Subjective global assessment (SGA)The SGA score is currently commonly used as a valid and reliable indicator of nutritional status in practice (Steiber et al., 2007). SGA is approved as a highly applicable method to assess nutritional status with PEW in hemodialysis patients (Vegine et al., 2011). The SGA rating evaluates and classifies into three grades each content which includes weight change, food intake and its change, gastrointestinal symptoms, functional capacity and its change, subcutaneous fat on three points of the body, muscle wasting on eight points of the body. , edema and ascites. However, a cohort study showed that malnutrition was not diagnosed in any patients measured using SGA in patients who had been identified using measurement of serum albumin, BMI and weight loss history (Gurreebun, Hartley, Brown, Ward, & Goodship, 2007). Furthermore, the SGA scores between the two examiners, a nephrologist and a qualified dietitian, were compared in one study and the result showed that the agreement of SGA scores was significantly different (Cooper et al., 2002). Therefore, SGA scoring is convenient for daily nutritional assessment; this may vary between reviewers as this method is subjective. Normalized protein catabolic rate (nPCR) nPCR is a nutritional predictor of early mortality in incident hemodialysis patients, therefore it is used to assess dietary protein intake in dialysis patients. PCR calculated by urea kinetic analysis as a reliable method to determine patients' protein intake. PCR indicates nitrogen losses and normalized PCR (nPCR) can show nitrogen utilization with subtle individual variations. Although a single PCR measurement does not indicate daily diet or metabolic changes, in the middle of the document......o the state of malnutrition, the patient and healthcare provider must make great efforts to recover from a serious situation. condition to normal or better. In other words, when the identification of PEW is early, the gap to be filled to return the malnourished patient to a normal state may be less. Therefore, early detection of PEW and early intervention are of crucial importance. To allow early intervention of PEW, the nutritional assessment must be simple, harmless, less expensive, to allow regular use and applicable to wider patients without exclusion based on the medical treatment of the patients such as the implantation of a pacemaker. Therefore, finding out the usefulness of pinch force which is very simple, requires less effort, is inexpensive, harmless and does not require huge efforts from patients as a muscle mass index will be significant due to its applicability in daily practice..