ANNALS OF ANIMAL SCIENCE
ISSN: 2300-8733,
http://www.degruyter.com/view/j/aoas
ACCEPTED AUTHOR VERSION OF THE MANUSCRIPT:
Infectious and non-infectious factors associated with leg disorders
in poultry
DOI: 10.1515/aoas-2016-0098
Bartosz Kierończyk1, Mateusz Rawski1,2, Damian Józefiak1♦, Sylwester wiątkiewicz3
1
Department of Animal Nutrition and Feed Management, Poznań University of Life Sciences,
Wołyńska 33, 60-637 Poznań, Poland
2
Division of Inland Fisheries and Aquaculture, Faculty of Veterinary Medicine and Animal Science,
Poznań University of Life Sciences, Wojska Polskiego 71c, 60-625 Poznań, Poland
3
Department of Animal Nutrition and Feed Science, National Research Institute of Animal Production,
32-083 Balice n. Kraków, Poland
♦Corresponding author: damjo@up.poznan.pl
Received date: 3 January 2017
Accepted date: 2 March 2017
To cite this article: (2017). Kierończyk B., Rawski M., Józefiak D., wiątkiewicz S. (2017).
Infectious and non-infectious factors associated with leg disorders in poultry, Annals of
Animal Science, DOI: 10.1515/aoas-2016-0098
This is unedited PDF of peer-reviewed and accepted manuscript. Copyediting,
typesetting, and review of the manuscript may affect the content, so this provisional
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Infectious and non-infectious factors associated with leg disorders in poultry
Bartosz Kierończyk1, Mateusz Rawski1,2, Damian Józefiak1♦, Sylwester wiątkiewicz3
1
Department of Animal Nutrition and Feed Management, Poznań University of Life Sciences,
Wołyńska 33, 60-637 Poznań, Poland
2
Division of Inland Fisheries and Aquaculture, Faculty of Veterinary Medicine and Animal
Science, Poznań University of Life Sciences, Wojska Polskiego 71c, 60-625 Poznań, Poland
3
Department of Animal Nutrition and Feed Science, National Research Institute of Animal
Production, 32-083 Balice n. Kraków, Poland
♦Corresponding author: damjo@up.poznan.pl
Abstract
Broiler chicken welfare, health and performance are strictly linked with skeleton
development. Lameness compromises welfare of broiler chickens and causes considerable
economic loss since lame birds have difficulty accessing feed and water, become dehydrated
and eventually die. Leg disorders are therefore considered to be one of the main factors
associated with in-field mortalities between 21-42 d in broiler rearing at European poultry
farms. In chickens and other farm animals, bone development is strictly correlated with
dietary content of inositol hexaphosphate (IP6), as well as calcium and phosphorus
availability. However, lameness is also associated with many other factors, such as diseases,
genetics, species, gender, growth, aging, as well as physical loading, rearing period and
management. Therefore, the aim of the current paper is to review selected non-infectious and
infectious factors, which contribute to bone quality in poultry.
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Key words: poultry, leg disorders factors, bones, nutrition, management
Introduction
In the last 50 years, owing to intense genetic selection, body mass growth rates in
broiler chickens have increased by more than 300% (Knowles et al., 2008). Quick growth,
development and maturation of the skeleton are not accompanied by development of
sufficiently strong legs, fully capable of supporting a heavier than ever body, which causes
their deformation (Fleming, 2008). Breeding programmes aimed at achieving the greatest
muscle mass in birds interfere with their health. It is caused by an inverse correlation between
the increase in wing muscle mass and the decrease in lower leg muscle circumference. For the
above reasons, excessive bone loading causes different leg pathologies, such as weakening,
contusion, deformity, infections and osteoporosis (Rath et al., 1999).
According to UK estimates, as many as 27% of birds were affected by locomotion
problems in the pre-slaughter period and 3.3% were unable to walk (Knowles et al., 2008). In
addition, tibial dyschondroplasia affected 30% of meat-type chickens and 90% of turkeys
(Derakhshanfar et al., 2013). It has been estimated that 12.5 billion birds worldwide
experience leg problems annually (FAO, 2010). The most frequent form of tibial
dyschondroplasia is sub-clinical stage (Crespo and Shivaprasad, 2011). What is more,
economic loss caused by these disturbances in growth and development of bones and skeletal
system in poultry reached 150 million dollars in the USA alone (Sullivan, 1994; Cook, 2000;
Oviedo-Rondón and Ferket, 2005). Almeida Paz et al. (2010) noted that bone problems could
indirectly account for reduced profit from further chicken meat processing and thus for gross
profit reduction (10 - 40% of costs).
The strength of leg bones depends on many factors beginning from genetic
determinants, through species, sex, age, nutrition, rearing period to infectious agents or
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endocrine system functions (Diagram 1). Knowles et al. (2008) also highlighted the
significance of flock management practices which are often disregarded or limited only to
individual aspects, which can contribute to the worsening of leg bone quality.
Bone structure
Of all the known vertebrate classes, the bone system of birds is characterised by a
specific functionality. Being adapted to active flight, it entails many anatomical
modifications. Pneumatised bones, reduced amount of bone marrow, no teeth, horny beak,
and enlarged orbits in relation to the whole skull cause body mass reduction. The forearm and
hand bones and all pelvic bones are the only non-pneumatised bones. Of special note in the
aspect of bone and skeleton development and function, is the degree of mineralisation of the
os femoris, tibia, fibula and skeleton pedis due to their supporting character (Langenfeld,
1992).
