Osteoporosis in Cage Layers C. C. Whitehead1 and R. H. Fleming Roslin Institute, Roslin, Midlothian EH25 9PS, Scotland ABSTRACT Osteoporosis in laying hens is a condition that involves the progressive loss of structural bone during the laying period. This bone loss results in increased bone fragility and susceptibility to fracture, with fracture incidences of up to 30% over the laying period and depopulation not uncommon under commercial conditions. A major cause of osteoporosis is the switch in bone formation from structural to medullary bone at the onset of sexual maturity, but structural bone loss is accelerated by the relative inactivity of caged birds. Allowing birds more exercise, as in aviary systems, results in better bone quality but may not decrease the overall fracture incidence. Good nutrition can help to minimize osteoporosis but is unable to prevent it. Best nutritional practice involves transferring birds to a higher calcium diet at light- ing up rather than at first egg, providing a source of calcium in particulate form, and not withdrawing feed some days before depopulation. Breeding may be an effective way of combating ostoporosis. Some bone strength traits have been shown to be heritable, and divergent selection for resistance or susceptibility to osteoporosis has resulted in lines with markedly different bone characteristics. After three generations of selection, the lines differ by 19% for keel bone mineral density, 13% for humerus breaking strength, and 25% for tibia breaking strength and show a sixfold difference in fracture incidence under commercial breeding conditions. The difference in bone quality among the lines is maintained under different housing systems. (Key words: bone, laying hen, genetics, nutrition, osteoporosis) 2000 Poultry Science 79:1033–1041 INTRODUCTION Osteoporosis in laying hens is defined as a decrease in the amount of fully mineralized structural bone, leading to increased fragility and susceptibility to fracture. It contrasts with another cause of bone mineral loss, osteomalacia, in which defective mineralization of bone tissue occurs, with thick seams of poorly mineralized organic matrix. Both conditions will lead to poor quality bone, but osteomalacia is primarily associated with nutritional deficiencies of calcium, phosphorus, or vitamin D, whereas osteoporosis is an altogether more complex problem. In poultry, a condition involving bone loss, characteristic of osteoporosis, was first described in caged laying hens by Couch (1955), who reported a problem termed cage layer fatigue involving bone brittleness, paralysis, and death. More recently, confirmation of osteoporosis as the main reason for bone loss and subsequent fractures in laying hens has been provided (Randall and Duff, 1988). The consequences of osteoporosis for the laying hen skeleton can be severe. Caged layer fatigue seems to be an extreme consequence of loss of structural bone in the vertebrae that leads to spinal bone collapse and paralysis Received for publication December 15, 1999. Accepted for publication February 7, 2000. 1 To whom correspondence should be addressed: colin.whitehead@ bbsrc.ac.uk. (Urist and Deutsch, 1960; Bell and Siller, 1962). Generally, osteoporosis is not so severe as to result in caged layer fatigue, but widespread structural bone loss can lead to high incidences of fractures at various sites throughout the skeleton. Gregory and Wilkins (1989) reported results of a survey of end-of-lay battery hens in the United Kingdom in which 29% of hens had one or more broken bones during their lifetimes. The fractures occurred during their time in their cages or during depopulation, transport to a processing factory, and hanging on shackles. Astonishingly, 98% of carcasses were found to contain broken bones by the time they reached the end of the evisceration line. A subsequent survey of many European flocks confirmed these findings, showing that, on average, fractures were received by 10% of hens during their time in batteries and a further 17% during depopulation and transport (Gregory et al., 1994). The high fracture incidences show that osteoporosis constitutes a severe welfare problem in hens. Production losses and mortality also arise with caged layer fatigue. These economic losses are compounded by the high fracture incidences during carcass processing that lead to bone splinters in recovered meat and have resulted in processors becoming unwilling to handle spent layers (Brown, 1993). Abbreviation Key: FTV = free thoracic vertebra; PTM = proximal tarsometatarsus. 