Which condition would lead to an increased prealbumin level?

An increased prealbumin level is often associated with positive nitrogen balance and improved protein status, which can occur when the energy intake exceeds the basal energy expenditure (BEE). When intake exceeds 60% of BEE, it indicates that the body is likely receiving adequate nutrition, allowing for better protein synthesis and potentially leading to higher levels of prealbumin, a protein that reflects recent nutritional status.

Prealbumin is a sensitive marker for changes in protein status, and its levels can reflect nutritional changes relatively quickly. When the body is in a positive caloric balance due to adequate or excess energy intake, prealbumin levels will rise in response to increased protein availability for synthesis.

In contrast, conditions such as going below 45% of BEE or situations of overhydration typically do not support an increase in prealbumin levels, as they may suggest inadequate nutrient availability or altered protein metabolism. Dehydration may lead to artificially elevated prealbumin levels due to concentration effects but does not indicate improved nutritional status. However, proper hydration and adequate nutritional intake primarily lead to an increase in prealbumin.