The skeleton of birds is composed of a mineral part (70%), organic part (20%) and
water (10%). The majority of the mineral structure of bones is composed of calcium and
phosphorus built in hydroxyapatite (Turek, 1984). For the above reasons, crude ash is a
prevailing component of bones of birds and the ash content is thought to be a good indicator
of the mechanical strength and quality of bones. Mechanical bone breaking strength is defined
as a sum of factors/forces causing bone fracture (Nigg and Grimstone, 1994). Bone density,
defined as the mass-to-volume ratio, is another criterion of bone quality evaluation (Rath et
al., 2000). It is indicative of the completion of structure building and mineralisation (Boskey
et al., 1999). It was shown that density was not always dependent only on mineral content but
partially relied on osseomucoid (Knott and Bailey, 1998). Bone composition is also
influenced by intermolecular collagen crosslinking, interaction of collagen with proteoglycans
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and other noncollagenous proteins and by glucooxidative changes. Hence, bone
microarchitecture has a significant effect on their mechanical strength (Gorski, 1998).
Long bones are built by trabecular tissue with a lesser degree of calcification,
participating in metabolic processes and under constant remodeling, and by compact tissue
(Seifert and Watkins, 1997). The organic matter of bones is composed mostly of collagen
which improves bone toughness and supports its mineral components (Riggs et al., 1993).
Disturbances in collagen synthesis impair the biomechanical strength of bones. Bone tissue is
strengthened by calcification, fibrillogenesis, hydroxylation and crosslinking processes. It was
shown that dense pyridinoline networks (a component of intermolecular bonds of mature
collagen) contribute to the increased bone strength, while in osteoporotic birds their content
was reduced (Knott et al., 1995). Apart from collagen, the organic substance contains
proteoglycans, lipids and noncollagenous proteins (osteocalcin, osteonectin, and osteopontin).
Bone marrow, due to its role in osseous tissue remodeling (osteoblasts) and production of
cellular blood components, is particularly important for keeping homeostasis in the animal
organism. For this reason disturbances in leg bone formation not only can worsen the motor
performance of animals but can also reduce the functional efficacy of the immune system. It
is particularly important during bone marrow infection, inter alia due to the production of α
and β-defensins responsible for innate and acquired immunity, which is dependent on
production of leukocytes (Derache et al., 2009). Bone marrow, as a natural source of these
peptides, is also the place of their greatest expression (Lynn et al., 2004). It should be
remembered that during generalised infections, leukopoiesis in bone marrow increases
twofold (Klasing, 1998). Thus, it can be expected that during bone development disturbances
caused by pathogenic bacteria penetration, leukocyte synthesis will be limited. On the other
hand, Rajput et al. (2014) demonstrated that supplementation of probiotic strains
(Saccharomyces boulardii, Bacillus subtilis B10) had a beneficial effect on the immunity of
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broiler chickens, by increasing cytokine production by dendritic cells in bone marrow.
Moreover, the immunosuppressive properties of viruses such as Chicken Anemia Virus (CAV)
and Infectious Bursal Disease Virus (IBDV) can aggravate necrosis of the head of the femoral
bone in broiler chickens (Thorp et al., 1993; McNamee et al., 1999; McNamee and Smyth,
2000).
Non-infectious factors contributing to leg disorders
Mineral nutrition
Due to strong interactions between the levels of available calcium and phosphorus, an
optimal Ca : P ratio in chicken feeding is 2 : 1; however, for laying hens this proportion is
much higher, reaching 12 : 1. In commercial feeds for chickens, the Ca : P ratio is maintained
by using fodder phosphates, fodder chalk and exogenous enzymes - phytase, and also other
unconventional sources of these macroelements. For the above reasons the use of calciumcontaining preparations in drinking water can severely disturb its availability in relation to
phosphorus, since an excessive supply of one of these elements worsens the assimilability of
both of them. The poor quality of water which contain more than 75mg of Ca/L may
negatively affect nutrients, as well as medicines absorption (Mituniewicz, 2014). Jamroz et
al., (2007) demonstrated that from the calcium and phosphorus intake of 100 g each, chickens
assimilate 60-72 g Ca and 35-54 g P, depending on their age. Other studies have revealed a
significant role of the vitamin 25-hydroxycholecalciferol (Hy-D) (Koreleski and
wiątkiewicz, 2005) in improving calcium use. It is possible to add D3 or 25-hydroxy vitamin
D3 to the water for reducing rachitic episodes associated with low calcium or malabsorption
(Pattison, 2008). Experiments with alternative calcium sources in chicken diets showed no
differences in the crude ash content and Ca, P, Zn and Mg concentration in the tibia between
groups with and without supplementation of snail and oyster shells (Ajakaiye et al., 2003; Rao
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et al., 2006; Oso et al., 2011). It was also shown that charcoal used as a Ca source lowered its
bioavailability with a concomitant increase in tibial phosphorus content. Thus, a risk of leg
pathologies increased (Oso et al., 2011). It should be highlighted that excess Ca concentration
in the layer’s diet may negatively affect the retention of other essential minerals or reduce
phytase efficacy (Pastore et al., 2012, Englmaierova, et al., 2014)
Both the structure of the used component and the time of its availability in the
digestive tract of birds are significant factors determining optimal use of Ca. Scott et al.
