This systematic review used published and publicly available study-level data and did not involve new animal or human subjects. Ethical approval and informed consent were therefore not required.

The literature search, data extraction, statistical analysis, and interpretation of the findings were conducted in March 2026. All stages of the review were conducted at Chiang Mai University, Chiang Mai, Thailand.

This systematic review and meta-analysis followed PRISMA 2020, and the attempted network component was reported in line with PRISMA-NMA where applicable. The review question, eligibility criteria, extraction variables, and planned syntheses were finalized before data extraction. This registration limitation is stated transparently, and the final protocol logic, curated dataset, PRISMA flow values, screening logs, and analysis files are available in the Open Science Framework repository and accompanying supplementary files. The study period covered literature published from January 2000 to March 2026 [16, 17].

This review used PICOS to define eligibility and analysis. Population (P): domestic pigs (Sus scrofa domesticus) at any production stage, including farrowing/breeding, nursery/weaner, growing, finishing, and mixed-stage systems. Intervention (I): deep-bedding or deep-litter systems using organic substrates, including straw, sawdust, wood shavings, rice husk/rice hull, or mixed substrates; no single universal depth threshold was imposed for qualitative eligibility because source studies defined deep-bedding inconsistently, but reported depth or bedding amount was extracted where available. Comparator (C): conventional non-bedded housing, slatted or concrete floors, outdoor/pasture comparators, or direct material comparisons. Outcomes (O): primary production outcomes were ADG, FCR, and mortality; secondary outcomes included behavior, injuries, lameness, hygiene, thermal comfort, respiratory indicators, emissions, wastewater, compost/nutrient recovery, economics, and welfare-audit indicators. Study design (S): randomized and non-randomized comparative studies were eligible; case reports, opinion articles, and single-arm descriptions without extractable comparator information were excluded or used only as background (Table 1).

A comprehensive search was conducted in Web of Science Core Collection, Scopus, and PubMed/MEDLINE. The final database strings combined pig terms (pig, swine, porcine, hog, sow, gilt, boar, piglet, weaner, grower, finisher), housing/substrate terms (bedding, deep-litter, straw, sawdust, wood shavings, rice husk, substrate, floor type, flooring, housing), and outcome terms (welfare, behavior/behavior, lameness, injury, tail, stereotypy, performance, growth, emissions, ammonia, greenhouse gas, environment, manure, compost). Field tags were adapted to each platform: TS= in Web of Science, TITLE-ABS-KEY in Scopus, and Title/Abstract tags in PubMed. The complete platform-specific Boolean strings, date limits, and syntax are provided in Supplementary Table S1. No formal gray-literature search or expert-contact program was undertaken; reference lists and locally available full texts were checked where accessible, and the absence of formal gray-literature searching is acknowledged as a limitation.

Study selection proceeded through title/abstract screening and full-text assessment by two independent investigators using predefined eligibility criteria. Disagreements were resolved through discussion and, where needed, a third investigator. The final PRISMA/open science flow was: 790 records identified (Web of Science 312, Scopus 289, PubMed 189), 565 duplicate records removed, 225 reports screened and assessed for eligibility, 0 reports not retrieved, 4 records removed during final duplicate/eligibility reconciliation, and 221 studies retained for qualitative synthesis. Five study/comparison entries had sufficient ADG information for pairwise meta-analysis, and one complete straw-versus-sawdust comparison was available for direct material-specific analysis.

Inclusion criteria were original comparative pig studies published from January 2000 to March 2026; domestic pigs at any production stage; at least one deep-bedding/deep-litter or named organic bedding treatment; conventional housing, outdoor/pasture, or material comparison group; and at least one welfare, health, production, environmental, or economic outcome. Exclusion criteria were non-pig studies, reviews or opinion papers without primary data, single-arm reports without a comparator, duplicate reports, and reports lacking information needed for the intended synthesis. Non-English records were not excluded at search retrieval, but extractability depended on available English metadata, translations, or accessible full-text; this language/extractability constraint is reported as a limitation. The quantitative subset is summarized in Table 2.

For material-oriented extraction, substrates were standardized as straw, sawdust/wood shavings, rice husk/rice hull, mixed organic bedding, or unspecified deep-litter. Rice husk and rice hull were treated as synonymous terms. Records that lacked exact per-arm means, Standard deviation (SD)/ Standard error (SE), sample size, or duration were retained for qualitative synthesis but excluded from pooled numeric analysis unless effect estimates could be transparently reconstructed from reported values.

