Effect of Anti-inflammatory Diet on Inflammatory, Oxidative and Nutritional Markers in Hemodialysis Patients

Inclusion Criteria: * Patients who are on hemodialysis(HD) at least two times a week for 3months or more without any internment illness or admission Exclusion Criteria: * Hospitalization because of sepsis or surgery 3 months prior to intervention * Cirrhosis * Hepatitis virus infection * Human Immunodeficiency virus infection * Acquired Immunodeficiency Syndrome * Active malignancy * Active infection * Absence of communication * Mental Impairment * Terminal illness * Tube feedings * Total parenteral nutrition * Pregnancy * Not previously seen by a dietitian within 3 months prior to enrollment in the study * Not expected to be transplanted within 6 months after the enrollment in the study * Absence of malnutrition from a cause other than end stage renal disease(ESRD) * Psychiatric conditions, preventing adherence to intervention * Consuming immunosuppressive drugs or taking antioxidant supplements including Vitamin E, Vitamin C, N-acetyl- cysteine (NAC), Pentoxifylline, Lipoic acid,Fish-oil extracts (omega-3 fatty acids), Soy extracts(isoflavones), Green-tea preparations, Pomegranate extracts, Grape extracts within 2 months prior to enrollment in the study