(1971) suggested that larger particles of a calcium source prolonged the retention time in the
crop and gizzard in contrast to ground forms, thus the availability of this macroelement was
prolonged. This fact seems to be even more important because, during 8-9 hours of darkness,
when laying hens do not feed, demand for Ca increases due to the formation of the egg shell
(Etches, 1987). Moreover, it was shown that larger particles of the calcium-containing feed
component had a positive effect on bone quality in laying hens (Rennie et al., 1997; Fleming
et al., 1998; Saunders-Blades et al., 2009) which was demonstrated by the increased
mechanical resistance and crude ash content in the tibia (Guinotte and Nys, 1991). The
physical
form
of
mineral
components
and
diet
supplementation
with
25-
hydroxycholecalciferol can also be conducive to reducing the prevalence of keel bone
deformities in laying hens housed in cages with perches (Soares et al., 1995; Abrahamsson et
al., 1996; Fleming et al., 1998). However, the role of nutritional factors in the prevention of
the mentioned deformities and fractures is limited. This was evidenced by the lack of
differences in the crude ash content in the tibia and keel bone in the birds with deformities
compared with healthy ones (Fleming et al., 2004). The genetic traits of birds, housing system
(cage vs. free range) and perch material (plastic vs. metal) will have a greater influence in
respect of this (Fleming et al., 2006ś Käppeli et al., 2011).
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Plant-derived feed components contain ca. 70% of phosphorus in the form of phytic
acid unavailable to poultry. Phosphorus excess in the diet is excreted by the kidney, thus
having a disadvantageous effect on the metabolism of birds and the natural environment.
Phytase hydrolysing phytic acid to ortho-phosphate, myo-inositol and phospho-inositol
derivatives (Swick and Ivey, 1990) is one of the most commonly used enzyme in the feed
industry. There are many scientific reports confirming the significant effect of phytase on
proper bone mineralisation in broiler chickens. Pintar et al. (2005) demonstrated that diet
supplementation with phytase increased Fe and Mg concentration in the tibia while Yi et al.
(1996) noted an enhanced Zn utilisation. In addition, Ca, P, Mg and Zn retention was elevated
during feeding 3- and 6-week broiler chickens with phytase-supplemented feed (Viveros et
al., 2002). On the other hand, Ptak et al. (2013) documented the significance of the kind of
exogenous phytase in feed on tibia mineral composition in broiler chickens. It should be
remembered that the digestive tract of birds has a limited ability to hydrolyze phytates (Iqbal
et al., 1994), which is especially important for myo-inositol release. The action of exogenous
phytase is specifically stimulated by endogenous microflora and wall enzymes, which was
confirmed by different forms of phospho-inositol present in the crop and small intestine of
birds. In addition, many studies have suggested a synergistic action of phytase and fibrolytic
enzymes, e.g. xylanase or β-glucanase.
Unfortunately, common phytase use in the feeding of non-ruminants can have
disadvantageous aspects. This problem seems especially important in the feeding of presentlyused hybrid breeds of broiler chickens. In recent years the body mass in this group of animals
has increased along with a concomitant decrease in feed consumption per kg of body mass
growth. In addition, manufacturers of genetic material recommend the use of lower levels of
calcium and phosphorus and assimilable forms of these elements are produced mostly by the
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activity of exogenous phytase. For the above reasons, both phytase overdose and its losses
during granulation can worsen bone mineralisation.
Flock management in the rearing of broiler chickens is another important factor
influencing phytase action in the avian digestive system. Exogenous phytase operates
principally in the bird’s crop in which feed remains from several to several tens of minutes.
Therefore, rapid intestinal transit induced, for instance, by lighting programmes used at the
farm reduces exposure of phytates to this enzyme, causing lower phytate phosphorus use
(Svihus et al., 2010; Svihus et al., 2013).
Apart from the above-mentioned macroelements, microelements also significantly
influence bone mineralisation. Fluorine is beneficial for bone density in poultry, contributing
to an improvement in bone quality (Lundy et al., 1992; Rennie et al., 1997). Wilson and
Ruszler (1998) demonstrated that boron supplement in feed was beneficial for bone strength.
On the other hand, too low a copper content in a bird’s diet shrank the collagen network
structure and reduced the mineralisation intensity (Osphal et al., 1982). Further, aluminium
caused growth depression (Huff et al., 1996) and decreased the mechanical strength of bones
(Johnson et al., 1992).
wiątkiewicz and Koreleski (2008) revealed that Zn and Mn
supplementation in an organic form - instead of an inorganic form - to the diet of laying hens
did not affect rearing efficiency and bone quality but contributed to alleviation of the negative
effect of age of laying hens on the mechanical resistance of the egg shell. On the other hand, a
zinc deficit (10 mg/kg) in young fowls had a detrimental effect on bone formation (Wang et
al., 2002). In broiler chickens, increasing the zinc level to 100 mg/kg of feed resulted in a
significant improvement of bone strength and a reduction of the risk of locomotor
disturbances (Štofaníková et al., 2011). The bioavailability of different mineral components
changes when they are added in the form bound to either organic or inorganic carriers. The
bioavailability increases with the change in the mechanism of the absorption process, namely
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the transport through the cell membrane by diffusion is much less efficient than the transfer of
mineral components bound with an amino acid (Sun et al., 2012; wiątkiewicz et al., 2014). It
should also be mentioned that there are specific interactions between macro- and
microelements which can result both in their antagonism or cooperation.
Moreover, the role of vitamins are crucial in tibial dyschondroplasia prevention in
poultry flocks. Apart from cholecalciferol which was described above vitamins such as retinol
(Vit. A), ascorbic acid (Vit. C), as well as menaquinone (Vit. K) affect the chondrocytes
maturation, synthesis of collagen and its cross-links or stimulate calcification process,
respectively (Horvath-Papp, 2008). However, the vitamin A overdosing may be the cause of
rickets or keel bone deformities.
Feed quality
It is well known that mycotoxins have a negative effect on animals growth
performance, reproduction, and health. It was proven that trichothecen toxin (Fusarium
roseum ‘Graminearum’) increase tibial dyschondroplasia prevalence (Lee et al., 1985).
