Equine Nutrition in the United States: A Review of Perceptions and Practices of Horse Owners and Veterinarians

Nutrition plays a critical role in equine health. The horse owner and/or manager has a multitude of equine nutrition sources available to them, with preferences for how, and from whom, this information is delivered. Despite this, poor feeding practices continue to negatively affect the health, wellness, and welfare of equids and have a detrimental impact on the environment. The veterinarian is the primary expected source of equine nutrition information; yet, little is known about their recognition and acceptance of such a role. Doubt has arisen concerning the quality and provision of nutrition education within the veterinary curriculum and subsequent continuing education. Moreover, the value equine nutrition education plays in the veterinarian's practice philosophy, and the resulting provision of such in clinical practice, remains under evaluated. This review examines the present state of equine nutrition and how horses are being fed in practice, in the United States. It considers feeding horses from the horse owner's perspective and the expected role the veterinarian plays in such. Last, it goes on to evaluate this expected role from the veterinarian's perspective, examining how current nutrition education and practices may be falling short and offering recommendations for future research.     

Willingness of a Convenience Sample of Horse Owners to Use Stem Cell Therapy for the Treatment of Equine Tendon Injury and Factors that Influence This Decision

Stem cell therapies offer huge potential for the treatment of tendon injury in horses. However, the factors influencing clients' willingness to use these therapies have not yet been investigated. This study examines the willingness of a population of horse owners to choose stem cell therapy for the treatment of equine tendon injuries and the factors that may influence this choice including treatment cost and efficacy, veterinarian advice, client knowledge, and success stories. A short, anonymous questionnaire was delivered to a convenience sample of equine owners. Questions related to (1) respondent background; (2) prior experience with tendon injuries and their treatment; (3) willingness to use equine stem cell therapy; and (4) the importance of factors that may affect their decision to use the therapy. Responses were summarized using graphical methods and compared using Fisher exact test where appropriate. Fifty-four percent of our cohort (n = 113) reported they would be willing to use equine stem cell therapy, 6% were not willing, and 40% were unsure. When asked to rank factors that would influence their decision, scientific proof that the therapy works was ranked highest followed by veterinarian advice. This result may have been influenced by the high proportion of tertiary-educated respondents recruited in this study. This is the first reported study to investigate the willingness of a population of horse owners to use stem cell therapy for their horses. Results suggest that the majority of these equine owners may consider using stem cell therapies for their horses given a larger positive evidence base was provided for the therapy.     

Horse owners'/managers' perceptions about effectiveness of biosecurity measures based on their experiences during the 2007 equine influenza outbreak in Australia

Following the first ever equine influenza outbreak in Australia in 2007, a study was conducted involving 200 horse owners and managers to determine their perceptions about effectiveness of biosecurity measures and the factors associated with these perceptions. Face-to-face interviews were conducted with horse owners/managers to obtain information about their perceptions of the effectiveness of biosecurity practices, their sources of information about infection control during the outbreak and their horse industry involvement. Two outcome variables were created from horse owners' responses to a 17-item question on the perceived effectiveness of various recommended equine influenza biosecurity measures: (a) a binary outcome variable (Low/High biosecurity effectiveness) and (b) a continuous outcome variable (the proportion of the 17 measures considered 'very effective'). These outcomes were used in binomial logistic and linear regression analyses, respectively, to determine factors associated with perceptions of biosecurity effectiveness. Variables with a p-value <0.05 in multivariable models were retained in the final models. The majority (83%) of the 200 horse owners and managers interviewed believed that more than half of the recommended equine influenza biosecurity measures were very effective for protecting their horses from equine influenza infection in the event of a future outbreak. Interviewees that were more likely to judge on-farm biosecurity measures as effective were those who received infection control information from a veterinarian during the outbreak, did not experience equine influenza infection in their horses, and those on small acreage premises (homes with horses on site). Greater levels of preparedness for a future equine influenza outbreak and greater interest in information about infection control were associated with a better perception about effectiveness of biosecurity measures. This study identified factors associated with horse owners' and managers' perception of effectiveness of biosecurity measures. These findings should be considered in the design of infection control programs.     

