Correction of the malnourished state, particularly common and severe in eld
erly people, is often unsuccessful. To improve the efficiency of realimenta
tion, we evaluated the nutritional effect of a pancreatic extract (PE)-enri
ched diet in malnourished aged rats. Sprague-Dawley male rats were randomly
assigned to 6 groups as follows: 1 group of control rats had free access t
o the diet for 12 wk (C group) and 5 groups were 50% food restricted for th
e same period, One food-restricted group was then killed (R group) and the
4 remaining groups were refed for 1 wk using a standard diet enriched eithe
r with two different doses of a pancreatic extract (2.4 or 4.8 g/d in PE1 a
nd PE2 groups, respectively) or with an isonitrogenous casein hydrolysate (
CH1 and CH2 groups, respectively). Profound alterations induced by food res
triction (FR) were moderately corrected by refeeding, except nitrogen balan
ce, which was reestablished in rats refed ail diets (P < 0.01- vs, R), Supp
lementation of the food ration with a pancreatic extract clearly improved r
ecovery. Indeed, body weight gain, both jejunal and ileal trophicity [jejun
um: total height, PE2: 849 +/- 45 <mu>m vs. CH2: 768 +/- 17 mum (P < 0.05);
protein content, PE2: 69.9 +/- 5.7 mg vs. CH2: 56.4 +/- 4.8 mg (P < 0.01)]
and nonspecific immune response in terms of H2O2 production by polymorphon
uclear neutrophils and tumor necrosis factor alpha (TNF-alpha) by macrophag
es (PE2, 20.7 +/- 4.7 vs. CH2, 8.7 +/- 2.3, P < 0.05) were improved in rats
fed PE2. A pancreatic extract could improve the efficiency of realimentati
on in malnourished aged rats.