1033 1034 WHITEHEAD AND FLEMING The origins of osteoporosis are not well defined. Whitehead and Wilson (1992) suggested that the problem is partly genetic in origin, resulting from the breeding of light-weight, energetically efficient birds that maintain a high rate of lay over a prolonged period. Most modern hybrid layer strains seem to be susceptible to osteoporosis, but older unimproved strains, such as the Roslin Jline Brown Leghorn, are relatively resistant (Rennie et al., 1997). However, even in susceptible strains there can be wide individual variation, with some hens retaining good bone quality at end of lay. Confinement of birds in cages with limited opportunity for exercise has undoubtedly contributed to the problem, resulting in a form of disuse osteoporosis. The characteristics of osteoporosis and the various factors influencing it are described in the following sections. CHARACTERISTICS OF OSTEOPOROSIS Bone Types and Turnover Bone is made up of hydroxyapatite crystals of calcium phosphate deposited on an organic collagen matrix. There are several different bone types in laying hens. The main types providing structural integrity are cortical and cancellous (or trabecular) bone, both of which are forms of lamellar bone. These bone types are formed during growth, but when a hen reaches sexual maturity, a third type of nonstructural bone, medullary bone, is formed. After formation, bone undergoes a constant process of remodeling, in which osteoclast cells resorb areas of bone and are then replaced by osteoblasts that deposit new bone. Osteoporosis arises where there is an imbalance between these processes, resulting in a net resorption of structural bone. Medullary bone is a woven bone whose purpose is to provide a labile source of calcium for shell formation. It is characterized by the haphazard organization of collagen fibres in its matrix and is mechanically weaker than structural bone types. Medullary bone occurs as spicules within the marrow cavity and as a layer lining the surfaces of structural bone components. The highest content of medullary bone is usually found in the leg bones. The mineral density of medullary bone is usually similar to that of cancellous bone, so measures of radiological density or ash content in these bones give little information relevant to osteoporosis. The conventional view that medullary bone contributes little to overall bone strength may not be totally correct. The layer of medullary bone may sustain the connectivity of trabecular bone during osteoporosis (Figure 1), and the spicules may increase fracture resistance. More direct evidence comes from observations on the humerus. This bone is usually pneumatized as a genetic adaptation to flight. However, variable proportions of hens in different flocks can have nonpneumatized humeri that can contain marrow and medullary bone for reasons that are unknown. The amount of medullary bone varies from a partial filling around the periphery of the cortical cavity FIGURE 1. Histological section of bone of a laying hen showing trabecular bone (TB) coated with darkly stained medullary bone (MB). Arrows indicate where the medullary bone helps to connect trabeculae. to complete filling of the cavity. Measurements of humeral bone three-point breaking strength have been highly correlated with the amount of humeral medullary bone present (Fleming et al., 1998a). Medullary bone may thus make some contribution to the overall fracture resistance of bone, although not to the same degree as structural bone. Development of Osteoporosis Some of these characteristics of laying hen osteoporosis have been reviewed by Whitehead and Wilson (1992). Osteoporotic hens show evidence of widespread loss of structural bone throughout the skeleton. This loss has been shown to start when hens reach sexual maturity and to continue throughout the laying period (Wilson et al., 1992) so that osteoporosis is most severe in hens at the end of lay. Those observations are consistent with the theory that at the onset of sexual maturity the rise in circulating oestrogen results in a switch in bone formation from structural to medullary bone and that continued resorption of structural bone leads to osteoporosis. Osteoblast activity is regulated by estrogen, and it is likely that the estrogen surge at sexual maturity stimulates formation of woven rather than lamellar bone. Evidence for a depression in structural bone formation in laying hens has been provided by Hudson et al. (1993) who observed that fluorochrome label was not incorporated into cortical bone. These findings have been confirmed by Fleming (unpublished data) who also observed that loss of reproductive condition induced by forced moulting resulted in rapid loss of medullary bone and resumption of structural bone formation (Figure 2). As osteoporosis progresses, cortical bone thickness is decreased, and there is a less cohesive system of fewer, thinner, and less well-connected trabeculae. This progression is reflected in lower breaking strengths, as measured SYMPOSIUM: SKELETAL BIOLOGY