Furthermore, aflatoxin may interacts with Vit. D deficiency and escalate the rickets
occurrence in chickens (Hamilton et al. 1974). The study of Huff et al. (1980) confirmed that
aflatoxin and ochratoxin have harmful influence on bone properties in scope of decreased
mechanical strength of tibia and increased its flexibility. The use of diet contaminated with
mycotoxins (aflatoxin, ochratoxin) may enhance appearance of lameness in broiler chicken
flocks from 2.3% up to 25% (Okiki et al., 2010). Aflatoxin B1 experimentally added in-ovo
impaired embryonic development of the tibial growth plate, thus birds are more vulnerable to
legs abnormalities during rearing (Oznurlu et al., 2012). Fumonisin B1 was considered as an
etiological factor of leg deformity and rickets, malabsorption through diarrhea (reduced
efficiency of mineral metabolism), as well as liver and kidney lesions which are involved in
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cholecalciferol conversion. However, fumonisin by itself is not sufficient to induce leg
problems (Wu et al. 1995). Additionally, less common toxins such as fusarochromanone
(TDP-1) cause leg deformities, as well (Pattison, 2008). It must be highlighted that, the wheat
and other cereals may be contaminated with more than one mycotoxin. Up to 69% of samples
studied by Bryła et al. (2016), were containing between 3 and 8 mycotoxins. Thus, the
additive or synergistic activity of mycotoxins may enhance the adverse impact on the avian
skeletal system.
Dyschondroplasia may be induced by pesticides also. In this case, Rath et al. (2011)
noticed the negative role of dithiocarbamates, which are widely used in agriculture as an
fungicides or pest reppelents. It is well known that thiram and disulfiram increases the
incidence of tibial dyschondroplasia. Rath et al, (2004) show that even a short posthatch
exposure (1 d – 2 d) of birds for thiram cause the enhanced presence of tibial
dischondroplasia. Moreover, Subapriya et al. (2007) found that the negligible levels of thiram
(15 ppm) affect the health and growth performance of broilers. Consecutive trial of Rath et
al., (2007) emphasised that other pesticides like disulfiram, ferbam, as well as ziram are
potentially factors caused tibial dischondroplasia.
It is well known that imbalanced diet may cause several negative effects from growth
depression and health problems to economic losses. As described Orth et al. (1992), amino
acids in the diet, especially sulfur amino acids such as cysteine, cystine, homocysteine may
induce tibial dyschondroplasia, except methionine. Andrews et al. (1989) noticed that
histidine may cause tibial abnormalities, as well.
The use of feed supplements in the aspect of skeletal system building
Antibiotics can either improve or worsen the skeletal system structure in birds. Studies
with diet supplementation with virginiamycin (15 ppm) in broiler chickens demonstrated its
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beneficial effect on Ca and P content in the tibia and in the blood of birds. Further studies
revealed that penicillin use had an advantageous effect on the calcium content in bones.
However, its action was tightly correlated with vitamin D level in the diet (Ross and
Yacowitz, 1954). It was also noted that bambermycin and oxytetracykline supplement
elevated Mn concentration in bones (Henry et al., 1987). Avilamycin was efficient in
increasing crude ash content in bones with a concomitant improvement in the immunological
status of chickens (Chowdhury et al., 2009). However, there are also reports of a negative
effect of enrofloxacin, and ciprofloxacin on the development of tendons, cartilage and bones
in embryos. Disturbances of bone formation at the egg stage increase mortality in fowls,
caused by their inability to successfully hatch (Lemus et al., 2009). It should also be
remembered that the use of any type of antibiotic affects the development of the digestive
tract microbiome in birds, thus indirectly influencing retention of mineral components in the
body (Ziaie et al., 2011). For this reason, in certain cases, e.g. after antibiotic therapy,
probiotic microflora supplement to the diet can have a positive effect on the structure and
function of the skeletal system. This assumption was confirmed by studies by Mutuş et al.
(2006), who indicated a positive effect of Bacillus licheniformis and Bacillus subtilis in the
diet of laying hens on the crude ash content and phosphorus level in the tibia. Studies of
Abdelqader et al. (2013) demonstrated that B. subtilis increased the mass and density of bones
in broiler chickens and elevated the inorganic matter content. Moreover, Nahashon et al.
(1994) noted that the addition of probiotic bacteria of the genus Lactobacillus could improve
calcium and phosphorus use and increase the egg size. Lactobacillus sporogenes applied in
broiler chicken diet caused an increase in bone inorganic substance and improved the bones’
mechanical strength (Panda et al., 2006). The use of Aspergilium niger (Fermacto®, PetAg
Inc., Hampshire, IL 6014, USA) as a feed supplement in turkey hatchling flocks significantly
influenced bone mineralisation parameters and their mechanical strength (Reginatto et al.,
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2011). The experiment conducted by Houshmand et al. (2010) proved that broiler chicken diet
supplementation with probiotic, prebiotic and synbiotic preparations and organic acids can
constitute a strategy to increase production, concomitantly alleviating bone problems in
chickens. Furthermore, it was noted that the use of beer yeast in chicken nutrition reduced the
prevalence of tibial dyschondroplasia and increased the mechanical strength of bones (Plavnik
and Scott, 1980). Other authors have noted that Mitsuokella jalaludinii (native to the rumen of
ruminants) used as a supplement to the diet with low non-phytic phosphorus concentrations
increased rearing efficacy and improved bone mineralisation in broiler chickens.
The application of short-chain fatty acids (SCFA) in laying hen nutrition and their
combination with medium-chain fatty acids (MCFA) showed a positive effect on mineral
retention ( wiątkiewicz et al., 2010). These substances enhance Ca and P bioavailability by
lowering pH in the upper parts of the digestive tract. Experiments in broiler chickens proved
that the use of organic acids was beneficial for the intestinal villus height (Garcia et al., 2007).