Data from each eligible article was independently extracted into a structured Google Sheets workbook and checked against the curated OSF dataset. Extracted fields included author(s), year, country, climate, production stage, genetics where reported, substrate type, litter depth or bedding amount, comparator, pen or pig sample size, duration, outcome definitions, ADG, FCR, mortality events, welfare and health indicators, environmental indicators, economic findings, missing-data notes, and risk-of-bias domains. Data management used Google Sheets and Microsoft Excel; quantitative synthesis tables were prepared in R (version 4.3.0, meta and metafor packages) and cross-checked against Review Manager 5.4.1 outputs where applicable.

For continuous outcomes, means were extracted with SD when available; SE or 95% confidence interval (CI) values were converted to SD using standard formula (for example, SD = SE × √n) when sample size was reported. Percentage changes, direction-only findings, and p-value-only reports were not treated as fully extractable raw data unless a defensible effect estimate was already available in the curated extraction tables. Missing-data and conversion decisions were documented in the supplementary extraction and QC files. Inter-rater reliability statistics (for example, Cohen's kappa) were not available in the extraction logs, so this article reports the independent dual-investigator process and consensus resolution rather than adding an unsupported reliability value.

For quantitative meta-analysis, studies were required to report or support reconstruction of treatment and comparator values with an interpretable variance estimate. Studies reporting only qualitative direction, percentage change without sufficient denominator information, or significance statements were retained in narrative synthesis. Complete extractable raw data and reasons for exclusion from quantitative pooling are summarized in the supplementary tables and OSF files.

A minimum of three independent studies or study/comparison entries with extractable numeric data was required for a pooled pairwise outcome. Random-effects models were used because production stage, climate, substrate, genotype, housing bundle, and management intensity were expected to differ across studies. ADG and FCR were analyzed as mean differences (MD) using consistent units (g/day and kg feed per kg gain, respectively); mortality was analyzed as a risk ratio where event data were available. The primary τ² estimator in the curated analysis was DerSimonian–Laird, with fixed-effect and leave-one-out sensitivity analyses reported where feasible.

ADG was expressed as MD (g/day) between deep-bedding and conventional housing. FCR was expressed as MD (kg/kg), where lower values indicate better feed efficiency. Mortality was expressed as risk ratio (RR) for deep-bedding relative to conventional housing when event counts were available. Key findings are summarized in Table 3.

A priori subgroup analysis was performed by production stage (nursery-growing versus growing-finishing) because stage was the most biologically plausible modifier and had enough data for comparison. Additional exploratory subgroup summaries by study quality and geographic region are provided in the supplementary files. Formal meta-regression for climate, substrate, bedding depth, or management intensity was not performed because the number of extractable studies was too small and key covariates were sparsely reported.

Heterogeneity was evaluated with I², τ², Cochran's Q, forest-plot inspection, sensitivity analysis, and the 95% prediction interval where estimable. For the overall ADG analysis, heterogeneity was high (I² = 85.9%; Q = 28.5, p < 0.001; τ² = 3247; 95% prediction interval −112.5 to +132.1 g/day), so pooled estimates were interpreted as context averages rather than universal farm-level predictions.

Publication bias was explored qualitatively using funnel-plot inspection and Egger's regression test as an underpowered screen, given that fewer than 10 studies contributed to the quantitative outcome. Egger's test for ADG was not significant (p = 0.24). Begg's rank-correlation test was not interpreted as a formal decision criterion because the number of studies was below the recommended threshold; the funnel plot was therefore treated as descriptive only. Selective outcome reporting remained plausible because only a small fraction of the 221-study evidence base reported complete variance data.

For the network component named bedding materials and direct material comparisons were mapped before analysis. A full NMA required at least a connected evidence-network with more than one directly or indirectly linked material comparison, sufficient outcome overlap, and no structural inconsistency that would make transitivity implausible. These criteria were not met; only one complete direct material comparison (straw-versus-sawdust) was available, while rice husk, wood shavings, mixed bedding, and generic deep-litter nodes were disconnected or lacked complete outcome data. Therefore, no treatment ranking or SUCRA-style hierarchy was calculated; the disconnected network is reported as a primary evidence gap.

