Effect of Exercise Therapeutic Program on Physical Function, Depression and Quality of Life in Diabetic Nephropathy Patients: An Experimental Study

End stage renal disease or Diabetic Nephropathy  or diabetic kidney disease is characterized by  decrease in urine protein. These patients experience cardiovascular complications which impair kidney function and general body deterioration . Because of burden of physical symptoms and psychological discomfort , end stage renal disease patients with Hemodialysis Maintainence along diabetic nephropathy have a lower health related quality of life and may have state of depression which also leads to poor physical function. Importance for exercise therapy is highlighted in guidelines of National Kindey foundation to increase physical activity in patients .There are two ways that exercise training can be administered: as an intradialytic (during dialysis) or extra dialytic (after dialysis). Studies have indicated that while extra dialytic exercise may yield greater advantages in terms of functional ability and exercise capacity, compliance with extra dialytic therapies is lower. The American College of Sports Medicine (ACSM) guidelines for an exercise prescription state that people with hemodialysis (HD) should exercise three to five days a week

So the need of this study is to determine how the patients responded to the exercises and how they improved in terms of activities of daily living as well as mental health and quality of life