Society of Diabetic Nephropathy Prevention Journal of Preventive Epidemiology 2476-3934 1 1 2016 01 31 Nutritional assessment in patients on hemodialysis e08 e08 EN Tina Jafari Journal Article 2016 01 09 2016 01 27 Protein-energy malnutrition is considered as a highly prevalent serious problem in patients on maintenance hemodialysis (MHD). Increased oxidative stress, inflammation, and uremic toxins lead to protein catabolism and anorexia. Dietary limitations as a part of therapeutic procedure restrict intake of total energy and nutrients. Dietary assessment of patients on MHD is usually ignored in dialysis units and patients often do not receive sufficient energy and nutrients. Expert dieticians aware of chronic kidney disease (CKD) stage and dialysis can provide acceptable dietary assessment of patients on MHD. Frequent food recalls or records and training the patients before nutritional evaluation on the standard scales are important for nutritional assessments.