The increase in Ca use induced by organic acids is underpinned by a reduction of insoluble
forms of the calcium phytate complexes and making Ca available in the form of chelates
(Boling et al., 2000). Irani et al. (2011) noted the beneficial effect of butyric acid supplement
to broiler chicken diet as it increased crude ash content, calcium and phosphorus level;
however, statistically significant differences were not achieved. When butyric acid is added to
the diet, it should be remembered that 60% of this substance is absorbed in the crop of birds
(Bolton and Dewar, 1965). To be able to achieve a greater efficacy of this acid, it should be
used in combination with mineral carriers and also estrified by glycerol or used in a
microcapsulated form (Irani et al., 2011). At the same time, as suggested by Katono et al.
(2008), butyric acid is a stimulator of bone formation by the production of osteoprotegerin
(OPG) and bone sialoprotein (BSP). What is more, the use of a mixture of butyric, formic,
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propionic and lactic acid salts significantly reduced the number of broken eggs which could
be related to an increased serum Ca concentration (Soltan, 2008).
Due to rapid intestinal transit in chickens lasting ca. 12 h on average (Svihus et al.,
2010), the choice of appropriate diet components is a crucial aspect of poultry nutrition. The
use of ground herbs does not produce such good effects as the use of their extracts. The
experiment of Deng and Hou (2003) involving supplementation of Gushukang (a herb
mixture containing Herba Epimedium, Rhizoma Drynariae, Rhizoma Atractylodis and Radix
Astragali) revealed that it significantly increased the contents of mineral components in the
bones of pullets. The supplement of the above preparation to the diet of 55-week-old laying
hens significantly improved egg production and reduced the percentage of cracked eggs.
Gushukang significantly influenced tibial, fibula and humeral bone mass, bone mass-to-body
mass ratio (bone index) and bone density. For the tibia, a positive effect of the preparation on
its mechanical strength vs. the control group was evidenced by appropriate measurements
(Zhou et al., 2009).
Management
Environmental conditions, both during incubation and production, are crucial for bone
system development in poultry. During the prenatal period, the choice of a correct incubation
programme in an incubator is the most important issue. However, control of housing
conditions during chicken rearing seems to be of key significance for optimal bone quality.
The most important managerial factors include: litter quality, the lighting programme,
stocking rate, distance between drinking line and feeding line, supplements to drinking water,
ventilation, installation of perches in cages for laying hens and vaccination schedule. In
addition, a direct contact, sometimes contributing to wing or leg fracture, is an often
disregarded but very important component of poultry management programmes.
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The knowledge about physiological changes occurred during rearing of various birds species
is crucial from the point of view of their management. It should be emphasised that in the case
of meat type Japanese quails (Coturnix coturnix japonica) tibiotarsal bone density is
decreasing in 6-week-old birds (Charuta et al., 2013a). In the case of 9-week-old turkeys, the
lowering density of proximal metaphyses of tibiotarsal bone may cause leg disorders (Charuta
et al., 2012a). The same attenuation may be observed in the 4-week-old broiler chicken stocks
(Charuta et. al., 2013b). Moreover, for Peking ducks (Anas platyrhynchos var. domestica) the
loss of bone mineral content was observed in the period from 4th and 6th week of rearing
(Charuta and Cooper, 2012). The lowest value of tibia density was noticed in 6-week-old
males of growing domestic geese (Anser domesticus), which was correlated with deformities
and fractures (Charuta et al., 2012b). Above-mentioned data may constitute the useful
information for preventing legs abnormalities in poultry.
Incubation
The most significant stress factors which affect the developing embryo during
incubation include the inappropriate setting of temperature, humidity and ventilation
(Meijerhof, 2002; Hulet, 2006). It was noted that an increase in temperature by 1 degree
above 37°C and hypoxia (below 19% oxygen) during the final 4 d of incubation impairs the
development of bones and collagen type X and increases asymmetry of the skeleton in broiler
chickens (Oviedo-Rondón et al., 2008). However, it was also shown that temperature increase
from 37.5°C do 38.5°C from 4 d to 7 d of incubation caused elongation of the tibia and tarsal
bone in Leghorn chickens (Hammond et al., 2007). On the other hand, Oviedo-Rondón et al.
(2008) noted the longest tibia in broiler chicks incubated at 38°C compared with 36°C, 37°C
and 39°C. It is thought that an optimal incubation temperature of 37°C – 38°C (Wilson, 1991)
allows for achieving the maximal hatching rate, but future health is rarely taken into
consideration (Decuypere and Michels, 1992), especially in terms of bone system
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development. Increasing of early incubation temperatures may induce the tibial
dyschondroplasia due to delayed heat-shock protein 90 (Hsp90) driven chondrocyte
differentiation (Yalçin et al., 2007, Genin et al., 2012). However, the studies of Christensen
et al. (1994) and French (1994) suggested that temperature requirements differed depending
on poultry hybrid and egg size, which hindered the proper setting of incubators and precluded
the development of universal solutions. For instance, the Cobb embryo developed faster in the
first 4 d to 5 d of incubation, in comparison to the Ross which grow more rapidly in the 2nd
week (Tona et al., 2010).
Every temperature increase during incubation results in a change in hatching date and
hatchling body weight. It was shown that incubation duration was essential for bone
formation process in poultry. Prolongation of incubation from 505 h to 520 h shortened tibial
bone length from 61.04 mm to 59.25 mm (Shim, 2010). Groves and Muir (2016) observed
that tibial dyschondroplasia occurs less frequently in the case of the Cobb 500 broilers hatch
after 498 h of incubation. Moreover, it was noted that the time between hatching and setting
was another stress factor which could influence chick leg health (Shim and Pesti, 2011).