Two investigators independently extracted and verified data, and disagreements were resolved by consensus, with input from the third investigator when required. Risk-of-bias was assessed using Risk-of-bias in Non-randomized Studies of Interventions (ROBINS)-I for non-randomized studies and RoB 2 principles for randomized comparisons. Main-domain judgments covered confounding, participant selection, intervention classification, deviations from intended interventions, missing data, outcome measurement, and selective reporting. Table 4 reports the studies that directly contribute to the quantitative synthesis, while the supplementary ROBINS-I summary reports the broader qualitative evidence base [18, 19]. ROBINS-I domains assessed were confounding, participant selection, intervention classification, deviations from intended interventions, missing data, outcome measurement, and selection of reported results.

Certainty of evidence was appraised with the certainty of the evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. Because most included evidence was observational or non-randomized, certainty was commonly downgraded for risk-of-bias, inconsistency, imprecision, and suspected selective reporting. The supplementary GRADE table lists downgrade rationales for ADG, FCR, mortality, and the direct straw-versus-sawdust comparison [20, 21].

Two translational constructs were developed (Table 5) after synthesis through iterative author discussion and consensus. The HPPF integrates the Five Domains model with practical veterinary audit indicators: behavioral fulfilment, physical integrity, physiological comfort, hygienic stability, and stage-matched productivity. The SDBM treats deep-bedding as a managed biophysical and circular-resource process linking substrate input, dietary nitrogen load, barn design, labor-management intensity, bedding moisture, aeration, microbial turnover, emissions control, and compost/nutrient recovery. These newly developed translational tools are intended to guide audit, implementation, and future validation rather than to serve as fully validated scoring systems. Their operational decision points are summarised in Table 6.

The 221 included studies covered farrowing/breeding, nursery/weaner, growing, finishing, and mixed-stage systems. Production stage information was available for 177 studies (80.1%). Finishing, growing, and nursery/weaner systems were the most common extractable stages, whereas evidence for breeding and farrowing was more fragmented. Named bedding information was available for all 221 studies: most records involved generic deep-bedding/deep-litter, while straw, sawdust/wood shavings, and rice husk/rice hull were the most common named materials. Country and climate information was sparse (57/221 studies, 25.8%), which limited formal climate-based synthesis.

Total animal numbers across the qualitative evidence base could not be reliably calculated because per-arm sample sizes were reported in only a small minority of records. This incompleteness is a central result rather than a clerical gap; it explains why the review could include 221 studies qualitatively but only five study/comparison entries in the ADG meta-analysis. The tables therefore separate the broad qualitative evidence base from the smaller quantitative subset and report missingness transparently.

The PRISMA flow diagram is shown in Figure 1. The final flow comprised 790 records identified from Web of Science (n = 312), Scopus (n = 289), and PubMed (n = 189); 565 duplicate records removed; 225 reports screened and assessed for eligibility; no reports not retrieved; 4 records removed during final duplicate/eligibility reconciliation; and 221 studies included in qualitative synthesis. Eleven studies contained production-outcome information relevant to performance interpretation, but only five had data adequate for the pooled ADG synthesis [22–25].

Figure 2 presents the pairwise meta-analysis of production performance. The forest plot comparing average daily gain (ADG) between deep-bedding and conventional housing showed no statistically significant pooled effect, despite substantial between-study heterogeneity (Figure 2A). The funnel plot was visually examined to assess potential publication bias (Figure 2B).

This left the material-specific evidence-network disconnected. Straw and sawdust were linked through a single head-to-head study, but rice husk, wood shavings, mixed bedding, wheat straw, rye straw, peat, bagasse/hay mixtures, concrete floors, slatted floors, and generic deep-litter were either isolated nodes or only partially connected. Figure 3 therefore represents a negative but important finding: the field is not yet structured to support defensible substrate ranking by NMA.

Rice husk illustrates the network limitation and the regional opportunity. It appeared in tropical and subtropical studies as a sole substrate, a depth-manipulated substrate, or a component of mixed bedding, but these studies generally lacked complete head-to-head material comparisons with extractable per-arm means, SD/SE, and sample sizes. Rice husk was therefore synthesized qualitatively in Table 7 rather than ranked quantitatively.

Five study/comparison entries contributed to the pooled ADG synthesis: Dalla Costa 2008, Liu 2011 small pigs, Liu 2011 large pigs, Wastell 2000 Producer A, and Wastell 2000 Producer B. The overall random-effects estimate was MD +9.8 g/day (95% CI –58.3 to +77.9; p = 0.78), with high heterogeneity (I2 = 85.9%; Q = 28.5, p < 0.001; τ² = 3247) and a wide 95% prediction interval (–112.5 to +132.1 g/day). This result indicates no reliable overall production advantage or disadvantage and substantial uncertainty about farm-level effects [26–28].