AND RELATED PROBLEMS IN POULTRY by the three-point bending test. Amounts of structural bone can also be quantified by computerized histomorphometric analysis or by radiography for bones that contain little or no medullary bone. Other measures that have been made to assess osteoporosis include cancellous bone volumes of the free thoracic vertebra (FTV) and proximal tarsometatarsus (PTM), radiographic densities of humerus and keel, and breaking strengths of humerus and tibia. Whitehead and Wilson (1992) proposed a system for assessing the severity of osteoporosis based on FTV trabecular bone volume, with values greater than 16% being normal, 14 to 16% being moderate, 8 to 11% being severe, and <8% being very severe. Patterns of bone loss with age vary among different bones, as shown in Figure 3 (Fleming et al., 1998b). Striking changes occurred during the first 10 wk of sexual maturity. A marked loss of cancellous bone occurred in both the PTM and FTV, suggesting that, in these bones, the major development of osteoporosis occurs within a few weeks of the onset of egg production. Over this period medullary bone rapidly accumulated in the PTM, but at present there is no indication as to whether the loss of cancellous bone is directly linked to the formation of medullary bone. After 25 wk, further loss of cancellous bone from the FTV is smaller, but loss of cancellous bone and accumulation of medullary bone continue in the PTM, although at reduced rates. However, there was a continuous net increase in the total amount of bone, measured histomorphometrically, with the result that total bone volume in the PTM can be greatest at 70 wk. In bones apart from the PTM, radiographic density was taken as an indirect measure of amount of bone material. In the FTV, radiographic density increased between 15 and 25 wk whereas cancellous bone volume decreased. Although relatively small amounts of medullary bone form in the central parts of the FTV, this increase in density could, perhaps, be accounted for by accumulation of medullary bone in the subchondral area. Subsequent FIGURE 2. Histological section of bone from a hen that has gone out of lay. Medullary bone (MB) has been overlaid by a newly formed layer of trabecular bone (TB). 1035 FIGURE 3. Change with age in the volumes of different types of bone in the proximal tarsometatarsus (PTM) and free thoracic vertebra (FTV) in the laying hen. decreases in radiographic density would be consistent with the small decline in cancellous bone volume. Tibial radiographic densities and breaking strengths, both measured in the midshaft region, increased from 15 to 25 wk. The laying hen tibia is known to contain appreciable amounts of medullary bone, and the increase in radiographic density would be consistent with this occurrence. The small increase in tibial breaking strength between 15 and 25 wk could indicate some accumulation of medullary bone but relatively little loss of structural bone. The major decrease in bone strength between 25 and 50 wk implies considerable loss of structural bone, which in the midshaft region of the tibia is mainly cortical bone. These observations contrast with the findings in the PTM that major structural bone loss occurred within 10 wk of sexual maturity and suggest that different principles may apply to structural bone resorption from epiphyseal and midshaft regions of leg bones. An important factor in this difference may be the greater resorptive surface areas of bone contained in the trabecular structures in epiphyseal regions than in the diaphyseal cortex. The increases in humerus radiographic density and breaking strength observed between 15 and 25 wk may be accounted for by the development, in some birds, of medullary bone in bones that are normally pneumatized together with the absence of any appreciable loss of structural bone over this period. The subsequent large decline in breaking strength after 25 wk would suggest that in this bone, as in the tibia, the major onset of osteoporosis occurs at a later age than for the PTM or FTV. The radiographic density of the keel can also decline, particularly at the leading edge of this bone adjacent to the rest of the sternum (Figure 4). A more general increase in keel radiographic density seen later in the laying period 1036 WHITEHEAD AND FLEMING is consistent with the known presence of medullary bone and does not give any insight into possible changes with time in the structural component. Consequences of Osteoporosis The decline in structural cortical and trabecular bone components does not cause changes in the external dimensions of long bones because cortical bone resorption is confined to endosteal surfaces. However, the thinning of cortical bone and loss of trabecular integrity results in bones becoming weaker and more susceptible to