data of body composition showed higher levels of ECW (p ¼ 0048) or extracellular water and lean mass values LTI kg / m2 strongly reduced (p ¼ 0.005). Our malnourished patients were taking significantly low amounts of proteins (p ¼ 0.036) and Kilo Calories (kcal) (p ¼ 0.061). Concomitantly, BIA analysis showed in these patients lower levels of LTI (p ¼ 0.020) and FTI (p ¼ 0.033), as well as BMI (p ¼ 0.033 5). Besides analyzing blood tests, subjects with a lower MIS-score showed significantly

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... r levels of CRP (p ¼ 0.01) and higher serum albumin. CONCLUSIONS: Our results demonstrated that the percentage of our malnourished patients was rather high, about 72% showed signs of malnutrition and 58% of our patients showed signs and symptoms of "MIA" syndrome. Therefore in hemodialysis patients the early nutritional counseling and nutritional monitoring in time, could enables rapid diagnosis of MIA syndrome and it could prevent the complications related to protein-energy malnutrition and it could reduce the risk of hospitalization.