Subgroup interpretation by production stage helped explain this heterogeneity. Nursery-growing pigs favored deep-bedding (2 study/comparison entries; MD +87.0 g/day, 95% CI +12.0 to +162.0; p < 0.05; I2 = 78%), whereas growing-finishing pigs favored conventional housing (3 study/comparison entries; MD -41.7 g/day, 95% CI –52.4 to –31.0; p < 0.01; I2 = 45%). The between-stage difference was 128.7 g/day (p < 0.05), supporting a stage-specific biological and management interpretation.

Biologically, this stage effect is plausible. Young pigs may benefit from thermal buffering, exploratory occupation, and softer lying surfaces during weaning and adaptation. Heavier growing-finishing pigs, especially in warm or humid climates, may be more vulnerable to heat load, wet bedding, ammonia, and management-related feed or hygiene penalties. The stage-specific trade-off summary is provided in Table 8.

Evidence for FCR was weaker than evidence for ADG. Six studies or comparisons reported FCR-relevant information involving more than 1,000 pigs, but reporting was commonly qualitative, direction-only, or missing complete variance. The GRADE profile therefore treats FCR as a very low certainty qualitative synthesis: results were mixed, with no defensible pooled estimate across the full evidence set [29, 30].

Mortality data were sparse. One extractable comparison (140 pigs) produced an RR of 3.63 for deep-bedding versus conventional housing, but the 95% CI was extremely wide (0.20 to 65.84), so the direction and magnitude of any mortality effect remain very uncertain. Mortality was therefore not interpreted as evidence that deep-bedding is intrinsically safer or riskier; rather, it indicates the need for better event reporting.

The only complete direct substrate comparison was the nursery pig study by Nicks et al. [30] comparing straw and sawdust. Each group contained 200 pigs, and the duration was approximately 42.6 days. As shown in Figure 4, sawdust had a small, non-significant ADG difference relative to straw (MD +5.0 g/day, 95% CI -1.77 to +11.77; p = 0.148), a statistically small FCR advantage (MD -0.01 kg/kg, 95% CI -0.018 to -0.002; p = 0.0128), and identical mortality (2.5% in both groups; MD 0.0%, 95% CI -0.176 to +0.176).

Evidence concerning rice husk was broader than the direct-comparison evidence presented in Figure 4, but it was less suitable for quantitative synthesis.Brazilian, Colombian, and tropical/subtropical studies using rice husk alone or in mixtures generally reported performance like concrete or other bedding systems, while emphasizing management-sensitive outcomes such as litter depth, moisture, ammonia, fly burden, compost value, and heat stress. These findings support the use of rice husk as a regionally relevant substrate in rice-producing systems, but not as one that can yet be ranked as superior by formal NMA [31–34].

The ROBINS-I assessment indicated that serious risk of bias was common, particularly due to confounding, selection, missing variance data, and selective outcome reporting. Quantitative studies were often pragmatic farm comparisons rather than randomized pen-level trials, making them relevant to practice but vulnerable to management-bundle confounding.

GRADE certainty reflected these weaknesses. ADG was rated with very low certainty todue of serious risk of bias, very serious inconsistency, imprecision, and suspected selective reporting. FCR was also very low certainty because results were mixed and variance reporting was incomplete. Mortality was very low certainty because the evidence came from a single comparison with an extremely wide CI. The direct sawdust-versus-straw FCR result was more precise but still limited by its reliance on a single study.

Welfare outcomes were the most consistent findings in the review. Deep-bedding generally increased exploratory behavior, rooting, nosing, substrate manipulation, and occupation with manipulable material compared with conventional non-bedded housing. These outcomes correspond directly to the behavioural and mental-state domains incorporated into the Healthy Pig Production Framework shown in Figure 5 and were more consistent across studies than production-related responses.Physical welfare outcomes were generally favorable when bedding was dry, clean, and sufficiently friable. Several studies reported fewer claw lesions, skin abrasions, bursitis-type injuries, or lameness indicators in bedded systems; however, these benefits declined when bedding became wet, compacted, dusty, or poorly ventilated. This conditional pattern is why the analysis frames deep-bedding as a managed welfare process rather than a static intervention.

Recent Thai evidence is especially relevant to tropical interpretation. Studies from Chiang Mai and related tropical settings suggest that deep bedding can increase exploratory behavior and reduce fly burden under certain management conditions, while concrete systems may offer production advantages when bedding moisture, heat load, or hygiene are not optimally controlled. This supports the stage-, climate-, and management-specific interpretation rather than a universal recommendation.

