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Feeding a senior horse: teeth, weight and the right feed

How to feed an older horse: check the teeth first, track weight and body condition, replace hay with soaked forage when needed, and know when to ask the vet about PPID or EMS.

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On this page
  1. 1Short answer
  2. 2At a glance
  3. 3Check the teeth first
  4. 4Weigh the horse and score its body condition
  5. 5Replace the forage the horse cannot chew
  6. 6Senior feed and protein
  7. 7Signs to raise with your vet: PPID and insulin problems
  8. 8Water, winter and mealtimes
  9. 9FAQ
  10. 10Our pick

Short answer

Start with the teeth and a vet exam, then weigh and body-condition-score the horse every few weeks. If the horse cannot chew hay, replace part of it with soaked hay cubes, pellets, chopped forage or beet pulp, or a senior feed. Ask the vet about PPID or insulin problems if the horse has a long coat, muscle loss, drinks more or has sore feet.

Choose this if

A notebook and a weight tape are enough if you have one steady senior and a vet who sees it often.

Choose the other option if

Trotley helps when weight, dental visits, medication and vet notes need to sit in one record for each horse, with reminders for what is due.

At a glance

FeatureHay aloneSoaked forage substitutes and senior feed
Works with worn or missing teethNothe horse may roll and wad hayYescubes and pellets are easier to chew, and water softens them
Counts as forageYesYesMerck lists hay cubes, pellets and beet pulp as forage substitutes
Adds calories for weight gainPartlywith better-quality hayYessenior feeds often carry added fat
Cuts dust for a horse with breathing problemsNoYeswhen the feed is soaked or wet
Encourages drinking in cold weatherNoPartlymeals soaked in warm water may entice a horse to drink

Check the teeth first

The Merck Veterinary Manual says dental problems are common causes of loss of appetite or weight. The signs include slow feeding, stopping while chewing, holding the head to one side, dropping partly chewed balls of feed (quidding), and unchewed grain in the manure. Horses that swallow food unchewed can get indigestion, colic or choke.

Kentucky Equine Research (KER), a nutrition company, adds that tooth roots get shorter with age, so teeth should not be floated too aggressively in an older horse. It also notes that a horse that has lost incisors may struggle to tear grass, while molar trouble often leaves pasture manageable. The Extension Horses network, a US land-grant university extension service, agrees that dental conformation worsens with age, so older horses need more frequent teeth inspection and treatment. Our dental care guide covers exam schedules.

Weigh the horse and score its body condition

Merck says to adjust feed to keep a body condition score of 4 to 6 on the 9-point Henneke scale, where 7 or more is overweight. It also says weight tapes tend to underestimate weight but are useful for tracking change. When a horse is underweight, Merck says to find out why first, such as a dental problem or pain, before changing the feed.

For weight gain, Merck suggests slowly increasing calories by 15 to 25 percent, with a gain of 50 pounds taking 30 to 90 days, and checking body weight every 1 to 2 weeks during the process. Our guide on how to weigh a horse without a scale shows the formula. Our own advice is to measure on the same day each month and in the same spot, and to write the number down.

Replace the forage the horse cannot chew

Merck says current recommendations are at least 1.5 to 2 percent of body weight in forage per day on a dry-matter basis, and that forage can include hay, pasture and forage substitutes such as hay cubes, hay-based pellets and beet pulp. For a 1,000-pound horse, that is 15 to 20 pounds. Merck says 2 to 2.5 percent of body weight, forage plus concentrate, is a reasonable goal for a weight-gain diet.

KER suggests alternative forage sources when molars are missing or ineffective: hay cubes, hay pellets, chopped forage or beet pulp, preferably dampened or served as a mash. Extension Horses likewise says cubes, pellets or chop may help older horses with poor teeth. Cubes that are still too hard can be covered with water to soften them, and dampening chopped forage reduces dust. KER notes that many older horses do well on fresh grass but lose weight in winter when they must live on hay.

Senior feed and protein

KER says aged horses often do well on senior feeds, which usually contain forage such as alfalfa meal, soy hulls or beet pulp. It describes a well-made one as having more than 12 percent fiber, 12 to 16 percent protein and, in some, 4 to 6 percent added fat, and says these feeds are fed at higher rates than normal concentrates and in smaller, more frequent meals.

Merck says horses over 20 years old may need protein equal to horses in light to moderate work to keep body condition and muscle, but that liver and kidney function should be assessed before protein is raised. Our advice is to change feed over days, not hours, and to tell your vet before you add protein or fat.

Signs to raise with your vet: PPID and insulin problems

A 2022 review in Veterinary Sciences says pituitary pars intermedia dysfunction (PPID, or equine Cushing's) is the most common endocrine disorder of older horses and affects 20 to 25 percent of horses over 15 years old. Signs include a long hair coat, muscle loss, a pendulous belly, drinking and urinating more, recurrent infections, lethargy and laminitis, and mild cases may only show late shedding. Only a vet can diagnose it.

The ECEIM consensus statement describes equine metabolic syndrome (EMS) as a collection of risk factors for laminitis, with insulin dysregulation the most important. It says EMS is controlled mainly by diet and exercise programs, with long-term guidance from your vet. KER says horses with Cushing's disease or liver problems should be fed differently from those with ordinary aging, so get an exam before you rebuild the ration.

Water, winter and mealtimes

KER says older horses may drink less in cold weather, which can lead to impaction colic, and that warm-water meals or added salt can encourage drinking. It also says older horses tend to sit low in the pecking order and may be pushed off group-fed hay or grain, so watch how well the horse gets to its feed. Our advice: call the vet quickly for choke, colic, a horse that stops eating, or sudden weight loss.

Frequently asked questions

What should I feed an older horse that is losing weight?

Start with a vet and dental exam to find the cause. Then offer more digestible forage such as soaked cubes or beet pulp and a senior feed, and track weight every 1 to 2 weeks.

How much forage does a senior horse need?

Merck gives at least 1.5 to 2 percent of body weight per day as dry matter, and 2 to 2.5 percent for a weight-gain diet. For a 1,000-pound horse that is 15 to 20 pounds at the lower range.

Do senior horses need soaked feed?

Only if they cannot chew hay well or have breathing trouble. Soaking cubes softens them, and wetting feed reduces dust.

What are the signs of Cushing's disease in a horse?

A long hair coat, muscle loss, a pendulous belly, drinking and urinating more, recurrent infections and laminitis. Late shedding can be the first sign, and only a vet can diagnose it.

Is Trotley available?

See the official app page for current availability and pricing.

Our pick

Trotley, to keep a senior's weight and care in one record

A senior horse needs weights, dental visits, medication and vet notes tracked over months. Trotley keeps a weight history chart for each horse, records dental, veterinary, medication and feed events, reminds you of what is due, and makes a PDF report for the vet. It does not diagnose or plan a ration.

  • Weight history charts for each horse
  • Care events and reminders on a stable calendar
  • PDF reports and CSV export for the vet
See how Trotley works

Sources · checked October 1, 2026

  1. Merck Veterinary Manual: Nutritional requirements of horses and other equids
  2. Merck Veterinary Manual: Dental disorders of horses
  3. Extension Horses (US university extension network): Feeding management of the equine
  4. Kentucky Equine Research: Taking care of the senior horse
  5. Kentucky Equine Research: Feeding a senior horse with muscle loss
  6. Kirkwood et al., Pituitary pars intermedia dysfunction (PPID) in horses, Vet Sci 2022 (PubMed Central)
  7. Durham et al., ECEIM consensus statement on equine metabolic syndrome (PubMed 30724412)