fracture if subjected to trauma. Ischium, humerus, keel, and furculum showed highest fracture incidences, with pubis, ulna, coracoid, and femur also breaking frequently (Gregory and Wilkins, 1989). Different fractures can occur at different stages in the birds life. In a survey of European flocks, Gregory et al. (1994) reported that 17% of birds experienced fractures during battery cage life (old breaks) and 10% during depopulation, transport, and hanging on shackles (new breaks). Fractures to the humerus and ulna FIGURE 4. Radiographs of the keels of laying hens showing (a.) radiodense bone (white area) at the front edge of the keel and (b.) loss of bone density in this area in an osteoporotic hen. The loss of bone density leads to fractures in this area. FIGURE 5. Radiograph of the wing of a laying hen showing a spiral fracture in the humerus. A fracture callus has formed and started the healing process. are frequent old breaks. Damage to the keel can arise from contact with the cage front during depopulation, and femur breaks arise commonly during shackling. Fractures of the humerus are usually of the spiral type (Figure 5), suggesting torsional forces arising from violent contact with the cage. These fractures usually repair, with the fracture callus able to unite quite widely displaced bone surfaces. Fractures of the keel occur at the point of bone erosion at the front edge shown in Figure 4 and result in the bone bending over along the line of the keel. Attempts at repair result in new bone growth in the original direction of the keel and can result in a characteristic deformity. These repairs to different bones involve the initial formation of fracture callus followed by structural bone and show that local factors can override the more general suppression of structural bone formation during lay. Spinal bones can be severely affected by osteoporosis, but fractures are rarely observed. Instead, the loss of trabecular and cortical bone (Figure 6) can lead to exposure of the spinal column and it is presumed that pressure on exposed nerves accounts for the paralysis observed for caged layer fatigue. These lesions may also repair because provision of extra calcium can result in recovery, although this recovery may also be assisted by a temporary loss of reproductive condition. The welfare problem of osteoporosis is generally assessed in relation to fracture incidence. Avian bones are enervated, and it is assumed from human analogy that avian fractures are also painful. However, it is possible that pain may also arise, in the absence of overt fracture, from exposure of nerves. SYMPOSIUM: SKELETAL BIOLOGY AND RELATED PROBLEMS IN POULTRY FIGURE 6. Radiographs of the free thoracic vertebrae of laying hens showing (a.) normal mineralization and (b.) severe loss of structural bone brought about by osteoporosis. The radiographs were taken at the same exposure. EFFECTS OF EXERCISE AND HUSBANDRY SYSTEM Effects on Bone Characteristics The effects of load-bearing and biomechanical forces in stimulating bone formation and remodeling are well established (Lanyon, 1992). Induced inactivity has been shown to accelerate osteoporosis in birds (Nightingale et al., 1972), and relative lack of activity of battery caged hens accounts for the severity of the problem in these birds. Effects of exercise and alternative housing systems have been widely studied as potential means of alleviating osteoporosis. Effects of exercise as a way of stimulating bone growth during rearing have been studied, but neither housing birds in pens nor giving extra exercise through use of a carousel have improved bone quality at the start of lay compared to cage rearing (Whitehead and Wilson, 1992). Changes in bone quality during the laying period are influenced by the nature of the exercise involved. Housing hens in pens has resulted in little change in spinal trabecular bone (Wilson et al., 1993). This finding suggests that merely allowing the birds more opportunity to walk does not result in generalized bone improvements, although the limited nature of those observations did not preclude the possibility of more local benefits, such as in leg bones. Fitting perches to cages resulted in small 1037 improvements in PTM trabecular bone volume but no benefit in tibia strength (Hughes et al., 1993). More vigorous exercise than walking or hopping onto low perches is needed to markedly improve bone quality. This finding was demonstrated by Knowles and Broom (1990), who found superior tibia and humerus breaking strengths in birds housed in terrace or perchery systems rather than in cages. The improvement in humerus strength was particularly apparent in the perchery system that allowed birds to fly. Confirmation of these findings came from a more detailed study by Fleming et al. (1994) involving