Worthy of note, different incubation systems are used in practice which can significantly
affect the prevalence of leg deformities. As demonstrated by Oviedo-Rondón et al. (2009a),
the incubation of embryos in a multistage system can reduce the prevalence of crooked toes
and increase the locomotor activity of birds.
The highest bone growth rate during the prenatal period in chicks occurs mostly in the
last phase of the incubation and several days after hatching (Church and Johnson, 1964;
Applegate and Lilburn, 2002). Due to the fact that currently embryos are characterised by a
high metabolism rate (Tona et al., 2004), some nutrients can be deficient during the final
incubation days. For instance, in this period, available P, Zn, Cu and Mn reserves are limited
(Yair and Uni, 2011). The postnatal period seems to be the next critical time for an
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incompletely developed bone system due to weak mineralisation, immature digestive system
and negligible feed intake in hatchlings (Angel, 2007).
The environment in an incubator appears to be particularly important because it affects
the chicken organism for over a half of its life (58%) taking into account 21-d incubation and
36-d rearing.
Transport
Up to now the optimal transport conditions for chickens have not been well
established. However, it is known that they can minimise (temperature, ventilation) the first
week mortality and contribute to rearing success (Xin and Rieger, 1995; Xin and Harmon,
1996; Joseph and Moran, 2005). At present, it is suggested that even a short-term exposure of
animals to stress related to temperature deviation from the optimum during transportation
from hatchery to the farm can disturb chicken leg health, especially with regard to
development of twisted legs (Oviedo-Rondón et al., 2009b)
Lighting
The lighting regimen in poultry production is an important factor stimulating
reproduction, growth and activity of the animals (Phillips, 1992). It has been proven often that
an increase in locomotor activity of birds reduced the risk of bone system defects (McLean et
al., 1986). Prayitno and Phillips (1997) demonstrated that red light increased the frequency of
pecking of the substrate and other birds (uninjurious) and wing stretching compared to blue
and green light. In turkeys, blue light reduced the activity of the animals compared to white,
green or red light (Levenick and Leighton, 1988). It was proven that an enhanced light
intensity reduced bone pathologies in fowl, like tibial and tarsal bone deformities, talus
enlargement and dyschondroplasia (Newberry et al., 1988; Classen et al., 1991). The lighting
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programme seems to be the most important factor in the management of poultry production. It
is commonly known that an intermittent lighting system increases body mass growth in
chickens and feed conversion ratio compared to a continuous system (Ogan et al., 1999;
(Ingram et al., 2000). Due to the fact that ad libitum feeding system causing reduction of
physical usage of the crop (Kierończyk et al. 2016), as well as by a longer resting period used
for the digestion and assimilation of nutrients. Too long a light phase results in excretion of
high protein concentrations in faeces (North and Bell, 1990). On the other hand, a prolonged
exposure of birds to darkness reduces the chick growth rate but also decreases the risk of leg
pathologies and metabolic diseases (Simmons, 1982; Wilson et al., 1984; Classen and Riddell,
1989). Brickett et al. (2007) noted that a longer resting time (12L : 12D) increased the
concentration of minerals in bones, as was confirmed by Scott (2002), based on a comparison
of the systems 16L : 8D and 23L : 1D. These chickens were characterised by a higher crude
ash content in the toe. Yang et al. (2012) noticed that 4L : 4D schedule improve growth
performance of broilers, blood (total protein), as well as tibia parameters (bone elastic
modulus) in compare to 2L : 2D photoperiod. However, due to the interaction between sex
and lighting programme, cockerels, usually having more problems with leg health, will gain
more benefits from a proper lighting regimen (Pierson et al., 1981; Classen et al., 1991).
Ambient temperature
Temperature is a significant factor contributing to the increased prevalence of bone
and skeleton disorders in chickens. It was repeatedly shown that too high a temperature had a
negative effect on feed intake and body mass growth in these animals (Deaton et al., 1978;
Charles et al., 1981; Deaton et al., 1984). Therefore, it caused deficits of nutrients in the body
which participate in bone building. Concomitantly, thermal conditions can lead to changes in
the absorption and retention of mineral components (El Hussieny and Creger, 1981;
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Wolfenson et al., 1987; Belay et al., 1992). It was proven that thermal stress could reduce
bone mass and the bones’ mechanical strength (Siegel et al., 1973). The prevalence of leg
disorders can also be related to too low a temperature, since, as suggested by Hulan and
Proudfoot (1987), a reduction of the blood circulation rate can decrease the absorption of
mineral substances.
Moreover, literature data suggests that the presence of potentially pathogenic bacteria
in the environment can be associated with temperatures during specific periods of the year.
Butterworth and Halsam (2005) noted that the probability of the appearance of E. coli and/or
Enterococci was the lowest in December, in contrast to June which was characterised by the
highest prevalence of these bacteria. Temperature dependence was also observed for the gait
score, which was low in March and the highest in September.
Space allowance
An increase in floor space in broiler chicken production increases the activity of the
animals. Reiter and Bessei (1995) proved that an intensification of broiler chicken locomotor
activity influenced their bone development. Hence, raising the distance between the drinking
line and feeding line (Reiter and Bessei, 1996) or construction of barriers (Bizeray et al.,
2002) can improve leg health. Interestingly, in the study of Kaukonen et al. (2016) broilers
did not use the perches in comparison to platforms which positively contributed to reducing
tibial dyschondroplasia occurance. In addition, it was demonstrated that decreasing the
stocking rate made chickens walk longer distances (Lewis and Hurnik, 1990). Škrbić et al.