Demographics, management, and welfare of nonracing horses in Prince Edward Island

There are no detailed, representative, horse-level data about equine management practices in different parts of Canada. To help address this, the demographics, management, and welfare of 312 nonracing horses in Prince Edward Island were examined in a randomized, horse-level survey during summer 2002. Owners completed a pretested questionnaire, and a veterinarian examined each horse. Owners were experienced caregivers and the horses were generally in good condition. Areas for improvement included parasite control, dental and hoof care, and tail docking. The mean fecal egg count was 428 eggs per gram; 76% of owners never removed manure from the pasture. Sixty-two percent of horses had never had a veterinary dental examination. Many horses had hoof defects (excessively long hooves, 26.8%; hoof wall breaks, 32.0%; and white line disease, 8.5%). Many (54.9%) draft horses had docked tails. These results suggest owners might benefit their horses by receiving education in aspects of equine care.     

Survey of Equine Nutrition: Perceptions and Practices of Veterinarians in Georgia,USA

Equine nutrition plays a critical role in equine health. The veterinarian is an expected major source of equine nutrition information, yet little evidence exists to evaluate this assumed role, particularly from the veterinarian’s perspective. The aim of this study was to investigate the knowledge and confidence levels and practices and perceptions regarding equine nutrition by surveying equine clinicians in Georgia, USA. A sample representative of a cross-section of equine veterinarians participated in the survey: response rate was 20%. Veterinarians reported that although their level of equine nutrition knowledge had improved since graduation, their confidence levels varied when giving nutritional advice on a number of prevalent nutritional-related conditions. Their confidence level in giving nutritional advice on colic was the highest and on hyperkalemic periodic paralysis the lowest. The majority of veterinarians had not taken any recent equine nutrition continuing education, mainly owing to lack of courses available; however, the majority expressed an interest in taking future courses, particularly if offered online. Although the veterinary profession was considered to be an important source of equine nutrition information, almost one-quarter of veterinarians offered no equine nutrition counseling to their clients. More than two-thirds of veterinarians reported having no access to a referral equine nutrition service, but would be likely to use one if it were available. The results of this survey reveal equine nutrition perceptions and practices from an equine clinician perspective. Several areas of concern are highlighted, questioning the quality, responsibility, and provision of equine nutrition in Georgia, USA, and are suggestive of a far more wide-reaching problem, requiring further research.     

Cross-sectional survey of owner knowledge and husbandry practices, tack and health issues affecting working horses in Lesotho

Reasons for performing study: To establish baseline parameters of equine health, owner knowledge and husbandry practices and tack against which benefits to local horses arising from an equine charity's training programme in Lesotho could be measured. Objectives: To describe and investigate associations between owner knowledge and equine husbandry practices, horse health and tack‐related parameters prior to the start of the training programme. Methods: A cross‐sectional survey was undertaken in the catchment area of students attending the first training course. Owners from randomly selected villages were interviewed about horse care using a standardised, structured questionnaire, administered face to face in local language. Horses were clinically examined and tack assessed according to standardised protocols. Results: Clinical examinations were performed on 312 horses and 287 owners were interviewed. Owners had variable knowledge of equine husbandry and limited understanding of appropriate primary and preventive healthcare. Equine health problems identified included ecto‐ and endoparasite infestation, mouth lesions, overgrown and unbalanced feet and tack‐associated wounds. The majority of tack was in poor condition, dirty and ill‐fitting. With the exception of below‐average body condition score, no associations were found between key adverse horse‐related clinical findings and owners reporting their horse as being ‘unhealthy’. Conclusions: Working horses in Lesotho have a range of physical problems, many of which could be ameliorated through targeted owner education. With limited access to veterinary advice and scarce resources, improved availability of affordable local equine trade skills is key to improving equine health. Potential relevance: Findings could be used to inform and direct training programmes to maximise benefits to equine health and to serve as a baseline against which to monitor effects of educational and other interventions.     

Management factors affecting stereotypies and body condition score in nonracing horses in Prince Edward Island

In North America, there are few representative data about the effects of management practices on equine welfare. In a randomized survey of 312 nonracing horses in Prince Edward Island (response rate 68.4%), owners completed a pretested questionnaire and a veterinarian examined each horse. Regression analyses identified factors affecting 2 welfare markers: body condition score (BCS) and stereotypic behavior. Horses' BCSs were high (mean 5.7, on a 9-point scale) and were associated with sex (males had lower BCSs than females; P < 0.001) and examination date (P = 0.052). Prevalences of crib biting, wind sucking, and weaving were 3.8%, 3.8%, and 4.8%, respectively. Age (OR = 1.07, P = 0.08) and hours worked weekly (OR = 1.12, P = 0.03) were risk factors for weaving. Straw bedding (OR = 0.3, P = 0.03), daily hours at pasture (OR = 0.94, P = 0.02), and horse type (drafts and miniatures had a lower risk than light horses; P = 0.12) reduced the risk of horses showing oral stereotypies. Some of these results contradict those of other studies perhaps because of populations concerned.     

