ALB and nutritional deficiency disease: Noticeably, based on these two parameters alone, annual malnutrition reportage for Malaysian HD patients with 10-year trends from 2006 to 2015 have shown an increasing trend from 46 to 62% with serum albumin < 4.0 g/L, in contrast to a decreasing trend of BMI < 25 kg/m2 from 71 to 61% [8].