To assess the malnutrition-inflammation complex syndrome(MICS), also known as the Kalantar score, developed, and validated by Kalantar- Zadeh et al. was measured at baseline. The Malnutrition-Inflammation Score(MIS) has ten components [change in end dialysis dry weight, dietary intake, gastrointestinal symptoms, functional capacity, comorbidities, decreased fat stores or loss of subcutaneous fat (according to SGA), signs of muscle wasting (according to SGA), BMI, serum albumin, and total iron binding capacity], each with four levels of severity, from 0 (normal) to 3 (severely abnormal). The sum of the MIS components ranges from 0 (normal) to 30 (severely malnourished), in which a higher score reflects greater malnutrition and inflammation severity.