Diversity in horse enthusiasts with respect to horse welfare: An explorative study

A reduced level of welfare of horses is related to management factors such as low forage feeding, short feeding time, social isolation, and lack of unrestrained exercise. It has been assumed that welfare problems can be reduced and/or partly prevented by improving the knowledge and skills of horse enthusiasts. It has also been assumed that to improve the provision of information to horse enthusiasts, it is important to explore and gain more insight into horse enthusiasts’ motives, knowledge, and behavior. The aim of this exploratory study was to identify the diversity of horse enthusiasts in the Netherlands, with respect to the way they search and find out information, their emotional involvement with horses, and their attitude, their knowledge, and daily practices with regard to equine welfare. A Web-based survey using a 30-item questionnaire resulted in 4,267 respondents. Most respondents (84.6%) were female; the average age of the respondents was 34.2 (±13.5) years. More than half of the respondents (64.5%) believed that there were welfare problems throughout the whole horse industry. The most important reported source for information was the personal contact with other horse enthusiasts (82.8%), with veterinarians (74.5%), and with farriers (69.5%). It is, therefore, recommended that to disseminate relevant knowledge on equine welfare, particular attention should be paid to the acquisition and dissemination skills within the education programs of veterinarians and farriers. Although most respondents were aware of the issues that can compromise welfare, their knowledge did not always result in appropriate practices. Furthermore, a cluster analysis showed that horse enthusiasts can be categorized into 4 clusters from the way they search and find out information, their emotional involvement with horses, and their attitude, their knowledge, and daily practices with regard to the welfare of horses. To improve the provision of information to horse enthusiasts, it is recommended that the information provision to horse enthusiasts is organized around these 4 clusters of horse enthusiasts.     

Disease prevalence among dogs and cats in the United States and Australia and proportions of dogs and cats that receive therapeutic diets or dietary supplements

OBJECTIVE: To estimate disease prevalence among dogs and cats in the United States and Australia and proportions of dogs and cats that receive therapeutic diets or dietary supplements. DESIGN: Telephone survey. Sample Population-Dog and cat owners located in 5 geographic areas. PROCEDURES: A telephone survey was administered to dog and cat owners. RESULTS: Of 18,194 telephone calls that were made, 1,104 (6%) were to individuals who owned at least 1 dog or cat and agreed to participate. Information was collected for 635 dogs and 469 cats. Only 14 (1%) respondents indicated that their pet was unhealthy, but 176 (16%) indicated that their pets had 1 or more diseases. The most common diseases were musculo-skeletal, dental, and gastrointestinal tract or hepatic disease. Many owners (n = 356) reported their pets were overweight or obese, but only 3 reported obesity as a health problem in their pets. Owners of 28 (2.5%) animals reported that they were feeding a therapeutic diet, with the most common being diets for animals with renal disease (n = 5), reduced-calorie diets (5), and reduced-fat diets (4). Owners of 107 of 1,076 (9.9%) animals reported administering dietary supplements to their pets. Multivitamins (n = 53 animals), chondroprotective agents (22), and fatty acids (13) were the most common dietary supplements used. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that most dogs and cats reported by their owners to have a health problem were not being fed a therapeutic diet. In addition, the rate of dietary supplement use was lower than that reported for people.     

A Comparison of Actual and Suggested Digestible Energy Intakes of Miniature Horses Derived from Different Feeding Recommendations

Despite being largely studied as models of equine nutrition, few published data exist on actual nutritional requirements of Miniature horses. Small equines are particularly prone to obesity, insulin resistance, and the metabolic disorders for which these are risk factors. Improper feed rationing, overfeeding in particular, puts horses at risk for these metabolic problems. Feed manufacturers, however, generally supply feeding recommendations for horses weighing ≥360 kg, whereas the average Miniature horse weighs around 100 kg. Lack of nutritional guidelines for small equines makes it difficult for owners to properly estimate the amount of hay and grain to feed their Miniature horse. The purpose of this study was to determine whether feeding recommendations provided by feed manufacturers for average-sized horses could be linearly extrapolated to Miniature horses. This study surveyed nutritional management of 12 mature Miniature horses that represented the ideal body condition of the breed. Each horse’s hay, grain, and pasture intake was recorded and the average daily digestible energy (DE) intake was calculated from those data. The daily DE intake of the surveyed horses was compared with the extrapolated recommendations published by several different sources. When linearly extrapolated to fit the body weight of a Miniature horse, recommendations significantly (P < .002) misestimated the amount of daily DE that the surveyed horses were consuming. The majority of recommendations overestimated the DE consumed by the Miniature horses per day. However, one source that was designed specifically for Miniature horses, severely (P < .001) underestimated their required DE.     

