Research Article
Effects of an Additional Chicken Egg in the Octogenarian Persons: Malnutrition and Hypoalbuminemia Probably Due to Chronic Liver Damage
Sanai T1,2*, Sasaki H1, Eto T1, Nakaishi K1, Tamura T1 and Fukamizu N1
1Department of Internal Medicine, Mitsumi Long-term Care Heath Facility, 5-8-55 Saitozaki, Higashi-ku, Fukuoka-City, 811-0321
Fukuoka, Japan
2Department of Hemodialysis Center, Fukumitsu Clinic, 4-10-1 Kashiihama, Higashi-ku, Fukuoka-City, 813-0016 Fukuoka, Japan
*Corresponding author: Sanai T, Department of Internal Medicine, Mitsumi Long-term Care Heath Facility, 5-8-55 Saitozaki,
Higashi-ku, Fukuoka-City, 811-0321 Fukuoka, Japan; Tel: +81-92-603-6321. Fax: +81-92-603-6000; E-mail: sunny@
fukumitsuclinic.jp
Article Information: Submission: 03/03/2023; Accepted: 10/04/2023; Published: 14/04/2023
Copyright: © 2023 Sanai T, et al. This is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background & Objective: Hypoalbuminemia has become important with regard to mortality in the elderly people. Two - three / day additional chicken
egg (CE) are usually added to meal and is a potentially effective therapy for treating malnutrition in the elderly people.
Methods: Hypoalbuminemia (the serum albumin (Alb) < 3.1 g/dL) was observed in the eight (age: 88.6±4.2 [mean±standard deviation]) of 79 octogenarian
persons. The present study evaluates the efficacy of a/day additional CE was added in the improvement of the nutritional indices of people. We examined the
nutritional indices, anemia, renal and hepatic function, and muscle anthropometry markers for 6 weeks with a/day additional CE in comparison with the thirteen
ambulatory patients on chronic kidney disease (CKD) glomerular filtration rate (G) 2-4 used as a control.
Results: Although the serum total protein (TP) were not significantly different, the Alb were significantly lower in the octogenarian CE persons vs in the
CKD patients (before: 2.9±0.4g/dL vs 4.2±0.3g/dL, p<0.05, 6 weeks: 3.0±0.4g/dL, p<0.05). The Alb / (TP–Alb) (A/G) were significantly more decreased (before:
0.76±0.11 vs 1.44±0.24, p<0.05, 6 weeks: 0.73±0.11, p<0.05). The aspartate aminotransferase (AST) / alanine aminotransferase (ALT) were significantly more
increased in the CE vs the CKD groups (before: 1.78±0.37 vs 1.43±0.38, not significant [ns], 6 weeks after treatment: 1.83±0.44, p<0.05). The fatty mass were
significantly more increased (triceps skin-fold thickness [TSF]; before: 6.9±2.2mm vs 5.0±3.0 mm, ns, 6 weeks: 8.5±4.1mm, p<0.05).
Conclusion: A / day additional CE was added to meal and an ineffective therapy for treating malnutrition in the octogenarian persons which might have
the decrease of serum Alb and A / G, the elevation of AST / ALT, and the normal levels of TP probably due to chronic liver damage. In addition, the increase of
TSF may assess fatty mass in the octogenarian persons.