Environmental outcomes revealed the clearest welfare-sustainability trade-off. Deep-bedding can reduce dependence on liquid wastewater and create a recoverable compost or solid manure stream, which is valuable for mixed crop-livestock systems. At the same time, poorly controlled moisture, nitrogen loading, compaction, and ventilation can increase the risks of ammonia, odor, dust, and nitrous oxide [38–44]. These interacting pathways are summarised in the Sustainable Deep-Bedding Model presented in Figure 6.

Ammonia emissions were often higher in deep-bedding than in conventional housing, especially where dietary nitrogen, bedding moisture, aeration, and replenishment were poorly managed. This does not negate welfare benefits, but it means environmental claims require explicit process-control measures such as dietary protein management, ventilation, dry bedding maintenance, aeration/turning, additives where appropriate, and timely spent-litter removal.

Rice husk carries distinctive environmental implications. Its porosity, silica content, slow decomposition, and regional availability may support moisture control and circular nutrient recovery in rice-producing areas. However, these same properties require attention to litter depth, aeration, dust, compost maturity, and local transport costs.

Greenhouse gas patterns were mixed. Deep-bedding may reduce methane relative to slurry systems by retaining manure in a more aerated matrix, but nitrous oxide can increase when aerobic and anaerobic microsites coexist. Net climate performance therefore depends on bedding moisture, carbon-to-nitrogen balance, stocking density, turning frequency, and manure-use pathway.

Economic results were mixed and strongly context-dependent. Deep-bedding may reduce liquid-manure infrastructure needs and produce a compostable output, but it also requires bedding purchase or collection, labor, storage space, and management skill. Profitability is most plausible when welfare premiums, local substrate availability, reduced wastewater costs, or crop-nutrient value offset these inputs. Stage-specific welfare-production trade-offs are summarized in Table 8. The main evidence gaps are also visualized in Figure 7, which highlights the need for complete material comparison trials, tropical rice husk experiments, standardized welfare indicators, and complete variance reporting.

The evidence does not support a simple judgment that deep-bedding is uniformly superior or inferior to conventional housing. Instead, the integrated synthesis supports three linked conclusions: welfare responses are more consistently favorable than production responses; production effects differ by production stage and management context; and material-specific substrate ranking is not yet possible because the evidence network is disconnected.

From a production perspective, the pooled ADG result should be interpreted as a context average. The high heterogeneity, wide prediction interval, and divergent stage-specific estimates mean that deep-bedding may be beneficial in nursery-growing settings yet less favorable for heavier pigs under warm, wet, or poorly ventilated conditions. This interpretation is more useful for veterinary advice than alone pooled estimate alone.

This review makes four original contributions. First, it organizes deep-bedding evidence around animal welfare rather than treating welfare as secondary to productivity. Second, it identifies stage-specific heterogeneity, with nursery-growing and growing-finishing pigs showing different ADG signals. Third, it transparently reports the failed NMA as a methodological finding that exposes the absence of connected, material-specific evidence. Fourth, it introduces the HPPF and SDBM as newly developed translational tools for veterinary audit, farm management, and sustainable production planning.

These contributions are especially relevant to tropical and rice-producing regions because rice husk is locally available, potentially circular, and underrepresented in complete comparative trials. To our knowledge, no previous deep-bedding pig review has combined a welfare-centered synthesis, a pairwise production meta-analysis, an explicit material-network feasibility assessment, and two practice-facing frameworks in a single manuscript.

The HPPF treats welfare-supportive housing as a multidimensional veterinary audit problem rather than a single productivity endpoint. It links behavioral fulfilment, physical integrity, physiological comfort, hygienic stability, and stage-matched productivity to observable indicators such as rooting time, lying behavior, claw lesions, lameness, panting, huddling, body cleanliness, cough, odor, fly density, ADG, FCR, and mortality.

This framework explains why apparently conflicting studies can both be credible. A pen may improve exploratory behavior and resting comfort while simultaneously creating hygienic or environmental risk if moisture and manure load are not controlled. The framework is therefore proposed as a checklist for structured veterinary assessment, not as a claim that any one bedding material automatically improves all domains.

The SDBM reframes deep-bedding as a managed, biophysical, circular-resource process. Substrate input, dietary nitrogen, barn design, and labor-management intensity influence bedding moisture, aeration, microbial turnover, replenishment frequency, thermal load, emissions, and compost maturity. This framing links animal welfare to manure management and nutrient recovery rather than treating bedding only as enrichment.