(2009) suggested that the stocking density had a greater effect on tibial quality than the
lighting programme. However, it should be noted that it is possible to alleviate the negative
impact of overstocking by the use of an intermittent lighting regimen.
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Litter
Up to now numerous experiments have been conducted to find the most beneficial
substratum for poultry production (Petersen and Jensen, 1983). Wiedmer and Hadorn (1996)
suggested that when wood chips were used as a litter material, the birds showed a greater
activity than when housed on wheat straw, which could influence leg bone health. However,
no effect of litter material, i.e. straw, wood chips or hemp on tibial dyschondroplasia was
noted. Poor quality, wet or ammonia-contaminated litter is the main cause of food-pad
dermatitis and hock burn in broiler chickens (Tucker and Walker, 1992). It is thought that in
large-scale production, exactly the substratum quality, temperature and humidity are more
important for leg problems than overstocking (Dawkins et al., 2004). The studies of Su et al.
(2000) confirmed that the use of wood chips efficiently reduced the prevalence of food-pad
dermatitis (FPD). However, a direct link between the development of bone pathologies and
FPD has not been established. Nevertheless, bone pathologies were noted to accompany
‘shaky leg’ syndrome in turkey flocks. This condition could have been caused by the feeling
of leg pain indirectly caused by FPD (Laing, 1976; Wise and Ranaweera, 1978; Martland,
1984).
Restrictive feeding
The slow development of the tibial bone in broiler chickens compared with ducks or
turkeys increases the risk of biomechanical leg problems in these animals (Lilburn, 1994).
Alternative measures aimed at reducing bone deformities in poultry involve a restricted
supply of nutrients (Kirn and Firman, 1993) or energy (Toghyani et al., 2011). A reduction of
feeding frequency in commercial poultry production has been applied mostly to breeding
flocks of broiler chickens. The restrictive feeding regimen during rearing reduces growth rate,
thus lowering the probability of leg pathologies (Mench, 2002). The reduction of feed intake
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to 40% ad libitum reduces the tibial length and width without an effect on its mechanical
strength (Bruno et al., 2000). Nielsen et al. (2003) showed that the implementation of a period
with restricted diet increased the activity of birds, which had a beneficial effect on bone
strength and reduced bone disorders (Falcone et al. 2004). The studies of Su et al. (1999)
confirmed that a restricted diet could reduce the prevalence of leg defects. However, it should
be noted that the use of a diet involving restricted access to feed can have a detrimental effect
on chickens, leading to polydypsia and stereotyped behaviour manifested by object pecking
(Hocking, 1993; Savory and Maros, 1993; Savory et al., 1996). Fortunately, Sandilands et al.
(2005) noted that qualitative diet restriction could reduce its disadvantageous effects on
animals. The most common methods used to reduce the intake of energy or nutrients from
feed comprise supplementation of appetite suppressants or diet dilution (Pinchasov and
Elmaliah, 1995; Savory et al., 1996).
Infectious factors contributing to leg disorders
Infectious agents, most often of a bacterial origin, are a separate problem affecting the
growth and development of the bone and skeletal system (Table 1). They can significantly
impair motor performance of broiler chickens, their health and consequently selection at the
farm. Bacterial infections of the bone and skeletal system have been observed in the USA,
Canada and Europe for many years. Many microorganisms can cause bone and skeletal
system dysfunctions in poultry. The most important of these are Enterococcus sp. (Kense and
Landman, 2011), Staphylococcus aureus (McNamee et al., 1998), Salmonella spp. (Padron,
1990) and Escherichia coli (Dinev, 2009). The etiology of infection-based lameness has not
been fully elucidated. However, numerous literature data indicates that chickens contract
infection with microorganisms responsible for chondronecrosis through the respiratory and
digestive system, and the infection spreads by the way of the bloodstream (Diagram 2).
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The studies of Wideman et al. (2012) threw a new light on this problem due to the
application of a special experimental model that allowed for the simulation of lameness in
laboratory conditions. Thus, it was possible to test solutions aimed at alleviating these
diseases. The hallmark of this model is that birds are not experimentally infected, as in
experiments of a ‘challenge’ type in which the birds are infected with known pathogens
inducing leg diseases. In the studies of Wideman et al. (2012), the animals were housed in
pens measuring 3.7 x 2.5 x 2.5 m (which did not restrict their movements), equipped with
constant ventilation (6m3/min). Drinkers and feeders were placed on opposite sides so that the
birds had to always move when they consumed feed or drank water. In this model, bone
system dysfunctions were caused by keeping animals in cages with a slotted floor which
much more frequently induces disturbances in the structure and development of the leg bones.
It is caused by chronic joint loading which leads to microinjuries of cartilages, making them a
good medium for development of potentially pathogenic microorganisms. In the model under
discussion, wire panels were used in order to obtain the above effect. Wideman et al. (2012)
noted that the use of different types of floor significantly contributed to the development of
lameness. Diet supplementation with probiotic bacteria was beneficial for the motor
performance of broiler chickens. A positive effect was also observed when only one type of
floor, i.e. a slotted floor was used. It is possible that the improvement of the bone and skeletal
system development in birds after probiotic supplementation was achieved due to secretion of
antibacterial peptides of ribosomal origin, i.e. bacteriocins by these microorganisms.
Staphylococcus aureus, causing necrosis of the head of the femur, was susceptible to
bacteriocin synthesised by Staphylococcus epidermidis. In addition, experiments involving
spraying an aerosol containing S. epidemidis reduced the number of Staphylococcus aureus
bacteria and decreased the frequency of lameness in turkeys and broiler chickens (Nicoll and
Jensen, 1987a,b).
