24/03/2026
“He’s just a bit cresty”
Adipose tissue isn’t just somewhere the body “stores” extra calories — it’s incredibly metabolically active, especially in certain parts of the horse. Fat cells release a wide range of signalling molecules called adipokines, which can influence insulin sensitivity, inflammation and, ultimately, laminitis risk.
That’s why two horses with the same body condition score can behave very differently metabolically. The interaction between fat distribution, fat metabolism and the management strategies we use is complex and highly individual — there’s no true one-size-fits-all approach.
This lovely cob wasn’t clinically obese. His body condition score was 6/9 but his cresty neck score was dangerously high before our consultation. That regional fat deposition can be strongly associated with metabolic dysfunction and laminitis risk, even when the rest of the horse doesn’t look “fat”.
With a clear, welfare-focused plan and a dedicated owner, his cresty neck score improved dramatically in just 90 days. We tailored his program to his metabolism, his lifestyle and his risk factors, because that nuance really matters.
If you’d like help navigating EMS, obesity or laminitis risk and want a clear, evidence-based approach read more about our Laminitis Care Program. This program is open to both new and existing clients who want an individualised, tailored approach to their horse’s long term metabolic health.
https://avonridgeequine.com.au/laminitis-assessments/