comparison of battery cages with three different aviary systems. Considerable improvements in a wide range of bone morphometric and strength characteristics were observed in birds housed in aviaries (Table 1), with the greatest improvement being in the strength of the humerus. The improvements in the strength of this bone was more pronounced in the perchery, which was tiered with many high perches, compared with the litter and wire system that had only relatively low perches. Thus, opportunity for flight was an important factor in improving humerus strength. These findings for hens are consistent with findings for other species that biomechanical effects on individual bones are dependent upon the degree of strain experienced by the bone. There is little information on the mechanism by which exercise improves bone characteristics in the hen. However, the finding by Newman and Leeson (1998) that tibial strength increased within 20 d of transfer of hens from cages to an aviary suggests that the mechanism may involve stimulation of structural bone formation, rather than inhibition of resorption. Welfare of Hens in Different Housing Systems There have been several studies to determine the welfare impact of the improved bone strength of birds kept in alternative housing systems. Lower incidences of new breaks have been found in birds depopulated from aviary or free-range systems compared to battery cages (Gregory et al., 1990; Van Niekerk and Reuvekamp, 1994). However, the incidences of old breaks, particularly in the furculum and keel, were higher with aviary and free-range systems (Gregory et al., 1990). It may be concluded that allowing birds more exercise in alternative systems will improve bone strength, but this does not necessarily improve bird welfare proportionately. Birds in alternative systems have greater opportunity to experience more damaging accidents than do caged birds. For instance, they can crash during flight, fall, or be pushed off perches. It is likely that the designs and stocking densities of alternative husbandry systems can be established to minimize welfare problems associated with osteoporosis. However, alternative systems are also associated with other welfare problems, such as feather pecking and cannibalism. Abolition of battery cages is not a simple panacea for welfare 1038 WHITEHEAD AND FLEMING TABLE 1. Bone characteristics in end-of-lay hens housed in different husbandry systems Husbandry system Trait Battery cage Litter and wire Perchery Proximal tarsometatarsus Cancellous bone volume (%) 14.2a 16.7b 16.8b 11.3a 13.6b 16.6c 21.8a 2.95a 25.7b 3.48b 28.6b 3.33b 13.1a 0.51a 0.75a 22.6b 0.67b 1.11b 25.4c 0.72b 1.25c Free thoracic vertebra Cancellous bone volume (%) Tibia Breaking strength (kg) Radiographic density (mm Al equivalent) Humerus Breaking strength (kg) Cortical width (mm) Radiographic density (mm Al equivalent) Within a row, values followed by a different letter differ significantly (P < 0.05) (Fleming et al., 1994). a–c problems, and it is apparent that alternative or additional approaches to minimizing osteoporosis are needed. EFFECTS OF NUTRITION Nutritional deficiencies of calcium, phosphorus, or cholecalciferol have been shown to result in bone loss attributable to osteomalacia (Wilson and Duff, 1991) and are likely to lead ultimately to greater severity of osteoporosis. However, there is no evidence that avoidance of osteomalacia can prevent the development of osteoporosis. A recent study (Rennie et al., 1997) investigated the effects of a number of dietary factors during the laying period on bone composition. None of the factors had any effect on the proportions of cancellous bone in spinal (FTV) or leg (PTM) bones, but treatments involving feeding a particulate source of calcium (oystershell) or supplementation with fluoride increased the proportions of medullary bone. Providing calcium in particulate form extends the period of calcium absorption later into the night when shell formation is taking place and has been shown to have beneficial effects on shell quality. Provision of calcium with improved digestive characteristics can increase the amount of medullary bone without having much impact on the loss of structural bone and shows that calcium deficiency is not a primary cause of osteoporosis. Fluoride is known to stimulate bone formation in other species, but the increase in synthesis in hens is evidently confined to medullary bone. Increases in medullary content may nonetheless have a beneficial effect on bone quality, as discussed earlier. Confirmation of the practical benefits of particulate calcium sources has been provided by Fleming et al. (1998b) who found that feeding limestone particles resulted in improved bone strength in older hens. This effect was probably attributable to the observed increase