Recent advances in diagnostic methods for Equine Metabolic Syndrome
Published 2025-09-09
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Copyright (c) 2025 Moroccan Journal of Agricultural and Veterinary Sciences

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Abstract
Equine Metabolic Syndrome (EMS) is a multifactorial endocrine disorder characterized by insulin dysregulation, regional adiposity, and an increased risk of endocrinopathic laminitis. Early and accurate diagnosis is essential to prevent severe complications. This critical review presents the main advances from 2020 to 2025 in static and dynamic testing, as well as biomarkers for EMS, including innovations such as glycemic pellets and emerging approaches based on protein biomarkers, the metabolome, and genetic signatures. An updated algorithm for clinical and laboratory screening is proposed, integrating these new data. These developments pave the way for precision equine medicine, particularly relevant for field veterinarians and low-resource settings.
Keywords: Equine metabolic syndrome, diagnosis, insulin resistance, biomarkers, oral glucose test