Equine atopic skin disease and response to allergen-specific immunotherapy: a retrospective study at the University of California-Davis (1991-2008)

This retrospective study reports on the clinical presentation of equine atopic skin disease and evaluates response to treatment with allergen-specific immunotherapy (ASIT) based on intradermal testing and/or serum testing. Computerized medical records from January 1991 to December 2008 yielded 54 horses included in the study. Presenting clinical signs (CS) included urticaria (n=28), pruritus (n=8) or both (n=18). Forty-one of 54 horses received ASIT, and response to ASIT (n=32) was evaluated via telephone survey. Eighty-four per cent (n=27) of owners reported that ASIT reduced their horse's CS; 59% (n=19) were able to manage CS by ASIT alone. Three horses (9%) were managed with ASIT in combination with doxepin and discontinued use of corticosteroids. There was no statistical significance between type of test performed and reported success of ASIT (χ(2) analysis, P=0.53). Ninety-three per cent (n=30) of owners reported use of antipruritic medications prior to starting ASIT; 57% (n=17) of these owners reported discontinuing those medications due to success of ASIT. Adverse effects were limited to swelling at the injection site, seen in 16% (n=5). Seventy-five per cent (n=24) of owners elected to discontinue ASIT after 6 months to 8 years (mean 2.2 years): 15 due to resolution of CS, six due to persistent CS, two because the horse was sold, and one due to cost. Ten owners reported no recurrence of CS after discontinuing ASIT; five had recurrence within a median of 2 years of discontinuing ASIT (range 1-12 years). Allergen-specific immunotherapy is a safe and effective way to manage equine atopic skin disease.     

A Survey of Horse Owner's Compliance with the Finnish Vaccination Program

Finnish Trotting and Breeding Association's electronic database (IT register) in Finland does not include vaccination entries of all horses. Especially, vaccination status of horses outside sport arenas is unclear. Objectives were to investigate vaccination practices of horse owners in Finland, to look for reasons associated with nonvaccination, and to evaluate the accuracy of the other statistics in Finland. The questionnaire study was executed. Horse owners (n = 1,198) told their vaccination practices, vaccinations used, and reasons for nonvaccination. Horses were mainly (85%–95%) vaccinated depending on the number of horses per horse owner. Equine influenza vaccine was mainly favored (94%). One reason for nonvaccination is that the horse is inactive in equine sport arenas (43%). Other reasons (53%) were age, horse does not take part in competitions but stay at home, and the owner decides that the horse does not need vaccination. Differences between age groups (young and old), competition types, and regions were not found by one-variable analysis, but vaccination status of horses outside equine sport arenas differed from horses active in competitions. By logistic regression analysis, it was indicated that purpose of use had influence on vaccination status. Reasons for nonvaccination surveyed in UK were confirmed. The control of the competition rules and possible sanctions exercised in competition venue are better explanatory factors than age, type of competition, and geographic home area. However, the risk to meet a nonvaccinated horse increases when going to the northern part of Finland.     

Cross-sectional survey of pet ownership,veterinary service utilisation,and pet-related expenditures in New Zealand

ABSTRACT

Aims: To describe the demographics of and predictors for pet ownership, reasons for visiting a veterinarian, and pet-related expenditure in pet owners in New Zealand.

Methods: A cross-sectional online survey was conducted from 18–22 June 2015 using a permission-based panel of New Zealand residents aged ≥18 years. Questions included demographics of respondents, number of pets and reasons for owning or not owning pets, number of visits and reasons for visiting a veterinarian, and pet-related expenditure.