in medullary bone formation because the treatment had little effect on cancellous bone volumes, as shown in Table 2. Nutrition during rearing is also important in maximizing bone content before the onset of sexual maturity. Dietary supplementation with extra vitamin K during rearing, a factor required for the synthesis of osteocalcin, a protein involved in bone formation, may also benefit some aspects of bone quality (Fleming et al., 1998b). These observations are consistent with the hypothesis that osteoporosis in hens arises as a result of cellular processes rather than nutrient supply and that during the laying period there is continued osteoclastic resorption but little formation of structural bone. The balance of cellular activity can be altered by feeding bisphosphonate, a drug used in human medicine to combat postmenopausal osteoporosis. This drug acts by inhibiting the action of osteoclasts and has been shown to slow the loss of cancellous bone in hens (Thorp et al., 1993). However, use of bisphosphonate is unlikely to be a practical solution for laying hen osteoporosis. GENETIC FACTORS The large individual variation observed in the bone characteristics of hens at the end of lay, phenotypically unrelated to egg production in a flock of highly productive hens (Rennie et al., 1997), suggests that osteoporosis may be alleviated by genetic selection, perhaps without serious consequence for egg productivity. The possibility of a genetic solution to osteoporosis has been studied by Bishop et al. (2000). The inheritance of characteristics related to osteoporosis was studied over five generations in a commercial pure line of White Leghorns previously selected for high egg production. Initially, measurements were made on a range of morphometric, radiologic, and strength characteristics of different bones in hens at the end of the laying period to determine heritabilities. Morphometric traits involving cancellous and medullary bone volumes were found to be poorly heritable (FTV cancellous bone volume, h2 = 0.19 and PTM cancellous bone volume, h2 = 0.0). This finding was surprising in view of the use of cancellous bone to assess severity of human postmenopausal osteoporosis (Khosla et al., 1994) and as a criterion in earlier laying hen studies (Whitehead and Wilson 1992; Wilson et al., 1993; Rennie et al., 1997). In contrast, heritabilities of other characteristics SYMPOSIUM: SKELETAL BIOLOGY AND RELATED PROBLEMS IN POULTRY were higher (tibia strength, h2 = 0.45; humerus strength, h2 = 0.30; and keel radiographic density, h2 = 0.39). There was also a positive correlation between body weight and bone strength. A restricted selection index designed to improve bone characteristics, yet hold body weight constant, was derived from genetic parameters obtained from these preliminary analyses, using standard selection index theory. Three biologically meaningful and moderately to highly heritable traits that could be measured in a short period of time for many birds were included in the index, namely keel radiographic density (KRD), humerus strength (HSTR) and tibia strength (TSTR). By including characteristics of wing, leg, and axial skeleton, this index gave a wide representation of the overall skeleton. The index was bone index = (0.27 × KRD) + (0.37 × HSTR) + (0.61 × TSTR) − (0.25 × BW). The coefficient for body weight was increased to 0.35 for selection of the G5 generation to counter a slight divergence in this trait that started to appear between the lines. Selection was performed retrospectively each year with chickens hatched and raised from all available hens in the experiment. On the basis of the data collected on the hens at the end of their laying period, selection decisions were made with entire full-sib families of chickens being kept or rejected. Selection commenced by assigning birds in generation G3 to either the high (G3H) or low (G3L) line on the basis of their dams’ (G2) bone index. Consequences of Selection Genetic parameters for the traits in the bone index, and the bone index itself, showed that all traits were moderately to highly inherited throughout the study; the heritability of the bone index was 0.4. The genetic and phenotypic correlations also show that the three bone measurements in the index were moderately to strongly correlated with each other. Finally, the bone measurements were all positively correlated with body weight, indicating that selection for improved bone strength characteristics alone, without the restriction placed on body weight, would have resulted in considerably heavier birds. Different mean values in the bone strength measurements in different years indicated that these traits were strongly affected by environmental factors, raising the possibility of genotype by environment interactions. However, comparison