Equine metabolic syndrome (EMS) is a hormonal disorder in horses causing obesity, insulin dysregulation and laminitis risk with significant welfare implications requiring dietary management.
EMS causes welfare impacts through chronic laminitis episodes causing severe hoof pain, metabolic dysregulation and reduced quality of life. Obese EMS horses have impaired thermoregulation and mobility. Welfare priorities include dietary restriction to achieve weight loss, muzzling during peak pasture growth, structured exercise programmes, monitoring for laminitis episodes, and using pergolide medication if concurrent PPID is identified.