Furthermore, multivariate Cox regression analysis indicated that a decrease in annual fat mass (HR 0.504; 95% CI 0.264–0.961; p = 0.0375; loser vs. gainer) as well as the value for annual fat mass change (HR 0.855; 95% CI 0.763–0.958; p = 0.0072; for 1 kg increase) were significant predictors of all-cause mortality, after adjustments for age, hemodialysis duration, presence of diabetes, body mass index, serum albumin level, and other variables. Here, ALB is linked to diabetes mellitus.