of full-sib flocks reared on different locations gave little evidence for genotype by environment interactions, within the range of environments investigated. From Year 3 onward, the lines diverged progressively for keel radiographic density, humerus strength, tibia strength, and the bone index in the desired direction. Bone characteristics in G5 are shown in Table 3. For the hens, the lines differed by 19% for keel radiographic density, 13% for humerus strength, and 25% for tibia strength. The differences were highly significant (P < 0.01) from Year 4 onward, with the exception of humerus strength in Year 4 in which the difference, although in the desired direction, was not significant. Although selection was based on measurements made on hens, selection was found to also affect bone strength in males as well, with high index males outperforming low index males for all traits. The differences between the lines in G5 were tibia strength 10% (P < 0.01), humerus strength 13% (P < 0.05), keel radiographic density 15% (P < 0.01) and body weight 7% (P < 0.01). The incidences of humeral fractures in hens occurring during the production period and depopulation showed a sixfold difference between the lines in G5. The responses to selection are encouraging insofar as it appears possible to create sizeable differences in bone strength characteristics of hens in a relatively short period of time, using conventional selection techniques. This response can also be made to be independent of body size, should that be the desire of the breeder, although faster progress could be made if body weight were to be allowed to increase. Moreover, the absence of significant or meaningful genotype by environment interactions implies that TABLE 2. Effect of providing limestone as powder or particles (3 mm diameter) on bone characteristics in end-of-lay hens1 Limestone type Trait Powder Particles Probability Proximal tarsometatarsus Total bone (%) Cancellous bone (%) Medullary bone (%) 23.4 6.6 16.8 28.6 7.3 21.4 <0.001 NS <0.05 Free thoracic vertebra Cancellous bone (%) 10.4 10.2 NS Tibia Radiographic density (mm Al) Breaking strength (kg) 1.96 19.5 2.26 23.6 <0.01 <0.05 0.73 11.8 0.78 12.1 NS NS 0.61 0.68 Humerus Radiographic density (mm Al) Breaking strength (kg) Keel Radiographic density (mm Al) 1 (Fleming et al., 1998b). 1039 <0.01 1040 WHITEHEAD AND FLEMING TABLE 3. Bone characteristics and body weights at the end of the laying period in female and male chickens after three generations of selection for high (H) or low (L) bone index (G5 generation)1 Females Males Line Trait Body weight (kg) Keel radiographic density (mm Al equivalent) Tibia strength (kg) Humerus strength (kg) Humerus fractures (%) H 1.67 0.58 30.7 15.4 2.8 Line L 1.63 0.48 23.9 13.5 18.4 Probability <0.001 <0.001 <0.001 <0.001 H 2.29 0.77 68.2 50.0 L 2.14 0.67 61.5 44.0 Probability <0.01 <0.01 <0.01 <0.05 1 (Bishop et al., 2000). selection progress seen in a breeding flock should also be expressed under commercial egg production conditions. Although we mainly studied hens, it is interesting that the bone characteristics included in the bone index were also changed in males by selection (Table 3), suggesting that selection has altered some factors in bone metabolism common to both sexes. Male chickens do not suffer from osteoporosis, but this finding raises the possibility that selection procedures aimed at alleviating osteoporosis in hens could also be carried out in male birds. Changes in bone strength per se are unlikely to be of special interest, however, unless accompanied by changes in the incidence of bone fractures. The keel and humerus are two bones frequently observed to be fractured in commercial practice (Gregory and Wilkins, 1989). Although the cage and handling conditions in the present study were not intended to resemble the practices on commercial laying farms, selection has clearly resulted in an altered incidence of fractures in these bones. Few fractures of the tibia, a much stronger bone, were observed in this study. The responses in bone breakage incidence were reflected in the genetic correlations with bone strength. All bone measurements are strongly correlated with the presence or absence of breakages and the number of sites of broken bones, indicating that genetically altering bone strength will indeed alter the incidence of bone fractures. Can the selection procedure be simplified or improved to avoid the need for retrospective selection performed on excess birds? Bone strengths in different parts of the skeleton appear to be strongly correlated, indicating that selection to improve the strength of one bone within the skeleton should increase the strength of the skeleton as a whole. This finding has important implications in terms of reducing the number of measurements required