Results: Of the 1,572 respondents who completed the survey, 1,013 (64.4%) owned ≥1 pet. Of these, 443 owned dogs, 696 cats, 32 horses, 103 birds, 55 rabbits, and 159 owned fish. Companionship was the most common reason for getting dogs, cats, and birds; horses were mostly owned as a hobby, rabbits to provide fun for children, and fish as a source of relaxation. The majority of dog, cat, and rabbit owners considered their pets to be family members; horse owners almost equally considered their horses a hobby or a family member. The odds of pet ownership increased for respondents from a rural region, having a higher household income, having children and being female. Overall, 711/1,013 (70.2%) pet-owning respondents had taken ≥1 animal to the veterinarian in the previous year, with the most common reasons being for vaccination or annual check-ups or health issues. Respondents who considered their pets trusted companions, had a higher income, and owned dogs or cats compared with other species, were most likely to have taken their pet to a veterinarian. The greatest pet-related expenditure for all species was food. The median yearly veterinary expenditure was $200–499 by dog owners, $100–199 by cat owners, and <$100 by horse, bird, rabbit, and fish owners. The best source of information for pet-related issues was considered to be veterinarians by 724/1,001 (72.3%) owners, and the internet by 509/1,001 (50.8%) owners.

Conclusions: Among survey respondents, pet ownership was common and pets filled a variety of roles in the household. Pet owners reported spending considerable amounts of money on their pets each year, but some of them may be underutilising veterinary services despite veterinarians being considered as valuable sources of information about pet-related issues.     

Homemade diets: attributes, pitfalls, and a call for action

At one time, it was estimated that the majority of dogs and cats in the United States received 90% or more of their nutrition from complete and balanced commercially prepared foods, and this estimate was reaffirmed in a 2004 survey. However, 4 years and several pet food and treat recalls later, fewer pet owners are feeding commercial pet food products exclusively and more are asking questions and looking for alternatives. As in any market-driven economy, there are many more alternative diets and food products available today from which pet owners may select. A difficult to measure but growing number of clients are feeding homemade diets that provide 100% of their pet's nutrition, while a larger number are feeding a combination of products, treats, and home prepared meals. Most practitioners can attest to this increase in their client's interest in homemade meals and to having insufficient knowledge to assist them. At a time when motivated clients are considering homemade for their pets as an alternative, veterinarians are less than adequately versed in canine and feline nutrition and dietary options. The article addresses the two most important health issues concerning pet owners and veterinarians about homemade diets: nutritional integrity and food safety.     

Aging Equines: Understanding the Experience of Caring for a Geriatric Horse with a Chronic Condition

This study evaluated the experience of 1,448 people in the United States who currently care for or had previously cared for a geriatric horse and how that experience was qualified by the presence or absence of a chronic condition in the horse. An anonymous, online questionnaire was distributed to a cross-country sample to investigate the burden of caregivers from the perspective of owners of geriatric horses. Traumatic events and veterinary care decisions were also explored. Findings from the study supported the hypothesis that owners of geriatric horses with a chronic condition experienced higher levels of physical and emotional care burden, regardless of the age of the geriatric horse. Attachment levels reported by participants were high, regardless of the health status of the horse. This exploratory study provides the equine practitioner a greater understanding of the care burden experienced by owners of geriatric horses, particularly of owners of geriatric horses with a chronic condition, who rely on their veterinarian to guide their management and health care decisions. Veterinarians can help prepare and support clients as they navigate the complexities of caring for an older horse with a chronic condition.     

A case-control study of risk factors for equine influenza spread onto horse premises during the 2007 epidemic in Australia

The 2007 epidemic of equine influenza in Australia provided an opportunity to investigate the effectiveness of on-farm biosecurity measures in preventing the spread of a novel pathogen in a largely naive population. We conducted a case-control study of 200 horse premises from highly affected regions of the state of New South Wales (NSW), to investigate risk factors for the spread of equine influenza onto horse premises, specifically, non-compliance with biosecurity measures recommended to horse owners by the relevant animal health authority, the NSW Department of Primary Industries. The study was restricted to cases occurring during the first seven weeks of the epidemic, a period prior to vaccination and the relaxation of some movement restrictions. Case and control premises were selected from a laboratory testing dataset and interviews were conducted with horse owners and managers on premises between July and November 2009. The proximity of premises to the nearest infected premises was the factor most strongly associated with case status. Case premises were more likely than control premises to be within 5 km and beyond 10 km of an infected premises. Having a footbath in place on the premises before any horses were infected was associated with a nearly four-fold reduction in odds of infection (odds ratio=0.27; 95% confidence interval: 0.09, 0.83). This protective association may have reflected overall premises biosecurity standards related to the fomite transmission of equine influenza. Compliance with certain on-farm biosecurity practices seemingly prevented horses on premises in high risk areas being infected with equine influenza during the 2007 outbreak in Australia. In future outbreaks, in addition to broader disease control measures, on-farm biosecurity practices should be adopted by horse owners and managers to prevent equine influenza spread.     

