than management of established disease.