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Interestingly, it is possible to observe no signs of discomfort, lameness or leg
weakness during rearing of birds which have severe lesions. It may be explained that birds
have an ability to mask symptoms of distress due to avoiding aggressive behavior of flock
mates (Wideman et al., 2014, ).
The bone and skeletal system disturbances in broiler chickens are caused not only by
pathogenic bacteria but also by viruses. As suggested by Van der Heide et al. (1981),
infection with reovirus (Connecticut strain S1133 avian reovirus) and, indirectly, with
reovirus-induced enteritis can lead to impaired absorption of nutrients in the digestive tract,
which may contribute to osteoporosis. Moreover, the reovirus isolated from the alimentary
tract of broiler chickens with diarrhoea symptoms can induce lesions of tenosynovitis and, in
turn, femoral head necrosis and brittle bone disease.
Immunosuppressant viruses are often used to develop experimental conditions for
studies on virulence of e.g. Staphylococcus aureus causing bone diseases in poultry. This
model is based on the hypothesis that the incidence of bacterial chondronecrosis with
ostemyelitis (BCO) is much higher when the bird’s organism is exposed to viruses (Thorp et
al., 1993). However, McNamee et al. (1999) suggested that in spite of the fact that adenovirus
and reovirus were isolated from bone material, their presence was not directly related to leg
defects. Nevertheless, in the infection model with Staphylococcus hyicus, chicken anaemia
virus (CAV) and infectious bursal disease virus (IBDV) significantly increased (from 9.1% to
23.1%) the incidence of BCO in chickens (McNamee, 1998). Moreover, Butterworth (1999)
also distinguished the Laryngotracheitis virus, Pox viruses and Marek’s disease as the agents
potentially able to significantly contribute to an increased BCN frequency. Rosenberger and
Olson (1991) reported that 4-7 w old chickens did not show considerable virus-induced
mortality (<5%) but revealed significant morbidity. Unequivocal literature data indicates that
further studies of this problem are required. However, from a practical perspective the use of
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vaccines against one pathogen, e.g. S. aureus may prove inefficient because, as suggested by
McNamee and Smyth (2000), an efficient control and prevention strategy should be based on
limiting the role of different potentially pathogenic bacteria and immunosuppressant viruses.
Summary
There are many factors in the rearing of broiler chickens that influence the
development and function of the bone and skeletal system. A properly balanced diet is only
one of them. Undeniably care for the welfare of birds and appropriate hygienic conditions
seems to be the key issue for intensive growth rate of bone tissue. For the above reasons it
should be emphasised that when motor dysfunctions in broiler chickens have been noticed, a
correct diagnostics is of crucial significance because only when the factor responsible for
worsening of bone and skeletal system function is identified can the problem be efficiently
resolved.
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Diagram 1. Selected infectious and non-infectious factors contributing to leg disorders in broiler chickens.
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Diagram 2. Infectious pathways contributing to bone abnormalities. Based on Mutalib et al. (1983), Wideman et al. (2012) and Pastorelli et al.
(2013).
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Table 1. Infectious and non-infectious skeletal system disorders of meat-type and layer-type folw. Based on Pattison (2008)
Item
Skeletal disease
Aetiological factor
Meat-type fowl
Infectious
Arthritis, Tenosynovitis
Staphylococcus aureus, Staphylococcus epidermidis, aviadenoviruses, reoviruses
Bacterial chondronecrosis
Staphylococcus aureus, Staphylococcus hyicus, E. coli, Enterococcus cecorum
with Osteomyelitis
Femoral head necrosis
Osteomyelitis, Staphylococcus sp., Gumboro virus, Rickets, dyslipidemia, physical injuries
Spinal osteomyelitis
Staphylococcus sp.; Enterococcus caecorum
Hock joints
Staphylococcus sp., stress e.g. coccidiosis, lack of perches
Mycoplasma
Mycoplasma synoviae
Non-infectious Spondylopathies
Displacement of the fourth thoracic vertebra which may compress the spinal cord
Rotational and angular
Low mineralisation, insufficient physical activity
deformity
Rickets
Deficiency of Ca or P with insufficient Vit. D
Dyschondroplasia
Low Ca:P ratio, metabolic acidosis (elecrolyte imbalance in feed), high level of chloride in
feed, Cu deficiency, excess dietary cysteine or homocysteine, mycotoxicosis, pesticides
Chondrodystrophy
Deficiency of Mn, choline, niacin, Vit. E, biotin, folic acid, pyridoxine
Fracture
Mechanical trauma, Simultanously with osteodystrophies, dyschondroplasia, mycotoxicosis,
osteomyelitis, Vit. C deficiency, aluminium excess, bone marrow lymphomas
Spiral fracture
Overweight, Ca deficiency or its short retention time in the gizzard
Foot-pad dermatitis
litter condition, methonine, biotin deficiency, protein digestibility, high insaturated fats,
diarrhoea, litter management
Degenerative joint desease Improper handling, Mycoplasma, Inflammatory arthropathy
Osteochondrosis
Pathology of the trochanter and antitrochanter
Deep pectoral myopathy;
mycotoxins, deficiency in antioxidants, ionophore toxicity, Infectious Bronhitis Virus (IBV)
Nonspecific lameness
Layer-type folw
Non-infectious Osteoporosis
Decrease in mineralised structureal bone (Ca mobilisation in eggshell formation)
Osteopenia
Consequence of osteoporosis, Deficiency of Ca and/or P
Infectious
Osteopetrosis
Retroviridae, avian leukosis/sarcoma virus, high level of alkaline phosphatase in serum
Amyloidosis
Staphylococcus aureus, Escherichia coli, Salmonella enteritidis, Enterococcus faecalis
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