This process-based view is central to sustainability claims. Deep-bedding can reduce liquid effluent and support nutrient recovery in crop-livestock systems, but only when spent litter is composted or reused responsibly and when risks of ammonia, odor, dust, and greenhouse gases are actively monitored. The SDBM therefore provides a practical structure for farm audits and for future validation studies.

For producers and veterinarians, deep-bedding is most defensible where welfare improvement, reduced liquid effluent, or manure circularity are explicit priorities, and where daily management can maintain stable bedding conditions. Veterinary audits should assess substrate quality, moisture, compaction, ventilation, nitrogen load, fly density, respiratory signs, lameness, claw lesions, body cleanliness, and stage-specific productivity targets [35–37, 48].

In terms of research design, the review highlights a persistent weakness: studies often compare entire housing bundles rather than isolate substrate effects. Future trials should report per-arm means, SD/SE, sample sizes, pen replication, study duration, bedding depth, replenishment frequency, moisture, ventilation, climate, genotype, diet, welfare scores, emissions, and manure-output metrics. Material comparison trials should be designed to connect straw, sawdust, wood shavings, rice husk, mixed bedding, and conventional comparators in a network suitable for NMA.

Recent Thai and broader tropical evidence are especially informative because it tests deep-bedding under warm, humid conditions where wet litter, heat stress, fly pressure, and feed losses may be harder to control. These studies support the idea that welfare benefits and production trade-offs can coexist. Rice husk deserves particular attention in Southeast Asian rice-producing regions because it links local by-product use, bedding availability, and compost return to crop land [49, 53].

This tropical evidence does not invalidate the case for deep-bedding; it defines the management boundary conditions for success. In warm climates, ventilation, stocking density, bedding depth, turning, replenishment, and moisture control are likely to determine whether behavioral and comfort benefits are achieved without unacceptable heat, ammonia, or hygiene penalties.

Material choice is often where farms want a simple ranking, but the present evidence base does not yet support one. The only complete direct comparison suggests a very small FCR advantage for sawdust over straw in nursery pigs, while evidence for rice husk is promising but mostly qualitative. Therefore, a defensible material decision should match substrate properties to farm goals, climate, stage, bedding supply, manure-use plan, and labor capacity.

Recent material-oriented studies reinforce this caution. Bedding materials differ in water-binding capacity, dust, thermal behavior, microbial turnover, pesticide or contaminant risk, pen cleanliness, and fly burden. These differences can affect welfare, product safety, and environmental outcomes, so material selection should be treated as a risk-managed decision rather than a fixed hierarchy [45–47, 50–52].

A practical approach is to use straw where exploratory enrichment and fiber availability are priorities, sawdust or wood shavings where absorbency and feed efficiency are priorities, and rice husk where regional availability, cost, moisture management, and nutrient cycling make it attractive. In all cases, bedding should be managed to remain dry, friable, and compatible with the pigs' production stage and thermal environment.

At the policy level, the findings support welfare-oriented housing reform while cautioning that welfare improvements do not automatically deliver environmental gains. Programs aligned with WOAH guidance and national welfare codes, including updated New Zealand pig welfare discussions on manipulable materials and housing standards [48, 54], should pair substrate provision with monitoring of emissions, hygiene, thermal comfort, and manure management.

The same caution applies to circular-livestock narratives. Deep-bedding can contribute to nutrient reuse and reduced wastewater generation, especially in integrated rice-pig or crop-livestock settings, but these benefits materialize only when spent-litter is composted or applied responsibly and when externalities such as ammonia, odor, and greenhouse gases are controlled.

This review has several strengths. It uses a welfare-centered structure, integrates production and environmental outcomes, reports quantitative pooling only where data allow, treats failed NMA as informative, identifies rice husk as a regional evidence gap, and develops two practice-facing frameworks that can be tested in future veterinary audit and farm implementation studies.

The limitations are equally important. The quantitative dataset was small; many studies lacked per-arm means, SD/SE, sample size, or duration; risk of bias was often serious; and heterogeneity was high. Formal gray-literature searching, expert contact, meta-regression, and inter-rater reliability statistics could not be fully documented from the available review files. Language and extractability constraints, the March 2026 search cutoff, possible post-search publications, management-bundle confounding, and the unvalidated status of the HPPF and SDBM should be considered when interpreting the findings.