| Abstract: | Patients undergoing maintenance hemodialysis (HD) have a high prevalence of protein‐energy malnutrition and inflammation. As these 2 conditions often occur concomitantly in HD patients, they have been referred to together as the ‘malnutrition‐inflammation complex syndrome’ (MICS) or ‘malnutrition‐inflammation atherosclerosis’ (MIA) syndrome to emphasize its important association with atherosclerotic cardiovascular disease. Oxidative stress, which results from an imbalance between oxidants and antioxidant defense mechanisms, is well established in HD subjects and could contribute to the poor clinical outcome of these patients. The aim of the present review is to discuss in more detail the common consequences of MICS and oxidative stress and their possible relationships with the long‐term complications of HD patients, leading to the conclusion that a complex syndrome similar to the MICS or MIA is the oxidative stress‐inflammation association, which may be called the “oxidative stress complex syndrome.” |