Dietary management of cystic calculi in a horse

Principles in the dietary management of urolithiasis which have been successful in small animal cases were implemented in an equine case. This article describes the dietary management of a horse which repeatedly formed calcium carbonate cystic calculi. Treatment management included progressively decreasing the ration calcium content to reduce the intake of calcium. In addition, urinary tract infections were controlled and urinary acidification was used to inhibit calcium carbonate formation. Successful management was achieved by feeding a 0.2% calcium oat hay ration and administering 175 mg ammonium sulfate per kg body weight orally twice daily for 7 months which produced a urine pH of 5.0. There was no evidence of metabolic acid/base imbalances nor skeletal depletion of calcium. The horse has been free of cystic calculi for an additional 30 months while adequately maintained on a nutritionally balanced oat hay ration. Reducing dietary calcium intake and urine pH are possible management procedures in the horse with recurrent cystic calculi.     

Horse owners' biosecurity practices following the first equine influenza outbreak in Australia

A cross-sectional study was conducted involving 759 Australian horse owners to determine their biosecurity practices and perceptions one year after the 2007 equine influenza outbreak and to investigate the factors influencing these perceptions and practices. A web link to an online questionnaire was sent to 1224 horse owners as a follow-up to a previous study to obtain information about biosecurity perceptions and practices, impacts of the 2007 EI outbreak, demographic information and information about horse industry involvement. Ordinal logistic regression analyses were conducted to determine factors associated with poor biosecurity practices. Biosecurity compliance (low, medium, high), as determined by horse owners' responses to a 16-item question on the frequency of various biosecurity measures, was used as the outcome variable in ordinal logistic regression analyses. Variables with a univariable p-value ≤0.2 were eligible for inclusion in multivariable models built using a manual stepwise approach. Variables with a p-value <0.05 in multivariable models were retained in the final model. Two potential confounders - age and gender of participants - were included in the final model irrespective of their p-values. Thirty percent of the respondents had low biosecurity compliance and were performing biosecurity practices 'not very often' or 'never'. Younger people, people with two or more children, those who were not involved with horses commercially and those who had no long-term business impacts resulting from the 2007 EI outbreak were more likely to have lower biosecurity compliance. People who were not fearful of a future outbreak of equine influenza in Australia and those who thought their current hygiene and access control practices were not very effective in protecting their horses also had poor biosecurity practices. In this observational study we identified factors associated with a group of horse owners with low levels of biosecurity compliance. As this cross-sectional study only assesses associations, the identified factors should be further investigated in order to be considered in the design of extension activities to increase horse owners' biosecurity compliance.     

Assessment of Owner and Veterinarian Awareness of Equine Insulin Dysregulation and Available Treatments in Southeastern United States

Insulin dysregulation (ID) refers collectively to horses afflicted with fasting hyperinsulinemia and insulin resistance. Although there is no current data indicating the percentage of equines afflicted with ID, it appears to be a common subject among equine enthusiasts. In order to gauge public awareness of ID in horses and its available treatments, 122 horse owners and 18 veterinarians, representing 25 states, participated in a self-administered online survey. Questions were postulated to ascertain participant's awareness of the symptoms, management techniques, current treatments and medications, and knowledge acquisition associated with ID. The study revealed more than half of participants were “moderately aware” (34%) to “very aware” (25%) of ID in horses; however, when identifying symptoms of ID, some reported symptoms of pituitary pars intermedia dysfunction as those of ID. Many owners recognized current management strategies for ID; however, actual implementation strategies did not reflect standard management methods. Treatments mentioned for ID include supplements (14% of owners), thyroid supplement Thyro-L (13% and 72%), and pergolide/Prascend (21% and 61%) of owners and veterinarians, respectively. Veterinarians recommended diet and exercise as their main management strategy. Both owners and veterinarians reported using published research and veterinarians as a main source of information. The findings of this survey suggest that although awareness and recognition of the condition is high, proper identification, treatment, and management of ID varies. Moreover, research addressing the efficacy of pergolide as a treatment for ID is lacking. Additional education and research is needed to address these shortcomings.