After completing my veterinary studies, I started my professional life in a research position at Wageningen Livestock Research in the department of Animal Nutrition. I was always interested in the connection between nutrition, physiology and health in dairy cattle, but I was not sure whether a research career could truly match my skills and passions. What I was sure about, was that committing to a PhD ("working four years on a single topic") would be extremely boring… And here it is: my PhD thesis. It was not a four-year route, it was not really a single topic, and: not boring at all! This academic journey started in my early days at Wageningen Livestock Research with the first project assigned to me, entitled 'Zwangerschapsgym voor koeien' (Prenatal exercise in dairy cattle). This unconventional idea came from my colleague Frank Lenssinck who wanted to see how exercise could affect calving ease. Thinking along, this idea started my interest in the effect of physical exercise on dairy cow metabolism and health. That initial (crazy) pilot study we performed yielded some intriguing results regarding the energy and lipid metabolism of the cows involved. It was followed by a larger trial which is reported in Chapter 3 of this thesis.Simultaneously I engaged in several other trials monitoring cows around calving, supporting their health by different strategies. With the inspiration of colleagues Ad van Vuuren, Gert van Duinkerken and Thomas Schonewille, the outline of this PhD thesis was shaped with a combination of four studies. It was a challenge to synthesize the wide variation of management and nutrition strategies into one thesis… but without such a challenge, it may have become dull! Numerous people actively and passionately contributed along the way and I am grateful to each one of you. Highlighting some specific persons, I will start with my promotor Wouter Hendriks: even though I remember your first statement was "I have no interest in cows", thank you for giving me the opportunity to start this thesis, and for guiding me to the end, including the last hurdles! To Thomas and Gert, my co-promotors, your support during brainstorming sessions and manuscript reviews was invaluable, and you also kept reminding me now and then that I had a thesis to finish ;-) Here it is! The data reported in this thesis has been collected with the help of many colleagues at our research farm De Waiboerhoeve / Dairy Campus. Thanks to Martin de Bree, Edwin Bleumer, Gerard de Bree, Jan Zandbergen, and many others, cows were selected, checked, sampled, and where needed: convinced to exercise. Thank you all for keeping an eye on the cows! Ad, Jan Dijkstra, André Bannink, Ariëtte van Knegsel, Jurgen van Baal, Eddy Weurding and Ronald Zom: thank you for your collaboration and co-authorship on one or more scientific articles with me. Ariëtte and Yvette de Haas, thank you for our "tea sessions". Ad and Arie Klop, thank you for the moral support as my paranymphs towards this day.The artistic touch on the cover was created by my mother -than...