HST was found to be lower in patients with malnutrition assessed by SGA.1,4 Nevertheless Wang et al has shown that HST is correlated to serum albumin, hemoglobin levels and lean body mass; but there was no correlation with C-reactive protein.11 In this prospective study, HST was independently associated with all-cause and cardiovascular mortality in PD patients, regardless of serum albumin.11 Recently, Leal et al.15 used HST to assess the nutritional status of patients on Hemodialysis (HD) patients using a population-based set of reference values. Here, ALB is linked to nutritional deficiency disease.