to categorize the strength of the skeleton as a whole; relatively few measurements should be required, making selection for bone strength more feasible. Alternatively, selection could be improved by the use of in vivo predictors of bone strength at an early stage of the laying period, so that eggs are fertilized, collected, and hatched only from selected hens. A predictive in vivo method involving digitized fluoroscopy of the humerus under experimental conditions has been described by Fleming et al. (1998c). Other metabolic comparisons now being carried out on the lines may identify alternative approaches. The genetic and phenotypic relationships between bone strength characteristics and egg production and quality characteristics are key factors to be identified before selection for improved bone quality can be incorporated into commercial breeding programs. Preliminary evidence suggests that there has been a slight deterioration in shell quality in the high bone index line, and this important relationship is currently under further investigation. DISCUSSION The appearance of osteoporosis in high-performance hens has been attributed to two factors. First, confining birds in cages has weakened bones by promoting a form of disuse osteoporosis. Second, it has been suggested that a contributing factor has been modern selection procedures that have produced birds of low body weight and food intake but with a large egg output. The amount of calcium deposited in shells in the course of the laying year in these birds is very high in relation to their body reserves of calcium. However, initial evidence suggests that high egg productivity within a given period does not accelerate depletion of structural bone because zero correlation has been observed at the phenotypic level between egg output and PTM cancellous bone volume (Rennie et al., 1997). Shell quality falls in older hens, but there is no evidence that this is related to poor bone quality; the proportion of medullary bone may be at its highest in older birds (Fleming et al., 1998b). It is more likely that an important factor predisposing modern hens to osteoporosis is the extended length of the period during which they are in a continuously reproductive condition. This increased period of structural bone resorption results in more severe osteoporosis by the end of the laying period. Thus, continued selection for persistency of lay is likely to result in birds that are even more susceptible to osteoporosis. What can be done to prevent osteoporosis? Allowing birds greater opportunity to exercise can help, but there are problems with this approach. Improvements in bone strength seem to be related to the degree of exercise in which the particular bone is involved, but this can lead to increased risk of trauma, as has been discussed previously. Transferring of birds from battery cages to alternative housing systems does not necessarily decrease SYMPOSIUM: SKELETAL BIOLOGY AND RELATED PROBLEMS IN POULTRY fracture incidence in proportion to the improvement in bone strength and may increase welfare problems from other causes. Nutrition has a part to play, first, by avoiding deficiencies that can make the problem worse and, second by promoting good nutrient supply. Provision of a particulate source of calcium is particularly helpful. It is also likely that transferring pullets onto a diet of higher calcium content at lighting up rather than at first egg will help to decrease the loss of structural bone during the initial period of formation of medullary bone. The practice of feed withdrawal some days before depopulation is to be deplored; this practice will accelerate loss of bone mass at a time of severe risk of bone damage. But these good nutritional practices will still not prevent osteoporosis. Genetics may offer a practical solution to osteoporosis. Bone strength characteristics in end-of-lay hens have been found to be moderately to strongly inherited and respond readily to selection. A change in the incidence of bone fractures has been a correlated response to the selection, with a lower incidence of fractures occurring in hens selected for increased bone strength. The implication of these findings is that selection for enhanced bone strength can be used as a long-term measure to help alleviate osteoporosis. However, until a genetic strategy can be expected to have an impact in commercial layers, it will be important to optimize the nutritional and husbandry factors that also influence osteoporosis. ACKNOWLEDGMENTS Much of the research described in this paper was supported by the Ministry of Agriculture, Fisheries and Food and the European Commission. REFERENCES Bishop, S. C., R. H. Fleming, H. A. McCormack, D. K. Flock, and C. C. Whitehead, 2000. 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